04/21/2021 Agreement Kevin Madok, CPA
Clerk of the Circuit Court& Comptroller—Monroe County, Florida
DATE May 3, 2021
TO: Sheryl Graham, Director
Social Services
ATTN: Lourdes Francis
Alp
FROM: Pamela G. Hanctfi9l'lr .C.
SUBJECT: April 21BOCC Meeting
Attached is an electronic copy of the following item,executed on behalf of Monroe
County, for your handling:
C9 Coronavirus Consolidated Appropriations Act Contract between the Alliance for
Aging, Inc.,and Monroe County Board of County Commissioners, Social Services/In-Home
Services in order to provide nutrition services to Monroe County citizens (aged 60 and above) and
their caregivers. Grain contract is for the period of February I, 2021 through September 30, 2022,
in the amount of 871,051.35.
Please be sure to provide this office with a fully executed/py of the agreement once die
Alliance signs. Should you have any questions please feel free to contact me at(305) 292-3550.
i 4201
L
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852-7145
KCV-2129
ALLIAINCE FOR AGING, INC.
STANDARD CONTRACT
Coronavirus Consolidated Appropriations Act
THIS CONTRACT Is entered into between the AMance for Aging, Inc.,, hzi-einafter referred to as the"Alliance,"and
Monroe County Board of Counly Commissioners,Sucial Services/In-Home Services, hereinafter re(erred,to as the
"Providet", and collectively,referred to as the"Parties." The to cantractor ib r this I�Llt))OSC may designate a vendor.
!sub-grauicc or 5tjb-rvcipicju, the status to tic further idcntificd in ATTACHMENT I L Exhibit-2 as neccssioq,
WITNESSIETH THAT-
WHEREAS. the Altiancehas establislicti,throu-11 the Area Plan on Aging that it is in need ofccrinin services as
described hereiw and
WHEREAS,the Providw has civnnonsirawd L11w rt 11,15 the requisite exporuse and abflky to faithfully perfo-I.-Iii SLIC-11
se r Y ices as an in depcTident C0jltI-t7LCjQr 004e Alliance.
NOWTHEREFORE, 41 consideration oftlic services to be perfonned and pzaynients to bc made, together willidle
mutual COW111-InIS anti conditions hcreinaftcr set forth, the Parfics agree as lbHows:
1. Purpose,of Contrad
The ptrrpose or 0i is contract is to provide services in accordajice with the lerms, and conditions specified in LH5
conurw, including all attach:jnents and exhibil& -which consilune the cortuact doct[Illent-
2. Definitiomis
ADL—AcEivj ties of Dal ly LIVinno,
APS—Adult Protective Services
ADA—Arnel.riC,
I Act
th D's I
All iance—Area Agency on Aging
APCL—Asscssed Priority Consumer List
C1 RTS—C ient In formt-trion and Registration Tracki ag Systenl
DOE A—Department of Elder A111dirs(The Department)
f&R—I riforination and Referral
1A DL—I risirto-nenial Activities ot'Dails. Living.
MOD—M aj or Disaster Dec laration
MOA—I emorandum OfAgreen-wnt
NI OU — M ern o rand um o F U n ders t a nd i ng
PSAs—Phinning and Service Areas ct)r,respontdiilg to Miami-Dads.and Monroe Counties
SPA —Service Provider App6c,01011
USDA —United States DepurttnenL of AwriculturQ
3. Incorporation of Vocumenu within the,Contract
The contract incoTorates by reference attachments, proposal(s), soficitation(s), Provider's Service'Provider
Application. and the ew-rent I 12-A Programs and Services Hand book. Any and all confi-irts or agreements
executed between the Provider and the Alliance during the el�flectiive period ofthis contract shall be govenied in
accordance with the applicable law arid stawtesf
4 Term of Contract
INs contract shall begin un February 1, 2021 ur on the date on. which that contract ha,,� been si,gned by die last pawly
required to si-n it, whichever is later. It shall end at midnight, local time in Miami, Florida, on September 30, 2022.,
0 unless- renewed or extended as provided herein,
Page I of 66
I(CV-2129
5. Contract Amount
The Alliam;e agrees to INiy for contractcd services according to the ternis and condidoris ofthils contract in rill
amount not to exceed S71,951,35 subject to the abilit o
a:-vaily I ' ffunds. Any costs orservic" paid J'orundcrany other
comract or frorr) any other source are oot cligible for payintflIt Under this cmnraci.,
6 Renewals
By mutt al agreement offlie parties, the Alliance may rene,,v thc contract I'Dr live addj Lional one-year perWs,
Contingent upon satisfactory Perforniance evalualiens by the Alhaj,iLe and the aviailabRity of fiinds, mi), renewal is
subject to the same terms as theorioinal contract, with the e\ception of establishing unit rales which is described
further in thk Section, The ori&al conlractual unit rates are set ford-g in the bid proposal and reply,
Requests to renegotiate the original contractual established rates are provided for in the Alliance's approved
R6niburw. inent Rate Rc vic%v Poliev, which is incorponated by reference.
Th�s contra c; may be extended Upon ITIAL131 agreellletlt fbt One extension period not to exceed sN nioriths to ensure
continuilv ofservice, Services provided under this exiension will lie paid fior OLIt Of tlll~ succeeding aurcement
111110kInI,
7. Coniphoutewide Federal Law
7.1 This contract contains federal W rids. The foRoMng shall apply:
7,1,1. Tho Provi;dcr shall comply Nvith 0'ie provisions of 45 CV R ?4 andlor 45 CFK 92, ond Other appI icabl 0
7,1-2 1 f Oi'Ls contlll;Ct Q01,14i ns (,VdQal Rjnds and is over S 100,000.00, the Provider shall co nriply with rill
appl icai Ne standards, orders. o r regulations issued under s- 306 of the Clean, Air Act a,,,, amended (4,21
11 S.C. 7401. et serf.), s- 508 of(lie Federal Mimer Pollailor,Control Act ias amended (33 U.S.C. 125 1 et
seq.). Executive Order 11738, as alnended, and where appl-rcablc F-oviruninental Protection Agcilzy
iregulinions 40 C FR 370 The contractor shall report any V jolaj jornS OfTlIQ aboVe 10 th,e Alliance.
7-1.3, The Pro,6dQ.r, tar ageint acting for the Provi&r, may not use ony federal funds received in Connectionq
%vith this contract to influence legislnteon or appropriations pendlng beforc the Corigress of any Suite
The Provider trusi complete all disclOSUre Fonins as requlred, specifically the Cerfificaboll
of Assurances Attachment, w1hich must be completed and returned with this signed contract,
7.1,47 In accordarice witli Appendix A to 2 CM 215,,the contractor shall comply with Executive Order 11246,
Lqual Employinem Opportunity, as airtended lj�� Exectuive Order 1137-5 and others. and as
supplemented in Dep,'Irlrnelll ofLabor regulation 41 CFR 60 and 45 CFR 92, ifapplicable.
7. A contracl award with an amoum expected to equal or eNceed $25,000,00 and certain other contract
awards shall not be made to parties listed oil the goverllnicnt-k4--ide E&cluded Parties List System, hi
accordance with the OMB Suidelvies at 2 CFR 190 that h-nj-.)]crnent Executive Orders 12549 and 12,689,
"De bar ,ent and S us pension," The,Excluded,Parties List ystern coritains the names of parties
debarred. $L[5pendcd,Or Othervvkc excluded by ageimics,as well as parties declared inc ligNrunder
statutory or regulatory authority other than Executive Order 125740, The provider shall Comply with
these provisions before doing business or entering hito subs oritraas receiving federal farads PUTWant to
Nis contract. The Rrovidcr shall cornplele and sign the Certification and Assurances Allachnneni prior
to execution of This conti-act.
7.1 The Provider shall not employ an tolauthorized alien. The Alliance shall consider the employment of
UlIaLl,thorized MWris a violition of the Immigration and Nationality Act(8 U.&C_ 1324 a)anti the Immigration
Reform ard Contrul Act of 1986(8 U.S.C. 1101). Such viokafion shall he cause fear unilateral caiwellation of
Otis contract by ihe Alliance.
Page 21 of
KCV-2129
7.3 If the Provider is at non-prolit provider and is suh-lect to Internal Reventic cMce(IRS) tax eyenlpf
utgamiallon reporting- rcquircinen(s(filing¢r Form 990 or Form 990-N) and has its taX CXCIIII)t MatUS VLWOked
'For failing to eon"[ply with the filing reClUirelPentS oNhe 2006 Pension Protection Act or for any Wier re,aqon,
the Provider mu it no6fy the Alliance in wrifing, w-10-tin thirty(30),days of i-ocelviing the IRS florke of
revocation.
.4. The Provider shall comply with Tilk,,2 Ult Part 175 mgardi n iax Tra fficki ri-in Persons.
1 0
7 UtjjCSS CXenlpt lift(jer 2 CPR Part 170.1 10(b),the Provider shall Larnply with d-ie repro-fing rcqLkements of the`
"franspareficy Art, as expressed in 2 Cr-R 17
7.6, 'J'o CO3I)Iply Wifll [IrreSid"ri-It at Ewcutive Order 12989 and State of Florida EXI-CUUVe Ordor Number 11-1lea;
Provider agrees to to lire the US, Duparuttent of Hrometand.Secur4y's E-verity� systern to verif� the
ernployrnetu (A'ali new employees hired by Provider during the contract torah.. Provider shall inr&ludc in relatcd
subcontracts to rccTar re rtte rtt that subcontracturs and/or Yendors performing work or providing services pursuant
to the state.Contract utilize,the E-vtrify system to ver6 employment of alt new employees hired by the
subcontractor and"or vendor during the contract term. Providers meeting the teniis art([condi6o of the E--
Verify 9ysitenn are deen-tod to be in compliance with this provision,
8, Compliance i%,jtb St rate Law
U. This contract is executed and entered into in the Siate of Florida. and shall be construed,perl'binned and
enforced in rill respects in accordance with the F[orida taw, including Florida provisions [or conflict of laves,
82 The Provider shall comply with the requirements of s, 287M& FS.as amended.
8,2,I. The Provkter shall provide units ofdeliverables, Including rcpor brag, finch ags, and drafts,as specified iri
this conlract, Which the Contract NTanaggor rnim rcccivc and accepi it) writing prior to payment.
Z-�
8-2,2, 1 ho ("untractur shall rOMI)IX V�ilh 111C Critel-kl [Ind IJUA (IJIV, tlw %%bich SUJ1 4 11N'OL't 1110-A, tV M(!(
died iii ATTM]IMF F 1 N . Ill. klefliod of
jOr coillplotion ofthis coliti-act as spec,l I
PaN ITICIIL
8 e 2 ^3, The Provider shah subn-irt bills l'or fi cs ear-othcrconipenisation lor scrvices or expense,,.-, ip.!'Urfic-ient
detail ror a proper pre-audit and post—audit.
�.2.4� If jtemj,zect plyincrit for travel exp(Nlws is PCI'matcd ill this contract, the contractor %vill subrni,t bills for
any travel expenses in accordance with s, 111061, FS., or at such lowcr rates as may be provided in
this Contract.
8,2.5. The Provider shall, allow public access to,all doCUj1Wj1tS, papers, letters, or oUicr public records as
d(Ained ill subsection 119,011(12), RS,, made or received by the contractor in cc hlonction Vvith this
oontract exeept for those records which are made confidential or exempt by law. Theprovider',s refusal
to comply with this prov[stori shall constitute an irninediate breach of contract for which the Alliance
I'ar Aging, Inc. may unilaterally terminate the contract.
9P 1
93 if clients are to be trawsrorted under this,contract, the Provider shall comply with the pmvisknis of'Chapter
4277, F,&j antl Rule,41-2, F A. C.
8.4. SUbcontractors and/or vendors who are on the discriminatory vendor list may not transact hLiSiFICS-S With any
public entity, in accordance with [lie provisions of s, 287.134, RS,
8.5a The Provider will Comply With the provisions of s. 11,062, F.S.. and s. 216-347, FS- which prohibit the
expenditure of contract funds for the purpose of lobbying the br,-iT1r-h or astate agency,
Page 3 of 66
KCV-2129
SA hi accordance with Section 287.13.5, f-",S,, any Contractor on the ScrutilliZi2d COMPc'11110 kvi(h Activities in
Sudan List,Ou xv lit) Activities in the Iran Petroleum F,nergy Sector Llst. or the
Seputinized Companies that Boycou Israel L M(Ulsks), crezacd pursuam to Section 21.5,47'3 EIS, arid
2 15.4725, F.S- or i5 engagged In a boyvott of Israol,or is engaged in tXISirC,5S operadons in,Cuba or Syria.,I is I neligiblic to enter into or renew a contract with the Dcpurumm for goods or serviucs of SOM,000 or moro,
0
Pursuant to Section 287.1,3)5 F S, the Alfiance may terEnimic thiq contract if ilic Provider is, found to have
S[Jbrnitted a fiflsc certificatinn of its status on the Lists or has been placed on the lists or is Crigaged in as
hoyQou of Israel or has been engaged in businc—s-.operatioilts in Cuba or Syria, F urther.. khe Provider is
siubj=to civil penalties,attorney's fees and custs and I any costs for investigmions that ted to the finding of
fiallse co-I-tification. The Provider 5ball ccimplete and skm the, Cerilficafinns and,Assurances AttachmemL prior
to the exccutlon of this cootrav,
9. Background Screening
9,11 Tile Provider shall comply %vith and enstire subconlr=tor-s ale In Couripliaace with that: requirements ofs,
430, and Chapter 3 r.S.. as a mended,are met regardinground
back screcalng for tall persons who 0401 45
meet the defitiltion of a direct ;orviee providerand kvho are not CW11PI from the Department's level 2
background screening pursuant to,-R. 4M0402(2),-(3), F,S. The 1-417,1,vider must atso CDI-Oply M111 alry applicable
rut es pro ni u lgat ed by I he Die p i rL al.en t and, rb e Agency fo r H ea I th 'rare., d rn i n I s trat.10 n regarding
ng
i mpletrientation.(if s.4')0.(902 and Chapter 43 5, F.S.
9,2, Further infomla6on conc-cming the proueduros flor background screeming is ibkwd at
M), BackgrMind Screening AMdavit ol"Cornpliancc - To dctnurisirate compliance vvkh this contract, the Provider
z
shalt submit ATTACHMENT D. 13,=L'OrMind -Sercenina Affidavit ofCornpliancc annually. by January 15L)r.,
10. Grievance Procedures
'me Provider laaall comply wirt) and emuresubcontractor ancYor vendors compliance kv,Ith the Minimum Guidelines
for Recipient Grievance Yroccdlures, Appendix D, DOEA Programs and Serv,ices Haodbook, to address f omplaints.
regarding the termination, 50sponsionor roduminn of-gervices,is required for receipt of flin,cls.
10.1 n Complaint Prot:L+dures
The Provider,shall develop and imj-)leIT1enJr com,plaim pracedures,and ensure that Subcontractors and/or
vIuncim dcvcop and implernent coniplaint procedures to,process and resollve cfierrt,dissafis,faction with
,services. Comptaint proccclUITS Shall address the qvallt�y and timeliness ofservims. provider and dirw service
or any rather advicQ related to complailits other 0-lan tern-tioation, suspension ar mduction
in serviu" that require the grie'Variee ProrCesS as described in Appendix D, Depaitnent of ElderAfrairs
Programs and Suvicc,,i Handbook. The complaint procedures shall include notification to all clients Ofthe
complaint proccdure and inclUdc tracking the date:nature of complaim,thcdelo-mination of each cornpl-aint,
grad the 150NOW-Up with the cl ient to emsure satisfaction with the resolution
I L Pubtiv, Wcords, and ROCnOoll
l. 13y O'Necutlon orthis Contr'LICL Contractor aLn- O's- lo al l prov[-dont.; ol'Uhapwr B I 9. VaS- mid una i
01her applicubic law, and shall:
1 11,1,1, Kvcp and Ill-amucilil Public rc�:ords ve(JI.56-ed b,, flic, Dupal-Iruent it) pul'orm dw Qoritrae[c2d -,,er%iecs.
tJpoti -eqkwst from [he DeparuTICAICS, CONTMIN il l C,)F pub I ic records. prov 1 de I Ile Departillcilt as CopN
(oC Amer ic ivqu ested wco�d',,, 1.-11--111 lo, (Ile record,fi to be lnspc-'[od of Copied w i1h Al it reasanabl C a i 111C
at a Coh,I I hat doos neat exceCd Lhe Cos( prov i ded in Clwl)JQJ` I I",)
car aJs,(it I IQ(Wi'�e 111-4,)V'I
j I e oY
In v.
Page 4 of 66
KC42129
11. ki Eriarre dim OWL records thal cur cNenipt, or mirilidentiall mid 1vorn publlic records,
dkclowwo requiornents are not di'sclosed C`,Cepl tis d1N1horj?.,Lx1 h km for the dlirmion of'the
ccuntruct term and Wou Ng cmnplohn of the cmumc( PlAhe WimeNH aloes not unualkir ih.
record" to the Departnlent.
I I I A Upon complaWn A he cownict. Ow Commcbor 101, at lio coy [to the Aftnice.all
public reconk., in PUSSCSSUrn all"thc Comuniwior- or pill keep and maintnio pubi ic rQcords rkquircd
by the DcjjartnICAL If A Commoor narrArs ah public vQords Io the 11pol,
eomplelion ol'the Contract. Conuzcwr shad c4stro.). any duplicaic publie records that are
CXCMPL OV conlidenthl wind eNompL from public rumuds dWdo"rwvWdmnwra& If the
Aninvulmr koujis and nuinWhIs pmb[ic reaWdS upMj cNQetkm of Me cmnmcL to Conlracton'
shall rnuct all allmlicable mcluQuients Ar iviaiAng p4qk recowN, AH revoWs storod
electeonicallYniusi he proWed took Ueparollenn inn I"(4-fliw that is Conipal4fle with the
in JCCJ)uol(�gy, ofdic Dlepartillurit.
Aliiniico vm� tuidalcntll�- k:aneol acm ith.st-anding warty oflix lirmi�sk)ns (11' 01is
convact, IN Wisal h; 010 Conlawral W CanNy M ith AITAU UN,11'.N-1 I of di is cumawt by M AlmQ;,
PLA111k: MXQY� 10 all d()Cfl11101AS- piipciry Inc" or obar mawi-ial: made or mvQvd b) the CorlwWr in
Corl,juncuen Midi lids Voilliact. KCSS the iveords 'Irk: Cxelilpi, Cn &1d oxtnnjpt„ Croal scclion
24(,41) of Arkle I of fllc ',Statc Cans,14,aion a,ld S ciiosi l 1,9.071,1 t, F.S.,
IFT111117 CONTRACTOR HAS QUESTIONS REGARDING 111C APPLICATION OF CHAPTER 119,
FLA)RIDA STATUTE% TO THIS CONTRACTOR'S DCTY TO P1101-,H)E PunIAC IZECURDS
14ELATING 140 THIS CONTRACT.CONTAur THE CTSTUDIAN Or PUBLIC REC(AWS AT-
I'ahlic Records CoorcHnatur
Florida Department of Oder
Aff-mrs 4040 Esplanisde Way
furida .32399
8-50-414-2342
It Audi c In ectioox Ins-estigation Pub,fic Records andf Retentiiati
12A. The Provider shall establish and rnainj"
,�Jjjj bcroW records and docmnams (Waluding eloctronics-Lorage modia)
sufficient to reflect all asset,,,, ubkgations, tomblAgand bdanccv ia`r ome. interestandt cxpcnditurQ5 of funds-
FiroOded by the Alliance under this contract. Provider shall adequinely safeguard adl such assms and nsuire
they are used solely Wthepurposes authoWed under this contract. Wherte'vor appropriate, finandal
intrmadon should be related to perl'ormance and St.cost darts.
122. The NoWder shall retain all dient records, financial records,supporting docialieras, statistical records,and
xny rather documents(irickAling efectronicstorwtg tnedia)pertinent to (his curt1tract fora period,of"Six(6) erars
after cornpktiofl or se cmuract or longer when requimd by law. in Me event,an audit is required by this
convocA,records shWI be retained for a ninnimurn, period of six(6)years rafter the audit report is issued Or Until
resolSon of any audit findigs or Wgpdon based cmi die ieran ofthis contract, at no additional cost to tic
Alliance,
123, Upon demanQ at noaddidonal cost to the Alliance. Me ProOder W facilitate the diapUcadon and Unnshr of
any CrLurds or docuumms Ming the required retention Period in Paragraph IZ2.
114. The RoAder shall assure that the records desSbed in(psis sochan shall be slatlect at ell reasonable titnes to
inspechon, revie"',copying,or audit by Fcderal, State, or other porsooriel drily authorized by [he Alflalxe�
Page 5 of 66
KCV-2129
12,5, Ar afl reasonable Ames for as long as records are mainua'Mcd. persons duly aothurized by the Alliance,-DOEA
and Fcderal aaditot's. pursuanl to 45 C17-11, Part 75, sharp lac allowcd lull acccss loand tile right to exarnme any
of the Provider's contracts and related records 4nd docurrlcnts per&ient to this specific contract, regardless of
the form in which kept,
116, The 1'rovider sharp prov'rde -a financial and compliance audit to the Alliance as specified in this contract and
ansure that all related third-party transactions are disclose to the audilm
2'7, 'I'lle Provider shall coniply and cooper to immediately with atly insrYzctions, reviews, Investigations,or
audits deemed necessary by the o Mee of the DO EA I s Inspector Genera I pursuant to s, 20-05 5,F-S, Prov i d c r
['tlrIbQi.ZI-rces thm IL sluill IVICILKI�" 'M rclated sti.hoonkrauLs o P'CkILIII V0101t 115A �tjbcomracfors rnd/cir
vendor-, perfoi in n- work or prat id mg, tier-v i c c 6 JILIFS Wk fit l 0 t 11 i5 C01 I l ral Ct aA"NC to coc)pCrat'o ilh L he
Alli;lu ice owl rispoctor Ge ncral ill mvN i irve't ipa ion �'Iud it- �I 1"'pec t Jon , rk�v io�� �or hCil'i 112
ZI - PUI�Skjqilll
Secticm 20,05 515). F S, By execution Of this contro ct thjc Pro v id Q r u rlder,�.w acts a] Id -,% Illcou i 11h, w4ll Oki
�to bs�c t i cn i,
13. Nondisizrimmation-Civii Rights Compliance
13.1 The Providei-shall cm�:cute as-surances in ATTACHMENT VI that 4 will not chscriminate against any person
tri the provision of iervices or bencrits under this contract or in croploymcm because of jgk�,race,religion,
color, disability, national o6giri, marital status or sex in compliance with state and fiederal law and regulations.
The Provider further as5ure,,;ftit all contracwr5.subcontractors, vcndors, S,(tb r,jjjtee�" c)r Qjj'jer %Vjjh )%(jjojjI it
arranges to provide se.rvices or bcnerm in, Connection vdth any of it,. protp ants and acGivitles are not
discriminating agiinst clients err employees because del`age, race, religlcna cu[or,disability, national origin,
mmital stalUS Or SeK.
13 Durino the (CrIL
b n of this contract, the Provider shall curnp cle and retain on file a complew,and accurate
Civil Rights Coil 1plianee Checklist attachcd to this,contract,
11.3 The Provider shall eslab4fll pi-ocedures lXJA'.WsAIIE W fe&fal 111W to handle Col'I'lplaiRILS 1_al'clisCrirruirrratiaur
involvin "Wes,or benefits iliroLIA1 this contract, Thew procedures will inCkide aodf�in- clients,
employces., and. participants oFthe right to file at coinplaint wah thrappropriatc fiederal orstate,entity.
13.4 tf this contract contains fiederal Funds, these assurances are a condition of confinkieff reccipt of or henefit fa-orn
federal financial assLstance, and are bi.nding UPGAI OC PPOVidCr, its successons, transferees, and assigilecs for
(lie perlod durini er further assures that all suhcopiractors,
I ,�which such assistance Vs providtL]. The Provid
VCM[Ors, orothers wikfi whorn it arranacs to Provide service� or benefits to participants at,employees in
connection with any of'lis programs and ac6vlties are nol, discriminating against dicse participailts,or
eniployees in violation of the abowest rtrutcw regulations,I guidelines, and standards. In the event of Failure to
'=91PIV tile PiTiVider Uliderstands that flu�_, Alliance may, at its discrction,seek a court order i-equiring
co ppi
mpliance with the terais of this assurance or seek other a -op6ate j ud i6al or add inis rative relief,
mal udina b-Ut not hill ited to, terinination o f and denial of further assistarlee,
0
1 4 Provision of Se"ices
The Provider shzIl provide the -services referred to i,n ATTACHMENT VII in the manner described in the DOEA
Pro rants & Scrviccs Handbook and the Pirovider's Service Provider Application (SPA), In the event of a conflict
hetween the Sorvice Provider Application and thIs comract, the WMTaZt.JaViguage prcvaHs,
15. INIonitoring by the Alliance
`riw Provider shall permit pensons duly authorizcd by the Alkance to imspaa and copy any records, papers,
clocumcnts, faciobtles, gaols and services of lie Provider which are relevant to this conlrao,and to intervickv any,
Page 6 of 66
KCV-2129
OWnts, employces wid subcontraclIadvendor crnploycc5 ot'thc Provider to assure the alliance, of the saflsiactkiry
perfion-nmiec, orthQ ternis and conditions offilis contract, Following SUch, rcvicw, the Mliance,wfll deliver to the
Provider a written report cat'its findings, andwherc appropriate. the Provider shall develop a Corrccfivc fiction Plan
(CAP). The Provider herehy agroes to firnely correct all r1eii'Jericles identified in the CAP,
16. Coordinated Monitoring with Other Agcncie-�
Iftlie Provider-receivei Rinding froln one ormore of the Staic of Horida human service agencies, in addition to
Alliance funding, then ajoini rnonkOdrlt�visit iriCILK1111nO stich other agencies may he schodule& For. On!purposei of
this contract, and pursuarit to s. 287.0575, ES.as amended, Florida's human wi-vice agencies steal I include the
Deparirnent of'Children and Families,ilia Deparli-nent of'Heafth,the Agency fair Persons wilth, Disabihfie ,The.
Depal-twent of Veterans Affairs.and the Department of Elder M11-urs. Upon notificatlurs and the stibsquont
scheduling of such a visit by the designated agency's lead administrative coordinator, the Provider shall comply and
cooperate with all mortilars, inspectors,and/or investigators,
11% Inclennoification
The Provider shall indeninity, save.defend,and hold harnfless the Alliance and its agems and cruployces froni any
and all claims, demands, actions. causes of action of whatever nature or character.,arising out of or by roason ofthe
execution oflhrs aggreerrient or performance of the Services providcd for lien in. It is understood and agreed duat the
Frovider is not reqtdrred to, indernniN the Alliance for claims, demands,actions Or CAUSCS ofacuon arking solety out
of the Alliance's negligence,
17-1 Except to the extent permitted by s 76&28, RS., or oidier Florida law, paragraph 15 is not appficWe to
contracts executed between the Alliance 4rId state agerwio-or subdM ons,defined in s. 768.28(2). F.&
18. Insurance and or
18.1 The Provider shall provide cowinluous adequaie I iabitity insurance covcrago clud ng the existence of this
co n1ractand any rerlewal(s) and cmensio n(s) of-it, By eXCCUtio,r) of ills comract, tintless it ;IS U SW,te ZigCHC or
y
subdivision as defined by subseerlon "76S42S(2), F,S- the Provider accepts full responsibility for idetldfying
and de tenn't n i n g t h e type(s)and extent o liability insurance necossor,y, to provide reasonablo financial
prowclions ror the Provider and the clients to be serval under this contract. The Alliance shall be in.ClUdCd M
an additional insured on the provider's liability insurance policy or policies anda copy of the Certificate of
Insurance shall be provided arinvally or when any changes--oMlr, The hinits of coverage urider each policy
maintained by the Provider do not limit the Provider's liability and obli&ations,under this C-011tract.The
Provider shall ensure that the Alflajice has copy of the most cuirew wri-ttco veriflcation of lmUNMCC covotap-o
tI1V-DLtRjl0U1 the M-M Offts contract. Such coveragemay be provided by a self'-insurance prog:,rarn established
and I ope-aflng ondter tht laws offlic State offl!orida, The All lan(I�e reserves tine right 10 t-2qLijre adflflonal
imsurance as -,-specified in this contract.
18,2 Throughout dle term of this agreement,the Provider shall maintain an Insurance bond frorn a responsible
ca,1111rercial Insurance Company covering all officers,directors,emp1qwes and agents of the Provider
authorized to handle funds reccivcd or disbursed under all agreements aridJor contrads Incorporating tills
contract bv rol"crence in an arnoUnl corrilnerI50ratc with the Rinds handled, the deoree of risk as determilled lby
the insurance company and consistent with good business practices.
M Confidentiality of Information
The Provider shaRnot Luse or disclose arty information concerning a recipient Of WrVi[Xl Under tills COnINICt f"017 an)'
purpose prohibited by state or federal law Or regulations except with the w6tten consent of a person legally
authorized tD giber that consent or when authorized by law
Page 7 of 66
KM2129
20. Health Insurance lortabilityand Accoijntabfljo� Act
Whore.,applicable, the Provider shall comp with,the Health tnsttrance Portabdity° and Accaumabflity Act(42 USC
1 J20d.), as A%,cl 1 as, all rego Iaihons prormilgated thereurider(45 CIA 160, 162, wid 164)
21. Incident Reporting
21,I The Proyidcr shall notify the Altiance i aim ed lately but,no later than forty-eight(48) hours from the Provider's
mk-areness or discovery orconriltions that may materially affcet the Providers, iubcontraclor's or vendor's
abilit, ,ri -lly
.y to perf'orm theservices requirtA to bo performed under any con, ,ct- Such notice be made ora
to (tic Contract Manager(by telephone)Nvith an email to immediately follow.
21 The Provider shal I i inmediate Iv report knokviedge or reasonable suspicion a I-abtjsQ, RCSJW OF CXPl0,ltdfi0r) Of
a,child, aged lm'son. or disabled adult to the Horida AbLI-Se, 1-10ttincon the statewide toll-free Iclephone
number(I-,800-96ABUSE), As revired by Chapters 39 and 415, F-S-this provinion is binding up oil the
Provider, subcotitrictors, vendors, and their employcc&
227. Flankruptcy Notirication
It;at a:Rv time during the term offlini contraci, the Provider, irs assi-nees, vendors araffilinics fiks a
clairn (jr bankr-UptCy, the Provider must inimccliately noti(�� the Alliance., Within icn (10) rays after notification, the
Provider FFIL15t also provide the 1`0o%ving information w the Alliance: (1) the date offilim, ref the bankruptcy
petition� (2)the case number;(-3)) the court name and ihc division in wbicli (IIQ pei,idon was filed te� g., Northern
District of Florida, Tallahassee ind, (4) the name. address,and ferjepjj,onc; nUmber ol-flic bankruptey
a1lorrivy.
23. Spunsurship anti Publicity
23A As, rkxjuired by s, 286,?5, F S- irl-he Provider is a non-governmenial organization which 5pormrs a prqgram
financed wholly or in pan by state funds. including any funds oblarricd throug.,k this contract, it shall, in
publicizing advertising, or describing the sponsors nip of the program,statc: "Sponsored by(Provider's
name),the State of Florida Department of Elder AlTairs and the Alliance for Aging, Inc." if the sponsorship
reference is in written material, the words"Mate of Florida, Deparmmi.of Elder Affairs"and"Alliance for
Aging, Inc."shall appear in at least the saute size letters or type as the name of the organization,
21� The N-ovider shall not use the words,"The State offlorida Department of ElderAffairs"or"Affiance for
Agirtg, Inc."to indicate sponsorsbip of a program otherwise financed,unless specific authorization has been
obtairicd by the Alliance prior W LISCi
24. Assignments
24,1 The Provider-shall not assign the rights and msponmbilities under this Contrim vvfihovt the prior�,.--rirren
approval of the Alliance, which shall not be unreasonably s%,ilhhcicL Any sublicense, assignmem,car Iransrer
oillemisc occurring without prior written approval, of the Athaace will constitute a materia I I I breach fthe
contract.
24.2 The Al Lance shall at all finnes be entitled to assign or transfer, in whole or part, its rid htsr dories,or
obllgatiom Under this contract to another agency upon giving prior written notice to the Provider. In the event
the Alliance approves transfer of thelProvider's obligations, the Provider remains responsible for all work
pel-60'rined and all e-XPQDNC.5 incurred in connection kvith the contract,
24.1 This contract shall reivain binding upon the sacccssors in, interest of0dier the Provider or the Alliapxv
Page 8 of 66
KCV-2129
25. Subcontracts
25.1 The Provider is, re,5porisible for all work ped"cri-ned purskimit to th s contract whelhoractually 11urilk-11Cd by the
J')rOVidCr 01-its-SU11COV141'allOrs.ancUor vendors. Any sobcontracts shall tv evidenced by to wfliaen doctin-tent and
sutjjw to any conditions Qt'approval the alliance fear Aging deems riece&.qary Tke Provider most ensure that
the Alliance has a CUrrent list of all milacontractors and/or vericlors, The Provider furiher agrees t1hat thi--
A[fiance shall not be k.ablc to the subcontractor and/or vendor in any way or f-or any reasorn. The Provider, at
its,expense,shall defend the Alliance agaiftst any such clahris.
25.2 The Provider shall promptly pay any SUbcontractors andlor vendors apan mccipt orpayincrit From flic
Atkance. Failure to make PU 111CTIIS try arruy< -SLhUC0r[ttUc(ur andlor vei:idor in accordance w Ith s: 287,0585, F.S,
unless otherwise stated in the comract betWUll [hcPrOV1dCf and SUbCOntractor Aind/or vurrdor. will result ig a
penalty' as provided by statuw
26, Independent Capacity of Provider
It is the interit and undor-standin- of tiara Parties that the Provider, or any ofils SUbcontractors and/or vendors, are
indeperident contractors and are not ernployees of 11w Alliwice and slmll not ho[d themselves out as errip!oyecs or
agems of the Alliance without specific authorization froill the Alhamc� it is the furtber ijitent and understanding of
the Parties that the Adliance does not control the eniployment practices ofille Provi&or and shall not be Habte for arty
wage arid hOLIT',ernploymrat disc riniination, or other labor and employ ment clailins against the Prm4der im'its
$Ubcontractors and/or vendors, Ah deductions, for social sectir4y, withholding taxes. income laxe-i, contributions to
nnernployn-Lent compensation funds and all newssary, snstirance For the Provider shall be the sole respan-siNfity, or
the Provider-
27. Payment
27 1 Paynw-r rats, will be made totlic Providerpul-suant to", 215A22, F S- as services are rendered and invoiced by
the Provider. The Attlance will have,flinal approval of the Invoicc for payrnent,and will approve the invoice
R)F PWIATIMI unly if the Provider has ate all terms, and.conditions ofthe contract,urilcss the bid specifications,
purchase order,, or this contract spccif�' otherwise, The approved invoice will be submitted to the Alliance's
fisca[ section tier budgewry approval acid Imocessing, Dispures arising over invoEcirift and payment.s will, be
rcsotved in accordance with,the provisions of s,21[5.422 F.S.
217,'.Z, The Provid4er aorQQ-,s to SUbmit bills, for fees orother cm-ripensation for services or expenses in sLifficieni detail
liar a proper pre audit and post audit thercof, The contnicturshall comply with the particular rquiremems
Under the raBowing, laws and guidelines that are applicable to tilt contrac.its or agrecinc:n(s incorporating in this
Contract by reference; (a)paragraipl,i(l 6)(b) otscolon 2 1 6 1 S 1. 12S., re and advances; (b) Rule 691-
40.M r.A.C, pertaining to Restriction of ExpendAL11-0 fi-01111 State ftiads; and, (c) the lnvoico ReOreimnts of
the Rererence Guide fbr Suite Expendittires from the DepartiiieritDt'l-iii,ii,iciiiI Services at-
h p:"' v,j I )I IL�i�.,L,I=I!I I i I�Ul-flr Cyrs-1 14,:1 s i 111 kAQ I C I C (46d'-, I' I�(I J .... 17,!1'
.. ...
Vie,Provide.-will cec-Tily that detailed documentation -is available to support each item on the iternized jrivOicc
or payment requesr for cost raimborqed expenses. ilxed rate or deliverable s contracts or agreements
incorporating 1,1111-IS Camract,by reference. including pa,ld 5ubc4antractor andlor vendor invoicm and will be
prud uced upon recitiest by the,Alliance, 1"he Provider will forther certify that re'di,ibur-sement requests arc only
for aflowablc expenses as defirced, in the lmvs and guiding circu)ars cited in Sections 4 ofthis Corm-act, in the
Reference Gidde for State Expenditures., arid any other laws or regulatiom, as applicable.
27.3- The Provider, its sabconiractors inchlor vendor shall providC Units of deliverables, Including reports. firidinip%7
and drafts as specificd in the contracts or agrQements and attachments which fiwoq)ormte this Contract to be
received gnd accepted by the Contraa Martager prior to prayrnerrt.
Page 9,uf 66
KCV-2129
2T4� PaymenN will he rnadme to the Provider hased on a complete and correct invoice. invoiccs that are iticowpleto
or with inLW'Ire'Ci It'Ital +vj[j not btu processed and will be I-OtUrned to the Provid,cr'For correction. Fiscal stain fl'
well not be able to correct. or make changes to the 'nvciices. aturning inv6ces FTIZIy= IVS
sUll it'l
"ailurc to receive pzyment for Owl month, hlvoiccs Shall be sul,?nritted timely as per ATTACHNIENT VIN in
arder to avoldarly payment delays.
27�5, Each service performed shall, be recoMed as,specified rn the client hiformation and registration tracking
Z
systern l RTS)guidelines, StippoTIJH d i r floo o
OCL111CHM , rservices provided miust be adeqiiatc to p=4 Fiscal
and programmatic evaluation, and CnStlre internal nianagernent,
28. Return of Funds
The Provider will return to tire AH iance anv° overpaymems dtw, to onearricd funds or fonds disallowed and array
interest atti,ibuuible to 5tirli funds pursuant to the ternis and conditions of this contract that were disbursed to the
Provider by the Allianco, In the event that the provider or,its indcpenrdent aLlditof diSCOYC175,that an OVe1-pE1Yfl-1Cflt has
been made,the Provider shall repay .seed overpaynicrit n-nmediately with= PriUr no(il wation fhorn flied Alliance. In
the event that the Alliance first All oVeVjxqj11clrt has been niaele. the Coniract NIanagtr� oil behall'ofthe
Alfiar-rce,will iaoii the Frovider by [QUOF Of.SUch Findings., Should repay inerit not be mado, forthwith,the Pawider
will be charged at the lawful rate,of interest on the otmranding balance pursuanir to s, 5-5,03), F.S., aller ARI-ance
noLification or Provida discovery.
Z9, Voto Integrity and Safeguarding inforirnation
The Provider-arid its subcontracrtors andlor vendors shal I insure an appropriate level ol.-data security for the
o iof I r111V rmation the Provider is collecting or asing in the peffbrinaricc of this cuntract. An appropriate level 01'secu i
inclodcs approving anti tracking all Provider einployecs ',hat reqtwst system or hiforinatioll access and USUrhig that
user access has been removed from all terinirtated ernployces-The PrLavidor, amorig,other rcqo rernents, rawest
anticipate anal prepare for the loss of inforination processing capabilities. All data and software shall be routincly
backed up to ensure recover7y From losses oroutagc% of the computer system, The security over the, hacked-up dma
is to be a5 str"Wgera as, the prolection required of the priniary systems. The Provider shal[ ensure all Svbcontractors
ond/or vend'ars waintain written procedures for clumpoter system back-up,and recovery. The Provider shall complere
and sign ATTACIrtNIENT IV prior to the execution of this contract.
3R COMPUICS. Use and So-cial Media Folicy
The DOEA has Implemented a new Social N,Icdia Policy, in addition to its Computer Use Policy, which applies to
all employces. cantracted Qrnployees, consuirants, OILS and,volkIrItOerS inClUdirIg all per,', affliHared vOth third
parties, such as, bra.: aot linilted to, Area Agencies on in and vendors. Any entity that uses the DOEA's,
computer resource systems must comply with the DOEA's policy regard"Ing social media. Social Media includes,
but as not limited to to a,: podcasts$discuss:kin frirurn , Wikrs. RSS feeds, video shorin.cl, social networks like
I AySpace, Facebook and Twitter, as well as corrient sharing networks sucli as Hickr and YouTube.This policy 'I
available on DOEA's website at.
1 L Conflict of Interest
The Provider shall establish safegoards to prohiNbit employees. bourd,members,mana-lementand subconiracti-nn's
andJor venclors from us�ng their positions for a PL1FpOSe that constitutes or presents the appearance of personal or
organizational contlict of imerest or personal gain, No,zrnpltryce. officer-ol-agent of the Provider or subcontractor
and/or vendur shall participace io selection, or in the award of an agivement SUpponed by State or Federal funds ifa
conflict of interest, real or apparent, would be involved, Such a conflict would arise whes.: (a)the ernployee, officer
-;)a,nnvr,or; (d)an urgan'�Lation which enriploy's.
or a,genr (b)any rnernber ofh s'hr-r irnrinediaTe family; (e) his or leer
or is about to ernploy, any of the above,has a financial or other hiiei,est in the firm selected for award. The Provider
or any subcontractor's andlor vendor's officers. ernployees or agerits vv�jl neither solicit: nor accept s-n-aluifies Cavors
or anything of monetary value from,contractors,potential contractors, or parties:to,subcontracts. Tltc Providers
board rnombers and inanagenient,must disclose to the Alliance any rclritjorrship which n-jay be,or may be perceived
to be,a conflict of interest within thirty(30)calendar days of an individual's original appointment or placement in
Page 10 of 66
KCV-2129,
that position,or ifflic Individual is scrving,as ail incumbent, within thirty(30)calendar days of the vornmenccnient
of this contract. 'rhe,?Mider's,employees and subcontractors and/or vendors niust,make the sanlQ disclosures
described above to the Provider's board of directors. Compliance with this provision will hetonitored,
32, Public Entity Crime,
PurSSLIZIA11 to sw 287,133, V.S., the following restrictions are placed on the ability of persons convicted of public entity
crimes to transact hushiess with the Alliance. A person or affiliate Mio has becn placed of, the convicted vendor list
following a conviction fora public entity cronle mzy not submit a bid, proposal, or reply oil,,contract to provide any
goods or ser%itcc-s to a public entity; meaty not SUbmit at bid. proposal, or reply n a contract with a public entity for
the C00WOCtion or repair of a public building or ptiblic%vork-, may not, submit hid�7 proposali, or replies oil leases of
real property to a public cntiq-, jilay not be wwardcdl or perform ,vork' its at contramr, SLIpplier,quibcontractor,
Vendor, 0114 con-st0tant und'er a Contract vvith any public entity; and may, not transact busiae�s with any public entity in
excess of the threshold aniount provided in s. 287.017, F,S,.. for CA FL.GQRY TWO for a period of 36 moilths
following the date olbeing placed on the convicted vendor list.
33. Ernergeucy Preparedness and C0111tinUitV of Operrttion�
113.1 if the tasks to be performcd pursuant to thk contract include the physical cw-c and control of tlients, Lar flie
adminstration-and coordination of services nece,qary rior client he,altll.sall�ty or welfare, the Proy'Wer shall,
within thirty (30),calendar days of(lie cxucuLion rat dais contract, submit to the Contract Manager verifir-ation
or all etilergelw e I e
Y preparedEloss plan(Continency 0 r OPMMOTIS Plan-) In dic event of an ern r,V i cy,th ,
Provider shall nofify the Alliance of ernergonq provisions. The Comit:uity nf'Operations Plan (COOP)MUS1
addre,-,s contirlujiv of Services, especially for meal Providers, in weather and non-weather-related emergencies.
33.2 In the event a SiWation rcgutls in a cessation 01'services by a subcontractor andior vendor, Lhc Provider shall
rt-tahi responsibility for perfornnancc under this contract and must [,oltow prucedures to ensure cantinuily of
operations witllolA interruptions.
003 Contractors offering natrition services inust have ail Alliance aj:)pruved shelfqt4laJC menu with at least 3 days'
v-vorth of shelfsrable ineals with reserved fullds set aside to PUrChaSe the food items in order to ensure
com][1111ty ufserviccs wOidlovt lnlerruplions iii weather and no-weather rclated eniergencies.
34 Use of Contract Funds to Purchase Equipment
No funds under this contract will be, used b%,(tic Provider to PU1-ChL`;C CRIlip'MC111,
Fquipnient nicans: (a)an articte of noneNpeadab[e,iangiNe personal property having a aseftil life ofil-lore than One
year and an aCqUISWOO) C05 Which CqWLIS 01"CXcceds the lesser of the capitalization lQM established by the
orvanization f6r the financial stateillrent purposes, or$5,U00,00 [Fur 0ederal ftmdsj�or t b); norlexpendabic.tangible
personal property ofa non-consuniabic nature with an acclumnon cost of$1,000.00 or rnorC per trail, and expected
useful IiCe of at, least one year; and hardback bound. bouk5 not circulated to students or the general PLIbliC. W11.11 41
value or cost of$250-00 or more f for state funds].
3 15. The PUR 1000 Form is hereby incorporated by mflerence and,available at:
In the event of any conflict between the,PUR 1000 Form and any ternis or ixnditiolis of any contract or agreemen!
terries oj-conditions the contract shall takc precedence over the l UR 1000 Form. 1-lowever, if the conflicting ternris or
conditions in the PUR. 1000 Forrin are required by any section of the Florida Stitutes, the terrns or conditions
contained in the PUR 1000 Form shall take,precedence.
Page 11 of 66
KCV-2129
36, Use of State Funds to Purclinse ter Improve Real PropertN
No Curds tinder dais contract tAdll be used by the Provider to,pur0a.�e or improve Rcal Propery,
Any staire funds provided for the pu,,rchas'e ofor improvements to real pr laa lye are contiogent uport 1%-- Provider or
political subdivision granting to the SlatC 0 S=Ur"Ity mercst in the property at least to flea arriount of suate Itinds
provldcd for at least 5 years, from the date ofpuirchase or ilia completion of the improvements ar as ri.117ther required
by law.
37. Dispute Resolution
Any dispute COJILCming perl'ormarice of the contract shall be de6dud by the Contract Manager,who shall 'VrJtgco the
D�
decision to writing and servc a capy on the Provider.
C-1
38. Financial Consequences,of Non-Performance
38,1 ff the Provider fads to rneer the minim orn level of service or performance identifiiecd in this agreerneilt, or that
is cu9tomary l'or[lie industry. then the Alliancle.,may apply financ:Lal eQnsecloences corimerisura,to t ith tile
dickiency ar rQfvrenccd in AT'rACHMENT L. Secr,. 3.5.2- Financilal consequences may also n1clude contract
suspvnsion. refusing paymcm,widilickling paVi11CWS ILVItil deficieticy is cured. tendering only partial
Payments, andlor car poOlation of coritract and reracquiring Services fi,0111 fill alternate soUrCe.
38,7 T he Provider shall not be chartted vviLh figrancia consequences, ivhm a failure"n pedorm arises olit ofcauscs
that were the responsibility of the Allianec,
39, No Waiver of Sovereign Imtritmity
Nothing,contained in this agreernem is it to serve as.1 ky'IJiVCr OrSOVCJ-Ci�ln inli:11LI111t4^ ky aily entity to which
SOVere,i�FJ il-I'll-nUnity IMly be appkzbte,
40,, Venue
11'any dj$PLILC: arises oul cifithis contract, the venue of SLICh leTal recourse ivfll be Mlanii-Dade COUIlty. FlOrida
41, Entire Contract
-mis eontraGt zontdm av the term s and conditions,a-veed ul)(01 by Lhe pal-fiff, No oal a m rgrecines or
40 -
re prose,ritat kjo s ;,!halll be valid orbinding upon the Alliance or tile provider`Linjess txprv�sly contained herein or by a
wri tte n a tile,n d rn c m to this con oraet s I g ned.by both Parb es
41. Force,Majeure
The Part ic s )v I l I n oi:he I i ak le fear any d cl a),5 01- fal I Urt5 In performance d u e to t t m ki rn st an ces bey o i ld, Lhe I Y c o n i ro I
pra v i d ed t h e party expp r i eri c i ii g the. 17orc e rn aj e tore condition pro v i des, 'I an i m d,I a to kv ri%lien tacitilication to the o the r
pasty arld takes all reasonable cfForts to cure the condluall.
43 ev er a bil i q,C ht ase
The Parties ngree diat i F a co Lj rt of co rinpetent j urisd ict 1 on decal's any (enn or condi 6 a n he rel n void or uncn forceab'le'
the other pitwisioris ary severable to thal void provkion and shall rcrnain in Bill force and effect.
44, (-'ondition Precedent to Contract: Appropriations
The Parties agree that the Alfiance's performance and obligation to pay sunder this colirract is continoent LIP031 an
annUill appropriation by the Legislature.
45 AdditimilDeletion
Tile Parties agrec that,notwithstanding,the tertils of the promi-emenT disci UI-nerltS and act-tons leading tolhjs mrttracl,
the Alliance resew ics the right In add or to delete any of the services required kinder this contract whon deeriled to he
in the best interest ofthe elder population targeted by tile Area Pja4j�:(Kl reduced to a written amendirient signed by
boul Pactles, The Parties shall nego
tiate corrij,,-,ensation far am additimal services added.
Page 12 of 66
KCV-2129
46. Waiver
1"he delay Or fid4lrc by the A]lizince to exercise car enforce any of its rights und,er this contract shal I nM Qonstituic or
be decrned a waiver of the Alliance's right thereafter to enforce those dghts, nor shall any single or partial exercise
o r ally such right Preclude any orher or NrthcrcNcrc.iqc thercof or the exercisc of any Wier right,
47. Compliance
The Provider diall abide by all appHeable current federal statuw5, lawsl rules and regulations as %vcl'l as applicable
CLU*rent State sulwtt!s, laws, males and regkflafions, The Panics igree that finJurc, of the Provider to abide by these
law-, shall be dcenw-d in eventrof default of the Provider, and sAjec,,the cOntraCt 10 fiUMOdiffiC, Linila,10-al
CZUjCC`lla110j'j of tj1U C0j'jtraQj art the dlsQrcuon of the AlIK11WIV,
48, Final Invoice
The Providershall submit the final invoice: for payinctit to the Alliance as specified in secdai 3.4.7 (daw fair final
reqUeSt for paynicat)of"ATTACI-IN11ENT L if(tic Provider fiaxils to submit final roqtiQsT Cor payment by thc dcadfine
then all rights to paynient may be fbrfieitecl and the, Alliance may not honor any rcqoesui,subraltied alter the
arbrosaid tlnie period® AnY payment,due under the terms of dais contra t:t may be withheld Until all roports due from,
the Providcr tind- necessary adjustments thereto have leech approved by the Alliance,
49. Rcitegothitions or Modifications
Modifications of the 1-.)rovisian ofthis contract shalt be valid orily when they havc been redLiccd to writing and duly
signed by both parties.
50. Suspension of Work:
TheAlhaace mny i,n its scale discretion suspend any or al l activities under this Contract and any, Con,tr,!4 L o r
agreemem incorporating in this Contract, at any time, a,vhen in the best interests offlie State to do so. The Alliance
shall providu the Provider written notice mithninor the particLik.rs of Exainple5 Of rhereason for
SLASPCIISKMI Include. but are not linlited to, bL.-jdgletary constrairat Y declaration or erne rgency, or 0,ther stick
Circurnstances. Afier receiving a SUSPEIM01 Vljlj LLIAC notice and shall n ot accept I notice, the Providersha,11 Corj�jj�. �
any ?L1rCl1,11S,e orders, Within n'qrceiy (lays, or any longer period agreed to by the Provider, the Alliance sliall either(1)
ksnc as notice authorlAnIg resumpfion of%York, at which fline activity shall resurne, or(2) iernifinate the Contract or
purchase order. SL15l)enSO1j Or Work shall Rat epiLille the. Provider to any addltional Compensation,
S1, Termination
5 l.1 This contract may be terminated by either party without cause upon no less than.thirty (30)calendar days'
notice in writing to the o1her parIV Hn ess a sooner time is rruiwally tigreed upor in k+'rlflng aid jintice st-faR
be delivered by U_S, Postal Service urany expedited delivery sLrvice ffiat provides verification of d0ivcry or
by hand delivery io the Contract Manager or the rep riest,ntative of the Provider responsible for administration
of the corurac,L
51.2 In the event Funds,far payment pursuant to this contract becQine unavailaNe, the Alliance may terrriinMe this
contract upon no less than twenty-four(24) hours' notice in writing, to [he Prov lder, Said notice shall be
delivered by U& Postal Service Or any eXpedited dellveiy service that provides verification of delivety or by
hand delivery to the Coritraci Mnnagtflr or the representative of the Providcr responsible lJor adrninlstratlun of
the contract, The alliance vvill be the Final ara harity as zo the avaltiribilily ind adequacy of funds. In the event
oFLerMi11afiOn,0f'this contract,ihe Provider will be compensated for any work- satisfacwritv completed prakor
to the rate of lerm i riat i u ii.
"]"leTermination for Cause
is contract may be terminated I'dr,cause by the Alliance upon no less than tiventy-Four(24)hours' notice,in
wrifing to the Provider. Waiver ot"breach of any provisions of this coatract shall not be deceased to laic a
Page 13 of 66
KCV-2129
wa ver of"zany other bieacfi and shall not be conswied to he a modification of the tenns and conditions of this
contract. The provisions herein do not limit the Alliance's or the Provider's rights to remedies at law or in
equiLy.
51.4 Failure to have perfornied any contractual obligations with the Alliance in a rti,,irinersatisPack)Ey to the
Al[lanco will be a sufficient Cause for tWInnation, TO he terminated as a i.,ontractor Llnder this provIsiam the
Provider triust have (1) previomly Ni[ed to satisfactorily parforin in a contract with the A[hance, been notiflied
by the Alliance Of VIC UflSa1115faCWc-y perforinance and failed to carreCt the Unsatisfactory' pci-rorivance 10 the
satisfaction offlic Alliance; or(2)had i contract terminated by the Alkince fear UIUSe.
o
5 1.5. Waiver of'breach of"any provisiW)S Offllk C0911`�M sliall not be deenied to be a waiver iany �Ihez breach and
shall not be cocismiud to be a modificaLiUrl o['the lerms atid conditions of this contract. 1-he provisions,herein
do not limit the Mliance's right to rernedies at law or to damages of a legal or equitable nature.
51.6. Upon teniiinatlon of this coniracl,the ?rovider, its scibconlractar5 and/or its vendors shall, at,no cost to thc
Alliance, kracisNir all public records in their pros scion to the Alliance, and, destroy any duplicatc record!., that
ate e%eclipt.or Confidential and exempt, from public records disclosure requirenloills. All records stood
electronically shall bo provided to the Allizince, into foralat that is cornpaiiblQ with the inforination wchnology
systems of the Alliance.
51 Electronic lRecords Bntl Signature
The Alliance authorlics, but does not,requ ire! the Provider to Crmile acid retain, electronic records and to,ase
clectron[c signatures tD,canduct transactions nc,=sary to canT out the terms of this ContraLt. A contractor that
creates and'retains electronic,records and tises electronic signatures to condii", transactions shall comply Willi the
reqUH-C1I1eGL5 cowained in the Uniform Elcctronic TransaQUon Act. s. 668,50, I'-Ia. Stat. Alt electronic records must
be fiufly auditable; are subject to Florida's Public Recards Law, ch. 1.19, Ra, Stat.; must comply Wilb section 2K
Data Integrity and Safeguardint, Information must graintain all confidentinfity, as applicablc; a�nd must tic retained
,t In_ _
and nlaintan'wd by the Froviderto flie sartle C"OeW as n0fi-electronic records,are retained aIj( �j I 11til I J]Cd aS 3 eC 1U 110d
by this Contract.
51L The Alliance's authorization pursuant to this section does not aufhori7c electronic transactions bctwvcn the
Provkicr and the Alliance, T'hc Provider is audiurized to concur electronic transactions with the Alliance only
Upon further written consent by the Athance.
52x2- Upon rCCtUCSt by the Alllmicee the Providershall provide:the Alliance or DOEA with non-electron-TIc(paper)
copies of records. Non-electronic(paper)toples provided to the AlkanCe of ants CIOCLInlent,that WU� originally
in electronic forme with an clectronir,signature,must indicate the person and the person's capacity who
electronically signed the docianietil on any non-e-lectronle copy of the document,
53, Special Provisions:
The Provider agrees to the fol]owing pruy"i slurts:
53,1 Investigation of'Criminal Allegations:
Any report that implies criminal intent or the part of the Prov der of any subcontractors an&or vendors and
was referred to agoverrunental or icivesilgatery agericy must be sent to the Alliance, if the Provider has reason
to believe that tfiea[legat[ons will be referred to,the State Atiorlicy,a law enforcement agency, the United
States Attorney's office, or other governmental agency, the Provider 00 notify the Allia ace immediately. A
copy of a]I docurnents, reports, notes or other written.iriateriaI concerning the investigalcon, whether In the
possession of the Provider itssubcontractoj's,or vend(,gs,must be sent to the Alliance's contract manager
%vith a,surnmary of ihe investigation and allegations-
Page 14 of GG
KCV-7129
5'),2 Vokiinwers:
The Provider shall ensure dic use of In,61cd volilintcvrs in providing direct services delivered to oldcr
in d iv idua 15 and indl Vi ClUalS Wi th d I-sa bil i ti es,needing such wrviccs. I f pos sibi e, the P rovidcr shal I wor% ill
courdination with ori.;aulzations that have experience hi, providing miining, ptacement. and stipends for
volunteers or participants(such as org tnrr.ationls carrying out federa] service progrui-ns administered by the
CorporaGon flor National and Collialunity sr rvic), ill conlrflullity service settings,
54. Enforcement:
54,11 in accordance m1th Section 430.04, F.S.,the Altiance rnay. vvithout taUig any intermediate measures
availaHe to it agairist this Contract rescind this Contract, Wthe Aflirance finds that:
54-2 Ali intentional ar negligent act of the Provider has inaterially affccwd the health. welroree or saftrly of clients
served Pul-SU4,11t to any colittact car agirk.'Offlerlt, 01'SUbstantially and ilegaTively affected Lhe operation ofservices
Covered under ally COAVACt oragree talent
;
54.3 The Provider lacks Carnancial stabilky sufficicnt to mee( Wntraduad obil-gations of that contractual fLinds have,
bteri inliappropiriated.
54.4 'I"ho Provider has cwirnitted rn,ultiple ar repe-awd viola bons of tegial and regulawry standlards, regardlcss of
a,
whether such laws or regulations are enillorced by the Alliance, or the Provider has comillitted Or repeated
violations ofAktancc standards;
54,5 The Providcr has failed to continue the provision or expansion of scrvice� after the declaration Dyer state of
emergency; and/or
54.E 17he Provider has failed to adhere to the terms of any contract or agreerwrit incorporating 41 lh[s Contract.
M 1
54,7 [n 91Q.akcirnaitive, than Alliance, may, -,it its m,)Ie discretion, in accordance w4h section 430.04,1=.S.,take
inirriediato iTica,SL lrf,S a, in,sL the Providor, iackiding. corrective acdon, unannoonced special rnonitoring,
lewporary assunip6on orthe operation of one or rnore contractual services, placcni(mt of the Provider oil,
probationary status, imposing a inoratorium oil Provider action, imposing financial penalties for
nouperformance, or other administrative action PILFSLI&It W Chapter 120, F.S.
54,8 In making any determination undiLr this provision the Alliance may rely` upon the findings of another state ov
I
tcderal agency, or other regulatory body. Any clairns foi-darlaves for &-each of any contract or agrcaniient are
exempt frorn administrative proceedings and shall be brought before dle approunaile entity in the vorwe of
Mri'Mi-DadC CQILIIJIY,
55, Training
The Provid.cr%vih attend all rcquired trainings and mtetings schodule by the AlJiance
16, Official Payee and RepresenUtives (Name,Address,,,and Telephone Numbers)
The name,address, and telephone number of the representativc for t[IQ A Hiance for this Contract fka
Max B, Kotlivian,JD, LLAVI.. Presidem and CEO
760 NW 107th Ave, Suite 214
M 1 iami, Florida 33 172
(305) 670-6500, Ext. 224
Page IS of 66
KCV-2129,
The name, addrCS5, Mild tCJCph0He 11L,1111ber Di"the raprrescnlaltve of the Cono-aclor responsibic for admitlistration of the
program under this commet is�
Monroe County Board ol'County Commissioners.
The Contractor name, as shown on grave I of social sery icesil li-Flonic Services
A rears contract, and mai I ing addre,s of r he official 1100 Simonton Strot. 2,o rtoor
NlYeo ro WhOM the PA3rneril shall be niade is; Key West. FL 13040
30 2-4 i-29510
Shei-vi Graham
The narne of the contact person Okhe Monroe County Board apt`county commissio,mrs,
B Contractor and street mkfivgs wvicn� firwocKil social $Cry icestl 11-Home Slvrvicles
at1d �`ld I'll 41 istrati v e rocords are maintained Is.- I 100 Simonton Street, rloor
Key West. FL 33040
305-292-45 10
Sheryl Graliam
The n anw, add oess, u n d t c I ep lic n c n U m ber of i'V1Ofl1'O OMIL)' SOUd ()r COLML)l COI1lTnj55iOIlff$,
the rcprcsQluauve ofthe Vrovider responsible So6al Set-vis.-sibi-Home Services
5or admitilstratiot) of Tile li,rogram undu[his f 100 Sl momon Street, 2""' Floor
contract is cy Wesl� FL 3304C
305-292-45 10
ARiarwc for Aging, Inc.
The section and locadoli within the AAA. wherc Fiscal Department
ct Requvsls for Payment a.kod Receipt and 760 N W 107di Aven Lie, Suite 214
Expenditwe forms an:to be mailed is: Miami, Rivida 33172-3 1 i5
305-670-6500
Contract Monitor
The ruamw, address, and telephone number oC Allialice for Alhig. fnc,
a
tea e C o ii(rac r Man a ge v fb r L he AAA 66 r this: 760 NW Mtfi Avenue, Suite 214
Contract is: Miao,n, Florida 331 72-3135
------t_ 305-670-6500
Upon change ol-representatives(mimes-addresses, latephone nunibcrs) by clth,er party, notice shall, be provid"I in
to the other party and the 1,10tificalioll Oittaclied to the originals of this contract.
57. All Ternm und Conditicias jnrj!tj(je(j
1-hi s contrw and its ATTACH MENTS 1, 1 I. 111, V 1, V I I, VI 11, 1 X, X. 13, D- F, and G and any exhiNts referenced in
said vachments, together with,arty documffltS inCorporaxed by reference,comain it!I the terms and corldir-10%
kA,)recd upon by dic Partics. There are no provi.stons, terms, corlditions. or obligaLions Wier than fllosc contained
1142reiti_ and tills, C0111ract shatt su[,-Yersede all prvvious commun-cal Ions, representations or agrocillents, cither written
or verWd hct�,veen the Pavics.
Page 16 of GG
KCV•2129
By signing Ibis contract,the Parties agree that they have read and agree to the entire contract.
IN WITNESS THEREOF,the Partlea hereto have caused this contract,to be executed by their undersigned officials
as duly authorized.
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS,
SERVICESI)JrH RV}GES s ALLIANCE FOR AGING.INC.
f,�/� IC((/17Q/Q(tp\ Akarotlstem
SIGNED BY: _ SIGNEDBY:
NAME: It4t chat LE l n I rt f f e n NAME: MAX B.ROT HMAN,ID,LLM.
TITLE: Mt`jO R_ TITLE: PRESIDENT AND CEO
May 3,2021
DATE:_ iletjtozi _ DATE: -
gisslz?FORM
P 1aEl1CAHO
A6816T�1Y ATIDRNEY
pea 3/29/21
't,, • �5..1[:4T-24iiIN MAT%:(.GF.Rn - -.
a
•
•
OEP•: pFJ'deµ ___
ti`.
— n
C
-n V
r V
Page 17 of 66
KCV-2129
IN DEX TO CONTRACT ATT ACHNIENTS
ATTACHMENT ATTACHIMENT DESCRIPTION
ACHMENTI STATr-.'MF:NT OF WORK 19-30
HNPANC[Al, CO%-lPI,IANC1,,'. AUDIT ATTAGIMENT 31-33
ACIAMENT11
ATT
kCI—IMEIN1, It AUDITREPLATIONSIAl? DPTERMINATIONr 34-35
EXHIBIT
ATTACHPAIF NI' ll FrDERAL RESOURCES AWARDED PURSUAWTO THIS
EXHUMT21 AG 11 E E M MINT
ATTAC,FICA ENT III CERTIFICATIONS AND ASSURANCES 37-42
ATTACHMENTV] ASSURANCI-'�,S—NON-CONS"I'RUCTION PROGRAMS 43-44
ATTACHM17'N'T Vf I CONTRACTBUDG ETS U M MARY BY SE IC AND 11"I'Ll' 45
ATTACIAMENTV111 CCANT KACTREPORT CA!1NDAR 46
ATTACI IMENT IX RLQUFST FOR PAYMFNT 47
Al"FA C 11 M ENT X RECEIPT AND UNIT COST R.EIJORT
ATTACHMENTB DE AI 11V.El T OF ELDER AFFAIRS' CIVIL WOWS COMPLIANCE, 49-54
CHECKLIST AND INS-FRUCTIONS
ATTWK\MENIT D BACKGROUND SCR,L-t-.NING—AFFR)AVIT OF COMPLIANCE
ATTACHMENT F BUSINESS ASS00ATE AGREEMENT i6-61
I'ACHMFXF G ADRC POLICY AND PROCEDURES FOR CUTS OURCED 62-66
FUNCTIONS
Page 18 of 66
KCV-2129
.fir, TACHM,ENT I
ALLIANCE FOR AGINGr, INC.
STATEMENT OF WORK
Coranavirus Consolidated Appropriatirins,Act
SECTION ESERVICES TO BE PROVIDED
1.1 Alliance for Aging, [tic. Nl:issioni Statettieut
J'hc Alliance viission is to prornote,rand advocate for tile optimal quality of life for older tidults and tl"ieir fanidies.
1.2 Program Specific T ernis
Area Plan: A plain developed by the aVea agCnCY 021 OU1,411ill2La cornpreheo,91ve and t;oordinatedservice
delivery systeni in its planning and service tame in accordance %vith the Section 306 l,42 USZ 3026)ol'the
Corc,priavirus Consolidated Apprapmitiow, Aa(CCAA) and DOEA 61strucEions-
Area flan Update., A revision to [Tic, aria plan wherein the Alliance enters CCAAr Act specific data in the
Cl i0rlt [00rflla,11011 and KegistrationTracking System (CIKTS:). An upthue may also includen�ocher revisions to
M?
the area plari as Instructed by the DOF&
hill& An individual who is not niore than 18 years ofage or an individual, with disability,
n
Disaster Relief Scrvicm: ACL considcrs disastcr T-Pficfsicrviccs for older individuals w. be any allots al
OAA 8parvices during the period covered by FloridaTs MD O that are,provided to eligible older individuals or
"hinily carcgivcrs as defined tinder th.c OAA,
Family Caregiver: An adUit fill-nily member, or another individual, who is an inn orinal provider of in--frame and
community cart eta an older individual.
Frail: When an older individuid is unable to perriorni,at least tvoo activities of claily hv6tg(ADU)vdificiat
substandal hurnan assistance, inClU&ripD verhal renainding. plly w iical cueing or supervisil; ordu,,to oognitive or
I .
outer mental impairment, reqtdves-substantial supervisioli bee-aase the indivldual bohaves in it manner Thal poses
a serious health or safcty hazard to dic individual or to another individual,
Grundparent: A grandparent or step-grandparent of a child,ur to relative ofa child b, blood, ri-Larriage or
adopt:on and who lives witil the,chilil; is the prinlary caregiver cifthe child beCaL[Se the biological or adoptive
parents are, unable or•unwilli,rig to were as tile pTirriary care giv er of,Ow child, alld, hm a relationstlip to the
Child, Such as legal custody or guardianship,or is raising the Child infornially-
Major Disaster Declaration (M.DD)- ` taxes, may request ard" r ceM:an MDD by (he President tinder the
Stafford Act. Flarida's request has been approveo, which permits the Department and Contractor to use any
pordon of the funds made available Under sections o r CCAA far disaster refieflbi-cider Indiviclaak 'rilese
flexi bilities are only a]lowed dUring the period of the N1 DD. The Conmac.ror %vil I be notified,via Nofice of
Instruction once the period has ended,at wh"Wk time these flexibiditles will be waivedand tile ContrActOr
must provide services in corripliance w6th CC AA.
Page 19 of 66
13 General Oescriptioll
1.3..1 Gerte real sIatemew
ThC pfinlalrr purpose ofthe CCAA 11rokyrarrh is I io pi-mra, preparc J`or,fjridl yespond to coronavirus, by
loroviding nutrition services to older individuals and their ciregivers.
1,32 AW[writy
All applIcable 1'cderat lilw& 06011 k-OTISO)i[WIS, 131!o"ram ILJ�t1'UL110F1S, attidcs and
S Jnilal, !Olio in-
a- Cautlog of Vcdcral Domestic Assistaw--e No, 93),`W 93 W t ()1,045, 93%052- ivid 93J 53�
b, klei Awcrican,-., A, o1' 1965, as wmended -1016-
C, Corooav irtl�Consofidato,-1 Appropi kaian-s, Act wid Un I ied; Smics (calk; 247U
c. Rut 58A-1. Florlda Adm i n ist rat i vc Code (FAC).
11 Svci Ion 4,13 0-if)1, 1:lod rJa St 01 o1c., O'.1-,"Al aplo
D grmrjs and Pro OE-A - � Scrvwc,; I I midbook-,
iWO
1,13 Scope of Service
The ConLractur is rcsponsiWe rur die programmatic. Bawl, arid operzniortal rnariagment offlic CCA A
Prograrn within its designated TISA. The program services shall be Provided in it mariner copmsictit Nvith [lie
Contractor's current Area Plan,as updated and hereby incorporated by reference, and the current DOEA
Programs and Services Handbook.
13.4 Major Program Goals
1"he m4lJor guals.orthe CCAA pi-OuMrtl are 10 PVCVellt, prepam for, and respond to coronavir-us by providing
1111triflon scrvicas to older indiVidUrilkand their circulivers,
1 3.5 Leadership and Advocacy
,Qsignated Focal Point. a provWcr �s ericoura-ed,to provide coordination ofservices frir older
As a J Z,
tndividuals, The Provider mum also provide coam-numly leadership on aging; issues and serve as[lie advocate
and fbcai point for the elderly wilthin the conimuntLy in cooperation with avencies, organizations and
individuals panicipakmg in activities funded, by the Afliance. Advocacy shauld include initiating positive
changes in public or private policies and nnitudes toNvards older perwns, !aking ad-lun tfj, 1111pl'OVC, mod"WY, or
cErninate situations which adversely hinpact on lives orolder persons, or expressing stipport for older perons
arid their interests, Advocacy acfivi6es may, ter:broadlysupportive of the general interests of older persons or
may involve specific activities an behalf(of individuals.
L4 Clients to Be Served
1,4.1 General Da scrip
Th,e CCAA Prograrn -Ives preference to older individuals with greatest econornic need and aldcr individtials
WAI greatest Social tweed(with Particular atteritiori to low-income older individuals, inr,44ilg low-ineWITIV
EnInority older individtWs, older individuals with, limited Eaglish proftcienacy,and older individuals residim, dra
rural areas). and clients who are practicing social distancing dUe to th OM-19 public.
Z�
Page 20 of 66
KCV 2129
1.4.1.1 CCAA, (j,otle,r�ilClictit Eli gibili,ty
a, CC AA Prograrn
Constirnm shall not be dually enrolled In the CCA.A Act Program and Mudic;tid capitmtd Long-Terinn
Care Prograrn,
b. CCAA for NfflriliOrl SCI-ViUS undcr Title 111C Fthe Oldcr Anwricans Act
Geneml factors that shall he considered iri establiishing prIonty for the mccip-, of nutrition Services
include those older persons who:
i. Cannot albord to Qai adcqluate1y;
j ii, tack the shills oi- knowledge to selectaild prepare JIGLI,rishingaadvyel 1-balanced nwals'
ill. t[ave limiwd mobility which, ma inipair their capacity to sbop and cook For themselves;
'Y
iv. f fave a disabling -5,q or p 0
i HnL tag condition requiring nutrlti nal SWPOM
v. Havc N-en scrcQued at a hi I -gi thuli tionall rjskza or
vL Is unable to obtain nuts tion becawse The individual is prac6cingwcial dis incin due to the
emergency (unly dunng the period ofthe COVID-19 public hcaWi enwo-gency declared under
secLk)n 119 of the Pubkc Ilealih Service Au S(42 U S�C. 247d)].
,vii, In addition to meeting tke p-neml nutrition services eligibility requirements IiAcd in Section
1.C.2.c. above. individuals eligible to receive pi(Itrition services includc the 1611,uwing:
lndividuals agn sixty�60)or older,
(2) Any spouse(regardicss ofzgc)who resides at home with or attends the dining center with
hkd- her eligible spousc;
Persons wit'll it disability, of ave, who reside ill a howinrlg racliny Uwlpied
Pri1narili�L by older- individuals -,01cre coilgregate nutrition Services are provided, or horse
delivered meats are delivercd�
(4) Disabled persons wha,ruside Alt home with oraccampany an eligible pmqon to the deli
Center;
(5) Volunteers, regardless of ape,who reside at hurne With OV PrOVide C-Sbenlial KI'ViCCS oil a
reoulat basis duriau ineal fiour:s;
(6) PCT r115 al 111.11ritional risk who havc physical. ernational. or bdiaviwll conditiolls which
would prev oit flicni from obwinung nutrition; and
1) Persorts at nuu-Itionall rBk who arc socially or other%vl5e isolated grad unable in obtain
nutrition,
SECTION 11—MANN ER OFSERVIC E PROVISION
2.1 Servict: Tasks
In order lo achieve the goals Of the CCAA prog 0rarn, 11w Provider shashalleosLire Clare foll4mang task-5:
(1) Client Wigib4itv Determinatlow The Provider shall ensure that applicaw daw is evaluated annually to
determine eligibility prior to rendering services, Cligibility to become a client is bascd on meeting the
re
q t f 7
lrerneMs desedhed in this Contract.
(2) Tai;g&,-;,!ng and Screening of Siory ice Delivery for New C I lews: The Provider shall develop and imptement
policies and procedures CDWiStCrIt With CCAA targeting and screening criteria..
(3) Program Services- The Provider shall miure the provislorl of a,Continuum,ofserviws [flat sweets the divers
needs ref alders and their caregivers, The Provider shall ensure the perl'ormance and report perforiwance of
the fotlowing services are if) accordance with the current DOEA Progi-arris and Services I landbook.
(4) Pro-ram Fligibility Requirements
a- 11'5)-hilit�- 'riteaitw
Page 21 of 66
Ida
1'1166CS iffik'nit 1110et the 1011mvill" cl-liv-1-la to b': eik-ible Ric pi '111111 IMI-6Jpatiow
e �7
E An a;uuiuiw% rkflt hos reecived Vt u)ralit undivr CCAA� i1nd
ii. A m-dridon se vice provid.cr than[, nw.,I[S ;Jrld i'-, LIMICR'1111C COMR11.
d11)d Oudi[ aul:hori[y Cat the Arca Ault'nq on Aging 'and the Floricb
Dcpm-miem o-l'Idder A flall's.,
b, Provider's Mar tion Serv'ce Operations
'['lie COQUACI(Ir 1514111 011511LE"e SC0."lix ol-'wratimls ofilic pros idcr meet 01Q reqiiiretnetas
01,117is coatt-acil. as Avell as am, CiLherapplHICA]c I-quamtous and IwVL�ies pvoscribA;d 11a diectirrent
1,,)O[-.A Programs mid Sci-vice's, I kwAlbool" the Dcpartmcn[ off lealth 11ad Himlan 'Sel'VTCCS
US[M. l")01 I zirid local health department", DMIR, or'111", o1her agclic'N llesiLmatC6 to i1ISpQCI
ii-lea I qu.i fity fikir tho '�Twe, I-I ie ("ontraCt 0 1'1 Il U',i �i Lli,uc to nod I\ IIIQ All I mice OF mi .3i I It it a 16 11
espmialk, 1,110,9V [11.1l hICIMIC 11h-Th im,iorita vioh'16ow" and pi-olvidc k.)I'Lhe report
lo (lie Mililli-icu A�idliil humvs- clusui'u� mus[ be rcluarted Umii%.!diatel�. Ail l40d
Service. vendors l I I uit p r-c)Vlt,tr 4r Wrl I tell CA) I' c aiilon plan [o Arta ic Nutrition, Pi-mdoi, I'LK ally
hiull priof-itv or sh2n'ilicaw liraclln s on simiLation 41SIVQuom"'. I lie corwCtive "Mioll pkilins muso be
appi-ok ed bN the I I rovider's RD and stllbnirtted to I 1w AIlraarwe It" e I Is(we 0 1 at det Ic 1"tNlc I es'CIN"
F ClIled I ed
c, Prescribed Nutritional Requiremerits
The Contractor shall enskirc drat each incal providcd Linder this eonVact rneet,-', flic following
Criteria:
L Coll-1plk�s with the Current, DiCtary GLJiLdC1I[VS ror Americaii,�'. published Iry Lhe Sccreukries of
the Depaiinwnt of Health and UlUniari Services and the Depailinent of Agriculture,
ii, Provides a minis ium of 33 1/'3 Vermit of flie dietary reference iniukes/adequate Intakes For an
auc 70+ female as established by flee Food and NUIritimi Board ofthe National Academy Of
Sciences.and
ifl, is suvett from and approved Alllance MC110.
Nlolmorlw7r the per rl'brill"I lice of it, subcomirackors kited Um, X eildori
(6r) Comply with the A Illiance's Nuirltio,ii palictes and proced ulvL,
2.2 Use arrid/m- Nycpidoos
ll!'dlis ckm)TL`act ililvolve's the use oft ,l all(Por %.':Ildor- 111cli the Provider Oidt liol delav dic
of it, uurq.cmklit with tile, or vendor. lCaroy iJrCHIIIStWILC k1QC10-S that inay result
ill it delav a period nfskC,N't60) doN s or moi-L-the ol'the 01- tile
n I notify lire MHL',mc�,, onlrtwl C 1%1111mm- 11 Nvtlllill'-� ofsach delay,
Of LhQ the llrovidc - Shall
It) pep-l'(�ruj �wry ce� related LO alms C011010, k%jilmot
ITIC Prov VC11(jol
110VIII Q 11 hilldiffll-" SUbContmL k)r/v cndcn agj�C'C I i1ellt riled' [hu All imi L:k' W%I -P I b c re�.,po i v�1 f le or 1;o b,I o A)r
anv olilk-oations car Ckliul's rcsuhim! Crom -such aci M-
2,2-1 Copies Of SUbcontract'sNendors
Mae Provider shall submil a copy of all sukontrackb apid/o� vendors to the. Alliance Contract Manager
0�
within thirty�30) days of execution of each subwrtracl agrclement- ThroUghOUt the'00PItU10 pffi0d,
tile Provider shall inriviriediately SUbmit and changes to subcontraclors to the Alliarice Contract
Manager,
2.2.2 Monitoring the Performance of S ubcontradurs widior Vendors
s
der-Neear each of Its subc antraclors', stria-recipients,
Th e Prov I der sh a I I rin oTait or, at leapt on Q:,e P 3 1
vendors, ailed consuhants Paid from funds provided Linder this contract.
Skib-recipicnts - The Provider derail perform 5scal4 a.dni j nisIrra Live and programmatic inonjm6ig
to emire contramua[ comphance, fiscal acmlnWbilllt ', pro granimatic performatice and
compliance with applicabLe state and Nderal laws an(! regulations.. The Provider shall monitor to
erisw-Q that firrie schedules are met, the budget and scope of work ave accompli-died with'M tile
specified (Ime puiod5, and other pertbi-mance goals stated, Ln this conaraa i 4M achieved.
Page 22 of 66
KCV2129
I lkndws—The Proviciershall palwin achninistrativc and programmutic monituring to ensm-e
contrUtUal curnphance, pro grarnanotic perforniance and compliance wlth applicable S1,11C, and
lludeml laws and regUlatiOMS, ThC NOVIder shvill monitar to ensure that time schedules are rnet, and
the scope of work is accurn;Aished ivilhin the spedAed time periods, and other perforalance goals
stated in this contract are achieved. The Provider AM perNrun, it modified fiscal niortiloring to
include Muplinvoicing procedures and reconcillation to,ensure fiscal -accountability and
suoahabllky.
2.2.3 fhe Provider shall ensure that all required client data Or services provided by subcontractors and/or
vendcris are eMered hi he GIFTS database pa the CIRTS P0,flCy Guidelines The dala,
mug be entered intu the CIRTS database before the Flovider submils the Request For Payment and
ExpCIT(fitUre Rvpons to We Alliance. 'I'lic Provixier shall establish tinic frames with its subcontractors
and venAs to,ensure cornjiliance with due dams for Oic Requests for Payment and ExpenditlAre
Reports to Elie A I l i a n cc.
23 StalTing Requirements
2.3.1 StaMng L-��c�s
File Provider shalt assigui its (mn adminNUAW and mWpun stul'las nee led to ped-brin the, to ks.
wspaisiWks and dwies ouider this ewuvact ancl ensure thou sublco[ILNICIOVS Und/Or--,-QodQrs do,&CUIC
adwyaw
2.3-2 Professional Qualifications
'tile PlvA-ider shall cnswvihnL the stafrrusponsibic
=rpc[ have ific, qualificadons as ,peciFed in ific 1)()t--.A lliog 'ains and SeJCCs I Ian- l bo()k
2,33 Service Times
The Provider shod! ensult the provWon ofscrac" lWWd in Lhis con(ract during), nonnall husincs,
hour", runless other linics are Vlore appwlidate se nleci the licrforrnkirwc requirements oftlik colunw
and A SQQ jilmduyr us qrQCyumcuws anWor vendmo to cosmi: they ore a0lable io provide sesvice-S
d0rin," 111-ftaS io client iweds and du6ng thcue tinaus wh4h best meet Q nVC&Elf daery
relmull ;*ul vice C0111111 till! Y
23.4 USC Of VO1U11tCCrS tOEISpand 01C NOViSiun of Available Services
I[be P rov 1 de r sha I I make use o F t m 1 n ed vo kmt eers in prov id i ne direct se r v i ccs delivered to,ol&r ind i vi dua[S
and hA iAduds with di sabi li Les needuLig su(jj ser-viccs. W poh A, the Provider shal I 'work, in coor6nation
with arganizzitions that have experience hin providing Wnh& plaxemms and QwWs Ar molunicers or
participants(such as organizalians currying (is Federal suvke prElgrams&QnNtemd by Q Corpamiior
for National and Cornl-riwity Servic0in ommMW amwice Settings.
2A Deliverable$
TV 011aming see kma pnwideS Lhe SpeCinC qU0114111able uniu, W"Jeli'ver-ables and somw documemadmi
required to c% kioitcc lbQ complQkikill 0i"the Lask spcviflcd in IN conuma, Ile KY&W nitist Subtlik all
inectuded documentati4m in the time raid marnwr ,NOW Wr the munimmin puRwMawe W& U) be W
Each deliverable nw be =qved Vu %Whrg by the AMmice Commel IN'Tallager based ort [lie requircinellis
Air each-AelbeimWe b0bre the F=i-tvvidcr sublinks ml invoice rQC1nCsLirn-' pa)llwnit-
Ile hovNer sholl enmuc the pylvimarl ore cmuinum" orscrQ= Mal nicens the divcrso needs or'eklers and
their caregivtors The lhovider shall ensure die performance and mpoWng ormc kii[owmg suvous in
accardaiwe "hh dw evcri at [)01-,. ori A Progrs nnd Scrv&3 I hundbok o rtlld dais contract. Docturlientak.itill 0l'
sr vko dt,lbery must iuClUde a repon corlsbring or are WhiOng; number ofedents serve ed. nwntwy of service
unhS rWoOdCd by SUM, UMJ IMW pCr SMwice UQL "ill UdCUW6011S HMI QjUal tile loufl ilivoice '111rourli,
Page 23 of 66
KCV-2129
The Provider shall provide Ific services described in the contract in accordance %-ith the ciirrcra DOEA Prugrarn arty
Services Handbook. Units of service wi H be paid pursuant to the rates established in ATTACHMENT VIL
Under tile Staff6rd Act,and the Stag of Florida's Major Disaster Declaration, the Contractor is permitted to use any
portion of the funds in this ountrad to pruvide disaster rclilcf services to eligible older individuak or family
ca Peg i vi�
I'lle serviccs incluk OIQ 1,01mvill4.Cate,;LAJON
;7 47
2.YI,I Nutrition Services(111C Program)
Nutrition-get-vices are designed to rCdLJQC hLlIlI:ICra,rId food insccklrity i0ld to pmnlotc socialization arld the
health and vecll-b6,ng of older individuals through access 10 IlUtrition and other dismse prevention and
litalth prornotion services. Serv'Xes inc40e the following-
(1) Congregate mealsi
(7) Congregate rricals screening;
(3) NLIII-itzOtl education and nu,,Lridon counseling;
(4) Flunic del'Ivered rneak.
(5) ScreeningJAssessment',
(6) Shopping Assistance; and
(7) Telephone Reassurance,
2-5 Reports
The Provider is responsible for respondi ng i 11 a tj incly. fashion to addidoaal routine andlor spec W requests for
tril'briliation and rcpoiis required by the Alliance, The Provider rmist e�tablBh due dares forany SUbcurivxtuT5
and/or vendors that permit the:Provider to meet the Alliance's reporting requirements.
2.5.1 Service.Cost Reports
The Provider shall stibiWt Service Cost Repoiu to the Alliance annually, no later than OX)days alter
the provider Fiscal year end. The,Service Cos( Repoi ts shalt MfItCt cICUKII costs orproviding each
servict for the preceding Provider Fiscal ycar. If tlic Provider dosires to renegotiate its reirnbursernent:
rates. the Provider shall make a request in writing to the Alliance in accordance with the Alliance's
approved Reimbor,,ement Rate Review Policy, wjiich is incorporated, by reference.
2.5.2 Surplus)'Def Ica fteport
'114c Provider w'111 rcspund to (lie consolidated SLlrplus/Dcfi6t report in a lbrnaat provided by the
Alliance to the Alliance's contract manager, Stxplus/Deficit reports taunt be submitted with the
rinonthly request liar payrnent- This report iy for all services provided in this agreeinent incorporating
In this Contract between the Provider and the Alliance,The eep(m will include the Nlowing:
(1) A list of all Service� and their CUrrent qtatL!S repr&ng surplus or deficit,and, why thcy differ from
its orIginal budget projections.
(2) A detailed plan on how the surplus or deficit spendino exceeding the 1,% mondfly threshold will
be re—Adved, The plan 111LISt AlCklde specific budget ntjnlbvrs to reflect how the Provider plaits to
address the variance,
(3) Number of clients curreritty on tile waitlist (ARCL).
(4) Number of Undnphcated Client served.
2.5,3) CIRTS
Page 24 of 66
KCV-,21,29
Client Information and Regiso-mionTracking System, (CIRTS) Reports,
TI ie Provider shal I i nr Lit CCAA -�pcci fic daza i fito CI RTS to oasure C I RTS deata aCCUI-aC V, The
Provider Sh',1111 LJSeC1RTS-�,1CncraitXI FePOITS WhiCh hICILKIC the
I) Client Reports;
(2) Nlmiitoring Reports:
(3) Services Reportsa and
(4) OLOWGNTIC tvleas,ures Reports.
(5) Fiscal Repoils
2.5.4 Progrom Highlights
The Provider shall SUbmit Program Highlights reltrcincing speeifiweveIts that occLirred under this
cover cr. The Providcr shall provide as now success story, quote, rcsmnonjal. or Wjnaji-imcre�i
vienette, The highlight"; shall be%yritten liar a general aUdience, mili no acronyms or WeIrmical torms.
For al I agePiQies or ter ganizatioos that arc r6orenced iii the hig!lth,ght, the Provider phifll provide as Dario
dcscripfion of their mission or role, I-Ile jctive tet4sQ 5,1141,11 be consistojilIv used in the higNight
narrative. in ardor Its Identify the specific indiVidLlal or that j1erf0miekd, the activity described in
the highlight, The Provideir sliall ru ,icw and edit Program Highligiits for clarity, readability.
relevance! 50061ficity, human interest, and grammar, prior to subm4ting thcrn to the Al,liame.
C5
2.0 Revords and Ducumentution
Th,L, Provider apyces to imike miiikjhl� to Alliance and;ordl, D�.[xtrmlcjll swiTaml/oi,wn parry.' dcslvlialcd h° , the
Alliarim and/or Deparwivit oll kxmllraci related record .'s and Th� Ilrovicier shall vw.,11re 01C
L0lICd-i0f1 81W 114611101,mw (,1tWH pro;,,Irom relawd nlrormai:icm ill-ld on ally s-LIC111 sy,�Iein
b� Ilic Alliance adid/or ihe Deparimem, Mainwilalice in,�I,udes val,id cxporV, n0d I'-lackups ol'all
clata andi s sle0l,ackx]-din", to Dcow-101ml slalkl3i'Lls- D�Ito niii-sl 11.4` Ll"11110 and in a jvadaWL 101-11ma by 01.
Alliaoeo and/orthe Deparl 1,11 cm
16.1, CIRTS Data Mainu-nance
d ]�Jj'a I jltVjjaZjCe of Cjjejjl ir Izo -mation oil
'File Provider vvill car the accurat e collection an and sere146i
a monthly basis Win the CI S or any 5001 SYSIC111 designated by the Alliance. Maintenance
inclucics vLafid Qxports and bay kups of all data and w,-wnw,according to Alliance and DOEA
standards, The Pro vidler must zdhcro to the Alliance CIRTS Data Integrity POICIC5 & PMOUCILITCS,
incorporated by, rct rcme, _Nri order to Cu-5Ure data accmucy,
16.2 Data Integrity andl Back-up Procedures
I he III ovider shall nainwin %4Htlen policie=K and proccdol-Q,, for ck,)mptoci ,�N mxm ba�kup and
1,42,covOrN. mid -di at] havo, the i-eqmromem of It, -,U1,10NIVtACIL)rS 0101�01_L Qndorn. Fhose
po I icie�a nd proccdurcs s I ia I I K: (IQ ,q% I rlaI tc4 111c,, A I I i,�nwv opo I! req I I esi,
2.7 Performance Spec Ifics tions
2,71 Outew-nes and Outputs (Performance Al.a mininiuni,the Provider MUSt:
I) Ensure the provision of Lhe services describecl,in this,contr= are in aiccordariec w u
1ith [he current
provision 1 0
DOHA Pr grants and Services Handbook and ill tile,Martrier of Service Provision described in
this contract,
(2) Timely and acctiraleiy submit to the Allizinco all unfbirination described in this contract-
(3) Develop,ducurncw, and 16,11,ww snatepfic.s in the Servilcc Provider Application (SPA) to support
the DepaTtment's perCormance outcome mca5ures ul the fa II I owi rig rriteriw
a) 66% of ticw service recipients "eith hilgh-Ask natr[tion,scores wjl[ improve their
Page 7-5 of 66
KCV-2129
c), 615%of new service rccipicnts will maintain or improve their Al: L's assessment Score.
d) 613%,of new servico recipients will mairitain or improve their (ADL's asse,-sinert ScOre.
e) 89%of famHy and fiii,n r1,y-assisted caregivers will self-rcport they are very likely to provide care
2.7,2 Monitoring and Pvaluation Me0indelogy
The Alliancc will revicw aind evaluate the perfonmiwe of the. Provider under the terms of this
eviltra ct. Monitoring Shall be Conducted thrOLIgh direct contact with the.. Provider through telephone, in
writing, and"Or all ont site visit. The Allian&s determination of acceptable perforinance shall be
conclusive,The, Provider agrees to cooperate with the Alhaiice]In nionilorhig Lhc progress of
completion of the service tasks and defiveraWes, The Alluiilre may Lise.KH is 1101 limited to, one or
more ofthe fbHa'Lvin,,,',methods l'or inonitoring:
(1) Desk reviews and analytical reviews;
(21) Scheduled. Linschc6lud., and fOROW-LIP 011-SiW ViSitst.
(3) Client visils,
(4), Kevicw of independent a4ditor's reports;
(5), Rcv[ew orthird-par(y dDC.L1nTC11tS andlor evaluation,
(6) Rev cw oFprogress rep orts�
(7) Revie", oCcustomer satisfaction SLJJ-vcv$;
(8) Agroed-tipon procedUres, rcview by an external au&wr circonAdInnt-,
M UniitcA-5cope reviews, an
d
2,T3 Rernedic4-Nonconforming Services
The Provider shall enstire that all panicipants scrved under this agreernent are eligible for the
pro P �1 -n- -epo -incial mcords are
,rarn, and that , 11 rrionlhly and/Or quarterly pedon ance � sr!s and t in.
maintained for each reponing period and SILI)MiLled aS stipulated in 2.4,2,5,16,and 17,
Any nonconforming program serv'iccs, performarice reports or Onancial records nol meeting [he
reqUirernents Of this COMraet shall not be cligible for reir m nbut,;eent urxle Mac this program. he costs
associated with hiring- tl'Liininaw,reporting andlor mom)ging the prognirri,shall be borne solely by the
Prov der. The Alaan(.�e requires inirnediaw notice of any siolriificant ancYor systernic infiac6ons that
coinpromise the Provider's ability to provide participant services, to achieve programmatic
perforniance or to provide sound financial inariagement of the pro—CmAin,
IS Provider's Financial Obligations
2,8,1 Consumer Contributions
COJISLaner c2onrributicns are to be used render the fullu visa_terms:
I) The Provider a�sutes compliance with,Section 3 l5 of the OAA as amended in 2006, in regard Lo
consumer rconnibwons,
2) 1 V I oluatary contributions are not to be used for cost shar'Mg or InatcHrig;
3) Accumulated voluntary` contributions are to be used prior to requesting federal reirnbur_5emea and
4) VOILMLary contributions are m be used only to expand services.
2.8.3 Use ofServicc Dollars
The Provider Is expected to spond ill rederal.state and other fonds provided by the Alliance for [he purpose
specified In the--ontract., The Provider insist manage the sc:Mce dollanq in such a inanner sio as to avoid
having a Nvalt list, a deficit, or a surplus of Funds at the end ofthe contract period, for each program managed
by the Pro,v,ider. PtOgtarn SWPILJ,SC M151 be reported to flie Alliance.
Page 26of'66
KCV-2129
2,8A SUrplUs RUCaPtUl-C
In accordance with its sLirplus/deFjcit management policics. in ordcr to niaxii-rize availabl,e fundirigand
rninlrni2x, the titne that potential clients itiost ivait for services, the Alfiancc in its scale discretion can reducc
fundin,g awards if the Provider is riot spell"Elig according to ninthly plans and is projected to iric it a suriflus
at the end of the year,
18,5 The Provider,agrues to usei fund s as detailed in the Bridget Surnmary, ATTACHMENT V11. And changes in
the at-nowits of fedcrat RoRds identified on the Bridget Surtinlary for servicc5 Within each LitIc OSUMI-(
Serviceb, Nutrition Services Caregiver Support SerVices)are ai[oivcd without coluract arriendtr2ent. Provider$
must adhere to Alliance's Modified Spenciffig MiCy, MIDWed 011der this contnact,incorwrated by reference.
2.8.6 CCAA Funds
The Providdr assures cornpliance with Section 306 of OAA, as amended in 200, flint funds received
under CC: will riot be v%ed to pay any part oCa Cost(inclUding an administrative cost) irwurred by the
Contracior to niaintain as contractual or cornmercial relationship that is not carrivd out to iinplernent dic
CC AA scrv-ices.,
2.9 ALLIANCE'S la. SPONSIBILITIES.
2.9.1 pro rani Ouidarice and 'rechnical Assistance
The Ailiance wN provide to the Provider gUldance and rechnical assistance as needed 1t)enSILI-e the SLICCesS-ftl[
fulfillment of flie contract by the Provider, The Providers 111LIst attend all required training session and
mcclings. The support., or lack thereof, shalt riot relieve the Provider fi-om full perforl-nance of contract
requirenicrits.
SECTION M; METHOD OF PAYMENT
3.1 General Statement of Method of Payment
The Method of Paytrieriz for this Contract Is fixed-fee/unit ratc, and advanced sLlbject to the avai!abRity of
funds. The Provider shall ensure include oii1y those costs that are in,accordance with all applicable state and
fedcral statutes and regulations and are based on audited historical co�ts en instances %vhore an Independent at-K]it is
reqUired "f-lie A]Hance will pay the Prov'Id'vir LIP011 Sal i SfiACtO ry C0111p]--ti011 of Tasks/Del 1 verab les as:specified in
Section 11, 2.17 2.,and 2.5,and in accordance with other terms andcondiliom of this contract.
3.2 Unit of Service
12.1 'ixcd I:Qc:J.Jnk Row
Provider must wttm tho nililinlrilu, le%el cal, slated [11 dic conlrad lea I,Qcolvc VYMellt
Pn%Elictils I,i\.I-cl I'MUllit hales shall, rloL Cxce.Cd allIOLUILLS cshallhShCd Rl AttLichillent V1L
-1 hc Provider a-rees Lo dWrI)uto I'Lind,, vii derailed Iii tiro Bad-OL Sunjniar�, Al I AUHMIL'."N'T Vil, To
e -J-C�d on tile llrld'Lm, suillillary fonll
, 1()l�j I �11)
thi-; cojuracL. An% �11 01 the 1,Wnds idewl I
1equirc a QolltvoL�i
3.3 Advance Payments
13:1. The Provider may rCqLJCSt Up 1,0 two months ofadvaiiecs at the SLELI-t ofthe Colitr-W period, ifavail,a.ble, to
cDverprograre service costs, The payrnent of an ad varice wi 11 be conti n genc u pon the s u'ffi Qlency grad
aMOLIllt off.-unds released tolhe Alliance. The Provider shall provide the Alliance documentation,j tistlf�ring
Page 27 of 66
KCV-2129
the riced for an advance arld describing iTOW the funds will be distributed. Any Advance payiiwlus must be
recouped no kiier than the billing si-tbrn ttcd to the Mliance from wh ch the contract funding allocation is
3,32 lnwn�s( v4rrwd oi-i advancl s musl be identified separately by -,sourct° of furicki,state or federal. Providers shall
maintain,advacrtes of federal Funds in interv,�( he4rins,accounts unless otherwise cNempted in accor aii d ice
with 45 CFR 74.22(k). Earned interest must be returned to the Alliance W the end of each quarter
14 Invoice Submittal and Requests for Payment
Ravrnent shall be,made Open the Providers presentation of ran invoice, following acceptanco and approval by the
MI, uancc of dcliveraWs shown on the invoice, The Provider shall maintain documentat"KNI to SUPPOrt PiaYMC111
reqoests that shall he available to the Alliance or-authori7ed ridividuals.,such as the Department offillaricial
Services, upon reclucst, Supportiag documentation of services provided must lac adequate ropermil fiscal and
prouranarnatic eVAILIatian and ensure Internal rnanagennent.
The l'brin and substance of each invoice submined Oy the Provider shall be as follows:
3.4.1 All requests for payment and expenditure reports subill,itted lo itippon requests f6r,payment shall be on
forms 106(ATTACHMENT fX), 105 (ATTACHMENT X).
(1) Fom-i 106
(2) Form 105
1,4.2 The Provider shall submit all payincrit rearrests based on the suhmisshon of the Provider's actual marithly
expenditur-c reports beginning with the first rinolith ot"Lhe contract a,,; per ATTACHMFNT Vill to this
contract,
143 Any paiyrvent due by the Alliance underihe Wrins of this contract may be wiflhh .Id pending the reccipt and
,approval of all financial and Programmatic reports. dae I-"roni the Provider and any adjusunertu then tea.
3.4.4 'The Alliance wit] authorize payrnem only for allowable expenditures, %vhich are in accordance Mill the
firiiiU sp"ifiQd in ATTACHMENT VIE.
3.4.5 Monthly review ofthc Receipt and Expcnditurc Report arld the Request for Payment Form by the AlAiance
will fOCLIS oil:
Une item cram-iparkon of year-to-dateexpenditures with the budget to monitor rate oCexperiditures.,
(2) Allowable total relinbur5ernerit, an aservice by service level, does not exceed budgeted/cantracitial
arnount (NO Urn'lateral triodified spending authority.);
(3) Val tdation a f service units reported apinst.Cl RTS.
3*6 in order to properly manage the prograin bridgel, the Provider must submit invoices for Payment no later
than the 61 day following the orlonth In which the Qxpen-5c was 111CLITlvd. not to vNQevd three(3) muntks oaf m
the end ofthe nionth fi-i which [he expense was incurred, except that invoices cannot be S-LibillitLed after
Close Out Report date. Invoices submitted late will require the approval of the Alliance's Con) tract manager.
Late invoices, %vil I nor be paid tiniess ftisiillcadon is subinitted, and approved in writing by tire comract
manager,
14.7 Date for Final Req,UeSL for PaVilleilt
TheProvider shall ',tjbrnit the final request for payment io the Alliance by the dow indicated oil Attachment
Vill of tills coillract,
3*8 Payments will be made to the Provider based on a complete and correct irivoicc, invoice-9 Heart are
incomplete or with incorrect total will not be processed and will be returned to the Provider for correctioll.
Page 28 of 66
KCV-2129
Fiscal staff wi I I riot be able to corrcci or make changes,1r) the invoiQes. f OtUrrItijU Inv oIces for corrections
III a.V relAt I t iT I fai I UrC IQ receive pay Tllcnt lor th at xliorich. Invoiecs shall be sub[niud timely its per
ATTACHMENTVIII in ;artier toavo'W any, paymew dclays.
3,4,9 The Provider must enter all required data rollowlilig DOEA's CIRTS Policy Gaidefines for clients and
services in the CIRTS database. Data intist,be entered, Into CIRTS before the Providers submit their reqaest
for pay I ment nfld CXPCr1ditU1-e repOrb,
14.10 The Provider shall mart niontlily CIRTS reports and vcrit t that client sand service data in CIRTS is accurate.
This report must be submitted to flic Alliance with the nrionthly request For payrnem and expenditure reliort
and must be reviewed by the Alliance before the Provider's request can be approved by the Alliance.
3.4,11 For-Providers receiving ftinding fior Material Aid service:, Matorial Aid must Lie provided oii[y %Yhon there
is no available alrunative,e.a. anodler prograril r m unding Source or comunityeSO rUrce, tha-i cart accorriplish
I 4r
the service or supply the good& Prior written appro4 shall be tab aimed in writing from the Allianec's
contract inanagor lbi-purcliasc5 of7S5O,Q,OU or morc. Written approval must be submitted with the request
l'or payment.
3.5.Reinedies for NontonVr)rming Services
The Provider shall cnSUrc that all, goods anctlar services provided tinderthis contract are delivered timely..
con)PIctcly and Corr mmelisu rate void i required staiitdard,5 ofcl sal ity, Such goods and/or serviccs will Only tie dcllvci,.,-d
to eligible prograrn participants:
If the Providcr marls to meet the prLscribcd quahty sta,ndards for scrvice5, such services will not be refflibursed Lmder
this contract, In addition, any nonconForr-ning,goods(includirl'o hoine delivered meals)arid/or services riot meeting
such standards will riot be rellm bursed'Linder this contract.. The Provider's signature on the request for Payment fb.rm
Certifies MaiEItCM-UICC OfSLIP I i I r port,ng documemal'on and acknavviedgernent that the Provider shall solely bear the
costs ass fated with preparing or, providing nonconforniing oohs andW services, Payments may be
C , witfihwio
and op reqijired to be reimbursed if standw-ds are not UphC]d aildi0l-if docunieRtation does not support invoices
being processed,or allreadN paid. rhe Alliance requires immediato notice ofa:iy significant and/or systemic
irtfracfions that Conipfornise the qkr4k(y,5CCUrity or continuity ofservices to clients.
3-5.1. CO ITCC I i ve Action playa
I. Con I;r4ctor shall ensure 100% of*,he deh verab]es ideritifi(A 'III ATTACH M ENT 1, Sonora II (Manner of
Service Provision)of this contract,are PCrfO17mcd pursuant to contract requirerricrits.
2, If at aky, thane the Contractor 1 s nali fied by the A ll[ance that, 1 t has faHed to correctly, completely, or
adequately perform CUIRIACL deliverabtes identilfied In ATTACHMENT 1, Sec. 11, the Coritra.Qtor will have
10 busintss days to submit a.Corrective Action Plan("CAP")to the Alliance Cowract Managcrthat
addresses the dtrxicncies and states ]low the deficiencies will bc rennedied with n a time period approved
by the Alliwice's Contract M.anager, The Alliance shall assess a Financial Consequence for Non-
Compliance on,the, Coniractor as r6crenced in ATTACI-IMENT 1, Sec, 3A,2, of th is contract for each
deficiency identifited in the CAP which is not corrected pursuant to the CAP. The Alhance shall also
assess,a Financial ConseqUenCe I"Orfaillire,In,threly sUbi-nit, a CAP.
-rect i identified -oved tirne period specified in the
.3 If the Contractor fails to coi �n ide ied dzriciency within the appi
CAP, the Alliance shall deduct the pe,rcentage established rn ATTACHMENT 1,Sec. 14 7, of this
contract, frorn the payincrat for the invoice of the following month,
4 If(lie Contractor fails to timely subrniC a CAP, the Alliance shall deduct the pQrc,entage established in
ATTACHMENT]. SecfNon 3.4.2. of this contract for each day the CAP is overdue, The deduction will be
made fi-iorn the payrient for the invoico of the following month,
Page Z1 of 66
KCV-2129
3.5.2. Financial Consequences ofNon-Performance
The Alliance will withhold or fedi.]Ce payrnCIII if the COilti-actur fails to perforni tits; deliverables to the
satisfactiun of ik Contract aQcurdlng to the requirement) rel'crenced in ATTACHMENT 1, Section I and
Section 11 of this contract,"I'lic following financial consequences will be imposed if the detivenables stated do
not meet in part or in whole the perfornlince criteria as outlined in AI-TACHMENI' I. Section 1 and Smtlon 11,
of this contract.
I. Delivery ol"services to eHgi,ble clients as referenccd in ATTACH N-r 1. Section IA and Section 2.1 (if
this contract—Failure to comply with eswblishcd assessment and prh,,),rhizaIion,criteria as evidenced in
CIRTS reports will result in to 21K reductiort of payment per bLIS'Me &Clay. The reductloll of,payinem Nvill
begin.ern the first business day following the Alliance's notification to the Provider tliat the identified
deficiency w�,as !lot CLUCAI or satisfactorily addressed in accordance veith the Alk'ancc approved CAP,
referenced in ATTAU 1%4FNT 1, Sec. 14,1
2., Services kind units of services as referenced rn A,rTACHMENT 1, Section 11 of thi,q contract—Failurc 10
'r L Section 2.4, the current DOEA Pr-ograrns ond Services
rovide scrv�ces in accordance ATTACFJ�mEN� M
[landbook, the servites listed on ATTACHMENTS VI I and K. and SUbi-nissiciii of reqLl;''red doctinaeritatiol-i
wfll result in a 2% reduction of ptiyment per business day. The reduction oi-payment wN bogin the first
business day following the Alliance's notification to the ProvWr that the identifled deficiency was not
CUI-Qd air satisfactorily addressed in accordance with the AMance approved, CAP, referenced til
ATTACHMENT 1, Sec. 3.4,1
3, AdininistrLative duties as relbrciiced in ATTACHMENT 1. Sc et 11 of this cantrw— railure to perform
the pCrfOmI,,InCe SpeCiftatlOnS and oversight ol'operatits m-fll re�tdt ii"I a 2% I-edUction of'payinent per
business day. The reduction,of payment will begin the first business day following the Atliance's
nadficaiion to the Provider that the idientified delicienq not cuired or 5atisfaclonly addressed in
,aer c� 3 A,1.ordai=wiflithe Alliance approved CAP, referenced in ATTACHMENT 1, Sc
4 Timelysubrnission of CAP—Failure to fi=ly submit a CAP within 10 hL[$jnCSS days after notification
of the deficicnt�y by ffic Allionro contract inanager will result in a 2% reduction Vpoyrnenl per business
day the CAP is not received. The reduction of payment wHI begin the first business day F01IONVIng the
AfHance's notification to the contractor`that the identified deficiency was not,carted or wisractority
addressed In accordance with the Afliance approved CAP, referenced h, jvrTACHMENT 1, See. 3,4,1.
5. Exceptions may be granted solely, in writing. by tho Alliance.
Page 30 of 66
KCV-12129
,A,TT,kCVV,VJFNT III
ATTACHNIENT11
FINNISCIAL AND COMPHANCE AII)DIT
'rhe aciminisir-mion ofrcsoun;es awarded by the Alliance m the provider way be sobject to,audits andlar nion4cring, by the,
Alljx=�j%Vbr the Depai-went as described in this section
L MONrrORINC
ittaddhion tureviews Ofluditscoindtictcd inaccLoFdaiict! with 2 C F R Part "no ( formerly O1,,IB Circular A-1133, is
revisedl. and S�,oion 2iS 97, F.S., (sce 'AUDT'J'S" belOW), MO,nhvring proQvilm-cs may McIvide, but not be liaikcd, to, on-site
visits by 1hr At fia,rive amllur the DcPartGrit snuff, hmilud scope audits as d4ned 1;ty Opvlm,Circular A-L'O, as revised. aodlur
'
other prOCCdLPrcs. By erfterimg into this agreemerL the Contraelor agrees 1"') Comply and CRIOPerate with arly monturim'z
n ormdureOliro ni mses deved Ippropria by w thu Alliwice. e In [lie, vei)t the Alliance ntid/or the Depadniett, Oclermines that to
linlited scope-audit of 110 Contraw- is appropriate, rfic Conmactor agree to comply with any, atddljgojjal instr u,c6ons provided by
tire A I I a n cv a n d ic r t It a Department to the Contractor regarcfln, stich audit. The Conlromr Further a-ree,,;to coMPly
and cooperate, with any inspections, reviews; illvcstigafian, flecc sisaxy by tile A I Hanc e and�01' [lie
or audits, deculed
A 13 D ITS
PART J-+ FVOf,RAl.LN? !�LINDED
This part is applicable if the provider is Stateor local Sovernment ara as defined in OMB Circular A-
133., as revised.
I it tfic everts Olaf the Provider expcods S750,000-00 car mort in fe&ral awards during as 1"twal year- the. Provider inosi have
singic or program-specific audit Conducted '[if a-Cuordilncc'With tile, o Fl, I
f i C 17 R 11 D r 1, 2 0 0, EX 114 IT 2 to I his
vgreern""t indicaws rederal rc,,ourws amparded through the Alliance by fliis 4gre
, ument, In delcrMirling file federal, a%vards
cKficoded in it!-, liscal year, the P rov id et shall consider jLf spur(��,,of Federal aavards. jilClUdime i'Meral resources reecived
from the A I I i a tic e The determination of atnOUnts DF Ftdcral mards.expended should be ut accofdagpce with Ific
ouidelines csiablishud by 2 C F R Part 2 Q 0. An audit of the Provider condactM by the Auditor Gaiieral 4) at
9 -n Pad'
kv th tile provisions of 21 C F R Part 2 0 0 rneet the requ'ret ants of this Pi
in ConnL�ctjLjjj w jill th,-audit reC[Lortm-rem 5 addressed in Part 1,paragraph 1,Ike Pr,ovi&r shall fulfill j1he requirements relafiVt tO
a R,j d i i e c r e sp o n s i In I I i a j cs as provided in 1 2 C F R P a t 1 2 0 0-5 0 a,
lftht;Prm idcrexpends less than $75(j,000.00 in fedcra[ mvards in its Fl-
caj year,art audit conducwd. iri accordarce with the
'OVjdQl'tXpet1dS less Tb
provtslorls OF-3 C F R Part 2 0 0, is not requirod. Ira thie'event that the P1 an S730,000.00 41 federal
awards in its Fiscal and ale"s rohave an audil,condacted in aCCcrchinec with the prwisions of 2 C F R V n r t 2 0 0 i tile
Mast of the audit must be pnid, from non-fedcral resources the cost of such audit must be paid from Provkkrrcsources
ohmined rramother than Federal crlitifics,)
An atidit condLiCtCd, in 3CGOT&jtjce w4h this part shall cove, the entire Orggan I
zt5tjoji Cut- the organization's lisctal year
Attding art
omp I hin co fi Rid itt gs related to a,-�recrne nts wit it the AlliaRtce shall be h,sed or the agreements requirements, in,-
L - - or not the
rules, 01"Stali-Ires recerenced tn Ole agreement. 1"he fulancial stalevients shall disclose whetKel
rMitching, requiremcnt WdS diet for each applicablu agraentcnit,. All quiestioned costs and liabilities dut to the ARiance and/or
the Department shall be WHY disclOSed in the audit rcport With M15CI-enct: to the Alliance agrecruent rtivolved, if not
� p -
Ctj�litUreS of federal awards shall identify
-Alet Mse 6scicsed as required by 2 C F R Pa rt 2o 0,5 1 a the scliedute of ex
expenditures by s�gyrccment number for each agrej:rncnt with the Alliance in effect during the audit period., Fitianciat
reporting packages reqUircd under this part nlu";i tic submitted willhin,the ggTrketof-30 days after receipt ofthe audit,report or
9 month,, after the end of the RroOder's fiscal,year end-
Page 31 of 66
KCV-2129
VART it: STATE FUNDED
ThIsparl isapplicabk. irthcpjuvideris anon-state anilky as dcfimd by SL:ctk)n2I.5.97(2), FS,
Ili flic everit that the Prov He r at witil arnount 01,state fintillcial assj$(aacc Nkml in oT ill e.Ncess of S750,000-00 in arty,
;seal wear (if skich Provider (for fisea� years mthilg Svptienilber 30. 2oo4 or 11jereal-jery the Provider must have at statedtlg e Ur
I - F nallc]W
project-sIlLcIfic aud t for such fisell v ar in accordance with SectiDrl 2 l 5,9�. F_S=, applicable rides ol the I)Qpanlrlent of i
a s)� Rik� of the Auditor
Services, and Clhapturs IUD 00-01 entiiiv5) Or W-650 (ronprofit arid fin-profit erUZ hizMiOn
V Ic" rl
QuricFaL EXHID11'2 to Ns ngreemeut: indicates state fmancial assistance mumrd,M tbrouggh Zile A II im bv th�s a aor=iertl. In
determining the statefinancial assistance e%perided in its fiscal �car, Llite Provider sbalt consider L11_scums of 5Me fillanicia I
'Sistance" inctudiritz, State fittoncial assiganve received from [lie Alfi state -gericivs. and other non-stag. entities- SU1110allco, other su m � s entitv for Ved�.ral
fillanclat assistat"Ce dries 1101 includt Federal dirk: or pm�,,-Lhrough awards mul resourccs received lay a nuil-Marc
program rn=hing requircrimits.
lji,,L)IwWlon V-ith OIC FlUdit requirernents addresscd M pat 11, pragraph 1.the Vrovider Shall 011511ro that the audit wmpticw NOtlt [lie
NOUireiricints of Sectioyl 2 15.97(8), F.S. 11,Is ioctudus $ubmiision of a finaacja: reportnig tyackage as,d6lned b,-,- Swim 215,97(2),
F.i,, and Cliapter 10.350(local governmerittil eniqies) or tO.650(tionprorh 111d,fc,r-pj't1fiL organizat[oni), Rules of the Audkor �jencrai,
aSS7 -,jca I vcap(((q fjjScpt eanher 30�204,
if .3750,000.00 InstiaLefinancial ISLancc in Its it, vcar�,
or ffierelifl0r), all audit conductmi irtaccordance vvi th tlic pmvisiorj.5 of SecticaQ 15.97,F,S,., is not roqUil'od. in the cxvent that the
Provider expends less than$750,000,00 in SlaW financial assiqan, cc in its risc&I year and c1ccLj to have -,in aud"I conducLed in
accardance with [lie provisions of Scctjon 215,97. FSa, thu cost ofthe audit must by paid from the noti-Stitc C1116(y,5 rVS0tlrceS
(i.e.,the cost of such an.audit 111Wj I Q paid from the Pm v id cr resourcqss obtained from udWr than 'Sinte 4ntidesll,
Art audit r-olldUcted in accordancp with this part Shall cover the entire oryanization for tile organizatiull's r'Scill dear,
conipliance findings related toagreeirients with the AlWatice shall lie gasses on the reWlifealcoU, 1"Cluditiat"421Y
214)0rcable rules, regulation�,air slaltktTeS, 'rhe fiLlatlCial SUAUTIIeWS$11111 disclose whether or not the matc1iinlo,rqoirement %Yns
met foreachapplicable agreement, All questioned costsand fiabilitics ductothe Alliwesh,11Ibe ft[lly tlisciosc�,j in the audit report
with r("ferenct I!tothe Alliarice agrecirient lnyoived. Haw othervdise disclosed as required by Rul!. 691-5.003),Fiat Admai. Code,the
sOctilutcofexperichtures of state financial -assistance shall ideiltjl`y expetidjitures by agrectnem nurnbcr Wr each aercemew, with
the Alliance in effuci during the audit period. Finanioltil reporting parkapz Icquircd L13(iff this part iTikbZ be "'Arnitted within
45 days after dckvery ofilic audit report,but-no carter than 1-2 months after the Provider's 1L5,cal, yoar emI Earn local
governmenial enfitics. Nbri-profit or For-prorit omani ired to be submitted within 45 ditys after dellvery of tzatwns arc reqtl
audit report, but no lifter thail 9 months aster the Providor's. fiscal year Qnd, NIm-Oillstalidilig, tile applictjbility ol'thisporwin, the
Alliatx:eretains all right and obligation tortionitor and oversee the perfbi-manco ofthis agree nnelnta'outlined thruUghout this
document and pursuairt to IaNv-
H. PAia tit; REPORT SUBMISSION
C011leS of reporiing pa chazes for a%Zts condUded In accordance with 2 C FR Part 20 0, and required by PART lofthis
o
aorcement shaH be submit led,when rquired by 2 C F R P art 2 0 0 5 1 -) by or on behalf'ofthe Pj,ov- qc1eejj_reW to em-wh of the
follownlgI
The Alliance at each ofille fullowin.- addresses-
Alliance for Aging, lace.
Attru Fiscal Department
760 NW 1071" Avenue
Suite 214
Mimi, VL 33172
t�'oj•flsc;jj yeni, ?it 13 ard parr lica-to 0% Federil Audit Ciow-14m�dlviisc dcsionalcLd In (TR �200.36 at thlc i'01kW im-, 0dr'QSS--
Page 32 of 66
KCV2129
haluts! AudN Clivarinighouse
Human of thaw' Comiris 1201
East 16— 14reeT
JefNisonvillu, IN 41132
For fiscal 'car 2014 and hux. pomsm000 7 CFR §2UM5 11 be mp"AW PAW Wild dw W c0b" " "'W"t
SuNuMcd clewmiietilly to the Foelvvul ALIILHt CL-0JAI"divinse-
Wuma to 2 (`I R §NW!11 A catlrt t. l°' cl�rtal o,,ejjcks, possqhrough civitin and(Wown, h1torcsioed hi 11 rcpcn-EiIqg 13'1"Aago
tonal d4LU L011kX6011 brim nius; oh,tuhl A by WICCONing IhQ Federal AtWil
IT WOW shall wbRuil is uqq of aQ h1a"WO'cifil Wer isawd by [hi., amtilor. ssj flj,,,� J�Joi id Oejtorlrucnl of 11ler
AfRis W rho 515whig addinss:
Alfinuce for AginT, lac.
A'Ahl, F i S c a 1 1)t p a 1,1"1 e n t
760 NIN 107" Awenue
SuRe 214
Miami, FI. 331,72
Ad&ionally, Copies required b to animm.C; lhina"AH CornplianK Audh Anachnicni,
.401 be suntud by, or olo Achairor thu rho%i&r Lrj—u-10 cach Ofthc
The FkwWn inwarnent gal wor Adows at Hw mm Ins ume",
Alliance for Aging,Inc.
Attn: Fiscal Deparintent
760 N IN 107* A"cutle
Sake 2 14
10iami, R. 33172
1 he Audkor Genoral",01'111ci aL 1110 dIddreSvS;
Sm of Fhw% Auddar Genervili
(r,"Fq to(I c Pt 1)Ile r B u it(I i 11 g' 11 cl 0 to
574 111 1Vcst �latk,,'On SIA-eel
alWossee. Floodch 32399-1451),
Aurry rcparb. n5anapnwin, 6CtOr, CU OW WrIMITA) 1-Ctn.JTCki W I)CSOINALAW to the Deparruvino; ptnNurult to Mk swuruct
slurh be mlimawd AWO hi accurdarroc A%Ah 2 CFR WOUT FhAu Wuix, mW Chviers 1055U Head yonrnmemal
enWin)viv 10 6AU moripW and W-poW orgairvations v Rides offlic Audilov(71eneraj. us opphcabl�'.
P O'vid;rs' 'wlnen submiahig 1humcial reporting p,icka,,,,Qs toke De"nuium lKauW dmc in acyordance 5kah 2 CTR I%
200 arChVors I OASA craAW or 10 650toonpW nnd AwIvont ocgurnismionsb Ifulest4the Audkol.
GeumL MmuM AnclWale rho dute I&the mpaling NsCkage &t jvorcd to Me ProOdu To coacquondorce acumqvlaying
dw crunih, rmckagc-
PART IV: REC'ORD RETENTION
Ile Pmd&r WH ransunkimi recank dcinonsrn ting, its coniplian,�c v'lth th",hums ofthis covnracl for period of'six
(6j )wars horn the date the mired ruporl is Asud. and shall allow Me lkpammum or also CT"O or Anditai-
(jelleral acccss to Mch roclurds uppn reWwo Ile pwvW. sw onsure ih,,rl audh pipcs arc made a~ ailahle to
Me, Allivince Lmdror HW DvIxtom"t or Is Mgn". CIXX or Aullor Genoml trp71,1r1 lUqLICt RIB- A 11060d 045t" t6) }v;ro'
loin the cone tho add rmon k ispW& Onim=&'ndod in ,yrj[jajvy L)v tho L)CP if-MIC11L.
Page 33 of 66
ATTACHMENT 11
FINANCIAL. AND CONIPLIANCL AUDIT ATTACHMENT
EXHIBIT I
PART1. AUDITREI'Al'iON"i"11" D F11,RIM I N AT tO N' lle ,I(Iij Tqkjjrenj,g:nts oF2 UfOlart
1 L,e r 4, resot,rces 01 ay or III it y n o K b e subi Uct tO t ie � state
rroviderg %vho reeci rfo, state or f'e .nee to lie rvelP[1T`t` or subrecip 111$of rcderai
[5.97, Ft.A.� SUM, P r o%,i d e r 5 w1jo are del rr IT 1 0 req Ll re mtnts S.3 forthPa rt I and)or P a r I I
anwor Sectroll 2 cito ihe audit rquirl:1110M ift�Ie aL:tdit thresh equ r'mehv CF R
assistaPuc may beSUbje to the and it r
finan6al , en cleterrnifled TO be vc"�10rs ere n�")t skIt'ject providcrs who Jmvc b
- Who have Ile, I 'me l'
'b i t I i s wfi,ether the aULM Nq1tire"Cr't$"11
cr
'00038 ILI,d1or Sectian 21 j7, F[a. Stat. Re9z"(110s" of'
I doval awards aNjd�,),,state julaticial as_�jstapce nwsl COMPlY�vitjj applicable
tl term fried w be reeiPienls (w subreclpieMs o,f re
rammatk')roo , d fiseat cc),nip�iance req,t1if enWT'I`
r � an 6, FAC, CO1'tr,,jcior has been dcte�rntined to be:
Inaccordovice with 2 CT'R Part §200 anddLii Rale 69I-5M
10038, )7,P,S
Vendor not subjeato 2 C�FF,1,€jrt§ 'U'd1or Scct[on "15,97. F,S,
CFjz p art §200=86 mid §71M93, for-PrOfit
(,FR part§200 and'or Se�otion 2 15,97, v s, ro
'es dist6cl 50ho,
Exempt orgariz-AliOrl rmt subjw to micial assistance pro ubk co"11"unity Collin, "
al
%Ttpt- for stale fin jects, must Loiripl)
i0m, are exe sch001s are ""Vt' F-- empt' OrL
hoards. b ranc h es 0 f slatc (H und 0 &,(i vc rM altrart or -�Award documWit,
"Vitt-L all compliliwe requirernerIts Set' f()fl!1 ""ll"" the LT
ipiCnINUbrecipie"t offederil and or stale financi,al assislance ft"d b"n
N1 ,Uj,L-. jr a Provider is dcterrflrnvd to he a RX vith Secliol, 215,97�7), F.S and jZtfle 691-5006, FAA [q'Mle
approved by the A c e to s It beontract, tb c v "I Lt St co"nPlv
$jjjd 2 CFR Part §2003 awards],
trederal ,
PART M FISCAL CONIPLIANCL RLQUIlk"ENTS
FEDIERAL AWAROS Oil STATE, MATC11IN(; FUNDS ON FE DERAL AWARDS� Pro v ider',; mcrive Federal
st,j,tc 11jaruterralice of effork fundg. or skate 11111,1C,11i1ju fl,11,Idt, on Federa[ a%vards and vvilo are detervAled to 1)�
wma rd,s, ;P s ard rcoulakions:
� f[scal IiAws,
wbreciPicIll MUst conll'y wV'jl the full""i"L
STATES, LOCAL (,0VERNMENTS j;'S INIUST FOLLOW:
, ND INDIV4 TRI L
2 C FR Par, §200A 16- Cost PVinclPles"
2(,'.I,'K Part §200.201- AdmfflistraLive Rcquifelllents
CVR Part �200.500- Akteil RequirOITICnIs
RDfercmc Ckjido for Skate E.Xpcjjd1iLurcS
Other fiscal reqUjrCn1CT1tq set furdl in,pro
gram la"NS. Riles and regulatioll.
NON-t'ROFIT ORGANIZATIONS Mus'r FOLLOW:
2CFRP-arl§200,406-Al I-Com Principles"
2 CFR Part §200.100-Adminiwafive RCqUirely1clIts
2 CFI' Part §200.500-Audit Requo,emc-nis Referen—Culde f0"StatuEXpenditures
Other lineal reqiLirernents set Earth in, prograLlt, jkjws. rules and, regulations
S-1
EDUCATIONAL INsTITUTIONIS,lEVEN IF A V'AR7f Or A STAT'r Oil LOCAL GQVERNMEN U
FOLLOW:
2 CFR Part §200 A t 8- Con Principles"
2 UR Part §200.100-Adminmrafive 1�,equirmients ide fir S Expenditures
3C17R Part §200.500-Audi! Requirements Reference(311 tate
other fiscal requirernenTS set f0fth in PrDPram laws,rules And rupflaftotis
Page 34 of 156
KCV-2129
*Some Fedcral programs may be exenipted Rom compliance Avith the Cost Phnciples Orcutars as naced, Inthv 2 CFR hart
*"For fLuidjag passed through U.S, Hea[th L,nd liumari & rvices, 4,5 92: for funding pas,s�cl throtq,,li U.S, Department
ol'Eduva6on, '34 CFR 80.
STATE FINANCIAL AS81STANCE— Pro v Iders Who 1"eceive state financial assistance alid who am dewrinihicd to be a,
reciplenUsubrecipi-em MUSt GOMply With the fOHOX%lingk fiWdl IHWS,RkS andjv,.gulaiVons-:
Section 21 5 97, Fla, Sun
Chapter 691-5, Na, Admin. Code
StaTc,Prq,jezts(7ompliaTicQ Supplimicrv. Reference Ovidic
f'or State Expenditures
Other fiscal requirctuents set forth in prograrn lans, rules and regulakons
The Rernairldv of Ms Page Left Intention0y Blank
Page 35 of 66
KCV-2,129
AT'I"ACHMF,NT 11
FINANCIAL, AND COMPLIANCL ALIMT ATTACHMENT
EXHIBIT 2-FUNDING SUMMARY
NL)_teTifle 2CM §200,131—isreviscd at d a rptira r?I a.ra F`. tr cyrlirr :Itat urr l rrt,dttinrt aboutrederal Stmefjrc�)jecls
inchillcid ki AT'I'ACHMENT 11, DAbit I beprovidedw there icipiem,
related amounts bawd on the contract budiiii
1, F E E)FRA L RESOURCES A WARI)EDTO THE.SU BRECI PI E'NI 'l-11 U R-S U ANTT0 71,11 S C.IONITRA(..T CONS I ST
CIF TH E FO L LO,W I N G:
PROG.'KAM THLE FUNDING SOURCE CIMA AMOUNT
Coronavirus Consolidated Appropriations
AfCj tor Nutrilion Services undeo-Tiale IT]- US.I lealth and Human Sov�ces 93.045 571,051.35
Cof the Older Americam Ack
TOTAL FEDFRALA MA RD S,71,051.35
COMPLIANCE REQUREMENTS APPI—ICABLL TOTHEVEDERAL RESOURCES AWARDEM FURSUIANT10
THIS CONTRACT ARE AS F-OLLOWS:
LLM&&Lj:u�
2 CPR Part 200-Unifbmi AdministraLive Requiriernenits, CusL Pi-Mciples, and Audit Requircments GorVcdcral Aw,105, QjmB
Circtilar A-M - Aulrfit5 of State�, Lociat Governmepus. and Non-Fwfitt Ovii.pnizatirin's
iiii,
2. STATF_R FSOCRCFS A WA 1-1,t)I-'[,) TOT HE RECI P!ENT PIJ RSU, ANT TOTHIS CONTKA C.'r CONS tSTOF
THE 1"OLLOWING:
MATC14INCi RESOUCESFOR nWE'RAL PROGRAMS
PRO G RA V1 `I-RILE FUNDING SOURCE CI'DA ANI 0 UN T
J
TQTA L S FAT E AV'A RD
STAI'L FINANCIAL ASSI FANCL SUBJECT TO scc� 215,97, F,S
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
TOT TA L A WARD
CO'A'd P L[ANCE KE Q(A REM 1'__-NTS A PPLICAB LE 1-0 STATE RE SO U RCES AWA R DED ?LJ RS UA NIT TO_f 1-It S
CONTRACT A RF AS FOLLOWS-,
I A 1.ASS I LVA:!NC.F.
Simian 215_97"F.S., Chapter 69k5, (1- Adinin Codc, Refercnicic Guide fm Stan. P:pcndjlkpres, 01hor fisud r rluirunrerats set foilk ill
program Iaws,rules and revulations.
Paige 3,6 of 66
KCV-2129
AITAOMENT Iff
C E RT I Iq C'ATI 0 IN S AN 1) A S S L I R A N C
DOFA will not tmarj 116,; (70110-Oct 0111IC,,S tilt Provider conipletes these CER [ )I-R A I WNW AND
(L[1.9� ill )CJ_11�)J�lj
A','6URAN The 111-cY4"I der provides Ille Col IoNk i lig ecaj 1 mu 1011"'. aild
R s
A. Debarment and Suspension Curtification (2.9.CA-'R P-m-1 9-5 arad 43 CFR Part 7-5).
13. Certification, Regarding L()j)J)N,jilgi (,.19, 93 amid 4-5 CM P-gri,93
C. N4—o nd krinti natio & E"Msial 0 ) )o ring i ly As u ra nee (29F1 11a rt37 and5CIFR Port O)
D. certiricafiml Rvuarding Public-Eii1liN CrInivs,welion 287.133, ES
E., Asswiation ill-Coln nul nit-v Orgapizatimis for Reform Now- AC,I)RN)
Assurance (Pub. L. It,[,,11 7 71
K CertifIcad,on Regardi wig,Scru,I ir i?vcl Co anicks UsLs,section 287J35 F.S.
C.. curfificatioll Daly 111jilegr11v Cl-pritjiji%jrtcc for C(Rntract.s., Ag,rcemems. Craws,
Lu��Illls "IFId �.?,Lgreejilvlris
Verffica.lb,in of C'.'crOrwaflun
1. Recardsand Documentatimi
I Certification I WS[2cctloll or Flu blic Records
A CEIZIA FI(ATION RI,,CARDI NG DENIA RM E-N-F, SUSPF-INS LO N, A,,---4l 1) OT 11 ER
Rj:',Sj:I()NSjl3jj.j'j'V N,IATTj, RS - PRIAIMI' CoV!-',RP-']) TRANSACTJON
ThL° w1dCr."'iglicd Providur cvr-il fics icy the licst, oi-its; 1�fIOvJLxIgc and hch1cf. flnu it iind its jw'W lxlls'
L Are not prescmly dehan-C(L SUsJ)CIICICCL lIT0j)o,.,LM l"Or dcharincill- declarod incli'Nihic. or Vcdtu%lrIlv
cNcludcd fi,om w%cl-W trans actionr () ii Fedcral dcpari,unvii! (if- a,,IcnQN4
2. 1,,lak c not willfin 'a three-
Qar perlod prL:cc(fiII'P Ibis Ccjlllrac� becllcollOcwd or had a c ivi I jud,'Intili
!'L!NICICI'Cd �WOdil'%SL LlItM im colnmis�ioll ol"I'l-mid or l crialinal o[Yelisc ill conflQklioih %I.'fill uh CimllA
alu�.Inpbu,' tuubcairl. or perfurmill", 41 [IMAK: (F'cderal. Swlc� or local) tralls"Action oi- ��011tracl, u!kicr li
0
public iransachow� violanon ATedmil ()L' SMIC OVII]MISt -A.Rtutcs or k:,wwrilssion ofumbczzlomckil- th A.
or destruclioll rffl,cccwcjs. niakin,;, of 1-ccOving SICICII,
IWO[M'h ,
I Arc ncit i5ftfik:tc(I ol orckilk chinqp:d l),, a ank,cnlIjj,:jj1j CII)III"y ll edcral.
sla cir iocal) loth commission ofany 01"11W OfIc[ISO eMIRACRIMI Ill paim-ymph A— of 01i'N ccaifiicadoli
and/or
4, Have not within di lhiuc-Ncall period dik LapplicalioiC
P t U pom�a I 19dad o ri c or i n orc 13 r i b I r c
if-ansactions (Fecleml. Swife, vir lo,-al) lerm-111mcd kv CmIse W'defilul",
Page 37 of 66
KCO2129
Ffic undersigned Sha I Ir"I Ill re that A ngim, nH his wdficm!ton he included A the chi cunienis far a I I
subournracls at aH rVers (Kchnhug subcorucacts. %codurs. sub-griml, sand caumas umkr gmnBAsus nml
woopulAW mW tina al iub reciplow and cowtimaom diah pl,ovlde this certillcation
uccardingly
11 1E F RT I F I C!Air I o P4 liz r,G A It I I I AN; L 0 R R V 1 NN C E I Z T'l F'1 CATI 0 IN P'O I Z C 0 N'T R A(.TS,
G R A NTS, L 0 A rq s, .4 rw 1) (qjcO I I E 11 ATI V F' A G I Z EE JV1 IiNTS
I I i e u t ml e rw ig n ed P to v[d a v w ert i i1 k*s. v) 111 c b c-A o f its 1,,11 o"I e d g e a i i(I bC 1 i Q f' 01a L:
AW Federal al,ronipHwed funds have been paid or "ill be Pal& b3 or on behill'ol'illic undt-rsigt ed. to on),
11`42rt;011 60F int'llitenCin,0 oramnilybW in what c an onwr or cmplpyowc W'ongress.or Lu, Apyou ora
Kdernher orCongress in connockin "ki the awarIng uW3 Wdocal coiurilici_ alit rinaLing olan Fcderal
Now, die nnakhorg oron) Fladetal 10airl. the coterbig Wto of my coqw"Ke �'Ind the L.,acnsion_
rene" K arne0nem or oloodirik.:a0un Oran, I-ederid Q0AlLr1QL, curibilt. Ioall or,2,00pamw
agreernonl.
Wany W& MherAwl, FuWml alipropriated i�unds haw heon paid w WH be pdd Ri my pwmr for
int'lowiving nr nuumpSy to innumee an ank. c, emplayou of any agorri 4 - a Mvnihor ofC'sin,,,rVCs_ all
onk zi er or nploy il
l fiL'ongircss. m wim oyco ora klemb o a rc ongres ill congieclion as ifl) a RdW
em 1M gra"L kmm tw cmiplur ar ive [h[ shall alai wupleic and Wink Wridard
Unn - IAA, WKWur, Funn to Spon Imbblinj- in mcordwwwv Wtla iN imunakws _
JITQ shall re(poirc that hngmqc Mis wiWalkn be incloclud in 11tv docurnownts RwoU
Sulmolwycinat :all Qrs(&owWd&g Aheorinw, subgroms and conwa,0B Lipid rgrans, kl,-Ans ail d coolwrinivc
agwerneoum And that all .ub- re6j:ticlitoti wid Qonlraewr�,tdwll wJ discicfa accol-diindy.
This Ixi-tification k a nmwdW rcIpmsentation of 1W rqmi which rchancea Nas placed w1u:11 this C'onaracl w is
inade OF CrINJCd iM. SulmnissOn Or this W&WkWill is it preroquis-ne for nlakilT or NA&Mg, ink" IS!,
Commo inWowd by 31 US& 13;�1 An) pQrson %010 klik pal filQ the r°CcJLJil_,:d MtifiCalk,)h shall be
SUtdOCI In a Lea It Ptill Of RM la` S thWI S 10100 and m rncirc~ than S[00_000 For etich sluch Caihire.
(7. OWN-DISCRIP41 I AWA-l-IoN &. EQUAL 01TORTUNIFFY ASSU RAN(_'],_- (2' CFR PA IZT 37 ,Ni D 4i
CI-711 PART 80). -As a coWhhu of to COntralL hVI Wu LISSIVVs 11WJ it Vill COJAl)[�' i1fll� With the
nondkcriirlillrrfion and Equal opportninily kions oflfic ing kiw-i:
i, secom, in or Lhe Walt1hWe Imearnou Act or IY98 IWAL w Pub. I , 105020) !&&1 pHOWS
Isah0whm ngW"q an ilAk iduak in the LOW Sms on dw basis rfl'rock' Color, sox njfinnal
Odgk agid. Wabilily. POUCal affl1lialiOn- or tic Her, and againm henerichlIns on the baw ofulthar
J010115hip/MalUb IS U Ian Rdly 111110110d i'mrnigrail WOW to wmk in Me Whad SWws or Pa".W&QtLJ
in wy, W1 A TW l4nanially asshad progonim (w aai0q,
2Z1" Uc VI or the CIO I 5gilm Act or 1 Q64 (Pub I. 88-3521, aS Wid J1 I rC1,pLl1iWV)Cn1_S lluposcd by
Or P11111011111 W W RUPLdai kni id"We De1wrimew or I Walth and I Man Seri On 145 CFR Ila 80, Who
Cluj that A pacordance w.1,11 l itk V1 of dial Avl atull the ReguWhonw rw pe"wi A the U Mwd Sum dial 1.
on Ow gwnd ol)-aco, ctflor_ or radomod okgl he osukukd Win pwH6 pahn & he det"I Vc bencrils
W in he otitc-roise sub,jocrcd to disenininalkwi umkr any progpani of, for ohich dw Applinu
roceives I:Cderill I alanckO nswismoce Swn the Depalmuni.
Page 38 of 66
KCO2129
1. 00an 504 nCtlic kohahHhWkiti Actor 1973tPoh I
hy tq Inurvalant to 11-le Rcgulalioii ol'thu DQpanmwa of Oath ;said I lunwn SwQc"-I5 CPR Part P0. to
Mv c"d thW. in accordancu "kh Sc own 504 of War. Aa. mid dw Reaidwkw"w Wiverm ke qinillfiud
Itawticapped individwd in die L%ed Swfv,� shall, so!0 lth�, reilion OF% handiap. he ewhdcd Owl
participulJon in, he dubcd the knefith ot-, or be sula ccied to diserknination urldo- iin� prognuqj or activk,,
Or "Aida Tv ApIflicant receives fkdeml firiaucial nndsmnce Rani Me Depniment-
T Ile Age Dko-infloalion Act of 1975 Wish, 1, 94.f 351. on amomkd-and M I w#wnious Aqwwd by or
pursuant to the RcpAMkw 4 the Dcpanniun"W I Wili iind I Nninin Sawkes ( 5 CFR lbrt 911 to Q eml
that. W accur&"we vkh Ow Act aphl 1he WaNdmi, no petum in Uw Wital Strites Whall. Mile Min of
Uge. he dwined 01C henchN OL lac:exckwal Rarn PM1wQaQM K Or he 4) U11del.
or, fwgrarn or;w0h) Jbi whkh the ApiqAcan! receives Wdooll Mimnchl asvistawc Own the
Departatetat:
vrwe IX of the Educut% Amendinonis cdf 1972 (Pub, 1. 92-31 Sh as HMCH&d. and idl!
imposed by km Inn-suant to die Regulation ol"tho Deparlown't of l 1enith and I I-LonanScrvices 05 (71R, Parl
86; to the end that, in accoRkrice w1h 110 IN and the R agOjohw 1w pesmidn the I NOW Satter dwill,
Lira the bas orse.%. be C,.Cltrded h0fin panidpalion h14 be diniied fIle bole'l'u's nil-, or ba,others %i',,t sutajecwd
to clips i III inotion Wer an) Uducation progri"4131 or ocik il� For Ne Ii ich Qv ApIdica"t recolves Feda-al.
fin-uncial issistance 1-rorn the Department.
6.1 he Arnericlin "115 11whAtirs Act of 1900 (Pub. 1. 10 1-331). "hi l; pruhThs TwAnAwIdup in al'I
emplo3stem pracken inchkUrip joh ntiphiewimi proceduves. Wng. POW.alywccrnm compowkw
livinhig. and other loin, cur dhilons. and pi ivilvgcs nferuplaynivoL
ICUMV, lawol'11 lt:atvv. fkve benefil.s. and all m1wronph)mcmadared uaNhks,
M-ovidwy wilso vissures tlmt a KH =Wy "1 h 2U UFR Ion 37 WAIII wWwr wguW ion AnWouaWing We
laws lived 21mwa IW; assurance ail plKs to ProvideN opemikin of the 'Ad A We I - financially nssked
to CWy"Aa be AJ,A Fhk 1 - 1inaxw0o; "SAwd
progsum oat-uWAU, Pnn k1cr inido-dands thiii DOVAind the Unital Suites have tile riudit, to qcckjudicial
01'111c aSMH',H'WO
_Fhe midersignicd shod require that langtoge of i hk asstmance be it clut5d W W docuinents for all
Wwomracts at aU ders(includkig s5cwwos, vendors, sob-gpravus and undi�l ,oranit,, Ioan�, and
and that all sub rccipiclas and cm"Maw Magill P"Wkw Uss wSurunce
nemiNg".
It CEJ4TIFJ('ATJ0N REGARDING 141131,11C FNTITY (.`JZIMFSSEC1'10,,N 287.133, F-S.
110vidn' Why cendles that NOW it. no ow has kcin co,ivic fed ofa I'tsl�i is
Wo Ww as denned in scKon, 287133. KS. "or pkwcd on flic con� vial I eador I&
Pro idcr understands and agmcs don ;I in mclohrod to hinmin IN WA immudimey upon mi, c0ge of
6murnmawes agatdog Ads Vital s.
E ASSOC 1AT1,0AN OF('ONI,-Itt,li,41TI' 01',Z(;ANIZATIONS FOR 11121010i NOW(ALCUIN) FUNEVING
RESTRICTIONS ASSURANCE(131, U. 1. 111-117),
As a eakithn Of 20 COMM W;Wr assures Wat k "jH lull
mm0w kirls pe"abig tu ACORN arid in subsWiw-ies IWI Appropriations A cl-20 1 at.
IWAn K Secdon 51 1 (Pub, 1. 1 1 K 1 17 L Ile Com buing Appix"walk)"s Am 2U: 1. Sections 101 1trid 103
(Put 1- H K24 2)- pxovido,; that appropriaflow; made under Pit. L I 1 1-117 am available untler the
couditions provided h-� Flub, L.. It 1 -1 1T
Page 39 of 66
KCO2129
-file (Indersigned 4a I I requirc that 5mgmycoFilk is nssunance be We I uded A I he dtlamlerr Is tor id I
subramracts, at all tiers(hWUNg ulcolinvot, %endors. suh-p-ants und colitructs t"US pranh. WFIS a0d,
Ct,u)'PLI-aik,C agrec III ell t",) and I hat a H Mvdpkrate imd con I noun s AM I paidde tbk as ssurlance acwrdhwl -
F, CFR,-FIF I CATKIN REG A RE,I NG SC it UT IN I ZED CIN I["AN I ES LISTS,�SFCTIION'287A35, F.S,
If W(Inumn Is in Me amount ars i molivil I,,. jji �%ith the I-VqLlii-CMCOLS 01'Soclioll
281135. F.T. Providct' hemby conihes dta It k not, participating in a ho)= 41W_ is nor Haled on't
chher the Scrutinized Companies "Ah Adh ides in SuaLln 1,ist or Ow Sonknized Comjmks "ith Avd%iuc.,~
in Ow Imn Petnileunt, 1-`rierg� Seclo' list, alki that it does BOL have operations in Cubaur Syria.
13001 WS WO CrCal,�Xf PU rSU,AIr1k u) Sect ion 7 15.4 73, 11 S
Provider mdanawds shalt purawm 1 "1 Sod ica 1 28 7 A 3 1 KS, I he hu bw Kim! o F n Rike cori Nbution nul)
subject liner i,der w civil pema[fiess alltonwy's lecs� ond/or Cost:'.
Irprqn[derls tnaaWc wr mn, my. (4 Ow stiawmenly &I MA celvincatial, W&W WO a aeh an
exponadon to dds (Onract,
Ca 'I':RTIVICAT10N RV', 'A 1111)1 V; DA"I'A I NT EG 1UT Y CON]11 LLA N C E FOR CON'T RACTS#
AGRIE.EiVIEN'I'S. GRANTS', LOANS
1. The FloOder and a03 Subcontractors ol'�crvjccs tinder ilds colanwi have Finjuchl niim;qevient
syswms CWaWU OFPMVWAT Ccrtorn illf'ornwation including: I I )itceurate. CLITIV111, RAId COMPICIC
Asclosure orthe t1inancial results of each prc�ecl or pro"-,raill ill accordance o"ith the
pN,escribed reiWI-101" VQp6XMC1OS: j2)the source and applWon or W& ibr nit caltram sullwaled
activilk's:, ond C31) the ormutKays Wilh budycd arntuMLS Rw each nuard. Re AWk, to
pnKe" inAmInition in aeeordruv�:C 11 idl WAV nquhunicrus ccnihl iv-roll ill a IvIln-NI of gratit IbIld" drat
nave not bccn accourrIted for prnporlt
2, InOmmicin 5,slems taut by the Avviduo subevini-nuors, undurs, or any Oulsilk, erttit
on "Ah tht: Provider N dopendoA Ax WO Ilan k to bo ropoilvd, 1 ransm ued d.ar cakuloaxi, hove beol
assessed mid veril'ied Io be Capahic orprocessing data accurajcl$ dc1penderiL data.
1"o", those Systerliq id,elitHled, W[)]L- 110MV0FIFIQUIL Provider to H! take irnlrnmlime nethn to asmac dain
integri,
3. ir th is contraq inckides rhe plovNinn orharchtare- suft%%are. lljrnlo,%ol-Q. Ill crococic or 611111edded (dill
wohnniogy the undcrsic,ncd %%,oxisrus that these prodircu, exe, capah[u of pirticessinu a,nr-daic
dependert. daut ztccwwcb. A H versions ofIllerso jxodUCN ofRrcd Ian; the I lrci1,kJor (rcpreserricd h) Clic
purchnad b, the stoic %%H I bQ vori nod hor accurac,,. am] hite,,:rit-4 of lotto pr[or to
A in the Ovelli ofan� decrease A INCIKOH1% rciated to 61110 and dalc retatcd intlerwil
"'uhroLnille" thal inipedQ the llarkh%arc t''1-soRov"r, pmgmrns Ann upcnIlIng 1paxlpert. Me Provider
,,,, to QnnadjakelyL omkc requVred con-OctiO0, to rolore hardwori� and sottwal,e pr(q'I"'Ims 'go to
sonic Wel of SictionaHty as monsited he-rcin. at no chape to Me sww. and vkWuna interruplimi to
the onmoina bushn"s orde st2 w. omc hag ot ow smence.
5. Ile Provider and any s.ubcon"vwx arid iar VWKkws orser,ices tinder this cmumct "armni thch-
poRes and procAvres WhIde a disaster to providc bib servie ddivenm cmakluc 4 nov nr
an curicre"ely hioWding ukirl", Crorn dala 6IJC!Irily corillfliance ksae4.
Page 40 of 66
KCW2129
11. Will FICAMM; IN EMPLOY worr WFATUS CER11 11CATMAN
Asa cmwit, or ewrany "kh die Idarrida 11cimirimew or f1da A MA Mmldcrcuti% the uw of
die U.S. Dopuroneill (,'I'I 101nelatid ACAQ FaVdQ SYMCM LO MY did CnIPWYUWnl CHQ111" M"Zill
nc% crvpkl�ees h4cd by the Ilrovider during the caparact loam to licrrorin �Ivlployliievtt &JOCS plirstlant to
this caawa and that an) subewarads WhWe an express reqAnninU Hut Wnwaraa=Wor vemlors-
work or provWkg w"Was parstmai in Mis Murart wHize thv 0=16� systern io W11 the
conwho.}-nw, m vii!,owhy ow ne" onip[oyces Aved by the theenth-C
LQUIPad 10MIL
The WSW shz'fll regm ra that the kungwye of His wManion be A Wdwd in aH W-a ire entart, suh-
juants. and other agmanvAskowracts anti thm ah andQr %onAmN shall esky complNuce
accoUngly.
I'llis Cel-61-101tion ka. nliftCrior rieprescofation offact npon � larch rchance k%ns placed v'hen this ualls ii:Lkm
was wade tra- kmitnvd hgo. Whini"ins of Ohs cuilificakni ko prermiut -,,,hc kv inakiog or enarwhig into dk
transau[Nn impowd by 0wWw's 0002 and 2 CVR Pan W and V 5 (Armerb UNM Chvidar A-1 IM,
L RECORDS AND MICURIEN'rPawN
Ile I'l ovkkr agwes to note av&hbk up Departnium swlTundwr any jmrt� tics a i3thrtC by Lite Departnient
any and uU uwuract ivlated r t:cor(k aimed dmurmemmAn. lie Pro%isles' shall ensum the enlMon and
rmaintenance of;all progisin related inAnnation ond dncmuonmdun nq ony such w;mem d"lignwl by die
inchWes kalld expons and hacMqis Mall dma aud gsterns nwoMm; to
J. CERTIFICATRIN REWARDING INSPEC.71"JON 01" PUBLIC RF-,C0RDS
1. In uddition to dic rcquircunerin orwwwris. I OJ. 101 oC*c Undaml ComWao. and 119AR0 1(3)wool (4)
RS. vnd any udwrapplicablc law A Civil aakort is col mmenccd ascont'vniplated b Sectli',)n 3 191)701(4).
F.S. and the Depamw is "amed in Me W awkw PrOWN uprn to Mr' OR and hold haird"s &��
l)elattrtir rat COV LVAY COW WCU"Cd by the Dep)IllncnL and any dow"N' AS avessed or a,;�arded aganrst
Asti %mannu Man it Pubhc Murds Ruqueat made puramni u;CNIver i ig. rw couzernMg &Y"
Lontiad or serviccs pci-forimcd theretundur.
iL Notwillistanding Scohn 1 19470L IS- or other I'lorida ja% fln," wrction k not 'nPpliCA10 In
covi-aM owcMed bet"cai the DoNuimcni 8nd sWIC its,
S,2clioa 768.2,8(2k RS
2. Semki I M013L in. suues iripalic Bids are expended by an agen�L�� irr pa, nnera of(hies or
M011110MY) 101AAMMS HW nVI) POMML CMPMMAWL Rwndwkn. RML MONOML gWup. M other
w1ani alion. aril the Rnanchk buAws, MKI menkership rwords okwh an My which penzin to die
public agency(Floridu Depariment to Ekler Anwirs) at },UM rmoj-ds- Sectioll 1 1 t).07. F-S-.st;'ites that
evoy peowl who hascustudy Msoch a pohlip.: reccid shall perruk the re Ord to him iP51WO,}d alld CUI-Wd b�,
a, persoi desiring top do r. undor reasonable chriuvistances,
Page 41 of 66
KCV-2129
Ad,dlfionatly. I es�r,Ljfv this organizafion eft dtxs nol Vprmidc l',11-mist,tuticoal mombel-s!"iPs,
,Ilill,u I�j tile, (11jes t)r application lb�' lhe
pruvldcr's s1piaturc belim ad,v,s-ts tliat rccords peruill
Alliance itod [lie [)epartmeat are ji,,aJe rer inspection as stmcd above
By eXCCLIbOl ofthis conmWt. POVY001- JIMA itic4ide these provisions ill ,all MkIt" L11,
kifflli'l culltracL, llrovl&r must It",jUde tlw,,,L! In all related 5tibenlitrMul
;i go,rec m e nvJ(i f a p p I i ca b 1c),
-C, -it)vc. are Imic and
ijilip beloxv. Pr islet-ccrnf4��the represevimium c)tjtjjjIjQLI in parls A [1,11 kjg�j j �jj
y Sig ov
Floor
Sign at re a ,Title of authorized Representative Street Address
M an roe C ounty Board of 'tong' Coin m issi mers, f 0 ,
Soil Services)]n-H-Drtle SCFvKe5 A' P-1-1 Lcey We'it FL 33040
Pr id r altu
pact , city, Rate,Zip codc
ove Nr
,46NROE COUNTY ATTOnNV
Arpi;10445A FORM
PZDIPTO J-NERCA90
ASSI MEY
Offle�-31L212L2 I
Page 42 of 645
ATTACHIIENT V1
ASStJR,AN(,E,l��N'ON-CONSTRUCTION PROGRAMS
PUblic repoiliog hurdearbi-th6 collection of inforritation, is estinialed to average 4i unfiluivs per rc�povise. including
,.l
time fol.reviewing instructions, searchlng CX is Itit! dUU1�OLH`Cel,, wafficring and rt-Miiniini]10 thO data n0edad and
completing and reviewing the collection of inforniaLion, Sandwinments regardi[.10 the burdwn estiniate or any other
4� -
aspect of this Collection of infOl-111111,10K, IIICIUding supgcsllun� for reducitig this,bniL
ding den, tn the Office of Nitanagernent
and BLICIL4tt. P'APUVM)fk Re-dUction Projec-t(0349-0043). Washington, DC 20501
Pl-H.ASL DO NOT RETURN YOUR COMPLETED FORMTO THE OFFICE OF MANIAGEMENTAND
B U DCY F T,
SEND ITTOTHE ADDRESS PROVIDED BY THE SPONSORING A66NCY.
Nore. Certain ol'thew a-qsorartoes may not be applicable to your project or.prograrn. H'YOU lIUVC QMl StiQni, jlleaSU
contact the awardhi�Lpagency, 1,arther, certain Federal awat'ding agoic i vs may rc�uirt: applicants to cerfiEv No
additional assurancN. If such is the UlSe, YOU w d I be noti fied!
I, Has the legal authority to apply for Federal assistance, and the inSLAL10011al,RIRM-1141:64ll and flauncial capabdity
(ii'lcluding furids sufficient, to Pay tile non-Federat sliare of project cost) to ensure proper planning, managen.ient,
and completion afthe pro,ject,deserlbed in this application.
2, Will 'on,e the awardingagency, the Compti,olk:r General of the Llnited States. and if appropriatc, tl';u State,
throU4111 an%'authorized rcprcsapitativc, access to and the right to exanime all records, books, papers, Qr
documents related to the.awardq and will establish a proper accountia- sys(eni In accurdarice �01-1 tenerally
aCUPICd aCCOUnfing standards or agency dlivdjveS
1 Will establish safeguards to prollibit CrnPJ01VCC5 friar) USIRI�their pusihons fora purposc that constitutes or
a,
presents the appearancc of1wr-sonM or organizational conflict (if ointerest„or p m.ersoI gain.
4. Will initiate and Mlnplate the work within the applicable true frarne after receipt of approval of dic awarding'
ager'loy,
5. Will comply with the I rite rgov,crilone 11tal P(xs'ofl11'CI Act of' 1070(42 GS.0 4728-4- 763)rclating to pre5ufibcd
statidartis For inerit *)Ysterns for prouranns funded under one orthe 19 statuws or regulations specitled in
Appendix AarOPM's Stiridards for a Merit Systern of Personnel Adminisiration (15 C-F'K 900, Slflbpart F).
6. Will, comply with all Federal statutes rclaiijigtt3 noodiscrimination. These include but are not krinited to: (a) Title
discrimination.tan the basis of race,cmur or
VT of the Civil Rights Act 4-,jf 1964(P.L. 88-3`52) �vhich prohi I
national origin, (b) Title IX of the Education AiriendinenN,of 1972. asaireaded(20 U,S,C, 1681-1683,and
1685-1686), %vhich prohibits discrimination on the basis of sex; (c)Section 504 ofthe RehabikLaLlon Act of
1973, as arnerided(.29 U-S, . 194.), which prohibits discrimin-ation (in the basis of handicaps; (d)the Age
Discrimination Act of'11975, Ps aniended(42 U.S.C.6 10 -6[07), wkich prohiblis di9crinnination oil the basis of
age, (e)the Drug Abuse,Of ce arld -1-1'eatritent Act of 1972 (RL- 92-255),its amended. relating to
nondiscrimination on,the basis of drug abuse; (t)the Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970(111. 91-616), as amended, re[afijigto nondiscrimination on the basis
of alcohol abuse or alcoholism: (f,) 523 and 527 or the Public Health Service Aet of 1912(,42— U,&C 290 dd-3
and 290 ee 3), as amended, relad ng to con fidemial ity of alcohol and drang abuse patient records, (h)TOc, V[it of
[lie Civil Rights Act of 1969 (42 U,,S C, 360 1' of seq.), as iinended, relat in- to nondiscrimination its tine sale,
rental or financing of housing.- (i)any other non.discrim Inatiloi i provisions in the specific statule(s) under which
application for Federal assistance is being made, and(j) the reqi6remerits of any other nondfsci-irrrioation
mtute�s) which, ma y apply to the application.
7. Will comply, or has aliready comph ed, with The requirements of"rides H and III afthe uraform Relocation
Assisiapce and Real Property Acquisition Policies Act of 1970 (PJ-- 91-646) which provicle tbr fair and
equitabIctreati-nent:of persons displaced or whose property -is acquh-ed as an resin( of Federal or fiederally assisted
pro rams. 'rhese, NqUiTCments appli),W all inicreMs in reol Property accliiii-ed for project purposes rqardl ss of
1-'ed cra l pa o i c i patj o a in p o re h ase s-
Page 43 of 66
I(CV-2129
8, gill comply, as applicable, withtheprQvisioniefthe Hatch Act(5 U-S,C, 501-1509 and 7324-7328), which
limit the political activities of employees who-se principal ernplDyrnenl achvilics are funded in whole or in part
with Fcderalfiunds,
9, W01 comply,as applicable, .vith the provisions of the Davis-Bacon Act(40 US.C,_176a to 276o-7), thu
Copelarid Act (40 U.S.C.2776c arid 18 U.S.C. 874)and the Contract Work Hours and Safety Standards Act
(40 US.0 327-333), regarding labor standards for federally assisted consvuetion sub agirvainerils,
R Will cornply, ifapplicable,with flood insurancc purchase requirements of Section 102(a),ofthe Flood N5astcr
Proter,tion Act of 1973(9'1 3.234) which requires recipients in a special flood hazard areaLo participate in the
prog,rani and to purchase flood insuranQe if the total cost of insurable cD11struction and acquisition is 10,40UO
or MlOF44
J I. Will comply with envirrinrincnial sta6dards which onay be prescribcd pursuant try the rollOWIFILE(a) institution Of
environniental quality control measures under the National Environmental Policy, Act of 1969(RLl lA90)and
Executive Order(Efit) I 1d11,4;,(b)notiftcation ni'violating-facilities pursuant to EO 11738; (c)protection or
wetlands pursuant to EO 111990;(d)evaluatioift of flood hazards in floodplains in accordance%kith EO [1988,(e)
assurance of pr jeci consistency will, the approved State man4gernent pre grarn devriOped Urldej`the Coastal
Zone,Management Act of 19772(16 U.S,C- 1451 ct sec (n ccinrori-nity or re-lorai actions to state(Clear Air)
Implementation Plans Undcr Section 176(c)of the ClearAir Act of'1955,as firricuded (42 U,S.0 7401 et seq.)i
(9)prntec6on of underground sources ofdrinking water urider the Safe Drinking Water Act of 1974,as
arriended,,(P.L. 93-523);,and Alt)protection of endangt!,red species under the Endangered Species Act cl`19731,
as a 11-lell ded,(R L,, 9 3-205),
12 W 111 cc tytpl y ivi th the W1 id and Scenic Ki v ers Act of 1908(16 U.S.C, t 72 1 et seq-) related to protectin g
components or potential componerits of the national wild and scenic rivers,system.
11 Will assist the awarding agency in assuring compliance with,Section 106 of the National Historic Preservation
Act of 1%6,as arnended(16 US,C 470), F0 1159 (identification and protection Drhiswric properlits),and
the Amhaeoilogicai and Historic Preservation Act of 1,974 (,16 U,S-C, 169a-I et seq.).
W, Will comply with RL,93-3348 regar&ng the protection of liuman sDb_iccts involved in rcscarak,developipem,
and related activities supported by this award of assistance.
15. 'Will comply with'the Laborateri, Animal We]flare Act,of 1966(131. 89-544,as-amended, 7 LkS.C. 2131 tit seq.)
pertaining to the carve, handling.and treatment orwan-n blooded animals held lbr research, teaching,or other
activities supported by this award ofassistarice.
16. Will C()nipiy with the Lead-Based Paint Poisoning Prevention Act (42 ;S,C. 4801 ct seq.), whirch prohibits the
use of lead- based paint in construction or rehabilitation of residence structures.
t 7, Will cause to be prirfari-need the required fmancial and compliance audits in accordance with the Singh; Audit Act.
Amendments of)996 and 01013 Circular No. A-133,Audits of States, Local Govemimeitts, and INIon-Profif
Organizations,
IS. Will comply widi all applicable rcquiremenis of all other Fedtiral l rwws4 executive orders., regulatiom and policiff
governing this prograrn,
Seca NATU RE OF At iTHORIZED,CHYT3FYINo OFFICIAL TITL E
APPLICANT ORGANVATION DATE UA W]"I E D
MONROE cowrY 130A.RD OF COUNTYC OMM IS SION ERS,
SOCIAL SERVICESAN-HOME SERVICES
111AINROE=%,Y ATTOFINEY
A L I
Page 44 of 66
PED KO
_]OF-Etr
ASSIST 111T I COUNW AT70MEY
Dak 3/29/21
KCV-2129
ATTACHMENT VII
CO NTRACTRUDGETS U M.MARY BY SE R%pj ICE ANDTITLE
CIRTS SUMMARY FOR THE AGENCY
servicc Unit NTH x im u U3
Survices to he Provided Rate Ullits of maNillium Dollars
_,ale MQ41�_ Q.0
Conarc,gate Meals MI,TC 9.00
taa
-rc9ale Meals Guest $ C)00
Can�rc�),Lwc Mcals Volunteer $ LX00
Erneruunc ° Can_greEato Meals s 9,06 1 s 9.rx)
o�wrevRte Meals Screeni rvr s 20,00 1
Nutrition Counseling s 70-56 1 7,156
NL[tritlWl EdLication s I.00 I s 1.00
Horne Delivered Meals s 5.00 14j 70 S 70.850.77
LmeqT,qnqy Shc!['Horn c Delivered Meah S �I
6�53
Scrcenin�,, said Assessamit S 26,21 1 s 26M
-Shoppinn-Assistaricc CV $ IK90 30,90
1-cleelione Reassurance CV $ 2737 1 $ 2737'
TOTAL 71,051,35
Page 45 of 66
KCV-2129
ATTACHMENTV111
CCAA CONTRACT REPORT CALENDAR
ADVANCE HASIS CONTRACT
Report Number Based On Submit to Alliance
On This Date
I February .Advance"I PC b r Ltary 6, 20 2
2 March Advancc* Yebruary 6, 2021
3 February ExperW4ure Report March 6,2021
March Expcndimre Report April 6. 2021
5 April E-Apenditure, Report May 0, 2021
6 May F.xperiditUre Repi-m June E 21021
7 June Expenditure Report July 6, 2021
8, Truly Expenditure Report August 6, 2021
9 August Expenditure Report Septeinher 6, --M2)I
10 SOPWIllbel-EXPCodifttrc. Report 0�;tubu 6, 2021
11 October Fxperaditure Report Novcfnber 6. 2021
12 November rxperldhote Rep ort December 6, 202 1,
Ikcember Expenditure Report Januai-�, 6. 2022
14 Jamwrty Expentlittire Report FebrUary 6_ 1022
15, February ExpeildijUre Report March 6, 2022
16 March lExpenditure Report A ud 6,,2022
17 April FxpenditUfe Report May 6. 2 022
18 May Exrwndaurc Report June 6 2022
19, June Expendhire Report July 6, 202")
2o July Fxperidiwrc Report A u,,,m s k 6,,W2 2
August Expenditure Report September 6,2022
01
22 September Uxpondllure Report Octolx-r 6. 202-1
2'13 Final Expenditure and erase Out Kepuri 0CLOh.r 15. 2011
Legend AdwAnce based on, projected cash need.
Note,,, I- Replan 41 for Advance Basis,Agreenients cannot be submitted w the Dc[,-mmnent of
Finaricl'al Services(DrS) prior to February 1, or until the agreement with the Alliance hx�
beep axe-cutedard n cup y sent to DF5. Acmal submission of the vouchers to DrS Is
dependent on 'the fl,CCUracy of the expenditure report.,
Note N 2, Report.FUrnbers 5 through 2222 shall reflect an aqjustmem of enoug4i funds to repay advimices
issued the rjr--,[ tA.,o months of the agreerneRt. 1'ht adjusuimitsholl be recorded im the
proper area of(lie billing forms,
Note P3- Submission of expenditurc reports may or rnay not generme a payment request. It-Filial
expenditure report ivflecL fbnds due back to the Alliance payment its to accompany the
repoll.
page 46 of 66
KCV-2129
ATTACHMENT IX
REQUEST FOR PAYMENT
FORM 106
Coronavirus Consolidated Appropriations Act
Nutrition Services
-----------
YPE OF REP OR.T�
PROVIDER NA W-ADDRESS,PHONE&FED 10 NUMBER
PromdurNamc:
proyder Addrew
Prowdw Telephone:
REPORT R.
C,E—JiTIRCATIQN: I hereby comify Ju Ih e be s I of m y knowledge th at'his tu quas t wnfu rms wi 0 tare Nfm s and Me purposes
5 a Ow Ih i R,Ina above co mract.
Prepared BY_ Dme
AP pro Vad By nare
RU DGE 7 5 t WAARY TOTAL
I' Appaoved
2,Pr maos Funds
of
2.FmOous Funds
REQUESTED and
NetExpeadimures,
FoT Mont
FSA AI I CCAA)e6 Farm,Ffb 2,021
Paige 47 of 66
CV- 1 9
rona irus Conzabdated Appr phatlons Act.
-- NUIAVOR Services_
'I�WT`1 E�141 r lrtprakiaqma4a,pomy{wo4lukv,4400 Pirmpan4ompDeesT0camsstaOAil144'*KWOk410001VAIDOtt',RtaMI-
�a man%a�e�.sr�y„aq��•�+�4.a4..Saa .athm�rcnan�.a�rna'�C�J ara r�rn�mt��wnciup�c ntam�12hrs'repa�4 sonr�e�..
ONC+7,MP,JMCUPTS A, ApphYmd 64,tle�ar. �. A,G7raa1 TarAr��lOng C Tor'A NIVIR$ 0, WApp iraa
roar Shi a+RiarE ua rare It u'Llu'paR prtmr Ms R+eca 1ps "
1,�es�eial fw�ida � � s YI➢h}dGr
WNW.Urn to st Raw q!M u URIllo ted 01009>F so-a4'
N MY m IA (El Y at) tA) p
SFr rf;' warrA ml BlANA Lhi 934cr hRi171mt"TQ4 'Y.T'ID yllnz Cdelf4ul Mort t Y T•D
umpaN Un3Vz 1rd�Par 8.i#udu aipamt tkd,ysOjewa oiovp0141ra
&.' F C.a56 sw d Sir," Pnae7TP4wm' porn vfpsa
CNML 5 3
N'M S __
hftJGd'!E S '3
Mt#a4 s s
Toy _ _...._— I s
Page 48 of 66
KCV-2129
ATTACHMENT B
STATE OF FLORIDA DEPARTMENT OF ELVER AFFAIRS
CIVIL RIGHTS
COMPLIANCE
CHECKLIST
ProgramlFacfl�ty Name, Monroe County 5oard of County
Commissioners, Sociiai Serviceslin-Home Services County:, Monroe�
Address; It 0 0 61 Wc 01-r -5"r 6kA R� Completed 9y: ktKe�
r—A
City, State, Zip Code*. hl� o Date: 19 Telephones
1�Z()
PART IF
READ THE ATTACHED INSTRUCTIONS FOR ILLUSTRATIVE INFORMATION WHICH
WILL HELP YOU IN THE COMPLETION OF THIS FORM.
1. Briefly describe the geographic area served by the prograrn1facilfty and the type of service provided T1+0,' f7ivHre--1 ftajosq
ALVmAllbl" IQ Cie& low,& q4 4 lc-on I
2= POPULATION OF AREA SERVED, Source of data:
T %BI � %HjF*aW
3, "STAFF CURRENTLY EMPLOYED, Effective date: F2972
T %V '!e 70 Black Hispanic % Other& Female7? Disat:lled
V h (0 E ,
4. CLIENTS CURRENTLY ENROLLED OR REGISTERED Effective crate:
T13412= 1 1%.INlile %,Black H paric % Other [�Female Over 40
6, ADVISORY OR CQVERNJNC BOARD, IF APPL,I CABLE,
Total#!7--' j %Whrtejoo � %elack din 9v %er Oth Female Dib saled
Other
PART IL USE A SEPARATE SHEET OF PAPER FOR ANY EXPLANATIONS REQUIRING MORE SPACE.
6 Is an Assurance of Comptiance on file with DOEA? If NA or NO, explain, NA Yes Nn
7. Compare the staff composition to the populatlion Is staff mpresentafive of the populalbn?
If NA or NO, eKpl'ain, NA YES NO
El 9 E]
Are eligiihihly requirements for services applied to chents and applicants without regard to race, NA YFS ND
color, national crigin, sex, age, Fehgion or disability? If NA or NO, explain. F-1 D9 11
page 49 of 66
KCV-2129
g. Are all benefits, services and facilities availaHe to applicants and parttcapants in an equally effective manner
regardless of race, sex, oolor, age; national origin, religion or disability'? A YE _,�A It IAA or NO,explain,
101: For ro- anent services, are room assignments matte without regard to race, color, national origin or d1sabilit.y?
NAZ YES_ NO— If NA or NO, exolam,
1I Is the prograrri/facility accessible to non-English speaking chents? if NA or NO, explain.
g :. Are employees applicants and participants informed ufkheiir protection against discrilmirletion?
If yes, how? Verbal Written Poster CVf GSA or NO explain.
13. Give the number and current status of any discrimination cornplamts regarding services or
ennploy men l filed against the prcgram1faci1ity:
114. is the prcgra acilty physically accessible to rinobility, nearing, and s,ightAmparred individuals?
NA Y 0 If NA or NO, explain,
p'ART fit. THE FOLLOWING QUESTIONS APPLY TO PROGRAMS AND FACUTIES WIlTH 15 R MORE EMPLOYEES,
15. Has a self-evaluation been conducted to identify any barriers to serving disabled individuals, and to
make any necessary modifications? If NO, explain.
r
t : Is them and establish grievance procedure that incorporates due pr icess �n the resolution
of complaints?"YE NO If NO, explain.
Page 50 of 66
V-2 12
17, Has a person been designated to coordinate Sontion 504 compliance act1w1la ? YE , l If NO, explain:
18, Do r crulm nt and notification rriawials advise appkcanis, employees and participants of
nondiscrtrnination on the basis of disability? if NCB, explain.
19. Are auxiliary aids a liable to assure accessibility of services to hearing and sight impaired
individuals? �'E -I1 If NQ explain
FART IV
FOR PROGRAMS OR FACILITIES d'ITH 50 ORMORE EMPLOYEES ANDFEDERAL CONTRACTS F
550,000 OFF MORE
20 Do you have a ritt n affirmafive action plan? YES /W If 1\10a explain,
Pace 51 of 66
KCV-2129
Alflaince,US8 ONLY
Reviewed By In CornpHance, YE$ 0 NO*a
Program Office 'Notice of Corrective fiction Sent
Da te Telephone Response Due
On-site El Desk Rovrew 0 iEollnse Received
INSTRUCTIONS F'Ott THE CIV'IL RIGH'I"S COMPLIANCE CHECKLIST
I. Describe the T geographic service area such as a district, cot 'ty inty, 6 Dr Other 10C114y, if tile
prograin,11"acility serves ajpeL;ij1v,tai-gut,population SUCII,115 adolescent's. describe the target
populatimi, Also, defile the type of sQrviuo provided.
2. Entcr d-te percent Of the POPU1a6on served by race and sex. 1-ho poptiLytion served 'Mcludes- 1,Mrsons
111 (110 geographical arc'l ror which services are provided such as a city, county or offier regionat
area. Population statistics can b�obtaiiied fium local churnbcn, of allimerce, libraries, or any
publicatkin frorn the 1990 Census contaiIvint
I g 1�Ionda populalion stausties, Include Ilhe source of
your population statistics, ("Other" races include Asian/Pacificlslanders and American
J. Enter the total number of full-6ine staffand their poreenT by race� sex arid disability, Include 01C
r,ffectivc date of your surnmary.
4 Enter I,he total number of clients who are enrolled, registered or cLu-r-_,nt[yserVUd by the prospaTi-I or,
facility, and list their percent by race, sex and disabi.iny. Include the date that unrollmOril
counicd,
5. Criler dit total It Uniber of advisory board nlcTnbvr and dw'r per ciai( by tace,se.N, and disability- If
there is no advisory or givorning board. leave this section, blank.
6 Each recipient L)f federal firianc[al aassistrance thrust have on File an assuranue flint dut program II bl
conducted in coinphance, with ah nondiscriminatory provisions as reqUil,'Cd in 45 CFR 80, Tfus rs
,,tSLMI['y a slandard, part of the contract languacge ror DOEA recipients and their-sub-grantees, 45 CFR
80A (a),
7. Is the race, sex, and national origin of the staff rePective of the general poptIl'ation? For cxvampte, it
10% of the population is Hispanic, is there a corriparatite percenkage of Hispailic staft".)
8- Wheto there is a significant vaiiation between the race,sex or cthnic composition of the clients and their
availability in the population,the prograrrl!faciliry I-Las the responsibilily to determine the reasons for
SLICII variation and take whatever action may be ritcessary to correct any disedmination. Borne
legitimate disparities rna.),exist when progrartis are sanctroned 9o.wive uarget populations such.as
elderly or dim&L-d- persons,,4 5 CFR
80.3 (b) (6).
Pao 52 of 66
KCV-2229
Do eligibMty recluirements urilm,01tilly excliidw persons in protected groups, 1rom the provision of
( 0 at servicos or oniptoymew? Fvldence of�kick may be indicate In swO`and .11 ni representation
(Questiuns 33 and 4,1 w1d,also ifirough on-siw mcord analysis of perwns vol-to applif,:d but were denied
serviteq,or errip4ovincrit, 45 CFR 80.31 (a) and 45 CFR M 1 (b)(2).
10, Parflcipanis or chents must be proV'rded Sel'ViCeS SLICh as mcdicaL muting and dental care, la boratory
services, physical air d rccreaiional therapies, ocuriwfing and sociM services withow. rcoard to race,
sex, color, national origin, religion,, age or disability. COUrTeSY titles. appoimniem scheduling and
accurilcy, of record keeping MLIM be applied ttnifurrnv and Mthout rugard,to racQ, svx, rotor, rjaLianal
origin, religion,ave or&sabiUty. Entrances, wailing rooms,receptior,ni-eas, restrooms and other
facilifiei must also be equally available to all clients,. 45 CFR
so.-3 (b).
I For 111-Patient servijCes, res,lderits 111LISt be as,vigried to ro(jrins, wards, etc- without regAgrd to race,
color, national origin oL, disabiliky. Also- residents most not be asked whether flicy, arc willing, 0,0
sharer acwramodations willi persams ofa color. national sari in. ordisab011y.451�CFR
803 [a),
12. Tla and all, hervicv"i 111will bc to patilicipants arid applivau*i , including
those persons who may not speak English, In geo,,rapliic arcas kylicre a s[gm ricant population of'
non-Engfish speaking people live, program accessibility may include the emplolyment ol'bdinorwol'
staff. in other arvas, it is stifficicni,to have a policy or plan foF SerViCe. WCh as a CLATePIt list orMalucs
and tulephane numbers of bikriguol IndIVICILIRIS Who Will RsSiSl In the pi-o ision ol'seivicm 45 CFR
803
roViSions o -11111C Vjr
I I Pd-agramslfiaci 11 ties must make information regarding the riondiscriminator�r 1) � f N
4iformation on their dglit to file Ka curnplaint of'discriininatlon w4ti either-the Florida Department(if
hider: ffiairs or the U.S. Departniont of HHS, 1-he information niay be sr 111.)lied Vel-bafl,y Or in
writing to every i ndivid,Llal, or may be supplied 1hroUgh 1110. 0812 Of all CqUal OPPOM101ty POSter
displayed in a public wea of the facility, 45 CFR 80.6(d)=
14. Repoii rim-Ifniber ref rliscrirrrinatirirr Complaints filed againsi the prograiriffacility. Indicate the basis,c.g-
racz,color. creed, sex, age,riadona� origin. disability. retaliation., dIC iSSLICS involved,,e.-,, services or
=,iployrnew, placement. termination, etc, Indium e the civil right. law or polivy -Oleged to have been
violated along with the narne and address ofthe kcal,state ar Fecteral agency with whorn tile
Lw
cornplainthas Keen filed. Indicate thecurreW stalus, e.g., settled, no reasonable caUSC fibund, failure
to conciliate, failure to cooperate, 'mider review7 eic-
15, The plogram/fa(dlity lilus( be physically accessible to disabled individuals. Physical accessibility
iriLludes designated park-ing areas,curb CULS Or level approaches, ramp�s and adcqtkatc Nvidths to
o,ntrances„ Tile; lobby, pub[ic tetephone, restroom facilities, water foumains, hiforma.6 oil and
adrnissfuns oMces ShOUld be accessiHe. Door widdis and zrarrw areas of administrarIva nfflces
cafercrias, restroollils, recreadon areas, counters and serving Brie 5houtd be abservc%d for
acccssjbihty. Elcvators should be obse,Twd' for door width, and Braille or raised numbers,
Swllclies and controls for fignN, heat, vendWiow firealarms,and other essertials should b--
installed at art appmprime height Cor mobility impaired lindividua[s.
16, Section 504of the RQllabiht,10'wi Act.of 1,973 mcli.fircs that a reCiPiMli Of redeT,311 flinancial,assislance
I
crindLICI a WIf-evaluation to identify arty' accessibility barriers. Self-eva]Llat"Wll is a f(RIT Step
Page 53 of 66
KCV-2129
proczss:
0 With the amistanc of a disAblod individuaVorganization., cva[tiate current pracEices and Policies
which do not carriply with Section 504.
Ej Modify PoNcie,'."and practicts that do not mcct Sccfion iO4 requirements.
D Take remedial steps to eliminate anv discrimination that has been identified.
U Maima"M sell-uvaluation on file~,(This checklist unay be used to saLlSf}f this requirement Wthese:
four steps have beell. followed,), 45 C-FR 84,6,
17 Programs or facilitics that,employ 15 Or more persons most adopt grievance procedums that
iric-orporate appropriate dUeprocess standards and provide for [lie prompt and equ�table reSOIL16011 Of
compluirits allegim,any action prohibited by Section 504,45 CFR 84.7(b).
18, Programs or fikedifies that eniploy 15 or more p-crsons must deshmate at lea-A one person to
coardinate efforts to,comply with Section -504.45 CFR 84.7
R Continuing sups must be taken to noti* cmplqyees and the public of the program/facility's pot-icy
of on the basis ofdisabiliity, This Mcludes recruitment inaterial,nolice.", for
hearings, newspaper ads,and oth or appropriate written COMIIILmicAon, 45 CFR 84.8 (a).
20. Programs/1"acilities that empoy 15 or more persons must provide appropriate at.wHiry aids to
persons�,vith impaired sensory,rnanUal or speaking skill s where neces5ai-y Aoxillary aids may
inQIL1c1C, bill are 110t 1111,11ted to, '111IM-PI-C(ers ["or,livarim, Impaired individuals, taped,of Draffle
materials,or any altmiative resources that coil be tiled to provide equally efii aive services,(45
CFR 84.---,,2 (d).
2]. pro graniqfocl Ii lies with -50 or [nore employees and $50,000 in federal C011MICtS MUst.deveiop,
filiptement and maintain a written affirmative acdofl compliance program in accordance with
Exemaivc Order 112,46, 41 CFR, 60 and TRIO VI NNIC Civil R�ghks Act of 1964, as arnanded.
Page 54 of 66
KCV-2129
ATTACHMENT 0
—'-Wo BACKGROUND SCREENING
I.-A If F RA
Affidavit of Compliance - Employer
AV744QRFrV:This tam,is "uir*d"rwafly of an"PloVerS to WMOY w-th ul'o lite-station
requim-menu yet forth in zacban 4355.061,31,M;idi Stmuvys.
'nv tum 'amp"Vr'mgaw any town of eftvi r""Or�d her law M Rduct b-w-VOund 3crmni b� 'E�L
lncfu&�-bmt*t fihff�redto,Area Acmwiw On AgiA$ijAgzngt4r4 pw �a pe�vorr pnz'�;t.canm%rs,Lead Agw
and wrwi'cz PM ets mat C0,91ra-'T difecoy of k,,dlrtmXf vjLh tkvv Depadn*nl of BdW Lfhvl-S tDOL41%;Pad
gnv 00wr"Wo at @nAITY whrh htreA lunlplayt4&w ha, munteci%�n a%ho gmE4 the dernft:,nn
csl direct WAka,prowlaj�$L-- 435 M.430,,=Z.04,Srat
A d,retls rvrc prpidOr 4 ")pp'14tn 18'Yean of ap or ddpr*h'G' PUTYA", rp prclzraffn to vrvvvdct
Y-M-VxIM to Me y.has diffacc,facL-Io-twv Conwn with a diant wMe prmvi4°'q to 0a t1ion'r
and has averiuss tea the dien!V5 lkfmg 4rRa, Ninds,W-.-ju i pnperve,ci pe=;-whad
as 44ned 6 s,Z27,5W.The Mm bl4ladex manaprs,mW supwaurs of
and-paluntre rs." 1)$bl.Fl o-Sut.
AIMUMM
As thu dull;i ah;fir zed rbpr&s;a ftt3VQ,0&f Mciv%rce— ,
Uit"
sm or l Ory 5 MIZ e 6,10
d a earebYaffrnnunderpeMsrjsrl P-.Fjlury
f M esenw—r-Ye
-,has the ibovo n@merd ernp!cyer iz in tearrptP e wftk' tKQ pfov-'.S;ons of C�b.
pt,2r 42S and R
"'a'Uto I r
Uwe
STATE OF FLDRIQA,COUNTY OF
fj
Swarnto,joraffOrved) and 5vt;�5cTib-4 before roathrkvvi ay et ftT?'IV4kI
'IPWtV0
to me gr Pe 0ou "..Jas praof 0 f;o L"iftati,09,
UNDSEY BALLARD
MYGO
WASION 9 GG 970OW
EMIRES:MY 6.2024
'�OEJ VIF,
46NAOE GO UNVY ATTOPINEY
A_IPW)VE�.AASIT FORM
P 0 M-- 55 of 66
ASIr IJNTY
Page ATM RN GY
Date.
KCV-2129
,kT'FAC HIVJ E NT F
Allinnot for Aging, [ac
Datn P rivacy an d Secu rity Bushi L�ss Asso ci a e A greem en,I
This Ausinass, Associate Agreement ("BA Agreement") is dAwd by than Alliarice for Aging. Inc.
("Allia and NIGniroc County Roard of County C i0r] rs' servic", ("Business
Amacinte"),anot-for-piork Florida corporation,
Th e A I I i ai i 4x, has en lered info o nu tar, more c ontrac I i or 41 a rcei ii e n Is w I t h L3 LI s I a C.b rasa[-gate("S mice Agreem en f
dial involves the u ofllrolecied I Tealth tnl7ormatio"(PITI),
1 2 The Alliance, rv.cognize5 the requirements of the Ficultb NisLtrance PormbifitN LN41d Accouniabilky Act of 19,96
(FIJ.PAA)atid has indicated its intent to comply in t1re Counl)ds Po liri es and Procedtmes.
13 State and fQdcral lavvs and regulations tn*iy esiablNh specific corldidons on when and how covered entitics may shire:
hil,"ormanori with Lontractors who ri-form functimis for tire,Alliatwe and bw,r° Ow inlormatiom musT be kcpl privato
and securc, and how individuals must be given am*s to 111cir infomiatioa, Suck laws and rik-s, to the Uxtent
appIfeable to the Service Agreemem, will I lac referred to i'n this BA Agreement as the Conridtmaia[ity Laws,
14 The parries ivislt to enpirc ihial all individually ide:tflfiabtc health ijrforfira[jLjj CV ot[jCr personal dAl osed aod
(fi'SCIOSOCI pLirsuant ia the Serviec Agreement 15 kept seietjre and osed and disclosed unly as permiticd by the
Conridemialiq, Laws. 'me i�iealth Insurance Portability tied AccouniabilliLy, Act of 1996 and its implcmenting
regWations("M and the Henlffo InIbrinmiun Technohmgy fk'rr Fconoink�ax16 Choical I WaWi AOM09) arid its
regulauons' requfre b"inrss associates of covered endii-es to comply Mai t1theI"llpAA Securin, Rule,
as set forth in,NiOm firnkcj to 45 CTR §§ 164.303. [64.3M 116 U2,-mid I64 '16(1009anal such sedinsis 9h.,111
a,pply to i bLlShIeSS R$SQC[4jQ (iTa covered entity iii the -san,te rmanner that siwh scctions api-fly lo tire env real entity-
Neiiher Alliance nor Business Asso,eiaw admtit tfiat dicy are stibject tolhtst jimOsions, but neverilicicss Intend Lhat
PHI, as defined bCI O%V, Wj I I bC, HW,�d by Bus,iiwss Assuci ate ority as cztitej�Tip I ated by H I P A A and the I I ITECH A
and as permitted by ihi: Confidentlalit=y Lows.
The pallies dicref'ore agree as Nltow-i'
2.0 Dermition-s. For purposes ofthis SA Aarrenwat,the k')4mvipw,dermilions apply in ad&fion to defuilOon5.elsevill,tere
m the BA Agreement,
21 Access, The abilit,
.y or the tneaas neuessary to read, kyrite, noddy, or coommmicate daw/mfonnatioii or othermise
!,ts,e any �w,.srcm resource,
Atimroistrative Safepmrck -17he administrative ICTIons, and policics arid, pruccclurcs, to manat,c the, selection,
developtnuat, implementaii.op, and maintenamcc of sccu6t-y meamjrc3 io protm cIectrojtic Protected Health
ldortnation (CM) and to manage, the aanduc of the entity's workforoc in r0ation to the protemion of that
is fi)mi arl 01"I
2--3 3 Atithentication. Trhe Corratyoration that a person is the one claunied..
14 Avallkthility. Th,,-property that data or iinformatIon is acceasiblc%arid use blip upoia demand by an Mlthort&tid prson.
15 Bruch, The un-aurhorized ai;quisinori,aLccss, Lice,or Ji5cW5tjw of PT-11 'Murb Compromisci the security or privacy
of such i ri fL)rm aLian.
'16 Confiderififlify. The property that data or in.fonnation iQ- not made av"adaIsle or disclosed to unauthorized pa,rsoo�
or prmc'sscs'
Page 56 of 66
KCV-2129
2.7 Information System. An '1ntCJ`CO3)flCU1Cd Set Of illf0f1raliOn rOOLIMCS tinder the same dircct nriami-acrucril control
that shares con mart functionality. A SYSIUM 110rinal1y [11JUdes hardware.. software. information, dale.
and pcoplc-
2,8 Integrity. The property that data or informatioLL have nw been altered tar destroyed in an unauThorized juanner.
Z.9 mirlitioils softwtire. Softwarc,", for CNarnp]Q,aviljtL5,d'emgm-4 to dililla,4C Or di$"Upt$a'",yMem.
2.10 Password, Conriduritial authentic86oin informa6cin composed of a slrni.g Dfcharactem
2.11 Physical Safeguards, The physical meastires,policies,and procedures to protocl in entity's electronic infornilafiloin
syme,w,as%ye I I m its buildings and equipment,from natural and ciLvironw,cmal him.ards. and kinauthorized intrusion
2,12 Privriev Rule, The Standards tier Privacy of Individually ldcudfiable 11talth fiRformarioLi at 45 CFI Part 160 and
Part l�4,SLibp,trt-TA a n d V,
11 1 Protected Information. (11111) Personal NCtS 11,17OUt individuals, inctutlhrag individuatly idemifiable information a.'s
defined in 45 CrR §i60.103, mc(fical rccor& slubjed.to Section 456,0,57, Florida Swates, hospital records subject
to "953025, Florida Statutes, custainer records and persorifit] Iftfortiiation prowted Linder Section 501.17 1. Florida
Stalmes,and otlwi-Iwi-sonal dala,whelher in pafL4 r or Orctrorin: form,5ubjcct V
to maic or fedend laws or fegulal[ons
[Imlihig use or dis-clo%jre, or qubject to c(ingraCtUat ohligations of confidefltiahty4 limired to the information zreated
cir received by Busiimss AssoGiate from or on bvftalfol'Allmiice.
114 Rtcluiried b) Uvw Has the same meaning as ih.e term,"required by IaNV' in 45 CTR§ 164.103.,
2.15 Seeretarr", The Secretary Of Ille Lk-partment oFHealdi and Hunian Stier vices or his,or her designee,
3.16 Security incident. The allempled or successful unatithorized access, use, disclosure,nio,dificatlon, or destruction of
I.rillorniation or ituerl,41'ence with SysW1 operations in all Mforolmon system.
2.1 7 Security at- Securitiv melksures. All of the administrativi!, physicil, and irO-umat safeguards in an, inforination
2 N Security Rule,The Security Standards 6or the protection ofE'Jectrornc Proweled Health hil5mmation at 43 CFR part
164, stibpall C,and arnenAL-nents flicretc.
119 "rechnicni Safeguards. T4c technology and Vic, hoary anict procedures for its usd,- that protect electronic protected
heallh intorm anon and control access to it,
1,20 Unsecured PI'IL Protected health information that is not sccurcd through the use of technology of methodology
ti
Specified by the secreta*, 111,guidance is.sLjed under 42 U,S.C.section 1790,2(h)(2),
2.2 t All other terms used. but resat otherwise dofinted, in this BA Agrectnoitdiall have the same,rinearting as those terms
in the Privacy R.uk..
3.0. Obligations aud Activities of Business Associate.
3.1 Business ASsotiate agrec5 to not use gar d1sclose PHI other than as permint:d or required by this BA Agreement,11he
'Service Agreernent,er as Required by Law.
.2 B us i ness Associate agrees W
(a) Implement pok6cs and prov-cedurcs to prevent,dMO.contain and correct Security vialations irw accordance with
the Security RLJe-
(b) Prevcat use or disdosure of the PHI other than as provided for by this BA Agrectucrit or as required by llaw-
page 57 of 66
KCVm2129
(c) Reasonably and apprtiipriatelya pivect the conildentiality, imairity,and availnNfity oftlic PHI that the BUS11FIV53
Associate crcatcs,receives,maintains.or transmits on li-ehualf of tier:Allian"; and
(dl Comply with the SmuritY Rule requirements including the, Administrative Safbguards. Physical Safeguards,
TecEnival Safeguards, arld policies and procedures and doctmicntorion rcquircment.q sct firth in 45 CF'R
16 4 3 0 8, 16 43 10,, 16 4.3 12,and 1 0=43 16,
13 Bttslness Associate agrees to mitipate, to tire eximi practicable. ajiv harnifid offLet that is known 10 BL[ShILSS
Associate Of at LINe or-disclosure,Of PHI b I BA Anfeenient.
y,110 ji(:�ss Associate it! violaflort ofthe
JA 13witic-si Associatc agrees to promptly (within 48 ]emirs) report to At1nnce any LISC Or &9CIOSUre, Of tile PHI not
provided for by this BA Agrcemenit of w1liCh it b1,vCOMC5 aWal-C. This ir)CU(JCS any reqUeNtS fbr inspection ccipy'mg
or ameridmem of si.wh inforonatinn and incItifing any security iticiderit involving PHL
3 5 Liumms A�,so,ciatc wirces to notify A1liance wilhow unreasonable delay Qfany breach pCrtaining to:
I
(a) IdentiCication of' any indveklual whose unsecured PHI has been, or is reosomably beil-leved by the nusiness
Associate to have been. accessedA acquired,or disclosed dtiring such sccurAy breach,and
(b) All information required I'br notices rcquired by Section 501,.171. Florida Statutes, w well as the Privacy Rule
and Sccmrlly Rule, and skich other information requested by the Allimcc.
3,6 Business As9mate at,recs to ensum 1hal ally agent, including a subcontractor, to whirm it provides 13111, rcmvcd
froil,i, or created or received by Rusiuess Associate oil behalicif the Allirinc4c, agrees to [he same reirriedows and
conditiolls,that apply through [his BA Agreement and the Service Agreement to Business A5506MC with respect to
such information,
3.7
(a) HusIA)ess AssocjzlW agrreS to provide aLLC5$,iLl the rC4LIc5t Of the Alliaricu durRig regular bus"Luess hows,to PHI
to the Alliance or, as diiectvd by Alliance, to an Individual m order iu meet the requirements the ConfidontiaFty
Laws.- and
Business AssoQpate aor`Me to make any amendment(s) to PHI duet the Allilimce dirccts or agrees to at flic reclocst:
of the Affiancc within 10 business days,of recciYing the rcqtjcg,,
3,8 Business Msociale agrees to irtakc iialernal practices,books.and records,inclulding polmes and procedures and PHI,
ItClatillt(,�W,tile Use and disc;osure of PHI received Crain.or created or received by Business.Associate on behalf cif tlw
Alliance,availablc it)the Akiaricc or to relevant regulalork,authorrties,,,which gmy includethe Sccrcuixy,upan rUluest
of thc Alliance ov flie Se�retary for JIUTPOs�s of dztcrtilinling compliance wilh appliQabit Con5fdcntraliiy Laws,
3-9 Business Associate igrees to docutrem soch disclosures 01TI-11 arj(i i4afcartaanttota related tea sLiCh diSCIUSUITS aS"10LIEd
be rcquired for the Alliance to respond io a request by an mdltv-tdual, lor all atcounting, of disclu5ures of PHI In
accordance with the Confidentiality Lmvs.
10 Business Associate agrees. to provide to the Alliance, upon reCtUeSt, kformation collected to peralit the M[iame to
respond to a rcqucst by an Individual for an iccourining of disclosures of PHI in accordance with the Confidimtiatity
Law 5,
311 Businuss Associate specifically agrees to use security incAsurcs that reasonably and appropriately prcrlvd the
confidentiality, integrity,and.availability, of Pill In electronicorany other forme, that it creates,receives, maintains,
ortraiisniits(-,,LibehalroF the Alliance,
112 Bu5inm Asso6atc agrees to implement security nizm5urc.5 to secure passw. ords,Used to access PHI 11-imt i,t accesses,
maintains, or transrn is as part of tills BA Agreement Rona malicious software and other man-made and naturM
vuhacrabilifics to assure the avaFability, integrity, and confidentlaUty of such imbarmation-
3A BuMness Associate a-rienes to Inipiert-Lent sccurIty IncamiTzs to safeguard PHI that it,accesses, mmnlaim7 or transunits
as part of this BA Agreement from mah6ous sortware and Qthei°meta-made and natural vulnerabilities to assure the
availability, integrily, and confidentiality of Such infornifltion.
Page 58 of 66
KCV-2129
3.14 Business Associate agr,,�cb ro, co mph, with All other applicable CWIUIL'nliality La% JklCkidifig, bui not fi'mitcd !(%
rienstrjciiDns un the sale of PH] and ally 01bli"ations under afar CorlifidLniiahlY Lax,s deiogatecl by the Alliamce to
Business Associme, inChIdifig any abli�ntions under Lhc Privacy Rule, and agrcus to toe and di lust only thi;
rninIMM rieul�ssary PI-II to fulfill its obligations widerthlls BA Agreement and dic S.rvicu A- cenicnL
U Permitted Uses and Disclosures by Rusiricss Associate.
E.Ncept asothelwise lirilite"d i1i this Agrecmeni or any reliv d agreenwril, Bosincsi Assficiate may use ordisclosv 111,11
to perfomi Functions, activities, or qa3vices for-, or on behalf of'. All-rance us specified in any and all contracis with
Allixweprovided that such use.air disclosure wpuld ow viclatu die Privacy Rule Wduric by Atliancu ter the niininiUM
policies and procedurcs of the Alfianco.
5,0 Specific Itse And Disclk)sure Provisloux.
5.1 Exc.-PI as atherwist' limilt-d in thin 8A AgrQvrnent; the Sem--ice Agreern:Qm Qr iny Confi&ntlakty Laws, Business
Associate nia,y imsz PI-11 for the Vroper iniTinagemeni acid admiflism don al-13w business AssuciaW or ro carry, ow the
leral responsibilities of the BLIZinuss Associate.
? , Bijs�ness
Excep t as otherwise 11ruited in this BA Agrcorncrit, die Se"ncc Agrueniceit, or any CooNviiiiality aws Li
Associate may dis6osc PIT For the proper managremeni and adodaistrallon of the Business Associate. provided that
discIusuies arc Rquired By Law,or Business Assaciate fi°)w Ow Person tea twltayrta the
nirannation N discloscd that it will rcm.-in conficlonnai no(I used or funkei discloscd only as Req.Utred By 1,mv of For
the purpose fbr which it was disclosod to [lie person,and the person ooiifics flic Business Assouhttc ofanv instances
ofwhich it is nwarc in which flie, confidenUa hy ollfie ionforinnatiort Itas been breached.
j Husiiaeqs ssociate in.ay use PI-11 To provide da .ra a ut -ices to flic Alliance as pennift Ib ed y the
A
Conridentiality Laws. bw only wherl specifically authorized in wrik_g by the Allimncc.
(),a Obligation,;OfAfflance
The Mhance Shall 1106fy Business A5sociatc of any restriction to the use or disclosure o.f Pli-11 to which the Alliance
has agreed ion the vxww Oita such restriction may affect Business associate's sass or disclosure of PFI'L
Permissible Requests by the Affiante. FAcept For data a-,?Vega
Business Msociate, the .Alta ncem shall ilot request Him Business Assqci,ale Lr3a or disclose PHI it) any wanner thut
would not be permissible Under the Privacy RUIC if done by AffiaoU%
TO EfIMMV4� Date 3LAJ TCI-Miu.16011,
7.1 The Parties heruby agret that this BA Agrecilicirt is efFecrive is of!he dare abQv,-and amcrids, restites and rcptao�s
arty Other Bosimess Associate A,areelllelit correnfly 41 efrecm butwvuri the Alliance and Business Associate:
7.2 TerminatiGn, for Cause. Lpon the A I'lKoiWs ktiowledge ofa material breads by Business Associate, the A Riata,c
may,
al Provide: are opportunity for Business Associate to CLIrt fl'1C hrCach or end the violtaik)n xnd mrrninxe this
agrccrnew if Dusitiess Associate does not cute the breach or end the vlodat'Wri witluo the (fille specofwd by the
A Fan= or
(b) linmediately terminate this BA Agreement and may also zermiriatettic Service At,,reenuonit iff3u_ijjiess As5ocjaie
has breached A n-ulterial term of this Agreement and cure is not 1305SNble,
73 Efftct offer urination, Ewepm as proyided in subparagraph (1)'i ref this section, upon to rminailon of illis t1grecEnent-
for InY reasoti, Business As-�oJate shall retUirn all PHI reccivcd froru dic Alliance or created or received by Business
Associate on bcha I fofthe Al I I ance.NNo PHI shall be desanoyed,vwi I I iuuH he express wrinvii permission offfie A,li I i a nce
Page 59 of 66
KCV 21.219
o) This provWoli .shall apply to PH) that is in the pcissession ol'3tibcowractors or agenus of Bw si tless ASSocull"o-
Busiticss Associate stead rcmr it Ito copresorlho I,+]i.
1b) 11) t lie event that B asi ji css A,s social L.r)r ii,,,rn c e d vt on n i nc,, t li int re I,ti ri)i I i the P l l I is hl Cc as i b I e.no ti fi c at io a u f
(lie i;ollditjons that rnaki: returri of PF11 Rtfcasrblc shall be provided to thc Affiliate. Wthe Aftiliare a&rees that
termination 6 intimsible, Litisiness Assuciatt may retain the N-11, .5ijbim to the rcquircirwrili of this BA
Agreenlem,Business Asso,;iate shall eNtewd dic protections oFthis 13A Agroem(!nt lo stich retained PHI and 1-kruit,
fur flier uses and disclosures of such retained 111=11 For 10m, its Business Associlate Tuairnains sucli P TL
P
Regulatory References- A reference in this agreernow to a sertio - e r
I,it i o th v Pr,f a cy R u I c: or S Cc� ity Rillc or orb I I
Con fidemial i tv Lmv mearis the section than in of Or as MAY lX 4111 ell kd in tht: NtLITC,
9%0 xmiendment. The Parties agree to take Stich acdon as is ticccssary to amend this ;igreenion', Imai Ihne [jiuv as is
neccs�4.iry ror the AjUancc 1(,r con1ply tVjtjj the requireinerits of the Corfidcatieilitv Laws.
I D'O Survjval� Any ti rrn,cwidi6on,cow mla or obligation which requirev,performaiwe by either pnny hcreito i0sqlumi
to the termination of this RA Atwevient shall rcrna: n enfirtrccab[C Z'I;U;IiIlSt SUCh J)WIV WbSetlUCIII 10 50ch ternlietolicxl.
11,0 interpretation, Ari±, wlib[guity In this 8A Apl,'VCIMMI. Shall W resolv4:d to pernlrit the A Hiance to comply tvitli the
Conficictil-,kikR, Laws.
110 Notices, A I I nonces and COITIMUniCations reclwired, necessary 01A desired Ifl he giV011 PLIrstlallt tap flats R A A,grmnem,
including a change of address fOr PLIl'POicS Of SLICh rjOuCCS acid iting Ind
I qil�rlll b j11 wr delivered,
personally teat1c Hier party at,sent by express 24-110LIF 111101FEti'l jecd courleror dvJivery serve ire.. oi- by ccrEified in ail
of the United States Postal sc viuc, pasta pr,:p;:d'd and return iwcjjx requemL:d. addressed to the otficF p)arLy as
foflow,s(or to sklch Micr place as any party may hy nolice to the others specif y
To the 'Hance: A11jance for Aging, lnc.
Atteutim): Mix Rothman
760 WAI 107�kvenuc
Miami, Florida 3 1172
ID BUSIness Associate Monroe Couniv Board of Counj,y Social �ervlcAn-Hoine
I 100 St1110nton Street 2 Ild [-'JODI,
Kev West, FL, 33040
Anv such notice shall be dccnied'defiVCFCd LIfP011 fICIIJUIJ lvf�eWl 1f InY orAlce canaor be 4, livn:rtd or doliNcry thereof its refowd,
delivery will be detliwd 10 have OCCUITCd 021 IN! ttie such delivery was aIwIlIplVd-
Governing,Law. The laws of tile Slate ol'Ftorjda,-wilthout giving effect to pr incipIcs cif oonflici oflaws,guyern all
matters artsing tinder this BA Agree7i enl-
14,0 Sevcralaillty. tfurty provision in this agreurnout is unenCorceable to any e,%tojlt,.dic rem airider of this BA Agreenient,
Or aprficattw'I of that Provision to, any permns or 6rcu1TI5tattCUs other thari Lbuie as it)which It is hutd Urientorceabile,
will not be alleloted by that imenforceability and will be enrarceah1v to the littlest extent perrn4ted by law.
15.0 Successors. Any sixcmor to Bitisiness Associate (wimhur by direct or indueut or by purcliase, nwrger,
consolidation.,or othervvise) is required to assume Business Associate's obfigatibris under this BA Agreenient and
agree to perform them In the sarne iriann-lor and to Ate same emerit chat Busincss Associate Would have beet)i-eqUiFed'
to if that succession had not taken place. This assurriptior by the succeswr of the Bwsirtie"� Associate's obligations
slia)I h e by w ri ti e n:ag ree#,n oi It;aaisNa t ory to rite A I i i at)ce,
Page Go of 66
KCV-71291
16,0 Entire Agrtmunt, Thii Bra Agree ncot,together with the'Seruiuo A mimL ottslatOM the attire agreemem of
flue pariiics retatusg to the wN'tc-1 iraAlWr of this BA Ag;re rsent and super�edes ill other or-Al or urrAlell agruwe3h or
policiC5 relating tiro.rva, bxCcpt that sbis agr"mcnf does not limb tht am rid ent of ilhis a r=mnt in oorda=e
with section 9.0 of this Sh A 'tewlio st.
Allianec for aging, Inc,
May 3,2021
(sippatare)
iluslnt,Rs S 6 I ae 1111r1t r County,tromnmtsSiDners,Sraeiat ervimiln-Ho a Serviees
Date; s t`
J + V E �- .an r Po
3 29121
* -K,CLE RK
�.
Page 61 of 66
KCV-2129
A "1°A C 1-tMEN'T t'
A:lliftnee fur-Aging, Itte.
Aging and Disability Resource Ccnter/Elder l laalphnc
AGING AND DISABILITYRESOURCE CENTER TER AI}RQ—OUTSOURCED FCNC 'I N
1. If applicable, the provider agrees ee to the following:
A. Perform ADRC outsr ureed Cunctions in accordance with the Alliance's policies and procedures.
i. Pcali6cs and. Procedvr s for Outsotiac: d Foriction-Screening
it- Prrlrci s and Procedures ler OUtsertrrced l'tanction-Triage
di,. Policies and Procedures for AetivltilOh fMin WaaitliNt- Client Services
iv', Policies and Procedures for Termination fiwarn `aaifflst- Client Sorvice.
M i'v'laintarin wait lists in CIRTS, iri ar ocdaancc with f OEA requirr aaaems,
C. Adhere to pr`rereitiraalia n and targeting policy as set forth in than DOEA Prourarrns and Services
Handbook, as aPPlicablrr.
D7 ,nsarre the Provider's Disaster Mary rtrflocts ADRC OartsOUNed Functions, 911rll.r'cally or as needed
to imxrporatc AD RC OUtscrarrUd fiAnCdOras,
E. Enstrre against conflim of interest and inappropriate by referring consarMM in need
ail`options counseling cr long-term care s rvic s beyond the provider's scope of services to the
Aging and Disability Resource Venter.
F. Erasure that semric s provided are in the clients' best interest, are the rntrst cost cfTective, rat°rai l
Ualrty,and are resporasivrn and appropriate to the assessed needs,
The Assessed Priority Consumer ]Dist (AIICL) is nvaintaincd when 8ervicc5 fasnded by the do part incilt ary 110i
a vallaalalc. Contracted Providers of registered services for Local Services Program (L,SP) and Older Americans
Act( AA) and CC AA must maintain wni in lists in the OWN database for registered services vv.heil fundirt
is not av'ailrablc�.
Page 62 of 66
KCV-2129
Alliance for A—ug, I tic,
Aging art<] Disabil,11 R er ty esource CenterlEld Helpline
pol icy and Procedure O)r Oufsoumcitj function—Screenin"
CreAfion Date: March 5, 2008
Revision Date: OcLuber 2019
Rev im Di te: Outobet-21019
ObJective: TQ ensure that as comprolenSive list of clients in med of services is maintained inn CIRTq by
appropriate funding source and fliat the AL)VC is thereby able to eflfcclively gnuge the level ofelder
service need in 1%,fiami-Dade and Nolonrce Couaties.
13,0,hcy� To ohmin Fronn chcnrs in order to 'assist in dotern-Tining tevet of necd and
eh,8,iibility. fat,registered services funded thrOU'gh OAA and LSP and CARFS pro'grnirts.
I Providers WM Collect information From callers; and condLICI, to 7MS assessment. Alternativclv, it' a
01 1 A(B)assessment a ready exists or is provided fi-0,111 tar odier Provide r the in l'brination from the 701 B
can lac utilized.
1 The Provider will determine the services needed and [lie appropi-iate funding source(s) that provides
[lie needed:services,
I C11-te:caller is i ri need of a srrviicc(s)that is not provided by the Pfuvider, the., Provider will refer caller
to the ADRC Elder I lelplinc, as well as, to other contracted Providers 'WId COrllrriuni,ty organizations.
T. The caller will prov-lded with general information regarding the AORC as well m the ADRC Elder
HQlpline contaQl number.
4. T1 1,0 Caller 1vi I I by I nf6 rimed of th e: Servi ces and fu rid i ng sources i ha t they are bei,n g p I ac ed ms, k lie wait
list for in URT'S.
1), For non-czisc managped prograrns, the Provider will creme a client record In CIRTS (if there is no
existfito record)sand cntca-the services meded fur the caller by funding sourcf and serviace (l1`therQ is
an existing rccord in CIRTS, the appropriate I'lelds will be updatcdj
6, If the Provider determillOS that the Caller May ClLtatif� for more than one program for which the Provider
is funded, the Provider is encotu,aged lo enler the appropriate information under multiple funding,
SOUrces. [If there is.an existing client record h, CI RTS,the client recurd in CIRTS will be updated with
<'Ipprol)r IaLe I
. oformadonj,
7. The Provider wilt infbna ii, caller that they will receive kin anymil re-assessment Lmsed On DO EA Wait
last Reassessment Standard5 and pro ourage caller to CuMau the ADRC Elder t-Jelpline with any
questions.
Page 63 of 66
KCV-2129
Alliance Air Aging, Ine,
Aging and Disability Resource Center(Vider H elpline
Policy and Procedure for
0 u tso u reed ru u cit io n-Tri a go
C ren ti o n [lute: March 5, 2009
Revision Date: October 210 19
Review Date: October` 019
Objective, To ensure that QIjeljj,j in tired of DOEA ftirided service,, rcceive services based,oil the highast 4Cvel of
arced; first.as funding becoilics aval I able.
C�
Policy: To assim clients In nblaJiiinu OE' ffindcd services as runding becomes available, based oil level of
1�
need as determ 1 ncd by a Cl RTS priority score.
Procedure-
I, '['lie Provider will conduct annual reassessillelit"; hascd ou DOE A Waml: List Reassessment Standards.
2 If there is 110 CU117ent VIA or 8 In CVTS� dic Provider will cmidkld the �,WnUal reass,os,sniml (70k) as
appropriate. Based on the inFori-narion provided via the 701 S/A(B) assessment, the Provider will opdatc
Ilse client infurmation, in C-MTS specifically as it,pertain to [ovel of need for smices by funding SOLITC-C.
1 1'he Providerwill coisure that the CIRTS pirioritization score is accurately rilaintairied, accordingto DOEA
Standards. If a significant charqZe has occurred prior to the amikial re-seteenii-q,'. Oic Provider MUsl re-,
E
screen. D-_Finitions and examples ol'significanttlian-e are documented in the DOEA Programs ervices
tvlailUai Chapter 2.
4. If thc caller rs in necd of a service(s) that is not provided by 04~, Provider, the Pro.vider will rct'er caller to,
ti-ic ADRC Eldcr 1-1c[pline, as. well as, to other Contracted Providers and community mganizatioas. The
call will lie infornied of the services and funding,sources that the wait list for andtor have been rcriluved
from the walt list for.
5 The Provider will reinkid client ofthe ADRC Elder Help Line contact number and to coillact Lhe ADR.0
Elder Help Line�,vich any questions or concerns.
6- M f"unding becomcs avaHaWe, the Provider will mil C1R_TS Prior;tization Report and actiVa[Q dieTAS
accordim,to DOFA Standards(refer zo ADRC'Client.Aclivarti011 Policies and,Pmcedurcs). The(:Qiitiracted
Provider will apply targeting, criteria, as appropriate, to prioritized clients to ensure activations meet
programmatIc requirements,
Page 64 of 66,
KCV-2129
Alliance for Aging, lnca
Aging and Disability Rcso"rcc Center/Elder Helpline
Policy and Procedure for
Avdvation from Wait List—Clients/Services,
Creation Date; March 5. 2008
Revision Date- October 211119
Review Date: Wobu 20,19
Oht ective- TO onsure that dders in need of D01-'-A fvnded servicos in Mianil-Dadeand Mon=CcanitjQs and on
th e C I RTS w aiIt. I i S E Kira co MCC i VC serve its as N n d i n o beco ni os av a 1 l a b le.
policy: ADRC will work, with Providci�s to opsure Thal clients waiting for DOFA funded ServiccS be,'J'il to
receive those s,oiAJcoS as (Unding becomes available,
Procedure:,
I, The Provicter wilt activate clients oil CIRTS Nvait list kq"iod on DORA pr'to66zution pokces and rondhig
a 'tabi,val 'Ity,
2 The Provider will update CIRTS staters 1-')V funding Source and service forany services being activated for
the client using appropriai.e CIRTS codes..
3 Client may be- left on waii, list ol'a, different funding source than [lie one being activated if tilt Provider
determines, that it is appropriate,
4. Chent naav also be left on wait Est In CIRTS if theyare being activated by the Pro,vidu LIIICJ:Cr a temporary
nort-D0EA fundUIg SULIrcc and the Provider determincs that the CHC6IC j"iced will persist after tltic
tcmporazyy funding source is exhaumed.
5, The Pi ovider will inform the client of any scrvic.c-5/1"kinding sourec that they are b6nu activatcd for as well
M
as those sery ices and funding suurccs that they will cMimle to be wak ILsted for.
6, The Provider will inform client to contact the ADRC Uder Fletplinc if the have zany questions oi'concerns
regarding the status of any oC their servi-les.
Page 65 of 66
KCV-2129
A.Ifiance lor A.oing, fuc
Agin gaud Dism b i I i ty Iles ott 1-ce Cc R jer r.1 d er fie I pI i Re
Policy and Procedure for
Termination from at List—CfieutVServices
Creation Date: March 5, 2008
Revisitm Date; Octobcr 2019
Review Date-, October 2019
Objective: To ens,ure that the cumprehmsive list oCclieliti itt need of scrmes in CIRTS is approphately
maintiined by funding source and dix Llic ADRC is thereby able to ef!'ectively gatqe dw currem level
ni'eldrr service need In Miaml-Dade and Monrne(74JUPI'lles,
Policry ADR,C will maintnin an accurate skald current HM ofcliuits ira need of elder services in Miarni-Dade
and Mon me Counties %k,ids tile ass istance of 1 Ilk! A Mc contrac I,Q(I Providers.
proced 11,re:
I. The Provider will re-screer clients which the Provider 'n tiatty placed on [lie CIRT wait Ifist f6rwrvices
bmcd on DOE A Reasscssaictit S(and'ards-
I The re-screeningmay be iet the form of a phone screening or a home visit depencling on the dicnC5 suites
(Le acuve/pvrrdillg�
I The Provide will determilleju the client is tiara lon-er in aced(orcNgrble) fibratry of the services they werc
wait-hstcd for.
4. `Fhe Provider Nvill icruninale the, client from the kVall list (enl.ircly .)t- by spec-IfiC SCI-ViCe) LISirg, the
appropriate CIRTS terminator code fOranY SCrViCCS OrfUnChTW` SOUN-CC F02-VVIIMI 01c kd,crt '� -1111ned
delci
to no longer b'12 QHI�Pblc Ibr Or 110 long7cr in need ol".
5. The Provider wdl kif-orm the client ofany services/fUnding smirce that flicy are being removed from the
wait lost for,
6. The Provider will intbriv client of their ability to he re-added to [he wail Im, if their level of need ShoUld
chanve,
7- The Provider vvill infonn client to contact Llie ADRC Elder Rdplirte it'dicy have any ques6ons,orconceras
regarding Wait 1j"il qajrjS.
g
8. Reference DOEA Pro ,rant and Services Handbook as applicable.
Page 66 of 66
F
2021-05-03
2021-05-03
CCAAk Monroe KCV-2129 Provider signed
Stan Mcneese(mcneeses@allianceforaging.org)
Status: Signed
Transaction ID: CBJCHBCAABAADOrP-ptY_1gxP3cCCiL9dEY7fEq_5Aa
"CCAA Monroe KCV-2129 Provider signed" History
Document created by Stan Mcneese (mcneeses@allianceforaging.org)
2021-05-03-8:25:18 PM GMT-IP address:52.201.156.234
Document emailed to Max B. Rothman (rothmanm@allianceforaging.org) for signature
2021-05-03-8:28:08 PM GMT
Email viewed by Max B. Rothman (rothmanm@allianceforaging.org)
2021-05-03-9:29:23 PM GMT-IP address:76.109.240.37
uro Document e-signed by Max B. Rothman (rothmanm@allianceforaging.org)
Signature Date:2021-05-03-9:30:47 PM GMT-Time Source:server-IP address:76.109.240.37
Agreement completed.
2021-05-03-9:30:47 PM GMT
Adobe Sign