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Item C09 ~~ Louis LaTorre, Senior Director Social Services/tabt BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY MEETING DATE: 12/19-20/01 DIVISION: COMMUNITY SERVICES BULK ITEM: YES X NO DEPARTMENT: SOCIAL SERVICES AGENDA ITEM WORDING: Approval of Monroe County Cash Match Commitment for Contract KZ 197 for the Alzheimer's Disease Initiative for Fiscal Year 7/1/01 thru 6/30/02 between the Alliance For Aging, Inc., and the Monroe County Board of County Commissioners/Monroe County Social Services (Monroe County In Home Service Program, The Case Management Agency). ITEM BACKGROUND: The approval of this Cash Match Commitment will complete the Contract Suppor Budget . for the above existing contract and assure the Alliance For Aging, Inc., of the Monroe County Board of County Commissioners commitment to honor contract terms. PREVIOUS RELEVANT BOCC ACTION: Approval of Contact KZ 197 CONTRACT/AGREEMENT CHANGES: Budget. Addition of this missing page to (rontract Supporting STAJ1'F .J:U:COMM~NDATION: Approval TOTAL COST: $65,194.00 COST TO COUNTY: $ 5,313.01 (Fiscal Year) BUDGETED: YES--1L NO REVENUE PRODUCING: YES NO --1L AMT.PER MONTH YEAR APPROVED BY: COUNTY A TTYl OMB/Purchasing l RISK MANAGEMENT --.X DOCUMENTATION: INCLUDED X DIVISION DIRECTOR APPROVAL: TO FOLLOW NOT REQUIRED - - I - l'q AGENDA ITEM#: DISPOSITION: Revised 2/27/01 -I ency Name: IV.B. MATCH COIHMITIHENT OF CASH DONATION MONROE COUNTY IN HOME SERVICES PROGRAM Donor Identification: . . Name: Street: City: State: Zip: Phone: MONROE COUNTY GATO BUILDING 1100 SIMONTON KEY WEST FL 33040 305-292-4572 Authorized Representative: Special Conditions: Donor Certification: BOARD OF COUNTY COMMISSIONERS STREET CHARLES MC COY, MAYOR : hereby certify intent to make the cash donation set forth above for use in the specified program during he program's upcoming funding period. This cash is not included as match for any other Slate or 'ederaIly assisted program or contract and is not bome by the federal government directly under any ~deral grant or contract. )ignature of Donor or Representative: March 1999 APPROVED AS TO FORM -!"N Date: