Item C12
~~
LoUIs LaTorre, Senior Director
Social Services/tabt
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
MEETING DATE: 12/19-:~?!91
DIVISION: COMMUNITY SERVICES
BULK ITEM:
YES X
NO
DEPARTMENT: SOCIAL SERVICES
AGENDA ITEM WORDING: Approval of Monroe County Cash Match Commitment for Contract KH 172
for the Home Care For The Elderly for Fiscal Year 7/1/01 thru 6/30/02 (Case Management Only) 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
BUl;lg.at., 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 KH 172
CONTRACT/AGREEMENT CHANGES:
Budget.
Addition of this missing page to . Contract Supporting
STAl"l" llliCOMM.ENDATION: Approval
TOTAL COST: $1,818.50 (lst & 2nd Quarter Case Management)
COST TO COUNTY: $594.00 (Fiscal Year)
BUDGETED: YES~ NO
REVENUE PRODUCING: YES NO-2L AMT.PER MONTH
YEAR
APPROVED BY: COUNTY A TTYl OMB/Purchasing l RISK MANAG MENT -X
DISPOSITION:
INCLUDED1L- TO FOLLOW NOT REQUIRED_
AGENDA ITEM#: /- C/ ~
DIVISION DIRECTOR APPROVAL:
DOCUMENTATION:
Revised 2/27/0 I
J
"
ency Name:
Donor Identification:
. .
Name:
Street:
City:
State:
Zip:
Phone:
IV.B. MATCH COMl\tHTl\ttENT OF CASH DONATION
MONROE COUNTY IN HOME SERVICES PROGRAM
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
GATO BUILDING
1100 SIMONTON STREET
KEY WEST
FL
33040
305-292-4572
Authorized Representative:
Total Amount
# Payments
f\ .lnt/Payment
Contribution Period
Special Conditions:
Donor Certification:
CHARLES MC COY, MAYOR
$
594. a.o
12
$ PRO RA'T'BD
7/1/n1 THRU 6/30/02
: hereby certify intent to make the cash donation set forth above for use in the specified prognun during
he prognun' s upcoming funding period. This cash is not included as match for any other State or
'ederally assisted program or contract and is not borne by the federal government directly under any
ederal grant or Contract.
,ignature of Donor or Representative:
Marc:h 1999
Date: