3rd Amendment 06/01/2021 cati 1,
`° °'°w '', Kevin Madok, CPA
` ' Clerk of the Circuit Court& Comptroller—Monroe County, Florida
DATE: June 9, 2021
TO: Pam Radloff, Director
Finance Department
FROM: Sally M. Abrams, D.C.
SUBJECT: For the Record
Attached, for your handling, is Contract Amendment 0003 to Alzheimer's Disease
Initiative(AIM) Contract KZ-2097 between the Alliance for Aging, Inc. (AAA) and Monroe
County Board of County Commissioners/Monroe County Social Services In-Home Services.
Sheryl Graham signed on behalf of the BOCC in accordance with Resolution No 064-2015.
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,Rorida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852-7145
AMENDMENT 003 CONTRACT KZ®2097 Page I
THIS AMENDMENT is entered into between the Alliance for Aejng,Inc. hereinafter referred to as the
"Alliance", and Monroe County Board of County Commissioners,Social Services/la-Home Services, hereinafter
referred to as the"contractor"and collectively referred to as the"Parties."
The purpose of this amendment is add Specialized Medical Equipment as a service to the contract.
This amendment does not change the total A contract funding of: $91,675.51
Service to be Provided service Maximum Units of Service Maximum
--7rl-07 MVFEOT
Unit Rate Units (Decrease) Total Units Dollars
Case Management $ 60-73 31 31 $1,892-63
Case Aid $ 15.00 6 b $90-00
!esplle In-Facility $ 10.96 5,805 0 5,805 $63,627.85
Respite In-Home $ 24.22 937 (21) 916 $22,19S.37
$ 30,90 58 58 $ , 92.20
Telephone Reassurance CV ADI $ 27.37 so r 8 $1,587.46
Speclaked Medical Equipment Cost Relmls. $5MQ0
Total D"Contract Amount $91,6.75.51mime
'.
All provisions in the contract and any attachments thereto In conflict with this amendment shall be and are
hereby changed to conform with this amendment,
All provisions not in conflict with this amendment are still in effect and are to be performed at the
level specified In the contract.
This amendment and all its attachments are hereby made a part of the contract.
IN WITNESS WHEREOF,the parties hereto have caused this Amendment to be executed by their undersigned
officials as duly authorized.
Monroe County Board of County ALLIANCE FOR AGING,INC.
Commissioners,Social Services/
I n- "
HP�o,W rvces
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SIGNED BY-
rv , s
SIGNED BY:1(
NAME: Sheryl Graham NAME: Max S.Rothman,JO,LLM.
TITLE: Sr. Director, Social Services TITLE; President&CEO
DATE: 6/1/2021 DATE: Jun 7,2021
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ProviderMonroe County ADI KZ 2097 Amendment
03
Final Audit Report 2021-06-07
Created: 2021-06-07
By: Stan Mcneese(mcneeses@allianceforaging.org)
Status: Signed
Transaction ID: CBJCHBCAABAAvl95VdWo8vUPvgzAGwuj2YAd-NePbBD5
"Monroe Co y ADI KZ 2097 Amendment 003 - Provider signed
" History
Document created by Stan Mcneese (mcneeses@allianceforaging.org)
2021-06-07-7:12:16 PM GMT-IP address:52.201.156.234
Document emailed to Max B. Rothman (rothmanm@allianceforaging.org)for signature
2021-06-07-7:12:56 PM GMT
Email viewed by Max B. Rothman (rothmanm@allianceforaging.org)
2021-06-07-7:14:42 PM GMT-IP address:76.109.240.37
6k,� Document e-signed by Max B. Rothman(rothmanm@allianceforaging.org)
Signature Date:2021-06-07-7:15:17 PM GMT-Time Source:server-IP address:76.109.240.37
Agreement completed.
2021-06-07-7:15:17 PM GMT
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