Item C26
< /~~
Louis La Torre, Director
Social Services
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 9/18-9/19/02 Division: Community Services
Bulk Item: Yes ~ No - Department: Social Services/Nutrition
AGENDA ITEM WORDING:
Approval to respond to Request for Proposals from the Alliance for Aging for the Year 2003 Older American
Act (OAA) Grant funds and apply for moneys for the following OAA Programs: Title III C-l (Congregate
Meals), Title III C-2 (Home-Delivered Meals), Title III-B, In-Home Services, (Support Services/Homemaking),
for Title III-E, In-Home Services (Respite Care Services). Also, authorization for the Mayor to sign the
following documents, which must be included in the grant application package: VI. Availability of Documents
Form, VII., Nutrition Assurances Form, VIII. Financial Statements Assurance Form, IX. Cost Sharing
Obligation Assurance Form, X. Contract Terms and Conditions Statement, and XI. Statement of No
Involvement. Match Commitment of Cash Donation Form.
ITEM BACKGROUND:
Funds are provided from the Older Americans' Act Grant, through the Alliance for Aging, to provide necessary
services to Monroe County's elderly population and prevent premature institutionalization. This is an ongoing
grant program, which requires submission of a proposal every three years. A previous application was
submitted in 1999 for a three-year grant period of2000-2002.
PREVIOUS REVELANT BOCC ACTION:
Funding requested from the Older American's Grant for FY2000-2002.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATIONS:
Approval
TOTAL C()ST,: Not vet determined (current vear, $529,203.00.) BUDGETED: Yes ..X- No
-
COST TO COUNTY: Not vet determined (current year,$87,896.00).
REVENUE PRODUCING: Yes - No X AMOUNT PER MONTH - Year
-
APPROVED BY: County Atty ~ Risk Z7ement rffi.Dcw~(L
, I
DIVISION DIRECTOR APPRO V AL: "
DOCUMENT A TION: Included To Fol1ow_ Not Required_
DISPOSITION: AGENDA ITEM # c..;;;J. (g
Revised 2/27/01
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BOIftU of County
Commission81"5
RESOLUTION ~IO. - 2002
A RESOLUllON OF THE BOARD OF couruv COMMISSIONERS OF MONROE COUNT'i,
FLORIDA AUTHORIZJNG THE SUBMIS.SION OF ^ GRANT APPUCA liON TO THE.
AL.bIANCE FOR AGING OF DADE AND ~40NROE COUNTIES fOR THE yEAR 111/03-
1YJ1103 FOR THE OLDER AMER CANS' ACT tOM) GRANT PROGRAM
WHEREAS. the Alliance for Aging ha~ announced the January 1. 2003-December 31.
2003 fundi"9 cycle of the Older Americans' A,-). Grant Program; and
WHEREAS. the Mayor as Chief Electlld Official is the authorized legal representative of
the Monroe County Board of Commissioners :lnO the Soard of Coul'lty Commisslooera serves
as the coorcJinating unit of government in preparation of grant proposal. and distribution of
funds allocated to Monroe county and for the cash match requirement; and
WHEREAS. Older Amencans' Act Gmnl fundS are used to provide necessary 5ervices
for older adults in Monroe County to prevent premature institutionalization: now therefore
BE IT RESOLVED BY THE BOARO ()F COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA. that:
1. The Board of county Commiiistoner~ authorizes the Monroe County Social services
Department to submit a proposal 10 the A1li8n~ for Aging for Year 2003 Older
Americans' Ad. funds by the reQui red submi6&ion date of October 4, 2002~ and that
2. The Mayor is hereby authori:z&d tel sign the following documents. which must be
included in the grant application package: VI. Availability of Documents Form. VII.,
Nutrition MSurances Form. VIII. Financial Statements Assurance Form, IX. Cost
Sharing Obligation Assuranoe FOIm" X. Contract Tenns and Conditions Statement.
and Xl. Statement of No Invol~ement; and that
3. rnis resolutIon shall bewn\e effe<:tiv~ immediately upon adoption by the Board of
County Commissioners and 8xecutionby the Presiding OffICer and Clerk.
PASSED AND ADOPTED by the Board of C,)unly commissioners or Monroe cOLlnty, florida, &It
a regular meeting of said Board held on the '18h day of SeptembM, A,O., 2002,
Mayor Charles L. McCoy _
Mayor proTem Dixie Eipehar
Commissioner Neugent '
Commissioner Nelson
Commissioner Jimenez
(Seal) Monroe County Board of Commissioners
Attest: ,~By:
Clerk of Court Mayor
VI. AVAILABILITY ()F DOCUMENTS
(REQUIRED SUBMISSION - FATAL CRITERION)
The undersigned hereby gives assurance that ttl8 toll~wlng aocuments are maintaineG In the
administnltive office of the provider and are aCCl~ssible for review by the Alliance. Indicate 8S
applir.able:
YES N1A
!.. - 1. Current Board Roster
L 2. Articles of Incorporation
- L 3. Corporate By-Laws
!- 4. Advisory Courlcil By-Laws and Membership Roster
-
!.- - 6. Current Equipl'Y1ent Inventory
x 6. Bonding Verifi ::ation
-
L - 7. Staffing Plan
a, Position Despiptions
b. Pay Plan'
c. Organaational'Chart
!.- - 8. Personnel POlocles Manual
L - 9. Fiscal and Administrative Policies Mnual
!.. 10, Operational PI'ocedUres Manual
-
~ - 11. T ravel Polici~;
L - 12, Affinn8tive Aclion Plan
L - 13, Americans Wi":h Disabilities Act Assurance
L - 14. Staff Development and Training Plan
1L.. - 15, Unusuallncidunt File
L - 16. Service Subcc,ntracts
!.- - 17. Co-Pay and Cantribution S~tem
L - 18, Civil Rights Cc'mpliance Documentation
!.... - 19. Proof of General liability Coverage
L - 20. All R8qu;red C'perational L~n"a & R8gistrations
L - 21, Copies of Nutlltlon Education Topics planned for the year
lC 22. Copies of Approved, Meals Plans
-
!... - 23. Compfete and Up to Date Files on all Active Clients
CERTIFICATION BY AUTHORIZE'DAGENCY OFFICIAL
I hereby certify that the documents identified above currently exist and are available for review
upon request.
I I
i
Signature Date'
Name of Authorized Individual ntle of Authorized Individual
\, I
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VII. NUTRITION ASSURANCES
(Submit only if Funded for Ilea'" - Not a Fatal Criterion)
In accoraance witn SectIon 307{a}(1J)(f) of t 1<<: OM which ~ui~ each nutrition proje~ to be
established and admini8tered with the advi~ of dietitians (or individuals with compariible
expertise). and Section 307(a}(13)(k) which r'tquires compliance with applicable state or local
Iaw& regarding safe and sanitary handling of "OOd. equipmem, and supplies used in me storage.
preparation, service, and delivery of meals to elderly nutrition program participants:
Lvnne R. O' Mara. Reaistered Oif!tarv Technician
(Name of Nutrition Consultant)
will provide Nutrition Consultation for the nutrition project of
Monroe Count\{ (Nutrition Pro~UBm)
(Name of Provider)
Lynne R O'M~lra
(Name of Nutrilion Consultant)
is a registere<tJllcensed dietitian WhO$e current regiStration number from the Commission on Oietetic
Registration is #723290. Dietetic Technician Reaistmed andlor whose license number from the
Florida Department of Professional Regulation is _ or whose qualificatIons nave been
approved by the area agency's nutrition consultant or the Department of Elder Affairs.
The Nutrition Con&ultant Agreement for Services and a current resume of the Nutrition Consultant 'Mil be
included in the application at the beginning of each bid cycle and updated when there is a staff change,
Monroe County {Nutri1ion PrOCJram}
(Name 01 Provider)
also assures meals provided through the project comply with the Dietary Guidelines for Americans and
provide to each participant a minimum of 33 snd 1/3 percent of the daily recommended dietary
allowances if one meal per day is provided; a minimum of 66 and 2J3 percent of the aJlowances if two
meals per day is provided; and 100 percent of the allowances if three meals per day is provided.
Signature Oat~
Name of Authorized ~epresentative '( Title
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VIII. FINANCIAL STA TEP4IENTS ASSURANCE
(REQUIRED SUBMISSI()N' - FATAL CRITERION)
I
Monroe County hereby gives assurance
(Name of Applicant Agency)
that on SeDtember 30. 2001 it submitted a complete
(Date Package Mailed)
package of its audited financial statements and compliance reports
for the fiscal year ending 2001
to the Alliance for Aging for filing, review iind comments as required
under Attachment 111 of its Master Agreenent (Agreement No. PA 229)
IF A COPY OF THE MOST RECENT FINANCIJ\L STATEMENTS HAS NOT BEEN
SUBMITTED TO THE ALLIANCE, APPUCANl CERTIFIES THAT A COMPLETE SET WILL
BE PRESENTED PRIOR TO CONTRACT EXEI:UTION.
Signature Date
Name of Authorized Representative Title
nATE
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IX. COST SHARING OBLI'GA TION ASSURANCE
(REQUIRED SUBMISSION · FATAL CRITERION)
Monroe County hereby certifies intent to
(Name of Applicant Agency:,
meet its cost sharing obligations for the ft!deral funds sought under an Older Americans
Act sub-award grant fOr fiscal year 2003 by matching the funds received through one
of the following options:
CJ Cash Donation
Cl In-Kind Oonation
IXI Cash and In-Kind Donations
I hereby certify that the cash and/or in-kind donations committed for use under the
Older Americans Act subllrant award requested are not included as match for any
other federally assisted program or contrclCtland are not borne by the federal
yuvel rlInent directly under any federal grent or contract.
Signature Date
Name of Authorized Representative Title
e
AN~ fi %TTON
IU, T1= _ , O'l.-
x. CONTRACT TERMS AND I::ONDITIONS STATEMENT
(REQUIRED SUBMISSICIN - FATAL CRITERION)
In the event Monroe County ,_.
(Name of App~cant Ag8ncy)
;
should be awarded a contract for the provision (If services based on this Request for Proposals
for
Older Americans Act services,
Monroe County
(Name of Ape:llcant Agency)
agr~s to abide by the tenns and condition6 of ':he model oontmct. master agreement and their
respective attachments, including the billing and payment process.
;' I
" Signature Date
Name of Authorized Representative Title
s
QAU AN~UTTON
~ ilL-
XI. STATEMENT OF ~IO INVOLVEMENT
(REQUIRED SUBMISSICIN - FATAL CRITERION)
I, Charles Me COy . as an authorized representative
of Monroe County ___' certify that no member of this firm nor
any person having interest in this firm has been aiNarded a contract by the Alli:anc8 for Aging.
Inc.,
on a noncompetitive basis to:
(1 ) develop this R~uest for Proposals;
(2) petform a feasibility study coocer1ing the scope of work contained in this RFP; or
(3) develop a program similar to what is contained in this RFP.
Signature Date
Name of Authorized Representative Title
BY
ZANNE A~ON
r:>~T" '1 'tJ ~
I
AGENDA ITEM WITH LATE DOCU1\1ENTATlON
DIVISION SOCIAL SERVICES
DEPARTIvfENT NUTRITION & IN-HOME SERVICES
SUBJECT REQUEST FOR PROPOSAL BETWEEN THE ALLIANCE
FOR AGING. & MONROE COUNTY NUTRITION & IN-HOME SERVICES
DATE ITEM WILL BE A V AILABLE SEE ATTACHED ITEM.
AGENDA ITEM NUl\1BER C-26
PLEASE ATTACH TO THE ABOVE AGENDA ITEM.
APPENDIX III
I
OLDER AMERICANS ACT PROPOSAL
FOR
FISCAL YEAR 2003
APPUCANT:MONROE COUNTY EiOARD OF COUNTY
COMMISSIONERS
Di:PARTMENT OF SOCIAL SERVICES
Monroe County In-Home Service Program
And
Monroe County Nutrition Program
1100 Simonton Stree't, First Floor, Room1-205
Key West, Florida 3~ 040
305-292-4572
..- ,-
FUNDS REQUESTED: Title IIl-B IBJ Title III C-2 00
Title III C-1 00 TItte III-E ~
CERTIFrCA nON BY AUTHORIZED AGE.fey OFFICIAL:
I hereby certify that the contents of this do::ument are true. accurate and complete
statements, I acknowledge that any intentional misrepresentation, omis&ion, or falsification
may result in the immediate disqualification of this proposal for financial assistance.
Failure to sign and dale this cover page, dbiqualifies the propooal from further review.
Name; Signature;
:
Title: Date:
ea4