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Item C28 ~~c--- Louis LaTorre, Senior Director Social Services/tabt BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY MEETING DATE: JULV 1 E;.-?003 . DIVISION: COMMUNITY SERVICES BULK ITEM: YES X NO DEPARTMENT: SOCIAL SERVICES AGENDA ITEM WORDING: Approval of Amendment #001 to OAA Contract #AA-329 (1/1/03-12/31/03) between the Alliance for Aging, Inc. (Area Agency On Aging for Miami-Dade and Monroe Counties) and the Monroe County Board of County Commissioners/Monroe County Social Services (Monroe County In Home Service Program). ITEM BACKGROUND: The purpose of this Amendment is to increase the amount of the 2003 OAA Contract #AA-329 by $60,000.00, from $503,061.00 to $563,061.00. This is for the increase ofIIIB In-Home Services Homemaking from $110,000.00 to $170,000.00. PREVIOUS RELEVANT BOCC ACTION: Approval of OAA Contract #AA-329, between the Alliance for Aging and Monroe County Board of County CommissionerslMonroe County Social Services, effective January 1,2003, at the BOCC Meeting on December 18,2002. CONTRACT/AGREEMENT CHANGES: The grant award increases the total iunding allocation for OA3B Homemaking in 2003 OAA Contract #AA-329 from $110, 000.00 to $170,000.00. STAFF Rli:COMMENDATlON: Approval TOTAL COST: $563,061.00 (Grant) COST TO COUNTY: $62,563.00 BUDGETED: YES-2L NO SOURCE OF FUNDS: Older American Act Title III for Jan 2003-Dec 2003 REVENUE PRODUCING: YES NO~ AMT.PER MONTH YEAR APPROVED BY: COUNTY ATTY.l OMB/Purchasing l RISK MANAGEMENT ~ DIVISION DIRECTOR APPROVAL: DOCUMENTATION: INCLUDED X TO FOLLOW NOT REQUIRED_ DISPOSITION: AGENDAITEM#: ~~ Revised 02/27/0 I/da MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract with: Alliance For Aging, Inc. Contract # Amendment #001 for Contract #AA-329 Effective Date: 07/01/2003 Expiration Date: 12/31/2003 Contract Purpose/Description: Approval of Amendment #001 to the OAA Contract #AA-329, (1/1/03-12/31/03) to increase the amount by $60,000.00 from $503,061.00 to $563,061.00. This is for the increase of III-B In-Home Services Homemaking from $110,000.00 to $17Q).oOO.00. _ / Contract Manager: Deloris Simpson ' (Name) ./ 4589 (Ext.) Social Services/Stop 1 (Department/Stop #) For BOCC meeting on 7/15/03 Agenda Deadline: 6/30/03 CONTRACT COSTS Total Dollar Value of Contract: Budgeted? Yes X No 0 Grant: $ 563,061.00 County Match: $62,563.00 $625,624.00 Account Codes: Current Year Portion: $ Estimated Ongoing Costs: $ (Not included in dollar value above) /yr ADDITIONAL COSTS For: (eg. Maintenance, utilities. janitorial, salaries, etc) CONTRACT REVIEW Changes Date Out Date II) Needed Ce /1,:(./1 Division Director Ce {so ( oJ, Yes 0 No~ Risk Management 0/:S0/63 Yes 0 NoY t h jo;J O.M.B./Purchasing tJI3103 Yes 0 No~ ' eopra County Attorney l~ 12- 7/0 > Yes 0 No~ ~;J ;/0 3 Comments: OMB Form Revised 2/27/01 MCP #2 Amendment 001 CONTRACT AA-329 Page 1 THIS AMENDMENT, entered into between the Alliance for Aging, Inc. hereinafter referred to as the "Alliance", and the Monroe County Board of Commissioners, amends contract AA-329. The purpose of this amendment is to increase the total amount under contract by $60,000.00. All funds awarded are non-recurring. 1. Section II, Contract Amount, is hereby amended to read: To pay for contracted services according to the conditions of Attachment I in an amount not to exceed $563,061.00 subject to the availability of funds. The Alliance's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. The costs of services paid under any other contract or from any other source are not eligible for reimbursement under this contract. The schedule of funds awarded to the provider pursuant to this contract is in state grants and aids appropriations and consists of the following: Program Title Year Funding Source CFDA# Fund Amounts Title III-B 2003 U.S. Department of Health 93.044 $170,000.00 Support Services and Human Services Title III C-1 Congregate Meals 2003 " 93.045 $158,952.00 Title III C-2 Home. 2003 " 93.052 Delivered Meals $184,800.00 Title III E Services 2003 " 93.052 $49,309.00 TOTAL FUNDS CONTAINED IN THIS CONTRACT: $563,061.00 2. Attachment I, Section III, Paragraph 0, Method of Payment, is hereby amended to read: The Alliance shall make payment to the provider for provision of services up to a maximum number of units of service and at the rate(s) stated below: Service To Be Provided Unit of Unit Rate Maximum Maximum Service Units Dollars Homemaker 1 hour 27.700448 1,773.75 $49,131 Personal Care 1 hour 54.372307 2,068 $112,439 Recreation 1 hour 8.43 1,000 $8,430 Congregate Meals 1 meal 8.869302 17,705 $157,031 Nutrition Education (C-1) Episode 274.42857 7 $1,921 Home Delivered Meals 1 meal 6.674902 27,481 $183,433 Nutrition Education (C-2 Episode 683.50 2 $1 ,367 I n-Home Respite (3E) 1 hour 22.6559 991 $22,452 Facilitv Respite (3E) 1 hour 9.253333 1,200 $11,104 Con. Medical Supplies Episode TBA TBA $15,753 Amendment 001 CONTRACT AA-329 Page 2 3. Attachment III, Budget Summary, is hereby amended and attached hereto. 4. This amendment shall begin on the date it has been signed by both parties. 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 are hereby amended to conform with this amendment. This amendment and all its attachments are hereby made a part of the contract. IN WITNESS WHEREOF, the parties hereto have caused this 3-page amendment to be executed by their undersigned officials as duly authorized. PROVIDER: MONROE COUNTY BOARD OF COMMISSIONERS ALLIANCE FOR AGING, INC. SIGNED BY: SIGNED BY: Steven Weisberg, M. S. NAME: NAME: President & CEO TITLE: TITLE: DATE: DATE: FEDERAL 10 NUMBER: PROVIDER FISCAL YEAR ENDED DATE: 59-6000749 06/30 Amendment 001 CONTRACT AA-329 2003 OAA BUDGET SUMMARY RECIPIENT: Monroe County Board of Commissioners Distribution of Award by Title Federal Share Title III-B Title III C-1 Title III C-2 Title 111-0 Title III-E TOTAL FEDERAL AMOUNT: $170,000.00 $158,952.00 $184,800.00 $0.00 $49,309.00 $563,061.00 Page 3 ATTACHMENT III Contract No. AA-329 12/01 Contract Number AA-329 OLDER AMERICANS ACT STANDARD FIXED RATE CONTRACT- 2003 THIS CONTRACT is entered into between the Alliance for Aging, Inc., hereinafter referred to as the "Alliance", and the Monroe County Board of Commissioners, hereinafter referred to as the "recipient". This contract is subject to all provisions contained in the MASTER AGREEMENT executed between the Alliance and the Recipient, Agreement No, PA-229, and its successor, incorporated herein by refeience. The parties agree: I. Recipient Agrees: A. Services to be Provided: To plan, develop, and accomplish the services delineated, or othervvise cause the planning, development, and accomplishment of such services and activities, under the conditions specified and in the manner prescribed in Attachment I of this agreement. B. Final Request for Payment The recipient must submit the final request for payment to the Alliance no more than 45 days after the contract ends or is terminated; if the recipient fails to do so, all right to payment is forfeited, and the Alliance will not honor any requests submitted after the aforesaid time period. Any payment due under the terms of this contract may be withheld until all reports due from the recipient, and necessary adjustments thereto, have been approved by the Alliance, II. The Alliance Agrees: Contract Amount To pay for contracted services according to the conditions of Attachment I in an amount not to exceed $503,061.00, subject to the availability of funds. The Alliance's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Legislature and passed through the State of Florida Department of Elder Affairs. The costs of services paid under any other contract or from any other source are not eligible for reimbursement under this contract. The funds awarded to the recipient pursuant to this contract are in state grants and aids appropriations and consist of the following: Program Title Year Funding Source CFDA# Fund Amounts Title 1118 Support 2003 lu.s Dept. Of Health and 93044 S110,000.00 Services IHuman Services Title III C1 2003 " 193.045 I S158,952.00 Congregate Meals Title III C2 Home 2003 I" 93.045 $184,800.00 Delivered Meals , Title III E Services 2003 " 93.052 $49.309.00 TOTAL FUNDS CONTAINED IN THIS $503,061.00 CONTRACT: 12/01 Contract Number AA-329 III. Recipient and Alliance Mutually Agree: A. Effective Date: 1, This contract shall begin on January 1, 2003 or on the date the contract has been signed by both parties, whichever is later. 2. This contract shall end on December 31,2003, B. Termination, Suspension and/or Enforcement The causes and remedies for termination or suspension of this contract shall follow the same procedures as outlined in Section III. B. and Section III. C. of the Master Agreement. C. Recipient Responsibility: _ Notwithstanding the pass-through language contained in Section I.S.1. of the Master Agreement, the recipient maintains responsibility for the performance of all subrecipients and vendors in accordance with all applicable federal and state laws. D. Notice, Contact, and Payee Information: 1. The name, address, and telephone number of the contract manager for the Alliance for this contract is: Steven Weisberg, M.S. 9500 S. Dadeland Boulevard, Suite 400 Miami, Florida 33156 305-670-6500 2. The name, address, and telephone number of the representative of the recipient responsible for administration of the program under this contract is: Louis LaTorre Gato Building - 1100 Simonton Street Key West, Florida 33040 (305) 292-4573 3, In the event different representatives are designated by either party after execution of this contract, notice of the name and address of the new representative will be rendered in writing to the other party and said notification attached to originals of this contract. 4. The name (recipient name as shown on page 1 of this contract) and mailing address of the official payee to whom the payment shall be made: Monroe County Board of Commissioners Gato Building - 1100 Simonton Street Key West, Florida 33040 , 2 12/01 Contract Number AA-329 IN WITNESS THEREOF, the parties hereto have caused this 12 page contract to be executed by their undersigned officials as duly authorized. RECIPIENT: MONROE COUNTY BOARD OF COMMISSIONERS ALLIANCE FOR AGING, INC. BOARD PRESIDENT OR AUTHORIZED DESIGNEE SIGNED BY: SIGNED BY: NAME: NAME: STEVEN WEISBERG, M.S. TITLE: TITLE: PRESIDENT/CEO DATE: DATE: FEDERAL 10 NUMBER: RECIPIENT FISCAL YEAR END DATE: 59-6000749 09/30 3 12/01 Contract Number AA-329 ATTACHMENT I OLDER AMERICANS ACT I. STATEMENT OF PURPOSE The Older Americans Act (OM) Program is a federal program which provides assistance to older persons and caregivers II. SERVICES TO BE PROVIDED A. Services: The recipient's service application for the calendar year 2003, and any revisio~s thereto approved by the Alliance and located in the contract manager's file, are incorporated by reference in this contract between the Alliance and the recipient and prescribe the manner in which the recipient will meet the requirements of the Older Americans Act as amended in 2000. B. Manner of Service Provision: The services will be provided in a manner consistent with and described in the recipient's service provider application for the calendar year 2003, the draft Department of Elder Affairs Client Services Manual dated 12/98, the Department of Elder A.ffairs National Family Caregiver Support Program Guidelines, and the Department of Health and Human Services, Office of Assistant Secretary, Administration on Aging, Program Instruction, AoA,-PI-Ol-02, In the event the manual or guidelines are revised, such revision will automatically be incorporated into the contract and the recipient will be given a copy of the revisions. The recipient agrees to perform the services of this contract in accordance with all federal, state, and local laws, rules, regulations and policies that pertain to Older Americans Act funds. III. METHOD OF PAYMENT A. The method of payment in this contract includes advances and fixed rate for all other services. The recipient must ensure all costs and fixed rates include only those costs which are in accordance with all applicable state and federal statutes and regulations and are based on historical costs and audited historical costs when applicable. Payment shall be on an advance basis in accordance with the draft Department of Elder Affairs Client Services Manual dated 12/98 and ATTACHMENT II. All requests for payment and expenditure reports submitted to support requests for payment shall be on DOEA forms 106A and 105A B. The recipient shall maintain documentation to support payment requests which shall be available to the Alliance, Department of Elder Affairs staff or the Comptroller for the State of Florida upon request. C. The due date for the request for payment and expenditure reports shall be on the 5th day of the month following the month being reported. D. The Alliance shall make payment to the recipient for a total dollar amount not to exceed $503,061.00, subject to the availability of funds. Rates listed in Paragraph E are the Alliance's share not to exceed 90% of the gross cost per unit of service, 4 12/01 Contract Number AA-329 E. The Alliance shall make payment to the recipient for provision of services up to a maximum number of units of service and at the rate(s) stated below: Service to be Unit of Unit Maximum Maximum Provided Service Rate Units Dollars Homemaker 1 hour 27.700448 1,115 S30,886 Personal Care 1 hour 54.372307 1,300 S70,684 Recreation 1 client hour 8.43 1,000 S8,430 Congregate Meals 1 meal 8.869302 17,705 S157,031 Nutrition Education (C-1) Episode 27442857 7 S1,921 Home Delivered Meals 1 meal 6.674902 27,481 S183,433 Nutrition Education (C-2) Episode 683,50 2 S1,367 In-Home Respite (3E) 1 hour 22,6559 991 S22,452 Facility Respite (3EO 1 hour 9.253333 1.200 S 11, 1 04 Consumable Med. Supplies Episode TBA TBA S15,753 F. If applicable, recipient will implement a Modified Spending Authority for these services, WITHIN THE RESPECTIVE TITLES, with the exception of Screening and Assessment. Provider projects a number of units of service and amount of funds per service and determines a rate of service, These figures are only a projection, with the exception of Screening and Assessment. recipient is to provide service based on consumer's service plans and will not be restricted to providing the services as projected, Additional budget revisions/contract amendments will not be required to move funding among these services, with the exception of Screening and Assessment. Total Contract Amount cannot be exceeded. G. The recipient may request a monthly advance for each of the first two months of the contract period, based on immediate anticipated cash needs. Detailed documentation justifying cash needs for advances must be submitted with the signed contract, approved by the Alliance, and maintained in the contrad manager's file. For profit organizations cannot receive advance funds, All payment requests for the third through the twelfth months shall be based on the submission of monthly actual expenditure reports beginning with the first month of the contract. The schedule for submission of invoices is ATTACHMENT II to this contract. Reconciliation and recouping of advances made under this contract are to be completed by the time the final payment is made. All payments are subject to the availability of funds. H. A final receipt and expenditure report (closeout report) will be forvvarded to the Alliance within sixty (60) days after the contract ends or is terminated All monies which have been paid to the recipient and not used to retire outstanding obligations of the contract being closed out must be refunded to the Alliance along with the final receipt and expenditure report I. Any payment due by the Alliance under the terms of this contract may be withheld pending the receipt and approval by the Alliance at' all fina~cial and programmatic reports due from the recipient and any adjustments thereto, including any disallowance not resolved as outlined in Section 1.1. of the Master Agreement. 5 12/01 Contract Number AA-329 J. The recipient agrees to implement the distribution of funds as detailed in the service application and the Budget Summary, ATTACHMENT III to this contract. Any changes in the amounts of federal funds identified on the Budget Summary form require a contract amendment. K. Financial Reports: The recipient agrees to provide an accurate, complete and current disclosure of the financial results of this contract as follows: I. To submit all requests for payment and expenditure reports according to the format, schedule and requirements specified in ATTACHMENT I . 2. The completed manual units of service portions of the Older Americans Act Annual Report, if applicable, are due to the contract manager on the date established by the Alliance. The Department of Elder Affairs will obtain the remaining Report sections from the Consumer Information, Registration and Tracking System (CIRTS). IV. SPECIAL PROVISIONS A. Match The recipient will assure a match requirement of at least 10 percent of the cost for all services funded through this contract. The recipient's match will be made in the form of cash and/or inkind resources, At the end of the contract period, all Older Americans Act funds expended must be properly matched. B. Consumer Contributions and Co-payments for Services (1) The recipient assures compliance with Section 315 of the Older Americans Act as amended in 2000, in regard to consumer contributions. For services not paid for with Older Americans Act funds, subrecipients may charge co-payments to those persons able to pay part or all of the cost of services, (2) Voluntary contributions are not to be used for cost sharing or matching. (3) Accumulated voluntary contributions are to be used prior to requesting Federal reimbursement. (4) Voluntary contributions and related interest earned are program income and must be used to expand services. C. Title III Funds The recipient assures compliance with Section 306 of the Older Americans Act as amended in 2000, that funds received under Title III will not be used to pay any parI of a cost (including an administrative cost) incurred by the recipient to carry out a contract or commercial relationship that is not carried out to implement Title Ill. D. Carry Forvvard Funds Carry forvvard funds must be identified on the computation of carry forward report submitted with the closeout report and requests for award of carry forward funds must be justified by the recipient and approved by the department. All OAA carry forward funds must be budgeted in the same title as originally awarded, 6 1 2/01 Contract Number AA-329 E. Prioritization for Service Delivery The recipient shall develop and implement policies and procedures consistent with Older Americans Act targeting criteria. F. Information and Referral The recipient agrees to adhere to the Standards for Professional Information & Referral, ATTACHMENT IV to this contract. The basis of these standards are those found in the standards published by the Alliance for Information & Referral Systems (AIRS), copyright 2000, and amended by the Department of Elder Affairs to meet the unique needs of the Elder Helpline system, G. Service Cost Reports: The recipient will submit semi-annual service cost reports which reflect actual costs of providing each service by program. This report provides information for planning and negotiating unit rates. H. Caregiver Forums The recipient will collaborate with the Alliance in supporting a Statewide Caregiver Forum coordinated by the Department of Elder Affairs. The Alliance will sponsor the attendance of a minimum of ten caregivers and contribute $1,000.00 toward the expense of speakers and miscellaneous training expenses using contract funds. Sponsorship of caregivers includes providing funds for all expenses related to caregivers attending this event; to include registration, travel, and local respite services. Recipients are also encouraged to help the Alliance plan and conduct local caregiver forums utilizing Title III-E funds. Caregiver Forums are defined in the Department of Elder Affairs Title III-E National Family Caregiver Support Guidelines. 7 Report Number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Legend: Note # 1: Note # 2: 12/01 Contract Number AA-329 ATTACHMENT II CONTRACT REPORT CALENDAR ADVANCE BASIS CONTRACT TITLE III Month Submit to Alliance on This Date Based On January . February March April May June July August September October November December Advance* Advance* January Expenditure Report February Expenditure Report March Expenditure Report April Expenditure Report May Expenditure Report June Expenditure Report July Expenditure Report August Expenditure Report September Expenditure Report October Expenditure Report November Expenditure Report December Expenditure Report Final Payment Request Closeout Package January 1 January 1 February 5 March 5 April 5 May 5 June 5 July 5 August 5 September 5 October 5 November 5 December 5 January 5 February 14 February 29 Advance based on projected cash need. Submission of expenditure reports mayor may not generate a payment request. If final expenditure report reflects funds due back to the Alliance, payment is to accompany the report. Reports #1 and #2 for Advance Basis Contracts cannot be submitted to the Alliance until the contract with the Alliance has been executed. The last two months of the recipient's fiscal reports covering actual expenditures shall reflect an adjustment repaying advances for the first two months of the contract, if advances have not been recouped. 8 1 2/01 Contract Number AA-329 ATTACHMENT III BUDGET SUMMARY 2003 OAA BUDGET SUMMARY Recipient: Monroe County Board of Commissioners Contract No. AA-329 Distribution of Award by Title Title 111-8 Federal Share $110,000 Title III C-1 $158,952 Title III C-2 $184,300 Title III-E S49,309 Title III-F so TOTAL FEDERAL AMOUNT S503,061 9 12/01 Contract Number AA-329 ATTACHMENT IV OLDER AMERICANS ACT PROGRAM SUMMARY OF STANDARDS FOR PROFESSIONAL INFORMATION & REFERRAL I. SERVICE DELIVERY Standard 1: Information Provision The Information and Referral (I & R) service shall provide information to the inquirer in response to a direct request for such information, Information can range from a limited response (such as organization=s name, telephone number, and address) to detailed data about community service sy"stems (such as explaining how a group intake system works for a particular agency), agency policies, and procedures for application. Every call, including information only calls, shall be documented. Documentation shall include the type of information requested and the action taken. Standard 2: Referral Provision The I & R service shall provide information and referral services in which the inquirer has one-to-one contact with an I & R specialist. The referral process consists of assessing the needs of the inquirer, identifying appropriate resources, assessing appropriate response modes, indicating organizations capable of meeting those needs, providing enough information about each organization to help inquirers make an informed choice, helping inquirers for whom services are unavailable by locating alternative resources, and, actively participating in linking the inquirer to needed services. Follow-up is required for each referral. The referral cannot be counted until follow-up is complete. Standard 3: Advocacy/lntervention The I & R service shall offer advocacy to ensure that people receive the benefits and services to which they are entitled and that organizations within the established service delivery system meet the collective needs of the community. For purposes of these standards, "Advocacy" does not include legislative advocacy (lobbying). All advocacy efforts shall be consistent with policies established by the governing body of the I & R service and shall proceed only with the permission of the inquirer, Standard 4: Follow- Up Follow-up on referrals must be completed within 10 calendar days either by telephone or visit, to determine that services are being provided and that the person or caregiver is satisfied with the services as provided unless a crisis situation suggest more immediate follow-up II. RESOURCE DATABASE Standard 5: Inclusion/ Exclusion Criteria The I & R service shall develop criteria for the inclusion or exclusion of agencies and programs in the resource database. These criteria shall be uniformly applied and published so that staff and the public will be aware of the scope and limitations of the database. Standards 6: Data Elements 10 12/01 Contract Number AA-329 A standardized profile shall be developed for each county's organization within the planning and service area The database shall include a providers legal name, common name and acronym, address (mailing and physical location) telephone number(s) and a description of services, Standard 7: Indexing the Resource Database! Search Methods Information in the resource database shall be indexed and accessible in ways that support the I & R process. Standard 8: Database Maintenance The resource database shall be updated through continuous revision or at intervals .::;ufficiently frequent to ensure accuracy of information and comprehensiveness of its contents. III. REPORTS AND MEASURE Standard 9: Inauirer Data Collection The I & R service shall establish and use a system for collecting and organizing inquirer data which facilitates appropriate referrals and provides a basis for describing requests for service, identifying service gaps and overlaps, assisting with needs assessments, supporting the development of products, identifying issues for staff training and facilitating the development of the resource information system. Inquirer data includes information gathered during follow-up as well as that acquired during the original contact. Standard 10: Data Analvsis and Reporting The I & R service shall develop reports using inquirer data and/or data from the resource database to support community planning activities (or planning at other levels), internal analysis and advocacy. If requested, data will made i:3vailable to the Department of Elder Affairs. IV. COOPERATIVE RELATIONSHIPS Standard 11: Cooperative Relationships within the Local I & R Svstem In communities which have a multiplicity of comprehensive and specialized I & R providers, the I & R service shall develop cooperative working relationships to build a coordinated I & R system which ensures broad access to information and referral services, maximizes the utilization of existing I & R resources, avoids duplication of effort and encourages seamless access to community resource information. I & R services within the system may choose to be Afull service@ programs performing all necessary I & R functions within their designated service area; or may prefer to partner with one or more I & R services to share those functions. (e.g., one I & R service might build and maintain the resource database and another might assume responsibility for service delivery) Standard 12: Cooperative relationships within the Local Service Delivery Svstem The I & R service shall strive to develop cooperative working relationships with local service providers to build an integrated service delivery system which ensures broad access to community services, maximizes 11