Item C33BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 8-20-2008 Division: Community Services
Bulk Item: Yes X No Department: In -Home & Nutrition Services
Staff Contact Person: Sheryl Graham X4592
AGENDA ITEM WORDING: Approval of Amendment 003 to the Older Americans Act (OAA)
Contract #AA-829 (1-1-08-12/31/08) between the Alliance for Aging, Inc. (Area Agency on Aging for
Miami -Dade and Monroe Counties) and the Monroe County Board of County
Commissioners(Community Services/In-Home and Nutrition Services).
ITEM BACKGROUND: Approval of this amendment is to increase Title III-E funding by $2,455.00.
The purpose of the additional funding is to serve Facility Respite consumers only and is not subject to
the Modified Spending Authority.
PREVIOUS RELEVANT BOCC ACTION: Prior approval granted to Amendment 001 to the Older
Americans Act (OAA) Contract #AA-829 by the Deputy County Administrator Debbie Frederick on 2-
27-08.
CONTRACT/AGREEMENT CHANGES: Will increase Title III-E funding by $2,455.00
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $560,882.39
COST TO COUNTY: $46,311.39 - Required
BUDGETED: Yes X No
SOURCE OF FUNDS: Ad Valorem Taxes
REVENUE PRODUCING: Yes X No AMOUNT PER MONTH apnr. $1.583.00
Year approx $18,996.00_
APPROVED BY: County Atty X OMB/Purchasing X Risk Management _X_
DOCUMENTATION: Included X Not Required
DISPOSITION: AGENDA ITEM #3�
Revised 8/06
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: Alliance For Aging, Inc.
Contract # Amendment #003 for
Contract #AA-829
Effective Date: l/1/2008
Expiration Date: 12/31/2008
Contract Purpose/Description: Approval of Amendment #003 to the OAA Contract #AA-829, (1/1/08-12/31/08)
between the Alliance for Aging, Inc. (Area Agency on Aging for Miami -Dade and Monroe Counties) and the
Monroe County Board of County Commissioners (Community Services/In-Home and Nutrition programs) to
increase Title III-E funding by $2,455.00
Contract Manager: Sheryl Graham 4592 Community Services/Stop I
(Name) xt.) (Department/Stop #)
For BOCC meeting on 8/20/08 Agenda Deadline: 8/5/08
COSTS
Total Dollar Value of Contract: (extension) $560,882.39 Current Year Portion: $
Budgeted? Yes X No Account Codes:
Grant: $ 514,571.00
County Match: $46,311.39
ADDITIONAL COSTS
Estimated Ongoing Costs: $ /yr For:
Date In
Division Director '94dG
Manageent� � -1� v
1
O.M.B./Purc as ng
County Attorney
Comments:
CONTRACT REVIEW
Changes Date Out
Needed evie er
Yes No' / �J
�TRisk
Yes �Io
Yes N / 1S
Yes No Q F
Olvirs Form Revised 2/27/01 MCP #2
Amendment 003 CONTRACT AA-829 Page 1
THIS AMENDMENT is entered into between the Alliance for Aging, Inc. hereinafter referred
to as the "Alliance", and Monroe County Social Services.
The purpose of this amendment is to increase Title IIIE by $ 2,455. The purpose of the
additional funding is to serve Facility Respite consumers only and is not subject to the
Modified Spending Authority.
The Budget Summary by Title is as follows:
Title III B (CFDA/CSFA # 93.044): $ 109,569
Title C1 (CFDA/CSFA # 93.045): $ 148,600
Title C2 (CFDA/CSFA # 93.045): $ 199,842
Title III E (CFDA/CSFA # 93.052): $ 56,560
1. 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(s) to be Provided
Service
Unit Rate
Maximum
Units of
Service
Maximum
Dollars
Homemaker
$34.29
1,734
$59,459
Personal Care
$40.07
1,130
$45,274
Screening & Assessment IIIB
$42.05
115
$4,836
Congregate Meals
$9.56
15,304
$146,311
Nutrition Education C1
$381.45
6
$2,289
Home Delivered Meals
$6.13
32,485
$199,078
Nutrition Education C2
$382.05
2
$764
Facility Respite
$10.34
5,470
$56,560
Total Contract
$514,571
This amendment shall begin on January 1, 2008 or the date it has been signed by both
parties, whichever is earlier.
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.
WHEREOF, the parties hereto have caused this amendment to be executed by their
officials as duly authorized.
Monroe County Social
Services
SIGNED BY:
NAME:
TITLE:
DATE:
SIGNED BY:
NAME:
TITLE:
DATE:
ALLIANCE FOR AGING, INC.
Max B. Rothman, JD, LL.M.
President & CEO
Amendment 001 0 CONTRACT AA-829
Page 1
THIS AMENDMENT is entered into between the Alliance for Aging, Inc. hereinafter referred
to as the "Alliance", and Monroe County Social Services.
The purpose of this amendment is to change the maximum units of services and service unit
rate under contract Total contract amount $ 512,116.
The Budget Summary by Title Is as follows:
Title III B (CFDAICSFA # 93.044): $109,669
Title C1 (CFDAICSFA # 93.045): $148,600
Title C2 (CFDAICSFA # 93.045): $ 199,842
Title III E (CFDAICSFA 0 93.052): $ 54,105
1. 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:
4
Service(s) to be Provided
Service
Maximum Maximum
Units of
Unit Rate
Service Dollars
Homemaker
$34.29
1 734 $59 459
Personal Caro
$40.07
1,130 $45,274
Screening& Assessment IIIB
$42.05
115 $4,836
Congregate Meals
$9.56
15,304 $146,311
Nutrition Education C 1
$381.45
8 $2 289
11
Home Delivered Meals
W.13
32.485 1199,078
Nutrition Education C2 1
$382.05 1
2 1 $784
Facility Respite
$10.34
5,233 $54 105
Total Contract
$612,116
This amendment shall begin on January 1, 2008 or the date it has been signed by both
parties, whichever is earlier.
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 amendment to be executed by their
undersigned officials as duly authorized.
SIGNED BY:
NAME:
TITLE:
DATE:
Monroe County Social
(!::K
SIGNED BY:
Debbie Frederick, CPM
Acting County Administrator
al IOY
NAME:
TITLE:
ALLIANCE FOR AGING, INC.
President & CEO
DATE: e0--
CONTRACT AA-829
Page 1
THIS AGREEMENT is entered into between the Alliance for Aging, Inc., hereinafter referred to as the
"Alliance" and Monroe County Social Services, hereinafter referred to as the "contractor." This agreement is
subject to all provisions contained in the MASTER AGREEMENT executed between the Alliance and the
Recipient, Agreement No. PA-729, and its successor, incorporated herein by reference. THIS CONTRACT IS
SUBJECT TO FURTHER MODIFICATION IN ORDER TO INCORPORATE CERTAIN PASS -THROUGH
LANGUAGE REQUIRED BY THE STATE OF FLORIDA DEPARTMENT OF ELDER AFFAIRS. ALL
SUBSEQUENT MODIFICATIONS WILL BE MADE THROUGH AMENDMENTS TO THIS CONTRACT.
Attachment 1(OAA Program) and Attachment II (Report Calendar) are an integral part of this
agreement and Incorporated by reference.
The Budget Summary by Title is as follows:
Title III B (CFDA/CSFA # 93.044): $ 109,569
Title C1 (CFDA/CSFA # 93.045): $ 148,600
Title C2 (CFDA/CSFA # 93.045): $ 199,842
Title III E (CFDA/CSFA # 93.052): $ 54,105
1. 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:
+R
Service(s) to be Provided
Service
Unit Rate
Maximum
Units of
Service
Maximum
Dollars
Homemaker
$33.89
1,849
$62,649
Personal Care
$40.41
1,161
$46,920
Congregate Meals
$9.56
15,225
$145,547
Nutrition Education Cl
$381.63
8
$3,053
Home Delivered Meals
$6.14
32,485
$199,460
Nutrition Education C2
$381.63
1
$382
In Home Respite
$29.81
224
$6,677
FacilityRespite
$9.70
4,889
$47,428
Total Contract
$512,116
This agreement shall begin on January 1, 2008 or the date it has been signed by both parties,
whichever is earlier.
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 amendment Flww bj'th6rr7ORNET
undersigned officials as duly authorized. RAVED Ayfi�
PROVIDER: r-
ncDR?
ASSISTANT "OUNTY ATTORNEY
Monroe County Social ALLIANCE FOR AGINQ iNC. ,
Services
SIGNED BY:/�-
NAME: I'l(dI r
TITLE:
DATE:
SIGNED BY: 14:
NAME: , w-'
Max B. Rothman, J L.
TITLE: President & CEO
DATE: I I ' ,
CONTRACT AA-829 ) Page 2
ATTACHMENT
OLDER AMERICANS ACT PROGRAM
I. STATEMENT OF PURPOSE
The Older Americans Act (OAA) Program is a federal program that provides assistance to older persons
and caregivers.
To enhance the provision of services at the local level, the Department is charged with dividing the state
into distinct planning and service areas (PSAs) and designating an Area Agency on Aging (AAA) for each
of them. The Alliance is responsible for assessing the needs of older persons within PSA-11.
The OAA Program is the only federal supportive services program directed solely toward improving the
lives of older people. The Alliance fosters the development and implementation of comprehensive and
coordinated systems to serve older individuals. Under current law, all service providers funded under part
B of the Act must follow priorities established by the Alliance and approved by the Department of Elder
Affairs for serving the elderly, providing assurances that preference will be given to those with the greatest
economic and social need, with particular attention to low-income minority older individuals residing in
rural areas.
The Older Americans Act provides a framework for a partnership among the different levels of government
and the public and private sectors with a common objective — improving the quality of life for all older
Americans by helping them to remain independent and productive.
H. SERVICES TO BE PROVIDED
A. Services:
The recipient's service application for the calendar year 2008 and any revisions thereto approved by
the Alliance and located in the grant manager's file, are incorporated by reference in this agreement
between the Alliance and the recipient and prescribe the manner in which the recipient will meet the
requirements of the Older Americans Act.
B. Manner and 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 2008, the Department of Elder Affairs Home and
Community -Based Services Handbook dated 1/03, the Department of Elder Affairs 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-0 1 -02. In the event the
manual or guidelines are revised, such revision will automatically be incorporated into the agreement
and the recipient will be given a copy of the revisions. The recipient agrees to perform the services of
the agreement 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 agreement 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. All requests for payment and expenditure reports submitted to
support requests for payment shall be on DOEA forms 106A. 105A and 106E.
CONTRACT AA-829 Page 3
This agreement is subject to those Federal cost principles applicable to the particular organization
concerned [Office of Management and Budget (OMB) circulars A-87, A-122, A-21, 45 CFR part 74,
and 48 CFR part 31 ].
B. The recipient shall maintain documentation to support payment requests which shall be available to
the Alliance, the 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 5 ° day of the month
following the month being reported.
D. The Alliance shall make payment to the recipient for a total dollar amount stated in the contract,
subject to the availability of funds. Unit rates listed in Paragraph E are the Alliance's share not to
exceed 90% of the gross cost per unit of service.
E. If applicable, recipient may implement a Modified Spending Authority for these services, WITHIN
THEIR RESPECTIVE TITLES.
Under this Modified Spending Authority, the total units of service and maximum dollar amount
projected by the recipient and included in the Service Grid may fluctuate based on consumers'
service plans. Additional budget revisions/amendments will not be required in order to move funding
among services within any given funding title, with the exception of Screening/Assessment, Case
Aide, and Case Management. The total agreement amount per funding title cannot be exceeded
without prior approval and an agreement amendment.
F. The recipient may request a monthly advance for each of the first two months of the agreement
period, based on immediate anticipated cash needs. Detailed documentation justifying cash needs for
advances must be submitted with the signed agreement, approved by the Alliance, and maintained in
the grant 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 agreement. The schedule for submission of
invoices is ATTACHMENT II to this agreement. Reconciliation and recouping of advances made
under this agreement are to be completed by the time the final payment is made. All payments are
subject to the availability of funds.
G. A final receipt and expenditure report (closeout report) will be forwarded to the Alliance within sixty
(60) days after the agreement ends or is terminated. All monies which have been paid to the recipient
and not used to retire outstanding obligations of the agreement being closed out must be refunded to
the Alliance along with the final receipt and expenditure report.
H. Interested Earned on General Revenue and Federal Funds: All interest income earned on the advance
of eeneral revenue and federal funds must be separately identified and returned to the Alliance,
together with the payment and expenditure reports. Advances on Federal funds must be maintained
in interest -bearing accounts in accordance with 45 CFR 74.22 (k). Interest amounts earned on
Federal funds up to $250.00 per year may be retained by the recipient for administrative expenses.
I. Any payment due by the Alliance under the terms of this agreement may be withheld pending the
receipt and approval by the Alliance of all financial and programmatic reports due from the recipient
and any adjustments thereto, including any disallowance not resolved as outlined in Section I.T. of
the Master Agreement.
J. The recipient agrees to implement the distribution of funds as detailed in the service application and
the Budget Summary, ATTACHMENT III to this agreement. Any changes in the amounts of
federal funds identified on the Budget Summary form require an agreement amendment.
CONTRACT AA-829 Page 4
K. Financial Reports: The recipient agrees to provide an accurate, complete and current disclosure of the
financial results of this agreement as follows:
1. 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 grant 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 agreement. The recipient's match will be made in the form of cash and/or in -kind
resources. At the end of the agreement 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
2006, in regard to consumer contributions. Recipients may charge co -payments to those persons
able to pay part or all of the cost of services only for services not paid for with Older Americans
Act funds.
2) Voluntary contributions are not to be used for cost sharing or matching. (See Title 45, chapter
XIII, Part 1321.67, CFR.)
3) Accumulated voluntary contributions are to be used prior to requesting Federal reimbursement.
(See Title 45, Chapter XIII, Part 1321.67, CFR.)
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 2006,
that funds received under Title III will not be used to pay any part of a cost (including an
administrative cost) incurred by the recipient to carry out an agreement or commercial relationship
that is not carried out to implement Title III.
D. Prioritization for Service Delivery
The recipient shall develop and implement policies and procedures consistent with Older Americans
Act targeting criteria.
E. 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.
F. Caregiver Forums
CONTRACT AA-829 ) Page 5
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 agreement 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.
CONTRACT AA-829 Page 6
ATTACHMENT II
AGREEMENT REPORT CALENDAR
ADVANCE BASIS AGREEMENT
TITLE III
Lam: * Advance based on projected cash need.
Submission of expenditure reports may or may not generate a payment request. If final
expenditure report reflects funds due back to the Alliance, payment is to accompany the
report.
Note #1: Reports #1 and #2 for Advance Basis Agreements cannot be submitted to the Alliance until
the agreement with the Alliance has been executed.
Note #2: 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 agreement, if advances have
not been recouped.