Item C07 C7
BOARD OF COUNTY COMMISSIONERS
COUNTY of MONROE i Mayor Holly Merrill Raschein,District 5
The Florida Keys Mayor Pro Tern James K.Scholl,District 3
Craig Cates,District 1
Michelle Lincoln,District 2
' David Rice,District 4
Board of County Commissioners Meeting
January 31, 2024
Agenda Item Number: C7
2023-1999
BULK ITEM: Yes DEPARTMENT: Social Services
TIME APPROXIMATE: STAFF CONTACT: Sheryl Graham
N/A
AGENDA ITEM WORDING: Ratification of Older American's Act Standard Grant Contract#AA-
2429 between the Alliance for Aging, Inc., and the Monroe County Board of County
Commissioners/Monroe County Social Services/In-Home Services and Nutrition Programs for the
contract period of 01/01/2024 through 12/31/2024 in the amount of$813,106.76.
ITEM BACKGROUND:
The OAA program's primary purpose is to provide coordinated in-home and supportive systems to older
individuals and their caregivers so they may attain and maintain maximum independence. These life
sustaining services prevent premature nursing home or assisted living placement, and/or death, and
improve the quality of life for older individuals and their family members throughout Monroe County.
PREVIOUS RELEVANT BOCC ACTION:
Amendment#001 to OAA Contract#AA-2329 was BOCC approved on 9/20/2023.
INSURANCE REQUIRED:
No
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
OAA Contract -202 .pdf
BACI,',L7P Part 2
Monroe County AA-2329 AMENDMENT 001 -unsigned REV.pdf
322
FINANCIAL IMPACT:
County Match: 10% Cash Match
323
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ALLIANCE FOR AGING, INC.
STANDARD CONTRACT
OLDER AMERICANS ACT
THIS CONTRACT is entered into between the Alliance for Aging, Inc., hereinafter referred to as the "Alliance," and Monroe
County Board of County (,ornmissioners, Social Services/In-Horne Services, hereinafter referred to as the "Provider", and
collectively referred to as the"Parties." The term contractor for this purpose may designate a vendor, sub-grantee or sub-recipient,
the status to be further identified in ATTACHMENT11, Exhibit-2 as necessary.
WITNESSETUI THAT:
WHEREAS, the Alliance has established through the Area Plan on Aging that it is in need of certain set-vices as described herein;
and
WHEREAS, the Provider has demonstrated that it has the requisite expertise and ability, to faithfully perform such services as ail
independent contractor of the Alliance.
NOWTHLREU'ORE, in consideration of the services to be performed and payments to be made,together with the mutual covenants
and conditions hereinafter set forth,the Parties agree as follows:
I. Purpose of Contract
The purpose of this contract is to provide services in accordance with the'terms and conditions specified in this contract including
all attachments and exhibits,which constitute the contract document.
2. Definitions
ADL—Activities of Daily t.,iving
APS—Adult. Protective Services
ADA—Americans with Disabilities Act
Alliance.--Area Agency on Aging
AP('I,—Assessed Priority Consumer List
CIRTS—("lient hirorination and Registration Tracking System
DOEA—Department of Elder Affairs(The Department)
I&R—Information and Referral
MIDI-,—histrunienlal Activities of Daily I.Jving
MOO—Mernorandkill) or Agreement
NIOU—Memorandum of Understanding
NSIP—Nutritional Services Incentive Program
OAA—Older Americans Act
PSAs—Planning and Service Areas corresponding to Miami-Dade and Monroe COUnfiCS
SPA—Service Provider Application
USDA—United States Department of Agriculture
3. Incorporation of Documents within the Contract
This contract incorporates by reference attachments,proposat(s),Provider's Service Provider Application,and the current DOEA
Prograrns and Services Handbook(the"Handbook"). Any and all contracts or agreements executed between the Provider and the
Alliance during the effective period of this contract shall be governed in accordance with the applicable laws and statutes.
J. Term of C.ontract
This contract shall begin on January 1,2024 or oil the date on which the contract has been signed by the last party required to
sign it, whichever is later. It shall end at midnight, local 'time in Miami, Florida, oil December 31, 2024, unless renewed or
extended as provided herein.
5. Contract Amount
The Alliance agrees to pay for contracted services according to the terms and conditions of this contract in ail amount not to
exceed$813,106.76 Subject to the availability of funds. Any costs or services paid for under air),other contract or from any other
source are not eligible for payment under this contract.
G. Renewals
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By mutual agreement of the parties, tile Alliance may renew the contract for five additional one-year periods. Contingent upon
satisfactory performance evaluations by the Alliance and the availability of funds. Any renewal is subject to the same terms as
the original contract,and any amendments,with the exception of establishing unit rates which is described further in this section.
The original contractual unit rates are set forth in tile bid proposal and reply.
Requests to renegotiate the original contractual established rates are provided for in the Alliance's approved Reimbursement Rate
Review Policy,which is incorporated by reference.
'This contract may be extended LIP011 mutual agreement for one extension period not to exceed six months to ensure continuity of
service. Services provided under this extension will be paid for Out of the succeeding agreement amount.
7. Compliance with Federal Law
7.1 This contract contains federal funds, The following shall apply:
T 1.1. The Provider shall Colilply With tile provisions of 45 CI"R 74 an&or 45 CFR 92,and other applicable regulations,
7.1.2 If this contract contains federal funds and is over $100,000.00, the Provider shall comply, with all applicable
standards,orders,or regulations issued under s. 306 of the Clean Air Act as amended (42 U.S.C. 7401, et secl.), s.
508 of the Federal Water Pollution Control Act as amended (33 U.S.C. 1251, etseq.), Executive Order 11738, as
amended,and where applicable Environmental Protection Agency regulations 40 CFR 30. The Provider shall report
any violations of the above to the Alliance,
7.1.3. The Provider, or agent acting for tile Provider, may not use any federal founds received in connection with this
contract to influence legislation or appropriations pending before the Congress or any State legislature, The Provider
Must complete all disclosure fornis as required,specifically the Certification ofAssurances Attachment,which MUSt
be completed and returned with this signed contract,
TIA, [it accordance with Appendix A to 2 CFR 215, the Provider shall comply with Executive Order- 11246, Equal
Employment OppOr'Wility,as amended by Executive Order H 375 and others, and as supplemented in Department
of Labor regulation 41 CFR 60 and 45 CFR 92, if applicable.
7.1.5. A contract award with an amount expected to equal or exceed $25,000.00 and certain other contract awards shall
not be made to parties listed oil the government-wide Excluded Parties List System, in accordance with the OMB
guidelines at 2 CFR 180 that implement Executive Orders 12549 and 12689, "Debarment and Suspension." The
Excluded Parties List System contains the nanies of parties debarred,suspended,orother-wise excluded by agencies,
as well as pat-ties declared ineligible under staftnOF'v or regulatory authority other-than Executive Order 12549. The
Provider shall comply with these provisions before doing business or entering into subcontracts receiving federal
funds PlArSUMn to this contract. 'The Provider shall complete and sign the Certification and Assurances Attachment
prior to execution of this contract.
7.2, 'File Provider shall not employ all unauthorized alien. The Alliance shall consider-the employment of unaLithorized aliens
a violation ofthe Immigration and Nationality Act(8 U. S.C. 1324 a)and the Immigration Reform and Control Act of 1986
(8 U.S.C. I 10 1). Such violation shall be cause for Lluilateral cancellation of this contract by the Alliance.
73. If the Provider is a non-profit provider and is Subject to Internal Revenue Service(IRS)tax exempt organization reporting
requirements(filing a Form 990 or Form 990-N)and has its tax exempt status revoked for failing to comply with tile filing
requirements of the 2006 Pension Protection Act or for any other reason, the Provider- must notify the Alliance in writing
within thirty (3)0)days of receiving the IRS notice of revocation.
7.4. The Provider shall coniply,with Title 2 CFR Part 175 regarding Trafficking in Persons.
7.5. Unless exempt under 2 CFR["art 170.1 1 0(b),the Provider shall comply with the reporting requirements of the Transparency
Act as expressed in 2 CFR 170.
T6. To comply with Presidential Executive Order 12989 and State of Florida Executive Order NUmber I 1-116,
Provider- agrees to Utilize the U.S. Department of Homeland Security's E-verify system to verify the employment of all
new employees hired by Provider during the contract term. Provider shall include in related subcontracts, a requirement
that subcontractors and/or vendors performing work or providing services pursuant to the state contract uti line the E-verify
system to verify employment of all new employees hired by the subcontractor ariclJor, vendor during tile contract term.
Providers meeting the terns and conditions of tile E-Verify System are deemed to be in compliance with this provision.
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8. Compliance with State Law
8.1. This contract is executed and entered into in the State of Florida, and shall be construed, performed and enforced in all
respects in accordance with the Florida law, including Florida provisions for conflict of laws.
8.2. The Provider shall comply with the requirements of s. 287.058,Florida Statutes("F.S.")as amended.
8.2.1. The Provider shall provide units of deliverables, including reporting, findings, and drafts, as specified in this
contract,which the Contract Manager must receive and accept in writing prior to payment.
8.22. 1 he Ilrovidcr whall compl), a%i1h the criteria al)d knal LIMC 11) %N,hiCh SUCh CIJICI-id 1111LISI hQ 11M f01-0:11111)iclion
of 1his colltract as spccifjed in A I YACI INII-IN I 1. SecOori 11l, Method of Ila vinent.
8.2.1. The Provider shall submit hills for fees or other compensation for services or expenses in sufficient detail for a
proper pre-audit and post,audit.
8.2.4. If itemized payment for travel expenses is pennitted in this contract, the Provider will Submit bills for any travel
expenses in accordance with s. 112.061,F.S.,or at Such lower rates as may be provided in this contract.
8.2.5. The Provider shall allow public access to all documents, papers, letters, or other public records as defined in
subsection 119.011(12), F.S., made or received by the Provider in conjunction with this contract except to]- those
records which are made:confidential or exempt by law. The Provider's refusal to comply with this provision shall
Constitute an immediate breach of contract for which the Alliance may unilaterally terminate the contract.
8.3 1 f clients are to be transported under this,contract,the Provider shall comply with th the provisions o f C hapte r 427,F.S., and
Rule 4 1-2,Florida Administrative Code("F.A. C."),
8A. Subcontractors and/or vendors who are on the discriminatory vendor list may not transact business with any public entity,
in accordance with the provisions of s.287.1'14,F.S.
8.5. The Provider will comply with the provisions of s. 11.062, F,S., and s. 216.347, F.S., which prohibit the expenditure of
contract funds for the purpose of lobbying the legislature, judicial branch or a state agency.
8.6. In accordance with Section 287.1 15 F.S.,any Contractor oil the Scrutinized Companies with Activities in Sudan List,the
Scrutinized Companies with Activities in the Iran Petroleum Energy Sector lAst, or tile Scrutinized Companies that
Boycott Israel List (Lists), created pursuant to Section 215,473 F.S. and 2 15,4725, F.S., or is engage(] in a boycott of
Israel, or is engaged in business operations in Cuba or Syria, is ineligible to enter into or renew a contract with tile
Department for goods or services of$1,00Cf,000 01'more. pursuant to Section 287.135 F.S.,tile Alliance may terminate
this contract if the Provider is found to have subin itted a false certification of its,status oil the lists or has been placed oil
the Lists or is engaged in a boycott of Israel or has been engaged ill business operations in Cuba or Syria. Further, the
Provider is subject to civil penalties, attorney's fees, and costs and any costs for investigations that led to the finding of
false certification. The Provider shall complete and sign the Certirications and Assurances Attachment, prior to tile
execution of this contract.
9. Background Screening
9.1. The Provider shall comply with and ensure subcontractors are in compliance with the requirements of s. 430.0402 and
Chapter 435, F.S.,as amended, regarding background screening for all Persons who meet the definition of a direct service
provider and who are not exempt from the Department's level 2 background screening pursuant to s.430.0402(2)-(3), F.S.
The Provider must also comply with any applicable rules proinulgated by the Department and the Agency for Health('are
Administration regarding implementation of s. 430.0402 and Chapter 435, F.S.
9.2. Further information concerning the procedures for background screening is found at
1,gc
9.3. Background Screening Affidavit of Compliance-To demonstrate compliance with this contract,the Provider shall submit
ATTACHMENT D, Background Screening Affidavit of Compliance annually,by January 15th.
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11 GHevmwe Procedures
The Provider shall omply with and ensure subcontractor and/or wridws compliance with the I'dirliolUrn Wdelrines for Recipient
Grievance Procedures, Appendix Et of the Handbook,to address complaints regarding the termination. suspension or reduction
of services,as required for receipt of ffinds.
10A. Complaint Procedures
`Re Provider shall develop and iniplerrunit complaint pnoWn-es and ensure that Subcontractors and/or vendors develop
and implement complaint procedures to process and resolve client dissatisfaction with services.Complaint procedures shall
address the qu,aWy and timeliness of services, provider and direct service worker complaints,or any other advice related
to complaints other than termination,suspension or reduction in services that require Me grievance process as described its
Appendix Q of the Handbook.The coniplAnt procedures shall include notification W adl clients oNhe complaint procedure
and include tracking the date, nature oNonVNKQ the determination of each complaint, and the follow-up with be client
to ensure satisfaction with the resolution
11. Public Records and Retention
I IA. H) execution oF 0 is cormoct, ProvWcr agmes to oil paoVisons, ol,(1wpicl, 1 19, I"S.. and ally olhcr applicable
Inw, and Shail:
I I.I.I.Keep ',ifld ruJilltdill Ill.JbijC °eaku�cl required by tits! Department to perl,or Ill the Coillracled services.
I I J.2, I,ipon requcQ Ann the Alliance (w the DuparnnoWs custodian of plihili"vmW plawide Kc A H Owe or We
Department a eopy of the lr"pwsled records or ahow the reowds k) lac Wricoed or copid m ithirt Qa
reawmahic little ill a Cost thrit LIOCS not exceed the cost provided in Chapter I IQ. F K or as of erwise
prow %l by Iaw.
I L I A IANWO Wt pWWW r"ords W am exenMt or cmiAdcritird and cNonim. Amp pKAR rccoMs dkdwurdt
I n C t I L I j r e,I 11 e 111; are not &,,)oAoscd exconpi as aulhori/Q I lay IaN% for the daratioll of the contra(:t tvrn) and
wwwo, cm,imetion or cc cmonct it we low icier Aws mx nwistei tile records taro the Alliance or We
INTartmers
I LIA. l"on co,nouthm oflecorinaci-dw provider ill cithertriinsfen al nowst tothe Allincoall public record,,
in pinsuishm orn, ProvWer"w mill keep and maintain public records required 11) kite Department II'dic
provider lininsCers all puhhe records to the Lkpaomem upon completion of the contract, Prvoidor shall
d,.siro) any duplicate public r"oWS Owl arecumpt. or corinderlial and C\clrlpt, front public records
diSCIOSUre rCLILlircinents. it the provider keeps and pUhhC reCORIS Upon COIIII)ICOOH Of the
cmaun Ow Pmvider shall rneet nil appikable requNmerms IN retaining pWAc Nogd, All record"kwed,
electronically nitist he proNided ur the Depallineul in a forinal that is CompulibIC Nwnh the rrrforjila6oll
lechncdo,gy systems ofthe Department.
112. 1 he Alliance may uni[melv!V cmul this unilins. mqm idwanding any Wer pm,65m of this corltruL hr NNsal
by the provider to comply Wh A I I WMWNT I oFMis contancl b; not aWmIT pAdic mews to all &wmwnts
papers leuers.or other Melia! made or received by Me Pasilm in cotijuilctidol wkh dais oviona Key We Nowds
are cxem,orconfidential and exemi-A. RDm z 20M A Aoicle I of the Suite Constitution and s. I 19,07(l y KS,
IF THE PROVIDER HAS QUESTIONS RE]GAIII)ING T11E APPIACATION OF CHAPTER 119, FLORIDA
SLATCIU:S, TO 'IME PROUDER'S DU11 11) INIZONIDE VIMIAC' RECOW)S RELATINC TO U111S
(UNrRA(-14('ONTACT TIA E CVSTODIAN OFN BLIC REcORDS aY
Public Reconk (Wolindinawr
Florida Department of Elder Affairs
4040 Esplanade Way
,Tallahassee, Floridan 32399
8SO-414-2342
iLdis al uL)I kmumls,�iullu aIL!iu—m m,,
12. Audits, Inspections, Investigations, Public Records and Retention
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12,1. 'File Provider shall establish and maintain books, records,and documents(irChiding electronic storage media)
sufficient to reflect all assets,obligations, unobligated balances, income, interest and expenditures of funds
provided by the Alliance Linder this contract. Provider shall adequately safeguard all such assets and assure they are Used
solely for the purposes authorized under this contract, Whenever appropriate, financial information should be related to
performance and Unit cost data.
12.2, 'file Provider shall retain all client records, financial records, supporting documents, statistical records, and any other
documents (including electronic storage media) pertinent to this contract for a period of six (6)years after completion of
the contract or longer when required by law. ]it the event all audit is required by this contract,records shall be retained for
a tuininIUM period of six(6)years after the audit report is issued or until resolution of any audit findings or litigation based
on the terms of this contract,at no additional cost to the Alliance.
123. Upon demand, at no additional cost to the Alliance,the Provider will facilitate the duplication and transfer of any records
or documents during the required retention period in Paragraph 12.2,
12 A. 'File Provider shall assure that the records described ill this section shall be subject at all reasonable times to inspection,
review, copying,or audit by Federal, State,or other personnel duly authorized by tie Alliance.
115, At all reasonable times for as long as records are maintained, persons duly authorized by the Alliance, DOEA and Federal
auditors,pursuant to 45(17R Part 75,shall be allowed full access to and the right to examine any ofthe Provider's contracts
and related records and docturients pertinent to this specific contract, regardless of the form in which kept.
116. The Provider shall provide as financial and compliance audit to the Alliance as specified in this contract and ensure that all
related third-party transactions are disclosed to the auditor.
12,7, The Provider shall comply and cooperate immediately with any inspections, reviews, investigations, of,audits deemed
necessary by the office of the DOEA's Inspector General pursuant to s.20.055,F.S. Provider I'Lirlher a,�,rees th,,a if 4wH
hICIUde ill k:k1lC(] SUhC0llil'dCtS at that SU11COWNICIMS ',111d or kCMIOP, j)Qff(WllliJlQ of
services pllr"ualll to this contract to cooperate wiOi the in am, illvcsliawlioll, audll,
hl',,pcQfiol1. pklrsu wl law ,. 20,055(5), [,S. 11% CXCLJ16011 OfthiS COWNICt 11W PFOVider understands
and %kill collfpl\ %61h this subscc(iofl.
13. Nondiscrimination-Civil Rights Compliance
13,1 'file Provider shall execute assurances in ATTACHMENT V1 that it will not discriminate against any pet-soil in the
provision of services or benefits under this contract of- in employment because of age, race, religion, color, disability,
national origin,marital status Or Sex in compliance with state and federal law and regulations. The Provider further assures
that all contractors, Subcontractors, vendors, sub-grantees,or others with whom it arranges to provide services of-benefits
in connection with any of its programs and activities are not discriminating against clients,of-employees because of age,
race,religion, color, disability, national origin, marital status or sex.
112 During the term of this contract,the Provider shall complete and retain on file a timely,complete and accurate Civil Rights
Compliance Checklist attached to this contract.
1 3.3 The Provider shall establish procedures Pursuant to federal law to handle complaints or discrimination involving services
or benefits through this contract. These procedures will include notifying clients,employees,and participants of tile right
to file a complaint with the appropriate federal or state entity.
13.4 If this contract contains federal funds, these assurances are a condition of continued receipt of or benefit from federal
financial assistance, and are binding upon the Provider, its Successors, transferees, and assignees for file period during
which such assistance is provided. The Provider further assures that all subcontractors, vendors, or others with whom it
arranges to provide services or benefits to,participants or employees in connection with any of its programs and activities
are not discriminating against those participants or employees in violation of the above statutes, regulations, guidelines,
and standards. Ill the event of failure to comply, the Provider understands that the Alliance may, at its discretion, seek a
court order requiring compliance with the terms of this assurance or seek other appropriatejudicial or administrative relief,
including but not limited to,termination of and denial of further assistance.
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14. Provision of Set-vices
'Tile Provider shall provide the services referred to in AT"FACHNIENT VH it) the manner described in the Handbook and the
procurement documents leading to this contract. In tile event of a conflict between the Service Provider Application and this
contract, the contract language prevails.
15. Monitoring by the Alliance for Aging
15.1 The Provider shall permit persons duly authorized by [lie Alliance to inspect and copy any records, papers., documents, facilities,
goods and services of the Provider which are relevant to this contract, and to intervie-w any clients, employees and
subcontractor employees of the Provider to assure the Alliance of the satisfactory performarice of the terms and
conditions of this contract. Following such review, the Alliance will provide a written report of its findings to tile
Provider, and where appropriate, the Provider shall develop a Corrective Action Pian (CAP). The Provider hereby
agrees to correct all deficiencies identified in the CAP in a timely manner as determined by the Contract Manager.
F'ailure to comply with the CAP shall subject Provider to enforcement actions as described in this Contract.
15.2 The Alliance will perform administrative, fiscal, and programmatic monitoring of the Provider to ensure contractual
compliance, fiscal accountability, programmatic performance, and compliance with applicable state and federal laws
and regulations. The Provider will supply progress reports, including data reporting requirements as specified by the
Alliance or the Department to be used for monitoring progress or performance of the contraCtUNII services. Examples of
review criteria are surplus/deficit reports, independent audits, internal controls,reimbursement requests,subcontractor
monitoring, targeting, program eligibility, OUtCORIC measures, Service provision to clients, data integrity, client
satisfaction,and client file reviews,
16. Service( ost Reports(SCR)
The Provider shall Submit a SCR to the Alliance annually, but 110 later than ninety,(90)calendar days after tile Provider, Fiscal
Year ends. The SCR shall reflect tile actual costs of providing each service by program for the preceding contract year. Costs
associated with services provided under this contract shall only include allowable direct and indirect costs as defined by
applicable state law. If the Provider desires to renegotiate its reimbursement rates,the Provider shall make a request in writing
to the Alliance,with the inclusion of a Unit Cost Methodology, in accordance with the Alliance's approved Reimbursement
Rate Review Policy, which is incorporated by reference.
17. Coordinated Monitoring with Other Agencies
If the Provider receives funding fi-orn one or more ofthe State of Florida human service agencies, in addition to Alliance funding,
then as joint monitoring visit including Site]]other agencies may be scheduled. For the purposes of this contract,and pursuant to s.
287.0575, F.S. as amended, Florida's human service agencies shall include the Department of Children and Families, the
Department of Health,the Agency for Persons with Disabilities,the Department of Veterans Affairs,and the Department ofElder
Affairs. Upon notification and the subsequent scheduling of such a visit by the designated agency's lead administrative
coordinator, the Provider shall comply and cooperate with all monitors, inspectors, and/or investigators.
17.1 New Contract(s)Reporting:
The Provider shall notify the Alliance within ten(10)clays of entering into a new contract with any other state hurnan service
agency. The notification shall include the following inforniatiow (1)contracting state agency and the applicable office or
prograrn issuing the contract; (2) contract name and number; (3) contract start and end dates; (4) contract amount; (5)
contract description and commodity or service; and(6)Contract.Manager name and contact information,
111. Indeni"ification
The Provider shall indemnify, save, defend, and hold harmless the Department and the Alliance and its agents and employees
front any and all clainis, demands, actions, causes of action of whatever nature or character, arising Out of or by reason of the
execution of this agreement or performance of the services provided for herein. It is understood and agreed that the Provider is
not required to indemnify the Alliance for claims, demands, actions or causes of action arising solely out of the Alliance's
negligence.
19, Insurance and Bonding
19A 'file Provider shall provide continuous adequate liability insurance coverage during the existence of this contract and any
renewal(s) and extension(s) of it, By execution of this contract, unless it is a state agency or subdivision as defined by
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Subsection 768.28(2)�, F.S., the Provider accepts full responsibility for identifying and determining the type(s) and extent
of liability insurance necessary to provide reasonable financial protections for the Provider and the clients to be served
under this contract. The Alliance shall be included as an additional insured on the provider's liability insurance policy or
policies and a copy of the Certificate of Insurance shall be provided annually or when any changes,occur. The limits of
covet-age under each policy maintained by the Provider do not limit the Provider's liability and obligations under this
contract.The Provider shall ensure that the Alliance has copy of the niostCUrrent written verification Of insurance coverage
throughout the term of this contract. Such coverage may be provided by a self-insurance program established and operating
under the laws of the State of Florida, The Alliance reserves the right to require additional insurance as specified in this
contract.
19.2 Throughout the term of this agreement, the Provider shall maintain an insurance bond front a responsible commercial
insurance company covering all officers, directors, employees and agents of the Provider authorized to handle funds
received or disbursed Under all agreements and/or contracts incorporating this contract by reference in an amount
commensurate with the'funds handled,the degree of risk as determine(]by the insurance company and consistent with good
business practices.
20. Confidentiality of Information
The Provider shall not use or disclose any information concerning a recipient of services under this contract for any purpose
prohibited by state or Ueral law or regulations except with the written consent of a person legally authorized to give that consent
or when authorized by law,
21. Health IRSUranCe Portability and Accountability Act
Where applicable,the Provider shall corriply with the I lealth Insurance Portability and Accountability Act(42 USC 1320d.), as
well as all regulations promulgated thereunder(45 CFR 160, 162, and 164),
22. Incident Reporting
22.1 The Provider shall notify,the Alliance immediately but no later than forty-cight(48)hours from the Provider's awareness
or discovery of conditions that may materially affect the Provider's, subcontractor's or vendor's ability to perform the
services required to be performed under any contract. Stich notice shall be made orally to the Contract Manager (by
telephone)with an email to immediately follow.
22,2 The Provider shall immediately report knowledge or reasonable suspicion of abase,neglect,or exploitation of a child,aged
person,or disabled adult to the Florida Abuse Hotline on the statewide toll-free telephone number('I 400-96ABUSF), As
required by Chapters 39 and 415, F.S., this provision is binding upon the Provider, subcontractors, vendors, and their
employees..
23. Bankrupt",Notification
If, at any time during the term of this contract, the Provider, its assignees, subcontractors, vendors or affiliates files a claim for
bankruptcy, the Provider must immediately notify the Alliance. Within ten (10)days after notification,the Provider must also
provide the following information to the Alliance: (I)the date of filing of the bankruptcy petition; (2)the case number; (3)the
court name and the division in which the petition was filed(e.g.,Northern District of Horida, Tallahassee Division);and,(4)the
name,address,and telephone number of the bankruptcy attorney,
24. Sponsorship and Publicity
24.1 As required by s. 286.25, 17.S_ if the Provider is a non-governmental organization which sponsors a program financed
wholly or in part by state funds, including any funds obtained through this contract, it shall, in publicizing, advertising, or
describing the sponsorship of the program, statc: "Sponsored by (Provider's name), the State of Florida Department of
Elder Affairs and the: Alliance for Aging, Inc," If the sponsorship reference is in written material, the words "State of
Florida, Department of Elder Affairs"and"Alliance for Aging, Inc."shall appear in at least the same size letters or type
as the name of the organization.
24.2 The Provider shall not use the words "The State of Florida Department of Elder Affairs"or"Alliance for Aging,Inc."to
indicate sponsorship of a program otherwise financed,unless specific authorization has been obtained by the Alliance prior
to use.
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25. Assignments
25,1 'File Provider shall not assign the rights and responsibilities under this contract without the prior written approval of the:
Alliance, which shall not be unreasonably withheld. Any Sublicense, assignment,or transfer otherwise Occurring without
prior written approval of the Alliance will constitute a material breach of tile contract.
25.2 The Alliance shall at all times be entitled to assign or transfer, in whole or part, its rights, dutiles,or obligations under this
contract to another agency upon giving prior written notice to the Provider. in the event the Alliance approves transfer of
the Providers obligations,the Provider remains responsible for all work performed and all expenses incurred in connection
with the contract.
2.5.3 This contract shall remain binding upon the successors in interest of either the Provider or the Alliance.
26�. Subcontracts
26.1 The Provider is responsible for all work performed and for all commodities produced Pursuant to this contract,whether
actually furnished by the Provider or its subcontractors. Any subcontracts shall be evidenced by a written document
and subject to,any conditions of approval the Alliance deems necessary.The Provider further agrees that the Alliance
will not be liable to tile subcontractor in any way or for any reason. 'file Provider, at its expense, shall defend the
Alliance against any such claims,
26.2 The Provider shall prortiptly pay any, subcontractors upon receipt of payment from the Alliance or other state agency.
Failure to make payments to any Subcontractor in accordance with s. 287.0585, I"ta. Stat., unless otherwise stated in
this contract between the Provider and Subcontractor, will result in a penalty as provided by statute.
26.3 Tile Provider shall prograniniatically monitor, at least once per year, each of its Subrccipients, Tile Provider shall
perform programmatic monitoring to ensure contractual compliance, and programmatic performance and compliance
with applicable state and federal laws and regulations. The Provider shall morntor to ensure that time schedules are
met; the budget and scope of work are accomplished within the specified time periods, and other performance goal,,,
The Provider shall also perform fiscal and administrative monitoring for all subrecipients to ensure fiscal accountability.
26.4 The Provider shall have a procurement policy that assures niaxitnUill free and open competition. Such procurement
Policy Must conform,as applicable,with Federal and State contracting and procurement regulations,as set forth in Title
2 Code of Federal Regulations(CTR)Part 200,Ch. 287.057,I'la. Stat., U.S.Office of Management and Budget(OMB)
Circular 110, Florida Department of Management Set-vices (DMS) Rule 60A-I, F.A.C., and with the Department's
Program and Services Handbook,
26.5 'File Provider shall dedicate the staff necessary to meet the obligations of this contract and ensure that subcontractors
dedicate adequate staff, accordingly. The provider shall ensure that staff responsible for performing any duties or
functions within this contract has the qualifications as specified in the Department's Programs and Services Handbook,
27. Independent Capacity of Provider
It is the intent and understanding of the Parties that the Provider, or any Of its subcontractors and/or vendors, are independent
contractors and are not employees of the Alliance and shall not hold themselves out as employees or agents of tile Alliance without
specific authorization from the Alliance. It is the ftirther intent and understanding ofthe Parties that the Alliance does not control
the employment practices of the Provider and shall riot be liable for any wage and floor, employment discrimination, or other
labor and employment claims against the Provider or its subcontractors and/or vendors. All deductions for social security,
withholding taxes,income taxes,contributions to unemployment compensation funds and all necessary insurance for the Provider
shall be the sole responsibility of the Provider.
2& Payment
28.1. Payments will be made to the Provider pursuant to s. 215.422,F.S.,as services are rendered and invoiced by the Provider.
The Alliance will have final approval of the invoice for payment and will approve the invoice for payment only if the
Provider has met all terms and conditions of this contract,unless the purchase order or this contract specify otherwise. The
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approved invoice will be submitted to the Alliance's fiscal section for budgetary approval and processing, Disputes arising
over invoicing, and payments will be resolved in accordance with the provisions of s. 2 15A22 F.S.
28.2, The Provider agrees to Submit bills for fees or other compensation for services or expenses in sufficient detail for a proper
pre audit and post audit thereof. The Provider shall comply with the particular requirements under the following laws and
guidelines that are applicable to the contracts or agreements incorporating in this contract by reference;(a) paragraph(16)
(b)ors.216.18 1,F.S.,regarding advances-,(b)Rule 691-40.103 F.A.C.pertaining to Restriction of Expenditures from state
funds; and, (c)the Invoice Requirements of the Reference Guide for State Expenditures from the Department of Financial
Services at:
rtq v,�% Hori&I'J'0 Com �iadir re��tcncc guide Reference Gllkk� Fo,- Y I I
.................................. _1 11.1---- J. E'.'K� - -- `file Provider Provider will certify that detailed documentation is available to Support UICII item on tile itemised invoice or payment
request fbr- cost reimbursed expenses, fixed rate or deliverables contracts or agreements incorporating this contract by
reference, irICILIding paid subcontractor and/or vendor invoices, and will be produced upon request by the Alliance. The
Provider will further certify that reimbursement requests are only for allowable expenses as defined in the laws and guiding
circulars cited in Sections 4 of this contract, in the Reference GLAide for State Expenditures, and any other laws or
regulations, as applicable.
28.3. 'File Provider, its subcontractors and/or vendors shall provide Units Of deliverables, including reports, findings, and drafts
as specified in the contracts or agreements and attachments which incorporate this contract to be received and accepted by
the Contract Manager prior to payment.
28.4. Payments will be made to the Provider based on a complete and correct invoice, invoices that are incomplete or with an
incorrect total will not be processed and will be returned to tile Provider for correction. Fiscal staff will not be able to
correct or make changes to the invoices. Returning invoices for corrections may result in failure to receive payment for
that month. Invoices shall be submitted timely as per ATTACHMENT Vill in order to avoid any payment delays.
28.5. Each set-vice performed shall be recorded as specified in the client information and registration tracking systern ("CIRTS")
guidelines. Supporting documentation of services provided roust be adequate to permit fiscal anti programmatic evaluation
and ensure internal management.
29. Return of Funds
The Provider will return to the Alliance all),overpayments due to unearned funds or funds disallowed and any interest attributable
to such funds PLINLiant to the terms and conditions of this contract that were disbursed to the Provider by the Alliance. In the
event that the Provider or its independent auditor discovers that an overpayment has been made, the Provider shall repay said
overpayment immediately without prior notification from tile Alliance. In the event that the Alliance first discovers all
overpayment has been made., the Contract Manager, on behalf of the Alliance, will notify the Provider Of Such findings. 'Ille
Alliance may deduct tile overpayment front the invoice most recently submitted but net yet paid,even if from a different program
or contract year. Should repayment not be made forthwith, the Provider will be charged at the lawful rate of interest on the
outstanding balance pursuant to s. 55.03,F.S., after Alliance notification or Provider discovery.
30. Data Integrity and Safeguarding Information
The Provider and its Subcontractors and/or vendors shall insure an appropriate level of data security for tile inforillation the
Provider is collecting or using in the performance of this contract. An appropriate level of security includes approving and
tracking all Provider employees that request system or inron nation access and ensuring that user access has been removed from
all terminated employees. The Provider, among other requirements, must anticipate and prepare for the loss of inforniation
processing capabilities. All data and software shall be routinely backed Lip to ensure recovery from losses or outages of the
Computer system.'file Security over the backed-up,data is to be as stringent as the protection required of tile primary systenis.file
Provider shall ensure all subcontractors and/or vendors maintain written procedures for COMPLiter system back-tip and recovery.
Tile Provider shall complete and sign AT I'ACHMENT I V prior to the execution of this contract.
31. Computer Use and Social Media Policy
'Ir'he DOEA has implemented a new Social Media Policy, in addition to its Computer Use Policy,which applies to all employees,
contracted employees, consultants, CPS and volunteers, including all personnel affiliated with third parties, Snell as, but not
limited to,Area Agencies on Aging and vendors.Any entity that uses the DOEA's computer resource systems must comply with
the DOEA's,policy regarding social media.Social Media includes,but is not limited to blogs,podcasts,discussion forums,Wikis,
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TOSS feeds, video sharing,, social networks, like 1vlySpace, Facebook and Twitter, as well as content sharing;, networks such as
Flickr and You"T'ubc. This policy is available oil DOEA's website at: l,talw .��+::La w.Ali ldn���7 �ata_l),us do el l n t ci rl l+lip
3 .. Conflict of Interest
The Provider shall establish safeguards to prohibit employees,board members„rnanagerrient and subcontractors from using then-
positions for a Purpose that constitutes or presents the appearance of personal or organisational conflict of interest or personal
gai 11.
No employee,officer, or agent of the Provider or subcontractor shall participate in selection,or in the award of an agreement
supported by state or federal funds if a conflict of interest, real or apparent, Would be involved. Such a conflict would arise
when: (a) tine employee, officer, or agent; (b) any rnnember of his/her immediate family, (c) his or her partner; or (d) an
organization which employs, or is about to employ„ any of the above, has a financial or other interest in the t rin selected for
award.The Provider or subcontractor's officers,employees or agents will neither solicit nor accept gratuities„favors or anything
of monetary value front Providers„potential providers,or parties to subcontracts.
Pursuant to Chapter4,Section 2 of the Handbook,no provider may employ, in any capacity,any member of its governing board
or any family member ofa person on the board or fannily member of its Executive Director.
The providers' board members .and management must disclose to the Alliance any relationship which may be, or may be
perceived to be:, a conflict of interest within thirty (:30) calendar days of an individual's original appointment or placement in
that position, or if the individual is serving as an incumbent, within thirty (30) calendar clays of the commencement of this
contract.Tlne providers'employees.and subcontractors must make the same disclosures described above to the providers'Board
of Directors. Compliance with this provision will be monitored.
33. Public Entity Crime
Pursuant to s. 287.133, F.S., a person or affiliate who has been/ placed on the convicted vendor list f6llowing a conviction for a.
public entity crime may not:submit a bid,proposal,or reply on a contract to provide any goods or services to a public entity;may
not submit a bid, proposal,or reply on a contract with a public entity for the construction or repair of a public building or public
wvork,may not submit bids,proposals,or replies on leases of real property to a public entity;may not be awarded or Perform work
as a Provider, supplier, sub-Provider, or consultant under a contract with any public entity; and may not transact business with
any public entity in excess of the threshold amount provided in s. 287.017, F.S., for~Category Two for a period of 36 months
Billowing the date of being;placed on the convicted vendor lust. if the Provider or any of its officers or directors is convicted of
a public entity crime during tlae period of this agreement, the Provider shall notify the Alliance immediately. Non-compliance
with this statute shall constitute a breach of this agreement,
34. Emergency Preparedness and Continuity of Operations
34.1 If the tasks to be performed pursuant to this contract include the physical care and control of clients„or the administration
and coordination of services necessary for client health, safety or welfare, the Provider shall, within thirty (30) calendar
days of the execution of this contract, submit to the ContractManager verification of an emergency preparedness plan,
Continuity of Operations plan. ("COOP"). In the event of an emergency, the Provider shall notify the Alliance of
emergency provisions. The COOP must address continuity of services,especially for meal providers, in weather and non-
weather-related emergencies.
34.2 In the event a situation results in a cessation of services by a subcontractor and/or vendor., the Provider shall retain
responsibility for performance under this contract and Must fiallow procedures to ensure continuity of operations without
interruptions.
34.3 Providers offering nutrition services must have an Alliance approved shelf stable menu with at least 3 days'worth of shelf
stable dneals with reserved funds set aside to purchase the food items in order to ensure continuity of services without.
interruptions in weather and no-weather related emergencies.
35. Use of Contract funds to Purchase Equipment
No funds under this contract will be used by the Provider to purchase equipment.
Equipment means: (a)all article of nonexpendable,tangible personal property having a useful life of more than one year and all
acquisition cost which equals or exceeds the lesser of the capitalization level established by the organization for the financial
statement purposes, or S5„000.00 [for federal funds], or(b), nonexpendable, tangible personal property of a non-Coils tum able
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nature with an acquisition cost of$1,000.00 or more per unit, and expected useful life of at least one year; and hardback bound
books not circulated to students or the general public,with a value or cost of$250.00 or more[for state funds],
36. The PUR 1000 Form is hereby incorporated by reference and available at:
1�& " A W1 L__v_-h�--a-----_ L-7 111----_, Z 0 0.p ff j,j� %�%�,\\.m,�11 orid,_o it nu � )s d o�,,L[ 740 PI 1
In the event of any conflict between the PUR 1000 Form and any terms or conditions of any contract or agreement terms or
conditions the contract shall take precedence over the PUR 1000 Form. However, if the conflicting terms or conditions in the
PUR 1000 Form are required by any section of the Florida Statutes,the terms or conditions contained in the PUR 1000 Form shall
take precedence.
37. Use of State Funds to Purchase or Improve Real Property
No funds under this contract will be used by the Provider to purchase or improve Real Property.
Any state funds provided for the purchase of or improvements to real property, are contingent upon the Provider or political
Subdivision granting to the state a security interest in the property at least to the amount of state Funds provided for at least 5 years
from the date of purchase or the completion of the improvernents or as Further required by law.
38. Dispute Resolution
Any dispute concerning performance of this contract shall be decided by the Contract Manager,who shall reduce the decision to
writing and serve a copy on the Provider.
39. No Waiver of Sovereign Immunity
Nothing contained in this agreement is intended to serve as a waiver of sovereign immunity by any entity to which sovereign
immunity may be applicable.
40. Venue
If any dispute arises OLA Of this Contract,the venue of such legal recourse will be Miami-(bade County, Florida,
4L Entire Contract
This contract contains all the terms and conditions agreed upon by the parties. No oral agreements or representations shall be
valid or binding upon the Alliance or the Provider unless expressly contained herein or by a written amendment to this contract
signed by both Parties.
42. Force Majeure
The Parties will not be liable for any delays or failures in performance due to cirClUnstances beyond their control, provided the
party experiencing the force majeure condition provides immediate written notification to the other party and takes all reasonable
efforts to cure the condition.
43. Severability Clause
fhe Parties agree that if a court of competent Jurisdiction deems any term or condition herein void or unenforceable, the other
provisions are severable to that void provision and shall remain in fall force and effect.
44. Condition Precedent to Contract: Appropriations
The Parties agree that the Alliance's performance and obligation to pay under this contract is contingent upon an annual
appropriation by the Legislature.
45. Addition/Deletion
The Parties agree that notwithstanding the terms of the procurement documents and actions leading to this contract,the Alliance
reserves the right to add or to delete any of the services required Under this contract when deemed to be in the best interest of the
elder population targeted by the Area Plan and reduced to a written amendment signed by both Pat-ties, The Parties shall negotiate
compensation for any additional services added.
46. Waiver
The delay or failure by the Alliance to exercise or enforce any of its rights under this contract shall not constitute or be deemed a
waiver of the Alliance's right thereafter to enforce those rights,nor shall any single or partial exercise of any such right preclude
any other or further exercise thereof or the exercise of any other right.
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47. Compliance
The Provider shall abide by all applicable current federal statutes, laws,rules and regulations as well as applicable Current state
statutes, laws, rules and regulations, policies of the Alliance and the Department, and the terms of this contract. Tile Parties
agree that failure of the Provider to abide by these laws, rules,regulations, policies,and terms of this contract shall be deemed
all event of default of the Provider and subject the Provider to disciplinary action including corrective action, unannounced
spec:ial monitoring, temporary assumption of the operation of one or more contractual set-vices, placement of the Provider on
probationary status, imposing a inoratOriLlIll on Provider action, imposing financial penalties for nonperformance or
noncompliance,or other administrative action to iminediate, unilateral contract cancellation at the discretion of the Alliance.
If the Alliance finds that the Provider fails to abide by all applicable current federal and state statutes, laws,rules and regulations,
as well as conditions of this contract,the Alliance shall provide the Provider a Notice of Violation which shall include a concise
statement of the specific violations of the Provider and the facts relied upon to establish the violation.
Upon receipt of the Notice of Violation,the Provider shall have twenty-one(21)days to respond to the Notice of Violation. The
Provider's response must include a statement of any disputed issues of material fact and a concise statement of the specific facts
the Provider contends warrant reversal or deviation from the Alliance's proposed action, including an explanation of how the
alleged facts relate to the specific rules,statutes,or contractual term.
Failure of the Provider to respond to the Notice of'Violation within twenty-one(2.1)days shall be deemed a waiver of the rights,
Outlined above and the Alliance will proceed against the Provider by default,
'File Alliance,upon receiving a timely filed response to a Notice of Viokition, will forward the response and all accompanying
documentation to the Contract Manager to review and consider. The Contract Manager shall,within 30 clays after the receipt of
the Provider's response,file an order which lays out the final determination of disciplinary action by the Alliance.
48. Final Invoice
The Provider shall submit the final invoice for payment to the Alliance as specified in section 3.4.7 (date for final request for
payment)ofA'I'-]'ACFIN/IENTI. Ifthe Provider fails to Submit final request for payment by,the deadline,then all rights to payment
may be forfeited and the Alliance may not honor any requests submitted after the aforesaid time period. Any payment due tinder
the terms of this contract may be withheld until all reports due from the Provider and, necessary adjustments thereto have been
approved by the Alliance.
49. Renegotiations or Modifications
Modifications of the provisions of this contract shall be valid only when they have been reduced to writing and dilly signed by
both parties.
50. Suspension of Work:
The Alliance may in its sole discretion suspend any or all activities under this contract and any,contract or agreement incorporating
in this contract,at any time, when in the best interests of the State to do so.The Alliance shall provide tile Provider written notice
outlining the particulars of suspension. Examples of the reason for suspension include, but are not limited to, budgetary
constraints,declaration of emergency,or other such circumstances.After receiving a suspension notice,the Provider shall comply
with the notice and shall not accept any purchase orders. Within ninety days,or all), longer period agreed to by the Provider, the
Alliance shall either(I) issue a notice authorizing resumption of work, at which time activity shall resume,or(2)terminate the
contract or purchase order. Suspension of work shall not entitle the Provider to any additional compensation.
51. Termination
51.1 Termination for Convenience, This contract may be terminated by either party without cause upon no less than thirty (30)
calendar days' notice in -writing to the other party unless a sooner time is mutually agreed upon in writing. Said notice
shall be delivered by U.S. Postal Service with verification of delivery or any expedited delivery service that provides
verification of delivery or by hand delivery to the Alliance Contract Manager or the representative of the Provider
responsible for administration of the contract. The Provider shall not furnish any product after it receives the notice of
termination,except as necessary to complete the continued portion of the contract,if any.The Provider shall not be entitled
to recover any cancellation charges or lost profits. See notes oil email regarding this paragraph.
51.2 Termination for Cause.The Alliance may terminate this contract if the Provider fails to(I)deliver the product within the
time specified in the contract or any extension, (2) maintain adequate progress, thus endangering performance of the
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contract, (3) honor any term of the contract, (4) abide by any statutory requirement, regulatory requirement, licensing
requirement, or Department policy or (5) in the event funds for payment become Unavailable for this contract. The
Alliance will be the Final authority as to the availability and adequacy offends. In the eventof termination ofthis contract,
the Provider will be compensated for any work satisfactorily completed prior to the date of termination. Rule 60A-
1.006(3), F.A.C.,governs the procedure and consequences of default.The Provider shall continue work on any work not
terminated. [Except for defaults Of Subcontractors at any tier, the Provider shall not be liable for any excess costs if tile
failure to perform the contract arises from events completely beyond the control, and Without the fault or negligence,of
the Provider. If the failure to perform is caused by the default of a subcontractor at any tier, and if the cause of the default
is completely beyond the control of both the Provider and the subcontractor,and without the fault or negligence of either,
the Provider shall not be liable fbr any excess costs for failure to perforrn,unless the subcontracted products or services
were obtainable from Other sources in sufficient time for the Provider to meet the required delivery schedule. If, after
termination, it is determined that the Provider was not in default, or that the default was excusable, tile rights and
obligations of the Parties shall be the same as if the termination had been issued for the convenience of tire Alliance.The
rights and remedies of the Alliance in this clause are in addition to any other rights and remedies provided by law or Under
tire contract.
51.3 Upon expiration or termination of this contract, the Provider and subcontractors shall transfer all public records in its
possession to the Alliance and destroy any duplicate public records that are exempt or confidential and exempt frorn
public records, disclosure requirements at no cost to the Alliance. All electronically stored records shall be provided to
the Alliance in a format that is compatible with the Alliance's information technology systern(s),
52.Successors
This contract shall remain binding upon the SLICCCSSOI'S in interest ofeither the Alliance or the Provider,subject to the assignment
provisions in Section 22 above.
53. Electronic Records and Signature
53.1 The Alliance authorizes, but does not require, the Provider to create and retain electronic records and to use electronic
signatures to conduct transactions necessary to carry out the terms of this contract. A Provider that creates and retains
electronic records and uses electronic signatures to conduct transactions shall comply with the requirements contained in
the Uniform Electronic Transaction Act, s, 668,50, F.S- All electronic records must be ftilly auditable; are subject to
Florida's Public Records Law,Ch. 119, F.S.; must comply with Section 29,Data Integrity and Safeguarding Information;
must maintain all confidentiality,as applicable;and must be retained and maintained by the Provider to the same extent as
tion-electronic,records are retained and maintained as require(] by this contract.
53,2 The Alliance's authorization pursuant to this section does not authorize electronic transactions between the Provider and
the Alliance. The Provider is authorized to conduct electronic transactions with the Alliance Only upon further written
consent by the Alliance.
5 3.3) Upon request by the Alliance,the Provider shall provide the Alliance or Department with non-electronic(paper)copies of
records. Non-electronic (paper) copies provided to the Alliance of any document that was originally ill electronic form
with an electronic signature must indicate the person and the person's capacity who electronically signed the document on
any non-electronic copy of the document.
54. Special Provisions:
The Provider agrees to the following provisions:
54.1 Investigation of Criminal Allegations:
Any report that implies criminal intent on the part of the Provider or any subcontractors and/or vendors and was referred
to a governmental or investigatory agency must be sent to the Alliance. If the Provider has reason to believe that the
allegations will be referred to the State Attorney, a IaNv enforcement agency,the United States Attorney's office,or other
governmental agency,the Provider shall notify the Alliance immediately. A copy of all documents, reports,notes or other
written material concerning the investigation, whether in the possession of the Provider, its subcontractors, or vendors,
must be sent to the Alliance's contract manager with a summary of the investigation and allegations,
54,2 Volunteers:
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The Provider shall ensure the use of trained volunteers in providing direct services delivered to older individuals and
individuals with disabilities needing such services. lf'possible, the Provider shall work in coordination with org,anizations
that have experience in providing mining, placement, and stipends for volunteers or participants (Such as organizations
carrying out federal service programs administered by the Corporation for National and Community Service), in
community service settings.
543 Enforcen-mw
54.11 In accordance with s.410,04, F.S., the Alliance may, Without taking any intermediate measures available to it
against this contract rescind this contract if the Alliance finds that:
54.3.2 An intentional or negligent act of the Provider has materially affected the health, welfare,or safety of clients served
pUrStlant to any contract or agreement, or substantially and negatively affected the operation of services covered
under any contract or agreement;
54.3.3 The Provider lacks financial stability sufficient to inect contractual obligations or that contractual funds have been
misappropriated;
543.4 The Provider has committed multiple or repeated violations of legal and regulatory standards, regardless of whether
Such laws or regulations are enforced by the Alliance, or the Provider has committed or repeated violations of
Alliance standards;
54.3.5 The Provider has failed to continue the provision or expansion of services after the declaration of a state of
emergency,and/or
54.16 The Provider has failed to adhere to the terms of any contract or agreement incorporating in this Contract.
54.3,7 In the alternative,the Alliance may, at its sole discretion, in accordance with section 430.04, I"-,S., take immediate
illeasures against the Provider,including: corrective action,UnannOU11CM special monitoring,temporary assumption
of the operation of one or more contractual services, placement of the Provider on probationary status, imposing a
moratorium on Provider action, imposing financial penalties for nonperformance, or other administrative action
pursuant to Chapter 120, 1-.S.
54.4 In making any determination under this provision the Alliance may rely upon the findings of another state or federal agency,
or other regulatory body. Any claims for daniages for breach of ail),contract or agr
eement are exempt froin administrative
proceedings and shall be brought before the appropriate entity in the venue of Mianii-Dade County,
54.5 Use of Service Dollars:
The Provider will optimize the use of contract funds by serving the maxinlLull possible number of individuals with the
services allowed by this contract. The Provider will spend all funds provided by this contract to provide such services.
54.6 Training: The Provider will attend all required trainings and meetings schedule by the Alliance.
55. Contract Manager
The Alliance may substitute any Alliance employee to serve as the Contract Manager.
56. Official Payee and Representatives(Name,Address,and Telephone Numbers)
The name,address,and telephone number of the representative for the Alliance for this contract is:
Max B,. Rothman,JD, LL.M. President and CEO
760 NW 107th Ave, Suite 214
Miami,Florida 33172
(305)670-6500, Ext.224
The name,address,and telephone number of the representative of the Provider responsible for administration of the program under
this contract is:
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--Monroe County Board.of County Commissioners,Social
'rhe Provider name,as shown on page I of this Services/In-Home Services,
A contract,and mailing address of the official payee to 1100 Simonton Street,2"d Floor
whom the payment shall be rnadc is: Key West,Ff., 33040
305-292-4510
Sheryl Graham
The name of the contact person of the Provider and Monroe County Board of County Commissioners,Social
B street address where financial arid administrat Services/In-Hone Servicesive 1100 Simonton Street,2 n'Floor
records are maintained is: Key West,FL 33040
305-292-4510
Sheryl Graham
rvlonroe County Board of County Commissioners, Social
71"lie narne, address,and telephone nurriber of the
c Scrviccs/In-Horne Services
representative of the Provider responsible for I 100 Simonton Street,21111 Floor
administration of the program under this contract is: Key West,FL 33040
305-292-4510
..........................................--. ..........-...............
Alliance for Aging, Inc.
The section and location within the AAA where Fiscal Department
d RCqUCStS for Payment and Receipt and Expenditure 760 NW 107th Avenue,Suite 214
fornis are to be mailed is: Miami, Florida 33 172-3 155
305-670-6500
("ontract Monitor
The name, address,and telephone number of the Alliance for Aging, [tic,
Contract Manager for the AAA for this contract is: 760 NW 107t1t Avenue,Suite 214
Miami,Florida 33172-3155
305-670-6500
Upon change of representatives(narnes,addresses,telephone numbers)by either party,notice shall be provided in writing to the other
party and the notification attached to the originals of this contract.
57.,All Tennis and Conditions Included
This contract and its Attachments and any exhibits referenced in said attachments,together with any documents incorporated by
reference, contain all the terms and conditions agreed upon by the Parties. There are no provisions, terms, conditions, or
obligations other than those contained herein, and this contract shall supersede all previous communications, representations or
agreements,either written or verbal between the Parties.
By signing this contract,the Parties agree drat the),have read and agree to the entire contract.
IN WITNESS THEREOF,the parties hereto have caused this contract,to be executed,by their undersigned officials as duly
authorized.
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS,SOCIAL
SERVICES/I`N-HOMJ SERVICES ALLIANCE FOR AGING, INC.
e"
SIGNED BY: Z
4."' SIGNED
NAME: Roman Gastesi NAME: MAX B. ROTHMAN,JD,LI-NE
'n"FLE:—County Administrator TITLE: PRESIDENTAND CEO
DATE: Januar 3, 2024 DATE:- 1/4/24
AA
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SIGNED BY:
0-o- AvOd f.wo,A,$—, NAME:
TITLE: MAYOR
DATE:
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INDEX TO CONTRACT ATTACHNIENTS
ATTACHMENT ATTACHMENT DESCRIPTION
ATTACHMENT I STATEMENT 01" WORK
ATTACHMENT 11 FINANCIAL COMPLIANCE AUDIT ATTACHMENT
ATTACHMENT 11 AUDITREPLATIONSHIP DE ERNIINATION
EXHIBIT ]
AT'J'ACHMENT11 FEDERAL RESOURCES AWARDED PURSUANT TOTi-tiS AGREEMENT
EXHIBIT 2
ATTACHMENT Ill CERTIFICATIONS AND ASSURANC ES
ATTACHMENT VI ASSURANCES—NON-CONSTRUCTION PROGRAMS
ATTACHMENT VI I CONTRACT BUDGEIT SUMMARY BY SERVICE AND TITLE
ATTACHMENI' Vill OLDER AMERICANS ACT CONTRACTREPORI"CALENDAR.
ATTACTIMENTIX RFQUEST FOR PAYMENT
ATTACHME'NTX, RECEIPTS AND EXPENDITURES, FOR ALI.,OAA TITLES
EXIIIBITI
ATTACHMENT'X, RECEIPTS AND EXPENDITURES, FOR NSIP
EXHIBIT 2
ATTACHN/IFNTX, PROVIDER MONTHLY MEALS REPORT, FOR NSIP
EXI[[BIT 3
Al"FACTIMENT13 DEPARTMENT OF ELDER AFFAIRS' CIVIL RIGHTS COMPLIANCE
CHECKLIST AND INSTRUCTIONS
ATTACHMENT ID BACKGROUND SCREENING—AFFIDAVIT"OF COMPLIANCE
A TTA CI I M ENT F DATA PRIVACY & SECURITY BUSINESS ASSOCIATE AGREEMENT
ATTACHMENT G ADRC POLICY AND PROCEDURES FOR OUTSOUR(l.D FUNCTIONS
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ATTACHMENT I
ALLIANCE FOR AGING, INC.
STATEMENT OF WORK
OLDER AMERICANS ACT
SECTION 1: SERVICES TO BE PROVIDED
A. ALLIANCE FOR AGING,INC. IVIISS,ION STATEMENT
The Alliance mission is to promote and advocate for the optimal quality of life for older adults and their families,
B. PROGRANI SPECIFIC TERMS
Area Plait: A plan developed by the area agency oil aging outlining a comprehensive and coordinated service delivery system in
its planning and service area in accordance with the Section 306 (42 U.S.C. 1026) of the Older Americans Act and DOEA
instructions.
Area Plait Update:: A revision to the area plan wherein the Alliance enters OAA specific data in the CIRTS. Ali update may
also include other revisions to the area plan as instructed by the DO A,
Child: Ali individual who is not more than 18,years of age or all individual with disability.
Criteria: A standard which the Administration on Aging/Achninistration for Community Living set for the Title 111D Program,
AoA/ACUs standard criterion consists of three tiers: Minimal Criteria,Intermediate Criteria,and Highest-1,evel Criteria.
Family Caregiver: An adult fancily member,or another individual,who is an informal provider of in-home and community care
to all older individual.
Frail: When all older individual is unable to peribmi at least two activities of daily living("ADI.,") without substantial human
,assistance, including verbal reminding, physical cueing or supervision;or due to cognitive or other mental impairment,requires
substantial supervision because the individual behaves in a manner that poses a Serious health or safety hazard to the individual
or to another individual.
Grandparent: A gu-aiidpai-eiitoi°step-grandparent ofa child,ora relative ofa child by blood,marriage or adoption and who lives
with tile child-, is the primary caregiver of the child because the biological or adoptive parents are unable or unwilling to serve as
tile primary caregiver of tile child; and has a legal relationship to the child,such as legal Custody or guardianship,or is raising the
child informally.
Living Healthy. Also known as CDSMP for the State of Florida.
C'. GENERAL DESCRIPTION
I RIPTION
1. General Statement
The prinlary purpose of the OAA Program is to foster the development and implementation of comprehensive and
coordinated systems to serve older individuals. These systems assist older individuals to attain and maintain maximum
independence with supportive services.
I'lie NSI 11 pro ,ides hiccn6ves for the effecti%e clelk'er) ofillaritious meals,to older illdiVi(ILMIS. NSW allow ,,prograills
to im:1-Q,1SQ the nuillber andbi- the (pWdity Of MC11S. served. NS111 is as cash allotment or C011111WditV 1110"I'Mll drat
SupplQnlents funding or food used in ineals ser\Qd under the OAA. Florkla has opt,°!d for cash paymentq ill lieu of
donated f'oods.
2. Authority
All applicable f'ederal laws, regulations. action tran sill ittals. 111'00NA111 jllStl-LlCfi01lS, rC%AC%V "Lli(ICSW)d SilllikW
doculliclitatioll related Lo the followill":
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a, Cal:dol�! ofFeder.,d Domcs6c Assktance No. 93.0-13, 93.04-1. 91445. 93.051 and 911.053:
1). (Ader Americ.ins Act of' 1965. as amcnded 1016:
c. 42 1�.S.(_'. §303, 42 1 J.S.U. �604:
(1, RL& 58A-1, Florida Administrative Code (FAO:
e. Section 430 101, 1-IM-idd StMUICS(V.SjM)d
1'. DOI:A Pro-rarns and SQrvicQs I landbook,
ni-dtwunwws
3. Scope of Service
The Provider is responsible for coordinating and assessing the needs of older persons and assuring the availability of quality
services. The services shall be provided in a manner consistent with the Handbook and the procurement documents leading
to this contract. If receiving NSIP funding,the provider shall use NSIF funding to SUppleillent funding for food used in nleals
served by O�AA Nutrition Program Providers.
4, Major Prograin Goals
The major goals of the OAA program are to improve older individual's quality of life, preserve their independence, and
prevent or delay their need for costlier institutional care. These goals are achieved through the implementation of a
comprehensive and coordinated service system that provides a Continuum of service alternatives and effective delivery of
nutritious meals that meet the diverse needs of elders and their caregivers.
5. Leadership and Advocacy
As a designated Focal Point,a provider is encouraged to provide coordination of services for older individuals. The Provider
must also provide community leadership on aging issues and serve as the advocate and local point for tile elderly within the
C01111HUnitY in cooperation with agencies, organizations and individuals participating in activities funded by the Alliance.
Advocacy should include initiating positive changes in public or private policies and attitudes towards older persons, taking
action to improve, modify, or eliminate Situations which adversely impact on lives of older persons, or expressing support
for older persons and their interests. Advocacy activities may be broadly supportive of the general interests of older persons
or may involve specific activities on behalf of individuals.
D. 0,11ENTS'1`0 BE SERVED
1. General Description
Preference shall be given to those with the greatest econornic and social needs, with particular attention to low-income older
individuals, including those that are low-income minorities, have limited English proficiency,and older individuals residing
in rural areas.
2, OAA Title III,General Client Eligibility
Consumers shall not be dually enrolled in an OAA prograrn and a Medicaid capitated long-term care program, with the
exception of consuniers in need of OAA Legal Assistance services and OAA Congregate Nutrition Services, including
transportation services to and from congregate meal sites.
2.1 OAA Title 111113, Supportive Services, Client Eligibility
a, Individuals age 60 or older
2.2 OAA Title IIICI, Congregate Nutrition Services
In addition to meeting the general nutrition services eligibility requirements listed in ATTACHMENT 1, Paragraph
1.4.1.3 individuals IllUst be mobile,not homebound and physically,mentally and medically able to attend a congregate
nutrition program. Individuals eligible to receive congregate meals include:
a. Individuals age 60 or older; and
b. Any Spouse(regardless of age)who attends the dining center with his/her eligible spouse;
c. Persons with a disability, regardless of age, who reside in a housing facility Occupied primarily by older-
individuals where congregate nutrition services are provided;
d. Disabled persons who reside at horne with and accompany an eligible person to the dining center;and
C. Volunteers,regardless of age,who provide essential services on a regular basis during meal hours.
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23 OAA Title IIIC2,Horne Delivered Nutrition Services
In addition to meeting the general nutrition services eligibility requirements listed in ATTACHMENT 1, Paragraph
1.4.1.3,individuals must be homebound and ph)sicalty,mentally or medically unable to attend a congregate nutrition
program. individuals eligible to receive home delivered meals include the following,:
a. Individuals age 60 or older who are incapacitated Or unable to attend a congregate nutrition site due to illness,
disability, isolation,or caring for a loved one who is ill at horne;
b. Individuals age 60 or older who are unable to attend a congregate nutrition site due to teeth and mouth issues
which makes it difficult to eat in public;
c. A home delivered meals recipient's spouse,regardless of age,if the provision of the collateral meal supports
maintaining the person at home;.
d. Individuals with disabilities,regardless of age,who reside at home with lionie delivered meals recipients and are
dependent oil them for care;
e. Persons at nutritional risk who have physical, ernotional,or behavioral conditions,,which would make their
presence at the congregate site inappropriate;
f Persons at nutritional risk who are socially or otherwise isolated, including those who are self-isolating at home
due to COVID-19,and unable to attend a congregate nutrition site; or
g. Individuals age 60 or older who are unable to prepare meals due to a lack of or inadequacy of facilities, an
inability to shop,cook,or prepare meals safely,or a lack of appropriate knowledge or skill.
2A OAA Titles IIICI and IIIC2, Nutrition Services,Client Edibility
General factors that should be considered in establishing priority for nutrition services include those older persons
who meet the following:
a. Cannot afford to eat adequately;
b. Lack the skills or knowledge to select and prepare nourishing and well-balanced meals,
c. Have limited mobility which may impair their capacity to shop and cook for themselves,or
d. Have a disabling illness or physical condition requiring nutritional Support or have been screened at a high
nutritional risk.
2,5 OAA Title HID, Disease Prevention and health Promotion Services
RI I,aget individuals age sixty (60�) Orr older; and
b Prior-6 \will he oivell tar individuals rQ,,idin- in medically underserved 2Ireas
2.6 OAA Title IIIE,Caregiver SUPPON Services,Client Eligibility
a. Family caregivers of individuals age 60 or older;
b. Grandparents(age 55 or older)or older individuals(age 55 or older)who are relative caregivers,
c. Priority will be given to family caregivers who provide care for individuals with Alzheimer's disease:and related
disorders with neurological and organic brain dysfunction and for grandparents, or older individuals who are
relative caregivers who provide care fbi-ch ildren with severe disabilities; and
d. For respite and supplemental services, a family caregiver must be Providing care for, an older individual who
meets the definition of the term"frail"in OAA, as per ArFAC HNIIENT 1, Section I
2.7 NSIP
Meals Scrved to an elderly indiVi(IWIL fOlIdOd ill %0101C Ol- ho JIM-t LIHCICI• Smlewidc Medicaid Managed Care
I'ono-I CrIll Carc I 1011le( are Cor die FIderly,Comillurlitv Care for Ihe I Iderk; Pro-ranis, or o0wr nicalls tested
programs may not he included in the NSHI COLMI. OAA-funded com,.!re-alc meds pro%i(h2d to SN4MC IAA
clients may be included in thv NSIP couw,
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SECTION 11—MANNER OF SERVICE PROVISION
A. Service Tasks
To achieve the goals of the OAA program,tile Provider shall ensure the following tasks:
I. Client Eligibility Determination
'File Provider shall ensure that applicant data is evaluated annually to determine eligibility prior to rendering services.
Eligibility to become a client is based on meeting the requirements described in this contract.
2. Targeting and Screening of Service Delivery for New (r.I ients: The Provider shall develop and implement policies and
procedures consistent with OAA targeting and screening criteria,
3. Progi-am Services: The Provider shall ensure tile provision of a COntillUllni of services that meets the diverse needs of elders
and their caregivers. The Provider shall ensure the Performance and report performance of the following services are in
accordance with the CLUTC11t I landbook.
4, Program Eligibility Requirements
-1.1 1]i QiM I it%,Critcria
F11MICS MUSt MCCI tlla, hw criwria to hv eliuilAc i'01 PI'MN"11111 participation:
-1,1 An aLrYencl% that has received a ;.:.rant un(Lr OAA I itic HI JOAA section -)1 1142 U.S.C. § 30110afl and
,1.1.2 A nutrition service pro%icier that Serves wcillS and is Ull&r 1he JM-iSdiction. conlrol. mallagcinctn and
,audit mlhoril,, ol'the Areai Aenc% on Agin- and the I)QporimellL
4.2 Provider's NUU-itiml Set-vice Operations
I 11Q Prm idea strain ensurc the nwril ion service operations ol,11w Pro%idor meet the 1-cquirenwilts ofthis colitt"'Ict,
as Nw eil as an) otlic'r applicable rquukoit:+ns arld policies prescribed h� the currQnl I landhook, the Doparinwilt ail'
I]C lll MId I IMM1111 SCTr,iLTS USIA. D01 I and local health delmrtrtwnts, I)MIR,or,ury whcr oiuenc) desit'nated
tag iTl',I)CCt 111C,11 LjLkllit) nor the Slatc, . I lie Prm,idcr musl rLm the 1)13111w rcliori illonfllly and ai)ree to notil'w dw
A Malice ofan� sanit"16oll illqwctiolls, cspeciffly those that include high prim-it" c iolations and provide it copy
ol 01C rcport to the Alliance vrrifljin 24 hours. Ulosme,; must be repoNcd imniedialeK. All subcontracted food
service %endors 111US1 a �~ri[Wn cm-rcdivc action likan to the Nffll-iliOn PrOvid1r for any high priority or
Si,a,nificaw findillos ml smlilltioll inspoctions.The CAPs Provider's rc,_jstQ1'ed diQtickan
and submittvd to flic, Alliam:Q tar crTlStWe lhoat LiCtiCiCIlCieS W'C reffledied
4.3 Prescribed Nutritional Requirements
The Provider shall ensure that each meal provided under this contract niects the following criteria:
4.3.t Complies with the Current Dietary Guidelines for Americans, published by the Secretaries of the
Department of Health and HUnian Services and the Department of Agriculture;
4.3.2 Provides a rnininlum of 33 113 percent of the dietary reference intakes/adequate intakes for all age 70
female as established by the Food and Nutrition Board of the National Academy of Sciences; and
43.3 Is served from and approved Alliance mem.l.
4.3.4 Food Origin and Commodities Requirements
4.3.5 Consistent w4h cxistinL rcclauiremcuht5 oftlw NSI 11, the 1''ror ides sand its service providers mav usv NSW
Cash to.) purchase foods ol'U.S ()Fi2ill f(IT' T111(titiNl l)l_0.j0C1S Llll(,IQI' Dille Ill of the ()/\A. �Slll funds
111LIS1 bC used 10 CXP,'111d 111CIfl SCIA'Aces to older"Idults,
5 I^✓l011u10611! dW 11CTl`0l_MA1lCe OfilS SLibc(varacqors and or voidors,
6. (7oniply with the Alliance's Nutrition policies and procedures
B, Stal"fing Requirements
1. Staffing Levels
Hic Provldcr shall assign its own administrative and SUPPON SLItT,'IS 11CCdCd to J:wrl'ornl tile casks, responsibilities and
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dlftiCS Under t I I is contract and ensure beat suhcontrw.ors alid,or %el I do I-s' dedicate dLICLjLIdtC SW H accordin<aly.
2. Professimiall Qualifications
HIC F`R)Videt S11,3H CIISLWC thal the StalTrLsporisilfle for pedollliillh anN dirties or functions %w ithin this contract have the
quohl'icatiolls its Specified III die I laildhook.
3. Service Times
-1 lie Provider shall ensure the Pro%isioll ofserviicQs listed if) this COIIO'aCI[ dfll-ilh!, 110HIMI hLISiIIQSS h0til's unless other
flilles are Illore approprialc the 1-ficet the perforlliallcc retiurircrareatt 0 than contract, and it shall monitor its
subcontnncmrs and or vendI)rs to elisfire OICNI are M;,iildHC to 11IVVidC sel-ViCeS CIIIHM-1 hoUl's fvspoflsive, to Client needs
"Ind dilrhl�g, those fillies which best meet the needs 'III[ servicQ. coninikinity,
4. Ilse of Volunteers to Expand the Provision of Available Services
The Provider shall make use of trained volunteers in providing direct services delivered to older individuals and individuals
with disabilities needing such services. If possible, the Provider shall work in coordination with organizations that have
experience in providing training, placement, and stipends for Volunteers or participants (Such as organizations carrying out
Federal service programs administered by the Corporation for National and Community Service), in community service
settings.
USV OfSUI)CO III I-,tCtO I's and/01-Vell(IOI-S
If this contract involves the use of a Subcontractor or third party,then the Provider shall not delay the implementation of its
agreement with the Subcontractor. If any Circumstance occurs that may result in as delay for a period of 60 days,or more the
initiation of the subcontract or the performance of the Subcontractor, the Provider shall notify the Alliance's Contract
Manager in writing of such delay.The Provider shall not permit a Subcontractor to perform services related to this agreement
without having a binding Subcontractor agreement executed. In accordance with Section 23 of this Contract, the Alliance
will not be responsible of-liable for any obligations or claims resulting from such action.
5 Copies of Subcontracts:
The Provider shall submit a copy of all subcontracts to the Alliance ontract Manager within thirty (30) (lays of the
subcontract being eXeCLIted.
5.2. Monitoring the performance of Subcontractors:
The Provider shall programmatically monitor, at least once per year, each of its Subrecipients. 'rhe Provider shall
perform programmatic monitoring to ensure contractual compliance, and programmatic performance and compliance
with applicable state and federal la%vs and regulations. The Provider shall nionitor to ensure that time schedules are met;
the budget and scope of work are accomplished within the specified time periods, and other performance goals. The
Provider shall also perform fiscal and administrative monitoring for all subcontractors to ensure fiscal accountability.
5.3. Copies of Subcontractor Monitoring Reports
The Provider shall forward a copy of all subcontractor monitoring reports to the Alliances' Contract Manager within
thirty (30')days of the report being issued to the Subcontractors, Subrecipients, Vendors, and/or Consultants.
C. Deliverables
'I he follcm ing scclion provide,", the specihe qualflillahle LIIii(S Of (1QfiVereah1CS Oild SOUNC to
evidence Ille complctloll of the tasks StieCifie(I ill this Colltj.aJCt. The flrw� ider must submit RH 1'e(JUir'ed dOCUl1IeIlLZftiOl) in
111C time and ilialliler specified bear 01Clll ill ifIl 0111 pIed'orlllamx lc%els to lie Illet. C1CHVQI-,AI)IC Must he acccptecl in %w riting
b\ the A Himiec Contract Niamwer has,2cl I.Ill the requil-Q111elits for each delk crahlc bC1'OrQ 1110 Pl'OVidOr MdltllitS dil ill VOICe
reque!."tillu
'I 1W PI-OV idCY Skfl I ClISLIN HIC pl'0%,kiol'l 0 f as C0111 iiI ULIIII Of S,21-VJCC tlMt III cels the diverse treed~ of elders and their
care�—,ivers. I'lle Provkier shall Onsure the performallce and reporting offlic Following Services ill accordalice w%411 1110
current Handbook and this comract. DOCtIllIeIlLIliNI Of SCrViCC dedivcr% must includc a report consisting ol' the
I'OHOWil)(1: 1.111dLiplicated number of clients served,IILIII1bQl'0fservice killit,"' provided by service. and rate per servICC Wilt
with CtICLIIl1i0fIS that equal [lie total invoice aniount.
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I 11C SCrViCCS ilICILICIC OIC J'OHO\VhnO_ CMCI-106C,"':
a. Supportive Services(111B Program)
Supportive Services include a variety of commUnity-based and horne-delivered services that Support the quality of life
for older individuals by helping them remain independent and productive. Services include the following:
(I) Adult Day Care;
(2) Chore Services,
(1) Companionship;
(4) Counseling(Gerontological);
(5) Emergency Alert Response;
(6) Escort;
(7) Homemaker;
(8) Housing Improvement;
(9) Legal Assistance
(10) Material Aid,
(I I) Personal Care,
(12) Recreation;
(1 33) Screening and Assessment;
(14) Shopping Assistance,-
(15) Transportation; and
(16) Specialized Medical l3quipment, Services, and Supplies
b. Congregate Nutrition Services(1111CI Program)
Nutrition services are provided in congregate settings and are designed to reduce hunger and food insecurity, promote
socialization and the health and well-being of older individuals by assisting them to gain access to nutrition and other
disease prevention and health promotion services. Services include the following:
(1) (I ongregate meals;
(2) Congregate meals screening;
(3) Nutrition,education and nutrition Counseling;
c. Home Delivered Nutrition Set-vices(1111C2 Program)
hl-borne nutrition services are provided to reduce hunger and food insecurity, promote socialization and the health and
well-being of older individuals by assisting such individuals to gain access to nutrition and other disease prevention and
health promotion services. Services include the following:
(I) Home delivered meals;
(2) Nutrition education and counseling;
(3) Screening/Assessment,
d, Disease Prevention and Health promotion Set-vices(1111D Program)
Evidence-Based Disease Prevention and health promotion ("EBDPI-IP") service have been demonstrated through
evaluation to be effective for improving the health, wellbeing or reducing disease, disability and/or injury arnong older
adults,and proven effective with older adult populations. The ACL defines EBDP'I-IP services as meeting highest-level
criteria. Only services that rneet the highest-level criteria are allowed Under the HI ID program. EBDPHP services most
be delivered per the requirements of the program and ensure program fidelity. Evidence based programs include the
foHowing.
(I ) A Matter of Balance
(2) Chronic Disease Self-Managenlent
(3) Diabetes Self-Managernent Program
(4) Enhanced Fitness
(5) HomeMeds
c. Caregiver Support Services(111E Program)
The following services are intended to provide direct help to caregivers, assist in the areas of health, nutrition and
financial literacy and assist caregivers in making decisions and problem solving related to their caregiving roles and
responsibilities:
(1) Adult Day Care;
(2) Caregiver Training/Support(Individual,&Group),
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(3) Respite Services;
(4) Screening/Assessment;
f. Caregiver Support Supplemental Services(111ES Program)
The following services are provided to complement the care provided by caregivers:
(1) Chore Services;
(2) Housing improvement;
(3) Material Aid;and
(4) Specialized Medical Equipment, Services and Supplies.
g� Caregiver Support Grandparent Services(111EG Program):
Services for grandparents or older individuals who are relative caregivers designed to help meet their caregiving
obligations include the following:
(I) Legal Assistance;
2. Service Units
'file Provider shall ensure that die provision of services described in this contract is in accordance with the
current DOEA Handbook and the service tasks described in Section 1I.A. Attachment V11 lists the services that can be
performed, budget allocation for each service, the number of units of service, and the reinnbUrsernent unit rate. Units of
service will be paid pursuant to the rate established in Attachment VIL
3. Administrative Responsibilities
The Provider shall provide management and oversight of CCE program operations in accordance with the Current DOEA
Handbook which include the following:
a. Establish contractual ay,reenients with appropriate and capable subcontractor and vendor agreements, when
applicable,
b. Provide technical assistance to subcontractors and vendors to ensure prOViSi011 Of duality services.
c. Monitor and evalitate subcontractors and vendors for appropriate programmatic and fiscal compliance.
d. Appropriately submit payments to subcontractors.
e. Establish procedures for handling recipient complaints and ensure that subcontractors develop and implement
complaint procedures to process and resolve client dissatisfaction with services. Complaint procedures shall address
the quality and timeliness of services, provider and direct service worker complaints, or any other advice related to
complaints other than termination,suspension or reduction in set-vices that require the grievance process as described
in Appendix D, Department of [."Ider Affairs Programs and Services Handbook. The complaint procedures shall
include notification to all clients of the complaint procedure and include tracking tile date, nature of complaint, and
the determination of each complaint.
f. Ensure compliance with Client Information and Registration Tracking System (eCIRTS)regulations.
g. Monitor OUtCOrne measures in accordance with targets set by the Department.
h. Conduct Client Satisfaction surveys to evaluate and improve service delivery.
D. Reports
The Provider is responsible for responding in a timely fashion to additional routine and/or special requests for information and
reports required by the Alliance, The Provider must establish due dates for any subcontractors and/or vendors that permit the
Provider to meet the Alliance's reporting requirements,
I. Service Cost Report(SCR):
The Provider shall submit a SCR to the Alliance annually and no later than ninety(90)calendar days after the Provider
Fiscal Year end. The SCR shall reflect the actual costs of providing each service by program for the preceding contract
year. If the Provider desires to renegotiate its reimbursement rates,the Provider shall make a request in writing to the
Alliance with the submission of Unit Cost Methodology(UCM)and in accordance with the Alliance's approved
Reimbursement Rate Review Policy,which is incorporated by reference.
2. Surplus/Deficit Report
The Provider will submit a consolidated surplus/deficit report in a format provided by the Alliance to the Alliance's Contract
Manager in conjunction with the required monthly billing submission.This report is for this contract between the Provider
and the Alliance.The report will include the following:
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a. The Provider®s detailed plan, by program and service, on ]low the SUrPILIS or deficit spending exceeding the 1%
threshold will be resolved;
b. A detailed plan on how tire surplus or deficit spending exceeding tire 1% monthly threshold will be resolved. The plan
must include specific budget numbers to reflect how the Provider plans to address the variance.
c. Number of clients currently on the waitlist(APCL).
d. Number of Unduplicated Client served.
In accordance with its SLII'P]Lls/deficit management policies, in order to maximize available funding and minimize the
time that potential clients must wait for services, the Alliance in its sole discretion can reduce funding awards if the
Provider is not spending according to monthly plans and is projected to incur a surplus at the end of the year.
Volunteer Activity, Report
'I"lle Provider shall submit an annual unduplicated report of volunteer hours on the format provided by the Alliance. The data
collection period is from January I —December 31 for each calendar year. The data Submission date is five(5)working days
following the close of the contract period.
4, eCIIITS Reports:
The Provider shall input OAA-specific data into eCIRTS, depending oil the instructions provided by the Alliance, to ensure
eCIRTS data accuracy. The Provider shall use CIRTS-generated(or WIRTS generated)reports which include the following:
a, Client Reports;
b, Monitoring Reports;
c. Services,Reports; and
d. Outcome Measures Reports.
e. Fiscal Reports
f, Miscellaneous Reports
5. Program Ifighlights
The Provider shall submit Program Highlights referencing specific events that Occurred in previous contract year by
September 1011, of the current contract year. The Provider shall provide a new success story, quote, testimonial, or human-
interest vignette.-File highlights shall be written f6r a general audience,with no acronyms or technical terms. For all agencies
or organizations that are reference(] in tile highlight, the Provider shall provide a brief description of their mission or role.
The active tense shall be consistently used in the highlight narrative, in order to identify the specific individual or entiIN, that
performed the activity described in the highlight. The Provider shall review and edit Program Highlights for clarity„
readability,relevance, specificity,human interest,and graminar, prior to submitting them to tire Alliance.
6, Outreach Activit N
Fhe Provider Shall report oll m1treach activilios al loast LlSilW 8 Ullif01111
by,the AHLInce, I lie 1,61,111,11 mum loclude the 1"ollowing information: IWIllber and t5 lie of providQr evollis or activitiv:
clate mid location: total mimber of pariiclpanis at ea(di ovQnt or activity ; individual Service liceds identilied: and
relerral smjlecs ol. inform"llion provided Reports must Ile submitted by June 30 and December `,I ofoaeh contract
\Qair'. At as minilmmi. the number o�'outreach activities recillired to hQ completed annually I'or the Provider must hv
consislellt Nw ith the flUrnbel'Of 01.11l-CaICII ilclivities relerenced in the procurement doculll,elll* leading to this contract.
7, Ilealth and Wellness Deports
The Provider Shall Submil N/Ionthly Programmatic Reports f61-FBDPI li, services. "Mlle Provider Shall Submit the
Illontilly reports vN illl the monthly billing ill accordance with Section 3 I oi'lllis comract. hivoices Submitted ill
accordance with Section �A ofthis contracl will not be paid useless the pro-ralmll"llic reports are 'sublilitted with
the hillin-. Hie, Alliance Contract Manager Nvill provide all EXCO Spreodsheet \6th the kfllovvillu tabs: ficalth
"I I I d V (r c only ill m"I LljlLILIICCI 0S,
WCIIIICSS (011C 1*01- CiCh M0111h).- SLICCOSS Stor. � Ql ( lte I N,): Partnership tone I
nccded)l and cl Statistical Bl`CaIkLIO\VfI Page.
a. 111661-Illation provided ill the Monthly Pro-ralmm"OiC RCI)OTI IIILISt 11MI.Ch ('11RIS (1,11,1 and tile Re(jLIQ,,-,'t fOr
Payment.
1), Itle Provider shall I-C\ iew pl-OgNUII dOCUMCIltati011 to ClISHI-C, iS COMPICtC nand ad0,jUltCl\'
SLIPI)ONS the illt'01-111,'Id011 l-eporled ml the Proln"l-anin 1,11 ic Report prior to submitting a Request f'OT,
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113incnL Ile Provider will attest k) We rcv&" in We WannicniO section of We NW HQ, Pmgmmmattic
Up= and provide relevant innirmalkni regarding Me dmn"emmko as ncedood.
e, PT-OtlralM d0CUrueutaUion shall include ad! the holloWng element, Sip -in Theo N AwrWarice Log; n3ers,
or doCUnWrl,'A60u CIC111011S[rulillzl� C11-ol'tS to recruit parUcIpailts 'Ind Promote services provided;
clirl-CI)t Ia6litator(:Qrflricalcs:copy ofprograill license(il'applicable): and any forins required h� tile specific
pnTIAM
LI. Provider shall ensure that prograrn dommoHation KeWdes a Syn4n Two or Auendaince Log, whh date, We,
narne ol'prograin, panicipani rome, and name or pixigmm AcHhatoash HAW Auen&uwe Ina does nm indudc
a space for participant signatures, addithrial program docurnewmAn must be included "ith Participant signxtuNs
Ihn malches Me pamic4mnt names and dates in the Attendamee I mg. FAcylJorrs nmy be appirtmal by Allizonce
Contract N/lanagaon R"yests nium he nmde in "Wirig,, and kept kv ith pr(:)p4rarn
C. Participarns mmi write and syn their natuQ on prou'rain shect or Altenclance Log. Attendance I o,,,,s with
parlicipaul nanws tY pcd or %WWn in b; We same persmi vvill not be accepted as payrour docunnalwAm, Ir Ll
POUT I CiP,111l Nf"USCS 01 is Unable to vot-iie their o%o,11 narne and sign, dw instructor nuly sign h) pnroxy for die
pamb4lani whh a time on Me sjoh"heo stmW %Ay k is nenNsary it) do, so (lhe note needs it) be initiated and
dated).
F, The 15-onkl[ershall abide b; all pwgnuvi fiddil) requhTments and annualkn0serve deliver, oflAIA1 IP scrN ices.
1% noic ,%III he included in the Ndonthl,l Progrann'riatic Reporl, K Ole comments Section, whell as 1`11-012raill bars IIC'Cll
observed 0ocuineirlation perWinhu W Ow ohexMion wH1 be kcrit mal prow AM to the AW)CC UpOu re(JUCIA,
'If i!e I I ro%,i i.I e r s lia II c o i i t a c t t h e A I I i a i i c e(",i W act N1 a n a y c r i n the c i c n I ofa an i e i I u e rg,c,n Co r a i i c\ii-,e I i t c i rc L I a I I a t at I I C C
wlik.,re (lie panne icier is unahle it) maint,rin an asIlect oi' fidelhi , of the 1;,BDPI III serviQes (e.g. mummmy or
Inaxil-flun) number of parti6pallts) hadore the cmd ofthc "orkshop. Al We discrakri of Tc A Hianwe
M, the service ma) be re hu bu rsed kinder this conti act Ilo\vQvCl% if 0 le Ilde I it� ill fraction is discovered after
the pingram Ims WWI during the Request for PaNnicni Process or as (lest, rcvia2Nw, ihe Provider may not be
reimbursed lbrihe worksImp or sNM he Nquess"ho rohnhurse the Alliance die cost orlhe "orkshop.
h. Ille Pro%ider shail CoHahoroe and paluter with orgalAnAms to exteml We reach of LHDPHP scr%ic".
Partnerships shall be dcsiuViCd 10 Stirill.flate innovation or ne" appRnwhes and active hies W FHI)PIlP nnN ices.
dt:velopnieni ofgreater capacky, and Overage wher funding sowvcv Wriership small ah"WIr" huildhg and
mrswirtirig an h0nmnicmw for We d6cmirimion or IIID141P services. his include, but is not limiled to.
roc-rukownt oftratine s and participants. covering, cosm for Hcensok and waknuirig Program Win.
i. Jhc Pnoj&r shall doe mnow mul provide to the AHiance upon requw ea knec of pmnerships And lAmAl
'greement"I inderstanding, o�llr ider wHI be required U)keel)track ol"portno-slups in We Tronbl"
P um nnmmic Repom EaCh HIM1111 thew r0%iQvo and PI-0%ide Ujldalc�.,.,as 11cceSS81-y.
Florida Elder Law Progratin (FELP) Report
The purpose of the FELP reports is to collect cmWelw and standard data to HWstrare the range and type of legal assistance
provided by the Provider to older persons in social or econornic:need.
Providers ftinded for Legal Assistance shall n1tink the Florida Elder Law Pmgmni(FELP)report anmmHy to the Alliance
in the Rmnat provided by the Department to ensure that legal services reached be targeted groups and served the priority
tissue areas desedbed in Attachment 1, Section I A I of this cWUMCL The Provider shad compile and report data using tile
definitions and specific instructions provided by the Depar-titimir and be Alliance in the IFFY 202,2-2023 Florida Elder Law
Program Data Collection Handbook. 'Fire reporting cycle for the FELP report is from October I to September 304 The
FELP Report includes the fbIlowirig areas:
Cases and Client Information
OAAP Complaint Case Report A
Case Examples
Education Log
Referred From. Data
Publications(optional)
Unmet Needs(optional)
"Individual clients are to be counted only once per calendar year.
Reports must be SUrnmited annually to tile Alliance by October 1511,
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E. Records and Documentation
1. Requests for Payment
'['lie Provider shall maintain documentation to SLipport Requests for Payment that shall be available to the Alliance, the
Department, or other authorized agencies and individuals such as the Florida Department of F hiancial Services (DIS),
upon request.
2, eCIRTS Data and Maintenance:
The Provider shall ensure, on a monthly basis, collection and maintenance of client and service information in eCIRTS
or any such systern designated by the Alliance. Maintenance includes accurate and Current data, and valid exports and
backups of all data and systems according to the Alliance and Department standards.
3. Data Integrity and Back up Procedures::
The Provider shall anticipate and prepare for the loss of information processing capabilities. The routine backing Lip ofall
data and software is required to recover from losses or outages of the computer system. Data and software essential to the
continued operation of Provider functions must be backed up.The security controls over the backup resources shall be as
stringent as the protection required of the primary resources. It is recommended that a copy of the backed lip data be
stored in a secure,offsite location.
4. Policies and Procedures for Records and Documentation:
The Provider shall maintain written policies and procedures for computer system backup and recovery and shall have the
same requirement of its Subcontractors. These policies and procedures shall be made available to the Alliance upon
request.
F Performance Specifications
1. Outcomes
At a minimum,the Provider must:
a. Ensure the provision of the services described in this contract are in accordance with the current DOEA
Handbook and Section H.A.and Section H.D.of this contract;
b. The Provider shall timely submit to the Alliance all reports described in Section, 11.1)of this contract;
b. The Provider shall maintain all information described in Section ILE,of this contract',
cf. The Provider shall ensure the prioritization and service provision of'clients in accordance with Section H.A.2 of this
contract;
e, The Provider shall timely and accurately submit to the Alliance Attachments JX,X and supporting documentation in
accordance with Attachment "ill of this contract.
2. Criteria
a. 66%of new service recipients with high-risk nutrition scores will improve their nutritional status,
b. 65%of new service recipients will maintain or improve their ADL's assessment score.
c. 62.3%of new service recipients will maintain or improve their IADL's assessment score.
d. 89%of family and family-assisted caregivers will self-report they are very likely to provide care.
3. Monitoring and Evaluation Methodology
The Alliance will review and evaluate the performance of the Provider under the terms of this contract. Monitoring sliall be
conducted through direct contact with the Provider through telephone, in writing, and/or an on-site visit, The Alliance's
determination of acceptable performance shall be conclusive. The Provider agrees to cooperate with the Alliance in
monitoring the progress of completion of the service tasks and deliverables.The Alliance may use,but is not limited to,one
or more of the following methods for monitoring:
a. Desk reviews and analytical reviews;
b. Scheduled, unscheduled,and follow-Lip on-site visits;
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c. Client visits;
& Review of independent auditor's reports;
e. Review of third-party documents and/or evaluation;
f. Review of progress reports;
g. Review of customer satisfaction surveys;
h. Agreed-upon Procedures review by all external auditor or consultant',
j. I...iniited-scope reviews; and
j, Other procedures as deemed necessary.
G. Provider Responsibilities
1. Provider Accountability:
All set-vice tasks and deliverables Pursuant to this contract are solely and exclusively the responsibdity of the Provider,
and for which, by execution of the contract,the Provider agrees to be held accountable.
1 Coordination with Other Providers and/or Entities:
Notwithstanding those services for which the Provider is held accountable involve coordination with other entities in
performing the requirements of the contract, the failure of other entities (foes not alleviate the Provider from any
accountability for tasks or services that the Provider is obligated to perform pursuant to this contract.
I-L Alliance Iles po n sibil ities
I. Alliance Obligations:
The Alliance may provide technical support and assistance to the Provider within the resources of the Alliance to assist
the provider in inecting the required tasks in the above Section It.
2. Alliance Determinations;
The Alliance reserves the CXCILISive right to make certain determinations in the tasks and approaches. The absence of the
Alliance setting forth a specific reservation of rights does not mean that all other areas of the contract are Subject to mutual
agreement.
SEC'TIONIII: MET110I)OF' PAYNIEN'r
A. Payment Methods Used
The Method of Payment for this contract is a combination of fixed fee/unit rate, cost reirriblirsernent, and advance payments,
subject to the availability of flinds and Provider performance.The Alliance will pay the Provider upon satisfactory completion
of the Tasks/Deliverables,as specified in Section It and in accordance with other terms and conditions of the contract,
I. Fixed Fee/Unit Rate
Payment for Fixed Fee/Unit Rates shall not exceed al110Ul1tS established in Attachment VI I, per unit of service.
2. Cost Reimbursement
Payment may be authorized only for allowable expenditures, which are in accordance with (lie services specified in
Attachment VII. All Cost Reimbursement Requests for Payment must include the Receipt and Expenditure Report
beginning with the first month of the contract.
3. Advance Payments
Non-profit Providers may request a monthly advance for service costs for each of the first two months of the contract
period,based on anticipated cash needs.For the first month's advance request,the Provider shall provide to the Alliance
documentation justifying the need for an advance and describing how the funds will be distributed. If the Provider is
requesting two,(2)months of advances,documentation must be provided reflecting the cash needs of the Provider within
the initial two (2) months and should be supported through a cash-flow analysis or other information appropriate to
demonstrate the Provider's financial need for the second month of advances, The Provider must also describe how the
funds will be distributed for the first and second month. If sufficient budget is available, and the Department's Contract
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Manager, in his or her sole discretion,has determined that there is justified need for art advance, the Department will issue
approved advance Payments after Ady Ist of the contract year.
All advance payments made to the Provider shall be reimbursed to the Alliance as follows: At least one—tenth of the
advance payment received shall be reported as art advance recoupment on each Request for Payment (Attachment XI),
starting with the invoice submission of the third month activities and billing, in accordance with the Invoice Report
Schedule(Attachment IX).
Interest earned oil advances Must be identified separately by source of funds. state or federal. Providers shall maintain
advances of federal ftinds in interest hearing accounts unless otherwise exempted in accordance with 45 CFR 74.22(k).
Earned interest must be returned to the Alliance at the end of each quarter.
B. Method of Invoice Payment
Payment shall be made upon the Provider's presentation ofan invoice subsequent to the acceptance and approval by the Alliance
of the deliverables shown,on the invoice and payment has been received from DOEA. The form and Substance of each invoice
submitted by the Provider shall be as Hlows:
I. Request payment on a monthly basis for the units of services established in this contract, provided in conformance with
the requirements as described in tile DOEA Programs and Services I landbook, and at the rates established in Attachment
VII of the contract, Documentation of service delivery Must include a report consisting of the following: number of clients
served,number of service units provided by service,and rate per set-vice unit with calculations that equal the total invoice
amount. Any change to the total contract amount requires a formal amendment.
2. The Provider shall consolidate all subcontractors' Requests for Payment and Expenditure Reports that support Requests
for Payment arid shall submit to the Alliance L[Siug forms Request for Payment(Attachment IX), Receipt and Expenditure
Reports(Attachment X) for all set-vices.
3 All Requests for Payment shall be based oil the submission of monthly Expenditure Reports beginning with the first month
of the contract.The schedule for submission of advance requests and invoices is Invoice Schedule,Attachment VIll;
4. In the event that set-vices were not billed during the,regular billing cycle, the Provider may request payment for services
no later than 90 days after the month in which the expense was incurred, except that requests cannot be made after the
contract closeout date, Request for payment of services rendered 90(lays after the month in which the expense was incurred
will require approval of the contract manager prior to the billing Of such incurred expenses. Late service billing requests
will not be paid unless justification is submitted and approved by the contract manager;
5. The Provider shall maintain documentation to SLIPPOrt payment requests which shall be available to the Alliance, the
Department,and the Department of 1,inancial Services,or other atithorized state and federal Personnel upon request;and
6. All payments under the terms of this contract are contingent Upon an annual appropriation by the Legislature,and subject
to the availability of funds.
C. Payment Withholding and/or Financial Penalty
Any payment due by the Alliance under the terms of this contract may be withheld pending the receipt arid approval by the
Alliance of all financial and programmatic reports due from the Provider,any adjustments thereto,any documentation or reports
requested by the Alliance,arid including any,disallowance not resolved as outlined in this Contract. In addition, for every day
beyond the initial ten (10) days from the date stipulated in the contract as due date or date the report was requested to be
submitted by tile Alliance, that the Provider fails to turn over the reports or requested information, the Alliance, at its sole
discretion, may withhold from the Provider a daily fine of up to$500,
D. Final Invoice Instructions
'file Provider shall submit the final Request for Payment to the Alliance no later than 30 days after the contract period ends and
as referenced in Attachment VIII. If the contract is terminated prior to the end date of the contract, then the Provider 111USt
submit the final request for payment to the Alliance no more than 30 days after the contract is terminated. If the provider fails
to do so,all right to payment is forfeited,and the Alliance will not honor any requests submitted after the aforesaid time period.
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E. eCIRTS Data Entries for Subcontractors
The Provider inust require Subcontractors to enter all required data fbi- clients and services in the eCIRTS database per the
DOEA Programs and Services Handbook and the eCIRTS User Manual-Aging Provider Network users(located in Documents
on the eCIRTS Enterprise Application Services), Subcontractors must enter this data into the eCIRTS prior to submitting their
requests for payment and expenditure reports to the Provider, The Provider shall establish deadlines for completing eCIRTS
data entry and to assure compliance with due dates for the requests for payment and expenditure reports that Provider must
submit to the Alliance,
F. Providers' Monthly eCIRTS Reports
'File Provider must run monthly eCIRTS reports and verily client and service data in the eCIRTS is accurate. This report must
be submitted to the Alliance with the monthly request for payment and expenditure report and must be reviewed by the Alliance
before the Provider's request for payment and expenditure reports can be approved by the Alliance.
IV. SPECIAL PROVISIONS
A. Provider's Financial Obligations
1. Matching, Level of Effort,and Earmarking Requirement:
'I'lle Provider must provide a match of at least 10 percent of the cost for services funded through this contract,except for Title
IIID The match will be made in the form of cash and/or in-kind resources. At the end of the contract period,all funds through
this contract,except for Title HID must be properly matched.
1 Management and Use of Service Dollars and Continuity of Service:
a. The Provider is expected to spend all funds provided by the Alliance for the Purpose specified in this contract. The
Provider must niatiage the SCI'ViCe dollars in such a manner so as to avoid having a surplus of funds at the end of the
contract period. if the Alliance determines that the Provider is not maximizing available funding, the Alliance, in
accordance with its Surplus/Deficit Fiscal policies, may transfer funds to other Providers and/or adjust subsequent
funding allocations accordingly.
b, The Provider shall ensure that contract services will be provided until the end of the contract period. In order to enable
the Provider to better manage the Services Under this contract and to maximize the use of available resources,the Alliance
has established a spending authority as identified in Budget Summary, Attachment V11. The Provider is responsible for
managing the spending authority so that a continuity of' service can be maintained for the maxinlUill nUillber of
C011SUIllers. The Provider agrees to aSSUrne responsibility for any contractual deficit that may be incurred.
3. Consumer Contributions
Consumer contributions are to be Used Under the following ternis:
a. The Provider assures compliance with Section 315 of the OAA as amended in 2006, in regard to consurner
contributions;
K Voluntary contributions are not to be used for cost sharing or rnatching;
c. ACCUrnulated voluntary contributions are to be used prior to requesting federal reimbursement; and
d. VOkintary contributions are to be used only to expand services,
4.. Budget Summary:
The Alliance has established a spending authority based on services and rate detailed in the SPA and the Budget SUnlinary,
Attachment VII and any revisions thereto approved by the Alliance. Any changes in the total amounts of the funds identified
our the Budget Summary require a contract amendment.
B. Remedies for Nonconforming Services
i. 'rhe Provider shall ensure that all goods and/or services,provided under this,contract are delivered timely, completely and
corn niensu rate with required standards of quality, Such goods and/or set-vices will only be delivered to eligible prograill
Participants.
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2. If the Provider fails to meet the prescribed quality standards for services, such services will not be reimbursed under this
contract, In addition,any nonconforming goods(including home delivered meals)and/or services not meeting such standards
will not be reimbursed under this contract, The Provider's signature on the request for payment form certifies maintenance
of supporting documentation and acknowl e dgenie tit that the Provider shall solely bear the costs associated with preparing or
providing nonconforming goods and/or services. The A llnuice requires immediate notice of any significant and/or systemic
infractions that compromise the quality,security or continuity of services to clients,
3. The Alliance will pass through to the provider any financial consequences imposed by the Department oil the Alliance should
the provider be at fault and/or cause for the imposed financial consequence. Any passthrOUgh financial consequences will
be withheld by reduction of payment and will levy against the provider for the following:
a. Delivery of services to eligible clients as referenced in Attachment 1, Section 11 of this contract—Failure to comply with
established assessirtent and prioritization criteria as evidenced by eCRITS reports.
b. Services and units of services as referenced in Attachment 1, !Section 11 of this contract—Failure to provider services in
accordance with the current DEOA I landbook
c. Administrative duties as referenced in Attachment 1, Section It of this contract—Failure to perform management and
oversight of the program operations.
C. Investigation of Criminal Allegations
Any report that implies criminal intent oil the part of the Provider or any Subcontractors and referred to a governmental or
investigatory agency must be sent to the Alliance which vvili in turn forward the information to the Department. If(lie Alliance
has reason to believe that the allegations will be referred to the State Attorney, a law enforcement agency, the United States
Attorney's office,or other governmental agency,the Alliance shall notify the Inspector General at the Department immediately.
A copy of all documents, reports, notes, or other written material concerning the investigation, whether in the possession of the
Provider or Subcontractors,must be sent to the Alliance which will in turn send the material to the Department's Inspector General
with a summary of the investigation and allegations.
D. Volunteers
The Provider shall ensure the use of trained Volunteers in providing direct services delivered to older individuals and individuals
with disabilities needing such services. If possible,the Provider shall work in coordination with organizations that have experience
in providing training, placement, and stipends for volunteers or participants (such as organizations carrying out federal service
programs administered by the Corporation for National and Community Service), in community service settings,
E. Use of Service Dollars and Management of Assessed Priority Consumer List
The Provider is expected to spend all federal, state, and other funds provided by the Alliance for the purpose specified in the
contract.The Provider MUSt manage the service dollars in such a manner so as to avoid having a surplus of funds at the end ofthe
contract period, for each program managed by the Provider. The Provider understands and agrees to the reallocation of funding
as described in Attachment 1, Section I I.E.3.of this contract.
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ATTACHMENT 11
ATTAC"MENT 11
FINANCIAL AND COMPLIANCE AUDIT
'Tile administration of resources awarded by the Alliance to the provider may be subject to audits and/or monitoring, by the
Afliance andor die Department as described in this section.
1. MONITORING
Iri addition to reviews of audits corwductecl in accordance wwith 2 C F R Part 200 (formerly 0MB Circular A-133, as
revised), and s. 215.97, F.S.,(see "AUDITS" below), monitoring procedures may include, but not be limited to, on-site visits
by the Alliance and/or the Department staff, limited scope audits as defined by OMB Circular A-133, as revised, and,/or other
procedures. By entering into this agreement, the Provider agrees to comply and cooperate with any monitoring
procedures/processes deemed appropriate by the Alliance. In the event the Alliance and/or the Department determines that a
limited scope audit of the Provider is appropriate, the Provider agrees to comply with any additional instructions provided by the
Alliance and/or t h e Department to the Provider regarding such audit. The Provider further agrees to comply and
cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Alliance and/or the Department.
AUDITS
PART 1: FEDERALLY FUNDED
This part is applicable iftlieprovicler is State or local government oi-a non-profit organization as defined in OMB Circular A-
133, as revised.
In the event that the Provider expends $750,000.00 or more in federal awards during its fiscal year, the Provider must have a
single or program-specific audit conducted in accordance with the provisions of' 2 C F R Part 200. EXHIBIT 2 to this
agreement indicates federal resources awarded through the Alliance by this agreement. In determining the federal awards expended
in its fiscal year, the Provider shall consider all SQUI-CLS of Federal awards, including federal resources received from tile
A I I i a n c e. The determination of amounts of' Federal awards expended should be in accordance with the guidelines established
by 2 C F R P a r t 2 0 0 . An audit of the 11 ro v i d er conducted by the Auditor General in accordance with the provisions of
2 C F R P a r t 2 0 0, will meet the requirements of this part.
In connection kvith the audit requirements addressed in Part 1,paragraph 1,the Provider shall fulfill the requirements relative to
auditee responsibilities as provided in 2 C F R P a r t 2 0 0.5 0 8 .
If the Provider expends less than $750,000.00 in federal awards in its fiscal year, an audit conducted in accordance with the
provisions of 2 C F R P a r t 2 0 0, is not required. In the event that the Provider expends less than $750,000.00 in federal
awards in its fiscal year and elects to have an audit conducted in accordance with the provisions oft C F R P a r t 2 0 0, tile cost
of the audit must be paid from non-federal resources (i.e., the cost of such audit must be paid from Provider reSOLIT'CeS obtained
fi-oni other than federal entities.)
An audit conducted in accordance with this part shall cover the entire organization for the organization's fiscal year.
Compliance findings related to agreements with the Alliance shall be based on the agreement's requirements, including any rules,
regulations, or statutes referenced in the agreement. The financial statements shall disclose whether or not the matching
requirement was met for each applicable agreement. All questioned costs and liabilities due to the Alliance and/or the
Department shall be fully disclosed in the audit report with reference to the Alliance agreement involved. If not otherwise
disclosed as required by 2 CF R P a r t 2 0 0.5 1 0, the schedule of expenditures of federal awards shall identify expenditures
by agreement 111.1niber for each agreement with the Alliance in effect during tile audit period. Financial reporting packages
required under this part must be submitted within the earlier of 30 days after receipt of the audit report or 9 months after the end
of the Provider's fiscal year end.
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PART 11: STATE FUNDED
This part is applicable if the Provider is a non-state entity as defined by s.215.97(2), F.S.
In the event that the Provider expends a total arn0LHlt of state financial assistance equal to or in excess of$750,000.00 in any fiscal
year of such Provider(for fiscal years ending September 30,2004 or thereafter),the Provider must have a State single or prQject-
specific audit for such fiscal year in accordance with s, 2 15.97, F.S., applicable rules of the Department of Financial Services;and
Chapters 1 O�.550(local governmental entities) or 10.650(nonprofit and for-profit orgailizations), Rules of tile Auditor General.
EXHIBIT 2 to this agreement indicates state financial assistance awarded through the Alliance by this agreement. In determining the
state financial assistance expended in its fiscal year,the Provider shall consider all sources of state financial assistance, including
state financial assistance received front tile Alliance,other state agencies,and Other non-state entities. State financial assistance does
not include Federal direct or pass-through awards and resources received by a non-state entity for Federal program matching
requirements.
In connection with the audit requirements addressed in Part 11, paragraph 1,the Provider shall ensure that the audit complies with the
requirements of s. 215.97(8), F.S. This includes submission of a financial reporting package as defined by s. 2 15.97(2), F.S., and
Chapter 10.550 (local governmental entities)or 10,650(nonprofit and for-profit organizations), Rules of the A Liditor General,
If the Provider expends less than $750,000.00 in state financial assistance in its fiscal year(for fiscal years ending September 30,2004
or thereafter), an audit conducted in accordance with the provisions of s. 2 15,97,, F.S., is not required. In the event that the Provider
expends less than$750,000.00 in state financial assistance in its fiscal year and elects to have an audit conducted in accordance with
the provisions of s, 215.97, F.S.,the cost Of tile all(tit Must be paid frorn tile non-state entity's resources(i.e.,the cost of such an audit
Must be paid from the Provider resources Obtained'from other than State entities).
An audit conducted in accordance with this part shall cover the entire organization for the organization's fiscal year. Cornphance
findings related to agreements with tile Alliance shall be based oil the agreement's requirernents, including any applicable rules,
regulations,or statutes. The financial statements sliall disclose whether or not the matching requirement was met for each applicable
agreement. All questioned costs and liabilities due to the Alliance shall be fully disclosed in the audit report with reference to tile
Alliance agreement involved. If not otherwise disclosed as required by Rule 691-5.003, F,A.0,the schedule of expenditures of state
financial assistance sliall identify expenditures by agreement number for each agreement with tile Alliance in effect during the audit
period. Financial reporting packages required under this part must be Submitted within 45 days after delivery of the audit report, but-
no later than, 12 months after the Provider's fiscal year end for local goverinnental entities. Non-profit or for-profit organizations are
required to be submitted within 45 days after delivery of the audit report, but no later than 9 months after the Provider's fiscal year
end. Notwithstanding the applicability of this portion, tile Alliance retains all right and obligation to nionitor and Oversee the
performance orthis agreerrient as outlined throughout this document and pursuant to law.
11. PART Ht: REPORT SUBMISSION
Copies of reporting packages for audits conducted in accordance with 2 CFR Part 200,and required by PART I of this agreement shall
be submitted,when required by 2 CFR Part 200.5 12, by or oil behalf of the Provider directly to each of the following:
The alliance at each of the following addresses:
Alliance for Aging,Ine.
Attri: Fiscal Department
760 NW 107"' Avenue
Suite 214
Miami, FL 33172
For fiscal y ear 20 1 and carlier io the Fcdcrai Audit Clearii)2110US12 deSiUlldk2d in 2 (T_R §200_1)6 at the follmk iw-, address:
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Wdern! Audit (learinghouse.
Buren" or the Census 120 1
East W Street
JerferSooNidle, IN 47132
For Rval yaw 2M4 and later, purvaint to 2 (TR §2015 Q. We mpaling paclatge and the dam colkoln Ann nw be
'."11bruitted electronically to the Federal Audit Clearinghouse,
Pws"M to 2 CFR §NW5 11 all other Federal agcricks. pass4hrough entities and o0n.,�rs intcresicd in as reporting package
and dam collection Ann mum obtak h by accessing Ow We& Wit (AwAyAmw.
I he ProOdu shall subruh as copy of aunt' LOCI' iSSWAl by the aUdit01% to the FloHda Dcportnicnt of' Elder
Alfairs. N ia dic, Alliance. at Inc rollm%hq.,,address:
Alliance for Aging,Inc.
Attn: Fiscal Department
760 NNV 107" Amenue
Suite 214
f0hmL FL 33172
AdAkwidly,, carp ics of nitzmejal repwting packages reqnhvd by tMs coiHrrwl's Financial Compliance Audit Attac:hnient,
I% H slmll he miNnAnd by or on heh,drorwe Provider J1111U,to each 00c Qllominq
lie JAwda Department ofldder AnAhs. via the AHiance, al the AHo ing, address:
Alliance for Aging,, Inc.
Attn: Fiscal Dej)artnient
760 NNV 107" Avenue
Suite 214
PHIm" FL 33172
1 No Audkor (knerars WHce at the 1610%big ad(hvss:
Stale 0 FhaidH AULINor General
Claude Pepper Building, Rooin
574 111 West Madison Street
'Jallahnssee, Florida 32399-1450
Any rqxmn matwigernein Ono% m other hokmatkni rNuked to be subiuktud to the DeNomom pursimm to this contract
shall he suhinhwd thnely in acowdmwe "kh 2 (TR I% AM. florid Suclute, and Chapters 10-550 (local uo%erunivrital
entilies) or 10.651) (nonprof-it and lor-protit organizations). RL0o5 orlhv Auditor Geiwral, as appHeaW.
WoWers. "hen suhtnWing nnanckkqmMing packages to the Depar-iment Ar WE clone in accordance %%Ah 2 CFR Pwt
20()or(Tapters 1005W locA go%vt-nmental cruthied w- UL650(nonprol'itand Arlworit wNanizahonsy wesorthe Auditor
(Wricral,should Mclican,dre date that the reporting padwge "as delixeiQ U)to PrWder in correspondence accompany in,-,,,
the rep(wthg package.
PART IV: RE(DORD RETEN rR),N
] he Provider shad retain sufl'icient records denlonstratillg us Compliance%kkh We terms oftlds"nHmct fear as period ofWx
(6) year, front the dwe the Wit report is issued, and shall allov; the Depamment or its designee. the UFO or Auditor
(jancial access to such recorcls, upon request. Fhe Provider shall engurc W audit %voking papes am made "ail AW to
We AHWme w0ior the Deporneirt or its desbgriee, ('F'O. or Auditor 6encral upon request Ar at per or sN (6) yews
Ami dw date the aLidiL report is issued, urdws cOnWed in wMhq by be Dertartmait.
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ATTACHMENT 11
FINANCIAL, AND COMPLIANCE AUDIT ATTAC"MLNT
EXHIBIT I
PART1: At.fDITRELA'I'IONSfIIPDE'I'ERMINATION
Providers who receive state or federal resources may or may not be subjiect to the audit requirements of 2 CFR Pall §200.500,
and/or s. 215.97, F.S.. Providers who are determined to be recipients or SUbrecipients of federal awards and/or state financial
assistance may be subject to the audit requirements if the audit threshold requirements Set forth in Part I and/or Part 11 of Exhibit
I is met. Providers who have been determined to be vendors are not Subject to the and it requirements of 2 CFR Part §200,38,
and/or s.215.97, F.S. Regardless of whether the audit requirements are met, Providers who have been determined to be recipients
or SUbrecipients of Federal awards and/or state financial assistance Must comply with applicable programmatic and fiscal
compliance requirements.
In accordance Nvith 2 CFR Part §200 and/or Rule 691-5.006, F.A.C.,Contractor has been determined to be:
Vendor IIMSU jCOW2 C'FR Part§200.38 and/ors,2 15,97,F.S.
Recipient/subrecipient subject to 2 CFR Part §200.86 and §200.93 and/or s. 215.97, F&
Exempt organization not subject to 2 CFR Part §200 and/or s. 215.'97, F.S. For Federal awards, for-profit
organizations are excrnpt„ for state financial assistance projects, public Universities, C0111illUnity colleges, district
school boards, branches of state (Florida) government, and charter schools are exempt. Exempt organizations Elitist
comply with all compliance requirements set forth within the contract or award document,
NO'I'E: If Provider is determined to be a reCipienVSUbrecipient of federal and or state financial assistance and has been approved
by the Alliance to subcontract, they must comply with s. 215.97(7), F.S., and Rule 691-.5006, F.A.C. [state financial assistance]
and 2 Cl-R Part §200.330 [federal awards].
PART If: FISCAL COMPLIANCE REQUIREMENTS
FEDERAL AWARDS OR STATE MATCHING FUNDS ON FEDERAL AWARDS. Providers who receive Federal awards,
state maintenance of effort funds, or state matching funds on Federal awards and who are detennined to be a subrecipient must
comply with the following fiscal laws, rules and regulations:
STATES, LOCAL GOVERNMENTS AND INDIAN TRIBES MUST FOLLOW:
2 CFR Part §200.4 16- Cost Principles"
2 CFR Part §200,20 1- Administrative Requirements"
2 (I FR Part§200.500- Audit Requirements
Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, rules and regulations
NON-PRO FITORGANIZATIONS MUST FOLLOW:
2 CFR Part§200.400-Al 1-Cost Principles*
2 CFR Part §200.100-Administrative Requirements
2 CFR Part §200.500-Audit Requ iternents Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, rules and regulations
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EDUCATIONAL INSTITUTIONS (EVEN IF A PART OF A STATE OR LOCAL, GOVERNMENT) MUST
FOLLOW:
2 CFR Part §200.418- Cost Principles*
2 CFR Part §200.100-Administrative Requirements
2 CFR Part §200.500 -Audit Requirements Reference Cruide for State Expenditures
Other fiscal requirements set forth in program laws,rules and regulations
"Sorne Federal programs may be exempted from compliance with the Cost Principles Cil-CUlars as noted inthe 2 CFR Part
§200.400(5)(c).
"For finding passed through U.S. Health and Human Services, 45 CFR 92; for funding passed through U.S. Department
of Education, 34 CFR 80.
STATE FINANCIAL ASSISTANCE. Providers %vlio receive state financial assistance and who are determined to be a
recipient/subrecipient niust comply with the following fiscal laws, rules and regulations:
Section 215,97, Fla. Stat.
Chapter 691-5, Fla. Admin. Code
State Projects Compliance Supplement Reference Guide
for State Expenditures
Other fiscal requirements set forth in prof rain laws, rides and regulations
The Remainder of This Page Left Intentionally Blank
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ATTACHMENT 11
FINANCIAL,, AND COMPLAANCE AUDIT ATTACHMENT
EXHIBIT 2-FUNDING SUMMARY
LLa��Title2CFR§200.331.as revised, and s.215.97, F,S-requireshat informaOon about I-ederal Programs and State Projects included in M"I'ACHMENT
11, Fxhibit I heproNidedto the recipient.lnl'oi-Tiiiitioii contained isa prediction of funding sources and related amounts based on the contract budget.
l-'I:l)I:RAI., R[,'.SOtIRC'I,"SAWAi2r)l,.'I) '1'0"1"111 St,JIIRI-( MEN I'M RSUAN'I'TOTHIS CONTRACTCONSIS'l' OFTI IE
F01,1,0WING:
PROCRANI TITLE FUNDING SOURCE CFDA AMOUNT
Q. Americans Act I P.S. I leal0i and I IL1111,111 Services 93,044 $350.360.97
Title][III—Support Services
Older Americans Act L f.S. Health and HL1111811 SCI-ViCCS 91045 523,232.65
'Htle IlIC I —Congregate Meals
Older Americans Act
U.S. I lealth and human Services 93,045 S242A 16.28
Title ITIC2—I Ionic Delkered Meals
AOlder Americans Act U
'I'itic fllf) .S. Health and I luman Services 93,043
Older Americans Act
Tifle IlIL—Caregiver SUPPOrt Scrviccs
Title HIE6—Caregker SUI)JIOrt SCIViCCS U.S. I lealth and I luman Services 93.052 $159.2 M93
1'ifle III IS—Care river Support Services
Older Americans Act U.S. I lealth and I luman Services 93M53 $39,185.94
Nutrition Services Incentive Program
7'01'AL FEDERALARARD S813,106.76
COM P[J AN CT" Rl,'QUIREIMENTS APPLICABLE TO 711 IFFEDERAI, Rl"ISOURCES,AWARDET)PURSUAN'Y TO JJ IIS CONTRACT
ARE'AS FOLLMVS:
FEDERAJ,Ft M)S7
2 CFR Part 200-Uniform Administrative Requirements. Cost Principles.and Audit Requirements for Federal Awards, OMR Orcular A-133 -
Audits of'States,Local Go\ernmeWs, and Non-Profit Organizations
2. STATE RF1SO(JR(..'ES AWARDFIDTO"J"I IF.RIX111JENTPURS1[AN'l Y0'l'I IIS CONIRACTCONSIS'l OF 'I'l It" FOLLOWING:
MA'I'('IIIN(;RE'SOUCES FOR FFIVRAL PROGRAMS
PROGRAM FUN )ING SOURCTj CH)A AMOLIM'
TOT Al,S'VA I Ia AWARD
S'FA'FF FINANCIAL ASSITANCE SUBJEC 1 '1'0 sec.215.97, [-.S,
PROGRAM FYFLE FI MANG SOUR('[,", C[:DA AMOUNT
I'MAL AWARD
COMPLIANC-F, REQUIREIME N'IS APPLICABLE-1-0 STATI, RLISOURCES AWARDED PURSUAN-1--ro-I'llis CONIRACT ARE. AS
FOLLOWS:
Section 215.97,FS- Chapter 691.5, F.A.C., R&rcnce Guide for State Expenditures,Other fiscal requirements set forth in program laws,rules and regulations.
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ATTACHMENT111
CIFATHITKATIONS AND ASSURANCES
1701-',A %�ill n0taWaM M Mtrad Mess the Provkkr completes these CIARTHICAM)NS AND ASSURAN(T.,S hi
perFormance or this miuma. Ate Pnwiderprovides the 'Issurmices:
A. Dcbe Ce A Neat Wn (29 . 1, 9arra(I45 CFJZ Par-t 75),
B. i -1caitioIljtggALIAMLLlllCinlll2ALLILPArL9I atul 40APITIJ PTurt 2L)13j.
C, Nondi , �►- & E, t1a I ( kit8 Assurance If 7 in(] 4
scrin,ination 1A tj t '211) C z _5.(j'IZ 1��art8�0
It C - f.Lt�ion 1�egLardinjjT,bji 11'"Allity C.'rinues section 287 133 F S
E. A"ochtkn L L(__'o tit iii u n gjza t io n s foL[Zefor Li) T�ojj�z (.,0�14N' F�'tjntlink tZestrictions
. _
ASS""I nce-T-11b.-i
F. L(Ll:tification W'gar llnjo 'icrutinized Conjj2anjes is tiL)g 287.135,F.S.
Q Certill'icalion 10-ardinu Data Inte"IT ("Unk, I and
_MkL11_1K_11 'MULAW
IL 'der! icarthm of I'M glovinen! Sit Mcatiop.
I. lZeetwds in(] Documentati ,
J. wy lyn
(finau
A. CFATIFICATION 10,:GARDING DEBARMENT, SUSPENSION, AND 014111M
IIESPONSIBILITV VIATTEAZS - IIIZIMAIZ'V (,701✓EMA) TIZANSA(7'rION.
The undersigned Provider certifies ki We hem of is Umbaye and belies, that it wid its princy3ak,:
1. Are not presently debarred, suspMed, pRMoscd 1'or dcharmont. declaNd WyAhle. or Mimtaril) excluded
from covered transactions by as federal delx1rnnent Or al"CHCY:
2. Have not %vidin a three-year perkA preceding dtisCmaracl been convicted or had as civil judgincril rcndCrQd
against them thrcorru-nisdon orhaud oracrinihad orronse in comwetion "Ah aucnipting toobtairr, or
performing, a public (FedcraL Wate. or local) wansackvi or contract Mdtn' as Public traHSdCti0H-. violaliOn (fl'
Federal or Swe antitrust swules or commission orernbezzlement. theft„ foro cry. bribery. falsification or
dCStRIC6011 ofrecords. making Me st.awmenK or receiving Molen prtqcq�
3. Are not l-wesently indicted orodicrcr ise criminally or civilly charged by a L,,,ov;ern111cnt cmk�' (FcdcraL State or
local) w4h ccarrmission area oroe onwes enurnenut"! in paragraph W. ofdvis cortHkAort; andAr
4. Ave not "ithin as threel ear pedod preceding W Eq)idication/pmposal had one or snare public transactions
(Federal, State, or local) M-111inUted r0r C',IUSC (.)I*ClCfatllt.
The undersigned shall require that Wguage to this cerMutJon be induded in the documents Rn all sAcmvructs at
all HwN (0cluding sulworamcB. vendors, sub-grants and contracts un&r gB"c nk. bans and (;oopwadve agreernwHs)
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sid that all SLA) redpienn and contraotors shall provide this unification accordingly.
IL CWrl FICA,TION REGARDING LA)BBYING - CERTIFICATION IWR CONTRACTS,
GRANTS, LOANS, AND 4700PERATIVE. AGRF'EMFINTS.
HIC Uud0.rsl,,,,,ued Provider certil'ics. to We hem orks kno"Iedge and beller, thm:
No hedeind Nng,vialcd fluids have been paid or "All be pAd. by or on bdmWof dw underdplel to wV IvIrson fear
ini'luencin- orancInpdrig to int'luarce an o0ker or employee orcongres, or an cipployee ofa Member of
Congress ill connection "hh We awmAhW ofaIj WWI con" act, the nmkhg orany Fe&rV gmnL the rnakhg of
any Federal loan. the entering into of any coopwadve agrcanw . and the exlernsion. cominumiVAL rerink W.
arnendnient or modificMion or any Federal contract n grant- le il or awpautV ngrwrnmw
Iraarnyr funds OthCr thm; Federal appmpHated hilids have been paid or "III be paid W :my person Or Knualchy or
auempdng to influence an officer or Cillploy c%,, of ally agcncy. rr Member orCongresy an oflke"w empkqee of
con.gres., or ernpioyec or a Momhur or(In dress In ammvction %0K as Wderal contracl- gratin. ham or cacti anti vc,
the Undersigned shAl also cornplCtC alld SLIhInit SUM ddrd Form. - IF J— "Dkclosure Forill to Report
in accortLance %00i his imArrailons .
]'Ile UIldCrSiL1DCCI shall reqidre that hnguage ornis wminuation be induded in the TwumNas Wir all subcoIHmos at
III tiCrTS�iflChIdiM.1 SUI)COntracts. suh-grmus and comracis uti der giants. loarls. ant! c(H)perWhv agNonents) and that
all Sub- recipients and contractors shall unif! and TY(we accoahl;gly,.
'I his cerlirica0on is as nialerial representation ol'fact upon "Tich reliswe "as Maud when UK Gnaw "as runic
or allcwd hHw stornisson ortbis certification is as prereq id site for makin'a or entcHng ink) this (Amimct Anposed
by 11 ,S,C, 1352, Any person Nkho rails to I-Ile [Ile Nc]UirCd CCl-IiI-1Cad0n Shall be strhjcct lo a civil penally ofilol
less than $10.000 and noI numv than $HKIT00 Rv cache suchllkwc,
Q NON-DISCRUMINATION &, E'QLJAL OPPORITNITY ASSWZANCE (29 CF11 PART37 AND 4,55 CIA-Z
PART80). -.,,\s as cNids, ormc cAmout. mider assures that it % cornply fully NN ith the
u0lldiscrnnillalioll and equal opportmity PlawisKs orwe 1140"Q la"S:
1. Section 188 ot'llie Workforce Investment Act of 1998 (WIA). (Pul). L. 105-2201), N0-iich prohibits discrimination
agahni A indkiduals in the LAW SWWs on the bads of raw. color. rNigion. sex neat mal orfm, QC,
(]'Sahihty, polit'Cifl arriliation, or heW and agairlst benendarfes on the bask (WherchkensIlip/sImus as to
W"ROV admitied inunigrant awhod/ed to "orb. in Me thAted States or Ixuricipation in any \VIA F ido I-
finariciAly assisted progroln or activity.
2. ritle VI ofthe Civil Rights Act of 1964 (Pub. L 8&152b as ame lded. and all reqtairemenIs imposed by or
pul'SLKIM to the RQgHlatit,fll Or the Ikpartment of health and Ilmnan Sawkes 05 CFR Psi 80Y to the end IN".
in accordance with Tom vi orwal Act and the Regulation no Person in the United States shall. on the ground
of race, color. or mnional prig . Inc cxOuded 1hun participadon W he WAS We hawfils of or he Mhavise
subjected to discirindnMion under any pmgram or activity heir NOW the Applicant receives Fedem! Hnancial
assistance front [Ile Depart I'll oil 1.
3, Seciion 504 orthe RehabHkadon Act of 1973 (Pub 1. 93-112) as ammWed. and all requirements imposed by or
Pursuant to the Regulmion orow Deparunent on lealdl and Flurnan Services (45 CFR Part 841 to the end thane,
in accordance w�a,ith Se0ion 504 ol-AhM Am. and the Reg ulathn. no othenk Q qualified handRapped knlivkhml
in We 10thod Stan sNdL adely by rusmi or leis ha ndicap. he exckided born panicipation in. he dcnkd the
hawfiN or. cw he SLII�ICCIed to diSCI-inlip�'fliOn Under any progmni or activity ror which the Applicant receives
Federal financial assistance I'mun the EkpaHrneni.
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A I he Age Disolminakni Act or 1975 (Puh. L. 94-135). as amended, and all reqVrements injused Iq in- pwsumnt
to the Reguknitm of We MpartmaH or Health and I hunarn Burk ice"45 CM Part 91 ). to the crid that, in
accordance clith tile Act mRI they QgWati(MI, no person in the Med States shall. on the hasis (Tago be dcnQd
the benefits (01 he excluded Amu panicipsHion in. or he SUI.�jCCI[Qd to diSCrinlinatiOn Under arty program or
aclivitk Cor which the Applicant receives Federal Bauchi assiMance Worn (lie I)epartniolt.
5, Title IX of the EdUCadOn Amendments or 1072 (10h. 1. 92-318), as Emnanded, and all roquiremew irilmsed Ian
or pttrumni to the RQUIadOn or the mpammoit or 1600; aml Human So- ices (45 CFR VOn 861 to the end
IML in nowdwwo "hh Tit LX and dw lfegWatkmi. no permirt in the Wired States shall. on we basis or sex, he
excluded Wn paNdpation in be denied the heneVirs OR or be othenvise sQccted to diA:rhnination uncleran,
education prograin or acdvit} for kv hich the Applicant receives Federal financhl assistance Win the
Mparim-ten t.
6 rhe Anicrican vv h h I I saW H des Act or i 990 (pub, I . 10 1-336). "h kh pwh&H s d ispin&MM in all
cii ipI o}men[ pract On. me Wig Q appli cm ion proced LICS, 10 ri ng. lid ad vancc:a icut,Com pensat ion, trai 111 lign
and other terms, condilioiis. and 1'r6whiges orcnqdoynwnL It applies ro recruitment, advertising, ternwe. Iajol'L
leave. rrhige W&M, and all other eiuplo nient.-related acti%,ities.
providers ailso assures that it %,i H comply "it 29 CFR W 37 mid rill other regWwrtiot" huplemcmOg the: laws
listed above. ']'his assurance rap plic's to Provider's operation ofthe MA 'I itle l - Financiallk, ,issistcd proh,,ranl or
acOvit"v . and to all contracts, Provi,dcr nukes a)carry out die WIA 144 1 - fWandall; assiswd livgntm or a ,ctivd
Provider" understancls that I)MA mid the United Swws have We right to seek JLKI iCiEll CHI"OrCelnent M'diC
assurance,
I Ile Lilldersi.,_,ned shall require that lariguage orthis asmirance be included in the documents nw all sulxomrach at
all Hen (including suixotitinints, vendors. suh-grants mul c(macis under grants. loans arrd cooperartive
agrcerrtcl its) and that all Sub recipients mul contraciors shall provide I& z6sumnce acowlingo,
11 CERTIFICATUM REGAIMINC VUBLIC ENI1TV CRIMES, SECTION 287,133, F.S.
Provider, herehr, certifies that neither" it. nor any person or arIMC OFINAM has been convicted of as public h�Hii[)'
(Whne as defined in scohmi 287.133. F.S. nor phwed on the cuivicted vendor list.
Provider undcrstamcls and agrees than it is requii-ed to inhwrn MWA in-mriediarel; upon my char ge of'
CirCLIMStanCeS thiS Stdtl_ls.
111 Assoclixii-m) OF CoNINII..t�NI't'N'()IZ(;ANIZATK)NOI 10111 REFURNI NOW (ACORN) P'UNIANG
RESTRICTIONS ASSWRANCE(INT. 1. 111-117),
As a condition of the CcmihscL Wo\ider assures that it %v ill onnrwly Rdb "Th dw I&M RmAng andoion�,s,
perwining to ACORN and its subsidiaries per the Consolidated AppropriWioris Act,20 I 0, I)ivision r-_Sectic)n 51 1
(pub, J_ 11 1-1 171 Ile CorahnOng AppmpHmkms ACL 2M 1 , Sections 101 Enid 103 Olub, 1. 1 1 1-24 21 provides
than appi;TdAlions made un&r PuK 1. 1 1 K 1 17 are available under the coticliksis pawkied b; Pull 1. 11 K 1 17.
'I lie undersignied shall require timt kingwye orthis assmancu be Mchitled hi dw Twumems & all Moritnwts at
all dos (incluclhig s0icmaracm NwriMs, sub-grants ancl contracts under grants. loans and comperative dgreemcnits)
and that all sub rccQAcms and contractors shall provide flik assurance accordin,,O)i,
F. CERTIFICATION REGARDING SCMUTINIZIM CONWANIES LISTS,SECTION 287.135, E,S
If rhis Wow is in fire amount WI million or rmwo in amordance with die requirements or Seedmi 287J 35,
M. Provider hereby certilles that it is not participating in as hoycm, or israci. is not listed Oil either tile Solilinized
Companies \01h ,Activities in WWI UM LW the Scrutinised (Impanks "hh Activities in We Iran Petrolami
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[Wergy Smuw I An and dw A dkws not have buinns opciations in Club{ or "nia. Ruth lists are created pwsmnt
to Section 215.47.33. VS,
Provider LHI&I'SIMICIS that f)LlrSUant to ScOM 28T 135. VS., the sulvinissW orn false calWation inn), subject
ProN ider to civil penalties, attornc)'s fees. and/or costs,
I I'llrovider is unable to cert§ any Mine sunteinciHs in this ceni Wdon, Provider shall attach an explanation to
dos Owitmct,
C. CEturnsictum REGARDING DATA INTEGRITY CONIPLAANCE FOR CONTRACTS,
AGREEMENTSJ;RANT1 LOANS AND COOPEAZATINTE AGREE'N11,.NTS
1. '1 he Provider and an) subwouracRws orscaces under this contract Inive financial numagenwnt s,mcnis,
capable ofprovjdhj certain hilhirlwation. inchRling: (I ) accurate, curreia and comploc c0saloswe Mhe
financial results orawh ginant-Fuirded PRICCI W program in accordance with the prescribed reporting
rcquircrnerfl.s; 121 the souive and amyombn or rwws kw all cmuracl supported aclivities-, and (3) the
coinpurison orollops with bmNcwd atnown Rw each award. The lllahihtk to process ill['61-matioll in
aocoirdwwe "Ah Oww rcW%mcnts cmid rwuh in a return of gnmi Bids dun have rmi becli acunpHed for
properly .
:4 Management InOnniltion Systems used by the PiroOden subumnsoors, Orally OUISidC cWhy on
which the Provider is dependent lor data that is to he rp(wied. transmilted, or hm,e hcCn assessed
and verified to be caRThIL: 01"PrOCCSSAIg Liam accurately, hwWdhg yemnhw depaukni dam. Or We
slstorns ideritined Mbe nmomripliani, Provider %;M lake imm"Hwc nct4m to animv dwa irftcgrity,
3. If this mitract, includes the pawision of hwdwwv. m0warc, firmworc. ndcrocodc or irnhedded chip
technology. tile undersi,(,,ned, \%arrants that these pnXILICts are capable of processing ynox-daw depaWwo data
acci.irately,. All verdons, of these products offered by the Provider (ro2PrCSQl1tC(I M tile Ul1dCrSiVuCCI) and
plowc1l,'Isecl by the state %v ill he veril-iod Rg acalracy amlintegrity of data pidainArand0r.
4. In the event oVany decraise in RinnjolmHty related to dine and claw related codes and internal subroutines
that irripedc the hard%%are or sortwv are pro'_pranls Croln properly. the Providor a�glws to inlinc(liately
nmkc required corivokms R) mwore MY"aine and sokwwv progranis to the same level of,Fulictioll"llity as
"dri"JuIC(l herein. IN[ 110 change to the man amd "ithout internWholl to the ongoing, business orthe SIMQ.
dille beings oflhc,, essence,
5. '1 he Provider and any subcontractors and/or venTws of services under this contlowl "arrant their pOicics and
procedures include a dis."Ister plan to provide for service delivery to continue In case of an unneNency
hwhdkg emcTcndcs allsing Sun data WWI, cnniplianCO iSSUCS.
11. VE It I F I C A,r I()si 0 Ile It:NI P I A)V M E N'll" STATI J S, CE,RTI F1(°ATI 0 N
As as corindAhn or switlacting with Ow 11orWa Mpaornent of Idder AM". Piuvider certirics the use of the U.S.
Deparunent or I lonaelmid Security 4 Fowri 0 system to veriry the ernplo;maH eligibility oCall nev% employees
hired by the Pawkier during the comract terni to) perfOrl"n CMpkjmw4 dudes purAultut to dais conood arrd drit
an.; suhCOntraCtS AnClUde 111 OXI-WCSS l_CCjUh'CMCl1t that Stlbo,or)tractors and/or vendors peri`orndngNwrk or
paviding services purswrnt to this Contract Lldd/C the. kVeril'y; .System to verify, the employment cHgoibility of all.
near employees hied by the subcontracMir andhu vendor durii-qu, the entire contract terin.
The Provider shall rcqWrc that the kuwuage of this certification be included in all sub-agreerrienm sub-grants,
and other and that all subcontractors WAY vendors shall certify compliance mcmAhWn.
Page 40 of 66
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]'his certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction
imposed by Circulars A-1 02 and 2 CFI Part 200, and 215 (formerly OMB Circular A-] 10).
T. RECORDS AND DOCUMENTATION
The Provider agrees to make available to Department staff and/or any party designated by the Department any and
all contract related records and documentation. 'I"he he Provider shall ensure the collection and maintenance of all
program related information and documentation on any such system designated by the Department, Maintenance
includes valid exports and backups of all data and systems according to Department standards,
J.CERTIFICATION REGARDING INSPECTION OF PUBLIC RECORDS
1. In addition to the requirements of sections, 10,1, 10,2 of the Standard Contract, and 119.0701(3) and (4) F.S., and
any other applicable law,if a civil action is commenced as contemplated by Section 119.070](4), F.S.,and the
Department is named in the civil action, Provider agrees to indemnify and hold harmless the Department for any
costs incurred by the Department, and any attorneys' fees assessed or awarded against the Department from a
Public Records Request made pursuant to, Chapter 119, 1'.S., concerning this contract or services performed
thereunder,
a. Notwithstanding Section 119.070 1, P.S, or other Florida law, this section is not applicable to
contracts executed between the Department and state agencies or Subdivisions defined in Section
7W28(2), F.S.
2. Section 119.01(3), l,.S., states if public funds are expended by an agency in payment of dues or membership
contributions for any person, corporation, foundation, trust, association, group, or other organization, all the
financial, business, and membership records of such an entity which pertain to, the public agency (Florida
Department of Elder Affairs)are public records. Section 11 9.07,F.S, states that every person who has custody
of such a public record shall permit the record to be inspected and copied by any person desiring to do so, under
reasonable circumstances.
Additionally, I certify this organization does—does not eprovide for institutional memberships.
Provider's signature below attests that records pertaining to the dues or membership application by the Alliance
and the Department are available for inspection as stated above.
By execution of this contract, Provider must include these provisions in all related subcontract agreements (if
applicable),
By execution of this contract, Provider must include these provisions(A-J) in all related subcontract agreements(if
applicable).
By signing below, Provider certifies the representations outlined in parts A through J above, are true and correct.
ligitallysigned by SheryI L.Graham
Sheryl L. GrahamDat.,2024.01.03 1 2:28:57-0 5'00' 1100 Simonton Street,2"d Floor
Signature and Title of authorized Representative Street Address
Monroe County Board of County Commissioners,
Social Services/In-Home Services 01 /0 Key West,FL 33040
Provider Name Date' City, State,Zip code
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ATTACHMENT V1
ASSURANCES—NO'N-CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 45 minutes per response, including time for
reviewing instructions, searching existing data SOUNCS, gathering and maintaining tile data needed and completing and
reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden, to the Office of Management and Budget. Paperwork
Reduction Project(0348-0043), Washington, DC 20503.
PLEASE DO NOTRE"FURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET,
SEND ITTOTHE ADDRESS PROVIDED BY ]'HE SPONSORING AGENCY.
Note: Certain of these assurances may not be applicable to your project or program. If YOU have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If
SLICII is the case, YOU will be notified.
I. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability,(including
funds SUR160lt to pay the non-Federal share of project cost)to ellSLlre proper planning, nlariagernerit, and completion of
the project described in this application.
1 Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any
authorized representative,access to and the right to examine all records, books, papers,or documents related to the award;
and will establish a proper accounting system in accordance with generally accepted accounting standards or agency
directives,
3. Will establish safegUards, to prohibit employees from using their positions for a purpose that constitutes or presents the
appearance of personal or organizational conflict of interest, or personal gain.
4. Will initiate and complete the work within the applicable time frame after receipt of approval ofthe awarding agency.
5. Will comply with tile Intergovernmental Personnel Act of 1970 (42 U.S.C. 4728-4763) relating to prescribed standards
for merit systems for programs funded Under one of the 19 statutes Or regulations specified in Appendix A oi'OPM's
Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart 1`).
6. Will comply Nvith all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of
the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination oil the basis of race, color or national origin;
(b) Title IX of the Education Amendments of 1972, as amended(20 U.S.C. 168 1-1683, and 1685-1686), which prohibits
discrimination oil the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), which
prohibits discrimination oil the basis of handicaps; (d)the Age Discrimination Act of 1975, as amended (42 U.S.C. 6 10 1-
6107), which prohibits discrimination oil the basis of age; (e)the Drug AbLISC Office and Treatment Act of 1972 (P.L.92-
255), as amended, relating to nondiscrimination oil the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or alcoholism; (g) 523 and 527 of the Public Health Service Act of 1912
(42 U.S.C. 290 dd-3 and 290 ee 3), as amended, relating to confidentiality of alcohol and ch-Lig abuse patient records; (h)
Title Vill of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to nondiscrimination in the sale,
rental or financing of hOLISillg;(i)any other nondiscrimination provisions in the specific statLite(S)Under which application
for Federal assistance is being made; and(j) the requirements of any other nondiscrimination staftltC(S) WhiCh may apply
to tile application.
7. Will comply,or has already complied, with the requirements of"Titles I[ and III of the Uniform Relocation Assistance and
Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of pet-soils
displaced or whose property is acquired as a ITSUlt of Federal or federally assisted programs.These requirements apply, to
all interests in real property acquired for project purposes regardless of Federal participation in purchases.
8. Will comply, as applicable, with the provisions of the Hatch Act (5 U.S.C. 501-1508 and 7324-7328), which limit the
political activities of employees whose principal employment activities are funded in whole or in part Nvith Federal ftinds.
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9. Will comply,as applicable,with the provisions of the Davis-Bacon Act(40 IJ.S.C. 276a to 276a-7),the Copeland Act(40
U.S.C. 276c and 18 U.S.C. 874) and the Contract Work Hours and Safety Standards Act (40 tJ.S,C. 327-333),
regarding labor,standards for federally assisted construction sub agreements.
10. Will comply,if applicable,with flood insurance purchase requirements of Section 102(a)of the Flood Disaster Protection
Act of 1973 (P'.L. 93-234) which requires recipients in a special flood hazard area to participate in the: program and to
purchase flood insurance if the total cost of insurable construction and acquisition is$10,000.00 or more.
11, Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National Environmental Policy Act of 1969(P.L.9 I-190)and Executive
Order(EO) 11514; (b) notification of violating facilities pursuant to EO 11738;(c)protection of wetlands pursuant to EO
11990; (d)evaluation of flood hazards in floodplains in accordance with EO 11988; (e)assurance of project consistency
with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C.
1451 et seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the
Clear Air Act of 1955, as amended (42 U.S.C. 7401 et seq.); (g) protection of underground sources of drinking water
under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h)protection of endangered species under
the Endangered Species Act of 1973, as amended, (P.L. 93-205).
12 Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 1721 et seq.) related to protecting components or
potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of
1966,as amended(16 U.S.C.470),EO 11593(identification and protection of historic properties),and the Archaeological
and Historic Preservation Act of 1974 (16 U.S.C. 469a-I et seq.),
14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related
activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966(P.L. 89-544,as amended,7 U.S.C.2131 ct seq.)pertaining
to the care,handling, and treatment of warm-blooded animals held for research, teaching, or other activities supported by
this award of assistance.
16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.), which prohibits the use of
lead- based paint in construction or rehabilitation of residence structures,
17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act
Amendments of 1996 and OMB Circular No. A-]33,Audits of States,Local Governments, and Non-Profit Organizations.
18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies
governing this program.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
Digitally signed by Sheryl L.
Sheryl L. Graham] iSoWn,
Date:2024.01.03 12:3200-05'00' So ia� Serv'ces
APPLICANT ORGANIZATION DATE SUBMITTED
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS,
SOCIAL SERVICESAN-HOME SERVICES k 03
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ATTACHMENT VII
CONTRACT BUDGET SUMMARY BY SERVICE AND TITLE
eCIRTS SUMMARY FOR THE AGENCY
semice Maxinjurn
S b`Services to e Provided LJ nit Rate Units of Maximum Dollam
Service
Chore [1113 $ 24,00 2,0 19 $ 48,455.85
Companionship 11113 $ 18,00 85 $ 1,529.12
I'scoil 11113 $ 19.96 76 $ 1,526.06
Ilomemakcr 11114 33.20 4,406 $ 146,269M4
Personal Care I I I B 33.20 4,405 $ 146,247,80
Screening& Assessment 11113 $ 34.50 139 $ 4,786.98
Shoppin.e,.Assistance 11113 $ 13.00 . 119 $ 1,546.11
Congregate Meals CI $ 1 99 2,021 $ 22,210,25
Corr grcgate Meals Ml,'['('. Cl 1().99
('0rlLl-Cgate: MeUIS GLIQSt C,1 1 C1.99
Coo arc rate Meals Volunteer Cl 10.99
1:Il7ere2ency Congregate meals C 1 $ 9.00 29 $ 259.14
Congregate Meals Screening C,1 $ 27.08 14 $ 369,.14
N utrition COL111SClilIg C,I $ 78.99 4 $ 296.66
NLJO-iti011 FdLICMi011 C'1 $ 1.35 72 $ 97.46
1 lome Delivered Meals - Frozen C2 $ 7.00 23,961 $ 167324.62
1 lome Delivered Meals - I lot C.2 $ 7.09 9.244 $ 65,541.06
Emergency Shelfflon-ic Dclivered Meals-C2 $ 6.53 409 $ 2,67033
Screening and Assessment C2 $ 28.79 194 $ 5,572.46
(.1"2 $ 78.99 3 224.83
Nutrition FALIC,10011 C,2 $ 1,35 284 382,99
Rcspite In-Ilome IIIE $ 21.93 936 $ 20,523.98
Rcspitc Facility $ 12.75 5,649 $ 72,027,77
Caregiver'Fraining Cirp I I I $ 81.75 90 $ 7,369.35
Caregiver'Fraining Ind IIIE $ 75.00 251 $ 18,8,39.27
Screening&, Assessment IIIF $ 31.29 59 $ 1,838.16
Chore 11117S $ 24.00 368 $ 8,824.07
1 IOLLSillg Improvement III 1,-1S Cost Reimb $ 10,101.98
Material Aid Cost Reimb $ 10,101.98
Specialized NI-edicall]"quipment Cost Rehiib $ 9,,584.36
NSIP $ 0.72 53,036 $ 38,185,94
[TOTAL $ 813,1 O6.76
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ATTACHMENT VIII
OLDER AMERICANS ACT CONTRACT REI)ORT'CALENDAR
ADVANCE BASIS CONTRACT
Report Number Based On Submit to Alliance
On This Date
I January Advance* January 6
2 February Advance* January 6
3 January Expenditure Report February 6
4 February ExpenditUre Report March 6
5 March Expenditure Report April 6
6 April Expenditure Report May 6
7 May Expenditure Report June 6
8 June Expenditure Report July 6
9 Ally Expenditure Report August 6
10 .August Expenditure Report September 6
11 September Expenditure Report October 6
12 October ExpenditUre Report November 6
13 November ExpenclitUre Report December 6
14 [)eceniber Expenditure Report January 6
15 Final ExpenditUre and Close Cut Report January 31
Legend: Advance based on projected cash need.
Note 4 1: Report #I for Advance Basis Agreements cannot be submitted to the Department of
Financial Services (DFS) prior to January I or until the agreement with the Alliance has
been executed and a copy sent to DFS. Aetna] submission Of the VOLIC11CI-S to DFS is
dependent on the accuracy of the expenditure report.
Note# 2: Report numbers 5 through 14 shall reflect an adjustment of one-tenth of the total advance
amount, on each of the reports, repaying advances, issued the first two months of the
agreement. 'I'lic acl�justrncnt shall be recorded in Part C, I of the report(ATTACHMENT
IBC).
Note 43; Submission of expenditurereports may or-pray not generate a payment request- If final
expenditure report reflects funds clue back to the Alliance payment is to accompany the
report
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ATTACHMENT IX
REQUEST FOR PAYMENT
FORM 106
OLDER AMERICANS ACT I NSIP
......................... ....................................... ............
7 N.0f REPCRT
MWICER NAME,ADDRESS PHONE&FED VV NUMUOR
............
Nx-
46131—
.............
GEF{7 FICA7,e-r e,t,6y kv ftle U-1 Of of lh,0 IhA -tLl-t ;he
........... 1,f._ App—d S [W.
—---------------------------
BUDGEV SUMMARY :., !c,2, I-4^:-I —...........
1� ...........
Q G 00
..........
rj�rx v CM?B,W-
Q. + Jli7 Uit€t E.IXIX 0.'}'IX [ IX.GeI
....................
............................—---------- D Q'i D on it jo 47 G7.......... c Q 0 DO .........................
000 D DO 0 DO 0 DO 0 DO 0 CIO U.DO
...............
.................... ...........
mm"'th 0 rc, 0 lia................................C, IX.IX a 010 ........... o 00
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ATTACHMENT X
EXHIBIT 1
RECEIPTS&UNIT COST REPORT
()AA Uhl 10.IRE
TKEiWdC}E@2 tl-0JMWdE,IYQC7ftE33..,PiRC.ME*J FE0# LU—NDVNG SOLL%ri !-H—ll—REPQRLETE:RiD5-1F--------------
0 olk"m s P-,d ............... ..........................
T
OAA 11 C2
0"AA Effl-E
AE�uFIT 10
FIA#tl
CERTIfCATIO% �PA A-1.7i. 1�n1CT nod 1
bylpp",,ed bi ..................................
. .............. ------- ............................. ..........
INCOME(FECEWTS A r 7.,rJ BAfinq
tS I of 3 3r t.D"le p—,M.A.,—ptt YTD
.... .................................................
...................
................. ................. ---------------------—
..............3D.21...........
RECE�PT,, sr,M T .........
adt.m.U"k C—t I.�-Iur*-Wj CIWMu S—ad
iA} (0, ID' {CAI (R,
B 1Wl, U—P,s, _.a: �d, T D E! T E;
A, P., d P,l bji s"I"b4
S." d 7ervrcd Y..T D rp
..............
..........
.......... ........
........................... .......................
TMs
---------------
TI b
ki
--—----------
.............. ......
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ATTACHMENT X
EXHIBIT 2
RECEWT S AND EXPENDqTURE REPORT
WE
PROWER NAME,ADDRESS,PRONE# PROGRAM FUND NG SOURCE Cort'act# 10
In
NSIF Repo4,P.,
RE FORT# 10
............... ..........................
PERTFVCAT[CN"
Prep,ved bi Daw Appi vv;d b" Dale:.
-CX P E i FD Ci U i i i775i F H fiTN CURRENT MONTH YEAR TO DATE
FREVIGUS)ID UNJT5
CIONGREtIATE W,DME DFLIVEREL? 4.,Q;1R-iREciATE HON4E DELIVERED -C"45PE(„,4TE HF)ME DEUVERED_
LSF Funded hN.aIS UNITS E C1 Gy y L7
10
NDP F,nd�dl Mexs UNIT,r, 0 0 P.k C oC
10
M ls UMTS 0 0 0 0 0 0
L,e I T,meq$ 72-,wms pei Meal, SC 0� K,010
m 7 li lo!LX ...............
................................ so—0rd
MTD T —c,t�4 Epruefl sc'cic f TO Tota�E,
............ ...............
CCMTRACT SUMMARY
Appo,,4a Cortiar An',I-nt
ths Pep,k ut
f.Ct't.
PC,A;l
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ATTACHMENT X
EXHIBIT 3
PS /PROVIDER MONTHLY MEALS REPORT
PSA Number
Month, of Report 0
Number of days served this month,
Total number of meals, regardless of funding Source, served to:
- all persons 60 years of age or older and their spouses, regardless of age
- volunteers, regardless of age, who provider services during nl hours on a Regular basis
- handicapped or disabled individuals residing in housing facilities Occupied primarily by
eldedy at vNcli congregate meal services were provider during the rnonth.
Provider Name Congregate Meals H�ome-Delivery Meals Total
0 0 0
TOTAL: 01 i"A VI-_ q
I certify that the above information is accurate and complete to the blest of my knol,'Jedge.
Signature; Title: Date:
FISA#11 CAA NSIFI Forms, Revised October 20119
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ATTACHMENT B
STATE OF FLORIDA DEPARTMENT OF ELDER AFFAIRS
CIVIL RIGHTS
COMPLIANCE
CHECKLIST
Program/Facility Name: Monroe County Board of County 14on Commissioners, Social Services/In-Home Services Countyi
II oo 5(/KotA4,t,0 1
Address' 5'Yt45t)5LA:�Lfr' 2-2-51 CompletedBy:
&&4r, 13L4_(cL,4,A!;j�— weapt'
U
City, State, Zip Code,. 14 3,;of 0 Datecitl0i 12OZ4 Telephone (30�0�72
PART I.
READ THE ATTACHED INSTRUCTIONS FOR ILLUSTRATIVE INFORMATION WHICH
WILL HELP YOU IN THE COMPLETION OF' THIS FORM.
1. Briefly describe the geographic area served by the program/facility and the type of service providecl- he cni-i t-e.
loridu Ko� (Mon-for, Count JS cAnor x'n%a+e1,u Izo m!les Igma ctr r- considn'm
Mors% w i1h �sn ffw,, ar btm c hnrnt-f-e r% ed, Prk naae- 44.
2. POPULATION OF AREA SERVED. Source of data:CXCSkAS ReP0V`+T_r Orld 1; M
al# I I %White (.2 1 % Black g Femaler Hispanic % Other Female
. I z
3. STAFF CURRENTLY EMPLOYED. Effective date:
Total_#341 %White % Black %Other /6 Disabled
IWO Hispanic N% Female 11if
4. CLIENTS CURRENTLY ENROLLED OR REGISTERED Effective date;
Total# %White % Black % Hispanic %Other % Female . Disabled Civer 40
S. ADVISORY OR GOVERNING BOARD, IF APPLICABLE,
Total# !; jll /.White I % Black % H ik s p an,ic % Other q�% Female % Disabled
PART II. USE A SEPARATE SHEET OF PAPER FOR ANY EXPLANATIONS REQUIRING MORE SPACE.
6. Is an Assurance of Compliance on file,with DOEA? If NA or NO, explain. NA YES NO
7. Compare the staff composition to the population, Is staff representative of the
population? If NA or NO, explain. NA YES, NO
r-i 9 o
8. Are eligibility requirements for services applied to clients and applicants without regard! to NA YES NO
race, color, national origin, sex, age, religion or disability? If NIA or NO, explain. o m
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9. Are all benefits, services and facilities available to applicants and parficipards in an equally effective manner regardless
of race, sex, color, age, national origin, religion or disability? NIA®YES V'NO—If NA or NO, explain.
10, For in-patient services, are room assignments made without regard to race, color, national origin or disabilfty? NA
YES—NO— If NA or NO, explain.
- We do 00* nfMigle in.-wihent se-rivices.
11. Is the program/facility accessible to non-English speaking clients? If NA or NO, explain.
12. Are employees, applicants and! partivints informeZdf their protection against discrimination?
If yes, how? Verbal V Written Poster I f NA or NO, explain.
gem
1
13. Give the number and current status of any discrimination complaints regarding services or
employment filed against the program/facility,
14. Is the program/facility physically accessible to mobility, hearing, and sight-impaired individuals? NA_
YES NO If NA or NO,, explain.
PART 111. THE FOLLOWING QUESTIONS APPLY TO PROGRAMS AND FACILITIES WITH 15 OR MORE EMPLOYEES
15. Has a self-evaluation been conducted to identify any barriers to serving disabled individuals, and to make any
necessary modifications? If NO, explain,.
16. Is there and established grievance procedure that incorporates due process in the, resolution of
complaints? YES/NO_If NO, explain.
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17. Has a person been desiginated to coordinate Section 504 compliance activities?YES_/NO_ If NO, explain.
18. Do recruitment and inotification materials advise applicants, employees and participants of
nondiscrimination on the basis of disability? If NO, explain.
19. Are auxiliary aids avaiiable to assure accessibility of services to hearing and sight impaired
individuals?YES NO_If NO, explain.
PART IV
FOR PROGRAMS OR FACILITIES WITH 50 OR MORE EMPLOYEES AND FEDERAL CONTRACTS OF$50,000 OR
MORE.
20. Do you have a written affirmative action plan? YES / NO If NO, explain.
Alliance USE ONLY
Reviewed By In Compliance: YES NO*CJ
Program Office *Notice of Corrective Action Sent
Date T Telephone Response Due _/_/_
On-Site E) Desk Review El Response Rec6ved —/—/—
INSTRUCTIONS FOR THE CIVIL RIGHTS COMPLIANCE CHECKLIST
I. Describe the geographic service area Such as a district, County, city or other locality. If the program/facility serves a
specific target population Such as adolescents, describe the target population. Also,define the type of service provided.
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1 Enter the percent of the population served by race and sex. '"File Population served includes persons in the geographical
area for which services are provided Such as a city, County or other regional area. Population statistics can be obtained
from local chambers of commerce, libraries, or any publication from the 1980 Census, containing Florida population
statistics. Include the source of your population statistics. ("Other"races include Asian/Pacific Islanders and American
Indian/Alaskan Natives.)
3. Enter tile total number of full-time staff and their percent by race, sex and disability. Include the effective date of your
SUrnmary.
4. Enter the total number of clients who are enrolled, registered Or Currently served by the program or facility,and list their
percent by race, sex and disability. Include the date that enrollment was Counted,
5. Enter the total number of advisory board members and their percent by race, sex, and disability. If there is no advisory
or governing board, leave this section blank.
6. Each recipient of federal financial assistance must have on file an assurance that the program will be conducted in
compliance with all nondiscriminatory provisions as rewired in 45 CFR 80. This is usually a standard part of the
contract language For DOEA recipients and their sub-grantees, 45 CFR 80.4 (a).
7. Is tile race, sex, and national origin of the staff reflective of the general population? For example, if 10% of the
Population is Hispanic, is there a comparable percentage of Hispanic staff?
8. Where there is a significant variation between the race, sex or ethnic composition of the clients and their availability in the
population, the program/facility has the responsibility to determine the reasons for such variation and take %vhateveraction
may be necessary to correct any discrimination. Some legifirnate disparities may,exist when programs,are sanctioned to serve
target Populations such as elderly or disabled persons,45 CFR
803 (b) (6).
9. Do eligibility requirements UtIlawfUlly exclude persons in protected groups from the provision of services or
employment`: Evidence Of SLICII may be indicated in staffand client representation(Questions 3 and 4) and also till-OUgh
on-site record analysis of persons Nvlio applied but were denied services or employment, 45 CTR 80.3 (a) and 45 CFR
80.1 (b) (2).
M Participants or clients must be provided services such as medical, nursing and dental care, laboratory services, physical
and recreational therapies, cotinseling and social services without regard to race, sex, color, national origin, religion,
age or disability. Courtesy titles, appointment Scheduling and accuracy of record keeping must be applied uniformly
and without regard to race, sex, color, national origin, religion, age or disability. Entrances, waiting rooms, reception
areas, restroonis and other facilities must also be equally available to all clients,45 CFR
80.3 (b).
Il. For in-patient set-vices, residents must be assigned to rooms, wards, etc., without regard to race, color, national origin
or disability. Also, residents must not be asked whether they are willing to share accommodations with persons of a
different race, color, national origin, or disability, 45 CFR 80.3 (a)�.
12, Tile program/facility and all services must be accessible to participants and applicants, including those persons who
may not speak English. In geographic areas where a significant Population of non-English speaking people live,program
accessibility may include the employment of bilingual staff. In other areas, it is Sufficient to have a policy or plan for
set-vice, such as a Current list of names and telephone numbers of bilingual individuals who will assist in the provision
of services, 45 CFR 80.3 (a).
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11 Programs/facilities must make information regarding the nondiscriminatory provisions of Title VI available to their
participants, beneficiaries or any other interested parties. This should include information on their right to file a
complaint of discrimination with either the Florida Department of Elder Affairs or the U.S. Department of III IS. -File
information may be supplied verbally or in writing to every individual, or may be Supplied through the use of all equal
Opportunity policy, poster displayed ill a public area of the facility,45 CFR 80.6(d).
14. Report number of discrimination complaints filed against the program/facility. Indicate the basis,e.g.,race,color,creed,
sex, age, national origin, disability, retaliation; (lie issues involved, e.g., services or employment, placement,
termination, etc. Indicate the civil rights law or policy alleged to have been violated along with the name and address
of the local, state or federal agency with whom the complaint has been filed. Indicate the Current status, e.g., settled, no
reasonable cause found, failure to conciliate, failure to cooperate, under review,etc.
15. The program/facility must be physically accessible to disabled individuals. Physical accessibility includes designated
parking areas, curb Cuts Or level approaches, ramps and adequate widths to entrances. The lobby, public telephone,
restroom facilities, water fountains, infOrl"nation and admissions oil-ices Should be accessible. Donor widths and traffic
areas of administrative offices, cafeterias, restroorns, recreation areas, Counters and serving lines Should be observed
for accessibility. Elevators should be observed for door width, and Braille or raised numbers. Switches arid controls for
light, hear, ventilation.fire alarms,and other essentials Should be installed at an appropriate height for mobility impaired
individuals.
16. Section 504 of the Rehabilitation Act of 1973 requires that a recipient of federal financial assistance conduct a self-
evaluation to identify any accessibility barriers. Self'-evaluation is a four step process:
0 With the assistance of a disabled individual/organization, evaluate current practices and policies which do not
comply with Section 504,
D Modify policies and practices that do not nicet Section 504 requirements.
U Take remedial steps to eliminate any discrimination that has been identified.
I I Maintain self-evaluation oil file. (']'his checklist may be used to satisfy this requirement if these four steps have
been followed,), 45 CFR 84.6.
17. Programs or facilities that employ 15 or more persons Must adopt grievance procedures that incorporate appropriate due
process standards and provide for the prompt and equitable resolution of complaints alleging any action prohibited by
Section 504.45 CFR 8,4,7 (b).
18. Programs or facilities that employ 15 or more persons must designate at least one person to coordinate efforts to comply
with Section 504.45 CFR 84.7 (a).
19. Continuing steps must be taken to notify employees and the public of the program/facility's policy of nondiscrimination
oil the basis of disability. This includes recruitment material, notices for hearings, newspaper ads,and other appropriate
written C01111111.1nication, 45 CFR 84.8 (a).
20. Programs/facilities that employ 15 or more persons rnust provide appropriate auxiliary aids to persons with impaired
sensory, manual or speaking skills where necessary. Auxiliary aids may include, but are riot limited to, interpreters for
hearing impaired individuals, taped or Braille materials, or any alternative resources that call be used to provide equally
effective services, (45 CFR 84.52 (d).
21. Programs/facilities with 50 or more employees and$50,000 in federal contracts must develop, implement and maintain
a written affirmative action compliance program in accordance with Executive Order 11246. 41 CFR 60 and Title VI
of the Civil Rights Act of 1964, as amended,.
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ATTACHMENT D'
DEPARTMENT OF ELDER AFFAJRS
BACKGROUND G
ATTESTATION OF CO -EMPLOYER
A'UTH0RfrV—.AU EAMLOVERSare required to annvalhr suet this farm attesting t
compliance with the pro-visions of chapter 435 and section 430. l of the FloAdA Statutes.
11-tin" oyer"nsearn any per—or a httr raquired by lair to conduct backgroundscreenings,including
_
but not limited tn�Area Agencies an AginglAging and Disabilitya,Lead Agencies,and Service
Pro%,Ldm,s that contract or nidirectly with the D4partment of A, other person
or entity s, loyees or has vo °s in service t thus definition of a direct service provider-
See§'§435_02,fi430. 2,Fla.StaL
A direct s -we provider is"a person 18 years of age or older who,pursuant to a to provide semices to
the ly,has direct,face-to-face contact with a cheat while providing ices to the client and has accew to
cheat'sthe living areas,fixxxts,personal property,or personal i ti ica o irdarmation,as dgfined in s.817-569-
The
terns also includes,but is to,the . trator or a similarly titled t who its responsible fiv
day-to-day a ofdw punrular,the financial officer or similarly titled on who is reUmmoble for the
financial operations of fie provider, coordinators, , ailag supervisors, of residential facilities,
volunteets,and any otherperson seelarig enVloymentwith,a provider who es eVecked to,or whose responsibilities
may require Iran or her to,prosade personal care or services directly` to clients or have access to cheat finds,
financial ma ,legal matters,personal property,or li ,reas."§430.0402(1)(b),Fla. Scat.( 023)..
A'f"M °f"A 10 T
As the dryly authonzed reFesentaliveof � i .
(Name,o� l
Street address City I zip Code
Unda Penalty of perjury,t,
of lip ative)
hereby swear or affirni that the above-named loy is in comphanre with the provisions ofthapter
435 and section 430.0402 ofthe Florida Statutes,regarding level 2 background
Sheryl L.Graham �`" 3'y'' L0`'0`0"`
Signature of'Representative Dam
Forni-ailableat,hga
Via,°, -accessiaxs-a -ties ` pier _ 1 _
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ATTACHMENT F
Alliance for Aging, Inc.
Business Associate Agreement
This Business Associate Agreement is dated Qj, 10.4 1'2.0 -?2_4L_, by the Alliance for Aging, Inc. ("Covered Entity") and
Monroe County Board of County Commission�r , Social Services/In-Home Services, ("Business Associate"), a not-for-profit
Florida corporation,
1.0 Background.
1.1 Covered Entity has entered into one or more contracts or agreements xvith Business Associate that involves the use of Protected
Flealth Information(PHI).
12 Covered Entity recognizes the requirements of the Health Insurance Portability and Accountability Act of 1996 (F11PAA) and
has indicated its intent to comply in the County's Policies and Procedures.
1.3 11 IPAA regulations establish specific conditions on when and how covered entities may share information with Providers who
perform functions for the Covered Entity,
1,4 1 UPAA requires the Covered Entity and the Business Associate to enter into a contract or agreement containing specific
requirements to protect the confidentiality and security of patients' PHI,as set forth in, but not limited to the Code of Federal
Regulations (C.F.R.), specifically 45 C.F.R. §§ 164.50�2(e), 1 64.504(c), 164.308(b), and 164,33 1 4(a-b)(20 10) (as may apply)
and contained in this agreement.
1.5 'File I Icalth Information Technology for Economic and Clinical I lealth Act(2009),the American Recovery and Reinvestment
Act (2009) and Part I — Improved Privacy Provisions and Security provisions located at 42 United States Code (U.S.C.) §§
17931 and 1 79�34(2010) require business associates of covered entities to comply with the I IWA A Security Rule, as set forth
in,but not limited to 45 C.l'.R, §§ 164,108, 164 10, 164.3 12, and 164.316(2009) and such sections shall apply to a business
associate of a covered entity in the same manner that such sections apply to the covered entity.
The parties therefore agree as follows:
2.0 Definitions. For Purposes of this agreement,the following definitions apply:
2.1 Access. The ability or the means necessary to read, write, modify, or communicate data/information or otherwise use any
system resource.
22 Administrative Safeguards. The administrative actions, and policies and procedures, to manage the selection,development,
implementation,and maintenance of security measures to protect electronic Protected Health Information(ePill)and to manage
the conduct of the covered entity's workforce in relation to the protection of that information.
23 ARRA. 'file American Recovery and Reinvestment Act(2009)
2A Authentication. The corroboration that a person is the one claimed.
2.5 Availability. The property,that data or information is accessible and useable upon demand by an authorized person.
2.6 Breach. The unauthorized acquisition, access, use, or disclosure of PIT[ which compromises the security or privacy of such
information.
2.7 Compromises the Security. Posing a significant risk of financial,1-CpUtatiOnal,or other harm to individuals.
2,8 Confidentiality. The property that data or information is not made available or disclosed to unauthorized persons or processes.
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2,9 Electronic Protected Health Information (ePH I). Health information as specified in 45 CFR §160,103(l)(i) or(I)(ii),
limited to the information created or received by Business Associate from or oil behalf of Covered Entity.
2.10 H ITECH.The Health Information Technology for Economic and Clinical Health Act(20�09)
2.11 Information System. Ali interconnected set of information resources under the same direct management control that shares
common functionality. A system normally includes hardware, software, information, data, applications, communications,
and people.
2.12 Integrity. The property that data or information have not been altered or destroyed in an unauthorized manner.
2,13 Malicious soffivare. Software, for example,a Virus, designed to damage or disrupts a system.
2.14 Part 1. Part I — Improved Privacy Provisions and Security provisions located at 42 United States Code (U,S.Ca) §§ 179,31
and 17934(2010).
2.15 Password. Confidential authentication information composed of a string of characters.
2.16 Physical Safeguards. The physical measures,policies, and procedures to protect a covered entity's electronic information
systems and related buildings and equipment, from natural and environmental hazards,and unauthorized intrusion.
2.17 Privacy Rule. The Standards for Privacy of Individually Identifiable Health Information at 45 CFR Part 160 and Part 164,
subparts A and E.
2.18 Protected Health,Information(Pill). Health information as defined in 45 CTR§160,103,limited tothe information created
or received by Business Associate from or on behalf of Covered Entity.
2,19 Required By I aw.Has the same meaning as the term"required by law" in 45 CFR§ 164.103.
2.20 Secretary.The Secretary of the Department ofHealth and Human Services or his or her designee.
2.21 Security incident, The attempted or successful unauthorized access, use, disclosure, modification, or destruction Of
information or interference with system operations in -,Ill information system.
2.22 Security or Security measures. All ofthe administrative,physical,and technical safeguards ill an information system.
2.23 Security Rule. The Security Standards for the protection of Electronic Protected Health Information at 45 CFR pall 164,
subpart C,and amendments thereto.
2.24 Technical Safeguards. The technology and the policy and procedures for its use that protect electronic protected health
information and control access to it.
2.25 Unsecured Pill. Protected health inforniation that is not secured through the use of technology or methodology specified by
the Secretary in guidance issued under 42 U.S.C. section I 7932(h)(2).
2.26 All other terms used,but not otherwise defined,in this Agreement shall have the same meaning as those terms in the Privacy
Rule.
3.0. Obligations,and Activities of Business Associate.
3.1 Business Associate agrees to not use or disclose PI 11 other than as permitted or required by this agreement or as Required by
Law.
3,2 Business Associate agrees to:
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(a) Implement policies arid procedures to prevent,detect,contain arid correct SeCUl'ity violations in accordance with 45 CFR
§ 164.106;
(b) Prevent rise or disclosure of the PHI other than as provided for by this Agreement or as required by law;
(c) Reasonably and appropriately protect the confidentiality, integrity, arid availability of the ePHI that the Business
Associate creates, receives, maintains,or transmits oil behalf of the Covered Entity-, arid
(d) Comply with the Security Rule requirements including tile Administrative Safeguards, Physical Safeguards, Technical
Safeguards, and policies and procedures and documentation requirements set forth in 45 CFR §§ 164.308, 1643 10,
164.31.2,and 164.3 16.
3.3 Business Associate agrees to mitigate,to the extent practicable,any harmful effect that is known to Business Associate of a.
use or disclosure of 11111 by BUSilleSS Associate in violation of the requirements of this Agreement.
3.4 Business Associate agrees to promptly report to Covered Entity any rise or disclosure of the PHI not provided for by this
Agreement ofwhich it becomes aware.This includes any requests for inspection,copying or amendment ofsuch information
and including any security incident involving 1111-11,
3.5 Business Associate agrees to notify Covered Entity without unreasonable delay of any security breach pertaining to:
(a) Identification of any individual \VIIOSC unsecured PHI has been,or is reasonably believed by tile Business Associate to
have been,accessed, acquired, or disclosed during such security breach; and
(b) All information required for the Notice to the Sccrelal,V qfIIIIS ol'Bretich qfT)isecureei Prolec lecl Health I"Ibrination
3.6 Business Associate agrees to ensure that any agent, including a subcontractor, to whom it provides P1 I] received from, 01'
created or received by Business Associate oil behalf of Covered Entity, agrees to the same restrictions and conditions that
apply through this Agreement to Business Associate with respect to such information,
3.7 If Business Associate has PHI in a Designated Record Set:
(a) Business Associate agrees to provide access, at the request of Covered Entity during regular-business hours, to PHI in a
Designated Record Set, to Covered Entity or', as directed by Covered Entity, to ail individual in order to meet tile
requirements under 45 CFR §164.524;and
(b) Business Associate agrees to make any amendments)to PHI in a Designated Record Set that the Covered Entity directs
or,agrees to pursuant to 45 CFR § 164.526 at the request of Covered hitity or an Individual within 10 brush leSs clays of
receiving the request,
3.8 Business Associate agrees to make internal practices,books,and records, including policies and procedures and PH 1,relating
to tile use and disclosure of Pill received from, or created or received by Business Associate oil belialf'of Covered Entity,
available to the Covered Entity or to the Secretary upon request of either-party for purposes of determining Covered Entity's
cornpli,ance with the Privacy Rule..
3.9 Business Associate agrees to document such disclosures of PI-11 and information related to Such disclosures as would be
required for Covered Entity to respond to a request by an individual for ail accounting of disclosures of PHI in accordance
with 45 CFR § 164.528.
3.10 Business Associate agrees to provide to Covered Entity or- ail individual, Upon request, information collected to permit
Covered Entity to respond to a request by an, Individual for ail accounting of disclosures of PHI in accordance with 45 CFR
§ 164.528 and ARRA § 1340�4,
3.11 Business Associate specifically agrees to use Security measures that reasonably arid appropriately protect the confidentiality,
integrity,and availability of PHI in electronic or any other form,that it creates,receives,maintains,or transmits oil behall'of
the Covered Entity.
3.12 Business Associate agrees to implement security measures to secure passwords used to access ePHI that it accesses,
maintains,or transmits as part of this Agreement from malicious software and other inan-made and natural vulnerabilities to
asSL1F`e the availability, integrity, and confidentiality of'such inforillation.
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3.13 Business Associate agrees to iniplenlent security measures to safeguard ePHI that it accesses,maintains,or transmits as part
of this agreement from malicious software and other man-made and natural Vulnerabilities to assure the availability, integrity,
and confidentiality of such information.
3.14 Business Associate agrees to comply with:
(a) ARRA § 13404 (Application of Knowledge Elements Associated with Contracts);
(b) ARRA § 13405 (Restrictions on.Certain Disclosures and Sales of Health Information); and
(c) ARRA § 13406(Conditions oil Certain Contacts as Part of Health Care Operations).
4.0 Permitted Uses and Disclosures by Business Associate. Except as otherwise limited in this Agreement or any related agreement,
Business Associate may use or disclose PHI to perform functions, activities, or services for, or oil behalf of, Covered Entity as
specified in any and all contracts Nvith Covered Entity provided that Such use or disclosure would not violate the Privacy Rule if
([one by Covered Entity or the minimum necessary policies and procedures ofthe Covered Entity.
5,0 Specific Use and Disclosure Provisions,
5.1 Except as otherwise limited in this agreement or any related agreement, Business Associate may use PHI lot- the proper
Z�
management and administration of the Business Associate or to carry out the legal responsibilities ofthe Business Associate.
5.2 Except as otherwise limited in this agreement or any related agreement, Business Associate may disclose P1 11 for the proper
management and administration of the Business Associate, provided that disclosures are Required By Law, or Business
Associate obtains reasonable assurances front the person to whom the information, is disclosed that it will remain confidential
and used or further disclosed only as Re(jUired By Law or for the purpose for which it was disclosed to the person, and the
person notifies the Business Associate of any instances of which it is aware ill which the confidentiality of the infortliation
has been breached.
5.3 Business Associate may Else PHI to provide data aggregation set-vices to Covered Entity as permitted by 45 CFR.
§16�4.504(e)(2)(i)(B),only when specifically authorized by Covered Entity.
5.4 Business Associate may use Pill to report violations of law to appropriate Federal and State authorities, consistent with 45
CFR§164,502(j)(1).
6.0 Obligations of C I overed Entity.
6,1 Covered Entity shall notify Business Associate of any linlitation(s) in its notice of privacy practices of Covered Entity in
accordance with 45 CFR § 164.520, to the extent that such limitation may affect Business Associate's use or disclosure of
PI 11,by providing a copy ofthe most current Notice of Privacy Practices(NPP)to Business Associate. Future Notices and/or
modifications to the NPP shall be posted on Covered Entity's web�site at v Atiani efru,............
6.2 Covered Entity shall notify Business Associate of any restriction to the use or disclosure of PHI that Covered E'ritity has
agreed to in accordance with 45 CFR § 164.522, to the extent that such restriction may affect Business Associate's use or
disclosure of PI-11.
7.0 Permissible Requests by Covered Entity. Except for data aggregation or management and administrative activities of Business
Associate,Covered Entity shall not request Business Associate to use or disclose PHI in any manner that Would not be permissible
under the Privacy Rule if done by,Covered Entity.
8.0 Effective Date anti Termination.
8A The Parties hereby agree that this agreement amends,restates and replaces any other Business Associate Agreement currently
in effect between Covered Entity and Business Associate and that the provisions of this agreement shall be effective as
follows:
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(a) These Business Associate Agreement provisions, with the exception of the electronic SeCill-ity provisions and the
provisions mandated by ARRA, HITECH and Part I shall be effective upon the later of April 14,2003,or the effective
date of the earliest contract entered into between Business Associate and Covered Entity that involves the Use of PHI;
(b) The electronic security provisions hereof shall be effective the later of April 21,2005 or the effective date of the earliest
contract entered into between Business Associate and Covered Entity that involves the use of Pill-,and
(c) Provisions, hereof mandated by ARRA, HITECI-I and/or Part I shall be effective the later of February 17, 2010 or the
effective date of the earliest contract entered into between covered entity and business associate that involves tile use of
PHI or ePHI.
K2 Termination for Cause. Upon Covered Entity's knowledge of a material breach by Business Associate, Covered Entity
shall either:
(a) Provide all opportunity for Business Associate to Cure the breach or end the violation and terminate this agreement if
Business Associate does not Clore the breach or end the violation within the time specified by Covered Entity;
(b) Immediately terminate this agreement il'Business Associate has breached a material term of this Agreement and Cure is
not possible;or
(c) If neither termination nor cure is feasible,Covered Entity shall report the violation to the Secretary.
8.1 Effect of Termination. Except as provided in,subparagraph(b)of this section,upon termination of this agreement, for any
reason, Business Associate shall return all PHI and ePHI received born Covered Entity or created or received by Business
Associate on behalf of Covered Entity.
(a) This provision shall apply to PHI and ePI-11 that is in the possession of subcontractors or agents of Business Associate.
BLIsiness Associate shall retain no copies of the PI-11 and ePI-11.
(b) In the event that Business Associate or Covered Entity determines that returning the PHI or ePHI is infeasible,
notification ofthe conditions that make return of Pill orcPl-II ijireasibleslialibepi-ovidedtotlicotliei-pat-ty. Business
Associate shall extend the protections of this Agreement to SUCh retained PHI and ePHI and limit further uses and
disclosures Of Such retained PHI and ePFII,for a minilufflu of six years and so long as Business Associate maintains such
Pill and ePHI,but no less than six(6)years after the termination of this agreement,
9.0 Regulator-y Refei-ences. A reference in this agreement to a section in the Privacy Rule or Security Rule means the section then
in effect or as Illay be amended in the fixture,
10,0 Amendment. The Parties agree to take such action as is necessary to amend this agreement firoin time to time as is necessary for
Covered Entity to comply with the requirements of the Privacy Rule,the Security Rule and the Health Insurance Portability and
Accountability Act of 19�96, Pub, L.No. 104-191,
11.0 Survival. Any term, condition, covenant or obligation which requires performance by either party hereto subsequent to the
termination of this agreement shall remain enforceable against such party subsequent to such termination.
12,0 Interpretation. Any ambiguity in this agreement shall be resolved to permit Covered Entity, to comply With the Privacy Rule
and Security Rule.
13.0 Incorporation by reference. Any future new reqUirernent(s),changes or deIetion(s)enacted in federal law which create new or
different obligations with respect to HIPAA privacy and/or Security, shall be automatically incorporated by reference to this
Business Associate Agreement on the respective effective ciate(s).
14.0 Notices. All notices and communications required, necessary or desired to be given pursuant to this agreement, including a
change of address for purposes Of Such notices and C0111111LInications, shah be in writing and delivered personally to the other
party or sent by express 24-1101ir guaranteed courier or delivery service,or by certified mail of the LJnited States Postal Service,
postage prepaid and return receipt requested, addressed to the other party as follows(or to such other place as any party may by
notice to the others specify):
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To Covered Entity: Alliance for Aging,Inc,
Attention: Max Rothman
760 NW 107 Avenue
Miami,Florida 33172
To Business Associate: Monroc County Board of County Commissioners,Social Services/In-Florae Services
1100 Simonton Street,2"'Floor
Key West,FL, 33040
Any such notice shall he deemed delivered upon actual receipt. If any notice cannot be delivered or,del rvery thereof is refused,delivery
will be deenred to have occurred on the date such delivery was attempted,
15.0 Governing Law. The laws of the State of Florida, without giving effect to principles of conflict of laws, govern all matters
arising under this agreement.
16.0 Severability. Ifany provision in this agreement is unenforceable to any exten,t,tire remainder of this agreement,or application
of that provision to any persons or circumstances other than those as to which it is held unen fore cable, will not be affected by
that unenforceability and will be enforceable to the fullest extent permitted by law,
17.0 Successors. Any successor to Business Associate (whether by direct or indirect or by purchase,, merger, consolidation, or
otherwise) is required to assume Business Associate's obligations Linder this agreement and agree to perflotin them in the sarlie
manner and to the same extent that Business Associate would have been required to if that succession had not taken place. This
assumption by the successor of the Lousiness Associate's obligations shall be by written agreement satisfactory to Covered Entity,
18,0 Entire Agreement. This agreement constitutes tire entire agreement of tile parties relating to the subject matter ofthis agreement
and Supersedes all other oral or written agreements or policies relating thereto, except that this agreement does riot linift the
amendment of this agreement in accordance with section 10,0 of this agreement.
Covered Entity: Alliance for Aging,laic.
By: r 9z Date: 1/4/24
(signature)
Business Associate, Monroe County Board of County Commissioners,Social Serviecs/In-flonic Services
By: Date: 01.03.2024
.....................
(signature)
SIGNED BY:
NAME:
TITLE: MAYOR
DATE:
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ATTACHMENT G
Alliance for Aging, Ine.
Aging and Disability Resource Center/Elder Helpline
AGING AND DISABILITY RESOURCE CENTER(ADRC)—OUTSOURCED FUNCTIONS
1. If applicable, the provider agrees to the following:
A. Perform ADRC outsourced functions in accordance with the Alliance's policies and procedures.
i. Policies and Procedures for 01.1tSOUrced Function-Screening
i i. Policies and Procedures for 01.1tSOUrced Function-Triage
iii. Policies and Procedures for Activation from Waitlist- Client Set-vices
iv. Policies and Procedures for Termination firorn Waitlist- Client Services
B. Maintain wait lists in eCIRTS in accordance with DOEA requirements.
C. Adhere to prioritization and targeting policy as set forth in the I landhook, as applicable.
1). Ensure the Provider's Disaster Plan reflects ADRC OWSOUrced Functions, annually or as needed to
incorporate ADRC outsourced functions.
E. Ensure against conflicts or interest and inappropriate self-referrals by referring COUISL[nicrs in need of'
options counseling or long-term care services beyond the Provider's scope of services to the Aging and
Disability Resource Center.
F. Ensure that services provided are in the clients' best interest, are the rnost cost effective, of high quality,
and are responsive and appropriate to the assessed needs.
The Assessed Priority Consumer List(APCL) is maintained when services funded by the department are not available.
Contracted Providers of'registered services for l.ocal Set-vices Program (1,SP) and Older Americans Act (OAA) most
maintain waiting lists in the e(,',IRTS database for registered services when funding is not available,
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Alliance for Aging, Inc.
Aging and Disability Resource Center/Eider Helpline
Policy and Procedure for Outsourced function—Screening
Creation Date: March 5, 2008
Revision Date: October 2019
Review Date: November 2023
Objective: To ensure that a comprehensive list cif clients in need of services is maintained in eCIR,rS by appropriate
funding Source and that the A DRC is thereby able to effective]), gauge the level ofelder service need in
Miami-Dade and Monroe COUntieS.
Policy: To obtain necessary information from clients in order to assist in determining level of need and eligibility for.
registered set-vices funded through (AAA and I,SP programs.
Procedure:
I. Providers will collect information from callers and conduct a 701S assessment. Alternatively, if a 701A(B)
assessment already exists or is provided from another Provider the information from the 70113 cart be utilized.
2. The Provider will determine the services needed and the appropriate funding sources)that provides the needed
services.
If tile caller is in need of a service(s) that is not provided by the Provider, the Provider will refer caller to the
ADRC Elder Flelpline, as well as, to other contracted Providers and community organizations.
3. The caller Nvill be provided with general information regarding the ADRC as well as the ADRC Elder I lelpline
contact number.
4. 'rhe caller will be informed ofthe services and funding Sources that they,are being placed on the wait list for in
eCIRTS.
5 For non-case managed programs, the Provider will create a client record in eCIRTS (if there is no existing
record)and enter the services needed for the caller by funding source and service. [If there is an existing record
in eCIRTS, the appropriate fields will be updated].
6. If the Provider determines that the caller may qualify for more than one program for which tile Provider is
funded,the Provider is encouraged to enter the appropriate infortilation under Multiple funding Sources. [If there
is ail existing client record in eCIRTS, the client record in eCIRTS will be updated with appropriate
information-1.
7. The Provider will inform caller that they will receive an annual re-assessment based on DO,EA Wait List
Reassessment Standards and encourage caller to contact the ADRC Elder Helpline with any questions.
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Alliance for Aging, Inc.
Aging and Disability Resource Center/Elder Helpline
Policy and Procedure for
Outsourced function - Triage
Creation Date: March 5, 2008
Revision Date: October 2019
Review Date: November 2023
Objective: To ensure that clients in need of DOEA funded set-vices receive services based on the highest level of need,
first, as funding becomes available.
Policy: To assist clients in obtaining DOEA funded services as funding becomes available, based on level of need as
determined by an eCIRTS priority score.
Procedure:
I. The Provider will conduct annual reassessments based on DOEA Wait List Reassessment Standards.
2. If there is 110 current 701A or B in eCIRTS, the Provider will conduct the annual reassessment (701s) as
appropriate. Based on the information provided via the 70IS/A(B)assessment, the Provider will update the client
information in eCIRTS specifically as it pertains to level of need for set-vices by funding source.
3. The Provider will ensure that the eCIRTS prioritization, score is accurately maintained, according to DOFA
Standards. If a significant change has occurred prior to the annual re-screening, the Provider must re-screen.
Definitions and examples of significant change are ClOCUrnCrited in the DOEA Programs & Services Manual
Chapter 2,
4. If the caller is in need of a service(s)that is not provided by the Provider,the Provider will refer caller to the ADRC
Elder I lelpline,as well as,to other contracted Providers and community organizations.The caller will be informed
of the set-vices and Funding sources that the wait list for and/or have been removed from the wait list for.
5, The Provider will remind client of the ADRC Elder Yelp Line contact number and to contact the ADRC Elder
Hell) Line with any questions or concerns.
6. As funding becomes available, the Provider will run the eCIRTS Prioritization, Report and activate clients
according to DOEA Standards (refer to ADRC Client Activation Policies and Procedures). The Contracted
Provider will apply targeting criteria, as appropriate,to prioritized clients to ensure activations meet programmatic
requirements.
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Alliance for Aging, Inc.
Aging and Disability Resource Center/Elder Helpline
Policy and Procedure for
Activation from Wait List—Clients/Services,
Creation Date: March 5, 2008
Revision Date: October 2019
Review Date-. November 20123
Objective: 'F0 ensure that elders in need of DOEA ftinded services in Miarni-Dade and Monroe Counties and on the
eCIRTS wait list begin to receive services as ftinding beconies available.
Policy: ADRC will work with PrOViderS to ensure that clients waiting for DOEA funded services begin to receive
those services as funding becornes available.
Procedure:
1. The Provider Nvill activate clients on the eCIRTS wait list based oil DOEA prioritization polices and funding
availability.
2. The Provider will Update eCIRTS stratus by ftinding source and service for any services being activated for tile
Client using appropriate eMTS codes.
3. Client may be left on wait list ol'a different funding SOUrCe than the one being activated if the Provider determines
that it is appropriate.
4. Client may also be left on the wait list in eCIRTS if they are being activated by (lie Provider Under a temporary
non-DOEA funding SOUrce and the Provider determines that the client's need will persist after the temporary
funding SOUrCe is exhausted,
5. The Provider will inform the client of any services/funding SOLINC that they are being activated for as Buell as those
services and funding sources that they will continue to be wait listed for.
6, 'File Provider will inform client to contact the ADRC Elder lielpline if they have any questions o�r concerns
regarding tile StatLIS of any of their services.
Page 65 of 66
0)
00
M
AA-2429
Alliance for Aging, Inc.
Aging and Disability Resource Center/Eider Helpline
Policy and Procedure for
Termination from Wait List—Clients/Services,
Creation Date: March 5, 2008
Revision Date: October 2019
Review Date: November 2023
Objective: To ensure that the comprehensive list of clients in need of services in eCIRTS is appropriately maintained by
funding source and that the ADRC is thereby able to effectively gauge the CUrrent level of elder service need
in Miami-Dade and Monroe COUntiCS.
Policy: ADRC will maintain an acCUrate and current list of clients in need of cider services in Miami-Dade and
Monroe Counties with the assistance of the ADRC Contracted Providers,
Procedure:
I. The Provider will re-screen, clients which the Provider initially placed on the eCIRIS wait list for services based
on DOEA Reassessment Standards.
2. The re-screening may be in the form of a phone screening or a home visit depending on the client's status (i.e.
active/pending)
3, The Provider will determine if the client is no longer in need (or eligible) for any of the services they were wait-
listed for.
4, The Provider will terminate the client froni the wait list (entirely or by specific service) Ming the appropriate
eURTS termination code for any services or funding source for which the client is determined to no longer be
eligible for or no longer in need of.
5. The Provider will inform the client of any services/binding coerce that they are being removed frorn the wait list
for.
6. The Provider will inform client of their ability to be re-added to the wait list if their level of need should change.
7, The Provider will inform client to contact the ADRC Elder 1-telpline it' they have any questions or concerns
regarding their wait list states.
S. Reference the I landbook as applicable.
Page 66 of 66
Francis-Lourdles
From: Pamela G. Hancock <phancock@monroe-clerk.com>
Sent: Tuesday, September 26, 2023 1:08 PM
To: Francis-Lourdes
Cc* Liz YongUe; Campo-Abra; BOCCFinance; Proffitt-Maureen
Subject: FW: Finalized AA-2329 Amendment 001, September 20th BOCC meeting
Attachments: Monroe,County AA-2329 AMENDMENT 001 - Provider signed.poff
CAUTION:This email originated from outside of the County. Whether you know the sender or not, do not click links or
open attachments you were not expecting,
I]ello,
Item C3 I - ratification o[Aincudincia 001 to dic Older American's Act (.'ontract AA-2329 with the Alliance lias
been added trr (lie. 1,ccord.
Pamela G. Hancock
Executive Admin istrator to the Clerk
Kevin Madolk, C111A
?p
Clerk of tile Circuit Court & Comptroller
W
500 Whitehead Street, Key West, Florida, 33040
Phone: 305-292-3550
AY�I ,fl2piiKrh,.--._c.l e..r.k.._.,_c o).
PLEASE NOTE: The information contained in this message and any accompanying attachments may contain privileged,
private,and/or confidential information protected by state and:, federail law, If you have received this informaition in
error, please notify the sender immediately and' destroy the information.
Florida has a very broad public records law. Most written communications with any public agency in the course of its
official business are public record, and available to the public and media upon request. Your e-mail communication with
this office may be subject to public disclosuire.
From: Francis-Lourdes,<Francis-Lourdes@MoniroeCounty-FL.Gov>
Sent: Tuesday, September 26, 2023 11:25 AM
To: Campo-Abra <Campo-Abra@monroecou,nty-fl,gov>; Liz Yongue <eyongue@monroe-clerk,com>; Pamela G, Hancock
<phancock@monroe-clerk.com>
Cc: Graham-Sheryl <Graham-Sheryl@MonroeCounty-FL.Gov>; Wilkes-Kim <Wilkes-Kim@MonroeCounty-FL.Gov>
Subject: FW Finalized AA-2329 Amendment 001
Good morning,
Attached is item C-31 from the September BOCC meeting for the record.
Thank you,
Lourdes "Luli" Francis
Senior Administrator, Transportaflon & Fiscal Services
Monroe County Social Services
1100 Simonton St, Room 1-202
Key West, R 13040
ahf7rief 30 y-292..,4511.
Fav :305-292-441.1.
E::rna i k 1rh�ncr s Io rd(_,.( .ra7c wrLwrE cxa r dwarrty.-f!',L,'Y
From: Graham,-Sheryl<Gr�aharn ryE)a.rylm Y 1r�wr¢�c awcyurrLy i L (,"0V>
Sent: Tuesday, September 26, 2023 10:24 AMW-
lk s Kim(rj4 f w n.t � �arrly....1 _ cv.>; Francis-Lourdes <Fr��wn is-l.ouir�tc��s��.L�onroeC oui�tym,FL.(.Tov>
To: 'tilVill�es-dCiim < u, .,,..,..�. rrwr r�r �„_��, ,..�.- .-..�- ..�,n
Subject: Finalized AA-2329 Amendment 001
Here is the finalized AA-2.329 #001 signed by Max.
Skeryl'' L Grua am, M.A., CWVP, a a 'DF
Sr. Pirecto , Monroe County Social Services:
ces:
Community Support Services,
rtn--Horne Services, LIHEAP, Nutrition,
SHIP, Monroe County Transportation (MC-0
Weaatherization Assistance Program
1.100 Siwn.ontoan Street 2-25.7
Key West, FL 33040
305.2q2.453-0 (Office)
305.21?5435q (Fax)
`On,e MearveAt Can ckeMye ca decay, one deny cam,a change to life, aaadi' one (ire can ckovnge the world., Sudldrha
Honda has dt broad pt4Wi'c records Paw. E--vvv,,iY do vvwvicatioi,�s; caw% be puihc record davtid mode xavdaiiraW .to bie paadUc avid media
wpovg regbwst. 'Y'oor e-maO cwmvmur icatiovt May be, 'u'&Jec.t to pb&fic ciiscVraseu"e.
2
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AMENDMENT 001 CONTRACT AA- 2329 Page 1
THIS AMENDMENT is entered into between the Alliance for Aging,Inc.hereinafter referred to as the "Alliance",
and Monroe County Board of County Commissioners,Social Services/In-Home Services,hereinafter referred to
as the"Contractor"and collectively referred to as the"Parties."
The purpose of this amendment is to adjust funding of the existing OAA contract in the following sub titles:
Recurring Non-Recurring
Award Carry Forward Total
Title IIIB 18,850 S $260,474.25 $241,623.41
Title C1 (, 1 ,"!,000 CC) $0.00 14P::i,000 CC
Title C2 ($41,2 '.1 ) $0.00 1,'2 1
Title IIIE $0.00 $0.00 $0.00
Title IIIES $0.00 $16,445.61 $16,445.61
NSIP $0.00 1 $12,730.91 $12,730.81
TOTAL ($20 ,059 02 $299,650.67 $94,591.65
This amendment changes the total OAA contract funding from: $741,663.26 to: $926,254.91
The Budget Summary by Title for the whole Fiscal Year(January 01-December 31,2023)is as follows:
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
Older American Act Administration
Title IIIB-Support Services U.S.Health and Human Services 93.044 $365,352.05
Older American Act Administration
Title IIIC1-Congregate Meals U.S.Health and Human Services 93.045 $22,023.35
Older American Act Administration
Title IIIC2-Home Delivered Meals U.S.Health and Human Services 93.045 $213,973.48
Older American Act Administration
Title III E-Caregiver Support Services U.S.Health and Human Services 93.052 $119,066.87
Title III ES-Caregiver Support Services $54,567.60
Older American Act
Nutrition Services Incentive Program 93.053 $51,271.56
TOTAL FEDERAL AWARD $926,254.91
392
AMENDMENT 001 CONTRACT AA- 2329 Page 2
The Alliance shall make payment to the provider for the provision of services up to a maximum number
of units of service and at the rate(s)stated below:
Service to be Provided Service Maximum Units of Service Maximum
Additional/
Unit Rate Prior Units Reduction Total Dollars
Chore IIIB $24.00 713 520 1,233 $29,584.33
Companionship IIIB $18.00 30 - 30 $540.00
Escort IIIB $19.96 27 - 27 $538.92
Homemaker IIIB $33.20 1,556 3,464 5,020 $166,653.54
Personal Care IIIB $33.20 1,556 3,378 4,934 $163,799.76
Screening&Assess IIIB $34.50 49 58 107 $3,690.50
Shopping Assistance III B $13.00 42 - 42 $546.00
Congregate Meals C1 $10.99 14,529 (:1.3,690) 839 $9,223.13
Congregate Meals MLTC C1 $10.99
Congregate Meals Guest C1 $10.99
Congregate Meals Volunteer C1 $10.99
Emergency Congregate Meals C1 $9.00 207 1,111 1,318 $11,963.00
Congregate Meals Screening C1 $27.08 98 (3!i'q 13 $353.84
Nutrition Counseling C1 $78.99 27 (22,) 5 $392.73
Nutrition Education C1 $1.35 519 ( 70) 149 $200.65
Home Delivered FRZN C2 $7.00 25,254 ( ,090) 21,164 $149,151.27
Home Delivered Hot C2 $7.09 9,743 (:1„!"Iliid'.10) 8,233 $58,368.54
Emergency Shelf Meals C2 $6.53 431 (:1.'.1.3) 318 $2,074.10
Nutrition Counseling C2 $78.99 3 (:1.,) 2 $173.29
Nutrition Education C2 $1.35 299 (90) 209 $292.33
Screening&Assess C2 $28.75 204 ( ) 171 $4,923.95
Respite-In Home IIIE $21.93 924 2,189 3,113 $69,263.32
Respite-Facility IIIE $12.75 5,577 (°4 960) 3,617 $46,112.99
Caregiver Training Grp IIIE $81.75 89 (6"1.) 28 $2,275.75
Caregiver Training Ind IIIE $75.00 248 (240) 8 $600.00
Screening&Assess IIIE $31.29 58 - 58 $1,814.82
Chore IIIES $24.00 363 11 374 $8,972.43
Housing Improvement IIIES Cost Reimb. $4,276.27
Material Aid IIIES Cost Reimb. $4,276.27
Specialized Medical Equip IIIES Cost Reimb.1 $37,042.63
NSIP $0.721 53,529 1 17,682 1 71,211 $51,271.56
CONTRACT TOTAL AS AMENDED I 1 1 $826,254.91
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.
Monroe County Board of County ALLIANCE FOR AGING,INC.
Commissioners,
Social Services/In-Home Services
SIGNED BY: G p SIGNED BY: Max113,a n nain Srci 2.5,20 16:40 11:1)1p
NAME: NAME: Max B.Rothman,JD,LL.M.
TITLE:Roman Gastesl, County Administrator TITLE: President&CEO
DATE:08.31.2023 DATE Sep 25,2023
A,4 ,d r f ri-�.dl .� f�_- 393
M',-C_,tn Aa,,-e ,off.� Date:8.31.23
Prepared 8/16/2023 0.6u,.0-,A,,iv a Cl-X,An-,