Item C05 C5
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
September 11, 2024
Agenda Item Number: C5
2023-2906
BULK ITEM: Yes DEPARTMENT: Social Services
TIME APPROXIMATE: STAFF CONTACT: Sheryl Graham
N/A
AGENDA ITEM WORDING: Ratification of Amendment#001 to Contract AA-2429 between the
Alliance for Aging, Inc. and Monroe County Board of County Commissioners to increase available
funding by $190,864.12, increasing the total funding award from $813,106.76 to $1,003,970.88 for the
contract period of January 1, 2024 to December 31, 2024. This ratification expressly makes
Amendment#001 retroactively effective as of August 20, 2024.
ITEM BACKGROUND:
The OAA program funding supports Monroe County's Social Services In-Home and Nutrition
Programs. The 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 within their
homes and in the community. 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. All grant funding made available to the County under OAA
Contract AA-2429, and Amendment#001 thereto, is non-recurring and may only be used during the
contract term.
PREVIOUS RELEVANT BOCC ACTION:
On January 31, 2024, the BOCC ratified and approved the OAA Contract AA-2429 for the current term
(as same was administratively executed on January 4, 2024).
INSURANCE REQUIRED:
No
CONTRACT/AGREEMENT CHANGES:
Funding Increase
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
oaa amendment 001 AA-2429.pdf
BACK UP Contract AA-2429 C7—Alliance for Aging.pdf
FINANCIAL IMPACT:
Funding Increase of$190,864.12
10% Match Required; Match to be made in the form of cash and/or in-kind resources
AMENDMENT .- Page I
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 arnendment is to adjust funding of the existing OAS contract in the following sub titles;
Noin-Recta rring
Carus taalyd Total
Tiitie liii 1 $12000000 $120,000,00
Tide C1 $1,294.55 $1,284.55.
Title 7_C T S0-00 $0.00
52.0,832.58 $20,832,158
"title 71_W_S__'_ �511,099.70 $1109970
N14P $3764729 $3�77 29 64 T TOTAL
2 —1-0-18 190, .I
TK
This arnendment changes the total OAA contract funding frorn: _1813,106,76 to $1,003,970,88
The Brad get Surnmary lay Title for the whole Fiscal Year(jaraLlary 01-December 31,20:24)is as follows:
PROGRA TITLE FUNDING SOURCE CFD,A AMOUNT
Older American Act Administration
Title 1111B-5ppprt Health and Human Services 93.0 $470 360-97
Older American ActAcliministration
Title I1ICl Cw rrw re ate Meats t1.S.Health and Human Services 91045 $24,517.20
0 Ide r Arnierica n Act Act rnin istration
I'Me 11IC2-Home Delivered Meals 91045 242,116.28
Gilder Amencan Act Administration
Title Ill E-Caregiver Support Services U.S.Health and Human Services 93,052 $141,431A1
Title RI ES-Car!A!Y!!2Hlm0q 5 It s $49,712.09
3- __.......................
Older American Act
Nutrition Services Incentive Pr IL 913,.053
TOTAL FEDERAL AWARD $1,003,970.8811
AMENDMENT 001 CONTRACT AA- 2429 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
�ona,
Unit Rate Prior Units Reduction Total Dollars
Chore III'B —:=24 00 2019 (0
(0 2 019 .85
$18.00 85 0 __ $48,455
U 85 $1,5�29.12
Escort I fIB $19.96 76 0 —76 0 $1,52&06
Homemaker 1118 $,33.20 44406 1 71-7 61171 $203 269.04
Personal Care IILB $3120 4 05 1717 122
j4_ j_ -03,247.80
$34.50 139 174 313 2
$1100 $20,786.98
—119 :=(O —119 546.11
Co re ate Pals C $10-99 2,021 117 —'--2 13"s $23,494.80
Con re to Meals MlLTC C $101,99
Congregate Meals Guest C1 $10.9^9
Coro re ate Meals Volunteer C1 111,99
mer nc Con re ate h4eak ell $qm 29 0 29 $259.14
$27.08 1.4. 0) ,14
Nutrition Counstt $7&99 4 tCl _ L 14 $3691—
Nutrition Education C1 Lo) 4 $296,66
::::—=1-35 72 0 72 $97.46
Home Delivered FRZN C2 $7.00 23,961 ---3,961 $167,724.62
Home Delivered Hot C2 $7.09 9,244 0 9,244 $65 541.06
Emer Inc Shelf Mleals C2 $6-53 —I-
409 W 409 $2 670.33
Nutrition CmmMp
ounseRma--- $78,99 3
Nutrition Education C2 $135 294 3 $224,83
0 2,8�4 $382,99
Screenin Sr Assess C2 $2839 194 iwu l 194 $5,S72.46
Respite-In Rome 11:11E 1,36,6 29967,27
....... 936 4—30 $29
$12.75 5649 741 6,390 $81,471.05
Care Iver Trainin Gr U1PE $81,75 90 —0 go $7,369.35
Care leer Trainin Ind IIIE 15,00 251 0 251 $18 839.27
sspss E 131.29 _ 59 62 121 3 784.' 7
Chore 1111ES $24,00 --368 166 534 121107.1117
Cost Reirl $10 101.98
Material Aid IIIES- Cast Reimb. $10 101198
__.Los,Reimb. $16,7010.26
NSIP $0,T2 5-22881 105 324 $75,83123
CON=TRAC=TTO=TA=tAS AS $1,003,9701.88
All provisions in the contract and any attachments thereto in conflict with this amendment shall ble and are hereby changed'to
conform with this arylendment.
All provisions not in conflict with this arnendryient 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.
N WITNESS WHEREOF,the parties hereto have caused this amendment to be executed by their unders fined offlc4s as d'u,y alutnortzed,
Monroe County Board of County ALLIANCE FOR AGING,INC.
Commissioners,
Social Services/In-Home Services
08/19/,2024
SIGNEi7By. SIGNED BY:
L
Iffir'l I�1-11
NAME, Kevin G. Wilson, P.E. NAME: Max B.Rothman,ID,U.M.
TITLE ir TITLE: Pir"clen't&CEO
DATEL. J9AUgUat2
DATE: Aug 20,20:24
ob Llr 4-S V1'A'C4 ) ('6111") Board of('Oulll Collimissl
Nepared8/14/2024 'pt-, C/I /" -r-._---r-----
Ma or Holl) Raschein
Mae
GVS COURTq°
o: A Kevin Madok, CPA
-
�o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida
�z cooN
DATE: February 7, 2024
TO: Sheryl Graham, Director
Social Services
ATTN: Lourdes Francis, Administrator
Social Services
Kim Wilkes Wean, Sr. Administrator
Social Services
FROM: Liz Yongue, Deputy Clerk
SUBJECT: January 31, 2024 BOCC Meeting
The following item has been executed and added to the record:
C7 Older American's Act Standard Grant Contract No. AA2429 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.
Should you have any questions please feel free to contact me at(305) 292-3550.
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY
500 Whitehead Street 3117 Overseas Highway 88770 Overseas Highway
Key West, Florida 33040 Marathon, Florida 33050 Plantation Key, Florida 33070
AA-2429
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 Mourne
County Board of County Conirnissioners, Social Services/lij-Home 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-I-ecipient,
the status to be further identified in ATTACTIMENI" II,Exhibit-2 as necessary.
WITNESSEIII THAT:
WHEREAS, the Alliance has established through the Area Plan on Aging that it is in need of certain services as described hereiw,
and
WHEREAS, (he Provider has demonstrated that it has the requisite expertise and ability to faithfully perf6rin such services as an
independent contractor of the Alliance.
NOWT HEREFORE, in consideration ofthe services to be performed and payments to be made,together"ith the mutual covenants
and conditions licreinafter set forth,(lie Parties agree as follovm
1. Purpose of Contract
The purpose of this contract is to provide services in accordance with the terms and conditions specified in this contract ioClUding,
all attachments mid exhibits,which constitute the contract document.
2. Definitions
ADD Activities of Daily Living
APS-Adult Protective Set-vices
ALGA-Americans%vith Disabilities Act
Alliance -Area Agency on Aging
APCL-Assessed Priority Consumer List
CIRTS -Client Information and Registration Tracking Systern
DOL'A -Department of Elder Affairs(The Dqartment)
MR-Information and Referral
IADL- Instrumental Activities of Daily Living
MOA--Memorandum of Agreement
MOU-Memorandum of Undersuludiu_g
NSIP.- Nutritional Services Incentive Program
OAA - Older Americans Act
PSAs-Planning and Service Areas corresponding to Minnii-Dade and M0111`0C,Counties
SPA -Service.Provider Application
USDA-United States Department of`Agriculture
3. Incorporation of Docurments within the Contract
This contract incorporates by reference attachments,proposal(s),Provider's Service Provider Application,and the current DOEA
Programs,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 mid statutes.
4. Term of Contract
This contract shall begin on January 1,2,V124 or on the date on which the contract has been signed by the last party required to
sip,ri it, whichever is later. h shall end at midnight, local time in Miami, Florida, on 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 tin amount not to
exceed S813,106.76 subject to the availability of funds. Any costs or services paid for under any other contract or from any,other
source are not eligible for payment under this contract.
6. Renewals
Page 2 of 66
AA-2429
By mutual agreement of tile parties,, the Alliance may renew the contract for tive additional one-year periods. Contingent upon
satisfactory performance evaluations by the Alliance and the availability of funds, Any renewal is subject to tile same terms as
the original contract,and any anioidnients,with the exception of establishing unit rates which is described further in this section.
The original contractual unit rates are set forth in the 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 Fe(leral Law
7.1 This contract contains federal fluids, 'I lie follow ing shall apply
7.1.1, The Provider shall comply with the provisions of45 CFR 74 and/or 45 CFR 92. and other applicable regulations.
T L2 If this contract contains federal funds and is over $100,000,00, the Provider shall coniply, with all applicable
standards,orders,or regulations jSSUed under s. 306 ofthe Clear Air Act as amended (42 U S,C 7401, et seq.),s.
508 of the Federal Water Pollution Control Act as amended (33 U.S.C. 1251, et seq.), Executive Order 11738, is
amended, and%kliej'eal)plical)IeEnvironuiietitalPi"o,tectioiiAL4ency regulations,10CM 30,, Flie Provider shall rep("'t
any violations of the above to tile Alliance.
T 13. 'file Provider, or agent acting for the Provider, may not use any federal funds received in connection with this
contract to influence legislation or appropriations pending before tile Congress or any State legislature, The Provider
MUSI COMPICtC,111 diSCIOSUre forms as,required,specifically the Certification of Assurances Attachment,which must
be conipleted and returned with this signed contract,
7A A. In accordance with Appendix A to 2 CFR 215, the Provider shall comply with Executive Order 11246, Equal
Employment Opportunity, as amended by Executive Order 111375 and others, and as supplemented in Department
of'Labor regulation 41 CFR 60 and 45 CFR 92, if applicable.
7A.5, A contract award with an amount expected to ecimil or exceed $25,000,00 and certain other contract awards shall
not be made to parties listed on the government-wide Excluded Parties List Systern, 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 names of parties debarred,suspended,or otherwise excluded by agencies,
as Nvel I as parties declared ineligible under statutory 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 pUrSUaH1 to this contract. 'file Provider shall complete,and sign the Certification and Assurances Attachment
prior to execution of this contract.
7.2. The Provider shall not employ all Unauthorized alien. "Flie Alliance shall consider the employment of unauthorized aliens
a violation of the Immigration and Nationality Act(8 U,S,C', 1324 at and the Immigration Reform and Control
'ontrol Act of 1986
(8 U S,c. 1101). Such violation shall be cause for unilateral cancellation of this contract by the Alliance.
7,3, If the Provider is a non-profit Provider and is subject to Internal Revenue Service(IRS)tax exempt organization reporting
reqUirerklCuIS(filing a Form 990 or Forin 990-N)and has its tax exempt status revoked For failing to comply with the filing
requirements of the 2006 Pension Protection Act or for any other reason,the Provider must notify tile Alliance in Writing
within thirty(10)days orreceiving the IRS notice ofrevocation.
7A The provider shall comply with Title 2 CFR Part 175 regarding Trafficking in Persons.
7.5. Unless exempt under CFR Part 170.1 10(b),the Provider shall comply with the reporting requirements of the Transparency
Act as expressed in 2 CFR 170.
T6. To comply Nvith Presidential Executive Order 12 989 and State of Florida EXeCUtiVC 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
riew 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 lize the E-veri fy,
system to verify employment of all new employees hired by the subcontractor and/or vendor during the contract teats.
Providers meeting the terms and conditions of the E-Verify System are deemed to be in compliance with this provision.
Page 2 of 66
AA-2429
8. Compliance,with State Law
8,1. This contract is executed and entered into in the State of Florida. arid shall be construed, performed arid enforced in all
respects in accordance with the Florida law, inelluding l"lorida provisions for conflict of laws.
8,1 -File Provider shall comply with the requirernents 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,
82.2. 1 lie lln,vc idcr Jinll conliflN, with the arid I iinsfl dkoe by ,twh cri(�6,1 illw,( he 1111cl for conilplotion
id,1his colltr.lci, as speciiiied in A] I AO IM kN V I. Sec6oii il 1, Nic(hod o[' lli%HlCilt
82.3. Tile Provider shall submit bills for fees or other compensation for services, or expenses in sufficient detail for a
proper pre-audit arid post-audit,
8.14. If'itemized payment for-travel expenses is permitted in this contract,the Provider will submit bills For any travel
expenses in accordance with s. 1 12,06 1, 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 docunlents, papers, letters, or other public records as defined fit
subsection 119.01](12), F.S.. inade or received by the Provider in coijilinction with this contract except for those
records which are made confidential or exempt by law, The Provider's refusal to comply with this provision shall
constitute all finniediate breach of contract for which the Alliance may unilaterally terminate the contract,
83. If clients are to be transported under this contract,the Provider shall coriply with the provisions(A'Chapter 427,F,S ,and
Rule 4 1-2, Florida Administrative Code("I". A.C").
8A. Subcontractors and/or vendors who are oil the discritninatory vendor list may not transact business with any public entity,
in accordance with the provisions of s.287.134, F.S.
8.5. The Provider will comply with tile provisions ofs. 11,062, F.S,, arid s, 2 16,347, F.S., which prohibit tile expenditure of
contract Funds for the purpose of lobbying tile legislature, judicial branch or a state agency,
&6. In accordance with Section 287.135 RS.,any Contractor on tile Scrutinized Companies with Activities in SUdall List,the
Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. or the SULIfillized Companies that
Boycott Israel List (Lists), created pursuant to Section 215,473 F.S. and 2 15.472�5, F,S,, or is engaged in a boycott of
Israel, or is engaged in business operations in Cuba or Syria, is ineligible to enter into oi- renew a contract Nvith the
DeIiartment for goods or services of$1,0k001,000 or more. Pursuant to Section 287.135 F.S., the Alliance may terminate
this contract if tire Provider is found to have submitted a false ces-tificatiOn Of its StalUS Oil tile lists or has been placed on
the Lists or is engaged ill a boycott ofisrael or has been engaged in business operations in Cuba or-Syria. Further, tile
Provider is subject to civil penalties, attorney's fees all(] costs and any costs for investigations that led to the Finding of
false certification, 'file Provider shall complete and sign the Certifications and, Assurances Attachment, prim' to the
execution of,this contract,
9. Background Screening,
9.1. The Provider shall comply with arid 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 promulgated by tile Department and the Agency for Health(.'are
Adininistralion regarding implementation of s. 410.0402 and Chapter 415, F.S,
9.2. Further information concerning the procedures for background screening is found at
I
clderal'Tjn, (IOCil "h
1111............................... ......................1 1111 1 �
9.3. Background Screening Affidavit of Compliance-To dernonstrate compliance with this contract,the Provider shall subir it
ATTACHMENT D, Background Screening Affidavit of Compliance annually,by January 15th.
Page 3 of 66
A*2429
10. Gdmame Pmmdums
Tile Provider shall comply with and ernme subemmactor and/or vendors complince with the hAilliII11,1111 Guidelines for Recipient
Grievance Procedures, Appendix It of the Handbook,to address complaints regarding tile termination, suspension or redLICtiOII
of sery Wes,as required For receipt of funds.
10J. Complaint Procedures
'Me Provider AmU develop and haplOment complaint procedures and ensure that subcontractors and/or vendors develop
and hilplemad complaint procedures to process and resolve client dissatisfaction with savices.CompNhm procedures shall
adidr-em the clutility and timeliness of services, provider and direct service worker complaints,or any other advice related
to complaints other thati termination,suspension or reduction in services that mqtdre the grievance process as described in
Appendix D,of the Handbook.The complaint Procedures shall VIVO notification to all clients ollhe complain!procedure
and hchde tracUng the.date, nature of coniplainn the dmermination of each complaint, and tile Follow-up with the,client
to ensure satisfaction with the resolution
1, Public Records and Retenfion
I L I. B) exembn of'Ok mmumn PmvWa agrees to alf provkhns or(samcr I It KS. and a, odwr qVIIaNe
bm and shalk
1 1,1,1,Keep and 111,6111,611 public nccon.,k rcqf6red by tht2 to 1)'Lmrform the ccintnKAVd serviee�,,
11,K2, I 1pon rvquQm ban We \Mmwe m the Oepoltnlcnl'�, cu iodiml kit pLIhhc records, provIdc III,, AMmicc,of 111c,
Depament as or die reqmicswd ovowds or allow the ivowds fo by hbNoed or "WWI "Ok sa
reasonahIc 6111C al ,I CoM flial does not e,CeQd O)u Cost pro6ded In Chaplet. 1 19 , I S, or a" olhcr-+k kv
provided by lm ,
I L kV I!qwe Omi puldic r"ords dmi me eve Mt m cmOd"dal and ewmpf, from public moMs dhAsm e
requiremeW arc nos ifiscloscd oxc,.,pt as audlorked by In" Ar the dunahn of Ow mmso tmD and
Iollm%inL, colnplc�lwm of we mmacs it' fh+,a llrovidcr does 111ol iransfm.�r floe iecords to flie Al fiance or the
Oqxlrmlem
IA, t fpon Completkill ad"thc COVIU'd(A, thQ Pr 06der we 11 cithcr tr,.msk,i%af no co,it W the:Alhook:v-al I Isnbl ic recorck
in po,,scy�,ion arr the pm%Wer. or MH keep and mN hoAn public mwoMs raQ ed by the I kpn!"IMICUIL If We
Pro Oder Iran"fer"; "III puhhc rierCords to the. Dcpartlnelr( ol, 111c, confract"
desuroy an) dupkwc pasta Q rmonk IWI arvvwmpt. or and c\canpt, trom: imblic recoid-,
dkc,lo,alre requilemolls, it' phe Provider kcep� and Inaalmins put-dic iea.mds upoll conipIelion of lht
eona,awt, (tic lli,oOder shall meet all applicable recl"imi"ms for remking public recorK All recoids slored:
electrmncally 171n."t he rirov�ded to the Depm nueni in a IormaL drit I,, computfl)142 "".with OIC 611ronn,'akm,
syLlerns ofthe DeparollQ111.
I K; Allknec miry unilaterally cmwd Us mamo. mqwTmaWKg wy usher pRnkkms eat Ok comm Ar whsall
by the Providvr to comply "kh A I I NCI MHNI I of Gs emnict by neat admving puhlic acees" in all documcnis,
papery Quem.orcm1wrniater5l madeor jrecek"] by dic PmOderin con�pmclrein with this coninwt awnless the records
are exenju.meonfidential and exenym ks" Y 24(a)of ArtilcIc I or qhce Slate R or)SlitWiOn and s. I IOM7(l f, 11-.S
IF PROVIDER 11AS (Q1 ESTIONS REGkRDING T"F; APPLICA1 US OF (11 tPVVR 10, tIA)MIlk
S'LATV I VS, TO THE, PROVIUKIR"S nUTJ 1() 144OVIDE 101 RIJC RECIMUS REII.XT11m; ro mis
(UNTRA(14(ONTACT THE('11VIDDIAN OF 101131AC RRURDS A'f:
Public Remrds Coordinator
Florida Department (it' Elder Affairs
4040 Esphnade Wa.+
Yallahassee, F'Iorida 32399
850-414-2342
lm-�fLlh2i-tLm,
12. Audits, Inspections, Investigations, Public Records and Retention
Page 4 of 66
AA-2429
12,1. 1 lie Provider shall establish and maintain books,records and documents(including electronic storage niedia)
,sufficient to reflect all assets,obligations,unobiigatcd balances, incorne, interest and expenditures of funds
provided by the Alliance Under this contract. Provider shall adequately safeguard all such assets and assure they are used
solely for the PUrpOSCS authorized tinder this contract. Whenever appropriate, financial information 511OUld be related to
performance and unit cost data.
12,2, The Provider shall retain all client records, financial records, SUPPorting documents, statistical records, and any other
documents(including electronic storage medial pertinent to this contract for a period of'six (6)years after completion of
the contract or longer when required by law. In the event an audit is rec Uired by this contract, records shall be retained for
a I'llininlLUll period of six(6)years after the audit report is issued or until resolution of any audit findings or litigation based
on time ternis of this contract,at no additional cost to the A iliance.
113. Upon demand, at no additional cost to the Alliance,the provider Nvill facilitate the duplication and transfer ofany records
or doCUnlents during the required retention period in Paragraph 122,
12,4, The PrMidff Shall assure that the records described in this section shall be subject at all reasonable times to inspection,
review, copying, or audit by Federal, State,or ether personnel duly authorized by the Alliance.
12,5, At all reasonable tunes flor as long as records are maintained, persons duly audiorized by time,Alliance. DOEA and Federal
auditors,Pursuant to 45 CHI Part 75,shall be allowed full access to and the right to examine wiy of the Provider's contracts
and related records and documents,pertinent to this specific contract,regardless of the form in which kept.
12,6, The Provider shall provide a Financial and compliance audit to the Alliance as specified in this contract and ensure that all
repainted third-party transactions are disclosed to the auditor.
12.7. The Provider shall comply and cooperate immediately with any, inspections, reviews, investigations, or audits deerned
necessary by the office of the DOEA's Inspector General pursuant to s.20.055,ES, Provider I-Litiher avn.,cs fluit it sh,'lk
illclude iJ-i lvklled ;1 thdi, SU!bcolltrlctols and or %a.11dors porl'ormill" v%oll or provikfill,!
,�Zr\ etgr(� to C(Aqlormc ca ith Ow Allimo,�i�r'hl p�.%'tor(ienor�d lo alnw ill v m atitfil,
kl",l%%1'6on, rv\Jv\w,or lwarinit; pill'samll 10 S, I"S. It% Qxvculion of this colfllu ac,t Ille Provideli midermaild,
MkJ ww i I I C00'1palr an ith Haiti
13. Nondiscrimination-Civil Rights Compliance
13.1 The Provider shall execute assurances in ATTACHMENT VI that it will not discriminate against any person in the
Provision of services or benefits under this contract or 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 Wifll WhOul it arranges to provide services or benefits
in connection with any of its programs and activities are not discriminating against clients or employees because of age.
race, religion, color.disability, nationaI origin,nim-kat status or sex.
3,2 During the term of this contract,the Provider shall complete and retain on file a timely,complete and accurate Civil Rights
Conipliance Checklist attached to this contract.
L),3 The Provider shall establish procedures pursuant to federal law to handle complaints of discrimination involving services
or benefits through this contract. These procedures will include notifying efients,employees,and Participants of the right
to file a complaint with the appropriate federal or state entity.
13A If this contract contain,; federal funds, these assurances are a condition Of Continued receipt of or benefit fil-orn fiederal
financial assistance, and are binding upon the Provider, its successors, transferees, and assignees for the period during
which such assistance is provided. Tile Provider further assures that all subcontractors, vendors, or others with \vhorn 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, gUidelilleS,
and standards, In the event of failure to comply, the Provider understands that the Alliance may, at its discretion, seek a
court order requiring compliance with the ternis of this assurance or seek other appropriate judicial or administrative relief,
including but not limited to,termination of and denial of further assistance
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14. Provision of Services
The Provider shall provide the services referred to in ATTACIAMEM VII in the manner described in they Handbook and the
procurement documents leading to this contract. In the 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 flie Prov der shall pcnuu persOlIS duly' aL[tll(,qi/.cd by, the Alliance to inspect and cop) any records, papers, documents, facilities,
goods and services of the Provider which are relevant to this contract, and to interview any clients, employees, and
subcontractor employees of the Provider to assure the Alliance of the satisfactory perfibrilrance of the terms and
conditions of this contract. Following such review, the Alliance will provide a written report of its findings to the
Provider, and where appropriate, the Provider shall develop a Corrective Action Plan (CAP). The Provider hereby
agrees to correct all deficiencies identified in the CAP in a timely manner as determined by (lie Contract Manager.
Failure to comply with the CAP shall subject Provider to entbrcenient actions as described in this Contract.
152 The Alliance will perforni administrafive, fiscal, and progranirnatic monitoring
ofthe provider to ensure contractual
compliance, fiscal accountability, prograninratic peribrinance, and compliance with applicable state and federal laws
and regulations, 'file Provider will supply progress reports, including data reporting requirements as specified by the
Alliance or the Department to be used for monitoring progress or perl'orniance of the contractuid services.Examples of
review criteria are surphis/deficit reports,independent audits, internal controls,reimbursement requests.Subcontractor
monitoring, targeting, prograrn cfigibiliLy, Outcome measures, service provision to clients, data integrity, client
satisfaction,and client file reviews,
16. Service Cost Reports(SCR)
The provider Shall submit a SCR to the Alliance annually, but no later than ninety (90)calendar days after tile provider Fiscal
Year ends. The S(R shall reflect the 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 stake a request in writing
to the Alliance, with the inclusion of a Unit Cost Methodology, in accordance with the Alliances approved Reimbursement
Rate Review Policy, which is incorporated by reference.
17„ Coordinated Monitoring with Other Agencies
If the Provider receives funding from one or more of the State of Floridan human service agencies,in addition to Alliance funding,
then a joint monitoring visit including such other agencies may be scheduled. For the purposes of this contracl,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 Affiairs,and the Deiiartinern of'Elder
Affairs LJpon notification and the subsequent scheduling of such a visit by the designated agencys lead administrative
coordinator, the Provider shall comply and cooperate with all monitors, inspectors, and/or investigators,
1 7A New Contract(s)Reporting:
The Provider shall notify the Alliance within tell(10)days of entering into a new contract with any other state human service
agency. The notification shall include the following inforniatiow (I)contracting state agency and the applicable office or
program issuing the contract; (2) contract name and number; (3) contract start and end dates-, (4) contract anlOLflll,' (5)
contract description and commodity or service-.and(6) Contract Manager name and contact information,
18, Indemnification
The Provider shall indertinify, save, defend, and hold harmless the Depmrttnent and the Alliance and its agents and employees
from any and all claims, 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 clairns, demands, actions or causes of action arising solely out of the Alliance's
negligence.
n
19. Insurance and Bon(fing
19.1 "I"he 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 deterinining tile 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
coverage under each policy maintained by the Provider do not limit the Provider"s liability and obligations Linder this
contract.'file Provider shall ensure that tile Alliance has copy of the most current written verification of insurance coverage
throughout file 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, Tile 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 from a responsible commercial
insurance company covering all officers, directors, ernifloyees, and agents of tile Provider authorized to handle funds
received or disbursed Under all agreements, and/or contracts incorporating this contract by reference in all aniount
commensurate with the Funds handled,the degree of risk as determined by the insurance company and consistent with good
business practices.
20. C onfidentiality of Information
The Provider shall not Use or disclose all), information concerning a recipierr of services under this contract for any purpose
prohibited by state or federal law or regulations except with the written consent of a person legally authorized to give that consent
or when authorized by law.
2L health Insurance Portability and. ccountability Act
Where applicable,the Provider shall, comply with the Heakh insurance Portability and Accountability Act (42 IJSC 1320d), is
well as all regulations promulgated thereunder(45 FR 160, 162, and 164),
22. Incident Reporting
22.1 The Provider shall nofif the Alliance inlrnedirately but no later than forty-eight(48)hours (roam the Provider's awareness
or discovery of conditions that may materially affect the Providers, subcontractor's or vendor's ability to perform the
services required to be performed under any contract. Such notice shall be made orally to the Contract Manag,er (by
telephone)with all email to immediately follow,
22,2 J-lie Provider shall, ininiediately report knowledge or reasonable suspicion of abuse,negl
ect,or exploitation of a child,aged
person,or disabled aduh to the Florida Abuse Hotline on the statewide toll-five telephone nullifier(1-800-96ABUSE), As
required by Ch,apters 39 and 415, F.S,, this provision is binding upon the Provider, subcontractors, vendors, and their
employees.
23. Bankruptcy Notification
If, at ally thole dUrhig file terni of this contract, the Prcviider, its assignees, subcontractors, vendors or affiliates files a claim for
bankruptcy, the provider MUSt illIni,ediately notify the Alliance. Within tell (10)days after notification,the Provider most also
provide the following, information to the Alliance: (I)the date of filing of tile bankruptcy petition. (2) the case number; (3) the
court narne and the division in which the petition was filed(e.g., Northern District of Florida, Tallahassee Division);and,(4)the
name,address, and telephone number of the bankruptcy attorney.
24. Sponsorship and Publicity
24.1 As required by s. 2W25, F S- if the Provider is a non-governmental organization which sponsors a program financed
wholly oil-in part by state funds, including any finds obtained through this contract, it Shall, in publicizing, advertising,or
describing the sponsorship of the program, state.- "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 appeal,in at least the same size letters or type
as the name ofthe orga
nization.
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 Ilse.
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25. Assignments
25,1 The Provider shall riot 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 ofthe Alliance will constitute a material breach of the contract,
25.2 The Alliance shall at all times be entitled to assign or transfer, in"hole or part, its rights, duties,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 tile contract.
253 This CojjtjdaCj shall remain binding upon the successors in interest of either the Provider or the Mliance.
26. Subcontracts
26A The Provider is responsible for all work performed and for all corn inodities prod need PUBLUMItto this contract, whether
actualiy furnished by the, Provider or its subcontractors. Any subcontracts shall be evidenced by a written docurrient
and subject to any conditions of approval the Alliance deenis necessary,The Provider further agrees that the Alliance
will not be liable to the subcontractor in any way or for any reason. The Provider. at its expense, shall defend the
Alliance against any such claims.
26,2 The Provider sliall promptly pay any subcontractors upon receipt of payment frown the Alliance or other state agency.
Failure to make payments to any subcontractor in accordance with s, 287,0585, Fla. Stoat.. unless otherwise stated in
this contract between the Provider and subcontractor, will result in a penalty as provided by Statute,
26.3 The Provider shall programmatically inointor, at least once per year, each of its Subrecipients. The Provider shall
perform programmatic monitoring to ensure contractual compliance, and prograturnatic perf.)rt-nance and compliance
with applicable state and I"ederal, laws and reguLations. The Provider shall monitor to ensure that time schedules are
inet-1 the budget and scope ot'work are accomplished within the specified tirne periods, and other performance goals,
Tile Provider shall also perform fiscal and administrative mortitoring for all subrecipients to ensure fiscal accountability,
26.4 The Provider shall have a PrOCUrernent policy that assures maximum free and open competition. Stich prOCUN111CIlt
policy must conibrin,as applicable,with Federal and State contracting and procurement regulations,as set Forth in Title
2 C I ode of Federal Regulations(CFR)Part 200,Ch, 297.057,I'll. Stat., U.S.Office of Management and Budget(('yMB)
Circular I 10, Florida Department of Management Services (DMS) Rule 60A-1, F.A.C., and with the Department's
Program and Services Handbook,
26,5 The 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 ofthe Alliance without
specific authorization firom the Alliance. It is the further intent and Understanding of the Parties that the Alliance does not controi
the employment practices of the Provider and shall not be liable for any wage and hour, 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 kir tile Provider
shall be the sole responsibility of the Provider,
28. Payment
2&1, Payments will be made to the Provider Pursuant to s. 215A22,F.S,as services are rendered and invoiced by the Provider,
'file Alliance will have final approval of the invoice for payment and Nvill approve the invoice for payment only if the
Provider has niet 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 ofs.2 15A22 F.S.
283.2.The Provider agrees to submit bills for fees or other compensation for services or expenses in sufficient detail R)r a proper
pre audit and post audit fliereof.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)of s.216.18 1, F.S.,regarding advances;(b)Ride 691-40,103 EA.C.,pertaining to Restriction of Expenditures from state
funds: and, (c)the, Invoice Requirements of the Reference Guide for State Expenditure,';Bona the Department of Financial
Set-Oces at:
C k,�I I I il"i d i r rc ry I I C c L t I C R e I C C C. i�d%' 1:0 S LI e I c I L
'File Provider will certify that detailed documentation is available to support each itern on the itemized invoice or payment
request for cost reimbursed expenses, fixed rate or deliverables contracts or agreements incorporating this contract by
reference, including paid subcontractor and/or vendor invoices, and will 'be produced upon recloest by the Alliance. The
Provider will further certify that reimbursement requests,are only for allowable expenses as defined in the lawns and guiding
I—
circulars cited in Sections 4 of'this contract, in the Reference Guide fioir State Expendittires, and any either laws or
regulations,as applicable.
283. The Provider, its subcontractors and/or vendors shall provide units of deliverables, including reports, findings,and drafts
as specified in the contracts or agreements and attachnients which incorporate this contract to be received arid accepted by
the Contract Manager prior to payinent.
28A Payments will be made to the Provider based on as complete and correct invoice, invoices that are incomplete or with in
incorrect total will not be processed and will be returned to the Provider for correction. Fiscal staff will not be able to
correct or make changes to the invoices, Returning invoices for corrections may restill in failure to receive payment fbr
that month. Invoices shall be stibiiiitted timely as per ATJ ACHMENT Gill in order to avoid any payment delays,
28.5. Each service performed shall be recorded as specified in the client inforriation and registration tracking system("CIRTS")
guidelines. S t i pport i rig doe 1A III en tation,of sery ices provided must be adequate to permit fiscal seal and programmatic evaluation
and ensure internal management.
29. IRetur n of Funds
The Provider will return to file Alliance any overpayments due to unearned funds or firinds disallowed and any interest attributable
to such funds pursuant to the terms and conditions ofthis contract that were disbursed to the Provider by the Alliance. In the
event that the Provider or its independent CtUditor discovers that III overpayment has been made, (lie Provider shall repay said
overpayment immediately without prior notification from the Alliance. In the event that the AlRance first discovers an
overpayment has been made, the Contract Manager, on behalf of the Alliance, will notify the Provider of such findings. The
Alliance may deduct the overpayment from the invoice most recently submitted but net yet paid,even if from as 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 Akiance 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 the information (lie
Provider is collecting or using in the perforniance of this c(intract. An appropriate level of security, incItides, approving and
tracking all Provider employees that request SyStern or information access and ensuring that user access has been rernoved from
all terminated employees. The Provider, among other requirements, must anticipate and prepare, for the loss, of inforination
processing capabiNties. All data and software shall be roLitinely backed Lip to ensure recovery from losses or outages of the
computer systern.The security over the backed-up data is to be as stringent as the protection required of the Primary systems.The
Provider shall ensure all subcontractors and/or vendors maintain written procedures fior computer system back-tip and recovery,
The Provider shall complete and sign ATFACI IMENT IV prior to the execution of this contract.
31. Computer Use and Social Media Policy
'file DOEA has implemented a new Social Media Policy, in addition to its Computer Use Policy, which applies to all enlployees,
contracted employees, consultants, OPS arid volunteers, including all personnel affiliated with third parties, such 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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RSS feeds„ video sharing, social networks like MySpace, F'acebook and `f'`wwtter„ as well as content sharing networks such as
h i_ G rt� 4�i ed �fl�w m Nu9r tb i.�l ;itw 1�lickr arad'a"oru'l"rabe. This policy is available oil�LDCJiEA�'s website�at: Ip�t
32. Conflict of Interest
The Provider shall establish safeguards to prohibit employces,board members,management and subcontractors from using their
positions for a purpose that constitautes or presents the appearance of personal or organizational conflict of interest or personal
gain,.
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) the employee, officer, or agent; (b) any member of'his/her immediate far-nily; (c) his or her partner, or, (d) an
organization which employs, or is about to employ, any ofthe above, has a financial or other interest in the firm selected for
award, "I lie Provider or subcontractor's officers,employees or agents will neither solicit nor accept gratarities,favors or anything
of monetary value from Providers,potential Providers,or parties to subcontracts.
Pursuant to Chapter d,Section 2 ofthe I landbook,no Provider may employ, in any capacity, any member of its governing board
or.any fancily member of person on the board or faramily member ofits Executive Director.
"rhe 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 wwithin thirty° (30) calendar days ofan indiw^idtual's original nppohninent or placement in
that position, or if"the individual is serving, as arm incumbent„ within thirty (30) calendar days of the commencement of this
contract.The Providers'employees and subcontractors must retake the same disclosures described above to the Providers'Board
of Directors. (,lomlpliance with this provision will be monitored.
33. Public Entity Crirne
Pursuant to s.i287,133, F.S.„ a person or affiliate who has been placed on the convicted vendor list following a conviction for a
public entity crime pray not submit a laid,proposal,or reply earl a contract to provide any goods or services to a public entity; may
not submit a bid, proposal,or reply on as contract with net public entity for the construction or repair of public building or public
wworkl may not submit bids,proposals,or replies on leaser of real property to a public entity;may not be awarded or perfiarnz work
Pl y public entity; and may not transact business with
gas a Provider,su glitz,sub-Provider, or consultant uradcr a contract with arr�r
any public entity in excess of the threshold amount provided in s. 287.017, E.S., for Category Two fear a period of 36 months
following the date of being placed on the convicted vendor list. if the Provider or any of its officers cr directors is convicted of
a public entity cringe during the period of this agreement, the Provider shall notify the Alliance immediately, Non-conmpiiance
with this statute shall constitute a breach of this agreement.
34. Ernergenc'y Preparedness anti Continuity of Operations
34.I 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
clays of the execution of this contract, submit to the Contract Manager 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 aneal 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 reader this contract and must followr procedures to ensure continuity of'operations without
interruptions,
343 Providers offering nutrition services must have an Alliance approved shelf stable rruenu with at least 3 days' worth of shelf
stable meals with reserved funds wet aside to purchase the foot/ items in order to ensure continuity of services without
interruptions in weather and no-weather related emergencies,
3 . Use of Conti-act (funds to 'Purchase Equipment
No funds under this contract will be used by the Provider to purchase equipment.
EgUipment means: (a)an aarti6e of nonexpendaabl'e,tangible personal property having a useful life of more than one year and arm
acquisition cast which equals or exceeds the lesser of the capitalization level established by the organization for the financial
statement purposes, or $5,000.,00 [`for federal funds], or(b); nonexpendable, tangible personal property of a non-consrnmmrr1ble
Page 10 of 66
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nature with an acquisition cost of$1,000,00 or niore per trait,and,expected useful life of at least one year; and hardback bound
books not circulated to students or the general public, vvith a value or cost of$250.00 or niore[for state funds].
36. The PUR 10f00 Forrn is hereby incorporated by reference and available at:
Om j�a�,t) _�l K.Jot, 4 7 7 K) t'� H,�000,pd f
In the event of any conflict between the PUR 1000 Form and any terms or conditions of any contract or agreement terms 01,
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 ofthe Florida Statutes,the tenns 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 ofthe improvements or as further required by law.
38. Dispute Resolution
Any dispute concerning performance ofthis 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
innnunity may be applicable,
40 Venue
If any dispute arises out of this contract, the venue OfSUCI1 legal recourse will be Miarni-Dade Counly, I'lorida,
41. Entire Contract
']'his contract contains all (fie terns and conditions agreed upon by the parties. No oral agreements or rq.)rescinations shall be
valid or binding upon the Alliance or the provider unless expressly contained herein or by a written anienchimit to this contract
signed by both, Parties.
42, Force Majeure
The Parties will not lie liable for any delays or failures in performance due to circumstances beyond their control, provided the
party experiencing the Jrj)j-Ce 111,1jeure condition provides immediate mitten notification to the other party and takes all reasonable
efforts to cure the condition.
43. Severabilit,), Clause
The 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 I remain in full 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 I-egkIature,
45. Addition/Deletion
The Parties agree that notwithstanding the terms of the PrOM'Calent docurneti15 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 Parties, The Parties shall negotiate
compensation for any additional set-vices 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 tight.
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47. Compliance
The Provider shall abide by all applicaMe current federal statutes, laws,rules and regulations,as well as applicable current state
statutes, laws, rules and regulations, policies of the Alliance and the Departineril, and tile terms of this contract. 'The Parties
agree that failure of the Provider to abide by these laws, rules,regulations, policies, and terms of this contract sliall be deemed
an event of default of'the Provider and subJect the Provider to disciplinary action including corrective action, unannounced
special nionitoring, temporary assumption of the operation of one or more contractual services, placement ofthe Provider on
probationary status, imposing a moratorium On Provider action, imposing financial penalties fior nonperformance or
noncompliance,or other administrative action,to hurnediate, Urulateral contract cancellation at the discretion ofthe 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
staterricrit ofthe specific violations of tile Provider and the facts relied upon to establish the violation.
Upon receipt of the Notice of Violation,the Provider shall have twenty-one(2 1)days to respond to the Notice of Violation.
Provider's response must,include a statement of any disputed issues of rnaterial 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 terra.
F`ail LH-C of the Provider to respond to the Notice of Viol ation within twenty-one(2 1)(lays shall be deemed a waiver ofthe rights,
oulfined above and the Alliance will proceed against the Provider by default.
The Alliance, upon receiving a timely filed response to a Notice of Viollation, will forward the response aind all accompanying
' ,
documentation to the Contract Manager to review,and consider, I'he(-011u.'let Manager shall,within 10 days after[lie receipt of
the Provider's response,file ar 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 rcqLICst 1`61'
payrrient)of AT-FACHMENTI, If the Provider falls to subunit final request furor or payment by the deadbrie,then at I rights to payment
may be forfeited and the Alliance may not honor any requests submitted after the aforesaid time period. Any Payment due under
the terms of this contract may be vvithheld 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 ofthis contract shall be valid only when they have been redticed to writing and duty 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 cornract cragreenient incorporating
in this contract,at any time, when in the best interests ofthe State to do so.'The Alliance shall provide the Provider written notice
outlining the particulars of suspension. Exaniples of the reason for suspension include, but are riot limited to, budgetary
constraints,declaration of ernergency,or other such circumstances,After receiving a suspension notice,the Provider shall comply
with the notice and shall not accept an), purchase orders. Within ninety days, or any longer period agreed to by the Provider, the
AHiance sliall either(I) issue a notice authorizing resumption of work, at which time activity shall reSUrne,Or(2)terminate the
contract or purchase order. Suspension of work shall riot entitle the Provider to any additional compensation,
'Fermination
51.1 Termination kir Convenience, 'This contract niav be terminated by either party without cause upon no less thart thirty (10)
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 deliver), 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 ofthe contract. The Provider shalt not furnish any product after it receives the notice of
tennination,except as necessary to complete the continue(],portion ofthe contract,if any,'The Provider shall not be entitled
to recover any cancella6un charges or lost profits, See notes on 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, ally 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 file Final authority as to the availability and adequacy of funds, In the event oftermination ofthis contract,
the Provider will be compensated for any work satisfactorily completed prior to the date of termination, Rule 60A-
1,006(1), 1:,A,C.,governs the procedure and consequences oi'default. The Provider shall continue work on any work not
terminated. Except for defaults of subcontractors at any tier, the Provider shall not he liable for any excess costs if the
failure to perform the contract arises from events,completely beyond the control. and without the fault or negligence,of
the Provider. Ifthe failure to Perform is caused by the default ofa subcontractor at any tier,and if the Cause of the clefautt
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 for any excess costs for failure to perforni,unless the subcontracted products or services
were obtainable from other sources in sufficient tinie for the Provider to cruet the required delivery schedule. If, after
termination, it is determined that the Provider was not in default, or that the default was excusable, the rights and
obligations of the Parties shall be (tie same as ifthe termination had been issued for the convenience of the Alliance. The
rights and remedies ofthe Alliance in this clause are in addition to any other rights and remedies provided by law Or Under
the 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 from
Public records, disclosore requirements at no cost to the Alliance. All electronically stored records shall be provided to
the Alliance in a format that is compatible with file Alliance's inhorination technology system(s).
52.Successors
This contract shall remain binding upon the successors in interest of either the Alliance,or the Provider. subJect to the assignment
provisions in Section 22 above,
53. Electronic Records arid Signature
531 The Alliance authorizes. but does not require, the Provider to create and retain electronic records and to use electronic
signatures to COMILICt 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 fully auditable are subject to
Florida's Public Records Law,Ch, 119, [`,S, must comply wNdth Section 29,Data Integrity and Safeguarding Information,
must maintain all confidentiality,as applicable,and must be retained and maintained by the Provider to the sarne extent as
non-electronic records are retained and maintained as required by this contract.
53,2 The Alliance's authorization pursuant to this section does not authorize electronic transactions between file Provider and
the Alliance. 'rhe Provider is authorized to conduct electronic transactions with the Alliance only upon further wriften
consent by the Alliance.
53.3 Upon request by the Alliance,(lie 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 in electronic form
with all electronic signature must indicate the person and the person's capacity who electronically signed the document on
ally non-electronic copy of the document,
54. Special Provisions;
The Provider agrees to the following provisions:
54,1 Investigation of Chininal 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 law enforcement agency, file, United States Attorney's office,or other
governmental agency,the Provider shall notify the Alliance immediately, A Copyr
of all dOCUrnents, 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. If possible,the Provider shall work in coordination vvith organizations
that have experience in providing training, placement, and stipends for VOILIJI(CCI-S Or participants (SUCII as organizations
carrying out federal service programs administered by the Corporation for national and Community Service), in
C01111111.1nity service settings.
54.3 Enforcernerw
54.3,1 In accordance%villis.410,04, II the Alliance may,without taking any interniediaterneasures available to it
against this contract rescind this contract if the Alliance finds that:
543,2 An intentionat or negligent act of the Provider has materially affected the health, vveKhrc,or safety of clients served
pUrStlant to any contract or agreement, or substantially and negatively affected the operation ofservices covered
under any contract or agreement;
5 4.3.3 'file Provider lacks financial stability sufficient to inect contractual obligations or that ecritraCtUal funds have been
in isappropriated;
543A The Provider has committed VaLilliple or repeated violations of legal all([regulatory standards,regardless ofm1lether
such laws or regulations are enforced by the Alliance, or the Provider has committed or repeated violations of
Alliance slnndards;
543.5 The Provider has failed to continue the provision or expansion of services after the declaration of' a state of
emergency,and/or
5443.6 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, RS., take ninnediate
measures against the Provider,including:�corrective action,Unannounced special monitoring,WITIporary assumption
of the operation of one or more contractual services, placement of tire Provider on probationary status, imposing a
moratorium on Provider action, imposing financial penalties foT' notiperfNinance, oi- other administrative action
pursuant to Chapter 120, F,S,
54A fit making any determination trider this provision the Alliance may rely upon the findings ofanother state or federal agency,
or other regulatory body.Any claims ftir daniages f6r breach of any Contract or agreement are exempt from administrative
proceedings and shall be brought before the appropriate entity in the VeliLle of Mianii-Dade County,
54,5 Use of Service Dollars:
The Provider will optimize the rise of contract funds by serving the maximum possible number of individuals with the
services allowed by this contract. ]'lie Provider will spend all funds provided by this contract to provide such set-vices.
54,6 Training:'file Provider will attend all required trainings and meetings schedule by the Alliance
55. Contract Manager
The Alliance may substitute any Alliance eniployce to serve as the Contract Manager,,
56. Official Payee and Representatives(Nance,Address,anti Telephone Numbers)
'file name,address,and telephone number ofthe representative for the Alliance for,this contract is:
Max B. Rothman,JD, ILLNI, President and CE0
760 NW 107th Ave, Suite 2 14
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
The Provider name,as shown on page I of this Sci-vicesAn-l-lome Services
A contract,and mailing address of the official payee to 1100 Simonton Street,2"Floor
whom the payment shall be made is: Key West,FL 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 and administrative Services/Iii-Home Services
I 100 Simonton Street,2nd Flo6r
records are maintained is: Key West,FL 33040
305-292-4510
Sheryl Graliam
The name,address, telephone number of the Monroe County Board ofCounty Commissioners,Social
c representative of the Provider responsible for Services/In-Home Services
administration of the program under this contract is:. 1100 Simonton Street,2"d Floor
Key West,FL 33040
305-292-4510
Alliance for Aging,Inc.
The section and location within the AAA where Fiscal Department
d Requests for Payment and Receipt and Expenditure '760 NW 107th Avenue,Suite 214
forms are to be mailed is: Miamijiorida 33172-3155
305-670-6500
Contract Monitor
The name,address,and telephone number of the Alliance for Aging,Inc.
c Conti-act Manager for the AAA for this contract is: 760 NW 107th Avenue,Suite 214
Mianii,Florida 33172-3155
305-670-6500
Upon change of representatives(names,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 Terris 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 that they have read and agree to the entire contract,
IN WITNESS THEREOF,the Parties hereto have caused this contract,to be CXCCLIted by their undersigned officials as duly
authorized.
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS,SOCIAL
SERVICESAN-HO Z
NLF,SERVICES ALLIANCE FOR AGING,INC.
SIGNED BY: SIGNED BY.
_j
NAME: Roman Gastesi NAME: MAX B.ROTHMAN,JD,LL.M.
rTj
TITLE: County Administrator TITLE: PRESIDENT AND CEO
C)
DATE: January 3, 2024 DATE: 1/4/24 P—
I LA*
jj&F,7 L Page 15 of 66
SIGNED BY:
Oqm "iV-,ST: KEVIN MADOK,CLERK
NAME: Hollv Merrill Raschein
TITLE: MAYOR
DATE:
'A
\%
AS?eputy Cldrk
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INDEX TO CONTRACT ATTACHMENTS
ATTACHMENT ATTACHMENT DESCRIPTION
ATTACHNIENTI STATEMENT OF WORK
ATTACHMENT If FINANCIAL COMPLIANCE AUDIT ATTACHMENT
ATTACHMENT 11 AUDITREPLATIONSHIP DETERMINATION
EXHIBIT
ATTACHMENT It FEDERAL RESOURC FS AWARDED PURSUANT TO THIS AGREEMENT
EXHIBIT 2
ATTACHNIENT111 CERTIFICATIONS AND ASSURANCES
ATTACHMENT VI ASSURANCES-NON-CONSTRUCTION PROGRAMS
ATTACHMENT VII CONTRAcr BUDGET SUMMARY BY SERVICE AND TITLE
ATTACHMENT Vill OLDER AMERICANS ACT CONTRACT REPORT CALENDAR
ATTACHN/lENTIX REQUEST FOR PAYMENT
ATTACHMENT X. RECEIPTS AND EXPENDITURES, FOR PALL OAA TITLES
EXHIBITI
ATTACHMENTX, RECEIPTS AND EXPENDITURES, ["OR NSIP
EXI-IIBIT2
ATTACHMENT"X, PROVIDER MONTI-ILN' MEALS REPORT, FOR N'SIP
EXHIBIT I
AT'FACT]MENT13 DEPARTMENT OF ELDER AFFAIRS' CIVI'L RIGHTS COMPLIANCE
CHECKLIST AND INSTRUCTIONS
ATTACHMENT D BACKGROUND SCREENING-AFI""IDAVI l'Ol' COMPLIANCE
AT'['A CI I N1 ENT F DATA PRIVACY& SECURITY BUSINESS ASSOCIATE AGREEMENT
AT TALI INIENTG ADRC POLICY AND,PROCEDURES l"OR OUTSOURCED FUNCTIONS
Page 16 of 66
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ATTACHMENT I
ALLIANCE FOR A(,ING, INC'.
STATEMENT OF WORK
OLDER AMERICANS ACT
SECTION 1: SERVICES TO BE PROVI DED
A. ALLIANCE FOR AGING,INC. MISSION STATEMENT
The Alliance mission is to promote and advocate for the optimal quality of life for older adults and their families,.
B. PROGRAM SPECIHC TERMS
Area Plan- A plan developed by the area agency on aging outfining a comprehensive and coordinated service delivery system in
its planning avid service area in accordance with the Section 306 (42 U,S'C' 3026) of the Older Americans Act and DO EA
instructions,
Area Plan Update: A revision to the area plan wherein the Alliance enters 0,,,\.A specific data in the CIRTS. An update may
also include other revisions to the area plan as instructed by the DOEA.
Child-, An individual NN110 is 11,0t more than 18 years of age or an individual with disabilitY.,
Criteria: A standard which the Administration on Aging/Adininistration for Community Living set far the Title 111D Prograrn,
AoA/ACL's standard criterion consists of three tiers: Minimal Criteria, Intermediate Criteria,and Highest-Level Criteria,
Family Caregiver An adult fanlily member,or another individual, who is an informal provider ofin-home and connitunity care
to an older individual,
Frail: When an older individual is Unable to perforin at least two activities of daily living("ADL") without substantial human
assistance, iflClUdith',verbal rerivinding, 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,
Grandpiji-ent: A grandparent orstep-gi-midpai,eiitofactiild,,orii•vlativeofa child bv blood,tiiiri,ia.4eoii adoption atidwliolives
with the child; is the primary earegiver ofthe child because tile biological or adoptive parents are unable or unwilling to serve as
the primary caregiver ofthe 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 CDSN/111 for the State ol"I'lorida.
GENERAL DESCRIPTION
1. General Statement
"I"he primary purpose of the OAA Prograin is to foster tile developrrent and implementation of coinpreliensive and
coordinated systems to serve older individuals, These systems assist older individuals to attair, arid maintain 111aXillu.1111
independence with supportive set-vices,
N Sl 11 pro�,ides hiccril k'cs for the C lfcctk e dclivery ol'nun i6ous mcals to idder inliwiduaal:s. NStPallowwsprcrfaocarrr
[0 the mAnIlIC1, avid or dw qua htw of mcak,, sc-r,,od. NSlf' is a cash allotment oi- comnlodilv pro"rom dial
SUJ)p)1011011S IMICHHU Or d'Ood used ill nle,lk serw,Ccl under the OAA. Horida li-as cqvQd for (:Ish pa)nlenls in 11(,u of
donated foods
2. Authority
All applicable federal kMs, regulatiolls, action 11-ansminals, proln,aln, inslructioWl. ITIVIeW "Mclesand whnHar
documentalicm
Page 17 of 66
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aI oft cdeml Domiestic Asskumce No. 93,0 la. 9.,M-14. QIM,15, 9.30�21, and 03.0i3�
h. Oklcr Amo cmts Ac kfl'065. as amcnkled 201 Ca:
(1, Rulv : A-I. 11oricki Adminimra6ve Code (FAC):
C. S�:C6011 -1 r'�W IJ 0 L [kA i(III '^,(aAWCS(F.S,): J11d
1. DOLA Pro mnmi�; affil l 101)(IbOok,
3. Scope of Set-vice
']'he 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 docullients leading
to this contract. 11receiving NSIP funding,the provider shall use NSIPfunding to supplement funding for food used in meals
served by OAA Nutrition Program Providers.
4, Major Program Goals
The maJor goals of the OAA pram are to improve older individual's quality of fife, preserve then- independence, and
program
prevent or delay their need for costlier institutional care. These goals are achieved throe the implementation ofa
comprehensive and coordinated service system that provides it confiflUL1111 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 ofservices for oldo,individuals. The Provider
must also provide community leadership on aging issues and serve as the advocate and focal point lbr the elderly within the
community 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, inodily, or eliminate ShUatiOIIS which adversely impact on lives of older persons, or expressing support
l'or older persons and their interests. Advocacy activities may be broadly supportive of the_general interests ofolder persons
or may involve specific activities on behalf of individuals.
D. CIJENTS TO BE SERVED
I. General Description
Preference shall he given to those with the greatest economic 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 M,General Chen Eligibility
Consumers shall not be dually enrolled in an OAA prograni and a Medicaid capitated long-term care program, with the
exception of consumers in need of OAA Legal Assistance services and, OAA Congregate Nutrition Services, including
transportation services to and from congregate meal sites.
It OAA 'I itle 111B, Supportive Set-vices, Client lient Elig Jbility
a, Individuals age 60 or older
2.2 OAA Title I I ICI, Congregate Nutrition Services
]it addition to meeting the general nutrition services eligibility requirements listed in ATTACHN/lINT 1, Parar p g a 11
1.4.1.3 individuals rimst be mobile,not homebound and physically,mentally and medically able to attend a congregate
nutrition program, Individuals eligible to receive congregate rneals include:
a. Individuals-age 60 or older; and
b, Any SPOLISe(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 Nyho reside at home with and accompany an eligible person to the dining center;and
C. Volunteers, regardless of age,who provide essential services ors a regular basis din-ing,meal 11OLITS.
Page 18 of 66
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2A OAA Title HIC2, Home Delivered Ntitrition,Services
Ili addition to niceLing the, general nutrition services eligibility requirenients, listed in ATTACHMENT 1, Paragraph
Z�
L4.1.3, individuals must be homebound and physically,mentally or medically unable to attend a congregate nutrition
prograni. Individuals eligible to receive home delivered ineals include the following�o�
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 home:
b. lildivichiMs age 60 or older who are unable to attend a congregate 1111trition site due to teeth and inouth issues
which makes it difficult to eat in t)Ubfic;
c. A home delivered meals recipient's spouse,regardless of age,if the provision of the collateral meal supports
maintaining the person at honie,
d. Individuals with disabilities, regardless of age, who reside at home with home delivered rneafs recipielits and are
dependent oil them for care;
e. Persons at nutritional risk Nvho have physical,ernotional,or behavioral conditions, which would loake their
presence at the congregate site inappropriate;
E PCrSO11S at nutritional risk N%ho are,socially or otherwise isolated,including those Wio are self-isolating at horne
due to COVID-19,and unable to attend a congregate nutrition site:;or
g. lindividtlah.,age 60,or Wel°who are unable to prepare meals due to,a lack of or inadequacy offacilities„an
inability to shop,cook,or prepare meals safely,or as lack, of appropriate knowledge or skill.
2A OAA Titles MO and 111C2,Nutrition Services,Client Edibility
General factors that should be considered in, establishing priority, for nutrition services include those older persons
who meet the 1,01lowing:
a. C'minot afford to eat adequately,
b,. Lack the skills or knowledge to select and prepare nourishing and well-balanced rneals�,
c. Have limited inobdily which may impair their capacity to shop and cook for themselves;or
d, Have a disabling illness or physical condition requiring 1111tritiOnal support or have been Screened at a high
uUtritional risk.
15 OAA 'fide MD, Disease Prevention all(![ I lealth Promotion Services
I aruv� indk idtol"ar-e Si\I\ gOO) or cldel% and
Priorilv mill he Mien (o indiOduals rcsidirw 61 mvLhcdly ulldcrscrM,Cd
2.6 OAA Title Claregiver Support Services,Client Eligibility
a. Farnily caregivers of individuals age 60 or older:
b, Grandparents(age 55 or older)or colder 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 for children with severe disabjlifies, and
d. For respite and supoplemental services, a family caregiver must be providing care for an older individual who
meets the definition of the term "frail"in OAA., as per ATTACI IM ENT l, Section 1.2.
2.7 NSIP
MCdIS SVIA:.d fro 111 CWCOV indi\,dwlL for dk�'d In \aholQ or iii pm undQr kjechd.,aid Wina'.!ed ('arc
1,0n!�-I Orin Carv, I Ionic ,Ire for fliv, l,ldc�!IV,Commun,kv Care fOr 111c Flderk Protirams, or anther nleallw It ,led
[11"0121"dHIS ina\1 null he, inchided in N'�lll count. OAA-I'Unded cowurvoaic meOs provided to w hi C t p C
w:heiW, tnn, be included in the NSIP couni,
Plage 19 of 66
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SEurION 11—MANNER OF SERVICE PROVISION
A. Service Tasks
To achieve the goals of the OAA prograin, the Provider shall ensure the following tasks:
I, Client Eligibility Determination
The Provider shall ensure that applicant data is evaluated annually to determine eligibility prior to rendering set-vices.
Eligibility to beck'ine a client is based oil niecting the requirenions described in this contract,
2. Tail and Screening of Service Delivery for New Clients: The Provider shall develop and implement Policies and
procedures consistent with OAA targeting and screening criteria,
1 Program Services: 'file Provider shall ensure the provision Ofa COilth"Rium ofservices that meets the diverse needs of*eldcrs
and their caregivers, The Provider shall ensure the performance and report performance of the following suvices are in
accordance with the current I landbook.
4, program Elig11ibility ReqUirements
-L I I-Iir libi I itv Cri tel
11 1 ie, 111 LIM 11WCt than "01 kLMki tlA k:'l i L,I i Li[)Ic tL li, ffOL�i,lffl Part ic i tim i on
4,1 All J'7 101C) I 11M 11aIS k2CC ived a _nant u nder, OA 1A I i L 1,,,, I III [W A svct imi "1 1(4.2 t S.C, § 3030,i) i id
1,1 A i ml ritik ill WC prow ider t 11M sorvc S mcal 1 4Md i; Hil id4:r il!ic'i Lit i sd'Ct'k)l1, 'i()1. 111 ij)ttLQ jllc$It aruarl
audit aulhorkv of the Area A-erwN on A011" and tht,, Dol%l
4.2 Provider's Nutrition Set-vice Operations
I 1-w ellsun2 thC llffllil sClAitiCOPCI'01[4iWl Ot'l PC idvl'1)WCt the Conti"Ict,
zis Nw cH a1,,allt�othcr"Ippi ic,Ihk a°critrlaat itattt, arld pa)l iCic"; pr J)\ Jh tho Dopmilliew, ol,
Itt"alth t,md Hillmin Ser ices. USDA, DOH and loczfl D11PR.olrmll\ Ahcraucilc
10 iitSj)C'C1 nival (Il toll 111c Slate, , 11 foie 1'1rov4k,,r itatrsil rl the 0131"K rvjiorl mundik and ngrL�L: to inawdk flic
AHimicc cd'an% swiiwdon illspeclions, C'qacciaH\ those that include hi-,di prioi'4y M ioladons 'and provide al :opN
M f the rq)oi�t lo the Alhailcc \6thil) 24 hour" k suire" ll ix roportt:d itl1l1CdiJl All
SCI_61Cc2 \cAld0l"S MiT,t 1)1_00(iC at \wHitk:At C0l1'CCtiVC aclioll Iflalt to the Nunitimi Provider for om high priork or
si+wotificallit filluiinLLSmi slmifailimi inspe(.,Gms, TheCAPS must lire'approved by,the diQticiail
and "llibmitt'M lo flic Alliaillc4, ti) e11sul.e diat aic rcnie2dicd,
4.3 PrescribetlNutritional Requirements
The Provider shall CrIS1.11-C that each meal provided under this contract meets the following criteria:
4.3,11 COillpfieS With the current Dietary Guidelines for Americans, published by the Secretaries of the
Department of health and Human Services and the Department OrAgriCultUre;
4.3.2 provides a rnillilinUtIl of 33 1/3 percent of the dietary reference intakes/adequate intakes for Sara 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 menu.
43,4 Food Origin and Com modi ties ReqUirenlents
1.1,5 Consistent wil existin h2(lullremenfls o 111C 1611" lhoa llroa idei and its scrvic: providcr�nm. ulsQ VSHI
ca'dl to purchase foods ol,I-i's origin f0ir l nuti-4icm projecv, mider I 10C It( ol� the OAA NSIII I'mid"
milsi, be usod to expallid meLd ""o'ices l older aduhs
s. klonitol the perl"Ormanck.,cat`its!"Llb Onh,dctol's Mid or vendor",
6. Comply with the AIfiance's Nutrition policies and procedures
B. Staffing Requirements
1, Staffing lx cls
i he Provider shall assii-m its am n adni inistralk e and SUpJ)011 Stdfl atm, 11eCded tMa perk Irill l tasks, responsihi I ities alid
Page 20 of 66,
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dUt iCS Ll I I d CA-t I I iS Wllttd I CA 21 I id C 111,11k2 111,11 S U b CO(It I,oc I or" "i I I d of %el I (I cdi Cd I.e ,I t:,Llr I ate Su I H"acco I d i I I V I
2. Professional Qualifications
HIC I'l-Midef SIMH 01BLIN dlat die st",lif respousihle d'oi'pvrf6rrll ill L an% d1JOLS Or I'LJM-0011� %%idlill this C011M%lCt 11WV0 Ille
qn,dificzillons iv, sp(:cliled in the I kuidhook,
3. Service Times
I Ile llro ider Sh'all ell"llre the pwN isioll of serviccs listcd ill thk contrElcl dllr1111 nonnal hoors, tiilk:,�s other
tunics are Inure 'appropriate tilk2 hied Hic perfOl'111,111CC l"QcJqliremellls of tllliw ek.,m1mct. urd it Shall nionitor it,
olid or vendors to vilsme tile% we avaikibic (k) pro%ide ',cry icc,S du6ng hours respoll"k C to cIiQill llec(k
,road durinlu thos'L� tillies whiCh [-)`k,t MCCI HIC ne(XIS Oftlia: rek"N'alli, S,:I-Oce coninilirlily,
4. Use of Volunteers to Fxpand the Provision of Available Services
fhe Provider shall inake Use of trained volunteers ill 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 carr�yjng out
federal service programs adninlistered by [lie Corporation for National and Community Service), in community service
settings.
5� V'Se of,Stibco W ractors and/ol, Vendol's
If this contract involves the use of a Subcontractor or third party,then the Provider shall not delay the iniplenientation of its
agreenient with the Subcontractor. I fany circurnstance occurs that inay reSUI1 in a 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 or liable for any obligations or claims resulting, ftorn such action,
5,1. Copies of Subcontracts!
The Provider shale submit a copy of all subcontracts to the Alliance Contract Manager within thirty (10) days of fli.e
subcontract being executed.
5.2. Monitoring the performance ol['Subcontlractors:
The Provider shall programmatically monitor, at least once per year, each of its Subrecipients, The Provider shall
perform programmatic monitoring to ensure contractual compliance, and programmatic pertbrinance and compliance
with applicable state and federal laws and regulations. The Provider shall 1110nitOrtO ensure that tinic schedules are niet,,
the budget and scope of work are accomplished within the specified tune periods, and other perrorniance goals, The
Provider shall also perform fiscal and ach-iiinistrative monitoring for al I subcontractors to ensure fiscal accountability.
53. Copies of Subcontractor Monitoring Reports
The Provider shall forward a copy of all subcontractor monitoring reports to the Alliances' Contract Manager within
thirty(70)days of tile report being issued to the Subcontractors, Subrecipients, Vendors, and/or Consultants.
C. Deliverables
I he I'Cdhm ing, �Ivo ioll provides flic, Specil ic qualltil'iAlle Litlik Of and source doCLMWM�lli(M tO
O'OeOCC 111V C(Mll' COOII Of[Ile lasks ,poc-iked ill this CO t I Wt, I'll,' N-ON iLIC in 11 lilst ;(ibmu ail required doc'unlelim6on in
the Jine,and mariner spc�.°ifilcd for the n)inillmill I%"rForlmince Ic%cls to lie ITICL F",01 MUM he aICCelltkrd ill 1v ritillt�,'
1)d dw Alhalle:Q Colllralcli hal.,,,:d oll the l-QCjLlilVulcMS li)l QdCh Lkdk�.'rillflC hefolV 111c PCOVidQl' >tsbnrit an 1111volcQ
lnellL
I 11c I'l-OVidCl- ShAl C11SUre Ow plovisk"I of a comillutlill of scry i,`eS that 111c,2l,,, the diVVrSt' 11CCd', Of CddcFS Mid Illeil-
care�-,ivets, Hic Provic!Qr shall ensure (,Ile pel-forlwince gild repoltillL offlic tollo\%ing services ill accordance N,+illi the
c-km,t�nt ilaildhook "tild this contract, Documentation of service ,h-di-Vel-% MUSt il-WIM10 al NPOO 01' tile
fbllowinu: undulflicated rLMOICIF 01'eficrits served,nk1lllhVr ol"civice killits plovided llN scrvice,and raw per s,2rviCC Llllit
vt,ith Calcnkitions that equal IIIe towl invoice "1111(mlit.
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I 1w services includt� the fAkm'Ilu CMCuoticsl'
a, Supportive Services(111113 Program)
SUPPOI'tiVC SerViCCS include, a variety of community-based and home-delivered services that support the quality Of life
for older individuals,by helping them remain independentand productive. Services include the following:
(1) Adult Day Care,
(2) Chore Services;
(1) Companionship-,
(4) Counseling(Gerontological),
(5) Emergency Alert Response-,
(6) Escort,
(7) Homemaker;
(8) Housing luiprovenient,
(9) Legal Assistance
(10) Material, Aid,
I I) Personal Care.
I")) Recreation,,
(13) Screening and Asscssnient;
(14) Shopping Assistance;.
(1,5) Transportation.and
16) Specialized Medical l"Attipment,Services, and Supplies
b Congregate Nutrition Services(IIICI Program)
Nutrition services are provided in congregate settings and are designed to reduce hunger and food insecurity. promote
sociafization 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!!
(I) Congregate rneals„
(2) Congregate meals screening:
(3) NUU16011 education alld nutrition counseling;
c. Home Delivered Nutrition Services(111C2 program)
In-home nutrition set-vices are provided to reduce lit,inger and food insecurity: promote socialization and the health and
well-being of older individuals Ihy assisting such individuals to gain access to nutrition and other disease prevention and
health promotion services. Services 61ClUde the following:
(I) Home delivered meals,
(2) Nutrition education and counseling;
(1) Scrcening/Assessment,
d, Disease Prevention and Health promotion Services(111D Program)
Evidence-Based Disease Prevention and Health promotion ("EBDPI-]P") service have been demonstrated through
evaluation to be effective for improving the health, wellbeing or reducing disease, disability and/or 6�jury arnong older
adults,and proven effective with older adult populations. The ACL defines EBDIIII IP services as,meeting lughest-level
criteria. Only services that meet the highest-level criteria are allowed under the HID Program. EBDPHP services must
be delivered Pei- the requirements of the program and ensure program fidelity. Evidence based programs include the
flowing,:
(I ) A Matter of Balance
(2) Chronic Disease Self-Management
(3) Diabetes Self-Managernient program
14), Enhanced Fitness
(5) 1 tonteMeds
c. Caregiver Support Services(111 E 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 rnaking decisions and problern solving related to their caregiving roles and
responsibififies�:
(l) 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 Progran))
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 G randlia rent Services(111EG Progt-arn):
Services for grandparents or older individuals who are relative caregivers designed to help meet their caregiving
obligations include tile rollowing:
(1) Legal Assistance:
2. Service Units
The Provider shall ensure that the provision of services described in this contract is in accordance with the
current D�OEA Handbook and the service tasks described in Section ILA, Attachment VII lists tile services that call be
performed, budget allocation for each service, (lie number of units of'service, and the leuTlbLH-Sel11Cut unit rate, Units of
service will be paid pursuant to the rate established in Attachment VIL
3. Administrative Responsibilities
The Provider shad provide nianagenient and oversight of CE Program operations in accordance wvith tile current DOEA
Handbook wit ich,include the following:
a. Establish contractual agreements with appropriate and capable subcontractor and vendor agreements, when
applicable,
b. Provide technical assistance to subcontractors and vendors to ensure prOViSi011 01"duality services,
c. Monitor and evaluate subcontractors and vendors For appropriate programmatic and fiscal compliance.
d. Appropriately submit payments to subcontractors.
e. Estabhsh procedures for handling recipient complaints and enStill-C that subcon tractors develop and implement
complaint procedures to process and resolve client dissatisfaction with set-vices, Complaint procedures sl,iall address
the quality and firriefiriess,of services, provider and direct service worker coniplaints, or any other advice related to
complaints other than terminati011, SUSI)CHSi011 or reduction in services that require the grievance process as described
in Appendix D, Department of Ulder Affairs Programs and Services Handbook. The complaint procedures shall
include notification to all clients of the complaint procedure and include tracking the date,nature of complaint, and
(lie deterrninafical ofeach complaint.
f E'nsure compliance with Client Information and Registration Tracking System (eCIR1 S)regulations.
9. Monitor cnitcome measures in accordance with targets set by the Department,
It. 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 feel- 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):
"File Provider shall submit as 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 prograrn for the preceding contract
year. If die Provider desires to renegotiate its reimbursement rates,the Provider shall make a request in writing to the
Alliance with the submission of Lhiit 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 tile Alliance, ]*lie report will include the following:
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a. p
Tile Provider's detailed plan. by rograrn and service, On how the surplus or deficit spending exceeding the l?4,
threshold vvill be resolved-,
b. A detailed plan on how the surplus or deficit spending exceeding the 1% monthly threshold will be resolved, The plan
must include specific budget numbers to reflect how the Provider plans to address tile variance.
c. Number of clients Currently oil the waitlist(APCL,).
d. Number of Unduplicated Client served.
In accordance with its sur lus/deficit management policies, ill order to maximize available funding and rilillitilize tile
p I
time that potential clients must wait for services. (lie Alliance iri its sole discretion can recince 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.
a. Volunteer Activity Report
-File Provider shall submit all annual unduplicated report of volunteer JIOUrs on the forrilat provided by the Alliance. The data
collection period is from January I —December 3)1 for each calendar year. The data subrnission date is five(5)working days
following the close of(lie contract period.
4d KIRTS Reports:
The Provider shall inl)Lit 0AA-specific data into eCIRTS,depending out the instructions provided by the Alliance, to C11SUre
eClRTS data accuracy, The Provider shall use CIRTS-generated (or e('IRTS generated)reports which inCiLide the fbllo%villo;
a, Chent Reports,
b. N/fo n i tori ng Reports;
C. Services Reports, and
(1, Outcome Measures Reports,
e. Fiscal Reports
f, Miscellaneous Reports
5. Program tfighlights
The Provider sliall SUbmit program Highlights referencing specific events that occurred in previous contract year by
SCPWRiber 10"' Of tile current contract year. The Provider shall provide a new SUCCeSS story, quote, testimonial, Or human-
interest vignette.The highlights shall be written for a general audience,with no acronytills,or technical terms. For all agencies
or organizations that are referenced in the 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 entity that
performed the activity described in fire highlight, The Provider shall review and edit Program Highlights for clarily,
readability,relevance, specificity,human interest,and grammar,prior to submitting there to tile Alliance.
6. Ontreach Actilk N
I'lle Pro%ld'r shall rooll (M OUWC, ILII aWtk,iIiQS M leaJsl using, a ullil6tllr I'NAIIJI L";UAMWWd
by tho NlLmce. I lit! l'onwX MLKSt tOCILRIC the l6H0W'k')L! 416,M111,16oll: llinuber and type ofprokider (:vellls M, 'lChVlUC1'!
date and localimi: towt IIIIII11ber of pao ic pallls rtl 0"wh 0w cill or acti,,itN : individual servic': needs idelllilik2& and
reFerl-'ll Somees or hil'Onmilion providcd: Rwpolts Illusi he Silbillitled Gay haute '10 and Decelilho, 31 of'Q""'lch ccmlracl
All as IllillikIRIM, dW, HUMIN.1- OFOLltrcach nell"llie"; required to be C(Mll'il0ed MIMMIIN 1'01' 01C Pm'0w00- IIILISI he
C0JISktQIlt %w itil t1W MlI1IbLA_eat oulro"lch aILlk itit ill tile (10CLIIIK'Ilt� leAdi112 I0 this ColltlflCt.
7. Ilealth and Wellness Reports
"11W shall Rcpor(s l'()r FADill IP Services. f lie llrovie'lcr sllall "l,lbluit the
Immillk repolas with the 111011011V frill M' ill '10:0rdanec willi Section 3A ol'O'lis Contract. hilvoices Submitted ill
accordance"vith scc6on ',A Colltl_uC'j will not be lidd miless the progrIalmnalic repot-V,are";LIN114ted N611I
the lAlirw, 16ac. Alliance ( olltract Ilan lLcr will Prow idc an E\M spremishect w4ll the loflowillu tabs: I Icalill
alld WelhIess (one 1,0l, C"Ich lllontll): SlIcces'; Slor) (ropomk:d 01113 in M',IV . P,01-Illel-Shil) t011e LAI) Lll1dJtCd "l-,
neekled):and a Staiisticmd BNitkLIONNI"I PLtlle.
a. Intorlilatioll provided ill the M olllhly Pro-rallim"llic Report Illust Inatch CiRTS (I'll'i and the lzocltwst tor
Paylliclit.
h, the Provider sdiall rc%icv, pro"ram documentation lo ensures documentatioll is cowplete and ac!C(iUItek
supports thc infol-ImItion reported on the Molithly i1rc)-r�"ImIllatic Report prmor to Subrililting 11 Request kV
Page 24 of 66
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payment- I he lhv%ddcr %vdl ow"t ui the ovvie" W the "COHIMCM,," seclion dal the Ndonthly Flro�-p-anumltic
Repcal and provide, relevant all'ol nraticm rcgardill., 01A.,' CIOCLInWrltanon as needed
e, Vro,,irarn (10C'Lllneritnion shall include all the 1100wing elLn)ert�;� 'sigydln Showormoxwce ing: njer�,-.
or docurnonil6on effort", to recruil and prop iotc F.111WHI, Services pro idcxl�
eturent 11icililator corlihcatcs�cop ol'prograin Ficonel Wapplivable, wid an, Anns ivqi6red b3 die specil1c
prograrn,
d Pro,idei- shall ensure that program docunienuabn inekdes as Sh-'r-hi Sh"I or Atwn&uwc 1AQ.1 whil, dare,valm
nalne ol pro'. zl�
najncs� and noun or pl-opuni WHStur(a If ITHendann, Lo does not hichiciQ
a space Or participant signatu"vs. addhionM 41000nleluali"Al IIWSt 11C�inClUded wraith pnitipant Qwwos
iku rnmehes be participant 1-tarnes Mitt ddk'S ill tile AttOldimcc Lug. Exceptions lilay he appro\ed hy Alliance
(Arntract Manager, Requests must he niad in wrkinL, mW kept "kh pwpmni do"memathn
c' Iarticipams must wk i he and syn dwir natne on pn)gmm syn-in Wet ow Attendance 1Aj. Auenlulve I ous "Ill
particip',ail nonws t' ped or wc rilteri in la the same flemmi kv i�l,l not be acecpled as pars grturl docurnmuntimL If as
re uses or is unable h, write dicir o"Y nanne and shn the iasmwk" nlay Qua hi pro" kw dic
paructinn "Ah a nutc on tire wJgn-in she el S1,161IL", %\11^' it is I1QC*Qss;lo to A) so We now IU eds w he ini'tiated and
dated).
f I he 1hunkler shall ahide b) aH prognmi WAN, reciukements and nmwalh ohwmv doWer; all BDPJ IV services,
A matte "Wle WSW in dw NAmahly Pxgmmnlatic Rqmmjn Be omlirlenb secli011, %Vheli as progralli has heelt
Oh'.10-%Cd. Documeilamion patuhhu W dic iNemmion Nvill he kcN and faimided to the Allial%'C Ul)ou re(lLW-St,
�2. I I I C Pre
re i(I e In S I IjIl 1"loplact the Alhance(Sivael Manager in the c%cio Wn ouememn man exWent circuunswnw:
where the pro6do iS 0110MC tO Maintain an aspect of ridvh1\ of the FBI.A"Ilp services We. i"Ohnurn at,
Fnd'drulltlli HUMIXT Or PZ1044mm WON the cud or we "orksivop. At We d4u0ion or the ATIAnce (bmmcl
Nlaiwgco dw woke nla; he rehnhursed under this convaoJlownen Wthe n&hq WhoWn is disawoU tatter
tile pro-oralil has finished, dwing thewRequest Or Paymna Pw"ss, eau as desk review%. lhk: llrounarnewt1.%der unary n �
r6mhw wd bw to m orkhop vA,
shall he re(tilesred it) reiriburse the AlHance IS cos; orthe "vrkshop.
h, the lNoWler Amil cKLihmmu seed pmawr %ith to C\Icnd dle reach ol, L.B0111-111 icos'
PamnoNhips shall 110 dQSk4lia,'d 10 sliul0laIC orncvw approaches and aciivides to LBI)IIIIII serw ice-S,
cir.Veloprucw of eap'tctly' and le%k2rauc othes. rundiliv sourcos, 11avnlcrships:,hall al'so addrcsw'budding and
woukka an I'lw, (110 kNSSQl6ndfl0D 01' H3101111 scrvices Illis includc";. but is not limiled lo,
cn is ror licensor', and N"WhI pnTolm WAK
i. the Provide'l. Shall (locullicru, "Ind prmide to ilic AHhuc upm rap;esv e6dowc of partnershys cre�jtcdi l6rnjajlj
throligh mviiorandnorAymernentJ I%m idler wdl he required m keep auk QatuelAys in div Nhwhl"ti
llro"raullllalic Report. [aa nurnia AL PmAdm QWH W\in wal pros ide ul)(1,11cs as necessary'
& Florida Elder Uw Pmgmm (FELP) Rqmwt
The purpose of the FELP ieports is to colketcmMsMit mid stwidard data W illustrate Me range and type orlegw asusizuxe
FoAded by the Provider to older persons in social or econornic need,
Providers funded for Legal Assistance shal I submit the Florida EWa Law Programs(FELP)report annually to the Allianxe
in the format provided by be EMpwmwit to ensure that legal services reached the targeted groups and served the priority
Asue areas described in Machnient 1, Sedilon LA of this emitact. The Provider shall compile and report data using the
definhions and specific instructions provided by be Department and be Adhatwe in the IFFY 2022-2023 Florida Elder Law
Pnopmrn Data Collection Handbook. The ivpdhg cycle kir be FELP report is from October I to September 30", The
FELP Report includes the k)lloNving areas:
* Cases and Client Information
* OAAP Complaint Case Report A
* Case Exmnpks
Edumdon Log
Referred From. Data
PubUcations(optional)
Unmet Needs(optional)
**lndNidual clients are to be counted only once per callendwymur.
Reports niuM be sulurnited annually to the Alliance by October 1511,
Page 25 of 66
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E. Records and Documentation
L Requests for Payment
The Provider shall maintain docurnentation to support Requests for Payment that shall be available to the Alliance, the
Department, or other authorized agencies and individuals such as the Florida Deparinient of Financial Services (DIFS),
upon request.
2. eCIR,rS Dataand Maintenance:
Tire Provider shall ensure, on a monthly basis, collection and maintenance of client and service information in eCIRTS
Or any SUCh, system 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 flack up Procedures-
The Provider shall anticipate and prepare for the loss of information processing capabilities. "I'lie rcutine backing Up Oral]
data and software is required to recover froni losses Or outages ofthe computer system.Data and software essential to the
C011thILICd Operation of Provider functions must be backed up.The security controls over the backup resources shall be as
stringent as the protection required or the primary resources. It is recommended that a copy of the backed up data be
stored in a secure,offsite location.
4, Policies and Procedures for Records and Docuniefl(atiow
The Provider shall maintain written policies and procedures for computer system backup and recovery and shall have the
sanic, requirement of its Subcontractors, These polj6es and procedures shall be made available to the Alliance upon
request.
F Performance Specifications
1. outcolnes,
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 ILA,and Section II.D.of this contract,
b. The Provider shall timely Submit to Ilie Alliance all reports described in Section, ILD Of this contract,'
b. The Provider sliall maintain all information described in Section JILE,of this contract,'
d. The Provider shall ensure the prioritization and service provision ofcHents in accordance with Section II.A.2 ofthis
contract;
e, The Provider shall timely and accurately submit to the Alliance Attachments IX, X and supporting documentation in
accordance with, Attachment Vill of this contract.
2. Criteria
a. 66%,of new service recipients with high-risk nutrition scores will improve their nutritional status,
b. 65%ofnew service recipients will maintain or improve their ADL's assessment score.
c, 62.3%0 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 Nvill review and evaluate the performance of the provider under the terms of this contract. Monitoring shall be
conducted through direct contact with the Provider through telephone, in writing, and/or an on-site visit, The Alliance's
determination of acceptable pertbrniance shall be conclusive. The Provider agrees to cooperate with the Alliance in
nmonitoring the progress of completion of the service tasks,and deliverables,The Alliance may use. but is]lot limited to, One
or more of the following methods for monitoring:
a. Desk reviews and analytical reviews,-
b, ScliedUled, unscheduled,and follow-up on-site visits;
Page 26 of 66
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c. Chem visits;
d. 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;
li. Agreed-upon procedures review by all external auditor or consultant;
i. Liniited-scope reviews; and
j, Other procedures as deellied necessary.
G. Provider Responsibilities
I. Provider Accountability:
All service tasks and deliverables pursuant to this contract are solely and exclusively the responsibility of the Provider,
and for which, by CXM16011 Of tile contract. the Provider agrees to,be held,accountable.
1 Coordination with Other Providers and1or Entities
Notwithstanding those services fior which the Provider is held accountable involve coordination with other entities in
performing the requirements of tile contract, the failure of other entities does not alleviate the Provider from any
accountability for tasks or services that the Provider is obligated to perforill pursuant to this contract.
11. Alliance Responsibilities
Alliance Obligations:
The Alliance may provide technical support and assistance to tile Provider within the resources of the Alliance to assist
the provider in meeting the required tasks in the above Section It.
2. Alliance Delernijnations:
'File Alliance reserves the exclusive right to make certain determinations in tile tasks and approaches. The absence of the
Alliance setting forth a specific reservation ofrights does,not mean that all other areas of1he contract are subject to mutual
agreement.
SEC.'TION Ill: METHOD OF PAYMENT
A, Payment Methods Used
The Method of Payrrient for this contract is a combination offixed fee/unit rate, cost reirnbUrsenwnt, and advance payments,
subject to the availability of funds and Provider performance.The Alliance will pay the Provider LIP011 satisfactory completion
of tile Tasks/Deliverabfcs,as specified in Section I] and ill accordance with other terms and conditions of the contract,
I. Fixed Fee/Unit Rate
Payment for Fixed Fee/Unit Rates shall not exceed 1111101,11AS established in Attachment VI L per unit of service.
1 Cost ReirribUrSement
Payment may be authorized Only for allowable expenditures, which are in accordance with the services specified ill
Attachment VIL All Cost Rehliburseinent ReClLWStS for Payment must include the Receipt and Expenditure Repoli
beginning with the first month ofthe 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
dOCLUllentation justifying the need for all advance mid describing how the ftinds will be distributed. If the Provider is
reqUeStin_2, two(2) months of advances,documentation must be provided reflecting the cash needs of the Provider within
tile 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
Page 27 of 66
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Manager,in his or her sole discretion,has determilied that there is justified need for an advance, (lie Department will issue
approved advance payments after July I st of I lie 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 an advance recolipment on each Request for payment (Attachment XI),
starting with tile 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 kderal, Providers shall maintain
advances of federal funds in interest bearing accounts unless otherwise exempted in accordance with 45 CFR 7422(k),
Farned interest in List be returned to tire Alliance at the end of each quarter.
B. Methodi of Invoice Payment
Payment shall be made upon the Provider's presentation ol'an iuVOiCC Subsequent to the acceptance and approval by(lie Alliance
of the deliverables shovwn oil the invoice and payment has been received from DO,EA.Tire form and substance ofeach invoice
submitted by the Provider shall be as follows:
I. Request payment on a nionthly basis for the units, of services established in this contract, provided in conformance with
the requirements as described in the DO Programs and Services I larldbook, and at the rates established in Attachment
VH of the contract. DoCUITICotatiOn of'service delivery must include a report consisting ofthe following:number of clients
served, number of'service units provided by service, and,rate per service unit with calculations that equal the total invoice
amount. Any change to the total contract amount requires a formai aniendinent.
2. The Provider shall consolidate all subcontractors' Requests for payment and Expenditure Reports that support Requests
for Payment and shall submit to the Alliance using forms Request for Payment (Attachment IX), Receipt and Expenditure
Reports(Attachment'') for all services,
3, All Requests lbr Payment shall be based our the submission ofnionthly Expenditure Reports beginning with the first month
of the contract, The schedule For submission of advance requests and invoices is Invoice Schedule,Attachment VIII:
4. In the event that services were not billed during the regular billing cycle, the Provider may request Payment f6r services
no later than 90 days after tile mouth in which the expense was incurred, except that rCCjUCStS cannot be jade after the
contract closeout date, Request for payment of services rendered 90 days after the nionfli in which the expense was incurred
will require approval of the contract manager prior to the billiilg 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 support payment requests which shall be available to the Alliance, the
Department,and the Department of Financial Services,or other authorized state and federal personnel upon request,' and
C. All payments under the,tennis of this contract are contingent upon an annual appropriation by the I-egislature,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 wHilreld pending the receipt and approval by the
Alliance of all financial and programmatic reports due 1rom the Provider,any adjusurrents thereto,any documentation or reports
requested by the Alliance,and including any disallowance not resolved as outlined iinthis Contract. In addition, for every day
beyond the initial tell (10) days ftorn the date stipulated in the contract as due date or date the report was requested to be
submitted by the Alliance, that the Provider fails to turn over tire reports or requested information, file Alliance, at its sole
discretion,may withhold from the Provider a daily fine Of LIP to$50�0.
M Final Invoice lostiructions
The Provider shall submit tile 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 PrOVidei' MUSt
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 tile Alliance will not honor any requests Submitted after the aforesaid time period.
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E. eCIRTS Data Entries for Subcontractors
The Provider must require Subcontractors to enter all required data for clients and services in the eC'[R,rS database per the
DOEA Programs and Services Handbook and the eCIRTS User Manual -Aging Provider Network users(located in DOCUrnents
oil the eCl RTS Enterprise,Application Services). Subcontractors must enter this data into the eC]R,rs prior to submitting their
requests for payment and eXpCilditUre reports to tile Provider. The Provider shall establish deadline-, for completing WITS
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 eC I RTS Reports
The Provider must run, monthly eCIRTS reports and verify client and service data in tile 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 tile Provider's request for payment and expenditure reports call be approved by the Alliance.
IV. SPECIAL, PROVISIONS
A. Provider's Financial Obligations
1. Matching,bevel of Effort,and Earmarking Requirement:
The Provider must provide a match of at least 10 percent of tile cost for services funded through
this contract,except f'orTitle
I I ID,The match wil I be made ill the form of cash and/or in-kind resources,At tile end,ofthe contract period,all fluids through
this contract,except f6rTitle I I I D must be properly matched,
2. 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 manage the service 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 file 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 tile contract period. In order to enable
the Provider to better manage the services under this Contract and to maximize the use of available resources,tile Alliance
has established to spending authority as identified in Budget Summary,Attachment V11. The Provider is responsible for
managing the spending, authority so that a -,continuity of service call be maintained for the n'raximurn number of
COuSLUTlel'S. The Provider agrees to aSSUmc responsibility for any contractual deficit that may be incurred.
3. Cons,timer Contributions
Consumer contributions are to be Used under the following tcrrns:
a. The Provider assures COITIplianCe with.Section 31 of the 0A A as amended ill 2006, in regard to COUISUIller
contri bUtiOnS,
b. Voluntary contributions are not to be used for cost sharing or matching;
c. ACCUITHAlAted Voluntary contributions are to be used prior to requesting fecleral reimbursement, and
d, Voluntm-y contributions are to be used only to expand services.
4.. Budget Summary-
The Alliance has established a spending authority based oil services and rate detailed in the SPA and the Budget Summary,
'
Attachment Vil and any revisions thereto approved by the Alliance. Any changes in the total aniounts of tile fluids identified
on Ifte Budget Summary require a contract amendment.
B. Remedies for Nonconforming Services
l. The Provider shall ensure that all goods and/or services provided under this contract are delivered timely,coinpletely and
commensurate with required standards of quality. Such goods and/or services will only be delivered to eligible program
participants.
Page 29 of 66
AA-2429
1 If tile Provider fails to meet the prescribed quality standards for services, such services will not be reinibursed 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 acknowledgement that the Provider shall solely bear the costs associated with preparing or
providing nonconforming goods and/or services. The Alliance requires immediate notice of any significant and/orsystellue
infractions that compromise tile quality,security or continuity Of services to clients.
The Alliance will pass through to the provider zany financial consequences imposed by the Department on the Alliance should
the provider be at EMIR and/or cause for the imposed financial consequence. Any paSS1hl-OUgh financial consequences will
be withheld by reduction of payment and wil I levy against the provider f6r the following:
a. Delivery ofservices to eligible clients as referenced in Attachment 1, Section 11 of this contract—Failure to comply vvith
established assessment and prioritization criteria as evidenced by eCRITS reports.
b, Services and touts of services as referenced in Attachment 1, Section 11 of this contract—Failure to provider services in
accordance with the current DEOA Handbook
c, Administrative duties as referenced ii�i Attachment 1, Section 11 of this contract— Failure to perform management and
oversight of the prograrn operations,
C. Investigation of Criminal AlIMations,
Any report that implies criminal intent oil tile part of the provider or any Subcontractors and referred to a governnientM or
investigatory agency must be sent to the Alliance which Nvill in turn forward the information to the Department, Ifthe 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 tile Department immediately,
A copy of all documents,reports, notes or other written material concerning the investi-Mion, whether in the possession of the
Provider or Su been tractors,must be sent to the Alliance which will in turn send the material to tile Department's Inspector General
Nvith a surnmary 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. I f possible,the Provider.shall work in coordination with organizations that have experience
in providing training, placement, and stipends for VOILHuCerS or patlicipants (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 afl federal, state, and, other funds provided by tile Alliance for the purpose specified in the
contract,The Provider Must 111,111age the service dollars in such a manner so as to avoid having a surplus of holds at the end ofthe
contract period, for each prognani inaanaged by the Provider, The provider understands and agrees,to the reallocation of funding
as described in Attachment 1, Section ILE.3.of this contract,
Page 30 of 66
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ATTACHMENT 11
A'I'TAC"MENI' ll
FINANCIAL AND CONIPLIANCE AUDIT
"I"he administration of resources awarded by the Alliance to the provider may be subject to audits and/or monitoring by the
Afliance andlor die Deparninent as described in this section.
1. NIONITORING
In addition to reviews of audits, conducted in accordance with 2 C'FR Part 2 00 ( formerly UVIB CirCtilar- A-133, as
revised), and s, 215.97, F,S,,, (see "ALOFFS" below), monitoring procedures inky include, but not be limited to, on-site visit.;
by the Alliance and/or the Department staff, limited scope audits as defined by O�MB Circular A-13.1, as revised, and/or other
procedures. By entering into this agreement, the Provider agrees to comply and cooperate with any monitoring
proceduresy'processes deemed appropriate by the Alliance. In flie event the Alliance and/or the Departnierit determines that a
limited scope audit of the INmider 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, 'rhe 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: FEDERALLV FUNDED
This part is applicable if the provider is a State or local government or-a non-profit organ izaltion as defined in OMB(.7ircu lar A-
113, as revised.
In the event that the provider expends S750,000.00 or niore in federal awards during its fiscal year. the Provider must have a
progir or single arn-specific audit conducted in accordance with, the provisions of 2 C F'R 11 a r t 2 0 0. EXI 111311' 2 to t h is
9 1
agreement indicates federal resources awarded through the Alliance by this agreement, In determining the federal m,,ardsexpended
in its fiscal' year, the P ro v i d c r shall consider all sources of Federal awards, including federal rCSOUrces received from the
A I I i a n cc, 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 audi t of the P ro v i d e r conducted by, the Auditor General in accordance with the provisions of
2 CFR P a r t 2 0 0, will meet the requirements of this part.
In connection with the audit requirefflents addressed in Part 1,paragraph 1.the Provider shall fidfill the requirements relative to
auditee responsibilities as provided in 2 (1 I`R Flart 200.50V
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 Pa 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 Nvith the provisions of 2 C F R P a r 1 2 0 0, the cost
of the audit MUst be paid fi-orn non-feder-al resources (i.e., the cost of such audit must be paid from Provider resources obtained
from other than federal entities,)
An audit conducted in accordance with this part shall cover they 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. T'he 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 Nvith reference to the Alliance agreement involved. If riot otherwise
disclosed as required by 2 C F R Part 2 00.5 1 0, the schedule ofexpenditUres of federal awards shall identify expenditures
by agreement number for each agreement with the Alliance in effect during the 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.
Page 31 of 66,
AA-2429
PART 11: STATE FUNDIED
'fluffs part is,applicable if the Provider is a non-slate entity as defined by s,215,97(2),F.S.
In the event that the Provider expends a total amount of state financial assistance equal to or in excess of S750,00�0,00 in any fiscal
year of soda Provider(for fiscal years endiri,-,September 30,200�4 or thereafter), the Provider must have a State single or project-
specific audit for such fiscal year iai accordance with s, 2 15.97, F.S.,applicable rules of the Department of Financial Services;and
Chapters 10,550(local governmental entities) or 10.650(nonprofit and for-profit organizations),,Rules of the Auditor General.
EXHIBIT 2 to this agreeilient 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 from the Alliance,other state agencies,and other non-slate 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. 21 5.9'7(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 governinental entities)or 10.650(nonprofit and for-profit organizations). Rules of the Auditor General,
I f tile Provider expends less than S750,000,00 in state financial assistance in its fiscal year(for fiscal years ending September 30,2004
or thereafter), all aucht conducted in accordance with the provisions of s, 2 15,97, F.S., is not required. Ili the event that the Provider
expends less than $750,000d00 ill State financial assistance in its fiscal year and elects to have all audit conducted in accordance with
the provisions ofs. 2 15.97, F',S.,the cost of the audit must be paid from tile non-state entity's resources(i.e.,the cost of such all audit
must be paid From the Provider resources obtained froin, other than State entities),
An audit conducted in accordance with this part shall cover the entire organization for tile organization's fiscal year, Compliance
Findings related to agreements with the Alliance shall be based oil tile agreenlent's, re(Itlirements, including all), applicable rules,
regulations. or statutes. The financial statements shall disclose whether or not the marching requirement was met for each applicable
agreement. All questioned costs and liabilities due to the A lHali,:e sliall be fully disclosed in the audit report with reference to the
Alliance agreement involved. If not otherwise disclosed as required by Rule 6,91-5.003, F,A,C,, the schedule of expenditures ofstate
financial assistance sliall identify expenditures by agreement uUniber IN'each agreement with the Alliance in effect during tile audit
period. F"inancial reporting packages required under this part Must be submitted within 45 clays after delivery of the audit report, but-
no later(hall 12 inontlis after the Provider's fiscal year end fur local governmental entities, Non-profit or for-profit organizations are
required to be submitted within 45 days after clefivery of the audit report, but no later than 9 moriths, after file Provider's Fiscal year
end. Notvvithstandino0 the applicability of this portion, the Alliance retains all right and obligation, to monitor and oversee the
9
performance of this agreement as outlined throughout this document and pursuant to have.
IL PART 111. RFPORT 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 tile Provider directly to each of tile following:
The Alliance at each of the followin- addresses:
Alliance for Aging,Inc,.
Attn: Fiscall Department
760 NW 107" Avenue
Suite 214
Miami, FIL 33172
1�or ll"cat ycall- 20 1.11 "Ind carlicr to the I edcral Audit(1c-'Irilwhous,2 de'siullalvd Iola 2 t F R §200.1(1 at the inu address:
Page 32 of 66
AA-2429
Fldeiml Audit(learinghouse
ourewu of tw Cenvus 1201
Fast 10"', Street
jewsonvUle, IN 47132
For NeM 3Nw 2014 and kaeL pu"win 1c; 2 CFR §AWS 11 dw repoming paclmge and Ow dma adketion Ann nmm Ix
iuNnhted eketronksHY U) W Wool Audh (Aviringhome,
Nusum to 2 (TR §TWO 11 aH odwr OWN agencies. passohmugh emkis nd oWns Wevcstcd in a Tepordnv pjjcka,c
and Lk ata co I[ection I carn m u I si (Altai I i it by aQ.CQSsi I q I I I e I CdCrd I Audi I
he flrow ida shl ij] submit a t:op ofaav niana;°oitienl letter issued blp OW -Imfltor, ro the 1 lorida DA21im'umnu of Fldcr
A rfa6-s, 0a flic A I l kance. at the hdkm,ing, address:
AllAnce fawn AWn&Inc.
Attn: Fiscal Department
760 NNV 1071 A"e"ue
Suke 214
?MamL FL 33172
AddWondn% coples 4fWandal reporting packages re(phred h± this contrad's, Financial Conipliance Audk Anachillcm,
100 H shM he mtrnhwd by wAm hehalfoCthe each of the holkm ing:
Ito POW Qpmarrov (THAT AWN, vh the Uiance, at to foIk"YOg ndlvo,�
Alliance for Aging, Inc.
Attn: Fiscal Del)artruenI
760 N%V 1071 A"enue
Suite 214
Wm[ FL 33177
1 he Au&hw(Owrar; owe it the 01W big addtvw�
SlaW of I'Mrida Anditur General
Claude Pepper Building, Room
574 111 %Vmt AvIndkon Stivet
Vailahassee, Florida 32399-1450
Any reports. nianaganan Qua. or oTer &6rrmWkm nNuhvd to he vvkmitwd W 14 flopnmom prromm k)MN "mnvun
shQI be suNnitod tinini; for accordane we Ah 2 (TR Wn W Fhrida Swimem and (InWins 10150 Oocal glWOMHWhil
,mtkiesl or 10,650 (11(flll�Rdlt aUlcl Or�,ufllu/,a6OWS). RUIO,ordiv Aii(iilor Gvnvral, as appIucabk:.
PiroS urhQn subm0hy Wwwhd reporting packages to the Deparinient for WE done in acwthwe m Ah 2(TR ro-t
200 or(-hajlm-s, F0.551HOM go%vrrwentM cruklo tw JOA50(rumprorhand rot vunl wyanivaWy Ru6sorthe AtAW
GO"YL diould KdOwe to dwhat We reponing pmkpe was delkered to the ProvideriH
the reponing package.
PART IN': RLCORD RE,FENTION
I lie Prok,ider ShaH rc!tabl sul'CiJent rccoMs darrontanakrig Os cmnpHmwe"Ah We terrus ofdd5 unwact for a period of Ax
(6) )ears from Ihe dme the Wit report is issued. and shall aHow the FWpornein or its desi�-nQe, the (T`0 cut Au(,61or
Wiervil access to such records tymi request. Yhe PwvWx MmH ensure that audit wodhig yWoN am made "Alahk a)
We Uhne mWjw the Lkpamrnma or its designee. (11), or AWN" Ciewml upon roVwvt hear to period or six 16) yews
Awn the chute We WR report is issued. unk" wcrid"Hn w5hq by dic Dqmrtirnern.
Page 33 of 66
AA-2429
ATTACHMENT 11
FINANCIAL, AND COMPLIANCEAUDIT ATTAC11MLNT
EXHIBIT I
PARTIo A13DITREIATIONSIIIPDE'I'ERrvIINATION
Providers who receive state or federal resources may or may not be Subject to the audit reqUirCRIeWS (if 2 CFR Part §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 sub.icct to the audit requirements if the audit threshMd 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 suspect to the and it requirements or 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 subrecipiems of Federal awards and/or state financial assistance must comply with applicable programmatic and fiscal
compliance reqUirernentS.
In accordance with 2 C'FR Part §200 and/or Rule 691-5,006, F,A� ("',,Contractor has been determined to be:
Vendoi-notSLibjecttcm2C'FRPai-t§200.38ari&ors,215,9,7,F .
Recipient/subrecipient subject to 2 CFR Part §200,86 and §200l .93 and/or s. 2 l 5,97, 1-,S.
Exempt organization not subject to 2 C'FR Part §200 and/or s. 215.97, F.S. For Federal awards, lbr-profit
organizations are exempt; f6i, state financial assistance proJects, public universities, C0111ruMnIV colleges, district
school boards, branches of state (Florida) government, and charter schools are exempt. Exempt organizations, must
comply with all compliance reqUiNnients set forth within die contract or award document.
NOTE: if Provider is determined to be a recipientfsubrecilnrernt of federal and or state financial assistance and has been approved
by the Mliance to subcontract, they must comply with s. 215,97(7), F.S., and Rule 691-5006, F.A.C. [slate firialicial assistance]
and 2 C'FR Part §200.330 [federal awards].
PART If: FISCAL, COMPIAANCE REQUIREMENTS
FEDERAL AWARDS CDR 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 determined to be a SUbreCipient MUSI
comply with the following fiscal laws, rules and regulations:
STATES, I,OC/%I, GOVERNNIEN'rS AND INDIAN TRIBES mus'r FOt,I,OW-
2 C'FR Part §200.416- Cost Principles*
2 C'FR Pail §200,20 l- Administrative ReLjUirCr11CutS**
2 CFR Part§200.500- Audit ReqUirefflentS
Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, rules and regulations
NON-PROFIT ORGANIZATIONS MUST FOLLOW:
2 CF'R Part§200.400-A 1 1-Cost Principles*
2 C'FR Part 200.100-Administrative Requirements
2 CTR Part §200,500-Audit RCCLUirenients Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, rules and regulations
Page 34 of 66
AA-2429
EDUCATIONAL INST11'1ruTIONS, (EN/LN IF,,\ PART OF STATE OR LOCAL GOVERNMENT) MUST
FOLLOW:
2 CFR Part §200.418- Cost Principles*
2 C`FR Part §200.100-Adruinistrative Requirements
2 CFR Part §200.500 -Audit Requirements Reference Guide for State Expenditures
Other fiscal requirenients set forth in program laws,rules,and regulations
"Some Federal programs may be exempted frorn compliance Nvith the Cost PrinCiplec, Circulars as noted in the 2 CFR Part
§200.400(5)(c).
**Fore funding passed thl'00-11 U.S. Health and Flunian Services, 45 CFR 92; for funding passed through U.S. Department
of Education, 34 CFR 80.
STATE FINANCIAL ASSISTANCE, Providers who receive state financial assistance and who are determined to he a
recipient/subrecipient must comply with the following fiscal laws,rules and regulations:
Section 215.97, Fla. Stat.
Chapter 69 1-5. Fla, Admin. Code
State Projects Cornpl iance Supplement Reference Guide
for State Expenditures
Other fiscal requirements set forth in program laws, rUl" and rCgUk-ttj0114
The Remainder of This Page Left Intentionally Blank
Page 3,5 of 66
AA-2429
ATTACHMENT 11
FINANCIAL, AND COMPLIANCE AUDIT ATTACHMENT
EXHIBIT 2-FUNDING SUMMARY
Not.Title 2(.'I"R§200.331,gas i-eNised. aii(is.213.97, F.S..i,cqLmi]'QttIaI Statcl'n,-)'jects ir)ClUded in AT`TAC1IMFN
It, Exhibit I he Pro vided to the recipient. Information contained isaprediction 0VfiAJ1di;1gS0UrCCSand related amoui its based i,-)n the conu,act budget,
I. FEDE'RAL REISOURCES AWARDED 1-0 IT IE St MR FICI M F NJ'PLIR SU ANT'']0 FFIIS C'(.')N'FRA(.-YC0NSIS'I OF J'lIF1
FOLLOWIN(J�
PlR0(;R,AM'F`I"TLE FUNDINC SOURCE ('FD.A-- .1010UN'r
Older Americans Act U.S. I Icalth and I hinian Services 93.044 $350.360.97
Fide 111E—Support Services
Older Arnoricans Act U.S. I lealth,and 141111,111 S(:I-\'iCCS 91045 $23 232.65
Title 1110—Congregate Meals
Older Americans Act 1J.S. I leal(h and I luraaara Services 93M, S242.1,16.28
"Title HIC2—I fouic Dclivered Mcals
O�lder Americans Act U.S. Health and Human Services 93,043
I illc 1111)
Oldes Americans Act
I itle IllF—Caregiverst41port Services t.S. 11calth and fluman Set-vices 93.052 $159,210.93
Title 1111`6—Caregiver Suppoil Services
Ti0c III ES—Caregivcr Su ion Services;
Older Americans Act U.S, 11caliliand 11trinan Services 93.053 h39.1 85.94
Nutrition Scrvices Incentive Program I
TOT,4L FEDERAL Aff,JRD S813,106.76
COMPLIANCT' REQUIRENIF,N FS APPITCARIT""I'011 IF FEDERAL RESOURCE.S,AWARDED PURSUAN I''I 'I I IIS CON"FRAiCT
ARF" AS FOLL(MS:
L111)1"RAI,1-'t[Z112S:
2 CF'R Part 200-Uniform Aduilnistrative Req'L6re111C11[S, Cost Principles,nand Audit ReqLlfi-etiicnts For Federal Awards. ()MI1 Circular A-133 -
AUClik M'StMeS.LOCal 60%ernments, and Non-Profit Organizations
2. S F`,A'FI: RE'S01 I RCES AWARDED'F0JJ IF,RIA]PIFN1- PUR St I ANT IT)IIIISCONTRAC-1 (.'()NSIS'I'()]:-Illl` l•01,1,OWIN(i:
M AV C1 IING R FS(A f CE'S FOR FE D!,RAI�PRO( RAMS,
PROGRAM I I I'LE FUNDING SOLAU-11", CFI)A AMOUN I
TOJ AT S]AT'[-: Mk"ARD
S]LA IT FINANCIAL,ASSI I'ANCE SUBJECTTO sec,215,97.F S.
PROGRAM H I.F. FUNDING 5'�OURCE CFDA AMOUNT
TOTAL AWARD
COMPLIANCE REQI TRI.-IMEN't S APPLICABLA"F0 S'I)\'[L Ri'SOI.➢RC'L'S,,\\k,'ARI)I,'I)PURSUANT T01"I IIS CON]"RAC."FARF, AS
FOLLOWS:
il AIL
Section 21597,FS,, Chapter 691-5, F.A.C., R&rence Guide lbr State l"Apenditures.01her fiscal requirements set fivib in prograin laws.rules and regulations
Page 36 of 66
AX2429
ATTACHMENT III
CFAZTJFI0kTI()NS AND ASSUR,AINCES
DOFA "El nor award this Contract unless the Provider ccon[Wenes these CIJT IAHCA IWIINS ANH) ASSURANCES in
per-fOrmance of dAs contract. The Flovidcr provides the 1100%ing comiReations aind, assurames:
A. PmI 95 and 45 IT ? Part 75)
B. Cerfincation Reuard4m, 1�t 9-3 LiLL(j 4i CFR Part 9L
g,aaa TAK 21
C. NondAcQuination )ortnnitv Ass.stmtagE art 37 antl CIJ� Iart j jjqj
—C.!:-rLjficafion ir,blie,
E. A"ochdon ofCqmlimgita�( rgLmi/ati0jEjLLjWQam NowJ1111±11 F"aaau late a to IM S-
Ltia�ance tit). - IL-IJ7
(L I_
F, LWtification 28-7,11-355,1 S.
Q Certi6cation Ida (Lm L
g L,—(,' L,-It-e-t.,r i it V I a i i i i c(L a.Lt: i)i i i i c t s � ,L me Lits, 0wwq,.,Lman ' I
z� is
1, IzecullAs- winol
A CERTIFICATION WI',(,AIIDJN(-; DJ,,WWkIF`NT, SUSVI,-,NSI()N, AND 0,111F,14
RES11ONS11311,1TV m,,,k,rTFAIS - PRINIA14V COVEItED TRAvism"rion
Fhe iADLk..rSi,'41rCd 1'i'OVidOrCartil"h2, to the best Ofils krtoMedgQ and hcAiCII that it and its principals:
1. Are not present y debarrud, susfiendel pRMosod for dolmmenr Wlamd hwHyAhIcAw voWmaHQ exelmled
rRm, covered Iransaclions by as fedenil cleparnijent or n.'IcIrcy:
2. Ilavc not kvithiri as three'-ycar period preceding ihkCWrmt, himnumvOeon oHmd ackil kidpirer" rondemd
against them I&COmnAsMon ofkaudoracrindrial offense incormoaWn "IthoWnhy. aumptingwohmimcar
perfoirrnin,,g a public (Fuleml. Stals or local) transadkm or wmNad under a 17IIIIiC traINICkOH: ViOLItion Of
Fedeml or Swe antitrust statutes or commNsion orembezAernem. dien, fbi-gery. brihery fakifickon or
dcsi[ruclion of records. making We swicniews, or receivijlg st(den property,:
A Pae mq Errs, enuly AmHoed or(dwmise criminally or civilly charged by as goverrunem ash, %dowl, shawcar.
hot) "4h cornmission orwq orthe offenses enuirieralcd in paruLraph A,2. offlik ccrtificatiOn: "Arld/cIr
4. 1 lave not v,01hin as Treelear period preceding this aplilication1wopowl had one or more fmilflic I ran Sact i oils
State, or local) w0naled Rm-cause ordelbuk.
Fhe undersigned shall require that ImVLmgc of Ohs ccrtWaOon he included An the (10CLIFIFentS IN- ,111 Sr,IJ-)C0JItrdCtS aIt
all Hers (&cWdhg sWxoMmcts, vendor, sub-granis amd coiqmm under grams. loans ,ind coorm-ative a,.,-gs Cements I
Page 37 of 66
AA-2429
and that all sub recilAerns and coninwUns shall pRivide this certiFicribur accordingly.
IL CERTIFICACU1054 II EGAIWING IDE113YING - CEICFIFAC'/VYION FOR CONTI[CA&A'S,
GRAPITS, Loik14S, ;V411) C0011EIZACYINIE AGIR.E11041TWIS.
I'lic undersigned F'rovider ccr!iHes. t.ew the bem or its Ww"ledge andbolhell thaw
14, Wdeml npprop6mcd Furlob have been paid or "Ill be pWd_ by or on bAW-orow tlnder'sitl��Jled, to I)Cr-,'011 rOY
illlltlenchl�"" oralicnipti1q, to hilluence an Wca orompkIce orconyvan cw an LNyoyce A Member of
Coll -sass hl corillectiOn is Ah dw a"anHHg OTUFly IOWA conwad. We nmkhg of any Faleml grant, the nmkhg of
Garay IWO loan. the MORIg wo orarly coopAdve agwmw , and the exondon. condrimulAw remn% air
aaraaendrnent or modifiewion of any FlWal corrIMCIL yrant. ban or coupcmOvc ngreernent.
Jl'Jny l'Ulr]"� Other than Ildcral approplated flunds have becri paid or "HI he paid k) my person Or WHAerwilly or
atterripUng to ild'hwiwe an wcur or enww)ce or an) agcncl, as NInuber ill officer or elllpjowee of
or enopioyce warn NUrnhocr of Cangress in nonneclivan %%ith a Federal controct, g'rarrt' balm are cooperative
agreemcni. the umlemigned shad also emnymo and suhrni( Slandard Forin - lf') . "Di"'Clesure Form lo, Repon
Lohby ille," ill accordance v ittl its, instructions .
HIC LHKJCI'Sr [)Ckl SlIaaH rC`CjtJhV tildt lengUagO Ord& CeWSOW 110 inOLWCd in the &WUMeMS RW all SAC0111MOS 81
lit fleri f incl trdhlo'!a Subcoral'acts. subgrards and contacts under juarn. 10alS. Un(I CWPQrIHiVQ ayreernel)IS) and, dIal
all sub- recipienis and crania; wi W! cenitj arrd disdose accordingly,
Nis cialifical4ni is it nratchwol roypwwwWon of tint ij)on NNhich reliancc evas phiced wvhcr, this Colltrat"'t 4aas IllaoAC
or cmcwd hot SUblukSi011 OrdliS CCOW6011 iS it lMVTC(QhC for nmking or enorhyAlo Ods (Arrunuct impe5ed
by .31 I',S,('. 1 352, Any permon "ho kids ho Me the rvWdred ccroilicalkni shall he sullect 10 as CIVH ponah; (O'not
less than S10,01H) and not nhwc than $100OW for each such faihn-C,
C. ?qON-I)ISCIUN41Q4A'rj()N & V'QUAL OPPORKINITN' ASSI14A1`~ CE (29 CIAZ V`AR'T 37 AND 4i CFIR
IIA141' 8(". -As as corodithm oftlic Cominvict, !W\40 insures that it i%HI coluply fully is ith the
nondiscHrAnatkni and cqLWl oppodunk; primkiowls awl-tyre. kOh"hV W"s:
I, Sectful 188 orthe Workforce Investment A,ct of 1998 (WIAL (00. 1. 1012T)h "hich prohTS discrimirialiort
aguhni A OAK& ill, We I-Whod `Mantes on Ow hask of men coJor relighm. sex nwimml on'ghlw age,
dknhHiq poEhical affilimW or Oiler. and agAnst benendariew on then husk oTchhur chkendlipNimus asa
KWO admhwd irrurnigmill autorized hi moR in Ke I)Wed Stmes or PalliCij)Ai011 in any WIA I i0c I-
financially ns"istcd pro'giraln or actk:ity
2. 1 isle VI ofillc Civil RiLddy ,, Act of 1964 (Pub 1. 88-352). as aniarded. and all reqWrcirems irnpoNed by or
pur,,iant to tire t�cjwmkw orwe mparnneni on IcWT and I human Selwices 05 ("FR Ihirt 80Y to the end thm.
in accordance ovrth 140 vi orwal aNet wKI the Regr.a wrihml. no person in Ow Wal "~tars sNdk on dw ginumd
of race. color. or ntitional origin . he excluded than pariti6patimi A be denied the heriefits oA', cor he otherwise
sul4ecled to discrinnination under any pl,nuirl or acOvQ Nr whUi to AppHcwH recAves Federal Hilancial
assistalwe front the Deparlinclut-
3. Se0ion 504 of the Rehabilitation Act or 1973 (VA 1. 93-1 12) as antended. and all NCJLdfelnent,~, unposed by or
Mirwant to the Regulation of the Department oaf ilealdi and Hurnan Sowic, (45 CFR 14M 841 io We end that,
in accordance \61h Section so I ordlut No. and the Re u uladon, no OIIICIAa ke ClUaliked Kandicapped individt-KII
irl thc United states Sh"'Ill, solody by reasoll of his handicap, he exclAded lh)m participadmi in, he denhod the
beirel'Its of: or tic slth�jCctcd tsi discrinnination UnW any prograrn or activit4 Cor a~ hich die ApIdicant recciv,
I cdcral Hnandai a�rssistancc froni, the DepartillenI.
Page 38 of 66
AA-2429
t 4he Age Discrinvination Act or 1975 (Pub.1 . 04-135). an ainendaL and all rvqWrarlents inyosed b3 orrnu-Nwult
to the Regulation of the (d,I lealth and I Unan Ser0ces ( K CAT Part 911 to the end that. in
accordance with the Act nix! the llcgukilJon. ro peBon in the Riiiied SWWS ShH, on the baMs or age. be dcHied
the beneHis of, he e,acluded from participation in. or be mkVcted k) (Usci-huhnalkYl LUIder my Program or
actk,ity for which die AplAicant receives Federal linancial assistairce hivin the Deparnperit,
Y rok I x or we 111undon Amendrncrimcr 19772 tr%. 1. 92-3 18). as arnerlded and all roquirs-nems inWtsed b)
or pirrsuaril to the Repalmhn or die Depart nent or I lealth and I knorm Services 45 CFR Pan 86, to We aid
in accordance "Rh Thle IX and the Reguhtion. nor per am in dw Wit d Stntt,,s shall, on the basis ofsex lac:
oxchaded Wirn pariMphn in. he denied the henefin A or he MwAn ke subjected to As"Adnation under any
edr1ca[t4:'w1 program or acllivit.a for v\Ilich the Apphcant receives Federal 11nancial ass[stance Wn the
Dcpm-ilnerrl.
6.1 heArnedcan x%kill inswinies /kci or 19911 (11d, 1. 1 DK336), k%hidi INURdis Tic0ninmion in all
cinploji-rieni praake, %KdOng job appdlcmion procedWes. hiring. 10-ing. advaxwerrient,QomperiwokyL irairfing,
mid other wrins. condhl ms. rind privileges of employment, 11 afqdios to recruitincro- advertising. lernwe. layoff,
I"va Alle boic%, ami all wha empkIniouWared aoWies
iN'(AJdCfS idr,0 LISSUNS that it %% 01 comply W 29 (TR Part 37 wul all Weir wgWOUB hurderriciAlrig diclays
lisle] Irlus as,irrmwe aprows to ProN idues operation or se vvow i we I I nnmwhH) a"kWd finTymn or
act ht. and loaH coiwds, Vrovidcr inakes to carr) (no the NVIA Me I - financially asskied program or aaiviq,,
Pro% der understanLk that D(WA arrd the 1-Inked States We the rQhl 1.0 SeCkJLKIiCinl CH1'0rCCrli0i-JJ Of the.
assumncc,
1 he Undersigned shall require that of this asslrra'urce be included in the document kv ull sAwyumms eat
M! tip N (iridulng subconiram vvrr&w suh-grants mW comracts mWor ginit", loans and coopemOve
agNelvel"i) cohl that all s',1h recipiews and comracaws sharp provide this assiwance accoidingl,
It CERT1 FICATION REIG,ARDING P11H4 IC EWITV CRINI ES, SECT10N 287.133, F.S.
Provk1cr llereh( corlirios th'a neither it, nor any person or allUiMe(4 PRAIR. lia,,, been convicted ol as Public Fnth)
(Alto as donned in sedion 287.133, IIS . mw pAced ort the convixtal vendor Hsi.
1'1'00der U11da'SkIllrds nrid a-rces that it is requiral w k1brni D(TA immelmeh upon my chwye of
CirCUMSt,',111CC', I'Ct-�ardill thk status.
10 ASSOCIATID?i W U)NINUKruv ()RGAfh1ZATl()NS R)1? RVIURNI NC)W(ACORN) FUNDING
RESTICIC"FUMS ASMURAN(T(Pv& 1. 110110),
As a condifimi of We Knitrant. thin W asmrivs Owl N "ill could, 19% with the hodwal frunhng restrVion's
penahing to WARN and Is subsidjades per the kmnoridatcd Approprialknis Act, 20 IT Dividon F. Section 51 1
(Pirh,, I- t I 1 -I l:7), Ile CnM&uhg AqipropHruhris ACL AM 1. Section HU and 103 W. I. Ill 104 21 pw;Wcs
that aplualmladoniN nMdC Urider l0b. 1. 1 1 ld 17 am aWlable umkr to conl6mv pnwkkd by Pull L. I I I-1 17
'I he tirldorsi�ricd Sh'dd require thal kingLiolge of dis asswuncu be included in we docurnows kW ad socarairacis at
11H Clerk t iliChAdill,! sUbCOWI-JdS� v0,i16.101-S, SLlh-rants and connacs un&r gmnis. loans and cooperinive agreenicrits)
arml that all sub recir*rris and contracaws shall pinivide this nSSLWanCC accordingly,
F. CERTIFICIATI[Wi REGARDING SCRUTINIZED COMPANIES LISTS,SECTION 287.135, F.S.
II-this CAwrimet k in We arnowu W I WHon or inom. in accoMwe "Nh dw ralArement-i A'Seakni 28T 135.
KY. ProvWcr hereby catrics that it is nor particymidng in a joycot, or jsnrier, is not listed on either the SCROini/ed
C&�mipaviics with Acdvlfies in Sudan IAA or to Sumthiiied Companies "Uh Activitim in be Iran Petaderan
Page 39 of 66
AA-2429
Energy SwUnIAL and Tal a Ares ntq hove hihincss oytelsions at Cuba or Syria. Both Irsts are created pursuant
to Section 2 1 5A73. h 5,
Provider understands that pursuant to ROW 28T IW VS., the submi"lon W Use ccrtiHealkot may subjew.
Jln.rvider to Civil pea hics, attorney's, fees. arld/or costs.
I I Provider is timiffle lo ce'rliify any or we wimements in Wis ceNfical0n. Provider shall anuch an exyrination ul
dos (Wracl,
G. CEWYMCATWN REGARDING DA'rAI N1G(�UTV C014P1IAWK FOR(I)NTRACI S,
AGREEA11ENTt GRANIS, WANS NI)WOPEAIATIVE AGRETMENTS
1. The Provider and an) suhmumchus ofsen ices under this cownw, have rharich! numagomml sy menus
cqmhk uTpwvkiing cumin KHmmko, Wel"ding: ( I ) MCM10 ewrent, and corrirdoe chsolomwe of the
11lan6al muls oromh givint-fumled pnju or pnigrarri in ex ith, t[rc, prcNcribc(,l rq')orting
mWONmemy Q to smixce and apoicralon or Ruids for all coritlTd SUPn()rlCd UdVhiCS; annul 13) Mc,
c0111parison ol'otaklys "ith hmWcwd amounts W culi amard.Ahe WaInh1% tc process information in:
accOrdancc? N6th dwsc coluld r"sult in a rc'turli ol'p?,milt finick Ova have ruin, bcoi acunilud ror
properly,
2, NVIand",enlCill Illr0i'll,wtion Syswrns uwd by We 11ovider subcornracuork v wwkm or ap-ouisidc craily tw
t
hich dre Pnwhler is depwWwa for dwa Oka is to bu: rpond, trwain4rel (w cnlcr .,flaied, have twen assessed
and Wficd to be cquble orprOUSSing dat,a accurately, inckidOng ycnqhlc dvpmnknl dam. For iluse
sysicrus idendried lobe nwivorriNKIL Pro%kAQr kvfll lake inuiv,dimc Won to assures dau, Regi-ity.
I HAW wHilract include% the pixmiskm of In dware, sortivare. Ortnwire, micnwode (w irrilUded chip
tcJln(:flozgy. thc underiped warrants that these pin,lucts are eMmbk of pnwessin,_!, dcpcildcin dara
acctiratel). AH versicms ol'these products offered by the ProWer (rcpvwnwd by We (mclanignM) aml
porchased b tire mme m HI he verified for accuracy and Ofddla t0 ti'ansk'!I%
4. In the event oran) decrease in RuwAmollily related to One and One related codes and kircrnol
Chant hilliede the frar(kNare or softw-are progranis fron) propk...rly' the Pr("wideragrevs to olllllcdiatelw
111.1ke rOILILlil-C"d (Orrc'caons to restore har&\are rirrd soR\%are prograrns w the same level of l'uncGrialky as
\Narl"u'lled herein. at no k."har-C to the statc. aild %vah0i_k inlOrrUfAi0n; to the. ollc'doalv' husilless oi'dic state,
drile, herin' of the essence,
5, 1 he Provider and any subcsHmeuvs andWr vendyi Wendcos under this ctuitract wrrala their podicies wN
pinwahms hrulroo a &saster plan to PWVWU RW SaW ddWry, to MltlnUe ill Case Ofarl elrler�'ClWy
WRIQ CMCTCl1LQS urisirq7, frown dam compliance iSSLles'
!L VERIFICATION (W ENIPWYNIENT STATLIS
As a unkion orcortnacting m% Me I'Twida Department of Elder Anbirm Paivider cenWin the use ofthe I KS,
Depannwint ortkmmdrind SecHrity`,,, F-vcril`y Sy Stern In vcrifv 1he empk"Mcra CHL-Yihility of all lic'c\ 01111-floyees
hired 1,y the Provitler duHng the cmaract terra k; poWbrni erriph,ment duties pwomint M this on-aracl; axid that
allv SUhC0111.1�0CtS ilICILRIC ffll 0Xf1rCSS l_CC]UiYCa1en1 HIM subcontractor',., and"'or vendors vkork or
PMVW&g services pursuam to diis ('ontract Laili/C the F-veriR sysiern to vel-114, we employment ellgRAliq orall
nee ern"oyces hied by the subconawor andQr vendor during Ole emire contract terin,
I he PrOVi(]Ca` Shall FkAgUire that Ow language or dos certification be included in ad sub-agreernent, sub-grants,
'lild and that all iubcorltmcows andMr vendors shill cerdl)y, cornpUnce Hecording1j,
Page 40 of 66
AA-24291
This 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-102 and 2 CFR Part 200', and 215 (formerly OMB Circular A-I I 0),
L 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. The 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 Conti-act, and 119.070](3) and (4) F,S,, and
any other applicable law,if civil action is corninenced as contemplated by Section 1 19.070 1(4), F.S.,and the,
Department is named in the civil action, Provider agrees to indernnify and hold harmless the Department for any
Costs incurred by the Department, and any attorneys' fees assessed or awarded against the 13epartnient from a
Public Records Request made pursuant to, Chapter 119, F.S., concerning this contract or services performed
thereunder,
a, Notwithstanding Section 119,0701, F,S., or other F,'Iorida law, this section is not applicable to
contracts executed between the Department and state agencies or subdivisions defined in Section
768,28(2), F.S,
2. Section 1 19.0](3), F.S., states it'public funds are expended by an agency in payment of dues or membership
contributions for any person, corporation, floundation, trust,, association, group, or other organization, all the
financial, business, and membership records ol.'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 0"provide 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 (it'
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.
Digitally 5igned by Sheryl L.Graharn
Sheryl L G1rahamDt,,2,24V..3 12:28:57 05'00' 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 /013 Key West,FL 33040
Provider Name —6atew - City, State,Zip code
Page 41 of 66
AA-2429
ATTACHMENT V1
ASSU RANC E S--NON-CONSTRUCTION PROG RA MS
Public reporting bUrden for this collection of information is estimated to average 45 minutes per response, including little for
reviewing instrUCtiOnS, searching existing data sources, gathering and maintaining the data needed and completing and
reviewing the collection of information. Send corninenis 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 Protect(0348-0043), Washington, DC 20501
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUD(_jE'E
SEND I TO THE ADDRESS PROVIDED BYTHE SPONSORING AGENCY,
Note: Certain of these assurances may not be applicable to your project or program, 11"YOU have ql.10tiOnS, please contact the
awarding agency. Further, certain I"ederal awarding agencies may require applicants to certify to additional assurances. if
such is the case,you wvill be nolif"ied.
1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability'(including
funds sufficient to pay, the non-Federal share ofliroject cost) to C11SUIT proper planning, management, and completion of
the project described in this application.
2. Will give the awarding agency, the C,onlptrol ler General of the Unhed 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 UCOL]nting, system in accordance with generally accepted accounting standards or agency
directives,
3, Will establish safeguards to prohibit Clnf)103(CeS fi'0111 LiSitig their J.)ositions 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 of the awarding agency.
5. Will comply with the 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 Sta,11.1tCS Or r-egulations specified in Appendix A ofOPM's
Standards tor a Met-it System of Personnel Administration (5 C.F.R. 900, Subpart F),
6. Will comply with all Federal statutes relating to nondiscrimination, 'These include but are not limited 1w (a) Title VI of
the Civil Rights Act of 1964 (P.L. 88-35,2) which prohibits discrimination on the basis of race, color or national origill,
(b) 'Title IX ofthe Education Amendments of 1972, as amended (20 U.S.C. 1681-1683, and 1685-1686), which prohibits
discrimination oil the basis of sex; (c) Section 504 ref 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 LS.C, 6,101-
6107),which prohibits discrimination oil the basis of age;(c)the Drug Abuse Office and Treatment Act of 1972 (P,L. 92-
255)�, as amended, relating to nondiscrimination oil file 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 drug abuse patient records-, (h)
'Ville VIII ofthe Civil Rights Act of 1968 (42 LLS.C. 3601 et seq.), as amended, relating to nondiscrimination in the sale,
rental or finanicing 017110LISi7g;(i)any other nondiscrimination provisions,in the SPC6111C StalUtC(S)Under which application
fbr Federal assistance is being made'. and(j)the requirements of any other 11011diSCri In illati011 Stahft(S) Which rnay apply
to the application,
7. Will comply,or has already complied, Nvith the requirements of Titles 11 and III of the UllifOrtIl 1�elocalion Assistance and
Real Property AcqUiSiti011 Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons
displaced or whose property is acquired as,a result of Federal or federally assisted programs.These requirements apply to
all interests in real property acquired for project purposes regardless of Federal participation in PUrCIlaSeS.
8. Will comply, as applicable, wvith the provisions of the Hatch Act (5 US.C, 50 1-1508 and 7324-7328), which limit the
political activities of employees whose principal eiriployment activities are funded in whole or in part with 1'ederal Funds.
Page 42 of 66
AA-2429
9. Will comply,as applicable,with the provisions of the Davis-Bacon Act(40 U.S.C. 276a to 276a-7),the Copeland Act(40
U.S.C. 276c and 18 U,S.C. 874) and the Contract Work Flours and Safety Standards Act (40 U.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 (PJ_ 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.91-190)and Executive
Order(EO) 11514;(b)notification of violating facilities pursuant to EO 11738;(c)protection of wetlands pursuant to E0
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.
11 Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of
1966, as amended(16 LI.S.C.470),EO 11593(identification and protection of historic properties),and the Archaeological
and Historic Preservation Act of 1974 (16 U.Sk. 469�a-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&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 CH AUTHORIZED CERTIFYING OFFICIAL.
M, Digitally signed by Sheryl L. ces
Sheryl L. Graha Graham bire_&w , So ital Send'
Date,2024.01.03 12:3 2:00-05'00'
APPLICANT ORGANIZATION DATE SUBMIT'I'M
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS,
SOCIAL SERVICES/11N-IIOME SERVICES 03/Z02-4
Page 43 of 66
AA-2429
ATTACHMENT VII
CONTRACT BUDGET SUMMARY BY SERVICE AND TITLE
eCI,RTS, SUMMARY FOR THE AGENCY
Se rep ice 111axinJU111
sere ice's to be 111-ovided Unit Rate Units of Maxinjuin Dollars
Service:
Chore 11113 24,00 1019 S 48.455.85
Companionship 111H $ 18.00 85 S 1,529.1 2
1's c ort 11113 S 19 96 76 $ 1,526.06
I Joirticniaker I U B $ 33.20 4,406 S 146,269,04
Ilersonal Care 11113 33.20 4,405 $ 146,247,80
Screening& Assessment 11113 34.50 139 $ 4,786.98
ShoppinLL.Assistance 11113 13.00 119 $ 1,546 11
Congregate Meals CI $ 1C1.99 2,02 1 $ 22,210.25
Congregate Meals ML]C Ul $ 10.99
Con j=re!=ate MQuis (Juest C1 $ 10.99
CoiTregate Meals WILIMCCl-Cl $ 10.99
Cont�regate Meals .(-'I $ 9,00 29 259.14
C'.on*re gate Meals Screening Cl $ 2T08 M $ 369.14
Nutrition COUI)Selin".(-.J. $ 78.99 4 $ 296.66
NLM-ifi011 1:dUC,10011 Cl $ 1.35 72 $ 97.46
Home Defiv,cred Meals - Frozen C'2 $ 7.00 23,961 $ 167324,62
home Delivered Meals - I I ot C2 $ 7,09 9,244 $ 65,541.06
Emergency Shell'i lon-ic Delivered Meals C2 $ 6.53 409 $ 2,670,33
Screeningand Assessment C2 $ 28,79 194 S 5,572A6
Nutrition.Counsefii%C 1 2 $ 78.99 3 $ 224.83
Nutrition F,duca tion C2 $ 1.35 284 $ 382,99
RQSpitc In-Honle III[', S 21.93 936 $ 20,5,23.98
Rcspite Facility 111E $ 12.75 5.649 $ 72,027,77
Carejgiver Training Cirp 1111, $ 81.75 90 $ 73 69�35
-Ca re give r Tra h i ing Ind HIF, $ 75,00 251 $ 18,8,39.27.
Screening& Assessment III1. $ 31.29 59 $ 1,838.16
Chore IIIES $ 24.00 368 $ 13,824.07
I I OLIS h1g I 111 J-WOVC tTIC 11( 1[I I�S Cost Reimb $ 10.101.98
Material Aid IIIES Cost Rein $ 10,101.98
Specialized Medical Equipment Cost Reimb $ 9,584.36
NSW $ 0.72 53,036 $ 38,185.94
TOTAL S 813,106,.76
Page 44 of 66
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ATTACHMENT VIII
OLDER AMERICANS ACT CONTRACT REPORT 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 Expenditive 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 Rinc 6
8 JUne, Expenditure Report July 6
9 July Expenditure Report August 6
10 August Expenditure Report September 6
11 September Expenditure Repon October 6
12 October Expenditure Report November 6
13 November Expenditure Report December 6
14 December Expenditure Report January 6
l5 1"inal ExpenditUre and Close flat Repoil JaoUary 31
1,egen& Advance based on projecte(I cash need.
Note 9 1: Report #I fbr Advance Basis Agreements cannot be submitted to the Departnient of
Financial Services (DFS) prior to January I or until the agreement with the Alliance has
been executed and a copy sent to DF'S, AdUal submNsion of the VOLICherS to CIF" 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. The ad-justment shall be recorded in Part C, I of the report (ATTACHMENT
I ).
Note #3!: Subiriission ollexpenditffl'C m'CpOrts may or may not generate a payment request, If final
expenditive report reflects funds due back to the Alliance payment is to accompany the
report.
Page 45, of 66
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ATTACHMENT IX
REQUEST FOR PAYMENT
FORM 106
OLDER AMERICANS ACT I NSIP
............................................ ..........
FRO'dWERNAME,ADDRESS FHDNF M)VO NIUMUR C."t-t.
F—d
.....................
.....................
—fy a y,r, h.D-, ,f,)y T,*fl 111f-111 I P"'T"s—w it v.,?
F,TA-d By ...................... ,-1
------------------------------
SUEU,",'El SUMMARY Ilr,£I wC P,S L.
— —----------
c cc 0 D,��G 00 c 00, Q ZQ r tic"
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oral
F, C DIJ� n co 0 0B
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ccc; ..................................... qQ P 00 ...............
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or
P"A a I'AA N,'P 0-
Page 46 of 66
AA-2429
ATTACHMENT X
EXHIBrr i
RECEIPTS&UKTT COST REPORT
OAA SubTitk INE
hY�MEARJRESS,PHONEF#—d FEZ* FUNDNG SOURr E THIS EEL qRHj_EjEK El
D C"AA it-6 ;."o I 1rs —--------—-------
Cl . ................ 2
ID AA
SA
......................... .............
CEPT1FX-;TK'44
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ft-GMURECEWTS 5 G9 Lxul NsrrfTC D
I.`VlllS I eU.O Y.7 El,' Suug., Pl,cl W" YTID
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C'-EMD7AL
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Page 47 of 6�6
AA-2429
ATTACHMENT X
EXHIBIT 2
RKEWTS AND EXFEWTUREREPORT
NsfF
PROWDER NAME,ADDRESS,PHONE# PROGRAM F UNWNG SCAPRir E
-PwT.OH P-
R:PORT. 10
.............................................................
EFrT rICATRON t"'tst my knzwla'nQeanl tre tia the cu"ays ay�fi:.'%mos�s'set fc'T'JI
n 1?1' tract
P'po ea tr*
CURRENT MONTH ;E�R TO DATE FWAii"6� - —P E IC U"S
CON 3RE'S'A FE WDME DE11liEREQ CCJP4(.iPE5aTE HON�E FIFILf'VERED CON-Pi7i,67--- HOME OEOvEFEC,
04,A'uvd-3 MeaJ,5 U�4�75t 0
VNITS Q E E E E Q
NDp;uneJ—J N4'tw"'
l 5 1 r vi
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CrMTRACT SUMMARY
4pj J SO DO
Expel'V"Es"."ihs Sci:,r---T
7,t,� rddx- r--T,r 0.t. SID DO
P'A;'10AA
Page 48 of 66
AA-2429
ATTACHMENT X
EXHIBIT3
PSG PROVIDER MONTHLY MEALS REPORT
PS A Number 1.1
Month of Report 0
Number of days served this nionth
Total inumber of rneals, regardless of funding source, served to:
- all persons 60 years of age cir on der and their spouses, regardless of age,
- VOILJnteerS, regardless of age, w,vho provider services during meal hOLKS on a RegUar basis,
- handicapped or 6saUed individuals residing in housing facilities OCCUpied primarily by
eWeriy at �,,vhich congregate mea] services were provider during the rnonth.
Provider Name Congregate Meals, Horn e-Defivery Meals Total
0 0 0 0
TOTAL I j 01
I certHy that the above inforniation is accurate and complete to the best of my kno,.-,iledge.
SignatUre, Title: Date,
FSA#11 OAA NSIIP Fornis, Remed October 20n9
Page 49 of 66
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AT,rACHMENT B
STATE OF FLORIDA DEPARTMENT OF ELDER AFFAIRS
CIVIL RIGHTS
COMPLIANCE
CHECKLIST
Program/Facility Name. Monroe County Board of County
Commissioners, Social Servicestln-Home Services County-. 14tw r
Address' Iloo 5!/Ko +b 0 2-z 5,7 Completed By cig±0 &= . /--..A". 0
U
City, State, Zip Code-, '3;O+o Date ot 8,3112A Telephone
PART 1.
READ THE ATTACHED INSTRUCTIONS FOR ILLUSTRATIVE INFORMATION WHICH
WILL HELP YOU IN THE COMPLETION CIF THIS F'O�RM.
1, Briefly describe the geographic area served by the program/facility and the type of service provided--The enHet.
joridu Kej-S (Montor, C�unj x'qywL+e1W ap eydi c I--- -- ;Ire- coosideceA
r#ArUA W -t-cr%sl4c& , _cinrvich , -fb be ochvWed Prx rAnne qLj.
2 POPULATION OF AREA SERVED. Source of data-,Cje(%SUcn. Repor cir)41 G
Zl %White 9 % Other 14P Female
3. STAFF CURRENTLY EMPLOYED. Effecfive date-
Total#3gi _%_White5 %Black JN�/. HispanHc I -A Other �8% Female 11ifl, Disabled 1
4. CLIENTS CURRENTLY ENROLLED OR REGISTERED Effective date:
Total# %White % Black % Hispanic % Other % FernaIe g� Disabled %Over 40
S. ADVISORY OR GOVERNING BOARD, IF APPLICABLE,
Total# White % Black % Hispanic %Ot ernale % Disabled
PART Ill, USE A SEPARATE SHEET OF PAPER FOR ANY EXPLANATIONS REQUIRING MORE SPACE.
6. Is an Assurance of Compliance on file,with DO EA? IIf NA or NO, explain, NA YES NOEl 3 e El
7 Compare the staff composition to the population, is staff representative of the
population? If NA or NO, explain, NA YE NO
8, Are, eligiibility requirements for services applied to clients and applicants without regard to NA YES NO
race, color, national origin, sex, age, religion or disability? If NA or NO, explain.
Page 50,of 66
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9. Are all benefits, services and facilities available to applicants and participaa s in an equally effective manner regardless
of race, sex, color, age, national origin„ religion or disability? NA®YES NCB_if NA or NO, explain.
10. For in-patient services, are room assignments made without regard to race, color, national ori:giin or disability? NA,
YES—NO— If NA or NO, explain.
.
11. Is the program/facility accessible to non-English speaking clients? If NA or NO, explain.
12, Are employees, applicants and particip nts Informed f their protection against discrimination?
If yes, how? Verbal EV Written � Foster VIf NA or NO, explain.
16. Give the number and current status of any discrimination complaints regarding services or
employment filed against the program/facility,
14, Is theprogram/facility physically accessible to mobility, hearing, and sight-impaired individuals'? NA—
Y ESN0- If NA or NQ, explain.
PART III. 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 iin the resolution of
complaints"?YES" NO_If NO, explain.
Page 51 of 66
AA-2429
17. Has a person been designated to coordinate Section 504 compliance activities?YESj/NO_If NO, explain.
18. Do recruitment and notification materials advise applicants, employees and participants of
nondiscrimination on the basis of disability? If NO, explain.
,q CS
I
19. Are auxiliary aids avaiiable to assure accessibility of services to hearing and sight impaired
individuals?YESVNO_ 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*13
Program Office *Notice of Corrective Action Sent
Date 77 Telephone Response Due _/_/_
On-Site 71 Desk Review 0 LResponse
Ee'%ved —I—/—
.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 POI)UlatiOrl Such as adolescents,describe the target population. Also,derive the type of service provided.
Page 52 of 66
AA-2429
2. Enter the percent of the population served by race and sex. ']File population served irlClUdes persons in time 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. ("Cither"races include Asian Pacific Islanders and American
Indian/Alaskan Natives.)
3, Enter the total number of full-tirne staff and their percent by race, sex and disability. Include the effiective date of your
SLI111111al-Y.
4, Enter the total number of clients who are enrolled, registered or currently served by the prograrn Or facility,and list their
percent by race, sex and disability. include time date that enrollment Nvas counted.
5. Enter the total number of advisory board members and their percent by race, sex, and disability. Ifthere is no advisory
or governing board, leave this section blank.
6, Each recipient of federal financial assistance must have oil file an assurance that the program will be conducted in
compliance with all nondiscriminatory provisions as required in 45 CFI. 80. This is usually a standard pail of the
contract language for DOEA recipients and their sub-grantees,45 CFR 80.4 (a).
T Is, tile race, sex, and national origin of time staff reflective of the general p0pUlati011? 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 ofthe clients and their availability in time
population, the programdacility has the responsibility to determine the reasons for such variation and take whatever action
may, be necessary to correct any discrimination. Some legitimate disparities may exist when prograrris are sanctioned to serve
target populations such as elderly or disabled persons,45 CFR
803 (b) (6),
9 Do choibility reqL1i1-e1l1CJ1tS Unlawfully exclude persons in protected groups fi oni the provision of services, or
L_
em ploy rnent? Lvidence Of Such may be indicated in staff an(.] client representation (QL1eSti011S 3 and 4)and also through
on-site record analysis of persons who applied but were denied services or employment, 45 CIFR 80.3 (a) and 45 CFR
80.1 (b) (2).
10. Participants or clients must be provided SeFViCCS SUCh as medical. nursing and dental care, laboratory services, physical
and recreational therapies, counseling 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 roonis, reception
areas, restroonis an(] other facilities JuLlst also be equally available to all clients,45 CFR
80.3 (b).
11. For in-patient services, residents Must be assigned to roonis, 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
different race,color, national origin, or disability, 45 CFR 80.3 (:a).
12, The 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 ofnon-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 Im
set-vice, such as a Current list ofilartles and telephone 111.1mbers of bilingual individuals who will assist in the provision
of services,45 CFR 80.3 (a).
Page 53 of 66
AA-2429
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
cornpiaint of discrimination with either the Florida Department of Elder Affairs or the U.S. Department of f HIS, The
information may be supplied verbally or in writing to every individual, or may be supplied through the use of ail equal
opportunity policy poster displayed in a public area of the facility, 45 CFR 80.6(d).
14. Report number ot'discrimination complaints riled against the program/facility. Indicate the basis,e.g.,race,color,creed.
sex, age, national origin, disability, retaliation; the issues involved, e.g.,, services or employment, placement,
termination, etc. Indicate the civil rights law or policy alleged to have been violate(] along with the natine and address
of the local, state or federal agency with whorn tile complaint has been filed. Indicate the current status, e.g., settled, no
reasonable cause found, J-hilUre to conciliate, failure to cooperate, under review. etc.
15. 'File program/facility Must be physically accessible to disabled individuals. Physical accessibility includes designated
parking areas, curb cuts or level approaches, ramps and adequate widdis to entrances. The lobby, public (clephone,
restroorn facilities. water fountains, information and admissions offices should be accessible, Door widths and traffic
areas of administrative offices, cafeterias, restroonis, recreation areas, Counters and serving lines should be observed
for accessibility. Elevators should be observed for door width, and Braille or raised numbers. Switches and controls for
light, heat, ventilation, fire alarins,and other essentials should be installed at air appropriate height for mobility impaired
individuals.
16, Section 50�4 of the rehabilitation Act of 1973 requires that a recipient of federal financial assistance conduct as self-
evaluation to identify any accessibility barriers. Self evaluation is a firer step process:
11 With the assistance of a disabled individual/organization, evaluate Current practices, and policies which do riot
comply with Section 504,
[I Modify policies and practices that do not meet Section 504 requirements.
:i Take remedial steps to eliminate any discrimination that has been identified.
IJ Maintain self-evaluation oil file. (This checklist may be used to satisfy this requirement if these four steps have
been fol IoNved,i,45 CFR 84.6,
17. Programs or facilities that employ 15 01'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 84,7 (b),
18, Programs or facilities that employ 15 or more persons nitist designate at least one person to coordinate effoils to comply
with Section 504.45 CFR 84.7 (a),
19. Continuing Steps Must be taken to notily employees and the public of the program/facility's policy of nondiscrimination
on the basis of disability. 'I'llis includes recruitment material, notices for hearings, newspaper ads,and other appropriate
written C011111ILmication, 45 CFR 84.8 (a).
-SOFIS must provide appropriate cILIXiliary aids to persons with impaired
.0. Prograrns/facilities that employ 15 Or more per
sensory, manual or speaking skills where necessary. AUXiliary aids may include, bit( are riot limited to, interpreters, for
hearing,inipaired individuals, taped or Braille materials,or any alternative resources that can be used to provide equally
effective set-vices, (45 CFR 84.52 (d).
21. Programs/facilities with 50 or more employees and $50,000 in federal contracts must develop,, implement and inaintaiti
a written affirmative action compliance program in accordance with Executive Order 11246. 41 CFR 60 and Title VI
of(lie Civil Rights Act of 1964, as arnended,.
Page 54 of 66
AA-2429
ATTACHMENT D
DEPARMEW OF E�LDER AFFAIRS
BACKGROUND SCREENING
ATTESTATION OF COMPLIANCE - EMPLOYER
AtTM A1,X EXIFLOIu RS au.re required to a ua su wruit this form attesting to
comiplm:ance with the pro-visions of chapter 435 and section 4SO.040.7 of the Florida Statules.
The term`` any person or entity reqmined by law to coudod background screenings,including
but not limited to,Axe2, ies on,A ~, to A " Disability Resource ,Lead i"I °ice
P"ro ewrratract or. tl .the Deparbumt ofEUw Affain,WEA),mid any a
or entity which hires en4iloyeens a r has volunteers in service who meet the definitim of a dired senrice',
See§§435 M,'fW Z Fla.Stzt.
A direst service porvider is"a person 18 yea of age or older who,pursuant to,a prograns to,provide servioes to
the eklexly, re face-to-f c tact wills a � e adtmg s to t ce to
Ifie 'aliving areas,fiusib,personal,property,or personal identification as defined in s.817. '-
e term aho includes,but is not limited to,the administrator or,a sunflaxly titled Mson who is `respmable for
dw -today operations of fir„dw financial,officer or minilarly tifled person who is responoble fur the
financial operations of the provider, coordinators, managers, and supervisors ofmidential facilibes, and
vehwteers,and any odw person seeking eraploymentth,a provider is expected to,or whose responsibilitm
may require him or her to,provide ewe or services dummy to clients have access to chew ,
financial „legal matters,pe2so cal property,or livin era -*"'§430.Cl402(I)(b),Fla Star.(2023)..
ATTESTATION
As the duly authorized reFesentative of; a n, r . ' ",f i V i
(Name of l
Located at J160 _5jrnontpa
Street address city tate Zip Code
Underty of Perjury, +
of Rrre Live)
hereby swear or affirm that the above-namedto ser is,in compliance with the providons ofthapter
435 and section 430.0402 ofthe FloridaStatates,regarding level 2'background
Shq /^ P7�,frlip xi�cu I k7y°she"ytl V„C ahem
eryl VI'f hC LA E 2C124 01 03 12 39,55 05 Off
Signature,of'Rqwesentative late
S aal` a a
Form availaWeats '
�m_�;tip�ac�e���ar�-r: -�kear 'lasr � l
Page SS of 66
AA-2429
ATTACHMENT F
Alliance for Aging, Inc.
Business Associate Agreement
This Business Associate Agreement is dated " by the Alliance for Aging, Inc. ("Covered Entity") and
N'lonroe Count — S Je!PI s2c A,"i c-CS/;y Board of County Commissioners, n-florne Services, ("Business Associate"), a not-1-or-profit
Florida corporation,
1.0 Background.
Ll Covered lEntity leas entered into orte or more contracts or agreements with Business Associate that involves the use ot'Protecled
Flealth Information(Pill).
12 Covered Entity recognizes the requirements of the Health Insurance Portability and Accountability Act of' 1996 (IIIPAA) and
has indicated its intent to comply in the County's Policies and Procedures.
1.3 F1IPAA re-UlatiOIIS establish specific conditions on when and how covered entities may share information with Providers who
perform Functions for the Covered Entity,
1A IIIPAA 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 CYK §§ 164.502(e), 164.50,4(e), 164.308(b), and 164.314(a-b)(2010) (as may applyl
and contained in this agreement.
L5 The I lealth Infiorniation "Technology for Fcoriomic and Chnical 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.(',) §§
17931 and 17934(2010) require business associates of covered entities to comply with the I IlPAA Security RUle,as set forth
in,but not limited to 45 C,F,R. §§ 16430K 164,3 M 164.3 12, an(] 16,4.316 (2009) and such sections shall apply to a business
associate of it covered entity in the same manner that such sections apply.to the covered entity.
the parties therefore a_o,,ee its follows:
2.0 Definitions. For purposes Of this agreement,the fc1lowing definitions apply:
11 Access. '[lie ability or [he means necessary to read, write, modify, or communicate data/information or otherwise use any
SVSteru resource.
2,2 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(ePl 11)and to manage
the conduct of the covered entity's workforce in relation to the protection of that information.
2 3 ARttA. The Arnerican Recovery and Reinvestment Act(2009)
2.4 Authentication, The corroboration that a person is the one claimed.
Availability. 'The Property that data or information is accessible and useable upon demand by an aufliorized person.
2,6 Breach. The unauthorized acquisition, access, use, or disclosure of III If which compromises the security or privacy Of SUCh
information.
2.7 Compromises the Security. Posing a significant risk of financial, reputational,or other harm to individuals.
18 Confidentiality, The property that data or information is not made available or disclosed to unauthorized persons or processes.
Page 56 of 66
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2.9 Electronic Protected health Information (ePI-11). Ile afth iril'orni at ion as specified in 45 CFR §160,103(1)(i) or(I)(it),
I irnited to the inforni a tion created or received by Business Associate front or on behalf of Covered Entity.
2.10 HITECIL The Ficalth Intbrination Technology for Economic and Clinical Health Act(2CI09)
11,1 linforniation Systern. An interconnected set ofinforniation resources under the same direct management control that shares
COrT1111011 functionality, A system nonually 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 at) unauthorized nianner.
2,13 Malicious software. Software,fi)r example,a virus, designed to damage or disrupts 8 system.
2,14 Part 1, Part I — Improved Privacy Provisions and Security provisions located at 42 United States Code (U.S.C) §§ 17931
and 17934(201 0).
2,15 Password, COafidCafiRl authentication information composed of a string ofcharacters.
116 Physical Safeguards. The physical measures,policies, and procedures to protect a covered entity's electronic information
systems and related buildings and CCILlipluent,front natural and environmental hazards,and unauthorized jrlfi-LlSiffll.
2.17 Privacy Rule. The Standards for Privacy of Individually Identifiable Health Information at 45 CFR Part 160 and Part 164,
subparts A and L
2,18 Protected Health Information(Pill). Health infornnition as defined in 45 CFR§16t1.103,hinited,to the information created
or received by Business Associate front or on behalf off'overed Entity.
2A9 Required By Law.Has the same meaning as the term "required by law"in 45 CFR§ 164.101
120 Secretary.The Secretary of the Department ot'llealth and Hurnan 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 our infi.n-radon system.
9.22 Security or Security measures,All of the administrative,physical, and technical safeguards in an information system,
2,23 Security Rule. "]'Ile SeCluity Standards lot-the protection of Electronic Protected Health Information at 45 CFR part 164,
subpart C,and amendments thereto.
2.24 Technical Safeguards. The technology and the policy and procedures ffir its use that protect electronic Protected health
information and control access to it.
2.25 Unsecured Pill. Protected health information that is not secured through the use of technology or methodology specified by
the Secretary in guidance issued under 42 U.&C,section 17932(h)(2).
126 All Other terfuS,used,but not otherwise defined, in this Agreement shall have the same meaning as those terms in the Privacy
Rule,
3.0. Obligations,anti Activities of Business Associate.
3.1 Business Associate agrees to not use:or disclose P141 other than as permitted or required by this agreement or as Required by
L a w.
3.2 Business Associate agrees to:
Page 57 of 66
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(a) Implement policies and procedures to prevent,detect,contain arid correct Security violations in accordance with 45 CFR
§ 164.3,06;
(b) Prevent use or disclosure ofthe PI-11 other than as provided for by this Agreement or as required by law;
(c) Reasonably and appropriately protect the confidentiality,, integrity, and availability of the ePHI that the Business
Associate creates, receives, maintains,or transmits on behalf of the Covered Entity; and
(d) Comply with the Security Rule re(jUirernents including the Administrative Safeguards, Physical Safieguards, Teclimcal
Safeguards, and policies and procedures and documentation requirements set forth in 45 CFR §§ 164308, 164.3 10,
164.312,arid 1643 16.
3.3 Business Associate agrees,to mitigate,to the extent practicable,any harmful effect that is known to Business Associate ofa
use or disclosure of PI 11 by Business,Associate in violation of the requirements of this Agreement.
3.4 Business Associate agrees to proalptly report to Covered Entity any use or disclosure of the PHI not provided For by this
Agreement of which it becomes aware.ThiS includes any requests for inspection,copying or aniendment ofsuch information
and including any security incident involving PHL
15 Business Associate agrees to notify Covered Entity without unreasonable delay ol'any Security breach pertaining tw
(a), Identification of any individual whose unsmircd P111 has been,or is reasonably believed by the Business Associate to
have been,accessed, acquired, or disclosed during such security breach; and
(b) All information required fior the Nwice/(,)the Secre/mY Q111IN o/ffiecich qfUmccureil Proiccle lllealth 117161-mation
1.6 Business Associate agrees to ensure that any aeert, inClUding a subcontr,actor, to whorn it provides PHI received fi-orn, or
created or received by Business Associate on behaffofCovered Entity. agrees to,the same restrictions and conditions that
apply thrOLU,111 this Agreement to Business Associate with respect to such information.
17 1 r Business Associate has PI-11 in a Designated Record Set:
(a) Business Associate agrees to provide access, at the request of Covered Entity,during regular business 110111-S. to PI 11 in a
Designated Record Set, to Covered Entity or, as directed by Covered Entity, to an individual in order to meet the
requirements under 45 CFR §164.524: and
(h) Business Associate agrees to make any,arnetichnent(s)to PHI in a Designated Record Set that the Covered Entity directs
or agrees to purSLKUn to 45 (TR § 164.526 at the request of Covered Entity or an Individual within 10 business days of'
receiving the request,
18 Business Associate agrees to make internal practices,books,and records, including policies and procedures and P1 11,relating
to the use and disclosure of PI-11 received from, or created or received by Business Associate on 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
compliance with the Privacy Rule,
-).9 Business Associate agrees to document such disclosures of PI-11 and information related to such disclosures as would be
I'eL]Ltjred for Covered Entity to respond to a request by an individual for all accounting of disclosures of PI-11 in accordance
with 45 CFR § 164.528.
3AO 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 an aCCOUnting of disclosures of P111 in accordance with 45 CFR
§ 164,528 and ARRA § 134014„
111 Business Associate specifically agrees to use security measures that reasonably and appropriately protect the confidentiality,
integrity, and availability of PHI in electronic or any other form,that it creates,receives,maintains,or transmits on behalfof
the Covered Eatity,
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 man-made and natural Vulnerabilities to
assure the availability, integrity, and confidentiality of such inforniation.
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3.13 .Business Associate agrees to implement security measures to safegwird ePHI that it accesses,, maintains,or transinits as Part
of this agreement from malicious soffivare and other man-made and natUrill vulnerabilities to assure the availability,integrity,
and confidentiality of'such information.
114 Business Associate agrees to comply with:
(a) ARRA § 13404(Application of Knowledge Elements Associated with Contracts);
(b) ARRA § 13405 (Restrictions on Certain DiSCIOSUres and Sales of Flealth Information); and
(c) AR RA § 13406(Conditions on Certain (I ontacts,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 1-11-11 to perforni functions, activities, or services for, or our behalf of, Covered Entity as
specified in any and all contracts with. Covered Entity provided that such use or(fiSCIOSUN would not violate the Privacy RU10 if
done by Covered Entity or the minimum necessary policies and procedures of the Covered Entity.
5,0 Specific Use and Disclosure Provisions.
5.1 Except as otherwise limited in this agreement or any related agreentent, Business Associate way use PHI fbi- the proper
management and adriflnistration of the Business Associate onto carry out the legal responsibilities of the Business Associate,
5,2 Except as otherwise limited in this agreement or any related agreement, Business Associate may disclose PHI for the proper
management and administration of the Business Associate, provided that disclosures are Required By Law, or Business
Associate obtains reasonable assurances from the person to wholo the inforination, is disclosed that it will remain confidential
and used or fin-ther disclosed only as Required By LaNv 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 in which tile confidentiality of the information
has been breached,
5.3 Business Associate may use PHI. to Provide data aggregation services to overcd Entity as permitted by 45 CFR
§164,504(e)(2)(i)(B),Only when specifically authorized by Covered Entity.
54 Business Associate only use PI It to report violations of law to appropriate Federal and State authorities. consistent with 45
CFR §164.502(,1)(I).
6.0 Obligations of Covered Entity.
6.1 Covered Entity shall notify Business Associate of any hinitation(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
FI-11,by Providing a COPY Of tile Most Current Notice ofPrivacy Practices(NPP)to Business Associate. Future Notices and/or
modifications to the NPP shall be posted oil Covered Entity's website at kvt\a? affianc%,l )rajwi,oT u,
6.2 Covered Entity shall notitv Business Associate of airy restriction to the, use, or disclosure of PI-11 that Covered Entity has
agreed to in accordance with 45 C'FR§ 164.522., to the extent that such restriction may affect Business Associate's use or
disclosure OfP111,
7.0 Permissible Requests by Covered Entity. Except for data ag2�gregation or inariagernent and administrative activities,ofBUSi1lcSS
Associate,Covered Entity shall not request Business Associate to,use or disclose Pill in any manner that would not be Permissible
under the Privacy Rule if done by Covered Entity.
,9.0 Effective Date and Termination.
U 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 security provisions and the
provisions niandate(I by ARRA, HITECH and)fart I shall be effective upon the later ol`AprO 14,2003, or the effective
date of the earliest contract entered into between Business Associate and Covercd Entity that involves file Use of PHI;
(b) The electronic security provisions hereof sliall 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 ffll; and
(c) Provisions hereof mandated by ARRA, HITECTI and/or Part I shah be effective the later ofFebruary 17, 2010 or the
effective date of the earliest contract entered into between covered entity and business associate that involve,,;the Use Of
PHI or ePFIL
8,2 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 lerritinate this agreement if'
Business Associate does not care the breach or end the violation within the tine specified by Covered F'Infity;
(b) Immediately terminate this agreement if 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.
83 Effect of 'Termination, Except as provided in Subparagraph (b)ofthis section, upon termination of this agreement. for any
reason, Business Associate shall return all PI-11 and ePFIl received from Covered Entity or created or received by Business
Associate on belial f of Covered Entity,
W This proviision shall apply to [)If] arid el)[11 that
is in the POSSCSSion orsubcontractors or agents of Business Associate.
Business Associate shall retain no copies of tire PHI and OHL
N Ili the event that Business Associate or Covered Entity determines that returning the Pfil or ePHI is infeasible.,
notification of the cc)nditions, that make return of PI-11 or ePHI inficasiMe shall be Provided to the other party, Business
Associate shall extend the Protections of this Agreement to such retanied Plif and ePI-11 and limit further uses and,
disclosures of such retained PHI and ePHI,fora ininit'nurn ofsix years and so long g as Business Associate maintains such
PHI and ePI-11,but no less than six(6)years after the termination of this agreement,
9 O Regulatory References. A reference in this agreement to a section in the Privacy Rule or Security Ride means the section then
in effiect or as may be amended in the Future.
I OM Amendment. The flat-ties agree to take such action as is necessary to amend this agreement from linic to time as is necessary for
Covered Entity to comply with the requirements of the Privacy Rule. tile Security RLile and the Health Insurance Portability and
Accountability Act of'1996,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 ILltUre new requirernern(s),changes or deletion(s)enacted in federal law which create new or
different obligations with respect to HIPAA privacy and/or SCCUrity, shall be automatically incorporated by reference to this
Business Associate Agreement on the respective effective date(s),
14.0 Notices, All notices and communications required, necessary or desired to be given pursuant to this agreement, inClUdillL, a
change of address for purposes of such notices and coninlUrlications. shall be in writing and delivered personally to the other
party or sent by express 24-110111'guaranteed Courier Or delivery Service,or by certified mail of the United 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: Monroe County Board of County Commissioners,Social Servicesfin-Hoine Set-vices
1100 Simonton Street,2"'Floor
Key West,FL 33040
Any such notice shall be deemed delivered upon actual receipt. Ifany notice cannot be delivered or delivery thereof is refinsed,delivery
will be deemed 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 tinder this agreement.
16.0 Severability. If any provision in this agreement is unenforceable to any extent,the remainder of this-,Agreement,or application
of that provision to any persons or circumstances other than those as to which it is held unenforceable,will not be affected by
that unenforceability and will be enforceable to the fullest extent permitted by law.
117,0 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 tinder this agreement and agree to perform them in the same
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* Business Associate's obligations shall be by written agreement satisfactory to Covered Entity,
18.0 Entire Agreement. This agreement constitutes the entire agreement of the parties relating to the subject matter of this agreement
and supersedes all other oral or written agreements or policies relating thereto, except that this agreement does not limit the
amendment of this agreement in accordance with section 10.0 of this agreement.
Covered Entity' Alliance for Aging,Inc.
By: Date: 1/4/24
(signature) .-4 -TI
F
M
-0
Business Associate: Monroe County Board of County Commissioners,Social ServicesA n-11t)me Se"Mi CO
—J
rz
By: t
7 Date: 01.03.2024
(signatuie),
CD
Kevin Madok,Clerk SIGNED BY:
An
NAME Holly Merrill Raschein
TITLE:
MAYQR
DATE:
A eputy Clerk
W)A
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M— —A—%0ff,,
Ch Isdv C—A,".C—y A--
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ATTACHMENT G
Alliance for Aging, Inc.
Aging and Disability Resource Center/Elder Helpline
AGING AND DISABILITY RESOURCE CENTER (ADRC)—OUTSOURCED FUNCTIONS
I. If applicable,the provider agmes to the following:
A. Perform ADRC outsourced functions in accordance with the Alliance's policies and procedures.
i. Policies and Procedures for OUtSourced l"UnCtiOn-Screening
ii. Policies and Procedures fOrOWSOurced Function-Triage
iii. Policies and Procedures fior Activation from Waitlist- Client Services
iv, Policies and Procedures fear Termination from Waitlist- Client Services
B. Maintain wait fists in eCIRTS in accordance, with DOEA reqUirements,
C. Adhere to prioritization and targeting policy is set forth in the Handbook, as applicable.
1). Ensure the Provider's Disaster Plan reflects ADRC OWSOLIrced FLRICtiORS, annually or as needed to
incorporate ADRC OWSOLIrced functions.
E. Ensure against conflicts of interest and inappropriate self-reki-rals by retlerring, consuincrs in need of
options counseling or long-term care services beyond the provider's scope of services to the Aging and
Disability RCSOLOVC Center,
F, Ensure that services provided are in the clients' best interest, are the most cost effective, of high quality,
and are responsive and appropriate to,the assessed needs.
The Assessed Prior-ity Consumer List(APCL) is maintained when set-vices funded by the department are not available.,
Contracted Providers of registered services for Local Services Program (l.,SP) and Older Americans Act (0AA) must
maintain wailing lists in the eCIRTS database for registered services when funding is not available.
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Alliance for Aging, Inc.
Aging and Disability Resource Center/Elder Hellpline
Policy and Procedure for Outsourced function —Screening
Creation Date: March 5, 2008
Revision Date: October 2019
Revie,A,Date: November 2023
Objective: To erasure that a cornpreliensive list of clients in need of services is maintained in eCIRTS by appropriate
funding source and that the ADRC is thereby able to effectively gauge 111C level of elder service need ill
N/liam i-Dade and Monroe COL111tiCS,
Policy: To obtain necessary information from clients in order to assist in determining level of need and eligibility for
registered services funded t1irougli OAA and LSP programs.
Procedure:
I Providers will collect inforination from callers and COMILICt a 701S assessment. Alternatively, if 701AI:B)
assessment already exists or is provided from another Provider the infilrination from the 701 B can be utilized,.
1 'File Provider wiII determine(lie services needed and the appropriate l'unding SOUrCe,(S)that provides the needed
services,
If the caller is in need of a serviec(s) that is not provided by the Provider, the provider will refer caller to Ole
ADRC Elder Helpline., as well as, to other contracted Providers and community organizations,
3. 'I'lic caller will be provided with general information regarding the ADRC as well as the ADRC Elder Helpline
contact number,
4. Tlie caller will be informed of the services and ffinding,sources that they are being placed on the Nvait list for in
c CI RTS.
5, For non-case managed progranis, 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 tbere is all existing record
in eCIRT'S. the appropriate fields will be updated],
If the Provider determines that tile caller may qualify for more than one prograrri for NvIiicb the Provider is
funded,the Provider is encouraged to enter the appropriate information under mulliple f1inding SOUrces, (If there
is an existing client record in eCJRTS, the client record in eCIRTS will be updated writh appropriate
information 1.
7, "I"lle Provider will inform caller that they will receive an annual re-assessment based on DOC EA Wait List
Reassessinent Standards and encOUrage caller to contact the ADRC Elder Helpline with any qUCS60M.
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Alliance for Aging, Inc.
Aging and Disability Resource C''enter/Eider Helpline
Policy and Procedure for
Outsourced function - Triage
Creation Date- March 5, 2008,
Revision Date: October''019
Review Date: November 2023
Objective: To ensure that clients in need of DOEA funded services receive services based on the highest level
first, as funding becomes available,
Policy: To assist clients in obtaining DOE'A funded services as funding becomes available, based on level of need as
determined by air cCIRTS priority score,
Procedure:
I, The Provider will conduct atirILMI reassessments based on DOEA Wait List Reassessment Standards.
2. 11' there is 110 current 701A or B in eCIRTS. the Provider will conduct the annual reassessment (701s) as
appropriate. Based orithe information provided via the 70IS/A(B)assessment, the Provider Will Update the cliont
information in eCIRTS specifically as it perfiains to level of need for services by funding source.
3, The Provider will ensure that the cCIRTS prioritization score is accurately maintained, according to DOFIA
Standards. It" as significant change has occtirred Prior to the annual re-screening, the Provider 1111ist re-screen.
Definitions and examples of' significant change are dOCUMCnied in the DOEA Prograrris, & Services Manual
C hza p te r 2
4. if the caller,is in need or a service(s) that is not provided by the Provider.the Provider will refer,caller to the ADRC
Elder Helpline, 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 I lelp Line contact number and to contact the ADRC Elder
Help Line with any qLiCS1i011S or concerns.,
6, As funding becomes, available, the Provider will run, the eCIRTS Prioritization Report and activate clients
according to DOEA Standards (refer to AD RC 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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,AA-2429
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 2023
Objective: To ensure that elders in need of DOEA funded services in Mianl'i-Dade and Monroe COUnfles and oil tile
cCIRTS wait list begin to receive services as funding beconles available.
Policy: ADRC will work with Providers to ensure that clients waiting for DOEA funded services begin to receive
those services as funding becomes available,
Procedure:
1. 'File Provider will activate clients oil the eCIRTS wait list based oil DOEA prioritization Polices and Funding
availability.
1 'File Provider Will Update eCIRTS staftis by Funding SOUrce and service for any services being activated fair tile
client Using appropriate eCIRTS codes.
3. Client may be left oil wait list of a different funding source than tile one being,activated if the, Provider deterinines
that it is appropriatc,
4 C1 ient may also be left on tile wait list in c0 RTS if they are being activated by tile Provider Under as temporary
non-DOEA funding source and the Provider determines that the clients need will persist after tile temporary
funding source is exhausted,
i, T'lle Provider will inform the client of all), services/funding source that they are being,activated for Lis \veli as those
services and funding sources that they Will COntiffile, to be wait listed for.
6, The Provider Nvill inform client to contact the ADRC Elder lielpline if they have any questions or concerns
regarding the StatUS' of any Of IhCir Sel`ViCeS.
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Alliance for Aging,, Inc.
Aging and Disability Resource Center/Elder Helpline
Policy and Procedure for
'rermination from Wait List—Clients/Services,
Creation Date: March 5, 2008
Revision Date: October 2019
Review Date: November 2023
01�jectivc. To ensure that the comprehensive list of clients in need of services in cCIRTS is appropriately maintained by
fLinding source and that the ADRC is thereby able to effectively gaUge the cnrrent level of elder service need
in Miarni-Dade and Monroe Counties.
Policy: ADRC will niaintain an acCUrate and Current list of clients in need of elder set-vices in Miatni-Dade and
MOVITOC Con hies with the assistance of the ADRC Contracted Providers.
Procedure:
I. The Provider will re-screen clients which the provider initially placed on the eCIRTS wait list for services baicd
on DOEA Reassessment Standards,
2. The re-screening may be in the form of a phone screening or a horne visit, depending on the client's status (i.e.
active/pending)
1 The Provider will determine if the client is no longer in need (or eligible) for any of the services they were wait-
fisted for.
T. The Provider will terminate the client front the wait list (entirely or by specific service) using the appropriate
eCIRTS termination code for any services or funding source for which the client is determined to no longer be
eligible l'or or no longer in need of,
5. The Provider will inform the client of any services/funding Source that they are being removed front the wait list
for,.
6, The Provider will inform client of their ability to be re-added to the wait list if their level offleed should change,
Z. The Provider will infOT111 Client to contact the A,DRC Elder 11elpline if they have any questions or concerns
regarding their wait list status.
S. Rel'erence the I landbo,ok as applicable.
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