1st Amendment 04/19/2006
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
April 20, 2006
TO:
Dotti Albury, Administrative Assistant
In-Home Services
Pamela G. Han~
Deputy Clerk 0
FROM:
At the April 19, 2006, Board of County Commissioner's meeting the Board granted
approval and authorized execution of the following:
Renewal of the Home Community Based Services Aged and Disabled Adult (ADA)
Medicaid Waiver Case Management Referral Agreement between the Alliance for Aging, Inc.,
and the Monroe County Board of County Commissioners (Monroe County In-Home Services
Program) retroactive to July 1, 2004.
Renewal of the Home and Community Based Services Aged and Disabled Adult (ADA)
Medicaid Waiver Referral Agreement between Alliance for Aging, Inc. and the Monroe County
Board of County Commissioners (Monroe County In-Home Services Program) for Direct
In-Home Services retroactive to July 1, 2004.
J Amendment No. 0001 to the Community Care for Disabled Adults (CCDA) Contract No.
KG052 between the Department of Children and Families and the Monroe County Board of
County Commissioners/Monroe County In-Home Services to reduce/de-obligate the CCDA
Contract by a total of$9,995.66.
Enclosed are four duplicate originals of each of the above-mentioned, executed on behalf
of Monroe County, for your handling. Please be sure to return the fully executed "Monroe
County Clerk's Office Originals" and the "Monroe County Finance Department's Originals"
as soon as possible. Should you have any questions please do not hesitate to contact this office.
cc: County Attorney
Finance w/o documents
File)
O,Yv~~y ~O~~~E
(305) 294-4641
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BOARD OF COUNTY COMMISSIONERS
MAYOR Dixie Spehar, District 1
Mayor Pro Tern Charles "Sonny" McCoy, District 3
George Neugent, District 2
David P. Rice, District 4
Murray E. Nelson, District 5
MEMORANDUM
FROM:
Pamela Hancock and or Belle DeSantis, County Clerk(s), County Clerk's Office
Dotti Albury, Administrative Assistant In-Home Services Program ~
TO:
DATE:
5/9/2006
RE:
CCDA Amendment
Enclosed are the two (2) original copies of Amendment #001 to CCDA Contract #KG-052, for the Monroe
County Clerk's Office and Monroe County Finance Department. This amendment was granted approval and
executed on behalf of Monroe County on April 19, 2006. The Department of Children and Families has finished
executing said document on April 28, 2006.
Thank you.
CC: Deloris Simpson; Senior Administrator, In-Home Services Program
Enclosures
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CONTRACT #KG052
AMENDMENT #0001
THIS AMENDMENT, entered into between the Florida Department of Children and
Families, hereinafter referred to as the "department" , and Monroe County (Monroe County In Home
Services), hereinafter referred to as the "provider", amends contract KG052.
1. Standard Contract, Section II, Paragraph A is hereby amended to read:
To pay for contracted services according to the terms and conditions of this contract in an
amount not to exceed N/A, subject to the availability of funds. The State of Florida's
performance and obligation to pay under this contract is contingent upon an annual
appropriation by the Legislature. Any costs or services paid for under any other contract for
from any other source are not eligible for payment under this contract.
2. Attachment I, Section C, Paragraphs 1.a., I.b and I.c. are hereby amended to read:
1. Payment Clause
a. This is a Fixed Price contract. The department shall pay the provider for the delivery
of service units provided in accordance with the terms and conditions of this contract for
a total dollar amount not to exceed N/A, subject to the availability of funds.
b. The department shall make payments to the provider for provision of services up to
the maximum number of units of service at the rates shown below.
c. The department agrees to pay for the service at the unit prices and limits listed below:
Service Units U nit Price Maximum # of
Units
Case Management $ 50.78 158
Homemaking $ 34.14 1150
Home Delivered Meals $ 5.70 2803
Personal Care $ 42.38 200
d. The provider's dollar match for this contract is 10% of contract expenditures. Case
management and transportation services may be exempt from match requirement at the
discretion of each district.
3. This amendment shall begin on May 1, 2006, or the date on which the amendment has been
signed by both parties, whichever is later.
4. All provisions in the contract and any attachments thereto in conflict with this amendment
shall be and are hereby changed to conform with the amendment.
AMENDMENT# 0001
KG052
5. All provisions not in conflict with this amendment are still in effect and are to be performed at
the level specified in the contract.
6. This amendment and all its attachments are hereby made a part of this contract.
IN WITNESS WHEREOF, the parties hereto have caused this 2 page amendment to be executed by
their officials thereunto duly authorized.
SIGNED ~, 1!i:(i!r-
BY. __ _ I' U (,
NAME: Gilda P. Ferradaz
PROVIDER: MONROE COUNTY
(Monroe County In Home Services)
FLORIDA DEPARTMENT
OF CHILDREN AND FAMILIES
SIGNED
BY:
NAME:
Charles McCov
TITLE:
Mavor
DATE
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TITLE: Acting District Administrator
DATE cf~/00
FfIJEIOWID NUMBER: 590600074902
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