COMPLETED BOARD ORDER�"���21
Before the Board of Supervisors in and for the
County of Monterey, State of California
Agreement No: A-11481; Budget No: 09/10-146
a. Approve and authorize the Director of the Department of Social &
Employment Services, or his designee, to sign Amendment No. 1 to
Agreement A-11481 with Meals on Wheels of the Salinas Valley for the
provision of home-delivered meals to seniors for Fiscal Year FY) 2009/10,
adding $56,578, increasing the total contract amount to $322,469;
b. Authorize the Director of the Department of Social & Employment
Services, or his designee, to sign up to three 3) amendments to this
agreement, where the total amendments do not exceed ten percent 10%) of
the original contract amount, and do not significantly change the scope of
work; and
c. Direct the County Administrative Office and the Auditor-Controller to
amend the Department of Social and Employment Services Budget Unit
8268 for FY2009-10, increasing appropriations and estimated revenues in
the amount of $56,578 as detailed in the attached Board Order. 4/5'h vote
required)
Upon motion of Supervisor Potter, seconded by Supervisor Armenta, and carried by those
members present, effective May 11, 2010, the Board hereby:
a. Approved and authorized the Director of the Department of Social & Employment Services,
or his designee, to sign Amendment No. 1 to Agreement A-11481 with Meals on Wheels of
the Salinas Valley for the provision of home-delivered meals to seniors for Fiscal Year FY)
2009/10, adding $56,578, increasing the total contract amount to $322,469;
b. Authorized the Director of the Department of Social & Employment Services, or his
designee, to sign up to three 3) amendments to this agreement, where the total amendments
do not exceed ten percent 10%) of the original contract amount, and do not significantly
change the scope of work; and
c. Directed the County Administrative Office and the Auditor-Controller to amend the
Department of Social and Employment Services Budget Unit 8268 for FY2009-10,
increasing appropriations and estimated revenues in the amount of $56,578 as detailed in the
attached Board Order. 4/5'h vote required)
PASSED AND ADOPTED this 11'i' day of May, 2010, by the following vote, to wit:
AYES: Supervisors Armenta, Calcagno, Salinas, Potter
NOES: None
ABSENT: Parker
I, Gail T. Borkowski, Clerk of the Board of Supervisors of the County of Monterey, State of California, hereby
certify that the foregoing is a true copy of an original order of said Board of Supervisors duly made and entered in
the minutes thereof of Minute Book 75 for the meeting on May 11, 2010.
Gail T. Borkowski, Clerk of the Board of Supervisors
Dated: May 12, 2010
County of I iterey, State of California
By
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SIGNED BOARD REPORTX��"���MONTEREY COUNTY BOARD OF SUPERVISORS
MEETING: May 11, 2010 CONSENT AGENDA NO:
SUBJECT: a) Approve and authorize the Director of the Department of Social & Employment
Services, or his designee, to sign Amendment #1 to Agreement #A-11481 with Meals on Wheels of
the Salinas Valley for the provision of home-delivered meals to seniors for Fiscal Year 2009/10,
adding $56,578, increasing the total contract amount to $322,469; and
b) Authorize the Director of the Department of Social & Employment Services, or his designee, to
sign up to three 3) amendments to this agreement, where the total amendments do not exceed 10%
of the original contract amount, and do not significantly change the scope of work; and
c) Direct the County Administrative Office and the Auditor-Controller to amend the Department of
Social and Employment Services Budget Unit 8268 for Fiscal Year 2009-10, increasing
appropriations and estimated revenues in the amount of $56,578 as detailed in the attached Board
Order. 4/5th Vote Required)
DEPARTMENT: Social & Employment Services
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a) Approve and authorize the Director of the Department of Social & Employment Services, or his
designee, to sign Amendment #1 to Agreement #A-11481 with Meals on Wheels of the Salinas
Valley for the provision of home-delivered meals to seniors for Fiscal Year 2009/10, adding
$56,578, increasing the total contract amount to $322,469; and
b) Authorize the Director of the Department of Social & Employment Services, or his designee, to
sign up to three 3) amendments to this agreement, where the total amendments do not exceed 10%
of the original contract amount, and do not significantly change the scope of work; and
c) Direct the County Administrative Office and the Auditor-Controller to amend the Department of
Social and Employment Services Budget Unit 8268 for Fiscal Year 2009-10, increasing
appropriations and estimated revenues in the amount of $56,578 as detailed in the attached Board
Order.
SUMMARY/DISCUSSION:
The amendment with Meals on Wheels of the Salinas Valley enables the Department of Social and
Employment Services, Area Agency on Aging, to provide 1,935 additional home-delivered meals to
seniors in the Salinas Valley. The amendment also increases the meal reimbursement rate from
$3.00 to $3.40 per meal, and includes funds for equipment purchases. These funds are One-Time-
Only augmentations from the Older Americans Act.
OTHER AGENCY INVOLVEMENT:
County Counsel, the Auditor-Controller and Purchasing have reviewed and approved this
amendment.
FINANCING:
The financing is a one-time allocation of funds from the California Department of Aging for FY
2009/10
Therry is no impact to the County General Fund.
14;,x%
G
Elliott Robinson, Director
Departme t of Social and Employment Services
prepared by: Ethan Hurley, MA II
ext: 3425
Date: Date:
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AMENDMENT NO. 1 TO A-11481"�
�COUNTY OF MONTEREY
AMENDMENT #I TO AGREEMENT #A-11481
Meals on Wheels of the Salinas Valley
This Amendment is made and entered into by and between the County of Monterey, a
political subdivision of the State of California, hereinafter, COUNTY"), and Meals on
Wheels of the Salinas Valley hereinafter, CONTRACTOR").
This Amendment modifies the agreement for the provision of home-delivered meals to
low-income Seniors in Monterey County, between the parties executed on July 22, 2009,
hereinafter, Original Agreement by adding $56,578 as a result of an increase in
meal count and meal reimbursement rate, as well as equipment purchases for the
period July 1, 2009 to June 30, 2010, increasing the total contract amount to
$322,469. Therefore, the parties agree:
1. Section 1 of the Original Agreement is amended to read as follows:
1. SERVICES TO BE PROVIDED: The County hereby engages
CONTRACTOR to perform, and CONTRACTOR hereby agrees to perform, the
services described in Exhibit AA, in conformity with the terms of this
Agreement. The services are generally described as follows: Provide home-
delivered meals to low-income Seniors in Monterey County.
2. Section 2 of the Original Agreement is amended to read as follows:
2. PAYMENTS BY COUNTY: COUNTY shall pay the CONTRACTOR in
accordance with the payment provisions set forth in Exhibit AA, subject to the
limitations set forth in this Agreement. The total amount payable by COUNTY to
CONTRACTOR under this agreement shall not exceed the sum of $322,469.
3. Section 4 of the Original Agreement is amended to read as follows:
4. ADDITIONAL PROVISIONS/EXHIBITS: The following attached exhibits
are incorporated herein by reference and constitute a part of this agreement:
Exhibit AA
Exhibit B
Exhibit CC-1
Exhibit CC-2
Exhibit D-1
Exhibit D-2
Exhibit D-3
Exhibit E
Exhibit F
Exhibit G
Meals on Wheels of the Salinas Valley
Amendment #I to Contract #A-1 1481
Page 1 of 3
Scope of Services/Payment Provisions
DSES Additional Provisions
Program Budget-City
Program Budget-Rural
Provider Claim to AAA sample)
AAA USDA NSIP Claim sample)
Provider Annual Closeout Summary
sample)
HIPAA Business Associate Agreement
Elder and Dependent Adult Abuse
Reporting Certification
Equipment Acquisition Report
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AMENDMENT NO. 1 TO A-11481"�
�4. Sections 1.02 and 2.01 of Exhibit B of the Original Agreement are amended to
read as follows:
1.02 Allowable Costs: Allowable costs shall be the CONTRACTOR's actual
costs of developing, supervising and delivering the services under this
Agreement as set forth in the budget, attached hereto as Exhibits CC-1 and
CC-2. Only the costs listed in Exhibits CC-1 and CC-2 as contract expenses
may be claimed as allowable costs. Any dispute over whether costs are
allowable shall be resolved in accordance with the provisions of 45 Code of
Federal Regulations, Part 74, Sub-Part F and 48 Code of Federal Regulations
CFR), Chapter 1, Part 31
2.01 Outcome objectives and performance standards: CONTRACTOR shall,
for the entire term of this Agreement, provide the service outcomes set forth in
Exhibit AA. CONTRACTOR shall meet the contracted level of service and the
specified performance standards described in Exhibit AA unless prevented from
doing so by circumstances beyond CONTRACTOR's control including, but not
limited to, natural disasters, fire, theft and shortages of necessary supplies or
materials due to labor disputes.
5. Exhibits A, C-1, and C-2 of the Original Agreement, are rescinded and replaced
by Exhibits AA, CC-1, and CC-2, attached.
Subject to the foregoing amendment, all other terms and conditions of the Original
Agreement shall remain in full force and effect.
this space left blank intentionally)
Meals on Wheels of the Salinas Valley
Amendment #I to Contract #A-1 1481
Page 2 of 3
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AMENDMENT NO. 1 TO A-11481"�
�If there is any conflict or inconsistency between provisions of this amendment and the
Original Agreement, the provisions of this amendment shall control in all respects.
IN WITNESS HEREOF, the parties hereby execute this amendment as follows:
COUNTY OF MONTEREY: CONTRACTOR:
By:
Elliott Robinson
Director, DSES
Ruben)Rueda, President
Date:
Approved as to Form:
De._ptty County Counsel
Date: 0
Auditor-Codtrolle
r' Office
Date: 1 U
Date: 04- 42 /o
By:
Pat Sallay, Treasurer'
Date: I` /,%< / 0
Meals on Wheels of the Salinas Valley
Amendment #1 to Contract #A-1 1481
Page 3 of 3
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AMENDMENT NO. 1 TO A-11481"�
�SCOPE OF SERVICES/PAYMENT PROVISIONS
MEALS ON WHEELS OF THE SALINAS VALLEY
July 1, 2009 to June 30, 2010
1. CONTACT INFORMATION
Contractor Name:
Mailing Address:
EXHIBIT AA
Meals on Wheels of the Salinas Valley
40 Clark Street, Suite C
Salinas, CA. 93901
831)758-6325
Fax: 831) 758-6518
Contact Person:
County Contract Manager:
Disaster Preparedness Coordinator:
II. LOCATION:
A. Administrative Offices:
III. TARGETING POLICY:
Janine Nunez-Robinette,
Executive Director
Janiner@mowsalinas.org
Ethan Hurley
Area Agency on Aging
Department of Social
and Employment Services
713 La Guardia Street, Suite A
Salinas, CA 93905
831) 755-3425
Fax: 831) 783-7021
Janine Nunez Robinette
Meals on Wheels Salinas Valley
40 Clark Street, Suite C
Salinas, CA. 93901
831) 758-6325 Fax: 831) 758-6518
Office hours: 9:00 AM 4:30 PM
It is the policy of the Area Agency on Aging to assure that services are effectively
targeted to, and reach people most in need as directed by the Older Americans Act.
Contractor shall give preference to serving individuals in greatest social and
economic need, with particular attention to serving low-income minority individuals
and older individuals residing in rural areas.
MOW Salinas Valley July 1, 2009 to June 30, 2010
Exhibit AA Page 1 of 5
BIB]
40311-U01
AMENDMENT-U02
NO.-U02
1-U02
TO-U02
A-11481-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO86930-U03
MG86968-U03
AS86994-U03
AS86996-U03
AI90922-U03
DO91317-U03
C5-U03
AGREEMENTS-U03
5/12/2010-U04
MUNOZP-U04
14943-U05
1-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
DIRECTOR-U07
OF-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
4/29/2010-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
A-11481-U012
MEALS-U012
ON-U012
WHEELS-U012
OF-U012
SALINAS-U012
VALLEY-U012
PROVISION-U012
OF-U012
HOME-DELIVERED-U012
MEALS-U012
TO-U012
SENIORS-U012
FISCAL-U012
YEAR-U012
FY)-U012
2009/10,-U012
ADDING-U012
$56,578,-U012
INCREASING-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
AUTHORIZE-U012
DIRECTOR-U012
OF-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
HIS-U012
DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
SCOPE-U012
OF-U012
WORK;-U012
C.-U012
DIRECT-U012
COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
DETAILED-U012
IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
VOTE-U012
REQUIRED)-U012
AMENDMENT NO. 1 TO A-11481"�
�The term Greatest Economic Need means the need resulting from an income level at
or below the poverty line.
The term Greatest Social Need means the need caused by:
Physical and mental disabilities
Language barriers
Isolation caused by cultural, racial or ethnic status
Social or geographic isolation
IV. SERVICES TO BE PROVIDED:
A. CONTRACTOR shall provide nutritious home delivered meals in compliance
with all applicable sections of Title 22. Social Security, Division 1.8.
California Department of Aging, Chapter 4.(1) Title III Programs Program
and Service Provider Requirements, Article 5. Title III C-Elderly Nutrition
Program:
s 7636. Elderly Nutrition Program Provider Administration.
s 7636.1. General Requirements.
s 7636.5. Staff/Volunteer Training Requirements.
s 7638.3. Requirements for Home-Delivered Nutrition Services.
s 7638.5. Nutrition Requirements of Meals.
s 7638.7. Eligibility for Nutrition Services.
s 7638.9. Contributions and Fees for Cost of Meals.
s 7638.11. Nutrition Education Services for Participants.
Services shall be delivered to the following areas:
Areas Served:
City Program
City of Salinas
Delivery of up to seven frozen meals per week
Rural Program
North County:
Castroville & Pajaro Delivery of up to seven frozen meals
per week
Prunedale area Delivery of a hot lunch M-F from the
Prunedale Senior Center
MOW Salinas Valley July 1, 2009 to June 30, 2010
Exhibit AA Page 2 of 5
BIB]
40311-U01
AMENDMENT-U02
NO.-U02
1-U02
TO-U02
A-11481-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO86930-U03
MG86968-U03
AS86994-U03
AS86996-U03
AI90922-U03
DO91317-U03
C5-U03
AGREEMENTS-U03
5/12/2010-U04
MUNOZP-U04
14943-U05
1-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
DIRECTOR-U07
OF-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
4/29/2010-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
A-11481-U012
MEALS-U012
ON-U012
WHEELS-U012
OF-U012
SALINAS-U012
VALLEY-U012
PROVISION-U012
OF-U012
HOME-DELIVERED-U012
MEALS-U012
TO-U012
SENIORS-U012
FISCAL-U012
YEAR-U012
FY)-U012
2009/10,-U012
ADDING-U012
$56,578,-U012
INCREASING-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
AUTHORIZE-U012
DIRECTOR-U012
OF-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
HIS-U012
DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
SCOPE-U012
OF-U012
WORK;-U012
C.-U012
DIRECT-U012
COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
DETAILED-U012
IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
VOTE-U012
REQUIRED)-U012
AMENDMENT NO. 1 TO A-11481"�
�South County:
Delivery of up to seven frozen meals per week
V. MANAGEMENT INFORMATION SYSTEM DATA
A. Program Area: Home-delivered meals
1. Unit of Service Definition
Unit #004 AAASC: home delivered Meal 1 Meal) Provision to an eligible
client or other eligible participant at the client's place of residence, a meal
which:
Complies with the Dietary Guidelines for Americans published by the
Secretary of the Department of Health and Human Services and the Secretary
of the United States Department of Agriculture);
Provides, if one meal is served, a minimum of 33 and 1/3 percent of the
current daily Recommended Dietary Allowances RDA) as established by the
Food and Nutrition Board of the National Research Council of the National
Academy of Sciences.
Estimated total number of units of services to be provided:
City Program
Title III C-2: Number of frozen meals delivered:
40,070 meals
NSIP: Number of NSIP frozen meals delivered:
80,140 meals
equals 40,070 Title III C-2 main meals plus 40,070 breakfast meals
CONTRACTOR provides above the minimum one meal five times per
week).
Rural Program
Title III C-2: Number of frozen meals delivered:
25,565 meals
NSIP: Number ofNSIP frozen meals delivered:
51,13() meals
Equals 25,565 Title III C-2 rural frozen meals plus 25,565
breakfasts CONTRACTOR provides above minimum meal of
one meal five times per week)
Estimated total number of individuals who will receive meals: 475
MOW Salinas Valley July 1, 2009 to June 30, 2010
Exhibit AA Page 3 of 5
BIB]
40311-U01
AMENDMENT-U02
NO.-U02
1-U02
TO-U02
A-11481-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO86930-U03
MG86968-U03
AS86994-U03
AS86996-U03
AI90922-U03
DO91317-U03
C5-U03
AGREEMENTS-U03
5/12/2010-U04
MUNOZP-U04
14943-U05
1-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
DIRECTOR-U07
OF-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
4/29/2010-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
A-11481-U012
MEALS-U012
ON-U012
WHEELS-U012
OF-U012
SALINAS-U012
VALLEY-U012
PROVISION-U012
OF-U012
HOME-DELIVERED-U012
MEALS-U012
TO-U012
SENIORS-U012
FISCAL-U012
YEAR-U012
FY)-U012
2009/10,-U012
ADDING-U012
$56,578,-U012
INCREASING-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
AUTHORIZE-U012
DIRECTOR-U012
OF-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
HIS-U012
DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
SCOPE-U012
OF-U012
WORK;-U012
C.-U012
DIRECT-U012
COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
DETAILED-U012
IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
VOTE-U012
REQUIRED)-U012
AMENDMENT NO. 1 TO A-11481"�
�B. Program Area: Nutrition Education
1. Unit #122: Nutrition Education 1 session per participant) Provision
of nutrition information and education to an eligible client at the client's place
of residence. Services may be delivered in person or via printed material.
Estimated total number of units of services to be provided:
City & Rural No less than four 4) sessions.
2. Unit #122: Nutrition Education I contact).
Estimated total number of individuals who will receive services: 475
VI. REPORTING REQUIREMENTS
A program report shall accompany CONTRACTOR'S monthly invoice to COUNTY,
using COUNTY's California Aging Reporting System' compliant MARSS Microsoft
Access Database. Exhibit G, Equipment Acquisition Report, shall accompany
CONTRACTOR'S monthly invoice to COUNTY as appropriate. Exhibit D-3, Annual
Closeout Summary shall be submitted by CONTRACTOR to COUNTY at the end of
the contract term, no later than July 10, 2010.
VII. PAYMENT PROVISIONS
COUNTY shall pay CONTRACTOR in accordance with Article 6, Payment
Conditions. Claims for payment shall be submitted electronically, in the form set forth
in Exhibit D- I and Exhibit D-2, by the 10`h of the month for services rendered in the
previous month.
Title III C-2
COUNTY shall reimburse CONTRACTOR for Title III C-2 funding based on the
service unit rate of $3.40 multiplied by the number of units of service provided during
the previous month by CONTRACTOR, not to exceed Two Hundred Twenty-Three
Thousand, One Hundred and Fifty-Nine dollars $223,159).
City Program
$3.40 X 40,070 meals) $136,238
Rural Program
$3.40 X 25,565 meals) $86,921
One Time Only Funding:
$13,400 for the purchase of a copier and a laser printer.
Total Title III C-2 Funds: $236,559
MOW Salinas Valley July 1, 2009 to June 30, 2010
Exhibit AA Page 4 of 5
BIB]
40311-U01
AMENDMENT-U02
NO.-U02
1-U02
TO-U02
A-11481-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO86930-U03
MG86968-U03
AS86994-U03
AS86996-U03
AI90922-U03
DO91317-U03
C5-U03
AGREEMENTS-U03
5/12/2010-U04
MUNOZP-U04
14943-U05
1-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
DIRECTOR-U07
OF-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
4/29/2010-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
A-11481-U012
MEALS-U012
ON-U012
WHEELS-U012
OF-U012
SALINAS-U012
VALLEY-U012
PROVISION-U012
OF-U012
HOME-DELIVERED-U012
MEALS-U012
TO-U012
SENIORS-U012
FISCAL-U012
YEAR-U012
FY)-U012
2009/10,-U012
ADDING-U012
$56,578,-U012
INCREASING-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
AUTHORIZE-U012
DIRECTOR-U012
OF-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
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DESIGNEE,-U012
TO-U012
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UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
SCOPE-U012
OF-U012
WORK;-U012
C.-U012
DIRECT-U012
COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
DETAILED-U012
IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
VOTE-U012
REQUIRED)-U012
AMENDMENT NO. 1 TO A-11481"�
�Title III C-2 NSIP
COUNTY shall reimburse CONTRACTOR 1/12`h of the Nutrition Services Incentive
Program NSIP) funding each month for the purchase of raw food costs, not to exceed
Eighty-Five Thousand Nine Hundred and Ten Dollars $85,910).
City Program $52,448
Rural Program $33,462
The maximum amount to be paid by COUNTY to CONTRACTOR for the period July
1, 2009 through June 30, 2010 shall not exceed Three Hundred Twenty-Two
Thousand Four Hundred and Sixty-Nine Dollars $322,469).
MOW Salinas Valley Jul), 1, 2009 to June 30, 2010
Exhibit AA Page 5 of 5
BIB]
40311-U01
AMENDMENT-U02
NO.-U02
1-U02
TO-U02
A-11481-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO86930-U03
MG86968-U03
AS86994-U03
AS86996-U03
AI90922-U03
DO91317-U03
C5-U03
AGREEMENTS-U03
5/12/2010-U04
MUNOZP-U04
14943-U05
1-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
DIRECTOR-U07
OF-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
4/29/2010-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
A-11481-U012
MEALS-U012
ON-U012
WHEELS-U012
OF-U012
SALINAS-U012
VALLEY-U012
PROVISION-U012
OF-U012
HOME-DELIVERED-U012
MEALS-U012
TO-U012
SENIORS-U012
FISCAL-U012
YEAR-U012
FY)-U012
2009/10,-U012
ADDING-U012
$56,578,-U012
INCREASING-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
AUTHORIZE-U012
DIRECTOR-U012
OF-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
HIS-U012
DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
SCOPE-U012
OF-U012
WORK;-U012
C.-U012
DIRECT-U012
COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
DETAILED-U012
IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
VOTE-U012
REQUIRED)-U012
AMENDMENT NO. 1 TO A-11481"�
�cc
Monterey County AAA Budget Certification
Title 3C2 3212 0001 MOWSV City HDEL City of Salinas Fiscal Year 2010
SiteAbhr Prov Site BegofYr BID ExpCat BudgetC BudgetiK
CityMOWSV 3212 0001 07/01/2009 1 SalariesNol IK $156,430 $43,200
CityMOWSV 3212 0001 07/01/2009 2 Payroll Taxes $15,643 $0
CityMOWSV 3212 0001 07/01/2009 3 Employee Benefits $31,286 $0
CityMOWSV 3212 0001 07/01/2009 4 Volunteer Reimb. $6,300 $0
CityMOWSV 3212 0001 07/01/2009 5 TravelNol Travel $700 $0
CityMOWSV 3212 0001 07/01/2009 6 Confer/Trng/Mtgs $2,398 $0
CityMOWSV 3212 0001 07/01/2009 7 Prof Fees:Acct/Legal/DP $14,846 $0
CityMOWSV 3212 0001 07/01/2009 8 Equipment Purchase $16,900 $0
CityMOWSV 3212 0001 07/01/2009 9 Equip Rent/Maint $6,160 $0
CityMOWSV 3212 0001 07/01/2009 10 Occupancy $23,454 $0
CityMOWSV 3212 0001 07/01/2009 11 Insurance(Not Veh/Occ) $4,550 $0
CityMOWSV 3212 0001 07/01/2009 12 Utilities/Communications $3,055 $0
CityMOWSV 3212 0001 07/01/2009 13 Postage/Shipping $6,332 $0
CityMOWSV 3212 0001 07/01/2009 14 Printing/Publication $3,482 $0
CityMOWSV 3212 0001 07/01/2009 15 Public Rel/Advertising $2,100 $0
CityMOWSV 3212 0001 07/01/2009 16 Subs/Membership Dues $1,077 $0
CityMOWSV 3212 0001 07/01/2009 17 Supplies $7,306 $0
CityMOWSV 3212 0001 07/01/2009 18 Food/Food Service $263,305 $0
CityMOWSV 3212 0001 07/01/2009 19 Vehicle Operation $3,300 $0
CityMOWSV 3212 0001 07/01/2009 20 3C2 Nutrition Ed $200 $0
CityMOWSV 3212 0001 07/01/2009 21 Awards/Events $2,100 $0
CityMOWSV 3212 0001 07/01/2009 22 Lee Keely $3,000 $0
CityMOWSV 3212 0001 07/01/2009 23 Misc. $700 $0
Expense Totals $574,624 $43,200 $617,824
SiteAbbr BegofYr AAACIaim NSIPCIaim ClientContr
CityMOWSV 07/01/2009 $149,638 $52,448 $73,340
I certify that the amounts displayed are accurate and correct.
CashMatch CNonMatch IKMatch IKNonMatch GRTotal
$283,118
$16,080
$0 $43,200 $617,824
D''~N e;' O
Revision Date 4
ignature Name/Title)
Approved by Date C
AAA Fiscal Officer
Monday, April 05, 2010 Page 1 of 2
BIB]
40311-U01
AMENDMENT-U02
NO.-U02
1-U02
TO-U02
A-11481-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO86930-U03
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AI90922-U03
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MUNOZP-U04
14943-U05
1-U06
A.-U07
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AUTHORIZE-U07
DIRECTOR-U07
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DEPARTMENT-U07
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SOCIAL-U07
&-U07
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511-DSS-U08
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AMENDMENTS-U012
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CHANGE-U012
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OF-U012
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COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
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ESTIMATED-U012
REVENUES-U012
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AMENDMENT NO. 1 TO A-11481"�
�C-C
Monterey County AAA Budget Certification
Title 3C2 3221 0001 MOWSV-North and South
SiteAbbr Prov Site BegofYr BID ExpCat
HDEL N and S County
BudgetC BudgetlK
Fiscal Year 2010
RuraIMOWSV 3221 0001 07/01/2009 1 SalariesNol IK $77,046 $17,360
RuraIMOWSV 3221 0001 07/01/2009 2 Payroll Taxes $7,704 $0
RuraIMOWSV 3221 0001 07/01/2009 3 Employee Benefits $15,409 $0
RuraIMOWSV 3221 0001 07/01/2009 4 Volunteer Reimb. $2,700 $0
RuraIMOWSV 3221 0001 07/01/2009 5 Travel/Vol Travel $300 $0
RuraIMOWSV 3221 0001 07/01/2009 6 Confer/Trng/Mtgs $1,028 $0
RuraIMOWSV 3221 0001 07/01/2009 7 Prof Fees:Acct/Legal/DP $7,648 $0
RuraIMOWSV 3221 0001 07/01/2009 8 Equipment Purchase $1,500 $0
R u ra I M O W S V 3221 0001 07/01/2009 9 Equip Rent/Maint $2,640 $0
RuraIMOWSV 3221 0001 07/01/2009 10 Occupancy $10,052 $0
RuraIMOWSV 3221 0001 07/01/2009 11 Insurance(Not Veh/Occ) $1,950 $0
RuraIMOWSV 3221 0001 07/01/2009 12 Utilities/Communications $1,309 $0
RuraIMOWSV 3221 0001 07/01/2009 13 Postage/Shipping $2,714 $0
R u ra I M O W S V 3221 0001 07/01/2009 14 Printing/Publication $1,578 $0
RuraIMOWSV 3221 0001 07/01/2009 15 Public Rel/Advertising $900 $0
RuraIMOWSV 3221 0001 07/01/2009 16 Subs/Membership Dues $461 $0
RuraIMOWSV 3221 0001 07/01/2009 17 Supplies $3,131 $0
R u ra I M O W S V 3221 0001 07/01/2009 18 Food/Food Service $142,693 $0
RuraIMOWSV 3221 0001 07/01/2009 19 Vehicle Operation $7,700 $0
RuraIMOWSV 3221 0001 07/01/2009 20 3C2 Nutrition Ed $100 $0
RuraIMOWSV 3221 0001 07/01/2009 21 Awards/Events $900 $0
RuraIMOWSV 3221 0001 07/01/2009 22 Lee Keely $1,000 $0
RuraIMOWSV 3221 0001 07/01/2009 23 Misc. $300 $0
Expense Totals $290,763 $17,360 $308,123
SiteAbbr BegoD r AAACIaim NSIPCIaim ClientContr
RuraIMOWS 07/01/2009 $86,921 $33,462 $47,690
V
I certify that the amounts displayed are accurate and correct.
Approved by
AA Fiscal Officer
Utu-c
CashMatch CNonMatch IKMatch IKNonMatch GRTotal
$99,960 $22,730
gnature Name/Title)
Dater 1.
$0 $17,360 $308,123
Monday, April 05, 2010 Page 2 of 2
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FULLY EXECUTED AMENDMENT #1 T��
�COUNTY OF MONTEREY
AMENDMENT #1 TO AGREEMENT #A-11481
Meals on Wheels of the Salinas Valley
This Amendment is made and entered into by and between the County of Monterey, a
political subdivision of the State of California, hereinafter, COUNTY"), and Meals on
Wheels of the Salinas Valley hereinafter, CONTRACTOR").
This Amendment modifies the agreement for the provision of home-delivered meals to
low-income Seniors in Monterey County, between the parties executed on July 22, 2009,
hereinafter, Original Agreement by adding $56,578 as a result of an increase in
meal count and meal reimbursement rate, as well as equipment purchases for the
period July 1, 2009 to June 30, 2010, increasing the total contract amount to
$322,469. Therefore, the parties agree:
1. Section 1 of the Original Agreement is amended to read as follows:
1. SERVICES TO BE PROVIDED: The County hereby engages
CONTRACTOR to perform, and CONTRACTOR hereby agrees to perform, the
services described in Exhibit AA, in conformity with the terms of this
Agreement. The services are generally described as follows: Provide home-
delivered meals to low-income Seniors in Monterey County.
2. Section 2 of the Original Agreement is amended to read as follows:
2. PAYMENTS BY COUNTY: COUNTY shall pay the CONTRACTOR in
accordance with the payment provisions set forth in Exhibit AA, subject to the
limitations set forth in this Agreement. The total amount payable by COUNTY to
CONTRACTOR under this agreement shall not exceed the sum of $322,469.
3. Section 4 of the Original Agreement is amended to read as follows:
4. ADDITIONAL PROVISIONS/EXHIBITS: The following attached exhibits
are incorporated herein by reference and constitute a part of this agreement:
Exhibit AA
Exhibit B
Exhibit CC-1
Exhibit CC-2
Exhibit D- I
Exhibit D-2
Exhibit D-3
Exhibit E
Exhibit F
Exhibit G
Meals on Wheels of the Salinas Valley
Amendment #1 to Contract #A- 11481
Page 1 of 3
Scope of Services/Payment Provisions
DSES Additional Provisions
Program Budget-City
Program Budget-Rural
Provider Claim to AAA sample)
AAA USDA NSIP Claim sample)
Provider Annual Closeout Summary
sample)
HIPAA Business Associate Agreement
Elder and Dependent Adult Abuse
Reporting Certification
Equipment Acquisition Report
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FULLY EXECUTED AMENDMENT #1 T��
�4. Sections 1.02 and 2.01 of Exhibit B of the Original Agreement are amended to
read as follows:
1.02 Allowable Costs: Allowable costs shall be the CONTRACTOR's actual
costs of developing, supervising and delivering the services under this
Agreement as set forth in the budget, attached hereto as Exhibits CC-1 and
CC-2. Only the costs listed in Exhibits CC-1 and CC-2 as contract expenses
may be claimed as allowable costs. Any dispute over whether costs are
allowable shall be resolved in accordance with the provisions of 45 Code of
Federal Regulations, Part 74, Sub-Part F and 48 Code of Federal Regulations
CFR), Chapter 1, Part 31
2.01 Outcome objectives and performance standards: CONTRACTOR shall,
for the entire term of this Agreement, provide the service outcomes set forth in
Exhibit AA. CONTRACTOR shall meet the contracted level of service and the
specified performance standards described in Exhibit AA unless prevented from
doing so by circumstances beyond CONTRACTOR's control including, but not
limited to, natural disasters, fire, theft and shortages of necessary supplies or
materials due to labor disputes.
5. Exhibits A, C-1, and C-2 of the Original Agreement, are rescinded and replaced
by Exhibits AA, CC-1, and CC-2, attached.
Subject to the foregoing amendment, all other terms and conditions of the Original
Agreement shall remain in full force and effect.
this space left blank intentionally)
Meals on Wheels of the Salinas Valley
Amendment #I to Contract #A-I 1481
Page 2 of 3
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FULLY EXECUTED AMENDMENT #1 T��
�If there is any conflict or inconsistency between provisions of this amendment and the
Original Agreement, the provisions of this amendment shall control in all respects.
IN WITNESS HEREOF, the parties hereby execute this amendment as follows:
CONTRACTOR:
Elliott Robinson
Meals
By:
Director, DSES Ruben'Rueda, President
Date:
J/ I
Approved as to Form:
Date: 0�54- 42 tea
By:
Pat Sallay, Treasurer'
D ty County Counsel Date:
Date: It-1q-10
Auditor-Colftroller' Office
Date: U
Meals on Wheels of the Salinas Valley
Amendment #1 to Contract #A-11481
Page 3 of 3
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FULLY EXECUTED AMENDMENT #1 T��
�SCOPE OF SERVICES/PAYMENT PROVISIONS
MEALS ON WHEELS OF THE SALINAS VALLEY
July 1, 2009 to June 30, 2010
1. CONTACT INFORMATION
Contractor Name:
Mailing Address:
EXHIBIT AA
Meals on Wheels of the Salinas Valley
40 Clark Street, Suite C
Salinas, CA. 93901
831) 758-6325
Fax: 831) 758-6518
Contact Person:
County Contract Manager:
Disaster Preparedness Coordinator:
II. LOCATION:
A. Administrative Offices:
III. TARGETING POLICY:
Janine Nunez-Robinette,
Executive Director
Janiner@mowsalinas.org
Ethan Hurley
Area Agency on Aging
Department of Social
and Employment Services
713 La Guardia Street, Suite A
Salinas, CA 93905
831) 755-3425
Fax: 831) 783-7021
Janine Nunez Robinette
Meals on Wheels Salinas Valley
40 Clark Street, Suite C
Salinas, CA. 93901
831) 758-6325 Fax: 831) 758-6518
Office hours: 9:00 AM 4:30 PM
It is the policy of the Area Agency on Aging to assure that services are effectively
targeted to, and reach people most in need as directed by the Older Americans Act.
Contractor shall give preference to serving individuals in greatest social and
economic need, with particular attention to serving low-income minority individuals
and older individuals residing in rural areas.
MOW Salinas Valley July 1, 2009 to June 30, 2010
Exhibit AA Page 1 of 5
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FO21330-U03
FO85769-U03
FO86930-U03
MG86968-U03
AS86994-U03
AS86996-U03
AI90922-U03
DO91420-U03
C5-U03
AGREEMENTS-U03
5/14/2010-U04
BOYDA-U04
14943-U05
1-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
DIRECTOR-U07
OF-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
4/29/2010-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
A-11481-U012
MEALS-U012
ON-U012
WHEELS-U012
OF-U012
SALINAS-U012
VALLEY-U012
PROVISION-U012
OF-U012
HOME-DELIVERED-U012
MEALS-U012
TO-U012
SENIORS-U012
FISCAL-U012
YEAR-U012
FY)-U012
2009/10,-U012
ADDING-U012
$56,578,-U012
INCREASING-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
AUTHORIZE-U012
DIRECTOR-U012
OF-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
HIS-U012
DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
SCOPE-U012
OF-U012
WORK;-U012
C.-U012
DIRECT-U012
COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
DETAILED-U012
IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
VOTE-U012
REQUIRED)-U012
FULLY EXECUTED AMENDMENT #1 T��
�The term Greatest Economic Need means the need resulting from an income level at
or below the poverty line.
The term Greatest Social Need means the need caused by:
Physical and mental disabilities
Language barriers
Isolation caused by cultural, racial or ethnic status
Social or geographic isolation
IV. SERVICES TO BE PROVIDED:
A. CONTRACTOR shall provide nutritious home delivered meals in compliance
with all applicable sections of Title 22. Social Security, Division 1.8.
California Department of Aging, Chapter 4.(1) Title III Programs Program
and Service Provider Requirements, Article 5. Title III C-Elderly Nutrition
Program:
s 7636. Elderly Nutrition Program Provider Administration.
s 7636.1. General Requirements.
s 7636.5. Staff/Volunteer Training Requirements.
s 7638.3. Requirements for Home-Delivered Nutrition Services.
s 7638.5. Nutrition Requirements of Meals.
s 7638.7. Eligibility for Nutrition Services,
s 7638.9. Contributions and Fees for Cost of Meals.
s 7638.11. Nutrition Education Services for Participants.
B. Services shall be delivered to the following areas:
Areas Served:
City Program
City of Salinas
Delivery of up to seven frozen meals per week
Rural Program
North County:
Castroville & Pajaro Delivery of up to seven frozen meals
per week
Prunedale area Delivery of a hot lunch M-F from the
Prunedale Senior Center
MOW Salinas Valley July 1, 2009 to June 30, 2010
Exhibit AA Page 2 of 5
BIB]
40312-U01
FULLY-U02
EXECUTED-U02
AMENDMENT-U02
#1-U02
TO-U02
AGREEMENT-U02
#A-11481-U02
MEALS-U02
ON-U02
WHEELS-U02
OF-U02
SALINAS-U02
VALLEY-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO86930-U03
MG86968-U03
AS86994-U03
AS86996-U03
AI90922-U03
DO91420-U03
C5-U03
AGREEMENTS-U03
5/14/2010-U04
BOYDA-U04
14943-U05
1-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
DIRECTOR-U07
OF-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
4/29/2010-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
A-11481-U012
MEALS-U012
ON-U012
WHEELS-U012
OF-U012
SALINAS-U012
VALLEY-U012
PROVISION-U012
OF-U012
HOME-DELIVERED-U012
MEALS-U012
TO-U012
SENIORS-U012
FISCAL-U012
YEAR-U012
FY)-U012
2009/10,-U012
ADDING-U012
$56,578,-U012
INCREASING-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
AUTHORIZE-U012
DIRECTOR-U012
OF-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
HIS-U012
DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
SCOPE-U012
OF-U012
WORK;-U012
C.-U012
DIRECT-U012
COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
DETAILED-U012
IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
VOTE-U012
REQUIRED)-U012
FULLY EXECUTED AMENDMENT #1 T��
�South County:
Delivery of up to seven frozen meals per week
V. MANAGEMENT INFORMATION SYSTEM DATA
A. Program Area: Home-delivered meals
1. Unit of Service Definition
Unit #004 AAASC: home delivered Meal 1 Meal) Provision to an eligible
client or other eligible participant at the client's place of residence, a meal
which:
Complies with the Dietary Guidelines for Americans published by the
Secretary of the Department of Health and Human Services and the Secretary
of the United States Department of Agriculture);
Provides, if one meal is served, a minimum of 33 and 1/3 percent of the
current daily Recommended Dietary Allowances RDA) as established by the
Food and Nutrition Board of the National Research Council of the National
Academy of Sciences.
Estimated total number of units of services to be provided:
City Program
Title III C-2: Number of frozen meals delivered:
40,070 meals
NSIP: Number of NSIP frozen meals delivered:
80,140 meals
equals 40,070 Title III C-2 main meals plus 40,070 breakfast meals
CONTRACTOR provides above the minimum one meal five times per
week).
Rural Program
Title III C-2: Number of frozen meals delivered:
25,565 meals
NSIP: Number of NSIP frozen meals delivered:
51,130 meals
Equals 25,565 Title III C-2 rural frozen meals plus 25,565
breakfasts CONTRACTOR provides above minimum meal of
one meal five times per week)
Estimated total number of individuals who will receive meals: 475
MOW Salinas Valley July 1, 2009 to June 30, 2010
Exhibit AA Page 3 of 5
BIB]
40312-U01
FULLY-U02
EXECUTED-U02
AMENDMENT-U02
#1-U02
TO-U02
AGREEMENT-U02
#A-11481-U02
MEALS-U02
ON-U02
WHEELS-U02
OF-U02
SALINAS-U02
VALLEY-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO86930-U03
MG86968-U03
AS86994-U03
AS86996-U03
AI90922-U03
DO91420-U03
C5-U03
AGREEMENTS-U03
5/14/2010-U04
BOYDA-U04
14943-U05
1-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
DIRECTOR-U07
OF-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
4/29/2010-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
A-11481-U012
MEALS-U012
ON-U012
WHEELS-U012
OF-U012
SALINAS-U012
VALLEY-U012
PROVISION-U012
OF-U012
HOME-DELIVERED-U012
MEALS-U012
TO-U012
SENIORS-U012
FISCAL-U012
YEAR-U012
FY)-U012
2009/10,-U012
ADDING-U012
$56,578,-U012
INCREASING-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
AUTHORIZE-U012
DIRECTOR-U012
OF-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
HIS-U012
DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
SCOPE-U012
OF-U012
WORK;-U012
C.-U012
DIRECT-U012
COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
DETAILED-U012
IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
VOTE-U012
REQUIRED)-U012
FULLY EXECUTED AMENDMENT #1 T��
�B. Program Area: Nutrition Education
1. Unit #122: Nutrition Education 1 session per participant) Provision
of nutrition information and education to an eligible client at the client's place
of residence. Services may be delivered in person or via printed material.
Estimated total number of units of services to be provided:
City & Rural No less than four 4) sessions.
2. Unit #122: Nutrition Education 1 contact).
Estimated total number of individuals who will receive services: 475
VI. REPORTING REQUIREMENTS
A program report shall accompany CONTRACTOR'S monthly invoice to COUNTY,
using COUNTY's California Aging Reporting System' compliant MARSS Microsoft
Access Database. Exhibit G, Equipment Acquisition Report, shall accompany
CONTRACTOR'S monthly invoice to COUNTY as appropriate. Exhibit D-3, Annual
Closeout Summary shall be submitted by CONTRACTOR to COUNTY at the end of
the contract term, no later than July 10, 2010.
VII. PAYMENT PROVISIONS
COUNTY shall pay CONTRACTOR in accordance with Article 6, Payment
Conditions. Claims for payment shall be submitted electronically, in the form set forth
in Exhibit D-1 and Exhibit D-2, by the 10th of the month for services rendered in the
previous month.
Title III C-2
COUNTY shall reimburse CONTRACTOR for Title III C-2 funding based on the
service unit rate of $3.40 multiplied by the number of units of service provided during
the previous month by CONTRACTOR, not to exceed Two Hundred Twenty-Three
Thousand, One Hundred and Fifty-Nine dollars $223,159).
City Program
$3.40 X 40,070 meals) $136,238
Rural Program
$3.40 X 25,565 meals) $86,921
One Time Only Funding:
$13,400 for the purchase of a copier and a laser printer.
Total Title III C-2 Funds: $236,559
MOW Salinas Valley July 1, 2009 to June 30, 2010
Exhibit AA Page 4 of 5
BIB]
40312-U01
FULLY-U02
EXECUTED-U02
AMENDMENT-U02
#1-U02
TO-U02
AGREEMENT-U02
#A-11481-U02
MEALS-U02
ON-U02
WHEELS-U02
OF-U02
SALINAS-U02
VALLEY-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO86930-U03
MG86968-U03
AS86994-U03
AS86996-U03
AI90922-U03
DO91420-U03
C5-U03
AGREEMENTS-U03
5/14/2010-U04
BOYDA-U04
14943-U05
1-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
DIRECTOR-U07
OF-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
4/29/2010-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
A-11481-U012
MEALS-U012
ON-U012
WHEELS-U012
OF-U012
SALINAS-U012
VALLEY-U012
PROVISION-U012
OF-U012
HOME-DELIVERED-U012
MEALS-U012
TO-U012
SENIORS-U012
FISCAL-U012
YEAR-U012
FY)-U012
2009/10,-U012
ADDING-U012
$56,578,-U012
INCREASING-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
AUTHORIZE-U012
DIRECTOR-U012
OF-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
HIS-U012
DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
SCOPE-U012
OF-U012
WORK;-U012
C.-U012
DIRECT-U012
COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
DETAILED-U012
IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
VOTE-U012
REQUIRED)-U012
FULLY EXECUTED AMENDMENT #1 T��
�Title III C-2 NSIP
COUNTY shall reimburse CONTRACTOR 1/12th of the Nutrition Services Incentive
Program NSIP) funding each month for the purchase of raw food costs, not to exceed
Eighty-Five Thousand Nine Hundred and Ten Dollars $85,910).
City Program $52,448
Rural Program $33,462
The maximum amount to be paid by COUNTY to CONTRACTOR for the period July
1, 2009 through June 30, 2010 shall not exceed Three Hundred Twenty-Two
Thousand Four Hundred and Sixty-Nine Dollars $322,469).
MOW Salinas Valley July 1, 2009 to June 30, 2010
Exhibit AA Page 5 of 5
BIB]
40312-U01
FULLY-U02
EXECUTED-U02
AMENDMENT-U02
#1-U02
TO-U02
AGREEMENT-U02
#A-11481-U02
MEALS-U02
ON-U02
WHEELS-U02
OF-U02
SALINAS-U02
VALLEY-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO86930-U03
MG86968-U03
AS86994-U03
AS86996-U03
AI90922-U03
DO91420-U03
C5-U03
AGREEMENTS-U03
5/14/2010-U04
BOYDA-U04
14943-U05
1-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
DIRECTOR-U07
OF-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
4/29/2010-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
A-11481-U012
MEALS-U012
ON-U012
WHEELS-U012
OF-U012
SALINAS-U012
VALLEY-U012
PROVISION-U012
OF-U012
HOME-DELIVERED-U012
MEALS-U012
TO-U012
SENIORS-U012
FISCAL-U012
YEAR-U012
FY)-U012
2009/10,-U012
ADDING-U012
$56,578,-U012
INCREASING-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
AUTHORIZE-U012
DIRECTOR-U012
OF-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
HIS-U012
DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
SCOPE-U012
OF-U012
WORK;-U012
C.-U012
DIRECT-U012
COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
DETAILED-U012
IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
VOTE-U012
REQUIRED)-U012
FULLY EXECUTED AMENDMENT #1 T��
�Monterey County AAA Budget Certification
Title 3C2 3212 0001 MOWSV City
SiteAbbr Prov Site BegofYr BID ExpCat
$149,638 $52,448 $73,340
City of Salinas
BudgetC BudgetlK
Fiscal Year 2010
CityMOWSV 3212 0001 07/01/2009 1 SalariesNol1K $156,430 $43,200
CityMOWSV 3212 0001 07/01/2009 2 Payroll Taxes $15,643 $0
CityMOWSV 3212 0001 07/01/2009 3 Employee Benefits $31,286 $0
CityMOWSV 3212 0001 07/01/2009 4 Volunteer Reimb. $6,300 $0
CityMOWSV 3212 0001 07/01/2009 5 TravelNol Travel $700 $0
CityMOWSV 3212 0001 07/01/2009 6 Confer/Trng/Mtgs $2,398 $0
CityMOWSV 3212 0001 07/01/2009 7 Prof Fees:Acct/Legal/DP $14,846 $0
CityMOWSV 3212 0001 07/01/2009 8 Equipment Purchase $16,900 $0
CityMOWSV 3212 0001 07/01/2009 9 Equip Rent/Maint $6,160 $0
CityMOWSV 3212 0001 07/01/2009 10 Occupancy $23,454 $0
CityMOWSV 3212 0001 07/01/2009 11 Insurance(Not Veh/Occ) $4,550 $0
CityMOWSV 3212 0001 07/01/2009 12 Utilities/Communications $3,055 $0
CityMOWSV 3212 0001 07/01/2009 13 Postage/Shipping $6,332 $0
CityMOWSV 3212 0001 07/01/2009 14 Printing/Publication $3,482 $0
CityMOWSV 3212 0001 07/01/2009 15 Public Rel/Advertising $2,100 $0
CityMOWSV 3212 0001 07/01/2009 16 Subs/Membership Dues $1,077 $0
CityMOWSV 3212 0001 07/01/2009 17 Supplies $7,306 $0
CityMOWSV 3212 0001 07/01/2009 18 Food/Food Service $263,305 $0
CityMOWSV 3212 0001 07/01/2009 19 Vehicle Operation $3,300 $0
CityMOWSV 3212 0001 07/01/2009 20 3C2 Nutrition Ed $200 $0
CityMOWSV 3212 0001 07/01/2009 21 Awards/Events $2,100 $0
CityMOWSV 3212 0001 07/01/2009 22 Lee Keely $3,000 $0
CityMOWSV 3212 0001 07/01/2009 23 Misc. $700 $0
Expense Totals $574,624 $43,200 $617,824
SiteAbbr BegofYr AAA Claim NSIPCIaim ClientContr CashMatch CNonMatch IKMatch IKNonMatch GRTotal
CityMOWSV 07/01/2009
I certify that the amounts displayed are accurate and correct.
Approved by
AAA Fiscal Officer
HDEL
$283,118 $16,080
U Date_~~
$0 $43,200 $617,824
E4" Revision Date
iI_~g /iO
Monday, April 05, 2010 Page 1 of 2
BIB]
40312-U01
FULLY-U02
EXECUTED-U02
AMENDMENT-U02
#1-U02
TO-U02
AGREEMENT-U02
#A-11481-U02
MEALS-U02
ON-U02
WHEELS-U02
OF-U02
SALINAS-U02
VALLEY-U02
LI21329-U03
FO21330-U03
FO85769-U03
FO86930-U03
MG86968-U03
AS86994-U03
AS86996-U03
AI90922-U03
DO91420-U03
C5-U03
AGREEMENTS-U03
5/14/2010-U04
BOYDA-U04
14943-U05
1-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
DIRECTOR-U07
OF-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
4/29/2010-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
A-11481-U012
MEALS-U012
ON-U012
WHEELS-U012
OF-U012
SALINAS-U012
VALLEY-U012
PROVISION-U012
OF-U012
HOME-DELIVERED-U012
MEALS-U012
TO-U012
SENIORS-U012
FISCAL-U012
YEAR-U012
FY)-U012
2009/10,-U012
ADDING-U012
$56,578,-U012
INCREASING-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
AUTHORIZE-U012
DIRECTOR-U012
OF-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
HIS-U012
DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
SCOPE-U012
OF-U012
WORK;-U012
C.-U012
DIRECT-U012
COUNTY-U012
ADMINISTRATIVE-U012
OFFICE-U012
AUDITOR-CONTROLLER-U012
TO-U012
AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
DETAILED-U012
IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
VOTE-U012
REQUIRED)-U012
FULLY EXECUTED AMENDMENT #1 T��
�Monterey County AAA Budget Certification
Title 3C2 3221 0001 MOWSV North and South HDEL N and S
SiteAbbr Prov Site BegofYr
BID ExpCat
County
BudgetC BudgetiK
Fiscal Year 2010
RuraIMOWSV 3221 0001 07/01/2009 1 SalariesNol IK $77,046 $17,360
RuraIMOWSV 3221 0001 07/01/2009 2 Payroll Taxes $7,704 $0
RuraIMOW SV 3221 0001 07/01/2009 3 Employee Benefits $15,409 $0
RuraIMOWSV 3221 0001 07/01/2009 4 Volunteer Reimb. $2,700 $0
RuraIMOWSV 3221 0001 07/01/2009 5 TravelNol Travel $300 $0
RuraIMOWSV 3221 0001 07/01/2009 6 Confer/Trng/Mtgs $1,028 $0
RuraIMOWSV 3221 0001 07/01/2009 7 Prof Fees:Acct/Legal/DP $7,648 $0
RuraIMOWSV 3221 0001 07/01/2009 8 Equipment Purchase $1,500 $0
RuraIMOWSV 3221 0001 07/01/2009 9 Equip Rent/Maint $2,640 $0
RuraIMOWSV 3221 0001 07/01/2009 10 Occupancy $10,052 $0
R u ra I M O W S V 3221 0001 07/01/2009 11 Insurance(Not Veh/Occ) $1,950 $0
RuraIMOWSV 3221 0001 07/01/2009 12 Utilities/Communications $1,309 $0
R u raI M O W S V 3221 0001 07/01/2009 13 Postage/Shipping $2,714 $0
RuraIMOWSV 3221 0001 07/01/2009 14 Printing/Publication $1,578 $0
RuraIMOWSV 3221 0001 07/01/2009 15 Public Rel/Advertising $900 $0
RuraIMOWSV 3221 0001 07/01/2009 16 Subs/Membership Dues $461 $0
RuraIMOWSV 3221 0001 07/01/2009 17 Supplies $3,131 $0
RuraIMOWSV 3221 0001 07/01/2009 18 Food/Food Service $142,693 $0
RuraIMOWSV 3221 0001 07/01/2009 19 Vehicle Operation $7,700 $0
RuraIMOWSV 3221 0001 07/01/2009 20 3C2 Nutrition Ed $100 $0
RuraIMOWSV 3221 0001 07/01/2009 21 Awards/Events $900 $0
RuraIMOWSV 3221 0001 07/01/2009 22 Lee Keely $1,000 $0
RuraIMOWSV 3221 0001 07/01/2009 23 Misc. $300 $0
Expense Totals $290,763 $17,360 $308,123
SiteAbbr Begof r AAACIaim NSIPCIaim ClientContr CashMatch CNonMatch IKMatch IKNonMatch GRTotal
RuraIMOWS 07/01/2009 $86,921 $33,462 $47,690 $99,960
V
I certify that the amounts displayed are accurate and correct.
$22,730
$0 $17,360 $308,123
PL n n 4 111:~-/ I r-)
gnature Name/Title)
Approved by
AA Fiscal Officer
r
%LCZ,L Date /Sl-'o
Monday, April 05, 2010 Page 2 o(2
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4/29/2010-U011
AMENDMENT-U012
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1-U012
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A-11481-U012
MEALS-U012
ON-U012
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$56,578,-U012
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TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$322,469;-U012
B.-U012
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DEPARTMENT-U012
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AMEND-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
EMPLOYMENT-U012
SERVICES-U012
BUDGET-U012
UNIT-U012
8268-U012
FY2009-10,-U012
INCREASING-U012
APPROPRIATIONS-U012
ESTIMATED-U012
REVENUES-U012
IN-U012
AMOUNT-U012
OF-U012
$56,578-U012
AS-U012
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IN-U012
ATTACHED-U012
BOARD-U012
ORDER.-U012
4/5TH-U012
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