COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME�� 0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
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THE-U012
SCOPE-U012
OF-U012
WORK.-U012
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0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
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THE-U012
SCOPE-U012
OF-U012
WORK.-U012
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0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
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THE-U012
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OF-U012
WORK.-U012
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0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME�� 0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME�� 0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME�� 0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME�� 0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME�� 0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��!0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��"0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��#0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��$0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��%0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��&0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��'0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��(0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��)0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��*0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��+0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��,0� NOTEXTPAGE
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40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
COMPLETED BOARD ORDER AND AME��-0� NOTEXTPAGE
BIB]
40700-U01
COMPLETED-U02
BOARD-U02
ORDER-U02
AMENDMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO102897-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
6/6/2011-U04
HANCOCKD-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
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JULY-U012
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2010-U012
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JUNE-U012
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2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
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AMOUNT-U012
TO-U012
$419,349;-U012
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AUTHORIZE-U012
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EXECUTED AGREEMENT"�|Eb4/�COUNTY OF MONTEREY
AMENDMENT #1 TO AGREEMENT #A-11851
Alliance on Aging
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 Alliance
on Aging hereinafter, CONTRACTOR").
This Amendment modifies the agreement for services to Monterey County seniors between
the parties executed on September 22, 2010, hereinafter, Original Agreement by
adding $55,311 to increase units of service, increase program reimbursement, and
modify existing scopes of service, increasing the total contract amount to $419,349.
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 Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-
7, and A-8, in conformity with the terms of this Agreement. The services are
generally described as follows: Provide services to Monterey County seniors,
including: Outreach, Family Caregiver Training, Long-Term Care Ombudsman,
and Health Insurance Counseling.
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 Exhibits AA, AA-1, AA-2,
AA-3, AA-4, AA-5, AA-6, AA-7, and A-8, 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 $419,349.
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 Scope of Service/ Management Information System
Data/Budget/Payment Provisions/Reporting Requirements
AA-1 Title III B, Outreach
AA-2 Title III E, Family Caregiver Support
AA-3 Title III B, Ombudsman
AA-4 Title VII A, Ombudsman
Alliance on Aging
Amendment #1 to Agreement #A-11851
Page 1 of 3
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EXECUTED AGREEMENT"�|Eb4/�AA-5 Ombudsman Initiative
AA-6 HICAP
AA-7 MIPPA
A-8 MIPPA 2
Exhibit B DSES Additional Provisions
Program Budgets
CC-1 Title III B, Outreach
CC-2 Title III E, Family Caregiver Support
CC-3 Title III B, Ombudsman
CC-4 Title VII A, Ombudsman
CC-5 Ombudsman Initiative
CC-6 HICAP
CC-7 MIPPA
C-8 MIPPA 2
Exhibit D Provider Claim Form
Exhibit D-1 MIPPA Sample Invoice
Exhibit D-2 Sample Annual Closeout Summary
Exhibit D-3 Equipment Acquisition Report
Exhibit D-4 Sample Quarterly Narrative Report
Exhibit D-5 MIPPA Monthly Reporting Tool
Exhibit E HIPAA Business Associate Agreement
Exhibit F Elder Abuse & Neglect Reporting Certification
Exhibit G Lobbying Certification
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, CC-2, CC-3, CC-4,
CC-5, CC-6, CC-7, and C-8. Only the costs listed in Exhibits CC-1, CC-2, CC-
3, CC-4, CC-5, CC-6, CC-7, and C-8 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
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8.
CONTRACTOR shall meet the contracted level of service and the specified
performance standards described in Exhibits AA, AA-1, AA-2, AA-3, AA-4,
AA-5, AA-6, AA-7, and A-8 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, A-1, A-2, A-3, A-4, A-5, A-6, A-7, C-1, C-2, C-3, C-4, C-5, C-6,
and C-7 of the Original Agreement, are rescinded and replaced by Exhibits AA,
Alliance on Aging
Amendment #1 to Agreement #A-11851
Page 2 of 3
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EXECUTED AGREEMENT"�|Eb4/�AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, CC-1, CC-2, CC-3, CC-4, CC-
5, CC-6, and CC-7, attached.
6. Exhibits A-8 and C-8 are added to the Agreement, attached.
Subject to the foregoing amendment, all other terms and conditions of the Original
Agreement shall remain in full force and effect.
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:
Alli
A
i
ance on
g
ng
G /U. 1L,tn V,
By:
Elliott Robinson, Director By: Cf L
DSES Nancy Do ton, President
Date: G
Approved as to Form:
Date: May 5, 2011
By: LCi l
Vearl Gish, Secretary
Date: May 5, 2011
Date: S'-o--L
Date:
Alliance on Aging
Amendment #1 to Agreement #A-1 1851
Page 3 of 3
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EXECUTED AGREEMENT"�|Eb4/�SCOPE OF SERVICES/PAYMENT PROVISIONS
ALLIANCE ON AGING
JULY 1, 2010 to JUNE 30, 2011
1. CONTACT INFORMATION
EXHIBIT AA
Contact Person: Teresa Sullivan, Executive Director
831) 655-4240
Disaster Preparedness Coordinator: Becky Mann, Director of Operations
831) 655-7563
County Contract Manager: Ethan Hurley, Management Analyst II
Area Agency on Aging
Department of Social and
Employment Services
713 La Guardia Street, Suite A
Salinas, CA 93901
831) 755-3425
Fax: 831) 783-7021
hurl ey(a@ co.monterey.ca.us
II. OFFICES
Monterey: 2200 Garden Road, Monterey 93940)
655-1334
Monterey: 280 Dickman Avenue, Monterey 93940)
655-1334
Days and Hours of Service:
Monday to Friday, 9 a.m. to 5 p.m. Closed from noon to 1 p.m.
III. SERVICES TO BE PROVIDED BY CONTRACTOR
Contractor shall provide the services outlined in Exhibits AA-1, AA-2, AA-3, AA-4,
AA-5, AA-6, AA-7, and A-8, attached.
Contractor shall participate in quarterly Aging Services Network meetings to share
program accomplishments and challenges, network, coordinate and collaborate across
AAA funded and community partner agencies.
Services shall be provided throughout the County of Monterey, and Contractor shall
ensure that services are provided to Seniors 60 years of age or older or 55 years of
age or older for the Title III-E Program) in all four regions of Monterey County:
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 1 of 27
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$55,311,-U012
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$419,349;-U012
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3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
THE-U012
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EXCEED-U012
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EXECUTED AGREEMENT"�|Eb4/�Monterey Peninsula Region: Big Sur, Carmel, Carmel Valley, Marina,
Monterey, Pacific Grove, Pebble Beach.
North County Region: Castroville, Moss Landing, Pajaro, and Prunedale.
Salinas Region: City of Salinas and Spreckels.
South County Region: Bradley, Chualar, Gonzales, Greenfield, Jolon, King
City, Lockwood, San Ardo, San Lucas, and Soledad.
IV. TARGETING POLICY
It is the policy of the Area Agency on Aging to assure that services are effectively
targeted and reach people most in need as directed by the Older Americans Act.
The Older Americans Act requires that, with respect to all types of services,
preference be given to serving those in greatest social and economic need, with
particular attention to serving low-income minority individuals, older individuals with
limited English proficiency and older individuals residing in rural areas.
All programs and services shall be targeted toward seniors 60 years of age or older
or 55 years of age or older for the Title III-E Program) in the greatest economic and
social need, with particular attention to serving low-income minority individuals,
older individuals with limited English proficiency, and older individuals residing in
rural areas.
The Older Americans Act, Amendments of 2006 defines the term Greatest Economic
Need as 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
Additional Target populations required by the OAA include:
Older Native Americans
Isolated, abused, neglected and or exploited older individuals
Frail older individuals
Older individuals with limited English-speaking ability
Older individuals with Alzheimer's disease or related disorders with
neurological and organic brain dysfunction and their caregivers
Older individuals with disabilities
Caregivers as defined in Title IIIE
Lesbian, Gay, Bisexual, and Transgender Seniors.
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 2 of 27
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$55,311,-U012
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THE-U012
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AMOUNT-U012
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$419,349;-U012
B.-U012
AUTHORIZE-U012
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DIRECTOR-U012
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THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
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PERCENT-U012
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EXECUTED AGREEMENT"�|Eb4/�V. GETCARE LICENSES
COUNTY will pay for two 2) GetCare licenses each month. Any additional licenses
shall be the financial responsibility of CONTRACTOR. To obtain additional
licenses, contact Alana Hawkins at RTZ, 510) 986-6700 x511, or via e-mail at
Alana@GetCare.com. Licenses will be issued to individuals. When there is a
change in staff, CONTRACTOR must notify the COUNTY in writing within 15 days.
VI. AUDIT PROVISIONS
CONTRACTOR is required to provide an audit as per the terms in Exhibit B, Section
III. Additionally, CONTRACTOR shall ensure that State-Funded expenditures are
displayed along with the related federal expenditures in the Single Audit report
Schedule of Expenditures of Federal Awards" SEFA) under the appropriate Catalog
of Federal Domestic Assistance CFDA) number as referenced in Exhibits AA-1,
AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8.
For expenditures that do not have CFDA numbers, the CONTRACTOR shall ensure
that the State-funded expenditures are identified in the SEFA by the appropriate
program name, identifying grant/contract number, and as passed-through the County
of Monterey.
VII. PAYMENT SUMMARY
Original
Chan a
Amended
Exhibit AA-1, Title III-B, Outreach: $40,300 $6,245 $46,545
Exhibit AA-2, Title III-E, Training: $22,500 $6,695 $15,805
Exhibit AA-3, Title III-B, Ombudsman: $22,131 $3,816 $25,947
Exhibit AA-4, Title VII-A, Ombudsman $28,284 $1,147 $29,431
Exhibit AA-5, Ombudsman Initiative $11,776 $16,494 $28,270
Exhibit AA-6, HICAP $231,760 $15,092 $246,852
Exhibit AA-7, MIPPA $7,287 $6,370 $13,657
Exhibit A-8, MIPPA 2 $0 $12,842 $12,842
Totals: $364,038 $55,311 $419,349
Claims for payment shall be submitted electronically, in the form provided on
the GetCare website: https://ca.ieteare.com/caprovider/index.isp. Claims for
payment shall be submitted simultaneously with program data.
CONTRACTOR shall comply with the appropriate benchmark requirements for service
units to be delivered in order to draw down contract funds in accordance with the terms
of this Agreement. The applicable benchmark for each type of service is identified under
Section II, Performance Reporting and Section IV, Invoice/Payment Provisions contained
in Exhibits AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8.
The total amount to be paid by COUNTY to CONTRACTOR under this agreement
shall not exceed four hundred nineteen thousand, three hundred and forty-nine
dollars $419,349) for the period July 1, 2010 to June 30, 2011.
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 3 of 27
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EXECUTED AGREEMENT"�|Eb4/�TITLE III-B CFDA #93.044)
OUTREACH
SCOPE OF SERVICES
EXHIBIT AA-1
FUNDING SOURCE: State Agreement AP-1011-32, AP-1011-32, Amendment #2
1. SERVICES TO BE PROVIDED
CONTRACTOR shall provide outreach to Seniors 60 years of age or older. Services
shall be provided in accordance with the California Code of Regulations, Title 22,
Social Security, Division 1.8, California Department of Aging.
Outreach services will be provided throughout all four regions of Monterey County
by a bilingual/bicultural staff person, who will provide one-on-one contact through
regular and predictable presence at identified sites. This staff person will be dedicated
exclusively to outreach activities. Printed materials for all senior service programs
will be regularly distributed by staff. An all-agency flyer and outreach schedule will
be developed and distributed in English and Spanish. It will include names, contact
numbers and websites for senior service programs. Outreach staff will participate in
local community groups and events in order to identify potential clients. Although
staff will maintain the strong partnerships developed over the years, emphasis will be
placed on seeking out new and non-traditional partners and strategies for reaching this
hard to serve population. Ties will be strengthened between faith communities, local
businesses, law enforcement, Neighborhood Watch groups and the schools. Staff will
develop closer and more regular contacts with rural community newspapers and radio
stations.
Service:
Outreach NAPIS 14)
Unit of Service Definition:
Interventions one-on-one contacts) with individuals initiated by an
agency or provider for the purpose of identifying potential clients or
their age 60+ caregivers) and encouraging their use of existing services
and benefits.
Unit of Service Measurement:
1 Contact
Estimated Service Units to be delivered:
6,000 in original service units, and an additional 815 units due to
the increase in funds
Cost per Estimated Unit of Service:
$6.8298 6,815 x $6.8298 $46,545*)
*Rounded
Benchmark of Service Units to be delivered:
by September 30`h: 1,475 Units 25%)
by December 31st: 2,950 Units 50%)
by March 31St: 4,425 Units 75%)
by June 30th: 6,815 Units 100%)
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 4 of 27
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EXECUTED AGREEMENT"�|Eb4/�II. PERFORMANCE REPORTING
CONTRACTOR shall enter data monthly into the new AAA GetCare System by the
10th of the month following the month of service. This is a non-registered service.
CONTRACTOR shall provide a quarterly narrative report to the COUNTY
describing the progress of services rendered in the previous quarter by the 10th of the
following month. The Narrative Report shall be in the form of Exhibit D-4.
COUNTY has an expectation that a certain number of services are delivered within
each reporting period. The benchmark is determined by dividing the service units
into the number of months within the contract term. The COUNTY has expectations
that CONTRACTOR will deliver the contracted service units within 20% of the
benchmark.
If CONTRACTOR falls below the required benchmark percentage for two 2)
consecutive quarters, CONTRACTOR will provide a corrective action plan to the
AAA describing the reason for the occurrence and a plan to meet the benchmark, and
reimbursement may be limited as per Section IV. Invoice/Payment Provisions.
III. MATCH REQUIREMENTS
Title Ill-B requires a local cash/in-kind match of 10.53%. The required match is
calculated by taking the total budgeted costs less program income and non-matching
contributions, multiplied by the matching requirement percentage.
IV. INVOICE/PAYMENT PROVISIONS
If CONTRACTOR delivers less than the benchmark of service units for two 2)
consecutive quarters, CONTRACTOR payment may be limited to the amount of
grant funds based on the percentage of services provided year to date. The
benchmark is identified in Section II, Performance Reporting, and a 20% variance is
allowed. This restriction will be lifted by the County Contract Manager once
CONTRACTOR meets acceptable performance outcomes. Invoice reductions due to
the restriction will be reimbursed once service units are met within 20% of
benchmark. The maximum amount of grant funds allowed to be drawn down per
month cannot exceed 10% of the overall grant, unless approved in writing by the
County Contract Manager.
COUNTY shall pay CONTRACTOR in accordance with Article 6, Payment
Conditions of the Agreement. Claims for payment shall be submitted in the form set
forth in Exhibit D, Sample Invoice, by the 10th of the month for services rendered in
the previous month.
Exhibit D-2, Annual Closeout Summary, shall be submitted by CONTRACTOR to
COUNTY no later than July 10, 2011.
Alliance on Aging Amendment # 1 to Agreement # 11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 5 of 27
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2/13/2012-U04
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ON-U012
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EXECUTED AGREEMENT"�|Eb4 /�Exhibit D-3, Equipment Acquisition Report, shall accompany CONTRACTOR's
invoice to COUNTY as appropriate. Equipment must be received by June 30,
2011 for expenses to be claimed against this Agreement. Any equipment or
physical assets obtained by CONTRACTOR utilizing funds pursuant to the
terms of this Agreement shall be inventoried and considered the property of the
COUNTY and tendered to the COUNTY upon termination of services by
CONTRACTOR.
Effective January 1, 2011, one-time-only funds are added to the grant program
in the amount of six thousand, two hundred and forty-five dollars $6,245) for
baseline services.
The maximum amount to be paid by COUNTY to CONTRACTOR for Title III-B for
the period July 1, 2010 to June 30, 2011 shall not exceed forty-six thousand, five
hundred and forty-five dollars $46,545).
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 6 of 27
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AGREEMENT-U012
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A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
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SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
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WORK.-U012
EXECUTED AGREEMENT"�|Eb4
/�TITLE III-E CFDA #93.052)
FAMILY CAREGIVER SUPPORT PROGRAM
SCOPE OF SERVICES
FUNDING SOURCE: State Agreement AP-1011-32
I. SERVICES TO BE PROVIDED
EXHIBIT AA-2
CONTRACTOR shall provide caregiver training. Services shall be provided in
accordance with the California Code of Regulations, Title 22, Social Security,
Division 1.8, California Department of Aging.
CONTRACTOR shall close the program effective February 28, 2011.
Service:
Caregiver Training NAPIS FCSP 1)
Unit of Service Definition:
An FCSP Support Service consisting of workshops or one-on-one
individually tailored sessions, conducted either in person or
electronically by a skilled and knowledgeable individual, to assist
caregivers in developing the skills and gaining the knowledge
necessary to fulfill their caregiving responsibilities; and address the
areas of health, nutrition, and financial literacy.
Caregivers are defined as an adult family member, or another
individual 18 or older, who is an informal provider of in-home and
community care to an older individual 60 or older. This definition
explicitly excludes paid caregivers. This definition also explicitly
excludes professional caregivers.
Unit of Service Measurement:
1 Hour
Estimated Service Units to be delivered:
1,000
Cost per Unit of Service:
$22.50 1,000 x $22.50 $22,500)
Benchmark of Service Units to be delivered:
by September 30th: 250 Units 25%)
by December 31St: 500 Units 50%)
by March 31St: 750 Units 75%)
by June 30th: 1,000 Units 100%)
This program is closed effective February 28th, 2011, therefore the units
of service benchmarks will no longer be in place, and the grant amount
for this Exhibit has been reduced by $6,695.
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 7 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
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&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
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EXECUTED AGREEMENT"�|Eb4
/�II. PERFORMANCE REPORTING
CONTRACTOR shall enter data monthly into the new AAA GetCare System by the
10ti' of the month following the month of service. This is a registered service which
requires client profile information such as name, birthdate, zip code, etc., and the
quantity and type of services provided.
CONTRACTOR shall provide a quarterly narrative report to the COUNTY
describing the progress of services by October 10, 2010, January 10, 2011, April 10,
2011 and July 10, 2011. The Narrative Report shall be in the form of Exhibit D-4.
COUNTY has an expectation that a certain number of services are delivered within
each reporting period. The benchmark is determined by dividing the service units
into the number of months within the contract term quarterly if it is a quarterly
function). The COUNTY has expectations that CONTRACTOR will deliver the
contracted service units within 20% of the benchmark.
If CONTRACTOR falls below the required benchmark percentage for two 2)
consecutive quarters, CONTRACTOR will provide a corrective action plan to the
AAA describing the reason for the occurrence and a plan to meet the benchmark, and
reimbursement may be limited as per Section IV. Invoice/Payment Provisions.
III. MATCH REQUIREMENTS
Title III-E requires a local cash/in-kind match of 25%. The required match is
calculated by taking the total budgeted costs less program income and non-matching
contributions, multiplied by the matching requirement percentage.
IV. INVOICE/PAYMENT PROVISIONS
If CONTRACTOR delivers less than the benchmark of service units for two 2)
consecutive quarters, CONTRACTOR payment may be limited to the amount of
grant funds based on the percentage of services provided year to date. The benchmark
is identified in Section II, Performance Reporting, and a 20% variance is allowed.
This restriction will be lifted by the County Contract Manager once CONTRACTOR
meets acceptable performance outcomes. Invoice reductions due to the restriction
will be reimbursed once service units are met within 20% of benchmark. The
maximum amount of grant funds allowed to be drawn down per month cannot exceed
10% of the overall grant, unless approved in writing by the County Contract
Manager.
COUNTY shall pay CONTRACTOR in accordance with Article 6, Payment
Conditions of the Agreement. Claims for payment shall be submitted in the form set
forth in Exhibit D, Sample Invoice, by the 10th of the month for services rendered in
the previous month.
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 8 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4
/�Exhibit D-2, Annual Closeout Summary, shall be submitted by CONTRACTOR to
COUNTY no later than July 10, 2011.
Exhibit D-3, Equipment Acquisition Report, shall accompany CONTRACTOR's
invoice to COUNTY as appropriate. Equipment must be received by June 30,
2011 for expenses to be claimed against this Agreement. Any equipment or
physical assets obtained by CONTRACTOR utilizing funds pursuant to the
terms of this Agreement shall be inventoried and considered the property of the
COUNTY and tendered to the COUNTY upon termination of services by
CONTRACTOR.
The maximum amount to be paid by COUNTY to CONTRACTOR for Title III-E for
the period July 1, 2010 to February 28, 2011 shall not exceed fifteen thousand,
eight hundred and five dollars $15,805).
Alliance on Aging Amendment # 1 to Agreement # 11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 9 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4
/�TITLE III-B CFDA #93.044)
OMBUDSMAN
SCOPE OF SERVICES
EXHIBIT AA-3
FUNDING SOURCE: State Agreement AP-1011-32, AP-1011-32, Amendment #2
I. SERVICES TO BE PROVIDED
CONTRACTOR shall investigate, verify, mediate and resolve complaints and
problems on behalf of Monterey County residents of long-term care facilities
involving their health, welfare, safety and rights. Services shall be provided
throughout the County of Monterey. Services shall be provided in accordance with
the California Code of Regulations, Title 22, Social Security, Division 1.8, California
Department of Aging.
1 Service:
Complaint Investigation and Resolution
Unit of Service Definition:
Activities related to receiving, analyzing, researching, observing,
interviewing or verifying a complaint; activities related to intervention
in a complaint on behalf of a client using skills and techniques such as
advocacy, facilitation, conciliation, mediation, negotiation,
representation, education, follow-up or referral.
Unit of Service Measurement:
1 Hour
Estimated Service Units to be delivered:
1,112 in original service units, and an additional 216 units due to
the increase in funds
Benchmark of Service Units to be delivered:*
by September 30th: 278 Units 25%)
by December 31st: 556 Units 50%)
by March 31st: 834 Units 75%)
by June 30th: 1,328 Units 100%)
*There will be some fluctuation between Complaint
Investigation/Resolution and Education/Training. It is
anticipated that by June 30th, 100% of both Complaint
Investigation/Resolution and Education Training will have
been provided.
2. Service:
Education/Training
Unit of Service Definition:
Volunteer ombudsman education and training: knowledge and skills
training on long term care issues and methods of investigation and
intervention.
Unit of Service Measurement:
1 Hour
Estimated Service Units to be delivered: 141
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 10 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�Benchmark of Service Units to be delivered: *
by September 30th: 35 Units 25%)
by December 31St: 70 Units 50%)
by March 31St: 105 Units 75%)
by June 30th: 141 Units 100%)
*There will be some fluctuation between Complaint
Investigation/Resolution and Education/Training. It is
anticipated that by June 30th, 100% of both Complaint
Investigation/Resolution and Education Training will have
been provided.
Service #1 and Service #2 Cost per Unit of Service: $17.6624
1,469 x $17.6624 $25,947*)
*Rounded to the nearest dollar
II. PERFORMANCE REPORTING
CONTRACTOR shall report program data as required in the National Ombudsman
Reporting System NORS).
CONTRACTOR shall provide a quarterly narrative report to the COUNTY
describing the progress of services by October 10, 2010, January 10, 2011, April 10,
2011 and July 10, 2011. CONTRACTOR to attach copy of NORS date reports to the
quarterly narrative. The Narrative Report shall be in the form of Exhibit D-4.
COUNTY has an expectation that a certain number of services are delivered within
each reporting period. The benchmark is determined by dividing the service units
into the number of months within the contract term quarterly if it is a quarterly
function). The COUNTY has expectations that CONTRACTOR will deliver the
contracted service units within 20% of the benchmark.
If CONTRACTOR falls below the required benchmark percentage for two 2)
consecutive quarters, CONTRACTOR will provide a corrective action plan to the
AAA describing the reason for the occurrence and a plan to meet the benchmark, and
reimbursement may be limited as per Section IV, Invoice/Payment Provisions.
III. MATCH REQUIREMENTS
Title III-B requires a local cash/in-kind match of 10.53%. The required match is
calculated by taking the total budgeted costs less program income and non-matching
contributions, multiplied by the matching requirement percentage.
IV. INVOICE/PAYMENT PROVISIONS
If CONTRACTOR delivers less than the benchmark of service units for two 2)
consecutive quarters, CONTRACTOR's payment may be limited to the amount of
grant funds based on the percentage of services provided year to date. The benchmark
is identified in Section II, Performance Reporting, and a 20% variance is allowed.
This restriction will be lifted by the County Contract Manager once CONTRACTOR
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 11 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�meets acceptable performance outcomes. Invoice reductions due to the restriction
will be reimbursed once service units are met within 20% of benchmark. The
maximum amount of grant funds allowed to be drawn down per month cannot exceed
10% of the overall grant, unless approved in writing by the County Contract
Manager.
COUNTY shall pay CONTRACTOR in accordance with Article 6, Payment
Conditions of this Agreement. Claims for payment shall be submitted in the form set
forth in Exhibit D, Sample Invoice, by the 10`i' of the month for services rendered in
the previous month.
Exhibit D-2, Annual Closeout Summary, shall be submitted by CONTRACTOR to
COUNTY no later than July 10, 2011.
Exhibit D-3, Equipment Acquisition Report, shall accompany CONTRACTOR's
invoice to COUNTY as appropriate. Equipment must be received by June 30,
2011 for expenses to be claimed against this Agreement. Any equipment or
physical assets obtained by CONTRACTOR utilizing funds pursuant to the
terms of this Agreement shall be inventoried and considered the property of the
COUNTY and tendered to the COUNTY upon termination of services by
CONTRACTOR.
The maximum amount to be paid by COUNTY to CONTRACTOR for Title 111-13 for
the period July 1, 2010 to June 30, 2011 shall not exceed twenty-five thousand, nine
hundred and forty-seven dollars $25,947).
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 12 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
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A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�TITLE VII-A CFDA #93.042)
OMBUDSMAN
SCOPE OF SERVICES
EXHIBIT AA-4
FUNDING SOURCE: State Agreement AP-1011-32, AP-1011-32, Amendment #2
1. SERVICES TO BE PROVIDED
CONTRACTOR shall investigate, verify, mediate and resolve complaints and
problems on behalf of Monterey County residents of long-term care facilities
involving their health, welfare, safety and rights. Services shall be provided
throughout the County of Monterey. Services shall be provided in accordance with
the California Code of Regulations, Title 22, Social Security, Division 1.8, California
Department of Aging.
1. Service:
Complaint Investigation and Resolution
Unit of Service Definition:
Activities related to receiving, analyzing, researching, observing,
interviewing or verifying a complaint; activities related to intervention
in a complaint on behalf of a client using skills and techniques such as
advocacy, facilitation, conciliation, mediation, negotiation,
representation, education, follow-up or referral.
Unit of Service Measurement:
1 Hour
Estimated Service Units to be delivered:
1,416 in original service units, and an additional 65 units due to
the increase in funds
Benchmark of Service Units to be delivered:
by September 30th: 354 Units 25%)
by December 31st: 708 Units 50%)
by March 31St: 1,062 Units 75%)
by June 30th: 1,481 Units 100%)
*There will be some fluctuation between Complaint
Investigation/Resolution and Education/Training. It is
anticipated that by June 30th, 100% of both Complaint
Investigation/Resolution and Education Training will have
been provided.
2. Service:
Education/Training
Unit of Service Definition:
Volunteer ombudsman education and training: knowledge and skills
training on long term care issues and methods of investigation and
intervention.
Unit of Service Measurement:
1 Hour
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 13 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�Estimated Service Units to be delivered:
193
Benchmark of Service Units to be delivered:
by September 30th: 48 Units 25%)
by December 31st: 96 Units 50%)
by March 31St: 144 Units 75%)
by June 30th: 193 Units 100%)
*There will be some fluctuation between Complaint
Investigation/Resolution and Education/Training. It is
anticipated that by June 30th, 100% of both Complaint
Investigation/Resolution and Education Training will have
been provided.
Cost per Service Unit Service #1 and Service #2):
$17.5812 1,674 x $17.5812 $29,431*)
*Rounded to the nearest dollar
II. PERFORMANCE REPORTING
CONTRACTOR shall report program data as required in the National Ombudsman
Reporting System NORS).
CONTRACTOR shall provide a quarterly narrative report to the COUNTY
describing the progress of services by October 10, 2010, January 10, 2011, April 10,
2011 and July 10, 2011. CONTRACTOR to attach copy of NORS data reports to the
quarterly narrative. The Narrative Report shall be in the form of Exhibit D-4.
COUNTY has an expectation that a certain number of services are delivered within
each reporting period. The benchmark is determined by dividing the service units
into the number of months within the contract term quarterly if it is a quarterly
function). The COUNTY has expectations that CONTRACTOR will deliver the
contracted service units within 20% of the benchmark.
If CONTRACTOR falls below the required benchmark percentage for two 2)
consecutive quarters, CONTRACTOR will provide a corrective action plan to the
AAA describing the reason for the occurrence and a plan to meet the benchmark, and
reimbursement may be limited as per Section IV. Invoice/Payment Provisions.
III. MATCH REQUIREMENTS
Title VII-A does not require a local cash/in-kind match.
IV. INVOICE/PAYMENT PROVISIONS
If CONTRACTOR delivers less than the benchmark of service units for two 2)
consecutive quarters, CONTRACTOR's payment may be limited to the amount of
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 14 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�grant funds based on the percentage of services provided year to date. The benchmark
is identified in Section II, Performance Reporting, and a 20% variance is allowed.
This restriction will be lifted by the County Contract Manager once CONTRACTOR
meets acceptable performance outcomes. Invoice reductions due to the restriction
will be reimbursed once service units are met within 20% of benchmark. The
maximum amount of grant funds allowed to be drawn down per month cannot exceed
10% of the overall grant, unless approved in writing by the County Contract
Manager.
COUNTY shall pay CONTRACTOR in accordance with Article 6, Payment
Conditions of this Agreement. Claims for payment shall be submitted in the form set
forth in Exhibit D, Sample Invoice, by the 10th of the month for services rendered in
the previous month.
Exhibit D-2, Annual Closeout Summary, shall be submitted by CONTRACTOR to
COUNTY no later than July 10, 2011.
Exhibit D-3, Equipment Acquisition Report, shall accompany CONTRACTOR's
invoice to COUNTY as appropriate. Equipment must be received by June 30,
2011 for expenses to be claimed against this Agreement. Any equipment or
physical assets obtained by CONTRACTOR utilizing funds pursuant to the
terms of this Agreement shall be inventoried and considered the property of the
COUNTY and tendered to the COUNTY upon termination of services by
CONTRACTOR.
The maximum amount to be paid by COUNTY to CONTRACTOR for Title VII-A
for the period July 1, 2010 to June 30, 2011 shall not exceed twenty-nine thousand,
four hundred and thirty-one dollars $29,431).
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 15 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�OMBUDSMAN INITIATIVE
OMBUDSMAN
SCOPE OF SERVICES
EXHIBIT AA-5
FUNDING SOURCE: State Agreement AP-1011-32, AP-1011-32, Amendment #1
1. SERVICES TO BE PROVIDED
CONTRACTOR shall provide advocacy services for residents in long-term care
facilities in Monterey County. CONTRACTOR is federally mandated to do complaint
investigation and resolution on behalf of these vulnerable residents and their families
or representatives.
Funding under this Agreement will be used to increase the number of Ombudsman
volunteers working in skilled nursing facilities SNF's.) This project is part of the
Governor's Long-Term Care Consumer Protection Initiative.
Ombudsman Advocates will provide the following specific services:
1. Recruit volunteers from the community to increase the Ombudsman
presence in long-term care facilities in Monterey County;
2. Increase the number of volunteers in Medi-Cal facilities by at least
two;
3. Heighten recruitment efforts in the Latino community to better serve
this population;
4. Provide 36-hour certification training at least once a year;
5. Provide ongoing training, support and supervision to certified
Ombudsman volunteers.
6. Additional number of volunteers in Medi-Cal facilities: 7 or more
volunteers
7. Additional 36-hour certification training: 1 or more sessions
Benchmark of Services Provided:
CONTRACTOR shall provide Twenty-five percent 25%) of services
specified in No. 1-7, above, as reported in CONTRACTOR's quarterly
report. There will be some fluctuation by quarter in the services specified
in No. 1-7. It is anticipated that by June 30th, 100% of specified services
will have been provided.
II. PERFORMANCE REPORTING
CONTRACTOR shall report program data as required in the National Ombudsman
Reporting System NORS).
CONTRACTOR shall provide a quarterly narrative report to the COUNTY
describing the progress of services by October 10, 2010, January 10, 2011, April 10,
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 16 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�2011 and July 10, 2011. CONTRACTOR to attach copy of NORS data report to the
quarterly narrative. The Narrative Report shall be in the form of Exhibit D-4.
COUNTY has an expectation that a certain number of services are delivered within
each reporting period. The benchmark is determined by dividing the service units
into the number of months within the contract term quarterly if it is a quarterly
function). The COUNTY has expectations that CONTRACTOR will deliver the
contracted service units within 20% of the benchmark.
If CONTRACTOR falls below the required benchmark percentage for two 2)
consecutive quarters, CONTRACTOR will provide a corrective action plan to the
AAA describing the reason for the occurrence and a plan to meet the benchmark, and
reimbursement may be limited as per Section IV. Invoice/Payment Provisions.
III. MATCH REQUIREMENTS
The Ombudsman Initiative requires no local cash/in-kind match.
IV. INVOICE/PAYMENT PROVISIONS
If CONTRACTOR delivers less than the benchmark of service units for two 2)
consecutive quarters, CONTRACTOR's payment may be limited to the amount of
grant funds based on the percentage of services provided year to date. The benchmark
is identified in Section II, Performance Reporting, and a 20% variance is allowed.
This restriction will be lifted by the County Contract Manager once CONTRACTOR
meets acceptable performance outcomes. Invoice reductions due to the restriction will
be reimbursed once service units are met within 20% of benchmark. The maximum
amount of grant funds allowed to be drawn down per month cannot exceed 10% of
the overall grant, unless approved in writing by the County Contract Manager.
COUNTY shall pay CONTRACTOR in accordance with Article 6, Payment
Conditions of this Agreement. Claims for payment shall be submitted in the form set
forth in Exhibit D, Sample Invoice, by the 10`h of the month for services rendered in
the previous month.
Exhibit D-2, Annual Closeout Summary, shall be submitted by CONTRACTOR to
COUNTY no later than July 10, 2011.
Exhibit D-3, Equipment Acquisition Report, shall accompany CONTRACTOR's
invoice to COUNTY as appropriate. Equipment must be received by June 30,
2011 for expenses to be claimed against this Agreement. Any equipment or
physical assets obtained by CONTRACTOR utilizing funds pursuant to the
terms of this Agreement shall be inventoried and considered the property of the
COUNTY and tendered to the COUNTY upon termination of services by
CONTRACTOR.
Effective January 1, 2011, baseline funds were reduced by $2,450 and one-time-
only funds were added in the amount of $18,944 for a total increase to the grant
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 17 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�program in the amount of sixteen thousand, four hundred and ninety-four
dollars $16,494).
The maximum amount to be paid by COUNTY to CONTRACTOR shall not
exceed twenty-eight thousand, two hundred and seventy dollars $28,270).
Ombudsman Citation $9,326
SNF Quality & Accountability 18,944
Total Funds $28,270
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 18 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�HICAP FUND
REIMBURSEMENTS INS FUND)
FEDERAL SHIP FUNDS CFDA #93.779)
SCOPE OF SERVICES
EXHIBIT AA-6
FUNDING SOURCE: State Agreement HI-1011-32, HI-1011-32, Amendment #1
I. SERVICES TO BE PROVIDED
CONTRACTOR shall provide health insurance counseling and advocacy services to
a) Medicare Beneficiaries, including Medicare Beneficiaries by virtue of a disability,
and those persons imminent of Medicare eligibility and, b) the public at large for
HICAP community education services. Services shall be provided throughout the
County of Monterey. CONTRACTOR must be in compliance with all Program
Memoranda issued by the California Department of Aging.
1. Estimated Number of Unduplicated Clients Counseled: 761
Note: Clients Counseled equals the number of Intakes closed
and finalized by the Program Manager.
2. Estimated Number of Public and Media Events: 132
Note: Public and Media events include education/outreach
presentations, booths/exhibits at health/senior fairs, and
enrollment events, excluding public service announcements and
printed outreach.
3. Estimated Number of Contacts for all Clients Counseled: 3,301
Note: This includes all counseling contacts via telephone, in-
person at home, in-person at site, and electronic contacts e-mail,
fax, etc.) for duplicated client counts.
4. Estimated Number of Persons Reached at Public and Media Events: 2,447
Note: This includes the estimated number of attendees e.g.,
people actually attending the event, not just receiving a flyer)
reached through presentations, and those reached through
booths/exhibits at health/senior fairs, and those enrolled at
enrollment events, excluding public service announcements
PSAs) and printed outreach materials.
5. Estimated Number of Contacts with Beneficiaries with Medicare Status Due to a
Disability: 97
Note: This includes all counseling contacts via telephone, in-
person at home, in-person at site, and electronic contacts e-mail,
fax, etc.) duplicated client counts with Medicare beneficiaries
due to disability and not yet age 65.
6. Estimated Unduplicated Number of Low Income Beneficiaries: 199
Note: This is the number of unduplicated low-income Medicare
beneficiary contacts and/or contacts that discussed low-income
subsidy LIS). Low income means 150 percent of the Federal
Poverty Level FPL).
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 19 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�7. Estimated Number of Enrollment and Enrollment Assistance Contacts: 1,369
Note: This is the number of unduplicated enrollment contacts
during which one or more qualifying enrollment topics were
discussed. This includes all enrollment assistance, not just Part
D.
8. Estimated Part D Enrollment and Enrollment Assistance Contacts: 566
Note: This is a subset of all enrollment assistance in #7. It
includes the number of unduplicated Part D enrollment contacts
during which one or more qualifying Part D enrollment topics
were discussed.
Benchmark of Services Provided:
CONTRACTOR shall provide Twenty-five percent 25%) of services
specified in Services 1 through 8 as reported in the CONTRACTOR'S
quarterly report. There will be some fluctuation by quarter in the services
specified in Services 1 through 8. It is anticipated that by June 30th, 100% of
specified services will have been provided.
II. PERFORMANCE REPORTING
CONTRACTOR shall enter data monthly into the CDA SHARP System by the 10`h
of the month following the month of service.
CONTRACTOR shall provide a quarterly narrative report to the COUNTY
describing the progress of services by October 10, 2010, January 10, 2011, April 10,
2011 and July 10, 2011. CONTRACTOR to attach copy of CDA SHARP data
reports to the quarterly narrative. The Narrative Report shall be in the form of
Exhibit D-4.
COUNTY has an expectation that a certain number of services are delivered within
each reporting period. The benchmark is determined by dividing the service units
into the number of months within the contract term quarterly if it is a quarterly
function). The COUNTY has expectations that CONTRACTOR will deliver the
contracted service units within 20% of the benchmark.
If CONTRACTOR falls below the required benchmark percentage for two 2)
consecutive quarters, CONTRACTOR will provide a corrective action plan to the
AAA describing the reason for the occurrence and a plan to meet the benchmark, and
reimbursement may be limited as per Section IV. Invoice/Payment Provisions.
III. MATCH REQUIREMENTS
HICAP does not require a local cash/in-kind match.
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 20 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�IV. INVOICE/PAYMENT PROVISIONS
If CONTRACTOR delivers less than the benchmark of service units for two 2)
consecutive quarters, CONTRACTOR payment may be limited to the amount of
grant funds based on the percentage of services provided year to date. The benchmark
is identified in Section II, Performance Reporting, and a 20% variance is allowed.
This restriction will be lifted by the County Contract Manager once CONTRACTOR
meets acceptable performance outcomes. Invoice reductions due to the restriction
will be reimbursed once service units are met within 20% of benchmark. The
maximum amount of grant funds allowed to be drawn down per month cannot exceed
10% of the overall grant, unless approved in writing by the County Contract
Manager.
COUNTY shall pay CONTRACTOR in accordance with Article 6, Payment
Conditions of the Agreement. Claims for payment shall be submitted in the form set
forth in Exhibit D, Sample Invoice, by the 10th of the month for services rendered in
the previous month.
Exhibit D-2, Annual Closeout Summary, shall be submitted by CONTRACTOR to
COUNTY no later than July 10, 2011.
Exhibit D-3, Equipment Acquisition Report, shall accompany CONTRACTOR's
invoice to COUNTY as appropriate. Equipment must be received by June 30,
2011 for expenses to be claimed against this Agreement. Any equipment or
physical assets obtained by CONTRACTOR utilizing funds pursuant to the
terms of this Agreement shall be inventoried and considered the property of the
COUNTY and tendered to the COUNTY upon termination of services by
CONTRACTOR.
Effective January 1, 2011, one-time-only funds are added to the Federal SHIP
Funds in the amount of fifteen thousand, and ninety-two dollars $15,092) for
baseline services.
The maximum amount to be paid by COUNTY to CONTRACTOR for Title III-B for
the period July 1, 2010 to June 30, 2011 shall not exceed two hundred forty-six
thousand, eight hundred and fifty-two dollars $246,852).
HICAP Fund $53,576
Reimbursements Ins Fund) $107,169
Federal SHIP Funds $86,107
Total HICAP Funds $246,852
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 21 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�EXHIBIT AA-7
MEDICARE ENROLLMENT ASSISTANCE PROGRAM CFDA #93.071)
LIS/MSP OUTREACH TO LOW INCOME
MEDICARE BENEFICIARIES CFDA #93.779)
SCOPE OF SERVICES
FUNDING SOURCE: State Agreement MI-0910-32, MI-0910-32, Amendment #1
JULY 1, 2010 MAY 31, 2011
1. SERVICES TO BE PROVIDED
CONTRACTOR shall provide MIPPA services in compliance with California
Department of Aging Program Memoranda Numbers 09-15, 09-22, 10-22, and
10-27. Services shall be provided in accordance with the California Code of
Regulations, Title 22, Social Security, Division 1.8, California Department of Aging.
Service:
Medicare Improvements for Patients and Providers Act
Unit of Service Definition & Measurement:
Completed and submitted Low Income Subsidy LIS) applications and
Medicare Savings Plan MSP) applications.
Estimated Service Units to be delivered:
39
Cost per Unit of Service: $350.18 39 x $350.18 $13,657*)
*Rounded to the nearest dollar
Benchmark of Service Units to be delivered:
by September 30th: 10 Units 25%)
by December 31St: 20 Units 50%)
by March 31St: 30 Units 75%)
by May 31St: 39 Units 100%)
H. PERFORMANCE REPORTING
CONTRACTOR shall provide a quarterly narrative report to the COUNTY
describing the progress of services by October 10, 2010, January 10, 2011, April 10,
2011 and June 10, 2011. The Narrative Report shall be in the form of Exhibit D-4.
CONTRACTOR shall submit monthly MIPPA reports to the California Department
of Aging CDA) and to the COUNTY. All data reports must be completed on the
Excel spreadsheet, MIPPA Monthly Reporting Tool," provided by CDA. This
spreadsheet is attached as Exhibit D-5. This spreadsheet is also available on the
CDA website, htt-p://www.aging.ca.gov/aaa/mipl)a.aW.
COUNTY has an expectation that a certain number of services are delivered within
each reporting period. The benchmark is determined by dividing the service units
into the number of months within the contract term quarterly if it is a quarterly
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 22 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�function). The COUNTY has expectations that CONTRACTOR will deliver the
contracted service units within 20% of the benchmark.
If CONTRACTOR falls below the required benchmark percentage for two 2)
consecutive quarters, CONTRACTOR will provide a corrective action plan to the
AAA describing the reason for the occurrence and a plan to meet the benchmark, and
reimbursement may be limited as per Section IV. Invoice/Payment Provisions.
III. MATCH REQUIREMENTS
MIPPA does not require a local cash/in-kind match.
IV. INVOICE/PAYMENT PROVISIONS
If CONTRACTOR delivers less than the benchmark of service units for two 2)
consecutive quarters, CONTRACTOR's payment may be limited to the amount of
grant funds based on the percentage of services provided year to date. The benchmark
is identified in Section II, Performance Reporting, and a 20% variance is allowed.
This restriction will be lifted by the County Contract Manager once CONTRACTOR
meets acceptable performance outcomes. Invoice reductions due to the restriction
will be reimbursed once service units are met within 20% of benchmark. The
maximum amount of grant funds allowed to be drawn down per month cannot exceed
10% of the overall grant, unless approved in writing by the County Contract
Manager.
COUNTY shall pay CONTRACTOR in accordance with Article 6, Payment
Conditions of the Agreement. Claims for payment shall be submitted in the form set
forth in Exhibit D- 1, Sample Invoice, by the 10`h of the month for services rendered
in the previous month.
Exhibit D-2, Annual Closeout Summary, shall be submitted by CONTRACTOR to
COUNTY no later than July 10, 2011.
Exhibit D-3, Equipment Acquisition Report, shall accompany CONTRACTOR's
invoice to COUNTY as appropriate. Equipment must be received by June 30,
2011 for expenses to be claimed against this Agreement. Any equipment or
physical assets obtained by CONTRACTOR utilizing funds pursuant to the
terms of this Agreement shall be inventoried and considered the property of the
COUNTY and tendered to the COUNTY upon termination of services by
CONTRACTOR.
Effective January 1, 2011, additional baseline funds and one-time only funds are
added to the grant program in the amount of six thousand, three hundred and
seventy dollars $6,370) for the higher reimbursement of the provision of
baseline services.
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 23 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4/�The maximum amount to be paid by COUNTY to CONTRACTOR for MIPPA for
the period July 1, 2010 to May 31, 2011 shall not exceed thirteen thousand, six
hundred and fifty-seven dollars $13,657).
AAA MIPPA $6,379
SHIP HICAP) MIPPA $7,278
Total MIPPA Funds $13,657
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 24 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4 /�MIPPA 2
EXHIBIT A-8
ACA MIPPA CFDA #93.518)
MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT
CFDA #93.779)
FUNDING SOURCE: State Agreement 2M-1011-32
MARCH 1, 2011 to JUNE 30, 2011
1. SERVICES TO BE PROVIDED BY CONTRACTOR
CONTRACTOR shall provide MIPPA 2 services Exhibit A-8) in conjunction with
MIPPA services Exhibit AA-7). Services shall be provided in accordance with the
California Code of Regulations, Title 22, Social Security, Division 1.8, California
Department of Aging.
2 MIPPA" funds not spent in SFY 2010-11 will be available for use in SFY 2011-
12. AAAs should note that the second year of 2 MIPPA" funding is contingent on
meeting a minimum of 30 percent of the individual PSA's total performance
benchmarks. CDA will evaluate achievement of performance benchmarks in July of
2011 for the reporting period ending June 30, 2011. All LIS and MSP applications
submitted after October 1, 2010 will apply toward the 2 MIPPA" performance
benchmarks.)
Service:
Medicare Improvements for Patients and Providers Act
Unit of Service Definition & Measurement:
Completed and submitted Low Income Subsidy LIS) applications and
Medicare Savings Plan MSP) applications.
Estimated Service Units to be delivered:
71
Average Cost per Unit of Service: $180.87 71 x $180.87 $12,842*)
*Rounded to the nearest dollar
Benchmark of Service Units to be delivered:
by March 31St: 35 Units 50%)
by June 30th: 71 Units 100%)
H. PERFORMANCE REPORTING
CONTRACTOR shall provide a quarterly narrative report to the COUNTY
describing the progress of services by April 10, 2011, and July 10, 2011. The
Narrative Report shall be in the form set forth in Exhibit D-4.
CONTRACTOR shall submit monthly MIPPA reports to the California Department
of Aging CDA) and to the COUNTY. All data reports must be completed on the
Excel spreadsheet, MIPPA Monthly Reporting Tool," provided by CDA. This
Alliance on Aging Amendment # 1 to Agreement # 11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 25 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4 /�spreadsheet is attached as Exhibit D-5. This spreadsheet is also available on the
CDA website, http://www.aging.ca.gov/aaa/mippa.asi).
has an expectation that a certain number of services are delivered within
each reporting period. The benchmark is determined by dividing the service units
into the number of periods within the contract term. The COUNTY has expectations
that CONTRACTOR will deliver the contracted service units within 20% of the
benchmark.
If CONTRACTOR falls below the required benchmark percentage for two 2)
consecutive periods, CONTRACTOR will provide a corrective action plan to the
AAA describing the reason for the occurrence and a plan to meet the benchmark, and
reimbursement may be limited as per Section IV. Invoice/Payment Provisions.
III. MATCH REQUIREMENTS
MIPPA 2 does not require a local cash/in-kind match.
IV. INVOICE/PAYMENT PROVISIONS
CONTRACTOR shall comply with the appropriate benchmark requirements for service
units to be delivered in order to draw down contract funds in accordance with the terms
of this Agreement. If CONTRACTOR delivers less than the benchmark of service units
for two 2) consecutive periods, CONTRACTOR's payment may be limited to the
amount of grant funds based on the percentage of services provided year to date.
The benchmark is identified in Section II., Performance Reporting, and a 20% variance is
allowed. This restriction will be lifted by the County Contract Manager once
CONTRACTOR meets acceptable performance outcomes. Invoice reductions due to the
restriction will be reimbursed once service units are met within 20% of benchmark. The
maximum amount of grant funds allowed to be drawn down per month cannot exceed
10% of the overall grant, unless approved in writing by the County Contract Manager.
COUNTY shall pay CONTRACTOR in accordance with Article 6, Payment
Conditions of the Agreement. Claims for payment shall be submitted in the form set
forth in Exhibit D-1, Sample Invoice, by the 10th of the month for services rendered
in the previous month.
Exhibit D-2, Annual Closeout Summary, shall be submitted by CONTRACTOR to
COUNTY no later than July 10, 2011.
Exhibit D-3, Equipment Acquisition Report, shall accompany CONTRACTOR's
invoice to COUNTY as appropriate. Equipment must be received by June 30, 2011
for expenses to be claimed against this Agreement. Any equipment or physical assets
obtained by CONTRACTOR utilizing funds pursuant to the terms of this Agreement
shall be inventoried and considered the property of the COUNTY and tendered to the
COUNTY upon termination of services by CONTRACTOR.
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 26 of 27
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4 /�The maximum amount to be paid by COUNTY to CONTRACTOR for MIPPA 2 for
the period March 1, 2011 to June 30, 2011 shall not exceed twelve thousand, eight
hundred and forty-two dollars $12,842).
AAA MIPPA 2 $4,831
HICAP MIPPA 2 $8,011
Total MIPPA 2 Funds $12,842
Alliance on Aging Amendment #1 to Agreement #11851
Exhibits AA, AA-1, AA-2, AA-3, AA-4, AA-5, AA-6, AA-7, and A-8
Page 27 of 27
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40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4 /�Monterey County AAA Budget Certification Report
Alliance on Aging Title Ill-B Outreach Fiscal Year 2010-2011
ExpCat Budget Cash Budget InKind
Salaries / Vol IK 27,589 4,744
Payroll Taxes 2,112
Employee Benefits 3,416
Volunteer Reimbursements
Travel / Vol Travel 200
Conference / Trainings / Meetings
Professional Fees: Acctg/Legal/DP 829
Equipment Purchase 300
Equipment Rental / Maintenance 110
Occupancy
Insurance Not Vech / Occ) 500
Utilities / Communications 1,000
Postage / Shipping
Printing / Publication 2,265
Public Relations / Advertising 2,700
Subs / Membership Dues
Supplies 500
Food / Food Service
Vehicle Operation 1,800
Overhead 8% limit) 3,224
Awards / Events
Low Income Subsidy
Federal Mental Health
Low Income Subsidy
Depreciation
Nutrition Education
Bank Service Fees
Subcontractor
Miscellaneous
Expense Totals 46,545 4,744
AAA Grant NSIP Grant OTO Grant
40,300 6,245
51,289
Project Income CNonMatch INonMatch CashMatch IKMatch GRTotal Required Match
4,744 51,289 5,401
I certify that the amounts displayed
are accurate and correct.
Provi er Signature
Approved by Date 1 9
AAA Fiscal Officer
Approved by
t-1
Date z b 20(
Revision Date
EXHIBIT CC-1
4/18/2011
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4 /�Monterey County AAA Budget Certification Report
Alliance on Aging
Title III-E Support-Caregiver Training Fiscal Year 2010-2011
ExpCat Budget Cash Budget InKind
Salaries / Vol 1K 8,935 7,504
Payroll Taxes 828
Employee Benefits 652
Volunteer Reimbursements
Travel / Vol Travel 59
Conference / Trainings / Meetings
Professional Fees: Acctg/Legal/DP 3,221
Equipment Purchase
Equipment Rental I Maintenance
Occupancy
Insurance Not Vech / Occ)
Utilities / Communications 82
Postage / Shipping
Printing / Publication 660
Public Relations / Advertising 391
Subs / Membership Dues
Supplies 977
Food / Food Service
Vehicle Operation
Overhead 8% limit)
Awards / Events
Low Income Subsidy
Federal Mental Health
Low Income Subsidy
Depreciation
Nutrition Education
Bank Service Fees
Subcontractor
Miscellaneous
Expense Totals
15,805 7,504
AAA Grant NSIP Grant OTO Grant
15,805
Project Income CNonMatch IKNonMatch CashMatch IKMatch GRTotal
7,504 23,309
I certify that the amounts displayed
are accurate and correct.
Approved by
Fiscal Officer
Approved by
Date
Date 2t(
23,309
Required Match
5,827
Revision Date 11
EXHIBIT CC-2
4/19/2011
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4!/�Monterey County AAA Budget Certification Report
Alliance on Aging Title III-B Ombudsman Fiscal Year 2010-2011
ExpCat Budget Cash Budget InKind
Salaries / Vol IK 21,453 2,750
Payroll Taxes 1,814
Employee Benefits 2,680
Volunteer Reimbursements
Travel / Vol Travel
Conference / Trainings / Meetings
Professional Fees: Acctg/Legal/DP
Equipment Purchase
Equipment Rental / Maintenance
Occupancy
Insurance Not Vech / Occ)
Utilities / Communications
Postage / Shipping
Printing / Publication
Public Relations / Advertising
Subs / Membership Dues
Supplies
Food / Food Service
Vehicle Operation
Overhead 8% limit)
Awards / Events
Low Income Subsidy
Federal Mental Health
Low Income Subsidy
Depreciation
Nutrition Education
Bank Service Fees
Subcontractor
Miscellaneous
Expense Totals
25,947 2,750
AAA Grant NSIP Grant OTO Grant
22,131 3,816
Project Income CNonMatch INonMatch CashMatch IKMatch GRTotal
2,750 28,697
I certify that the amounts displayed
are accurate and correct.
Provic r Signature
Approved by \.~ iict
AAA Fiscal Officer
Approved by
Date
Date Z b Zb
28,697
Required Match
3,022
Revision Date
EXHIBIT CC-3
4/18/2011
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4"/�Alliance on Aging
ExpCat
Salaries / Vol IK
Payroll Taxes
Employee Benefits
Volunteer Reimbursements
Travel / Vol Travel
Conference / Trainings / Meetings
Professional Fees: Acctg/Legal/DP
Equipment Purchase
Equipment Rental / Maintenance
Occupancy
Insurance Not Vech / Occ)
Utilities / Communications
Postage / Shipping
Printing / Publication
Public Relations / Advertising
Subs / Membership Dues
Supplies
Food / Food Service
Vehicle Operation
Overhead 8% limit)
Awards / Events
Low Income Subsidy
Federal Mental Health
Low Income Subsidy
Depreciation
Nutrition Education
Bank Service Fees
Subcontractor
Miscellaneous
Expense Totals
AAA Grant NSIP Grant
28,284
Project Income CNonMatch
I certify that the amounts displayed
are accurate and correct.
Approved by
Monterey County AAA Budget Certification Report
Title 7A Ombudsman
Budget Cash Budget InKind
23,282 3,575
2,007
4,142
29,431 3,575
OTO Grant
1,147
INonMatch CashMatch IKMatch GRTotal
3,575 33,006
Date
l4
Date 2 6 t ZOO,
Fiscal Year 2010-2011
33,006
Required Match
Revision Date
EXHIBIT CC-4
4/18/2011
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-U07
DEPARTMENT-U07
OF-U07
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&-U07
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SERVICES,-U07
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DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
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ON-U012
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THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4#/�MONTEREY COUNTY AREA AGENCY ON AGING
PLANNING AND SERVICE AREA NO. 32
BUDGET PERIOD: JULY 1, 2010 THRU JUNE 30, 2011
Name of Agency: ALLIANCE ON AGING
Address of Agency: 2200 GARDEN ROAD
MONTEREY, CA 93940
Project Name: Ombudsman Volunteer Recruitment Initiative
Funding Source and Catalog #
Check one: State Funds
State Funds
Certification:
X
X
Special Deposit & General Fund
SNF Quality & Accountability Fund
Budget Version
Check one: Original
X
x
7/1/2010
2/7/2011
I hereby certify to the best of my knowledge and belief that the Budget reflects the necessary,
reasonable and allowable costs to attain the objectives and goals of this project. I further certify
that the amounts displayed are accurate and correct.
Becky Mann 831.655.7563
Preparer's Name Printed) and telephone number
Execu ive Director's Signatur
Teresa Sullivan 831.655.4240
Executive Director's Name Printed) and telephone number
Received at Area Agency on Aging:
8% Indirect Cost limit
Budget Approved by Fiscal Officer:
Budget Approved by Program:
Mis.Mdb updated by Fiscal Officer:
New Mis.Mdb sent to provider:
Reviewed for: completeness and accuracy
No match requirement
Reviewed for Allowable Costs
EXHIBIT CC-5
Page 1 of 4
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EXECUTED-U02
AGREEMENT-U02
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FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-U012
DEPARTMENT-U012
OF-U012
SOCIAL-U012
&-U012
EMPLOYMENT-U012
SERVICES,-U012
OR-U012
HIS-U012
DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
THREE-U012
3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4$/�JULY 1, 2010 THRU JUNE 30, 2011
Agency Name: ALLIANCE ON AGING
SECTION A:
Ombudsman Volunteer Recruitment Initiative
BUDGET SUMMARY
Categories of Expenses Special Deposit & General Fund SNF Quality & Accountability Fund Total Budget
Personnel $ 10,451 $ 21,569 $ 32,020
Operating Expenses $ $ $
Total $ 10,451 $ 21,569 $ 32,020
Special Deposit & General Fund SNF Quality & Accountability Fund Total Budget
Source of Revenue Cash In-Kind Cash In-Kind Cash In-Kind
AAA Grant $ 9,326 $ 18,944 $ 28,270 $
Project Income $
Matching $ $
Other Federal Funds Non-matching $ $
Matching $ $
Other State Funds Non-matching $ $
Matching $ $
County/City Funds Non-matching $ $
$ $
Private Grants Non-matching $ $
Matching $ 1,125 $ 2,625 $ $ 3,750
Net Fundraising Non-matching $ $
Matching $ $ 1,125 $ $ 2,625 $ $ 3,750
Totals by match Non-matching $ $ $ $ $ $
TOTAL $ 10,451 21,569 32,020
$ 0 $
0)
AOA OMBUDS INITIATIVE FY10-112-9-1 1.xIs seca
Page 2 of 4
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EXECUTED-U02
AGREEMENT-U02
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FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
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A-11851-U012
THE-U012
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THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4%/�LY 1, 2010 THRU JUNE 30, 2
SECTION B:
ALLIANCE ON AGING
Ombudsman Volunteer Recruitment Initiative
SCHEDULE OF PERSONNEL COSTS
/o on Pro ram
No. Paid Staff Positions Annual Salary
Special Deposit
& General Fund
SNF Quality &
Accountability Fund Program Cost
Program Manager $41,860.00 9% 18% $ 11,094.00
Senior Ombudsman $29,721.00 9% 18% $ 8,024.00
Executive Director $70,000.00 1% 1% $ 1,400.00
Operations Director $32,312.00 1% 3% $ 1,292.00
Accounting Manager $30,229.00 1% 3% $ 1,209.00
Accounting Assistant $8,960.00 1% 1% $ 179.00
Administrative Coordinator $12,406.00 2% 3% $ 620.00
Total Salaries $ 225,488.00 $ 7,857.00 $ 15,961.00 $ 23,818.00
Payroll Taxes $ 368.82 $ 749.18 $ 1,118.00
Employee Benefits $ 1,099.85 $ 2,234.15 $ 3,334.00
Total Paid Staff $ 225,488.00 $ 9,325.67 $ 18,944.33 $ 28,270.00
% on Program
No. In-Kind: Donated Services Hourly Wage
Special Deposit &
General Fund
SNF Quality &
Accountability Fund Program Cost
3 Volunteer Ombudsman $25.00 1,125.00 2,625.00 $ 3,750
Total In-Kind Staff $ 25 $ 1,125 $ 2,625 $ 3,750
Total Personnel Costs $ 225,488 $ 10,451 $ 21,569 $ 32,020
Costs reflected on this page must equal subtotal Personnel Costs) shown on
Page 2, column Total Budget"
Page 3 of 4 AOA_OMBUDS INITIATIVE_ FY10-11_2-9-11.xls secb
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FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
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16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-U07
DEPARTMENT-U07
OF-U07
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&-U07
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SERVICES,-U07
OR-U07
HIS-U07
DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4&/�JULY 1, 2010 THRU JUNE 30, 2011
SECTION C:
ALLIANCE ON AGING
OPERATING EXPENSES I EQUIPMENT
AND INDIRECT COSTS
OPERATING EXPENSE Special Deposit & General Fund SNF Quality & Accountability Fund Total Budget
& EQUIPMENT Cash In-Kind Cash In-Kind Cash In-Kind
Volunteer Reimbursement $ $
Travel $ $
Conference, Meetings, and Training $ $
Professional Fees: Acct/ Legal /DP, etc. $ $
Equipment Purchase $ $
Equipment Rental and Maintenance $ $
Occupancy $ $
Insurance Excluding Veh. & Occ. $ $
Utilities $ $
Postage and Shipping $ $
Printing / Publications $ $
Public Relations /Advertising $ $
Membership Dues and Subscriptions $ $
Supplies $ $
Food Service Costs / Raw Food $ $
Vehicle Operation Costs $ $
Implementation and Access MMA) $ $
Overhead: 8% limit of Grant Funding $ $
Awards/ Recognition/ Events $ $
Bank Services Fees $ $
Client Support /Food, Rides, etc. $ $
Miscellaneous: List Separately) $ $
Depreciation $ $
$ $
Total Operating Expenses
Page 4 of 4 AOA_OMBUDS INITIATIVE_ FY10-11_2-9-11.xls secCD
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1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4'/�Monterey County AAA Budget Certification Report
Alliance on Aging HICAP Fund Fiscal Year 2010-2011
ExpCat Budget Cash
Salaries / Vol IK 24,560
Payroll Taxes 2,213
Employee Benefits 3,464
Volunteer Reimbursements
Travel / Vol Travel
Conference / Trainings / Meetings
Professional Fees: Acctg/Legal/DP
Equipment Purchase
Equipment Rental / Maintenance 2,760
Occupancy
Insurance Not Vech / Occ) 2,200
Utilities / Communications 3,925
Postage / Shipping
Printing / Publication 2,000
Public Relations / Advertising 7,700
Subs / Membership Dues
Supplies 630
Food / Food Service
Vehicle Operation
Overhead 8% limit) 4,124
Awards / Events
Low Income Subsidy
Federal Mental Health
Low Income Subsidy
Depreciation
Nutrition Education
Bank Service Fees
Subcontractor
Miscellaneous
Expense Totals 53,576
AAA Grant NSIP Grant OTO Grant
53,576
Budget InKind
Project Income CNonMatch INonMatch CashMatch IKMatch
I certify that the amounts displayed
are accurate and correct.
Approved by
AAA Fiscal Officer
Approved by
GRTotal
53,576
Date iol)
53,576
Required Match
Revision Date Q Il
EXHIBIT CC-6
Page 1 of 3
4/18/2011
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2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4(/�Monterey County AAA Budget Certification Report EXHIBIT CC-6
Page 2 of 3
Alliance on Aging
ExpCat
Salaries / Vol IK
Payroll Taxes
Employee Benefits
Volunteer Reimbursements
Travel / Vol Travel
Conference 1 Trainings I Meetings
Professional Fees: Acctg/Legal/DP
Equipment Purchase
Equipment Rental / Maintenance
Occupancy
Insurance Not Vech / Occ)
Utilities / Communications
Postage / Shipping
Printing / Publication
Public Relations / Advertising
Subs / Membership Dues
Supplies
Food / Food Service
Vehicle Operation
Overhead 8% limit)
Awards / Events
Low Income Subsidy
Federal Mental Health
Low Income Subsidy
Depreciation
Nutrition Education
Bank Service Fees
Subcontractor
Miscellaneous
Expense Totals
650
1,000
1,800
955
2,822
107,169
AAA Grant NSIP Grant OTO Grant
107,169
Budget InKind
Project Income CNonMatch INonMatch CashMatch IKMatch GRTotal
I certify that the amounts displayed
are accurate and correct.
Approved by N!
AAA Fiscal Officer
HICAP Reimbursement Fiscal Year 2010-2011
Budget Cash
77,669
6,868
9,893
3,162
1,000
1,350
Date
107,169
Date Z & t 11
107,169
Required Match
Revision Date
4/18/2011
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
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AS99817-U03
AS99819-U03
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16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-U07
DEPARTMENT-U07
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SIGN-U07
511-DSS-U08
OLDS-U09
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AMENDMENT-U012
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1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4)/�Monterey County AAA Budget Certification Report
Alliance on Aging
HICAP Ship Fund Fiscal Year 2010-2011
ExpCat Budget Cash
Salaries / Vol IK 23,682
Payroll Taxes 2,503
Employee Benefits 3,901
Volunteer Reimbursements
Travel / Vol Travel
Conference / Trainings / Meetings
Professional Fees: Acctg/Legal/DP 36,515
Equipment Purchase 5,192
Equipment Rental / Maintenance
Occupancy 4,728
Insurance Not Vech / Occ)
Utilities / Communications
Postage / Shipping
Printing / Publication
Public Relations / Advertising
Subs / Membership Dues
Supplies
Food / Food Service
Vehicle Operation
Overhead 8% limit) 5,680
Awards / Events
Low Income Subsidy
Federal Mental Health 3,906
Low Income Subsidy
Depreciation
Nutrition Education
Bank Service Fees
Subcontractor
Miscellaneous
Expense Totals 86,107
AAA Grant NSIP Grant OTO Grant
86,107
Budget InKind
Project Income CNonMatch INonMatch CashMatch IKMatch GRTotal
I certify that the amounts displayed
are accurate and correct.
Approved by Date i0" e
AAA Fiscal Officer
Approved by
Date
86,107
l'zIzotj
86,107
Required Match
Revision Date
EXHIBIT CC-6
Page 3 of 3
4/18/2011
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4*/�Monterey County AAA Budget Certification Report
Alliance on Aging
ExpCat MIPPA AAA MIPPA Fiscal Year 2010-2011
Budget Cash Budget InKind
Salaries / Vol IK 4,858
Payroll Taxes 383
Employee Benefits 138
Volunteer Reimbursements
Travel / Vol Travel
Conference / Trainings / Meetings
Professional Fees: Acctg/Legal/DP
Equipment Purchase
Equipment Rental / Maintenance
Occupancy
Insurance Not Vech / Occ)
Utilities / Communications 300
Postage / Shipping
Printing / Publication
Public Relations / Advertising 650
Subs / Membership Dues
Supplies
Food / Food Service 50
Vehicle Operation
Overhead 8% limit)
Awards / Events
Low Income Subsidy
Federal Mental Health
Low Income Subsidy
Depreciation
Nutrition Education
Bank Service Fees
Subcontractor
Miscellaneous
Expense Totals
6,379
AAA Grant NSIP Grant OTO Grant
6,379
Project Income CNonMatch INonMatch CashMatch lKMatch
I certify that the amounts displayed
are accurate and correct.
Proylder Signature
1
Approved by
AAA Fiscal Officer
Approved by
6,379
6,379
GRTotal Required Match
Date
Date zoll
Revision Date 26111
EXHIBIT CC-7
Page 1 of 2
4/18/2011
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
AGREEMENTS-U03
2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4+/�Monterey County AAA Budget Certification Report
Alliance on Aging MIPPA HICAP MIPPA Fiscal Year 2010-2011
ExpCat Budget Cash
Salaries / Vol IK 4,952
Payroll Taxes 423
Employee Benefits 138
Volunteer Reimbursements
Travel / Vol Travel
Conference / Trainings / Meetings
Professional Fees: Acctg/Legal/DP
Equipment Purchase
Equipment Rental / Maintenance
Occupancy
Insurance Not Vech / Occ)
Utilities / Communications 715
Postage / Shipping
Printing / Publication
Public Relations / Advertising 1,000
Subs / Membership Dues
Supplies
Food / Food Service 50
Vehicle Operation
Overhead 8% limit)
Awards / Events
Low Income Subsidy
Federal Mental Health
Low Income Subsidy
Depreciation
Nutrition Education
Bank Service Fees
Subcontractor
Miscellaneous
Expense Totals 7,278
Budget In Kind
AAA Grant NSIP Grant OTO Grant
7,278
Project Income CNonMatch IKNonMatch CashMatch IKMatch GRTotal
I certify that the amounts displayed
are accurate and correct.
Provid�r Signature
7,278
Approved by Date
AAA Fiscal Officer
Approved by Fkl-~ I
AAA Management A alys
Date tj /-Z 42 1? Oil
7,278
Required Match
Revision Date
EXHIBIT CC-7
Page 2 of 2
4/18/2011
BIB]
40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
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AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
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2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-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
5/12/2011-U011
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NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4,/�EXHIBIT C-8
MONTEREY COUNTY AREA AGENCY ON AGING
PLANNING AND SERVICE AREA NO.32
Medicare Improvements for Patients and Providers Act 2M1PPA)
BUDGET PERIOD: FEBRUARY 1, 2011 THRU JUNE 30, 2011
Name of Agency: ALLIANCE ON AGING
Address of Agency: 2200 GARDEN ROAD
MONTEREY, CA 93940
Project Name: Medicare Improvements for Patients and Providers Act 2MIPPA)
Funding Source and Catalog #
Check one: Federal Funds
Federal Fund
Certification:
X
X
93.518
93.779
Budget Version
Check one: Oric X
V t
Budget Approved by Fiscal Officer u~'t~-/(
I hereby certify to the best of my knowledge and belief that the Budget reflects the necessary,
reasonable and allowable costs to attain the objectives and goals of this project. I further certify
that the amounts displayed are accurate and correct.
Becky Mann 831-655-7563
Preparer's Name Printed) and telepihone number
Teresa Sullivan 831-655-4240
Executive Director's Name Printed) and telephone number
Received at Area Agency on Agi
ACA MIPPA AOA)
The Medicare Improvements for Patients and Providers Act CMS)
3/24/2011
y/1 /!/
Reviewed for: completeness and accuracy
No match requirement
Reviewed for Allowable Costs
8% Indirect Cost limit
Invoice updated by Fiscal Officer:
Invoice Template sent to provider:
Budget Approved by Program: t Ln i
Page 1 of 4
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2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
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OR-U07
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DESIGNEE,-U07
TO-U07
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511-DSS-U08
OLDS-U09
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OLDSAM-U10
5/12/2011-U011
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1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4-/�EBRUARY 1, 2011 THRU JUNE 30, 20
Agency Name: ALLIANCE ON AGING
SECTION A:
BUDGET SUMMARY
Categories of Expenses AAA MIPPA HICAP MIPPA Total Budget
Personnel $ 3,227 $ 3,160 $ 6,387
Operating Expenses $ 1,604 $ 4,851 $ 6,454
Total $ 4,831 $ 8,011 $ 12,841
AAA MIPPA HICAP MIPPA Total Budget
Source of Revenue Cash In-Kind Cash In-Kind Cash In-Kind
AAA Grant $ 4,831 $ 8,011 $ 12,842 $
Project Income $
Matching $ $
Other Federal Funds Non-matching $ $
Matching $ $
Other State Funds Non-matching $ $
Matching $ $
County/City Funds Non-matching $ $
$ $
Private Grants Non-matching $ $
Matching $ $ $ $
Net Fundraising Non-matching $ $
Matching $ $ $ $ $ $
Totals by match Non-matching $ $ $ $ $
TOTAL 01 p
4,831
8,011
$ 12,842
$ 0 $
0
Page 2 of 4
MIPPA2 Budget FY10-11 xis Seca
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40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
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FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
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2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
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OF-U07
THE-U07
DEPARTMENT-U07
OF-U07
SOCIAL-U07
&-U07
EMPLOYMENT-U07
SERVICES,-U07
OR-U07
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DESIGNEE,-U07
TO-U07
SIGN-U07
511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
5/12/2011-U011
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NO.-U012
1-U012
TO-U012
AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
ON-U012
AGING-U012
THE-U012
PROVISION-U012
OF-U012
SERVICES-U012
TO-U012
MONTEREY-U012
COUNTY-U012
SENIORS-U012
THE-U012
PERIOD-U012
JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-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
THE-U012
TOTAL-U012
AMENDMENTS-U012
DO-U012
EXCEED-U012
TEN-U012
PERCENT-U012
10%)-U012
OF-U012
THE-U012
ORIGINAL-U012
CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4./�UARY 1, 2011 THRU JUNE 3,
SECTION B:
ALLIANCE ON AGING
Medicare Improvements for Patients and Providers Act 2MIPPA)
SCHEDULE OF PERSONNEL COSTS
% on Program
No. Paid Staff Positions Annual Salary
AAA MIPPA
HICAP MIPPA Program Cos
MIPPA II Program Assistant $ 33,280.00 9% 8% 0% 0% $ 5,657.00
$
$
Total Salaries $ 33,280.00 $ 2,995.00 $ 2,662.00 $ $ 5,657.00
Payroll Taxes $ 217.00 $ 204.00 $ $ $ 421.00
Employee Benefits $ 15.00 $ 294.00 $ $ $ 309.00
Total Paid Staff $ 33,280.00 $ 3,227.00 $ 3,160.00 $ $ $ 6,387.00
% on Program
No. In-Kind: Donated Services Hourly Wage
AAA MIPPA
HICAP MIPPA
0
0% Program Cos
$
$
$
Total In-Kind Staff $ $ $ $ $ $
Total Personnel Costs $ 33,280 $ 3,227 $ 3,160 $ $ $ 6,387
Costs reflected on this page must equal subtotal Personnel Costs) shown on
Page 2, column Total Budget"
Page 3 of 4 MIPPA2 Budget FY10-11 xls secb
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40953-U01
EXECUTED-U02
AGREEMENT-U02
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OLDS-U09
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OLDSAM-U10
5/12/2011-U011
AMENDMENT-U012
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1-U012
TO-U012
AGREEMENT-U012
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A-11851-U012
THE-U012
ALLIANCE-U012
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THE-U012
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JULY-U012
1,-U012
2010-U012
TO-U012
JUNE-U012
30,-U012
2011,-U012
ADDING-U012
$55,311,-U012
INCREASING-U012
THE-U012
TOTAL-U012
CONTRACT-U012
AMOUNT-U012
TO-U012
$419,349;-U012
B.-U012
AUTHORIZE-U012
THE-U012
DIRECTOR-U012
OF-U012
THE-U012
DEPARTMENT-U012
OF-U012
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DESIGNEE,-U012
TO-U012
SIGN-U012
UP-U012
TO-U012
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3)-U012
AMENDMENTS-U012
TO-U012
AGREEMENT,-U012
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TEN-U012
PERCENT-U012
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OF-U012
THE-U012
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CONTRACT-U012
AMOUNT,-U012
DO-U012
SIGNIFICANTLY-U012
CHANGE-U012
THE-U012
SCOPE-U012
OF-U012
WORK.-U012
EXECUTED AGREEMENT"�|Eb4//�JARY 1, 2011 THRU JUNE 3
SECTION C:
ALLIANCE ON AGING
OPERATING EXPENSES I EQUIPMENT
AND INDIRECT COSTS
I
+a.
OPERATING EXPENSE AAA MIPPA HICAP MIPPA Total Bud et
& EQUIPMENT Cash In-Kind Cash In-Kind Cash In-Kind
Volunteer Reimbursement $ $
Travel $ 250 $ 250 $ 500 $
Conference, Meetings, and Training $ $
Professional Fees: Acct/ Legal /DP, etc. $ $
Equipment Purchase $ $
Equipment Rental and Maintenance $ $
Occupancy $ $
Insurance Excluding Veh. & Occ. $ $
Utilities $ $
Postage and Shipping $ $
Printing / Publications $ $
Public Relations /Advertising $ 1,000 $ 3,960 $ 4,960 $
Membership Dues and Subscriptions $ $
Supplies $ $
Food Service Costs / Raw Food $ $
Vehicle Operation Costs $ $
Implementation and Access MMA) $ $
Overhead: 8% limit of Grant Funding $ 354 $ 641 $ 994 $
Awards/ Recognition/ Events $ $
Bank Services Fees $ $
Client Support /Food, Rides, etc. $ $
Miscellaneous: List Separately) $ $
Depreciation $ $
$ $
$ $
Total Operating Expenses 1,604 4,851 6,454
Page 4 of 4 MIPPA2 Budget FY10-11 xis secCD
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40953-U01
EXECUTED-U02
AGREEMENT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99819-U03
AI101980-U03
DO109654-U03
C5-U03
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2/13/2012-U04
BOYDA-U04
16516-U05
2-U06
A.-U07
APPROVE-U07
AUTHORIZE-U07
THE-U07
DIRECTOR-U07
OF-U07
THE-U07
DEPARTMENT-U07
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511-DSS-U08
OLDS-U09
ANNA-U09
OLDSAM-U10
5/12/2011-U011
AMENDMENT-U012
NO.-U012
1-U012
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AGREEMENT-U012
NO.-U012
A-11851-U012
THE-U012
ALLIANCE-U012
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PROVISION-U012
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SERVICES-U012
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THE-U012
PERIOD-U012
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THE-U012
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