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Home My WebLink AboutSuffolk Co EISEP Program IFMS Nos. SCS EXE 99000001707 (EISEP) and ECS EXE 9920~¢192~ (CSE IFC) Agreements Nos. 001 ~6778-4980-95285-1707 (EISEP) and 001-6777-4770-95285-1920 (CSE IFC) C/A Ref. AG002M/0001-00YD EXTENSION AGREEMENT THIS IS AN EXTENSION 0f AGREEMENT No. 01-6778-498-42-00010, last dated, June 26, i995, and AGREEMENT No. 01-6777477-42-00009, last dated June 26, 1995, as said Agreements have been heretofore mended, (the "Agreements") between the COUN'I~Y OF SUFFOLK (the "COUNTY"), a mu- nicipal ¢orporatioh of the State of New York, having its principal office at the Comtty Cent,er, Riverhead, New y, rk 11901,. acting through ~ts duly constt~uted OFFICE FOR THE AGING ( AGING' ), located at H. Lee Denms.on Bml~g- 3 Floor, 100 Veterans Memorial H~ghway,~Hanppauge; New York (mailmg ad- dress: Box 6100~ ~&uppange, New York 11788-0099), and TOTWN. oF SOUTH-OLD (the ~CO'NTRA~- TOP5");~ New Y~k.m.~pal corpoPafion, having its principal place of busifiess at 53095 Main Road, P.O. Bo:~ 11~9; $0athol~; ~ew Yokk 11971 T~euoar~.Te~ ~o. deske to extend the term of the Agreements from March 31, 1999 to April 30, 1999, ~.;~p~e ~O~ ~rit ~ t999 through April 30, 1999 ts referred to as the Budget Period . Suffiment fund g.e'~.'~ts m,~ 1}~99 stJ:ffolk CoUnty Operating Budget. TER2~ OF AGREEMENT: JOT~A~v, ,COS~ OF AGREEMENT OR~ BUDGET PERIOD: TERMS AND CONDITIONS: Shall be April 1; 1995 through April 30, 1999. Shall be on a fee for service basis at the rate of $10.30 per hour, but shall not exceed $1,658.73 for the Budget Period, as provided in Attachment 2-1999. Shall be as set forth in Exhibit A-1999 attached. IN WITNESS, WHEREOF, the parties hereto have executed this Extension Agreement as of the lat- est date written below. TOWN OF SOUTHOLD COUNTY OF SUFFOLK Supervisor Fed. Taxpayer ID 11-6001939 Date: _8/31199 APPROVED AS TO FORM, NOT REVIEWED AS TO EXECUTION: ROBERT J. CIM1NO Suffolk County Attorney Robertson Hatch Assistant County Attorney Date By: Date: ERfC Chief t~ ut~ County Executive APPROVED: HOLLY S. ~ODESLTEAGUE, Direr OFFICE FOR THE AGING Date: 8116/99 3:14 PM CfiMy Dccuments~RHAG~ag2ml&2d.doc EXHIBIT A-1999 1. The term of Agreement paragraph on page 1 of the Agreement is amended to read as set forth on the cover page of this Extension Agreement. ~ 2. The Budgets annexed hereto as Attachment 2-1999 are made part of the Agreement for the Budget 'Peri-od. 3. The CONTRACTOR represems and warrants that it has not offered or given any gratuity to any of- ificial, employee or~agen~t of Suffolk Eo .unty or new 5'ork State or of any p~ oliti,cal party, with thepurpose or ntent,of ~ecudng .an agreement; or secmmg favorable ~reatment 'Mth respect to the performance of an agreement, and thai the signer of this Extension Agreement has read and is familiar with the provisions of Local Law No: 32-1980 of Suffolk County (Chapter 386 of the Suffolk County Code,) 4. Except~as here~ amended, all other ~epze~sentafions, terms and condifigns Of said Agreement in- cludh!gmLx ,nd r.ll an!cn,lm¢::ls or budget modffications e~ceeuterl prior to the date hereof, are hereby rat~- fled and con i'i~ m,'tl to l,c in iii! tome and 6~ff'ect. - END OF TEXT OF EXHIBIT A-t999 - ATTACHME~ 2 -1999 EISEP HOUSEKEEPER/CHORE PROGRAM TOWN OF SOUTHOLD April 1, 1999 - April 30, 1999 FEES FOR SERVICE $1,254.03 Nonmedical in-home personal care at the rare of $10.30 per unit of service $1,254.03 TOTAL BUDGET Less Anticipated Cost Sharing Less Anticipated Contributions NET REIMBURSABLE AMOUNT $1,254.03 (15.48) (0) $1,238.55 C.S.E. HOUSEKEEPER/CHORE PROGRAM TOWN OF SOUTHOLD April 1, 1999 - April 30, 1999 FEES FOR SERVICE Non-medical in-home personal care at the rote of $10.30 per unit of service TOTAL Less Anticipated Cost Share Less Anticipated Contributions NET REIMBURSEMENT $463.50 463.50 $463.50 (43.32) (0) $420.18 ELIZABETH A. NEVILLE TOWN CLERK REGISTILA~t OF VITAL STATISTICS , tV~kRRIAGE OFFICER ~ECC~RDS MANAGEMENT OFFICER FREEDDNI OF INFOPJgiATION OFFICER Town Hall, 53095 M~n Road P.O. Box 1179 Southo]d: New York 11971 Fax (516) 765-6145 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 7. 1999 Leonor Hunter Fiscal Administrator County of Suffolk Office for the Aging Post Office Box 6100 Hauppauge, New York 11788-0099 Dear Ms. Hunter: Enclosed are three (3) executed agreements for the Town of Southold Community Services for the Expanded In-Home Services (EISEP), Housekeeper Chore Program covering through March 31, 2000. Please return a fully executed copy to my office for filing. Thank you. Very truly yours, Elizabeth A. Neville Southold Town Clerk Enclosures tFMS Nos. SCS EXE 99000001707 (EISEP) and SCS EXE 99000001920 (CSE ladC) Agreements Nos. 001-6778-4980-95285-1707 (EISEP) and 001-6777-4770-95285-1920 (CSE H/C) C/A Ref. AG002M/0001-00YD EXTENSION AGREEMENT THIS IS AN EXTENSION of AGREEMENT No. 01-6778~498-42-00010, hast dated June 26, 1995, and AGREEMENT No. 0~-6;177-477-~2-0000c~, last dated June 26, 1995, as said Agr,e~ents have been heretofore amended, (the Agreements') between the COUNTY OF SUFFOLKs(the' COUNTY"), a mu- nicipal eo~oration of the State ofNew York, h,xving its principal offi~ ce at the County Center, Riverheack New York t 1901, acting through its duky constituted. OFFICE FOR THE AGING ("AGING'), located at H. Lee Derm~ B~g~ ? F~opr, 100 Vctc~ ~:~: ~ \;em~ ,: i:,! lrlighway, Hauppauge, New York (mail/ng ~ass: Box 61O0~uppauge,:NcW¢ 5 ,,:'k ! 1788-, ,i,,),t ~. :md TOWN OF 8OUCPt-IOZD (1k6 ~'GONTRAC- T~,PC ),.~.New yb~¢ m~unmrga! Corporation, h~g its p ~n~¢al l~ace of business at 5~,~5 MamRoa4, P.O. Box 1179~ So~a$h. okl, N~w Yo~:k 1 t97I. T~?~? hereto deske to extend the term of the Agreements from March 31, 1999 to April 30, j999~ ar~d}f157e:~d~Ap151 1, t999 through April 30 1999 is. referred to asthe "Budget P~iod". Sufficient ~.-~l~t~hd~b~i~ts.latlte 1999 Suffolk County Operating Budget. ~ ~ ~ERM OF AGREEMENT: THE BUDGET~'PERIOD: TERMS AND CONDITIONS: Shall be April 1, 1995 through April 30, 1999. Shall be on alee for service basis at the rate of $10.30 per hour, but shall not exceed $1,658.73 for the Budget Period, as provided in Attachment 2-t 999: Shall be as set forth in Exhibit A-1999 attached. IN WITNESS WHEREOF, the parties hereto have executed this Extension Agreement as of the lat- est date written below. TOWN OFSOUTHOLD COUNTY OF SUFFOLK JElqq W. COCHRAN Supervisor Fed. Taxpayer ID 1t-6001939 Date: 8 By: Date: ERIC A. KOPP Chief Deputy County Executive APPROVED AS TO FORM, NOT REVIEWED AS TO EXECUTION: ROBERT J. CIMINO Suffolk County Attorney By: Robertson Hatch Assistant County Attorney Date APPROVED: HOLLY S. RHODES-TEAGUE, Director OFFICE FOR THE AGiNG Date: EXHIBIT A-1999 1. The term of Agreement paragraph on page 1 of the Agreemcm is amended to read as set forth on the cover page of this Extension Agreement. 2. Tke Budgets annexed hereto as Attachment 2-1999 are made part of the Agreement for the Bndge~ Perio& 3. has not offeredor given any gratuity to any of- ~ or new York State or of any political party; with the purpose or performanceof an representations, terms' and conditions of said Agreement, in- prior to the date hereof, are hereby rati- - END OF TEXT OF EXHIBIT A-L999 - ATTACHMENT 2 -1999 EISEP HOUSEi~EPER/C~ORE PROGRAM TO~WN OF SOUTHOLD Aprill, 1999 -April 30, 1999 FEES FOR, SERVICE Nom~edical in-home personal care at the rate of $10.30 per trait of service TOTAL BUDGET Less Anticipated Cost Sharing ~ ~' '~ ' Less Anticipated Contributions NET REIMBURSABLE AMOUNT C.S.E. HOUSEKEEPER/CHORE PROGRAM TOWN OF SOUTHOLD April 1, 1999 - April 30, 1999 FEES FOR SERVICE Non-medical in-home personal care at the rate of $10.30 per unit of service TOTAL $1,254.03 $1,254.03 $1,254.03 (o) $1,238.55 Less Anticipated Cost Share Less Anticipated Contributions NET REIMBURSEMENT $463.50 463.50 $463.50 (43.32) (o) $420.18 EL-IZABETlt A. NEVILLE TOWel CLERK REGIST~ OF VITAL STATISTICS MARR~C,~ 0FFIC~ FRE~OM OF ~O~TION OFFICER Town Hall. 53095 Mein Road P.O. Box 1179 Southold, New York 11971 Fa~ (516) 765-6145 Telephone (516) 765-1800 OFFICE OF TI-IE TOWN CLERK TOWN OF SOUTHOLD TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS AT A REGULAR MEETING OF THE SOOTHOLD Town BOARD ON AUGUST 31, 1999: ~ESOLVED that the Town Board of the Town of Southold ]~er. ebv authorizes and' directs Supervisor Jean W. Cochran to execute an agreement between the Town of $outhold and the Suffolk County Office for the Agirtg, for the Community Services for the Expanded In-Home Services (EISEP), Housekeeper Chore Program, for the period March 31, 1999 to April 30, 1999, at a net reimbursable amount of $1,658.73; said agreement all in accordance with the Town Attorney. Southold Town Clerk August 31. 1999 OFFICE OF:THE COUNTY EXECUTIVE HUMAIq SERVICES DWIS[ON SYLVIA. A. COUNTY OF SUFFOLK RGIBE:RT J. OFFICE FOIl THE AG NG HOLLY Si R Ho D F--~'T'F-~G UE DIRECTOR Dec~mber 29, 1998 The Honorable Jean W. Coehran Supervisor, Town of Southold PO Box 1179 Southold, New York 11971 RE: CSE Day Care Agreement Dear SupervSsor Cochran: The fully executed agreement referenced above is enclosed for your files. Sincerely, Leonor Hunter Fiscal Administrator LH:MVK:tb Enclosure JAN 4 1999 LSUPERV1SORS OFFfCE TOWN OF SOUTHOLD COUNTY OF SUFFOLK O~ICE OF BUDGET AND M3%NAGEMENT CONTRACT BUDGET MODIFICATION REQUEST The ~rogram budg,~ oont&£ne0, in the Agreement of ~ll!¢~"~ ! ~/~'/~ betwee~ ~e ~arm of Agreement) hereby amended as follows: m~BER DESCRIPTION $ BEFORE . $ AFTER $ CHANGE NET C}b%NGE ~0- Exoept as se~ ~o~'above, thi~ budget modification shall no~ be deem~O to change any oondition or ~r~vision in tha said Agreement. OFFICE OFTHE COU~ITY EXECUTIVE HUM~N SERVICES DIVISION STL¥IA A. DL~Z C:OuNTYoF SUFFOLK ROBERT J. GAFFNEY OFFICE FOl~ TH~ AGING HOLLY S. RHODE~TEAGUE DIP~ECTOR August t0, 1998 Hon. Jean W. Coehran, Supervisor Town of Sou~hold 53095 Main Road, PO Box 1 i79 Southold,.NY 11971 RE: EISEP H/C-IFMS ~49800001707 Dear Supervisor Cochran: The fully executed agreement referenced above is enclosed for your files. Also attached find a copy of All Department Heads Memorandum 11-98. Please note the Federal Single Audit Requirements. Sincerely, Administrator I Fiscal Unit LH:MVK:tb Enclosure (~ 16)853~82oo -% ~' . 30197 DATE: June 10, 1991~~ r)AT~- June lO. ~997 CONTRACT AGENCY BUDGET MODII~CATIONS .This mamorandum applies to those depaitments who pay contract ageaoies from the Ope~ting Budget 4770 or 4980 objects. OnAugnst 29, 1995, .ADH 47-95 was issued to resolve problems whieli had developed regarding the proeedur~ and requirements for modifying contract agency budge, is. In early 1997, thoro were again pro,ems with timeliness and the reasons for modifications for cert~ de.p~'anents involving 1996 eonh-aets. Departments who deal with contract agencies have a major responsibility i~ the processing of contract budget modifications. Therefore, the attached procedures, which take effect with all 1997 contracts should be closely followed. Please distribute these procedures to all of your contract ageacies. If there are any questions regarding this ADH, please contact your department's Budget Ex, miner, Distribution'" Department Heads Allltchment Chief Deputy County Executive B UDGET MODIFICA TION$ Non-equipment requests for coat,et budget modifications must be received at th~ County .E, xeeutive~ Budget Office no later, than 45 calendar days prior to the end of the contract ~seal year. Equipment modifications must be received 90 calendar days prior to the end of the contract rise. al year. Ih~der no cireumslanees can expenditures for which, a budget modifioatign is being requested be made pylor to the approval of the mod~eation bythe Budget Offtee~ 3. An agency vdtl be restricted to flm~ approved modifications per year. Each line item requested to be modified-must bo'fully justified and must be direofly related to the intent of the program. Any tmn~ers to increase s~lary rotes ofcontraet employees, create new positions, or claangc the title Of &~position, must be submitted prior to [he. rate inenmse bdug given or . the positi0n being frlted. The Budget Office will .not approve rel/x~aetive salary increases. The only exception applies to a retroaotive labor agreement between an agenoy and their ' union bargain~ng unit(s)~ 6. Budget modifications eaunot increase the dollar amount ofthe enntmct. PROCEDURE: Four copies of the proposed budget modification and one copy of the justification, including a letter from the agency requesting the change, should be forwarded to the Budget Office with the department*s reex~mmendation within fiReen (15) calendar days of receipt of the request by the dopa~ iment. The justification must include t~o effect of the modification on the program/changes in the available reimbursement to thc County, if any, tho additional dollar ~mount which will-be paid to the agency, ~md the dollar amount ofreimbumement to the County, if the modification is approvexL If the contract is funded under a Federal or State grant, or State reimbursoff~ent, the Department Head must hdvise in the transmittal memo whether State or Federal approval for the modification is required and whether the attached doo~rmentation showing the change has been approved by the funding agency. The budget modifioafion format must indioate the line item, .the current budget mnount, the amount spent year to date, the new amount of the line item and tho dollar amount of the change. , EXTENSION AGREEMENT IFMS # 49800001707 EISEP H/C ~$1-677g-49g-42-0ggl ¢,MYG C/A Re£ AG002M/0002-00YC. No. 001-67784980-95200 THIS IS AN EXTENSIONof AGREEMENT No. 01-6778498-42-00010 last. dated Jlme 26, t995, (the "Agreement") as last mended by the Extension Agreement last dated September 1 i, 1997 (the "Last Amendment"), b~tween the COUNTY OF SUFFOLK ("COUNTY"), a municipal corporation of the 8/ate of New York, haviag its lxincipal office at the County Center, RiYerhead, New York 11901, aet~g through its ~!uty eon.s~.~d OFFICF~-FOR THE AGING ("AGING"), located at ~ Lee Dennison Buikling, 100 Veteran~ M~ori.'al _~:?g~ua,3~ p.o. Bm 6100, Hauppauge, New York 11788~00~; and TOWN OF 8OU~t{O[.D (l~ae "CON~i~R A 0TOR "), ~ NeW Yo~;l~m~p~t corporation, lmv~g, its principal' place of l~s~$~ttt 53095 \lain Road. P.(). [~ox H79)8outhold, New Yolk 11971. T~.?.l~ar ti~ I~¢,r¢}~ ~!re {~ ~xtend the ~erm 9f the Agr~m~nt ~om March 31, 1998 to March 31, t 999 ~and ~he period Apn] 1, Igor8 ~ugh ~ch ~, t.999, xs referred to as the Budget Period. Suffice t t t Le ex .qs ~fl~e 1998 Sullolk C~tmty Operating Budget. ~ I~~ A :~ Sh~t be April~% 1995 through March 31, 1999 unless extended (but in no event beyond March 31~ 2000) or terminated, as provided in Exhibit A to the ~Agreemeat. TOTAL COST OF AGREEMENT~ Shall?0c oca fee for service basis at the rate of $10.30 per hour fbr the Extension Period, but shall not exceed $21,992, as provided in Attachment 2-1998. TERMS AND CONDITIONS: Shall. be as set forth in Exhibit A-1998 attached. IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of the latest date written below. TOWN OFF, xSOUTHOLD - Supervisor Federal Taxpayer ID 11-6001939 COUNTY OF SUFFOLK Chief D~pfity County Executive Date: --~/~/(~°~ APPROVED AS TO FORM, NOT REVIEWED AS TO EXECUTION: ROBERT J. CIMINO Robertson Hatch Assistant County Attorney Date APPROVED: HOLLY S~ODE~-TEAGUE, oire~?~ OFFICE FOR THE AGING Date: AG2 (9/94C) ,~ o EXHIBIT A-1998 The term of Agreement paragraph on p~age 1 of the Agreement is amended to read as set forth on the cover page 0f this Extensio~.Agre~nt~ The Budget annexed hereto as Attaehraent 2-1998 is made part of the Agreement far the Budget Period. Subparagraph id) of the provisions headed, "Financial Statements and Audit Requirements", as added ~o the Agreement by the L~a-Amendment~and heretofore amended, is hereby further ~end~<:~as of'the latest,date of sign~.e on ~e c~over page of this Extension Agreement, to read m~it~entrretyas follows: ~ J~'~% ~'~'~-~ ~ }'"~ b4~, (d) F~ ~ ~nnore, if the CQN,~CTOR, isa no, n-pr~ t organization orunit of 10cal govcfi~xi~nt and expends more ~ recipient expending awards received ~ctly fi-omFed~ emi monies, whether as a oras a subrecip,ent expcnding Fed.c.ral awards received, ~m a Sg,thr~ e~itity, SUCh as New YorkState or Sutlblk (,ouutv, dUrin~ fi~¢/il'oe [ '~' ~: ~':~' ' · . . ., ,,,,.,,~,,~,~ . _ ~ ,,~tnln w,ll~ta rt receives filndmg under thru Agreement. t ~e aUdit must be eondtic . and'fl~e audit report ("Single Audit Report") must be. in accordance with OMB Circular No. A-133 (n.wised' June 24, 1997). Single Audit Reports must also be submitted to the dcsmnatcd cle:mn~ tot sc, cot~mmmt en¢, andA s-flama o the ext ..... ag.. y... ~xPaS-~ ~ealti,-ty, X ent rdquired by the'OMB Circular just referredto Iht COB. TRAC I OR.represents and warrt~ts.~:that ;t has not-o~ered or g~ven~ any gratuity to any othcml, i. mployee oi','agent of Sul.'lBlk (.o~ o~new York State or or,ny political party, with the purp~/qe or tn['eqt:O~ securing an agrem(ae~l~ or securing~0~l~e trqatment with respect to the perk>rmm~'ee o[ a,a aureement, and dmt,the aide. er of this Ext~ion Am:~ement has read and i~ tamiliur ~'ith tl~e ~ro~,.'isions o£ Local haw t~0; 32z1980 0f S~n'Yolk County (Chapter 386 of the Suffolk ~ourity Code.) Except 'ag herein amended, all other representations, terms and conditions of said Agreement, including, any and all mnendments or :budge modifications executed prior to the date hereof, are hereby r~ed'afldei~onfi/nned to he in full force and effect. AG2 (9/94C) . ATTACHMENT 2-1998 EISEP HOUSEKEEPER/CHORE PROGRAM TOWN OF SOUTHOLD April 1, 1998 - March 31, 1999 FEES FOR SERVICE $23,042 Non-medical in-home personal care at the rate~o£$10.30 per unit of service $23,042 TOTAL BUDGET $23.042 Less 'Anticipated Cost Sharing 0,ooo) Less Anticipated Contributions (5O) NET REIMBURSABLE AMOUNT $21.992 AG2 (9/94C) ~8 ot:45~aot~ota.~ IFMS #O000000J~ol EISEP H/C C/A Ref. AG002M/0002-00YB No. 001-6778-4980-95200 EXTENSION AGREEMENT THIS IS AN EXTENSION of AGREEMENT NO. 01-6778-498-42-00~t0, last dated June 26, 1995, (the "Agree~nent") as last amend~ by Extension Agreemen~ last da~ed OCtober 7, 1996 (the "Last Amendment"), between the COUNTY OF SUFFOLK ("COUNTY"), a mUnicipal corporation of the State of New York, having its p~inci~pal office at the County Center, Riverhead., New York 11901, acting through' its duly constituted OFFICE FOR THE AGING ("AG'ING"), located at 395 Oser Avenue, Hauppauge, New York 11788-3631; and TOWXq OF SOUTHOLD ("CONTRACTOR"), a New York m~cip~ corp~a~ion~ having its principal place of busiz~ess at 53'0g~5 ~a. in ~o~, ~io~'Box 1179, So~thold, New York 11971. The parties hereto desire from M~h 31, 1997 to March t997 t~o~gh March 31, 1998 is to ex~end the term of the Agreement B1, 1998, and the peniod April 1, referred to as the "Budget Period". $~ffioient funding exists in the 1997 Suffolk County Operat-i~g TER~ OF AGREESIENT: Shall be April 1, 1995 through March 31, I998 ~nless extended (but in no event beyond March 31, 2000) or terminated, as provided in Exhibit A to the Agreement. TOTAL COST OF AGREEMENT: Shall be on a fee for service basis at the rate of $10.30 per hour and shall not exceed $21,992 in the aggregate as provided in the Budget. TERMS AND CONDITIONS: Shall be as set forth in Exhibit A-1997 attached. IN WITNESS WHEREOF, the parties hereto have executed th~s Agreement as o!f the latest date written below. TOWN OF SOUTHOLD Supervisor Date: Augus~ 5, 1997 COUNTY OF SUFFOLK County Executive APPROVED AS TO FORM, NOT REVIEWED AS TO EXECUTION: ROBERT J. CIMINO folk County Attorney by: ROBER~ON HATCH Date Assistant County Attorney AG2(9/94B) APPROVED: TOBY H. WILES Director OFFICE FOR THE AGING Date EXHIBIT~1997 t. The Term of Agreement paragraph on page 1 of the Agreement is amended to read as set forth on the cover page of this Extension Agreement. 2. The Budget annexed hereto as Attachn~nt. 2-1997 is made part Of the Agreement for the Budget Period. 3. The third indented subparagraph of paragraph 17 of the Agreement is amended as of the latest date of signature on the cover page of this Extension Agreement to read in its entirety as follows: WOR~RS' COMPENSATION and EMPLO55ERS LIABILITY tNEU~N~ in compI,i~ce With alt appl~c~b e New York State laws and ~ations and DIS~ILITI~ ~irsd by law and shall have fur~sh~ to p~or to its execution of this Agree~t ~uir~d~ ~ the State of N~W York ,Workers' Compensation ~rd of coverage or exemption from ~ 57 ~nd 2~0 'of tbs Wo~rs'- Comp~at!o~ ~aw, ~n ~cCo~dance W~th General M~nicipal Daw ~ 1~, this ~e~n% sha~il be ~Otd and of ~ ~ff~ ~es$ the t~ 'of thi~ A~re~en~ for the benafit as a~ requlr~ ~ ~ cover~ by ~e Wb~rk~rs' ComPen~atio~ 5aw. 4. Subparagraph (d) of the provisions headed, "Financial Statements and Audit Requirements", as added to the Agreement by the Last Amendment, iS amended as of the latest date of signatu~g o~ the co~ver page of this Extension Agreement, to read in its ~ntlrely as follows· (d) Furthermore, if the CONTRACTOR receives, or will receive, more than $300~000 of Federal monies directly, or passed through from New York State or Suffolk County, during any fiscal period ~ithin which it receives funding under this Agreement, the audit must be conducted, and the a~dit repor~ ("Single Audit Report~) must be, in accordance w~th Ob/BCircutar A-128 (if the CONTRACTOR is a m~niciPality) or OMB Circular A-133 (if the CONTRACTOR is 5 not-for-profit corporation). Single Audit Reports must a~so be transmitted to the appropriate Federal ~l~ar~nghouse designated by the Director of the Office of Management and Budget. AG2(9/94B) 5. The CONTRACTOR r~presents and warrants that it has not offered or given any gratuity to any official, employee or agent of Suffolk County or New York State or of any political par~, wi~ the p~rpose or inter of securing ~ a~re~nt or se~ring favorable treatment with respect to ~ awarding or amen~in~ of ~e an ~he~ si~n~ of and is ~i~ t~ o S'2--t980 of Suffolk SU~ ~ou~ty 6. here±n amended, all other representations, terms and of said Agreement, including any and alt f~ll f~r~e AG2(9/94B) ATTACHMENT 2-1997 EISEP HOUSEKEEPER/CHORE PROGRAM TOWN OF SOUTHOLD April 1, 1997 - March 31t 1998 !FEES FOR SERVICE I~o~-medical in-home personal care at the ~a~e of $10.30 per unit of TOTAL BUDGET Less Anticipated Cost Sharing Less Anticipated Contributions NET REIMBURSABLE AMOUNT service 25,042 25,042 25,042 3,000 50 21,992 EISEP # 01~778-498-42-0001~MSfG EXTENSION AGREEMENT THIS IS AN EXTENSION of AGREEMENT No. 01-6778-498-42-000010, last dated June 26, 1995, (the "Agreement") between the COUNTY OF SUFFOLK ("COUNT~"), a municipal corporation of the State of New York, having its principal office at the County Center, Hauppaug~, New~ork 11788-3631; ~nd TOWN OF .F~.UTSOLD ("CO~UfR~CTOR'~), a New York municipal cerporatlon, having its pri~cipaL'plac~ of business at 53095 Main Road, P.O. Box 1179, $out~otd, New ~ork 11971. The parties hereto desire to extend the term of the Agr~nt from ~zch El, 1996 to Ma~ch 31, ~997, and the period ~pril 1, t99~ through March 31, 1997 is referre~l to as the "Budget Peri6d". Sufficient funding exists in the 1996 Suffolk County Operating Budget. TERM OF AGREEMENT: Shall be April 1, 1995 through ~arc~h 31, 1997 unless extended (but in no event beyond March 31, 2008) or terminated, as provided in Exhibit A to the Agreement. TOTAL COST OF AGREEMENT: Shall be on a fee for service basis at the rate of $11.21 per hour for the Budget Period and shall ~ot exceed $23,904 in the aggregate as provided in the Budget. TERI~S AND CONDITIONS: Shall be as set forth in Exhibit B attached. IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the latest date written below. TOWN OF SOUTHOLD Date: August 6, 1996 COUNTY OF SUFFOLK by: E~~ Chief Dep?u. ty County Executive Date: APPROVED AS TO 'FORM, NOT REVIEWED AS TO EXECUTION: ROBERT J. CIMINO Suffolk County Attorney by: ROBERTSON- HATCH 'Da~e Assistant County Attorney APPROVED: OFFICE FOR THE AGING MA~REEN S. PORTA Date Acting Director AG2A(6/96) EFd~IBIT B 1. On page 1 of the Agreement the TERM OF AGREE~tENT paragraph ~s a~ended to reed, and an additional TOTAL COST paragraph is in~e~ted~or tke Budget Period, as ~set forth o~ page ! of this Extensi~n Agreement. 2. The Budget annexed hereto as Attachment 2-1996 is made part of the Agreement for the Budget Period. 3. Paragraph 18 of the Agreement is amended as of April t, 1996 to reed in its entirety as follows: INCIDENT REPORTING: The CONTRACTOR agrees to provide AGING with reports of all instances .of claims, costs~ damages, and injuries to persons or property of whatsoever kind arising out of services provided under this Agreement. Such reports shall be on the Home Care Complaint Investigation Form prescribed by AGING. Ail such notifications should be given to AGING immediately after the incident, if possible, but in no case longer than five (5) days after the incident. The CONTRACTOR further agrees to send AGING copies of sit "notices of claim" relating to the program covered in this Agreement. 4. Effective as of April 1, 1996, the following provisions are made part of the Agreement. FINANCIAL STATEMENTS .AND AUDIT REQUIREMENTS: (a> Notwithstanding any other reporting or certification requirements of Federal, State or local authorities, the CONTRACTOR shall obtain the services of an independent licensed public accountant or certified public accountant (the "AUDITOR") to audit its ~inancial Statements for each CONTRACTOR fiscal year in which the CONTRACTOR has received, or will receive, $50,000 or more from the COUNTSr, whether under this Agresment or otherwise, and shall submit a report on the overall financial condition and operations of the CONTRACTOR, including a balance sheet and statement of income and expenses, attested by the AUDITOR as fairly and accurately reflecting the accounting records of the CONTRACTOR in accordance with generally accepted accounting principles. The CONTRACTOR is encouraged to solicit requests for proposals (RFPs) from a ~umber ef qualified accounting firms and to review carefully the costs of, and qualifications for, this type of work before selecting the AUDITOR. AG2A(6/96) Page ! of 3 pages (b) The AUDITOR should be requi~ed to meet the following minimum requirements: (1) a current license issued by the New York Stage Education Department; (2) sufficient auditing experience in the nonprofit, goverrimental or profit-making areas, as applicabte~ and (3) a satisfactory peer review issued within not more than three years prior to the date when the AUDITOR was selected to conduct the a~dit. (c) The audit must be conducted in accordance with generally ~cepte~ a~diting standards (GAAS) or ,~enera!ty ~cG~epted gove~.nmen~al a~ditiag standards (GAG~S). Financial statements m~st clearly differentiate between County-f~nded prog~rams and other programs that the CONTRACTOR may be operating. The use of subsidiary schedules, should be encouraged f0% this purpose. The AUDITOR must also pre, are a management tek,er based on the audit. (d) Furthermore, if the CONTRACTOR receives, or will receive, more than $25,000 of Federal monies directly, or passed through from New York State or Suffolk County, during any fiscal period within which it receives funding under this Agreement, the audit must be conducted, and the audit report ("Single Audit Report") must be, in accordance with OMB Circular A-t28 (if the CONTRACTOR is a municipality) or OMB Circular A-133 (if the CONTRACTOR is a not-for-profit corporation). Single Audit Reports must also be transmitted to the cognizant Federal agency as described in the applicable OMB Circular, receipt of a copy of which is acknowledged by the CONTRACTOR. (e) Copies of all financial statements, management letters, Single Audit Reports (if applicable) and other audit reports, if required, must be transmitted to AGING and to the Suffolk County Comptroller's Office, Audit Division, Woodlands Office Park, 7~0 Veterans Memorial Highway, P.O. Box 6100, Hauppauge, New York 11788-5401. The reports must be submitted within thirty (30) days after completion of the audit, but in no event later than thirteen (13) months after the end of the CONTRACTOR's fiscal period to which the audit relates. (f) These requirements do not preclude AGING or the Suf.fotk County Comptroller or their authorized representatives or Federal or State auditors from auditing the records of the CONTRACTOR. Therefore, the records of the CONTRACTOR must be made available to authorized representatives of Federal, State or County government for that purpose. (g) All payments made under this Agreement are subject to audit by the Suffolk County Comptroller pursuant to Article V of AG2A(6/96) Page 2 of 3 pages the Suffolk County Charter. If such an audit discloses overpayments by the COUNTY to the CONTRACTOR, within thirty days after the i~suance Of an Official audit report by the Comptroller or his duly designated representatives, the CONTRACTOR shall repay the amount of such overpayment by check to the order of the Suffolk County Treasurer or shall submit a pr.oPosed pla~. of repayment to t-he Comptroller. If there is no resioorise or if satisfactory repayments ars not maze, the COUlgT~/ m~y r~Qup overpayments from any amounts due or becoming due to tl~e COAITRACTOR from tbs COUNTS-~ under this Agreement or otherwise. OFF~ET OF ARREARS OR DEFAULT: The CONTRACTOR warrants that it is not, and shall not be during th~ term of this AGreement, in arrears to the COUNTer for taxes or upon debt or contra~t and is ~ot, and shall not be du~ing the term of this Agreement, in default as s~rety, contractor or otherwise on any obligation to the COII19T~, an~ the CO~TRACTOR agrees that the COUNTY may witb_~old the amount of a~y such arrearage or default from amounts payable to the CONTRACTOR under this Agreement4 5. The CONTRACTOR represents and warrants that it has not offered or given any gratuity to any official, employee or aGen~ of Suffolk County or New York State or of any political party, with the purpose or intent bf securing an agreement or securing favorable treatment with respect to the awarding or amending of an agreement or the making of any determinations with respect to the performance of an agreement, and that the signer of this Extension Agreement has read and is familiar with the provisions of Local Law No. 32-1980 of Suffolk County (Chapter 386 of the SuffOlk County Code). 6. Except as herein amended, all other representations, terms and conditions of' said Agreement~ inclnding any and all amendments or budget modifications executed prior to the date hereof, are hereby ratified and confirmed to be in full force and effect. AG2A(6/95) Page 3 of 3 pages ATTACRt~NT ~1996 EISEP HOUSEKEEPER/CHORE PROGRAM TOWN OF SOUT5%OLD April 1, 1996 - March 31, 19'97 F_EES FOR SERVICE ~o~-me~cal in-home personal cars ~t t~e rate ~f $11.21 per unit of service TOTAL BUDGET Less Anticipated Cost Sharing Less Anticipated Contributions 26,954 26,954 26,954 3,000 50 NET REIMBURSABLE AMOUNT 23,904 JUDITH T. TERRY TOWN CLE~ REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER ~EC~RDS MANAGEMENT OFA~ICER 17REEDOMOF INFORMATION oFFICER Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516~ 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS iS TO CERTIFY THAT THE FOLLOWING RESOLUTION ~/AS ADOPTED BY THE SOUTHOLD TO¥1N BOARD AT A REGULAR MEETING HELD ON AUGUST 6. 1996: RESOLVED that the Town Board of the Town of Southold hereby authorizes anc directs Supervisor Jean W. Cochran to execute an Extension Agreement between the Suffolk County Office for the Aging and the Town of Southold for extension to the term of the Expanded In-Home Services for the Elderly Housekeeper/Chore Program (EISEP) for the term of March 31, 1996 to March 31, 1997, at a cost not to exceed $23,904.00, all in accordance with the approval of the Town Attorney. Juditl~ T. Terry Southoid ToWn Clerk August 7. 1996 OFFIC~ OFI"~E ~3~JN]W' EXECOTIVE COUNTY OF SUFFOLK ROBERT J. GAFFNEY SUFFOLK: CO[.~T~ EXECUTIVE: OFT~CE FOR THE AGING July 22, 1996 Hon. Jean Cochran, Town of Southold P.O. Box 1179 Southold, New York Supervisor 11971 RE: EISEP Agreemenn 4/1/96 3/31/97 Dear Supervisor Cochran: Three copies of the Agreement referenced above are enclosed. Please s~gn all three copies of the Agreemenn and return them soon as posslD±e. A fully executed copy of the Agreement will be forwarded to as soon as the signature process has been completed. Sincerely, ~ ~ Senior Budget Analyst TFO'H:mr Enclosures as you Over 20 yea~s as ~the des/gnate~i Area Agency on Ag/ng providing sez~ices for otder ci/~zens ~GREEMENT EISEP H/C # 0!-6778-498-42-00010MYG THIS AGREEMENT is between the COUNTY OF SUFFOLK ("COUN%~/"), a municipal corporation of the State of New York, having its principal office at the County Center, Riverhead, New York 11901, acting through its duly constituted OFFICE FOR THE AGING ("AGING"), located at 395 Oser Avenue, Hauppauge~ New York 11788-3631; and TOWN OF SOUTHOLD ("CONTRACTOR"), a New York municipal corporation, ha. lng its principal place of business at 53095 Main Road, P.O. Box 1179, Southold, New York 11971. 'The desire to make nonmedlcal in-home to the COUNTY,' and sufficient 1995 Suffolk County Operating Budget. TERI~QF AGiREEMENT: Shall beApril 1, 1995 through March 31, 1996 =~ss extended (but in no event beyond March Si, 2,000) or terminated, as provided in Exhibit A attached. TOTAL COST OF AGREEMENT: Shall be on a fee for service basis at the rate of $11.65 per hoar and shall not exceed $23,90~. in the aggregate as provided in the Budget. TERMS AND CONDITIONS: Shall be as set forth in Exhibit A attached. Agre~eW~aNEsS~ftW~REh~e~ed~t~t~e~l~e executed this by:' TH~DMAS WICKHAM by: ERIC A. KOPP// Supervisor Chief Deputy County Executive Date: May 30, 1995 Date: APPROVED AS TO FORM, NOT REVIEWED AS TO EXECUTION: ROBERT Jo CIMINO Suffolk County Attorney by: ROBERTSON HATCH Assistant County Attorney Date: ~(%[~1 APPRO~=u: ~ATRICIA LUNETTA ~ Director- H~J~-~- OFFICE FOR THE AGING Date AG2(9/94) Page 1 of 10 pages EXHIBIT A 1. SERVICES TO BE PE~ORMED: The parties hereto desire to make of Suffolk County an aging program. a~nd for and in available to the elderly the CONTRACTOR shall it ~ied by tt perfo~ !ish the work accordance with, this it sba be of the Public pe~sonai caze, Level 'Il Of p~rovi~e 2. COUNTY SUPERVISION: The ~ature and exten~ ~f the services provided pursuant to this Agreement ~hal~l be subject to the general supervision of AGING. The CONTRAcToR shall conduct said services in a skillful manner and to tke-best of its ability and agrees to comply fully with t~e rules and regulations of the New York State Office for the ~ing and with~ the rules, re~ulations~ criteria~ and Guidelines for expehditure controls heretofore adopted or to be adopted by the. COUNTY and New York State pursuant to law. AGING shall be the sole arbiter of performance under this Agreement. 3, TERM OF AGREEMENT: This Agreement shall cover the period provided on the first page thereof, unless extended or terminated as provided below. 4. COST AND TOTAL AMOUNT OF AGREEMENT: In consideration of the CONTRACTOR's faithfully complying with all of the covenants set forth in this Agreement, the COUNTY shall compensate the CONTRACTOR a total sum not to exceed the amount provided on the first page of this Agreement or of mny' extension agreement or amendment, to be paid according to the Budget annexed as Attachment 2-!995 hereby made part of this A~reement and any subsequent or amended budget made part of this Agreement by extension agreement or amendment, each of which is referred to in this Agreement as the "Budget" for the period to which it relates (the "Budget,Period"). AG2(9/94) Page 2 of t0 pages 5. BUDGET ~ METHOD ~' The COUNTY Sh~ll pa% ~Ii~ G~NT-.L%ACTOR monk ly ~or Servzces provided :~ p.ursuan~ ~o ~his Agr~ement~ ,~ in..: accordance. , with the Budget ~o~ receipt~ ~f/-monthly ctamms, acc0mpanmed by appropriate pYov~ing acceptable evidence in in such form as prescribed' by the app~.val by the ~or actually paid of shall be until the of the this the of The this the reement' or constitute the full obligation to of the State suc/h the ~over this Agreement for the Budget Period. If th~.~oquam of the CONTRACTOR which is the subject of this Agreen~k~~ %~ ~unded i~ ~w~oLe or in part by contracts with other ~o~rn~ental a.~e~es, mt ~s agreedthat ~h~-funds of the COUmTY,~e~,th~s ~r4em~t shaI1 be'refUnd&d to ~h~ ~OUNTY to ~he~x~t'!~% the !~cal funding from al! such sources exceeds t~ total expenditures of the CONTRACTOR for the program. The coLrNTx agrees to pay the CONTRACTOR monthly for services up to the maximum agreed amount incurred ,to this Agreement upon receipt of monthtF claims, mn form as prescribed by the COUNTY, subject to any adju: an audit by authorized personnel of the COUNTY or New ~rk State may show, in the following manner: a) Reimbursement per unit of service, which is one hour of nonmedic~l in-home personal care service, is to ~be made at the hourly rate provided on pag~ 1 of this Agreement in full reimbursement without~regard to expenses actually incurred, b) Reimbursement will be made to CONTRACTOR ~oni~ for the amount and level of services authorized :by AGING's case managers. AG2(9/94) Page 3 of 10 pages c) Reimbursement will be made only for actual services rendered. d) CONTRACTOR shall comply with determinations made by AGING's case managers as to the portion of cost-sharing by participants, which shall be deducted from the amount to be reimbursed by the COUi~TY~ and shall be responsible for the collection of that portion in accordance with AGING's cosT-share collection procedure. In the event that the CONTRACTOR cannot collect cost-sharing fees from clients despite the CONTRACTOR's demonstrated good faith effott, the CONTRACTOR shall submit a Standard Voucher quarterly for any revenue adjustment. If the CONTRACTOR has vouchered and been reimbursed by the COUNTY for an uncollectible cost-sharing fee, which is subsequently paid by the client, whether within the term of this Agreement or t~ereafter, the CONTRACTOR must promptly issue a check payable to the order of the Suffolk County Treasurer and deliver such check to the_ COUNTY for the amount collected from the client. e) Any senior citizen who is not required to share a portion of the cost of service must be given the opportunity to make a contribution. Ai~ contributions must be voluntary and anonymous. All contributions collected shall be deducted from the amount to be reimbursed by the COUNTY. All monthly claims for payment are to be submitted Within ten (10) days after the close of the month in which the service was rendered or the expenditure was made, with the exception of the final month of the Budget Period, for which the claim Shall be filed on or before the last day of the month following the Budget Period. 6. VOUCHERS: Monthly vouchers shall be submitted directly to the Suffolk County Office for the Aging located at '395 Oser Avenue, Hauppauge, New York 11788-3631. 7. FINAL REQLrEST FOR PAVEMENT: A final claim for payment sha!I be submitted no later than thirty (30) da!rs after the end of each Budget Period, unless otherwise directed by the COUNTY. 8. REPORTING REQUIREFiENTS & RECORDS OF ACCOUNT: The CONTRACTOR shall maintain separate records of account concerning all costs incurred by the CONTRACTOR in the performance of this Agreement and all income relating to the program funded under this Kgreement and consents to audit and inspection by the COUNTY and New York State of all facilities, books and other financial and statistical data relating to this Agreement. Such records shall be maintained for a period of seven (7) yeats from the date of termination or expiration of AG2(9/94) Page 4 of l0 pages this Agreement. Specific rocords shall .be kept R~ to ~he';hours of all personnel. ~ this Agreement;~ ~ --Wit~ the ~gutati'ons for Acc0unt~ng Procedures for Contract Agencies," promulgated by the Department of Audit and Control of Suffolk County, and any amendments during the Term of this Agreement. : ' ! 9. AGi%EEHENT SUBJECT TO APPROPRIATION OF k'.uNDS: This Agreement is subjec~ to the amount of funds and any subsequent modifications thereof by the ~uffolk Count~ Legislature; and no liability shal.1 b~ incurred by the. CODaT~ under-~this Agreement beyond the amount of funds the'Legislature for the program covered by this · 0. DE,ENdEar U 0N STAr by the COUNTY under this~ Agreement funds. If at any time, the s~ate' s~tall red,cs '.~ of this program, the COUl~';t'x may termfnate ~his Agreement by giving such notice to the CONTRACTOR as is gl:yen to the CO~ by the State. !I. NONDISCRIMINATION ANDAFFIi~M~TIVE ACTION IN ETIPLOYMENT: The CONTRACTOR agrees in connection with the pe=formance of this Agreement as follows: a) The CONTRACTOR shall not discriminate against employees or applicants for employment because of race, creed, color, national origin, sex, age, disability, Vietnam Era Veteran status or marital status, and will undertake or continue existing programs of affirmative action to ensure that women and minority group m~mbers are afforded equal employment opportunities without discrimination. Affirmative acuion shall mean recruitment, employment, job assignment, promotion, upgradings, demotion, transfer, layoff, or termination and rates of pay or other forms of compensation. b) The CONTRACTOR shall require each employment agency, labor union or authQrized representative of workers, with which it has a collective bargaining or other agreement or understanding, to furnish a written statement that such employment agency, labor union or representative will not discriminate on the basis of race, creed, Color, national origin, sex, age, disability, Vietnam Era Veteran status or marital status and that such union or representative will affirmatively cooperate in the implementation of the C0~TRACTOR's obligations herein. c) The CONTRACTOR shall state, in all solicitations or advertisements for employees, that, in the performance of this Agreement, all qualified applicants will be afforded equal employment opportunities without discrimination because of race, creed, color, national origin, sex, age, disabi!itt, Vietnam Era Veteran status or marital status. AG2(9/94) Page 5 of 10 pages 12. NONDISCRIMINATION IN SERVICES: COB'~'RACTOR shall not discriminate against any participant assigned to the CONTRACTOR on the grounds of race, creed, color, handicap, national origin, sex, age or marital status. 13. WORK EXPERIENCE PARTICIPATION: If the CONTI<ACTOR is a nonprofit agency or institution, each of the CONTRACTOR's locations at which services are provided under this Agreement shall be a work site for public-assistance clients of Suffolk County pursuant to Local Law No. !5-1993 at all times during the .term of this Agreement. If no Memorandum of Understanding ("M~U')' with. the Suffolk County Department of Labor for work experience is in effect at the beginning of the term of this Agreement, the CONTRACTOR, if it is a nonprofit agency or institution, shall enter into such MOU as soon as possible after the execution of this Agreement and failure t~ enter into or to perform in accordance with such MOU shall be deemed to be a failure to perform in accordance w~th this Agreement, for which the COUNT~ may withhold payment, terminate this Agreement or exercise such other remedies as may be appropriate in.the circumstances. 14. CERTIFICATE OF INCORPORATION: The CONTRACTOR (if not a town or other municipal · corporation) shall provide the COUNTY with a certified copy of CONTRACTOR's certificate of incorporation and bylaws, as amended, to the extent not on file with AGING, and any amendments during the term of thisAgreement. 15. ASSIGNI~ENT: The CONTRACTOR shall not assign, transfer, convey, subcontract or otherwise dispose of this Agreement, or any of its right, title or interest therein, or its power to execute this Agreement, or assign all or any portion of the monies that may be due or become due thereunder, to anl other person or corporation, without the prior consent in-writing of the COUNT~, and any attempt to do any Of the foregoing without such consent shall be of no effect. 16. INDEPENDENT CONTRACTOR: It is expressly agreed that the CONTRACTOR's status hereunder is that of an independent CONTRACTOR. Neither the CONTRACTOR nor any person' hired by the CONTRACTOR shall be considered employees of the COU~if for any purpose. 17. INSLr!~tNCE AND INDEMNIFICATION CLAUSES: The CONTRACTOR agrees to procure, pay the entire premium for and maintain throughout the term Of this Agreement insurance in amounts and types specified by the COUNTY. Un/sss otherwise specified by the COUNTY.and agreed to by the CONTRACTOR, in writing, such insurance will' be as follows: AG2(9/94) Page 6 of !0 pages · . ~uat coverage~..~, in a~.n ~m~,~n~;i.~A,qt~ ') ~ess~, than Dollars~ .($I,O~00~0~ ~ s~n~ !~mit irzjur~ and~ property damage' per occurrence. One Million for bodily Au~0mobflel Liability insurance (if any vehicles are to be used in performing services ~nder t~is Agreement) in an amount not less than Three Hundred Thousand Dollars ($300,000.00) combined single limit i'n~urtr and property damage per occurrence. Wo,rke~'.ComD~nsation an~Emp!0ySr'S Liabi!it~ insurance in qom~'~ance with all applicable .New York State laws and Disabilitv Benefits insurance if by .~ ] ~.In accordance with Genefa!iMunici this ~ v0id~nd ~b the ~::..~ ~!s~a~l! .provide and k~reementfor as workers · Fidetitv Bonds providing comprehensive coverage, in an amount not less than the greater of (i) Five ~ ThoGsand Dollars ($5,000) or (ii) the amount of the _a~vance to the CONTRACTOR under this, Agreement, against dishonesty, disappearance and destruction of money a~d securities for all p~rson~e! Who have access to or sign ch~cks, 'or have care, custody or controI of~fund~ o~ property'~ntrusted to the~CONTRAC~OR Under the terms of 6he~Ag~ne~ , -~ ,~ Ail policies providing such coverage shall be .issued by insurance companies acceptable to the COUNTT. !The CONTRACTOR shall furnish to the COUNTY certificates of insurance or, on request, original policies, evidencing compliance wi~h the aforesaid insurance requirements. In the case of general liability insurance and of automobile liability insurance (if any), such certificates shaI1 name the County of Suffolk as an additional insured. In the event that the CONTRACTOR is a town or other municipal corporation and has a self-insurance program under which'it acts as a self-insurer for any of such required coverage, it may provide self-funded coverage and certificates or other evidence 'of such self-insurance in lieu of insurance issued by insurance companies. Ail such certificates or policies shall provide for the County- of Suffolk to be a certificate holder and to be notified in writing thirty (30) days prior to any cancellation, nonrenewal or material change. Such certificates, policies and notices shall be mailed to AGING at its address at the 'head of this Agreement. Furthermore, the CONTRACTOR shall indenmify and hold harmless the COUNTY, its consultant (if any), employees, agents and other persons from and against all losses, claims, costs, judgments, liens, encumbrances and expenses, including attorney's fees, by reason of liability imposed by law for damage because of bodily injury, including death at any time resulting therefrom, sustained by any person or persons, or on AG2(9/94) Page 7 of 10 pages account of damage to property, arising out of the acts or omissions or negligence of the CONTRACTOR, its agents, employees or subcontractors or of other persons, in connection with the services described or referred to in this Agreement, even if such ~njuries to persons or damage to property are due, or are claimed to be due~ to passive negligence of the COUNTY_, its employees, agents or subcontractors os other persons, except only in cases of the COUNTY's sole active negligence. 18..INCIDENT REPORTING: The CONTRACTOR agrees to provide AGING with reports of all instances of claims, costs, damages, and injuries to persons or property of whatsoever kind arising out of services provided under this Agreement. Such reports shall be on forms prescribed by the COUNTY in accordance with the New Pork State Department of Heaith's home care complaint procedures, 92-IM-91. All such notifications should be given to AGING immediately after the, incident, if possible, but in no case longer than five (5) days after the incident. The CONTRACTOR further agrees to send AGING copies of all "notices of claim" relating to the p am covered in this Agreement. 19. LOCAL LAW #31-1989: The CONTRACTOR shall comply with the requirements of Local Law No. 31-1989 (Suffolk Count~/ Code Chapter 256) as now in effect or as amended hereafter or of any other Suffolk County. Local Law that may become applicable during the term of this Agreement with regard to ~the screening of personnel in connection with homemaking or home care services. 20. PUBLICATIONS: The CONTRACTOR shall not issue or publish any book, article, announcement, report or-other publication relating to the subject program without prior written permission from the COUNTY. Any such publicatien shall bear a statement acknowledging the cooperation and/or funding by the County of Suffolk - Robert J. Gaffney, County Executive. 21. TERMINATION RIGHTS: If the CONTRACTOR fails to fulfill in a timely and proper manner its obligations under this Agreement, or if the COUNTY shall deem it in its best interest to terminate this Agreement, or its obligation with respect to any identifiable part of the program to which it relates, it shall have the right to do so providing that no such termination shall be effective unless the CONTRACTOR is given ten (10) calendar days written notice of intent to terminate, delivered personally or by certified mail, return receipt requested. The CONTRACTOR ma~ terminate this Agreement, at its opti0n, .by giving sixty (60) calendar days prior written notice to the COUNTY by registered or certified mail. AG2(9/94) Page 8 of I0 pages 22. LOCAL LAW #32-1980: The CONTRAC~-~ f.~'~~r~s that it has not offered or given any gza~ui~ to'~ 0ff~ci8l,: employee or agent of Suffolk ~County or New York State or of any politics1 party with the purpose or intent of securing favorable treatment with respect to the awarding or amending of an agreement or the ~'~eterminafions wi~ respect ~ the of 'and that the signer of this : ~ and t~ provisions of Local L~ (~Cha~Pter 386 of the Suffolk Coun~'Csde). 2~ F~CI~' DISCLOS~: re~resents and warr.~nts, that~ un!es~,.exempt, with the ~omp~roller Of Shffolk Countlr the~'Ver~fied pubic diS~!osure statement ~ as amen~e~l ('~ A5-7 of the n on or before ~ that .s a to this ~ for Which the COUNT~ shall be entitled.~ u~on a ~!~r~f~ation~: that Such brea~ -, has- occu~ired, eo d~g¢~ in a~t~On to al! Other legal c~f.~ amoun~ of the Agre~enb. . . 24. QUALIFICATIONS OF PERSONNEL: The CONTRACTOR agrees that it will provide the COUNTY with relevant policies regarding the personnel qualifications for professional employees and that these po!~cies shall be subject to approval by the COUNT~. 25. BUDGET DEFICIENC~ PLAN: The COUNT~/ has imposed and ma~ impose budget deficiency plan(s). Upon written notification from AGING, the CONTRACTOR shall comply with the same restrictions as are imposed upon AGING, a cupy of which will be furnished with such notification and shall thereupon be deemed to be incorporated by reference in and made part of this Agreement, 26. ATTACHMENTS: The following attachments are made part of this Agreement: Attachment Sub~ ect Program Narrative and Special Clauses (if any) 2. Budget AG2(9/94) Page 9 of t0 pages 27. EXTIENSION OF TERM: The services of the-CONTRACTOR under this Agreement shall be subject to review by AGING not less often than annually. If AGING, in its sole discretion, is satisfied with the CONTRACTOR's services, AGING shall so notify the CONTRACTOR in writing on or before March t, 1996, March 1, 1997, March !, 1998 or March. 1, 1999, and the parties shall negotiate an Extension Agreement, which shall take effect for the extension period specified therein (but in no event beyond March 31, 2000) upon signature on behalf of the COUaT~. Such Extension Agreement shall include Attachment 1-1996, Attachment 1-1997, Attachment 1-1998 or Attachment 1-1999 {if needed to m°difl~ the program and special clauses, if any) and Attachment 2-1996, Attachment 2-1997, Attachment 2-1998 or Attachment 2-1999, Budget, for the extension period, and such other modifications of the Agreement as may be agreed upon between the parties. 28. PARTIAL INVALIDITS[; NO WAIVER: It is expressly agreed that if any term or provision of this Agreement, or the application thereof to an~ person or circumstance, shall, to any extent, be held invalid or unenforceable, the remainder of this Agreement, or the application of such term or provision to persons or circumstances other than those as to which it is held invalid or unenforceable, shall not be affected thereby, and every other term and provision of this. Agreement shall be valid and shall be enforced to the fullest extent permitted by law. No waiver shall be inferred from any failure or forbearance of the COUNTY to enforce any provision of this Agreement in any particular instance or instances, but the same shall otherwise remain in full force and effect notwithstanding any such failure or forbearance. 29. ENTIRETY OF AGREEMENT; NO ORAL CHANGES: It is expressly agreed that this Agreement represents the entire agreement of the parties; that all previous understandings are merged in this Agreement; and that no modification of this Agreement shall be valid unless written and executed by both parties. END OF TEXT AG2(9/94) Page I0 of 10 pages DEFINITION OF SERVICE pr~ided ,throughout Older, who not or bedrccm and bathroom; dishwashing; making ~h0p~ing lists; DE N~ -FI"-~1 ,, , ~QN~.0~ A UNIT OF SERVICE One unit of service is equal to one hour of nonmedical in-home personal care activities provided to or on behalf oK the client as ordered on the care pla,n> excluding travel time. ~ROMO~IONS AND ADVERTISEMENTS I~ is t~he responsibility of the CONTRACTOR to have the following identifying logo in equal sized lettering on any print~ materials and on all brochures, flyers, and advertisements (including without limitation television graphics) purchased with these funds: Funding provided by the Suffolk County Office for the Aging and the New York State Office for the Aging AG2(9/94) Page 1 of 3 pages Any announcements of this program on radio or television must identify funding by the Suffolk County Office for the Aging and the New York State Office for the Aging. CONTRACTOR'S STAFF The CONTRACTOR agrees to employ adequate numbers of qualified staff and supervisory personnel to assure satisfactory conduct of the project. The CONTRACTOR will have on file with AGING the procedures to be followed by workers and other staff in case of emergency, and policies and procedures for providing backup workers when the usual worker is not available. A "pool" of employees specifically dedicated to this service must be designated with the responsibility to fill in for all absences and emergency situations. Each nonmedical in-home service worker shall receive regularly scheduled supervision by th~ designated supervisor in each client's home at least once every three (3) months. Supervisory visits are to be unannounced to the in-home services worker. Copies of the supervisory report and the personal care weekly worksheet or monthly schedule report shall be submitted to AGING on a monthly basis. CONFIDENT!ALITSr The CONTRACTOR agrees that no personal information obtained from an individual in conjunction with this program shall be disclosed in a form in which it is identified with the individual without such individual's written consent to such disclosure, except to AGING. In the case of a request by AGING for names and addresses of individuals participating in the program, the CONTRACTOR shall furnish such information as requested. Failure to comply with a request by AGING for such information shall be deemed a material breach of this Agreement and shall result in a freeze on all monies due and owing to the CONTRACTOR until compliance by the CONTRACTOR. PROGRAM MONITORING The CONTRACTOR agrees to permit AGING's staff and staff of the New York State Office for the Aging to review case records and to monitor training, supervision, and services at any time. AG2(9/94) Page 2 of 3 pages SPECIAL CLAUSES: 1. The last unnumbered subparagra~ of paragraph 17 of Exhibit A is hereby amended to r~ad ~s To the extent pe=mitted by law, the CONTRACTOR shall indemnify and hold harmless the COUNT~ from and against all claims, costs (including attorneys' fees), losses ~and liabilities of whatsoever nature arising out of the acts or omissions or negligence of the CO~TRACTOR, its officers, agents, servants or empl~:~ees in. connection with the services described or: referred to i~his Agreement. ~ 2. Termination in Case of RFP: Notwithstanding anything otherwise provided in parag=aph 27 of Exhibit A, AGING may elect not to extend the term o.f this Agreement? or may terminate this Agreement as provided in paragraph 21 of Exhibit A if, in the COUNTY~s sole discretion, it issues a request for proposals for the services described in this ,~greement and CONTRACTOR's proposal in response thereto is not ~ccepted by the COUNTY. Page 3 of 3 pages ATTACHMENT 2-1995 EISEP HOUSEKEEPER/CHORE PROGRAi~ TOWN OF SOUTHOLD April 1, 1995 - March 31, 1996 FEES FOR SERVICE Non-medical in-home personal care at the rate of $11.65 per unit of service TOTAL BUDGET Less Anticipated Less Anticipated Cost Sharing Contributions NET REIMBURSABLE AMOUNT 26.954 26,954 26,954 3,000 50 23,904 OFFICE OF TH£ COUNTY EXECUTIVE Off~.c~ fo~ ~he Aging COUNTY ~)F SUFFOLK ROBERT J. GAFF~Ey- BUFFOL.~ (~OUNT~ EXECLrr~E ' PATRICIA LUI~TTA Huas~ Seuv2ces, DJ. rector June 28, t995 Honorable Thomas Wickham, Town of Southold Post Office Box 1179 Southold, New York 11971 RE: EISEP H/C Agreement Dear Supervisor Wickham: A fully executed copy of enclosed for your files. Very truly yours, Mary Demas Administrator I MD:bc Enclosure cc: Thelma Etheridge, N~SOFA Supervisor the agreement referenced above is OYe= 20 years as the desigrcated A~ea Agency on Aging p~oviding services ?o~- olde= citizer~ JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFF~CER 'RECORDS MANAGEMENT .OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516~ 765-1823 Telephone 4516) 765-1800 OFFICE OF TH~ TOWN CLERK TOWN OF SOUTHOLD June I, 1-995 Mary Demas, Adminsitrator I Office for the Aging County of Suffolk 395 Oser Avenue Hauppauge, New York 11788 Dear Ms. Demas: Transmitted herewith are the executed EISEP H/C Agreements. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT ~OFFICER FREEDOM OF INFORMATION OFFICEt/ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE~ SOUTHOLD 'TOWN BOARD AT A REGULAR MEETING HELD ON MAY 30. lg9S: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Thomas Wickham to execute an agreement between the Town of Southold and the Suffolk County Office for the Aging, for the Expanded In-Home Services for the Elderly Housekeeper/Chore Program (EISEP H/C), for the period of April 1, 1995 through March 31, 1996, on a fee for service basis at the rate of $11.65 per hour, and shall not exceed $23,904.00 in the aggregate; said agreement all in accordance with the approval of the Town Attorney. -Judith T. Terry {/ Southoid Town Clerk May 31. 1995 OFFICE OF THE COUNTY EXECUTIVE COUNTY OF SUFFOLK ROSE~T J. GAFFNE¥ OFFICE FOR THE AGING May I6, 1;~95 Hone*table T~omas Wickham, Town of Sou~hold Post Office ~Box I179 Southold, N;ew York 11971 Supervisor RE: EI~SEP H/C Agreement Dear Supe~viso~ W~ckham: Three copies of the agreement referenced above are enclosed. Please sig~ all three copies of the agreement and return them as soon as po~sible.~ A fully executed copy of the agreement will be forwarded' to you as soon as the signature process has been completed. Please nete that this agreement is subject to the New York State budget being ~assed at the levels of last year. Very truly yours, Mary Demas Administrator I MD/bc EnClosures