CONTRACT SUMMARY SHEET - Los Angelescontract summary sheet to: the office of the city clerk,...

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CONTRACT SUMMARY SHEET TO: THE OFFICE OF THE CITY CLERK, COUNCIL/PUBLIC SERVICES DIVISION DATE: September 05, 2014 ROOM 395, CITY HALL FROM (DEPARTMENT): AGING CONTACT PERSON: Jamison Peroff/S.L. Sanocki PHONE (213) 202-5639/482-6798 CONTRACT NO.: 119599 ADOPTED BY COUNCIL: 8/20/2014 APPROVED BY BPW: DATE CONTRACTOR NAME: DATE COUNCIL FILE NO.: 14-1034 NEW CONTRACT AMENDMENT NO. 7 I= ADDENDUM NO. SUPPLEMENTAL NO. CHANGE ORDER NO. ALZHEIMER'S DISEASE and RELATED DISORDERS ASSN LA RIVERSIDE & SAN BERNARDINO COUNTIES TERM OF CONTRACT: July 1, 2011 THROUGH: June 30, 2015 TOTAL AMOUNT: $609,534 PURPOSE OF CONTRACT: THE FAMILY CAREGIVER CARE MANAGEMENT PROJECT NOTE: CONTRACTS ARE PUBLIC RECORDS - SCANNED AND UPLOADED TO THE INTERNET

Transcript of CONTRACT SUMMARY SHEET - Los Angelescontract summary sheet to: the office of the city clerk,...

Page 1: CONTRACT SUMMARY SHEET - Los Angelescontract summary sheet to: the office of the city clerk, council/public services division date: september 05, 2014 room 395, city hall from (department):

CONTRACT SUMMARY SHEET

TO: THE OFFICE OF THE CITY CLERK,COUNCIL/PUBLIC SERVICES DIVISION DATE: September 05, 2014ROOM 395, CITY HALL

FROM (DEPARTMENT): AGING

CONTACT PERSON: Jamison Peroff/S.L. Sanocki PHONE (213) 202-5639/482-6798

CONTRACT NO.: 119599

ADOPTED BY COUNCIL: 8/20/2014

APPROVED BY BPW:DATE

CONTRACTOR NAME:

DATE

COUNCIL FILE NO.: 14-1034

NEW CONTRACTAMENDMENT NO. 7

I= ADDENDUM NO.SUPPLEMENTAL NO.CHANGE ORDER NO.

ALZHEIMER'S DISEASE and RELATED DISORDERS ASSN LA RIVERSIDE & SAN BERNARDINO COUNTIES

TERM OF CONTRACT: July 1, 2011 THROUGH: June 30, 2015

TOTAL AMOUNT: $609,534

PURPOSE OF CONTRACT:THE FAMILY CAREGIVER CARE MANAGEMENT PROJECT

NOTE: CONTRACTS ARE PUBLIC RECORDS - SCANNED AND UPLOADED TO THE INTERNET

Page 2: CONTRACT SUMMARY SHEET - Los Angelescontract summary sheet to: the office of the city clerk, council/public services division date: september 05, 2014 room 395, city hall from (department):

SEVENTH AMENDMENTTO AGREEMENT NUMBER 119599 OF CITY OF LOS ANGELES CONTRACT

BETWEENTHE CITY OF LOS ANGELES

ANDALZHEIMER'S DISEASE and RELATED DISORDERS ASSN LA RIVERSIDE & SAN BERNARDINO

COUNTIES, RELATING TOTHE FAMILY CAREGIVER MANAGEMENT PROJECT

THIS SEVENTH AMENDMENT to Agreement Number 119599 of City of Los Angeles Contract is made andentered into by and between the City of Los Angeles ("City") and Alzheimer's Disease and Related DisordersAssn LA Riverside and San Bernardino Counties. ("Contractor"), a California nonprofit corporation.

RECITALS

WHEREAS, the City and Contractor have entered into an Agreement wherein Contractor shallprovide certain services. Said Agreement was effective July 1st 2011, which together with all amendment(s)thereto shall hereinafter be referred to as the Agreement; and

WHEREAS, Section 619 of the Agreement provides for amendments; and

WHEREAS, the Agreement contemplates that modifications and closeout activities may be requiredafter the time set forth in Section 501 of the Agreement; and

WHEREAS, the City and Contractor are desirous of amending the Agreement as authorized by theLos Angeles City Council and Mayor (refer to Council File Number 14-1034 dated August 20th 2014), whichauthorizes the General Manager of the Los Angeles Department of Aging (LADOA), to prepare and executean amendment to the Agreement for the purpose of:

(a) Adding an additional year (12) months for a new ending date of June 30th 2015;

(b) Adding additional services to the Agreement;

(c) Adding additional funds in the amount of One Hundred Forty-One Thousand Nine HundredThirty-Five Dollars ($141,935) for a new total of Six Hundred Nine Thousand Five HundredThirty-Four Dollars ($609,534);

(d) Amending Exhibit I; and

(e) Making such changes as are required in connection with the foregoing, all as detailedelsewhere in this Agreement

WHEREAS, this Agreement is necessary and proper to continue and/or complete certain activitiesauthorized by this Agreement.

NOW, THEREFORE, the City and the Contractor agree that the Agreement be amended effectiveJuly 15t 2014 as follows:

LADOA FY 2014-2015 New Year Area Plan Amendment (8/26/14 DRAFT) Alzheimer's Disease and Related Disorders AssnLA Riverside and San Bernardino Counties citywide ASA/vz

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Page 3: CONTRACT SUMMARY SHEET - Los Angelescontract summary sheet to: the office of the city clerk, council/public services division date: september 05, 2014 room 395, city hall from (department):

AMENDMENT

§1. Amend §103 of the original Agreement, Time of Performance, by deleting the current endingdate of June 30th 2014 and replacing it with the new ending date of June 30th 2015. Thisamendment adds an additional One Year (12) months to the Agreement for a total term of 4Years (48) months.

§2. Amend §203, performance tables to reflect revised units of service, by adding the followingtables of services. This amended section details all services being provided by thisAgreement:

A. For Fiscal Year 2014-2015 (July 1, 2014 — June 30, 2015)

1. CITYWIDE AGING SERVICE AREA

The Contractor shall provide, but not be limited to, the following minimum serviceunits for the following activities and services:

INFORMATION SERVICES13 Community Education (Number of Activities)

ACCESS ASSISTANCE418 Outreach (1 Contact)

SUPPORT SERVICES84 Counseling (hourly increments)

132 Caregiver Training (hourly increments)1,357 Case Management (hourly increments)250 New Clients Served500 Unduplicated Clients Served

RESPITE SERVICES534 Respite Care (Hours)

§3. Amend §301A Compensation by deleting the current total dollar amount of Four Hundred Sixty-Seven Thousand Five Hundred Ninety-Nine Dollars ($467,599) and replacing with the new totaldollar amount of Six Hundred Nine Thousand Five Hundred Thirty-Four Dollars ($609,534). Thisamendment adds an additional One Hundred Forty-One Thousand Nine Hundred Thirty-Five Dollars($141,935) for a new total of Six Hundred Nine Thousand Five Hundred Thirty-Four Dollars($609,534).

(a) Amend the FY 2014-2015 portion of the senior services contracts, pertaining to the period July 1,2014 through June 30, 2015, to add funds, as follows:

LADOA FY 2014-2015 New Year Area Plan Amendment (8/26/14 DRAFT) Alzheimer's Disease and Related Disorders AssnLA Riverside and San Bernardino Counties Citywide ASA/vz

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Page 4: CONTRACT SUMMARY SHEET - Los Angelescontract summary sheet to: the office of the city clerk, council/public services division date: september 05, 2014 room 395, city hall from (department):

Citywide

July 1, 2014Through

June 30, 2015FY 2014-15

GRANT FUNDSFY 2014-15

GENERAL FUNDSTOTAL FY 2014-15

FUNDING

Information Services — Community Ed. $18,292 $1,746 $20,038

Support Services $71,644 $6,838 $78,482

Access Assistance - Outreach $15,243 $1,455 $16,698

Respite Care $24,389 $2,328 $26,717OAA Title III-E TOTAL FUNDING $129,568 $12,367 $141,935

§4. Amend §501 Reporting Requirements by adding the following subsections E through F:

E. Security Incident Reporting:

A security incident occurs when the Los Angeles Department of Aging (LADOA) informationassets are lost, stolen, accessed, modified, destroyed, or disclosed without properauthorization. The Contractor must report all security incidents to the appropriate LADOAProgram Manager immediately upon occurrence or detection. A Security Incident Reportform (CDA 1025) must be completed and submitted to the LADOA Information SecurityOfficer, within five (5) business days of the date the incident occurred or was detected.

F. Notification of Security Breach to Data Subjects:

1. Notice must be given by the Contractor or Subcontractor to any data subject whosepersonal information could have been breached.

2. Notice must be given in the most expedient time possible and without unreasonabledelay except when notification would impede a criminal investigation, or when necessarymeasures to restore system integrity are required.

3. Notice may be provided in writing, electronically, or by substitute notice in accordancewith State and/or local law, regulation, or policy.

§5. Amend Exhibit I, Budget Documents of the Agreement by including additional budget documents forFY 2014-2015 for III-E

§6. Except as herein amended, all terms and conditions of the Agreement shall remain in full force andeffect.

§7. This Agreement is executed in three (3) duplicate originals, each of which are deemed to be anoriginal. This Agreement includes Four (4) pages, which constitutes the entire understanding andagreement of the parties.

LADOA FY 2014-2015 New Year Area Plan Amendment (8/26/14 DRAFT) Alzheimer's Disease and Related Disorders AssnLA Riverside and San Bernardino Counties Citywide ASA/vz

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Page 5: CONTRACT SUMMARY SHEET - Los Angelescontract summary sheet to: the office of the city clerk, council/public services division date: september 05, 2014 room 395, city hall from (department):

IN WITNESS THEREOF, the City of Los Angeles and the Contractor have caused this Agreement tobe executed by their duly appointed representatives.

APPROVED AS TO FORM AND LEGALITY:

MICHAEL N. FEUER, City Attorney

By:ANNETTE M. SIERRADeputy Ci-y Attorney

Date:

ATTEST:

HOLLY L. WOLCOTT, City Clerk

(Contractor Corporate Seal)

Executed this /74— , day of

7ei4? 6e-14 2014For: THE CITY OF LOS ANGELES

LAURA TREJOGeneral ManagerLos Angeles Department of Aging

By: fre-40---

Executed this I S , day of

A677_ , 2014For: Alzheimer's Disease & Related

Disorders Assn LA Riverside & SanBernardino Counties

a -e: Susa M. aleas, SW, MPH

Title: Pres • ent CEO

ATTEST:

By: ,A1ACt-44LName: Cathlee L dd, MSWTitle: Vice President, Programs

D-U-N-S® Number: 90482220

City Business License Number: 0000707538 Internal Revenue Service Number: 95-3718119 Council File Number: 14-1034; Date of Approval: August 20th 2014

Agreement Number 119599 of City Contracts, Amendment Number 7

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Page 6: CONTRACT SUMMARY SHEET - Los Angelescontract summary sheet to: the office of the city clerk, council/public services division date: september 05, 2014 room 395, city hall from (department):

EXHIBIT 1 - BUDGET DOCUMENTSPART A: PROJECT BUDGET SUMMARY BY COST CATEGORY AND PROJECTED EXPENDITURES BY MONTHAgreement Nbr: 119599 Amendment Nbr: 7 Contractor: Alzheimer's Disease & Related Disorders Assn LA RSB Countie

OAA - Title III-E - Family Caregiver Support - Elderly Care - F/Y - 2014-15

Program Budget Summary

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AGING SERVICE AREA:CITYWIDE

COSTCATEGORIES Grant Share City General Fund Grant Share

TotalProgram Income Match - Cash Estimated Total

CostsPersonnel Costs 104,258 10,039 114,297 43,189 157,486Direct Costs 25,310 2,328 27,638 14,194 41,832Equipment Costs 0Indirect Costs 0

TOTAL COSTS 129,568 12,367 141,935 14,194 43,189 199,318

Projected Monthly Expenditures

COST CATEGORIES GrantShare

2014JULY AUG SEPT OCT NOV DEC

2015JAN FEB MAR APRIL MAY JUNE

Personnel Costs 104,258 8,688 8,688 8,688 8,688 8,688 8,688 8,688 8,688 8,688 8,688 8,689 8,689Direct Costs 25,310 2,109 2,109 2,109 2,109 2,109 2,109 2,109 2,109 2,109 2,109 2,110 2,110Equipment CostsIndirect Costs

TOTAL COSTS 129,568 10,797 10,797 10,797 10,797 10,797 10,797 10,797 10,797 10,797 10,797 10,799 10,799

https://parc3cert.lacity. org/gcts/gcts_budgetprint_all_docs.cfm?uProj AgrmntID=2014-07-15-11.28.23.359508&rand=0.5384918... 9/9/2014

Page 7: CONTRACT SUMMARY SHEET - Los Angelescontract summary sheet to: the office of the city clerk, council/public services division date: september 05, 2014 room 395, city hall from (department):

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EXHIBIT 1 - BUDGET DOCUMENTSPart B: BUDGET JUSTIFICATIONS - PERSONNEL COSTS (WAGES AND EMPLOYEE BENEFITS)Agreement Nbr: 119599 Amendment Nbr: 7 Contractor; Alzheimer's Disease & Related Disorders Assn LA R SB Countie

OAA - Title III-E - Family Caregiver Support - Elderly Care - F/Y - 2014-15AGING SERVICE AREA: CITYWIDE

Fund Sources

Account Description100%MonthWage

% Time onProject

Months toWork Grant Share

CityGeneral

Fund

GrantShareTotal

ProgramIncome

Match -Cash

Line Item TotalBudget

PERSONNEL COSTSWAGESProgram/Project Director 9,528 22 12 25,154 25,154Administrative Assistants 3,096 10.998 12 4,086 4,086 4,086Clinical Manager 5,176 60 12 31,569 5,698 37,267 37,267Care Manager 3,085 76.999 12 25,837 2,668 28,505 28,505Care Manager 3,847 55 12 25,390 25,390 25,390IT Manager 4,453 20.278 12 10,836 10,836

TOTAL WAGES 86,882 8,366 95,248 35,990 131,238

FRINGE BENEFITSFICA 6,299 606 6,905 2,609 9,514SUI 261 25 286 108 394W/C 1,520 146 1,666 630 2,296Health Insurance 8,723 840 9,563 3,614 13,177Health Insurance Dental, Vision and Life Insurance 573 56 629 238 867

TOTAL FRINGE BENEFITS 17,376 1,673 19,049 7,199 26,248

TOTAL PERSONNEL COSTS 104,258 10,039 114,297 43,189 157,486

https://parc3cert.lacity.org/gcts/gcts_budget_print_all_docs.cfm?uProjAgrmntID=2014-07-15-11.28.23.359508&rand=0.5384918... 9/9/2014

Page 8: CONTRACT SUMMARY SHEET - Los Angelescontract summary sheet to: the office of the city clerk, council/public services division date: september 05, 2014 room 395, city hall from (department):

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EXHIBIT 1 - BUDGET DOCUMENTSPART C: BUDGET JUSTIFICATIONS - DIRECT COSTSAgreement Nbr: 119599 Amendment Nbr: 7 Contractor: Alzheimer's Disease & Related Disorders Assn LA R SB Countie

OAA - Title III-E - Family Caregiver Support - Elderly Care - F/Y - 2014-15AGING SERVICE AREA: CITYWIDE

Fund Sources

Account Description Grant Share City General Fund Grant Share Total Program Income Match - Cash Line Item TotalBudget

DIRECT COSTSOffice Supplies 421 421 421Postage & Delivery 500 500 500In Home Services 24,389 2,328 26,717 14,194 40,911TOTAL DIRECT COSTS 25,310 2,328 27,638 14,194 41,832

hnps://parc3cert. lacity.org/gcts/gcts_budget_print_all_docs.cfm?uProjAgrmntID=2014-07-15-11.28.23.359508&rand=0.5384918... 9/9/2014

Page 9: CONTRACT SUMMARY SHEET - Los Angelescontract summary sheet to: the office of the city clerk, council/public services division date: september 05, 2014 room 395, city hall from (department):

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EXHIBIT 1 - BUDGET DOCUMENTSPART D: BUDGET JUSTIFICATIONS - EQUIPMENT AND INDIRECT COSTSAgreement Nbr: 119599 Amendment Nbr: 7 Contractor: Alzheimer's Disease & Related Disorders Assn LA R SB Countie

OAA - Title III-E - Family Caregiver Support - Elderly Care - F/Y - 2014-15AGING SERVICE AREA: CITYWIDE

I Fund Sources

Account Description Grant Share City General Fund Grant Share Total Program Income Match - Cash Line Item TotalBudget

EQUIPMENT COSTSTOTAL EQUIPMENT COSTS

Fund Sources

Account Description Grant Share City General Fund Grant Share Total Program Income Match - Cash Line Item TotalBudget

INDIRECT COSTSTOTAL INDIRECT COSTS

https://parc3cert.lacity.org/gcts/gcts_budget_print_all_docs.cfm?uProjAgrmntID=2014-07-15-11.28.23.359508&rand=0.5384918... 9/9/2014