HomeMy WebLinkAboutS - Grant - Home and Community Care Block Grant for Older Adults Funding Plan, FY2005-2006:'
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DOA-735
(revised 8/05)
July 1, 2005 Through June 30, 2006
Home and Community Care Block Grant for Older Adults
Agreement for the Provision of County-Based Aging Services
This Agreement, entered into as of this 1St day of July, 2005, by and between the County of Orange
(hereinafter referred to as the "County") and the Triangle J Council of Governments/Area Agency on
Aging, (hereinafter referred to as the "Area Agency").
Witnesseth That:
WHEREAS, the Area Agency and the County agree to the terms and conditions for provision of aging
services in connection with activities financed in part by Older Americans Act grant funds, provided to
the Area Agency from the United States Department of Health and Human Services through the North
Carolina Division of Aging and Adult Services (DAAS) and state appropriations made available to the
Area Agency through the North Carolina Division of Aging and Adult Services, as set forth in a) this
document, b) the County Funding Plan, as reviewed by the Area Agency and the Division of Aging and
Adult Services, c) the Division of Aging and Adult Services Home and Community Care Block Grant
Procedures Manual for Community Service Providers, d) the Division of Aging and Adult Services
Service Standards Manual, Volumes I through 1V, and, e) the Division of Aging and Adult Services
Community Service Providers Monitoring Guidelines.
NOW THEREFORE, in consideration of these premises, and mutual covenants and agreements
hereinafter contained, the parties hereto agree as follows:
As provided in the Area Plan, the facility(ies) designated in the County to encourage maximum
collocation and coordination of services for older persons is (are) as follows:
Central Orange Senior Center Northside Senior Center
Northern Human Services Center Chapel Hill Senior Center
Efland Cheeks Multipurpose Center
1.(a) The Community Service Provider(s), shall be those specified in the County Funding Plan on the
Provider Services Summary format(s) (DOA-732) for the period ending June 30, 2006.
2. Availability of Funds. The terms set forth in this Agreement for payment are contingent upon
the receipt of Home and Community Care Block Grant funding by the Area Agency.
DOA-735
(revised 8/05)
3. Grant Administration. The grant administrator for the Area Agency shall be Joan M. Pellettier,
Director, Triangle J Area Agency on Aging. The grant administrator for the County shall be
Gwen Harvey, Assistant County Manager.
It is understood and agreed that the grant administrator for the County shall represent the
County in the performance of this Agreement. The County shall notify the Area Agency in
writing if the administrator changes during the grant period. Specific responsibilities of the
grant administrator for the County are provided in paragraph seven (7) of this Agreement.
4. Services authorized through the County Funding Plan, as specified on the Provider Services
Summary format(s) (DOA-732) are to commence no later than July 1, 2005 and shall be
undertaken and pursued in such sequence as to assure their expeditious completion. All
services required hereunder shall be completed on or before the end of the Agreement period,
June 30, 2006.
5. Assi ng ability and Contracting. The County shall not assign all or any portion of its interest in
this Agreement. Any purchase of services with Home and Community Care Block Grant for
Older Adults funding shall be carried out in accordance with the procurement and contracting
policy of the community services provider or, where applicable, the Area Agency, which does
not conflict with procurement and contracting requirements contained in 45 CFR 92.36.
Federal funds shall not be awarded to any subrecipients who have been suspended or debarred
by the Federal government. In addition, Federal funds may not be used to purchase goods or
services costing over $100,000 from a vendor that has been suspended or debarred from Federal
grant programs.
6. Compensation and Payments to the County. The County shall be compensated for the work and
services actually performed under this Agreement by payments to be made monthly by the Area
Agency. Total reimbursement to the community service providers under this Agreement may
not exceed the grand total of Block Grant funding, as specified on the Provider Services
Summary format (DOA-732).
(a) Interim Payments to the County
Upon receipt of a written request from the County, the Division of Aging and Adult
Services, through the Area Agency, will provide the County Finance Officer with an
interim payment equivalent to seventy percent (70%) of one-twelfth (1/12) of the
County's Home and Community Care Block Grant allocation by the 22nd of each
month.
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DOA-735
(revised 8/05)
(b) Reimbursement of Service Costs
Reimbursement of service costs are carried out as provided in Section 3 of the N.C.
Division of Aging Home and Community Care Block Grant Procedures Manual for
Community Service Providers, revised February 17, 1997.
c) Role of the County Finance Director
The County Finance Director shall be responsible for disbursing Home and Community
Care Block Grant Funding to Community Service Providers in accordance with
procedures specified in the N.C. Division of Aging Home and Community Care Block
Grant Manual for Community Service Providers, revised February 17, 1997.
(d) Payment of Administration on Aging Nutrition Services Incentive Program (NSIP)
Subsidy
NSIP subsidy for congregate and home delivered meals will be disbursed by the
Division of Aging and Adult Services through the Area Agency to the County on a
monthly basis, subject to the availability of funds as specified in Section 3 of the N.C.
Division of Aging Home and Community Care Block Grant Procedures Manual for
Community Services Providers, revised February 17, 1997.
If through the US Department of Agriculture Area Agency on Aging Elections Project,
the County elects to receive a portion of its USDA entitlement in the form of surplus
commodity foods in lieu of cash, the Area Agency will notify the County in writing of
its community valuation upon notification from the Division of Aging and Adult
Services. The delivery of commodity and bonus foods is subject to availability. The
County will not receive cash entitlement in lieu of commodities that are unavailable or
undelivered during the Agreement period.
7. Reallocation of Funds and Budget Revisions. Any reallocation of Block Grant funding between
counties shall be voluntary on the part of the County and shall be effective only for the period
of the Agreement. The reallocation of Block Grant funds between counties will not affect the
allocation of future funding to the County. If during the performance period of the Agreement,
the Area Agency determines that a portion of the Block Grant will not be expended, the grant
administrator for the County shall be notified in writing by the Area Agency and given the
opportunity to-make funds available for reallocation to other counties in the Planning and
Service Area or elsewhere in the state.
The County may authorize community service providers to implement budget revisions, which
do not cause the County to fall below minimum budgeting requirements for access, in-home,
congregate, and home delivered meals services, as specified in Division of Aging and Adult
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DOA-735
(revised 8/05)
Services budget instructions issued to the County. If a budget revision will cause the County to
fall below minimum budgeting requirements for any of the aforementioned services, as
specified in Division of Aging and Adult Services budgeting instructions issued to the County,
the grants administrator for the County shall obtain written approval for the revision from the
Area Agency prior to implementation by the community service provider, so as to assure that
regional minimum budgeting requirements for the aforementioned services will be met.
Unless community services providers have been given the capacity to enter data into the Aging
Resources Management System (ARMS), Area Agencies on Aging are responsible for entering
amended service data into the Division of Aging and Adult Services Management Information
System, as specified in the N.C. Division of Aging Home and Community Care Block Grant
Procedures Manual for Community Service Providers, revised February 17, 1997.
8. Monitoring. This Agreement will be monitored to assure that services are being provided in
compliance with the N.C. Division of Aging Service Standards Manual, dated July 1, 1992, and
the N.C. Division of Aging Home and Community Care Block Grant Procedures Manual for
Community Service Providers, revised February 17, 1997. Further, compliance with updated
monitoring requirements, as specified in Office of Management and Budget (OMB) Circular A-
133 and NC General Statute 143-6.1 shall be carried out. Monitoring shall also include
compliance with conflict of interest requirements. Monitoring requirements are discussed in
DoA Administrative Letter No. 03-14 (11/5/03). Private non-profit service providers will be
monitored to ensure compliance with conflict of interest policies, as stated in DoA
Administrative Letter No. 03-14.
The monitoring of services provided under this Agreement shall be carried out by the Area
Agency on Aging in accordance with its Assessment Plan and/or by the DAAS regional Adult
Program Representatives in accordance with the parameters of the interagency agreement
established between the Division of Aging and the Division of Social Services, as provided in
DOA Administrative Letter No. 98-13.
Counties and community service providers will receive a written report of monitoring findings
in accordance with procedures established in Section 308 of the AAA Policies and Procedures
Manual (July, 1994) and DOA Administrative Letter No. 98-13. Any areas of non-compliance
will be addressed in a written corrective action plan with the community service provider.
9. Disputes and Appeals. Any dispute concerning a question of fact arising under this Agreement
shall be identified to the designated grants administrator for the Area Agency. In accordance
with Lead Regional Organization (LRO) policy, a written decision shall be promptly furnished
to the designated grants administrator for the County.
The decision of the LRO is final unless within twenty (20) days of receipt of such decision the
Chairman of the Board of Commissioners furnishes a written request for appeal to the Director
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DOA-735
(revised 8/05)
of the North Carolina Division of Aging and Adult Services, with a copy sent to the Area
Agency. The request for appeal shall state the exact nature of the complaint. The Division of
Aging and Adult Services will inform the Chairman of the Board of Commissioners of its
appeal procedures and will inform the Area Agency that an appeal has been filed. Procedures
thereafter will be determined by the appeals process of the Division of Aging and Adult
Services. The state agency address is as follows:
Director
North Carolina Division of Aging and Adult Services
2101 Mail Service Center
693 Palmer Drive
Raleigh, North Carolina 27699-2101
10. Termination for Cause. If through any cause, the County shall fail to fulfill in a timely and
proper manner its obligations under this Agreement, or the County has or shall violate any of
the covenants, agreements, representations or stipulations of this Agreement, the Area Agency
shall have the right to terminate this Agreement by giving the Chairman of the Board of
Commissioners written notice of such termination no fewer than fifteen (15) days prior to the
effective date of termination. In such event, all finished documents and other materials
collected or produced under this Agreement shall at the option of the Area Agency, become its
property. The County shall be entitled to receive just and equitable compensation for any work
satisfactorily performed under this Agreement.
11. Audit. The County agrees to have an annual independent audit in accordance with North
Carolina General Statutes, North Carolina Local Government Commission requirements,
Division of Aging Program Audit Guide for Aging Services and Federal Office of Budget and
Management (OMB) Circular A-133.
Community service providers must provide a copy of their audit and/or year end financial
statements to the Area Agency on Aging. Community service providers, as specified in
paragraph one (1) are subject to audit and fiscal reporting requirements as stated in 2003
revisions to OMB Circular A-133 and NC General Statute 143-6.1, where applicable. Home
and Community Care Block Grant providers are not required to submit Activities and
Accomplishments Reports. For-profit corporations are not subject to the requirements of OMB
Circular A-133, but are subject to Yellow Book audit requirements. Federal funds may not be
used to pay for a Single or Yellow Book audit unless it a federal requirement. State funds
will not be used to pay for a Single or Yellow Book audit if the provider receives less than
$300,000 in state funds. The Department of Health and Human Services will provide
5
DOA-735
(revised 8/05)
confirmation of federal and state expenditures at the close of the state fiscal year. Information
on audit and fiscal reporting requirements can be found at
http://www.ncauditor.net/webproject/default.asp?nonprofit. Particular attention should be
given to:
• Audit Advisory # 2: Rewrite of G.S. 143-6.1
• Memorandum NGO-1: "Grantee Receipt and Expenditure Reports"
• Memorandum NGO-2: "Grantee Audit Reports"
• Memorandum NGO-3: "Questions and Answers"
The following provides a summary of reporting requirements under NCGS 143-6.1 and OMB
Circular A-133 based upon funding received and expended during the service provider's fiscal
year.
Annual Expenditures
• Less than $15,000
Report Required
None, records can be
monitored
Allowable Cost for Reporting
N/A
Annual Expenditures
• $15,000 - $299,999
$300,00+ in State funds,
includes Federal pass
through funds where ex-
penditures are less than
$500,000.
• $300,000+ in State funds,
includes Federal pass
through funds where ex-
penditures exceed $500,000
Report Re uq fired
Grantee Receipts Report
& Certification and Sworn
Allowable Cost for Reporting
May use State funds but not Federal
Statement
Audited Financial State-
ment in compliance with
GAO/GAS (i.e. Yellow
Book)
May use State funds but not Federal
Audited Financial State-
ment in compliance with
OMB Circular A-133
May use State and Federal funds
12. Audit/Assessment Resolutions and Disallowed Cost. It is further understood that the
community service providers are responsible to the Area Agency for clarifying any audit
exceptions that may arise from any Area Agency assessment, county or community service
provider single or financial audit, or audits conducted by the State or Federal Governments. In
the event that the Area Agency or the Department of Health and Human Services disallows any
expenditure made by the community service provider for any reason, the County shall promptly
repay such funds to the Area Agency once any final appeal is exhausted in accordance with
paragraph nine (9). The only exceptions are if the Area Agency on Aging is designated as a
community service provider through the County Funding Plan or, if as a part of a procurement
6
DOA-735
(revised 8/OS)
process, the Area Agency on Aging enters into a contractual agreement for service provision
with a provider, which is in addition to the required County Funding Plan formats. In these
exceptions, the Area Agency is responsible for any disallowed costs. The County or Area
Agency on Aging can recoup any required payback from the community service provider in the
event that payback is due to a community service provider's failure to meet OMB Circular A-
122 requirements, requirements of A-110, requirements of 45CFR, Part 1321, and 45CFR, Part
92, or state eligibility requirements as specified in policy.
13. Indemnity. The County agrees to indemnify and save harmless the Area Agency, its agents, and
employees from and against and all loss, cost, damages, expenses, and liability arising out of
performance under this Agreement to the extent of errors or omissions of the County.
14. Equal Employment Opportunity and Americans With Disabilities Act Compliance. Both the
County and community service providers, as identified in paragraph one (1), shall comply with
all federal and state laws relating to equal employment opportunity and accommodation for
disability.
15. Data to be Furnished to the County. All information which is existing, readily available to the
Area Agency without cost and reasonably necessary, as determined by the Area Agency's staff,
for the performance of this Agreement by the County shall be furnished to the County and
community service providers without charge by the Area Agency. The Area Agency, its agents
and employees, shall fully cooperate, with the County in the performance of the County's duties
under this Agreement.
16. Rights in Documents, Materials and Data Produced. The County and community service
providers agree that at the discretion of the Area Agency, all reports and other data prepared by
or for it under the terms of this Agreement shall be delivered to, become and remain, the
property of the Area Agency upon termination or completion of the work. Both the Area
Agency and the County shall have the right to use same without restriction or limitation and
without compensation to the other. For the purposes of this Agreement, "data" includes
writings, sound recordings, or other graphic representations, and works of similar nature. No
reports or other documents produced in whole or in part under this Agreement shall be the
subject of an application for copyright by or on behalf of the County.
17. Interest of the Board of Commissioners. The Board of Commissioners covenants that neither
the Board of Commissioners nor its agents or employees presently has an interest, nor shall
acquire an interest, direct or indirect, which conflicts in any manner or degree with the
performance of its service hereunder, or which would prevent, or tend to prevent, the
satisfactory performance of the service hereunder in an impartial and unbiased manner.
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DOA-735
(revised 8/05)
18. Interest of Members of the Area A ency Lead Regional Organization and Others. No officer,
member or employee of the Area Agency or Lead Regional Organization, and no public official
of any local government which is affected in any way by the Project, who exercises any
function or responsibilities in the review or approval of the Project or any component part
thereof, shall participate in any decisions relating to this Agreement which affects his personal
interest or the interest of any corporation, partnership or association in which he is, directly or
indirectly, interested; nor shall any such persons have any interest, direct or indirect, in this
Agreement or the proceeds arising therefrom.
19. Officials not to Benefit. No member of or delegate to the Congress of the United States of
America, resident Commissioner or employee of the United States Government, shall be
entitled to any share or part of this Agreement or any benefits to arise herefrom.
20. Prohibition Against Use of Funds to Influence Le islation. No part of any funds under this
Agreement shall be used to pay the salary or expenses of any employee or agent acting on
behalf of the County to engage in any activity designed to influence legislation or
appropriations pending before Congress.
21. Applicable Law. This Agreement is executed and is to be performed in the State of North
Carolina, and all questions of interpretation and construction shall be construed by the laws of
such State.
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DOA-735
(revised 8/05)
22. Payment to Community Service Providers by the Area A~encv on A~in~. The
County authorizes the Area Agency on Aging, in lieu of the County Finance
Officer, to provide interim and reimbursement payments to community service
providers as prescribed in paragraphs 6(a) and (c) of this Agreement. Services
applicable to this authorization are as follows:
Community Service Provider
Joint Orange Chatham Community Action
Senior Care of Orange County, Inc.
Service
Congregate Nutrition
Adult Day Health Care
Adult Day Care
This authorization by the County shall be in compliance with requirements set
forth in the North Carolina Budget and Fiscal Control Act. The County Finance
Officer shall establish controls to account for the receipt and expenditure of Home
and Community Care Block Grant Funds.
9
DOA-735
(revised 8/05)
In witness whereof, the Area Agency and the County have executed this Agreement as of the
day first written above.
Orange County
Attest:
By:
Chairman, Board of
Triangle J Council of Governments/Area Agency on Aging
Attest:
Y~
Joan M. Pellettier Dee A. Freeman
Director, Area Agency on Aging Executive Director,
Triangle J Council of Governments
(Lead Regional Organization)
Provision for payment of the monies to fall due under this Agreement within the current fiscal year
have been made by appropriation duly authorized as required by the Local Government Budget and
Fiscal Control Act.
Angela V. Lewis
Finance Director
Triangle J Council of Governments
(Lead Regional Organizational)
10
~i~F 6~~/cam
~~ ~
DOA-731 (Rev. 2/05)
Home and Community Care Block Grant for Older Adults
County_ Orange
County Funding Plan July 1, 2005 through June 30, 2006
County Services Summary
A B C D E F G H I
Block Grant Fundin
Required
Net
USDA
Total Projected
HCCBG Projected
Reimbursemen Projected
HCCBG Projected
Total
Services Access In-Home Other Total Local Match Service Cost Subsid Fundin Units Rate Clients Units
Con re ate 93895 \\\\\\\\\\\\ 10433 104328 20016 124344 33360 3.127338 400 33360
Case Assistant 43283 \\\\\\\\\\\\ 4809 48092 48092 40000 na na 40000
Trans ortation 73394 \\\\\\\\\\\\ 8155 81549 81549 16000 5.1 150 16654
Senior Center 76494 \\\\\\\\\\1\ 8499 84993 84993 87310 na 2600 87310
In-Home-II 78849 \\\\\\\\\\\\ 8761 87610 87610 5067 15.56 45 5846
\\\\\\\\\\\\ 0 0 0 4 291
Adult Da Health Care 10193 \\\\\\\\\\\\ 1133 11326 11326 291 35 5
In-Home-Aid 32869 \\\1\\\\\\\\ 3652 36521 36521 2811 12.99 10 2811
1\\\\\\\\\\\ 0 0 0
\\\\1\\\\\\\ 0 0 0
\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\ 0 0 0
Total 116677 111718 180582 408977 45442 454419 20016 474435 184839 \\\\\\\\\\\\\\ 3214 186272
ignature, Chairman, Board of ' sinners Date
NAME AND ADDRESS Home and Community Care Block Grant for Older Adults DOA-732(Rev.2f04)
COMMUNITY SERVICE PROVIDER County Orange
County Funding Pla
Orange County Dept on Aging July 1, 2005 through Jun e 30, 200
P O Box 8181
Provider Services Sum
mary Revision # ,Date:
Hillsborough, NC 27278
Projected Projected Projected Projected
Serv. Delivery
Re wired
Net" USDA
Total HCCBG
Reimburse.
HCCBG
Tota
(Check One) Block Grant Funding Other Total Local Match Serv Cost Subsidy Funding Units Rate Clients Units
Services Direct Purch Access In-Home
se Assistance x
C 43,283 11N115\111 4,809 48,092 40,000
549 16,000
81 na
5 5.10 na
150 40,000
16,654
a
Transportation x 73,394
494
76 IIIIIIINII
11111111111 8,155
8,499 ,
84,993 87,310 na 2,600
45 87,310
846
5
Senior Center x 78 849 , 11111111111 8,761 87,610 5,067 ~ 15.56 4 ,
In-Home II x 11111111111
377
244 148
302
11111111111
2, 799
149,810
849
677 78
6 494
76 272,020 30,224
,
,
Total \\\\\\\\\\ ,
,
\\\\\\\\\\\ 11 ,
Adult Day Care and Adult
Day Health Care Net Service Cost
ADC ADHC Certifcetlon of required minimum local match availability.
rized ~gnature, Title
~ Date
Daily Care Required local match witl be expended slmuNaneousty
C mun Service Provider
wtth Bbck Grant Funding.
Trans ortation
Administrative
New Ser. Cost Total r
Offker Date gnature, Chairman Data
Signature, County Finance Board of Commissioners
NAME AND ADDRESS Home and Community Care Block Grant for Older Adults DOA-732(Rev.2/04)
COMMUNITY SERVICE PROVIDER County Funding Pla County Oran e
h Ju
ou
2005 th
200
ne 30
Senior Care of Orange County, Inc. g
r
July 1, ,
515 Meadowland Drive, Suite 400 provider Services Sum mary Revision # ,Date:
Hillsborough, NC 27278
Projected Projected Projected Projected
Serv. Delivery
Required
Net" USDA
Total
HCCBG
Reimburse.
HCCBG
ota
{Check One} Block Grant Funding
Other Total Local Match Serv Cost Subsidy Funding Units Rate Clients Units
Services Direct Purch Access In-Home
193 10,193
10 1,133 11,326 291 $ 35.00 5 291
,
Adult Day Health Care x
193 - 10,193
10 1,133
11,326
291
$ 35.00
5
291
,
Total \\\\\\\\\\ \\\\\\\\\\\ -
* Adult Day Care and Adult '
Day Health Care Net Service Cost •.,'
ADC ADHC Certlfcation of required minimum local match availability. qutFwr¢ed Signet , Ttt a Date
Daily Care 94,020 Required bcal match will be expended simultaneously Com ervice Provider
Transportation 12,000 wnn Bloai< ~ t Funa+ng.
Administrative 83,625
New Ser. Cost Total 189,645
Finance Offer Date
t
C Signature,chalmian D e
y
oun
Signature, Board of Commissioners
NAME AND ADDRESS Home and Community Care Block Grant for Older Adults
COMMUNITY SERVICE PROVIDER DOA-732 (Rev. 2/OS)
Orange County Social Serv ices County Fund'Ing Plan County: Orange
300 West Tryon Street July 1, 2005 through June 30, 2006
Hillsborou h, NC 27278 Provider Services Summary REVISION # ,DATE
A B C D E F G H I
Ser. Delivery
(check one) Block Grant Funding
Required
Net*
USDA
Total Projected
HCCBG Projected
eimburse Projected
HCCBG Projected
Total
Services Direct torch. Access In-Home Other Total Local Matc Serv Cost Subsidy Funding Units Rate Clients Units
In-Home Aide X 32869 \\\\\\\\\\\\\\\\\\ 3652 36521 36521 2811 12.99 10 2811
\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
Total \\\\\\ \\\\\\\ 0 32869 0 32869 3652 36521 0 36521 2811 \\\\\\\\\\\\\\ 10 2811
*Adult Day Care & Adult Day Health Care Net Service Cost
ADC ADHC t
Daily Care Certification of required minimum local match availability. + J ~ ~
Transportation Required local match will be expended simultaneously Authorize Sign e, Title Date
Administrative with Block rant Fu/n/d~ing. ,,.. Community Service Provider
Net Sec Cost Total ~~~~-~ ~ ~ ~ ~~
Signature, County Finance Officer Date Signature, Chairman, Board of Commissioners Date
f%
NAME AND ADpRESS Home and Community Care Block Grant for Older Adults
COMMUNITY SERVICE PROVIDER DOA-732 (Rev. 2/04)
Joint Orange-Chatham Community Action, Inc. County Fund'Ing Plan County_Orange
PO Box 27 July i, 2005 throw h June 30, 2006
Pittsboro, NC 27312 Provider Services Summary REVISION # ,DATE
A B C D E F G H I
Ser. Delivery
(Check One) Block Grant Funding
Required
Net*
USDA
Total Projected
HCCBG Projected
Reimburse. Projected
HCCBG Projected
Total
Services Direct torch. Access In-Home Other Total Local Matc Serv Cost Subsidy Funding Units Rate Clients Units
Congregate Nutrition X 93895 \\\\\\\\\\\\\\\\\\ 10433 104328 20016 124344 33360 3.127338 400 33360
\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\1\\ 0 0 0
\\\\\\\\\\\1\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\1\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\ 0 0 0
\\\\\\\\\\\\\\\\\\ 0 0 0
Total \\\\\\\ \\\\\\1 0 0 93895 93895 10433 104328 20016 124344 33360 \\\\\\\\\\\\\\ 400 33360
*Adult Day Care & Adult Day Health Care Net Service Cost
ADC ADHC
Daily Caze Certification of required minimum local match availability. ~g'
Transportation Required local match will be expended simultaneously u tore, t D to
Administrative with Block Grant Funding. Community Serv' ovt
Net Ser. Cost Total ie~~~~~
Signature, County Finance Officer Date tgnature, Chairman, Bo o Commis ' Date