HomeMy WebLinkAboutResolution - 2010-R0595 - Contract 9870 SPAG Funds U.S. Dept. Of HHS To TX DADS Meals And Transportation - 12_02_2010Resolution No. 2010-RO595
December 2, 2010
Item No. 5.1.1
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock, a Contract with the South
Plains Association of Governments (SPAG) for funds passed through the U.S.
Department of Health and Human Services to the Texas Department of Aging and
Disability Services for an Area Agency on Aging Direct Purchase of Services Program
grant and any associated documents, a copy of which Contract is attached hereto and
which shall be spread upon the minutes of this Council and as spread upon the minutes of
this Council shall constitute and be a part hereof as if fully copied herein in detail.
Passed by the City Council this 2nd day of
A'I" rEST:
Re ca Garza, City Secretar -Ij
APPROVED AS TO CONTENT:
December
TOM MARTIN, MAYOR
'o -
Ran Tru sdell, Community Services Director
APPROVED AS TO FORM:
Chad Weaver, Assistant City Attorney
Resolution SPAG 10-11
11 12 10
, 2010.
Resolution No. 2010-RO595
//ea Contract. 9870
gency THE SOUTH PLAINS ASSOCIATION OF GOVERNMENTS
WO/I
Aging AREA AGENCY ON AGING
VENDOR AGREEMENT
City of Lubbock, hereinafter referred to as Vendor, and The South Plains Association of Governments
Area Agency on Aging (AAA) do hereby agree to provide services effective beginning October 1, 2010,
in accordance with the Older Americans Act of 1965 (OAA), as amended, regulations of the Department
of Aging and Disability Services (DADS), the AAA Direct Purchase of Services program and the stated
Scope of Services.
The AAA Direct Purchase of Services program is designed to promote the development of a
comprehensive and coordinated service delivery system to meet the needs of older individuals (60 years
of age or older) and their caregivers. This agreement provides a mechanism for the creation of an
individualized network of community resources accessible on a program participant -by -program
participant basis in compliance with the Older Americans Act, as amended, and Texas DADS AAA
Access and Assistance guidelines.
The purpose of the system of Access and Assistance is to develop cooperative working relationships with
service providers to build an integrated service delivery system that ensures broad access to and
information about community services, maximizes the use of existing resources, avoids duplication of
effort, identifies gaps in services, and facilitates the ability of people who need services to easily find the
most appropriate Vendor.
1. SCOPE OF SERVICES
A. The Vendor agrees to provide the following service(s) as identified below to program participants
authorized by the AAA staff, in accordance with the vendor application, all required assurances,
licenses, certifications and rate setting documents, as applicable.
Service:
CONGREGATE MEALS
TRANSPORTATION
Service Definition:
CONGREGATE MEAL A hot or other appropriate meal served to an eligible older individual
which meets 331/. percent of the dietary reference intakes established by the Food and Nutrition
Board of the Institute of Medicine of the National Academy of Sciences and complies with the
most recent Dietary Guidelines for Americans, published by the Secretary of Agriculture, and
which is served in a congregate setting. The objective is to reduce food insecurity and promote
socialization of older individuals. There are two types of congregate meals:
• Standard meal - A regular meal from the standard menu that is served to the majority or all of
the participants.
• Therapeutic meal or liquid supplement - A special meal or liquid supplement that has been
prescribed by a physician and is planned specifically for the participant by a dietician (e.g.,
diabetic diet, renal diet, pureed diet, tube feeding).
TRANSPORTATION — Taking an older individual from one location to another but does not
include any other activity. There are two types of transportation services:
Forth #: AIAAA_VA1.2
Edition !Date: 6/22l10
• Demand/Response-transportation designed to carry older individuals from specific origin to
specific destination upon request. Older individuals request the transportation service in
advance of their need, usually twenty-four to forty-eight hours prior to the trip.
Unit Definition:
CONGREGATE MEALS: One Meal
TRANSPORTATION — Demand/Response: One One-way Trip
Service Area (to be filled in by Vendor):
City of Lubbock
All Texas Administrative Code standards are located at the Texas Secretary of State website:
x\ \\ \\ .sos.state.(s.us.
All Older Americans Act and other required rules and regulations are located at
littp://h\-\\w.aoa.L)ok/AoARoot/Abotit/Authol•izins Statutes/index.aspx.
Targeting: AAA Access and Assistance services are designed to identify eligible program
participants, with an emphasis on high -risk program participants and to serve older individuals
with greatest economic and social need, low-income minorities and those residing in rural areas, as
required by the OAA.
B. Services & Reimbursement Methodology:
Service
Fixed Rate
(include rate)
Variable Rate
(identify range)
Cost
Reimbursement
Congregate
6.84
N/A
N/A
Transportation
6.09
N/A
N/A
2. TERMS OF AGREEMENT
A. Vendor agrees to:
Provide services in accordance with current or revised DADS policies and standards and the
OAA.
2. Submit billings with appropriate documentation as required by the AAA by the close of
business on the 2"d working day of each month following the last day of the month in which
services were provided.
a. If the 2"d working day falls on a SPAG holiday, the information shall be delivered by the
close of business on the preceding business day.
b. The AAA cannot guarantee payment of a reimbursement request received for more than 45
calendar days of service delivery.
c. No reimbursement for services provided will be made if vendor payment invoices are not
submitted to the AAA within 45 days of service delivery
3. Encourage program participant contributions (program income) on a voluntary and
confidential basis. Such contributions will be properly safeguarded and accurately accounted
Forth #: AIAAA_VA1.2
Edition bate: 6/22/10
for as receipts and expenditures on Vendor's financial reports if contributions are not required
to be forwarded to the AAA. Client contributions (program income) will be reported fully, as
required, to the AAA. Vendor agrees to expend all program income to expand or enhance the
program/service under which it is earned.
4. Notify the AAA Access and Assistance division within immediately if, for any reason, the
Vendor becomes unable to provide the service(s).
5. Maintain communication and correspondence concerning program participants' status.
6. Establish a method to guarantee the confidentiality of all information relating to the program
participant in accordance with applicable federal and state laws, rules, and regulations. This
provision shall not be construed as limiting AAA or any federal or state authorized
representative's right of access to program participant case records or other information
relating to program participants served under this agreement.
7. Keep financial and program supporting documents, statistical records, and any other records
pertinent to the services for which a claim for reimbursement was submitted to the AAA. The
records and documents will be kept for a minimum of five years after close of contract year.
8. Make available at reasonable times and for required periods all fiscal and program participant
records, books, and supporting documents pertaining to services provided under this
agreement, for purposes of inspection, monitoring, auditing, or evaluations by AAA staff, the
Comptroller General of the United States and the State of Texas, through any authorized
representative(s).
B. The Vendor further agrees:
1. The agreement may be terminated for cause or without cause upon the giving of 30 days
advance written notice.
2. The agreement does not guarantee a total level of reimbursement other than for individual
units/services authorized; contingent upon receipt of funds.
3. Acknowledgement it is an independent provider, NOT an agent of the AAA. Thus, the
Vendor indemnifies, saves and holds harmless the AAA of the South Plains Association of
Governments against expense or liability of any kind arising out of service delivery performed
by the Vendor. Vendor must immediately notify the AAA if the Vendor becomes involved in
or is threatened with litigation related to Access and Assistance participants.
4. Employees of the Vendor will not solicit or accept gifts or favors of monetary value by or on
behalf of program participants as a gift, reward or payment.
C. Through the Direct Purchase of Services program, the South Plains Association of Governments
AAA agrees to:
1. Review program participant intake and assessment forms completed by the Vendor, as
applicable, to determine program participant eligibility. Service authorization is based on
program participant need and the availability of funds.
2. Provide timely written notification to Vendor of program participant's eligibility and
authorization to receive services.
3. Maintain communication and correspondence concerning the program participants' status.
4. Provide timely technical assistance to Vendor as requested and as available.
5. Conduct quality -assurance procedures, which may include on -site visits, to ensure quality
services are being provided.
Forth #: AIAAA_VA1.2 3
Edition Date: 6/22/10
6. Provide written policies, procedures, and standard documents concerning program participant
authorization to release information (both a general and medical/health related release), client
rights and responsibilities, contributions, and complaints/ grievances and appeals to all
program participants.
7. Reimburse the Vendor based on the agreed reimbursement methodology, approved rate(s),
service(s) authorized, and in accordance with subsection (A) (2) of this document, within 45
days of the AAA's receipt of Vendor's invoice.
8. Reimburse the Vendor upon receipt of a properly prepared vendor payment invoice, identified
in (7) of this subsection, contingent upon the AAA's receipt of funds authorized for this
purpose from DADS.
3. ASSURANCES
The Vendor shall comply with:
A. Title VI of the Civil Rights Act of 1964 (42 U.S.C. §2000d et.seq.)
B. Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. §794)
C. Americans with Disabilities Act of 1990 (42 U.S.C. § 12101 et seq. )
D. Age Discrimination in Employment Act of 1975 (42 U.S.C. §§6101-6107)
E. Title IX of the Education Amendments of 1972 (20 U.S.C. §§1681-1688)
F. Food Stamp Act of 1977 (7 U.S.C. §200 et seq.)
G. Drug Free Workplace Act of 1988
H. Texas Senate Bill 1 - 1991, as applicable
I. DADS administrative rules, as set forth in the Texas Administrative Code, to the extent applicable
to this Agreement
J. Certification Regarding Debarment - 45CFR §92.35 Sub awards to debarred and suspended
parties; this document is required annually as long as this agreement is in affect
4. ATTACHMENTS
A. Description of Assurances listed in section 3 of this document.
B. List of Focal Points in the South Plains Association of Governments AAA Region
Form #: AIAAA VA1.2 4
Edition :Date: 6/22/10
5. SIGNATURES
For the faithful performance of the terms of this agreement, the parties affix their signatures and bind
themselves effective October 1, 2010.
Authorized Vendor Signature
Tom Martin
Print Name
Mayor
Title
Authorized Signature
South Plains Association of Governments
(Area Agency on Aging)
P.O. Box 3730 - Freedom Station
(Address)
Lubbock, Texas 79452
(City, State, Zip)
Attest: Approve as to C nt: Appr v s to Form:
CIR _*_�
`6
Reb cca Garza RaAdy Truesdell Nid Weaver
City Secretary Community Services Director Assistant City Attorney
Form #: AIAAA_VA1.2
Edition (Date: 6/22110
Resolution No. 2010—RO595
Attachment A
ASSURANCES ATTACHMENT
A. Title VI of the Civil Rights Act of 1964 (42 U.S.C. §2000d et.seq.), which prohibits
discrimination because of race, color religion sex or nations origin in all employment
practices including hiring, firing, promotion, compensation and other terms, privileges and
conditions of employment.
B. Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. §794), which states that employers
may not refuse to hire or promote handicapped persons solely because of their disability.
C. Americans with Disabilities Act of 1990 (42 U.S.C. §12101 et sea.), which prohibits a
covered entity from discriminating against a qualified individual on the basis of disability in
regard to job application procedures, the hiring, advancement, or discharge of employees,
employee compensation, job training, and other terms, conditions, and privileges of
employment.
D. Age Discrimination in Employment Act of 1975 (42 U.S.C. 0101-6107), prohibits
discrimination on the basis of age in programs and activities receiving federal financial
assistance.
E. Title IX of the Education Amendments of 1972 (20 U.S.C. 4§1681-1688), which prohibits
the use of federal money to support sexually discriminatory practices in education
programs such as sexual harassment and employment discrimination, and to provide
individual citizens effective protection against those practices.
F. Food Stamp Act of 1977 (7 U.S.C. §200 et seg.), whose purpose is to strengthen the
agricultural economy; to help to achieve a fuller and more effective use of food abundances;
to provide for improved levels of nutrition among low-income households through a
cooperative Federal -State program of food assistance to be operated through normal
channels of trade; and for other purposes.
G. Drug Free Workplace Act of 1988, which requires that all organizations receiving federal
grants, regardless of amount granted, maintain a drug -free workplace.
H. Texas Senate Bill 1 - 1991, as applicable, which refers to proper reporting of contributions
as addressed in OAA §315 and TAC, Title 40, §85.201.
DADS administrative rules, as set forth in the Texas Administrative Code, to the extent
applicable to this Agreement
J. Certification Regarding Debarment - 45CFR §92.35 Sub -awards to debarred and suspended
parties; this document is required annually as long as this agreement is in effect.
Resolution No. 2010-RO595
Attachment B
FOCAL POINTS FOR
THE SOUTH PLAINS ASSOCIATION OF GOVERNMENTS REGION
FY 2010-2011
CENTER:
DIRECTOR:
BOOKKEEPER:
ADDRESS:
CITY:
PHONE:
DAYS & HRS. OPEN:
SERVICES:
COUNTY:
CENTER:
DIRECTOR:
BOOKKEEPER:
ADDRESS:
CITY:
PHONE:
DAYS & HRS. OPEN:
SERVICES:
COUNTY:
CENTER:
DIRECTOR:
BOOKKEEPER:
ADDRESS:
CITY:
PHONE:
DAYS & HRS. OPEN:
SERVICES:
COUNTY:
Abernathy Sr. Citizens Association, Inc. (A-005)
Louise Thomason H — 298-4055/ C — 789-5165
Louise Thomason
717 Avenue C
Abernathy, Texas 79311
(806) 298-2842 E-mail: abernathysrcenter(d�erf%vireless.net
Tues. & Thurs. 8:00-12:00, 1:00-4:00, Wed. 8:00-4:00
SCO.
Lubbock
Anton Sr. Citizens Association, Inc. (A-015)
Carol Rendon
Carol Rendon
Box 378 (201 Main Street)
Anton, Texas 79313
(806) 997-2781 E-mail: antonsr(r�yvindstream.net
Mon. — Fri. 8-2
CONG., H.D., SCO.
Hockley
Bailey County Commissioners Court (A-020)
Debbie Floyd
Debbie Floyd
300 South First Street Room 110
Muleshoe, Texas 79347
(806) 272-3647 E-mail: bmjn2rd)fivearea.eom
Mon. - Fri. 8:30-12:00, 1:00-5:00 Fax: (806) 272-4656
H.D., TRANS., B.C. Cell: (806) 729-0680
Bailey
CENTER: Bailey County Senior Citizens Assoc., Inc. (A-007)
DIRECTOR: Laverne Winn H — (806)272-4491 C — (806) 946-8809
BOOKKEEPER: Helen Cook
ADDRESS: 319 S. Main St / PO Box 292
CITY: Muleshoe, Texas 79347
PHONE: (806) 272-4969 E-mail: seniors(aifivearea.com
DAYS & HRS. OPEN: Mon. — Fri.. 8:00 — 4:00 Fax: (806) 272-4460
SERVICES: CONG., SCO.
COUNTY: Bailey
FOCAL PO►NTS 1 UPDATED 10/11/2010
CENTER:
Brownfield Senior Citizens, Inc. (A-025)
DIRECTOR:
Betty Charlebois
BOOKKEEPER:
Betty Charlebois
ADDRESS:
P.O. Box 1021 (500 W. Bridges)
CITY:
Brownfield, Texas 79316
PHONE:
(806) 637-6933 E-mail: bfldsrcitnyahoo.com
DAYS & HRS. OPEN:
Mon. - Fri. 8:30-2:00
SERVICES:
CONG., H.D., SCO., TRANS.
COUNTY:
Terry
CENTER:
Cochran Co. Senior Citizens Assoc., Inc. (A-045)
DIRECTOR:
Nancy Luper C - (806) 523-3362
BOOKKEEPER:
Nancy Luper
ADDRESS:
120 W. Wilson
CITY:
Morton, Texas 79346
PHONE:
(806) 266-5121 E-mail: ccsci(a—)valornet.com
DAYS & HRS. OPEN:
Mon. — Fri. 8-4 Fax #: 266-9027
SERVICES:
CONG., SCO., TRANS.
COUNTY:
Cochran
CENTER:
Crosby Co. Senior Citizens Assoc., Inc. (A-050)
DIRECTOR:
Angie Reyna
BOOKKEEPER:
Donna Arnold
ADDRESS:
119 North Berkshire
CITY:
Crosbyton, Texas 79322
PHONE:
(806) 675-2107
E-mail: CrosbyCountySeniors tr�windstreant.net
DAYS & HRS. OPEN:
Mon. —Fri. 8-3
SERVICES:
CONG., H.D., SCO.
COUNTY:
Crosby
CENTER:
DIRECTOR:
BOOKKEEPER:
ADDRESS:
CITY:
PHONE:
DAYS & HRS. OPEN:
SERVICES:
COUNTY:
Floydada Senior Citizens, Inc. (A-055)
Sylvia Bueno
Sylvia Bueno
P.O. Box 573 (301 E. Georgia St.)
Floydada, Texas 79235
(806) 983-2032 E-mail: senior.citizens(q_�att.net
Mon. — Fri. 8-2
CONG., H.D., SCO.
Floyd
FOCAL POINTS 2 UPDATED 10/11/2010
CENTER:
Garza County Trailblazers, Inc. (A-070)
DIRECTOR:
Ila Workman
BOOKKEEPER:
Ila Workman
ADDRESS:
205 E. 10th
CITY:
Post, Texas 79356
PHONE:
(806) 495-2998 E-mail:garzatrailblazei-s &yahoo.com
DAYS & HRS. OPEN:
Mon. — Fri. 8-2
SERVICES:
CONG., H.D., SCO.
COUNTY:
Garza
CENTER:
Hale Center Senior Citizens Assoc., Inc. (A-075)
DIRECTOR:
Vickie Rosales
BOOKKEEPER:
Vickie Rosales
ADDRESS:
P.O. Box 205 (416 West 2nd St.)
CITY:
Hale Center, Texas 79041
PHONE:
(806) 839-2428 E-mail: hcsrcenter a sbcglobal.net
DAYS & HRS. OPEN:
Mon. — Fri. 8-3
SERVICES:
CONG., H.D., SCO., TRANS.
COUNTY:
Hale
CENTER:
Hockley County Senior Citizens Assoc., Inc. (A-085)
DIRECTOR:
Susan Sprowls
BOOKKEEPER:
Diane Buzbee
ADDRESS:
1202 Houston
CITY:
Levelland, Texas 79336
PHONE:
(806) 894-2228 E-mail: dibuzbee a.,aol.com
sksprowlsnhol.com
DAYS & HRS. OPEN:
Mon. — Fri. 8-4:30 (Smyer): Tues & Fri, 8-3)
SERVICES:
CONG., H.D., SCO., TRANS.
COUNTY:
Hockley
CENTER:
Lorenzo Senior Citizens Assoc., Inc. (A-095)
DIRECTOR:
Christina Edwards
BOOKKEEPER:
Christina Edwards
ADDRESS:
P.O. Box 571 (606 6d' St.)
CITY:
Lorenzo, Texas 79343
PHONE:
(806) 634-5957 E-mail: lorenzoscaawindstream.net
DAYS & HRS. OPEN:
Mon. —Fri. 8-3
SERVICES:
CONG., H.D., SCO.
COUNTY:
Crosby
FOCAL POINTS 3 UPDATED 10/11/2010
CENTER: Lubbock - City of Lubbock (A-100)
DIRECTOR: Johnny McLellan, Supervisor: 775-2678
Nancy Neill, 775-2685
ADDRESS: P.O. Box 2000 (1010 9t' St.)
CITY: Lubbock, Texas 79457
PHONE: (806) 775-2678
E-mail: _imelellan(a—)rgiail.ci.lubbock.tx.us
nneillnnnylubbock.us & P_ibrownna mylubbock.us
DAYS & HRS. OPEN: Mon. —Fri. 8-5 Fax: 775-2686
SERVICES: CONG., TRANS.
COUNTY: Lubbock
Mae Simmons — 767-2708, Traci Crawford (2004 Oak Avenue 79404), Copper Rawlings —
767-2704, Herminia Martinez (213 40'' Street 79404), (40" & Ave. B), Maggie Tre'o — 767-2705,
Ida Aguilar (3200 Amherst 79415), Homestead - 687-7898, Ida Aguilar (5401 56 th Street 79414);
Lubbock Senior Center — 767-2710, Paula Brown (2001 19`h Street 79401) FAX 765-0820
CENTER:
Lynn County Pioneers (A-110)
DIRECTOR:
Bianca Baker
BOOKKEEPER:
Bianca Baker
ADDRESS:
P.O. Box 223 (1600 S. 3`d St.)
CITY:
Tahoka, Texas 79373
PHONE:
(806) 561-5264 E-mail: Icp a� cloor.net
DAYS & HRS. OPEN:
Mon. —Fri. 9-3 Fax: 561-5571
SERVICES:
CONG., H.D., SCO. (No Cong. in O'Donnell)
COUNTY:
Lynn
CENTER:
Motley County Sr. Citizens Association, Inc. (A-112)
DIRECTOR:
Tommye Keith
BOOKKEEPER:
Tommye Keith
ADDRESS:
P. O. Box 184 (621 Stewart Street)
CITY:
Matador, Texas 79244
PHONE:
(806) 347-2496 E-mail: meseniorn,caprock-spur.corn
DAYS & HRS. OPEN:
Monday - Friday 8-3
SERVICES:
CONG., H.D., SCO.
COUNTY:
Motley
CENTER:
N. Dickens Co. Senior Citizens Assoc., Inc. (A-115)
DIRECTOR:
Vonda Brendle
BOOKKEEPER:
Vonda Brendle
ADDRESS:
P.O. Box 163 (511 Montgomery)
CITY:
Dickens, Texas 79229
PHONE:
(806) 623-5520 E-mail: ndcsccO)caprock-spur.com
DAYS & HRS. OPEN:
Mon. —Fri. 8-2
SERVICES:
CONG., H.D., SCO.
COUNTY:
Dickens
FOCAL POINTS 4 UPDATED 10/11/2010
CENTER:
Senior Citizens Assoc. of S. Dickens County (A-130)
DIRECTOR:
Beverly Watson
BOOKKEEPER:
Jean Hoover
ADDRESS:
210 Burlington
CITY:
Spur, Texas 79370
PHONE:
(806) 271-4472 E-mail: sscaosdc(a)caprock-spur.com
DAYS & HRS. OPEN:
Mon. —Fri. 8-3
SERVICES:
CONG., H.D., SCO.
COUNTY:
Dickens
CENTER:
Slaton Senior Citizens Assoc., Inc. (A-135)
DIRECTOR:
Charlotte O'Connell
BOOKKEEPER:
Charlotte O'Connell
ADDRESS:
230 West Lynn
CITY:
Slaton, Texas 79364
PHONE:
(806) 828-3784 E-mail: coconnell(a�door.net
DAYS & HRS. OPEN:
Mon. —Fri. 8-4 slatonseniors(a),door.net
SERVICES:
CONG., H.D., SCO.
COUNTY:
Lubbock
CENTER:
Yoakum County Senior Citizens Assoc., Inc. (A-150)
DIRECTOR:
Elsie White
BOOKKEEPER:
Pat Castillo
ADDRESS:
412 West 5th St., #8
CITY:
Denver City, Texas 79323
PHONE:
(806) 592-8000 E-mail: Elsie - ycsc60nwindstreain.net
DAYS & HRS. OPEN:
Mon. —Fri. 9-2 ion i6ran(i6aymail.com
SERVICES:
CONG., H.D., SCO., TRANS.
COUNTY:
Yoakum Fax: (806) 592-2835
LEGEND
CONG. -
Congregate (on -site) Meals
H.D. -
Home Delivered Meals
SCO. -
Senior Center Operations
B.C. -
Benefits Counseling
TRAN. -
Transportation Services
FOCAL POINTS 5 UPDATED 10/11/2010
Schedule of Providers' Board Meetings
Abernathy The board meets quarterly, but not on specific dates —
Except for the annual meeting on the last Wednesday of Sept.
Anton The board meets quarterly, but not on specific dates —
Except for meetings in Nov. and Dec. to elect officers
Bailey Co. The Commissioners' Court meets 2"d Monday of each month
The Board of Directors for home delivered meals meets 2 times a
year, but not on specific dates
Bailey Co. Sr. The board meets on 2"d Wednesday of each month
Brownfield The board meets on 2"d Thursday of each month
Cochran Co. The board meets on 1" Tuesday of every other month —
With a meeting in December to elect officers
Crosby Co. The board meets the 2"d Friday of each month.
Annual meeting held the last week in October
Floydada The board meets on 2"d Tuesday of each month
Garza Co. The board meets on 3rd Tuesday of each month
Hale Center The board meets on 2"d Monday of Jan., April, July & Oct.
Hockley Co. The board meets on 41h Wednesday of each month
Lorenzo The board meets on 2"d Monday of every other month
Lynn Co. The board meets quarterly but not on specific dates
Motley Co. The board meets quarterly but not on specific dates
N. Dickens Co. The board meets 2"d Wednesday of each month
S. Dickens Co. The board holds 6 meetings per year (one every 2 months)
But not on specific dates, and called meetings as needed.
FOCAL POINTS 6 UPDATED 10/11/2010
Slaton The board meets 2°d Thursday of each month. Called meetings
as needed.
Yoakum The board meets on 41h Wednesday of each month
FOCAL POINTS 7 UPDATED 10/11/2010
Certification Regarding Debarment
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY
AND VOLUNTARY EXCLUSION FOR COVERED CONTRACTS AND GRANTS
Federal Executive Order 12549 requires the Texas Department of Aging and Disability
Services (TDADS)) to screen each covered potential vendor/grantee to determine whether
each has a right to obtain a contract/grant in accordance with federal regulations on
debarment, suspension, ineligibility, and voluntary exclusion. Each covered vendor/grantee
must also screen each of its covered sub vendors/providers.
In this certification "vendor/grantee" refers to both vendor/grantee and sub vendor/sub-
grantee: "contract/grant" refers to both contract/grant and subcontract/sub-grant.
By signing and submitting this certification the potential vendor/grantee accepts the
following terms:
1. The certification herein below is a material representation of fact upon which reliance
was placed when this contract/grant was entered into. It is later determined that the
potential vendor/grantee knowingly rendered an erroneous certification, in addition to
other remedies available to the federal government, the Department of Health and
Human Services. United States Department of Agriculture or other federal
department or agency, or the Texas Department of Aging and Disability Services
may pursue available remedies, including suspension and/or debarment.
2. The potential vendor/grantee shall provide immediate written notice to the person to
whom this certification is submitted if at any time the potential vendor/grantee learns
that the certification was erroneous when submitted or has become erroneous by
reason of changed circumstances.
3. The words "covered contract," " debarred," "suspended," "ineligible," "participant,"
"person," "principal," "proposal," and "voluntarily excluded," as used in this
certification have meanings based upon materials in the Definitions and Coverage
sections of federal rules implementing Executive Order 12549. Usage is as defined in
the attachment.
4. The potential vendor/grantee agrees by submitting this certification that, should the
proposed covered contract/grant be entered into, it shall knowingly into any
subcontract with a person who is debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this covered transaction, unless authorized
by the Department of Health and Human Services, United States Department of
CERTIFICATION REGARDING DEBARMENT
Page 2
Agriculture or other federal department or agency, and/or the Texas Department of
Aging and Disability Services, as applicable.
Do you have or do you anticipate having sub vendors/sub-grantees under this
proposed contract? Yes X No
S. The potential vendor/grantee further agrees by submitting this certification that it will
include this certification titled "Certification Regarding Debarment, Suspension,
Ineligibility, and Voluntary Exclusion for Covered Contracts and Grants" without
modification, in all covered subcontracts and in solicitations for all covered
subcontracts.
S. A vendor/grantee may rely upon a certification of a potential sub vendor/sub-grantee
that is not debarred, suspended, ineligible, or voluntarily excluded from the covered
contract/grant, unless the vendor/grantee knows that the certification is erroneous. A
vendor/grantee must, at a minimum obtain certifications from its covered sub
vendors/sub-grantees upon each subcontract's/sub-grant's initiation and upon each
renewal.
7. Nothing contained in all the foregoing shall be construed to require establishment of a
system of records in order to render in good faith the certification by this certification
document. The knowledge and information of a vendor/grantee is not required to
exceed that which is normally possessed by a prudent person in the ordinary course of
business dealings.
S. Except for contracts/grants authorized under paragraph 4 of these terms, if a
vendor/grantee in a covered contract/grant knowingly enters into a covered
subcontract/subgrant with a person who is suspended, debarred, ineligible, or
voluntarily excluded from participation in the transaction, in addition to other
remedies available to the federal government, Department of Health and Human
Services, United States Department of Agriculture, or other federal department or
agency, as applicable, and/or the Texas Department of Aging and Disability Services
may pursue available remedies, including suspension and/or debarment.
CERTIFICATION REGARDING DEBARMENT
Page 3
Indicate which statement applies to the covered potential vendor/grantee:
X The potential vendor/grantee certifies by submission of this certification that neither it
nor its principals are presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this contract/grant by any
federal department or agency or by the State of Texas.
The potential vendor/grantee is unable to certify one or more of the terms in this
certification. In this instance, the potential vendor/grantee must attach an explanation
for each of the above terms to which it is unable to make certification. Attach the
explanation(s) to this certification.
NAME OF POTENTIAL VENDOR/GRANTEE City of Lubbock
VENDOR ID NO. /FEDERAL EMPLOYER'S ID NO. 1-75-6000590-6
ti
Signature of Authorized Representative
Chad Weaver
Printed/Typed Name of Authorized Representative
Assistant City Attorney 10/1/10
Title of Authorized Representative Date
THIS CERTIFICATION IS FOR FY 2011, PERIOD BEGINNING 10/1/2010 and ENDING
9/30/2011.
CERTIFICATION REGARDING DEBARMENT
Page 4
DEFINITIONS
Covered Contract/Grant and Subcontracts/Sub-grants.
(1) Any non -procurement transaction which involves federal funds (regardless of
amount and including such arrangements as sub -grants) and is between the
Texas Department of Aging and Disability Services or its agents/grantees and
another entity.
(2) Any procurement contract for goods or services between a participant and a
person, regardless of type, expected to equal or exceed the federal
procurement small purchase threshold fixed at 10 U.S.C. 2304(g) and 41
U.S.C. 253(g) (currently $25,000) under a grant or sub -grant.
(3) Any procurement contract for goods or services between a participant and a
person under a covered grant, sub -grant, contract or subcontract, regardless of
amount, under which that person will have a critical influence on or
substantive control over that covered transaction including:
a. Principal investigators.
b. Providers of audit services required by the Texas Department of Aging
and Disability Services or federal funding source.
C. Researchers.
DEBARMENT
An action taken by a debarring official in accordance with 45 CFR Part 76 (or
comparable federal regulations) to exclude a person from participating in covered
contracts/grants. A person so excluded is "debarred."
GRANT
An award of financial assistance, including cooperative agreements, in the form of
money, or property in lieu of money, by the federal government to an eligible grantee.
INELIGIBLE
Excluded from participation in federal non -procurement programs pursuant to a
determination of ineligibility under statutory, executive order, or regulatory authority,
other an Executive Order 12549 and its agency implementing regulations: for
example, excluded pursuant to the Davis -Bacon Act and its implementing regulations,
the equal employment opportunity acts and executive orders, or the enviromnental
protection acts and executive orders. A person is ineligible where the determination
of ineligibility affects such person's eligibility to participate in more than one covered
transaction.
CERTIFICATION REGARDING DEBARMENT
Page 5
PARTICIPANT
Any person who submits a proposal for, enters into, or reasonably may be expected to
enter into a covered contract. This term also includes any person who acts on behalf
of or is authorized to commit a participant in a covered contract/grant as an agent or
representative of another participant.
PERSON
Any individual, corporation, partnership, association, unit of government, or legal
entity, however organized, except: foreign governments or foreign governmental
entities, public international organizations, foreign government owned (in whole or
part) or controlled entities, and entities consisting wholly or partially of foreign
governments or foreign governmental entities.
PRINCIPAL
Officer, director, owner, partner, key employee, or other person within a participant
with primary management or supervisory responsibilities: or a person who has a
critical influence on or substantive control over a covered contract/grant whether or
not the person is employed by the participant. Persons who have a critical influence
on or substantive control over a covered transaction are:
(1) Principal investigators.
(2) Providers of audit services required by the Texas Department of Aging and
Disability Services or federal funding source.
(3) Researchers.
PROPOSAL
A solicited or unsolicited bid, application, request, invitation to consider or similar
communication by or on behalf of a person seeking to receive a covered
contract/grant.
SUSPENSION
An action taken by a suspending official in accordance with 45 CFR part 76 (or
comparable federal regulations) that immediately excludes a person from participating
in covered contracts/grants for a temporary period, pending completion of an
investigation and such legal, debarment, or Program Fraud Civil Remedies Act
proceedings as may ensue. A person so excluded is "suspended."
VOLUNTARY EXCLUSION OR VOLUNTARILY EXCLUDED
A status of nonparticipation or limited participation in covered transactions assumed
by a person pursuant to the terms of a settlement.
Congregate Meals
BUDGET WORKSHEET CALCULATION OF THE PER MEAL UNIT RATE
1. Total Budgeted Expenses for Contract Year
2_ Total Number of Anticipated Meals to be Provided by Funding Source
Local Funds
DADS A&I AAA 23,853 Eligible Meals 6,144 Other Sources 5 0
Other Funds -
Non -Eligible
Program Income 6,700 Meals 0
3. Cost per meal (Line 1 divided by Line 2)
Reimbursement Calculation
DADS A81 AAA
4. Projected NSIP per Meal Value 0.64
5, Rate Less NSIP per Meal Value $ 6.89
6. Mandatory Local Match of 10% $ 0.69
'• If Applicable, Match Reduction
From the In -kind Match
Certification form $ (0.00)
Required Match $ 0.69
7. Proposed Meal Rate (Line 3 minus Line 6) $ 684
Other Sources 6 0
•' If any portion of the required match is in -kind, you must complete an In -Kind Match Certification form.
By signing below, the provider acknowledges that all related records are subject to audit in accordance with
contract requirements and all applicable federal and state laws.
City of Lubbock
Legal Name of Contracted Provider
Signature
South Plains Association of Governments
Name of Area Agency on Aging
T C. P'efe
ri d/Typ N me of Signer
e
1A . ,
Signatu
October 1, 2010
Date
Attest:
�R__
ecca Garaa
City Secretary
Tom Martin, Mayor
Printed/Typed Name of Signer
Approv s to Co nt:
RanAy Truesdell
Community Services Director
October 1, 2010
Date
1. $ 276,204.09
2. 36,697
3. $ 753
Appr <e s to Fo
Ch d Weaver
Assistant City Attorney
Resolution No. 2010—RO595
Congregate Nleals
BUDGET WORKSHEET CERTIFICATION
1L11-V OI LUDDOCK
AS SIGNER OF THIS BUDGET WORKSHEET, I HEREBY CERTIFY THAT:
• I have read the note below and the instructions applicable to this budget worksheet.
• I have reviewed this budget worksheet after its preparation.
To the best of my knowledge and belief, this budget worksheet is true, correct and
complete, and was prepared in accordance with the instructions applicable to this
budget worksheet.
• This budget worksheet was prepared from the books and records of the contracted
provider.
• I acknowledge that all books and records related to this rate setting process are
subject to audit in accordance with contract requirements and all applicable federal
and state laws.
Note: The person legally responsible for the conduct of the contracted provider must
sign this Budget Worksheet Certification. If a sole proprietor, the owner
must sign the Budget Worksheet Certification. If a partnership, a partner must
sign the Budget Worksheet Certification. If a corporation, the person authorized by the
Board of Directors Resolution must sign the Budget Worksheet Certification.
Misrepresentation of information contained in the budget worksheet may result in
adverse action, up to and including contract termination. Furthermore, falsification of
information in the budget worksheet may result in a referral for prosecution.
City of Lubbock Tom Martin, Mayor
Name of Contracted Provider
October 1, 2010
Date
Signer Authority: ❑ Sole Proprietor
Printedlryped Name of Signer
❑ Association Officer
Signature
(check one) ❑ Partner ❑ Board Member
❑ Corporate Officer � Governmental Official
Attest: Approv as to Conte App e to Fo
Re ecca Garza Ra y Truesdell Wad Weaver
City Secretary Community Services Director Assistant City Attorney
Transportation
BUDGET WORKSHEET CALCULATION OF THE UNIT RATE
1.Total Budgeted Expenses for Contract Year
2.Total Number of Anticipated Units to be Provided
DADS A&I AAA - 10 %
Program
Match Required 2,723
Income
DADS A&I AAA - 25 %
Local Funds -
Match Required 0
Eligible Trips
Other Funds -
DADS A&I AAA - Full Unit
Non -Eligible
Rate 0
Trips
3. Cost per unit (Line 1 divided by Line 2) - Full Unit Rate
265 Other Sources 6 0
1.201 Other Sources 7
Other Sources 8
Reimbursement Calculation for Contracts Requiring Unit Rate Match Reduction
1, $ 28,351.35
2. 4,189
3. $ 677
4. Mandatory Local Match of 10% $ 0.68
" if Applicable, Match Reduction From the In -kind Match Certification form $ -
Required Match 4. $ 0.68
5.Full Unit Rate Less Required Match (Line 3 minus Line 4, 5, $ 6.09
4. Mandatory Local Match of 25% $ 1.69
If Applicable, Match Reduction From the In -kind Match Certification form $ -
Required Match 4. $ 1.69
5.Full Unit Rate Less Required Match (Line 3 minus Line 4; 5. $ 5.08
"If any portion of the required match is in -kind, you must complete an In -Kind Match Certification form.
Contract Reimbursed at Full Cost Per Unit Rate. Match Requirements Will Be Met Through Provision of Additional Units
$ 6.77
Contractor Initial AAA Initial
Citv of Lubbock
Legal Name of Contracted Provider
Signature
Tom Martin, Mayor
Pdnted/Typed Name of Signer
South Plains _Associa ion., overnments
e of Ar A envy on Bing
yy\(P�
Signat
Tim C. Pierce
Printedlryped Name of Signer
10/01 /10 10/01 /10
Date Date
Attest: Approve as to Con App e s to Fo " .
+Rebecca Garza Ra y Truesd 11 Chad Weaver
City Secretary Community Services Director Assistant City Attorney
I'ra[Is plIrtalion
ORK.shVI' h C I'R'I IF I(' \ HO\
AS SIGNER OF THIS BUDGET WORKSHEET, 1 HEREBY CERTIFY THAT:
• I have read the note below and the instructions applicable to this budget worksheet.
• I have reviewed this budget worksheet after its preparation.
• To the best of my knowledge and belief, this budget worksheet is true, correct and
complete, and was prepared in accordance with the instructions applicable to this
budget worksheet.
• This budget worksheet was prepared from the books and records of the contracted
provider.
• I acknowledge that all books and records related to this rate setting process are
subject to audit in accordance with contract requirements and all applicable federal
and state laws.
Note: The person legally responsible for the conduct of the contracted provider must
sign this Budget Worksheet Certification. If a sole proprietor, the owner
must sign the Budget Worksheet Certification. If a partnership, a partner must
sign the Budget Worksheet Certification. If a corporation, the person authorized by the
Board of Directors Resolution must sign the Budget Worksheet Certification.
Misrepresentation of information contained in the budget worksheet may result in
adverse action, up to and including contract termination. Furthermore, falsification of
information in the budget worksheet may result in a referral for prosecution.
City of Lubbock Tom Martin, Mayor
Name of Contracted Provider Printedrryped Name ofSigner
October 1, 2010
Date Signature
Signer Authority: ❑ Sole Proprietor ❑ Association Officer
(check one) 0Partner i] Board Member
1] Corporate Officer d Governmental Official
Attest: Approv as to Con A ve44s to F
Re cca Garza Ra dy Trues ll Chad Weaver
City Secretary Community ervices Director Assistant City Attorney