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HomeMy WebLinkAboutResolution - 2023-R0018 - Senior Center Meal Program Agreement with SPAGResolution No. 2023-R0018 Item No. 5.20 January 10, 2023 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for and on behalf of the City of Lubbock, a South Plains Association of Governments Area Agency on Aging Subrecipient Agreement and related documents from the State of Texas, acting by and through the Texas Health and Human Services and the South Plains Association of Governments (SPAG), for funds passed through the U.S. Department of Health and Human Services to the State of Texas. Said Agreement is attached hereto and incorporated in this resolution as if fully set forth herein and shall be included in the minutes of the City Council. Passed by the City Council on ATTEST: eQ'1 &t-4e' Rebe ca Garza, City Sec APPROVED AS TO CONTENT: 1 � Uj - Brooke Witcher, Assistant City Manager APPROVED AS TO FORM: Ryan rke, ssistant City Attorney January 10, 2023 T Y E, MAYOR RES. Subrecipient Agreement 2022 SPAG Area Agency on Aging 12.13.22 Resolution No. 2023-R0018 AreaAgency SOUTH PLAINS ASSOCIATION OF GOVERNMENTS on Aging AREA AGENCY ON AGING SUBRECIPIENT AGREEMENT City of Lubbock, hereinafter referred to as Subrecipient, and South Plains Association of Governments Area Agency on Aging (AAA) do hereby agree to provide services effective beginning October 1, 2022, in accordance with the Older Americans Act of 1965 (OAA), as amended, regulations of the Health and Human Services Commission (HHSC), 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 to a program participant in compliance with the OAA and HHSC 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 Subrecipient. 1. SCOPE OF SERVICES A. The Subrecipient agrees to provide the following service(s) as identified below to program participants authorized by the AAA staff, in accordance with the Subrecipient application, all required assurances, licenses, certifications and rate setting documents, as applicable. Service: CONGREGATE MEALS HOME DELIVERED MEALS TRANSPORTATION Service Definition: CONGREGATE MEAL - A hot or other appropriate meal served to an eligible older person in a congregate setting. HOME DELIVERED MEAL - Hot, cold, frozen, dried, canned, fresh, or supplemental food (with a satisfactory storage life) delivered to a person who is eligible in their place of residence. The objective is to reduce food insecurity; help the recipient sustain independent living in a safe and healthful environment. TRANSPORTATION DEMAND/RESPONSE - Transportation designed to carry an older person from a specific origin to a specific destination upon request. An older person requests the transportation service in advance of their need, usually twenty-four to forty-eight hours prior to the trip. Unit Definitions: CONGREGATE MEALS: One Meal HOME DELIVERED MEALS: One Meal TRANSPORTATION — Demand/Response: One One-way Trip Form #: AIAAA VA2.0 Edition Date: 9.' 19111 All Texas Administrative Code standards are located at the Texas Secretary of State website: Welcome to the Texas Administrative Code All Older Americans Act and other required rules and regulations are located at: https://www.aci.gov/node/75. Targeting: AAA 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. Nutrition Requirements: The nutrition program guidelines align with the most recent Dietary Guidelines for Americans (DGAs) and dietary reference intakes (DRIB). The established guidelines specifically address prevalent disease conditions for the aging population. Providers must serve meals that: • Comply with the most recent DGA, published by the U.S. Department of Health and Human Services (DHHS) Secretary and the Secretary of Agriculture; • Provide a minimum of 33-1/3 percent of the DRI established by the Food and Nutrition Board of the Institute Medicine of the National Academics of Science, Engineering and Medicine, if the program provides one meal per day; and • Meet any special dietary needs of people participating in the program, to the maximum extent practicable. C. Services & Reimbursement Methodology: Service Fixed Rate (include rate) Variable Rate (identify range) Cost Reimbursement Congregate N/A N/A $11.68 Home Delivered N/A N/A $11.02 Transportation — D/R N/A N/A $8.99 2. TERMS OF AGREEMENT A. The Subrecipient agrees to: 1. provide services in accordance with current or revised HHSC policies and standards and the OAA. 2. submit billings with appropriate documentation as required by the AAA by the close of business on the 2nd working day of each month following the last day of the month in which services were provided. Form #: AIAAA_VA2.0 2 Edition Date: 911911 a. If the 2nd working day falls on a weekend or holiday, the information shall be delivered by the close of business on the following 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 Subrecipient payment invoices are not submitted to the AAA within 45 days of service delivery. d. Reimbursement checks must be cashed or deposited within 30 days from date received. 3. encourage program participant contributions (program income) on a voluntary and confidential basis. Such contributions will be properly safeguarded and accurately accounted for as receipts and expenditures on Subrecipient'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. Subrecipient agrees to expend all program income to expand or enhance the program/service under which it is earned. 4. notify the AAA Director immediately if, for any reason, the Subrecipient 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 Subrecipient's fiscal 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). 9. if applicable, comply with the HHSC process for Centers for Medicare and Medicaid Services (CMS) screening for excluded individuals and entities involved with the delivery of the Legal Assistance and Legal Awareness services. B. The Subrecipient 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. Subrecipient is an independent provider, NOT an agent of the AAA. Thus, the Subrecipient indemnifies, saves and holds harmless the South Plains Association of Governments AAA against expense or liability of any kind arising out of service delivery performed by the Subrecipient. Subrecipient must immediately notify the AAA if the Subrecipient becomes involved in or is threatened with litigation related to program participants receiving services funded by the AAA. Form #: AIAAA_VA2.0 Edition Date: 9/19/11 4. Employees of the Subrecipient 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 Subrecipient, 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 Subrecipient 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 Subrecipient as requested and as available. 5. conduct quality -assurance procedures, which may include on -site visits, to ensure quality services are being provided and if applicable, CMS exclusion reviews are conducted. 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. contingent upon the AAA's receipt of funds authorized for this purpose from HHSC, reimburse the Subrecipient 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 Subrecipient's invoice. 3. ASSURANCES The Subrecipient 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. HHSC administrative rules, as set forth in the Texas Administrative Code, to the extent applicable to this Agreement J. Certification Regarding Debarment - 45CFR §92.35 Subawards to debarred and suspended parties; this document is required annually as long as this agreement is in effect K. Centers for Medicare and Medicaid Services (CMS) State Medicaid Director Letter SMDL #09- 001 regarding Individuals or Entities Excluded from Participation in Federal Health Care Programs L. HHSC Information Letter 11-07 — Obligation to Identify Individuals or Entities Excluded from Participation in Federal Health Care Programs Form #: AIAAAVA2.0 Edition Date: 9/719/11 4. ATTACHMENTS A. Description of Assurance A — H listed in section 3 of this document. B. List of Focal Points in the AAA planning and service area. 5. SIGNATURES For the faithful performance of the terms of this agreement, the parties affix their signatures and bind themselves effecAua4),etober 1, 2022. Signature Print Name Mayor Title September 30, 2022 Date Authorized Signature South Plains Association of Governments (Agency) P.O. Box 3730 — Freedom Station (Address) Lubbock, Texas 79452 (City, State, Zip) September 30, 2022 (Date) Form #: A1AAA VA2.0 Edition Date: 911911 ASSURANCES ATTACHMENT A. Title VI of the Civil Rights Act of 1964 (42 U.S.C. §2000d), which prohibits any person from being excluded from participation in, denied the benefits of, or subjected to discrimination under any program or activity receiving Federal financial assistance. 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), 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. §6101-6107), prohibits discrimination on the basis of age in programs and activities receiving federal financial assistance. E. Food Stamp Act of 1977 (7 U.S.C. §200), 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. F. Drug Free Workplace Act of 1988, which requires that all organizations receiving federal grants, regardless of amount granted, maintain a drug -free workplace. G. Texas Senate Bill 1 - 1991, as applicable, which refers to proper reporting of contributions as addressed in OAA §315 and TAC, Title 40, §213.151. Revised 09/30/2022 FOCAL POINTS FOR THE SOUTH PLAINS ASSOCIATION OF GOVERNMENTS REGION AREA AGENCY ON AGING FY 2022-2023 CENTER: Bailey County Commissioners Court (A-020) DIRECTOR: Judy Coffman BOOKKEEPER: Judy Coffman ADDRESS: 300 South First Street Room 110 CITY: Muleshoe, Texas 79347 Fax: (806) 272-4656 PHONE: (806) 272-3647 E-mail: icoffmanna, co.bailey.tx.us DAYS & HRS. OPEN: Mon.-Thur. 8:30-12:00, 1:00-5:00; Fri. 8:00-1:00 SERVICES: TRANS. COUNTY: Bailey CENTER: Bailey County Senior Citizens Assoc., Inc. (A-007) DIRECTOR: Kaci Lee ASSISTANT: ADDRESS: 319 S. Main St / PO Box 292 CITY: Muleshoe, Texas 79347 PHONE: (806) 272-4969E-mail: muleshoeseniors(a7outlook.com DAYS & HRS. OPEN: Mon. — Fri. 8:00 — 4:00 Fax: (806) 272-4460 SERVICES: CONG. COUNTY: Bailey CENTER: Cochran Co. Senior Citizens Assoc., Inc. (A-045) DIRECTOR: Reynalda Granado BOOKKEEPER: Reynalda Granado ADDRESS: 120 W. Wilson CITY: Morton, Texas 79346 PHONE: (806) 266-5121 E-mail: ccsciQriffith(a,Qmail.com DAYS & HRS. OPEN: Mon. — Fri. 8-3:00 Fax #: 266-9027 SERVICES: CONG., TRANS. COUNTY: Cochran Updated 7126' 19 DD CENTER: Crosby Co. Senior Citizens Assoc., Inc. (A-050) DIRECTOR: Lenette Fowler ASSISTANT: Patsy Weems ADDRESS: 119 North Berkshire CITY: Crosbyton, Texas 79322 PHONE: (806) 675-2107 E-mail: 119ccsc(a?smail.com DAYS & HRS. OPEN: Mon. —Fri. 8-3 SERVICES: CONG., H.D. COUNTY: Crosby CENTER: Garza County Trailblazers, Inc. (A-070) DIRECTOR: Billie Williams (interim) BOOKKEEPER: LaGayluah McReynolds ADDRESS: 205 E. 10th CITY: Post, Texas 79356 PHONE: (806) 495-2998 E-mail: earzatrailblazerskyahoo.com DAYS & HRS. OPEN: Mon. — Fri. 8-1 SERVICES: CONG., H.D. COUNTY: Garza CENTER: Hale Center Senior Citizens Assoc., Inc. (A-075) DIRECTOR: Karen Boyce ASSISTANT: Dee Rice ADDRESS: P.O. Box 205 (416 West 2"d St.) CITY: Hale Center, Texas 79041 PHONE: (806) 839-2428 E-mail: hcsrcenter(a,sbcalobal.net DAYS & HRS. OPEN: Mon. — Fri. 8-3 SERVICES: CONG., H.D., TRANS. COUNTY: Hale CENTER: Hockley County Senior Citizens Assoc., Inc. (A-085) DIRECTOR: Shelly Baigen ASSISTANT: Rica Sanchez ADDRESS: 1202 Houston CITY: Levelland, Texas 79336 PHONE: (806) 894-2228 E-mail: hcsca ag, ,aol.com DAYS & HRS. OPEN: Mon. — Fri. 8-4:00 SERVICES: CONG., H.D., TRANS. COUNTY: Hockley Updated 7/26/19 DD CENTER: Lorenzo Senior Citizens Assoc., Inc. (A-095) DIRECTOR: Earlene Rampy 806-241-9107 ADDRESS: P.O. Box 571 (606 6" St.) CITY: Lorenzo, Texas 79343 PHONE: (806) 634-5957 E-mail: lorenzosca a windstream.net DAYS & HRS. OPEN: Mon. —Fri. 8-2 SERVICES: CONG., H.D. COUNTY: Crosby CENTER: Lubbock - City of Lubbock (A-100) DIRECTOR: Vacant, Supervisor: (806) 775-2678 Gabrielle Anglin, (806) 775-2685 ADDRESS: P.O. Box 2000 (1010 9th St.) CITY: Lubbock, Texas 79457 PHONE: (806) 775-2678 E-mail: MbairdCa),mail.ci.lubbock.tx.us Ganglingmylubbock.us JBeaulieu(a,mail.ci.lubbock.tx.us DAYS & HRS. OPEN: Mon. —Fri. 8-5 Fax: 806-775-2686 SERVICES: CONG., TRANS. COUNTY: Lubbock Mae Simmons — (806) 767-2708, Alvin Hargers (2004 Oak Avenue 79404), Copper Rawlings — (806) 767-2704, Herminia Martinez (213 40th Street 79404), (40"' & Ave. B), Maggie Treio — (806) 775-2661, Cecilia Gonzalez (3200 Amherst 79415), Homestead — (806) 687-7898, Jordan Beaulieu (5401 56th Street 79414); Lubbock Senior Center — (806) 767-2710, Jordan Beaulieu (2001 19th Street, 79401) FAX 806- 765-0820 CENTER: DIRECTOR: BOOKKEEPER: ADDRESS: CITY: PHONE: DAYS & HRS. OPEN: SERVICES: COUNTY: Lynn County Pioneers (A-110) Sandra Norwood Sandra Norwood P.O. Box 223 (1600 S. 31 St.) Tahoka, Texas 79373 (806) 561-5264 E-mail: lynncopioneers(u gmail.com Mon. —Fri. 9-3 Fax: 561-5571 CONG., H.D. Lynn Updated 7/26/19 DD CENTER: Senior Citizens Assoc. of S. Dickens County (A-130) DIRECTOR: Debbie Pritchett BOOKKEEPER: Darlene Young ADDRESS: 210 Burlington CITY: Spur, Texas 79370 PHONE: (806) 271-4472 E-mail: sscaosdc ar,caurock-spur.com DAYS & HRS. OPEN: Mon. —Fri. 8-3 SERVICES: CONG., H.D. COUNTY: Dickens CENTER: Slaton Senior Citizens Assoc., Inc. (A-135) DIRECTOR: Nita Williams BOOKKEEPER: Nita Williams ADDRESS: 230 West Lynn CITY: Slaton, Texas 79364 PHONE: (806) 828-3784 E-mail: slatonseniorsCa7door.net DAYS & HRS. OPEN: Mon. — Fri. 8-4 SERVICES: CONG., H.D. COUNTY: Lubbock CENTER: Yoakum County Senior Citizens Assoc., Inc. (A-150) DIRECTOR: Becky Riley ASSISTANT: Amber Cline BOOKKEEPER: Shelia Hinson ADDRESS: 709 W. Broadway (Mail Only to Box 519) CITY: Denver City, Texas 79323 PHONE: (806) 592-8000 E-mail: - ycsc60awindstream.net Fax: (806) 592-2835 DAYS & HRS. OPEN: Mon. —Fri. 9-3 SERVICES: CONG., H.D. COUNTY: Yoakum LEGEND CONG. — Congregate Meals (on -site) H.D. — Home Delivered Meals TRAN. — Transportation Service Updated 7/26/19 DD *mll The South Plains Association of Governments Area Agency on Aging SPAG Direct Purchase of Service Fiscal Year 2023 Subrecipient Application/Renewal Update or CVM=W1S Please type or clearly print application information. City of Lubbock Subrecipient Name/Legal Entity DBA (if applicable) Area Agency J_Ton Aging Physical Address: Mailing Address (complete even if same as above): Tax Identification Number (SSN or Federal ID): Fax Number (including area code): Type of Provider (check one): Governmental Agency Private Non -Profit Private For Profit City Government County Government Other: Authorizing Official: Title: Email Address: Telephone: Billing Contact Person and billing address: Title: Email Address: Telephone: Number of Years Organization has been in business: Is Organization Bonded? (Attach certificate of bonding insurance) Years Yes No Has anyone involved in the direct provision of client services If Yes, Explain: been convicted of a felony (In -home Services only)? Not Applicable Not Applicable ■ Yes ■ No Does Organization have liability insurance? (Attach certificate of all insurances) Attach a cony of all applicable State and Federal Yes El No licenses and /or certifications for your business. Conflicts of Interest: Attach information of applicable names and relationship of any employee(s) or officers of your organization that may have a conflict of interest with the South Plains Association of Governments Area Agency on Aging staff person or Advisory Council member. DPS Application Page 1 1; KA 3. 4. Service and Bidding Information: A. Proposed Service: Congregate Meals B. Service Area: C. Proposed HHS OAAA cost per unit: $ 11.68 Proposed Service: Home Delivered Meals B. Service Area: Proposed HHS OAAA cost per unit: $ 11.02 Proposed Service: B. Service Area: Transportation Demand / Respor C. Proposed HHS OAAA cost per unit: A QQ A. Proposed Service: N/A B. Service Area: N/A C. Proposed HHS OAAA cost per unit: Signature: Whole cost per unit: Q 415 an Whole cost per unit: $ 12.16 Whole cost per unit: t Q QQ Whole cost per unit: I, Tray Payne , certify that the information provided in this application is true and Printed Name correct to the best of my�pwledge. September 30, 2022 Date DPS Application Page 2 Certification Regarding Debarment CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION FOR COVERED CONTRACTS AND GRANTS Federal Executive Order I2549 requires the Texas Health and Human Services (HHS) to screen each covered potential subrecipient/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 subrecipient/grantee must also screen each of its covered sub-subrecipients/providers. In this certification "subrecipient/grantee" refers to both subrecipient/grantee and sub- subrecipient/sub-grantee: "contract/grant" refers to both contract/grant and subcontract/sub- grant. By signing and submitting this certification the potential subrecipient/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. If it is later determined that the potential subrecipient/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 Health and Human Services may pursue available remedies, including suspension and/or debarment. 2. The potential subrecipient/grantee shall provide immediate written notice to the person to whom this certification is submitted if at any time the potential subrecipient/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 subrecipient/grantee agrees by submitting this certification that, should the proposed covered contract/grant be entered into, it shall not knowingly enter 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 Health and Human Services, as applicable. Do you have or do you anticipate having sub-subrecipients/sub-grantees under this proposed contract? YES NO 5. The potential subrecipient/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. 6. A subrecipient/grantee may rely upon a certification of a potential sub- subrecipient/sub-grantee that is not debarred, suspended, ineligible, or voluntarily excluded from the covered contract/grant, unless the subrecipient/grantee knows that the certification is erroneous. A subrecipient/grantee must, at a minimum, obtain certifications from its covered sub-subrecipients/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 required by this certification document. The knowledge and information of a subrecipient/grantee is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 8. Except for contracts/grants authorized under paragraph 4 of these terms, if a subrecipient/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, or the Texas Health and Human Services may pursue available remedies, including suspension and/or debarment. CERTIFICATION REGARDING DEBARMENT Page 3 Indicate which statement applies to the covered potential subrecipient/grantee: The potential subrecipient/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 subrecipient/grantee is unable to certify one or more of the terms in this certification. In this instance, the potential subrecipient/grantee must attach an explanation for each of the above terms to which he/she is unable to make certification. Attach the explanation(s) to this certification. NAME OF POTENTIAL SUBRECIPIENT/GRANTEE: SUBRECIPIENT'S VENDOR ID NO.IFEDERAL EMPLOYER'S ID NO.: Tray Payne Printed/Typed Name of Authorized Representative Mayor 09/30/2022 Title of Authorized Representative Date This certification is for FFY 2023 period beginning October 1, 2022 and ending September 30, 2023. 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 Health and Human 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 $100,000) 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 Health and Human 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 environmental 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 Health and Human 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. DATA USE AGREEMENT BETWEEN THE SOUTH PLAINS ASSOCIATION OF GOVERNMENTS AND CITY OF LUBBOCK ("SUBRECIPIENT") This Data Use Agreement ("DUA"), effective as of the Subrecipient agreement ("Effective Date"), is entered into by and between the SOUTH PLAINS ASSOCIATION OF GOVERNMENTS (SPAG) and CITY OF LUBBOCK ("SUBRECIPIENT"), and incorporated into the terms of the following Subrecipient agreement, in Lubbock County, Texas: 83124-20-A100 — Direct Purchase of Nutrition and Transportation Services Agreement ARTICLE 1. PURPOSE; APPLICABILITY; ORDER OF PRECEDENCE The purpose of this DUA is to facilitate creation, receipt, maintenance, use, disclosure or access to Confidential Information with SUBRECIPIENT, and describe SUBRECIPIENT's rights and obligations with respect to the Confidential Information and the limited purposes for which this SUBRECIPIENT may create, receive, maintain, use, disclose or have access to CONFIDENTAIL INFORMATION. 45 CFR 164.504(e)(1)-(3). This DUA also describes SPAG's remedies in the event of SUBRECIPIENT's noncompliance with its obligations under this DUA. This DUA applies to both Business Associates and subrecipients who are not Business Associates who create, receive, maintain, use, disclose or have access to Confidential Information on behalf of SPAG, its programs or clients as described in the Subrecipient agreement. As of the Effective Date of this DUA, if any provision of the Subrecipient agreement, including any General Provisions or Uniform Terms and Conditions, conflicts with this DUA, this DUA controls. This DUA is intended to apply only to Confidential Information that SUBRECIPIENT handles in performing services provided under the Subrecipient agreement. ARTICLE 2. DEFINITIONS For the purposes of this DUA, capitalized, underlined terms have the meanings set forth in the following: Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (42 U.S.C. § 1320d, et seq.) and regulations thereunder in 45 CFR Parts 160 and 164, including all amendments, regulations and guidance issued thereafter; The Social Security Act, including Section 1137 (42 U.S.C. §§ 1320b-7), Title XVI of the Act; The Privacy Act of 1974, as amended by the Computer Matching and Privacy Protection Act of 1988, 5 U.S.C. § 552a and regulations and guidance thereunder; Internal Revenue Code, Title 26 of the United States Code and regulations and publications adopted under that code, including IRS Publication 1075; OMB Memorandum 07-18; Texas Business and Commerce Code Ch. 521; Texas Government Code, Ch. 552,and Texas Government Code § 2054.1125. In addition, the following terms in this DUA are defined as follows: "Authorized Purpose" means the specific purpose or purposes described in the Scope of Work of the Subrecipient agreement for SUBRECIPIENT to fulfill its obligations under the Subrecipient agreement, or any other purpose expressly authorized by SPAG in writing in advance. SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 GOVERNMENTAL ENTITY VERSION - CITY OF LUBBOCK SPAG Agreement No. 83124-23-A100 "Authorized User" means a Person: (1) Who is authorized to create, receive, maintain, have access to, process, view, handle, examine, interpret, or analyze Confidential Information pursuant to this DUA; (2) For whom SUBRECIPIENT warrants and represents has a demonstrable need to create, receive, maintain, sue disclose or have access to the Confidential Information; and (3) Who has agreed in writing to be bound by the disclosure and use limitations pertaining to the Confidential Information as required by this DUA. "Confidential Information" means any communication or record (whether oral, written, electronically stored or transmitted, or in any other form) provided to or made available to SUBRECIPIENT or that SUBRECIPIENT may create, receive, maintain, use, disclose or have access to on behalf of SPAG that consists of or includes any or all of the following: (1) Client Information; (2) Protected Health Information (PHI) in any form including without limitation, Electronic Protected Health Information or Unsecured Protected Health Information; (3) Sensitive Personal Information defined by Texas Business and Commerce Code Ch. 521; (4) Federal Tax Information; (5) Personally Identifiable Information; (6) Social Secgpi y Administration Data, including, without limitation, Medicaid information; (7) All privileged work product; (8) All information designated as confidential under the constitution and law dog the State of Texas and of the United States, including the Texas Health & Safety Code and the Texas Public Information Act, Texas Government Code, Chapter 552. "Locally Authorized Representative" of the Individual, as defined by Texas Law, including as provided in 45 CFR 435.923 (Medicaid); 45 CFR 164.502(g)(1) (HIPAA); Texas Occupations Code § 151.002(6); Texas Health & Safety Code § 166.164; Estates Code Ch. 752 and Texas Prob. Code §3. ARTICLE 3. SUBRECIPIENT'S DUTIES REGARDING CONFIDENTIAL INFORMATION Section 3.01 Obligations of SUBRECIPIENT SUBRECIPIENT agrees that: (A) SUBRECIPIENT will exercise reasonable care and no less than the same degree of care SUBRECIPIENT uses to protect its own confidential, proprietary and trade secret information to prevent any portion of the Confidential Information from being used in a manner that is not expressly an Authorized Purpose under this DUA or as Required by Law. 45 CFR I64.502(b)(1); 45 CFR 164.514(d) (B) SUBRECIPIENT will not, without SPAG's prior written consent, disclose or allow access to any portion of the Confidential Information to any Person or any other entity, other than Authorized User's Workforce or Subcontractors of SUBRECIPIENT who have completed training in confidentiality, privacy, security and the importance of promptly reporting any Event or Breach to SUBRECIPIENT'S management, to carry out the Authorized Purpose or as Required by Law. SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 Page 2 of 12 SPAG Agreement No. 83124-23-A100 SPAG, at its election, may assist SUBRECIPIENT in training and education on specific or unique SPAG processes, systems and/or requirements. SUBRECIPIENT will produce evidence of completed training to SPAG upon request. 45 C.F.R. 164.308(a)(5)(1); Texas Health Safety Code §181.101 (C) SUBRECIPIENT will establish, implement and maintain appropriate sanctions against any member of its Workforce or Subcontractor who fails to comply with this DUA, the Subrecipient agreement or applicable law. SUBRECIPIENT will maintain evidence of sanctions and produce it to SPAG upon request. 45 C.F.R. 164.308(a)(1)(ii)(C); 164.530(e); 164.410(b);164.530(b)(1) (D) SUBRECIPIENT will not, except as otherwise permitted by this DUA, disclose or provide access to any Confidential Information on the basis that such act is Required by Law without notifying either SPAG or SUBRECIPIENT's own legal counsel to determine whether SUBRECIPIENT should object to the disclosure or access and seek appropriate relief. SUBRECIPIENT will maintain an accounting of all such requests for disclosure and responses and provide such accounting to SPAG within 48 hours of SPAG's request. 45 CFR 164.504(e)(2)(ii)(A) (E) SUBRECIPIENT will not attempt to re -identify or further identify Confidential Information or De -identified Information, or attempt to contact any individuals whose records are contained in the Confidential Information, except for an Authorized Purpose, without express written authorization from SPAG or as expressly permitted by this Subrecipient agreement. 45 CFR 164.502(d)(2)(i) and (ii) SUBRECIPIENT will not engage in prohibited marketing or sale of Confidential Information. 45 CFR 164.501,164.508(a)(3) and (4); Texas Health & Safety Code Ch.181.002 (F) SUBRECIPIENT will not permit, or enter into any agreement with a Subcontractor to, create, receive, maintain, use , disclose, have access to or transmit Confidential Information, on behalf of SUBRECIPIENT without requiring that Subcontractor first execute the Form Subcontractor Agreement, Attachment 1, which ensures that the Subcontractor will comply with the identical terms, conditions, safeguards and restrictions as contained in this DUA for PHI and any other relevant Confidential Information and which permits more strict limitations; 45 CFR 164.502(e)(1)(1)(ii); 164.504(e)(1)(i) and (2) (G) SUBRECIPIENT is directly responsible for compliance with and enforcement of, all conditions for creation, maintenance, use, disclosure, transmission and Destruction of Confidential Information and the acts or omissions of Subcontractors as may be reasonably necessary to prevent authorized use. 45 CFR 164.504(e)(5); 42 CFR 431.300, et seq. (H) If SUBRECIPIENT maintains PHI in a Designated Record Set, SUBRECIPIENT will make PHI available to SPAG in a Designated Record Set or, as directed by SPAG, provide PHI to the Individual, or Legally Authorized Representative of the Individual who is requesting PHI in compliance with the requirements of the HIPAA Privacy Regulations. SUBRECIPIENT will make other Confidential Information in SUBRECIPIENT's possession available pursuant to the requirements of HIPAA or other applicable law upon a determination of a Breach of Unsecured PHI as defined in HIPAA. 45 CFR 164.524 and 164.504(e)(2)(ii)(E) SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 Page 3 of 12 SPAG Agreement No. 83124-23-A100 (I) SUBRECIPIENT will make PHI as required by HIPAA available for amendment and incorporate any amendments to this information that SPAG directs or agrees to pursuant to the HIPAA. 45 CFR I64.504(e)(2)(ii)(E) and (F) (J) SUBRECIPIENT will document and make available to SPAG the PHI required to provide access, an accounting of disclosures or amendment in compliance with the requirements of the HIPAA Privacy Regulations. 45 CFR 164.504(e)(2)(ii)(G) and 164.528 (K) If SUBRECIPIENT receives a request for access, amendment or accounting of PHI from an individual with a right of access to information subject to this DUA, it will respond to such request in compliance with HIPAA Privacy Regulations. SUBRECIPIENT will maintain an accounting of all responses to request for access to or amendment of PHI and provide it to SPAG within 48 hours of SPAG's request. 45 CFR 164.504(e)(2) (L) SUBRECIPIENT will provide, and will cause its Subcontractors and agents to provide, to SPAG periodic written certifications of compliance with controls and provisions relating to information privacy, security and breach notification, including without limitation information related to data transfers and the handling and disposal of Confidential Information. 45 CFR 164.308; 164.530(c); I TA 202 (M) Except as otherwise limited by this DUA, the Subrecipient agreement, or law applicable to the Confidential Information, SUBRECIPIENT may use or disclose PHI for the proper management and administration of SUBRECIPIENT or to carry out SUBRECIPIENT's legal responsibilities if. 45 CFR 164.504(e)(ii)(1)(A) (1) Disclosure is Required by- Law, provided that SUBRECIPIENT complies with Section 3.01(D); (2) SUBRECIPIENT obtains reasonable assurances from the Person to whom the information is disclosed that the Person will: (a) Maintain the confidentiality of the Confidential Information in accordance with this DUA; (b) Use or further disclose the information only as Required by Law or for the Authorized R=ose for which it was disclosed to the Person; and (c) Notify SUBRECIPIENT in accordance with Section 4.01 of any Event or Breach of Confidential Information of which the Person discovers or should have discovered with the exercise of reasonable diligence. 45 CFR 164.504(e)(4)(ii)(B) (1) Except as otherwise limited by this DUA, SUBRECIPIENT will, if requested by SPAG, use PHI to provide data aggregation services to SPAG, as that term is defined in the HIPAA. 45 C.F.R. § 164.501 and permitted by HIPAA. 45 CFR 164.504(e)(2)(i)(B) (0) SUBRECIPIENT will, on the termination or expiration of this DUA or the Subrecipient agreement, at its expense, return to SPAG or Destroy, at SPAG's election, and to the extent reasonably feasible and permissible by law, all Confidential Information received from SPAG or created or maintained by SUBRECIPIENT or any of SUBRECIPIENT's agents or Subcontractors on SPAG's behalf if that data contains Confidential Information. SUBRECIPIENT will certify in writing to SPAG that all the SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 Page 4 of 12 SPAG Agreement No. 83124-23-A100 Confidential Information that has been created, received, maintained, used by or disclosed to SUBRECIPIENT, has been Destroyed or returned to SPAG, and that SUBRECIPIENT and its agents and Subcontractors have retained no copies thereof. Notwithstanding the foregoing, SUBRECIPIENT acknowledges and agrees that it may not Destroy any Confidential Information if federal or state law, or SPAG record retention policy or a litigation hold notice prohibits such Destruction. If such return or Destruction is not reasonably feasible, or is impermissible by law, SUBRECIPIENT will immediately notify SPAG of the reasons such return or Destruction is not feasible, and agree to extend indefinitely the protections of this DUA to the Confidential Information and limit its further uses and disclosures to the purposes that make the return of the Confidential Information not feasible for as long as SUBRECIPIENT maintains such Confidential Information. 45 CFR 164.504(e)(2)(ii)(J) (P) SUBRECIPIENT will create, maintain, use, disclose, transmit or Destroy Confidential Information in a secure fashion that protects against any reasonably anticipated threats or hazards to the security or integrity of such information uses. 45 CFR 164.306; 164.530(c) (Q) If SUBRECIPIENT accesses, transmits, stores, and/or maintains Confidential Information, SUBRECIPIENT will complete and return to SPAG at aaareportsQsnag.org the HHS information security and privacy initial inquiry (SPI) at Attachment 2. The SPI identifies basic privacy and security controls with which SUBRECIPIENT must comply to protect SPAG Confidential Information. SUBRECIPIENT, will comply with periodic security controls compliance assessment and monitoring by SPAG as required by state and federal law, based on the type of Confidential Information SUBRECIPIENT creates, receives maintains, uses, discloses or has access to and the Authorized Purpose and level of risk. SUBRECIPIENT's security controls will be based on the National Institute of Standards and Technology (NIST) Special Publication 800-53. SUBRECIPIENT will update its security controls assessment whenever there are significant changes in security controls for SPAG Confidential Information and will provide the updated document to SPAG. SPAG also reserves the right to request updates as needed to satisfy state and federal monitoring requirements. 45 CFR 164.306 (R) SUBRECIPIENT will establish, implement and maintain any and all appropriate procedural, administrative, physical and technical safeguards to preserve and maintain the confidentiality, integrity and availability of the Confidential Information, and with respect to PHI. as described in the HIPAA Privacy and Security Regulations, or other applicable laws or regulations relating to Confidential Information, to prevent any unauthorized use or disclosure of Confidential Information as long as SUBRECIPIENT has such Confidential Information in its actual or constructive possession. 45 CFR 164.308 (administrative safeguards); 164.310 (physical safeguards); 164.312 (technical safeguards); 164.530 (c) (privacy safeguards) (S) SUBRECIPIENT will designate and identify, subject to SPAG approval, a Person or Persons. as Privacy Official 45 CFR 164.530 (a)(1) and Information Security Official, each of whom is authorized to act on behalf of SUBRECIPIENT and is responsible for the development and implementation of the privacy and security requirements in this DUA. SUBRECIPIENT will provide name and current address, phone number and e-mail address for such designated officials to SPAG upon execution of this DUA and prior to any change. 45 CFR 164.308(a)(2) (T) SUBRECIPIENT represents and warrants that its Authorized Users each have a demonstrated need to know and have access to Confidential Information solely to the minimum extent SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 Page 5 of 12 SPAG Agreement No. 83124-23-A100 necessary to accomplish the Authorized Purpose pursuant to this DUA and the Subrecipient agreement, and further that each has agreed in writing to be bound by the disclosure and use limitations pertaining to the Confidential Information contained in this DUA. 45 CFR 164.502, 164.514(d) (U) SUBRECIPIENT and its Subcontractors will maintain an updated, complete, accurate and numbered list of Authorized Users, their signatures, titles and the date they agreed to be bound by the terms of this DUA, at all times and supply it to SPAG, as directed, upon request. (V) SUBRECIPIENT will implement, update as necessary, and document reasonable and appropriate policies and procedures for privacy, security and Breach of Confidential Information and an incident response plan for an Event or Breach, to comply with the privacy, security and breach notice requirements of this DUA prior to conducting work under the DUA. 45 CFR 164.308;164.316;164.514(d); 164.530(1)(1) (W) SUBRECIPIENT will produce copies of its information security and privacy policies and procedures and records relating to the use or disclosure of Confidential Information received from, created by, or received, used or disclosed by SUBRECIPIENT on behalf of SPAG for SPAG's review and approval within 30 days of execution of this DUA and upon request by SPAG the following business day or other agreed upon time frame. 45 CFR 164.308; 164.514(d) (X) SUBRECIPIENT will make available to SPAG any information SPAG requires to fulfill SPAG's obligations to provide access to, or copies of, PHI in accordance with HIPAA and other applicable laws and regulations relating to Confidential Information. SUBRECIPIENT will provide such information in a time and manner reasonably agreed upon or as designated by HHS, or other federal or state law. 45 CFR 164.504(e)(2)(1)(1) (Y) SUBRECIPIENT will only conduct secure transmissions of Confidential Information whether in paper, oral or electronic form. A secure transmission of electronic Confidential Information in motion includes secure File Transfer Protocol (SFTP) or Encryption at an appropriate level or otherwise protected as required by rule, regulation or law. Confidential Information at rest requires Encryption unless there is adequate administrative, technical, and physical security, or as otherwise protected as required by rule, regulation or law. All electronic data transfer and communications of Confidential Information will be through secure systems. Proof of system, media or device security and/or Encryption must be produced to SPAG no later than 48 hours after SPAG's written request in response to a compliance investigation, audit or the Discovery of an Event or Breach. Otherwise, requested production of such proof will be made as agreed upon by the parties. De -identification of Confidential Information is a means of security. With respect to de -identification of PHI "secure" means de -identified according to HIPAA Privacy standards and regulatory guidance. 45 CFR 164.312; 164.530(d) (Z) SUBRECIPIENT will comply with the following laws and standards if applicable to the type of Con fidendal Inform ation and Subrecipient's Authorized Purpose: • Title 1, Part 10, Chapter 202, Subchapter B, Texas Administrative Code; • The Privacy Act of 1974; • OMB Memorandum 07-16; • The Federal Information Security Management Act of 2002 (FISMA); SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 Page 6 of 12 SPAG Agreement No. 83124-23-A100 • The Health Insurance Portability and Accountability Act of 1996 HIPAA as defined in the DUA; • Internal Revenue Publication 1075 — Tax Information Security Guidelines for Federal, State and Local Agencies; • National Institute of Standards and Technology (NIST) Special Publication 800-66 Revision 1 — An Introductory Resource Guide for Implementing the Health Insurance Portability and Accountability Act (HIPAA) Security Rule; • NIST SRecial Publications 800-53 and 800-53A — Recommended Security Controls for Federal Information Systems and Organizations, as currently revised; • NIST SRecial Publication 800-47 — Security Guide for Interconnecting Information Technology Systems; • NIST Special Publication 800-88, Guidelines for Media Sanitization; • NIST Special Publication 800-111, Guide to Storage of Encryption Technologies for End User Devices containing PHI; and • Any other State or Federal law, regulation, or administrative rule relating to the specific SPAG program area that SUBRECIPIENT supports on behalf of SPAG. ARTICLE 4. BREACH NOTICE, REPORTING AND CORRECTION REQUIREMENTS Section 4.01. Breach or Event Notification to SPAG. 45 CFR 164.400414 (A) SUBRECIPIENT will cooperate fully with SPAG in investigating, mitigating to the extent practical and issuing notifications directed by SPAG, for any Event or Breach of Confidential Information to the extent and in the manner determined by SPAG. (B) SUBRECIPIENT' S obligation begins at the Discovery of an Event or Breach and continues as long as related activity continues, until all effects of the Event are mitigated to SPAG's satisfaction (the "incident response period"). 45 CFR 164.404 (C) Breach Notice: Initial Notice. a. For federal information, including without limitation, Federal Tax Information, Social Security Administration Data, and Medicaid Client Information, within the first, consecutive clock hour of Discovery, and for all other types of Confidential Information not more than 24 hours after Discovery or in a timeframe otherwise approved by SPAG in writing, initially report to SPAG Administration via email at: aaareportsasyae.org; and IRS Publication 1075; Privacy Act of 1974, as amended by the Computer Matching and Privacy Protection Act of 1988, 5 U.S.C. § 552a; OMB Memorandum 07-16 as cited in HHSC-CMS Contracts for information exchange. b. Report all information reasonably available to SUBRECIPIENT about the Event or Breach of the privacy or security of Confidential Information. 45 CFR 164.410 c. Name, and provide contact information to SPAG for, SUBRECIPIENT's single point of contact who will communicate with SPAG both on and off business hours during the incident response period. 2. 48-Hour Formal Notice. No later than 48 consecutive clock hours after Discovery, or a time within which Discovery reasonably should have been made by SUBRECIPIENT of an Event or Breach SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 Page 7 of 12 SPAG Agreement No. 83124-23-A100 of Confidential Information provide formal notification to the SPAG, including all reasonably available information about the Event or Breach, and SUBRECIPIENT's investigation, including without limitation and to the extent available: For (a) — (m) below: 45 CFR 164.400-414 a. The date the Event or Breach occurred; b. The date of SUBRECIPIENT's and, if applicable, Subcontractor's Discovery; c. A brief description of the Event or Breach: including how it occurred and who is responsible (or hypotheses, if not yet determined); d. A brief description of SUBRECIPIENT's investigation and the status of the investigation; e. A description of the types and amount of Confidential Information involved; f. Identification of and number of all Individuals reasonably believed to be affected, including first and last name of the individual and if applicable the, Legally authorized representative, last known address, age, telephone number, and email address if it is a preferred contact method, to the extent known or can be reasonably determined by SUBRECIPIENT at that time; g. SUBRECIPIENT's initial risk assessment of the Event or Breach demonstrating whether individual or other notices are required by applicable law or this DUA for SPAG approval, including an analysis of whether there is a low probability of compromise of the Confidential Information or whether any legal exceptions to notification apply; h. SUBRECIPIENT's recommendation for SPAG's approval as to the steps Individuals and/or SUBRECIPIENT on behalf of individuals, should take to protect the Individuals from potential harm, including without limitation SUBRECIPIENT's provision of notifications, credit protection, claims monitoring, and any specific protections for a Legally Authorized Representative to take on behalf of an Individual with special capacity or circumstances; i. The steps SUBRECIPIENT has taken to mitigate the harm or potential harm caused (including without limitation the provision of sufficient resources to mitigate); j. The step SUBRECIPIENT has taken, or will take, to prevent or reduce the likelihood of recurrence of a similar Event or Breach, k. Identify, describe or estimate of the Persons, Workforce, Subcontractor, or Individuals and any law enforcement that may be involved in the Event or Breach; 1. A reasonable schedule for SUBRECIPIENT to provide regular updates to the foregoing in the future for response to the Event or Breach, but no less than every three (3) business days or as otherwise directed by SPAG, including information about risk estimations, reporting, notification, if any, mitigation, corrective action, root cause analysis and when such activities are expected to be completed; and m. Any reasonably available, pertinent information, documents or reports related to an Event or Breach that SPAG requests following Discovery. Section 4.02 Investigation, Response and Mitigation. For A F below: 45 CFR 164.308, 310 and 312, 164.530 (A) SUBRECIPIENT will immediately conduct a full and complete investigation, respond to the Event or Breach, commit necessary and appropriate staff and resources to expeditiously respond and SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 Page 8 of 12 SPAG Agreement No. 83124-23-A100 report as required to and by SPAG for incident response purposes and for purposes of SPAG's compliance with report and notification requirements, to the satisfaction of SPAG. (B) SUBRECIPIENT will complete or participate in a risk assessment as directed by SPAG following an Event or Breach, and provide the final assessment, corrective actions and mitigations to SPAG for review and approval. (C) SUBRECIPIENT will fully cooperate with SPAG to respond to inquiries and/or proceedings by state and federal authorities, Persons and/or Individuals about the Event or Breach. (D) SUBRECIPIENT will fully cooperate with SPAG's efforts to seek appropriate injunctive relief or otherwise prevent or curtail such Event or Breach, or to recover or protect any Confidential Information, including complying with reasonable corrective action or measures, as specified by SPAG in a Corrective Action Plan if directed by SPAG under the Subrecipient agreement. Section 4.03 Breach Notification to Individuals and Reporting to Authorities, Tex. Bus. & Comm. Code §521.053, 45 CFR 164.404 (Individuals),164.406 (Media); 164.408 (Authorities) (A) SPAG may direct SUBRECIPIENT to provide Breach notification to Individuals, regulators or third -parties, as specified by SPAG following a Breach. (B) SUBRECIPIENT must obtain SPAG's prior written approval of the time, manner and content of any notification to Individuals, regulators or third -parties, or any notice required by other state or federal authorities. Notice letters will be in SUBRECIPIENT's name and on SUBRECIPIENT's letterhead, unless otherwise directed by SPAG, and will contain contact information, including the name and title of SUBRECIPIENT's representative, an email address and a toll -free telephone number, for the Individual to obtain additional information. (C) SUBRECIPIENT will provide SPAG with copies of distributed and approved communications. (D) SUBRECIPIENT will have the burden of demonstrating to the satisfaction of SPAG that any notification required by SPAG was timely made. If there are delays outside of SUBRECIPIENT's control, SUBRECIPIENT will provide written documentation of the reasons for the delay. (E) If SPAG delegates notice requirements to SUBRECIPIENT, SPAG shall, in the time and manner reasonably requested by SUBRECIPIENT, cooperate and assist with SUBRECIPIENT's information requests in order to make such notifications and reports. ARTICLE 5. SCOPE OF WORK Scope of Work means the services and deliverables to be performed or provided by SUBRECIPIENT, or on behalf of SUBRECIPIENT by its Subcontractors or agents for SPAG that are described in detail in the Subrecipient agreement. The Scope of Work, including any future amendments thereto, is incorporated by reference in this DUA as if set out word-for-word herein. ARTICLE 6. GENERAL PROVISIONS Section 6.01 Ownership of Confidential Information SUBRECIPIENT acknowledges and agrees that the Confidential Information is and will remain the property of SPAG. SUBRECIPIENT agrees it acquires no title or rights to the Confidential Information. SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 Page 9 of 12 SPAG Agreement No. 83124-23-A100 Section 6.02 SPAG Commitment and Obligations SPAG will not request SUBRECIPIENT to create, maintain, transmit, use or disclose PHI in any manner that would not be permissible under applicable law if done by SPAG. Section 6.03 SPAG Right to Inspection At any time upon reasonable notice to SUBRECIPIENT, or if SPAG determines that SUBRECIPIENT has violated this DUA, SPAG, directly or through its agent, will have the right to inspect the facilities, systems, books and records of SUBRECIPIENT to monitor compliance with this DUA. Section 6.04 Term; Termination of DUA; Survival This DUA will be effective on the date on which SUBRECIPIENT executes the DUA, and will terminate upon termination of the Subrecipient agreement and as set forth herein. If the Subrecipient agreement is extended or amended, this DUA is updated automatically concurrent with such extension or amendment. (A) SPAG may immediately terminate this DUA and Subrecipient agreement upon a material violation of this DUA. (B) Termination or Expiration of this DUA will not relieve SUBRECIPIENT of its obligation to return or Destroy the Confidential Information as set forth in this DUA and to continue to safeguard the Confidential Information until such time as determined by SPAG. (C) If SPAG determines that SUBRECIPIENT has violated a material term of this DUA; SPAG may in its sole discretion: 1. Exercise any of its rights including but not limited to reports, access and inspection under this DUA and/or the Subrecipient agreement; or 2. Require SUBRECIPIENT to submit to a corrective action plan, including a plan for monitoring and plan for reporting, as SPAG may determine necessary to maintain compliance with this DUA; or 3. Provide SUBRECIPIENT with a reasonable period to cure the violation as determined by SPAG; or 4. Terminate the DUA and Subrecipient agreement immediately, and seek relief in a court of competent jurisdiction in Lubbock County, Texas. Before exercising any of these options, SPAG will provide written notice to SUBRECIPIENT describing the violation and the action it intends to take. (D) If neither termination nor cure is feasible, SPAG shall report the violation to HHS. (E) The duties of SUBRECIPIENT or its Subcontractor under this DUA survive the expiration or termination of this DUA until all the Confidential Information is Destroyed or returned to SPAG, as required by this DUA. Section 6.05 Governing Law, Venue and Litigation SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 Page 10 of 12 SPAG Agreement No. 83124-23-A100 (A) The validity, construction and performance of this DUA and the legal relations among the Parties to this DUA will be governed by and construed in accordance with the laws of the State of Texas. (B) The Parties agree that the courts of Lubbock County, Texas, will be the exclusive venue for any litigation, special proceeding or other proceeding as between the parties that may be brought, or arise out of, or in connection with, or by reason of this DUA. Section 6.06 Injunctive Relief (A) SUBRECIPIENT acknowledges and agrees that SPAG may suffer irreparable injury if SUBRECIPIENT or its Subcontractor fail to comply with any of the terms of this DUA with respect to the Confidential Information or a provision of HIPAA or other laws or regulations applicable to Confidential Information. (B) SUBRECIPIENT further agrees that monetary damages may be inadequate to compensate SPAG for SUBRECIPIENT's or its Subcontractor's failure to comply. Accordingly, SUBRECIPIENT agrees that SPAG will, in addition to any other remedies available to it by law or in equity, be entitled to seek injunctive relief without posting a bond and without the necessity of demonstrating actual damages, to enforce the terms of this DUA. Section 6.07 Insurance (A) SUBRECIPIENT represents and warrants that it maintains either self-insurance or commercial insurance with policy limits sufficient to cover any liability arising from any acts or omissions by SUBRECIPIENT or its employees, directors, officers, Subcontractors, or agents or other members of its Workforce under this DUA. SUBRECIPIENT warrants that SPAG will be a loss payee and beneficiary for any such claims. (B) SUBRECIPIENT will provide SPAG with written proof that required insurance coverage is in effect, at the request of SPAG. Section 6.08 Fees and Costs Except as otherwise specified in this DUA or the Subrecipient agreement, including but not limited to requirements to insure and/or indemnify SPAG, if any legal action or other proceeding is brought for the enforcement of this DUA, or because of an alleged dispute, contract violation, Event, Breach, default, misrepresentation, or injunctive action, in connection with any of the provisions of this DUA, each party will bear their own legal expenses and the other cost incurred in that action or proceeding. Section 6.09 Entirety of the Contract This Data Use Agreement is incorporated by reference into the Subrecipient agreement and, together with the Subrecipient agreement, constitutes the entire agreement between the parties. No change, waiver, or discharge of obligations arising under those documents will be valid unless in writing and executed by the party against whom such change, waiver, or discharge is sought to be enforced. Section 6.10 Automatic Amendment and Interpretation Upon the effective date of any amendment or issuance of additional regulations to HIPAA, or any other law applicable to Confidential Information, this DUA will automatically be amended so that the obligations imposed on SPAG and/or SUBRECIPIENT remain in compliance with such requirements. Any ambiguity in this DUA will be resolved in favor of a meaning that permits SPAG and SUBRECIPIENT to comply with HIPAA or any other law applicable to Confidential Information. SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 Page 11 of 12 SPAG Agreement No. 83124-23-A100 ARTICLE 7. AUTHORITY TO EXECUTE The Parties have executed this DUA in their capacities as stated below with authority to bind their organizations on the dates set forth by their signatures. IN WITNESS HEREOF, SPAG and SUBRECIPIENT have each caused his DUA to be signed and delivered by its daily authorized representative. SOUTH PLAINS ASSOCIATION OF GOVERNMENTS AREA A C�1Y�t�1 N A BY: • r w NAME: Tim C. Pierce TITLE: Executive Director DATE: SUBREC I BY: NAME: VY Payne TITLE: Mayor DATE: September 30, 2022 SPAG Data Use Agreement V.1 HIPPA Omnibus Compliant April 2017 Page 12 of 12 10/10/22 9:46 AM Provider Name: City of Lubbock AAA Name: Area Agency on Aging of South Plains Region Number: Home Delivered 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 HHS OAAA 18.200 Title XX 0 Title XIX 0 Other Funds Other Funds - Program Income 2,340 Eligible Meals 5,460 Non -Eligible Meals 0 3. Whole Unit Rate (Line 1 divided by Line 2) Reimbursement Calculation HHS OAAA & Title XX Title XIX 4. Projected NSIP per Meal Value 0.73 N/A 5. Rate Less NSIP per Meal Value $ 11.43 N/A 6. Mandatory Local Match of 10% $ 1.14 " If Applicable, Match Reduction From the In -kind Match Certification form $ Required Cash Match $ 1.14 N/A 7. Proposed Meal Rate (Line 3 minus Line 6) $ 1102 $ 12.16 Common Provider Unit Rate cannot exceed 5.31 8. Rate Cap Applicable to Title XIX, Title XX and HHS OAAA Common Providers $ 531 $ 6.12 9. Excess of Cap Rate Reduction $ (5 71) $ (6.04) Accepted Unit Rate for Current Year $ 11.02 NA •• 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 Le Contracted Provider 4sipature Area Agency on Aqinq of South Plains Name of Area Agency on Aging Tim C. Pierce rioted ype Name Signer Signature September 30, 2022 Date Tray Payne Printed/Typed Name of Signer September 30, 2022 Date 0 Health and Human Services NA Printed/Typed Name of Signer Signature Date 1. $ 316.225.54 2. 26,000 3. $ 12.16 10/10/22 9:52 AM Provider Name: City of Lubbock AAA Name: Area Agency on Aging of South Plains Region Number: Home Delivered Meals BUDGET WORKSHEET CERTIFICATION 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 City of Lubbock Name of Contracted Provider September 30, 2022 Date Signer Authority: (— Sole Proprietor (check one) r Partner r Corporate Officer Tray Pam,, Printed/Typed Name of Signer S' nature r Association Officer r Board Member I— Governmental Official 10/10/22 9:45 AM Provider Name: City of Lubbock AAA Name: Area Agency on Aging of South Plains 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 Other Funds HHS OAAA 8.197 Eligible Meals 1,093 Other Sources 5 0 Other Funds - Non -Eligible Program Income 1,639 Meals 0 Other Sources 6 0 3. Whole Unit Rate (Line 1 divided by Line 2) Reimbursement Calculation 4. Projected NSIP per Meal Value 5. Rate Less NSIP per Meal Value 6. Mandatory Local Match of 10% If Applicable, Match Reduction From the In -kind Match Certification form Required Cash Match HHS OAAA 0.73 $ 12.17 $ 1.22 $ 1.22 7. Proposed Meal Rate (Line 3 minus Line 6) $ 11.68 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. Citv of Lubbock Legal Name ontra Provider i u Area Aqencv on Aoino of South Plains Name of Area Agency on Aging Tim C. Pierce rinted/Typed Name of Signer e September 30, 2022 Date Tray Payne Printed/Typed Name of Signer September 30, 2022 Date 1. $ 140,943.35 2. 10,929 3. $ 12.90 10/10/22 9:44 AM Provider Name: City of Lubbock AAA Name: Area Agency on Aging of South Plains Congregate Meals BUDGET WORKSHEET CERTIFICATION 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 Name of Contracted Provider September 30, 2022 Date Signer Authority: (check one) ❑ Sole Proprietor ❑ Partner ❑ Corporate Officer Tray Payne Printed/Typed N of Signer ;�,Atnature ❑ Association Officer ❑ Board Member ❑ Governmental Official 10/10/22 9:44 AM Provider Name: Cityof Lubbock AAA Name: Area Agency on Aging of South Plains Transportation BUDGET WORKSHEET CALCULATION OF THE UNIT RATE 17otal Budgeted Expenses for Contract Year 2.Total Number of Anticipated Units to be Provided HHS OAAA - 10 % Match Program Required 2,475 Income HHS OAAA - 25 % Match Local Funds - Required 0 Eligible Trips Other Funds - Non -Eligible HHS OAAA - Full Unit Rate 0 Trips 3. Cost per unit (Line 1 divided by Line 2) - Full Unit Rate 66 Other Sources 6 0 759 Other Sources 7 0 0 Other Sources 8 0 Reimbursement Calculation for Contracts Requiring Unit Rate Match Reduction 1. $ 32,959.67 2. 3,300 3. $ 9.99 4. Mandatory Local Match of 10% $ 1.00 If Applicable, Match Reduction From the In -kind Match Certification form $ - Required Match 4. $ 1.00 5.Full Unit Rate Less Required Match (Line 3 minus Line 4 5. $ 8.99 4. Mandatory Local Match of 25% $ 2.50 If Applicable, Match Reduction From the In -kind Match Certification form $ - Required Match 4. $ 2.50 5.Full Unit Rate Less Required Match (Line 3 minus Line 4 5. $ 7.49 "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 $ 9.99 Contractor Initial AAA Initial Area Aqency on Aging of South Plains m f Area AgencyAging - Signa ur Tim C. Pierce Printed/Typed Name of Signer 09/30/22 09/30/22 Date Date 10/10/22 9:43 AM Provider Name: City of Lubbock AAA Name: Area Agency on Aging of South Plains Transportation BUDGET WORKSHEET CERTIFICATION 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 Name of Contracted Provider September 30, 2022 Date Signer Authority: Sole Proprietor (check one) El Partner Corporate Officer Tray Payne Printed/Typed Name of Signer nature Association Officer Board Member Governmental Official SENIOR CENTER OPERATIONS CONTRACT I. AUTHORITY TO CONTRACT The authority on which this contract is based derives from the Older Americans Act (OAA), as amended, and its regulations; HHS regulations on Administration of Grants; Title 2 Code of Federal Regulations (CFR), Part 200; the Uniform Grant Management Standards (UGMS), Governor's Office of Budget and Planning; and all applicable Texas Health and Human Services (HHS) and Area Agencies on Aging (AAA) Rules as published in the Texas Administrative Code (TAC) under Chapter 213 (Title 26, Part 1, Subchapters A, B & C); and, all state and local laws as pertains to this contract and its attachments. II. CONTRACTING PARTIES This contract is between the South Plains Association of Governments, hereinafter referred to as AGENCY, and City of Lubbock hereinafter referred to as Vendor. Whereas the State of Texas, acting through the Texas Health and Human Services (HHS), has designated the South Plains Association of Governments to act as the Area Agency on Aging (AAA), and whereas the AAA is the designated authority under the OAA to administer OAA funds, the AGENCY and the VENDOR hereto have severally and collectively agreed and by execution hereof are bound to the mutual obligations set forth herein and to performance and accomplishment of the tasks hereinafter described. III. CONTRACT PERIOD This agreement will become binding on the date of the signature by both parties. Notwithstanding this date, the term of the contract will begin on October 1, 2022 and end on September 30, 2023 or when available funds are depleted, whichever occurs first. The amount of the contract is $2,319.00 federal dollars per month and not to exceed a maximum of $27,828.00 for the contract period. IV. CONTRACT EXTENSIONS The parties to this contract may, by mutual agreement, extend this contract for a specified period. Any extension shall be in writing, with specific reference to this contract, and shall be subject to all of the terms and conditions of this contract and made a part thereof for all purposes. Senior Center Operations Contract FY23 Page 1 of 3 V. AMENDMENTS TO THE CONTRACT This agreement may be amended in writing upon mutual agreement by both parties or when dictated by implementation of laws and rules becoming effective within the contract period as pertains to the scope of this contract and its attachments. Amendment to this contract is also made upon submission to and approval by the AGENCY of an amended budget. VI. CONTRACT PURPOSE The purpose of this contract is to provide funds to pay for the operation of the senior citizen site. These funds are to be utilized for the expense of utilities, rent, salary, and indirect cost. VII. DEFINITION OF SENIOR CENTER OPERATIONS The operation of community facilities where older individuals meet together to pursue mutual interests, receive services and/or take part in activities which will enhance their quality of life, support their independence, and encourage their continued to involvement in and with the community. VIII. CONTRACT GOAL The goal of this contract is to provide funding for the daily cost of the operations at the Senior Citizen site to ensure that participants will have a community facility to assemble. IX. FUNDING OBLIGATIONS The VENDOR acknowledges the AGENCY'S obligation hereunder for payment, in consideration of full and satisfactory performance of activities described in this contract, is limited to monies received from the Texas Health and Human Services (HHS), the State of Texas, and any other originating funding source. The AGENCY shall not be liable to the VENDOR for costs incurred or performance rendered unless such costs and performances are strictly in accordance with the terms of this contract, including but not limited to, terms governing the VENDOR'S promised performance and unit rates and/or reimbursement capitations specified. The AGENCY shall not be liable to the VENDOR for any expenditures which are not allowable costs as defined in the Code of Federal Regulations (CFR) Part 200 §200.405, as amended, or which expenditures have not been made in accordance with the fiscal guidelines and requirements outlined by the AGENCY. The AGENCY shall not be liable to the VENDOR for expenditures made in violation of regulations promulgated under the OAA, as amended, or in violation of the AGENCY rules. UGMS, or this contract. Senior Center Operations Contract FY23 Page 2 of 3 XIV. ACCEPTANCE OF CONTRACT I, the undersigned, certify that I have read and understand the terms of this contract and that this agency will abide by them. I further certify that I am authorized to sign for the VENDOR agency. City of Lubbock Legal Name of Co acted Provider Si ature Tray Payne Printed/Typed Name of Signer September 30, 2022 Date South Plains Association of Governments of A ge on Aging Sign Tim C. Pierce Printed/Typed Name of Signer September 30 2022 Date Senior Center Operations Contract FY23 Page 3 of 3