STATE FINANCIAL ASSISTANCE. Sub-Recipient who receive state financial assistance and who are determined to be a recipient/sub-recipient must comply with the following fiscal laws, rules, and regulations: Sections 215.97 & 215.971, F.S. Chapter 69I-5, F.A.C. State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules, and regulations REMAINDER OF THE PAGE INTENTIONALLY LEFT BLANK FUNDING SUMMARY (2021-2022) Note: Title 2 CFR, as revised, and Section 215.97, F.S., require that the information about Federal Programs and State Projects included in Attachment II, Exhibit 1, be provided to the recipient. Information contained herein is a prediction of funding sources and related amounts based on the contract budget.
STATE FINANCIAL ASSISTANCE. Providers who receive state financial assistance and who are determined to be a recipient/subrecipient, must comply with the following fiscal laws, rules and regulations: Section 215.97, Fla. Stat. Chapter 69I-5, Fla. Admin. Code State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules and regulations ATTACHMENT III CERTIFICATION REGARDING DATA INTEGRITY COMPLIANCE FOR AGREEMENTS, GRANTS, LOANS AND COOPERATIVE AGREEMENTS The undersigned, an authorized representative of the Contractor named in the contract or agreement to which this form is an attachment, hereby certifies that:
STATE FINANCIAL ASSISTANCE. In accordance with section 215.971(1), Florida Statutes (F.S.), the Grantee may utilize any provided commodities or services only in accordance with this Agreement.
STATE FINANCIAL ASSISTANCE. Contractors who receive state financial assistance and who are determined to be a recipient/sub-recipient must comply with the following fiscal laws, rules, and regulations: Sections 215.97 & 215.971, F.S. Chapter 69I-5, F.A.C. State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules, and regulations ATTACHMENT II EXHIBIT 2 - FUNDING SUMMARY Note: Title 2 CFR Part 200, as revised, and Section 215.97, F.S. require that the information about Federal Programs and State Projects included in Attachment II, Exhibit 1, be provided to the recipient. Information contained herein is a prediction of funding sources and related amounts based on the contract budget.
STATE FINANCIAL ASSISTANCE. Contractors who receive state financial assistance and who are determined to be a recipient/sub-recipient must comply with the following fiscal laws, rules, and regulations: Sections 215.97 & 215.971, F.S. Chapter 69I-5, F.A.C. State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules, and regulations ATTACHMENT II-EXHIBIT 2 FUNDING SUMMARY (2022-2023) Note: Title 2 CFR, as revised, and section 215.97, F.S., require that the information about Federal Programs and State Projects included in Attachment II, Exhibit 1, be provided to the recipient. Information contained herein is a prediction of funding sources and related amounts based on the contract budget. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF THE FOLLOWING: GRANT AWARD (XXXX#): FEDERAL AWARD DATE: DUNS NUMBER: PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT TOTAL FEDERAL AWARD COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: FEDERAL FUNDS: 2 CFR Part 200 – Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. OMB Circular A-133 – Audits of States, Local Governments, and Non-Profit Organizations STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF THE FOLLOWING: MATCHING RESOURCES FOR FEDERAL PROGRAMS PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT TOTAL STATE AWARD STATE FINANCIAL ASSISTANCE SUBJECT TO SECTION 215.97, F.S. PROGRAM TITLE FUNDING SOURCE CSFA AMOUNT Community Care for the Elderly General Revenue 65.010 $XXX,XXX.00 TOTAL AWARD $XXX,XXX.00 COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: STATE FINANCIAL ASSISTANCE Sections 215.97 & 215.971, F.S., Chapter 69I-5, F.A.C., State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules, and regulations ATTACHMENT III CERTIFICATIONS AND ASSURANCES SRA will not award this contract unless Contractor completes this CERTIFICATIONS AND ASSURANCES. In performance of this contract, Contractor provides the following certifications and assurances: Debarment and Suspension Certification (29 CFR Part 95 and 45 CFR Part 75) Certification Regarding Lobbying (29 CFR Part 93 and 45 CFR Part 93) Nondiscrimination & Equal Opportunity Assurance (29 CFR Part 37 and 45 CFR Part 80) Certification Regarding Public...
STATE FINANCIAL ASSISTANCE. Providers who receive state financial assistance and who are determined to be a recipient/sub-recipient must comply with the following fiscal laws, rules and regulations: Section 215.97, F.S. Chapter 69I-5, F.A.C. State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set forth in program, laws, rules and regulations ATTACHMENT II EXHIBIT 2 FUNDING SUMMARY Note: Title 2 CFR, as revised, and Section 215.97, F.S. require that the information about Federal Programs and State Projects included in Attachment II, Exhibit 1 be provided to the recipient. Information contained herein is a prediction of funding sources and related amounts based on the contract budget. FEDERAL RESOURCES AWARDED TO THE PROVIDER PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT Older Americans Act Title III B - Support Services U.S. Health and Human Services 93.044 $xxx,xxx.00 Older Americans Act Title III B -2020 Carry Forward U.S. Health and Human Services Carry Forward 93.044 $xxx,xxx.00 Older Americans Act Title III Cl -Congregate Meals U.S. Health and Human Services 93.045 $xxx,xxx.00 Older Americans Act Title III Cl -2020 Carry Forward U.S. Health and Human Services Cany Forward 93.045 $xxx,xxx.00 Older Americans Act Title Ill C2 -Home Delivered Meals U.S. Health and Human Services 93.045 $xxx,xxx.00 Older Americans Act Title III C2 -2020 Carry Forward U.S. Health and Human Services Carry Forward 93.045 $x,xxx.00 Older Americans Act Title III E -Caregiver Support Services U.S. Health and Human Services 93.052 $xxx,xxx.00 Older Americans Act Title III E - 2020 Carry Forward U.S. Health and Human Services Carry Forward 93.052 $ x,xxx.00 Older Americans Act Nutrition Services Incentive Program (NSIP) U.S. Health and Human Services 93.053 $xxx,xxx.00 TOTAL FEDERAL AWARD $x,xxx,xxx.00 COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS: FEDERAL FUNDS: 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.
STATE FINANCIAL ASSISTANCE. Providers who receive state financial assistance and who are determined to be a recipient/subrecipient, must comply with the following fiscal laws, rules and regulations: Section 215.97, Fla. Stat. Chapter 69I-5, Fla. Admin. Code State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules and regulations ATTACHMENT III RECEIPTS AND EXPENDITURE REPORT FIXED CAPITAL OUTLAY RECIPIENT NAME, ADDRESS, PHONE# and XXXX# Program Funding Source: General Revenue This Report Period: FROM TO Contract Period : Contract # Report # CERTIFICATION : I certify to the best of my knowledge and belief that this report is complete and correct and all the outlays herein are for the purposes set forth in the above contract. Prepared by : Date : Approved by : Date :
STATE FINANCIAL ASSISTANCE. Providers who receive state financial assistance and who are determined to be a recipient/subrecipient, must comply with the following fiscal laws, rules and regulations: Section 215.97, Fla. Stat. Chapter 69I-5, Fla. Admin. Code State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules and regulations Appendix 4 Service Provider Qualifications Required Service Qualified Provider Types License Authority CertificationAuthority Other Standards Adult Companion Home Health Agency Ch. 400, Part III, F.S. Optional; must meet Federal Conditions of Participation under 42 CFR 484 Homemaker/Companion Agency Ch. 400.509, F.S. Nurse Registry Ch. 400.506, F.S. CCE Provider Ch. 400.203 F.S. As defined in Ch. 400.203, F.S.; registration in accordance with Ch. 400.509, F.S. Adult Day Health Care Adult Day Care Center Ch. 409, Part III, F.S. Assisted Living Facility Ch. 429, Part I, F.S. Assisted Living Services Assisted Living Facility Ch. 429, Part I, F.S. Case Management Contractor ONLY Case managers must be qualified in one of the following ways: (a) have a Bachelor's Degree in Social Work, Sociology, Psychology, Gerontology or related field, (b) be a Registered Nurse, licensed to practice in the state, (c) have a Bachelor's Degree in an unrelated field and at least two (2) years of geriatric experience, or (d) be a Licensed Practical Nurse (LPN) with four (4) years of geriatric experience. All case managers must have at least 2 years of geriatric experience and 4 hours of in service training annually and the Abuse and Neglect Exploitation training (which shall be approved in advance by the Department). Chore Services General Contractor Ch. 489.131, F.S. Pest Control Business Ch. 482.071, F.S. Commercial Cleaning Company* Applicable local business license or certificate required Home Health Agency Ch. 400, Part III, F.S. Optional; must meet Federal Conditions of Participation under 42 CFR 484 CCE Provider Ch. 400.203 F.S. As defined in Ch. 400.203, F.S.; registration in accordance with Ch. 400.509, F.S. Back to 10-Q Exhibit 10.9 ConsumableMedical Supplies Home Health Agency Ch. 400, Part III, F.S. Optional; must meet Federal Conditions of Participation under 42 CFR 484 Home Medical Equipment Provider Ch. 400, Part X, F.S. Pharmacy Prescription Drug Wholesale Distributor* Appropriate Department of Health Licensure Required or applicable local business license Assisted Living Facility* Ch. 429, ...
STATE FINANCIAL ASSISTANCE. Sub-Recipients who receive state financial assistance and who are determined to be a recipient/sub-recipient must comply with the following fiscal laws, rules and regulations: Sections 215.97 & 215.971, F.S. Chapter 69I-5, F.A.C. State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules and regulations Note: Title 2 CFR, as revised, and Section 215.97, F.S. require that the information about Federal Programs and State Projects included in Attachment II, Exhibit 1 be provided to the recipient. Information contained herein is a prediction of funding sources and related amounts based on the contract budget. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF THE FOLLOWING: PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT U.S. Health and Human Services 93.044 $ U.S. Health and Human Services 93.043 $ TOTAL FEDERAL AWARD $ COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: FEDERAL FUNDS: 2 CFR Part 200 – Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. OMB Circular A-133 – Audits of States, Local Governments, and Non-Profit Organizations ATTACHMENT II EXHIBIT 3 1Instructions to Auditors for the Statement of Functional Expenses as Required by DOEA: INTRODUCTION The Auditor General’s Report No. 02-047 revealed that the functional expense statements contained in the audit reports of the recipients and sub-recipients of the Department of Elder Affairs (Department) funds varied widely both in presentation and in allocation methodology. As a result, the Auditor General’s report recommended that a functional expense statement template be designed and utilized to provide for more uniform consistency and comparability between organizations as well as comparability between actual, audited historical costs and the contracted rates. These instructions are to help guide auditors when preparing the functional expense statement in the form prescribed by contract by the Department of Elder Affairs (see contract between recipient/sub-recipient and the Department of Elder Affairs). In accordance with Statement of Financial Accounting Standards No. 117, voluntary health and welfare organizations are required to provide a statement of functional expenses in their general-purpose external financial statements. Most of the organizations receiving funds directly or indirectly from...
STATE FINANCIAL ASSISTANCE. Sub-Recipients who receive state financial assistance and who are determined to be a recipient/sub-recipient must comply with the following fiscal laws, rules, and regulations: ATTACHMENT II EXHIBIT 2 - FUNDING SUMMARY
