a 1 a D B : D ) B la 5 2 09 2 o a 3 E D 3 - CULLMAN COUNTY CO - M M IS:SION PROCLAMATION Domestic Violence Awareness Month WHEREAS, domestic violence is ai major public concern for our State and Nation and is now the single largest WHEREAS, domestic violence affects people of all ages, racial, socioeconomic, educational, religious, and WHEREAS, children from violent homes are physically abused or seriously neglected at a rate significantly higher than the national average and have greater risks of alcohol/drug abuse, juvenile delinquency, cognitive and cause ofi injury to women; and occupational segments of our society, especially children; and developmental problems as well: asi fear, anxiety, and guilt, and WHEREAS, domestic violence is not a private family matter but a crime. the consequences ofwhich reach with WHEREAS, domestic violence represents a pattern of assault and coercive behavior that will escalate in WHEREAS, public awareness and education about domestic violence are needed as well as uniform efforts on the part of government, health professionals, law enforcement, religious organizations, educators, and community associations to address domestic violence through prevention, intervention, and treatment for victims and perpetrators. NOW, THEREFORE, THE CULLMAN COUNTY COMMISSION proclaims that October 2023 be designated as Domestic Violence Awareness Month and urges our citizens to recognize and assist all those that serve devastating effects on the communities, schools, and workplaces of our nation;and frequency and severity ifintervention does not occur, and the rights and needs of victims of domestic violence. DONE AND PROCLAIMED this the 17b day of October 2023. Attest: w feffClemons, Chairman pnimnen Tiffay Meriman, County Clerk Commissioner Mhhak N N CULLMAN COUNTY CO M MISSION PROCLAMATION Breast Cancer Awareness Month WHEREAS, during National Breast Cancer Awareness month, we honor all those who lost their lives tol breast cancer, and stand in unity with breast cancer survivors, those currently battling the disease, friends and family of a diagnosed patient and applaud the efforts and advancements made in the search for a cure; WHEREAS, an estimated 300,000 women will be diagnosed with breast cancer in the United States in 2023, and although, both women and men can have breast cancer, women are at a higher risk; women with family history of breast cancer, women older than fifty, or those who are not physically active, are atal higher risk; and, WHEREAS, research shows that regular screening, early detection, and prompt tréatment can significantly reduce suffering and deaths caused by the disease, we support efforts to increase awareness of scréening options and encourage individuals to maintain regular screenings; and, WHEREAS, the Centers for Disease Control and Prevention (CDC) provides breast and cervical cancer NOW,THEREFORE, THE CULLMAN COUNTY COMMISSION proclaims that October 2023 be screenings and diagnostics to low-income, uninsured, and underinsured women across the United Sates. designated as Breast Cancer Awareness Month. DONE. AND PROCLAIMED this the 17h day of October 2023. Attest: lu dam/ feff'Clemons, Chairman KerryWAtson, itan GanMarehman, Commissioner 273 IAAA - Kelly Duke, Commissioner Coreyfreeman, Commissioner A nemman Tiffany Metriman, County Clerk CULLMAN COUNTY COMMISSION RESOLUTION # 2023-45 WHEREAS, the Cullman County Commission has elected to apply for al Land and Water Conservation Fund (LWCF) Competitive Grant from ADECA's LWCF program to construct a splashpad at Smith Lake Park, along with improvements to the existing pool; WHEREAS, said program is limited to a funding maximum of fifty percent (50%) ofthe proposed project cost up to $400,000.00 in LWCF grant funding which will be used to develop as splash pad consisting ofs several water features, plus needed improvements tot the THEREFORE, be it resolved by the County Commission of Cullman County, Alabama, hold ini reserve fifty percent (50%)ofthe proposed project cost for the purpose ofmatching BE IT FUTHER RESOLVED THAT, JEFF CLEMONS, CHAIRMAN, is hereby authorized to execute and submit an application with appropriate assurances to the State of Alabama, Department of Economic and Community Affairs, requesting Fiscal Year 2024 Land and Water Conservation Funds (LWCF) to construct the above referenced splash pad THAT, THE CULLMAN COUNTY COMMISSION will provide a local cash match of and, existing pool; and, the Land and Water Conservation Fund assistance; and, and repair the existing pool; and up to 50% oft the total project cost. READ AND ADOPTED this the 17th day of October 2023. SIGNED FOR THE CULLMAN COUNTY COMMISSION: peffClemons, Chairman hh Attest: DAnympmmen County Clérk State of Alabama Cullman County RESOLUTION NO. - 2023-44 WHEREAS, the Cullman County Commission on the basis of an engineering and traffic investigation determines that the maximum speed permitted under Article 8, Title 32, Chapter 5A, Code of Alabama, 1975 for the County Road 388 is greater than is reasonable and safe under the conditions found to exist upon said road; itis THEREFORE RESOLVED, that the proper maximum speed for County Road 388 is set at 30 miles per hour at all times and no person shall operate a motor vehicle in excess of 30 miles per hour set speed on said County Road 388; and punished pursuant to Title 32, Chapter 5A, Code of Alabama, 1975. ITISFURTHER RESOLVED, that any violations of this Resolution shall be unlawful ADOPTED this the 17th day of October 2023. 4 lew/ EFF CLEMONS,CHAIRMAN 4 GARBXI MARCHMAN COMMISSIONER KERRY WATSON COMMISSIONER Blyfk KELLYI DUKE COMMISSIONER, f fanchn ATTEST: Ciymimen COUNTYCLERK COMMISSIONER State of Alabama Cullman County RESOLUTION NO. - 2023-43 WHEREAS, the Cullman County Commission on the basis of an engineering and traffic investigation determines that the maximum speed permitted under Article 8, Title 32, Chapter 5A, Code of Alabama, 1975 for the County Road 645i is greater than is reasonable and safe under the conditions found to exist upon. said road; iti is THEREFORE RESOLVED, that the proper maximum speed for County Road 645 is set at 25 miles per hour at all times and no person shall operate a motor vehicle in excess of 25 miles per hour set speed on said County Road 645; and punished pursuant to Title 32, Chapter 5A, Code of Alabama, 1975. ITISFURTHER RESOLVED that any violations of this Resolution shall be unlawful ADOPTED this the 17th day of October 2023. CHAIRMAN hhsl 1 wh ARRYMACHMAN COMMISSIONER KERRY WATSON COMMISSIONER Plyhik KELLYI DUKE COMMISSIONER COMMISSIONER A ATTEST: Donmerman CQUNTYCLERK CULLMAN COUNTY COMMISSION RESOLUTION #2023-46 WHEREAS, the Cullman County Commission has elected to apply for an Edward Byrne Memorial JAG Fund grant from ADECA'sLaw: Enforcement and Traffic Safety Division, Local Law Enforcement Assistance Grants for Equipment Purchases Competitive Grant program to purchase equipment for the Cullman County Sheriff's Department, including a Drug Terminator or evidence incinerator and software upgrades for the evidence: room. THEREFORE, be it resolved by the County Commission of Cullman County, Alabama, THAT,JEFF CLEMONS, CHAIRMAN, is hereby authorized to execute and submit an application with appropriate assurances to the State of Alabama, Department of] Economic and Community Affairs, requesting Fiscal Year 2024 Edward Byrne Memorial JAGFunds ini the amount of up to $50,000, to purchase the above referenced equipment; and, THAT, THE CULLMAN COUNTY COMMISSION will not be required to provide a as follow: local cash match in support oft this project. READ AND ADOPTED this the 17th day of October 2023. SIGNED FOR THE CULLMAN COUNTY COMMISSION: L daw petf Clemons, Chairman Attest: Jyonpmmon Coury Clerk CULLMAN COUNTY COMMISSION Tentative Commission Meeting Dates for 2024 Month January 2024 February 2024 March 2024 April 2024 May 2024 June 2024 July 2024 August 2024 September 2024 October 2024 November 2024 December 2024 Date Time 6:00 pm 6:00 pm 6:00 pm 6:00 pm 6:00 pm 6:00 pm 6:00 pm 6:00 pm 6:00 pm 6:00 pm 6:00 pm 6:00 pm Location Thursday, January 18 Thursday, February 22 Tuesday, March 19 Thursday, April 18 Tuesday, May 21 Tuesday, June 18 Tuesday, July 16 Tuesday, August 13 Tuesday, September 17 Thursday, October 17 Tuesday, November 19 Tuesday, December 10 Commission Meeting Room Commission Meeting Room Commission Meeting Room Commission Meeting Room Commission Meeting Room Commission Meeting Room Commission Meeting Room Commission Meeting Room Commission Meeting Room Commission Meeting Room Commission Meeting Room Commission Meeting Room Meetings are normally held on the third' Tuesday of each month unless therei is a Monday holiday, then iti is * Aprili is scheduled on the 3rd' Thursday due to the Election, August is moved up one week due to ACCA held on' Thursday of that week. conference and December iss scheduled: a week prior due to thel holidays. Boh NORTH CENTRAL ALABAMA HIGHWAY SAFETY OFFICE P.O. Box 1300 . Russellville, AL 356530F PHONE#256-324138 Eddlierussell4nanso@gmal.com Traffic Enforcement Agreement Fiscal Period: October 01, 2023 - September 30, 2024 (NOT the same as a grant's authorized. spending period during this Agreement. Period) The Franklin County Commission (FCC) has made application to the Law Enforcement & Traffic Safety (LETS) division ofthe. Alabama Department of Economic and Community Development (ADECA) and been given approval under the following approved Application as follows; North Alabama Highway Safety Office (NAHSO) 402 Administrative Grant Under this project, thel Franklin County Commission will act in its role as the approved Sub Grantee for All Traffic Safety Funding and will be the pass-through agency for the National Highway Traffic Safety Administration (NHISA)ADECA LETS Traffic Safety Funds within the 17 County ADECA/LETS Region herein thel North Central Alabama area. The funds for this agreement were awarded by NHTSA and are passed through ADECA and thel FCC/NAHSO. Therefore, all expenditures are subject to all federal and state laws, rules, and regulations, including LETS policy letters. This agreement is entered by North Central Alabama Highway Safety Office, located at the Franklin County Commission, hereinafter: referred to as "NAHSO", and the governing entity of the law enforcement department oft the following: Cullman Sheriff Department, hereinafter referred to as "AGENCY", for official participation in thel North Central Alabama Highway Traffic Safety Office Program grant and/grants, and are at allowable rates of pay, plus allowable FICA fringe, for traffic safety enforcement. The term of this agreement will be from October 01, 2023 through September: 30, 2024; however, the agreement period may not be the same: as the grant's authorized spending period during the Upon approval of grant(s), funding and authorized spending periods will be made available to the AGENCY through the CORE reporting system by NAHSO. This Agreement: for NAHSO Grant Participation is not a notice of grant NO AGENCY will be approved to receive traffic enforcement funding without having entered into this agreement with thel North Alabama Highway Safety Office. NO. AGENCY will be approved to receive enforcement funding without having an approved overtime policy adopted by its GOVERNING ENTITY. If an agency does not have an approved overtime policy, its GOVERNING ENTITY may agree to adopt the one attached to this agreement, which meets the minimum requirements set forth to participate in this program. Ifan AGENCY is awarded grant traffic enforcement funds, the authorized spending dates and amounts will be recorded on the CORE: reporting system and will include information such as the grant's/grants' name and number, as well as the CFDA: number that applies to each specific grant. After thei initial notification of funding allocation is made to the AGENCY, any adjustments in the funding level, time, and/or scope oft this agreement and/or the grant(s); will only be accomplished through the CORE reporting system website NAHSO has the authority to rescind the AGENCY's grant funding at any time, even without voluntary release ofs such funds by the AGENCY, due to non-compliance, non-expenditure, lack ofs submitted reimbursement claims, or for any Each agencywill be responsible for keeping on file ALL paperwork pertaining to each grant that a reimbursement claim is filed. ADECA reserves the right to audit any agency at any time to assure that all documents that have been submitted are correct. Documents that should bel kept on file by the agency are as follows; (1.) contract with NAHSO, (2.) CORE: Project Reimbursement Form, (3.) CORE Roll-Up form, (4.) CORE signed contact report(s): for each person claiming reimbursement hours on the grant, (5.) copy or electronic image of every citation and warning citation claimed on the grant, (6.) time sheets or time cards identifying regular hours worked and overtime hours worked on traffic grant, (7.) City or County overtime policy. The above-mentioned paperwork should bel kept on file by each agency for 2024-FP-CP-017. fiscal year. funding approval but is required for the AGENCY's receipt of grant funding. by the NAHSO. other reason deemed necessary by) NAHSO. 1 no less than 3 years from the date oft the grant enforcement period. Each agency will be notified ifaf file auditi is requested. Any agency that unable to produce ALL forms required to verify the claims that have been submitted tot the NAHSO, willl be required to refund ALL funds that were reimbursed on the grant in question. Reimbursement claims (CORE forms) are encouraged to be submitted to NAHSO on the same schedule as the The Chief Law Enforcement Official will serve as the AGENCY Representative unless he or she delegates the responsibility. The ChiefLaw Enforcement Official may appoint a department representative to be the AGENCY Representative ifh he or she chooses. The. AGENCY Representative will also serve as the primary contact person for communications and correspondence between the AGENCY and NAHSO. Ift the AGENCY Representative is designated as someone other than the ChiefLaw Enforcement Official, this person must bei identified within this Agreement (or by The AGENCY is solely and exclusively responsible for all expenditure documentation submitted to NAHSO and shall ensure the accuracy of all such documentation and reports submitted, including but not limited to, hours reported, computation of salary/fringe benefits and reimbursement, and pay rates. The. AGENCY shall hold harmless and indemnify FCC and /or NAHSO from and against any loss, claim for reimbursement, or any claim whatsoever in any way, relating to any error or omission ini the reimbursements claimed, documentation and reports submitted, and/or grant funds The agency is subject to a "Review of Claims Process" by either. ADECA/LETS or NAHSO at any time during the course oft this funding agreement. The purpose of the review is to ensure that the law enforcement agencies who receive overtime funding from ADECA/LETS are in compliance with their requirements for funding. Conducting periodic reviews will identify whether there are deficiencies in the claim submission process which may result in inaccurate claims. Upon the completion oft this review, ift there are any deficiencies/ errors identified, the Agency will be required to reimburse ADECA/LETS for those identified deficiencies. This process will be as follows: The Agency will be required to issue a check to the Franklin County Commission, who then in return will do the same to the LETS Division ADECA of for the overall total amount ofthe identified deficiencies, as it relates to each project and/or grant for each funding year that in which the AGENCY' Pay Period Follows. notification of change ifa after this Agreement has been signed). distributed ini reliance thereon. deficiencies /errors occurred. In the event that the. Agency refuses to reimburse the Franklin County Commission and/or ADECA LETS for the Identified errors in claims that has already been paid legal action maybe against the said Agency to address the situation. The said Agency will forfeit future funding opportunities in regards Traffic Safety Funds. The. AGENCY, inj performance ofi its operations and obligations, shall: not be deemed tol be an agent of FCC orl NAHSO, but shall be an independent contractor in every respect. The. AGENCY is solely responsible for the acts and omissions ofi its employees and agents. NAHSO assumes no responsibility the way or means by which the AGENCY performs its activities pursuant to this agreement. The. AGENCY will also be deemed as an Independent Contractor in all Subject to the terms of the grant, NAHSO agrees to reimburse the AGENCY, subject to availability of grant funds, for the actual traffic enforcement worked under an NAHSO grant project, provided the activity is documented in accordance program requirements, as set forth by NAHSO, with final approval by ADECA, and in accordance with funding guidelines. All commitments for reimbursement shall be limited to the availability of grant funds. aspects related tol Federal/State Accounting programmatic annual audits. Termination for Cause. If, through any cause, the Agency shall fail to fulfill in a timely manner its obligations under this Agreement, or if the Agency shall violate any of the covenants, agreements or stipulations of this Agreement, and such failure or violation is not corrected immediately. NAHSO will immediately terminate this Agreement by giving verbal and written notice (email, etc.)t to the. Agency ofs such termination. 2 Signatures required: Jm hA Signature of AGENCYSAuthorizing Official Mayor/Comm. Chair) authorizedi to enter Agreement Jeffclem' Clemons Printed Name of Authorizing Officiala andTitle Mayor/Comm. Chair) Ad of 'N ofChefLE Officiala andTitle (Chief/Sheriff) MAE Printed Name Senty Signature AGENCY'sCyefl Law-Enforcement Official s (ChiefgfPolicé or (Sheriff) Eab Raneis Signature of Region Director North Central Alabama Highway Safety Office Eddie) Russell Printed Name of Region) Director 3 NARCOG POSITIVELY IMPACTING PEOPLE AND COMMUNITIES September25, 2023 Cullman County Commission: Ihave enclosed a copy of the NARCOG Title III Area Agency on Aging FY: 2024 contract for Title II services covered under the Older Americans Act (OAA), along with a HIPPA Business Associate Agreement. The Title III contractincludes the following OAA: services: Title III-B! Supportive Services Title III-C Nutrition Services Please ensure all contracts and agreements are signed in BLUE ink and returned following review and approval byt the Cullman County Commission. Following the approval of the contracts by the NARCOG Executive Director, we will return Thank you for your continued: support and assistance and Hlook forward to working with the Cullman County Commission and Commission on Aging during If youl have questions regarding the contracts or provisions, please do not an original, fully-executed copy to you for your records. FY2024. hesitate to contact me. Sincerely, 08 Justin Graves NARCOG, Area Agency on Aging Director (256) 355-4515, Ext. 261 graves@narcog.org North Central Alabama Regional Council of Governments 216. Jackson. Street. SE * Posr Office Boxc. Decarus Alabama 3560: 255.355.4515 * Fax 256.351.1380 * WWW) narcog.org HIPAA BUSINESS ASSOCIATE AGREEMENT This HIPAA BUSINESS ASSOCIATE AGREEMENT IS MADE THE. 1 Governments (hereinafter referred to as the "COVERED ENTITY') AND Cullman County Commission (Hereinafter referred to as the "BUSINESS ASSOCIATE'). DAYOF Oct. 2023, BY AND BETWEEN THE North Central Alabama Regional Council of WHEREAS, COVERED ENTITY maintains and operates offices ini the State of Alabama and has an obligation under the Privacy Rule of the Health Insurance Portability and Accountability Act, Public Law 104-191, to protect the privacy of health information on the clients it serves; and WHEREAS, BUSINESS ASSOCIATE provides ancillary services which assist or complement COVERED ENTITY in the carrying out ofi its mission of providing individual and family assistance and services, including public assistance benefits toi its clients and thus may from time toi time have access to confidential health information of those clients; NOW THEREFORE, the parties agree as follows: 1. Definitions Catchall definition: Terms used, but not otherwise defined, ini this agreement shall have the same meaning as those terms in 45 C.F.R. Sections 160.103 and 164.501. Examples of specific definitions: listed above as Business Associate. (a) Business Associate. "Business Associate" shall mean the same person or entity (b) Covered Entity. "Covered Entity" shall mean the State of Alabama Department of Senior Services, including all local Area Agencies on Aging. (c) Individual. "Individual" shall have the same meaning as the term "individual" in 45 C.F.R Section 164.501 and shall include a person who qualifies as a personal representative in accordance with 45 C.F.R. Section 164.502(g). (d) Privacy Rule. "Privacy Rule" shall mean the Standards for Privacy of Individually Identifiable Health Information at 45 C.F.R. part 160 and part 164, subparts A and E. (e) Protected Health Information. "Protected Health Information" shall have the same meaning as the term "protected health information" in 45 CP.R. Section 164.501, limited to the information created or received by Business Associate from oron (f) Required By Law. "Required By Law" shall have the same meaning as the term (g) Secretary. "Secretary" shall mean the Secretary of the Department of Health and behalf of Covered Entity. "required by law" in 45 CF.R. Section 164.501. Human Services or his designee. 2. Obligations and Activities of Business Associate (a) Business Associate agrees to not use or disclose Protected Health Information other than as permitted or required by the Agreement or as Required By Law. (b) Business Associate agrees to use appropriate safeguards to prevent use or disclosure of the Protected Health Information other than as provided for by this Agreement. HIPAA Business Associates Agreement-NARCOG 1Page (c) Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is known to Business Associate of a use or disclosure of Protected Health Information by Business Associate in violation oft the requirements oft this (d) Business Associate agrees to report to Covered Entity any use or disclosure of the Protected Health Information not provided for by this Agreement of which (e) Business Associate agrees to ensure that any agent, including a sub DSP, to whom it provides Protected Health Information received from, or created or received by Business Associate on behalf of Covered Entity agrees to the same restrictions and conditions that apply through this Agreement to Business (f) Business Associate agrees to make internal practices, books, and records, including policies and procedures and Protected Health Information, relating to the use and disclosure of Protected Health Information received from, or created or received by Business Associate on behalf of, Covered Entity available in ai timely manner to the Covered Entity, or to the Secretary, or designated by the Secretary, for purposes of the Secretary determining (g) Business Associate agrees to document such disclosures of Protected Health Information and information related to such disclosures as would be required for Covered Entity to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 C.F.R. (h) Business Associate agrees to provide to Covered Entity or an Individual information collected in accordance with this Agreement to permit Covered Entity to respond in at timely manner to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 C.F.R. Section 164.528. Agreement. it becomes aware. Associate with respect to such information. Covered Entity's compliance with the Privacy Rule. Section 164.528. 3. Permitted Uses and Disclosures by Business Associate General Use and Disclosure Provisions (a) Except as otherwise limited ini this Agreement, Business Associate may use Protected Health Information for the proper management and administration of the Business Associate or to carry out the legal responsibilities of the Business (b) Except as otherwise limited in this Agreement, Business Associate may disclose Protected Health Information for the proper management and administration of the Business Associate, provided that disclosures are Required By Law, or Business Associate obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as Required by Law or for the purpose for which it was disclosed to the person, and the person notified the Business Associate of anyi instances of which it is aware in which the confidentiality of the information has been breached. (c) Except as otherwise limited in this Agreement, Business Associate may use Associate. HIPAA Business Associates Agreement - NARCOG 2IPage Protected Health Information to provide Data Aggregation services to Covered (d) Business Associate may use Protected Health Information to report violations of law to appropriate Federal and State authorities, consistent with Sec.I Entity as permitted by 45 C.F.R. Section 164.5040e)2)0(B). 64.502 ((). 4. Obligations of Covered Entity (a) Covered Entity shall notify Business Associate of any limitation(s) in its notice of privacy practices of Covered Entity in accordance with 45C.F.R. Section 164.520, to the extent that such limitation may affect Business Associate's use or disclosure of Protected Health Information. (b) Covered Entity shall notify Business Associate of any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, to the extent that such changes may affect Business Associate's use or disclosure of (c) Covered Entity shall notify Business Associate of any restriction to the useor disclosure of Protected Health Information that Covered Entity has agreed to ina accordance with 45 C.F.R. Section 164.522, to the extent that such restriction may affect Business Associate's use or disclosure of Protected Protected Health Information. Health Information. 5. Permissible Requests by Covered Entity Covered Entity shall not request Business Associate to use or disclose Protected Health Information in any manner that would not be permissible under the Privacy Rule if done by Covered Entity. 6. Term and Termination (a) Term. The Term of this Agreement shall be effective as of the day first written above, and shall terminate when all of the Protected Health information provided by Covered Entity to Business Associate, or created or received by Business Associate on behalf of Covered Entity, is destroyed or returned to Covered Entity, or, ifitis infeasible or illegal to return or destroy protected Health Information or, if for any other reason the business associate decides not to destroy or return PHI to the Covered Entity, protections are extended to such information, in accordance with (b) Termination for Cause. Upon Covered Entity's knowledge of a material breach by Business Associate, Covered Entity shall either: (1) Provide an opportunity for Business Associate to cure the breach or end the violation and terminate this Agreement if Business Associate does not cure the breach or end the violation within the time specified by covered Entity; (2) Immediately terminate this Agreement if Business Associate has breached a material term of this Agreement and cure is not possible; or; (3) Ifneither termination nor cure is feasible, Covered Entity shall report the the termination provisions in this Section. violation to the Secretary (c) Effect of Termination HIPAA Business Associates Agreement = NARCOG 3Page (1) Upon termination oft this Agreement, for any reason, Business Associate shall return or destroy all Protected Health Information received from Covered Entity, or created or received by Business Associate on behalfo of Covered Entity unless unfeasible or illegal to do 50 ort the business associate for any other reason decides not to return or destroy the PHI. This provision shall apply to Protected Health Information that is in the possession of DSPS or agents (2) Business Associate shall extend the protections of1 this Agreement to such Protected Health information for SO long as Business Associate maintains such of Business Associate. Protected Health Information. 7. Miscellaneous (a) Regulatory References. A reference in this Agreement to a section in the Privacy Rule means the section as in effect or as amended. (b) Amendment. The Parties agree to take such action as is necessary to amend this Agreement from time to time as is necessary for Covered Entity to comply with the requirements of the Privacy Rule and the Health Insurance Portability and (c) Survival. The respective rights and obligations of Business Associate shall survive the (d) Interpretation. Any ambiguity in this Agreement shall be resolved to permit Covered Accountability Act of 1996, Public Law No. 104-91 termination of this Agreement. Entity to comply with the Privacy Rule. EACH PARTY has caused this agreement to be properly executed oni its behalf as of the date first written above. FOR: Cullman County Commission Business Associate Baleff"Clem' Cems (Printed Name and Title) Aes Choimon 0ma3 (date) FOR: North Central Alabama Regional Council of Governments Covered Entity BY: Robby Cantrell, Executive Director (Printed Name and Title) eMChll (Signature) 10/30/23 (date) HIPAA Business Associates Agreement-NARCOG 4Page TITLE HI-FY2024 -Cullman NORTH CENTRAL ALABAMA REGIONAL COUNCIL OF GOVERNMENTS AREA AGENCY ON AGING CONTRACT FOR SERVICES UNDER TITLE III OF THE OLDER AMERICANS ACT OF 1965, AS AMENDED This agreement entered into by and between the North-central Alabama Regional Council of Governments, hereinafter referred to as NARCOG', and the Cullman County Commission, a body of corporate in the State of Alabama, hereinafter referred to as the "Contractor". NOW THEREFORE, the parties hereto do mutually agree as follows: 1. Statement of Purpose. NARCOG has been awarded a grant from the Alabama Department of Senior Services (ADSS) and is funding the undertaking of certain activities within Cullman, Lawrence, and Morgan Counties. NARCOG desires to engage the Contractor to render certain services in order to achieve thei following objectives hereinafter set forth under Title Ill oft the a. Secure and maintain maximum independence and dignity in a home and community based environment for olderi individuals capable of self-care with appropriate supportive b. Remove individual and social barriers to economic and personal independence for older Help reduce isolation and loneliness of older individuals by offering an opportunity to Older Americans Act of 1965, as amended: services; and individuals; and older individuals to live their remaining years in dignity. 2. Scope of Services. The Contractor shall do, perform and carry out, inasatifactoryand; proper manner as determined by NARCOG and in compliance with the guidelines, standards and regulations of Title III of the Older Americans Act of 1965, as amended, the services as described and listed in the "Scope of Services" for all Title IlI services and hereto attached and 3. Programmatic Reporting Requirements. All program required reports specified within this contract and exhibits are to be submitted by the specified due dates. Anyadditional reports, records or statistics requested by NARCOG shall be provided in a prompt and accurate manner. It is the Contractor's responsibility to review all reports for accuracy and 4. Effective Dates. This contract shall begin on October 1, 2023 and delivery of services being made a part oft this agreement as EXHIBITSA,B, Cand D. completeness prior to submitting the reports. provided under this contract shall end on September 30, 2024. 5. Insurance. The Contractor shall maintain General Liability insurance in sufficient amounts to safeguard all Title III property. Employees working in the Title III Program shall be covered by workmenscompensation insurance. A copy of the face sheet oft the insurance policy 1 TITLE III-FY2024 -Cullman and dates of coverage is to be mailed to NARCOG upon each renewal. In the event that insurance coverage is canceled, NARCOG is to be notified immediately. 6. Aging Match Requirements. The Contractor agrees to provide Aging Match annually towards the work done under this contract as per annual budget approved by the NARCOG Board of Directors. 7. Unserved/Ineligible/Improperly Documented Meals Compensation. The Alabama Department of Senior Services has issued a policy stating any meal not served to an eligible participant cannot be paid for with Title III funds. The Contractor must serve all meals ordered to eligible, registered participants. The Contractor must also properly account for all meals served on the monthly meals logs - the number of meals served from the Item Delivery Tickets must match the number of meals recorded on the monthly meals logs. Improperly documented meals are those that are not accounted for on the monthly meals logs. Therefore, the Contractor agrees to compensate NARCOG for all meals that are unserved, meals that are served to ineligible participants, and improperly documented meals. Invoices for unserved meals, meals served to ineligible person, and improperly documented meals will be sent to Contractor on a monthly basis. Payment is due upon receipt ofi invoice. 8. Project-related Income Procedures. Contractor shall maintain records of all project-related income/participant contributions. All program income must be reported to NARCOG. The gross amount of any participant contributions earned by the Contractor from activities, which are: supported by this Contract, shall be collected on a weekly basis. 9. Participant Contributions for Services. Contractors providing services under this agreement shall provide persons receiving such services with a free and voluntary opportunity to contribute to the cost of any services provided. Each individual recipient shall determine for him or herself what, if anything, he/she is able to contribute for the service. A participant may not be denied services or discriminated against because of his/her inability or failure to contribute. The Contractor shall protect the privacy of each person with respect to his or Participant contributions shall be expended monthly to supplement or expand the services The Contractor is responsible for following appropriate procedures set forth by NARCOG to 10. Maintenance of Funds. The Contractor shall maintain such records and accounts, including property, personnel and financial records, as are deemed necessary by NARCOG and the Alabama Department of Senior Services to assure a proper accounting of all project funds, including both federal and non-federal matching of funds expended. Budget revisions must her contributions. for which they were received. safeguard and account for all contributions. 2 TITLE I-FY2024 -Cullman be submitted to and approved in writing by the Area Agency on Aging Director and Executive Director of NARCOG. 11. Request for Funds. The Contractor agrees to submit a request for funds to NARCOG no later than the 15th of the month for the previous month's services. Requests for payments, or any partthereof, received after the 15thv will be paid thet following month. Payments shall be made subject to satisfactory completion of all required reports, as determined by the NARCOG. a. Itemized and signed receipts for all expenditures shall be retained by the Contractor for b. The Contractor agrees tor maintain adequate records of local and in-kind expenditures and to report such expenditures monthly on the Agency Contractor Monthly Request for review by NARCOG, ADSS, or State Examiners of Public Accounts. Reimbursement Form. 12. Payment of Funds. Subject to receipt of funds from ADSS, NARCOG agrees to pay the Contractor for all eligible expenses incurred while performing services outlined in this a. Payment of OAA funds shall be made by NARCOG on a monthly basis when a properly completed. Agency Contractor Monthly Request for Reimbursement Form (provided by NARCOG) has been submitted. Payment of American Rescue Plan (ARP) funds shall be b. The Contractor will not be reimbursed for more than one twelfth (1/12) of the contracted funds per month during the contract period. Local match (including participant donations) shall be spent first as necessary to meet monthly expenditure Reports on expenditures will include amounts of non-federal matching funds expended. d. Expenditures must be incurred during the contract period in order to be eligible for e. Itis expressly understood and agreed that in no event will the total compensation and reimbursement, if any, tol be paid hereunder, exceed the maximum sum stated in Title II Funding Allocations as stated in EXHIBIT E. It is also expressly understood that the Contractor may not exceed the number of meals as stated in Meals. Allocations in EXHIBIT E. These amounts may change based upon Notice of Grant Award (NGA) received from f. Participant contribution/sonations will also be reported monthly. They are to be reported on the Agency Contractor Monthly Request for Reimbursement Form and must agree with amounts received and recorded on the Contractor Daily Contribution Report. g. Itise expressly understood that NARCOG retains the right to withhold payment ifthe a. Fails to comply with any of the terms of this agreement, which include service quality, program standards, policies, and program requirements established by b. Fails to comply with corrective action plans established by NARCOG. d. Fails to pay fori ineligble/unserved/undocumented meals. Contract and as agreed upon between the Contractor and NARCOG. made by NARCOG on a quarterly basis. requirements. reimbursement. ADSS. Contractor NARCOG, ADSS, or by State or Federal Guidelines Fails to provide Aging Match funds. 3 TITLE I-FY2024-Cullman 13. Personnel. The Contractor represents that it has, or will: secure at its own expense, all personnel required in performing the services under this Contract. Such personnel shall not be employees of, or have any contractual relationship with, NARCOG (unless the employee Staff assigned to this Contract must meet the approval of NARCOG. NARCOG does reserve the right to intervene in personnel matters in circumstances that jeopardize the integrity of the Title II Program, includingreassgnment of contract personnel if deemed necessary. Contractor shall be fully licensed to perform the services under this agreement as required by all applicable laws and regulations. All services required under this Contract will be performed under the Contractor's supervision. All personnel engaged in the work shall be fully qualified and shall be authorized under state and local law to perform such services. a. Monitoring and Training. It shall be ther responsibility of the Contractor to develop a system of monitoring to ensure that program personnel perform their duties adequately. NARCOG reserves the right to establish minimum monitoring requirements and/or provide monitoring tools for use by Contractor. It is also the responsibility of the Contractor to train all program personnel (employees and volunteers) on all facets oft the program, provision of service and all relevant policies and procedures. NARCOG reserves the right to establish minimum training requirements, require specific training aterasymanuay/etereme guides b. In-service, Training, Workshops and Meetings. NARCOG requires appropriate personnel to attend in-service trainings sponsored by NARCOG and ADSS. Any waiver for personnel required to attend must receive approval from NARCOG. isa participant in the SCSEP), other than through this agreement. and/or provide training tools for use by Contractor. 14. Subcontracts. None of the work or services covered by this Contract shall be subcontracted by the Contractor to any other individual, agency, organization or company, 15. Confidentiality. No information obtained from or pertaining to an individual as a result of this contract will be disclosed in a form which shall identify an individual. The Contractor further agrees to protect the confidentiality of potential, active, and previous clients who are service recipients. Contractor is responsible for familiarizing personnel with 16. HIPAA Compliance. The Contractor is responsible for developing and implementing procedures and policies that adhere toi the Health insurance Portability and Accountability Act (HIPAA). The Contractor must also have a current HIPAA Business Associate Agreement on file with NARCOG stating it will adhere to all rules and requirements contained therein. confidentiality policies. 4 TITLE III-FY2024 Cullman 17. Computers and Other Data Devices. The Contractor agrees to take all necessary precautions to safeguard computer equipment and other data devices. Contractor agrees to annually update Anti-Virus software. Contractor is responsible for all maintenance of said computers and devices while in their possession. All computers and devices used away from the office containing participant information must be encrypted to protect the confidential information of participants. The Contractor shall immediately report any accidents or virus- related problems, as well as all lost or stolen computers or devices to NARCOG's Director of 18. Maintenance of Records. The Contractor shall maintain such records and accounts, including property, personnel, and financial records, as determined necessary by NARCOG, the Alabama Department of Senior Services, and government auditory standards. Participant information will be obtained, processed and maintained in a manner that assures the confidentiality of the participant will not be violated and HIPAA Guidelines are followed. The Contractor will be required to have al HIPAA Business Associate Agreement Aging. on file with NARCOG which covers all contracts. 19. Record Retention. a. Fiscal Records. All required fiscal records and are required to be retained fora specified period of six (6) years from the termination date of this contract. b. Program Records. All Title III Participant Enrollment Forms, participant sign-in sheets, home delivered meals delivery sheets, service logs, and any other program records must be retained by the Contractor for three (3) years from the termination date of this contract. 20. Audits and Inspections. During the Contract period, and as long thereafter as the records are required to be maintained, during normal business hours, NARCOG, Alabama Department of Senior Services, and/or the Comptroller General of the United States, or their authorized representatives, shall have the right of access to any books, documents, papers or other records (including electronic records) with respect to all matters covered by this Contract in order to make audit, examination, excerpts and/ortranscripts to determine effectiveness and efficiency of service delivery. The Contractor will cooperate with NARCOG and/or the Alabama Department of Senior Services in evaluating the effectiveness, feasibility and cost of contracted services. The Contractor shall provide NARCOG with a copy oft the official agency audit for the Contract period. 21. Identification of Support/Publicity/Recognition. a. The Contractor shall make available to NARCOG copies of all publications, flyers, outreach materials, advertisements, announcements, informational materials created by the Contractor (other than documents exclusively fori internal use by the Contractor) for use under this contract that publicize any services or programs covered under this contract. 5 TITLE II-FY2024 -Cullman b. All facilities (e.g., senior centers, Contractor's offices) supported through this contract shall display in a conspicuous place, an acknowledgement of support received from NARCOG and the Alabama Department of Senior Services. Said display Advertisements, announcements, reports, informational material and other documents completed as part of this Contract, shall indicate in a conspicuous place, an acknowledgement of support received from NARCOG and the Alabama Department of Senior Services. Said documents are to include the official logos of said agencies. Any major publicity given to the Title III programs must acknowledge that the program is funded in part by a grant from NARCOG, in cooperation with the istoi include the official logos of said agencies. Alabama Department of Senior Services. 22. Targeting of Services. The Contractor shall target older individuals with greatest economic need and older individuals with greatest social need (with particular attention to low- income olderi individuals, including low-income minority older individuals, older individuals with limited English proficiency, and older individuals residing in rural areas) in the delivery ofservices, as defined ini the Older Americans Act and supporting regulations. The Contractor will adhere to the targeting population in order to satisfy the needs of those individuals ini the areas falling in those categories. The Contractor assures an attempt to provide service to targeted individuals in at least the same proportion as the target 23. Outreach. The Contractor shall conduct outreach in a manner designed to target low- income, rural, and minority individuals. Outreach is initiated by the Contractor and is an intervention with individuals for the purpose of identifying potential participants (or their The Contractor is to provide to NARCOG specific objectives for providing outreach and include proposed methods for carrying out these objectives. NARCOG will provide a template for the Outreach Plan. The targeting and outreach plan will specify how the Contractor will conduct and/or coordinate outreach activities on an on-going basis to 24. Copyright. No report, data or other documents produced in whole ori in part under this Contract shall be the subject of an application for copyright or funding by or on behalf of population is toi the population of older individuals of the area. caregivers) and encouraging their use of existing services and benefits. ensure participation in the programs funded by the Title III funds. this Contractor. 25. Modification in Contract. NARCOG may from time to time require changes in the scope of services of the Contractor to be performed hereunder. Such changes, including but not limited to, any increase or decrease in the amount oft the Contractor's compensation and/or time limitations shall be incorporated in written amendments to this Contract. 6 TITLE III-FY2024 -Cullman 26. Termination of Contract. If through any cause the Contractor shall fail to fulfill in at timely and proper manner, its obligations under this Contract, or if the Contractor shall violate any of the covenants, agreements or stipulations oft this Contact, NARCOG shall have the right to terminate this Contract by giving written notice to the Contractor of such termination and specifying the effective date thereof, at least thirty (30) days before the effective date of In that event, all finished or unfinished documents and reports prepared by the Contractor, and equipment purchased from Aging funds shall, at the option of NARCOG, become the Upon such termination, the Contractor shall be entitled to receive just and equitable compensation for any work completed to the satisfaction of NARCOG. Upon any such breach by the Contractor and such termination, NARCOG may withhold payments to the Contractor until such time as the exact amount of damage due to NARCOG from the Ifthe Contractor cannot fulfill service delivery, he/she shall thereupon have the right to terminate the third party contract by giving written notice to NARCOG ofs such termination and specifying the effective date, thereof, at least thirty (30) days before the effective date 27. Contract Assurances. The Contractor agrees to abide by the following assurances included a. Assurance on Compliance with the U.S. Department of Justice Americans with such termination. property of NARCOG. Contractor is determined. of such termination. ini this contact in EXHIBITF: Disabilities Act b. Non-discrimination Affirmative Action Program -Lower Tier Covered Transactions Cooperative Agreements - Immigration h. Conflict of Interest Deficit Reduction Act Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion d. Certification Regarding Lobbying: Certification for Contracts, Grants, Loans and Certification Regarding Drug-free Work-place Requirements 7 TITLE III-FY2024 -Cullman 28. Notice, Contact, and Payee Information. a. The name, address, telephone number, fax number and e-mail address of the contract manager for NARCOG is: Name: Justin Graves, Area Agency on Aging Director Physical Address: 216. Jackson Street SE Mailing Address: PO Box C Decatur, AL 35601 Decatur, AL 35602 (256)355-4515, Ext. 261 (256)351-1380 ustingravesenarogors Phone: Fax: Email: b. The name, address, telephone number, fax number and e-mail address oft the representative responsible for administration of the program for the Contractor is: Name: Physical Mailing Phone: Fax: E-mail: Diphanie Lawson Address: 1539UPgEhHR Lake/ RdMW Address: PODOX/704 Cullman, AL 35056 Cullman, AL 35055 a56-734-1341 250-734-1280 SAuimeratwlama.us In the event different representatives are designated by either party after execution of this contract, notice of the name and address of the new representative willl be rendered in writing to the other party and said notification attached to originals of d. The name and mailing address of the official payee to whom the payment shall be this contract. made: Name: Gullman County Lenaussinaonrging Address: PD A BoK 1706 Cullman, AL 35056 8 TITLE III-FY2024 -Cullman IN WITNESS WHEREOF, this Agreement has been executed by the North Central Alabama Regional Council of Governments and the Contractor's authorized officers. Entered into on this, the 1st day of October, 2023. FORI NARCOG: RWahl 10/30/23 Date RobbyCahtrell, NARCOG Executive Director FOR CONTRACTOR: of Alabama BY: Cullman County, a Body Corporate in the State John M-Bullacd Cullman County Administrator (Print Name) M Administrator Cullnan County o/z/s Date (Signature) JefE u Cem Cemps Cullman County Commission Chairman (Print Name) a h 5on23 Date Cullman County Commission Chairman (Signature) 9 TITLE III-FY2024 -Cullman EXHIBITA SCOPE OF SERVICES TITLE II: ADMINISTRATION The Contractor shall do, perform and carry out in compliance with Title III guidelines, standards and regulations, and also in a proper and satisfactory manner as determined by NARCOG, the services described below for eligible recipients residing ini the service area. I. Staffing. The Contractor will be responsible for the hiring and supervision of adequate staff. A. The Contractor shall employ paid staff capable of performing the services in a satisfactory and proper manner, knowledgeable in dealing with and identifying needs of the elderly, to inform older persons oft the opportunities and services available to them and to assist them in taking advantage of appropriate resources. B. The Contractor will designate a particular person to serve as the Aging Director orA Administrator for the Title II Programs who will be responsible to the Contractor for the services to be rendered under this contract. At a minimum, each Senior Nutrition Center shall have a paid Center Manager and sufficient part-time personnel/yolunteers to perform the tasks according to the terms of this contract, including performing accurate recordkeeping, reporting and accounting duties. The part-time staff component may be one or acombination of paid staff, volunteers, Senior Aides, and/or program participants. D. Senior Nutrition Center Managers shall be required to attend all NARCOG meetings and trainings. On occasions when the Center Director cannot attend, a representative shall be sent on behalf oft the Center Manager. NARCOG staff shall provide initial and ongoing training and technical assistance to all Senior Center Managers. The Senior Nutrition Center Manager or a trained substitute shall be on site to manage the senior center during operational hours. The Contractor will provide program personnel with copies of its official administrative and/or personnel policies and will keep resumes and job The Contractor will keep job descriptions for current positions on file. E. applications from program employees on file. F. 10 TITLE II-FY2024 -Cullman G. Personnel employed by the Contractor to perform the services under the contract shall be subject to the employment practices, policies and procedures of the Contractor, including annual Center Manager performance evaluations. NARCOG is to be notified immediately, in writing, of any personnel changes affecting the Title III Program. This includes Contractor Office staff, as well as nutrition center managers or assistants in the nutrition centers. H. II. General Aging Program Administration. The Contractor shall: A. B. Work with NARCOG ini identifying service gaps and in planning and implementing Conduct public hearings and/or needs assessments in conjunction with NARCOG to give the general public an opportunity to express their concerns about existing Develop cooperative agreements with as many services providers as possible to create a coordinated and comprehensive service delivery system to the elderly. Develop and maintain, distribute and disseminate information regarding services and opportunities available to older persons through targeted outreach efforts. Provide an effective system to link people in need of services to the appropriate resources. This system will remain in place Monday through Friday during the programs. and needed aging services. C. D. E. Contractor's office hours. IH. Coordination and Public Awareness/Aging & Disability Resource Center Referrals. The Contractor will provide for public awareness through active outreach and referral services throughout the year by: A. B. Supporting and publicizing NARCOG's Aging & Disability Resource Center (ADRC). Offering seniors and those with disabilities needing additional information and/or further assessment of needs, a referral to NARCOG for a complete screening under the Aging & Disability Resource Center (ADRC). C.: Publicizing int the news media, as well as by other methods, matters pertaining to the elderly and those with disabilities. IV. Aging Information Management System (AIMS). The Contractor is required to participate ini the ADSS's computer reporting system, Aging Information Management System (AIMS). Participating ini this system includes the following: 11 TITLE III-FY2024 -Cullman A. Web AIMS User Access. 1. 2. Each new user must read and sign the NARCOG Information Security and Confidentiality Agreement, for Web AIMS Users. These forms will be The Authorizing Agent oft the contractor (typically the Aging Director or Administrator) must complete and sign the NARCOG Web. AIMS User provided to the Contractor by NARCOG. Account Request & Change Form: To add a new user. a. b. Tor request a change in user information. C. d. To add or remove user programs/services. A "Date Effective" must be specified for each action on the form. When an authorized user leaves the contractor's employ or they are no longer working with Web AIMS, that person's user ID and access must be deactivated immediately. The Authorizing Agent must submit to NARCOG a signed NARCOG Web. AIMS User Account Request & Change Form requesting this deactivation and include a "Date Effective". Participant Enrollment Forms. The Contractor shall maintain an individual record for each participant on the current Participant Enrollment Form as provided by the Alabama Department of Senior Services (ADSS). A Participant Enrollment Form shall be completed on each Title III participant for services 3. B. requiring that a participant be registered. 1. The contractor will refer to OAA service definitions provided by NARCOG to determine which participants require a Participant Enrollment Form to Participant Enrollment Forms are to be completed prior to the receipt of Participant Enrollment Forms must be filled out accurately and be completed. services. completely. 2. 3. 4. 5. Contractors will be responsible for entering all Participant Enrollment Each participant must have a current Participant Enrollment Form completed annually. A Participant. Enrollment Form is considered Forms in Web AIMS in at timely manner. outdated ifi it is more than 365 days old. 12 TITLE III-FY2024- -Cullman 2. Single Service or Multi-Service Logs. Single or multi-service service logs are used to report service units received by individual, registered participants. These services require each person receiving them to have ac completed and current (within one year) Participant. Enrollment Form on file. Units of service are to be recorded for each eligible participant on these logs, not as aggregate totals. IV. Transportation Services. A. In order to facilitate contact with social services available in the county, the Contractor shall provide transportation for the elderly in the service area Monday through Friday during Contractor's office hours. "Social Services" means any of the Title Ill-related services which meet such standards as NARCOG may prescribe for the general welfare of older persons, including but not limited to: Health and welfare, continuing education, information, recreation, Transportation to facilitate access to nutrition services; Services designed to encourage and assist older individuals to use the Shopping assistance trips to be coordinated with the Contractor for the Maintenance checks will be performed on a regular basis on each vehicle transporting aging program participants toi insure the safety of the vehicle(s). counseling or referral services; facilities available to them; senior centers. B. Accurate records will be kept on the following: Vehicle maintenance checks; Driver time sheets showing time spent on routes and mileage; Persons obtaining services and those requesting service. 14 TITLE III-FY2024 -Cullman EXHBITB/ATTACHMENT A Older Americans Act (OAA) FY24III-B Supportive Services Definitions Eligibility: Must be age 60 or older. Local funds must be used for services provided to those Verification: Must have enrollment form (Title III - Participant Enrollment Form) completed Complete with. ADL/IADL checklist for Personal Care, Homemaker, Chore, and Adult Day Target Population under OAA for services and programs: Age 60+ with greatest social and economic need, low-income, those residing in rural areas, limited English proficiency, and at under 60. annually with AAA staff approval for service delivery. Care/Health Services. greatest risk for institutional care (i.e., has at least two. ADL impairments). Service Category Personal Care Fund Source State Local Income Other Unit unit Definition Notes Title III-B Ihour =1 Assistance (personal assistance, Program Registered Living (ADLs) and/or health- Must have at least 2 impairments: dressing, bathing, toileting, transferring continence, feeding, or walking to assist with personal care needs. [OAA, Section 102(a) stand-by assistance, supervision, or of the following ADL cues) with Activities of Daily home and possibly other may include assistance with Instrumental Activities of Daily Living (IADLS). Example: dressing, bathing, personal grooming, toileting, transferring in/out ofl bed/chair, (22)(A)(); continence, feeding, or walking to OAA, Section 321(a) assist with personal care needs. Participant related tasks provided in aj person's personal grooming, community settings. Personal care in/out of bed/chair, (22)] Homemaker Title III-B lhour =1 Performance of light housekeeping Must have at least 2 State Local Income Other unit tasks provided in aj person' s home of the following ADL and possibly other community impairments: dressing, bathing, personal grooming, continence, feeding, or walking to assist with personal care needs. Program Registered settings. Task may include Participant preparing meals, shopping for personal items, managing money, toileting, transferring or using the telephone in addition in/out of bed/chair, to light housework. 15 TITLE I11-FY2024 Cullman Service Category Fund Source Unit Definition Notes [OAA, Section 102(a) (22)(A)(i); OAA, Section 321(a)(5)(C) Can include providing toj provide the other simple home repairs and upgrades to assist with independence. [OAA, Section 321(a)(5)(C) Must have at least one. ADL or IADL ADL - dressing, grooming, toileting, transferring in/out of bed/chair, continence, feeding, or walking to care needs. IADL - - telephone use, shopping, food preparation, housekeeping, laundry, mode of transportation, or medication management. [OAA, Section 102(a) (22)(A)(); OAA, Section 321(a)(5)(C) ADSS strongly encourages the use of III-B and/or ADRC Chore Title III-B 1Hour = 1 Performance of heavy household State Local Income Other Unit tasks provided in aj person's s home supplies for volunteers and possibly other community addition to heavy housework. Program Registered settings. Tasks may include yard assistance to build Participant work or sidewalk maintenance in ramps and toj provide Adult Day Care/Health State Title III-B 1Day (8 Local Program Income Other Services or activities provided to for a portion of a 24-hour day. hours) = 1 adults who require care and Unit *Partial supervision in aj protective setting impairment: Includes out ofh home supervision, bathing, personal days may health care, recreation, and/or be reported independent living skills training using two offered in centers most known as decimal places Registered Adult Day, Adult Day Health, Senior Centers, and Disability Day assist with personal Programs. Participant [OAA, Section 321(a)(5)(B)] Case Title III-B 1E Hour= = 1 Assistance either in the form of Management State Unit access or care coordination in circumstances where the older Local person is experiencing diminished state funds for 16 TITLE II-FY2024 -Cullman Service Category Fund Source Program *Partial Income Other Unit Definition Notes functioning capacities, personal activities that are not Medicaid or any other program fund source for situations that may require more intensive isoffered by the ADRC. *III-B Case Management can be a resource when the ADRC determines the need for a home visit. units may conditions or other characteristics covered under be reported which require the provision of (15-minute services by formal service increments) providers or family caregivers. lasting less and assessing needs, providing for CM than an hour Activities of case management options counseling, coordinating services, and providing follow-up as required. Short-term case times ofi immediate need before they have been connected to ongoing support and services. It may involve a home visit and more than one follow-up contact. provided by an attorney to older assistance include such practices as screening case management than Registered management is used to stabilize Participant individuals and their families in Legal Assistance Title III-B 1Hour=1 1 Legal advice and representation Program *Report in needs as defined in the OAA, *Time spent providing legal should be reported in State Local Income Other Unit actual minutes individuals with economic or social assistance to a client Sections 102(a) (23 and 24), and in actual minutes. the implementing regulation at 45 Either the attorney CFR Section 1321.71, and includes or the AAA should paralegal or law student under the may not report the direct supervision of a lawyer and same hours. counseling or representation by a non-lawyer where permitted by individuals with current information on opportunities and information relating to assistive and capacities of the individuals; links the individuals to the practicable, ensures that the Registered to the extent feasible, counseling, report the attorney's Participant or other appropriate assistance by a hours. Both agencies law. Information Title III-B 10 Contact: = As service that: provides the I&A can be provided toir individuals under age 60. and Assistance (I&A) State Local Income Other 11 Unit Program Aggregate services available to the individuals within their communities, including Anyone that receives technology; assesses the problems center should be opportunities and services that are ADRC are counted as available; to the maximum extent a unit ofI&A. I&A at the senior referred to the ADRC. Referrals to the 17 TITLE I-FY2024-Culman Service Category Fund Source Unit Definition Notes *Phoning an individuals receive the services needed by the individuals, and are individual toj provide aware oft the opportunities available comfort or help to the individuals, by establishing (previously captured adequate follow-up procedures and as' Telephone serves the entire community of older individuals, particularly with greatest social and economic need and at risk ofi institutional placement. initiated by an agency or organization for the purpose of their caregivers and encouraging their use of existing services and Reassurance) Outreach Title III-B 1Contact = Intervention with individuals Outreach can be provided to individuals under age *Going to see a participant to provide comfort or help (previously captured as friendly visiting) *Outreach is not an appropriate category toc collect large group numbers from media events. Report under Marketing State Local Income Other 1Unit Program Aggregate identifying potential participants or 60. benefits. Public Education Title III-B 1Contact = Providing opportunities for Program Aggregate skills. This service may include State Local Income Other I Unit individuals to acquire non-nutrition related knowledge, experience, or workshops designed to increase awareness on various topics, such as crime or accident prevention, continuing education, or legal issues. Workshops may be designed to teach participants a specific skill in a craft, job, or occupation if the participant does not expect to receive wages or other stipends. 18 TITLE I-FY2024-Cullman Service Category Marketing Fund Source State Local Income Other Unit 1Unit Definition Notes Title III B 1Activity = An activity that involves contact Program Aggregate social or mass media activities *Do not report over with multiple individuals through 10,000 newsletters, publications, or other providing education and outreach. Example: Newspaper Ad/story - Estimated audience: = 1,500 lunit Sources: 1. Older-Americans Act- 2020 Reauthorization, htps/aclgovaboutaboutaclauthorzing- 2. State Program Performance Report for State Units on Aging, Appendix A: Data Element Reminder: ADRC's screen the individual but it is up to the III-B. staff to enroll the client utilizing wuvcocrancrcamsss Definitions, OMB Approval Number 0985-0008 the III-B Enrollment Form located in AIMS. 19 TITLE I-FY2024-Culman Older Americans Act FY24Transportation Services Definitions (Title III-B) Eligibility: Must be age 60 or older. Exceptions that apply to Nutrition Services do not apply to other' Title III-B services. Iftransportation is provided to someone under 60 you: must code the registered client to another fund source such as local. for Assisted Transportation. Must have enrollment form completed annually with Verification: Must have at least one ADL or IADL impairment or a dementia-related diagnosis AAA staff approval for service delivery. Target Population under OAA for services and programs: Age 60+ with greatest social and economic need, especially low-income older people, those residing ini rural areas, older people with limited English proficiency, and older people at greatest risk for institutional care (i.e., has **Transportation Title III-B funds cannot be expended to transport meals***** at least two. ADLI impairments). Service Category Assisted Transportation State Fund Source Title III-B Local Other Unit lunit Participant Definition Notes C one-way trip = Services or activities that Participant must be enrolled in funds must be used to pay for ADL/IADLi impairment and/or provide or arrange for the travel, Title II services, and' Title II individuals from one location to some portion of the trip. another. This service includes Participant must have at least one assistance for aj person who has have cognitive/demential including travel costs, of escort or other appropriate difficulties (physical or cognitive) using regular vehicular transportation. Does not include any other activity. *A one-way trip may include the following: assisting the individual in preparation for the trip, assisting from their place of residence into the transportation vehicle, assisting the individuals from the vehicle to the destination, staying with the individual at the point of destination, assisting the individual back to the vehicle and then assisting the individual back to home. Program Income Registered challenge. 20 TITLE III-FY2024 -Cullman Transportation Title III-B 10 one-way trip = Services or activities that Participant must be enrolled in funds must be used toj pay for State Local Other lunit Participant provide or arrange for the travel, Title III services, and Title III individuals from one location to some portion oft the trip. including travel costs, of another. Does not include any other activity. *Senior Center participants will already be registered in AIMs if they are receiving transportation to the center and will not need an additional enrollment form completed. Those who are not nutrition participants and receive other transportation to places such as medical appointments, shopping, etc. should be registered with the III- Benrollment form. Program Income Registered Sources: 1. Older Americans Act - 2020 Reauthorization, htps/acl.govabout-ac/authorzing: 2. State Program Performance Report for State Units on Aging, Appendix A: Data Element alcyoerancrcansas Definitions, OMB Approval Number 0985-0008 21 TITLE III-FY2024 Cullman EXHIBIT C SCOPE OF SERVICES TITLE III-C: NUTRITION SERVICES The Contractor shall do, perform and carry out in compliance with Title III-C guidelines, standards and regulations, and in a proper and satisfactory manner as determined by NARCOG, the services described within this scope of services and its attachments, for eligible recipients residing in the region. I. Nutrition Program Administration (General). The Contractor shall do, perform, and carry out in compliance with Title III-C guidelines, standards and regulations in at timely, competent, and satisfactory manner, al Nutrition Services Program as follows: A. B. C. Administration of a program for aging nutrition services that will assist NARCOG Provision ofa a nutrition program with adequate facilities, equipment, and Assurance that each Senior Nutrition Center has an active Center Council to make recommendations on carrying out the objectives oft this Contract. Contractor shall keep a roster and any minutes of meetings of the center council ini the implementation of the NARCOG Area Plan for Aging. supplies. and make available for review upon request. II. Service Definitions. The Contractor shall adhere to the Older Ameriçans Act Nutrition Service Definitions are provided as EXHIBIT D /ATTACHMENT A. As part of the contract, the Contractor agrees to ensure only participants eligible for nutrition services receive these services and that the units are recorded. III. Alabama Elderly Nutrition Program Manual (ENP). The Contractor will adhere to all program guidelines, policies and procedures for operation, administration and management of all nutrition services as stated in the current Alabama Elderly Nutrition Program Manual (ENP) provided by the Alabama Department of Senior Services, as well as any updates and revisions made during the contract period. NARCOG will provide the contractor with the current manual and all updates. A. B. The Contractor will provide each center manager with a copy of the ENP. In the event this manual is revised in whole or in part, NARCOG will forward all changes to the Contractor to immediately distribute and implement at all nutrition centers. 22 TITLE III-FY2024 -Cullman C. All revisions or replacements to the ENP will automatically be incorporated D. The Contractor shall adhere to all program eligibility guidelines for all nutrition under this contract. services as outlined in the ENP. IV. Senior Nutrition Center Hours of Operation/Holidays. Senior Centers within the Contractor's county must be open for normal operations no less than four (4) hours per day, five (5) days per week Monday-Friday). If operating less than five (5) days a week, contractor must submit a request for waiver to NARCOG for approval sixty (60) days in advance of any change in hours of operation. This waiver must be updated annually no less than 60 days before the start of the next contract year. NARCOG will provide the Contractor with a waiver form. The request will be sent to ADSS and the final decision The holidays and additional approved closing days for the 2019 fiscal year will be will come from the ADSS Commissioner. observed as in EXHIBIT D/ATTACHMENT B. V. Contractor Nutrition Centers. The following are the elderly nutrition centers designated for meal service through the Contractor as oft the effective date of this contract: Cullman West Point Colony Fairview Crane Hill Holly Pond Hanceville The Contractor shall: A. Locate elderly nutrition centers and services as close as possible to concentrations of elderly with the greatest social and economic need, as well as those eligible older persons and handicapped or disabled persons living in Provide a nutrition center that is clean, pleasant, and accessible to kitchen, restrooms, and telephones, as well as meets all applicable health, fire, safety, Display all current Health Department approvals at all nutrition centers in a conspicuous location. Current copies of all nutrition centers' approvals must be maintained on file in the Contractor's office, and copies of all also need to be housing facilities occupied primarily by the elderly. B. and sanitation regulations and inspections. C. provided to NARCOG as requested. 23 TITLE II-FY2024- -Cullman D.. Provide a written notification to NARCOG when there are any changes in existing elderly nutrition center locations or the establishment of a new service location. This notification shall bet forwarded to NARCOG for approval by the NARCOG and ADSS prior to such change or establishment of a new nutrition center. There is no guarantee ofa any funds being available for additional or new nutrition E. centers. VI. Forms & Service Logs Required. The contractor agrees to document all services designated in this scope of services as required by NARCOG on forms provided to the Contractor by NARCOG. The following are current reports required. However, NARCOG reserves to right to revise reporting requirements as needed during the contracting period. The due dates for the following forms are located in EXHIBIT D/ATTACHMENT C. A. ADSS Participant Enrollment Forms. A Participant. Enrollment Form is to be completed for any eligible participant who is to receive a service which requires the participant to be a registered participant. These services are identified in the service detinitions under the Unit column as Registered Participant". 1. All senior centers must retain the Participant Enrollment Forms at the center on all participants who receive registered, Title III services. Copies ofthe Participant Enrollment Form may also be kept at the Contractor's The Contractor is responsible for entering in all required information All Participant Enrollment Forms must be kept in al locked drawer or office, but this is not required by NARCOG. from the Participant Enrollment Forms into AIMS. cabinet at any location in which they are kept. 2. 3. B. Aggregate Service Logs. Aggregate service logs are to be used to report services that are designated tol be reported as aggregate totals. These services are identified in the service definitions under the Unit column as "Aggregate". Aggregate services do not require the contractor to record units under participants by name. Rather the units are aggregated with a total number of Single Service Logs. Single service logs are used to report service units received by individual, registered participants. These services require each person receiving them tol have a completed and current (within one year) ADSS Participant Enrollment Form on file. Units of service are to be recorded for each eligible participant on these logs, not as aggregate totals. units for each day on the log. C. D. Item Delivery Tickets. These forms are provided to the nutrition centers upon delivery of the meals. Center managers are to utilize these forms to document the meals delivered and served, as well as other issues and facts according to instructions in the. Alabama Elderly Nutrition Program Manual. 24 TITLE II-FY2024 -Cullman E. Meals Served Record. This form accompanies the Item Delivery Tickets each week and serves as a summary of the number of meals delivered, the number of meals by program, the number of unserved meals, and the number of center participants present for each day of the serving week. The numbers on this form should directly match those on the Item Delivery Tickets and the Participant sign- Meal Orders. The meal order is a form submitted to NARCOG in which the Contractor designates the number of meals needed for each serving day. The meals are designated on the meal order form by meal type. Failure to submit the meal order in at timely manner will result in NARCOG placing an order based on the most recent full week'sorder. This may result in not enough meals being ordered OR too many meals may be ordered, in which case the Contractor will be responsible for paying for any additional meals ordered but not able to be ins sheets. F. served. G. Center Manager Time Logs and Volunteer Time Logs. The Contractor shall submit to Center Manager and Volunteer Time Logs (log template to be provided by NARCOG) for each center manager, employee, Senior Aid, and volunteer, 1. The logs will indicate the type of service provided and the number of hours spent on each service by either the center manager or the volunteers on their respective logs. The time logs shall be completed accurately, including all column and row totals prior to submitting to NARCOG. The total daily time should not exceed the total hours worked by the center manager or the volunteer for that day. Any new requirements or new services added by ADSS or NARCOG will be reported in the same manner, meeting all necessary reporting indicating the number of hours worked by service type. 2. requirements. H. Donation Sheet for Congregate & Home Delivered Meals. The Contractor shall use this form provided by NARCOG in each center to document all contributions received for nutrition services. The form will also be used to record signatures of those verifying the amounts of the contributions per guidelines and procedures Participant Sign-in Sheets. Each center is to make a sign-in sheet available each day meals are served. Eligible participants are to sign-in each day on these sheets. These sheets provide legal documentation for those participants consuming a congregate meal and should match those participants on the AIMS logs as having received a meal that date. The sign-in sheets must be maintained established by ADSS and NARCOG. 25 TITLE II-FY2024 -Cullman for review by ADSS or NARCOG. The Contractor agrees to provide copies of all Home Delivered Meals Delivery Sheets. Each center is to maintain delivery sheets for all home delivered meals delivered to eligible participants. These sheets provide legal documentation for those participants receiving a home delivered a meal and should match those participants on the AIMS logs as having received a meal that date. The home delivered meals delivery sheets must be maintained for review by ADSS or, NARCOG. The Contractor agrees to provide sign-in sheets to NARCOG as requested. J. copies of all delivery sheets to NARCOG as requested. VII. Waiting List for Meals. On a monthly basis, the Contractor must submit waiting list information to NARCOG for those waiting for meals services. The information submitted must include the names, dates of birth and be organized by center and then by meal type (congregate or home delivered). The due date for the waiting list is located in EXANBITD/ATTACHMENTC. VIII. Staffing and Training. A. The Contractor shall provide a center manager to work a minimum of four hours daily at each site. B. In selection of the nutrition center manager, preference should be given to qualified participants who are older persons if job qualifications are the same. C. The center managers shall be required to attend program-related training as required by NARCOG. The training shall provide up-to-date information on new rules, regulations, and techniques relating to the services provided ini the centers. D. The Contractor will require its staff to participate in training sessions and other meetings sponsored by the ADSS and NARCOG. E. Inc conjunction with NARCOG, the Contractor will develop a staff training plan for new center managers that includes at least the following elements: 1. 2. 3. 4. 5. Introduction to Older Americans Act nutrition services and center Introduction to the ENP Guide to Meal Services and training on specific Training on safe food handling procedures and practices. management. chapters. Training on all program forms. Enrollment Forms. Training on eligibility guidelines and the completion of the Participant 26 TITLE III-FY2024 -Cullman F. The Contractor shall recruit, train, and supervise an active volunteer force for both congregate and home-delivered meals programs. All volunteers shall receive basic food safety and sanitation training prior to handling and serving food. G. The Contractor shall arrange for an adequate number of paid and volunteer staff necessary to carry out the nutrition services at each center, including clean-up after serving meals. asubstitute. H. Int the event of a center manager's sabsence, only a qualified designee may act as IX. Provision of Nutrition Support Services. The Contractor agrees to: A. B. C. Provide outreach that will insure maximum utilization of nutrition services. Provide round-trip transportation for participants who want to attend elderly nutrition centers who cannot provide their own transportation. Provide nutrition education services to nutrition center participants (both congregate and homebound) according to the schedule provided by NARCOG. Topics and copies of materials will be provided by NARCOG. D. Work with participants and NARCOG to provide Nutrition Counseling services to participants with al high nutrition risk as identified by the Nutrition Health Provide socialization and recreation opportunities to older persons to alleviate loneliness and isolation. These on-going social and recreation activities are to be available at all times during program hours, except when meals are being served. Provide opportunity for social work intake and counseling, i.e., Vocational Rehabilitation, Mental Health Center, Community Action Agencies, Social Security, D.H.R. (including SNAP & AESAP programs), etc. Maintain a variety of informational programs, educational programs and recreational activities for all interested participants. This includes the use of visual information (i.e. posters, pamphlets, magazines) which should be available assessment on the Participant Enrollment Form. E. F. G. toc center participants on a continuous basis. X. Participant Contributions (Donations). The Contractor shall provide opportunities for participants who receive nutrition services to make contributions/conations according to their ability to pay. Participants wishing to make a contribution for services received 27 TITLE III-FY2024 -Cullman through Title IlI funds should be given a fair and voluntary opportunity to contribute toward the cost of services through non-coercive and confidential methods. A. There is no cost or charge to any participant for a meal offeredi ini the nutrition program under this contract, but rather participants are to be provided an opportunity to make a voluntary contribution/donation. The Participant Enrollment Form suggests a donation of $1.25 per meal. This does not infera cost, but rather, simply provides as suggestion of donation based on the region's economic status. B. Ifan eligible participant is unable or unwilling to make a donation, meals or services may not be denied based upon their inability or unwillingness to make a The Contractor should provide a locked money receptacle for each nutrition donation. center. C. D. The privacy of each participant with respect to his or her contribution shall be protected. The most recommended suggested method is by use ofi individual donation envelopes. E.: Two volunteers are to count participant contributions daily. The center manager is to count these contributions at third time to verify them. 1. 2. Contributions are tol be recorded in separate amounts for congregate and home delivered meals on the Weekly Donation Sheet for Congregate & The center manager and volunteers are to sign the Client Weekly Donation Sheet for Congregate & Home Delivered Meals verifying the Home Delivered. Meals. amounts collected. F. Monies collected from participants for both congregate and home-delivered meals will be deposited every week. G. The Contractor is to keep the Weekly Donation Sheet for Congregate & Home Delivered Meals forms and copies of all deposit slips on file at the Contractor's office for review during audits. H. The monthly total of all contribution amounts are to be entered on the monthly Agency Contractor Monthly Request for Reimbursement Form submitted to NARCOG. 28 TITLE II-FY2024 -Cullman XI. Meal Orders. The Contractor must receive and serve a minimum of 25 meals per day, five days per week for each elderly nutrition center. The Contractor may: shift the number of meals allotted between centers and meal type but must adhere to the following parameters: A. B. Serve no less than 25 hot meals per day out of each respective nutrition center. The 25 meals may be a combination of congregate and home delivered meals. The Contractor agrees to provide a meal meeting the Department's: State Bid Specs (either a picnic meal or a frozen meal) to participants (congregate and home-delivered) identified as "high nutritional risk" on days the centers are Unassembled and Assembled picnic lunch menus may be substituted for hot closed. meals. 1. 2. 3. C. Ifall meals are replaced for that day with picnic meals, then there is no Should there be a special event planned that requires the Contractor to exceed the regular day's meal order, the Contractor must get prior approval from NARCOG at least fifteen (15) working days in advance. Ifr meals will exceed contract amounts, then arrangements for reimbursement to NARCOG for the extra meals must be made and puti in minimum to the number of picnic meals to order. writing. XII. Homebound Criteria & Eligibility. The contractor will utilize the NARCOG Home Delivered Meals Eligibility Criteria (EXHIBIT D/ATTACHMENT D) in determining eligibility for the home delivered meals program. These criteria are a more detailed set of criteria than those outlined in the ENP. The Contractor will use these criteria and evaluate each situation individually utilizing these guidelines. The Contractor should make notes/comments on the Participant Enrollment Form to justify the meals for each participant. 29 TITLE III-FY2024 -Cullman EXMBTD/ATTACHMENTZ A Older Americans Act (OAA) FY24 III-C Nutrition Services Definitions Eligibility: Meals must be served toi individuals Age 60 and over Spouses of any age of an eligible participant Person with) Disability residing with eligible participant Person with Disability @ Senior Centers located in Housing Facilities primarily occupied by older individuals; can serve individuals with disabilities under age 60 Volunteer assisting at mealtime Verification: Must complete enrollment form and nutrition assessment annually. All C2 participants must complete ADL/IADL checklist on enrollment form, however this is not required for eligibility of service. Volunteer must complete participant information on enrollment form. Eligible individuals may be authorized to receive C1 and/or C2 meals for recording activities of Target Population under OAA for services and programs: Age 60+ with greatest social and economic need, low-income older adults, minority older individuals, those residing in rural areas, older people with limited English proficiency, and older people at greatest risk for institutional service. care (i.e., has at least two ADL impairments). Service Category Meals Fund Source State Local Program Income Other Unit Unit* Registered Participant approved events Definition Ameal provided by a provider to a qualified or group setting. The meal is served in a administered by AAAS and meets all the and state/local laws. (SPR/OAAPS2021) Notes Congregate Title III-C1 IMeal = 1 Any meal counted as a unit provided under ADSS contract or Registered Dietitian Nutritionist. **Asof 10/01/22 Liquid Meal Replacements must meet all new requirements to be funded under Only congregate meals served under situations of picnics or shelf stables may be entered into AIMS as" "aggregate" when approved by Any meal counted as a unit (activity) of service must be must be approved by ADSS qualified nutrition project (activity) of service must be individual in a congregate must be approved by ADSS Aggregate for program that is requirements of the OAA Title III-C. ADSS. Home- Delivered Meals Title III-C2 1Meal =1 Ameal provided toa a qualified individual in The meal is served in a the AAA and meets all State Local Program Income Other Unit* Registered Participant his/her place of residence. provided under ADSS contract or program administered by Registered Dietitian Nutritionist. 30 TITLE II-FY2024 -Cullman **As of 10/01/22 Liquid Meal requirements to be funded under Must complete the ADL/IADL section of the enrollment form for federal OAAPS reporting. Individuals who are isolated and do not have access to public/private transportation can receive home-delivered by GA Foods to the participant's meal delivery is part of the meal Does not include family pick-up *Title III-B funds cannot be used to transport meals. the requirements of the (SPR/OAAPS 4 2021) OAA and state/local laws. Replacements must meet all new Title III-C. meals. Transportat Title III-C2 1Delivery = 1 This unit of transportation Does not include meal deliveries ion Subservice Local (Home- Delivered Meals) State Program Income Other Unit Registered Participant may apply to meals of participant's residence from the senior center or cost. other drop-off point. Ift the AAA pays to deliver a frozen meal pack, it is one unit of transportation per delivery and per person, but not per meal. OAA participants and caregivers that uses any type delivered to the residence. The cost ofGAJ Foods' and delivery. Nutrition Title III-C1 1Session =1 An intervention targeting All materials must be approved by Education Title III-C2 Unit ADSS Registered Dietitian Nutritionists prior to use. State Local Program Income Other Capture 1 unit information per session Capture estimated Non- Registered Service (Aggregate) dissemination, instruction, May be delivered in-person or via or training with the intent video, audio, online, or the to support food, nutrition, distribution of hardcopy materials. and physical activity (related to nutritional status) in order to maintain or improve health and address nutrition-related conditions. Content is consistent with the Dietary Guidelines for Americans; accurate, culturally sensitive, regionally appropriate, and considers personal audience size. choices and behaviors Examples: presentation = 1 session Even if offered more than 1 time, by more than 1 presenter, and/or in multiple formats. social media message = 1 session Includes text messages Inewsletter= 1 session Even if containing more than larticle 31 TITLE I-FY2024 -Cullman preferences; and overseen 1set of hardcopy materials = 1 by a registered dietitian or session individual of comparable expertise as defined in the OAA. (National Nutrition Input Committee) (SPR/OAAPS2021) Each set covering a different topic/message = separate session Monitoring and Related The same message communicated Research Act of 1990 and more than one way (e.g, menu notes + social media) =Isession Title III-D funds cannot be used for Nutrition Education. Nutrition Title III-C1 1Hour = 1 Unit A standardized service as Hours (partial hour may be Counseling Title MI-C2 defined by the Academy reported to two decimal places, individualized guidance Title III-D funds cannot be used State Local Program Income Other Capture 1 unit ofNutrition & Dietetics e.g. 0.25 hours.) per hour per individual Registered Participant (AND) that provides toi individuals (or their caregivers) at nutritional risk because of their health or nutrition history, dietary intake, chronic illnesses, or medication use. Counseling is provided one-on-one by a registered dietitian and addresses the options and methods fori improving nutritional status with a measurable goal. (SPR/OAAPS2021) for Nutrition Counseling. *Note: **Note: (1). Liquid Meal Replacements: 2 cans Ensure Plus, Boost Plus or Equate Plus = 1 unit (2) Liquid Meal Replacements - must meet all new requirements listed on Policies and Procedures forl Elderly Nutrition Program, 13.0Liquid Meal Replacement Foods (Do not count toward NSIP effective 10-1-15) Policy: (Nutrition Coordinator Resource Manual). Sources: 1. htps/awwampspildtalais.holphadanpeApxnia 2. Nutrition Services ACL Administration for Community Living 32 TITLE II-FY2024 -Cullman EXHIBIT D/ATTACHMENTB SERVING DAYS FOR FISCAL YEAR: 2024 OCTOBER 21 None Oct 10 Columbus Day APRIL Serving Days: Theme Day: Holidays: Serving Days: Theme Day: Holidays: 21 None April 22 Confed Mem NOVEMBER 19 Nov. 22 Nov. 10 Veteran's Day Nov. 23-24 Thanksgiving MAY Serving Days: Theme Day: Holidays: Serving Days: Theme Day: Holidays: 22 May 24 May 271 Memorial Day DECEMBER 16 Dec. 22 Dec. 25-29 Christmas JUNE Serving Days: Theme Day: Holidays: Serving Days: Theme Day: Holidays: 18 None June 3. Jefferson Davis June 19. Juneteenth JANUARY 21 None Jan 1 New Year's Day Jan. 15 ML King Day JULY Serving Days: Theme Day: Holidays: Serving Days: Theme Day: Holidays: 22 July3 July 4 Independence Day FEBRUARY 20 None MARCH 20 March 28 March 29, Good Friday AUGUST Serving Days: Theme Day: Holidays: Serving Days: Theme Day: Holidays: 22 None None 20 None Sept. 21 Labor Day Feb 19 President's Day SEPTEMBER Serving Days: Theme Day: Holidays: Serving Days: Theme Day: Holidays: TOTAL SERVING DAYS=242 33 TITLE I-FY2024-Cullman EXMBITD/ATTACHMENT C NUTRITION PROGRAM REPORT DUE DATES - FY2024 REPORT NAME FREQUENCY DUE DATE Item Delivery Tickets* Meal Served Record* Donation/Contrbution Report* *Must be verified/initialed by coordinator for accuracy prior to sendingi into NARCOG Due into NARCOG by Tuesday at close of business following the prior week ending Centers and/or COA offices are to mail/fax tickets to NARCOG by Tuesday. IfTuesday falls on holiday- tickets/reports will' be due on Wednesday by close of business. Must be received by' Tuesday noon fori the following week's meal orders. Special Meals/Menus/Large Picnic orders must be approved three weeks in advance by ADSS, GA Foods and 5th working day of the month following (Nov 7, Dec 6, Jan 8,1 Feb 7,1 Mar 6, Apr7, May 7, Jun 8,Jul 8, Aug 7, Sep 8, Oct7) Weekly on Friday. for posting. Meal Orders Weekly Special Meal Orders NARCOG. month end Center Manager Time Logs & Volunteer *Must be verified/initialed by coordinator for accuracy prior to sending into NARCOG Monthly Time Logs* for posting. AIMSLOGS Aggregate Logs Single Service Congregate Meal Logs Single Service Homebound Meall Logs Transportation Logs MEDICARE MINUTE REPORT! FORM Participant Enrollment Forms** 5th working day of the month following (Nov 7, Dec 6, Jan 8, Feb7, Mar 6, Apr7, May 7, Jun 8, Jul 8, Aug7, Sep 8, Oct7) ** ALLenrollments must be entered timely. All current enrollments must have been entered by due date for month end paperwork submission to ensure that units/meals can be posted. month end Monthly 34 TITLE I-FY2024 -Cullman AIMS Wait List by Center Volunteer Delivery Reporting Form Monthly 5thworking day of the month following (Nov 7, Dec 6, Jan 8, Feb7 7, Mar 6, Apr7, May 7, Jun 8, Jul 8, Aug 7, Sep 8, Oct7) month end Ifin doubt about a due date/deadline please contact NARCOG. 35 TITLE III-FY2024 -Cullman EXAHBITD/ATTACHMENTD NARCOG Home Delivered Meals Eligibility Criteria When considering home delivered meals eligibility, a person must meet all of the following criteria in addition to the eligibility criteria established by the Alabama Department of Senior Services: (1) Is the person homebound? The person must meet the definition of homebound as follows: the definition of homebound individual is one that is normally unable to leave home without considerable difficulty and/or assistance. A person may leave home for medicaltreatment or short, infrequent absences for non-medical reasons, such as a trip to the barber or to attend religious services. AND (2) Can the person meet his/her basic nutritional needs? The person must be unable to meet basic nutritional needs. That is, the person is unable to prepare/has difficulty preparing at least one nutritious meal daily because of: Adisabling condition, such as limited physical mobility, cognitive or psychological Lack of knowledge or skills to select and prepare nourishing and well balanced impairment, sight impairment, or meals, or Lack of means to obtain or prepare nourishing meals, or Lack ofi incentive to prepare and eat a meal alone. AND (3) Does the person meet the vulnerability criteria? A person is considered vulnerable if s/he is unable to perform one or more of the activities of daily living (ADL's) or instrumental activities of daily living (IADL's) listed below without assistance due to physical, cognitive, emotional, psychological or social impairment. (Note that the ADL/IADL is one of the ADSS minimum criteria for eligibility.) Activities of daily living are eating, dressing, bathing, toileting, transferring in and out Instrumental activities of daily living are preparing meals, shopping, medication management, managing money, using the telephone, doing housework, accessing of bed/chair, walking. transportation; AND The person lacks an informal support system. That is, the person has no one living with him/herwho is both willing and able to perform the service(s) needed, or the informal support system needs to be temporarily or permanently supplemented. 36 TITLE I-FY2024 -Cullman EXHIBITE FUNDING ALLOCATION FY 2024 SOURCE OF FUNDS Older Americans Act Title III Services & American Rescue Plan Title III Services These funds are reimbursed to the Contractor based on properly ysubmitted documents and NARCOG approval. Proof of services must be submitted along with ar request for reimbursement. The Contractor must also meet the requirements set forth in the scope of services (EXHIBITS A, B, and C). Source of Funds Allocation $50,250.00 $50,000.00 $100,250.00 OAA Title II Funds Allocated ARP Title III Funds Allocated Total Funds Allocated *The dollar amounts listed above for Older Americans Act (OAA) Title III programs are based upon the total funding received during FY2023 and estimates for FY2024. Final funding amounts are subject to receipt of FY2024 Notification of Grant Award (NGA) from ADSS and availability of Federal Funds if any. NARCOG has not yet received the NGAS from ADSS. If the total funding amount received from ADSS differs from the estimates for FY2024, NARCOG reserves the right to amend the amounts listed above. *The dollar amounts listed above for American Rescue Plan (ARP) Title III programs are available only for FY2024. These funds must be used for Title III-B Supportive Services (reference Exhibit B), and the funds no longer will be available at the conclusion of FY2024 37 TITLE II-FY2024 -Cullman MEALS ALLOCATION FY 2024 SOURCE OF FUNDS: TITLE IIIC, NUTRITION SERVICES The number of meals listed in the table below is the allocation that NARCOG shall allocate to the Contractor as a part of this contract. Actual funding for these meals will vary depending on what type of meals are needed and ordered by the Contractor. The Contractor must meet the requirements set forth in the scope of services (EXHIBIT D). Number of Meals* 27,284 Source of Funds Part C-1 Federal Funds, Congregate Meals Meal Types available: Hot, Unassembled Picnic, Assembled Picnic, Frozen (center delivery), Medical Nutrition Therapy Meal Replacement (center delivery), Shelf Stable Meals (center delivery). Part C-2 Federal Funds, Home-Delivered Meals Meal types available: Hot, Unassembled Picnic, Assembled Picnic, 2. Frozen (center delivery and door-to-door), Medical Nutrition Therapy Meal Replacement (center delivery and door-to-door), Shelf Stable Meals (center delivery and door-to-door). 1. 45,707 3. TOTAL MEALS 72,991 *The estimates of number of meals listed above are based upon actual, current meal usage by the contractor at the end of FY2023 and projected for FY2024. Final funding amounts and number of meals available are subject to receipt of FY2024 Notification of Grant Award (N.G.A.) from ADSS and availability of Federal Funds and NSIP Reimbursement. NARCOG reserves Iti is expected that the Contractor will manage their meal usage by determining a weekly schedule of meals to be served based on the number of allocated meals and the number of serving days. The basic formula for this is: # of meals allocated + serving days = number of At the end of each Quarter, NARCOG will evaluate whether or not the Contractor has served the full number of allocated meals equal to the amount expected at that point ini the fiscal year. Ifthe Contractor has served more meals than should have been served at that point in the fiscal year, the Contractor must submit a plan to NARCOG stating how it will decrease the meals served in an amount that would prevent the Contractor from exceeding the total meals allocated for the year. Should the Contractor serve less meals than should have been served at that point in the fiscal year, the Contractor must submit a plan to NARCOG showing how it will increase meals SO as to meet contract requirements. NARCOG reserves the right to re-allocate the meals to another Contractor should the plan and/or the Contractor performance indicate the right to amend the number of meals listed above. meals served per day). that Contractor cannot serve all meals for the fiscal year. 38 TITLE III-FY2024 -Cullman EXHIBITF CONTRACT ASSURANCES 39 TITLE II-FY2024 -Cullman EXHIBITF CONTRACT ASSURANCES ASSURANCE OF COMPLIANCE WITH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES REGULATION UNDER TITLE VI OF THE CIVIL RIGHTS ACT OF 1974 HEREBY AGREESTHAT it will comply with Title VI oft the Civil Rights Act of 1964 (P.L. 88-352) and all requirements imposed by or pursuant to the Regulation oft the Department of Health, Education, and Welfare (45 CFR Part 80) issued pursuant to that title, to the end that, in accordance with Title VI oft that Act and the Regulation, no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department; and HEREBY GIVES ASSURANCE THAT it will immediately; take any measures necessary to effectuate this Ifany real property or structure thereon is provided ori improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance shall obligate the Applicant, or the case of any transfer of such property, and transferee, for the period during which the real property, structure is used for a purpose for which the real property, structure is used for a purpose for which the Federal financial assistance is extended for another purpose involving the provision of similar services or benefits. If any personal property isso provided, this assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property. In all other cases, this assurance shall obligate the Applicant for the period during which the Federal financial assistance is extended to it by the THIS ASSURANCE is given in consideration of and for the purpose of obtaining any and all Federal grants, loans, contracts, property, discounts or other Federal financial assistance extended after the date thereof to the Applicant by the Department, including installment payments after such date on account of applications for Federal financial assistance which were approved before such date. The applicant recognizes and agrees that such Federal financial assistance will be extended in reliance on the representatives and agreements made int this assurance, and that the United States shall have the right to seek judicial enforcement of this assurance. This assurance is binding on the Applicant, its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign agreement. Department. this assurance on behalf of the Applicant. 40 TITLE II-FY2024 -Cullman ASSURANCE ON COMPLIANCE WITH THE U.S. DEPARTMENT OF. JUSTICE AMERICANS WITH DISABILITIES ACT The Contractor HEREBY AGREES that it will comply with Title II of the Americans with Disabilities Act, 1988 signed into law in 1990 by President George Bush (Federal Register. July 26, 1991) and all requirements imposed by or pursuant to the Regulations issued by the Department ofJustice pursuant to Title II, to the end that, in accordance with Title I oft the Act and the Regulations, no qualified individual with a disability ini the United States shall be discriminated against or excluded from participation in or the benefits oft the services, programs, or activities for which the Contractor received Federal financial assistance from the department (hereinafter called the "Contractor") and hereby GIVES ASSURANCE THAT it will immediately take any measures necessary to effectuate this agreement. Furthermore, no qualified individual with a disability shall, because ofi inaccessible or unusable facilities ofa public entity, be excluded from participation in, or be denied the benefits of1 the services, programs, or activities of a public entity or be subject to discrimination by any public entity. Ifanyr real property or structure thereon is provided ori improved with the aid of Federal financial assistance extended to the Contractor by the Grantor, this assurance shall obligate the Contractor, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. Ifany personal property is 50 provided, this assurance shall obligate the Contractor for the period during which it retains ownership or possession of the property. In all other cases, this assurance shall obligate the Contractor for the period during which the THIS ASSURANCE is given in consideration of and for the purpose of obtaining any and all Federal grants, loans, contracts, property discounts or other Federal financial assistance extended after the date hereof to the Contractor by the Grantor including installment payments after such date on account of applications for Federal financial assistance were provided before such date. The Contractor recognizes and agrees that such assurance, and that the Grantor or the United States or both shall have the right to seekj judicial enforcement of this assurance. This assurance is binding on the Contractor, its successors, transferees, and assignees, and the person or person whose signature(s) appear below are authorized to sign Federal financial assistance is extended to it by the Grantor. this assurance on behalf oft the Contractor. 41 TITLE III-FY2024 -Cullman NON-DISCRIMINATION AFFIRMATIVE ACTION PROGRAM: DSPs AND GRANTEES During the term of this contract, the DSP and Grantee agrees as follows: A. The DSP or Grantee will not discriminate against any employee or applicant for employment because of race, color, religion, sex, physicallyh handicapped, or national origin. The DSPor Grantee will take affirmative action to ensure that applicants are employed and the employees are treated, during employment, without regard to their race, color, religion, sex, physical handicap, or national origin. Such action shall include, but not limited to, the following: Employment, upgrading, demotion or transfer recruitment or recruitment advertising; layoffs or termination, rates of pay or other forms of compensation; and selection for training, including apprenticeship. The DSP agrees to post in conspicuous places, available toe employees and applicants for employment, notices setting forth the provisions oft this B. The DSP or Grantee will, in all solicitation or advertisement for employees placed by or on behalf of the DSP, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, physical handicap, or national The DSP or Grantee will send to each labor union or representative of workers with which hel has a collective bargaining agreement or other contract or understanding notice advising the said labor union of workers' representative of the DSP's commitments under this non- discrimination article and shall post copies oft the notice in conspicuous places available to D. The DSP or Grantee will comply with all provisions of Executive Order No. 11246, as amended, and by the rules, regulations and orders oft the Secretary of Labor, or pursuant thereto, and will permit access of his books, records, and accounts by the Council of non-discrimination article. origin. employees and applicants for employment. Governments, the funding agency, and the Secretary of Labor. E. The DSP or Grantee will furnish all information and reports required by Executive Order No. 11246, as amended, and byt the rules, regulations and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the Council ofGovernments, and funding agency, and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. F. Int the event of the DSPs' or Grantees' non-compliance with the non-discrimination article of this contract or with any oft the said rules, regulations, or orders, with any said rules, regulations, or orders, regulations, or orders, this contract may be canceled, terminated or suspended in whole or in part and the DSP may be declared ineligible for contracts in 42 TITLE II-FY2024 -Cullman accordance with procedures authorized in Executive Order No. 11246, as amended, and such other sanctions may be imposed and remedies invoked as provided in the said Executive Order or by rule, regulation, or order of the Secretary of Labor, or as otherwise G. The DSP or Grantee will not discriminate against any employee because of physical or mental handicap in regard to any position for which the employee or applicant is qualified H. No persons in the United States shall, on the basis of age, be excluded from participation in, be denied the benefits of, or be subjected to discrimination Federal financial assistance in The DSP or Grantee will include the provisions of paragraph A through H in every subcontract of purchase order unless exempted by rules, regulations, or orders oft the Secretary of Labor issues pursuant to Section 204 of Executive Order No. 11246, as amended, sO that such provisions will be binding upon each DSP or vendor. The DSP will take such action with respect to any DSP or purchase order as the Council of Governments orf funding agency may direct as a means of enforcing such provisions, including sanctions forr non-complance; providing, however, that, ini the event the DSP becomes involved in, or ist threatened with, litigation with al DSP or vendor as a result of such direction by the Council of Governments or funding agency, the DSP may request the funding agency to enter into such litigation to protect the interest of the United States. Ina accordance with regulations of the Secretary of Labor, the rules, regulations, orders, instructions, designations, and other directives referred to in Section 403 (b) of Executive Order No. 11246, as amended, remain in effect and, where shall be observed in the performance of this contract until revoked or superseded by appropriate authority. provided by law. in accordance with the Rehabilitation Act of 1973, Section 504. accordance with the Age Discrimination Act of 1975. 43 TITLE III-FY2024 -Cullman CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION- - LOWERTIER COVERED TRANSACTIONS (To be supplied to Lower Tier Participants) By signing and submitting this lower tier proposal, the prospective lower tier participants, as defined in 45CFR Part 76, certifies to the best of its knowledge and belief that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation int this transaction by any federal department or agency; (b) Where the prospective lower tier participants are unable to certify to any of the above, such prospective participants shall attach an explanation to this proposal. The prospective lower tier participants further agree by submitting this proposal that it will include this clause entitled "Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion - Lower Tier Covered Transaction," without modifications in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 44 TITLE I-FY2024-Culman CERTIFICATION REGARDING LOBBYING: Certification for Contracts, Grants, Loans, and Cooperative Agreements The Grantee certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf oft the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan or cooperative agreement. (2) Ifa any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, al Member of Congress, an officer or employee of Congress, or an employee ofa Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure (3) The Grantee shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients Form to Report Lobbying," in accordance with its instructions. shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure. 45 TITLE II-FY2024-Culman CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS The policy of the North Central Alabama Regional Council of Governments (as adopted on March 20, 1989) requires that all DSPs and DSPS of the Council and all host agencies of enrollees in a contract-funded program shall be required to certify their compliance with the Drug-Free Workplace Act of 1988 (PL. 100-690, Title V, Subtitle D). During the term of this contract, the DSP and Grantee agrees as follows: The use, consumption, sale, purchase, transfer, possession, manufacture, distribution or dispensing of any controlled substance by any Council employee, intern, or enrollee in a contract-funded program during working hours, while on the premises, while representing the Council, or while at an assigned workplace, or by any DSP or DSP personnel while ini the performance of a grant or contract funded through the Council is Council employees, interns, and enrollees are strictly prohibited from being under the influence of alcohol or any controlled substance during working hours, while on the premises while representing the Council, or while at an assigned workplace, and DSP or DSP personnel are strictly prohibited from being under the influence of alcohol or any controlled substance while in performance of a grant or contract funded through the Legally prescribed medications are not covered under this policy and are permitted to the extent that their use does not adversely affect the employee, intern, or enrollee's work ability, job pertormance, or the safety of others in the workplace. All DSPS, DSPs, and host agencies must notify the Council in writing of any criminal drug statute conviction for a violation by any of their personnel while in the performance of grant or contract funded through the council, or by an enrollee during working hours or while at an assigned workplace, no later than five (5) days after such conviction. Any DSP, DSP, or host agency that knowingly violates or permits the violation of this policy or otherwise fails to ensure a workplace free of controlled substance or alcohol abuse shall risk thei immediate loss of the contract or subcontract with the Council or the services absolutely prohibited. Council. provided through the respective program. 46 TITLE III-FY2024 -Cullman IMMIGRATION Pursuant to Ala. Code $31-13-9(k), by signing this contract, the DSP affirms, for the duration of the agreement, that they will not violate federal immigration law or knowingly employ, hire for employment, or continue to employ an unauthorized alien within the State of Alabama. Furthermore, a contracting party found to be in violation of this provision shall be deemed in breach of the agreement and shall be responsible for all damages resulting therefrom. Failure to comply with these requirements may result in termination oft the agreement or subcontract. CONFLICT OF INTEREST The DSP agrees that it presently has no interest and shall have no interest, direct or indirect, which would conflict in any manner or degree with the performance of services required to be performed under this contract. The DSP further agrees that ini the performance oft this agreement, no person having such interest shall be employed. The DSP further agrees that it shall prevent any unlawful benefits from accruing to individuals associated with the contractor asar result oft the contract. DEFICIT REDUCTION ACT The Grantee shall comply with Section 6032 oft the Deficit Reduction Act of 2005, Pub. L. No. 109-171, 120: Stat. 4 (February 8, 2006), the ADSS shall provide appropriate education regarding policies and procedures concerning certain federal and state laws intended to prevent and detect fraud, waste, and abuse in federal health care programs. Appropriate education shall be provided to employees (including management), contracting entities, and agents of ADSS which or who furnish or authorize the furnishing oft federally reimbursed health care items or services, perform billing and coding functions, or arei involved in the monitoring of health care provided by ADSS. 47 ALABAMA DEPARTMENT OF TRANSPORTATION Local Transportation Bureau 1409 Coliseum Blvd., Montgomery, Alabama 36110-2060 Phone: (334)242-6207 FAX: (334)353-6550 Internet: ntp.ww.dotstatealus Kay Ivey Governor John R. Cooper Transportation Director November 14, 2023 Ms. Joyce Echols, Director Cullman County Commission P.O. Box 2518 Cullman, AL 35056-2518 SUBJECT: FY2023-2025 Section 5311 Program Fully Executed Supplemental Agreement & Fiscal Year 2024 Section 5311 Regular/CARES Act Program Grant. Awards and Distribution Codes Dear Ms. Echols: Enclosed is a copy of the fully executed Supplemental Agreement between the State of Alabama and Cullman County Commission for the Section 5311 rural area Your distribution codes and approved federal funds award for fiscal year 2024 Section public transportation. 5311 Regular/CARES Act Program are listed below. Program Category Operations CARES Act Operations Administration Preventive Maintenance Distribution Code Award $100,000.00 (Use1) $559,629.00 $576,906.00 $64,400.00 4329-0405.0545-RPT08-100077996 4329-0405-0545-RPTO-100077997 4329-0406-0545-RPTO-100077998 4326-0403-0545-RPTOC-100017999 Section 5311 FY: 2024 vehicles will be approved at a later date. Ift there are any questions, please contact Bryan Fair at (334): 242-6760. Sincerely, T 1 S 33L Bradley B. Lindsey., P.E. State Local Transportation Engineer BBL:BF:cr CC: Agency's file 22-01694. SUPPLEMENTAL AGREEMENT NO.1 BETWEEN Cullman County Commission AND THE STATE OF ALABAMA RELATIVE TO A PASS THROUGH OF FEDERAL FUNDS For A RURAL NONURBANIZED) AREA PUBLIC TRANSPORTATION PROJECT FOR Cullman COUNTY Project No. RPT-022 CDFA No. 20.509 Fiscal Years 2023-2025 22-01694. SUPPLEMENTAL AGREEMENT NO. 1 Between Cullman County Commission And THE STATE OF ALABAMA Relative to a Pass Through of Federal Funds for a Rural Nonurbanized) Area Transportation Project providing for General Public Transportation Cullman County. Supplemental Agreement NO.1 This SUPPLEMENTAL AGREEMENT is made and entered into by and between the State of Alabama acting by and through the Department of Transportation, Party of the First Part, hereinafter referred to as STATE; and Cullman County Commission, Party of the Second Part, hereinafter referred to as Cullman County Commission. WHEREAS the Parties previously entered into an AGREEMENT dated 8/31/2022, This SUPPLEMENTAL AGREEMENT will include the requirements of the Federal Transportation Administration's (FTA's) Coronavirus Aide, Relief, and Economic Security (CARES) Act of2020. On March 27, 2020, the CARES Act was signed into law providing $2 trillion in support for a variety of industries affected by COVID-19, including the transit industry. This SUPPLEMENTAL AGREEMENT will also include the American Rescue Plan Act of 2021 (ARP). On March 11, 2021, the American Rescue Plan Act was signed by President Biden that includes $30:5 billion in federal funding to support the nation's public transportation systems as they continue to respond to the COVID-19 pandemic and support the President's call to vaccinate the U.S. population. IN WITNESS WHEREOF, the parties hereto have caused this SUPPLEMENTAL AGREEMENT to be executed by those officers, officials and persons thereunto duly authorized, and the SUPPLEMENTAL AGREEMENT is deemed to be dated and to be effective on the date stated hereinafter as the date of its approval by the Transportation All other and remaining terms and conditions of the ORIGINAL AGREEMENT dated Director. 8/31/2022, shall remain the same. IN WITNESS WHEREOF, the parties hereto have executed this Agreement by those officers and officials duly authorized to execute same, and the Agreement is deemed to be dated and to be effective on the date hereinafter stated as the date ofi its approval by the Governor of Alabama. ATTEST: Arx Cullman County Commission By: aha man maelinhy (br Title: (haimn This Agreement has been legally reviewed and approved as to form and content as i2G! William F. Patty Chief Counsel Alabama Department of Transportation RECOMMENDED FORAPPROVAL: E Statel LocalIramfportation Engineer dINLR Edward N. Austin, P.E. Chief Engineer Alabama Department of Transportation State of Alabama, acting by and through the Alabama Department of Transportation EE Transportation The foregoing Agreement is hereby executed in the name of the State of Alabama and signed by the Governoron the 2day of_ Novenker 2023. - Director Governor, State of Alabama Ny ARP Act of 2021 Furlough Certification FEMA Statement or other Federal Agency Statement: Recipients must indicate ini the application that the project has neither applied for nor received funding from FEMA or any other Federal Agency. Recipients must indicate any transit related expenses reimbursed by FEMA or another Federal. Agency regardless iftheir applicable. Please include the following statement: The Recipient agrees that ifitr receives Federal funding. from the Federal Emergency Management. Agency (FEMA) or through a pass-through entity through the Robert T.. Stafford Disaster Relief and Emergency, Assistance. Act, a different Federal agency, or insurance proceeds for any portion of a project activity approved, for FTAj funding under this Grant Agreement, it will provide written notification: to FTA, and reimburse FTA for any Federal share that duplicates funding provided by FEMA, another Federal agency, or an insurance company. ARP Act Obligation Requirements Congress has mandated that ARP Act funds must be obligated as soon as possible, consistent with the goals ofe economic stimulus. Funds are available until September 30, 2024. The lapsing date to obligate funds available under the ARP Act is October 1, 2024. Transit systems are encouraged to spend funds and be expeditious to respond to local needs. By obligation, FTA means that a state has submitted a completed program of projects that has met all requirements and that FTA has executed a project agreement with the state. Thus, all obligation deadlines associated with the ARP Act relate to ALDOT, ist therefore passed through to its subrecipients. ALDOT expects all successful applicants to meet the spirit of the ARP Act legislation and carry-out projects in at timely and efficient manner. Additionally, applicants must certify that the applicant has not furloughed any employees. ARP Act of 2021 Furlough Certification Name oft the Applicant circumstances: Cullman County Commission - CARTS Certifies that it and any contractors it may use is a provider of publici transportation and that as ac CARES or CRRSAA grant applicant can make a certification in any of one oft the following three The appliçant intends to use all unobligated CARES Act funds and all CRRSAA funds on payroll and operations of public transit, including payroll and expenses of private providers of public transportation; or The applicant, and any subrecipient or contractor that is a provider of public transportation, (a) currently are not furloughing any employees; (b) have, to the maximum extent possible, brought back any employees previously furloughed as a direct result of financial challenges caused byt the COVID-19 public health emergency; and (c) have rehired, or posted to rehire, any positions of employees who were laid off as a result of financial challenges caused byt the COVID-19 public health emergency; or The applicant, and any subrecipient or contractor that is a provider of public transportation: (a) intends to use CARES Act or CRRSAA funds to bring back any employees previously furloughed as a direct result of financial difficulties caused byt the COVID-19 public health emergency, toi the maximum extent possible; (b) intends to use CARES Act or CRRSAA funds to rehire any positions ofe employees who were laid off as a direct result oft financial challenges caused byt the COVID-19 public health emergency; and (c) explains how it has spent CARES Act or CRRSAA funds on payroll, operations, or payroll and expenses of private providers of public transportation "to the maximum extent possible." WL hay County Commission Chairman Signature of Authorized Representative of Applicant o/fosis Date GOODSAMARIAN HEALTHCLINIC 401 Amold Street N.E., Suite A. Cullman, Alabama 35055 Phone: (256)775-1389 e Fax: (256)775-1396 October 17,2023 Dear Chairman Clemons and Commissioners: wanted to extend mys sincere gratitude fort taking the time to visit Good Samaritan Clinic and learn about the valuable work we do within our community. Youri interest in understanding the impact of oure efforts was deeply appreciated by our entire team. By way of recap, l'm sharing a summary of our patient activity as its relates to the opioid crisis; Inz 2022, GSHC treated 41 patients from four local residential addiction recovery programs.. As of July 2023, we had treated 48 new patients from these programs. In addition to the patients from these programs, al large In2022, GSHC: served 554 unduplicated patients. All new patients toi the Clinic: are screened during theiri initial visit for Hep C, which is prevalently transmitted byt the sharing ofl IV needles or snorting cocaine. Approximately 80% of new patients have a history ofi illegal drug use as indicated by a positive Hep C1 test. Hep C can remain dormant for 20 years before being symptomatic. We are identifying patients who are not aware they are Hep C During your visit, we had the opportunity to share our vision for thet future and discuss our ambitious goals. As we: strivei to further our mission and enhance our communtyswelbeing, we are excited to pursue this significant project that aligns Funds from the Cullman County Commission would provide us with additional matching funds as we apply fort the ARC competitive grant which is due November 15. Your contribution would allow substantial progress toward achieving our dream of building a new clinict facility. As shared during our meeting, Good Samaritan Clinic addresses the Opioid Epidemic ins several ways, while ultimately allowing our community members and patients to manage their conditions, re-enter the workforce, and lead productive satisfying lives. As a recap, please see the attached. statements fromi the staff who shared majority of our patients have a history ofi illegal drug use. positive and are referring them fort treatment. with our core objectives. during our meeting. Our goals fort this new clinic are threefold: expanding our reach and impact. 1. Long-Term Mission Fulfillment: By establishing this new clinic, we willl be better positioned tot fulfill our mission over the longt term, ensuring that we can continue making a meaningful difference int thel lives oft those we serve by 2. Prevention and Wellness Component: We are excited toi introduce a prevention and wellness component to our service offerings. The addition of ai fitness/cardio room will provide access to exercise facilities thereby empowering our community members to take proactive steps towards their health and well-being, ultimately contributing to a 3. Exceptional Care for All Uninsured Residents: Our new clinic will provide a desirable ande exceptional option for all uninsured residents in our community. We are committed to ensuring that quality healthcare remains accessible to healthier population. everyone, regardless of their health insurance coverage status. United Way Ihumbly request the County Commission's consideration and approval for funding for our capital campaign. Thet timeliness of your donation will allow us to receive matching fundst fromi the ARC competitive grant through ADECA. Your support would not only enable ust tol build an up-to-date clinic but also reinforce the vitalr role our organization plays int the Once again, thank you for your visit andy your ongoing dedication1 tot fostering positive change within our community. We community's overall well-being. eagerly anticipate your decision and are hopefulfor your approval oft these much-needed funds. Gratefully, plad Stnu Jolanda Hutson I Executive Director hutson@goodsamartanculman.com "Go and do likewise." Luke 10:37 Executive Director Statement... Good Samaritan Health Clinic addresses the Opioid Epidemic in: several ways: 1. GSHC does not dispense controlled substances or narcotics. Patients know they can not get these meds at the clinic as soon as they walki in the door (there isal large white and red sign), so they don't 2. GSHC helps bridge the gapi from addiction to becoming productive sober citizens. Many of these individuals have not had access to routine healthcare services for quite some time and many have done without routine maintenance medications that they need. We provide them with a full range ofr medical services to assist them in regaining their health and normal living. 3. We have ap partnership with four of the addiction recovery residential facilities in our community..RWO, The Foundry, The Lighthouse, and The Bryan/Clay House. We have letters of support from these along withi the numbers of patients seen by year. We actively pursue these residents and have heard many wonderful testimonies from many of them. (See attached: two letters of support, patient volume, cover article of Spring 2023 donor newsletter). The Lighthouse guys came to the clinic one evening to learn about our services and complete applications for 4. GSHC is exploring the opportunity to offer educational seminars relating to addiction fori families and friends of those affected by this crisis. One of our staff members worked with Bradford for5 5 years, sO she's seen the crisis from ar more unique perspective than most. Her former supervisor isa preceptor of pharmacy school interns and is interested in offering education classes/seminars. We are gathering information from our patients as to what needs they may have and would like to see 5. We have 4p providers/medical. professions on staff here at GSHC that interact with our patients ona daily basis..CRNP, LPN, and 2 CPhT. They bringa a wealth of experience to GSHC not onlyi in the medical field but also in working with those involved in and battling addiction. See attached their statements ofe experience and background, as well as comparison and contrast oft their prior even attempt. eligibility. inas seminar. experience with what patients receive at GSHC. Jolanda Hutson Executive Director Statement from Patricia Calvert, CRNP, at Good Samaritan Health Clinic.... Today was such al blessing for the clinic- we, the Staff, were able to tell our stories and share our ideas of just how our clinic benefits our patients pertaining to the Opioid Epidemic. Whena a patient comes into our office for the first time, they see printed in black and white "We do not treat Chronic Pain". The patients, therefore, are buying into the idea and are more receptive to other treatment modalities (like PTr referrals, use of muscle relaxers, NSAIDS, etc.). We: are also part ofal larger community working At my previous job where Iworked for nearly 12 years as al NP, wei treated pts for Chronic Pain, Anxiety, ADHD, etc. and were eventually penalized by the AMA Board fort the amount of prescriptions written (my Collaborative MD was int the top! 5% Opioid Prescribers in the State of Alabama). There was also pressure from the patients to keep escalating the drug strengths to meet their pain relief, and pressure from the So, forr nearly 5 years now, have worked in this clinici int the role ofal NP and have treated Chronic Pain without the use of Opioids! The clinic offers patients hope for the future, counseling to support their needs, and other meds for thet treatment of pain such as: NSAIDS, Muscle relaxer, etc. Partnering with The Lighthouse, Bryan Clayl House, The Foundry, and RWO helps this clinici to fulfill the needs of this together to meet the needs of Opioid Addiction and Recovery. Pharmaceutical Companies to write their products!! population who would otherwise have nowhere to turni in their recovery. Patricia Calvert, CRNP Statement from Gayla Pierce, LPN who works as ar medical assistant and phlebotomist at Good Samaritan Health Clinic.... First of all, would like to thank yout for your time and concern about the opioid crisis. Ihave worked in the medical community for 40 years and have seen the crisis on the rise and iti is effects everyone to some capacity. I previously worked at a medical office, and we were unknowingly contributing toi this crisis by giving prescriptions monthly to our patients for opioids, antipsychotics, and ADHD meds. Some people are under the impression thati ify youl have a prescription for these you dor not have a problem with addiction. Thisi is incorrect. After leaving thet facility previously worked for, due to the office closing, Ireflected! back on all I learned by working there and having to work through the process of reducing the prescription access fort these meds. Our patients were at a dis service att this time and did not understand why they couid not get their meds as previously prescribed and at the amounts they had been being given RX's for. After this crack down by the board of medicine we unfortunately saw: some of our patients seek some oft these meds elsewhere by drug seeking other medical facilitiesa as well as getting some things off the street. As a side note we would: see some people become illegal drug After getting the awesome privilege of working here at the clinic Isaw another aspect of this. Isee people who have come from homelessness, prison and Mothers who don't know what else to do and they bring their grown children here for health care. We can offer them help in many ways. Some ways that we can help are by providing them with healthcare... .With NO NARCOTICS or controlled substances. We can offer them counseling and just as safe noj judgement area to seek help for their health issues that some have gotten from using drugs. Also, this could affect the community as well such asal hepatitis outbreak. We can diagnose and try to get them help with this. Sometimes it takes just educating them with other medications that can help with physical and depression issues as well as physical therapy or finding outt the cause for the physical pain and treating them. We can help prevent some of these issues by offering this health carei to patients who come from the street, who are homeless, who have. been incarcerated and who cannot hold aj job! because they have health issues they cannot afford to pay to have addressed. We see a lot of patients that come from The foundry, The Brian Clay House, the RWO and the Lighthouse. If we did not have this facility that can offer treatment for these people, they would seek out the only resources that they! had previously known. More times than If we could stop this Opioid crisislb believe we would have hardly any crisis to address ast this reachesa all addicts and some even lose their lives. not that would be drugs they have access to from the street. areas of our daily lives andi thei future of our generations. Thank you sO much, G. Pierce, LPN Statement from Susan Kirk, CPhTand Receptionist at GSHC.aa First, lwould like to sayt thank yout from the bottom of our hearts for considering us fort funding fori the opioid crisis. Itruly believe that wel here at Good Samaritan have a positive impact on the community by providing carei in 5O many ways toi individuals in our community that are in active recovery. Ihave 22 years' experience in pharmacy, firsta as at technician in a retail environment and then on to! 5y years as a med room tech at Bradford Health Services Alcohol and Drug Addiction Facility. At Bradford learned: so much about addiction and saw that it affects all walks ofl life, these people do not wake up one morning and just choose to become an addict. There isal lot of different reasons why and how this happens: life trauma (a way to cope ),j just trying tot fit iny with the crowd andy your friends may be able to stop but you find that you can't, ar major surgery or accident puts you on pain killers andy youl like the way they make Ibelieve God took me to Bradford to learn compassion for the addicted and now He has brought me here to continue that journey. We don'tj just treat the patients. We love on them. Wel let them know that they are worthy ofg good care, that they matter. We provide So many: services that are vital to their recovery such as medical, mental, and dental health. We cheer them on wheni they graduate from their programs and encourage them to continue their care with us. So, with that said, my hope ist that we might receive some additional funding sO that we can grow, expand, and continue to help with the you feel and sO you seek more and more, lcould go on and on. opioid crisis in our community. Thank you for your time, Susan Kirk, CPhT Good Samaritan Health Clinic Receptionist/Back up Pharmacy tech How Good Samaritan Health Clinic meets criteria of Core Strategies and Appropriate Uses for Opioid Remediation Funds Schedule A: Core Strategies B. MEDICATION-ASSISTED TREATMENT (MAT) DISTRIBUTION AND OTHER OPIOID-RELATED TREATMENT Good Samaritan Health Clinic serves as al hubt to provide these support services. We partner with the four local residential addiction recovery programs in Cullman County (i.e., The Lighthouse, The Foundry, Bryan/Clay House, and Restoring Women's Outreach). GSHCI helps bridge the gap from addiction to becoming productive sober citizens. Many oft these individuals have not had access to routine healthcare services for quite some time and many have done without routine maintenance medications that they need. We provide them with ai full range of medical services to assist them in regaining their health and normal living, including mental health counseling, non-opioid medications, and Patients see the Clinic as as safe, judgement- free: zone wheret they can receive compassionate care along with access to numerous resources many have done without for quite some time. No other place in Cullman County provides the services community services needed to regain theiri independence. we provide for free to the uninsured. E.E EXPANSION OF WARM HAND-OFF PROGRAMS AND RECOVERY SERVICES GSHC partners with local residential addiction recovery programs thereby allowing them to expand their service offerings to meet the needs oft their clients. GSHC provides mental health counseling andi medications tot treat mental health conditions. Wel have Social Services volunteers (retired professionals) who connect our patients with resources to address Social Determinants of Health (SDOH): such asf food insecurity, housing, utilities assistance, transportation, joby placement, safety from harm, etc. All GSHC patients have access tot these resources. Scheduie B: Approved Uses A. TREAT OPIOID USE DISORDER (OUD) GSHC provides treatment oft trauma fori individuals with OUD andi family members. Through the CRNP's interaction with the patient during their History and Physical, she identifies scope of patient needs and treats, or refers fori treatment, accordingly. Treatment includes referring for mental health counseling and prescribing/providing: medications at no cost to our patients. B. SUPPORT PEOPLE IN TREATMENT AND RECOVERY The Clinic provides mental health counseling and non- narcotic medications toi treat mental health disorders free of charge to our patients. In addition, the GSHC provides information on available services to support long-term housing, transitional housing, and recovery housing needs. Therei is a patient designated computer int the Clinic whereby patients have supervised access to valuable resources. In addition, patients in need of gasoline cards have access toi them on a once per month basis. . CONNECT PEOPLE WHO NEED HELP TO1 THE HELP THEY NEED (CONNECTIONS TO CARE) Tor reiterate, GSHC serves as the hubt to connect these individuals not only to medical services but alsot to community- based services including mental counseling, job placement, residential recovery treatment programs, food security, long- terml housing, and transportation. GSHC screens for OUD during the H&P new patient intake andi is able to provide urine drug screens ifr needed, plus additional information/nandouts of residential recovery avenues. GSHC works int tandem with Cullman Regional Medical Center to assist patients int transition from OUD andi mental health conditions into clinically appropriate follow up care. In addition, GSHC: supports local EMS to connect individuals to treatment or other appropriate. services. One oft the Clinic's board of directors is the Community Paramedic whose goali is tol keep individuals from being readmitted tol hospital. In doings so, the paramedic connects community members witht the F.PREVENTO OVER-PRESCRIBING AND ENSURE APPROPRIATE PRESCRIBING AND DISPENSING OF OPIOIDS Clinics so that treatment, when appropriate, can be done in an outpatient setting. GSHC provides support for non-c opioid pain treatment alternatives including massaget therapy, NSAIDS, muscle relaxers, PT, Tylenol, etc. The PDMP is checked before Gabapentin or Ultram: scripts are dispensed. GSHC: supports the annual drug take-back day by promoting it on Clinic'ss social media outlets. H. PREVENT OVERDOSE DEATHS AND OTHER HARMS (HARM REDUCTION) GSHC is seen as a resource fort the uninsured in our community. The Clinic can provide information to patients sot that they can get naloxone and other drugs that treat overdoses. The Clinic tests fori infectious diseases such as Hep Cand refers for treatment if positive results. .LEADERSHIP, PLANNING AND COORDINATION Att thef foundation of GSHC, we: strive to prevent overprescribing, opioid use, and opioid overdoses by treating those with OUD: and mental health conditions, support individuals int treatment and recovery, connect them to care, andi implement strategies to abate the opioid epidemic. In closing, this is a summary of our current operations. However, we are currently pursuing educational. seminars to be offered int the neart future and are open tot fulfill additional needs in our community pertaining toi the opioid crisis. Sincerely, plond-atn Jolanda Hutson I Executive Director hutson@goodsamarttanculiman.com "Go and do likewise." Luke 10:37 Invoice Order Customer Customer PO P.O. Date End User Project 94570442 40055860 315805 Email Willingham 06/30/2023 315805 Document date : 09/26/2023 Delivery esri 380 New York Street Redlands,CA-92373 Phone: (909)793-2853 Bill to: Barry Willingham County of Cullman Appraisal Dept POI Box 2220 Cullman AL 35056-2220 County of Cullman R.P. Invoice Ship to: County of Cullman Appraisal Dept 500 2nd Ave Sw Cullman AL 35055-4109 MONTEBELLOL Page: 1 Terms of payment: Net Due 30 days, no discount Esri's standard terms and conditions at www.esr.comlegalsoftwarelicense. Enterprise Agreement Fee Software/Maintenance Thel line items included int this transaction: are governed exclusively by thet terms of the above-referenced contract, if any, or, where applicable, Term: 10/01/2023 - 09/30/2024 Item Subtotal Total: 55,000.00 USD 55,000.00 FEIN: 95-2775732 DUNS/CEC: 06-313-4175 CAGE: OAMS3 Please detach lower portion and return with remittance Remit Payment to: By Check: P.O. Box 741076 Los Angeles CA 90074-1076 Environmental Systems Research Institute, Inc. Electronic Instructions: Bank: Bank of America Wire ABA: 026009593 ACH ABA: 121000358 esri Acct#: 1496150335 Barry Willingham County of Cullman Appraisal Dept POE Box 2220 Cullman AL 35056-2220 Invoice: 94570442 Payer: 315805 Document Date: 09/26/2023 Total: USD 55,000.00 Summertown Metals - Hayden, AL ESTIMATE Estimate Number: m5600 Estimate Date: Oct10,2023 Page: 7760County Hwy5 Hayden, AL 35079 Voice: (205)590-1521 Fax: 9317961522 1 Quoted To: SHANE BAILEY 500 SECOND AVENUE, S.W. 1-256-347-4006 CULLMAN, AL 35055 USA SBAILEY@CO.CULLMAN.ALUS CustomerID BAILEYS Quantity Good Thru 11/9/23 Payment Terms C.O.D. Sales Rep Item Description 60X50X161 ROOF & UPPER GABLES STEELTRUSS 4/12 PITCH 18" OH 1-24X80 SIDE SHED ON GABLE END *TO MAKE "T"* SIDE SHED TOI HAVE 20' BAYS *5E BAGS PER POST* 8X8X20PT 8X8X18PT 8X8X24 PT 8X8X28 PT 8in X 8in X32PT BAGS SACKRETE 80LB4 42 CT PERI PALLET 1/2") X5" GALV. LAG BOLTS Q/C PALLET CHARGE "NON-STOCK" 14.00 PT8820 5.00 PT8818 2.00 PT8824 2.00 PT8828 1.00 PT8832 120.00 QCR 48.00 LAG5 3.00 PAL 6.00 TSGT601288 9.00 TSST24881 2.00 TSBJ2088E 2.00 TSBJ2088C 225.00 SYP2610 70.00 SYP2620 50.00 SYP2620 12.00 SYP2620 10.00 PT2612 1,141.72 #1 PTD 710.91 #1 PTD 60' STEEL GABLETRUSS 4/12 PITCH 10 O/C8X8POSTS NOK/B180H 24' STEEL SHED TRUSS 1/12 PITCHFOR 8X8 POST 18 O/H "NON'STOCK" 20' STEEL BAR-JOIST ENDI FOR 8X8 POSTS REGULAR (UPTO 40' TRUSSES) 20' STEEL BAR-JOIST CENTER FOR8 8X8POSTS REGULAR (UPTO40 TRUSSES) 2X6X10 SYP PERLINS 2x6x20 SYPI PERLINS 2x6x20 SYP GABLE 2x6x20 SYP FACIA 2X6X12F PT METAL #1 PAINTED-29 GAUGE 40 YR: 34 @ 337" ROOF #1 PAINTED-29 GAUGE 40 YR2 27 @ 26'4 SSF ROOF Subtotal Continued Continued Continued Estimates are an approximation of charges to you, and they are based ont the anticipated di of the work to be done. Itis possible for unexpected complications to cause some deviation Sales Tax the estimate. Ifadditional materials or labor are required you will be contacted immediately. TOTAL Summertown Metals - Hayden, AL ESTIMATE Estimate Number: m5600 Estimate Date: Oct10,2023 Page: 7760County Hwy5 Hayden, AL 35079 Voice: (205) 590-1521 Fax: 9317961522 2 Quoted To: SHANE BAILEY 500 SECONDI AVENUE, S.W. 1-256-347-4006 CULLMAN, AL 35055 USA SBAILEY@CO.CULLMANALUS CustomerID BAILEYS Quantity 380.00 #1 PTD 62.00 #1 PTD 16.00 #1 PTD 21.00 PC210BA 17.00 JC10 2.00 RET10 6.00 EWF10 3.00 OC10 4.00 OC16 8.00 OC20 6.00 RC10 6.00 FV 4.00 EMSEAL1119 2.00 HDGRS10D30 11.00 MRSWB1.5BL 25.00 MRSWB1.5BA 7.00 MRSWB1.5BA 4.00 MRSWB1. 5BA 2.00 RSOO 63.00 FRCL-M 1.00 MKMFT 1.00 1.00 Good Thru 11/9/23 Payment Terms C.O.D. Sales Rep Item Description #1 PAINTED-29 GAUGE 40 YR4EACH@ WRACIZAOALE #1 PAINTED-29 GAUGE 40Y MAPONPXEONAN GABLE #1 PAINTED-29 GAUGE: 40 YR8@2' SKIRTING TRIM 11 1/2in X 51/2in X 10' ANGLES BARNI RED 10'3 3J-CHANNEL" 10' RESIDENTIAL EVE TRIM 10' ENDWALL FLASHING 10' OUTSIDE LARGE CORNERS 16' OUTSIDE LARGE CORNERS 20 OUTSIDE LARGE CORNERS 10' 9in RIDGE CAP 20 ROLL 1"X2" FLEX-PRO-VENT ROLLS EMSEAL 1X1X19'6in 10D 30DEG HDGRS CLPHD PAPER TAPE NAIL BAGS OF 250 CT 1.5in SCREWS BLACK BAGS OF 250 CT 1.5in SCREWS BARN REDI ROOF BAGS OF 250 CT 1.5in SCREWS BARN RED' WALLS BAGS OF 250 CT 1.5in SCREWS BARN RED TRIM CLEAR ROOFING SEALANT COORDINATED LABOR FREIGHT MATERIAL COST OVER-RUN NONI REFUNDABLE LABOR INSURANCE FEE 15% GENERAL CONTRACTINGLICENSE, WORKMANS COMP, LIABILITY Subtotal 55,645.34 5,008.08 60,653.42 Estimates are an approximation of charges to you, and theyare based on the anticipated di of the work to be done. Itis possible for unexpected complications to cause some deviation Sales Tax the estimate. Ifadditional materials or labor are required you will be contacted immediately. TOTAL Estimate 1028710575 10/12/2023 ESTIMATE # DATE PO# DEEP SOUTH ana 733WoodallR Decatur AL35601 038159407X.3331164153 Ae,deDSDAconsiruciorproscon CUSTOMER Cullman County Water Department Shane Bailey 2020 Beech. Avenue. Southeast Cullman, AL, 35055 (256)347-4006 Spallygro.CulimanAlus SERVICE LOCATION Cullman County Water Department 2020 Beech Avenue Southeast Cullman, AL, 35055 (256)347-4006 SbaleygcCulmanAlus DESCRIPTION Rear Porch - B Description Helical Piers Qty 17.00 The installation ofal helical pier undert the pre-existing footer of the homet to stabilize itf from further: settlement int the area of installation. Ar mini-excavator will be used at time ofi install. At time ofi inspection, specialist willr not be ablet to know at what possible depth a pier willr needt to be installed. If duringi installation the helical piers attain a depth of moret than 141 feet, 71 foot extensions willl be installed until correct depth has been attained and additional cost for extensions willl be added to thei finalj job cost. Remove and Replace Concrete for Pier Installation (Per The removal and replacement of concrete at pier installation: site. 17.00 Pier) Broom Finished Concrete (SQ/FT) Form, Pour, and Finish 340.00 Concrete- Demo and Haul Off (Per Sq Ft) Concrete demo price isf fora 4" depth. Ift the concrete is thicker than 4", customer is responsible for additional labor and possible 340.00 dumpster charges. Concrete Pump Small Line 1.00 Concrete Truck (Per Yard) 6 or More 3000 PSI Square footage and/or yards for concrete are estimated. Additional concrete may be needed to complete the project. Customer is responsible for additional concrete. 10.00 Job Notes 1.00 Use concrete slurry mixt to void fill under porch Notes 10% Estimate Total: $29,868.53 CUSTOMER MESSAGE All Prices quoted are valid for 10 days from the date A4% Convenience Fee will be added to any payments that are made with credit card, charge card, debit card, ACH/E-check, and loans. This fee will be due at the time of the payment and is non-refundable. Cash, paper check, or money order payments are excluded of stated ont the quotation. from additional fees. D.A.B. RESTORATION LLC NOTES, EXCLUSIONS AND CONTINGENCIES CULLMAN COUNTY COURTHOUSE RESTORATION PROJECT This quote only covers the described work above. Demolition costs are in this quote. All of the necessary labor needed for this project that can be best established, at this time, is included in this quote. No environmental testing or remediation is not included in this quote. If any such work is required: A change order will be The existing light fixtures in.the kitchen area must be used, per Property owner must confirm the activeness or inactiveness of the Materials for this project must be provided by the property owner Any plumbing work required to connect the new bathroom to the existing plumbing will be additional and require a change order The wall extension and installation of windows in the holding cells is contingent on the structural integrity of the building. Astructural engineer may be required to assess and validate the structural integrity and the cost must be billed to owner if one is needed. If an engineer is required and requests for additional work to be done to complete the owner's request for the extension and window installations: A change-of-work order will required and approved by the client. this quote. electrical panel in the kitchen. per material list provided by D.A.B. Restoration LLC. approved by the property owner. be submitted and must be approved by the owner, prior to work Any and all HVAC work that may be required in this project is not Any dumpsters and the disposal of all debris will be provided and beginning. quoted and must be done by another entity. done by the county. D.A.B. Restoration LLC is 100% committed to providing a scale of work that is held to upmost and highest standards. We are also committed to providing efficient and effective work. We look forward to the possibility ofstarting a professional relationship with Cullman County and the hard-working and devoted men and women employed there-in. Thank you for the consideration of this proposal and please let us know how you'd like to proceed. Appreciatively, Damien Alexander Brock owner/operator at D.A.B. RESTORATION LLC (256)-930-8600 brockdamien91@gmail.com D.A.B. RESTORATION LLC QUOTE FOR SERVICES CULLMAN COUNTY COURTHOUSE RENOVATION PROJECT CELL ALTERATIONS Remove cell doors and frame with wood around remaining bars. Install luxury vinyl tyle flooring. Convert existing cells into offices. Install, finish and paint sheetrock. Electrical work as needed. Install a 36-inch, solid-core birch door. B BREEZEWAY Extract a single steel door and leave a void. Frame the breezeway with wood. Install, finish and paint Install luxury vinyl tile flooring through entirety of breezeway. sheetrock. Any required electrical work. KITCHEN ALTERATIONS Convert the kitchen space into storage and office spaces. Install window supplied by county. Demo remaining space. Build a storage closet with a 30-inch door on the left side of the Ifexisting plumbing allows: Remove a single door to build a room. bathroom. Stud framing, sheetrock installation, sheetrock finishing and sheetrock painting for all of the walls. Installation of luxury vinyl tile. Any required electrical work. Ifthe exiting electrical panel is active: Access will need to be provided. (Contingent on owner confirmation). HOLDING CELL ALTERATIONS Turn holding cell into storage space. for each cell if building layout allows. Frame around remaining bars with wood. Install, finish and paint sheetrock. Install luxury vinyl tile. Install 36-inch, birch, solid-core door. Any required electrical work. Expand back cell wall to exterior wall and add a single window Extricate cell door. TOTAL COST: $97,585 Cullman County Commission Cullman, Alabama Upon completion, submit this form to Shane Bailey in the Commission Office Date: September 25 2023 The following equipment'vehicle is no longer in use and the following action should be taken: Declare Surplus: Type ofDisposal: XXX Transfer to other County Entity: Auction XXXX Other: Scrap. Sealed Bid Asset #: Property Decal #: Serial # or VIN: Description: IGNLCDECXJR317139 Tag # 51347CO 2018 CHEVROLETTAHOE POLICE VEHICLE Reason for disposal: NOLONGER NEEDED FOR LAW ENFORCEMENT USE (191,000) Department: SHERIFF Department Head Signature: Haly Majer Transterred to: Department Head Signature: For Office Use: Verified: Date: PHILIP WIDNER, P.E. County Engineer widner@coculmanalus JON BRUNNER, P.E. Assistant Engineer bnummer@coceulmanalus Cullman County COMMISSION Cullman County Engineering Department 2883 Highway 691 North- Cullman, AL 35058 Phone: 256-796-1336 Pax: 256-796-7039 October 2, 2023 Proposed considerations for upcoming Commission meeting on Tuesday October 17,2023 Proposed re-subdivision ofLots 3,4, and 5 of] Duck Creek Estates. A minor subdivision located on Proposed Smith Lake RV Resort Phase 4. A major Private subdivision containing 58 Lots located off Proposed re-subdivision ofLotl ofl Magic Farms Subdivision. A minor subdivision located on County County Road 1669 and corner of County Road 1668 in Commission District 3. County Road 202 in Commission District 4. Road 1539 and County Road 1319: in Commission District 1. PHILIP WIDNER, P.E. County Engineer Pw.dhmer@cocaulmanalus JON BRUNNER, P.E. Assistant brummer@coculmanalus Cullman Engineer County COMMISSION Cullman County Engineering Department 2883 Highway 69 North- Cullman, AL 35058 Phone: 256-796-1336 Pax: 256-796-7039 October 10, 2023 Proposed considerations for upcoming Commission meeting on Tuesday October 17,2023 Proposed names change of Hamby subdivision to Jacob's Well subdivision 599. Hamby subdivision was originally approved May 16", 2023. There have located on County Road original plat. been no changes to the