AGREEMENT

This Agreement is made this ___ day of ______, 20__, by and between the County of Bucks, hereinafter referred to as the “County”, located at 55 East Court Street, Doylestown, PA 18901, through its Division of Health and Human Services, Area Agency on Aging, hereinafter referred to as “BCAAA”, located at 30 East Oakland Avenue, Doylestown, PA 18901 and TYPE IN THE NAME OF THE PROVIDER/VENDOR AND THEIR FULL ADDRESS, hereinafter referred to as “Provider”.

WITNESSETH:

WHEREAS, the TYPE IN THE SERVICE DESCRIPTION requires a Provider to meet certain program requirements; and

WHEREAS, the County, as the designated Area Agency on Aging, wishes to engage with TYPE IN PROVIDER/VENDOR NAMEto provide services as a Senior Community Center, Congregate meal site and Home Delivered meal site; and

WHEREAS, TYPE IN PROVIDER/VENDOR NAMEis willing to provide such services;

NOW, THEREFORE, the parties intending to be legally bound hereby agree as follows:

  1. Subject to the availability of Pennsylvania Department of Aging and County funds, this Agreement, for Senior Community Center services, Congregate meal services and Home Delivered meal services shall commence onJuly 1, 2014 and terminate onJune 30, 2015.
  1. The maximum dollar amount of the TYPE IN EITHER RENEWAL OR LEAVE THIS BLANKAgreement for TYPE IN DURATION OF NEW CONTRACT (MONTH, DATE AND YEAR TO MONTH, DATE AND YEAR )AND THE TOTAL MAXIMUM AMOUNT OF THE CONTRACT
  1. This Agreement is subject to all provisions of Federal, State and County laws and regulations applicable to the delivery and funding of social services to elderly persons. Furthermore, this Agreement is subject to modifications by amendments to such laws and regulations without prior notice to the Provider.
  1. This Agreement is subject to the provisions set forth in Appendices A through I, which are incorporated into this Agreement and attached hereto:

Appendix A:Private Non-Profit Listing of Board Members

Appendix B:General Terms and Conditions

Appendix C:Lobbying Certification

Appendix D:Assurance of Compliance

Appendix E1:Budget

Appendix E2:Budget Workbook

Appendix F: Payment Provisions

Appendix G:Program Requirements

Appendix H: Report Requirements

Appendix I:Provider Profile

The Provider is required to complete Agreement Signature page, Appendix A, Appendix C, Appendix D, Appendix E, and Appendix I to validate acceptance of the Agreement provisions.

  1. The County/BCAAA shall have the right to disapprove any expenditure made by the Provider which is not in accordance with the terms of this Agreement and the County/BCAAA may adjust payment to the Provider accordingly.
  1. The Provider agrees to make every best effort to obtain additional support from private sources and other public organizations for services funded under this Agreement.
  1. This Agreement and all its attachments contain all the terms and conditions agreed to by the parties. Any alterations, variations, modifications or waivers of provisions of this Agreement shall not be valid until they have been reduced to writing, duly signed by both parties and attached to the original of this Agreement. Continuation of this Agreement is based on compliance with all the terms and conditions. No other Agreements, oral or otherwise, shall be deemed to exist or bind any of the parties.

SIGNATURES AND SEAL

IN WITNESS WHEREOF, the parties have executed this Agreement on the day and year first above written.

TYPE IN LEGAL ENTITY NAME:COUNTY OF BUCKS:

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Signature of Legal RepresentativeRobert G. Loughery, Chairman

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Printed NameCharles H. Martin, Vice Chairman

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DateDiane M. Ellis-Marseglia, LCSW

Attest:

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Lynn T. Bush, Chief Clerk Date

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