VENDOR DEPARTMENT OF ELDER AFFAIRS DATE I06/1112018 II CONTRACT TRACKING SYSTEM PAGE 1 OF 1
SUPPORTING TABLES MAINTENANCE
VENDOR INFORMATION
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.-. -VENDOR NUMBER ii DATE OF CRIMES STATEMENT
VENDOR ID NUMBER j LIABILITY INSURANCE CERT DATE 11
a NAME
ADDRESS1
ADDRESS2
CITY STATE [dz1P l JI CONTACT II PHONE I 11
MONITORING DATE II SAMAS ACCOUNT II DESK REVIEW I_JI FISCAL YEAR II
I Record: 111 I I I I I <OSC>
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MANAGER :·:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•: :;;'; X
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MANAGER DEPARTMENT OF ELDER AFFAIRS DATE !06/11/20181
CONTRACT TRACKING SYSTEM PAGE 1 OF 1 SUPPORTING TABLES MAINTENANCE
CONTRACT MANAGERS
ID NAME
= II UNKNOWN J • r
02 JOHNNY APPLESEED I==
~ ANNE ROGERS
= 04 SHELIA GLENN
05 JUDY BOWERS I== 06 NICOLE TRAINOR i==
~ BEVERLY FRIEDBERG
~ CRAIG MCCORMIC
09 AMIE BOUNDS i== ~ TERESA GOODSON r
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METHOD DEPARTMENT OF ELDER AFFAIRS DATE 106/11/2018 JI CONTRACT TRACKING SYSTEM PAGE 1 OF 1
SUPPORTING TABLES MAINTENANCE
METHOD OF PAYMENT
CODE DESCRIPTION
ADV/CR/UR ADV/COST REIMB/UNIT RATE (9) - r ADV ADVANCE
ADV/CR ADVANCE/COST REIMBURSMENT (3)
ADV/FR ADVANCE/FIXED PRICE (4)
ADV/FP ADVANCE/FIXED PRICE/FEE (7)
CASH CASH
REIMB COST REIMBURSMENT (1)
DEUV DELIVERABLE (8)
FP/DELIV FIXED PRICE / DELIVERABLE
FP FIXED PRICE/FIXED FEE (6) ~
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OCA DEPARTMENT OF ELDER AFFAIRS DATE !06111/2018) CONTRACT TRACKING SYSTEM PAGE 1 OF 1
SUPPORTING TABLES MAINTENANCE
OCA TABLE CODES OCA CATEGORIES
ID NAME CODE DESCRIPTION
I• 0 DISASTER 2006 ~ ..~ 100547 COMM CARE FOR THE ELD .
10DCF DISASTER ~ 100604 OLDER AMERICANS ACT
5AD02 TITLE V 01-02 ADMIN L I 102001 LOCAL SERVICE PROGRAM
5AD03 TITLE V 03 ADMIN ... e 1 100778 CONTRACTED SERVICES
5AD04 TITLE V ADMIN 04 ~ 105256 HURRICANE/DISASTER
5AD05 TITLE V 05 ADMIN H 100570 EHEAP
5AD06 TITLE V 06 ADMIN -!:il. 101099 ELDERLY MEALS
5AD07 TITLE V 07 ADMIN f'.J 100096 ALZHEIMER'S PROJECTS iii
5AD08 TITLE V 08 ADMIN T 100007 TRAINING iii
5AD09 TITLE V 09 ADMIN ,., = E 100548 HOME CARE FOR THE ELDER •
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FUND "" DEPARTMENT OF ELDER AFFAIRS DATE I06/1112018j CONTRACT TRACKING SYSTEM PAGE 1 OF 1
SUPPORTING TABLES MAINTENANCE
FUND VALIDATION
ID NAME
13 10-1-000503 • ]
17 J 0-1-000503
AD 20-2-021065
AF 20-2-021039A
AH 20-2-021039
CA 10-1-000503
cc 10-1-000503
CD 20-2-261001
CE 10-1-000503
cw 10-1-000503 ~
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ACTION DEPARTMENT OF ELDER AFFAIRS DATE I06/11/2018J CONTRACT TRACKING SYSTEM PAGE 1 OF 1
SUPPORTING TABLES MAINTENANCE
-ACTION CODES
ID NAME
ACTUAL EXPENDITURES
ADM0 ADJUSTMENTS
ADM5 AMENDMENT FIVE
ADM4 AMENDMENT FOUR
ADM1 AMENDMENT ONE
ADM3 AMENDMENT THREE
ADM2 AMENDMENT TWO
ENC ENCUMBRANCE
PMT PAYMENT
REF ,, _..R""'E'"F"'U'-NaaDaa3========~" I
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REJECT DEPARTMENT OF ELDER AFFAIRS DATE )06/11/2018 CONTRACT TRACKING SYSTEM PAGE 1 OF 1
SUPPORTING TABLES MAINTENANCE
REJECT CODES
ID NAME
REJ6 ADJUSTMENT (DOEA) • ]
5F APPR FOR EMP MOV EXP NOT SUBM
4D ATTY GEN'S NOT SUBMITTED
3B BENEFITS TO STATE NOT SHOWN
5L CERT OF COMPLETION NOT SUBM
5H CMP APPR NOT SUBM/APP# NOT SHW
4C CNT DOC DOESNT MEET FS REO
4E CONT NUMBER NOT PROVIDEDNALID
4B CONTRACT/PO NOT SUBMITTED
2D DATE INV/SVCS RECD/APPR PYMT ~1 ,, Enter The Reject Code I Record: 1/? I I I I I <OSC>
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MILE DEPARTMENT OF ELDER AFFAIRS DATE 106/1112018
CONTRACT TRACKING SYSTEM PAGE 1 OF 1 SUPPORTING TABLES MAINTENANCE ~
CONTRACT MILESTONES
Lio I[ NAME ]
~ GRANT MANAGER/INITIATOR •
CONTRACT ADMINISTRATION
FISCAL & BUDGET
4 LEGAUGENERAL COUNSEL I
5 PROVIDER FOR SIGNATURE
6 SEC/DEP SEC FOR SIGNATURE
7. AGREEMENT/AMENDMENT EXECUTED
8 DIRECTORIOFMC
g 9 EXECUTED CONTRACT TO PROVIDER
AREA AGENCY STAFF • '
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ORGCODE DEPARTMENT OF ELDER AFFAIRS DATE 06/11/2018
CONTRACT TRACKING SYSTEM PAGE 1 OF 1 SUPPORTING TABLES MAINTENANCE
ORGANIZATION CODES
ID NAME
65200000000 OFC OF VOLUNTEER & COMM SVCS •
65600100000 AA.A01
65600200000 AA.A02
65600300000 AA.A03
65600400000 AA.A04
65600500000 AA.A05
65600600000 AA.A06
65600700000 AA.A07
65600800000 AA.A08
65600900000 AA.A09
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[CONTINll] DEPARTMENT ~ELDER AFFAIRS Date 06/11/2018
Automated Contract Management System User smidracms contc
CONTRACTNUMBER ~f';:=jI
ll __ v:_:e:::_nd::.:o::_r :ID~l==J~l !==:::===i.11!
Contract Manager~_J n ContractTitle _ I!
Org Code : ::::::::::::::::::::ii1j======F=is=ca=.1 Yr I ll From Date I n To Date I ii Services End Date J JI Payment;.Me.:.t:;;hoo~ l===;-lil
Original Contract Amount "-====-"'m ' Current Contract Amount 1-=====:ill YTD Payments Contract Bal YTD Encumbered To Be Encumber YTD Expenses
I II I II I II I II I II
CODE
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CONTAMD DEPARTMENT OF ELDER AFFAIRS DATE 06/11/2018
CONTRACT TRACKING SYSTEM PAGE 1 OF 1
===============coNTRACT -===="'============:::;;i
CONTRACT NO. 1AMEND ~1 NO. DATE CURR. AMT. ~END. AMT.
ll REV CONT AMT
J u 111 DESCRIPTION
CODE ORIGINATOR (FROM) DATE CODE FORWARD TO ,., Il l 111 II I '-'
II Ill 11 1
1n Ill II I
IU Ill 11 1 ;J
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·e, ~ r ft r~'b tei r [CONTRACT] DEPARTMENT OF ELDER AFFAIRS Date j06/11/2018 l
Automated Contract Management System User !smidracms contg
CONTRACT NUMBER 11 Vendor ID ~ I II Contract Manager l=~Ill ==========-----""'""II 11 Fiscal Yearl cl=====il II
ContractTitle
Org Code r===a;;======;;aa=aa!lLI -----., From Date ii To Date l ll Payment Met;:..h.:..od:...&;l
Original Contra~c"'t"'A"'m"'t "l;;;;;:.:...._ __ _____,lj &====c.rlurrent Contract Amt l \a=====el """'==+I
YTD Payments Contract Bal YTD Encumbered To Be Encumb YTD Expenses
11 I II I II I II I .II
llr=~--------------[:'i ~ OCA==---------------~=,,
OC~_A _____ ......, Year
l-===Beginning
~l~==ENC Balance
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~l~=-=_=_=_=_=-YTD Paid
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~~-1 YTD Expenses
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Record: 1/1 I I I <OSC>
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[CONTFIX] DEPARTMENT OF ELDER AFFAIRS Date 106/11/2018 II Automated Contract Management System user lsmidracms contgll
CONTRACT NUMBER ] vendorlD I ~I Contract Manager ij Fiscal Yearj..------,,1!
Contract Title bu
Org Code jj From Date I _.g To Date II Payment Met;;.hod;.;;_,1;l iiiiiiiiiiiiiiiiii~11.
Original Contract Amount .__! =====-"ij Current Contract Amount 1=====.aa1''. lYTD Payment Contract Bal YTD Encumbered To Be Encumbe. YTD Expenses
I II I II I ii I 11 1 JI
1-i===============OCA===============ilOCA -==~ FN Year Beginning ENC Balance YTD Paid To Be ENC YTD Expenses
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CAT DEPARTMENT OF ELDER AFFAIRS DATE 106/l 1/2018 II CONTRACT TRACKING SYSTEM PAGE 1 OF 1
SUPPORTING TABLES MAINTENANCE
OCA CATEGORY CODES
ID NAME
i!a 100007 TRAINING • '
~ 100096 ALZHEIMER'S PROJECTS
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Ii. "" 100096 ALZHEIMER'S EBOJECTS I 100547 AMERICORPS MATCH "
C 100547 COMM CARE FOR THE ELD ~ E 100548 HOME CARE FOR THE ELDER iaa
~ 100570 EHEAP
~ 100604 OLDER AMERICANS ACT
"" I 100778 AME RI CORPS ELDERSERVE
~ 100778 CONTRACTED SERVICES I.'
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