FY2017 Formula Grant Contracts - COA Administrator
To receive your Formula Grant award, complete the contract located in the download (FY 2017 COA Formula Grant Contracts) file below. Contracts are listed in alphabetic order: print only your page. (If you do not specify just your page when printing, you will print all 349 contracts!)
The entire contract contains four pages in addition to the "Standard Contract Form" face sheet; however, you need NOT submit pages two, three, four and five to Elder Affairs. Please attach these pages to your own copy of the contract you submit to Elder Affairs.Download Final-fy-17-contracts (PDF, 10.5 megs)
The COA/MUNICIPALITY MAKES NO CHANGES WHATSOEVER TO THIS CONTRACT! See instructions for the authorized municipal signatory in item #1, below.
The Formula Grant payment is noted at “COMPENSATION.” The FY2017 Formula Grant award is the sum of the “COMPENSATION” figure less any carryover balance recorded on your Statement of Grant/Allocation Balance for FY2016. If your contract does not appear on the website, please contact the COA Program Manager at Elder Affairs 1-800-698-9723.
The contract section entitled “BRIEF DESCRIPTION OF CONTRACT PERFORMANCE or REASON FOR AMENDMENT” binds you to the contract and “The Guide” to COA Eligible Costs and Best Practices for FY2017 issued with the Formula Grant/Allocation notice. If you do not have a current copy of “The Guide” please contact Elder Affairs.
Note: The address in the upper left hand corner box of the contract is not the COA’s address, but the current legal address of the municipality.
1. The authorized signatory shall sign and date this contract in the bottom left field (box). Please do not sign or change anything on the contract! The authorized signatory may enter (print) the signatory’s name and title. Only the chair of the Select Board, executive secretary, mayor or whomever is legally authorized to sign contracts on behalf of the municipality.
Note: The Executive Office of Elder Affairs countersigns the lower right corner; make no marks/changes in that area.
2. Please contact ELD prior to making any contract modification! If you already changed the name of the contract manager (upper left hand box), have the signatory initial that change.
3. Please submit as soon as practicable. You need NOT overnight the contract.
Return document to:
Executive Office of Elder Affairs
1 Ashburton Place 5th Floor
Boston, MA 02108
ATTN: COA Program Manager