Home Modification Contract Template
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14HOME MODIFICATION CONTRACT
AGREEMENT NUMBER <<CONTRACT >>
This HOME MODIFICATION CONTRACT (the “Contract”), executed on the date(s) set
forth herein and effective from DATES, is by and between CICOA Aging & In-Home Solutions,
Inc. (“CICOA”), and <<PROVIDER NAME>> (“Contractor”) for the remodel, repair or other
improvement to a residential structure (the “Modifications”) on real estate located at the address
set forth on the Vendor Authorization that is incorporated herein by reference (the “Real
Estate”) that is owned by the property owner identified on the Vendor Authorization (“Property
Owner”) on the following terms:
RECITALS
A.
CICOA entered into a Grant Agreement, commencing as of July 1, 2017, with
Indiana Family and Social Services Administration, Division of Aging (the “State”) providing
for the State’s granting of funding to CICOA from federal and state sources in return for
CICOA’s provision and/or arrangement of certain services for eligible individuals pursuant to
Title III of the Older American’s Act, Title VII of the Older American’s Act, Nutrition Services
Incentive Program, Social Services Block Grant, Community and Home Options to Institutional
Care for the Elderly and Disabled (CHOICE) Program, Older Hoosiers, Options Counseling,
Money Follows the Person (MFP) and Family Caregiver Program (the “State Contract”). The
various requirements of the State Contract with respect to Contractor’s performance of the
Modifications are incorporated herein, by reference. CICOA shall maintain a copy of the State
Contract at its business office and agrees to make it available for review by the Contractor during
CICOA’s regular business hours.
B.
The Contractor hereby represents that it is qualified, experienced and regularly
engaged in the business of performing the type of Modifications that are the subject of this
Contract, and that it has all necessary licenses and bonds that are required by any applicable law,
ordinance, code, regulation or other legal authority. Contractor also stipulates and represents that
it has reviewed the State Contract, or has been provided with an opportunity to review the State
Contract, prior to the execution of this Contract.
C.
CICOA desires to engage Contractor to provide and perform the Modifications for
individuals in accordance with the applicable laws described herein, and in furtherance of the
services provided by CICOA pursuant to the State Contract, and Contractor desires to accept this
engagement, all in accordance with the terms and conditions set forth in this Contract, including
but not limited to the terms and conditions of the State Contract.
AGREEMENT
I. Scope of Work. Contractor agrees to perform the Modifications (the “Work”) according to
the drawings and specifications that are included in the Contractor’s bid and incorporated herein
by reference and as modified from time to time by CICOA (the “Drawings and
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