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ATTACHMENT 1 THIRD AMENDMENT TO AGREEMENT This Third Amendment ("Amendment")to the Emergency Medical Services First Responder Advanced Life Support Services Agreement ("Agreement"), made and entered into on July 1, 2018, is made by the County of Alameda ("County") and the City of Pleasanton ("Contractor"). For valuable consideration, the receipt and sufficiency of which is hereby acknowledged, County and Contractor agree to amend the Agreement in the following respects: 1. Section 1.5 of the Agreement, concerning Contractors with First Responder Advanced Life Support (FRALS) Units, shall be deleted. 2. Section 1.6 of the Agreement shall be deleted and replaced with the following language: 1.6 Contractor shall adequately deploy FRALS units to continually meet the Performance Standards stipulated in Section 5 of the Agreement. 3. In Section 1.7 of the Agreement, the reference to "Title 22 CCR Section 100167" shall be amended to read "Title 22 CCR Section 100168". 4. In Section 1.7 of the Agreement, the reference to "Section 1791.201" shall be amended to read "Section 1797.201". 5. Section 2.1 of the Agreement, concerning the term, shall be deleted and replaced with the following language: 2.1 The term of the agreement shall be November 1, 2011 through June 30, 2019. 6. Section 4.2 of the Agreement, concerning receiving maximum subsidy, shall be deleted and replaced with the following language: 4.2 Contractor acknowledges that it agrees to provide FRALS service 24 hours a day, 7 days a week. 7. Section 4.3 of the Agreement, concerning Intermittant or Rotational Service Interruption, shall be deleted. 8. Section 11 of the Agreement, concerning Contractor Support, shall be deleted. 9. Section 14.1 of the Agreement, concerning Penalty Provisions, shall be deleted. 10. In Section 14.2 of the Agreement, the sentence"Penalties shall be withheld by County from FRALS support funds." shall be deleted. 11. In Section 14.2 subsection b.first bullet point of the Agreement, the sentence "If compliance falls below ninety percent(90%) the subsidy will be reduced by 10%for the next month." shall be deleted. 12. Section 14.2 subsection b. second bullet point of the Agreement, concerning Response Time Penalty, shall be deleted and replaced with the following language: • If Response Time compliance drops below 90%for any response time Category in any calendar month, Contractor shall develop and implement a performance improvement plan. Should response time compliance drop below 90%for a second month within the subsequent 11 month period, contractor shall submit for approval with its monthly compliance report a performance