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3) coordinating related ancillary services, to include testing, contact tracing, pharmaceuticals and home diagnostic equipment as appropriate, and 4) patient, family and community education regarding infectious disease prevention. To provide these services, Axis will procure necessary supplies, to include testing items and personal protection equipment. When antibody testing and treatment modalities as applicable to COVID-19 and other infectious diseases become available, Axis will develop and implement strategies to provide these enhanced services for patients as well. These services will be provided at the two Pleasanton clinic sites and will serve approximately 2,400 Pleasanton residents. An estimated 74% of these patients will have a family income that is less than 100% of the Federal Poverty Level (FPL) and 20% will have a family income that is less than 200% of the FPL. Spectrum Community Services will spend $48,000 over a 15-month period by delivering meals to COVID-19 related clients who are seniors that would not otherwise qualify for the program and disabled residents under the age of 60 who are unable to prepare or access food. This is an expansion of their current program and it is estimated that 15 individuals in Pleasanton will be served approximately 4,500 meals over the 15-month period. At $10 per meal, the cost is $45,000. The remaining $25,000 will go toward the Tri-Valley Regional Testing Center. The City Council committed $100,000 from the general fund for the Regional Testing Center of which the City intends to seek FEMA reimbursement for. FEMA will not pay more than 75% of the cost, leaving $25,000 remaining of which will be paid by the CDBG-CV funds. Attachment 3 includes the DRAFT Substantial Amendments to the FY 2015-2019 Consolidated Plan and FY 2019-2020 Annual Action Plan, which identifies the COVID- 19 activities to be funded with CDBG-CV funds, and the amendment to the Citizen Participation Plan. Public Review The DRAFT Substantial Amendments have been available for review for a 5-day public comment period (May 11, 2020 through May 15, 2020) as required by HUD under a current waiver regarding public comment and hearings, which were previously discussed. Staff recommends that the Council review the Substantial Amendments, provide comments as deemed appropriate, hold a public hearing to solicit any public testimony on the Substantial Amendments, and approve the documents for submission to HUD for review and approval. HUD has advised that the City may access its CDBG- DV funds as soon as its Substantial Amendments are approved. Page 3 of 4