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BACKGROUND <br />In December 2019, an outbreak of a respiratory illness due to a novel coronavirus (a <br />disease known as 2019 Novel Coronavirus or COVID-19) was first identified in Wuhan <br />City, Hubei Province, China. As of July 13, 2020, the number of reported COVID-19 <br />cases has risen to more than 12.9 million confirmed cases and resulted in more than <br />570,400 deaths worldwide. The United States has reported more than 3.3 million <br />confirmed cases with California reporting more than 320,800 cases. <br />On January 23, 2020, the CDC activated its Emergency Response System to provide <br />ongoing support for the response to COVID-19 across the United States. In addition, the <br />Secretary of the US Department of Health and Human Services declared a public health <br />emergency in the United States on January 31, 2020. In Alameda County, the Board of <br />Supervisors (Board) adopted a resolution ratifying the declaration of a local health <br />emergency by the County Health Officer on March 10, 2020. <br />According to the United States Centers for Disease Control and Prevention (CDC), <br />testing for individuals who are at high risk for contracting the virus is an important <br />strategy to reduce community transmission of COVID-19, especially as the County <br />relaxes shelter -in-place restrictions and expands contact tracing. To support efforts by <br />cities to expand testing services, the Board adopted the Alameda County & City COVID- <br />19 Testing Partnership Framework on June 30, 2020 to coordinate resources and <br />provide technical assistance to cities to increase equitable access to testing and lab <br />processing services for residents most impacted by COVID-19. <br />The Cities of Dublin, Livermore and Pleasanton partnered with Stanford Health Care - <br />ValleyCare to provide COVID-19 testing services at the Fairgrounds beginning April 28, <br />2020 and ending August 28, 2020. The goals of these testing services were to alleviate <br />pressure off of hospital emergency rooms, provide quicker answers for recently <br />exposed first responders, health care workers, and persons with recent suspected <br />exposures to COVID-19; and to enhance the region's capacity to suppress new <br />transmissions through isolation after testing. The scope of the testing services later <br />expanded to include any resident from Dublin, Livermore or Pleasanton. <br />Between April 27 and July 10, 2020 Stanford Health Care — ValleyCare tested 9,003 <br />residents with an average 3.22 percent rate of positive results on finalized tests. 7,000 <br />additional tests are expected to be collected and processed through August 28th to <br />support Alameda County residents. <br />The Alameda County Board of Supervisors delegated authority to the Alameda County <br />Health Care Services Agency (HCSA) to negotiate and execute the MOU with the City, <br />to act on behalf of the three Tri -valley cities to incur the approved Stanford Health Care <br />- Valley Care testing costs and submit required documentation to HCSA for <br />reimbursement. On August 18, 2020, the Pleasanton City Council approved the draft <br />MOU with the County. <br />The primary terms of the City's draft MOU with the County include: <br />• testing for first responders, health care workers, persons with recent suspected <br />exposures to COVID-19, and other County residents through August 28, 2020, <br />Page 2 of 3 <br />