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and telehealth medical services to assess patients for symptoms of COVID-19 or other infectious diseases, (2) diagnostic, treatment and follow-up care for patients who are at-risk for or diagnosed with COVID-19 or other infectious diseases, (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. In order to conduct these services, When disease prevention modalities become available, Axis will develop and implement strategies to provide these enhanced services for patients as well. Axis will provide these services at its three clinic sites,which are located at 3311 Pacific Avenue in Livermore,4361 Railroad Avenue in Pleasanton,and 5925 W. Las Positas Blvd., also in Pleasanton. This project will serve approximately 2,400 Pleasanton residents who are patients at Axis; an estimated 1,775 (74%)of these patients will have a family income that is less than 100%of the Federal Poverty Level (FPL) and 480 (20%) will have a family income that is less than 200%of FPL. Need for Funds Since March 2020, Axis has been engaged in a multitude of efforts to prepare, prevent and respond to the COVID pandemic in the Tri-Valley. During this time, we have converted 90%of our medical and behavioral health visits to a telehealth format to ensure the continuation of essential services for the Tri-Valley's most vulnerable residents. We have developed "clean clinics" at our three clinic sites,which allow us to provide in-person visits for patients who have conditions that cannot be managed in a virtual health environment. We have begun a COVID testing service,we provide outpatient care for patients who have contracted COVID, and we have implemented home monitoring strategies for patients who are acutely ill, which include monitoring blood pressure, temperature and oxygen levels remotely. We also continue to coordinate our efforts with the Alameda County Department of Public Health, to ensure that contact tracing is completed and that testing services are integrated with the County data-reporting platform. The cost of these efforts have been immense. We have also suffered revenue losses for the services that had to be discontinued or reduced in order to prevent the spread of disease (dental care, acupuncture and chiropractic services have been significantly reduced). We were fortunate to have received support for some of these efforts from the Cities of Pleasanton and Livermore. Additional support was received from the US Department of Health Resources Administration, as part of the nationwide pandemic funding strategy. Alameda County has supported some of our COVID testing services as well. However, despite this support, we continue to record operational deficits, due to the increased demand for services, coupled with the loss of revenues for services that required reductions. Nearly all of these additional funds that were received require full expenditure by the end of 2020, so looking forward, we have minimal support to continue our efforts. CDBG support from the City of Pleasanton is critical to our continuing efforts on this front, as the funds we received from federal and county sources will be fully expended in the coming months. We further anticipate that we will play a significant role in the community once a vaccine is ready for administration to the public. There are no funds in the pipeline for this effort as well. We appreciate the opportunity to apply for this support and would be happy to respond to any questions regarding this proposal. Sincerely, Sue Compton, CEO