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testing services.The County agreed to that and offered to do so for the cities of Dublin and Livermore as well. City staff reached out to staff from Dublin and Livermore asking whether they wanted to be included the County's reimbursement. Dublin responded affirmatively and Livermore did not respond. Finally,the Fairgrounds also requested that they receive reimbursement for the use of their space from April 28,2020 through December 30,2020.The County agreed to fund the rent requested by the Fairgrounds. The County conditioned their offer to cover all of these additional testing costs on the City of Pleasanton continuing to be the conduit of the payments on behalf of the County. Between April 27 and December 11,2020 SVC tested 24,537residents with an average 5.7 percent rate of positive results on finalized tests. DISCUSSION The Alameda County Board of Supervisors delegated authority to the Alameda County Health Care Services Agency(HCSA)to negotiate and execute the first amendment to the MOU with the City,who is acting on behalf of the three Tri-valley cities to incur the approved SVC testing costs, Fairgrounds rent, and the City and Dublin's$100,000 contributions,and submit required documentation to HCSA for reimbursement. The primary terms of the proposed First Amendment include: • testing for first responders, health care workers, persons with recent suspected exposures to COVID-19,and other County residents, • the County reimbursing the City up to$1,674,900 for SVC's testing costs at the Fairgrounds within 30-days of receipt of the City's invoice, • the County reimbursing the City a total of$200,000 for the cities of Dublin and Pleasanton contributions to SVC's testing services, • the County reimbursing the City$374,100 for use of the Fairgrounds space for SVC to administer tests,and • requirements for the City to maintain records consistent with federal and state requirements. Submitted by: Approve by: /(0/- Tina Olson Nelson Fialho Director of Finance City Manager Attachments: 1. First Amendment to the MOU with Alameda County Health care Services Agency for Stanford—ValleyCare COVID-19 Testing Services through December 30, 2020 Page 3 of 3