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FINANCIAL STATEMENT The proposed Second Amendment reflects the terms of the draft first amendment to the City's MOU with the County in which the City will provide the following conduit payments:(1)up to$1,674,900 to SVC for Fairground testing services from August 31, 2020 through December 30,2020,(2)$374,100 to ACF for SVC's use of space to administer tests,and(3)$100,000 to Dublin'for their contribution to SVC's testing services.In turn,the City will then invoice the County for the amount SCV,ACF and the City of Dublin invoiced the City related to Fairgrounds testing services.The City has no other financial obligation under the proposed Second Amendment. BACKGROUND In December 2019,an outbreak of a respiratory illness due to a novel coronavirus(a disease known as 2019 Novel Coronavirus or COVID-19)was first identified in Wuhan City,Hubei Province,China.As of December 18,2020,the number of reported COVID- 19 cases has risen to more than 18.3 million confirmed cases and resulted in more than 320,000 deaths in the United States.California reported approximately two million cases and more than 23,000 deaths. On January 23,2020,the CDC activated its Emergency Response System to provide ongoing support for the response to COVID-19 across the United States. In addition,the Secretary of the US Department of Health and Human Services declared a public health emergency in the United States on January 31,2020.In Alameda County,the Board of Supervisors(Board)adopted a resolution ratifying the declaration of a local health emergency by the County Health Officer on March 10,2020. According to the United States Centers for Disease Control and Prevention(CDC), testing for individuals who are at high risk for contracting the virus is an important strategy to reduce community transmission of COVID-19.To support efforts by cities to expand testing services,the Board adopted the Alameda County&City COVID-19 Testing Partnership Framework on June 30,2020 to coordinate resources and provide technical assistance to cities to increase equitable access to testing and lab processing services for residents most impacted by COVID-19. The Cities of Dublin, Livermore and Pleasanton partnered with Stanford Health Care- ValleyCare to provide COVID-19 testing services at the Fairgrounds beginning April 28, 2020 and ending August 28,2020.The goals of these testing services were to alleviate pressure off of hospital emergency rooms;provide quicker answers for recently exposed first responders,health care workers,and persons with recent suspected exposures to COVID-19;and to enhance the region's capacity to suppress new transmissions through isolation after testing.The scope of the testing services later expanded to include any resident from Dublin,Livermore or Pleasanton. Between April 27 and December 11,2020 SVC tested 24,537residents with an average 5.7 percent rate of positive results on finalized tests. I The City of Livermore did not request to be included in the County's reimbursement for their$100,000 contribution to SCV's testing services. Page 2 of 4