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The Alameda County Board of Supervisors delegated authority to the Alameda County Health Care Services Agency(HCSA)to negotiate and execute the MOU with the City, to act on behalf of the three Tri-valley cities to incur the approved Stanford Health Care -Valley Care testing costs and submit required documentation to HCSA for reimbursement. On August 18,2020,the Pleasanton City Council approved the draft MOU with the County. SVC continued to provide testing services at the Fairgrounds beyond August 28,2020 and requested that the County help fund those services.The County agreed to do so through December 30,2020 which is the date by which the County needs to fully expend their federal CARES Act allocation.The City requested that FEMA reimburse its $100,000 allocation to the Fairgrounds testing and was advised to have the County submit the City's request along with the County's FEMA reimbursement requests.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 on the City of Pleasanton continuing to be the conduit of the payments on behalf of the County. DISCUSSION The primary terms of the City's first amendment to the MOU with the County 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 Fairgrounds space for SVC to administer tests,and • requirements for the City to maintain records consistent with federal and state requirements. Since the City's initial and subsequent arrangements to provide COVID-19 testing at the Fairgrounds was through an MOU with the City of Dublin,the City of Livermore and Stanford—ValleyCare,that MOU needs to be amended a second time to reflect the City's first amendment to the MOU with the County to provide additional funding for the testing services.The proposed Second Amendment accomplishes that objective. Submi ed by: Approved y: Tina Olson Nelson Fialho Director of Finance City Manager Page 3 of 4