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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 January 31, 2021, the number of reported COVID-19 <br /> cases has risen to more than 26 million confirmed cases and resulted in more than <br /> 430,000 deaths in the United States. California reported approximately 3.3 million cases <br /> and more than 40,000 deaths. <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. To support efforts by cities to <br /> expand testing services, the Board adopted the Alameda County & City COVID-19 <br /> Testing Partnership Framework on June 30, 2020 to coordinate resources and provide <br /> technical assistance to cities to increase equitable access to testing and lab processing <br /> services for residents most impacted by COVID-19. <br /> The Cities of Dublin, Livermore and Pleasanton and the County partnered with Stanford <br /> Health Care - ValleyCare to provide COVID-19 testing services at the Fairgrounds <br /> beginning April 27, 2020 and ending August 28, 2020. The goals of these testing <br /> services were to alleviate pressure off of hospital emergency rooms; provide quicker <br /> answers for recently exposed first responders, health care workers, and persons with <br /> recent suspected exposures to COVID-19; and to enhance the region's capacity to <br /> suppress new transmissions through isolation after testing. The scope of the testing <br /> services later expanded to include any resident from Dublin, Livermore or Pleasanton. <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 MOU <br /> with the County. <br /> SVC continued to provide testing services at the Fairgrounds beyond August 28, 2020 <br /> and requested the County to help fund those services. The County agreed to do so <br /> through December 30, 2020 which is the date by which the County needed to fully <br /> expend their federal CARES Act allocation. The City requested that FEMA reimburse its <br /> $100,000 allocation to the Fairgrounds testing and was advised to have the County <br /> submit the City's request along with the County's FEMA reimbursement requests for <br /> testing services. The County agreed to that and offered to do so for the cities of Dublin <br /> and Livermore as well. Finally, the Fairgrounds also requested that they receive <br /> reimbursement for the use of their space from April 27, 2020 through December 30, <br /> 2020. The County agreed to fund the rent requested by the Fairgrounds. All of these <br /> additional funding requests were included in the First Amendment to the MOU approved <br /> Page 2 of 3 <br />