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BACKGROUND The City routinely pays ValleyCare for required pre-employment medical exams and other occupational health services. Due to the COVID-19 pandemic, ValleyCare additionally provides COVID-19 testing as part of those occupational health services. On July 1, 2020, the City required all employees to pass a COVID-19 test as part of the re-entry plan. In addition, employees experiencing COVID-19 symptoms and employees potentially exposed to COVID-19 are referred to ValleyCare for an assessment and COVID-19 testing as recommended. On December 3, 2021, the first cases of COVID-19 attributed to the omicron variant were detected in Alameda County. Subsequently, the City experienced an increased need for employee COVID-19 assessment and testing. The City anticipates the continued need to administer COVID-19 baseline testing as part of the pre-employment screening process and to refer employees to occupational health for assessment and testing throughout this fiscal year. DISCUSSION The City has received exceptional occupational health services by ValleyCare Occupational Health, particularly during this pandemic. The current purchase order in the amount of$100,000 is now insufficient in addressing the impacts of COVID-19 throughout the remainder of this fiscal year. This amended purchase order in the amount not to exceed $200,000 is expected to accommodate the need for continued occupational health services and testing through June 30, 2022. Sub itted by: Reviewed by: Approv by: /de 41\7 Debra Gill Ma'. . hah Brian Dolan Director of Human Interim lirector of Finance Interim City Manager Resources and Labor Relations Page 2 of 2