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Page 7 <br />EXHIBIT A <br />CITY OF PLEASANTON <br />HOUSING & HUMAN SERVICES GRANT (HHSG) PROGRAM <br />BETWEEN <br /> <br />CITY OF PLEASANTON <br />AND <br />Axis Community Health <br /> <br />JULY 1, 2025 THROUGH JUNE 30, 2026 <br /> <br />Project No. 2026086 <br />Supporting Axis’ New Livermore Clinic <br /> <br /> <br />The project to be undertaken by Axis Community Health shall involve: <br /> <br />Axis Community Health is utilizing $10,000 in grant funding to support the final build-out and operational readiness <br />of its new clinic at 1686 Second Street in Livermore. This clinic expansion is designed to relieve capacity at existing <br />Pleasanton facilities, improve regional healthcare access, and serve an estimated 2,500 new patients annually— <br />primarily from low- and moderate-income populations. The primary objectives of this grant-funded initiative are to <br />expand regional access to primary and behavioral health care, alleviate capacity constraints at Axis' Pleasanton- <br />based clinics, and improve health outcomes for underserved Pleasanton residents and the greater Tri-Valley area. <br /> <br />The project shall conform substantially to the scope of work described above. [However, the targets and service <br />goals noted in the application may be adjusted proportionately to reflect a reduction in funding between the amount <br />requested and the amount approved.] Any request to modify the scope of the project shall be submitted to the City <br />of Pleasanton’s HHSG administrator in the form of a letter. Requests shall be processed as follows: <br /> <br />a) If the proposed change is in substantial conformance with the original project scope as determined by the <br />City’s HHSG program administrator, the change may be approved by City staff. <br />b) If the proposed change is in partial conformance with the original project scope as determined by the City’s <br />HHSG program administrator, the change will be submitted for review and approval by the City’s Human <br />Services Commission and/or Housing Commission. <br />c) If the proposed change is not in conformance with the original project scope as determined by the City’s <br />HHSG program administrator, the change will be submitted for review and approval by the City’s Human <br />Services Commission and/or Housing Commission and then submitted for approval by HUD in the form of a <br />change to the Annual Action Plan. <br />Docusign Envelope ID: 1FF54D60-4FAC-4FF9-AE01-6E4CA6FCC839