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EXHIBIT A <br /> <br />SECOND AMENDMENT TO AGREEMENT <br />This Second Amendment (“Amendment”) to the Emergency Medical Services First Responder Advanced Life <br />Support Services Agreement (“Agreement”), made and entered into on July 1, 2019, is made by the County of <br />Alameda (“County”) and the City of Pleasanton (“Contractor”). <br />For valuable consideration, the receipt and sufficiency of which is hereby acknowledged, County and <br />Contractor agree to amend the Agreement in the following respects: <br />1. Section 2.1 of the Agreement, concerning the term, shall be deleted and replaced with the following <br />language: <br />2.1 The term of the agreement shall be July 1, 2019, through June 30, 2029. The EMS Agency may <br />terminate this Agreement earlier if the County initiates a new EMS system design that <br />significantly alters service delivery, and a new Agreement is negotiated with the Contractor. <br />2. Except as expressly modified by this Second Amendment, all of the terms and conditions of the <br />Agreement, are and remain in full force and effect. <br /> <br />Page 32 of 248