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First Amendment Page 1 <br />FIRST AMENDMENT TO AGREEMENT <br /> <br /> <br />This First Amendment to Agreement ("First Amendment") is entered into this 15th day of <br />June 2026 by the Livermore Pleasanton Fire Department ("City") and The Permanente <br />Medical Group ("Consultant”), a California Corporation. <br /> <br />Whereas, on July 31st, 2024, LPFD and Consultant entered into Agreement for <br />oversight of the Livermore-Pleasanton Fire Department controlled substance program, <br />including the ordering, storing, and dispensing of narcotics identified as Schedule II and <br />Ill controlled substances by the Controlled Substances Act, and associated clinical <br />training and support ("Agreement"); and <br /> <br />Whereas, the parties desire to extend the term, replace Scope with Exhibit A-2, <br />and increase the not-to-exceed amount. The total not-to-exceed amount is increased by <br />$115,200 to a new, not-to-exceed amount of $190,000. <br /> <br />Now, therefore, in exchange for valuable consideration, the receipt of which is hereby <br />acknowledged, the parties agree as follows: <br /> <br />1. Section 2 of the Agreement, " COMPENSATION" is amended to read: The <br />total compensation payable to Consultant by LPFD for the Services SHALL <br />NOT EXCEED the sum of $190,000 (“not to exceed amount”). LPFD shall <br />compensate Consultant for the Services rendered at the hourly rates, task <br />amounts, or travel expenses set forth in Exhibit “A-2” up to the not to exceed <br />amount. Except as provided in the body of this Agreement, the hourly rates, <br />task amounts or travels expenses are intended to be Consultant’s only <br />compensation for the Services and is inclusive of all costs of labor, licensing, <br />permitting, overhead and administrative costs, and any-and-all other costs, <br />expenses, and charges incurred by Consultant, its agents, and employees to <br />provide the Services <br /> <br />2. Section 3 of the Agreement, “TERM” is amended to read as follows: <br />“TERM”. This contract shall commence on the date written above and shall <br />expire on June 30, 2029. <br /> <br />3. Section 22 of the Agreement, “NOTICE” is amended to correct below <br />address: <br /> <br />Melissa A. Manson, Senior Counsel <br />The Permanent Medical Group, Inc. <br />5820 Owens Dr., Bldg. E, 3rd Floor <br />Pleasanton, CA 94588 <br /> <br />4. This amendment may be executed in multiple counterparts, each of which shall <br />be an original and all of which together shall constitute one agreement. Counterparts may <br />Docusign Envelope ID: 7E17E1FE-3186-8CD9-82D4-24DA96CAFEA4Docusign Envelope ID: 1056AD7A-5F75-8291-81D6-7251B9722F37