Board Of Supervisors — Tuesday, October 26, 2021

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Carol J. Huchingson, County Administrative Officer Subject: EXTRA ITEM: (a) Consideration of "extra" agenda item, and, (b) Consideration of a Letter of Opposition to Placement of Lake County in Visual Congressional District North Coast Executive Summary: (a) This item is being submitted as an "extra" agenda item. The justification for this request to consider an item not on the posted agenda is as follows: This item came to my attention subsequent to the posting of the current agenda and there is a need to take action before the next agenda. Explanation: Our office learned this afternoon that the California Citizens Redistricting Commission had published Visualizations, demonstrating hypothetical District-based boundaries. The proposed Districts are inconsistent with Lake County's priorities, as expressed in your Board's September 28 Resolution (attached). As currently visualized, for the first time in decades, we would no longer share representation with critical regional Economic Development partner, Napa County. Public meetings regarding these Visualizations begin tomorrow, October 27, at 1pm, and staff advises it will be most effective if your Comment is registered prior to the start of these meetings. (b) I am recommending your Board approve the attached Letter, and authorize the County Administrative Officer, or my designee, to submit it today at: https://www.wedrawthelinesca.org/ If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☒ Well-being of Residents ☐ Public Safety ☒ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☒ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: (a) I request that the Board take action by motion to accept this item for consideration as an "extra" agenda item. (b) Approve the Letter of Opposition to Placement of Lake County in Visual Congressional District North Coast

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Carol J. Huchingson, County Administrative Officer, Interim CDD Director Subject: Approve Amendment No. 2 to Agreement for Recruitment Services for Lake County Public Health Officer and authorize the Chair to sign Executive Summary: Since mid-March 2021, we have been actively recruiting for the next full-time Public Health Officer (PHO) for the County of Lake. This process has been with the support of a recruitment firm that has had considerable experience and success in filling this class in other jurisdictions. We are now in our fourth round of recruitment for the position and while the basic consulting rate is fixed, additional funds are needed for the fourth round of advertising, including geofencing, digital media, job boards and print. If not budgeted, fill in the blanks below only: Estimated Cost: $33,800. Amount Budgeted: $33,800. Additional Requested: $5,800. Future Annual Cost: -0- Costs are being charged to the Planning Budget and funds will be shifted internally, as needed, to cover. Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☒ Economic Development ☐ Infrastructure ☒ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Approve Amendment No. 2 to Agreement for Recruitment Services for Lake County Public Health Officer and authorize the Chair to sign.

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Carol J. Huchingson, County Administrative Officer Subject: Adopt Resolution Reappointing Anita L. Grant as County Counsel for the County of Lake Executive Summary: The Government Code requires that the position of County Counsel be filled through an appointment by the Board of Supervisors for a term of four years. The current County Counsel, Anita L. Grant, was appointed to her first four year term effective October 11, 2005, appointed to a second four year term effective October 11, 2009, appointed to her third four year term effective October 11, 2013 and appointed to her fourth four year term effective October 11, 2017. Consequently, it is time to reappoint Ms. Grant to another four year term. Attached hereto is a proposed resolution which, if adopted, will reappoint Anita Grant to the position of County Counsel for another four year term. If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☒ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Adopt Resolution Reappointing Anita L. Grant as County Counsel for the County of Lake.

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Todd Metcalf, Director Lake County Behavioral Health Services Subject: Adopt Resolution Authorizing the Agreement in the amount of $757,550.00 between the County of Lake and the California Mental Health Services Authority for the period of Agreement execution through December 31, 2024 and Authorize the Board Chair to sign the Agreement. Executive Summary: The Mental Health Services Act (MHSA) includes a rare and explicit commitment to fostering innovation in providing services and supports. The law requires counties to utilize 5% of their MHSA funds on innovation projects and charges the Mental Health Services Oversight & Accountability Commission (MHSOAC) with approving those projects. Funds not utilized are subject to reversion by the state. Although counties can propose individual projects, the MHSOAC also encourages multi-county collaborations to explore ways to improve mental health services across California. This has the advantage of learning from other counties as well as sharing the responsibility in getting a project approved, which is often difficult and time consuming. In January 2020, a cohort of six (6) California county behavioral health departments (Fresno, Sacramento, San Bernardino, San Mateo, Siskiyou, and Ventura) embarked on a multi-year Full Service Partnership (FSP) Innovation Project to identify data-driven best practices and improve service delivery across California. Full-Service Partnership (FSP) is the largest overall program within MHSA (minimum 38%) with more than $1 billion spent annually statewide. FSP programs provide direct, wraparound services for those with chronic mental illness who are most at risk of homelessness, incarceration, or institutionalization with a "whatever it takes" approach. The Multi-County FSP Innovation project, catalyzed by similar efforts from the Los Angeles County Department of Mental Health to transform their FSP program one that is outcome-focused and data-driven, this project aims to leverage counties' collective resources and experience to implement a uniform, data-driven approach that improves counties' capacity to use centralized data to enhance FSP services and consumer outcomes. The Project is supported by numerous stakeholders, including a consultant firm called Third Sector, as the outcomes-focused technical assistance provider, the Mental Health Services Oversight and Accountability Commission (MHSOAC) to provide contractual oversight, California Mental Health Services Authority (CalMHSA) as the fiscal agent, and RAND as the Project evaluator. The project was created in close partnership with the Center for Behavioral Health Directors Association (CBHDA). Recently, Lake County, along with Stanislaus County, were invited to participate in this project. As this project involves counties that are large, medium and small, LCBHS sees a significant opportunity to improve our own FSP program and create better data tracking, better service delivery, and better outcomes for the citizens of Lake County receiving FSP services. This project was described in our recent annual MHSA presentation to the Board on 09/21/2021. As the groundwork has already been laid for this project, it is fairly easy to join in and start off running. The contract before the Board between the County and CalMHSA enables LCBHS to use its Innovation Funds for this project. If not budgeted, fill in the blanks below only: Estimated Cost: _$757,550.00_ Amount Budgeted: _$757,550.00_ Additional Requested: __N/A__ Future Annual Cost: _N/A_ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☐ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Adopt Resolution Authorizing the Agreement in the amount of $757,550.00 between the County of Lake and the California Mental Health Services Authority for the period of Agreement execution through December 31, 2024 and Authorize the Board Chair to sign the Agreement.

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Anita L. Grant Subject: Approve Continuation of Resolution Authorizing Teleconfered Meetings during a State of Emergency Continue to Exist Executive Summary: Assembly Bill 361 was enacted on September 16, 2021. Assembly Bill 361 authorizes the County to use teleconferencing for public meetings without following certain requirements of the Brown Act. Assembly Bill 361 essentially continues, with some limitations, the ability of local governments to meet virtually during a state- proclaimed State of Emergency as local governments have been authorized to do pursuant to Executive Orders of the Governor. On September 28, 2021, your Board adopted the attached Resolution whereby you made findings authorizing teleconferenced meetings to continue. Every 30 days during the proclaimed State of Emergency and/or the period during which state or local officials have imposed or recommended social distancing measures, the legislative body acting under the teleconference exemptions must make findings as to whether the circumstances explained above still apply. The legislative body must find that it reconsidered the circumstances of the State of Emergency and that one of the following circumstances exist: - The emergency continues to directly impact the ability of members to safety meet in person; OR - State or local officials continue to impose or recommend measures to propose social distancing." (Gov. Code sec. 54953(e)(3).) Your Board may make those findings by motion and continue to allow teleconferenced meetings pursuant to AB 361 and the Resolution previously adopted. If your Board cannot make these findings by majority vote, then it will no longer be exempt from the physical public access, quorum, and public comment opportunity rules applied to teleconferenced meetings under subsection 54953(b)(3). If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☐ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Approve Continuation of Resolution Authorizing Teleconfered Meetings during a State of Emergency Continue to Exist

Memorandum Date: October 13, 2021 To: The Honorable Lake County Board of Supervisors From: Susan Krones, District Attorney Subject: Approve the Lake County District Attorney's Office - Victim Witness Division's Policy for Direct Financial Victim Assistance Executive Summary: Since October 2018 our Victim Witness Assistance grant, first awarded by the California Office of Emergency Services 36 years ago, has been allocated additional "Mass Victimization Advocate" funding. These MVA funds are strictly used to develop a victim assistance plan to support and enhance immediate response and recovery efforts and to establish readiness in response to mass victimization/terrorism incidents. A mass victimization incident is defined as an incident that affects 3 or more persons. Depending on the kind of mass victimization event that occurs, victims may need lodging, food, and/or transportation. Part of our victim assistance plan is to provide those needs via gift cards and/or vouchers. In order to maintain integrity when utilizing these gift cards and/or vouchers, a Policy for Direct Financial Victim Assistance was created. If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☐ Well-being of Residents ☐ Public Safety ☒ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☐ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Approve the Lake County District Attorney's Office - Victim Witness Division's Policy for Direct Financial Victim Assistance

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Jennifer Baker, Health Services Interim Deputy Director For Carol Huchingson, Interim Health Services Director Subject: Adopt Resolution Approving County of Lake Health Services Department to submit a Renewal Application and Certification Statement for the Maternal, Child and Adolescent Health (MCAH) Grant with the State of California, Department of Public Health for Fiscal Year 2021 through 2022, in the amount of $270,601.06 and Authorizing the Board Chair to sign said Certification and Interim Health Services Director to sign renewal application. Executive Summary: The MCAH program identifies the needs of the Lake County mother and child population, and assists in improving accesses to existing local services and support programs. This grant allows the Public Health Division to work on identifying, coordinating and providing health services to pregnant women and children in Lake County through collaborative planning, development and the assurance of quality prenatal and infant care. The Certification Statement serves as an attestation that the MCAH program is in compliance with all federal regulations, and allows the department to submit the annual grant renewal application. If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☐ County Workforce ☒ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Adopt Resolution Approving County of Lake Health Services Department to submit a Renewal Application and Certification Statement for the Maternal, Child and Adolescent Health (MCAH) Grant with the State of California, Department of Public Health for Fiscal Year 2021 through 2022, in the amount of $270,601.06 and Authorizing the Board Chair to sign said Certification and Interim Health Services Director to sign renewal application.

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Jennifer Baker, Interim Deputy Health Services Director For Carol Huchingson, Interim Health Services Director Subject: Approve Amendment Five to the Agreement between the County of Lake and the Kelseyville Motel for COVID-19 Emergency Isolation Housing and Authorize the Board Chair to Sign Executive Summary: The Kelseyville Motel is currently under contract with County of Lake to provide a block of rooms available for residents who are subject to quarantine and/or isolation orders due to COVID-19 and may not have a safe place to shelter. The original Agreement was for a 5-room block with a rate of $83.00 per night plus tax, paid whether occupied or not. The first amendment to the Agreement extended the term of the Agreement by four (4) additional months, and proportionately increased the maximum amount payable under the agreement. The second amendment extended the term until June 30, 2021; or the period of exigent or emergency circumstances as may be established by local, state or federal proclamation, whichever is shorter. Additionally the second amendment increased the maximum amount payable under the agreement to $150,000. The third Amendment decreased the contracted block of rooms from five down to two whether occupied or not, with an option to rent additional rooms at the same rate if needed. This decrease was requested because the room block was being underutilized at that time, due to Lake County COVID-19 cases decreasing, and COVID-19 vaccinations becoming readily available to our community. The fourth Amendment extended the term of the Agreement through October 31, 2021, and raised the maximum compensation of the agreement to ensure sufficient funding. With the COVID-19 Delta variant being confirmed in our community and, an active projected 2021 fire season, the Amendment was requested to ensure that Lake County residents who may have been subjected to COVID-19 quarantine and/or isolation orders had a safe place to do so in the event of evacuations. This fifth Amendment will extend the term of the Agreement through December 31, 2021; or the period of exigent or emergency circumstances as may be established by local, state or federal proclamation, whichever is shorter. Sufficient compensation remains to ensure funding through this extended term. Despite our County's COVID positivity rates declining this two room block is still consistently being utilized to provide a safe place for qualifying residents to quarantine and/or isolate. Health Services requests your Board's approval to continue this agreement through this two month extended term. This Agreement with Kelseyville Motel and all Amendments associated have been funded through COVID-19 grants from the State of California Department of Public Health. If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☒ Well-being of Residents ☒ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☐ County Workforce ☒ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Approve Amendment Five to the Agreement between the County of Lake and the Kelseyville Motel for COVID-19 Emergency Isolation Housing and Authorize the Board Chair to Sign

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Jennifer Baker, Interim Deputy Health Services Director For Carol Huchingson, Interim Health Services Director Subject: Adopt Resolution Approving the Certification Statement for the State Department of Health Care Services, CMS Branch's California Children's Services (CCS) Administration Plan Renewal Grant for FY 2021-2022 and Authorize the Board Chair to Sign Said Certification Statement Executive Summary: Attached for your review is a Resolution authorizing the Board's Chair to sign the Certification Statement required for the FY 2021-2022 renewal of the CMS CCS Administrative Program Fiscal Plan and Budget. The CCS Administrative Program provides medical care for children with serious care needs and disabilities, whose families meet specific income guidelines. CCS also has funds for diagnosis, treatment, and medications for children who are income eligible. Additionally CCS provides case management to link clients with medical care. If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☐ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Adopt Resolution Approving the Certification Statement for the State Department of Health Care Services, CMS Branch's California Children's Services (CCS) Administration Plan Renewal Grant for FY 2021-2022 and Authorize the Board Chair to Sign Said Certification Statement

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Jennifer Baker, Interim Deputy Health Services Director For Carol Huchingson, Interim Health Services Director Subject: (a) Waive the formal bidding process, pursuant to Lake County Code Section 38.2, as it is not in the public interest due to the unique nature of goods or services; and (b) Approve the First Amendment to the Agreement between the County of Lake and Management Connections for Temporary Staffing Support Services completed during Fiscal Year 2021-22 for a sum not to exceed $60,000 and authorize the Board Chair to sign the Amendment Executive Summary: Attached is the First Amendment to the Agreement between the County of Lake and Management Connections, for temporary staffing support services provided to the Health Services Department. This first Amendment will extend the term of the active Agreement through December 31, 2021, and increase the maximum payable amount to ensure funding through this term. Health Services is actively recruiting to fill current vacant allocations, and has recently assigned staff to specifically coordinate and expedite this recruitment effort. The department vacancy rate is approximately twenty percent at this time. The supplemental staff provided by Management Connections has assisted the department in continuing to provide timely services to the public. Your Boards approval is requested to continue this temporary staffing agreement through the end of the year, so that we may continue to provide timely services to the public, while simultaneously focusing on our current recruitment efforts. If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☒ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: (a) Waive the formal bidding process, pursuant to Lake County Code Section 38.2, as it is not in the public interest due to the unique nature of goods or services; and (b) Approve the First Amendment to the Agreement between the County of Lake and Management Connections for Temporary Staffing Support Services completed during Fiscal Year 2021-22 for a sum not to exceed $60,000 and authorize the Board Chair to sign the Amendment

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Shane French, Information Technology Director Subject: Authorize the IT Director to issue a Purchase Order to Dell Technologies for Microsoft Windows Server licenses in the amount of $29,930.00 Executive Summary: County IT maintains a number of servers that have the Microsoft Windows Server operating system installed. Microsoft requires licensing to be purchased for each user of these systems. As Microsoft releases new versions of its Windows Server OS, it becomes necessary to update licensing to stay compliant with licensing requirements. As Microsoft just recently released the 2022 version of its server operating system, it is an ideal time to purchase licensing for the product. The Information Technology Department has obtained three quotations and has found that Dell Technologies offers the best pricing for the licenses. Attachments: Dell Technologies licensing quotation If not budgeted, fill in the blanks below only: Estimated Cost: $29,930 Amount Budgeted: $28,000 Additional Requested: $0 Future Annual Cost: $0 Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☒ Infrastructure ☐ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Authorize the IT Director to issue a Purchase Order to Dell Technologies for Microsoft Windows Server licenses in the amount of $29,930.00

Memorandum Date: October 14, 2021 To: The Honorable Lake County Board of Supervisors From: Scott De Leon, Public Works Director Subject: (a) Waive the formal bidding process, pursuant to Lake County Code Section 38.2, as it is not in the public interest due to the unique nature of the goods or services, and (b) Approve the Master Agreement between the County of Lake and NCE for consulting services related to pavement preservation and rehabilitation of County Roads, and (c) Approve Supplemental Services Agreement Number 1 and authorize the Chair to sign the Agreements Executive Summary: With the recent Federal Stimulus package, it was discovered that the Department of Public Works is potentially missing opportunities to take advantage of new funding sources due to a lack of "on the shelf" project designs. Though we were able to quickly develop some candidate projects, having completed designs with Engineer Estimates and preliminary environmental clearances would significantly improve the Department's chances of securing new funding. To this end, we are recommending that the County enter into an Agreement with NCE, the consulting firm that has been preparing the County Pavement Management Reports for past decade, to perform various engineering consulting services for the development of pavement preservation and rehabilitation projects. The Agreement would take the form of a Master Agreement that specifies basic contractual requirements along with Supplemental Services Agreements that are developed for individual projects. Today's item proposes your Board's consideration of both a Master Agreement along with a Supplemental Services contract for the consultant's first project, both of which are attached. The Master Agreement contains no cost proposal and simply defines the framework with which projects will be developed, along with the roles and responsibilities of each party. Both the Consultant and County Counsel have reviewed and agreed to the provisions of the agreement. The proposed Supplemental Services Agreement includes the first of several individual projects, to include: * Development of a 5-year Pavement Preservation/Rehabilitation Plan; Future projects that NCE is developing scope and cost information for subsequent Supplemental Service Agreements include: * Development of Plans and Specifications for the Reconstruction of various subdivision roads on Cobb Mountain; * Development of Plans and Specifications for projects identified in the DPW Department's SB-1 Project list; and * Development of Plans and Specifications for projects identified in the 5-year Plan; Cost for the 5-year Plan has been provided in NCE's proposal, which is attached to the Supplemental Services Agreement. We recommend that your Board utilize Section 38.2 Not in the Public Interest of Chapter 2 of the Lake County Code, specifically items (2) and (3) of that section, which allow the Board to waive competitive bidding based on the following findings: (2) The unique nature of the goods or services precludes competitive bidding, and (3) A determination that competitive bidding would produce no economic benefit to the County. In accordance with Ordinance 3109, which further defines the criteria for the use of the aforementioned section, I offer the following justifications for the above-referenced findings: The development of the 5-year Pavement Preservation/Rehabilitation plan will be based on the information gathered and developed as part of the County's Pavement Condition Report - a report prepared by NCE for the past 15 years. NCE is the preeminent pavement management consulting firm in the State, and their familiarity with Lake County - derived from 15 years of evaluating Lake County roads - makes them uniquely qualified to perform this work. County Purchasing Codes require the selection of consultants be based on qualifications, experience, and past record of performance and its unlikely NCE would be surpassed by any competing firm using those criteria. Additionally, NCE engineers stay abreast of the new technologies being utilized for pavement preservation and rehabilitation and they routinely make recommendations and develop plans for local agencies that maximize the benefits attained with limited road maintenance funding. The efficiencies of having the design engineers who prepare the construction plans working alongside the engineers who develop the pavement management plan is clearly more of an economic benefit than dividing up those tasks with multiple consulting firms. Attachments If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☐ Well-being of Residents ☒ Public Safety ☒ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☒ Infrastructure ☐ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Staff recommends that the Board of Supervisors (a) Waive the formal bidding process, pursuant to Lake County Code Section 38.2, as it is not in the public interest due to the unique nature of the goods or services, and (b) Approve the Master Agreement between the County of Lake and NCE for consulting services related to pavement preservation and rehabilitation of County Roads, and (c) Approve Supplemental Services Agreement Number 1 and authorize the Chair to sign the Agreements.

Memorandum Date: October 13, 2021 To: The Honorable Lake County Board of Supervisors From: Scott De Leon, Public Works Director Subject: Adoption of Resolutions rescinding prior rejections and accepting certain roadways for public use for the purpose of providing increased water flow and necessary fire hydrants for fire protection to the communities of Forest Oaks and Bonanza Springs Subdivision No. 1 Executive Summary: The attached Resolutions are being presented to the Board of Supervisors at this time at the request of the Cobb Area County Water District (District). The District is requesting your adoption of the Resolutions for the purpose of installing larger water mains, within the roadways, to provide increased water flow and necessary fire hydrants for fire protection for the people of the Forest Oaks and Bonanza Springs Subdivision No. 1 communities. These roadways will not be County maintained. The recording of Bonanza Springs No. 1 Subdivision on September 20, 1955 included an offer to dedicate roadways known as Black Oak Road and Ridge Road for public use. While the Board of Supervisors approved the Subdivision Map, it rejected the offer of dedication of all roadways for public use. Similarly, recording of Forest Oaks Subdivision on December 27, 1965 included an offer to dedicate roadways known as Ridge Road, Lindsey Drive, Forest Oaks Drive and Casale Drive for public use. Again, the Board of Supervisors approved the Subdivision Map, but rejected the offer of dedication of the roadway for public use. Government Code Section 66477.2(a) states that after acceptance of a final map, an offer of dedication shall remain open and the legislative body may, by resolution at a later date and without further action by the subdivider, rescind its action and accept and open the streets for public use. That acceptance (Resolution) must be recorded in the Office of the County Recorder. If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☒ Infrastructure ☐ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Staff recommends that the Board of Supervisors adopt the attached Resolutions and return to the County Surveyor for recording.

Memorandum Date: October 13, 2021 To: The Honorable Lake County Board of Supervisors From: Brian L. Martin, Sheriff/Coroner/OES Director Subject: A) Approve the FY 2021 Emergency Management Performance Grant application in the amount of $137,931 and B) Approve the FY 2021 Emergency Management Performance Grant - American Rescue Plan Act (ARPA) in the amount of $60,483 and C) Authorize Sheriff Brian Martin to sign the Grant SubAward Face Sheet, the Authorized Agent document and the Subrecipient Grants Management Assessment form; D) Authorize County Administrative Officer, Carol J. Huchingson to act as the Authorized Agent on behalf of the County to sign the Standard Assurances and initial each page, the Lobbying Certification and the FFATA Financial Disclosure document and E) Authorize the Chairperson of the Board of Supervisors to sign the Certification of the Governing Body Resolution. Executive Summary: : The Sheriff's Department has been awarded the Emergency Management Performance Grant (EMPG) in the amount of $137,931 and EMPG-ARPA grant in the amount of $60,483 for FY 2021. These grants have a 100% county match. The EMPG grant will pay a portion of salaries for employees budgeted in 2201 that perform emergency management duties. These employees are certified in the Professional Development Series of Emergency Management and include OES Manager (currently vacant), OES Coordinator Willie Sapeta, OES Specialist (currently vacant) , Lt. Gavin Wells, Sheriff/Coroner Administrative Manager Mary Beth Strong and Sr. Staff Services Analyst Nancy McCarrick. 50% of the time spent on OES duties are reimbursable to the County General Fund. These monies have been budgeted in the Sheriff/OES budget 2704. The County match has been budgeted in the Sheriff/Coroner budget 2201. These funds reimburse the Sheriff/Coroner budget 2201 for a portion of salaries for employees in this budget that perform emergency management duties. The EMPG-ARPA funds will be used to continue the communications upgrade at the various repeater sites within the County. If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☒ Not applicable ☐ Well-being of Residents ☒ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☒ Infrastructure ☐ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: A) Approve the FY 2021 Emergency Management Performance Grant application in the amount of $137,931 and B) Approve the FY 2021 Emergency Management Performance Grant - American Rescue Plan Act (ARPA) in the amount of $60,483 and C) Authorize Sheriff Brian Martin to sign the Grant SubAward Face Sheet, the Authorized Agent document and the Subrecipient Grants Management Assessment form; D) Authorize County Administrative Officer, Carol J. Huchingson to act as the Authorized Agent on behalf of the County to sign the Standard Assurances and initial each page, the Lobbying Certification and the FFATA Financial Disclosure document and E) Authorize the Chairperson of the Board of Supervisors to sign the Certification of the Governing Body Resolution.

Memorandum Date: Board of Supervisors To: The Honorable Lake County Board of Supervisors From: Carol J. Huchingson, Clerk of the Board of Supervisors Subject: Presentation of an Annual Report on the activities of Lake County Resource Conservation District Executive Summary: As your Board may be aware, the Lake County Resource Conservation District (RCD) consolidated multiple local entities in 2016, in order to better serve Lake County residents. On June 28, 2016, your Board expressed support for Lake County RCD's intention to prepare and present a report of their activities on an annual basis. Victoria Brandon will be present to make this year's report on behalf of Lake County RCD. If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☒ Well-being of Residents ☒ Public Safety ☒ Disaster Prevention, Preparedness, Recovery ☒ Economic Development ☐ Infrastructure ☐ County Workforce ☒ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: No action - informational report only.

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Carol J. Huchingson, County Administrative Officer Subject: 9:30 A.M. - Consideration of the Clearlake-Lakeport Armory Exchange Agreement to Exchange the Properties Located at 1431 Hoyt Avenue, Lakeport, CA (APN 003-046-750-000) and 15837 18th Avenue, Clearlake, CA (APN 010-043-010) Executive Summary: On January 15, 2019, California Governor Gavin Newsom signed Executive Order N-06-19 directing the Department of General Services (DGS) to collaborate with the Department of Housing and Community Development (HCD) and the California Housing Finance Agency (CalHFA) to identify and prioritize excess state-owned property for sustainable, innovative and cost-effective housing developments to address California's shortage of affordable housing. As part of this initiative, the Lakeport Armory property located at 1431 Hoyt Avenue, Lakeport, CA was identified as excess state-owned property. Beginning in 2020, California State Senator Mike McGuire, County of Lake, City of Clearlake, and various State of California agencies began discussions exploring the opportunity of a land swap involving the state-owned Lakeport Armory and the county-owned vacant property located at 15837 18th Avenue, Clearlake, CA. This land exchange would provide an opportunity to build at least 50% of the housing units as deed restricted affordable units located within the City of Clearlake and would allow the relocation of the Sheriff's Office to the Lakeport Armory to help address the their space needs. On January 12, 2021, your Board directed staff to complete all tasks necessary to declare the county-owned vacant real property (APN 010-043-01) as surplus in preparation for the proposed Clearlake-Lakeport Armory Property Land Swap. Government Code 25365 allows your Board to grant, convey, quitclaim, assign, or otherwise transfer to the state any real or personal property, or interest therein belonging to the County that is not required for County use and in conjunction allows the County to acquire property required for public use. January 26, 2021 - City of Clearlake Planning Commission adopted a General Plan Consistency Determination with Resolution 2021-02 for the county-owned property (APN 010-043-01) located at 15837 18th Avenue, Clearlake, CA. January 28, 2021 - County of Lake Planning Commission adopted the General Plan Conformity Report for the state-owned property (APN 003-046-75) located at 1431 Hoyt Avenue, Lakeport, CA. March 16, 2021 - County of Lake Board of Supervisors adopted 1) Resolution No. 2021-30 declaring the Board of Supervisors intent to exchange county property not required for public use located at 15837 18th Avenue, Clearlake, CA (APN 010-043-010) for property owned by the State and required for County use and 2) Resolution No. 2021-31 authorizing the execution and implementation of a property exchange agreement with the State of California. Following the previous actions by your Board, the State of California, Department of General Services has entered into an exclusive negotiation agreement with the Chelsea Investment Corporation to develop the vacant property located at 15837 18th Avenue with an affordable housing project. In addition, both the State and County staff have reviewed the proposed property exchange agreement which allows for the property exchange between the State of California and the County of Lake. This agreement allows the State of California to convey the property (Lakeport Armory) located at 1431 Hoyt Avenue, Lakeport, CA and all improvements to the County of Lake. This agreement also allows the County of Lake to convey the property (vacant land) located at 15837 18th Avenue, Clearlake, CA and all improvements and for other valuable considerations including all responsibility and liability and maintenance of the County exchange property until such property is leased for the development of an affordable housing project or until the State of California divests any ownership or possessory interest in the undeveloped portion of the County exchange property. The additional considerations by the County of Lake allow for the exchange of this property between the respective unimproved and improved parcels. In addition, it is not a new liability or additional cost since the County already assumes that responsibility and liability and provides those maintenance services. The remainder of the property exchange agreement outlines the shared responsibility and obligations by both parties of this land exchange. If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☒ Well-being of Residents ☒ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☒ Economic Development ☐ Infrastructure ☐ County Workforce ☒ Community Collaboration ☐ Business Process Efficiency ☒ Clear Lake Recommended Action: Approve Clearlake-Lakeport Armory Exchange Agreement to exchange the properties located at 1431 Hoyt Avenue, Lakeport, CA (APN 003-046-750-000) and 15837 18th Avenue, Clearlake, CA (APN 010-043-010) and authorize Chair to sign.

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Mary Darby, Community Development Director Eric Porter, Associate Planner Subject: Discussion and Consideration of Appeal (AB 21-03) of the Planning Commission Approval of Major Use Permit (UP 20-45) and Adoption of Initial Study (IS 20-56) for a Commercial Cannabis Cultivation License on a Property Located at 10717 and 10680 Schuette Rd., Upper Lake; APN's 003-002-11 (Cultivation Site) and 003-001-21 (Clustering Property) Exhibits: 1 - Vicinity Map 2 - Appeal (AB 21-03) Application Packet Submitted by Desmond, Nolan, Livaich and Cunningham on Behalf of Nearby Property Owner Ray Hoffman / Le Trainon Resort. 3 - Planning Commission Staff Report (June 24, 2021) 3A - Site Plans 3B - Property Management Plan 3C - Agency Comments 3D - Conditions of Approval 3E - Initial Study 3F - Public Comments from Planning Commission Hearing 4 - Planning Commission Minutes (June 24, 2021) 5 - Engineered Erosion Control Plan (August 3, 2021) Executive Summary: The appellants are appealing a Planning Commission decision to approve a commercial cannabis cultivation use permit and mitigated negative declaration at a hearing that occurred on June 24, 2021. This appeal is regarding the approval of Major Use Permit (UP 20-45) and an Initial Study / Mitigated Negative Declaration (IS 20-56) to allow 40,000 sq. ft. of outdoor commercial cannabis cultivation in two phases on a 46 acre parcel located at 10717 Schuette Road, Upper Lake and is APN: 003-002-11. The owner / applicant also owns adjacent property 10680 Schuette Road (APN 003-001-21) which is used for calculations of the total land area under consideration for this use permit. I. Project and Appeal Background A Major Use Permit is required for this project pursuant to compliance with the General Plan, the Upper Lake - Nice Area Plan, and Articles 7, 27(at), and 51.4 of the Lake County Zoning Ordinance. The Review authority may only approve or conditionally approve a major use permit if all of the findings for approval listed in these Articles within the Zoning Ordinance and Plans are made. CULTIVATION PROPERTIES LA TRIANON RESORT AND CULTIVATION SITE II. Appeal Discussion The law firm that filed this appeal is representing the Ray Hoffman property, 'Le Trianon Resort', a private resort located approximately 4,600 feet from the cultivation area on the subject site. The appellants had submitted written concerns regarding this application prior to the public hearing via a letter dated June 23, 2021 (Exhibit 2). The Planning Commission approved the use permit (file no. UP 20-45) and adopted Mitigated Negative Declaration / Initial Study (IS 20-56) on June 24, 2021 at a public hearing. The appellants testified during the hearing. This appeal was filed on July 1, 2021 within the appeal period on the correct application form and with the correct application fee. The appellants submitted a written description of why they believe the Planning Commission (PC) erred in their decision to approve this land use permit and CEQA review (IS/MND). The appellants cited five specific aspects of the PC's decision as being deficient. Their arguments in their entirety, and staff's responses to each are as follows: 1. Deficient Mitigated Negative Declaration due to the following reasons: a. Potentially significant impacts of proposed use were not studied Response: The appellant is not clear about which significant impacts were not studied. The first point of the appeal is a blanket statement about the overall project review being deficient. In fact, the Mitigated Negative Declaration (Exhibit 3E) was sent to the State Clearinghouse on March 29, 2021 (Exhibit 5) with twenty-one categories of potential impacts that were evaluated within the Initial Study for potential impacts. The categories below are the potential impacts that were evaluated. Of these categories, it was determined that Air Quality, Cultural and Tribal Resources, Geology and Soils, Noise, and Mandatory Findings of Significance (cumulative impacts) had some potential to have impacts, and required mitigation measures be applied to mitigate the potential impacts. These categories are: Of the twenty-one categories that were evaluated for potential impacts, six were determined to have the potential for impacts, and mitigation measures were adopted by the Planning Commission in the Conditions of Approval to reduce these potential impacts to 'less than significant' levels (Exhibit 3D). b. Land use compatibility with Le Trianon resort was not studied Response: Article 27, subsection (at) of the Lake County Zoning Ordinance contains required separation distances from certain uses that have the potential to be in conflict with commercial cannabis cultivation. These conflicting uses within Article 27 all have the potential to attract youths, and include such uses as churches, schools, day cares, developed parks, and other / similar uses. The Le Trianon Resort qualifies as a use that would require a minimum separation distance of 1,000 feet - Le Trianon Resort is 4,600 feet from the edge of the cultivation property. Article 27(at) states in relevant part: v. Commercial Cannabis Cultivation Exclusion Areas. Commercial cannabis cultivation is prohibited within a 1,000 feet of the following areas or uses: h. A licensed child care facility or nursery school, church or youth-oriented facility catering to or providing services primarily intended for minors. j. The distance specified in this section shall be measured horizontally from the areas or uses to the cannabis cultivation site. (Emphasis added) The Le Trianon Resort is a family-friendly resort facility that caters to people of all ages. However, Le Trianon Resort's property line is 4,600 feet from nearest side of the cultivation area, over four times the minimum 1000 foot setback distance required by Article 27(at). The resort is well beyond the 725 foot notification area required by Article 57, 'Notice of Public Hearing', so no notification was sent to the Resort prior to the public hearing, and no notices were required to be sent to the Resort due to its distance from the cultivation site. As is typical with major use permits that require Initial Studies (CEQA reviews), two different notices were sent out to neighbors within 725 feet of the proposed cannabis site. The first was a Notice of Intent that was sent out on March 27, 2021 and pertained to the CEQA document availability. The second notice was a Public Hearing notice that was sent to neighboring property owners (those within 725 feet of the project area) on June 7, 2021, more than 10 days prior to the June 24, 2021 public hearing. c. Concerns over drainage and runoff to neighboring properties and into Blue Lake not studied Response: The Property Management Plan dated June 18, 2020 was submitted by the project proponent, and contains a section pertaining to Storm Water Management. The Plan indicates that the cultivator will manage storm water runoff by using fiber rolls to catch sediment on lower sides of cultivation site, and will add rock to areas where there is the potential of erosion. On the Class 2 crossing, the project proponent will keep fiber rolls where needed and rock in place to avoid any type of sediment/erosion. The natural vegetation will also help keeping ground in tact while storm water is present. Following this appeal, on August 3, 2021 the applicant submitted an engineered Stormwater Management Plan, prepared by Bill Vanderwall, P.E (Exhibit 5). The Plan provides several drawings showing how the stormwater will be managed on site using straw wattles and fiber rolls. One section of the Plan provides Best Management Practices (BMPs) for the following categories: * Potable Water / Irrigation * Material Delivery and Storage * Stockpile Management * Solid Waste Management * Hydroseeding (erosion control measure) * Straw Mulch * Soil Preparation / Roughening * Fiber Rolls (drainage control) Each of these plan sections describe means of controlling stormwater runoff, preventing soil loss due to wind and rain, and protecting the site and its surroundings using BMPs. Several conditions of approval (Exhibit 3D) were modified based on this Plan. d. Odor drift to resort was insufficiently reviewed and addressed Response: The Initial Study (IS/MND) sent to the State Clearinghouse (Exhibit 3E) contains responses to certain CEQA-required findings related to project-related odors. The question posed by the CEQA Appendix G checklist, section III - Air Quality part (e), asks whether the project will "[r]esult in other emissions (such as those leading to odors) adversely affecting a substantial number of people?" The related finding in the IS/MND states: "Odors generated by the plants, particularly during harvest season, can be somewhat mitigated in outdoor cultivation grow areas through the use of fragrant plants which are planted around the perimeter of a cultivation area." The cultivation properties are surrounded by properties consisting of large lots and low density development. During the Planning Commission hearing for Blue Lakes Organics, the appellant's attorney expressed concerns over the likely odors that would result from the outdoor cultivation proposed. As a result, the Planning Commission adopted IS/MND 20-56 and added mitigation measure and condition AQ-7, which states: "Prior to cultivation under this license, the applicant shall plant fragrant non-cannabis plant species along the perimeter of the cultivation areas. These new planted areas shall contain plants that are planted at no more than two-foot spacing intervals, and shall be irrigated and retained in a healthy state for the duration of this project." e. Site plan was not prepared by a design professional as required by Art. 27. Response: In 2018 at the start of commercial cannabis project review, the Community Development Department required all drawings to be prepared by a licensed civil engineer, architect, landscape architect or surveyor. However, a number of designers in Lake County and in Northern California are capable of producing high-quality drawings, and who objected to the interpretation made by the County that all drawings must be prepared by persons who possess a wet-stamp. In 2020, the Community Development Director began accepting drawings that were prepared by designers that were not wet-stamped, provided the drawings were of sufficient quality to meet the requirements found within Article 27(at), and in Article 55.5. The original site plans submitted for this project were prepared by JAK Studio, a professional design firm based in Arroyo Grande, CA. The plan set contained all drawings that are required by Article 27(at), and were determined to be adequate by the Community Development Department for purposes of reviewing this commercial cannabis application. Following this appeal, the project proponent retained a civil engineer, Bill Vanderwall, who prepared engineered Site Plans and Stormwater Management and Erosion Control plans for this project (Exhibit 9). These revised plans meet the requirements set forth in Article 27(at). III. Conclusion / Recommended Action: The Planning Commission adopted the mitigated negative declaration to CEQA and approved the major use permit, file no. UP 20-45. The appellant has introduced a number of points in the appeal that are not supported by the County's decision. The impacts stated in the appeal can all be mitigated to 'less than significant' levels. The project proponent has submitted an Engineered Stormwater and Erosion Control Plan and hydrological study, prepared by a design professional, and all other points of the appeal have been mitigated to 'less than significant levels' as demonstrated herein. Staff recommends that the Board of Supervisors uphold the Planning Commission's decisions to approve the Use Permit (UP 20-45) and adopt Initial Study / Mitigated Negative Declaration (IS 20-56), and deny Appeal (AB 21-03). _____________________________________________________________________________ If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☒ Not applicable ☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☐ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake _______________________________________________________________________________________________________ Recommended Action: Sample Motions: Appeal Approval: I move that the Board of Supervisors make an intended decision to approve appeal no. AB 21-03 and overturn the Planning Commission's approval of Use Permit UP 20-45 and the adoption of Initial Study IS 20-56, applied for by Blue Lakes Organics, on two parcels located at 10680 and 10717 Schuette Road, Upper Lake; APNs: 003-001-21 and 003-002-11, and direct County Counsel to prepare findings of fact in support of approval of this appeal. Appeal Denial: I move that the Board of Supervisors make an intended decision to deny the appeal AB 21-03 and uphold the Planning Commission's approval of Use Permit UP 20-45 and adopt mitigated negative declaration IS 20-56 on behalf of Blue Lakes Organics on two parcels located at 10680 and 10717 Schuette Road, Upper Lake; APNs: 003-001-21 and 003-002-11, and direct County Counsel to prepare proposed findings of fact.

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Carol J. Huchingson, County Administrative Officer Subject: Direction to staff regarding recruitment for new Agriculture Commissioner upon the retirement of Steve Hajik effective February 11, 2022 Executive Summary: Agriculture Commissioner Steve Hajik is retiring on February 11, 2022 and staff seeks the direction of your Board, in terms of recruitment, to secure his replacement. If not budgeted, fill in the blanks below only: Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☒ County Workforce ☐ Community Collaboration ☒ Business Process Efficiency ☐ Clear Lake Recommended Action: Direction to staff.

Memorandum Date: October 26, 2021 To: The Honorable Lake County Board of Supervisors From: Todd Metcalf, M.P.A., Director Lake County Behavioral Health Services Subject: Consideration of (a) Waiving the formal bidding process, pursuant to Lake County Code Section 38.2, as it is not in the public interest due to the unique nature of goods or services; and (b) Approval of the Agreement between the County of Lake and North American Mental Health Services for Telehealth Psychiatry Services for Fiscal Year 2021-22 for a contract maximum of $975,000.00 and authorize the Board Chair to sign the Agreement. Executive Summary: Attached, for your approval, is the Agreement between the County of Lake and North American Mental Health Services for Telehealth Services. Lake County Behavioral Health Services has contracted with NAMHS since 2015 and has enjoyed a strong working relationship since then. The Department of Health Care Services (DHCS) reviews, validates, and certifies the provider network of each Mental Health Plan (MHP) through the Network Adequacy Certification Tool (NACT). DHCS must ensure adequate access to appropriate service providers in accordance with Title 42 of the Code of Federal Regulations parts 438.207, 438.68(c)(1). Importantly, DHCS specifies the number of Full Time Equivalent (FTE) psychiatry providers for each County MHP. For Lake, this amounts to 1.5 FTE psychiatry providers for adults and 0.5 FTE psychiatry providers for children. LCBHS has met this mandate through use of contracted Telepsychiatry providers. Unfortunately, due to our historical and ongoing difficulty in attracting and retaining licensed or waivered mental health professionals, let alone psychiatrists, we have had to rely on Telehealth to meet the needs of our community and the mandates of DHCS. This year, based on updated guidance from DHCS, we were able to count our own staff towards these totals. When the NACT was first released, they did not allow MHPs to count anything other than an MD or DO towards psychiatry FTE requirements. Now, they will allow MHPs to count Nurse Practitioners and Physician's Assistants. LCBHS currently has one FTE Physician's Assistant. This means that we can reduce the contract before you by $225,000.00 for telepsychiatry services. Overall, the contract total was only reduced by $25,000.00. That is because we added $200,000.00 of teletherapy services which are covered by our recent award of the Early Psychosis Intervention Grant last year. LCBHS currently has 375 clients who receive telepsychiatry services from a NAMHS provider. It is not clinically advisable to go out to bid for this service at this time, as it would disrupt the continuity of care for these individuals; which is detrimental to treatment success. Continuity of care is essential for the day-to-day stability of our clients and leads to an increased quality of life for many. Therefore, LCBHS requests to waive the formal bidding process, pursuant to Lake County Code Section 38.2, as it is not in the public interest due to the unique nature of goods or services. If not budgeted, fill in the blanks below only: Estimated Cost: _$975,000.00_ Amount Budgeted: _$975,000.00_ Additional Requested: _N/A_ Future Annual Cost: _N/A___ Consistency with Vision 2028 (check all that apply): ☐ Not applicable ☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery ☐ Economic Development ☐ Infrastructure ☐ County Workforce ☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake Recommended Action: Waive the formal bidding process, pursuant to Lake County Code Section 38.2, as it is not in the public interest due to the unique nature of goods or services; and (b) Approve the Agreement between the County of Lake and North American Mental Health Services for Telehealth Psychiatry Services for Fiscal Year 2021-22 for a contract maximum of $975,000.00 and authorize the Board Chair to sign the Agreement.