BOARD OF SUPERVISORS

BOARD OF SUPERVISORS COUNTY OF SAN MATEO BOARD OF SUPERVISORS DISTRICT 1: Dave Pine DISTRICT 2: Noelia Corzo DISTRICT 3: Ray Mueller DISTRICT 4: Warren Slocum DISTRICT 5: David J. Canepa COUNTY EXECUTIVE/ CLERK OF THE BOARD Michael P. Callagy COUNTY ATTORNEY John D. Nibbelin MINUTES - FINAL COUNTY GOVERNMENT CENTER 500 County Center Redwood City, CA 94063 Telephone: 650-363-4123 www.smcgov.org 9:00 AM500 County Center Tuesday, September 24, 2024 https://smcgov.zoom.us/j/82200744398 **FIRST REGULAR MEETING IN THE NEW BOARD CHAMBERS** **500 County Center, Redwood City** *IN-PERSON WITH REMOTE PUBLIC PARTICIPATION* The Board meeting began at 10:02 am with President Slocum welcoming everyone into the new Board Chambers location for its first Regular meeting of the Board of Supervisors. Public participation instructions were stated by Deputy Clerk of the Board Sherry Golestan and interpreted in Spanish by County-contracted interpreter Victor Hernandez of On Point Language Solutions LLC. PLEDGE OF ALLEGIANCE ROLL CALL Supervisor Dave Pine, Supervisor Noelia Corzo, Supervisor Ray Mueller, Supervisor Warren Slocum, and Supervisor David J. Canepa Present: 5 - Staff Present: Michael P. Callagy, County Executive/Clerk of the Board; John D. Nibbelin, County Attorney; and Sherry Golestan, Deputy Clerk of the Board. ACTION TO SET AGENDA and TO APPROVE CONSENT AGENDA ITEMS Upon motion by Supervisor Corzo, seconded by Supervisor Mueller and carried unanimously at the suggestion of County Attorney John D. Nibbelin the Board approved reordering the agenda to first take Action to Set the Agenda and to Approve the Consent Agenda, followed by Item No. 1 prior to the general Public Comment. Motion: Corzo / Second: Pine Page 1County of San Mateo

September 24, 2024BOARD OF SUPERVISORS Minutes - Final Yes: Pine, Corzo, Mueller, Slocum, and Canepa5 - No: 0 President Warren Slocum made opening remarks about the new Chambers of the Board of Supervisors at 500 County Center, Redwood City, at its first Regular meeting of the Board this day, Tuesday, September 24, 2024, as an historic day since the first Chambers of this County Board opened in 1910 in the old County Courthouse; and then again in the 1950s at the Hall of Justice in 400 County Center. President Slocum gave thanks to his friend and former colleague, the late Fmr. District 3 Supervisor Don Horsley, who was the Board President when this project first began as he also served on the advisory committee; sharing that Don Horsley's vision was for this building to speak to the importance of the work that we do here. President Slocum also thanked Fmr. District 2 Supervisor Carole Groom for her contributions and vision for the project; and for the green vision of District 1 Supervisor Dave Pine. He thanked District 5 Supervisor David J. Canepa for partnering with him on the project advisory committee for the past several years, and County Executive Michael P. Callagy and all teams involved. Vice President David J. Canepa, Supervisor Noelia Corzo, Supervisor Dave Pine, County Executive Callagy, and John D. Nibbelin made remarks about the new County Office Building (COB3) and new Chambers. President Slocum credited Deputy County Executive Adam Ely and Interim Project Development Unit Director Sam Lin for their work, and asked Adam Ely to speak. HONORING THE LIFE OF / BOARD MEMBER REMARKS Speakers Recognized by the President: Sup. Mueller honored the memory of Boe Crane. PRESENTATIONS AND AWARDS 1. Adopt a resolution naming the new San Mateo County Park opening at Tunitas Creek Beach the “Don Horsley County Park at Tunitas Creek Beach.” Sponsors: Supervisor Warren Slocum and Supervisor Ray Mueller Speakers Recognized by the President: Page 2County of San Mateo

September 24, 2024BOARD OF SUPERVISORS Minutes - Final Supervisor Warren Slocum, District 4 Supervisor Ray Mueller, District 3 Nicholas J. Calderon, Parks Director Supervisor Dave Pine, District 1 Supervisor David J. Canepa, District 5 Supervisor Noelia Corzo, District 2 Michael P. Callagy, County Executive Daniel Olstein, Peninsula Open Space Trust Chris Hunter, Pacifica, Fmr. Chief of Staff for Sup. Horsley Elaine Horsley Adriana Cortes Horsley Motion: Slocum / Second: Mueller Yes: Pine, Corzo, Mueller, Slocum, and Canepa5 - No: 0 Enactment No: Resolution No. 080628 PUBLIC COMMENT Speakers Recognized by the President: Kyla Valenti, Redwood City Paul Friedman, AFSCME Melissa Ibarra, AFSCME Elizabeth Jump, AFSCME Felipe Donaire, AFSCME Riza Alvarez, AFSCME Ryan Shannon, AFSCME Paul Jordan, AFSCME Martin Fox, Belmont Susan Stevens, MD Public Member (Zoom name) Nadia Guzman, AFSCME Sup. Dave Pine commented on Item No. 23, highlighting that by the end of 2025 fiscal year, the San Mateo Pride Center will be required to convert to an independent and separate 501(c)(3), with a provision brought forth as part of this agenda's agreement to hire an independent consultant to develop a work plan to support this goal, and to meet regularly with Behavioral Health and Recovery Services to implement it. MATTERS SET FOR SPECIFIED TIME 9:00 a.m. COUNTY EXECUTIVE Page 3County of San Mateo

September 24, 2024BOARD OF SUPERVISORS Minutes - Final 2. Recommendation to approve the following actions related to final budget revisions to the Fiscal Year 2024-25 Approved Recommended Budget: A) Adopt a resolution adopting the revised budget of the County of San Mateo as to expenditures for Fiscal Year 2024-25 and making appropriations therefore; and B) Adopt a resolution adopting the revised budget of the County of San Mateo as to the means of financing for Fiscal Year 2024-25; and C) Adopt a resolution establishing the appropriation limit for the County of San Mateo for Fiscal Year 2024-25; and D) Adopt a resolution authorizing an amendment to Master Salary Resolution No.080517 as per Fiscal Year 2024-25 Adopted budget. Speakers Recognized by the President: Michael P. Callagy, County Executive Sup. Corzo left chambers at 10:36 AM and returned at 10:41 AM. Roberto Manchia, County Chief Financial Officer Sup. Noelia Corzo, District 2 Sup. David J. Canepa, District 5 Sup. Dave Pine, District 1 Motion: Canepa / Second: Pine Yes: Pine, Corzo, Mueller, Slocum, and Canepa5 - No: 0 Enactment No: Resolution Nos. 080629; 080630; 080631; 080632 3. Approve Appropriation Transfer Requests (ATRs) transferring an aggregate total of $5,651,780 from various County funding and/or organizational accounts to other County accounts as specified in the respective ATR’s: Revenues - $2,641,276 ($1,029,128 Measure K Sales and Use Tax); Fund Balance - $2,187,787; Salaries and Benefits - $220,321; Services and Supplies - $242,943; Fixed Assets - $30,325; Other Financing Uses - $29,128; Special Fund Account- $300,000 to the following: Revenues - $29,128; Salaries and Benefits - $323,290; Services and Supplies - $934,833; Other Charges - $3,605,920; Fixed Assets - $649,033; Other Financing Uses - $30,165; and Intrafund Transfer - $79,411. Speakers Recognized by the President: Roberto Manchia, County Chief Financial Officer Motion: Canepa / Second: Mueller Yes: Pine, Corzo, Mueller, Slocum, and Canepa5 - Page 4County of San Mateo

September 24, 2024BOARD OF SUPERVISORS Minutes - Final No: 0 Enactment No: Resolution/ATR Nos. 080633; 080634; 808635; 808636; 808637; 808638; 808639; 808640; 808641; 808642; 808643; 808644; 808645; 808646 REGULAR AGENDA COUNTY EXECUTIVE 4. Adopt a resolution approving an updated County Reserves Policy to increase reserve requirements, set maximum reserve amounts, and establish procedures for additional oversight, as set forth in Attachment A. Speakers Recognized by the President: Michael P. Callagy, County Executive Roberto Manchia, County Chief Financial Officer Sup. Noelia Corzo, District 2 Sup. David J. Canepa, District 5 Motion: Canepa / Second: Pine Yes: Pine, Corzo, Mueller, Slocum, and Canepa5 - No: 0 Enactment No: Resolution No. 808647 CONSENT AGENDA ASSESSOR-COUNTY CLERK-RECORDER-ELECTIONS 5. Adopt a resolution: A) Consolidating the Presidential General Election, to be held on Tuesday, November 5, 2024, with elections called by local governing bodies that have requested their respective elections be consolidated with said General Election; and B) Authorizing the County’s Chief Elections Officer to provide specified election services and supplies in conjunction therewith. Enactment No: Resolution No. 808648 BOARD OF SUPERVISORS 6. Recommendation for appointments to the Assessment Appeals Board, effective October 1, 2024: A) Jonathan Asmis, as an Alternate, for an initial partial term ending September 30, Page 5County of San Mateo

September 24, 2024BOARD OF SUPERVISORS Minutes - Final 2025; and B) Kimberly Duggan, as an Alternate, for an initial full term ending September 30, 2027. Sponsors: Supervisor Dave Pine and Supervisor Ray Mueller 7. Recommendation for the appointment of Rachel Perkel (Sixth Member) to the Board of Retirement of SamCERA, for an initial term ending June 30, 2027. Sponsors: Supervisor Dave Pine and Supervisor Ray Mueller 8. Recommendation for the appointment of James Moore to the San Mateo County Exposition and Fair Association Board of Directors, as a Director for an initial full term effective October 1, 2024 through September 30, 2027. Sponsors: Supervisor Noelia Corzo 9. Ratification of a proclamation designating September 21-27 as “United Against Hate Week” in San Mateo County. Sponsors: Supervisor Warren Slocum Enactment No: Proclamation/Hon. Resolution.: 4725 COUNTY ATTORNEY 10. Approve corrections to the identified tax rolls. 11. Report recommending the denial of claims (Non-culpable) COUNTY EXECUTIVE 12. Adopt a resolution approving the Board of Supervisors' regular meeting schedule for calendar year 2025. Enactment No: Resolution No. 080649 13. Adopt a resolution amending and restating Resolution No. 078906 establishing the San Mateo County Farmworker Advisory Commission. Enactment No: Resolution No. 080650 14. Approve the County’s response to the 2023-24 Civil Grand Jury Report “Restaurant Exteriors: The Neglected Space.” 15. Approve the County’s response to the 2023-24 Civil Grand Jury Report “The State of Compost Compliance in San Mateo County.” 16. Adopt a resolution authorizing: Page 6County of San Mateo

September 24, 2024BOARD OF SUPERVISORS Minutes - Final A) An amendment to an agreement with the San Mateo County Bar Association (SMCBA) for indigent legal defense and other services provided by the Private Defender Program (PDP) for the term July 1, 2023, through June 30, 2028, and increasing the amount by $2,453,264 for a new amount not to exceed $128,099,533; and B) The County Executive or designee to execute amendments associated with this agreement that will not result in any net cost to the County’s General Fund. Enactment No: Resolution No. 080651 17. Accept an informational report on the 2024 State and Federal Legislative sessions. HEALTH 18. Adopt a resolution authorizing an amendment to the agreement with Ellit Groups to provide additional consulting and staffing services for the Electronic Health Record Implementation within San Mateo County Health, through February 12, 2025, and increasing the County’s fiscal obligation by $7,191,365 to an amount not to exceed $15,191,365. Enactment No: Resolution No. 080652 19. Adopt a resolution authorizing an amendment to the agreement with BHC Fremont Hospital, Inc. dba Fremont Hospital for psychiatric inpatient hospital services increasing the authorized amount by $2,050,000 to an amount not to exceed $3,800,000, with no change to the term. Enactment No: Resolution No. 080663 20. Adopt a resolution authorizing four (4) agreements with StarVista, each for the term of October 1, 2024, through June 30, 2026, for an aggregate amount not to exceed $3,047,636: A) Crisis Telephone Hotline and Mobile Crisis Response Team services; and B) Early Childhood Community Team and Early Childhood Mental Health Consultation services; and C) Health Ambassador Program for Youth services; and D) Trauma-Informed Co-Occurring Prevention and Intervention services. Enactment No: Resolution No. 080654 (a-d) 21. Adopt a resolution authorizing an agreement with Puente de la Costa Sur for trauma informed co-occurring prevention services for the term of October 1, 2024 through June 30, 2026, in an amount not to exceed $570,148. Enactment No: Resolution No. 080655 Page 7County of San Mateo

September 24, 2024BOARD OF SUPERVISORS Minutes - Final 22. Adopt a resolution authorizing an agreement with Daly City Peninsula Partnership Collaborative for the Behavioral Health outreach and collaborative services, for the term of October 1, 2024 through June 30, 2026, in an amount not to exceed $647,500. Enactment No: Resolution No. 080656 23. Adopt a resolution authorizing an agreement with StarVista for the operation of the Lesbian, Gay, Bisexual, Transgender, and Questioning and other Gender Identities (LGBTQ+) Behavioral Health Coordinated Center for the term of October 1, 2024, through June 30, 2026, in an amount not to exceed $1,678,140. Enactment No: Resolution No. 080657 24. Adopt a resolution approving agreement with the co-owners of the real property located at 1235 Hopkins Avenue, Redwood City, California to secure a 20-year deed restriction encumbering the real property for use as a board and care facility for a term of January 1, 2025 through December 31, 2045, in exchange for the County funding improvements to the property that will add 46 beds for use by County clients at a County cost not to exceed $1,720,084, and authorizing and directing the Chief of San Mateo County Health, or designee(s), in consultation with the County Attorney’s Office, to negotiate and enter into the deed restriction and any and all other agreements necessary and appropriate to accomplish the purposes of the deed restriction and agreement with the co-owners. Enactment No: Resolution No. 080658 25. Adopt a resolution authorizing an agreement with the California Department of Public Health for funding to provide HIV/AIDS surveillance services for the period of July 1, 2024 through June 30, 2029, in an amount not to exceed $421,275. Enactment No: Resolution No. 080659 26. Adopt a resolution authorizing the acceptance of an award from the California Department of Public Health to develop and implement public health activities related to hepatitis C control and prevention, for the term of July 1, 2024, through June 30, 2028, in an amount not to exceed $801,128. Enactment No: Resolution No. 080660 27. Adopt a resolution authorizing the acceptance of an award from the California Department of Public Health Tuberculosis Control Branch (CDPH-TB) to provide tuberculosis prevention and control activities, for the term of July 1, 2024 through June 30, 2025, in an amount not to exceed $343,377. Enactment No: Resolution No. 808661 28. Adopt a resolution authorizing an amendment to the agreement with Harmony Healthcare, LLC to add additional coding services and increase the amount of the agreement by $2,750,000, to an amount not to exceed $4,000,000. Page 8County of San Mateo

September 24, 2024BOARD OF SUPERVISORS Minutes - Final Enactment No: Resolution No. 080662 29. Adopt a resolution authorizing an agreement with CPS Solutions, LLC to provide pharmacy consulting and audit services for the term of June 1, 2024 through May 31, 2029, in an amount not to exceed $550,000. 30. Adopt a resolution authorizing an amendment to the agreement with Jacqueline Baras Shreibati, MD to add 96 hours of supplemental clinical services annually and increase the amount of the agreement by $80,000, to an amount not to exceed $429,356. Enactment No: Resolution No. 080664 31. Adopt a resolution authorizing a third amendment to the agreement with Pacific Foot Podiatry Group, Inc. to provide podiatry services for the term of December 1, 2021 through November 30, 2024, to an amount not to exceed $1,050,000. Enactment No: Resolution No. 080665 HOUSING 32. Measure K: Adopt a resolution: A) Authorizing the form of and directing the execution by the Director of the Department of Housing, or designee, of an agreement to provide a forgivable loan (the “Loan”) in the principal amount of $900,000 to Peninsula Open Space Trust and Fifth Crow Farm to finance the purchase and installation of four new mobile home units to serve as farm labor housing in Pescadero pursuant to the County of San Mateo Farm Labor Housing Loan Program; and B) Authorizing the form of a Promissory Note in connection with the Loan; and C) Authorizing the form of a Deed of Trust to secure the Loan; and D) Authorizing the form of an Affordability Covenant to ensure affordability restrictions on the property for 20 years; and E) Authorizing and approving the taking of all necessary actions by the Director of the Department of Housing, or designee, in consultation with the County Attorney, to facilitate the closing of the transaction described herein and to give effect to this Resolution, including to execute and deliver any and all documents and certificates and to make nonmaterial changes to the forms approved herein deemed necessary or advisable to effectuate the purposes of this Resolution and the transaction contemplated hereby. Enactment No: Resolution No. 080666 Page 9County of San Mateo

September 24, 2024BOARD OF SUPERVISORS Minutes - Final HUMAN RESOURCES 33. Adopt a resolution authorizing the Human Resources Director or the Director’s designee to execute agreements with UnitedHealthcare for the County Retiree Medicare health insurance plan for the period of January 1, 2025 through December 31, 2027, with the aggregate amount not to exceed $ 7.7 million in 2025 based on projected enrollment. Enactment No: Resolution No. 080667 HUMAN SERVICES AGENCY 34. Adopt a resolution authorizing a waiver of the Request for Proposals process and approving the execution of an agreement with Community Overcoming Relationship Abuse for the term September 1, 2024 to August 31, 2027 for a total obligation amount not to exceed $300,000 to provide domestic violence support services to residents in San Mateo County participating in the CalWORKs Welfare to Work program. Enactment No: Resolution No. 080668 PUBLIC WORKS 35. Adopt a resolution supporting an application to the San Mateo County Transportation Authority for Cycle 7 Pedestrian and Bicycle Program Funding for the Project Approval and Environmental Document Phase of the Alpine Road Corridor Improvement Project. Enactment No: Resolution No. 080669 CLOSED SESSION 36. Conference with Legal Counsel - Existing Litigation (Paragraph (1) of subdivision (d) of Gov. Code Section 54956.9): Emily Ramans v. County of San Mateo, et al. San Mateo County Superior Court Case No. 22-CIV-01231 Janette Masterson and Patrick Masterson v. Stephen Blair et al. San Mateo County Superior Court Case No. 21-CIV-03474 Deborah Patten v. County of San Mateo, et al. San Mateo County Superior Court Case No. 20-CIV-03751 Conference with Legal Counsel - Anticipated Litigation, Initiation of litigation pursuant to paragraph (4) of subdivision (d) of Section 54956.9: Two cases The Board recessed into Closed Session at 11:42 AM and reconvened in open session at 1:59 PM with Supervisors Mueller and Corzo absent. Page 10County of San Mateo

September 24, 2024BOARD OF SUPERVISORS Minutes - Final County Attorney John D. Nibbelin reported out of Closed Session as follows: On a 5-0 vote, the Board of Supervisors on a 5-0 vote has authorized Initiation of Litigation of litigation in the United States District Court for New Mexico involving defendants who are producers of Shale oil and petroleum products based on shale oil on anti trust basis. ADJOURNMENT The meeting adjourned at 2:00 pm. Page 11County of San Mateo

COUNTY OF SAN MATEO BOARD OF SUPERVISORS AGENDA BOARD OF SUPERVISORS DISTRICT 1: Dave Pine DISTRICT 2: Noelia Corzo DISTRICT 3: Ray Mueller DISTRICT 4: Warren Slocum DISTRICT 5: David J. Canepa COUNTY EXECUTIVE/ CLERK OF THE BOARD Michael P. Callagy COUNTY ATTORNEY John D. Nibbelin COUNTY GOVERNMENT CENTER 500 County Center Redwood City, CA 94063 Telephone: 650-363-4123 www.smcgov.org 500 County Center 9:00 AMTuesday, September 24, 2024 ***PLEASE NOTE THE NEW BOARD CHAMBERS LOCATION:*** ***500 County Center, Redwood City*** *IN-PERSON WITH REMOTE PUBLIC PARTICIPATION AVAILABLE* This meeting of the San Mateo County Board of Supervisors will be held in Board Chambers, newly located at 500 County Center, Redwood City. Members of the public will be able to participate in the meeting in person in Board Chambers or remotely via the Zoom platform. For information regarding how to participate in the meeting, either in person or remotely, please refer to the instructions at the end of the agenda. In addition, a video broadcast of the meeting can be viewed at : https://sanmateocounty.legistar.com. Closed Captioning will be provided for all Board meetings. While watching the video broadcast, please scroll over the video and click “CC” to turn closed captions on. Public Participation: The September 24, 2024 Board of Supervisors meeting may be accessed through Zoom online at https://smcgov.zoom.us/j/82200744398. The meeting ID is: 822 0074 4398. The September 24, 2024 Board of Supervisors meeting may also be accessed via telephone by dialing +1 669 900 6833 (Local). Enter the webinar ID: 822 0074 4398, then press #. (Find your local number: https://smcgov.zoom.us/u/admSDqceDg). Members of the public can also attend this meeting physically in the Board Chambers at 500 County Center, Redwood City. Live interpretation of this entire meeting will be provided in Spanish. To access live interpretation services, click the interpretation globe icon in your Zoom meeting /webinar controls and select Spanish. Page 1

September 24, 2024BOARD OF SUPERVISORS Agenda *Written public comments may be emailed to boardfeedback@smcgov.org, and such written comments should indicate the specific agenda item on which you are commenting. *Spoken public comments will be accepted during the meeting in Chambers or remotely through Zoom at the option of the speaker. Public comments will be taken via Chambers first and then Zoom. If you only wish to watch the meeting and do not wish to address the Board, the Clerk requests that you view the meeting through Legistar. *Please see instructions for written and spoken public comments at the end of this agenda. Se ofrecerá interpretación en directo de toda la reunión en español. Para acceder a los servicios de interpretación en directo, haga clic en el icono del globo de interpretaci ón en los controles de su reunión/webinar de Zoom y seleccione español. *Los comentarios por escrito del público pueden enviarse por correo electrónico a boardfeedback@smcgov.org, y debe incluir el punto específico del orden del día sobre el que está comentando. *Se aceptarán comentarios orales del público durante la reunión en la Sala o a través de Zoom. Los comentarios del público en la Sala se aceptarán primero, seguidos por los oradores en Zoom. Si sólo desea ver la reunión y no desea dirigirse a los Supervisores, el Secretario solicita que vea la reunión a través de Legistar. *Por favor, consulte las instrucciones para los comentarios públicos escritos y orales al final de este orden del día. Se puede acceder a la reunión de la Junta de Supervisores del 24 de septiembre 2024 a través de Zoom en línea en https://smcgov.zoom.us/j/82200744398. El número de identificación de la reunión es: 822 0074 4398. Del 24 de septiembre 2024 también se puede acceder a la reunión de la Junta de Supervisores por teléfono marcando +1-669-900-6833 (Local). Introduzca el número de identificación de la reunión: 822 0074 4398, y luego pulse #. (Encuentre su número local: https://smcgov.zoom.us/u/admSDqceDg). Los miembros del público también pueden asistir a esta reunión físicamente en las Cámaras de la Junta en el 500 County Center en Redwood City. Levine Act The Levine Act (California Government Code Section 84308) prohibits, in certain cases, campaign contributions to members of the Board of Supervisors by those who have proceedings (e.g., applications for land use and other entitlements, contracts, etc.) pending before the Board of Supervisors and by those who may have an interest in such proceedings (including those acting as agents for applicants or potential contractors). Moreover, the Levine Act may require Page 2

September 24, 2024BOARD OF SUPERVISORS Agenda disclosure of contributions by such individuals. The law is complex and this brief description is not legal advice. If you or an agent have made any campaign contributions to a Board member in the 12 months before a proceeding in which you have an interest or you are contemplating making a contribution within the 12 months after such a proceeding, you are urged to review the Levine Act and consider consulting an attorney. A 2023 version of the Levine Act and a Fair Political Practices Commission summary of it can be found here: https://www.smcgov.org/bos/levine-act-information ADA Requests Individuals who require special assistance or a disability related modification or accommodation to participate in this meeting, or who have a disability and wish to request an alternative format for the meeting, should contact Sherry Golestan, Deputy Clerk of the Board, by 10:00 a.m. on the day before the meeting at (650) 363-4609 and/or sgolestan@smcgov.org. Notification in advance of the meeting will enable the County to make reasonable arrangements to ensure accessibility to this meeting, the materials related to it, and your ability to comment. PLEDGE OF ALLEGIANCE ROLL CALL HONORING THE LIFE OF / BOARD MEMBER REMARKS PUBLIC COMMENT This item is reserved for persons wishing to address the Board on any County-related matters that are as follows: 1) Not otherwise on this meeting agenda; 2) Listed on the Consent Agenda or for Closed Session; 3) County Executive's Report; or 4) Board Members’ Reports. Public comments on matters not listed above shall be heard at the time the matter is called. As with all public comment, members of the public who wish to address the Board should complete a speaker’s slip to make a public comment. Speakers are customarily limited to two minutes. ACTION TO SET AGENDA and TO APPROVE CONSENT AGENDA ITEMS (This item is to set the final consent and regular agenda, and for the approval of the items listed on the consent agenda. All items on the consent agenda are approved by one action.) PRESENTATIONS AND AWARDS 1. Adopt a resolution naming the new San Mateo County Park opening at Tunitas Creek Beach the “Don Horsley County Park at Tunitas Creek Beach.” Sponsors: Supervisor Warren Slocum and Supervisor Ray Mueller MATTERS SET FOR SPECIFIED TIME Times listed under this section are approximate. The Board makes every effort to adhere to the times listed, but in some cases, because of unexpected presentations, items may not be heard precisely at the time scheduled. In no case will any item be heard before the scheduled time. Page 3

September 24, 2024BOARD OF SUPERVISORS Agenda 9:00 a.m. COUNTY EXECUTIVE 2. Recommendation to approve the following actions related to final budget revisions to the Fiscal Year 2024-25 Approved Recommended Budget: A) Adopt a resolution adopting the revised budget of the County of San Mateo as to expenditures for Fiscal Year 2024-25 and making appropriations therefore; and B) Adopt a resolution adopting the revised budget of the County of San Mateo as to the means of financing for Fiscal Year 2024-25; and C) Adopt a resolution establishing the appropriation limit for the County of San Mateo for Fiscal Year 2024-25; and D) Adopt a resolution authorizing an amendment to Master Salary Resolution No.080517 as per Fiscal Year 2024-25 Adopted budget. 3. Approve Appropriation Transfer Requests (ATRs) transferring an aggregate total of $5,651,780 from various County funding and/or organizational accounts to other County accounts as specified in the respective ATR’s: Revenues - $2,641,276 ($1,029,128 Measure K Sales and Use Tax); Fund Balance - $2,187,787; Salaries and Benefits - $220,321; Services and Supplies - $242,943; Fixed Assets - $30,325; Other Financing Uses - $29,128; Special Fund Account- $300,000 to the following: Revenues - $29,128; Salaries and Benefits - $323,290; Services and Supplies - $934,833; Other Charges - $3,605,920; Fixed Assets - $649,033; Other Financing Uses - $30,165; and Intrafund Transfer - $79,411. REGULAR AGENDA COUNTY EXECUTIVE 4. Adopt a resolution approving an updated County Reserves Policy to increase reserve requirements, set maximum reserve amounts, and establish procedures for additional oversight, as set forth in Attachment A. CONSENT AGENDA All items on the consent agenda are approved by one action unless a request is made at the beginning of the meeting that an item be withdrawn or transferred to the regular agenda. Any item on the regular agenda may be transferred to the consent agenda. ASSESSOR-COUNTY CLERK-RECORDER-ELECTIONS 5. Adopt a resolution: Page 4

September 24, 2024BOARD OF SUPERVISORS Agenda A) Consolidating the Presidential General Election, to be held on Tuesday, November 5, 2024, with elections called by local governing bodies that have requested their respective elections be consolidated with said General Election; and B) Authorizing the County’s Chief Elections Officer to provide specified election services and supplies in conjunction therewith. BOARD OF SUPERVISORS 6. Recommendation for appointments to the Assessment Appeals Board, effective October 1, 2024: A) Jonathan Asmis, as an Alternate, for an initial partial term ending September 30, 2025; and B) Kimberly Duggan, as an Alternate, for an initial full term ending September 30, 2027. Sponsors: Supervisor Dave Pine and Supervisor Ray Mueller 7. Recommendation for the appointment of Rachel Perkel (Sixth Member) to the Board of Retirement of SamCERA, for an initial term ending June 30, 2027. Sponsors: Supervisor Dave Pine and Supervisor Ray Mueller 8. Recommendation for the appointment of James Moore to the San Mateo County Exposition and Fair Association Board of Directors, as a Director for an initial full term effective October 1, 2024 through September 30, 2027. Sponsors: Supervisor Noelia Corzo 9. Ratification of a proclamation designating September 21-27 as “United Against Hate Week” in San Mateo County. Sponsors: Supervisor Warren Slocum COUNTY ATTORNEY 10. Approve corrections to the identified tax rolls. 11. Report recommending the denial of claims (Non-culpable) COUNTY EXECUTIVE 12. Adopt a resolution approving the Board of Supervisors' regular meeting schedule for calendar year 2025. 13. Adopt a resolution amending and restating Resolution No. 078906 establishing the San Mateo County Farmworker Advisory Commission. Page 5

September 24, 2024BOARD OF SUPERVISORS Agenda 14. Approve the County’s response to the 2023-24 Civil Grand Jury Report “Restaurant Exteriors: The Neglected Space.” 15. Approve the County’s response to the 2023-24 Civil Grand Jury Report “The State of Compost Compliance in San Mateo County.” 16. Adopt a resolution authorizing: A) An amendment to an agreement with the San Mateo County Bar Association (SMCBA) for indigent legal defense and other services provided by the Private Defender Program (PDP) for the term July 1, 2023, through June 30, 2028, and increasing the amount by $2,453,264 for a new amount not to exceed $128,099,533; and B) The County Executive or designee to execute amendments associated with this agreement that will not result in any net cost to the County’s General Fund. 17. Accept an informational report on the 2024 State and Federal Legislative sessions. HEALTH 18. Adopt a resolution authorizing an amendment to the agreement with Ellit Groups to provide additional consulting and staffing services for the Electronic Health Record Implementation within San Mateo County Health, through February 12, 2025, and increasing the County’s fiscal obligation by $7,191,365 to an amount not to exceed $15,191,365. 19. Adopt a resolution authorizing an amendment to the agreement with BHC Fremont Hospital, Inc. dba Fremont Hospital for psychiatric inpatient hospital services increasing the authorized amount by $2,050,000 to an amount not to exceed $3,800,000, with no change to the term. 20. Adopt a resolution authorizing four (4) agreements with StarVista, each for the term of October 1, 2024, through June 30, 2026, for an aggregate amount not to exceed $3,047,636: A) Crisis Telephone Hotline and Mobile Crisis Response Team services; and B) Early Childhood Community Team and Early Childhood Mental Health Consultation services; and C) Health Ambassador Program for Youth services; and D) Trauma-Informed Co-Occurring Prevention and Intervention services. 21. Adopt a resolution authorizing an agreement with Puente de la Costa Sur for trauma informed co-occurring prevention services for the term of October 1, 2024 through June 30, 2026, in an amount not to exceed $570,148. 22. Adopt a resolution authorizing an agreement with Daly City Peninsula Partnership Page 6

September 24, 2024BOARD OF SUPERVISORS Agenda Collaborative for the Behavioral Health outreach and collaborative services, for the term of October 1, 2024 through June 30, 2026, in an amount not to exceed $647,500. 23. Adopt a resolution authorizing an agreement with StarVista for the operation of the Lesbian, Gay, Bisexual, Transgender, and Questioning and other Gender Identities (LGBTQ+) Behavioral Health Coordinated Center for the term of October 1, 2024, through June 30, 2026, in an amount not to exceed $1,678,140. 24. Adopt a resolution approving agreement with the co-owners of the real property located at 1235 Hopkins Avenue, Redwood City, California to secure a 20-year deed restriction encumbering the real property for use as a board and care facility for a term of January 1, 2025 through December 31, 2045, in exchange for the County funding improvements to the property that will add 46 beds for use by County clients at a County cost not to exceed $1,720,084, and authorizing and directing the Chief of San Mateo County Health, or designee(s), in consultation with the County Attorney’s Office, to negotiate and enter into the deed restriction and any and all other agreements necessary and appropriate to accomplish the purposes of the deed restriction and agreement with the co-owners. 25. Adopt a resolution authorizing an agreement with the California Department of Public Health for funding to provide HIV/AIDS surveillance services for the period of July 1, 2024 through June 30, 2029, in an amount not to exceed $421,275. 26. Adopt a resolution authorizing the acceptance of an award from the California Department of Public Health to develop and implement public health activities related to hepatitis C control and prevention, for the term of July 1, 2024, through June 30, 2028, in an amount not to exceed $801,128. 27. Adopt a resolution authorizing the acceptance of an award from the California Department of Public Health Tuberculosis Control Branch (CDPH-TB) to provide tuberculosis prevention and control activities, for the term of July 1, 2024 through June 30, 2025, in an amount not to exceed $343,377. 28. Adopt a resolution authorizing an amendment to the agreement with Harmony Healthcare, LLC to add additional coding services and increase the amount of the agreement by $2,750,000, to an amount not to exceed $4,000,000. 29. Adopt a resolution authorizing an agreement with CPS Solutions, LLC to provide pharmacy consulting and audit services for the term of June 1, 2024 through May 31, 2029, in an amount not to exceed $550,000. 30. Adopt a resolution authorizing an amendment to the agreement with Jacqueline Baras Shreibati, MD to add 96 hours of supplemental clinical services annually and increase the amount of the agreement by $80,000, to an amount not to exceed $429,356. 31. Adopt a resolution authorizing a third amendment to the agreement with Pacific Foot Podiatry Group, Inc. to provide podiatry services for the term of December 1, 2021 through November 30, 2024, to an amount not to exceed $1,050,000. Page 7

September 24, 2024BOARD OF SUPERVISORS Agenda HOUSING 32. Measure K: Adopt a resolution: A) Authorizing the form of and directing the execution by the Director of the Department of Housing, or designee, of an agreement to provide a forgivable loan (the “Loan”) in the principal amount of $900,000 to Peninsula Open Space Trust and Fifth Crow Farm to finance the purchase and installation of four new mobile home units to serve as farm labor housing in Pescadero pursuant to the County of San Mateo Farm Labor Housing Loan Program; and B) Authorizing the form of a Promissory Note in connection with the Loan; and C) Authorizing the form of a Deed of Trust to secure the Loan; and D) Authorizing the form of an Affordability Covenant to ensure affordability restrictions on the property for 20 years; and E) Authorizing and approving the taking of all necessary actions by the Director of the Department of Housing, or designee, in consultation with the County Attorney, to facilitate the closing of the transaction described herein and to give effect to this Resolution, including to execute and deliver any and all documents and certificates and to make nonmaterial changes to the forms approved herein deemed necessary or advisable to effectuate the purposes of this Resolution and the transaction contemplated hereby. HUMAN RESOURCES 33. Adopt a resolution authorizing the Human Resources Director or the Director’s designee to execute agreements with UnitedHealthcare for the County Retiree Medicare health insurance plan for the period of January 1, 2025 through December 31, 2027, with the aggregate amount not to exceed $ 7.7 million in 2025 based on projected enrollment. HUMAN SERVICES AGENCY 34. Adopt a resolution authorizing a waiver of the Request for Proposals process and approving the execution of an agreement with Community Overcoming Relationship Abuse for the term September 1, 2024 to August 31, 2027 for a total obligation amount not to exceed $300,000 to provide domestic violence support services to residents in San Mateo County participating in the CalWORKs Welfare to Work program. PUBLIC WORKS 35. Adopt a resolution supporting an application to the San Mateo County Transportation Page 8

September 24, 2024BOARD OF SUPERVISORS Agenda Authority for Cycle 7 Pedestrian and Bicycle Program Funding for the Project Approval and Environmental Document Phase of the Alpine Road Corridor Improvement Project. CLOSED SESSION (The Board will adjourn to closed session to consider the following items at the end of the agenda, or at any time during the meeting as time permits. At the conclusion of closed session, the Board will reconvene in open session to report on any actions taken for which a report is required by law.) 36. Conference with Legal Counsel - Existing Litigation (Paragraph (1) of subdivision (d) of Gov. Code Section 54956.9): Emily Ramans v. County of San Mateo, et al. San Mateo County Superior Court Case No. 22-CIV-01231 Janette Masterson and Patrick Masterson v. Stephen Blair et al. San Mateo County Superior Court Case No. 21-CIV-03474 Deborah Patten v. County of San Mateo, et al. San Mateo County Superior Court Case No. 20-CIV-03751 Conference with Legal Counsel - Anticipated Litigation, Initiation of litigation pursuant to paragraph (4) of subdivision (d) of Section 54956.9: Two cases ADJOURNMENT *Instructions for Public Comment During Meetings *Instrucciones para los comentarios del público durante las reuniones During hybrid meetings of the Board of Supervisors, members of the public may address the Members of the Board as follows: Durante las reuniones híbridas de la Junta de Supervisores, los miembros del público pueden dirigirse a los miembros de la Junta de la siguiente manera: *Written Comments: Written public comments may be emailed in advance of the meeting. Please read the following instructions carefully: Page 9

September 24, 2024BOARD OF SUPERVISORS Agenda 1. Your written comment should be emailed to boardfeedback@smcgov.org. 2. Your email should include the specific agenda item on which you are commenting, or note that your comment concerns an item that is not on the agenda or is on the consent agenda. 3. Members of the public are limited to one comment per agenda item. 4. The length of the emailed comment should be commensurate with the two minutes customarily allowed for verbal comments, which is approximately 250-300 words. 5. If your emailed comment is received by 5:00 p.m. on the day before the meeting, it will be provided to the Members of the Board and made publicly available on the agenda website under the specific item to which your comment pertains. If emailed comments are received after 5:00 p.m. on the day before the meeting, the Clerk will make every effort to either (i) provide such emailed comments to the Board and make such emails publicly available on the agenda website prior to the meeting, or (ii) read such emails during the meeting. Whether such emailed comments are forwarded and posted, or are read during the meeting, they will still be included in the administrative record. *Comentarios por escrito: Los comentarios públicos por escrito pueden enviarse por correo electrónico antes de la reunión. Por favor, lea las siguientes instrucciones con cuidado: 1. Su comentario por escrito debe enviarse por correo electrónico a boardfeedback@smcgov.org. 2. Su correo electrónico debe incluir el punto específico del orden del día sobre el que está comentando, o señalar que su comentario se refiere a un punto que no está en el orden del d ía o está en el orden del día de consentimiento. 3. Los miembros del público están limitados a un comentario por punto del orden del día. 4. La longitud del comentario enviado por correo electrónico debe ser proporcional a los dos minutos que se suelen conceder para los comentarios verbales, lo que equivale a aproximadamente a 250-300 palabras. 5. Si su comentario enviado por correo electrónico se recibe antes de las 5:00 p.m. del día anterior a la reunión, se le proporcionará a los miembros del Consejo y se pondrá a disposici ón del público en el sitio web del orden del día bajo el punto específico al que se refiera su comentario. Si los comentarios enviados por correo electrónico se reciben después de las 5:00 p.m. el día antes de la reunión, el secretario hará todo lo posible para (i) proporcionar dichos comentarios enviados por correo electrónico a la Junta y poner dichos correos electrónicos a disposición del público en el sitio web de la agenda antes de la reunión, o (ii) leer dichos correos electrónicos durante la reunión. Si tales comentarios enviados por correo electrónico son enviados y publicados, o si son leídos durante la reunión, seguirán siendo incluidos en el registro administrativo. *Spoken Comments In person Participation: 1. If you wish to speak to the Board, please fill out a speaker’s slip located in the box on the wall in the anteroom as you enter the Board Chambers. If you have anything that you wish distributed to the Board and included in the official record, please hand it to the Deputy Clerk of the Board who will distribute the information to the Board members and staff. Page 10

September 24, 2024BOARD OF SUPERVISORS Agenda Via Zoom: 1. The September 24, 2024 Board of Supervisors meeting may be accessed through Zoom online at https://smcgov.zoom.us/j/82200744398. The meeting ID is: 822 0074 4398. The September 24, 2024 Board of Supervisors meeting may also be accessed via telephone by dialing +1 66