ans to learn the craft and support their families. let's move forward with this thank you for support. >> after this speaker, our next speakers. thank you. >> can you pull that microphone down? >> is that better? did get my name -- did you get my name? i am with a local small business in san francisco. in my colleagues strongly

supports the -- and my colleagues strongly supports the cpm sec. as a small business, these projects will allow us the opportunity for our business to grow and hire locally. without these projects, it would not be likely to happen. i would like for you to take this into consideration when you're making your decision and be able to let us participate in building cpmc. thank you. >> good afternoon. i am a member of the international brotherhood of electrical workers, local 6 in -- and a san francisco native. 12 years ago, i started an apprenticeship program that had me in school at night and drink on the job for five years. labor and management worked together to provide an

apprenticeship that sets the standards and produces a divorce and highly skilled workforce for san francisco. it does not end there. i continue to benefit from this training program through continuing education that keeps me current and in compliance to my state certification. rebuilding will be an amazing opportunity for journeyman to continue to pass on their knowledge to our up-and-coming premises. the future of san francisco's workforce. i am proud to speak on behalf of the membership that builds the best and continues to be the best in our industry. the last few years have had a devastating affect on so many members of my local. well nothing can get back what many have lost, rebuilding is a step in the right direction. this is a great opportunity to move forward, getting our members back to work, and restoring hope. let's get this project going and get workers and their families back on track. thank you.

>> thank you, commissioners and president fong. i am a local six member. i live and work in san francisco. today i stand in front of you speaking in favor of cpmc. on behalf of the industry, tim donovan and -- i speak on behalf of them. as an industry will invest over $1 million into our pressure program. from that program, we provide -- we have been providing top- quality germany -- journeyman into the industry. we will stay operating during this expansion as planned.

this project will benefit the city and the community. it will also provide much needed work for us. i urge you to initiate cpmc. thank you. >> after this speaker, our next speakers. >> thank you. good afternoon. i am presently studying at city college, seeking employment in the construction field. [unintelligible]

that provides health care services under the san francisco department of public health. they promote the health of san franciscans. who are uninjured but me. i was jobless then. they -- i cannot support my own health care but with the health of this program -- help with this program, i am now being taken care of. [unintelligible] two new hospitals for the benefit of my fellow san franciscans and [unintelligible] to extend more health care to all san franciscans. thank you. >> thank you, president fong and

commissioners. i am the owner of chalonda -- yoland'a's construction. i was born and raised and educated in san francisco as well as in the bayview hunters point community. this is a great community for all small firms and also the local residents that are in district 10 that desperately need work to be able to come back together and become a community again from the devastation of all that has been lost in the economy. i urge you to move forward with this project -- hospital project because i believe it not only will help the people in the community that are uninsured but it will allow us to help the people that are unemployed. the largest group of people unemployed is in district 10 where my business is located. it is a small business where i

was raised at. and why i am still located -- where i am still located today. please pass this measure so that the people in san francisco, the locals, san francisco power. thank you. >> thank you, commissioners. i am lee hufford, i was called earlier but the elevator did not get here on time. i am a resident of san francisco. i also work on the van ness corridor. in the general manager of the -- i am the general manager of the opel hotel. i am here in support of that project. also as a resident and as a business professional. the hotel employs 50 people. this project shows us projecting another 10 to 15 when it is

completely done, an additional 20 employees. the project is to $0.50 billion. the ownership of my hotel is contemplating spending millions of dollars of improvements to this hotel alone. as part of the project, the court are desperately needs -- corridor desperately needs this services that the mayor and cpmc agreed to. it would be beneficial to revitalize it and add the services this neighborhood needs and to go forward with this project. thank you. president fong: our next speakers. eric brooks and pilar vavo.

>> good afternoon. i'm here representing the san francisco green party and the local grassroots organization, our city which has 4000 supporters in san francisco, most of whom vote in the elections. this here also has a person who lives a block away from the proposed new hospital. the current deal as it is proposed is unacceptable. we've spoken at these hearings several times on this issue. and this thing has not changed substantially. since the beginning. it is pretty much the same deal. it is still bad deal. the charity care is still ridiculously low, the local hiring is still ridiculously

low. the transit impacts are extreme in my neighborhood. the last thing, the most important thing is to get back into this idea that we are somehow moving this forward for earthquake safety. what is happening here is a major centralization of hospital services in one spot. what we need to do is beef up city looks to more than it is right now, not less. put it back up to the state they used to be in, serving the community. the key problem here is that when we centralize hospital services in one giant facility, on van ness, which is going to lock up during an earthquake, that facility is going to -- cpmc will make other facilities smaller in the city and then the big facility will be competing with other facilities, making

them possibly fail or get smaller. in the case of a major earthquake, that would be a serious mistake. we all know why cavalcades of people are here speaking in favor. this is a project that could harm thousands of lives in the case of a major earthquake if you allow it to go forward in this form. we can hire all these workers to build a network that works for the entire city that has a smaller hospital at van ness and the others kept at their current size or made bigger. >> your time is up. thank you. >> good afternoon. let's move forward.

president fong: are there additional speakers? please come up. if you want to cuba on that side. i have read through all cards thus far. -- if you want to line up on that side. >> good afternoon. i am on a land use committee. i would like to read a letter. the coalition for san francisco neighborhoods voted on tuesday, july 19, 2011 and passed the following resolution. the coalition urges the planning commission to not approve any building permits for the expansion of any existing health facilities in san francisco until the comprehensive health plan has been completed and adopted describing the projected equipment needed to

serve the health needs of the people of san francisco. the general assembly voted on tuesday, august 16, 2011 and passed the resolution. the coalition opposes the certification of the cpmc er and be resolved that the coalition endorses in-depth analysis of alternative 3a which would prieta more services at the scene looks location. the coalition was on the agreement. after much discussion, it felt the agreement was unsatisfactory and does not address the most important issues of height, traffic mitigation, affordable housing, and jobs. thank you.

president fo>> ok. i am a san francisco native of 42 years. grew up in the mission district and was born at st. luke's hospital with my siblings. i am a first generation in this country. i ran into city build a long time ago in 2000. they gave me a shot at a pre- apprenticeship program which i completed. i also completed a five-year apprenticeship program with the united brotherhood of carpenters and i believe this project should go on. as a san francisco native there is a lot of my brothers and sisters out of work right now and they are doing really bad. we need some infrastructure back in this old city of ours

and every dollar of infrastructure that is put in, the make a dollar back within the first year or two. i plead to you to please move this forward. i am also a student and i am still involved with city build and the program and a carpenter. education is getting cut. there's no jobs. we're doing really bad. i appreciate it. i am also a dialysis patient of eight years with a disability. health care is more -- is important to me. that is what keeps me alive. i continue to work and educate myself. with that i will hand and thank you for your time. -- and and thank you for your time. = -- end and thank you for time. >> good afternoon. i am from california nurses

association. i want to see a couple things. one is that i think it is unfortunate that there is this way that we're being pitted against our brothers and sisters in the building trade who need and deserve jobs and we believe if this were repelled the right way, there would be more jobs. rebuilding see looks -- st. luke's not only is fewer jobs for our trade brothers and sisters, it does not meet the medical needs of the community. as always, the devil is in the details. you guys have the details in front of you, unfortunately. this is a dismal failure in terms of the economy for san francisco. jobs for san francisco, health care for san francisco, and

planning for san francisco. y'all have done a lot of work to set clear standards when it comes to housing and traffic in -- impacts. when it comes to the city has set standards around local hire, all that is undermined in this plan which can easily go around the san francisco local hire requirements which does not mean a lot of jobs and in the end, the only jobs that are guaranteed in this agreement are 200 jobs less than 5%. 200 jobs out of the thousands of jobs they're projecting to be local, permanent hire. they're treated as a construction project. this is two permanent hospitals that will be here for decades and they're not dealing with permanent jobs. they will be here for decades after the five-year construction projects. that needs to be dealt with as well. thank you. president fong: thank you.

is there additional public comment? >> mynas gerry adams. i am the neighborhood interest chairman. -- my name is jerry adams. lifecare refers to the obligation to house and provide medical health care for residents even after we run out of funds to care for ourselves. our priorities are as follows. patient safety as many of our residents use cpmc facilities. we're concerned the buchanan street hospital is seismically vulnerable and should be replaced by 2015. we are anxious that it be replaced by the more seismically secure cathedral hill project. two, sidewalks safety.

board of buildings present a hostile environment for residents -- boarded up buildings present a hostile environment for our residents. we need lively retail and institutional activity along bowersox which -- our sidewalks which the project proposes. thank you and here is a copy for you. president fong: any additional public comment? >> my name is lisa wheeler. i live in this community. in the middle where everything is being built but there is no job for me. i have two college degrees, and

tons of volunteerism in this community. i volunteer with the police and the sheriff and i paid three times for my -- to help my -- husband pays union dues and he still has no check. it keeps bouncing around from here to sacramento and back. we never get the money. he has yet to be paid. there is so many boarded up buildings that we walk by, where the jobs? i am willing to serve and weight tables with two college degrees because i want to work. thank you. -- wait tables with two college degrees because i want to work. thank you. president fong: thank you. >> good afternoon. i am -- that is my wife. i wanted to make a small comet.

i am a resident of san francisco and i have been working at fedex for a month and a half. i sleep on the streets and go to work every single day. i have no where to stay. my wife is in the shelter. hard every night, loading trucks every night. i am sleeping on concrete. to support my wife and dog. i want to say that this -- there is money to house the homeless. there is money year. i read, i am very smart. -- there is money here. i went to the air force, did my time, and i am in the streets? it does not make sense. let's get this -- these people off the street. this is where we have the drug problems we do. if you do not do anything about it, it will get worse. the problem is going to

activate. it will not get better. you guys -- get your heads together. that is what we've got brains for. god bless you. >> president fong and commissioners. i'm here to speak on behacpmc ir rebuilding plan. i'm here to speak on behalf of cpmc because of their longtime commitment to their people of the city and county of san francisco and the health of our community. cpmc is one of the legacy sponsors of the asian heritage association which was begun eight years ago when the community needed a rallying point. the association brings together not just the chinese or immigrant community but all the communities in san francisco and its one-of-a-kind event. in the eight years since it started, it has become the

largest gathering of asian americans in the country. it is a point on which the asian-american community is building itself. beyond the community, cpmc has a commitment to lower health and has been one of the first and largest supporters of the cause of hepatitis b. it is the greatest cause of liver cancer and affects one out of 10 agents. because of the statistics, san francisco has the greatest rate of liver cancer in the country. this is something that can be and when we put out the call to end liver cancer, cpmc stepped up to the plate. they are the largest screener of hepatitis-b not only in the city but the state. because of their leadership, san francisco is the model for ending hepatitis-b disease. we have a screening day.

the head of the cdc is coming out to see how we do it. where are the leaders and we are the model. -- we are the leaders and we are the model. i am here to speak on behalf of cpmc and encourage the commissioners to support this proposal. president fong: thank you. any additional public comment? seeing none, the public comment portion of this meeting is closed. we're opening it up to questions. commissioner antonini: thank you. i am very excited about this being in the -- excited about this, being in the health profession myself. we are going to end up if this is approved as presented, three hospitals, new or rebuilt

hospitals will be at the highest seismic levels, replacing for us ones that are not at an acceptable level seismically. another fact that has not been brought out but it is important is the quality of cal pacific attract many of their patients from outside of san francisco also. we have heard a lot about the development agreement and the good things it will do within san francisco as it should, but it is important because there is this 30% who comes in, mostly private patients, bringing resident -- revenue in that we can use as san franciscans. they perceive the quality of care to be superior. unless we move forward with something like this, we risk the fact of having a loss of patients who could go elsewhere. it is important this move forward. i had a few comments and

questions. maybe mr. rich could answer these. we have heard about the part of affordable care which involves care by cal pacific of 10,000 new metical lives that will be a product of health reform -- medical lives that will be a product of health reform. i assume there is another -- that would be the case from cal pacific to compensate if these cannot materialize as planned. >> yes, as colleen alluded to, there is a section in the development agreement which addresses the possibility and anything that is complicated that a federal or state law may come down that may make it difficult or impossible for either the city or the hospital

to honor any of the many commitments that are in the development agreement and it establishes a process where the parties can meet and confer and come up with a substitute agreement. the most likely -- hopefully not likely but the most prominent possibility if something about national health care reform gets changed, anything could happen in an agreement this complex that would require a meet and confer. we would use that section. the chances are fairly likely that we will be ok. on this. commissioner antonini: well your up here, i had a question on the $86 million -- while you are up here, i had a question on the $86 million moving forward. and there was some talk about it being a higher amount. that could have been the case for a particular year. mike understanding is $86 million only includes charitable

care -- my understanding is $86 million only includes terrible care. and the commitment to the tenderloin and. -- $86 million only includes charitable care. >> this is the baseline of care, making sure that we keep a base line and everything else that you heard in the presentation is over and above that. that baseline can include charity care, it can include meticamedical. if they are including medic -cal, that would be over and above the 10,000 patients they're giving us in the next commitment. if you read the fine print, there is a section that spells out the way we track that to make sure there is no double counting. the funding of the innovation

fund and the other obligations are also over and above the base line care. commissioner antonini: the only way medi-cal could be in there is what is not reimbursed. >> the services provided to them get reimbursed to some extent through the program. if the service costs but thousand dollars and the hospital gets $25, i am making these numbers out, the cost is 75 unreimbursed. commissioner antonini: thank you. i had a couple of other comments on the local hire part. that was a little confusing. i do not know -- maybe ms. simmons can answer. mine understanding is there are 6000 people employed now by the cal pacific hospital system