close after this gentleman. >> good morning. my name is pilar chiavo of the california nurses association. i want to touch on a few things that have been talked about today and follow up on paul kumar who mentioned the earthquake safety. it really is offensive for us to have people supporting cpmc and cpmc's line about earthquake safety when our nurses are working in those hospitals. our nurses want earthquake safe hospitals. and we have been actively lobbying for this legislation with them on the other side of us. on the other side consistently. and so when they come up here and act like they're pushing for this to move forward quickly because they want earthquake safety, when they have been on the other side pushing for delays after delays after delays, it is offensive. i'm sorry. i'm pregnant. i'm almost due. i'm mad. the other piece of it is, you

know, how are you going to push for earthquake safety when you're trying to reduce the size of st. luke's hospital, which is one of the few hospitals that serves the southeast of the city, and then what, you're expecting everyone to come to a 10-story hospital in the middle of the city on the corner of vepies in the middle -- of venice in the middle of an earthquake disaster? you're kidding me that you expect people to get there. it's an excellent excuse to actually keep st. luke's at a larger size. the health care academy, even rhonda simmons is basically saying that this is outdated information. that when they started negotiating this agreement, they were basing it on what the city could do at that time. so it seems to justify that this agreement needs to be updated in terms of what the city can do, what work force development programs can do, and what jobs are actually available. these 40 jobs a year, 5% of the jobs that are going to be

created is terrible. and it's not a construction project. this is a hospital. it's going to be here for decades. >> can i ask you about the comment about seismic safety delays and nurses supporting legislation that would speed up seismic improvements? but could you go into a little bit detail about that. >> we at the statewide level, we as an organization have consistently been advocating and lobbying in the capital to push for earthquake safety requirements. cpmc, sutter, through the health care -- their lobby arm of the -- health care or hospital association, has been opposing these and asking for delays. cpmc and sutter have specifically requested and gotten delays on this. so for them to turn around that issue right now and act like this needs to be sped up because of earthquake safety requirements, when they have been actively opposing them is at the least disingenuous.

>> thank you. thank you so much, ms. chiavo. next speaker and we're going to close it -- are you going to speak? please come forward. and we're going to close after the man in the white shirt. thank you. next speaker. >> i would like to thank you for this opportunity to speak tonight. my name is brian decraco. i benefited from the excellent carrie received from cpmc. i was infected with hepatitis c when serving in the military and when other doctors and treatments said not to bother with treatment because it was long and difficult and ineffective the doctors at cpmc said we can and they did. i've been hepc free for over seven years. i'm also a member of the san francisco hepatitis c task force. the help tights c task force -- the help tight he is c task force was established by gavin newsom in 2009. in that time weekly developed a comprehensive set of regulations for the city and we continue as a community task force. one of our key recommendations has been for the city to expand hepatitis c testing because 75% of the people with hepatitis c

don't know they have it. leading to advanced liver disease and liver cancer. there are effective treatments for hepatitis c. and many like me can be cured. but the need -- but they need to know they have hepatitis c. in order to get treatment. cpmc can and has been a major partner in this effort. we greatly appreciate that cpmc provided hepatitis c testing with hepatitis b testing at the asian heritage street celebration. as a part of the historic first national hepatitis testing day. san francisco served as a model that day for other cities for providing hepatitis b and c education and testing. and cpmc was a major part of that success. we encourage cpmc to provide -- so san francisco can continue to be a leader in the fight against viral hepatitis. >> thank you. great to see you at the extradite fair as well. last speaker and we will cut off public comment, all six hours of it. >> thank you for the opportunity to speak in support of this important project.

my name is keith wolf. and our firm is a business and land owner on venice boulevard within a block of the project. my wife and i also live in the city and our daughter was born at cpmc where we witnessed first hand the fantastic and dedicated staff at cpmc and also the deteriorating facilities. for example, we were surprised when they said you can't plug in a music device because we're at full electrical capacity and obvious that a new hospital is really important. my wife and i are fortunate to be playing -- planning to stay here in the city. something that's getting harder to do each year for families. unfortunately, our family is moving -- other families and friends moving out of the city to more communities with more up to date facilities such as hospitals. having an earthquake safe hospital facility in the city of san francisco is critical to families living in the city in case of an emergency. it's so rare to find an organization that's willing to spend over $2 billion on a major project without any public financial assistance. it's hard to understand why the city would provide assistance to successful for-profit companies like twitter to

remain in san francisco while not helping support a privately funded project of this importance. the new project will also provide much needed 24-hour presence in the immediate area. it's heartbreaking but not uncommon to find people selling or using drugs and you're nating in the streets in broad daylight surrounding our facility and the proposed project. although cpmc hospital project will not solve all the problems in the area, it will be a really important catalyst for the property owners like ourselves to be able to hire more people and invest in our business. important projects such as the cpmc hospital are always controversial. and although cpmc could never possibly meet all the demands of its opponents, it appears the hospital has made a considerable effort at great financial cost to accommodate the community in terms of redesigning the project and making significant economic concessions. the proposed cpmc hospital is one of those rare transformational projects that only comes along once in a generation. south of market and the ferry building on the waterfront cpmc

will bring new life and investment to this important portion of the city that's in disrepair and has significant public safety concerns and has been neglected for too long. we hope the city would have the vision and the courage to support such an important project. >> thank you so much. and with that, we're closing public comment. and first i wanted to thank dr. browner, mr. farar, judy lee, others from cpmc and our staff from so many definite departments for being here so long -- different departments for being here so long and the public comment from so many different perspectives in the city. he also wanted to remind us from what mr. kenrich the process is to continue this hearing so that on monday, june 25, we'll address health care on monday, july 9, housing, transportation, and public realm/health service systems/controller and budget analyst report.

and then monday, july 16, wrapping up with additional comments. and then it goes -- the appeal will be heard at the full board on tuesday, july 17, with the first reading of the items and then tuesday, july 24, the second reading. so there's a number of other times for people to testify. and today's discussion was on job creation and retention. i also just wanted to say that because of the appeals on july 17, that at this time, we won't be taking action at this committee hearing or the other ones and that it's likely that the items would move or there would be motions to move them without recommendation so that it goes to the full board on july 17 and july 24. so all 11 supervisors would decide upon the appeal and the legislation. i also wanted to say that it's been a great experience listening to so many stories of the needs for health care in the city. but also the important historic role of cpmc and the community

as well. i wanted to ask if supervisor chone or weiner wanted to make -- cohen or weiner wanted to make closing remarks. >> good night. [laughter] >> i wanted to then if my colleagues are being bashful right now, let's ask mr. kenrich if he has any concluding remarks. >> i don't have a concluding remark. but if the committee has about two minutes, we were able during the public comment period to research the discrepancies that you pointed out between the e.i.r. numbers and the numbers that we're presenting so i was going to ask ms. watty from planning to take one minute talk about that and then we have nothing further. >> elizabeth watty from planning. >> thank you. as background the e.i.r. projection of the 4,107 new jobs created by the year 2030 is a very conservative projection because the number is used in the e.i.r. to project the housing demand.

generated by the project which could result in housing production which could result in environmental impacts. so the jobs are analyzed really through that lens. i think that's important to note. but with regard to the previous question, the main reason for the difference in the numbers is the e.i.r. assumes the hospitals would be staffed at full capacity with net new employees. rather than by existing physicians and medical staff who lease offices elsewhere in the city. since this would give the most conservative projection for e.i.r. purposes. in reality, it's expected that many of the people staffing the new m.o.b. will be physicians and their staffs who currently have practices within the city. thus the much lower number. and for those who are interested, there are more details and specifics in the final e.i.r. >> that's very helpful. thank you for doing that quick research. i also wanted to thank rhonda simmons, head of work force development for office of economic and work force development. ms. simmons, did you want to

make any closing remarks? >> thank you, supervisor mar. i think what i'll say about what we have put together is on the construction side for a private project that has a p.l.a. involved in it, i feel like the language that we've negotiated with cpmc and the contract is probably the strongest that i have. because in any other private p.l.a.'s, i don't necessarily have language that calls out specific goals. so i feel like that's, you know, that part is pretty strong. that in agreement with their agreement to focus on some of the other aspects of construction such as the construction administration. on the in-use, while i hear all of the concerns that everyone has about the higher skill

jobs, i totally understand that. i get it. the fact of the matter is as i've said before, just for us, it's not been the focus of our program where i actually train people that have already degrees. san francisco state, all of the other institutions do that. having thought through this a little bit since this morning, we could do more around recruitment with those organizations. i'm sure cpmc does some of that with those programs that offer some more of those advanced degree programs. and that could be something we can continue conversations around. because they actually do that training. much more than i would have. the ability to do. and would do it quite better. so there could be some ongoing discussion with them around stronger outreach to those programs that do provide those -- that set of training for higher degreed positions. we could work with them more closely on that and provide

some placement services there. >> thank you. i know that there have been a lot of comments from the public testimony on quality of jobs, i guess, for the permanent jobs in the city. the 6,200 permanent jobs plus the new jobs that are created. and i'm just wondering if you've been following kind of the comments of the transfer rights and card check neutrality were brought up by some of the speakers. and i'm just wondering if we've done that for other projects, what the status of those requests of the current permanent work force, 6,200 people that work in the facilities currently? >> right. so in regard to the labor relation issues that have also been a pretty -- pretty hardtopic, tough topic, you know, my sort of legal guidance from the city attorney with the

rest of the peers has been that it's very similar to the project labor agreement that it is a labor relations issue between that employer and those unions. so i've not stepped into that. because that contractual arrangement from a labor perspective between those two parties. and the city really has no legal authority. no more than they would if you reversed it. to kind of get involved in their labor relations issues. so i've kind of stayed out of that. and i tend not to get as much in labor relation issues. because the laws that we have in terms of like local hire or first source don't really take me down that train in other industries except at this point construction. >> right. my understanding and i know we have the city attorney is the l.a. case that's referred to often is we cannot condition the development agreement based

on conditions of labor agreement. but we could still talk about community benefits and what's fair to the existing permanent work force. but can i just ask for that advice? my understanding is that we can discuss issues that are related to the impacts of the project. but we just can't condition them kind -- with these labor negotiations, is that right? >> supervisor mar, audrey pearson from the city attorney's office, labor relations are really governed by the federal law, the national labor relations act and the city is not allowed in its regulatory capacity to condition any sort of approvals on resolution of some sort of a labor agreement. community benefits agreements are something different. and the city is allowed to seek

community benefit agreements. and if you have any further questions, i would be happy to talk to you about that. >> i really appreciate that answer. the devil will be in the details as we move forward. not only on jobs in the existing work force and also with health care as it comes up on june 23. and i just like to thank ms. chela and barbara from department of public health and we look forward to a thorough discussion on the details of the health care benefits provided by the hospital as well. i just wanted to wrap up by saying i think this has been a really good overview. and really great discussion of the need for jobs and pathways for people from san francisco, but also balancing that with the other needs for the building trades and labor as well. so it's been a good discussion. i wanted to agree with dr. browner that i do think that a project, a health care project like this, of its scope, is a great benefit for the city to modernize and to make it more seismically safe for everyone. but i know that there are a lot

of other questions that have been raised. not only on the jobs front but in many other areas today by many -- from the community and different workers and labor unions as well. so i'm looking for opportunities to improve the community benefits and to minimize the impacts on neighborhoods from transit as we move forward to that part of the hearing. i also wanted to say that a number of speakers brought up the different other models of how center health has operated in other jurisdictions. and i'm going to look forward to looking at those models and how they impacted health care in those areas. i definitely want to see cpmc, sutter, but also other institutions be good neighbors that provide high quality jobs that are permanent and also abide by the first source hiring and if possible, local hiring policies of the city. so to be good neighbors, and providing those kinds of benefits. but also training opportunities. as were stated earlier at the

apprenticeships and the various programs kind of through city build and other academies in the city. i also wanted to say, too, others raised the issues of cpmc becoming the largest hospital employer, nonprofit employer in the city. after the completion of this project. and i think as the dominant employer in the health care industry, i think employing a large permanent work force, i think it's really important that we focus carefully as a city and as a board on the quality of those jobs. i also just wanted to say that i'll be looking closely, kind of at the health care issues as it comes up. but for me, the cpmc project is an important one for the city. but we should really be looking at basic standard of strong community benefits based on looking at the lennar project for bayview hunters point and other models in our city so cpmc at least abides by that common standard. but even does better because of its track record in the city,

whether it's on charity care or other issues. lastly, a number of people have brought up concerns about enforceability of the d.a. and i know that will come up a little bit later. but my hope is that a community benefits agreement could be a piece of this. i know that had been in the discussions early on. and i think that there's been support from the public testimony that that's one way of making sure that there's strong enforceability of high quality jobs and that the hospital and the construction is really abiding by our city's standards. it's just basic employee security but also high quality jobs. and the hospital being a good neighbor for our city. we expect or i expect as a supervisor, cpmc to continue to be a good neighbor but to even do better than existing past community benefits agreements. and then the last thing is it's been wonderful to kind of hear

about the vision of health care in the city. and cpmc's important role as having one third of the health care service in the city. so i look forward to that continued relationship. but also that cpmc sitdown with community stakeholders including a number of different workers groups and communities so that we could move forward, kind of -- as a good neighbor, but also every stakeholder involved as well. supervisor, -- supervisor cohen, any commebts? >> it seemed from earlier statements from cpmc that there seems to be some reluctance to expand the commitments to ensure that our cities, residents benefit from a wide variety of permanent jobs. and if this is not the case, there are a couple of things that i would like to see from the project sponsor. i would like to see an increase in the financial investment in work force development so that

we can make investments in rhonda shop so we can continue to expand pathways to careers that are sustainable. and i would like to see some response in greater detail that then what you have provided about what is encompassed in your l.b.e. commitment. and what are some of the social enterprise opportunities available to local residents as well as businesses. i'm also interested in seeing an extension of the term of your work force obligations to match the term of the development agreement. and finally, a codification of the commitments in the development agreement so that public and future decision makers have a certainty that these obligations will be met and can be enforced. the other thing that i do want to comment on is that i'm particularly concerned with the way you distinguish yourselves from other projects that have been mentioned. particularly the hunters point candlestick project. you stated unlike that project,

the project that cpmc is building itself, is a community benefit. and as i said in my opening remarks, the need and importance of building a seismically safe hospital is a significant community benefit. however, the development at the shipyard candlestick point project like the cpmc rebuild is in itself a community benefit to neighborhoods that had been neglected. so these comments on your response to some of the questions and concerns that we've raised have made me think that maybe you don't have a strong understanding of some of the community benefit agreements that have been referenced. or the key role that they have played. and so -- or the key role that they have played. so that when we talk about investment in work force development, in comparison to other projects, it's not to diminish your investment. but rather to demonstrate whether we have success in doing this in the past.

and building on success. because what we're trying to do is build. and have -- build on a project that will have lasting benefits for the entire community. not just a neighborhood that will impact but the entire community. and one last thing i want to bring to your attention when we talk specifically about district 10, there has been a lot of discussion and overemphasis if you will on the bayview hunters point community and i would also like to remind people, everyone in the chamber, that the southeast neighborhoods like visitation valley and little hollywood is just in dire straits and has just as many -- great needs, not just bayview hunters point. and i also want to thank cpmc. i know they make great investment in the clinic nims that serves the portal and visit on-- and visitation valley but looking for support there in -- people forget that

community and i want to make sure we don't forget them. thank you, mr. chair. >> thank you. i support the sentiments of supervisor cohen as well. and wanted to say that l.b.e. or the local business enterprise information would be really useful for other -- s.f. general was brought up at 7% but to know some of those numbers. also the project labor agreement or p.l.a., i think there was a question to ask if that could be shared with us. that would be really useful. and my understanding is if there's strong benefits and job security for some trades, kind of as the construction is done, that it's only fair and equitable if we consider that for the existing work force as well as one consideration, not conditioning the development agreement on that. but just as one consideration of fairness as well. so my hope is that we can get that information before the june 25 health care hearing. so with, that i'll just -- i'll

move that we continue this, all the items, until june 25, at 3:00 p.m., monday, for the next hearing. so can we do that without objection? thank you. thank you, everyone, for getting through this stack of kind of cards and for all the testimony and for all the reports from staff. ms. miller, is there any or business before us? >> no, no further matters. >> with no further business, meeting adjourned. thank you.

yeah. that's it. [off-key notes] announcer: you don't have to be perfect to be a perfect parent. when you adopt a child from foster care, just being there makes all the difference. >> welcome to "culturewire."

today we are at recology. they are celebrate 20 years of one of the most incredibly unique artist residency programs. we are here to learn more from one of the resident artists. welcome to the show, deborah. tell us how this program began 20 years ago. >> the program began 20 years ago. our founder was an environmentalist and an activist and an artist in the 1970's. she started these street sweeping campaigns in the city. she started with kids. they had an exhibition at city hall. city officials heard about her efforts and they invited her to this facility. we thought it would coincide with our efforts to get folks to recycle, it is a great educational tool. since then, we have had 95 professional artists come through. >>