c pmc has been here for 1 hundred and 50 years we would like to continue that. in order to c pmc to continue to provide the health care during an earthquake and afterwards the seismic hospitals must be built to serve the pedestrian - the california senate bill was put into the law books to protect us all. it would be a shame an embarrassment and possibly even a tragedy if the earthquake hit and the buildings in san francisco are not safe and the ones that are open don't have

enough beds to treat the injuries. it doesn't have to be like that we have the opportunity to build state of the arc with the most advanced integrated systems those will be utilized by our world-class teams. let's not delay the groundbreaking project any longer. let's not wait a week, month or year. let's get started now. thank you >> thank you. >> good evening. i'm a homeowner right across the street in the hospital campus. you're putting a medical office building in with visitors but

the neglecting to do anything about the increased traffic with parking. currently, we have 27 spaces under the new proposal that deficit is going to be 2 hundred and 25 spaces and permanently one-hundred and 60 but they're only providing 1 hundred and voluntary i think they can do better. thank you >> combpg i'm suzy and my families owned tommy's joint for over 66 years. i'm in favor of the project. i just wish it would start already it's been 4 years with a

derelict building with no customers coming from there. we used to have folks going into the hotel and it's hurt my business. i have 44 employees and i'm struggling to keep my folks employed as when you closed the hotel and over 3 hundred people were out of the work you cough kept the parking lot open. there's no parking it's hard to park and with this new proposal open exhibit k page 5 number 9 with no evening parking for any of any consumers it's going to be more difficult on post and

franklin and i don't know what on van ness. how do you expect a small business he owner to stay in business. i want to see the hospital abilities been over 4 years. i'm concerned also concerned about the construction how it's going to effect my building that was built in the 1800s. please continue the parking after 7 o'clock because there's no more for my folks to park so i ask you to consider that. thank you >> good evening. i'm the general manager of daniel court when is a condominium and commercial building directly across the street from the cathedral hill

project. as such we had a lot of concerns about issues that happened during the construction project as well as the having the hospital as our neighbor. i want to this thing the planning commission and specify faerlz office for meeting with us and hearing our concerns and many having the fixes implemented into the plan. we want you to approve the project it's taken forever >> thank you. >> hello thank you president fong i'm teresteresa. i support this project.

i've lived in san francisco for 38 years on a perm level i've gotten cpc and their health care is amazing. i currently serve as a director of human resourcess it is dedicated to the health of gills in the bay ear since 199 the 9 it has provided low-cost health care services. cpc has helped to get the grant for health care services for the unserved in the bay of san francisco. we believe strongly that education care is essential with regards of their health care and background.

we applaud cv mc for taking on a long-range project and we want the women and children to get the patient care they need. locating the women's and children's depth department of public health will increase the access throughout the city. the women's community clinic and i want to protect san francisco's holy ghost further by rebuilding cv mc please do the same >> thank you (calling names) >> good afternoon commissioners i'm very excited to be here

today in support of the plan. i'm a project engineer which is a general contractor work with our trade partners to build cathedral hill and st. luke's hospital. we appreciate the work of mairdz and the members of the board of supervisors who were able to bring it before us today. working on this project will be something else very special. it's not everyday you can work on a project that benefit everybody the businesses and most of all the community. i support cv mc and i believe that the men and women need this project please let this get done. i urge you to support this

without more delay. thank you >> thank you. >> good afternoon, commissioners thank you, very much for taking time out for the realized plan for cv mc. i serve on the executive board for the naacp. and most importantly i'm the vice president of the glen ridge cooperative housing in dynamic heights and if you come down 29th street we're there are at st. luke's a hospital that serves 2 hundred and families

from the dynamic heights project. i can be alters selfish here because c pmc has served all the other women and young children. in breakfast health care this i have came into contact with. 38 they have done a wonderful job and have served the 2 hundred and 75 families that i represent in dynamic heights. i encourage you to please move forward with this project. i support c pmc strongly and the san francisco infrastructure patients and hardworking men and women need this project. let this get done.

i ask that you vote for the rebuilding of c pmc. thank you very much >> are there any additional speakers? >> good afternoon. i'm with the coalition of san francisco neighborhoods and i want to make my own comment. i would support the san franciscans for health care housing, jobs, and justice and their call for a lateral monitoring because it becomes obvious if you look at the history surely that history is

very important. we have to learn from it and for that reason alone we have to have closed monitoring like the involvement with the community. another thing is the mental health services. i'm disappointed their reduced. it's one of the major problems in our country recently with the mass shooting throughout the country like arizona and most importantly one of the returning vets the need foreclose post traumatic syndrome we have have veterans returning and we've not

meeting the demands of returning conveniences. and finally, this process i think is good evidence of what could result when the community gets involved. i think the call for jobs, jobs, jobs now that's important but i think more important is that we coupe come up with a good plan that has deliver health care thought san francisco. and hopefully, this community process will be result in a better sequa amendments. thank you >> any additional public comment? okay seeing noneseeing none - . okay seeing none, public comment

is closed and i believe staff has a closings comment >> thanks ken. we'll be available for and await your questions. i want to note a few things. first there are apparently is a typo workforce in the amendment. as you remember it's 40 percent of jobs in 10 years and there's luckiest one place it doesn't get reflected so in our motion us to make those changes and make sure there's no more. i want to note a couple of things that get responded to.

the transportation plan and the surveys. that used wherever appropriate to have the staff address. with section 2.5 and the material and non-material changes. we want to reiterate that we there's really staff is absolutely on the same package we have the need for process and make sure that changes that have any significance and the ones not significant have a process we still think it's not the right path boo to a bind contract to enter into some the kraths but we really think that the entire public and populace

of the city 0 needs to have the ability to look into our city contracts. just wanted to make sure we hit those themes. >> okay. he opening it to commissioner comment. >> well, i'll certainly this day has arrived again. i have to agree size matter and a bigger project would be better. maybe a 5 hundred cathedral bed and st. luke's would be oil ideal. i don't know why we have groups that lobby against this and knock out over 1 hundred beds. i know everybody's on board but it would have been a better

situation but what's been done has been done very well. the other thing that doesn't makes sense to me is the call for a co- lateral agencies to monitor what happens. certainly anyone is certainly encouraged to monitor on their own even as a group to make sure things are being done but to give them governmental power is saying our governmental agencies can't be trusted. we've got the planning commission and the board of supervisors and we've got the city attorney all of when would

combeefrn. and i heard the material issues to go to the board of supervisors. but i thought this of the the government role to provide for things that couldn't be provided for privately. and to monitor those. so it doesn't seem right to me. and the other thing this is odd if you create this additional agencies i'm not sure there are that might be some connoting agencies that would have jurisdiction of some sort it might open us up for some legal problems. what do you think about it that

you thank you we've heard a lot of backseats about the collateral all the times. i can say i think the co- latter all the time doesn't seem to be a nice fit though it's not relevant. there doesn't seem to be a change but the public bins have been exhaustly looked at out for. so there's no -- i don't hear imply request to the change of the public benefits. i think it comes down to

possess. i staff made a recommendation that the best way to address the process is to put it open to everybody and to make sure. i have worked on a lot of agreements the park merry sedate and others and there's more public review baked into this document than any of these other transactions. with the changes that have been proposed by staff today. when it comes down to this community roll in monitoring i want to the extent it would in any way effect the c mc issues. i think that c p m y won't agree to that.

i think my office would ask you not to give the group the right inform sue us for the enforcement of our contract. so that's why the staff has focused on the process and make sure that everybody's aware whatever going on, on this project that we give notice to the rest of the world. it touches on this issue but it addressed the issue of material changes. i think that is important. it's worth everybody looking at it and see what the material changes are. it's pretty exhaustive.

it means any modification. we know it when we see it and if disagree we can take to court. any material xhoefgs that would change this or which relate to and we list a few things like the terms the permitted uses 3 the public benefits. so the public benefits is all the hospital commitment and as well as all of the you know the things we care about the exhibits that define all the public benefits. so the document is written to define the change to the public benefits. ken is correct when you look at section 2.5 based on my advise.

any non-material to the agreement requires the commissions approval. i'll read to you there's been some confusion because of the notation of the permits and the like so building permits and a routine things. we arrested that we would essentially issue those all the times to billed the project. however, if there's an attempt in one of the subsequent agreement you must amended the agreement to amend this amendment navigate it says

required the terms of that agreement will prevail over that school district approval that conflicts that the agreement. i'll read it verbatim any approvals that's not a material change as determined by the planning director and by any city agency maybe arrested to by the planning commission and the city administrator in their sole discretion. then it gongs to say any material change should be subject to the review and approval of both parties as well as the board of supervisors by ordinance. so i think the document is clear we couldn't do an amendment to the amendment without the

approvals of the commission and if it's material at the board of supervisors. i also that that, you know, you've seen the public review process that's been baked into the document as a result of the request. i think it's an appropriate place to put the process that we think the city should go through terms of the actions of the agreement. thank you, mr. southern california have an it sounds like it has written into the language the prevailing authority anything else for the jurisdiction. i would add i don't expect an answer today but before this moves no to the board of supervisors it maybe good to

hear about the stanford situation they're not as stringent but the best practices to see if there's any such thing >> i think staff did look at those documents and to compare the public benefits. i think the public benefits are comfortable >> i remember before this was modified our benefits were above and beyond the beds were 6 hundred and so that part i would expect the monitoring is more stringent but i have a couple of comment. so other things that came up we've had this discussion about the sub care. and all hospitals throughout the

bay a area have to do their share of this type of thing iowa's basis what a as with the kinds of st. luke's it doesn't make sense but it has to be dealt with. and the other initial or issue that came up is traffic. many folks talked about the traffic issues we're cutting some of the parks out of this but we'll have more than enough parking. i agree with the neighborhoods who came and spoke about the ability to keep their garages open at night and they felt the situation of the hotel i think that's going to be worse or the construction process it only make sense those spaces could be used >> next speaker

in the evening hours. we think if you don't provided parking there will be no cars. people are going to be driving to designations not only to the hospitals but who need the parking lot to survive. so i urge staff. a lot of talk about the psych situation. certainly it's a national problem as someone pointed out. we have to work on this on a nationwide area to be able to provide for the folks who can't take care of themselves. there's a lot of these things that can be done but you can't drop it on one institution we have to look at the entire you situation that we have bed and

laws to be able to care for people who have problems. that's one the biggest reasons. that's pretty much all of my things i think that one speaker talked about the into you and it's make sense the road is still highway 101 and it if you take away two baselines it forces everybody else either more traffic. this is something the city has to move on. as the design is being proposed on the tunnel underneath on van ness avenue we have to look at this in the future to some subway this tunnel will be just

a little bit low-grade. those are my general feelings this is important to move this forward today >> commissioner. >> so thank you all first of all, for getting this to us. the mairdz and the community and the instructors offices that i agree with the supervisor about keeping that garage open last night 7 o'clock. i think the testimony was kneeling. it will give it more identity and