we will be giving an overview of the project. that is where the presentations will come in in a moment. very important is jobs. second of all is health care that we will be focusing on in the next hearing next week. the third will be transit and they permit issues. finally, closing it up with housing. i wanted to thank supervisors cohen and wiener for hearing the issues and recognizing how important this project is and the detailed consideration it deserves. i want to thank them for accommodating this committee with their busy schedules. i know they're both on the budget committee as well. thank you to the mayor's office for their work in helping us scheduled a different hearings rescheduling the different hearings. as supervisors, it is our awesome responsibility to ensure the city's interests and the

interests of our residents are protected in these agreements. is the second-largest employer in the city now. is the second-largest employer. it is projected they will become the largest private employer after the project is completed. this will have a profound impact on our city and residents for decades to come, especially in the context of job opportunities. after reviewing the jobs portions of the eir and proposed development agreement, a number of concerns have been raised. i have some of the same concerns about the number of jobs with the project over the years. i will not die than to those issues now. i wanted to say that we will do our best to look at those issues today -- i will not dive into those issues today. because this is the first hearing at the board level, we will hear a brief overview by department staff and cpmc and

their architects to give us the overview of the existing project. the office of workforce development is a key department in the city that has been working with the developer and our office to schedule these hearings. since there are four hearings, we will give a brief overview now to give the context for jobs. cpmc will do their presentation before hearing public comments. after the city presentation, we will have time for the supervisors to ask questions of relevance city staff. in maximum time for public comment. this is an important issue to those in our city. before we move to the city presentation, i see our planning director ready to go. i know that supervisor john annapolis -- avalos is here. also supervisor ava-- i also

wanted to give the other supervisors time to comment. supervisor avalos? actually, supervisor cohen was first. supervisor cohen: did morning, everyone. we're going to have a spirited conversation to work together to get the most robust plan for san francisco. thank you for allowing me a moment to speak. i am excited to begin the process. i see a lot of our partners. the fun part is going to begin. i wanted to open up with a couple of housekeeping rules. you heard the rules from the chair. i want to reiterate that you will have public comment. when you are a soft bell, that will indicate you have 30 seconds to complete your statement. i want to encourage everyone to be respectful and courteous to

the next person that wants to speak so we can continue to move this process along. the seismic safety a city hospitals is essential in ensuring the network is robust and intact. the need for rebuilding cpmc is clear. the city and in particular our southeastern neighborhoods have a significant health care need and challenges. because of the scope and sale reduced scale of the project, we have a duty to ensure the project is being done the right way. that includes insuring st. luke's is robust enough to meet the health care needs of our southeastern new roots, that local residents can benefit from construction and permanent jobs associated with the product. that we are investing in programs that will ensure we have a pipeline of residents qualify for these jobs and that

the project provides a reasonable amount of charity care for our most vulnerable residents. i look forward to hearing from members of the public today and continuing our conversations about the project in our committee hearing. let's get ready to rumble. thank you. supervisor mar: thank you. supervisor avalos? supervisor avalos: i appreciate you giving me a moment to share my thoughts as we begin hearings on the cpmc development. i cannot stay long. i wanted to insert some of my thoughts as we begin the process. i will be reviewing the presentation from the department later on. i will be meeting with constituents who have many concerns and review part of the testimony today. to be honest, i do not know if i

can see all of it. it looks like it will be going on for hours with people in this room and those who will come later today. my biggest concern, i have lots of concerns. today i will talk about jobs and how i think this development is vital to the future of san francisco. i realize we need to do it the right way. i am concerned about some of the impacts that will happen. i will speak specifically about jobs. supervisor mar said this project -- cpmc is one of the largest private employers in san francisco. as this project moves forward and it becomes a network, it will be the biggest employer in the city. it is important to recognize how we build a hospital network that is going to provide stable employment for san franciscans moving forward.

on the construction side, i understand how important this is to the building trades. there are an estimate of 7000 construction jobs that will be made while development is occurring. 1750 jobs will last about four years. for a household struggling with unemployment or to have stable employment, for years can mean a lot to help a household become economically stable and sufficient and lead to greater instability in years to come afterwards. i understand how important it is or brothers and sisters in the building trades to make sure this project goes through. i also live in the part of san francisco that has some of the highest unemployment in the city. we have seen some success

incrementally so far in our local tire ordinance. many have been benefiting from a local hire work. i see this as having a huge benefit for local residents. i want to make sure we're capitalizing on that as well. i believe it is great to see there have been discussions and labor agreements at how to maximize local resident involvement in the pipeline of the work force for this project. i am happy to see that. i am also concerned about the permanent jobs. i am hopeful there can be a way to insure the people currently employed at cpmc are able to know they have jobs in the new hospital that will be built. the standards that are being created with the largest

employer in sentence of can be the highest they can be for the rest of san francisco. what happens with this development and the work the hospital goes over the years will have a major and balance -- influence on how other hospitals and employers in san francisco treat their workers. i want to make sure we have stability long term for families in san francisco as well. i wanted to make sure my thoughts were shared. i believe we have something, a project before us that still needs a lot of improvement for me to want to feel comfortable with supporting it. i feel this public process we have started a month before -- we will be working on is making important changes. i think it is an important way to make sure we have changes to

make it a better project and what we have today. supervisor mar: thank you. president chu would like to make some remarks. president chiu? >> we have a microphone issues. i want to thank all of you for coming out and taking part in this very important conversation about the future of health care of our city. i want to thank the committee members. i know everyone desires to set up a legislative process where we have a full feting of all the issues. i hope in the coming weeks we will be able to do that. one thing that has been very important for me as i have been conducting meetings with various

parties on the issue is to remind folks i think everyone in this room, regardless of what you think about the project as it currently stands, i think we share the same goals. i think everyone wants to make sure we have seismically safe hospitals in san francisco. everyone wants to make sure we are developing the best health care and hospital system weekend in our city. we all want to take care of the health care needs of all of our cities. as we go through the process, what i hope to here are answers -- hear are answers to a lot of the factual questions about what level of charity care we need moving forward for our city, exactly how we make sure escalating health care costs are taken care of, planning issues we will talk about. how do we make sure the hospitals we are talking about will fit within the

neighborhoods being discussed? how do we make sure transit and transportation issues will be concerned? today's conversation will be about jobs. i do not think it is any surprise that issues raised are ones that i share as well. i have wanted to know and i know we will have a conversation about why there seemed to be a low level of commitment when it comes to permanent jobs. how do we make sure our city commitment to local hiring and making sure we are insuring san francisco residents are put to work, how does this fit into the bigger picture? i wanted to say this is the first hearing of a number that we will have. i would ask all sides to be respectful and understand we're all trying to get to the same place. hopefully, in the coming weeks we will be able to resolve a number of the issues and get

answers to others to move this to a good place for the city. supervisor mar: 80, president -- thank you, president chiu. supervisor wiener? supervisor wiener: 80. welcome to everyone. i know there are a lot of specific issues to discuss and come to resolution and consensus on around transportation, health care delivery, charity care, etc. i think it is incredibly important as we work through the process to keep our eye on the big picture, which is the future of health care in san francisco, the seismic needs of our hospitals, and the possibility of making our world-class health care system even more world- class. in recent years, we have gone through a number of very large

and sometimes contentious projects. it may be treasure island or mission point. then there is the america's cup, the warriors, cpmc, we have all of these projects. they can become divisive in the community and emotional. we get caught up in a lot of issues, some of which are very important. it is important to focus on the big picture of the future of the city. someone made a comment to meet a week ago, someone who's not really involved in politics or land-use. they said to me that some of the projects --wow, san francisco actually has a future. i think we need to focus on

that. there are issues we will discuss and work through. we need to work hard on that. we have to keep our eye also on the big picture of the future of this city. i just wanted to note that. supervisor mar: -- -- thank you, supervisor. the 13 items on the agenda today, we will be having three more hearings. there is an appeal filed. we are planning to not take action on them that this committee but they will have full and thorough analysis in a hearing. at the board level, that is where action will be taken in the middle of july. i would like to call up the planning director. there are a number of speakers. we have the planning department, cpmc, andy smith group architects followed by our

department public health officials. then too rapid up -- wrap it up, rhonda. >> i am with the planning department. we're pleased to be aired today. i will make opening comments and turn it over to my colleagues. what is before you is that we will be discussing the development agreement and a general overview of the project. i want to emphasize this project, giving it to this point has been a robust partnership between the planning department, the office of workforce development, and the department of public health, as well as our colleagues at mta and the transportation authority. there has been very robust work on this effort. i really appreciate that. the planning commission certified the eir into a number of actions to approve the project on april 26.

elizabeth will go over those with you in a moment. i want to emphasize a couple of things from a land use/planning standpoint. we believe through the extensive partnership with city agencies and cpmc, we now have a project that works. i will say there are very few places in the city where a product of this size and importance can work outside of downtown. i think this is one of those sites. we believe we've got to replace where the project works from a transportation stamp point, a design standpoint, housing standpoint. i know barbara will talk to you about the health care component of the agreement. collectively, we believe the project works and we feel comfortable recommending it to you. we believe we can move forward with it. i know there will be a lot of discussion about that. i want to decide that from our standpoint, we believe that through the the work we've

done, a product is a good and workable project for the long term benefit of the city. i will turn it over to ken rich. thank you. >supervisor mar: mr. rich? thank you. >> there we go. supervisor mar: microphone, please. >> if i could have the power point on, please. good morning. i am ken rich.

i want to begin the presentation by reminding everyone of our hearings scheduled. today we are covering the hospital rebuild project and the development agreement at the overview level. we have a long day. i will try to be fast with the overview. if we talk too fast, please slow us down. we will try to get through the overview quickly. after that, we will cover in detail the job creation topic. on june 25 at 3:00, we will cover in detail all the aspects of health care with the exception of issues around the city health care service system, which will cover on the night. on the night at 1:00, transportation and health care systems as well as the budget report. july 16 is left open for questions, discussion, and whatever needs to happen on the last hearing date.

the schedule for the full board is july 17 during eir appeal and first reading. july 24 for second reading. in recognition of the importance of this project, working on this development agreement and the project in general has been a major city staff effort with involvement from all the agencies you see on the side. we wanted to recognize the really good work of all the staff in those different agencies. i will hand it over to elizabeth wati who will take you through the basic description of the project and the approvals before you. >> thank you. cpmc currently operates a four campus hospital system. if i can have the overhead, please. to comply with state seismic

safety laws, cpmc plans to modernize facilities on five campuses including a new one known as the cathedral hill campus. as part of the plan, cpmc proposes to construct five new medical buildings. at the davies campus, cpmc proposes construction of a new for storing medical office building also referred to as the neuroscience institute. the project was originally approved by the planning commission in 2007. it was overturned by the board of supervisors. the project was required to be reviewed in the context of cpmc's larger eir. there have been no substantive changes to the projects since 2007. at the st. luke's campus, cpmc proposes to construct a new

five-story acute care hospital. the new hospital would be located to the west of the existing hospital tower over the parking lot and a portion of san jose avenue. it enables the existing hospital to remain in operation during construction. adjacent to the new hospital, there will be in the pedestrian pathway and plaza connecting streets. a portion of it is shown on the graphic of the slide. when the new hospital is operating, the existing hospital will be demolished. after the existing hospital is demolished, cpmc will construct a new office building where the current power exists. on the west side of van ness at the site of the closest hotel and office building, cpmc proposes construction of a new 550 bed full-service acute-care hospital. it will be 15 stories and approximately 255 feet tall.

across the street on the east side of van ness, cpmc proposes construction of a new nine- story 130 foot tall office building. these two buildings will be connected underground by a tunnel at the garage level. once construction of the cathedral hill hospital is complete, cpmc plans to transfer to you care services -- acute- care services to the new hospital. the pacific care campus will be used as an outpatient facility while the california campus will be sold. it is worth noting there are provisions in the development agreement that mandate the creation of community advisory groups at both campuses to guide future development and reuse of the california campus. on to the land use approval, there are many approvals required for the five new buildings proposed. i will only high glucose subject to board approval.

the approvals include the development agreement that will cover all campuses, general plan amendments for the st. luke's and cathedral hill campuses, as well as several other approvals including conveyance, conversion of cedar streets of the cathedral hill campus, increased sidewalk widths. that concludes my portion of the presentation. i would like to turn it over to the doctor who will kick off a brief presentation about the long-range development plans. thank you. supervisor mar: dr. brenner, welcome. >> i cannot tell wellwhether i will need my glasses or not. supervisors, it is good to see you again. we're pleased to present our

plans to rebuild cpmc. this plan has been more than 10 years in development with community engagement. we have now been the subject of 15 public carries. today you of the opportunity to consider and i hope approve this historic project which has an unprecedented community benefits for our city. the cpmc rebuild project is not a typical development project. the project itself is a community benefit for all sentences guns -- of san franciscans by modernizing with the ultimate goal of improving health care and saving lives. the project will build and modernize cpmc hospitals at st. luke's and davies and combine our pacific and california hospitals on the van ness and yuri campus, sometimes called cathedral hill.

it will double the number of earthquakes eight beds in san francisco. we will also integrate our facilities into a modern health care delivery system was widely accessible committee hospitals attached to a specialty hospital near the population centers of san francisco for the very sickest patients. following extensive input from the help in planning commission's, members of the board, and the city family, rebuild cpmc will deliver unprecedented additional benefits. it will inject $2.5 billion into the local economy and keep our trade working and retain a permanent well paying jobs in the city's largest industry. we will join with community clinics to serve 1/3 of the new patients, 10,000 san francisc ans who will be enrolled in medical with health care reform

and provide the capacity for partners. we know there are criticisms about the plan. after 10 years of planning and community engagement, we also know a perfect plan is not possible. while it is not perfect, it is the best plan we can achieve balancing the needs of health care delivery with those of the neighbors and community. that is why today you will hear strong support for our rebuild plans from different sectors of san francisco. notwithstanding the seismic mandate and development agreement, this is a plan to improve health care, care for the sick and injured, and to save lives. supervisors, i respectfully urge your support. supervisor mar: thank you. >> i believe judy lee will follow. supervisor mar: there is an overflow room. it is the committee room, 263, just down the hall in case

anyone wants to view from the room. >> good morning, supervisors. it is good to see you again. thank you for the opportunity to give you a quick overview of our health care program, the rationale and benefits behind our approach. as many of you know, we provide a comprehensive set of programs for san francisco. from an outpatient perspective, we partner with about 1200 community-based physicians throughout san francisco. we also run the largest community clinics south of market at the st. luke's campus. we have innovative programs for prevention and education might be held first program h --ealth first programs that are free to charity patients. in the future, there are two

major changes in the outpatient setting. the first -- actually both of them are a function of response to the federal health care reform. we're going to partner much closer with our physician partners in the community to increase coordination across different care settings. a major change we're going to make, we're going to partner with dphh and consortium partners to care for 1/3 of the new medical enrollees. we will provide comprehensive medical homes from primary care to hospitalization to post-acute care for 1/3 of the 30,000 new medical enrollees. from a recovery and rehabilitation perspective, many of you know we have an inpatient psychiatric program at the pacific campus. we have 18 beds where