completed pier 43 the gate way and the under construction project that were in the orange is the site for the 2012 parks bond investment. and the northeast plaza you've haired about and the 27 and 29 pier and pier 70 port. this graphic really shows that the next time of the open space are continuance along the waterfront. we're very grateful to the

voters. so the purpose of this item today is to get your first look at this allocation of the proposal. specifically we're looking for a 29 tip. and $600,000 to the creek improvements for a total of 18.2 million. and this is over the two years. the slate of bond projects that we will accomplish through this go bond is approximately over 5 years beginning earlier this year and concluding with the last park close out at 2017. there's quite a bit of information in the park project.

the total cost is 17 million and 14 million arrested spent for the planning. the design is scheduled for completion in 2014. for the park in this pier could include the machine shop court yard. we're looking for the piers that benefit the community and we estimate points completion in january 2017. $600,000 for this sale of creek improvements. the project we estimate will be applied in 2017.

so in summary staff has completed a plan to get the open spaces and building on the work that has already gone and/or and we're looking to sell 18.2 million in the first bond sale. and a tip at 2729 and we'll return to you in the future for the next bond sale and the open plays projects. we have staff here david and dean i believe he's still here and they can answer any questions about this project. thank you for your consideration >> is there a motion? >> motion to accept.

>> i'm actually pleased to see that looks like almost everything will be done in the next 2 to 5 years that's tremendously excited that's a rapid turn around. going back to phase two i wonder in you could articulate a little bit more about the projects in phase two and if there's any funding coming in prior to the issuance of bonds or is that subsequent to the bond sale in >> we're looking for community

planning project to see how best to direct those dollars for crime scene cove park and pier 40 park and the blue greenway and park improvements and dave can answer many more questions about those specific project. we don't need the fund today but i'm going to ask david to answer the questions >> and more about the timing. >> david with the planning and development. you'll see in the first issuance there's planning money in plays for the pier 70 other than crane park. that will allow t us to continue with the design work.

in addition there's design work for creek improvements which again is initiating the design plans and next it the design and policewomen's of those projects. this park is linked to the mission bay and we want to make certain we don't start that without understanding what the bay shore park is going to look like. and the green water cove park we thought we can benefit when we see how the other neighborhoods park looks like. $8 million for the other park we're using the $8 million that goes toward the construction of

the project >> and the city is very willing to entertain earlier bond sales or we could link up with another department 7-eleven market e selling bond if we advance those projects. we never want to sell the bond before we get the promise we don't want to over sell >> that make sense. i'm still hoping i'll see a dog park show up at the creek cove. i know we ail - ail went through a lot of the process.

i want to thank all of you. is there any public comment? seeing none commissioners? >> motion to accept. >> second and all in favor? >> motion passes so thank you very much. item 10 new business >> commissioners other than the return of the item on the ferry building plaza and a couple of of the other item is there any new business? >> none other than we're pleased to have commissioner murphy with us. >> and i want to thank i commissioner for chairing the meeting. >> she said there were a lot of waiting. i want to i remember i that i

forgot to mention that we have our home plate ceremony and the next meeting on april 23rd. i thank you for starting the meeting earlier. we're going to plan to be able to terminate the meeting by 6:00 p.m. so we can get over to the ballpark with time to spare. we're keeping the meeting manageable on april 23rd. come back with the e o p item so we'll be managing that over the next two meetings. >> i know i misspoke when i spoke about the donor program.

>> and on the may calendar it's shaping up pretty robustly. thank you for your comment >> motion to adjourn. >> any public comment? seeing none. >> motion to adjourn. >> all in when a resident of san francisco is looking for health

care, you look in your neighborhood first. what is closest to you? if you come to a neighborhood health center or a clinic, you then have access it a system of care in the community health network. we are a system of care that was probably based on the family practice model, but it was really clear that there are special populations with special needs. the cole street clinic is a youth clinic in the heart of the haight ashbury and they target youth. tom woodell takes care of many of the central city residents and they have great expertise in providing services for many of the homeless. potrero hill and southeast health centers are health centers in those particular communities that are family health centers, so they provide health care to patients across the age span.

. >> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone. one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in prenatal care which occurs over the next 9 months. group prenatal care is designed to give women the opportunity to bond during their pregnancy with other women that have similar due dates.

our doctors here are family doctors. they are able to help these women deliver their babies at the hospital, at general hospital. we also have the wic program, which is a program that provides food vouchers for our families after they have their children, up to age 5 they are able to receive food vouchers to get milk and cereal for their children. >> it's for the city, not only our clinic, but the city. we have all our children in san francisco should have insurance now because if they are low income enough, they get medical. if they actually have a little more assets, a little more income, they can get happy family. we do have family who come outside of our neighborhood to come on our clinic. one thing i learn from our clients, no matter how old they are, no matter how little english they know, they know how to get to chinatown,

meaning they know how to get to our clinic. 85 percent of our staff is bilingual because we are serving many monolingual chinese patients. they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in front of my eyes. maybe they have never been able to go out of boundaries, their lives have been so rigid to

sort of expressing that makes tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol or their hepatitis b. we actually provide group medical visits and group education classes and meeting people who have similar chronic illnesses as you do really helps you understand that you are not alone in dealing with this. and it validates the experiences that you have and so you learn from each other.

>> i think it's very important to try to be in tune with the needs of the community and a lot of our patients have -- a lot of our patients are actually immigrants who have a lot of competing priorities, family issues, child care issues, maybe not being able to find work or finding work and not being insured and health care sometimes isn't the top priority for them. we need to understand that so that we can help them take care of themselves physically and emotionally to deal with all these other things. they also have to be working through with people living longer and living with more chronic conditions i think we're going to see more patients coming through. >> starting next year, every day 10,000 people will hit the age of 60 until 2020. . >> the needs of the patients that we see at kerr senior center often have to do with

the consequences of long standing substance abuse and mental illness, linked to their chronic diseases. heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of san

francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effective