against mental illness? is this a deliberate omission or an oversight? the board of supervisors is charged with looking out for the good of our citizens. it makes no sense to approve a plan that is inexcusably exclusionary. we need a full-service hospital that shares in the responsibility for caring for all our citizens. quite simply, the brain is an organ. it, too, can get sick. >> thank you. next speaker. linda chatman. first, i want to say that the development agreement needs to be pulled because of the brown act violation and the violation of the sunshine act. there is nothing in any of the documentation or any agendas about the 2.46 million, i think it is, agreed on contract signed i was told or we were told at a meeting between cpmc

and lower polk neighbors for cbd. now, in the last development agreement, 1.1 million was listed. okay, nothing is listed now. this is something that they asked for that the supervisor worked on and also would substitute for city money would that go toward cbd implementation. the last time that a cbd was attempted with city money, the property owners rejected it. and [speaker not understood] they actually approve it, it should be recognized by those concerned about affordable housing and there is a consensus what these fees they charge themselves would be pass throughs to rental tenants, whether they are covered by rent control or whether they have theyhappen to be commercial tenants. so, that's one thing that needs to come off and be reworked. [speaker not understood] there are some things that need to be refined still. one is the subway. the van ness plan, very important, its objective is investigate creating a muni metro line along van ness

corridor that would connect with light rail line along the northeastern waterfront in pertinent park. a van ness subway would approve inter city and regional transit service and ease [speaker not understood] above ground, okay. well, we don't need to have a pedestrian tunnel interfering with the city's right-of-way and making it more difficult when we get the funding for that. right now we're focused on a different subway, but this would be the next one. it's highway 101. it's the most important boulevard than market street in the city. the other is the height. the height limit was 1230 feet. there was 50% reduction in beds. ~ 130. it's still 100 feet over, too many cars, too much parking [inaudible]. >> thank you. [speaker not understood] again, i'm bernie [speaker not understood] regarding san francisco tomorrow. i have three issues which i

wish to reiterate. the first is that for public/private partnership, the city has not carried its full load. you can't be pushing all the mitigation on the backs of cpmc. the first problem for the city is the probable existence of the 30-inch gas pipeline, a possible volatility that the city's puc [speaker not understood] and if necessary mitigation to protect the investment that we are proposing to go there. the second is the underpinning of the guarantees that it would be mitigated. we have proposed the city as a self-insured entity to take out a performance bond to ensure the full process [speaker not understood]. secondly, that the titles to the investors of that land be put into trust to under pin the

process. the third is that sutter health be the final guarantee and mutual equity so we don't have a trade-off by an auditor between the two processes. we need to know whose processes. fourth, there needs to be an ombudsman that overrides and in effect oversees the process beyond what i consider a firewall that now exists in the city attorney's office and the planning department. it's got to be beyond it [speaker not understood] needs to be in the guarantee. we need to protect the investment. we also need to protect [speaker not understood] safety. i think the final thing is regard continued violations of the sunshine act. we've been amending this process without taking due note of the state law. it needs to be done. finally, i keep saying this is a cumulative environmental impact that has not been fully mitigated.

therefore, the city needs to provide funding and means to do so. and thank you for your interest. >> thank you, mr. showden. good afternoon, supervisors. jim lazarus, san francisco chamber of commerce. also here for our 60-member alliance for jobs and sustainable growth to thank the supervisors, david chiu, and others that were involved in lengthy negotiations and the entire board for i think indications of support that we think are there for a unanimous approval of a project that's a long-time in coming, important not only to the local economy, but the delivery of health services to the residents ~ and to people in the region. san francisco i think is blessed with a very balanced delivery of health care services through a public structure of our own hospitals, the ucsf system and group of private nonprofit hospitals that really make us a destination for medical care that we benefit as residents of

san francisco. clearly public safety requires new hospitals to be built up to current standard and we appreciate the fact that the city appears on the verge of approving an extensive group of pieces of legislation necessary to see this happen. as a long time in coming, we look forward to the next five years of construction and the opening of world class facilities both at st. luke's and on van ness avenue. thank you very much. >> thank you, mr. lazarus. good afternoon, supervisors. michael mckenna with electrical workers local 6 san francisco. and i also want to thank president chiu and supervisor campos and farrell and dr. bronner and lou girardo for all the work they did to come up with a project that is agreeable and amenable. i would echo supervisor campos' sentiments. i wish we were doing construction today on those. you know, i was born in old st.

luke's and the middle of st. luke's is at its end of life and we're going to move towards a new st. luke's hospital and new cpmc hospital at cathedral hill which is a great use for that site, old [speaker not understood]. my father was one of the people that worked on building that hotel there. and to put to good use that area is an excellent opportunity for the city. besides the work that comes to my members, you know, our members also use these facilities for their own health care. and we need safe hospitals here for all of our residents and all of our people who work within the city and county of san francisco. so, i urge you to move this project forward. thank you. >> thank you, mr. mckenna. good afternoon, supervisors. my name is liz maria rodriguez, i'm with electrical workers local 6. i'd like to thank the city for working with the developer community in moving the project along. we look forward to getting our

electrical workers who are also city residents to work on a project that is v-8al to our community. as a community member that uses st. luke's health care services, it is extremely important to have a clean and safe medical facility. [speaker not understood] will provide that. thank you. >> thank you. next speaker. stop the cathedral hill. stop st. luke's because it's been [speaker not understood]. the campus is fine. why are they -- i never heard of [speaker not understood] involving [speaker not understood]. no, i'm in st. luke's. i'm on a referral from the doctor there. it's been done. david campos knows we've been fighting this and has to be stopped now. what about people with disabilities and wheelchairs? and that's not right. thank you. >> next speaker. actually before the next speaker, let me call some

additional cards so people can line up. michael smith wick. chris poland, mike terio. [speaker not understood]. john mill sap. jeffery taner. tom christian. chuck garner. sarah pope. bethany low. jonathan travis. steve cavanagh. jennifer warberg. bob caplan. esther mcken egg. sorry if i mispronounce your name. ~ david liu which is. bonnie nelson and david korick. good afternoon, supervisors. i'm james tracy, community housing partnership. there's been a lot of blood, sweat and tears that have come to this day. folks at the full board, there have been accusations, counter accusations, [speaker not understood]. we support this development agreement. i preserve st. luke's.

we have a groundbreaking local hire agreement. we have robust expanded health care access for san franciscans. we have nurses and health care workers who are being treated with the same dignity as our brothers and sisters in the trade. those are all wonderful, wonderful accomplishments. if there are any lessons for the battle of cathedral hill going forward, we know that many of the changes with affordable care act will all be good for san francisco. so, then we'll be quite challenging preserving the social safety net. and we have learned that many of the ideas that come from the process of bringing voices up from the grassroots and devising solutions from the grassroots when combined with some of the formidable technical expertise that is in this community, in these hospitals, we can solve these problems and we can move forward. we look forward to the day when all of us can actually have these dialogues about how to

build the type of city and the type of health care system that every single san franciscan can enjoy, deserves, and hopefully we won't have to fight for it as hard as we did this last time. >> thank you. next speaker. calvin welch, council community housing organization, representative for san franciscans for housing, health care and justice. the community coalition. first of all, i want to congratulate us all. san francisco all too lobv is attacked for being process or yetctionved with no results. ~ oriented with no results. i think supervisors, community planning, sensitive approach to major very many projects the last 40 commissioner william leerx, this is probably the best examples of all three. ~ 40 years

this was all fought for, meaningful concessions, not only city-wide, a community coalition made up, community groups from several neighborhoods that fought not only for their individual interests, their individual neighborhoods, but for city-wide. and an institution sutter health that saw its best interests in meeting the broadest interests of as many san franciscans as possible. we've come up with a far better deal than where we started. i'm happy to endorse it. the council community housing organizations is happy to endorse it. and, supervisor wiener, you should rejoice. this is the closest we've ever come to getting exactions on a major development project that is almost equal twain transit and affordable housing and two issues i know are very dear to your heart. i just want to conclude by saying that the recent amendments including language in article 46 of the

administrative code was necessary and sufficient and i want to thank city staff for seeing the wisdom of doing that. the language, special language that the city developed that took the place of article 56 was very good for as far as it went, but it took out a very important public notice requirement that's in article 56. we now have it back. we have the best of all worlds. thank you all. >> thank you. next speaker. hi, my name is joseph flanagan and i truly 100%

support cpmc for their work, patience, and with the staff who helps the patients. i myself am a client of cpmc and i have a doctor and i thank very much to cpmc for having the doctor that i have. i will help as much as i can for cpmc. if there comes a time where they need me to help advocate, i will support the hospital. thank you. [speaker not understood].

hi, good afternoon, supervisors. my name is michael smith wick. i am the executive director of my tree compassionate care which is the only exclusively -- only hospice exclusively for people with advanced aids in the state of california. we're a 15 bed facility on cpuc's [speaker not understood] campus. i'm also speaking a aery dent, nearby resident of that came pus. i live just a few blocks away on scott for 23 years. in both respects what i've seen is that cpmc has been an excellent neighbor. from my tree they've been extremely generous for the majority years of our existence, at least 15 years. both with the financial support, but also with programmatic support. they offered their facility for use of our facility or staff for evacuation in the event of a local emergency, allowed our facility to be used for volunteer training and a number of different things that just demonstrates that they really

do know they can support our facility and our mission. as i neighbor i was very involved in the process they established with the local neighbors for the expansion of cpmc at the davis campus. it was very contentious and there were a lot of issues raidsed. they were very open and accommodating in some of the changes they put through to their original plans that i feel dramatically improve the front print work to the neighborhood and particularly for transit. they made it much more readily accessible that would be coming to the [speaker not understood] and muni. so for all of these reasons i strongly encourage you, please, to support the rebuild of cpmc. thank you. >> thank you. next speaker. good afternoon, supervisors. thank you for the opportunity to speak on behalf of rebuilding cpmc's hospital. my name is chris poland, structural engineer, chairman and senior engineer of [speaker not understood] and co-chair of the supporter resilient city initiative. i'm pleased the cpmc projects

are now approaching approve. we certainly need these facilities so support the recovery of san francisco after the next great earthquake. we all know that that that earthquake will occur in california sometime in the next 30 years. and we've been talking about these projects for over 10 years. needless to say the risk is not getting smaller. we also know what happens this afternoon, near san francisco, we're expecting heavy damage to our city. casualties in the thousandses, injuries in the tens of thousands and a very slow recovery. the recovery of our city depends on san francisco being disaster resilient. we have a well organized and well exercised department of emergency management. that work will be greatly facilitated if we have the physical infrastructure available to support the emergency response. the seismic resilience, san francisco needs this hospital to be fully operational after a major earthquake. as you know, most of our hospitals were built prior to the '80s and most will not be usable. the a major earthquake today

will leave san francisco with just a few beds to serve the injured. cpmc replacing hospitals would significantly change that picture. we're still years away from their availability. it takes three to four years to design one of these complex buildings and over 4 to 5 years to build t. if you approve these projects, we'll have these earthquake safe beds in four to five years. if you don't, it could be well over 15 years. i urge you to approve these projects now. >> thank you very much. next speaker. thank you, chair wiener, president chiu, and supervisor kim. my name is john mill sap. over 10 engineers ago i was cpmc's executive architect for this project. since that time i've been an independent consultant working with the california health care foundation and others. i was the facilities representative to the state of california hospital building safety board, led the best practices effort with ashe pot, california health facilities forum. i was responsible for the selection of the cathedral hill

hotel site and i support rebuilding cpmc. from start to today, this has been a long process. i am so glad we're on the cusp of actually starting these incredibly important projects that we've been talking about for over a decade. since the start of planning health care has changed. san francisco has changed. ashe pot deadlines have changed and invariably the projects have changed. with the affordable care emphasis on ambulatory care [speaker not understood], volumes seem to have stabilized and allowed for change in scope of the rebuild. [speaker not understood] the redesign will require another massive [speaker not understood]. not unprecedented agreement has been reached which confers significant benefits to the residents of this city. while these are positive changes for both cpmc in the city, cpmc and its design team must be very nimble in

preparing and securing rosh pot totals to meet the seismic deadlines that have not been made. fortunately, cpmc has a great project delivery team. we all need you to approve this project today so that redesign can begin in earnest and cpmc can move to the next phase of delivering care to all san franciscans. thank you. >> thank you. [speaker not understood]. supervisors, [speaker not understood], san francisco building construction trades council. the window of my office actually looks right out at the site of the future cathedral hill medical center. some others in the office have said they're not looking forward to the sounds of demolition and of construction. to me those will be music. it may be spayctionv and music i will have waited long time to lear. we thank you for your work and we look forward to ours. >> thank you. next speaker. hi, bob caplan. good afternoon, supervisors. i'm going to join the chorus

thanking you for your diligent work to ensure [speaker not understood]. because of all the belief in the potential we've been investing in the tenderloin for many years. i've been a consistently strong supporter of the cpmc facility project. [speaker not understood]. the tenderloin is desperately in need of an economic engine and the ambitious plans for cpmc [speaker not understood] will impact surrounding neighborhoods and all who do business there. in addition, construction jobs for projects, cpmc pledge today include a local number of significant hires [speaker not understood]. this represents a significant opportunity for local residents to find permanent employment that is easily accessible and won't put additional strain on public transportation systems. cpmc has made a long-term commitment which includes underlying street light placement to enhance the hospital and surrounding community. sidewalks will be getting a

facelift improving the appearance and availability of long vacant retail space. one issue consistently raised is increased traffic on van ness. i've heard from many sources traffic is the problem and inhibits economic growth. i disagree with that. it is essential for area businesses. [speaker not understood]. it is on a major artery designed to carry heavier traffic loads. my experience is traffic does not dissuade visitors or patrons from visiting our area. the biggest obstacle is empty streets and empty parking lots [speaker not understood]. if you drive your car, some patience is expected and required. i believe the approval process has worked allowing [speaker not understood]. i urge you to allow this project to move forward to residents of the tenderloin have a reason to be hopeful [speaker not understood]. thank you. >> thank you very much.

mr. cavanagh. good afternoon, supervisor chiu and supervisor kim, and supervisor wiener. my representative from district 8. my name is dave cavanagh. i am a registered nurse who works on the floor at the cpmc davies acute rehabilitation facility. our patients come to us on gurneys. some cannot walk or talk. some cannot so much as lift a finger. yes, we see medical miracles at some of these patients walk both the floor with their families thanking us. but these medical miracles don't just happen on their own. four years ago we moved into a completely rebuilt world class facility. we see lives restarted, careers resumed, families reformed. opportunities for medical miracles are fleeting. the great city of san francisco needs world class medical

facilities across the city without further delay. >> thank you, mr. cavanagh. next speaker. good afternoon, supervisors. my name is bonnie nelson and i'm the founding principal of nelson/nygaard, transportation [speaker not understood]. we worked on what we think is a groundbreaking management plan part of this project. i will make brief comments this afternoon and will be available for questions throughout the hearing. while it is true that medical facilities generate traffic, trips of all kinds, i'm confident that cpmc has gone above and beyond any similar development and virtually all other developments in preparing their transportation program. what we have now is the right size facility and the right location with the right team to make this complex agreement work. i refer you to the

transportation program described in exhibit k of the development agreement. cpmc will pay $5 million directly to sfmta for the development of the van ness brt which will serve the facility. the project will also contribute an additional 6.5 million as a transit fee for a total of nearly 12 million in one-time payments and will generate crop rating funds that will go directly to sfmta, not just cam tal, but operating. the cpmc will further subsidize transit passes of all their employees ~ at all their facilities and has identified funds for implementation of demand management projects. in addition, an unusual feature of the agreement is that cpmc will dedicate funding for studies, surveys, and design improvements covering all modes, in particular for bicycle and pedestrian improvements. this is not just an institution throwing money at a problem and hoping something will stick. the development agreement includes regular monitoring,

including penalties and additional actions to be taken if the single occupancy auto rate fails to meet targets. these actions are strong and verifiable. they ensure that cpmc will take full advantage of this location [inaudible]. >> thank you. next speaker. thank you very much, board of supervisors, for allowing me to address this item today. my name is jonathan travis. i'm a member of the van ness corridor association and san francisco light house church and i support cpmc's rebuild plan. at best my family and i watch the area where we spend our time become increasingly deserted and tales less of a thriving neighborhoodv. this is not indicative of what van ness corridor can and should be. we believe our beautiful city is able to do much better. ~ today we have a business with a

proven track record standing ready to offer a viable solution to this unfortunate situation. clearing the way for cpmc to go forward with building a state-of-the-art hospital but not only provide much needed health care to poor and under served patients city-wide, but also would help to bolster our recovering economy. this would be a win for the van ness corridor, for san francisco, and for its citizens. on the other hand, blocking this project will set our city and neighborhood back for years to come. we're trusting this city leadership to not allow politics or selfish motives to prevent something so helpful and beautiful from happening for its citizens. i support cpmc and believe strongly that san francisco needs this project and ask that you vote in is poderth of rebuilding cpmc. ~ supporting >> thank you very much. good afternoon, supervisors. my name is jennifer [speaker not understood] and i'm here to

reiterate support for cpmc's plan to build seismically hospitals cathedral hill and st. luke's. [speaker not understood] one of our core priorities as chris mentioned earlier is to make san francisco truly resilient by taking steps now to [speaker not understood]. cpmc's plans are supported by state law sb 1953 which requires all hospital inpatient facilities to be seismically safe no later than january of 2015. san francisco can't afford to delay any more a plan to ensure our city's resiliency and survive when a major earthquake strikes. [speaker not understood] this project as we've heard will add hundreds of new earthquake safe beds to the city's health care system. it also makes an unprecedented financial system to affordable housing and investing in our transportation infrastructure and providing health care for low-income residents.

we at spur are glad that the mayor's office and the board and cpmc have come together to find a compromise agreeable to all parties and get through the city and we urge the committee to move the proje forward. thanks. >> thank you. next speaker. thank you, supervisor chiu, wiener and kim. my name is jeff garner and i pastor light house church and am president of van ness corridor association. i support san francisco and the board of supervisors and california pacific medical center's plan to rebuild cpmc. having been a resident of this neighborhood since 2004, i am really happy to see us getting closer to a happy ending. i'm really happy to have cpmc as a neighbor. my personal experience with cpmc has been very good. they took the parking garage next to our church and have restored order, professionalism, safety, lighting and reduced vandalism and theft. they have reached out to me seeking lie log on how they can

be good neighbors with our congregation. i believe that they will be good neighbors. many of us who live and work in this neighborhood have waited and waited for some kind of beacon of hope to shine out of that block. and over the years this project has waited approval, the cathedral hill block has been a magnet for shady activity where i and my family have been a costed by riff-raff [speaker not understood]. my children have watched and waited for an outcome that has taken from from grammar school, middle school and now in high school. they have been told the natural disasters strike without warning and the effects can be devastating. they asked me if san francisco is ready to handle a natural disaster. i assured them the city has done much to prepare since 1929, but the hospitals are not ready. san franciscans must do what we can to