ruskin. >> to supervisor mar and the chair, the first thing i would say, we tried to strike a balance in the ordinance between enough specifity for the board and for the voters with enough flexibility to so as we work through the process and through the years that we have flexibility to make adjustments if needed, the bond report does recommend an expenditure plan which reflects a balance of needs we have in the city, so i think -- i feel comfortable advancing the program we have at this time. we did have a total of $33 million and we still do and we're in the second year of our capital budget that anticipated the vehicle license fee being on the ballot and getting approved this year, the two year delay does mean that we

have a $33 million gap to fill in the second year of our budget and we'll likely have a gap in the next two years. we have plenty of time between now and fiscal year to work with the board the mayor's office to figure out how to best close that gap, and that's what i would recommend. >> and i'm going to be supportive of moving the bond forward today. it has to sit for a week, is that right? but i did have questions and i know many others would like to know, one is there are a number of projects within the dlf funds allegations that are bond eligible and the question is, is this bond flexible enough to accommodate those dlf projects and how deeply can we search for projects like cal trans like mel assessment district for downtown and they

pay their fair share given that they'll benefit from the transit improvements in the transit center area. number three, what commitments can the mta and the mayor can back field the gaps by the blf given the mayor stated support. lastly, i'll do my best that my office and i are following up with you and fill the hole, but thank you for the presentation. >> thank you. in terms of flexibility of the different projects, there are some thing that's were proposed for the funding that are not go-bond such as fleet. state law -- everything else or most of the left of it is somewhat

flexible and the ordinance is awarded that we do on have that flexibility. with regard to the cal tran contribution, we as the city, i believe also the transportation authority signed an mou committing to $60 million worth of funding. this is a possible source for that funding. it doesn't preclude us exploring other sources but i think we do want to send a strong signal to our regional partners that we'll absolutely honor the terms of that mou, that we signed onto. in terms of committing to fill the gap, what i can commit is to work with the board and i appreciate your offer to work with us on that, and with the mayor's office to close that gap, again, both in fiscal 16 and in fiscal 17 because it's two years of impact from the two year delay of the vehicle license fee, but we're committed and my board was the first to dopt vision zero and we want to make sure we're doing what we can to

raise the revenues so we can implement it as fully as possible. speaker: i look forward to the conversations. thank you. >> supervisor wiener. >> thank you, mr. chairman. i want to follow up on a few comments and questions from supervisor mar. in terms of cal trans and cal trans success in terms of its ultimate extension to the trans bay transit center, it's in san francisco interest to make sure we keep up our commitment of a $68 million contribution but we make it work. a lot of san franciscans rely on cal trans and it's all of benefit. so we need to make sure we keep that commitment in the bond. it makes sense to make that capital investment. we know the reality of how things work with mta's budget. that's going to come

out of mta's operation budget and that's going to be a detriment of muni and street projects. in terms of the mello rus, that was intended to provide funding to the downtown extension if the -- downtown extension. that money is being divert today the trans bay center, so the mello rus money, that will be coming to the board and we'll talk about that. it's a disappointing occurrence in my view. finally, i'm in agreement in terms of

the need it figure out how we're going to fill the hole in the 2015 and 2016 fiscal years that were left by the two year delay. that's $33 million for mta that was delayed two years. i'm not saying we're going to figure out a way through that entire $33 million, but we have to make a good faith effort and we can't kick the can the next year. we need to figure out how we're going to do that. colleagues, i hope in our add-back project, we'll be generous with vision zero and the mayor has to be involved. so i think over the next few weeks, this is going to be an important conversation as a board and with the mayor as well. >> thank you, supervisor wiener. any further comments? okay. at this point, we'll open it up to public comment for 6-8. anyone who wish to publicly comment on

these items. >> good afternoon, superviseers. my name is leah with the bicycle coalition. thank you for the support and the mayor. as apart of the task force, we were involved in these discussions. i want to remind everyone as you have here, that there is a hole. that we all expected the go-bond to move forward with the vehicle license fee. we're one of the groups that's disappointed, but it does leave a hole. we look forward to it moving in 2016. i would emphasize that points have been made by the supervisors, this is a real hole next year in our safety priorities. the mta budget assumed $13 million for bicycle and pedestrian --

thanks for the support from this board, vision zero, almost every agency we know from the planning commission to the public health department, have committed to vision zero. the only way we'll do that is if we fund vision zero. we have a $13 million hole thanks to the mayor's $3 million in the proposed budget. we look to you to think creative whether it's assessing go-bond or creative solutions and we hope you'll live up to that for vision zero. thank you. >> any other members of the public who wish to comment? >> good afternoon, supervisors. my name is nicole. i wanted to express our strong support. right now it's going to fund a lot of different pedestrian safety and

vision vision traffic safety improvements. i think there's also -- echoes what leah said, there's a big hole left now that the vlf has been postponed to 2016. the problem with this hole is that the longer we wait to make vision zero improvements, the more people on our streets suffering from traffic collisions. the improvements and investments now will last generations. there's an urgency. it is not on other projects where the funded isn't needed right away. echoing leah's comments, i encourage you to take a strong look at the different options to fund vision zero looking at the

go-bond and other avenues through add backs, et cetera. and i'd like to say we're completely supportive of transit, investments and investments in multi transportation safety. so i think vision zero is about making our streets safe for everyone and preventing injuries and fatalities and we look forward to continuing to work with you and continuing to follow your leadership on this. thank you. >> thank you. any other members of the public wish to comment? seeing none. public comment is closed. supervisor tang. >> i want to thank everyone, especially those who came out to testify. i hear you loud and clear. i want to also restate what has been presented to us from the mta. i think that $300 million out of the $500 million out of this bond is going to be funding some level

of improvement that will help with pedestrian safety and i really -- although there has been a hole that has been identified or that wear aware of, i want to remind everyone that this is one of most significant investments we have seen in history. think possibly about this. we're making investments for this bond that will help us for future generations so i want to encourage everyone in seeing it that way and support the go-bond. >> thank you supervisor tang. we have the amendments circulated previously. can i have a motion to receive these. we can take them without objection. colleagues, we're going to close out today's meeting. just a couple of house cleaning items. have a motion to continue 4, 5, 6 by friday. >> we can take that without

objection. >> and then our regular scheduled meeting today, can i have a motion to continue items 3 and 5 to friday. we can take that without objection. and continue items 6, 7, and 8 into next meeting. we can take that without objection. madam clerk, is there any other business before us? >> no, mr. president. >> okay, everyone. see you tomorrow. 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 >> welcome to culture wire. we will look at the latest and greatest public art project. recently, the airport unveiled the new state of the art terminal. let's take a look.

the new terminal service and american airlines and virgin america was designed by a world- renowned architecture's firm. originally built in 1954, the building underwent massive renovation to become the first registered terminal and one of the must modern and sustainable terminals and the united states. the public art program continues its 30-year legacy of integrating art into the airport environment with the addition of five new commissions that are as bold and dynamic as the new building. >> this project was completed in record time, and we were able to integrate the artist's early enough in the process that they could work with the architect

said that the work that is completed is the work that really helps complement and instill the space as opposed to being tucked away in a corner. >> be experience begins with the glass facades that was designed with over 120 laminated glass panels. it captures the experience of being under or over clouds when flying in a plane. depending on the distance or point of view, it can appear clear for more abstract and atmospheric. the subtle colors change gradually depending on the light and the time of day. >> i wanted to create an art work that looks over time as well as working on in the first glance. the first time you come here, you may not see a. but you may be able to see one

side over the other. it features a couple of suspended sculptures. each was created out of a series of flat plains run parallel to each other and constructed of steel tubing. >> it is made up of these strata. as the light starts to shift, there is a real sense that there is a dynamism. >> it gives the illusion that this cultures might be fragments of a larger, mysterious mass. >> the environmental artwork livens it with color, light, and the movement. three large woven soldiers are suspended. these are activated by custom air flow program.

>> i channeled air flow into each of these forms that makes it move ever so slightly. and it is beating like a heart. if-0 when as of the forces of nature moving around us every second. >> shadow patterns reflect the shapes of the hanging sculptures. the new terminal also features a children's play areas. both of the market the exploratory n.y. -- exploratorium. the offer travelers of all ages a playful oasis. using high quality plywood, they created henches shaped like a bird wings that double as musical instruments.

serving as a backdrop is a mural featuring images of local birds and san francisco's famous skyline. >> in the line between that is so natural, you can see birds and be in complete wilderness. i really like that about this. you could maybe get a little snapshot of what they are expecting. >> it is an interactive, keck sculpture that is interacted with by the visitor. >> they are a lot about and they fall down the belt. it moves the belt up, and if you turn that faster, the butterflies fall in the move of words.

>> the art reflect the commission's commitment to acquiring the best work from the bay area and beyond. in addition to the five new commissions, 20 artworks that were already in the airport collection were reinstalled. some of which were historically cited in the terminal. it includes major sculptures by the international artists. as a collection, these art works tell the story of the vibrant arts scene in the early 1960's through the mid-1980s's. the illustrate san francisco's cultural center and a place of innovation that is recognized and the love throughout the world. one of the highlights is a series of three left tapestries. they are on view after being in storage for 20 years. these tapestries representing

various gardens. from his years of living in san francisco. hydrangeas, chrysanthemums, and whilst dahlias in rich, deep shades as they make their way to the baggage area. they can access behind-the- scenes information and interviews with the artist through an audio to work. it features archival audio as well as interviews with living artists. he can be accessed on site by dialing the telephone numbers located near the artwork or by visiting the commission's web site. the public art speaks volumes of san francisco as a world-class city with world-class art and culture. for more information, visit