if you are travelling to nevada, we do not have a health plan in the state of nevada. you could go to a clinic, pay your copayment, they would have accessed all access to all that information, gave prescription related to that visit, and you no longer would have to pay out of pocket and be reimbursed. we've always have coverage for urgent and emergent care anywhere in the world. that has not changed. this is just an added benefit. financially members can go to the clinic and only pay the co-pay and not have to worry about being reimbursed later on. >> thank you. >> say a member loses sir her prescription for medication, is this already coverage, is it included,. >> under that scenario, they would call kaiser and we would coordinate getting them a prescription.

they would not have to pay out of pocket and get reimbursed to that case. the contract is only for prescriptions related to that visit. they can still absolutely get coverage. >> so if they went in with a urinary tract action is by the way, amount of my prevention, they could get the acute care, were they couldn't get the prevention care that they run out of? >> they could get it, but they could get it out of pocket for that specific drug. we have just started this contract and i don't know how that will evolve in the future, but terrific for people travelling and those in college students in other states, as well. i have one other update, we launched, as of yesterday, a single phone numbers to a wide for assistance in getting -- if their concerns about accessing mental health care within our system. for example, if a member has gone in and they are trying to schedule their first visit and

they are not satisfied with how quickly, or the geography of where that visit will be, or they are trying to falter schedule a follow-up visit, and they have concerns about how quickly that might be happening, we have a dedicated line in that area to help as an advocate and in helping them to do that. that launched yesterday. the phone number is live. it is on our website in english as of this afternoon. i know they are approving the spanish version that will be on tomorrow, and any in any members who have received any mental health or substance abuse services since last fall will get an e-mail, and we will start having flyers and in all of our facilities. >> thank you. >> thank you. item number 15, please. >> item 15, opportunity to place

items in the board's jurisdiction on future agendas. >> anybody have any suggestions here? seeing none, any public comment on this item? seeing none we are now on to adjournment. if there's no objection, this meeting is adjourned. all

>> i went through a lot of struggles in my life, and i am blessed to be part of this. i am familiar with what people are going through to relate and empathy and compassion to their

struggle so they can see i came out of the struggle, it gives them hope to come up and do something positive. ♪ ♪ i am a community ambassador. we work a lot with homeless,

visitors, a lot of people in the area. >> what i like doing is posting up at hotspots to let people see visibility. they ask you questions, ask you directions, they might have a question about what services are available. checking in, you guys. >> wellness check. we walk by to see any individual, you know may be sitting on the sidewalk, we make sure they are okay, alive. you never know. somebody might walk by and they are laying there for hours. you never know if they are alive. we let them know we are in the area and we are here to promote safety, and if they have somebody that is, you know, hanging around that they don't want to call the police on, they don't have to call the police. they can call us. we can direct them to the

services they might need. >> we do the three one one to keep the city neighborhoods clean. there are people dumping, waste on the ground and needles on the ground. it is unsafe for children and adults to commute through the streets. when we see them we take a picture dispatch to 311. they give us a tracking number and they come later on to pick it up. we take pride. when we come back later in the day and we see the loose trash or debris is picked up it makes you feel good about what you are doing. >> it makes you feel did about escorting kids and having them feel safe walking to the play area and back. the stuff we do as ambassadors makes us feel proud to help keep the city clean, helping the

residents. >> you can see the community ambassadors. i used to be on the streets. i didn't think i could become a community ambassador. it was too far out there for me to grab, you know. doing this job makes me feel good. because i came from where a lot of them are, homeless and on the street, i feel like i can give them hope because i was once there. i am not afraid to tell them i used to be here. i used to be like this, you know. i have compassion for people that are on the streets like the homeless and people that are caught up with their addiction because now, i feel like i can give them hope. it reminds you every day of where i used to be and where i am at now.

>> the annual celebration of hardly strictly bluegrass is always a hit now completing itself 12 year of music in the incredible golden gate park. >> this is just the best park to come to. it's safe. it's wonderful and such a fun time of the year. there is every kind of music you can imagine and can wander around and go from one stage to another and just have fun. >> 81 bands and six stages and no admission. this is hardly strictly bluegrass. >> i love music and peace. >> i think it represents what is great about the bay area. >> everyone is here for the music and the experience. this is why i live here. >> the culture out here is

amazing. it's san francisco. >> this is a legacy of the old warren hel ment and receive necessary funding for ten years after his death. >> there is a legacy that started and it's cool and he's done something wonderful for the city and we're all grateful. hopefully we will keep this thing going on for years and years to come.

- working for the city and county of san francisco will immerse you in a vibrant and dynamic city that's on the forefront of economic growth, the arts, and social change.

our city has always been on the edge of progress and innovation. after all, we're at the meeting of land and sea. - our city is famous for its iconic scenery, historic designs, and world-class style. it's the birthplace of blue jeans, and where "the rock" holds court over the largest natural harbor on the west coast. - our 28,000 city and county employees play an important role in making san francisco what it is today. - we provide residents and visitors with a wide array of services, such as improving city streets and parks, keeping communities safe, and driving buses and cable cars. - our employees enjoy competitive salaries, as well as generous benefits programs. but most importantly, working for the city and county of san francisco gives employees an opportunity to contribute their ideas, energy, and commitment to shape the city's future. - thank you for considering a career with the city and county of san francisco.

my name is doctor ellen moffett, i am an assistant medical examiner for the city and county of san francisco. i perform autopsy, review medical records and write reports. also integrate other sorts of testing data to determine cause and manner of death. i have been here at this facility since i moved here in november, and previous to that at the old facility. i was worried when we moved here that because this building is so much larger that i wouldn't see people every day. i would miss my personal interactions with the other employees, but that hasn't been the case. this building is very nice.

we have lovely autopsy tables and i do get to go upstairs and down stairs several times a day to see everyone else i work with. we have a bond like any other group of employees that work for a specific agency in san francisco. we work closely on each case to determine the best cause of death, and we also interact with family members of the diseased. that brings us closer together also. >> i am an investigator two at the office of the chief until examiner in san francisco. as an investigator here i investigate all manners of death that come through our jurisdiction. i go to the field interview police officers, detectives, family members, physicians, anyone who might be involved with the death. additionally i take any property with the deceased individual and take care and custody of that. i maintain the chain and custody

for court purposes if that becomes an issue later and notify next of kin and make any additional follow up phone callsness with that particular death. i am dealing with people at the worst possible time in their lives delivering the worst news they could get. i work with the family to help them through the grieving process. >> i am ricky moore, a clerk at the san francisco medical examiner's office. i assist the pathology and toxicology and investigative team around work close with the families, loved ones and funeral establishment. >> i started at the old facility. the building was old, vintage. we had issues with plumbing and things like that. i had a tiny desk. i feet very happy to be here in the new digs where i actually

have room to do my work. >> i am sue pairing, the toxicologist supervisor. we test for alcohol, drugs and poisons and biological substances. i oversee all of the lab operations. the forensic operation here we perform the toxicology testing for the human performance and the case in the city of san francisco. we collect evidence at the scene. a woman was killed after a robbery homicide, and the dna collected from the zip ties she was bound with ended up being a cold hit to the suspect. that was the only investigative link collecting the scene to the suspect. it is nice to get the feedback. we do a lot of work and you don't hear the result. once in a while you heard it had an impact on somebody.

you can bring justice to what happened. we are able to take what we due to the next level. many of our counterparts in other states, cities or countries don't have the resources and don't have the beautiful building and the equipmentness to really advance what we are doing. >> sometimes we go to court. whoever is on call may be called out of the office to go to various portions of the city to investigate suspicious deaths. we do whatever we can to get our job done. >> when we think that a case has a natural cause of death and it turns out to be another natural cause of death. unexpected findings are fun. >> i have a prior background in law enforcement. i was a police officer for 8 years. i handled homicides and

suicides. i had been around death investigation type scenes. as a police officer we only handled minimal components then it was turned over to the coroner or the detective division. i am intrigued with those types of calls. i wondered why someone died. i have an extremely supportive family. older children say, mom, how was your day. i can give minor details and i have an amazing spouse always willing to listen to any and all details of my day. without that it would be really hard to deal with the negative components of this job. >> being i am a native of san francisco and grew up in the community. i come across that a lot where i may know a loved one coming from the back way or a loved one seeking answers for their

deceased. there are a lot of cases where i may feel affected by it. if from is a child involved or things like that. i try to not bring it home and not let it affect me. when i tell people i work at the medical examiners office. whawhat do you do? the autopsy? i deal with the a with the enou- with the administrative and the families. >> most of the time work here is very enjoyable. >> after i started working with dead people, i had just gotten married and one night i woke up in a cold sweat. i thought there was somebody dead? my bed. i rolled over and poked the body. sure enough, it was my husband who grumbled and went back to sleep. this job does have lingering

effects. in terms of why did you want to go into this? i loved science growing up but i didn't want to be a doctor and didn't want to be a pharmacist. the more i learned about forensics how interested i was of the perfect combination between applied science and criminal justice. if you are interested in finding out the facts and truth seeking to find out what happened, anybody interested in that has a place in this field. >> being a woman we just need to go for it and don't let anyone fail you, you can't be. >> with regard to this position in comparison to crime dramas out there, i would say there might be some minor correlations. let's face it, we aren't hollywood, we are real world.

yes we collect evidence. we want to preserve that. we are not scanning fingerprints in the field like a hollywood television show. >> families say thank you for what you do, for me that is extremely fulfilling. somebody has to do my job. if i can make a situation that is really negative for someone more positive, then i feel like i am doing the right thing for the city of san francisco. >> good morning, everyone. let's secelebrate. [ cheering and applause ]. >> i'm going to get you moving. i want you to follow my lead. when i go like this, we're all going to say "secelebrate" and we're going to do it three time s. secelebrate. loud er. secelebrate. secelebrate. fantastic. i can't even begin to tell you how shocked i am. i'm standing here at this gro d ground-breaking. i'm ashly mccumber.

i'm the executive director of meals on wheels in san francisco and have been for the last 12 years and i'm really excited to welcome you here this morning. obviously we're here to do a ceremony where we're going to throw some sand and mark the beginning of construction, and that in and of itself would be a michiganiraculous thing to selc but frankly we're secelebratingo much more this morning. i believe that we're putting another mark er i eer and stake ground in support of this mission, and that's why we're here today, to secelebrate. [ applause ] it. >> it's certain dserendipitous projected opening of the building on this project in 2020 aligns with our 50th anniversary of our founding. [ applause ]. >> so today we are absolutely secelebrating five decade s of service here in san franciscaning san francisco.

we're secelebrating a mission tt started with a handful of people 50 years ago who recognized they had neighborhoods who needed help and were elderly elderly and needed food. they volunteered to cook food and morphed into an organization that today is one of the largest meals on wheels organization in the country and definitely in my opinion is wumone of the best ig services in san francisco and in the country. [ applause ]. >> we're also secelebrating sin that founding count leless vo volunteers, board members, staff members who have carried that submissi mission forward and creatueach made it stronger and bigger and more responsive. we' we're secelebrating partnership with adult aging and county services in the city of san francisco to make sure that we can do what we need to do and we're currently grateful to our current mayor and board of supervisors to seasocontinuing

mission and seascontinuing to d that. we're secelebrating thousand s doe scenarinors and foundations allow us to realize 50% of our budget each other year. we secelebrate the restaurant sd vit answers tha s s -- vintners. i want to call out chef in nanc oak for your leadership and that effort. we're secelebrating also that w have embraced our responsibility to affirmfy the emphasis voice of seniors and make san francisco all it can be for t m them. all of us together have embraced some very important and simple values of san fran siciscan s. no considsenior or no person sh ever go hungry because they are home bound or without the resources and support that they need. number two, no senior should be in vvisible or alone. number three, that all senior s

have the right to live in their community and neighborhoods that they helped build, they raised their familyies in and have the right to self-determination and ha to live with dig nity. lastly, that cityies and communityies should be judged b how it treats the elderly and we need to work every single day to make san francisco the number one age-friendly city in amer a america. [ applause ]. >> so today we secelebrate a mar milestone, but this day has been a long, long, long time in coupcom coming and we secelebrate the hd work that's kind of led us here. the path has been extensive to say the least, but one mietric that led us here is simple. in 2007 as an organization we decided that no senior should have to wait longer than 30 yda s to receive our service and we partnered with the department of aging and adult service s to mae sure that anyone who is in

emergency is served within two to five days. that simple commitment has driven us to the growth that we've seen that's brought us to this need today to build this new kitchen. in 2007, just to give you an idea, we served 523,000 meals in the city and delivered them, and this year 2 # -- 2.1. think about that growth. we were touching the lives of about 2,000 individuals u unduplicated in the city. now we're touching over 5,000 a year. that growth has been predominantly in seniors, but we've also in that ten-year period worked with the department of aging and adult services to serve those people who are under 60 represents about 50% of our population and also we're partnering with the food bank to deliver groceryies to about 500 people a week in the department of aging and also working with this mayor and administration to make sure that people in inactinavigation cens

have meals. we're very grateful to be a part of that effort as well. it mabelibecame quite clear abo years ago that we needed a plan to deal with this. we first conducted a full-scale operation ental review. is there any way that we don't need to build a new kitchen? is there anything else we need to do? that plan basically was pretty simple and straightforward and said, hey, you need to get out of this kitchen pm . so that began the process that we're committed to the fact that we need to build something new, and we designed the kitchen with the help of kitchen concepts ionic that ionic -- inc. that will carry us forward for 30 years. that's the second step. then we got to the hard work. where the heck can we afford to buy a piece of labbed -- land in san francisco and where can we find that. we originally wanted to keep our operations in one place, but un fortunately that wasn't in the cards. we have an amazing plan b.

we will build our kitchen and distribution center and keep our site three minutes away on the other side of 3rd street in the bay view as our office production facility. so we're going to have a tw two-campus operation. so we purchased this site from l luxor cap. does anyone remember this as that site? we're about to make it differe t different. at the end of the day the price tag is going to be about $41 million and we'll tell you a little bit more about how we're doing in that goal in raising, but you can rest assured that we've done well enough that we're here today and we still have some work to do and so forth and we'll secelebrate tho ha who have carried us so far. here's what we're building and the great features we're building. on this site will be a 34,700 square foot facility, slug

including a state o-of-the-art cook chill area, freezer, storage, assembly production, distribution yard and receiving docks. this is the big news in this construction. we're going to move our daily constructi production from # 8,000 meals a day to 20,000 meals a day. [ applause ]. >> it will be one of the only facilities in the region and we think in san francisco that use s this cook/chill equipment to produce bulk food and used in meals. the other thing i'm very excited about is where we are. we're in the middle of the san francisco wholesale product district. we're food. we're great partners with th s e michael gentlemjanice, and loo forward to partnering with these businesses in this neighborhood and working to continue the efforts that are here in the neighborhood. it also will have a test kitchen that will help us improve the

quality and choice for our clients and tailor meal s as we look to improving our service s for clients. maximumly ally we're doing solar on the building so we can save the planet. isn't that a great facility? [ applause ]. >> so we're excited to have with us this morning mayor london breed. before inviting her to speak, i just wanted to take a moment to recognize a few other elected officials who are going to be here shortly or are here alre y already. hope fulfully soon, supervisor gordon mar from district 4 and supervisor waltshamann walton f this district will be with you and hope fulfully you get a cha to chat with them. we want to welcome the form er district 10 supervisor who is now chair of the board of equ equalization, malia, and representing state isn't that

right scott weiener is rose gu i guiliano and representing is n kenneth chan. thank you for your service. and lastly, i think that the new captain of the bay view district is here. i want to just give a shout out and a welcome to captain troy dangerfield who has taken on as chief of the bay view station. hope fulfully we'll get chance meet with him. i was one of the lucky people who last year on july 11th was at a historic event where this city welcomed its first african-american mayor in the city's history, frisk nati sfri san francisco native london breed. it was an absolutely beautiful day and i have only one regret. i should have worn a big hat because it was sunny and it was

a long time out there with a lot of fun. it's hard to believe it was only 12 months ago that that occurred because this mayor has hit the ground running. it feels like years of work has been done. she's out there with laser focus trying to tackle the issues fa e facing our city, tackling the home leless crisis, adding more beds, expanding mental health and substance deuabuse programs creating more housing for all san fran sciscan s and keeping city streets safe and clean. it is my sincere pleasure to introduce and welcome to the stage lamayor london breed. [ applause ]. >> . >> mayor breed: thank you so much, it is great to be here and i want to recognize alex ran doff, thank you so much for joining us today. i've got to start by staying ths

is probably one of the most organized and neat ground-break s ings i've ever been to. just the gravel on the ground, the need and structured system here. i mean, this is absolutely i indecreed able because i've been to a lot of ground-breakings and you know, malia, how many gro d ground-breakings we've been to. this is probably the nicest one we've ever been to. thank you all for creating this wonderful environment for what i think is one of the mobest programs we have in san francisco. i want to start by thanking a ashly and all the people who work for meals on wheels because you do the hard work. i know from experience how amazing the employees at meals on wheels are because they served my grandmother for so many years. they did it with kindness. they always asked how she was doing today. they can tell maybe when she wasn't having a great day.

so they would spend time and put forwa forth effort and talk about the food they were bringing over. it really for seniors who are living in isolation, how amazing to have at least if no one else is coming to see you, that person who's delivering those meals sometimes is the only contact that so many of our senior community has when that feel meal is dropped off. this program and what it has done since 1970 has been absolutely amazing. this analyticfacility, to go fr meals a day to over 20,000 meals a day will make sure that we get rid of that wait list once and for all so that no one is left off the list moving forward in the future. you all, the contribute entor s people on the board, the folks who have supported this program over the years, the investmens s that you have made have had a

pro foufound impact on so many indecreed able lives and you know this because that's why you support this program. i had the opportunity because i visited over the years since i've been an elected official various clients for the progra s and have had great kfingss, including the one i just had with mrs. lee earlier this year. she was just so grateful and so excited and so happy and just talked about her experience and how she probably wouldn't -- honestly she said i probably wouldn't be as big as i am if meals on wheels didn't deliver these programs. she was not big. she was a tooiny laidy, but shes so very happy and food really brings people together. we help and support our senior communities in this way. and another way we're going to be supporting our senior

community is the housing bond, a $600 million housing bond without raising property tax es with the largest amount ever dedicated to senior housing and this is the largest housing bond we've ever done in the history of this city. so i'm really proud of the investments, the deliberate investments that we are making to support our senior populat n population, our dis ababled population, and also again thank you to meals on wheels for supporting our inactinavigationr s because we know that home l s homelessness is one of the -- the number one issue that we face in san francisco. we have a lot of people is it truing ling sw mental health and substance abuse dis ororder. we are changing how we provide support and services and it involves making sure we have i indecreed able partners and whee meals on wheels has been pushing the envelope and doing the great work for years and this facility that will be absolutely amazing is just one step forward in it

happen ing continuing the great work they've done for decades. i'm so excited to be here and can't wait to cut the ribbon when we open. thank you all so much. [ applause ]. >> thank you so much, mayor breed. you know, nothing this monument al happens without a lot of effort, gathering the skills and leadership necessary to make something like this happen. so we want to acknowledge how we've gotten to this day and acknowledge the team that's going to help us finish this up. first and foremost, i want to thank my board of directors and the many boards of directors who have been engaged in this conversation. i was talking to someone about this earlier. you know, boards by design are the kooerps of the mission and frankly very hesitant to take on risk. this group of people did their job. they made sure that we were taking on something that we could accomplish and the fact

that we're sitting here today is a testament frankly that they xem pexemplify the type of leadp and stewardship we want on all our boards across the city. let's give all these board members a big hand. [ applause ]. >> i mentioned earlier we went through the slog of trying to find something to buy so then we can figure out what we can build and how much it will cost. the first person who probably had to go through therapy after joining me on this effort was dan mckue our real estate representative and literally we worked for two and a half yeas s to get to this site and bewent through three pricing scoping and buying exercises and so forth. did you thank you, dan, for working with me and still being able to call me a friend. we also have identified an al all-star team to help us with

this kitchen and build it. the first person i mentioned earlier but i want to call out specifically again is mike bal divrks dwin from kitchen concepts. mike was chosen not because he's one of the best in the field nationally, but because he served for decades in the meals on wheels in anaheim. when i saw his work there, i said you're the right guy for s us. you're the person who understand s how we're different and uni e unique. thank you. we also want to thank that we have a local san francisco lve, local business entrerprise, ja k jackson and lyles architect uru is our architect. the architects could not be here today, but iron ically their parents are. welcome and thank you for being here. we also have engaged a really

good friend of meals on wheels for years, an excellent general contractor ain plant constructin and we have an amazing team assembled under the leadership and the determination of don b libby. we also have a great owner's p rep. this is the person that keeps our staff from having to deal with the mash nations and tell us what that means is keith d de-brian from skyline partners. keith, thank you. and an amazing three iio of peoe to make sure we build the best building. first is david who is under arrest our operations officer. frank scotted our director of facilities. an amazing asset to the organization. the guys that keep s me out of jail as well as making sure having money in the bank is the cfo.

[ applause ]. >> even with the best-laid pl s plans, we would not be breaking ground today without an extraordinary group of organizations and people who've g come together to allow us to move this process forward quickly and they have done there through this through the new market task credit process. for those of you who don't know what those are, you're blessed. [ laughter ]. >> but just for the sake of education, basically the federal government incentivize s throug tax credits investment s and stressed communityies, programs that serve dis advertistreasurer that serve dis advertistreasur s distressed populations. our propositiject definitely f t that. it aligns credit s that organizations manage to give to projects and they're aligned with these approved projects and then at the eback end take s a

ba bank credit. at the end of the day that's going to deliver about $8.1 million to this project. [ applause ]. >> i just want to really acknowledge the team that really have pushed this forward quickly on this project. first of all , david wilkin sos has been our consultant from northern california community loan fund. thank you, david. thank you for helping me understand this weave of stuff and so forth. leading the way to make sure that we anchor the new market tax credit that we needed for the project is the city of san francisco and the san francisco community investment fund, or as we call it sfif. without them jumping in and p putting their projestamp on thi project, i don't know if othes s would have joined as easily.

we just wareally want to thank e sfif for supporting us. along side of the sfif, san francisco sfif was california loan fund who in vvested with u early as well. the group that put us over the top is an organization called community impact partners which is more of a national partner and they came in to push us forward as well. the irony is that two of these organizations are doing more than just giving us credits. they're actually funding our construction loan and that's community vision and community impact partners. we want to thank you for keeping us sane and giving us that option. we really appreciate it. i mentioned only the the back et a bank investor partner usually comes into a project like this, that partner is j. pvmentep. mo chase.

we want to thank them to chase bank. lastly, obviously you know that in order to put together a complex transaction you have to have a good team around you and i want to thank liouise rodrige and also chris and brine and v novaradik our cpa. you're probably going like, gee, that's a lot of people, but it's not the end. we ultimately also have to bridge our pledges the jen ro generosity the people have pledged to make sure we don't have long-term debt. we need a bridge loan, we want to thank our piartner first republic bank to bridge that pledge loan and fragile for -- frankly for