>> mayor london breed: twice before we have gathered in late january -- first at the national lgbtq center for the arts, then last year in the rotunda of city hall -- so i could share with you my view of the state of our city. as we gather virtually today, you don't really need me to tell you the state of our city. we are anxious. we're frustrated. we're impatient. and we are lonely. i know it because i feel it myself. and i know, in many cases, folks are hurting even more than that. but if i can impart anything to you today, it is that we deserve -- we need -- to feel two more things: pride and hope.

pride because we have pulled together to weather storms like we've never seen before. hope because we can see a brighter future. the fact is the state of our city is resilient, and it is resilient because of what all of us, every one of us, have accomplished this past year. i am speaking to you today from the moscone center, but my heart is really a few miles from here at laguna honda hospital. laguna honda is one of the largest skilled nursing facilities in the country. for 155 years, since it was founded to care for aging pioneers, laguna honda has served the neediest people of san francisco, through thick and thin. my grandmother, miss comelia brown, spent her last 12 years in that hospital. dementia had taken her ability to speak before she arrived. but it never took her personality, not all of it, anyway.

miss brown loved chewing gum. she had lost her teeth by then, but she loved chewing gum. so the nurses and staff there would bring pieces in their coat pockets and hand it to her to brighten her day. miss brown was always very particular about her hair and nails. she was a southern lady at heart, and a lady must look the part. so the staff painted her nails. they left each other careful notes to make sure her hair was done just right. she couldn't speak, but her caretakers were making sure we understood our grandma was still in there. we've all been reminded of something in the last year, something that i think i've known for a long time -- the men and women of laguna honda, the nurses, doctors, paramedics, and staff there, along with all those taking care of people in need across the city -- they are heroes. they are the best of us. at the outset of the pandemic, we saw frightening news accounts

of outbreaks in nursing homes all around the country. some called laguna honda a "ticking time bomb" -- a "powder keg." it's true, the virus could have easily swept through the laguna honda and killed dozens. hundreds. but thanks to our frontline workers, the department of public health, and everyone who did their part, covid was contained at laguna honda. and so it was with great relief, and great pride, that only a couple weeks ago we saw the staff and residents of laguna honda get their vaccinations, the very definition of the most vulnerable san franciscans, among the very first to get vaccinated. that filled my heart. that's who we are. a year ago, i declared a state of emergency. 10 months ago, with our neighbors around the bay, we implemented the first shelter-in-place order in the country. and from there we continued to make difficult decisions --

heartbreaking decisions -- all year long. today, i'm standing in moscone center, which has been the beating heart of our emergency response. it was here where city workers from so many different departments came together to do whatever it took to protect this city. when we didn't have enough testing to know where the virus was, they were here. when we didn't have enough p.p.e. to go around, they were here. when we didn't have a federal government ready or willing to lead the way, they were here. the hours were long, the days were chaotic, and any sense of an ending to all this was impossible to see. but day after day, rain or shine, our city employees came and did the work. and i want to thank each and every one of them who has walked through these doors or been out in the community, and those who are still here working today.

back in march, a neighbor in midtown terrace wrote this on nextdoor: "when you go out and see the empty streets, the empty stadiums, the empty train platforms, what you're seeing is love in action." what you are seeing is hope we care for each other, for our parents and grandparents and doctors and nurses and people that we may never meet. take a moment to look into all . take a moment to look into all of that emptiness and marvel. it is the most remarkable act o solidarity that we we have ever witnessed. san francisco's response to covid-19 has been hailed as a national model. we have the lowest death rate of any major city in the united states. and though every life lost is a tragedy, we have saved thousands of lives. and now we can see the light a the end of the tunnel. we were able to do this not just because our city government was collaborative, flexible, and full of dedicated public

servants -- though it is. we were able to do this not just because our hospitals, nursing homes, and medical professionals are some of the best in the world -- though they are. we did this because of you. we did this because of the sacrifices you made, the losses you endured, the love you showed for people you may never meet. years from now, people will look back on what we've done, and i hope they will remember not the frustration and pain we feel now, but the love we showed, the lives we saved. take pride in that, san francisco. find hope in that. each of those lives is a treasure. each of those lives is precious, every one of them. each one is one more grandmother, grandfather, mother or father, brother or sister, son or daughter, who will be there for the next birthday. the next wedding. the next anniversary.

each life saved is precious. so, yes, it has been hard. and, no, we're not out of the woods yet. but we have been fighting for something real. we have been fighting for each other. don't forget that. and there is reason for hope. on monday, the stay-at-home order for the bay area was lifted, today, san francisco can begin to recover. today we can begin to re-open our doors, re-open our businesses, begin to resume our lives. with some restrictions, and many, many precautions, of course, but we are reopening. we are vaccinating more and more people each day, and very soon we will open another large vaccination site right here at moscone center. and with support from the state and -- thank god -- the new biden-harris administration in the white house, we have a plan to administer 10,000 vaccines a day. we can see the light. folks, our recovery starts now. so i want to say something

to all the people who are writing us off -- to those who are writing obituaries of san francisco -- we've read all of these before. we've proved them all wrong before. and we'll do it again. cities aren't a collection of buildings. if they were, the year 1906 would have been our last. cities are people. working from home doesn't spell the end of urban life, because cities aren't merely a collection of jobs. cities are people. cities are passions, culture, vibrancy, and change. but look, we san franciscans have thick skins. so we'll show the rest of you how we bounce back. when you get restless and wan to come dance to live music or to see steph curry do his thing on the court, eat at the world's best restaurants, drink at the best bars, start your next business, host a convention right here at moscone center, or just watch the giants from your

kayak, we'll be happy to have you. san francisco has always been and will continue to be a magnet, a destination, a place that draws people. we are the city of pride. today, with hard lessons learned, and so much yet to do, i believe we are at the start of an incredible recovery. we aren't just going to repair. we are going to reinvigorate. to come back even stronger. we will put people back to work. our businesses will flourish. opportunities will expand. and as we do all of that, our recovery will focus on moving our city forward and putting people first. we will continue our work to cut the red tape for small businesses, because it's more important than ever. for example, in november, voters passed our small business streamlining measure -- proposition h -- and it's already working.

one small immigrant-owned business that wanted to convert a hair shop to an ice cream shop -- saw their approval time cut from the normal six to nine months down to one day. one day. we'll build on this success and make it even easier to turn an idea into a thriving small business. bureaucracy can't keep getting in the way of people. our recovery also means building housing... now during this economic downturn. as we rise again, let's not repeat the mistakes of the past. we will put affordable housing dollars to work, and streamline the approval process -- even if it means going to the voters to do it. we will keep pushing to meet our goal of building 5,000 new homes each year. and can we finally put to rest the fantasy that supply-and-demand doesn't apply to our housing situation? you may have noticed, rent prices went down, way down, last

year... why? because demand went down. when it goes back up -- and that is a "when," not an "if" -- let's be ready with more supply, more housing, so everyone can afford to live here. we will continue to aggressively push forward our homeless recovery plan, which includes the large event expansion of permanent supportive housing in the last 20 years. and we will implement mental health reform, so we can get more people off the streets and safely indoors. we will continue to divert 911 calls from police through innovative solutions like our street response team. so people struggling with addiction and mental illness get better care. and so our police officers can address violent crime and the burglaries and break-ins happening in our city. we want nothing more than to prevent crime from happening in

our city, and, sadly, when it does, it is just as important to hold people accountable for the crimes they commit. we will continue to enliven our neighborhoods through outdoor dining on our sidewalks, our streets and in our public spaces. we will do more for families, starting with getting our kids back in school. our city can't fully recover until our students are supported, our schools are open. and i will continue to do everything i can to help get our kids back in the classroom. we will invest in people by investing in infrastructure. we can put san franciscans back to work by harnessing the power of public investments. we will strengthen our seawall, build parks, police and fire stations, and mental health facilities, and improve public transportation. yes, public transportation is the lifeblood of a great city, and making muni work -- better than ever -- is critical to our

economic recovery. in all, i plan to move forwar on more than $3.5 billion in city projects. just this week, for example, we opened our new navigation center in the bayview. this 200-bed shelter will serve some of our most vulnerable residents. but the project also created 330 jobs, during the height of the pandemic. that's 330 people who can provide for themselves and their families. and our recovery also needs to be about the arts, our cultural institutions and culturally diverse neighborhoods, and the public spaces we all miss so much. we will also help music venues, clubs and bars -- who have lost so much -- get reopened and get back on their feet. 2020 was a year like nothing we've ever experienced. this terrible pandemic tore

our neighborhoods, tore through our businesses, tore us from one another. it's taken lives, destroyed businesses, savaged our economy and tore at the very fabric of community. and we always told ourselves that the sun will still rise tomorrow, until one day it didn't. the streets of san francisco and cities around the country erupted with protests as our nation's legacy of racial injustice, white privilege and prejudice against black people boiled over. i will never shake the image of george floyd on the ground, a knee on his neck. that knee, that knee has been on the necks of black americans for 400 years. and it's the knee of the chinese exclusion act, the briggs initiative, japanese internment, redlining and urban renewal and

kids in cages and transgender discrimination. san francisco is in many ways a collection of people who were tired of living under someone else's norms or knee, and came here to find common cause. our diversity, our acceptance, our spirit is what makes us strong. and no virus -- whether it's named covid or h.i.v. -- will ever take that away. quite the opposite -- it will only make us stronger. it is in times of crisis that san francisco has thrown its true grit. we've been tested before. earthquakes. fire. recessions. shocking assassinations. aids... every time, we were shaken, and we were tested. and every time, we didn't just bounce back, we pushed forward. out of ashes, we built an even

greater city. out of despair, we formed even stronger alliances. out of tragedy, we forged even greater humanity. let's not remember 2020 only as the year we suffered. it was the year we learned what matters most. what binds us together. it was the year we sacrificed to save each others' lives. the hard winter is almost behind us, and hope lies ahead. as amanda gorman said just two weeks ago at the inauguration -- even as we grieved, we grew. even as we hurt, we hoped. even as we tired, we tried. and when day comes we step identity of the shade, aflame and unafraid. the new dawn blooms as we free it. if there is always light, if only we're brave enough to see it. if only we're brave enough to be it. my fellow san franciscans, there

is light. let's be proud. let's be hopeful. let's be brave. thank you.

i want to thank you for joining us for this very important conversation about covid-19 vaccine. i'm joined by san francisco's health officer and the deputy director of health to discuss in more detail san francisco's plan to distribute vaccines as quickly as possible. the doctors are medical experts

helping to lead the city's response to covid. we're lucky to have them here to help answer the questions that many san franciscans are asking. i know this is a topic on everybody's mind. we've never done anything like this before in this country, in this state or city. vaccinating this many people in the midst of a pandemic. it's a process with many moving pieces. while many things are out of our control, we're in good shape in san francisco with a plan in place to get people vaccinated quickly once we have the supply we need. to start off the conversation, i'll give a brief overview of the current situation in san francisco and then we can get right into the conversation. san francisco is moving full speed ahead on covid-19 vaccinations. we're creating a network of vaccination locations across the city. high-volume sites, partnerships

with pharmacies, uzbekistaning -- using existing community sites. to do all this, we're coordinating with the health care providers who are receiving a majority of the vaccine doses from the state, such as kaiser permanente and ucsf health. creating targeted efforts to make sure communities that have been hit the hardest by covid, have access to the vaccine. won friday, we opened the first of three high-volume vaccination sites in san francisco at city college on ocean avenue. they started with 500 doses per day, but will have the capacity to administer at least 3,000 doses per day once we have the supply and are fully ramped up. in addition to the sites opening

at the muscone center and the san francisco market and the bayview, we're also working to bring vaccines to people in the communities most impacted by covid through community clinics and mobile vaccination teams. this has been a collaborative effort and we're so thankful for our partners, the health care providers and the community organizations work with us. we have a plan and we're ready to distribute 10,000 doses at least bare minimum per day once we have enough supply of the vac. so far, the amount of vaccine we're receiving from the state and federal government is inconsistent and unpredictable. we need more vaccines and we'll continue to do everything we can to be ready when our supply of vaccine doses increase. but for now, vaccine supply remains our biggest constraint. so this is such a big piece of

the puzzle. why don't we get started in the conversation? and let's ask the two incredible doctors that are joining us today, who are really leading this effort, thank you for joining us and either one of you can answer this question. what is the current situation with vaccine supply in san francisco? and why are vaccine supplies so limited? >> thank you, mayor. and maybe i will start and then the doctor can fill in if there are pieces i missed. as you said mayor, the main thing, nationwide vaccine production is limited right now and that's the underlying issue. vaccine getting to us in san francisco and getting in the arms of people in san francisco is also very, very complex. so the federal government directly allocates a small portion of the doses that it has and then the rest of it gets divided up and allocated by the federal government to the 50 states.

once our california share has arrived, then it gets allocated not just to our 58 counties, but also large health care organizations. in fact, in san francisco, two-thirds of the vaccine that is coming into the county is going straight to our health care partners. that's important to realize. as you mentioned, not only are we not receiving all of the allocation, but just a minority, but it's very erratic and unpredictable because of the supply issues. that means we can't know from week to week how many spots we'll have available for people to get vaccinated. the state also determines what the priorities are for vaccination. again, as you said, very important to know. and right now, the priority groups are health care workers and they are people that are 65 and older. these are the people who are most likely to get covid-19 and the people who are most likely to die if they do become infected in the case of older adults. so as an example of that, in san

francisco, people aged 65 and older make up 15% of the people who get covid-19 in our county, but they make up 85% of the people who die. so that's why they're prioritized first, but it is that scarcity of vaccine right now that causes the biggest problems. then are logistical problems with the vaccines and being able to get them to people. >> mayor breed: so can you tell us a little more about how this works? how many doses have arrived in san francisco? and how many have been administered? and can you also explain, i think there is confusion around the second dose because there is, you know, a question about the timing of when the second dose should be administered and whether or not we can just administer all the first doses and hope we'll get enough second doses to administer those.

can you explain the numbers and specifically explain the second dose so we can have a clear understanding of that? >> yes, thank you. so as of today, san francisco has received 144,000 doses, but just to put that in perspective, if we talk again about the people who are currently eligible in san francisco, including health care workers and people 65 and over, that group in and of itself is 210,000. so if you think about two doses being required for these vaccines as you said, that requires 420,000 doses. so we don't have nearly that amount. each of these vaccines requires a two-dose course. they have to be repeated at either three or four weeks. the difficulty is you can't mix and match the doses. we have to make sure it's the same dose. of the 144,000 vaccines, we have administered 80,000 of them, 58

percent. and of the remaining doses, they're almost all allocated to ensure that the people who received their first dose are able to get full protection from the vaccine by getting the second dose. when you account for that as well, there is 98% of the doses that have come to san francisco are going to the people of san francisco who need them. >> mayor breed: can you help understand -- i think some of the questions, too, that people have is, what happens if you don't get it within the third or fourth week? you don't get the second dose at that time, what happens? is it just not effective any longer? >> i can maybe take this one. so this has been study across the nation and right now, at the national level, they're saying that you could get the second dose up to six weeks later. the state is looking at this recommendation and they're finalizing how they want to approach it. so we're waiting for that.

right now, we're trying to hit the marks of three to four weeks after, but if we get recommendations to adjust, we'll do so so we can get vaccine out in the most efficient manner possible. >> mayor breed: that's a real interesting point that dr. phillip made earlier today, just that folks are not completely -- they don't completely understand why we are basically pretty much out of doses. and i think it's important -- and it's complicated, but it's important to talk specifically about the path. we're not just holding onto vaccines. we're getting them out the door as soon as we have them and we don't have control over all the ones that come to san francisco, but maybe you can talk about the path that a vaccine follows from when it is assigned to san francisco to when it is administered. and i know that you can probably only mostly speak to what happens with the department of public health, because we only

have control over the vaccines that we receive. >> should i start? or would you? >> maybe i'll start with the logistical part and then you can talk about the clinical implications. because these vaccines were processed in a very quick manner, they require a little bit more logistical effort than normal vaccines. so the pfizer vaccine needs ultra-cold freezing which is -60° and that's not normally how we distribute vaccines. so that temperature control is extremely important for the vaccines to remain effective. at every stage from when they are produced at the manufacturing and as well as transport across the country into the county, that temperature control has to be maintained. once it's in the county and it's put into a health care system or the department of public health, we have to ensure that that

temperature control conditions until it's ready for use. -- continues until it's ready for use. it's required for the health care systems to have ultra-cold freezer storage to do the pfizer vaccine and get it out. moderna is a little bit better in the fact that it requires freezers. and we can use our own freezers to do that. and the health care system has freezers. but i want to emphasize, the vaccines are fragile. you have to be not only temperature-controlled for storage, but as soon as they're ready for use, there is a lot of requirements around how that use happens. i'll turn it over to dr. phillips to talk about that. >> yes, these vaccines, these are not the type that you and i are used to in our homes. these are specialized equipment in medical centers. and what we know is that once we

start the process of thawing the vaccine, that is another process, then it also has a limited life within the refrigerator of several weeks. and once we take the vials, they actually contain multiple doses of vaccine, so you can get either up to six or 10 doses for individual people from each vial, but once you open the vial, you have six hours to use it for you have to discard the rest of the vial. the last thing anyone wants to happen is wasted vaccine. so the logistics, the planning and equipment for doing this is not parallel. so the idea that, you know, for flu vaccine we're all used to going into the local pharmacy or doctor office and getting it easily. that is a very different scenario than we have right now with covid vaccine. both because of the requirement of the specific vaccine and the

scarcity of the vaccine. we're hoping in the future we get to a point that will be -- that it will be like the flu vaccine, but we're not there yet. this is the limitations we're working with in the city to make sure people are vaccinated. >> mayor breed: the city has made a decision to set up massive sites that require their own logistics. we have city college which we opened with ucsf, the muscone center and the san francisco produce market in the bayview. those are the other two sites that will open. these sites are going to play a huge role in efficiently providing the vaccine to people who live and work in san francisco, but it's a huge logistical undertaking to establish and operate a site like this. tell me about how these sites will work. >> i can talk about that. you know, this site and this planning has been going on for months now. i really have to say that it's

been a huge collaboration between city partners, between our health care system and between our community partners to really think about and plan and operate these sites. and part of the planning is that we need to ensure these sites are high-volume sites. they're able to get to, as you were saying, mayor, up to that 10,000-marker across the city. we need the space requirements we need the infrastructure to store the vaccine. we need the proper electricity. and additionally, people after they get the vaccine, they have to wait 15 minutes after to make sure they don't have a reaction. you have to have the appropriate places for people to be monitored. so based on that, with all of our, you know, all of this collaboration, there have been three sites looked at and deemed really as the right places to get this up and running. and part of how this came to be is that we know the sector of

the city has been most hardest hit by covid and covid cases. so really looking at that area to ensure that we have vaccine available for those populations, so city college as you mentioned, the bayview, were some of the first sites. and then additionally, the muscone site. once they were identified, we worked to determine how is this going to work? as dr. phillips statemented, we're only getting a third of the vaccine coming into the county, so we need our partners to be part of the collaborative to administer the vaccine. for city college, they have 18 lanes available and it can do thousands of doses a day potentially in the future. it launched with ucsf last friday with 500 doses because that's the amount we have now, but as vaccine flows in at a more robust rate, we'll be able to increase the number of people

that get vaccinated there. all these sites, we're looking at drive-thru as well as walk-in so people can get to the sites. >> mayor breed: i'm understanding that the city college site basically, based on the number of doses that they have left, so that the appointments are through tomorrow, is that correct? >> that is correct. they are through tomorrow. and that's, again, based on the vaccine allocation. we will hopefully get more news about allocation in the next 24-48 hours and we can start planning ahead. >> mayor breed: so tell us about who can get vaccinated at these high-volume distribution sites? i think -- are they open to anyone regardless of who their insurer is? >> so, mayor, again, the limiting factor as you've both said, it is limited to health care workers and people that are

65 years of age and older. but as you pointed out, we really want to do all the complicated work on the back end and build these systems so it is simple for the people who live and work in san francisco to know where they can go to get a vaccine. so, yes, the goal is, and the plan is, as vaccine supply increases, that anyone will be able to access vaccine at these sites, no matter who is operating the site, whether it's ucsf or kaiser permanente. i don't have to be a kaiser permanente member to go to that site. that is the goal. we're going to be shared resources, sharing accessibility across the city for the benefit of all of the residents and people that work in san francisco. >> just for clarity, we know in san francisco we're still in tier 1a and that includes people over the age of 65 and health care workers, in-home support

service workers, emts and we anticipate that network is about 210,000 people. so we've heard a lot of folks who have been a little, you know, bothered by the fact that san francisco has not gotten to teachers, bus drivers, police officers, and, in fact, ma written has gotten to other counties. can you explain that and why it's a lot different here in san francisco than it is in other counties? >> one important reason is that we have such a robust health care system. we have so many health care workers that are here in san francisco serving our residents every day. that is a strength. that is part of the reason why we have one of the lowest death rates of any major city. and that means that it's going to take us longer to vaccinate

all those people that have been serving us throughout this entire year of the pandemic. so that is part of the reason why we have not yet been able to move past the health care workers into -- into the other tier. that is actually a strength that we have this large health care workforce here. and so we acknowledge that and we also know that with the limited vaccine supply we're getting, we're moving through the group as best we can. with all of my health officer colleagues across the region, all of our goals in every county is to get every resident, every worker vaccinated as quickly as possible. it's a shared goal. some of us, like san francisco, have a larger share of the health care workforce than other counties do. >> mayor breed: i want to express my appreciation for the work you all did early on to get vaccinations to people who are in assisted-living facilities, both laguna honda and other places where some of the

highest-risk patients have been. it was a huge undertaking and it was done very well. and although we've had our challenges when you think about a place like laguna honda, with over 700 patients and all of those employees, the work that was done there with your partners, in this case, walgreen's, it was significant to be able to accomplish that. let's talk about eligibility for this vaccine. how does one go about getting one? >> so i can talk about that. operational side. there is a couple of different ways. if you're a health care worker, generally we recommend you start with your employer because a lot of them have been able to get vaccine through themselves or the big health care systems. if you are an independent person that is not associated and has not been able to through your employer get a vaccine, is it talk to the health care system. as dr. phillips remarked and

stated earlier, the health care systems are now vaccinating all health care workers. and have made this available to people outside of their network. so that is one way to access vaccine. the other way is, you know, we are working on trying to get networks up and running. not only through the health care system, but also through other partnerships like our pharmacy partnerships. and our community health care clinics. again, hopefully as the vaccine becomes more accessible to san francisco, some of these other partnerships can start to vaccinate our health care workers. for the over 65 population, again, this is a large population. we're, you know, saying that those that are in the higher age ranges should be the priority because they're at higher risk of death. so a lot of the health care systems are starting with 75 and over which is appropriate. but the goal is to get to as

much as of this population as quickly as possible. it is dependent on the vaccine allocated. we will get to you. i know there is frustration and anxiety around this, but we're getting it out as fast as we can. we hear your concerns. given the limited supply, we're having to prioritize. that does not mean if you're in the priority groups you will not get the vaccine. they will get this phase done hopefully in the next 2-3 weeks, but that depends on the allocation we receive. >> mayor breed: dr. bobba, i know some have questions about the safety of the vaccine. can you tell us about the safety record on both types of the vaccine and why they should take the vaccine when the opportunity presents itself? >> yeah. both of these vaccines have gone through extensive trials in terms of safety records. now they have been studied across a major part of the

population. actually, recently, there was literature released by the cdc showing of the more than four million doses given, there were only 10 anaphylaxis episodes across the entire country. so very minor amount. and all of those were reversed immediately. that's been in the media, that anaphylaxis the concern, but it's a very rare concern and that is why we monitor for 15 minutes afterwards. in terms of other side effects, the main side effect is probably after your second dose, you can get muscle aches, feel fatigued. you might get an injection site redness or soreness. all of that generally, you know, resolves within 24-48 hours. so the ability to have a 95% effective vaccine to covid for outweighs the concerns around the vaccine. especially in our communities that are really being devastated by the disease, where we're

seeing hospitalizations and death, the benefits outweigh the risk. >> mayor breed: so basically you are strongly recommending the two doses. can you tell us why -- and then tell us who is going to be keeping track of the first and second dose and how that works to ensure that the second doses are available for the person that receives the first dose? >> absolutely. so, yes, two doses are recommended and depending on the type of vaccine that you start with. remember, they're nearly identical in terms of high efficacy, 95% for both of them. whatever one you get that is available, that is the one you should take. doses are in short supply. but you need the same kind fort follow-up dose. that is going to be three weeks if you get pfizer and four weeks if you get moderna. we are keeping and we're tracking and there is very detailed documentation that is

required, another one of the logistical challenges that has to go to the state. we know who has gotten the vaccine and when they're due for the follow-up. that is part of the system that is being built across the city. health systems have ways of doing it and we're doing that in covid command as well, to know when to call people back and schedule them for the follow-up shot. the efficacy, that very high 95% protection, is really only shown when people get the two doses three or four weeks apart, depending on the vaccine. so after people get the first dose, they shouldn't feel i've gotten the vaccine and i'm in the clear. they really need to have the second dose. so as we were talking about, this is part of the thinking, when we get our allocations, we want to make sure we can for now schedule people at the 3-4 week interval, so we're planning accordingly. we want to be able to give people the second dose. that is part of the logistics

and the thinking through how to do this well for the people who need the vaccination. >> mayor breed: one of the things that i wanted to just kind of touch upon, because you know, i think there are concerns that the city should be completely responsible for this, right? like that we should take on the responsibility even though it's not necessarily within our control. we remember the beginning of this pandemic. we had to set up these testing sites from scratch. we didn't have enough needles. we didn't have enough p.p.e. there were challenges with setting up the sites and a lot of the testing fell on the hands of the city and county of san francisco. and there were challenges with the private health care providers who were also receiving test kits, but we were then, as a city, held responsible for administering all the testing and in many cases there are still people who are using the city system to

test, even though they have private health care insurance. it's been one of the most challenging things that we've had to face. and part of, you know, of course, my push as mayor to the state and the feds is to provide more supply to our public health care system so we're administering more faster, because of our lack of control over the private health care providers. luckily, at least, the private health care providers are working with us, even though we don't have the data completely. how is this system that we have set up now? how is this plan we have set up now to administer the vaccine, how is this going to be better than what we had to deal with with testing especially with our private health care providers? >> yeah, i think i can start and then dr. phillip can weigh in. one of the big things, a lot of the lessons we learned with testing, we're using them to

plan for vaccine. what do these sites have to look like? how do we get a large number of people through them? how do we meet the demand? one of the major differences here, is that testing potentially had an open market that you could go purchase test kits. that's not the same with vaccine, right? this is a very limited supply. it is being tightly controlled at the federal and state level. there are specific allocations coming in. we have to work in partnership because if we don't collaboratively work with our health care system, it will be decentralized and not well-run process. and so this is actually, you know, i will say, it's making -- we have to ensure that there is collaboration. in some ways, it's forcing collaboration because this cannot be successful if the health care system does it on their own and the city does it on their own, we have to come together to serve the residents of san francisco based on the

allocations we're getting. so far, that collaboration is abundantly clear, the health care system is really being in partnership with us at these mass vac sites. the mass vac sites are looking at one way to distribute the vaccine, but there needs to be a community focus here with community sites and community hubs that can give the vaccine with a much more personal level, with community providers that know the community, have trust with their residents. so we're looking at multiple ways to get the vaccine out. again, the health care system, whether they're large or smaller doctor offices, it will be part of this and working collaboratively. >> mayor breed: the last question i want to ask, because i think one of the biggest concerns i have is a lot of the misinformation and the criticism about san francisco and our rollout for the vaccine. the impression we just started planning for this yesterday. the impression that we're not

prepared, that we're not getting the vaccines out fast enough. there is a lot of information and, sadly, it's causing a lot of confusion out there. and it's really causing a lot of frustration amongst many san franciscans. and i just want, you know, either one of you or both of you to talk about the fact that we have prepared for this early on. we're getting the vaccines out as quickly as we can. and how well we're doing in san francisco, especially compared to other places, even though it might seem confusing, especially because of the second dose. tell us your perspective as the two leaders of this effort, you know, how you believe san francisco is doing? and how we can anticipate that we will do even better, especially once we get the supply? >> yeah, i'll start and dr. phillip, you can finish. so in terms of our planning, our

planning started as soon as we heard that the vaccine trials were occurring and they were promising results. over the summer, we started planning over this and we dusted off the previous summer with h1n1. when we came to fall, the flu vaccine clinics as a model, even though the flu vaccine, the requirements around storage is different, we have to think about what is the impact of covid on administering the flu vaccine? what is the spacing requirement? the protective gear? so that happened all through the fall into the winter to get the flu vaccine out. we built on that to think about, we know the understanding around flu vaccines. we know past experience of mass vaccination clinics. as we understood how allocations

were going to happen, we worked closely with the health care system to develop these different strategies in addressing the needs of the community in terms of getting vaccine. so the mass vaccination sites, the community sites, our pharmacy partnerships are really the pillars of how we're going to get vaccine out. all of this is going to be ongoing improvement. as things start to rollout, as things change, we're going to be adept and nimble to change with them. but at this point, the city has a robust plan to get the vaccine out as quickly as possible as long as we get more supply. >> thank you. dr. phillip, you want to add anything? >> i agree 100% with dr. bobba. i think the only other piece i want to emphasize, this planning has been going on for months and it's why we're poised to be in such a good position when the vaccine is available. looking around, i think the

approach you alluded to, having any door be the right door for a person in san francisco to get the vaccine is unique. it is community-centered, individual-centered. it really makes the system work the people instead of the other way around. and i think this is the right way to get vaccine out to people quickly. so now we just need the vaccine. i also want to say that this is a good problem to have. there was no guarantee that we would have highly effective vaccine at all just a year after this brand new coronavirus was identified. so, we are up to this challenge in san francisco. we have built an amazing infrastructure. we have great people as a city with the health care partners in the community working on this, as we heard this afternoon. and we're looking forward to getting more vaccine and really rolling up peoples' sleeves and getting vaccine in there. >> mayor breed: let me thank you both for the work since the beginning of the pandemic. thank you, dr. phillip and dr.

bobba. you've been incredible leaders in the effort. we appreciate all the work done by the people who are part of the department of public health. i know that everyone is ready to be done with covid. i'm so ready to be done with covid myself. and just know that we are doing everything we can and i have confidence and faith in the work of the department of public health here in san francisco because they're the reason why you see san francisco, one of the second densest cities in the country, have one of the lowest death rates in the country. it's because of their work. it's because we acted fast. we have been a leader. so now is not the time to fall apart. more than ever, we're going to have to be patient. we know that the vaccines are here. we know that with a new president who is prioritizing covid vaccine production, that we anticipate that more will be to come. and so it just means that we have to just be patient.

we have to wait our turn. and we will get there. we got great news yesterday we'll be reopening san francisco with outdoor dining and a number of other salons and places of business that could not open in the past. that's good news. we're headed there. so now is not the time for us to, i think, question the decisions of the department of public health or lose faith. we're going to get through this. the light is finally there. we know there is clearly a lot to discuss on the vaccine. we can't get to it all today, but we'll continue to provide regular updates to the public about the vaccine in san francisco. and we're regularly updating information, which is available online at sf.gov/covidvaccine. we know we're at the mercy of the state for supply. as soon as we have supply and

information, we'll get the vaccines out the door. as a reminder, anyone who lives or works in san francisco, can sign up for a notification when they're eligible to get a vaccine. we really appreciate the time you took to listen to dr. phillip and dr. bobba on what we're doing here in san francisco to address the questions and the challenges around the vaccine. it's clearly complicated, but we'll still get there. i have faith and confidence in what i think is one of the most incredible department of public health anywhere in the country. our numbers speak to that. we will get through this and we appreciate everything that you all have done to follow our health care orders. looking forward to seeing you all in person fairly soon. thank you for joining us.

>> 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 where i used to be and where i >> this is the regular meeting of the commission on community investment and infrastructure for tuesday, february 2, 2021. i would like to welcome the members of the public streaming live or listening to us and if staff who will be presenting in towed's meeting. following the guidelines set forth by local and state officials during this emergency, the members of the commission are meeting remotely to ensure the safety of everyone including members of the public. thank you for joining us. please call the first item.

>> the first order of business is roll call. commission members please respond when i call your name. commissioner brackett. >> present. >> commissioner scott. >> present. >> vice chair rosales. >> present. >> chair abuse toes. >> present another -- share bustos. >> item 2 announcements. next meeting will be held remotely tuesday, february 16, 2021. a member of the public has three minutes to make comments unless the commission adopts a shorter period of any item. call 415-655-0001 andter access code (146)896-2988.

press pound sign twice to enter the call. when prompted press star 3 to submit your request to speak. when you dial star 3 you will hear the following message. you have raised your hand to ask a question. please wait to speak until the host calls you on. when you hear your line has been unmuted this is the opportunity to provide public comment. you will have three minutes. please speak clearly and slowly. you will be placed on mute when you are done speaking. if you provide public comment on today's agenda, call the public comment line listed on the agenda to allow you to listen to the meeting live and present you from a delay by live streaming. the presentation is available on the website under permission then public meetings tab. next order of business item 3 report on actions taken at

previous closed session meeting. there are no reportable actions. next is item 4. matters of unfinished business. no matters of unfinished business. next is item 5. matters of new business. the concept and regular agenda. first consent agenda. a, approval of minutes. regular meeting of december 15, 2020. mr. chair. >> anyone from the public to provide a comment? >> members of the public if you would like to provide public comment on the minutes, please call 415-655-0001. enter access code (146)896-2988. followed by the pound sign press star three. automated voice will let you know when it is your turn.

if you are listening by phone and would like to comment on the minutes please press star 3 to be placed in the queue. >> at this time there are no members of the public to comment on this item. >> i will close public comment. commissioners, may i get a motion for the minutes. >> mr. chair, i move that the minutes be accepted as read with any necessary corrections. >> thank you, commissioner scott. >> second? >> this is vice chair rosales. i will second. >> please take roll. >> commissioner brackett.

>> commissioner scott. >> yes. >> vice chair rosales. >> yes. >> chair bustos. >> yes. >> commissioner brackett. >> yes. >> mr. chair the vote is 4 ayes. >> motion carries. please call the next item. >> regular agenda item 5b. authorizing a personal services contract with forster and kroger landscape maintenance inc. for property maintenance of the essex street hillside property for initial term of three years with three one year options to extend the contract for a maximum of $211,908.

transbay redevelopment project area resolution 3-2021. >> thank you, commissioners this item and the following item relate to a small open space parcel on essex street in transbay area. this is related to property management contract. marie munson from the real estate and development services commission will present this item to you. >> good afternoon. i am senior development specialist with ocii real estate and development services division. staff is requesting the

commission authorize the executive director to enter into a personal services contract under the contract forrester and kroger would provide property maintenance services for essex street hillside property owned by ocii. it is the area within the red dotted line. located in the southern portion of the transbay project area it is south of the affordable housing at 25 essex. north of lansing and east of essex street.

left is looking fort. you can see the property iscompriced of hillside and be flat area. >> under the transbay plan it is designated for future park use. however development of the park has been delayed because the metropolitan transportation commission is reviewing the property as potential landing site for the bay bridge bicycle off-ramp. the funding and timing are uncertain. under ocii property management plan, ocii must dispose of the properties including essex street hillside. it will transfer to the city for government purposes. ocii must maintain it. it contracts with landscape

maintenance companies for services. in the past we have contracted for services for the essex street hillside. we issued the request in october. we sent it to san francisco firms, small business inter prices and minority and women owned businesses and it was posted on several websites. two firms selected and staff selected forester and kroger based on qualifications and budget. it is a minority owned small business enterprise. the contract or will have a variety of duties, weekly inspections of the property. control of weeds and removal of trash, tree inspection and

maintenance. graffiti removal and sidewalk repairs if needed. contractor will service the outside of the contract. service area likely will be reduced to allow community garden on the northern portion of the property. if and when the community garden assumes responsibility the contractor will continue to perform the scope of services on the reduced portion of the property. entire property is indicated by shaded area in the blue outline. the proposed community garden is in the red dotted line. initial term is three years with

three one year extensions. maximum amount payable 211190 -- this includes $35,000 contingency. payment $2,150 per month or $1,800 per month exclusive of the community garden area. the president is with us today to answer questions. thank you very much. at this time members of the public who wish to comment on this item call 415-655-0001.

enter access code (146)896-2988. press pound and pound again. when you are on the line press star 3 to be placed in the queue. if you are listening by phone and would like to provide on this item press star 3 to be placed in the queue. we will allow a few moments for the public to call in. mr. chair at this time there are no members of the public to comment on this item. >> all right. hearing no requests to speak i will close public comment. i will ask for comments from commissioners. commissioner scott. >> i have no questions at this

time and no comments. >> thank you. commissioner brackett. >> no additional comments. >> vice chair rosales. >> no comments or questions. i move the item. >> okay. thank you so much. we have a motion to move this item. may i have a second. >> i second. >> commissioner scott? >> okay. we have another one coming up. this one to commissioner brackett. motion by rosssaul less and second by brackett. please take roll. >> commissioner brackett. >> yes. >> commissioner scott. >> yes. >> vice chair rosales.

>> yes. >> chair bustos. >> yes. >> four ayes. >> thank you. motion carries. please -- i gave you a promotion. madam secretary, next item. >> 5c. authorizing the execution of a revocable permit to enter with the east cut community benefits to develop and manage a temporaryrary community garden at transbay block 11b or 29 essex street for a term not to exceed three years. transbay redevelopment project area. discussion and action. resolution number 4-2021. >> there is a proposal regarding community garden. part of the open space parcel.

our transbay team is here and the east cut cbd. >> good afternoon. i am ben brandon acting transbay project manager. staff is requesting that the commission authorize the executive director to execute a permit to enter for pte with east cut community benefits to develop and manage temporary community garden on a portion of the essex street open space. under the permit it would construct, manage and maintain this temporary community garden on property owned by ocii. the essex street hillside is within the red dotted line. it is located near the southern

edge of zone one of transbay redevelopment project. it is the land use authority jurisdiction. this is an aerial view. as noted in the previous presentation. it is south of araffordable housing, west of guy place, north of lansing and east of essex street. the temporary garden permit to enter area represented by the red dashed line is a smaller portion of the essex hillside property. the section of the pte area closest to essex street is flat. the rear part vices up to buy place -- rises up to buy place. here are a few photos of the permit to enter area. first on the left looks down the hillside property and shows the

flat portion closest to the street. second and third photos show the steep incline of the rear portion rising up to the adjacent property 88 guy place. the project features 20 wood epgarden plots. 17 individual and three shared community plots. a toolshed, hose for water, potting and work tables, citrus tree, lighting and cafe table and chairs. existing fence and gates securing the project site will remain. the east cbd security staff will monitor at night. the design of the project and the spacing of the rows of garden plots ensures all members of the public including the differently abled individuals can access and enjoy use of the community garden.

the term of the permit to enter is three years. p.p.e. allows for portion of the property used to install, manage and maintain the temporary garden for the residents of greater san francisco. they will not charge for the permit to enter given the organization will utilize the space to create an important community benefit. like all firms that ocii contracts with they are to comply with all contract requirements including the sbe enterprise policy. if the commission approves this item, the east cut would begin procuring materials for the community garden. this spring they would select the contractor. he would complete the scope of work and the cbd would host volunteer workdays to complete.

the grand opens is slated for this summer. i would like to introduce andrew robinson, executive director of the east cut cbd and the deputy director. this concludes my presentation. i am happy to address any questions you may have. andrew and mike are also available to answer questions. thank you. >> anyone from the public? >> at this time members should call 415-655-0001 and enter access code (146)896-2988. pound pound. once you are on the line press star 3 to be placed in the queue. we do have a member of the public. i will unmute them.

>> i am sistinena johnson -- christina johnson member of the transbay cac and president of the board of the east cut community benefit district and i live on 88th place and i will be looking directly at this piece of property. i have multiple reasons to be interested in this. i wanted to express my personal support for this and say the neighborhood as far as cbd goes this is one of the things most requested since day one by the neighborhood. over the years, i have looked at this little piece of property and seen it filled with just trash. it was always somewhat problematic. i think there is nothing to

having this used as community garden. i wanted to express my sepport anden r option offing o on he -- my support. mr. chair. at this time it does not look like we have any more members of the public to wish to comment. >> hearing no further request to speak i will close public comment. i will turn to my fellow commissioners for comments or questions. i will start with commissioner scott. >> mr. chair, a comment that in reading and now hearing it is always good to hear what the community is for something and they say nothing but a betterment for the community and a help for themselves as well. i am for this. i am pleased how they have plans

for the next three years to make use of the site in that space. >> commissioner brackett. >> i want to say due to covid it has put a lot of people inside. one of the things fulfilling for myself is helping some of our neighbors restore one of the community gardens in bayview. i love that the community looks to turn this into a community garden and using this small space to bring people outdoors in a way that is affirming and grounding. thank you. >> thank you. vice chair rosales. >> yes, i concur with the comments of my fellow

commissioners. i live in part of san francisco that has many community gardens. it is a fabulous idea. i support this initiative. >> thank you. commissioner scott, you were in line to move this item the previous item. are you okay with moving this item? >> yes, i move that this be accepted and authorize the execution of the revocable permit to enter with the east cut community benefits district. >> thank you. >> commissioner brackett seconds. madam secretary. please take roll. >> commissioner brackett. >> yes. >> commissioner scott. >> yes. >> vice chair rosales.

>> yes. >> chair bustos. >> yes. >> four ayes. >> motion carries. please call the next item. >> item 5d. determining that the concept design of u.c.s.f.'s proposed development on block 34 of the mission bay south project area substantially reconforms to the design standards of the memorandum of inning for the redevelopment project area blocks 33-34, providing notice that this is within the scope of the project and approved under the environmental impact report a program e.i.r. and is adequately described in the fs e.i.r. for the purposes of the california environmental quality act and review findings pursuant to the environmental quality act. the redevelopment project area discussion and action resolution

number 5-2021. >> thank you, madam secretary. we are here to present the designs on block 34 as it is referred to in the project area. this will include climb structure and it is meeting with the required design standings that we have regarding the site. gretchen of the team will kickoff the presentation and joined by u.c.s.f. staff and project team members to present the item and answer any questions that you have. >> good afternoon: i am gretchen and development specialist in mission bay group at ocii. the item today is a determination of substantial

conformance of the design of the u.c.s.f. block 34 to the required standards in did memorandum of inning wean the region for 33 and 34 in the mission bay south project area. there is an overview of the presentation on the item. we will cover the action, proposed project and background on block 33 and 34 or the east campus in mission bay. u.c.s.f. design lead will present further and talk about community outreach and the contracting and worke forcer goal also. we will end with approval and milestones for the project. resolution 5 is before you today for approval. block 34 represents two blocks on the u.c.s.f. east campus in

mission bay. these were purchased by the region in 2015. the memorandum of inning between u.c.s.f. and ocii they are relieved of the development plan. in return u.c.s.f. paid affordable housing and infrastructure fees and agreed to standards. today this certifies substantial conformance with these design review standards. this slide orients us to the project area and shows the proposed clinical building and parking structure to be built on block 34. blocks 33 and 34 are between 16th street north, illinois east, third to the west. the main campus in light blue. 33 and 34 will allow for easy

access to care. ambulatory surgery center on 34 will free up operating room to allow in patient to allow outpatient to block 34. as a reminder mission bay is near completion. it is well served by retail services and transit as shown in this map. the block add jay sent to the proposed project is already built. 33 is the wayne and gladys valley center for vision is the eye care and conference area and 160-foot high tower. it was reviewed by commission in december of 2016 and march 2020 finished

construction. block 34 just south of 33 will be an 83-foot tall clinical building and nine story 500 car parking structure. clinical uses include operating surgery rooms, space for medical specialties. other uses include ground flour pharmacy, you are gencare and imaging and small cafe space. as mentioned earlier. 33 and 34 are governed by the m.o.u. which was executed in conjunction with the fifth amendment to the opi. u.c.s.f. paid the tax related amounts for affordable housing and the infrastructure surrounding the blocks. today's item pertains to required design standards in the m.o.u. which impose adherence to

the related streetscape anion andsignage plan. >> in conjunction with design review in 2016, u.c.s.f. requested and staff found that 250,000 square feet of clinical uses for both blocks 33 and 34 were authorized secondary uses under the redevelopment plan. the authorization is conditioned on restriction of vehicular access on illinois street which u.c.s.f. adhered to with the parking structure and patient dropoff areas. adherence to be the design review standards before you today for approval and construction related mitigation measures. i will turn the presentation over to eric hansen to review the design of block 34.

>> good afternoon. this is the block overview of block 33 that you see on the left side of the parcel. block 34 is on the right. one thing you may notice. one of the things we have done in the planning for the block is to combine two required passes for the block to create a larger green space between 33 and 34 buildings. you can see that we have also as an approach extended the entry drive serving block 33 to serve 34. reducing the curb cuts and disruptions along the illinois street façade. with the result of combining the parking garage no longer is between the two buildings. it is on the south end of the block with a stronger role in

the gateway component for how people arrive up through the dogpatch to this new medical campus zone. you can see it across the street from the u.c.s.f. medical center. a lot of synergies to be had as a result. this slide demonstrates the connection issues that we payed while planning this project. you can see a lot of the thoroughfares, main muni stop is along third street. we also have vehicular traffic come from the north and south that will be approached for block 34 on the illinois street side. we have a number of shuttle shops. one right at the entry drive. that is the u.c.s.f. shuttle. the shuttles close to chase center that we will take advantage of. traffic and pedestrian flow is enhanced by this improved and

wider pass-through as people migrate to and from the chase center across the neighborhood. this is the overview showing again the entry drive is really a mirror of block 33. extension. the entry point you can see is in the middle of that block. we felt obligated to acknowledge with the angle you see in the upper left portion of our floor plan so that we have a strong connection visual and distance consideration as to how those two buildings communicate as patients come from one building to ours. there is a lot of attention paid to getting folks that will be visiting the block 33 building from the garage. we tried to provide options for those folks to translate across the site. one is the illinois street

sidewalk. primarily the third street sidewalk. we have options for the sidewalk use we provided an exterior covered walkway revealed as we show more design. we provided options for visitors to come through the building to the public spaces. the public spaces are intended to favor that block 33-34 pass-through. we are inviting the public in and the nature to our building. that is also a user of the public space on the ground floor they can see the openness looking out to the street. you can see the buildings and structures. in the right lower side is the garage. 500 car garage. we feel that there was a strong aspect to the garage that needed to bereresponsive to the notion

this is a great way corner from the dogpatch to the city as well as from potrero hill. those are the primary tenants of the master plan for mission bay as we inherited them. in the main section of the building is the strong reading of the second floor. that is really maximized in terms of the allowable perimeter area we are allowed to take in the building. we did that because the program required the operating room floors all on one floor. it is advantageous to have all support and support the program on that floor. as visitors arrive there will be arrival functions, preadmissions. after the surgeries there is a post anesthesia recovery unit so the entire function is on one floor, reduces requirements for additional staff and redundancies. above that you will see the

third, fourth and thrift floor clinics. those are designed using the modules to be easily adapted for different uses over time. it fits within the structure bay. it helps provide some continuity of spaces as the staff moves from one module to the next. on the top we have thement house floor -- penthouse floor. we are using that screening to provide screened elements so you don't see the equipment except for some long-range that we see from a distance. we thought it was very important to try to provide a building that provides something dynamic to the users. we had a strong second floor. you can see underneath the public functions i was describing and the openness. trying to invite folks to look

into that ground floor space. then above that we have the clinical modules i was describing. we wanted to provide something dynamic in form. it was important for the ocii and the feedback we received was about trying to breakdown the length of the building. you can see from the tip to the garage in the far background there it had the potential of being a long building. we were looking hard to provide visual interest and broke down the masses so we did not provide a canyon. we wanted to break up the masses to provide visual relief so we can reduce the length of the wall that appeared on third. this is a view looking at block 33 and 34 entry. on the far right side of the

block 33 building we borrowed a few angles for contest and responded in kind on the block 33 building. the drive expense reduces the amount of circuits required to get in and out to reduce conflicts between pedestrian and vehicles arriving to the site. there is ramping and stairs to the shuttle stop. beyond that you will see the brown element on the first floor is our primary entryway into our building as well. there will be an urgent care suite on the ground floor. we thought it was important to give them a different identity. the reading of the second floor is prom net. we call this side of the building the bay window side. we have the opportunity to open up the building to enjoy did vies of the waterfront -- the

views of the water front. we wanted the staff and patients to benefit from the light but we did need to control the visibility into the suite because of the sensitive functions within. on the upper levels you can see the bay window glass block there. that is where the visitors will arrive. they will check in to their clinical appointments there. are waiting spaces for themselves and loved ones as they go to the clinic. we introduced this to provide dynamics. we wanted this building to not just be a large block. we felt like having it favor the exterior space we are trying to promote was a good move. materiality on the building we are working with ocii. we wanted something to fit in

with the color operations and we wanted to provide highlights. what you see in the frame and those flat windows is the natural wood. we felt like wood was a nice way to provide accepts with no color. colors can date themselves over time. they are subjectives from one observer to the next. we felt like that was a nice way to warm up the materials. the rest of the materiality is identifying something that was organic. stone like and from the earth. natural wood is the obvious response from us for that accent treatment. this is the garage. it has a-frame like language. the elevators serve the garage. we felt this corner was prominent and needed to be

highlighted and helped signify the changing from the dogpatch district into the medical campus area. the composition of the garage is made of frame elements. large white ghosted material you see for the remainder of the garage is a perforated metal panel. the use of that is intended to break down and provide screening but at the same time it is providing screening from the ground and allowing light activity to happen during the course of the day. on the corner is metal mesh. that will capture light to provide visual activity for that piece. we are exploring that in terms of how light in a positive way will hit and shine on that both

in nighttime and daytime conditions. next slide. here is some detail around the garage. some examples on the right side how the panel is more solid toward the bottom. we thought the effecttor it to become more light and airy would be advantageous as it dissolves to the sky. below is a metal screen that we are proposing to use in a basketweave pattern held off the building and capturing light. all of these tells we're chosen to meet the ventilation requirements for the garage. with that i am going to pass it over to dave to describe the landscape features. >> thank you. what you see on the screen is look from the south entry of the recently completed center. this is looking toward the next

entry of block 34 clinical building. this is the open space between the two buildings. intent to create a functional plaza with clear and direct circulation of movement between both the building entry and we feel this will create a strong welcoming arrival to visitors from the vehicle drop off on the illinois street side and pedestrian entrance on third street. landscape design rainwater from the roof and paving for general drainage. we have taken into consideration personal comfort. this is looking from third street. we considered shade studies informing us how we will locate the variety of seating options to take advantage of the shade

and the sun. with wind study results we considered landscape planting as buffers and for the wind between the buildings. this vignette is near the corner of illinois street looking west. on the right is entrance to the ground floor of the parking structure. it is set back 20 feet to allow us to continue the pedesstreet conduction to the west and the park to the east. along the stretch we widened the walkway and we located a few seating options. we provide a layered landscape to reduce the scale at the pedestrian level. i would like to pass it back.

in missouri 2020ucst prevented to the citizens advisory. they voted in favor but requested refinements to the parking structure and landscaping. they accepted exterior improvements on prior slides at last month it was january meeting. within the long-range development plan u.c.s.f. stated local hiring and contracting is a priority. performance metrics for participation and construction roles are shown on this slide. u.c.s.f. runs two programs community construction outreach maintaining database of workers in construction trades and excel program classroom learning to prepare for administrative jobs in the healthcare field.

in addition to the success of the sbe programs on block 34. they will pay prevailing wages on the project. the slide shows the next steps for the project. u.c.s.f. willtady sign to the regents for approval next month. it hopes to start construction on the parking structure this summer and clinical building there after. parking structure will finish next year and clinical building will follow in 2024. that concludes our presentation. we can answer any questions. we are available for questions. we have the compliance supervisor. available are staff from u.c.s.f. and the block 34 design team lead who you heard from. thank you.

>> thank you. madam secretary. do we have anyone from the public wishing to comment on this item? >> at this time members of the public who wish to provide public comment on this item should call 415-655-0001. enter access code (146)896-2988. any members on the line who wish to provide public comment please press star 3. at this time we have no members of the public to comment on this item. >> hearing no request to speak i

will close public comment. i will turn to fellow commissioners for questions or comments they may have. commissioner scott. >> mr. chair, thank you. thank you for such a comprehensive presentation. i am so impressed in reading it, impressed with hearing more about it. the excel program just really stuck out that graduating program, excellent through community engagement and learns is very impressive. i am happy to see this move forward. for all that you have done for the san francisco residents that need jobs, and i see that you had 77 that completed the program, graduated and are

working permanent positions and others in temporary positions and placed with other agencies and companies. -- that may beings me feel so good about san francisco. in the face of the pandemic this is good news. i look forward to this moving forward. thank you for the presentation. >> commissioner brackett. >> yes, i have a couple questions. i was also interest understand the information about the excel program. it was primarily women who benefited from this programming. i think it was 90%. i know from my experience learning excel as far as 10 years ago or six years ago, it was a partnership with the

department of health and human services. that may be one of the reasons why it is skewed to a larger percentage of women. i would like to know from the group if there are plans to do differentiated outreach so we also reach out to unemployed men as well looking for administrative type positions. >> thank you for that question. i am with u.c.s.f., director of local and state government relations. thanks for the question about excel. you are right. excel is a program that u.c.s.f. runs in cooperation with the

city. specifically with human services. it is a program called jobs now where hsa refers their existing clients that they already work with through other programs into jobs now. jobs now provides some basic training in cooperation with jewish vocational services, job readiness skills and after graduation from the training those graduates come to us at u.c.s.f. where we pay them for an internship to do administrative jobs for us. to be the receptionist who checks you into the outpatient radiology appointment, takes information and payment. so you are right. because hsa clients are

prominently female and as they are referred to the jobs program, that is the reason why. i think that your question is really well-taken. there may be ways that u.c.s.f. can work with human services to see if there are ways to recruit more broadly into the city's jobs now program. i think those discussions are worth having. we are very much -- we defer to jobs now to send us trainees. you know, we are really proud that we are predominantly serving african-american women from the bayview. that is the largest chung of folks served. we would be happy to talk to a different pool of applicants. >> thank you for that presentation. i appreciate it.

i appreciate all of your work in the community to engage and continue to work as a community partner. i know this is a clinic. are there going to be opportunities to reach out to ensure the worke forcer is diverse as well at the clinic. >> the lower tiered. there are concerns they have competent providers in the community. >> thank you, commissioner brackett. are you able to respond to that? >> i am happy to take that. that is a great question. u.c.s.f. we have equity and inclusion through our institution.

this year we proactively looked for ways to use our employer to work with minority owned businesses and contractor in the construction outreach. we love to hire local folks and train them. i hear you ask about employment within the building. the excel program is one of the main pathways for folks to be able to get those entry level administrative style jobs and for us to increase diversity of talent that we can recruit for those jobs. when we get up into the clinical level of jobs. urgent care clinic there at block 34 that is served by doctors. u.c.s.f. has one of the largest training programs for medical students who want to work in

underserved communities. those doctors come from families of color, immigrant backgrounds. this is our prime program. prime is programming in medicine for the urban underserved. these are student from around california and the country. most of the medical students of color are the first generation of college. they take fifth year to study public health to provide cultural competent care to the diverse population of patients in california. we see this as fundamental to our mission as a public university. we are not stanford, we are university of california. we have a mission as public university to train a diverse population of people to serve

all in california. >> thank you so much. >> thank you, commissioner brackett. vice chair rosales, questions or comments? >> i don't have any questions. just a comment on the design of the project. i like it. i think it is both pleasing from the design standpoint but also efficient, if you will, from a user, consumer standpoint. i think the garage is probably the nicest garage i have seen proposed in a while. >> when i was going through the documents it is exciting to see

the advances at u.c.s.f. bringing to the campus which means it brings to not only san francisco but did broader bay area. that is very exciting that you are willing to grow and improve especially with the latest technology to make sure healthcare is one that is prime and it is at its best here in the bay area. thank you for that. i agree. i walked down to the side of the city quite often, and i love walking through that whole area and seeing these buildings that we usually see on paper to see how true they are in real life. i am looking forward to seeing this. commissioners we have heard the presentation, provided comments and questions. i would like to call for a motion for this item. >> i would like to move the

item. >> commissioner brackett. >> is there a second? >> i second the motion. >> thank you, commissioner scott. >> please call the roll. >> commissioner brackett. >> yes. >> commissioner scott. >> question. >> vice chair rosales. >> yes. >> chair bustos. >> yes. >> four ayes. >> thank you so much. the motion carries. madam secretary next item. >> next order of business is item 6. public comment on non-agenda items. >> madam secretary any speaker cards for this particular item? >> at this time members of the public who wish to provide public comment on this item 6 please call 415-655-0001 access

code (146)896-2988. press star 3 to be placed in the queue. if you are on the phone press star 3. if you would like to provide comment. we do have a member of the public wishing to speak. >> good afternoon everyone. i want to first of all, recognize black history month. my concern is and this is -- i would like to -- my main concern is people in the black community and also the mexican-american community and minority communities should have access

and maybe the agency can help us being able to bring people to the african and the mexican museum. young people in the city can get a feeling of other races and significance we played in each other's lives and the tragedy that happened this week with the two killings in our community. that can come to a stop when we understand and appreciate each other's race, you know. that is heavy on my heart for us to do something to bring more love towards each other to different races and what have you. i can't put it in any better words than that. what i feel about bringing all

races together in love and trying to make this a better city. thank you. >> thank you, mr. james. appreciate those comments. it sounded like reverend williams. excited to hear your words. thank you. >> mr. chair, we do not have other members of public to comment on this item. >> i will close public comment. >> please call the next item. >> next order of business is item 7. report of the chair. >> there nothing to report. please call the next item. >> item 8. report of the executive director. >> thank you, madam secretary. only a short report. i want to note that tomorrow is the due date for proposals for

interim activation uses of temporary terminal in transbay. we look forward to receiving those. we will update you on the process. that concludes my report. >> thank you. please call next item. >> next order of business is item 10. closed session. conference with legal council. anticipated litigation. initiation of litigation pursuant to paragraph 4 of the subdivision d of section 54956.9. one case. discussion. mr. chair. >> madam secretary any speaker cards for this item? >> members of the public at this time who wish to provide public comment on this item call 415-655-0001. enter access code (146)896-2988.

pound pound. once you are on the line press star three to be placed in the queue. we will give them a few moments. mr. chair, it does not look like we have any members of the public to comment on this item. >> hearing no request to speak. i will close public comment. we are now going to closed session. i would like to ask my fellow commissioners to exit this particular meeting analog to the separate link e-mailed to you. we will return after the session has >> the next order of business is item 11 adjournment. >> fellow commissioners we need a motion to adjourn.

>> mr. chair, i move that the meeting be adjourned. >> pokay. dr. scott. >> second. >> we have a second from commissioner brackett. >> commissioners we willed june today this meeting at 2:26 p.m. thank you. >> thank you.