you guys could be out here. this is like a commercial corridor, so they focus on cleaning the streets and it made a significant impact as you can see. what an improvement it has made to have you guys out here. >> for sure. >> we have a significantly diverse neighborhood and population. so i think that's the richness of the mission and it always has been. it's what made me fall in love with this neighborhood and why i love it so much.

>> we are approving as many parks as we can, you have a value garden and not too many can claim that and you have an

historic building that has been redone in a beautiful fashion and you have that beautiful outdoor ping-pong table and you have got the art commission involved and if you look at them, and we can particularly the gate as you came in, and that is extraordinary. and so these tiles, i am going to recommend that every park come and look at this park, because i think that the way that you have acknowledged donor iss really first class. >> it is nice to come and play and we have been driving by for literally a year. >> it is kind of nice. >> all of the people that are here. ♪♪

. >> chairman: this meeting will come to order. i'm joined by committee members supervisor safai and supervisor mar. i want to thank chris manners from sfgov tv for broadcasting this meeting. mr. clerk, do you have any announcements? >> clerk: yes, mr. chair, the minutes will reflect that committee members participated in this meeting through video conference. the board recognizes that public access to city services is essential and invite public participation in the following

ways. public comment will be available on each item on the agenda. and sfgovtv.org. each speaker will be allowed up to two minutes unless otherwise stated. opportunities to speak during public comment period are available via phone call. by dialling (415) 655-0001. meeting id 24800571739. press pound twice. please dial star three to be added to the speaker line. best practices are to call from a quiet location, speak clearly and slowly, and turn down your television, radio, or streaming device. alternatively, you may submit public comment in either of the following ways. or e-mail.

it will be forwarded to the supervisors and be included as part of the official file. written comments may be sent via postal service to city hall. room 244, san francisco california. finally, items acted upon today are expected to appear on the board of supervisors agenda unless otherwise stated. mr. chair. >> chairman: thank you. thank you everyone in advance for your patience and for your brevity in your presentations. mr. clerk, can you please call item one. >> clerk: yes. item one one is a resolution approving amendment number three to the agreement between

cross country staffing ink. and the department of public health. to increase the agreement amount by approximately $59.7 million for an amount not to exceed $85.6 million and to extend the term by two years from june 30, 2022, for a total agreement term of july 1, 2019, through june 30, 2024. and to authorize. not materially increase the obligations or liabilities to the city that are necessary to effectuate the purposes of the contract. meeting id 24800571739. then press pound twice. if you haven't already done so, please dial star three to line up to speak. a system prompt will indicate you have raised your hand and you may begin your comments.

mr. chair. >> chairman: thank you. and we have susan earlich from the department of public health to present on this item. sorry. from our c.e.o. of zuckerberg sf general. thank you so much for being here, doctor. >> good morning, chair haney, and good morning supervisor mar and supervisor safai. thank you very much. it turns out i am also a member of the department of public health very proudly and i'm happy to be here to present to you a very brief presentation about the cross country contract and hopefully get your approval for that today. so first of all, just to start, high rank high level nurses is always our first priority. we've done well with this even in a time when the market for nurses with hospitals is just

completely tumultuous. we've maintained a 7%. it does vary by specialty and the areas that are hardest to recruit in are also the areas where we have the highest turn over. and more approaches about 13%. the total contract request is $85 million over five years and just to break that down, $67 million of that is for zsfg which is what i'm going to speak to today. smaller amounts are for laguna honda and other d.p.h. clinics. and i want to just point out that first of all, when this contract was initiated, we were thinking about epic as our major issue, going live with epic and we had no idea about the pandemic. so that has really changed the circumstances and the cost of the contract is equivalent to

about 30 rns and about 16.5 in the covid pandemic response. and this equates to about 3% of our total rsfgs. so this is a tiny percentage of our operations here. more over, especially right now with the pandemic, we have almost 200 rns out on leave at any given time and our intent is to tie each of these industry individuals to a leave. next slide, please. it's hard to describe how challenging it's been to staff during covid for a variety of reasons and because of that, we really need to have flexibility and hiring. of course, we want to focus on hiring permanent rns, but when that is not enough, we also need to end this industry contract and that's required in

order to make sure that we have safe and adequate staffing and high quality staffing here at the hospital. we have been working on making sure that we have enough permanent nursing staff by having continual training programs. during the pandemic, we had a break in those training programs and that is part of the reason why it's been harder to hire. but that has proven over time to really be the best way for bringing new staff into these areas, especially in the emergency department and critical care. so in conclusion, hiring permanent nurses is our top priority, maintaining quality and safe care is also our priority. and so with that, i'll stop and see what questions you have and how either i or the team we have here can respond.

>> chairman: thank you. before we do that, was there a b.l.a. report on this? were there any updates? >> thank you, chair haney. we don't have any updates to our report. the contract before you is the same as it was when we reported in december. >> chairman: great. thank you. supervisor mar. >> supervisor mar: thank you. and thank you so much, dr. earlich for your presentation and sharing once again the rationale for this extending this contract for registry nurses. i know the commitment to filling the vacant rn positions and that really being the priority in addressing the staffing challenges at zuckerberg general hospital and

d.p.h. and i think we can all agree that the registry, the use of registry nurses is needed and um, but, yeah, the strong preference is to fill a vacant positions and utilize them permanent nurses for labor reasons, for patient care reasons, but also for fiscal and financial reasons for the city. and so in your presentation, you mentioned that the registry nurses would mostly be used for leave to help cover nurse that is are on leave and not -- and, yeah, i just want to make sure i understand that right. and they rarely wouldn't be used to cover the staffing for vacant positions as i

understand that right? >> right. that's certainly our intent. our intent again is to hire as many permanent nurses as we can and that really makes sense for a lot of reasons. permanent nurses are, you know, they're our best -- they're the best way to staff the hospital. because, you know, we hire them, they become part of our family. we train them. they stay with us. they know us. they know our patients. for a lot of reasons, it's the best way to go. and permanent nurses, you know aren't with us every day. right, they go on vacation. they need to be educated. and they go out on leave. and during the pandemic, we've had many more leaves for understandable reasons. either people get sick or they need to support their family members and so in those cases in particular, it's really important to have registry because with the registry, we

typically will enter into a contract with an individual or a group of individuals for a specified period of time. say twelve weeks is the standard. so for that twelve weeks, we know we have a nurse to cover that well-deserved leave for the permanent nurse. so it's a really important part of being flexible. and it's an industry standard. i don't think there's a hospital that doesn't use a registry contract when it's needed in circumstances like this. >> supervisor mar: yeah. thank you. yeah, i certainly support nurses and other workers being able to take the leave and the public health emergency leave also here in the city. yeah. thanks. and i know we have a separate hearing that is coming up on the vacant -- the department's

work to fill the vacant position. so that's in a whole separate, but related discussion. so thank you. >> absolutely. >> supervisor mar: thanks, chair haney. >> chairman: thank you. supervisor safai. >> supervisor safai: thank you, chair. i really appreciate spending the time with my staff to go over the numbers. i think that it's very clear what you've laid out. appreciate it to talk about filling in the need while people are particularly i know many hospitals i know we're

feeling particularly i'm also happy and proud of the work that we've done to accelerate the time line that it takes to hire a full-time nurse. the work we've done to reduce the amount of vacancies on your staff that we're over double digits now. they're industry standard or better. so i really appreciate all the hard work that you've put in, dr. earlich, and i have enjoyed working with your team to address this issue. i feel fully confident to support this contract today. thank you. >> thank you so much, supervisor safai. that means a lot. appreciate it. >> chairman: thank you. also, i appreciate supervisor mar and supervisor safai's engagement on this and working with you and your team to get

some of the questions addressed and, you know, obviously, i think we've been clear and you've been clear that permanent staffing is the priority and yet we have been in the midst of a lot of strains on staffing, some that existed before the pandemic, many that were obviously exacerbated by the pandemic. and so having this in place while also having a very strong plan to address our permanent staffing needs. i know some of which are in our hands and some of which are related to other factors beyond our hands is really critical. we are going to have back in this committee just in a few weeks another sort of larger conversation about these issues. so i will save my further questions for that hearing and i know we're setting that time which will be in a few weeks, but i really appreciate your leadership on this and taking

the time to address some of the questions and concerns that had come up the last time it was in front of us. >> thank you so much is rand we really appreciate your support. >> chairman: absolutely. with that, can we open this up to public comment. >> clerk: yes, chair haney. for those already on hold, please continue to wait until the system indicates you have been unmuted and that will be your cue to begin your comments. do we have any speakers on the line? >> mr. clerk, there are no callers in the queue. >> clerk: thank you. mr. chair. >> chairman: great. public comment is now closed and i want to make a motion to move item one to the full board with a positive recommendation. can we have a roll call vote, please. >> clerk: on that motion toll recommend this to the full

board with positive recommendation, [roll call] >> chairman: great. thank you so much. again, dr. earlich, we appreciate it. >> thank you. >> chairman: all right. mr. clerk, can you please call item two. >> clerk: yes. item two is an ordinance amending the park code to waive fees for the admission to the japanese tea garden to authorize the recreation and park department to waive or discount other admission fees as well as at the san francisco botanical garden. to require the recreational park department to begin waiving admission fees for the veterans at the gardens. to fund these changes by reauthorizing the recreation and park department to set admission fees for non-resident adults at the gardens based on certain factors and ensure

consistency among all three gardens. members of the public who wish to provide public comment on this item should call (415) 655-0001. meeting id 24800571739 and then press pound twice. if you haven't already done so dial star three to line up to speak. a system prompt will indicate you have raised your hand. please wait until the system indicates you have been unmuted and you may begin your comments. mr. chair. >> chairman: great. all right. this is the fourth time we've had this item in front of us. i'm not going to ask rec and park to present again, but, colleagues, if there are any questions or comments on amendments, we can also make those now. supervisor mar. >> supervisor mar: thanks, chair haney. first of all, i wanted to thank once again the recreation and park department and the mayor's office and supervisor chan for all of your work on this

ordinance that would once again make the -- access to the japanese tea garden free for san francisco residents and also free for veterans, non-resident veterans. and so this is a really important step forward to restoring full access to these world class amenities in golden gate park and we had continued this item for one more week to allow further discussion between the department and the mayor's office and supervisor chan on figuring out the details on thes flex pricing just to make sure we get the details right. i want to thank them for all their work on that and there are the amendments that were circulated to the committee members that i would like to introduce that basically just

set or cast the flex pricing increased for non-resident adults at $7 and i think that's -- that would just make it clear about what the flex pricing would be. so i would move that we accept the amendments that have been shared with us. >> chairman: great. before we take a vote on that amendment, why don't we go to public comment. i'm um, i am going to because we've heard a lot of public comment on this, i'm going to have public comment be one minute each. we can open it for public comment, please. >> clerk: thank you, chair haney: operations is checking to see if there's anyone in the queue to speak. for those on hold please

continue to wait until the system indicates you have been unmuted. that will be your queue to begin the comments. mr. atkins, do we have any callers? >> caller: good morning. my name is carol. i live in district 7 and work in the tenderloin. i'm giving public comment for the third time in favor of the proposed admission fee ordinance because i am so enthusiastic about the gardens of golden gate park. the ordinance offers a simple and sensible plan to earn vital revenue for the gardens. the gardens can attract more visitors, expand engagement and serve our community with a flexible pricing plan. the gardens are living museums with cure rated collections, unique assets and infrastructure that require care and development.

we must provide robust investments to yield benefit that is we can actually see, smell, and feel. thank you for your consideration and your public service. >> clerk: thank you, carol. mr. atkins, next speaker, please. >> caller: thank you. i am the board secretary and audits here at the san francisco bo tan alsociety. thank you so much for your attention and patience on this ordinance. i want to offer my support for the flex pricing ordinance which was well researched. it is imperative the city generate enough revenue at all three gardens. as a community based board member who volunteers my time to the society and the city, i wanted to reiterate these gardens and buildings within them require knowledge, care,

and maintenance. thank you so much. >> clerk: thank you so much for your comments. mr. atkins, next speaker. >> caller: good day. this is don valdocky. i'm a san francisco native, resident of district two speaking in support of the mayor's ordinance and the flex pricing over not quite 20 years now, i have supported the garden and served on its board and have learned what it takes to run a place like that and now with its complications and now with the gardens of golden gate park being under one umbrella, it's important that we have the flex pricing allowed for the additional support needed to as it has been successful over the past five years at the garden now at

the san francisco botanical garden now with these three entities, it is even more imperative. i appreciate the opportunity to speak in front of you today and i appreciate your work so far on this. >> thank you for your comments. mr. atkins, next speaker. >> caller: good morning. for the last 21 years, i've been a volunteer at the botanical gardens. and, while this is the fourth time that i've spoken out on this matter, so you probably recognized my voice by now. the board and i fully support, all three locations and to fund these changes by reauthorizing the rec and park department

for. flexible pricing has been in place since 2019 and has proven to be very successful in supportive garden maintenance and improvement. the gardens of golden gate parks are unique and that require maintenance to keep them beautiful and safe and our residents and visitors should expect no less. >> clerk: speaker's time has elapsed. >> caller: okay. >> clerk: so sorry to cut you off there, but thank you for your comments. mr. atkins, do we have anymore speakers. >> chairman: public comment is now closed and supervisor mar,

i believe you had a motion. >> supervisor mar: yeah, i would like to move that we accept the amendments as presented and then also send this item as amended to the full board with positive recommendation. >> this is the deputy city attorney. the amendments because in the short term, they increase the pricing and change the pricing so we would actually need to come back one more time before moving up to the full board. >> chairman: fantastic. we're going to set a record here: all right. let's take a vote on the motion and then we'll continue it. roll call vote, please. >> clerk: yes. on the motion by member mar to

amend this ordinance of vice chair supervisor safai, [roll call] we have three ayes. >> chairman: okay. and now i want to make a motion to continue this item for one week. and i need a roll call vote, please. that will be our next budget meeting. >> clerk: that is correct. on the motion to continue this matter until the until march 2nd meeting. vice chair safai. , [roll call] we have three ayes. >> excuse me. there was one thing i forgot to confirm which as an ordinance, this should be done with the

mayor's consent. can we verify that they are in fact in agreement with this proposal? [please stand by]

. . . . members of the public who wish to provide public comment should call 415-655-0001, meeting i.d. 2480 057 1739 and then press pound twice. if you haven't done so, dial star three and will indicate that you have raised your hand. wait until the system indicates that you have been unmuted and you may begin your comments.

mr. chair? >> thank you. and we have jeff from the public health department to present on this item. welcome. >> thank you, supervisor haney. tele health today is a little bit of a smaters of tools. the patients often struggle because we use zoom, webex, facetime, and any number of tools and it is a little bit of a mix and random effects. and we would like permission to accept this generous grant from the foundation to simplify tele health for our patients and providers. in a nutshell, we want to make it as simple as we can make it for our patient population here in san francisco.

we have this is a drastic step forward in terms of equity, especially in the digital equity sense of insuring that language barriers, familiarity with technology, etc., aren't the barrier that prefrns you from accessing digital care from the department of public health. where is the money go to go past the funding grant and the other half of the one million will provide devices and equipment, aka, ipads, webcams and wefy

networks in our brick and mortar locations. so the providers themselves can connect. with your permission, we request to accept and extend this grant. >> thank you. is there a bla report on this item? >> no, chair haney, we cannot report on this item. >> colleagues, any questions or comments about this grant? and to enhance our ability to do that, which is obviously a good

thing. can we open this to public comment? >> greg, if you can pull down the slides please, thank you. operations, just checking to see if there are any callers in the queue. members of the public who wish to provide comment should press star 3 now to be added to the line to speak. for those on hold, please continue to wait until the system indicates that you have been unmuted and that is the queue to begin your comments. do we have any callers? >> mr. clerk, there are no callers in the queue. >> thank you much, mr. chair. >> pun lick comment is now closed. i want to make a motion to move this item to the full board with a positive recommendation if we can have a roll call vote please. >> on the motion. yes, on the motion to forward to the full board as recommended.

vice chair safai. >> safai, aye. >> member mar? >> aye. >> mar, aye. >> chair haney? >> aye. >> haney, aye. we have three ayes. we will have a recommendation to send this to the full board with a positive recommendation. we can actually go to item number three. please call item 3. >> item 3 is a resolution approving a third amendment to the emergency agreement between the human services agency and for the city's continued use of 143 hotel rooms and associated services located at the americana hotel on 121 7th street and for a total amount

not to exceed $16.4 million to extend the booking period for a potential total term of march 24, 2020 through october 9, 2022. and to authorize the director of hsa to enter into the modifications that do not increase the obligation to the smi and to call 615, the meeting

i.d. and to read itted into record and the basic idea is to bring this in conformity with

the supplement for the ordinance to extend to august 31.

>> the committee clerk and you do not have to read them into the record so that the public can understand and the committee if it wish cans move to approve the amendments. >> all right. the key change is extending through october 9 of this year. and increasing the funding to allow us to do that. we are maintaining the same amount of funding in the resolution which is $16 million. but $64,164 but we are revising

in accordance of section two that the board of supervisors hereby authorizes a third amendment to extend the term up to and including august 31, 2022 and authorizes further extension beyond all 31, provided that the the executive director must attain the approval of the board of supervisors by raising any applicable restrictions in the municipal code. that is the key change.

it asks for your approval. >> i can speak to the original resolution which was the resolution to i a prove the third amendment to the city's agreement for americana llc for the continued use with the hotel rooms and services and increasing that agreement amount

from $9.7 million and extending the term from november 15, 2021, so a retroactive approval and through with the contingency amount which is higher than we typically see to cover expected rest costs to reer to the condition as a shelter in place hotel which is required by the contact and it appeared reasonable with the contingency amounts appear reasonable in this case. because the current agreement expired in november 2021, we do recommend amending the resolution to clarify that the

board approval is retroactive and approve the resolution as amended. if this is continued to the committee, we can report on this at another meeting. i am happy to answer any questions. >> colleagues, are there any questions about that? is >> i don't see any hands raised. can we go to public comment on this item? >> thank you, chair haney. operations is checking to see if there are comments and for those already on hold, wait until the system indicates that you have been unmuted. do we have any callers? >> mr. clerk, there are no

callers in the queue. >> thank you very much. public comment is now closed. and so this is the changes that have been sent to us and they were red into the record. so i want to move to amend the resolution as offered by hsa. can we have a roll call vote on that please? on the motion offered by vice chair safai. >> aye. >> member mar. aaye. [roll call vote] with the increase in the contract amount, that will be

deemed substantive and we should continue the matter. >> excuse me. there is no change in the amount from the original resolution. >> just a change in the amount of time. >> correct. deputy city attorney? >> fs either a change in the contract about o or the extension of the term and this would be a substantive amendment. so what we are doing here, the original resolution to delay

until october 9. >> z i understand it, the further extension would be subject to board action to wave any applicable -- >> yes, we would not be -- we would not extend beyond august 31 without the board's ordinance. at this time if the contract is decreasing, it is not a substitute change. >> and just to be very clear, the purpose of the resolution is to increase the amount. the amendment to the resolution maintains the same dollar amount as the original resolution. awe and un. thank you. >> so do we continue it or approve it?

>> i think the committee can move it up to the full board if that is what it wants to do. >> i make a motion to move item 3 to the full board with positive recommendation as amended. >> on that motion to forward the resolution to the full board with a positive recommendation as amended. vice chair safai. >> aye. >> member mar. >> aye. >> chair haney. >> aye. >> we have three ayes. >> great. thank you so much. >> thank you. all right. mr. clerk, can you please call item 5. >> yes. item 5 is a resolution retroactively authorizing the department of public health to accept and expand the grant increase in the amount of 350,000 for a total amount of approximately $3 million from

the c.d.c. integrated human immunodeficiency programs to support ending the h.i.v. epidemic in the united states for the period of august 1, 2021 through july 31, 2022. members of the public who wish to provide comment on this item should call 415-655-0001. meeting i.d. 2480 057 1739 and press pound twice. if you haven't already done so, please dial star 3 to line up to speak. the system prompt will indicate you have raised your hand. please wait until the system indicates that you have been unmute and you may begin your comments. mr. chair? >> thank you. and we have stephanie cohen from d.p.s. to present on this item. >> thank you.

on behalf of the with the health departments to support the h.i.v. epidemic in the united states. next slide. >> it's not going to advance. and with the epidemic is an initiative announced by the federal and is a coordinated effort from the federal agencies and is a 10-year that is that plan. to reduce h.i.v. and press star 5.

and to respond to h.i.v.. to reduce sexually transmitted infections. next slide. >> we were originally awarded this grant on august 1 and it is a five-year grant and can extend to 2030. the initial award was a total for 2.90 and going to the

community health equity to support the community-based h.i.v., hep-c and prevention work. in addition, we were awarded a competitive supplement called comp c which was for $450,000 to support the integration of h.i.v. prevention work at city clinic. and for fiscal year 2021, the comp c award increased by $350,000 so to a total of $800,000. starting in fiscal year 2021, the total award is 3.1 million per year for this grant. >> next slide. >> component and the competitive component city of which city clinic was one of seven sti clinics nationwide awarded this competitive supplement will support the project called project excel. in this -- this aims to really integrate, fully integrate and

optimize h.i.v. prevention services at the sti clinic. some of the main goals are to increase screening through the expansion of express visits, to increase press yup take and retention among populations disproportionately affected by h.i.v., next slide. to itch complement novel prep strategies including long acting and injectable prep and to disseminate best practices for long acting citywide. and lastly to optimize ethics and the enterprise slide and electronic health record to enhance h.i.v., hepatitis c and sti prevention, screening, diagnosis, and treatment at san francisco city clinic and throughout our san francisco department of public health systems of care. next slide. the reason for retroactivity of the fiscal year 2021-2022 award

is because we received the advise agreement with the increased funding for component c on october 13, 2021, for a project start date of august 1, 2021. revised grant award does not require the annual salary ordinance amendment. and with the approvals and with the legislation for introduction. next slide. happy to take any questions. thank you for your time. >> thank you for your work. is there a bla report on this item? >> no, chair haney, we did not report on this item. >> thank you. >> all right. and we open this u up to public comment please. >> yes, chair haney. operations is checking to see if there are any callers in the queue. member who is wish to provide public comment, press star 3 to

be added to the line to speak. for those on hold, continue to wait until the system indicates that you have been muted and that is your queue to begin your comments. do we have any callers? >> mr. clerk, there are no callers in the queue. >> thank you much. mr. chair? >> public comment is now closed. thank you, again, so much for your leadership on this, and our continued work to end the h.i.v. epidemic here in san francisco and our leadership on that. and i am very proud to be a co-sponsor of this along with the mayor and supervisor mandelman. can -- i don't see any other hands raised or comments from colleagues, but you never know. so i am double checking. but with that, i want to make a motion to prove this item to the full board with a positive recommendation. >> on that motion to forward this resolution to the full board with a positive

recommendation, vice chair safai. >> aye. >> safai, aye. member mar. >> aye. >> mar, aye. >> chair haney. >> aye. >> haney, yay. we have three ayes. >> great. thank you so much. >> thank you. >> mr. clerk, can you please call item 6? >> clerk: item 6 is a resolution approving modification to fix based operator lease and operating agreement no. 07-0106 and signature flight support llc and the city and county of san francisco acting by and through the airport commission. to extend the term by an additional three years for a term to commence from october 1,2022 through september 30, 2025 for an estimated minimum annual guarantee of approximately $16.2 million during the first year of the additional term extension. members of the public who wish to provide public comment on

this item should call 415-655-0001, meeting i.d. 2480 057 1739 and press pound twice. if you haven't already done so, please dial star 3 to line up to speak. the system prompt will indicate you have raised your hand. please wait until the system indicates you have been unmuted and you may begin your comments. mr. chair? >> great. and welcome from the airport. >> thank you, chair haney, vice chair safai, member mar. the airport is seeking your approval for modification number 2 to an existing lease and operating agreement between sfo and signature flight support, extending the term by three years with an estimated minimum annual guarantee or m.a.g. of $16,246,762 for the first year. over the three-year term of the proposed lease extension,

signature would pay at least $48,740,286 in rent. and signature flight support llc is the current and sole operator of the fixed base operation or fbo located and approximately 12.76 acres on plot 42. the fbo is used to accommodate, store, and maintain general aviation, corporate, and other nonscheduled aircraft. this is an m.a.g. or percentage rent, whichever is greater. this modification will require signature to make significant sustainability improvements to install 55 solar powered covered parking stalls and at least four collect vehicle charging stations in the customer parking lot adjacent to the executive air terminal, offering industry standard sustainable aviation fuel, and replacing all fuel trucks in operation at the premises with low emission models. in 2017, the board of supervisors approved modification number 1 for five years beyond the lease and rfp expiration in 2017. and signature was required to further