and now commissioner girl giraudo. >> here. >> lori green for acknowledgment.cisco health commission acknowledges that we are on the unceded ancestral homeland of the ramaytush (rah-my-toosh) ohlone (o-lon-ee) who are the original inhabitants of the san francisco peninsula. as the indigenous stewards of this land, and in accordance with their traditions, the ramaytush ohlone have never ceded, lost, nor forgotten their responsibilities as the caretakers of this place, as well as for all peoples who reside in their traditional territory. as guests, we recognize that we benefit from living and working on their traditional homeland. we wish to pay our respects by acknowledging the ancestors, elders, and relatives of the ramaytush ohlone community and by affirming their sovereign rights as first peoples. thank you. kriepts vice president green. item 2 the approval of the minutes of health commission meeting of april fifth. you have the amended minutes from the meeting of tuesday april 15th reruand no additional amendments do we have a motion to approve. >> motion. >