s.f. examiner, and one from the s.f. chronicle. so you can see that all of this is actually outlined in the administrative code at the points and how we evaluate the point system. historically, the s.f. chronicle has never made it to our recommendations because historically, they have printed outside of san francisco. so for our recommendation, we are recommending san francisco examiner, and they have had the highest evaluation score along with being the lowest bid price and is the only responsive bidder meeting all qualifications set forth in the administrative code. o.c.a.s recommendation is based on the highest bidder who met all the recommendations set in the code, and for this fiscal year, 2019 through 2020, we are asking for $400,000 based on current usage. moving on to the outreach advertising bid evaluation, we received eight bids. all received on time this year, and so it's also outlined the evaluation in the administrative code of the point system. the only newspaper we couldn't recommend at this time is sing tao, because

examiner, to be the official newspaper of the city for all official advertising for fiscal year 2019 through '20. and item 10 is the outreach advertising which designates the small business exchanger the s.f. bayview, the el reportero, sing tao daily, the bay area reporter, jazmine blue media, doing business as the resolution to also appoints the marina times for the marina neighbors age potrero view. >> okay, madam clerk, call the roll. >> clerk: on items 9 and 10, supervisor safia? >> aye. >> supervisor stefani? >> aye. >> supervisor walton? >> aye. >> supervisor yee? >> aye. >> supervisor brown? >> supervisor fewer? >> aye. >> supervisor haney? >> aye. >> supervisor mandelman? >> supervisor mar? >> aye. >> supervisor peskin? >> aye. >> supervisor ronen? >> aye. there are 11 ayes. >> okay. these resolutions are adopted unanimously. [gavel] madam clerk, please call the next item. >> clerk: item 11 is a resolution to authorize the general manager of the san francisco public utilities commission to execute a professional services agreement with mountain tunnel improvements construction management services, forgive me, with aecom technical services for mountain tunnel improvement constructi

s.f.? and like if so, you know, how many and how would their health outcome be measured? is there actually notable changes? or how to engage services. >> i don't poke into the medical record to examine those indicators. but if the health commission wanted us to, then we would prioritize. >> i think part of it is like going back to history lessons. , you know, first transgender clinic started in the city is to really like look at -- to provide, you know, like patient-centered care. you know, give the patient what they need. give the patient what they want, and so i think that's really the spirit, providing comprehensive, like transitional and affirming services is to be able to like help them also get what they need. and so that's the crucial part for us. >> depending on the procedure, the rate of h.i.v.-positive patients we're seeing differs. but for vaginal plasty, it's somewhere around 15% to 20% of all of our vaginal plasty referrals and procedures h.i.v.-positive. and as far as i -- we've looked at, we're not seeing any difference in the outcomes for those patients. sometimes does take a good bit more planning and good bit more coordination with the surgeons to make sure that su