Transcripts For SFGTV Government Access Programming 20240714

Quarter of 2019. There is slight increases in expenditures, about 2 at zuckerberg, but at the clinics, there is about 16 jump, primarily because we had Maxine Hall Health Center with a bid that came within budget. That is why its jumping from 20 in march to 36 currently. I hope you can see some of this detail. Sorry. I was going to do [laughter] 11 by 17 and my printer got crazy. But let me tell you about the framework that we have here. And what id like to do is have terry salts from zuckerberg and talk about how the team has been able to navigate a lot of risk on the project. This represents bringing both programs at zuckerberg and the clinics into black in terms of budget balancing. So on the chart, what we did, we broke the projects so that you could see basically most of the money that zuckerberg is going into clinical. Thats the bulk of the money. Then as you move down, we have categories for infrastructure, seismic, et cetera. So you can see where the variations are happening. Oops sorry. So the first project that was the original budget with little or no detail that went into the 2016 bond. The forecast second column project tells us where were at today with all the available information. And then the four variation column tells us how we varied. So ill just touch on this, because i think terry can give it more detail. In the terms of the clinical, what we didnt anticipate were like 200 enabling projects of moving people back and forth to get access to columns for seismic strengthening, other areas. So those projects had to be complete before we come in to do dialysis, Public Health lab, et cetera, so were constantly moving around in a very complex building that is open 24 hours a day, 365. Almost similar, but on a huge scale, to grant when we did h. I. V. Bridge at 25 van ness, but that was a lot easier than building 5. So we also, the team assessed the risk level which is the column to the left of the comments. We went medium, low, high. So if there is low risk level, that means we already completed the project or were in construction. Likewise, if were still in design or we havent had a permit, the risk could get higher. Ill terry talk about that. This is how were balancing. We had a grant or no, a donation from zuckerberg. So we put all the monies together to balance the project. Were kind of doing the same thing here, the same strategy. So these nine elements are things that we bring to the table. There is a Program Contingency of 5 million. There is a grant that cathy jung was successful in getting for Castro Mission. There is interest earnings on the bond were calculating and so on and so forth. So some of those assumptions are very conservative, so we know we could get some funding from San Francisco general hospital. Dr. Susan irwin is working on that, but i included it as a zero for now. There are other things in here where we dont have a firm grip on how much money is coming in, so we just put a zero out. Totalling out, though, these nine sources give us an additional 20 million. And then were committing about 14. 6 of that to balance both the clinics and zuckerberg. And that gives us 5. 4 million going into the future. Let me just go to the if you notice on zuckerberg, that we actually balanced most of the issues within the projects. However, when we get to the clinics, we had to bring in additional money we had applications in for state money. I mentioned the fema grants. Were bringing all those sources to also balance here. Primary drivers, why theyre going over here is originally we had we didnt have evidence that both Castro Mission and maxine hall had horrible seismic vulnerabilities, so those two aspects along with the historical nature of how city planning was treating the buildings, those costs rose because of those two elements. I want to go back to, if i could terry, do you want to talk about how you navigated risk. Good afternoon, commissioners. Capital programs. Terry salts. Mark did a good presentation about the high, low, medium. As we progressed further down the road of the project, the risks get lower and lower. Every once in a while we sit down, go through the project and forecast how we feel the risk is. One of the biggest ones you see, is seismic. So im going to focus on seismic. Im going to give you a couple of examples how we were able to mitigate some risk, but we have more out there. We have 7 million built into the risks. There was several areas of risk that we were looking at. We know that the pharmacy was going to be a tremendous impact to operations. We knew that the Clinical Labs, the impact of Clinical Labs was going to be large because the big open space is hard to confine it and contain it to the work and not disturb operations. The dental and oral surgery section, big open space, too. It doesnt have walls to segment the work. So that is going to be impact to operations. Another one, were going to be cutting down between the outpatient wing and the main hospital, expanding the expansion joint from six inches to 22 inches and that is going to disrupt operations. Its going to basically, like i said, like a seven layer cake, down the side there. That is to prevent the buildings from bumping into each other on the upper levels. All of this has impact that wasnt taken into account when the engineers were dividing the project, but were fortunate now to have a strong team. We have a Structural Engineer assigned to the internal its actually joint dpw, d. P. H. Team. Project engineer, resident engineer, project coordinators. We have a tight team right now that is peeling this onion and discovering things within the project. And its either confirming assumptions, or debunking them. We are doing, as you may recall, previously we explained we were doing phase one as a mockup or Lessons Learned. Its a smaller scope, just the south side of the building. For two reasons, to get the lessoned learned and out of the way of the projects coming. Youll see we started the work this past quarter. And weve learned a lot actually. We learned that the exterior work to the building is not as terrible as anticipated. That we can actually get it done in a faster time. So thats really adjusted our ability to kind of gauge some of the impacted areas. For instance, our fear about the dental and oral surgery area, where we thought we would have to impact operations greatly. It turns out from our Lessons Learned, we can get the work done in the twoweek period they schedule off. So we can schedule that and not have any impact to operations. Thats a major win. The other win is pharmacy. If i had come to you three weeks ago, i would have told you we have to build a whole new pharmacy to produce the project, because the work is so invasive, the way it was outlined by the Structural Engineers, it was cutting across the entire pharmacy. So we had in there about 4 million of risk, because we thought we had a pharmacy to build. Not only in money, but also probably 23 years in design time and buildout of a new pharmacy. Since then, weve we went back to our Structural Engineers, not once, not twice, but three, four times, and finally came to an understanding, that, yes, its going to be more design and its going back again, but the 70,000 its going to take to do that is mitigated by the 4 million were facing to build a pharmacy. So we went back and we think we have a solution that is go back to osh pod, but we think we mitigated that risk to the pharmacy. Basically were going down instead of across. Those are two examples how were mitigating risk to the project. As we peel back the skin of the projects, well discover more. So. Which leads me into the accomplishments page. So page 10. Accomplishments. You can see that we started the seismic work that i just explained and talked about. We took out sun shades. We exposed columns. We grouted and we prepared the columns for fiber wrap. And in june, well be applying the fiber wrap to the columns. We have submitted to osh pod, weve submitted i. T. Infrastructure and we submitted a back check, so were already a second round on the infrastructure. Thats going to provide for a whole new network of structure in the building. Weve advanced the c and gc contractor. And we have a short list of contractors. And the as i said before, the seismic retrofit is moving along. There is pictures there of what is going on. And the inventory care. We had three Different Community meetings, Castro Mission, maxine hall, and Health Center had meetings in the past quarter. We had three submittals to dbi for design documents. We had one permit approved for maxine hall. Actually, its for yes, its for maxine hall, we issued notice to proceed. I think mark alluded to the contract, the uptick in the budget because we awarded that contract. And thats what i have for accomplishments for both ambulatory care and zuckerberg. Ill pass this on to joe to talk about milestones in the future. Thank you, terry. Good afternoon, commissioners. Joe chin, San Francisco Public Works Program manager for the 2016 health and safety bond program. Ill focus on two topics. Upcoming milestones activities, as well as the overall view of the program schedule. Let me first go through the upcoming activities. Overall, on the building, five components, we are tracking 19 core projects and of the 19, were working on 15 of them. So when they say 15, the projects are in various phases of the life cycle. Either completed or in construction or in the early phase of program design. With that said, let me give you an overview of some of the Construction Projects in Construction Projects in construction right now. Were kind of in the process of wrapping up the work, were 80 complete and were on target to finish the work by end of july. So there are photos up there that shows kind of the current status of the project. Rehabilitation department, relocation. Thats about 35 construction completed. The contractors focus on finishing up the framing. Thats about 85 complete. And then just continue with the m. E. P. Installations in 3p and 3g. And one key work here that were doing to minimize impact to the operations, is working in the kitchen. Were working with the facility staff to ensure that the kitchen is not impacted and a lot of the work is being done at nighttime and its broken up into five phases. Let me just quickly on the seismic retree fit. I want retrofit. This shows the before and after picture. This is a picture of what weve been calling the removal of the contract sun shade. So above, its a little piece of horizontal. Its the concrete above. As we remove it, its gone. You dont see it visually, but that is a major impact on the seismic performance of the building. Another scope of work that were going to be the project will proceed next, is one we keep calling concrete or the column strengthening. On the middle of the slide is the column. What you see in gray is the existing column. What were doing is the area that is highlighted in yellow. Thats what were doing, adding reinforcing steel and making the column larger and stronger. Thats putting into perspective what were facing with and the efforts in making that happen within the occupied facility. So other than that, i wont spend too much time on the 10 projects that are in design and programming. I can answer any questions you may have later on. Just moving onto southeast Health Center. This project, the team is focused on moving the project from design into construction, which is currently on target for starting at the end of this calendar year. November, december. 2019. Weve already submitted the drawings to dbi, so that will initiate the plan review process with dbi. Ongoing focus on continuing our Community Outreach to make sure the Community Stakeholders are aware of the project as were getting closer to start of construction. And then on the community Health Center component, there is two projects that weve been tracking what i call comprehensive scope. It includes the seismic retrofit of both clinics as well as a substantial interior renovation of the two buildings. The maxine health centre, weve been awarded the contract, were just in the process of selecting the n. T. P. Date and the supersede date for the start of construction. Some of the hurdles, or challenges were facing is better align the construction start date with the alignment with epic implementation, because we know the golive date is august 3rd. And pretty much that day is holding and we need to work around that date. The other effort is getting the temporary trailer in place our temporary clinic, which is trailers and those are the two sites that have been selected. As well as a temporary office for the west side clinic in front of the building itself. In the Castro Mission, were in the process of being submitted the drawings to dbi to initiate the plan review and likewise, were trying to find the right time to Start Construction and most likely will be after the august 3 date of golive for epic. And then the next three slides are the overall, youve seen this before. This is what weve been showing and hopefully its a fairly simple graphical representation of the schedules. I wont go into the details, but i wanted to point out for zuckerberg building 5, there hasnt been much significant change in the schedule. So i think the dates and the graphic will speak for itself. I do want to point out that we did have one extra project added, which is the poison control office and that project is now being added as part of the phase 2 of the space. So well have a better schedule for the next presentation. And then other than that, the last slide is scheduled updates on the community Health Center, ambulatory, community Health Centers. These are the same dates i had talked about previously, so i wont go into much detail unless there are questions later. With that said, that concludes my presentation. Let me at this point turn back to mr. Primeau. So actually id like to ask, commissioners, would you like to hear the u. C. S. F. Building before you ask questions or would you like to break it up . Go forward . Go for it. Michael, associate chancellor could not be here to give the presentation, but his chief, project manager, alan owens ellen owens will give that presentation. Ellen . For the record, this is item 9. Good afternoon, commissioners. Thank you for the opportunity to present the ucsf research and Academic Building at zuckerberg update to you. I believe you may i have seen this slide before. This is a site plan. It shows that the building will be located in the Southwest Corner of the zuckerberg San Francisco general campus along 23rd street and vermont. This slide shows a schedule. Last fall, we selected and procured our Design Build Team made up of the bold company and the architect, the skidmore company and merrill. Were in the middle of design right now and well be finishing design and permits with an eye toward starting construction in early 2020. We plan to finish the roadway portion of construction by the end of 2020. And the Building Construction will go until the summer of 2022. And then we will move into the building. We have recently been engaged in Community Engagement and approvals. In march, we had we participated in the Quarterly Community meeting with other city agencies at zuckerberg San Francisco general in building 5. On march 28th, we had orientation meeting with dr. Grant colfax to present the project to him. On may 14, we had an informational presentation with the boosters design group. And they were pleased with the project. And on may 20, we presented to the San Francisco Arts Commission for an approval for the Exterior Design of the building. Today, june 4, were here at the Health Commission committee. We will not be going to the San Francisco Historic Preservation Design Committee tomorrow. They actually cancelled the june 5 meeting. It appears well be on the july 17 agenda. And we will be presenting to them as well, because of the historic nature of the campus and the responsibility our project and building has for fitting into that area. We will also be making an informational presentation to another local community group. And we will be having another Quarterly Community meeting with the u. S. F. G. Zsfg. The approval happens in september as is shown here on the slide. This slide shows the first floor of the building. And what were showing here is that the major entrances are on the northwest corner by the turnaround. So across from building 5 and caddie corner from the new hospital building. The area in yellow is the lobby and the most public part of the building. The red areas are the Patient Research centre. Its part of the clinical research, if patients participate, theyll come in and having meetings and maybe have exams. This wont be clinical work, but it will Research Work and its where well engage in the research. The green area in the south is the educational area. There is large conference room. Surgical training. Bio mechanical testing. As we get toward the east end of the building which is buried in the hill if youre familiar with the site there is a slope that goes up to the northeast and up to that top right corner. And well ha