Go through the Court Reporting in detail but answer any questions you may have i want to note that we have been doing a lot of work regarding responsive to postelection issues colleen our Deputy Director director of policy is here shell give us an update but three staff to discuss any of the concerns they may have and let them know our mayor has made it clear well continue to be a sanctuary city and continue to encourage people to Seek Services in our packets weve sent out a postcard to all of the clients to make sure they know that it is safe for them to continue to get care copies for the commissioners were also looking at this as a time to think about our future financial status of department so were very, very mindful of coming budget and suhr we start thinking about reducing our expansion to really look at any vacancies we have today and realign those to try to start reducing our expenses so that over one thousand employees that we have brought on over the last couple of years we can continue that infrastructure we need and try to balance out our request of the general fund and to the city budget. Colleen you want to set up. Yes. Please. Good afternoon, commissioners as director garcia mentions 3 tells you held weve been preparing presentations for managers to use with staff so the information to decimated we did the first thing at town hall we focused on that no chances have happened yet been a lot of speculation and theres been a lot of discussion in the media but no changes and so people can continue to feel comfortable assessing their coverage and they do we talked about were there was discussion of changes that might impact dpw around sanctuary city and around the issues of ac a what we focused on in the presentations sanctuary city the administration potential to defund sanctuary city it is hard to know what that that means we had a little bit of education not a program we receive funding but a policy position not to use local resources to enforce freely laws so how that happens and the timeline and what federal fund we are talking about is not clear and probably it takes time at the federal level and to get to the local level around the Affordable Health care the administration has indicated to repeal and replace it and they want to keep some that is difficult to untackle those with the Affordable Health care there are things westbound the ability of the finding to do on his own or congress with the super majority and really what that Means Nothing will happen immediately and on a agreement workplace the administration and the Majority Party about what will replace the Affordable Health care so i think it will it takes time to really see any changes so what i want to make the message clear were monitoring and working with the successors and lobbyist and in fact. Round table that the Mayors Office and the state and federal delegation this week but the message nothing has changed were looking and continue to monitor it closely the update for the next round of tools that will how the manages use to help their staff about health care and about any new advances we know there is an appointment identified forces Key Administration positions secretary of services and doctor prices and georgia has indicated his support of a repeal of Affordable Health care act well get someone that worked as the appointee for director of cms for the Medicaid Services one of the architect of the indiana plans and places to implement the Medicaid Expansion and has experience around containing the medicaid costs and dr. Ben carson for the hud secretary also as note the state appointment hobnobbing i didnt congressman from los angeles to succeed Pamela Harris a positive appointment for our position as a sanctuary city and so that will be included in the next update to staff as well as some selfcare tips and when we had the town hall people were more interested in figuring out how the how to you talk about the election and we wanted to give them tools to do that that is less about the actual position positions and more about the interpersonal workers and the discussions so our next step to provide manages with the tools for the employees to have those discussions in an appropriate workplace. Thank you questions yes so ill be interested in i have my own opinions about the results the selection and burglary do policy with the cms and hud were a city that utilities resources from hud ill be interested in a Health Perspective if we could provide if appropriate the bullet points were out there in the world not a as commissioner but helpful to have those kind of data points to share with any friends out in the community and so if this is possible if we can get them ill be happy to have the bullet points. You raised an issue those resources radio available on the website weve put and make sure we send you to the link to the website because we want to make this tools available to managers and staff posted on the website a copy of the power point i mentioned along with the notes the person providing the talking points to make the presentation the second one in development will appear on the web page and flyers weve had posted at the time at the each of the centers that encourages people to assess here and the postcards that director garcia identified ill make sure that you have a copy of that web page. Thank you it will increase my computer skills by leaps and bounds. Further questions on the directors report and on ms. Charles report to us not seeing any, thank you very much for the update. Next item. Item 4 is general Public Comment ive not received any requests for general Public Comment. Anyone well move on to the finance and planning meeting today. I note im here for the oh, we wanted to note youre here was that what you said. I saw you when you entered commissioner pating and well note that commissioner pating is here late laughter . Report back commissioner president chow in place of commissioner chung i was asked to chair the committee and the Committee Heard the monthly contracts report which did include reviewing little work at rams and its continuation of a contract and the merger of the barker places and Emergency Fund that will also have additional funding in order to help carry this ledger out and the third contract report we heard on Catholic Charities and their contract for another 5 years and we then heard also and the commission is asked to approve those we also heard a new contract to livable city to the contractor for the sunday program they had, in fact, a subcontractor and this will provide them the direct contract for that service the commission then reviewed the San Francisco m r i update in our inpatients you, you can review those but we heard this was now the new program that will allow a subsidies on the part of those eligible for premiums payments for the covered California Program and it is just starting getting off the ground beginning in november that was the program that was passed by the commission a few months ago lastly we then reviewed a draft of the 1, 16 annual report that will be presented next month that ends high report i dont know if any fellow commissioner has anything to add no . Okay. Any questions from the commission on that . Otherwise to the next item this is a consent calendar and as commissioner president chow the Committee Recommended approval for the contracts report and for livable city. So a motion for acceptance of those are in order. Actually a motion from the committee sorry im mistaken were prepared for a vote if any further comments otherwise the vote now is in order. All in favor, say i. I. Of the recommendations from the committee please say i. Opposed . And therefore the recommendations all are accepted thank you unanimously. Commissioner. An update opposite the sfgh for a ground leases and the development resolution. Commissioners one document i need to point out in your packet in front of you the policy as distributed as note. So commissioners Barbara Garcia director going to do opening remark forces the new Research Center by the state of california it was an incredible process competitive government equity one building on City Property and the city providing the ground lease want to acknowledge it because it 250k two years in the making and hundreds of hours of individual time wanted to take a moment to thank several individuals that are here today one is suing carlyle who really part of her vision of insuring one that the university has required schematic safety in terms of theyre building and in addition trying to bring a Research Center that will provide not only just schematic state of safety but the retention of the worldclass reaches that provide research for the Trauma Center in San Francisco general so i wanted to acknowledge her and thank her to get that going thank you, sue and barbara one of the chancellors paula senior vice chair chancellor and came in the last ending and helped us close the deal on our side of the negotiation i wanted to acknowledge mark who worked on the ground lease with us and incredible process for us and really being able to help us with the negotiations but we had incredible City Attorney we helped one retire and julia and as well as on the ending and progressing of this this was an incredible process again and youll see by the volume of the work i think that does accomplish the important Research Center for the campus and really starts the process of how were utilizing the campus of jacuzzi so i want to acknowledge all the parties. Thank you commissioners for being supportive and it it takes time for the entities to come to discuss sometimes if so a great example of the staff keeping focus and every group had to negotiate away from issues for part of a state and part of city and county but we find the pathway because of individuals so thank you so much commissioners. Thank you director. Also members from the department of real estate to answer any questions doctor sue carlyle i thought that might be helpful to kind of communitybased to the 11 documents you have a link to a very massive eir and tells you halves doucht or approving to the power point is for review revolution 16 dash 12 needs ours approval the ground lease governs the development of the project and also i mean excuse me the lbd a is the improvements for the research and the site it also identifies kind of approvals and permits and also has at least closing escrow which upon satisfied whether go into the ground lease that governs the occupancy use of actual facility so both needs our approval some ceqa finds that dpw put together those can be adopted by the commission, theres mitigation measures part of eir that needs to be adopted, then the uc regular detergents voted to improve the eir those two documents you have for your review talked about the lincoln to the eir and also 3 transitional permits to answer this site you have investigation also to actually construct the building a license to construct and a utility easement youll need to approve those are the list of 11 and the actions according to all the so we were here this is our third time back we were here last year, we talked about a term sheet that went to the board and got approved we also contact in august and ghosts an update an october as bearing said reached a verbal agreement on the documents not dot all the is and cross the ts the regents approved the eir along with the ground lease l d da in november those are some of the terms and conditions and those were based on a property both appraisals identified on granted street on the same side of entitlements about one and 75 square feet building there was evaluates to the rents to the accountability for the changed space and some other site conditions and just the graphics showing the new hospital between the Old Buildings and the red rectangle to the south is the site on the b. C. Lot that is south which is bagging being the main hospital those are you think paul said one and 87 million with the one and 75 thousand square feet between wetlands dry and admin support 5 Story Building stepping down towards 23 those are the concepts height and bulk study then also, if you recall were working closely with sfmta k5eg9 from the Director Office taking the lead on the parking were putting together a tdm program or more robust tdm transportation to demand management that goes in to talk about the increased shuttering and bike and carpool lane any incentives to cut down on drivers coming to the campus were working on that and still are ant work to do a tentative work meeting with the subcommittee and sfmta we dont have the tdm which is got to be considered we them well push that date a little bit heres some timeframe of today over today director garcia and a bunch of us will be talking to each time board member about the lease of lda start a series of hearing in january hopefully, they go well the mayor has 10 days to decide hes allowed february if for some reason comments to regent weve built that in and some dates are from ucsf because a concept those are really the building is a conceptual phase those debates are squishy the building itself is a Design Foundation is a design super structure all those things effect the timeframe so we have an early and late start the procurement of the team the design and the close of escrow talks about the lda is incredible once that is satisfied we get into the ground lay they go back to the regents for approval for the contract goat h get into a contract whether those krifshl when the building starts the early start is january 2019 and then a year later and the buildings completion as you can see and after the completion then the 6 hundred and or so researchers come from the 9 buildings the 10, thirty, 40 relocation into the building. I know i went through that real important thing rather than quickly were here for questions. Commissioners before you begin to summarize the gentleman went through the documents cantonese all the brauflz one vote on the resolution thats f it. We have one Public Comment and that will be doctor sue carlyle. Thank you engage commissioners i really appreciate you letting me talk about that issue as youve heard and heard me say many, many times the pinching within that the university and the city is absolutely essential to building inspector to provide the best care we possibly can be can for the insistence of San Francisco this has lasted over one and 50 years and expect to last another one and 50 years on the site of the b f s g conducted incredibly Important Research of the b u this research has enormous impact on the resident in San Francisco but Global Warming and refer to the work on aids and hiv and curing and treating but the transition of the stoppage of researchers at the general are very, very involved in we also venezuela have been very important in the work and decreasing the violence and injury worldwide as well as more modern work on Substance Abuse and have enormous impact on the chronology disease hypertension and doing the best we can as well as the diseases other diseases that are relate to increase served populations having those Research Facilities at the general is critical to being able to recruit and maintain the kind of positions to take care of our patients at the general and so with that, i urge you to really consider carefully supporting this 0 proposal it is absolutely environmental to our being able to maintain little Trauma Center as well as the faculty it does all the wonderful things ive mentioned to you thank you for your time and thank you for your consideration. Thank you commissioners comments and commissioner singer. To break with traction and address a public speaker i want to thank you for your comment doctor carlyle in you have to make a list of the under appreciated and the contribution of the world you have to list the partnership continue ucsf and the General Hospital as part of my another life i get to travel around the world and known worldwide for the types of Clinical Research thank you, very much. For your effort and for San Francisco general and coming to talk with us today. Thank you thrombins commissioner sanchez. I would echo what our commissioners said and Vice President let me say that ive had the honor of being at sfgh for many, many years in 1969 and worked with a number of bar socialite deans and grossman and others elliott and sue and through the society deans office the link between our sfgh public unit and our ucsf those are really the critical perimeters on how we navigate to maintain excellence and quality care for our patients and during this time well built two hospitals and a lot of the folks with focused on that and i you know what the votes and outcome and the importance of staff they have known when doctor carson she had a different vision and shared 3 with a number of faculties and with us on the j. C. C and others committees sfgh it is not just about the quality of care but about the Research Base research that has outcomes and did all the work and visions to say that we need to build quality facilities for our academic positions residents post, etc. And