Public Health & Safety Bond Program 2016

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1 Public Health & Safety Bond Program 2016 Quarterly Status Report Presented to the Citizens General Obligation Bond Oversight Committee as of March

2 Public Health & Safety Bond Program 2016 Overview Project budget values are as of June 30, 2017 and expenditures beyond June 30, 2017 are estimates pending actuals from the new financial system. New project budget information will be available later this fiscal year, after transition to the new City financial system and capture of accurate project financial data. Bond Authorization - $350M 1 st Bond Sale - $176M ZSFG BUILDING 5 IMPROVEMENT PROJECTS $ M $222 M DPH SOUTHEAST HEALTH CENTER RENOVATION & EXPANSION $30 M $18.24 M DPH COMMUNITY HEALTH CENTERS IMPROVEMENT PROJECTS $20 M $16.19 M SFFD - AMBULANCE DEPLOYMENT FACILITY SFFD - NEIGHBORHOOD FIRE STATION $13.27 M $9.4 M $6.65 M $48.6 M Authorization 1st Bond Sale HSH - HOMELESS SERVICE SITES $20.0 M $4.85 M OVERSIGHT, ACCOUNTABILITY, & COST OF ISSUANCE $2.81 M RESERVE FOR MARKET UNCERTAINTY $1.94 M 2

3 PHS Bond Program 2016 Executive Summary I. Highlights and accomplishments ZSFG, Building 5 commenced for another project. 2 projects in construction. Community Health Centers Maxine Hall HC received Categorical Exemption from Planning Department Southeast Health Center Received Civic Design Phase 1 approval. Ambulance Deployment Facility (ADF) Submitted drawings to initiated plan review. Homeless Service Sites: Issued RFQ Design-Build package for 440 Turk St. II. Upcoming milestones ZSFG, Building 5 1 project awaiting award Southeast Health Center Addition Complete 100% schematic design in 1st Qtr, Community Health Centers Complete design for 2 health centers by 2 nd Qtr, 2018 ADF Anticipate commencement with Phase I (Demo/Abatement) in May III. Bond sales and appropriation 1 st Bond Sale was completed in March 2017 for $176M 2 nd Bond Sale will be for a $52.5 (not to exceed amount). The 2 nd Bond Sale is anticipated to occur in May nd Bond Sales will fund the ADF and the Homeless Service Sites components. IV. Risks, issues or concerns on budget, scope or schedule On-going challenging bidding environment Extensive OSHPD/DBI plan review cycle Budget impacts due to added seismic retrofit scopes for health centers Cost/schedule impact to maintain clinical operations during construction 3

4 ZUCKERBERG SAN FRANCISCO GENERAL BUILDING 5 ($222M) Current Phase: Various Completion Date (Priority 1): 1 st Qtr, 2021 Recent accomplishments 6H Surge Space Notice to proceed issued for 3/12. Public Health Lab & Dialysis - Backchecks submitted to OSHPD Upcoming milestones Rehabilitation Department contract awarded. NTP to be issued by 2 nd Qtr Seismic Retrofit Targeting OSHPD permit approval by 2 nd Qtr Advertise CM/GC RFQ in 2 nd Qtr to include multiple projects Urgent Care (Phase 1) Complete construction by April 2018 Complete planning/scoping for priority 2 projects $9,095,343 $643,675 Project Contingency / Other Project Costs $9.26 M Project budget values are as of June 30, 2017 and expenditures beyond June 30, 2017 are estimates pending actuals from the new financial system. New project budget information will be available later this fiscal year, after transition to the new City financial system and capture of accurate project financial data. $ M 19 Core Projects Status of Budget Budget Allocation $47.88 M Current Budget: $222,000,000 $104,026,752 $108,234,230 Expenditures Encumbrances Remaining Balance Future Bond Sale Project Contingency / Other Project Costs Physical Therapy Rendering Dialysis Rendering 4

5 SOUTHEAST HEALTH CENTER ($30M) Current Phase: Design Completion Date: 4 th Qtr, 2020 Recent accomplishments Completed 50% schematic design Received Civic Design (Ph. 1) approval in Jan 2018 Upcoming milestones Complete 100% schematic design drawings in 1 st Q, 2018 Targeting Civic Design Ph. 2 review in 2 nd Quarter $(77,819) $2,389,826 Project Contingency / Other Project Costs $600 K Status of Budget Current Budget: $30,000,000 $14,199,806 $13,488,187 Expenditures Encumbrances Remaining Balance Future Bond Sale Budget Allocation $6.9 M Project Contingency / Other Project Costs $22.5 M Current Southeast Health Center Project budget values are as of June 30, 2017 and expenditures beyond June 30, 2017 are estimates pending actuals from the new financial system. New project budget information will be available later this fiscal year, after transition to the new City financial system and capture of accurate project financial data. New Building Rendering 5

6 COMMUNITY HEALTH CENTERS ($20M) Current Phase: Design Completion Date: 4 th Qtr, 2019 Recent accomplishments Received Categorical Exemption approval for Maxine Hall. Review in progress for Castro Mission. $390,497 $753,219 Project Contingency / Other Project Costs $400 K Status of Budget Current Budget: $20,000,000 $15,295,410 $3,560,874 Expenditures Encumbrances Remaining Balance Future Bond Sales Budget Allocation Upcoming milestones Castro Mission and Maxine Hall: complete 100% CDs in 2 nd Qtr, 2018 Chinatown Public HC: Complete field investigation/testing phase to validate seismic assessment by 2 nd Qtr, 2018 Infrastructure Improvement: Partnering with PUC on energy efficiency projects - issue NTP by 2 nd Qtr, 2018 $15 M $4.60 M Project Contingency / Other Project Costs Project budget values are as of June 30, 2017 and expenditures beyond June 30, 2017 are estimates pending actuals from the new financial system. New project budget information will be available later this fiscal year, after transition to the new City financial system and capture of accurate project financial data. Maxine Hall Health Center Castro Mission Renderings 6

7 AMBULANCE DEPLOYMENT FACILITY ($48.6M) Recent accomplishments Dec % construction documents complete 2/14/18: Update to Fire Commission 2/28/18: Site Permit issuance 3/2/18: Building Permit Application submitted to DBI 3/7/18: Presentation to Bayview Hunters Point Advisory Committee Upcoming milestones 100% CD expected to complete April 2018, pending building permit Bid/Award: Commence in April 2018 anticipated to begin August 2018 $1,479,656 $3,124,905 Status of Budget $8,665,439 $35,330,000 Current Phase: Design Completion Date: Sept 2020 Current Budget: $48,600,000 Expenditures Encumbrances Remaining Balance Future Bond Sale Project Contingency / Other Project Costs $1.75 M Budget Allocation $37.4 M $9.45 M Project Contingency / Other Project Costs Project budget values are as of June 30, 2017 and expenditures beyond June 30, 2017 are estimates pending actuals from the new financial system. New project budget information will be available later this fiscal year, after transition to the new City financial system and capture of accurate project financial data. Rendering of the Facility 7

8 NEIGHBORHOOD FIRE STATIONS ($9.4M) Recent accomplishments For Seismic Hose Tower Removal Scopes: Feb 2018 Proceeding with selection of historical consultant to prepare the Cultural Environmental Impact Report (EIR) Upcoming milestones Hose Tower Working with Regulatory Affairs and City Planning to obtain Notice of Requirements for Cultural EIR Generator Replacements Pre-planning phase, site visits are being scheduled to assess existing conditions and provide fee proposals $72,232 $153,936 Project Contingency / Other Project Costs $188 K Project budget values are as of June 30, 2017 and expenditures beyond June 30, 2017 are estimates pending actuals from the new financial system. New project budget information will be available later this fiscal year, after transition to the new City financial system and capture of accurate project financial data. Status of Budget $7.05 M $2.16 M Current Phase: Design Completion Date: Dec 2019 Budget Allocation Current Budget: $9,400,000 $6,417,937 $2,755,895 Expenditures Encumbrances Remaining Balance Future Bond Sale Project Contingency / Other Project Costs 8

9 HOMELESS SERVICE SITES ($20M) Current Phase: Various Completion Date: Various Recent accomplishments For 440 Turk 3/9/18 Advertised RFQ for Design-Build Contract $52,298 $4,743,625 Status of Budget $15,097,702 Current Budget: $20,000,000 Expenditures Encumbrances Remaining Balance Future Bond Sale $106,375 Upcoming milestones For 440 Turk anticipated to start in Spring 2018 For Other Sites March/April 2018 secondary site tours with Design Team and HSH 5/2018 Design team to complete facilities condition assessment and issue draft report Project Contingency / Other Project Costs $400 K $15 M Budget Allocation $4.6 M Project Contingency / Other Project Costs Project budget values are as of June 30, 2017 and expenditures beyond June 30, 2017 are estimates pending actuals from the new financial system. New project budget information will be available later this fiscal year, after transition to the new City financial system and capture of accurate project financial data. 440 Turk Street 9

10 Attachment 1 Status of Budget and Financial Plan Project budget values are as of June 30, 2017 and expenditures beyond June 30, 2017 are estimates pending actuals from the new financial system. New project budget information will be available later this fiscal year, after transition to the new City financial system and capture of accurate project financial data. 10

11 Attachment 2 Overall Bond Summary The Public Health and Safety Bond Program (PHSB) was approved by voters in June 2016 to provide funding to ensure that health care and emergency services are available each and every day, especially after a major earthquake or other disasters. The PHSB will protect San Francisco s community health and safety by making essential seismic and service delivery improvements to aging facilities that are needed to protect the health and safety of residents, neighborhoods, and businesses. The PHSB consists of six components: (1) Zuckerberg SF General (ZSFG) Building 5; (2) Southeast Health Center Renovation and Expansion; (3) Community Health Centers; (4) Ambulance Deployment Facility (ADF); (5) Neighborhood Fire Stations (NFS); and (6) Homeless Service Sites. All components are being managed by SF Public Works. The following is a brief summary of each component: 11

12 ZUCKERBERG SAN FRANCISCO GENERAL, BUILDING 5 Background: As part of a long term Capital Plan, in 2008, voters approved a bond to construct a state-of-the art hospital and trauma center. The 2016 Public Health and Safety Bond is the next phase of the Department of Public Health s vision to ensure San Francisco s health care needs are met by making improvements to the 1970s-era hospital building. Scope of Work: Work on the existing hospital building (Building 5) focuses on bringing the building up to current seismic standards; improvements to existing fire, life, and safety systems; improvements to accommodate and consolidate clinical and outpatient services from other buildings on campus and remote sites; and improvements to meet accessibility requirements. Future Projects $100.32M Authorization IT Infrastructure $20.97 M Seismic Upgrade $35.55 M Dialysis $14.42 M Public Health Lab $19.9 M $222 M Urgent Care Clinic $1.91 M Physical Therapy $24.19M Seismic Enabling - 6H Surge $4.74 M Authorization Allocation 12

13 SOUTHEAST HEALTH CENTER Authorization $30 M Background: The Southeast Health Center (SEHC) is located at 2401 Keith St. in the historically underserved Bayview-Hunter s Point neighborhood. Opened in 1979, the SEHC is a high-demand full-service health clinic that provides affordable, comprehensive, and quality health care, including dental, optometry, and podiatry care, which is in general need of repair. More significantly, it is an outdated facility that is unable to adequately meet the increasing need for more integrated and holistic models of patient care. Scope of Work: There will be two major phases of work on the Southeast Health Center. The first project phase is a renovation of the existing facility to provide for a more efficient and modernized use of space, allowing for expanded patient capacity and enhanced patient experience. The second project phase will be the construction of a new addition that expands and fully integrates a family-oriented primary care model with comprehensive behavioral health services tailored to meet the needs of Bayview s high at-risk populations. Phase 1 Dental Suite Phase 2 Expansion Rendering 13

14 OTHER COMMUNITY HEALTH CENTERS Summary: In the recent past, the Department of Public Health has made improvements to integrate primary care and mental health services at two of its ten Health Centers. With an integrated wellness approach, individuals and families urgent and ongoing needs can be addressed with coordination and intentional planning. The current configuration of existing primary care or mental health clinics are unable to support this health care model. Authorization $20 M Scope of Work: Funding from the PHSB will follow the intent of the prior work by incorporating the integrated wellness approach and will further enhance the City s ability to integrate primary care and behavioral services at the highest-demand community health centers. The reconfigured and upgraded health centers will include additional counseling rooms and examination rooms and upgraded lab and nursing stations. Health centers will be enabled to co-locate and fully integrate primary care, urgent medical and mental health care, behavioral health, substance abuse services, dental, and social service needs, ensuring a collaborative, trauma-sensitive and culturally-responsive integrated model to best approach the care of vulnerable and at risk families and individuals. Infrastructure Projects (various locations) $5 M Chinatown Health Center $5 M Maxin Hall Health Center $5 M Castro Mission Health Center $5 M Authorization Allocation 14

15 AMBULANCE DEPLOYMENT FACILITY (ADF) Background: The current Ambulance Deployment Facility operates out of 1415 Evans Ave., in a facility that is inadequate and seismically unsafe. The proposed project s objective is to construct a new Ambulance Deployment Facility to enhance efficiency of emergency medical services, improve ambulance response times The new, seismically safe facility will improve the City s capacity to meet current and future demands for emergency medical services, especially following an earthquake or disaster. Original Authorization Revised Authorization $43.5 M $48.6 M Scope of Work: Located at 2241 Jerrold Avenue, and adjacent to the existing Fire Station 9, the new Ambulance Deployment Facility Project will include a new emergency medical services facility, including parking for ambulances and fleet. The facility is designed as an essential services building, and targets to achieve LEED Gold certification. The facility will include storage for ambulance supply and re-stocking, serving an exterior ambulance re-supply area; locker/ showers area; kitchen, dining, and day room; conference and training rooms; and other administrative functions. The project will also include an emergency generator, on-site fueling, infrastructure for solar panels, ands bicycle parking. ADF - Proposed Site Plan Comparison Proposed facility site 15

16 NEIGHBORHOOD FIRE STATIONS (NFS) Original Authorization Revised Authorization $14.5 M $9.4 M Summary: Funding from the 2016 Public Health and Safety Bond will rehabilitate or upgrade fire stations to provide improved safety and a healthy work environment for the firefighters. The selected stations will be determined according to their importance of delivering fire suppression and emergency medical services to the City and County of San Francisco. The proposed Public Health and Safety bond would fund an additional $9.4 Million for neighborhood fire stations. The additional funding capacity will be applied toward the most beneficial and cost-effective neighborhood Fire Station capital projects. Scope of Work: Hose Tower Fire Station 11 The San Francisco Fire Department has 6 Fire Stations that currently have the last six remaining hose towers, located at Fire Stations 6, 11, 12, 15, 21 and 38. Funding from the 2016 Public Health and Safety Bond will be used to mitigate the Seismic Hazard Ratio (SHR) at the 6 fire stations by removal of the hose towers, which now extend above the roof line and present a local collapse hazard to both occupants of the facilities and the occupants of the adjacent properties. The Hose Tower Removal project will serve to prevent the potential collapse of the towers which would render a station to be non-operational after a large earthquake or disaster, threatening the ability of firefighters to respond quickly to an emergency. In addition to the demolition of all existing hose towers, the project will also include partial or complete roof replacements. 16

17 HOMELESS SERVICE SITES Summary: This component will fund capital improvements to City-owned shelters serving homeless families and individuals to increase capacity and resilience. It will also create a centralized deployment and service facility for the San Francisco Homeless Outreach Team. Authorization $20 M Scope of Work: Renovations of City Owned Shelters at 1001 Polk, 525 Fifth Street and 260 Golden Gate Ave. to address deferred maintenance items, and tenant improvement renovations to modernize the facilities and create program service spaces incorporating lessons learned from the Navigation Centers. Purchase, Rehabilitate and renovate 440 Turk Street into a Homeless Service access point for client services including the SFHOT team, other client services (showers, laundry and other amenities). Partnering with Department of Public Health, the Mission Street site will be developed into permanent supportive housing for formerly homeless adults with the ground level consisting of 20,000 SF for Street Medicine and Dental Clinic and office/service space for SF HOT th Street 1001 Polk Street 17

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