Public Health & Safety Bond Program 2016 - sfcontroller.orgsfcontroller.org/sites/default/files/Public Forms & Notices/CGOBOC... · Public Health & Safety Bond Program 2016 ... •

Public Health & Safety Bond Program 2016

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Quarterly Status ReportPresented to the Citizens’ General Obligation Bond Oversight Committee as of November 2017

Public Health & Safety Bond Program 2016

Bond Authorization - $350M1st Bond Sale - $176M

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Quarterly Status ReportPresented to the Citizens’ General Obligation Bond Oversight Committeeas of November 2017

$222M

$30M

$20M

$44M

$15M

$20M

$112.1M

$18.2M

$16.2M

$13.3M

$6.7M

$4.9M

$2.8M

$1.9M

ZSFG BUILDING 5 IMPROVEMENT PROJECTS

DPH SOUTHEAST HEALTH CENTER RENOVATION & EXPANSION

DPH COMMUNITY HEALTH CENTERS IMPROVEMENT PROGRAM

SFFD PROJECTS - AMBULANCE DEPLOYMENT FACILITY

SFFD PROJECTS - NEIGHBORHOOD FIRE STATION

HOM PROJECTS - HOMELESS SERVICE SITES

OVERSIGHT, ACCOUNTABILITY, & COST OF ISSUANNCE

RESERVE FOR MARKET UNCERTAINTY

AUTHORIZATION

1ST BOND SALE

Project budget values are as of June 30, 2017. New project budget information will be available later this fiscal year, after transaction to the new City financial system and capture of accurate project financial data.

PHS Bond Program 2016| Executive Summary

I. Highlights and accomplishments• ZSFG Building 5 Dialysis Relocation, Public Health Lab

Relocation (PHL) , & Seismic Retrofit are in OSHPD Plan Review• Awarding ZSFG 6H Surge Space (6H) Project. Bidding ZSFG

Physical Therapy Relocation (PT) Project• Southeast HC Renovation (Phase 1) – dental clinic re-opened in

Aug 2017. • Ambulance Deployment Facility – 100% DD completed.• Resolution introduced on Oct 31 for an emergency declaration

to expedite the design and construction of 440 Turk St.• Awarding 2 Construction Management Support Services

Contracts• Selected Consultant Team and Negotiating the FF&E Contract

II. Upcoming milestones• Complete construction for ZSFG Urgent Care Clinic

Phase 1 by Dec. 2017. • Construction NTP for ZSFG PT and 6H to be issued

in 1st Qtr 2018.• Southeast Health Center Addition (Ph.2) – 100%

SD in 1st Qtr 2018.• Maxine Hall Health Center CDR Phase 2

presentation in Nov 2017. Castro Mission CDR Phase 3 presentation in Dec. 2017

• OSHPD Backcheck #1 submittal to be completed for ZSFG Dialysis and PHL by Jan 2018.

• Construction NTP for 440 Turk St. by 1st Qtr 2018

III. Bond sales and appropriation• Public Works is anticipating the second bond sales in June

2018. • Public Works will initiate and kick-off the discussion with Office

of Public Finance in Jan. 2018

IV. Risks, issues or concerns on budget, scope or schedule• On-going challenging bidding environment• Extensive OSHPD plan review cycle (90 days, 60

days, 30 days, with multiple back checks)• Added seismic retrofit scopes for health centers

are impacting budget and schedule• Health centers are age-eligible (> 45 years) and

are triggering City Planning Environmental Evaluation Review process in order to evaluate historical significance

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ZUCKERBERG SAN FRANCISCO GENERAL BUILDING 5 ($222M)

Recent accomplishments• Public Health Laboratory &

Dialysis - Drawings submitted to OSHPD for plan review

• Seismic Retrofit – OSHPD Backcheck #2 submitted on Oct 31, 2017

• 6H Surge (6H) - awarding contract (bid came in 15% below estimate)

• Physical Therapy (PT) –Reviewing bids received on 10/18.

• IT Infrastructure - 50% CD Drawings issued.

Upcoming milestones• PT & 6H - issue NTP by 1st Qtr, 2018• Dialysis & PHL OSHPD Backchcheck

#1 to be submitted by 1st Qtr, 2018• Design kick-off of new Phase 2

projects: (Family Health Center) and 4E Surge Space in 1st Qtr, 2018

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$6,832,999

$1,196,191

$104,026,752 $109,944,058

Current Budget: $222,000,000

Expenditures Encumbrances Remaining Balance Future Bond Sale

Status of Budget

Current Phase: VariousPh. 1 Projects Completion

Date: 1st Qtr, 2021

19 Core Projects

Project Controls $47.88 M

Construction$159.86 M

Project Contingency / Other Project Costs

$9.26 M

Budget Allocation

Project Controls

Construction

Project Contingency / OtherProject Costs


Dialysis Rendering

Physical Therapy Rendering

SOUTHEAST HEALTH CENTER ($30M)

Recent accomplishments• Renovation Project - Dental

clinic completed and re-opened in Aug 2017

• Addition Project – Civic Design Review (CDR) (Conceptual) completed

Upcoming milestones• Addition - Complete 100% SD

drawings in 1st Qtr, 2018• CDR (Ph. 1) – targeted for Jan

2018• 1st Community Meeting –

tentatively scheduled for Jan 2018

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Current Phase: VariousCompletion Date: 4th Qtr, 2020

Current Southeast Health Center

$1,891,888

$94,016

$14,199,806 $13,814,290



Status of Budget


Construction$22.5 M


$600 K

Budget Allocation

Project Controls

Construction


Project budget values are as of June 30, 2017. New project budget information will be available later this fiscal year, after transaction to the new City financial system and capture of accurate project financial data. Southeast HC

Hybrid OR 8

Completed Dental

AreaCompleted Lobby

Area

COMMUNITY HEALTH CENTERS ($20M)

Recent accomplishments• Civic Design Review (CDR) –

Phase 2 approved for Castro Mission;

• Maxine Hall – 50% CD completed in Nov. 2017

• Completed seismic hazard ratings assessment (SHR) ratings

Castro Mission (SHR 3+) Maxine Hall (SHR 4) Chinatown Public (SHR 4 –

preliminary)

Upcoming milestones• Maxine Hall: completed 100% DD in Sept 2017• Chinatown Public HC: Complete field

investigation/testing phase to validate seismic assessment by 1st Qtr, 2018

• Infrastructure Improvement: Scope alignment with PUC and issue NTP by 1st Qtr, 2018

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Castro Mission Renderings

Current Phase: VariousCompletion Date: 4th Qtr, 2019

Status of Budget

$625,053

$265,248

$15,295,410 $3,814,290


Expenditures Encumbrances Remaining Balance Future Bond Sales

Maxine Hall Health Center


Construction$15 M


$400 KBudget Allocation

Project Controls

Construction



AMBULANCE DEPLOYMENT FACILITY ($43.5M)

Recent accomplishments• 8/21/17 – 100% DD Completed• 9/1/17 – DBI Permit intake• 9/19/17 – Civic Design Review (CDR)

Phase II approved• 10/5/17 – 50% CD Completed

Upcoming milestones• Design in progress. Expected to

complete in April 2018• Bid: April 2018 to July 2018• Construction anticipated to begin

August 2018

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Current Phase: DesignCompletion Date: Sept 2020

$1,384,709

$2,927,758

$8,957,533 $30,230,000



Status of Budget


Construction$33.3 M

Project Contingency / Other Project Costs…

Budget Allocation

Project Controls

Construction



NEIGHBORHOOD FIRE STATIONS ($14.5M)

Recent accomplishmentsFor Seismic Hose Tower Removal Scopes at Fire Stations 6, 11, 12, 15, 21 & 38• 9/31/17 – Design Phase – FS 6 added

to scope for structural engineering –95% CDs completed

• 10/10/17 – Design Phase – City Planning decision to move forward with an 18 month CEQA Environmental Impact Report

Upcoming milestonesFor Seismic Hose Tower Removal at Fire Stations 6, 11, 12, 15, 21 & 38• Commence with EIR process

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Current Phase: DesignCompletion Date: Dec 2019

$153,936

$72,232

$6,423,832 $7,850,000



Status of Budget


Construction$10.88 M


$290 K

Budget Allocation

Project Controls

Construction

Project Contingency / Other ProjectCosts


HOMELESS SERVICE SITES ($20M)

Recent accomplishmentsFor 440 Turk• Completed design – build

criteria documents• Negotiating with Design-

build Contractor

Upcoming milestonesFor 440 Turk• Construction anticipated to start

in December 2017

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Current Phase: VariousCompletion Date: Various

260 Golden Gate Avenue

$103,195

$3,180 $4,743,625

$15,150,000



Status of Budget


Construction$15 M


$400 K

Budget Allocation

Project Controls

Construction


440 Turk Street


Attachment 1 | Status of Budget and Financial Plan

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Attachment 2 | Overall Bond Summary

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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:

ZUCKERBERG SAN FRANCISCO GENERAL, BUILDING 5

Background:As part of a long term Capital Plan, in 2008, votersapproved a bond to construct a state-of-the arthospital and trauma center. The 2016 Public Healthand Safety Bond is the next phase of the Departmentof Public Health’s vision to ensure San Francisco’shealth care needs are met by making improvements tothe 1970s-era hospital building.

Scope of Work:Work on the existing hospital building (Building 5)focuses on bringing the building up to current seismicstandards; improvements to existing fire, life, andsafety systems; improvements to accommodate andconsolidate clinical and outpatient services from otherbuildings on campus and remote sites; andimprovements to meet accessibility requirements.

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Authorization $222 M

Seismic Upgrade$35.55 M

Urgent Care Clinic$1.91 M

Dialysis$14.42 M

Public Health Lab$19.9 M

Physical Therapy$24.19M

Seismic Enabling - 6H Surge

$4.74 MIT Infrastructure

$20.97 M

Future Projects$100.32M

Authorization Allocation

SOUTHEAST HEALTH CENTER

Background:The Southeast Health Center (SEHC) is located at 2401 Keith St. inthe historically underserved Bayview-Hunter’s Point neighborhood.Opened in 1979, the SEHC is a high-demand full-service health clinicthat provides affordable, comprehensive, and quality health care,including dental, optometry, and podiatry care, which is in generalneed of repair. More significantly, it is an outdated facility that isunable to adequately meet the increasing need for more integratedand holistic models of patient care.

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Authorization $30 M

Scope of Work:There will be two major phases of work on the SoutheastHealth Center. The first project phase is a renovation ofthe existing facility to provide for a more efficient andmodernized use of space, allowing for expanded patientcapacity and enhanced patient experience. The secondproject phase will be the construction of a new additionthat expands and fully integrates a family-oriented primarycare model with comprehensive behavioral health servicestailored to meet the needs of Bayview’s high at-riskpopulations.

Phase 1 – Dental Suite

Phase 2 - Expansion

OTHER COMMUNITY HEALTH CENTERSSummary:In the recent past, the Department of Public Health has madeimprovements to integrate primary care and mental health services at twoof its ten Health Centers. With an integrated wellness approach,individuals’ and families’ urgent and ongoing needs can be addressed withcoordination and intentional planning. The current configuration ofexisting primary care or mental health clinics are unable to support thishealth care model.

Scope of Work:Funding from the PHSB will follow the intent of the prior work byincorporating the integrated wellness approach and will furtherenhance the City’s ability to integrate primary care and behavioralservices at the highest-demand community health centers. Thereconfigured and upgraded health centers will include additionalcounseling rooms and examination rooms and upgraded lab andnursing stations. Health centers will be enabled to co-locate and fullyintegrate primary care, urgent medical and mental health care,behavioral health, substance abuse services, dental, and socialservice needs, ensuring a collaborative, trauma-sensitive andculturally-responsive integrated model to best approach the care of

vulnerable and at risk families and individuals.

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Authorization $20 M

Maxin Hall Health Center$5 M

Castro Mission Health Center$5 M

Chinatown Health Center$5 M

Infrastructure Projects (various locations)

$5 M

Authorization Allocation

AMBULANCE DEPLOYMENT FACILITY (ADF)

Background:The current Ambulance Deployment Facility operates outof 1415 Evans Ave., in a facility that is inadequate andseismically unsafe. The proposed project’s objective is toconstruct a new Ambulance Deployment Facility toenhance efficiency of emergency medical services,improve ambulance response times The new, seismicallysafe facility will improve the City’s capacity to meetcurrent and future demands for emergency medicalservices, especially following an earthquake or disaster.

Scope of Work:To be located next to Fire Station 9 (at 2245 Jerrold Avenue), the newAmbulance Deployment Facility will include a new emergency medicalservices facility, ambulance and staff parking and appurtenant sitework. The Ambulance Deployment Facility building shall be constructed atthe level of structural requirements of an essential facility with anOccupancy Factor of IV. The facility building will be designed to meet LEEDGold requirements. The Facility ground floor will include a storage space forambulance supply and re-stocking that will serve an exterior ambulance re-supply area of the proposed new building. Upper floors will include locker/showers area, kitchen/ dining/ day room, conference/ training room andother administrative functions. The project will also include a 72 hourgenerator, infrastructure for solar panels, bicycle parking, an ambulancewash station, and a gurney sanitizer.

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Authorization $43.5 M

ADF - Proposed Site Plan Comparison

Proposed facility site

NEIGHBORHOOD FIRE STATIONS (NFS)

Summary:Funding from the 2016 Public Health and Safety Bond willrehabilitate or upgrade fire stations to provide improved safetyand a healthy work environment for the firefighters. Theselected stations will be determined according to theirimportance of delivering fire suppression and emergencymedical services to the City and County of San Francisco. Theproposed Public Health and Safety bond would fund anadditional $14.5 Million for neighborhood fire stations. Theadditional funding capacity will be applied toward the mostbeneficial and cost-effective neighborhood Fire Station capitalprojects.

Scope of Work: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 usedto mitigate the Seismic Hazard Ratio (SRH) at the 6 fire stations by removal of the hose towers, which now extendabove the roof line and present a local collapse hazard to both occupants of the facilities and the occupants of theadjacent properties. The Hose Tower Removal project will serve to prevent the potential collapse of the towerswhich would render a station to be non-operational after a large earthquake or disaster, threatening the ability offirefighters to respond quickly to an emergency. In addition to the demolition of all existing hose towers, theproject will also include partial or complete roof replacements.

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Authorization $14.5 M

Hose Tower – Fire Station 11

HOMELESS SERVICE SITES

Summary:This component will fund capital improvements to City-owned sheltersserving homeless families and individuals to increase capacity andresilience. It will also create a centralized deployment and service facilityfor the San Francisco Homeless Outreach Team and expand the use ofinnovative models such as the Navigation Center.

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 Resource center for client services including the SFHOT team, other client services and a 24/hour resource center (showers, laundry and other amenities). The Mayor’s Office is also interested in us exploring a partnership with DPH to relocate about 6,000 square feet of the Tom Waddell Urgent Care to 440 Turk.

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Authorization $20 M

1001 Polk Street

525 5th Street

www.sfpublicworks.org

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Documents

Public Health & Safety Bond Program 2016 - sfcontroller.orgsfcontroller.org/sites/default/files/Public Forms & Notices/CGOBOC... · Public Health & Safety Bond Program 2016 ... •