Public Health & Safety Bond Program 2016...Public Health & Safety Bond Program 2016 1 Quarterly...

Public Health & Safety Bond Program 2016

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Quarterly Status ReportPresented to the Citizens’ General Obligation Bond Oversight Committee as of August 2019

Public Health & Safety Bond Program 2016

Bond Authorization - $350M

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Overview

Please note: This data reflects only Bond Sale Expenditures/Encumbrances and does not reflect other funding sources. PeopleSoft Financials data is as of 6-30-2019. Subject to revision based on PW labor and non-labor clean-up effort.

1st Bond Sale - $176M; 2nd Bond Sale - $52.5M

$222 M

$30 M

$20 M

$48.6 M

$9.4 M

$20.0 M

$112.06 M

$18.24 M

$16.19 M

$13.27 M

$6.65 M

$4.85 M

$2.81 M

$34.61 M

$14.85 M

$625 K

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

HSH PROJECTS - HOMELESS SERVICE SITES

OVERSIGHT, ACCOUNTABILITY, & COST OF ISSUANCE

Authorization

1st Bond Sale

2nd Bond Sale

PHS Bond Program 2016| Executive Summary

I. Highlights and accomplishments

• ZSFG, Building 5 – 16 of the 19 core projects are active. 1 project completed. 4 projects in construction. 2 projects with plan approval. 1 project in design. 5 projects in programming.

• Community Health Centers – 1 project completed. 1 project in construction. 2 projects in plan review.

• Ambulance Deployment Facility (ADF) – Start of Building Structural steel erection on July 18, 2019.

• HSH component 440 Turk St – Achieved Substantial Completion July 31.

• City-Owned Shelters – finalized scope prioritization for 260 Golden Gate (Hamilton Family Shelter)

III. Bond sales and appropriation• 1st Bond Sale was completed in March 2017 for

$174.1M. Funding for all six components.• 2nd Bond Sale was completed in June 2018 for

$50.1M. Expenditure appropriations for the 2nd

Bond issuance will fund the ADF and the Homeless Service Sites components.

• 3rd Bond Sale – targeting for early 2020

IV. Risks, issues or concerns on budget, scope or schedule• On-going challenging bidding environment

leading to higher construction costs• 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• Unforeseen conditions

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II. Upcoming milestones• ZSFG, Building 5 – Complete programming

and start design on next five (5) projects. Issue RFP for CM/GC Contract

• Southeast Health Center Addition – Start bidding by 3rd Q, 2019 Bid and advertise by 3rd Q, 2019.

• Maxine Hall – Complete temporary clinic to allow construction to start

• Castro Mission – Complete design for new scope

• ADF – Building Structural Steel Welding to be completed in September 2019

• 440 Turk – Move-in in Sept 2019

ZUCKERBERG SAN FRANCISCO GENERAL BUILDING 5 ($222M)

Recent accomplishments• IT Infrastructure and 4E Surge Space –

continuing with OSHPD plan review• Family Health Center – completed 100%

schematic design • Seismic Upgrade (Phase 1) – complete 95% of

locations• Psychiatric Emergency Services (PES) &

Building 80/90 Specialties Relocation –completed programming.

Upcoming milestones• 6H Surge Space, Rehabilitation Department, Seismic

Upgrade (Phase 1) – Achieve substantial completion: 6H by 4th Q, 2019 for 6th Floor Scope; Rehab - 1st Q, 2020 & Seismic - 4th Q, 2019

• Issue RFP for CM/GC Contract by 3rd Q, 2019• Start design for PES and Building 80/90 Specialties• Obtain OSHPD approval for 4E Surge and IT

Infrastructure by 4th Quarter, 2019

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Status of Budget

Current Phase: VariousCompletion Date: Various

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 /Other Project Costs


$32,055,311

$14,619,658

$65,380,973 $109,944,058

Current Budget: $222,000,000

Expenditures Encumbrances Remaining Balance Future Bond Sale

Rehabilitation Department Relocation –Mechanical and Cable Tray Rough-Ins

6H Surge Space – Flooring Installation

SOUTHEAST HEALTH CENTER ($30M)

Recent accomplishments• Submitted design documents to

DBI in May 2019 for plan review/permitting

• Received Phase 3 CDR approval on July 15, 2019

Upcoming milestones• Complete design documents and start

bidding by 3rd Q, 2019 with construction NTP by end of 2019/early 2020

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Current Phase: DesignCompletion Date: late 2021

Current Southeast Health Center

Status of Budget


Construction$22.5 M

Project Contingency / Other Project Costs

$600 K

Budget Allocation

Project Controls

Construction

Project Contingency / OtherProject Costs

Please note: This data reflects only Bond Sale Expenditures/Encumbrances and does not reflect other funding sources. PeopleSoft Financials data is as of 6-30-2019. Subject to revision based on PW labor and non-labor clean-up effort..

New Building Rendering

$5,291,861

$694,923

$10,198,926 $13,814,290



COMMUNITY HEALTH CENTERS ($20M)

Recent accomplishments• Maxine Hall – NTP issued on July 3,

2019. • Castro Mission – Submitted design

documents to DBI in April 2018. Received Civic Design (Phase 3) approval in April 2019.

Upcoming milestones• Maxine Hall: Complete the temporary

clinics and start demolition in .• Castro Mission: Complete design for the

added air conditioning scope. Start bidding by 4th Q, 2019 and start construction by 2nd

Q, 2020

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Current Phase: DesignCompletion Date: 4th Qtr, 2021

Status of Budget


Construction$15 M

Project Contingency / Other Project Costs

$400 K

Budget Allocation

Project Controls

Construction


Maxine Hall Health Center

Please note: This data reflects only Bond Sale Expenditures/Encumbrances and does not reflect other funding sources. PeopleSoft Financials data is as of 6-30-2019. Subject to revision based on PW labor and non-labor clean-up effort. Castro Mission Renderings

$4,306,438 $7,926,086 $6,007,120

$1,760,356


Expenditures Encumbrances Remaining Balance Future Bond Sales

AMBULANCE DEPLOYMENT FACILITY ($48.6M)

Recent accomplishments• Oct 22, 2018: NTP issued for construction • Nov 28, 2018: Groundbreaking ceremony• May 5, 2019: Foundation Piles completed• July 2019: Structural steel delivery, starting

grade beams and pile caps, and structural Steel erection

Upcoming milestones• Structural Steel welding to complete in Sept 2019• Target construction completion - Winter 2020

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Current Phase: ConstructionCompletion Date: Winter 2020

Status of Budget


Construction$37.4 M


Other Project Costs$1.75 M

Budget Allocation

Project Controls

Construction


Rendering of the Facility


$23,869,335 $23,739,966

$990,699



NEIGHBORHOOD FIRE STATIONS ($9.4M)

Recent accomplishmentsSeismic Hose Tower Removal at FS 6, 11, 12, 15, 21 & 38:• SF Planning issued a Categorical

Exemption on June 27, 2019• Fire Stations 6 & 38 were submitted to DBI

for permit on July 19Generators Replacement(s): • Fire Station 18 was submitted to DBI on

Feb 13. A permit is anticipated by of July 2019.

• FS 37 & 44 – GHD Engineers completed design development drawings on June28

Upcoming milestonesSeismic Hose Tower Removal Scopes: • Anticipated submittal to DBI for FS 11, 12, 15 & 21 by

end of Aug 2019Generator Replacement(s):• FS 18 permit is anticipated by end of July• FS 37 & 44 – GHD Engineers completion of

construction documents anticipated in Nov 2019

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Current Phase: DesignCompletion Date: Various

Status of Budget


Construction$7.05 M

Project Contingency / Other Project

Costs$188 K

Budget Allocation

Project Controls

Construction

Project Contingency / OtherProject Costs


Hose Tower

$794,768

$218,789

$5,636,443 $2,750,000



HOMELESS SERVICE SITES ($20M)Recent accomplishments440 Turk St• Renovation completed with Substantial

completion achieved on July 31, 2019

Upcoming milestones440 Turk St.• HSH move-in by mid/late Sept 2019

1001 Polk St, 260 Golden Gate Ave, & 525 5th St• Finalized scope prioritization with schematic design to start

by Q3, 2019• Start construction at 260 Golden Gate by Q3/Q4, 2019

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Current Phase: VariousCompletion Date: Various

Status of Budget


Construction$15 M


Other Project …

Budget AllocationProject Controls

Construction


440 Turk Street

Please note: This data reflects only Bond Sale Expenditures/Encumbrances and does not reflect other funding sources. PeopleSoft Financials data is as of 6-30-2019. Subject to revision based on PW labor and non-labor clean-up effort. 525 5th Street

6,455,655

$994,841

$12,549,504



1001 Polk St, 260 Golden Gate Ave, & 525 5th St • Finalized scope prioritization for 260

Golden Gate. Obtaining cost proposal from Contractor scope.

1064-68 Mission• August 2019 - 80% construction documents• Construction starting in January 2020

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 (Rendering)

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$9.7 M

Castro Mission Health Center

$9.7 M

Chinatown Health Center$242 K

Infrastructure Projects (various locations)

$360 K

Authorization Allocation

AMBULANCE DEPLOYMENT FACILITY (ADF)

Background:The current Ambulance Deployment Facility operates out of 1415 EvansAve., in a facility that is inadequate and seismically unsafe. The proposedproject’s objective is to construct a new Ambulance Deployment Facilityto enhance efficiency of emergency medical services, improve ambulanceresponse times The new, seismically safe facility will improve the City’scapacity to meet current and future demands for emergency medicalservices, especially following an earthquake or disaster.

Scope of Work:Located at 2241 Jerrold Avenue, and adjacent to the existing Fire Station9, the new Ambulance Deployment Facility Project will include a newemergency medical services facility, including parking for ambulances andfleet. The facility is designed as an essential services building, and targetsto achieve LEED Gold certification. The facility will include storage forambulance 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. Theproject will also include an emergency generator, on-site fueling,infrastructure for solar panels, ands bicycle parking.

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Original Authorization $43.5 M

Revised Authorization $48.6 M

ADF Site

ADF Rendering

NEIGHBORHOOD FIRE STATIONS (NFS)

Summary:Funding from the 2016 Public Health and Safety Bond willrehabilitate or upgrade fire stations to provide improved seismicsafety and emergency generators that will enable the firefightersto remain in operation with full power for 72 hours following amajor seismic event. The selected stations have beendetermined according to their importance of delivering firesuppression and emergency medical services to the City andCounty of San Francisco. The proposed Public Health and Safetybond would fund an additional $9.4 Million for neighborhoodfire stations. The additional funding capacity will be appliedtoward the most beneficial and cost-effective neighborhood FireStation capital projects.

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 (SHR) 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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Hose Tower – Fire Station 11

Original Authorization $14.5 M

Revised Authorization $9.4 M

HOMELESS SERVICE SITESSummary:This component of the bond will fund capital improvements to City-owned sheltersserving homeless families and individuals to increase capacity and resilience,create a new administrative headquarters for HSH, and facilitate SF HOT’srelocation from its existing space at 101 Grove Street due to seismic conditions.

Scope of Work:Renovations of City-Owned Shelters at 1001 Polk Street, 525 Fifth Street, and 260Golden Gate Avenue to address deferred maintenance items, tenantimprovements to modernize the facilities, and other repairs and renovationsnecessary for maintaining the City’s current shelter network.

Purchase, rehabilitate, and renovate 440 Turk Street to create a centralizedadministrative offices for HSH and a client access point where people experiencinghomelessness can get connected to the City’s Homeless Response System andimprove efficiencies amongst the different programs and contracts in serving thepopulation of people facing homelessness in San Francisco.

Create a centralized deployment and service facility for the San Francisco Homeless Outreach Team (SF HOT) at 1064-1068 Mission Street. The site, financed by the Mayor’s Office of Housing and Community Development, will be developed into permanent supportive housing for formerly homeless adults and seniors. In partnership with the Department of Public Health, the first and second floors will house a Homelessness Services Center, consisting of 20,000 SF for the Street Medicine and Dental Clinics, as well as office/service space for SF HOT.

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Authorization $20 M

1001 Polk Street

525 5th Street

Public Health & Safety Bond Program 2016...Public Health & Safety Bond Program 2016 1 Quarterly...

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