2024 - Health + Human Services: Enhancement Projects

Health and Human Services

Enhancement Projects

Project Name

Description

DPH – Chinatown Public Health Center Seismic Retrofit

Chinatown Public Health Center is one of DPH’s most seismically vulnerable clinics with a Seismic Hazard Rating of 4. This project addresses seismic issues and makes a number of critical renovations to allow the co-location and integration of primary care medical and mental health services, along with dental, social services, and other ancillary services. In addition, DPH will relocate a specialty mental health program from leased space into this clinic. The project includes infrastructure improvements such as modernization of outdated equipment, upgrades and retrofits of building automation systems, and repairs to HVAC controls. Programming and schematic plans for seismic renovation and modernization of the clinic are complete, and 100% construction documents are expected by Summer 2023.

The project budget is estimated at $77.4 million, with $5 million from the Mental Health Services Act and the rest funded by the 2024 Public Health G.O. Bond, pending voter approval.

DPH – Silver Avenue Family Health Center Renovation

Built in the early 1960s, the current Silver Avenue Family Health Center is not conducive to a state-of-the-art collaborative working environment. This renovation will continue DPH’s efforts to modernize aging neighborhood health centers which began with the 2016 Public Health and Safety Bond, creating space for co-location and integration of primary care medical and mental health services, along with dental, social services, and other ancillary services.

The project budget is estimated at $34.8 million, planned to be funded by the 2024 Public Health G.O. Bond, pending voter approval.

DPH – ZSFG Building 3 Retrofit and Renovation 

Building 3 on the ZSFG Campus is a 6-story building originally constructed in 1964 as a 3-story concrete building. The building was expanded in 1989 with three floors of steel framing. This retrofit and renovation project includes a seismic upgrade to the upper floors, ADA improvements, and new finishes for administrative functions relocating from 101 Grove Street and other seismically vulnerable brick buildings on the ZSFG Campus. This project will complete the relocation of all staff out of 101 Grove Street.

The project budget is estimated at $51.3 million, planned to be funded by the 2024 Public Health G.O. Bond, pending voter approval.

DPH – City Clinic Relocation

City Clinic is currently located at 356 7th Street in a functionally obsolete 2-story industrial building originally built in 1912. Originally utilized as a fire station, it was eventually converted into an outpatient facility for DPH. City Clinic is San Francisco’s only categorical municipal STI clinic, serving approximately 85 patients per day, with more than 18,000 visits annually. The facility includes clinical laboratory facilities and medication storage. The current location is in poor condition, and a relocation would allow the department to modernize and streamline the operations of this vital service.

The project budget is estimated at $28.5 million, planned to be funded by the 2024 Public Health G.O. Bond, pending voter approval.

DPH – Critical Infrastructure Repairs

Both the LHH and ZSFG campuses continue to have several critical repair needs that are too large in scope for the City’s Pay-As-You-Go Program. At ZSFG, several buildings are over 100 years old and campus needs include exterior building repairs, IT infrastructure upgrades, electrical improvements, elevator repairs, clinical equipment upgrades, and security enhancements. At LHH, the new hospital building is beginning to show unanticipated renewal needs. The broader LHH campus requires critical infrastructure enhancements to improve onsite efficiency and ensure safe and appropriate conditions in staff and patient care areas. Needs include fuel line leak repairs, security enhancements, HVAC replacements, IT infrastructure upgrades, elevator repairs, and exterior building repairs.

These repair needs will receive $32.8 million from the 2024 Public Health G.O. Bond, pending voter approval.

HSA – Relocation of HSA Headquarter Built in 1978, 170 Otis Street houses HSA executive offices and program administration. In July 2018, DPW completed an evaluation of the building which identified seismic deficiencies. As part of the current seismic mitigation plan, a permanent relocation of all staff – including major programs such as Family and Children’s Services and CalWORKs, as well as HSA’s Facilities/Operations Program and its Executive Offices – from 170 Otis Street is currently being explored. This effort also presents an opportunity for HSA to expand its presence and client facing service locations in the southeastern part of the City. Given the number of staff working at 170 Otis Street and the vulnerability of populations served there, this effort is a high priority.
This project may be funded in part with revenues from the sale of 170 Otis. In addition, the City plans to issue $70 million in FY2024 Certificates of Participation to support this relocation.
HSH – Shelter Redevelopment & Rehabilitation The 1001 Polk Street Shelter and the 260 Golden Gate Shelter have Seismic Hazard Ratings of 4, and would suffer significant damage from a major earthquake. 1001 Polk Street is an architecturally significant historic resource. HSH is coordinating with Public Works
to seismically retrofit, redesign and reprogram the space to maximize its highest use as a shelter without reducing the City's shelter bed capacity.
HSH supports approximately 113 family emergency shelter and transitional housing beds at 260 Golden Gate Avenue, which was originally designed and operated as a fire station. This project would design a new building to meet programmatic requirements within a seismically safe and modern building without diminishing the number of shelter beds available. HSH is in the process of exploring options, including redeveloping the site as a mixed-use shelter and permanent supportive housing site to leverage other financing.
The 1001 Polk Street Project has received $1.9 million in pre-bond funding from the General Fund to develop concept plans and provide a cost estimate by Spring 2023. Planned funding for the shelter projects includes $40 million from the 2024 Affordable Housing G.O. Bond, and $100 million from the 2024 Public Health G.O. Bond, pending voter approval.

 

 

second street improvements

2024 - Health + Human Services: Renewal Program

Health and Human Services

Renewal Program

The overall renewal needs for the City’s Health and Human Services facilities total $380 million over the next 10 years. The Capital Plan recommended funding level for these needs is $215 million as shown in Chart 9.1.

Chart 9.1
Chart 9.1

There are many outstanding needs for aging Public Health facilities, both at the Zuckerberg San Francisco General Hospital and Laguna Honda Hospital campuses, and also the neighborhood clinics. These renewal needs include water intrusion, outdated fire safety systems, kitchen refrigeration issues, obsolete elevator components and deteriorating HVAC systems. Given the large scale of these projects, they are expected to receive some funding from the planned 2024 Public Health G.O. Bond, pending voter approval. There are also several outstanding needs at the three City-owned shelters. While several life safety issues were addressed through the 2016 Public Health and Safety G.O. Bond, these facilities are seismically vulnerable and planning for future retrofits is in progress.

 

2024 - Executive Summary: Certificates of Participation

Certificates of Participation

The Plan anticipates $527 million in Certificates of Participation (COPs), also known as General Fund debt, over the next 10 years. COPs are backed by a physical asset in the City’s capital portfolio, and repayments are appropriated each year out of the General Fund. The COP program makes significant commitments in the early years to address reductions in the Pay-Go program. 

Table 1.6 shows the Capital Plan’s COP Program for the next 10 years. 

Chart 1.2 illustrates the COP program against the City’s policy constraint for General Fund debt not to exceed 3.25% of General Fund Discretionary Revenue. 

All amounts attributed to future debt programs are estimates and may need to be adjusted.

Table 1.6

COP Program

(Dollars in Millions)

Fiscal Year of Issuance

Project

Amount

FY2024

Relocation of HSA Headquarters

70

FY2024

Critical Repairs / Recession Allowance

30

FY2024

Street Resurfacing

30

FY2025

Critical Repairs / Recession Allowance

30

FY2027

HOJ Replacement

167

FY2030

HOJ Replacement

200

Total

 

527

 

Chart 1.2

GO-Bond-Bar-Chart_1.2_5.2-230220

2024 - Health and Human Services

Health and Human Services
DPH: Department of Public Health
HSA: Human Services Agency
HSH: Department of Homelessness and Supportive Housing

HHS

San Francisco’s Health and Human Services programs are delivered at facilities throughout the city and reach many of San Francisco’s most vulnerable residents, including individuals and families experiencing homelessness. Providing high quality and accessible health care and human services are critical to eliminating racial disparities in health and welfare that affect San Franciscans, including stress, nutrition, heart disease, maternal mortality, life expectancy and more. Our medical campuses, neighborhood clinics, children’s resource centers, workforce and family support services offices, shelters, navigation centers, permanent supportive housing, and associated administrative space all play a part in providing these essential services.

Overview

San Francisco’s health and human services agencies provide high-quality, culturally-sensitive services for residents in need of public care.

Public Health

The San Francisco Department of Public Health’s (DPH) mission is to protect and promote the health of all San Franciscans, and the department’s hospitals, clinics, and administrative offices all contribute to the success of that mission. DPH’s organization falls into two divisions, the San Francisco Health Network, which provides
direct health services to insured and uninsured residents, and the Population Health Division, which addresses public health concerns including consumer safety and health promotion. The department’s central administrative functions support the work of both divisions and promote integration.

With the completion of the Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) in 2015, DPH is now focusing on the renovation of existing hospital campus buildings and community-based clinics, as well as the relocation of staff from the seismically vulnerable building at 101 Grove Street. The 2016 Public Health and Safety General Obligation (G.O.) funded the seismic strengthening of Building 5 at the ZSFG campus, as well as improvements at the Southeast, Castro-Mission, and Maxine Hall Health Centers. In 2016, DPH completed master planning efforts to move staff out of the building located at 101 Grove. The majority of this effort has been funded through the General Fund Debt Program, and the last piece is expected to come from the planned 2024 Public Health G.O. Bond, pending voter approval. The proposed solution involves relocating some staff to the ZSFG and Laguna Honda (LHH) campuses, and the rest to City-owned properties in and around Civic Center.

Human Services and Homelessness and Supportive Housing

San Francisco has two human services departments: The Human Services Agency (HSA) and the Department of Homelessness and Supportive Housing (HSH). Through assistance and supportive services programs, HSA promotes well-being and self-sufficiency among individuals, families, and communities. HSA is also responsible for three child-care center facilities.

HSH strives to make homelessness in San Francisco rare, brief, and one-time through the provision of coordinated, compassionate, and high-quality services. HSH operates three City-owned shelters and a growing portfolio of Navigation Centers that play a critical role in helping vulnerable populations permanently exit the streets. HSH also administers locally and federally funded supportive housing to provide long-term affordable housing with on-site social services to people exiting chronic homelessness (Permanent Supportive Housing). San Francisco’s Permanent Supportive Housing portfolio includes a variety of housing options, including renovated Single Room Occupancy hotels, newly constructed units and apartment buildings that operate under a master-lease between private property owners and the City.

 

 

2024 - General Government: Emerging Projects

Emerging Projects

Project Name

Description

CAO – Vehicle Charging Infrastructure

Electrification of the municipal fleet is a key priority in providing healthier air for the region’s residents, and fulfilling San Francisco’s 2050 net zero emissions commitment. The Controller’s Office found that up to 619 passenger vehicles may be replaced to comply with the City’s Municipal Zero Emission Vehicle (ZEV) Ordinance. As City vehicles are replaced with ZEVs, they will require Level 2 charging infrastructure to sustain daily operations.

DT – Digital City

Investing in smart, sustainable technology to provide internet service delivery to residents, government agencies, and businesses is an important rising opportunity. Such technologies include smart utility poles that embed several technologies such as a modernized outdoor public warning system, wireless connectivity, sensors, safety alarms, and sustainable solar lighting for outdoor public spaces. These modern technologies hold promise in improving efficiency, cost savings, speed, and functionality in a variety of sectors. Most importantly, this project would bring much needed broadband capacity to underserved neighborhoods. 

 

DT recommends a partnership with private partners to fund a program that would provide a base level of internet access to all residents, a new outdoor public charging of phones and vehicles, host environmental sensors for hazardous levels of smoke, create a means for communicating with emergency services, and provide a way to warn the public about neighborhood issues and emergencies.

Multiple Departments – Solar + Energy Storage

San Francisco faces the challenge of being unable to use its energy resources during an electric grid failure. In response to this risk, the San Francisco Department of the Environment completed a multi-year solar + energy storage feasibility analysis. This project identified potential municipal sites currently designated to serve the community in time of emergency, identified critical electrical loads at the sites, and sized would-be solar energy storage systems accordingly to advance the City’s energy and emergency preparedness goals in the event of the next large-scale grid outage. A financial analysis was completed to understand the cost of deploying these systems. Any solution for San Francisco will need to demonstrate earthquake resilience given the city’s seismic vulnerabilities.

RED - Civic Center Office Space

The Real Estate Division has recently examined occupancy and space allocations within the Civic Center office space portfolio to seek opportunities for greater efficiencies and cost savings. Without a policy change to in-person work expectations, significant savings via footprint reduction are unlikely even in a hybrid work environment. Other important objectives in this portfolio remain, including exiting the most seismically vulnerable buildings, ensuring that offices meet operational needs, and providing safe, healthy, and well-maintained offices for City workers. With the office real estate market currently in flux, the best long-term solution may take the form of a purchase or a lease. The Real Estate Division will also work with the Office of Economic and Workforce Development to explore joint development opportunities.

RED – Strategic Building Electrification

To meet San Francisco’s commitment to greenhouse gas emissions reduction, natural gas-based thermal systems would need to be replaced with electric powered systems. To achieve this transition in a cost-effective way, an inventory and opportunities assessment should be conducted. Pilot projects for small-scale water heater replacements as part of planned renewals are recommended, as are electric replacements of upcoming HVAC systems wherever feasible.

PW – Operation Yard

This project would redevelop and reorganize the Public Works Operations and Maintenance main yard at 2323 Cesar Chavez. The proposal includes building new offices and trade shops, as well as a new multi-story parking garage for the Operations and Maintenance fleet. It would also provide community space for Workforce Development and neighborhood public meetings.

 

2024 - General Government: Deferred Projects

Deferred Projects

Project Name

Description

RED – City Hall Dome and Roof Revitalization and Seismic Strengthening

Water leaks at City Hall have damaged the structure and interior of the building. Revitalization of the Dome, Drum, Lantern and Roof Levels of City Hall are needed to address active water leaks through masonry, skylights, and Dome waterproofing membranes. Deteriorating structural stone and steel also require repair. Seismic strengthening work is needed as well. Complete scaffolding around the Dome is required for implementation of all components of this project, which makes it desirable to address all issues at once.

 

The estimated project cost for these repairs and improvements is at least $22 million. In October 2021, the Board of Supervisors authorized the sale of Transfer Development Rights (TDR) which could generate between $40 million to $50 million dollars to fund historic preservation work including the City Hall Dome and Roof Revitalization projects.

 

Fiber Broadband Installation
Fiber Broadband Installation

 

2024 - General Government: Enhancement Projects

Enhancement Projects

Project Name

Description

DT – Fiber for Public and Affordable Housing

This project will build a fiber broadband network to support free internet access to tenants in public and affordable housing sites, navigation centers, and homeless shelters and sponsored by the City. City investment to deliver fiber-based internet service to affordable housing is an important equity initiative, since the project seeks to provide very low-income residents and those struggling with homelessness with internet access that will open educational, health care and work resources. In partnership with MOHCD’s Digital Equity Program, DT could connect, manage and support an additional 300 affordable housing sites over the next four years.

 

This project is expected to cost $42 million over four years. To date, $12.5 million has been funded through the General Fund and FY2023 Certificates of Participation.

DT – Fiber Backbone

This project aims to expand infrastructure that supports high-speed data communications for City fiber back haul and wireless networks. The benefits of pervasive connectivity include improved access to digital information and services, as well as expanding coverage to City departments and neighborhood institutions, serving underserved communities, and improving network performance for City services and infrastructure.

 

The Fiber Optic Backbone provides additional capacity and greater redundancy on the City's fiber network by installing additional fiber optic cables on key routes that serve critical public safety facilities and multiple City buildings. As demand for fiber optic connections to City facilities has grown, capacity on the City's key fiber optic routes has become exhausted. Fiber optic capacity has also been further constrained as the City migrates away from the legacy phone system to digital Voice Over IP (VoIP) technology.

 

This project has received $2.5 million from FY2022 Certificates of Participation. The estimated cost for remaining work is $21.5 million.

MOD – ADA Barrier Removals

MOD will continue its oversight and prioritization of ongoing barrier removal efforts at public facilities throughout the City. 

 

It is expected that $800,000 of the Recreation and Parks Department’s set-aside and approximately $1 million of General Fund will be devoted to barrier removal projects annually. General Fund allocations would depend on the shovel-readiness of needs identified and funds available. These funds are in addition to code compliance components of debt-funded projects, which appear in the relevant Service Area chapters for those programs.

RED – Wholesale Produce 

Currently located in the Bayview Hunters Point neighborhood, the San Francisco Wholesale Produce Market, or “SF Market”, has been a critical piece of San Francisco’s food infrastructure for well over 130 years, offering fresh produce to local and regional grocers, specialty retailers, restaurants, hotels, caterers, and convention facilities. In 2012, the Board of Supervisors approved a new 60-year master lease for the City-owned land on which the market operates, an agreement that supports an expansion of the market to include Jerrold Avenue, between Rankin and Toland Streets, and 901 Rankin Street. The full buildout envisions a multi-phase, $350 million expansion and renovation designed to replace the Market’s 1963 buildings, improve resiliency by ensuring critical delivery of food through any crisis, and improve surrounding public roadways to increase pedestrian and worker safety. The first building—a new 82,000 square foot warehouse at 901 Rankin Street—was completed in 2015. The entire expansion increases the footprint of the market by about 25%.

 

The project will be implemented over a 20 to 30-year development horizon, supported by the underlying long-term lease. While not a primarily publicly-funded project, the expansion plan will rely on revenue from the Market’s subleases to its produce merchants, conventional bank loans, grants, and New Market Tax Credits. A new warehouse at 901 Rankin Street, Phase I of the project, was completed at a cost of $21.4 million and funded with Market equity and a New Markets Tax allocation.  

 

Expected project costs for the phases expected to be implemented during the timeframe of the FY2024-33 Capital Plan total $140 million. This includes two new warehouse buildings, an improved marshalling yard, and associated site improvements. Per the terms of its lease with the City, the Market deposits net revenues into a development account, in lieu of paying rent to the City. In turn, these funds are directed back into the development of the project, which helps offset the cost of individual phases. 

 

2024 - General Government: Renewal Program

Renewal Program

The overall renewal needs for the City’s General Government facilities total $860 million over the next 10 years. Given funding constraints, the Plan recommends $301 million from the General Fund to meet these needs, as shown in Chart 8.1.

Chart 8.1 - General Government Facilities
Chart 8.1 - General Government Facilities

Of note in this service area are the significant ongoing needs at the Moscone Convention Center. Some of these renewals will be funded through $15 million allocated to the Convention Facilities Fund over the next 10 years. The Moscone Expansion District hotel assessment will provide limited, additional funding towards renewals near the end of the 10-year period. Other large facilities within the RED portfolio continue to have significant renewal needs. City Hall needs include replacement of the HVAC system, elevators, and skylights, as well as exterior refurbishments and dome repairs. At 1 South Van Ness major needs include replacement of the escalators, HVAC system, roof, and significant exterior renewal.

2024 - General Government

General Government
CAO: Office of the City Administrator
DT: Department of Technology
MOD: Mayor’s Office on Disability
MOS: Moscone Convention Center
PW: Public Works

General Government

 

The delivery of local government services relies on careful planning, smooth internal operations, and performance monitoring. Many of these responsibilities falls under the Office of the City Administrator (CAO). The CAO is comprised of a broad array of departments, divisions, programs, and offices, and is committed to increasing San Francisco’s safety and resilience through effective government services. Day in and day out, CAO’s operations help the wheels of government to turn. 

The General Government Service Area encompasses the capital needs that pertain to the operations of CAO departments; projects delivered for client departments by CAO are captured in the Plan’s other Service Areas.

Overview

The Office of the City Administrator delivers a wide range of capital-related services, including the maintenance and management of City-owned buildings, real estate, design and construction of capital improvements, capital planning, and technology services. These operations support the service delivery efforts of other City departments. 

 

49 South Van Ness, Photo Credit: Mark Schwettmann
49 South Van Ness,
Photo Credit: Mark Schwettmann

Public Works 

Public Works (PW) takes care of San Francisco's streets, infrastructure, and public buildings. Divisions under the City Architect relate to facility design, construction, maintenance, and repair. The Bureau of Building Repair provides construction, repair, remodeling, and management services to City-owned facilities. The Building, Design, and Construction and Project Management divisions provide facility programming, architectural design, planning, conceptual design, and construction management services. PW programs that address San Francisco’s horizontal infrastructure are discussed in the Infrastructure and Streets Service Area.

Real Estate

The Real Estate Division (RED) within CAO manages almost five million square feet of office space and other civic facilities that support the operations of city departments. RED is responsible for the acquisition of all real property required for City purposes, the sale of surplus real property owned by the City, and the leasing of property required by various City departments. RED also manages facility operations at the Alemany Farmers’ and Flea Markets, Yerba Buena Gardens, and the UN Gift Gallery at UN Plaza. Additionally, RED is the property manager for City Hall, 1 South Van Ness, 25 Van Ness, 49 South Van Ness, 1650 Mission Street, the Hall of Justice, the Public Safety Building, and 555 7th Street. 

Technology

The Department of Technology (DT) is San Francisco’s information and technology services organization, providing leadership, policy direction, and technical support for technology and information solutions. DT has both internal and public-facing initiatives. The department manages City network operations and data centers. It also maintains the City’s fiber optics network, radio system, digital security, and other vital systems. DT serves the public through efforts such as the Fiber to Housing program, which provides free broadband internet to residents of affordable housing, and the delivery of SFGovTV.

Moscone Convention Center

Covering more than 20 acres on three adjacent blocks, the City-owned Moscone Center is the premier destination for conventions, meetings, and tradeshows. It is one of the nation’s few LEED Platinum-certified convention centers, offering over one million square feet of exhibition and meeting space and more than 25,000 square feet of outdoor terraces for receptions. Conventions and exhibitions are responsible for generating approximately 20% of the $10 billion total tourism spending in San Francisco. 

Mayor’s Office on Disability

The Mayor’s Office on Disability (MOD) ensures accessibility within all City departments’ initiatives. The mission of MOD is to ensure that every program, service, benefit, activity, and facility operated or funded by the City is fully accessible to, and useable by people with disabilities. Historically, MOD oversaw the implementation of the highest-priority projects in the City’s ADA Transition Plans for facilities and public right-of-way barrier removals. Today, as part of the City’s ongoing obligation to carry out architectural and programmatic self-assessment, MOD helps coordinate department-level capital funding requests for barrier removal in these areas. 

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