Chair peskin good afternoon and welcome to the land use and Transportation Committee of the San Francisco board of supervisors. I am the chair, aaron peskin, joined by committee member, dean preston, and soon to be joined by supervisor ahsha safai. The clerk is miss erica major. Miss major, do you have any announcements . Clerk yes. Due to the covid19 emergency and to protect members of the board and public, city hall and the Hearing Chamber are closed. Since precautions are enacted, Committee Members will call in and participate in the meeting to the extent as if they were physically present. Public comment is allowed on each agenda item. The number to call in is streaming across the screen. To participate, call 4156550001. The meeting i. D. Is 1462869171. Then press pound, and pound again. When connected, you will hear the meeting discussion, but you will be muted and in listening mode only. When your item of interest comes up, please dial starthree to be added to the speaker line. You will only need to press starthree ones to be lined up to speak. Best practice is to call from a quiet location, and turn down your volume on your speaker or radio. If you submit Public Comment via email, it will be forwarded to the supervisor and be part of the official file. Finally, items acted upon today are expected to be heard at the board of supervisors agenda on august 25 unless otherwise stated. Chair peskin thank you, madam clerk, and before you call the first item. We have been joined by vice chair safai. With that, miss major, could you please read the first item. Clerk yes. Item number 1 is a reenactment of emergency ordinance, ordinance number 8420, to establish protections inform occupants of Residential Hotel or s. R. O. Residents during the covid19 pandemic. Members of the public who wish to comment on this item should call 4156550001. The meeting i. D. Is 1462869171, then press pound and pound again. Please press starthree if you want to speak. Chair peskin thank you. And thank you to the members of the full board who voted to pass this ordinance that is up for reenactment today. I also want to thank the department of Public Health and my or some of our former colleagues, katy tang, who has been a remarkable liaison between the department of Public Health and the board of supervisors in this and other matters. Appearing before us is dr. Stephanie cohen and jim marks from the department of Public Health, and let me say that i am quite aware that testing is under a lot of constraints in the city, in the state, in this country as testing resources are being moved to other parts of this country where there is much more transmission and death. I am also aware that i have im not aware of, i have been a champion of making sure that in Residential Hotels that exist in northbound beach, chinatown, the tenderloin, the mission, for the most part, which are extremely transmissive environments with congregant shared settings shared kitchens, shared baths that we do everything in our power to decrease the spread of covid through increased testing, and weve done that in a variety of ways. Colleagues, i want to say that given the constraints that ive earlier mentioned, weve been in contact with members of the s. R. O. S advocates and s. R. O. S. To that end, i think transparency and data is paramount. That has been rather opaque for all of us, and i know that d. P. H. Has been trying to get that data and, most importantly, accurate data, before everybody. And i want to thank the department of health and former supervisor tang and dr. Cohen for engaging in discussions with s. R. O. Collaboratives last week. I think that is the beginning of the building of that trust. What id like to do is get a presentation from d. P. H. And then, subject to Public Comment, make a motion to continue this as that data becomes publicly relation and the development of that relationship, which may or may not lead to trust, evolves. So thank you, dr. Cohen, for your work with me and my chief of staff, sonny angulo, over the last couple of weeks, so ill turn it over to you. Thank you, supervisor. Ill share my screen to you can see the presentation. Can you see that . Chair peskin no. Okay. How about now . Yes. Go ahead. Thank you for the opportunity to present to you an emergency ordinance regarding s. R. O. S today. Since april 2020, ive been serving as the med epilead in San Franciscos department of Public HealthEmergency Response team. This figure shows our team. We are located in the outbreak management group. We have been growing our team as fast as we can and have an incredible dedicated, talented group that includes nurse practitioners, nurses, social workers, health workers, Disaster Service workers from across city agencies as well as volunteers. Half of our team is bilingual and spanish, and we work closely with colleagues in the command, including the investigation branch. We work closely with the seating unit, h. S. H. , our communitybased housing providers, and others. Our work really starts with surveillance. As you know, laboratories are required by law to report covid19 tests to the health department. On a daily basis, all new cases are matched by address to a database of all buildings in San Francisco that are s. R. O. S per administrative code section 41. 4 or that are permanently Supportive Housing s. R. O. S. All cases are interviewed, assessed about their ability to selfisolate and quarantine, and asked about their facts. The Contact Tracing team then follows up with any close contacts, assesses their ability to safely quarantine, and refers them to i. N. Q. If needed and refers them to testing. The s. R. O. Team reviews each of these investigations for every s. R. O. Residents and reoffers i. N. Q. To the case if not already done. As mentioned, we work closely with our Community Mitigation branch who has a Community Liaison who notifies the branch if there is a case in the s. R. O. The Community Liaison provides Community Assistance to the s. R. O. Manager, including mitigation measures and the Health Officers order on environmental cleaning standards. Our liaison also interviewed the manager to get more information on the information. We try to ascertain the number of people in the building, and we ask about other important factors, like the number of residents who are over the age of 60, whether there are private bathrooms or shared, whether residents are working, whether people are masking, etc. We then determine the risk of interbuilding transmission based on this Case Interview as well as other investigations. If a building is low to moderate risk and only a single case or a few cases spread out over time, we conduct a mitigation site visit. During the visit, a team of field staff, dedicated, really cultural competent staff go door to door in the building. They talk with residents, they deliver masks and cleaning supplies, and they provide education and support around covid19 prevention and refer to Community Resources for instance, where folks can pick up food and things like that. This is absolutely essential to our prevention efforts. This is really the way that we prevent covid from entering a building in the first place. Since april 2020, we have done site visits at 44 s. R. O. S, reaching an estimated 1760 residents, and you see here the breakdown of where we have made visits based on neighborhood, and this really reflected reflects where were seeing cases, and were training volunteers for mekos and ucsf, and theyve gone on these visits, as well. So for buildings with multiple risk factors and for more than one case in a household in a short period of time, were concerned that there was a cluster or out there is a cluster or outbreak in the building, we do onsite testing. We send a team prior to testing to obtain the names of all the people in the building. We provide pretest counseling, refer residents to i. N. Q. Creating this list is a resource intensive but necessary step so that we can create the lab orders in advance of testing and so that we can assess the number of residents at risk. We need to test as many people as we can, so we need to know how many people are there, and isolate them from the cohort, essentially, the folks who test positive from the folks who test negative. What we have found is that many residents and this flier here is a picture of one of our i. N. Q. Hotels. But what weve found is that many residents do not want to go to i. N. Q. Hotels. There are many reasons for this, including theyre just afraid of the unknown. They dont want to leave the family members that they live with, theyre afraid of evictions, loss of income, and loss of job. So residents who decline i. N. Q. , we arrange for food delivery, delivery of cleaning supplies, and try to support them to isolate in place, and refer all residents who qualify to the i. N. Q. Program. [inaudible] can you still hear me . Yeah. Okay. Thank you. So we have conducted 27 events at 18 s. R. O. , and when there is an outbreak at an s. R. O. , we continue to go back and test until we find no new cases. In our partners with chinatown hospital and v. R. O. , weve tested 4,000 residents. Chair peskin miss cohen, just relative to the seven in chinatown, is that in addition to the 27 or does that include the 27 . Thats in addition, and the seven are not all in chinatown because, as you know, supervisor peskin, chinese hospitals has tested at three sites, but there were four sros that had a number of v. A. Veterans living with them, and in those instances, the v. A. Provided onsite testing. Those were not in chinatown. So to show you some of the data that i think illustrate overall how were doing in terms of prevention of s. R. O. Residents would be first to show you the Positivity Rate. The Positivity Rate for s. R. O. Residents is similar to the Positivity Rate for others, for nons. R. O. Residents who live in the same neighborhood in which that s. R. O. Is located. So on the left, you see, since the beginning of the pandemic, the positivity for people who live in the tenderloin has been 6. 7 . For mission, 5. 1, and chinatown, 2. 4, and you see the positivity just for the month of july 2020. Highlighted in the yellow, across those same time periods, you see the Positivity Rate of those who live in an s. R. O. So this suggests in the absence of an outbreak. An out break, an s. R. O. Resident is not at higher risk of an outbreak than any other resident. Chair peskin and, miss cohen, can we chair that to the rest of the population of San Francisco and the rest of the population statewide . I mean, these numbers tell us that were all in deep trouble, but that were doing a better job in s. R. O. S, even though theyre more transmissive environments. But can you compare those numbers, whether theyre alltime or for july, not only between the rest of the neighborhood but the rest of the city . So, supervisor peskin, i think its most appropriate to look at that question locally. I think that comparison statewide and nationally would not be as relevant because positivity is very reflective of rates of testing, and in San Francisco, we are doing much more testing than in other places. And i think i will just show you the next slide on testing and then see if jim marks is available and wants to comment specifically on your question because you have to take this Positivity Rate into account in the context of testing. So to that point, what we have found is the rate of testing of s. R. O. Residents than the rate of testing overall. Overall, everyone who has been tested for covid in San Francisco, 10,310 tests are linked to s. R. O. Residents. And as i mentioned through onsite testing, weve tested about 1,000 folks, so most of these tests are s. R. O. Residents who are getting tested through their Health Care Provider or through our safety net system of access to testing, and that comes out to about 45 tests per 100 residents. Overall, our rate is 36 tests per 100 residents. Jim, if you are on the line, would you like to add anything in terms of supervisor peskins questions . Chair peskin jim, id like to get an appletoapple comparison, and i understand what dr. Cohen is saying having an applestooranges comparison with the rest of the country to the rest of the state, but going back to my question, that would be great if you have an answer. Yes. So for San Francisco, the overall, would you go back to that slide that has positivity. So all of the San Francisco since the beginning of the pandemic, the Positivity Rate on about 340,000 tests is 3. 8 , so lower than what you see for the tenderloin and mission, and a little higher than what you see for chinatown. And positivity in july, where weve had a surge of cases is 3. 55 for all of San Francisco. And again, theres significant variation in the Positivity Rates by neighborhood and by census tract within the neighborhood, so the tenderloin and the mission throughout the pandemic have had higher Positivity Rates than much of the rest of the city. Western addition and vis valley had higher Positivity Rates than what were seeing here. Stephanies point is very well taken, which is to say the less testing you do, the less the more testing you do, the lower the Positivity Rate is going to be testing positivity is probably overall and there are websites that indicate this questions the amount of disease [inaudible] that said, San Francisco is in the 3. 38 to 3. 55 when surging, and that is lower than the state of california as a whole. I think the rate for california is 6 as a whole. Right now, San Franciscos testing at about four tests per 1,000 population per day. Its higher than any county in San Francisco, so were definitely testing at a very high rate. Chair peskin thank you, mr. Marks, and i dont know if theres somebody ive got a bunch of static on my line, so i dont know if theres somebody that needs to mute oh, that is so much better. Thank you for that. So dr. Cohen, why dont you go back to your presentation, and thank you, mr. Marks or dr. Marks. I dont know if youre a doctor, but if you are, ill call you doctor. Ive written a whole list of questions, but why dont we go back to your presentation, dr. Cohen. Great. Thanks, and thanks for adding that, jim. So one other data point to share, which i think is a very important one is the last death of an s. R. O. Resident occurred on june 3, 2020, and we have found that s. R. O. Residents the mortality rate of s. R. O. Residents is lower than the rate of San Francisco and the entire state. Overall, since the beginning of the pandemic in San Francisco, we have had five deaths among s. R. O. Residents, and so that comes out out of a total of 502 cases, and that comes out to a case fatality rate of 1 . So as you see here, slightly higher than the case fatality rate for San Francisco as a whole. Certainly lower than the california case fatality and the u. S. Case fatality rate. I think just as sorry. This is also a reflection to a certain extent of testing because through aggressive testing events, were finding individuals with asymptomatic or mild disease. Were not just finding the people who are coming in sick, seeking testing. Im sorry, supervisor, were you about to ask a question . Chair peskin no, i was about to Say Something that is entirely irrelevant. Please proceed. We know that making this data publicly available or available is very important to this committee, to the board, and to the public, and the emergency ordinance does require us to share data on the s. R. O. S on the citys data tracker, including the elements or specifically the elements listed here. And the dashboard is almost ready. Theres an anticipated launch date of friday, august 28. There will be a sevenday lag, meaning the data you see on the dashboard will represent what happened up to a week prior due to the intensive validation procedures that we go through to really confirm the address of each case. In terms of the emergency ordinance on protection for occupants of Residential Hotels, i think just to start to say that we appreciate and are aligned with the board of supervisors commitment to protecting this population. We are asking the chair and the committee to reevaluate the requirement that requires testing of all s. R. O. Residents within 48 hours of a single test. [inaudible] this approach is not a strategic or efficient use of our limited testing resources, and we really want to use those resources strategically and efficiently. Our experience has shown us that a single case in an s. R. O. Does not predict that there is a cluster or outbreak. We use all of our tools to guide us so we can predict where and when to test. Secondly, we are asking the committee to reevaluate the requirement to deliver face coverings to all s. R. O. Residents within 12 hours of a single confirmed case. This is section 3. G. 4. We have provided s. R. O. S information how they can get masks, and we reinforce that through the department of building infection, Community Health inspectors, as well as our Community Liaisons. We would like to respectfully request a continuance to the call of the chair such that we can obtain verification on some privacy rules that you had requested, supervisor peskin, so that we can continue to maintain our dashboard launch and our overall approach of prevention of covid19 in s. R. O. S. Thank you for allowing me to speak today, and please let me know if you have any questions. Thank you. Chair peskin thank you, dr. Cohen for taking this very seriously. And let me tell you, as ive told you privately, that i know that you are deeply committed to the health of our population and the health of this particular set of populations that live in congregate settings, and i know that we are all constructing this plane as were flying it. So having said that, i would like to first turn this over to my colleagues, supervisors safai and preston, to see if they have any questions or comments, and then turn it over to Public Comment, and then i have a series of questions that you and i have personally discussed with former supervisor tang that id like you to discuss publicly. So supervisor safai and supervisor preston, do you have any questions or comments . Supervisor preston no questions, and just incredibly important legislation. Id like to be added as a cosponsor. Thank you. Chair peskin thank you, supervisor preston. Supervisor safai . Supervisor safai im okay, chair. Thank you. Thank you for this very informatiinfor informative. Its good to know for People Living in s. R. O. S, and thank you for focusing on this. I know when we had our initial conversations, i know this could have been a situation that turned out to be really bad for the community. Could have been an explosion in passing as a source for covid, but instead, we got out in front of it. Thank you for your leadership and thank you to d. P. H. And everyone here today for all your hard work. I know the minute you moved on this, we were focused on this back in march. Chair peskin i actually appreciate that, supervisor safai. When i asked what i thought was a related question to the rates in s. R. O. S compared to the surrounding neighborhoods, and i receive the answer from dr. Cohen, compared to not statewide or nationally, but the rest of the population, for one hand, chinatown, for reasons i had my own nonmedical beliefs about, has fared well, compared to the mission and the tenderloin that are elevated beyond the rest of the population. So while i sincerely appreciate your laudatory comments, supervisor safai, our collective job is to bring the percentage in the mission and the tenderloin less than the recent average. That is the reason for my admonition and the fact that the department of Public Health work with the best people which arent actually a bunch of politicians but are the leader of the s. R. O. S. It is my intention to continue this to the call of the chair. By the way, just to be very clear about that, given what you heard, which is that this data dashboard should be available on the last friday of this month, was going to hear this on august 31. But we will be at the height of our budget deliberations on that day, and we may or may not have a Land Use Committee on the 31st, so i will continue it to the call of the chair, but it is my intention that this be heard and reenacted in no more than three weeks, and i will ask that this be sent in the first meeting in september as a Committee Report to the full board of supervisors. And meanwhile and i dont think both bridge lines have been muted. We will need a minute to reestablish a connection. Chair peskin okay. Take your time. Okay. Good, supervisor peskin. So last week, i had a good talk with barbara garcia. Chair peskin oh, good. And we agreed i mean, we didnt agree. She was the boss. She agreed with me that, true, some of the s. R. O. S are so filthy and used by the San FranciscoGeneral Hospital. I said what . The San FranciscoGeneral Hospital still continues to use the s. R. O. S for patients because the San FranciscoGeneral Hospital, with a 2p s 2plus billion project, there is no reason for that. The officials are bullshitting us. No women should be living in s. R. O. S. Let me tell you, no persons should be living in s. R. O. S, and dr. Im not directing this to you. Youre a good person. I can guess you have done whatever you could, but i have to speak the truth, and the truth hurts. Thank you very much. Chair peskin next speaker, please. Madam clerk, are we having technical difficulties . Clerk we are, unfortunately. Operator supervisor peskin, i think were waiting for the next speaker. Chair peskin okay. Go ahead, speaker. Hello, can you hear me. Chair peskin yes, we can. This is anastas anastasia ionnapoulos. Member of the antidisplacement coalition. What impresses me in dr. Coh cohens presentation is they give cleaning supplies, but these are congregate bathrooms, congregate kitchens, and this is where it spreads. So, you know, are the people supposed to do the cleaning or the management supposed to do the cleaning . How does the cleaning get done . And the next thing that doctor said was that people are reluctant to leave their s. R. O. Well, maybe there needs to be a little bit more outreach and work to get to these people that are isolated, that their homes are safe. They can return if theyre going to go to some hotel to be isolated. So these are things that the s. R. O. Communities that you can work with them, the collaborative people and, you know, make a difference to peoples lives. The cleanliness, and whether theyre going to be have a home and not be evicted. Thank you. Chair peskin thank you that comment. And while were not supposed to engage in comment during public dialogue, i do want to say pursuant to one of the earliest. I think the earliest emergency order issued by the mayor, it is actually upon the managerow that s. R. O. To utilize the cleaning standards issued during the pandemic. With that, next speaker, please. Clerk hello. Next speaker, please. Hello. Jim fujioca with the Chinatown Community center. I submitted an email to the Committee Earlier this morning or this afternoon, signed by the mission s. R. O. Collaborative, united families s. R. O. Collaborative, chinatown c. D. C. Partnership and senior partnership. Ill extract a few portions of that letter. We are very concerned to learn that the department is requesting an amendment eventually to water down a key component of the legislation. We think that the testing mandate is essential aspect of the order, and that we note that the order has gun to serve its purpose by enhancing testing in s. R. O. S, and the what what was noted in the presentation by staff is that in some of the tested buildings, there have been more than 40 residents who have been infected. Many of those who tested positive, we informed, were workers in the service or Construction Industry and shared rooms with these workers. Given the high concentration of cases of people of color and People Living in s. R. O. S and a resurgence in cases, this is no time to scale back in testing. We note that the department was not in compliance with the order regarding compliance of data until last week, when we received the initial consultation. Chair peskin im sorry, madam clerk. Mr. Fujioca, if you could please finish your statement. I am in receipt of your s. R. O. Collaboratives email of 1 31 today, 1 31 p. M. , so mr. Fujioca, please finish your statement. Clerk im getting a message from d. P. H. That it looks like the caller hung up. Chair peskin okay. Yes. Next speaker, please. [inaudible] and i can support to continue what we call the mission s. R. O. Collaborative comments. Chair peskin im sorry, maam. Do you support the continuance . Is that what you said . Yes. I dont know if you folks can hear me. My name is deanna florez. I am the director of programming at the delores street services. We signed onto the letter of the s. R. O. Collaborative, and we deeply appreciate the elements of this order and want to echo the equity lenses that is needed to address the local response for congregate settings. It was pretty alarming to hear the overlapping of the workforce and the residents of the s. R. O. In San Francisco. We need to have an outreach in education that folks will feel and need to be supported in these resources. We also feel that the city of San Francisco can do more to address the challenges that are being encountered in both the challenges around testing and the i. N. Q. As well as Contact Tracing and contact mapping. We believe that theres this order should be renewed and reinforced in particular districts and zones, particularly because the mission has 52 s. R. O. Hotels, and i believe that seven or 11 have been tested right now. Thank you so much. Chair peskin thank you, ms. Florez. Are there any other members of the public that wish to testify publicly on this item . Operator we have two more callers. Chair peskin next caller, please. Yes, hi. So i would like to raise some concerns about the privacy of s. R. O. Residents . You know, i dont know exactly how extensive the Contact Tracing measures are, but certainly, there have been some instances where, you know people who have been identified publicly identified as tested positive for covid19 have been discriminated against, beyond just simply being asked to selfisolate, but theyve been physically attacked and so on. I do think its important that we have Public HealthSafety Measures put in place, but i also think its important that we also respect the privacy of s. R. O. Residents. And i dont know how expensive these Contact Tracing measures are, but i think it could possibly set a dangerous precedent for future outbreaks. And so, again, thats my main concern with this legislation, so thats thank you. Thats all i have to say. Chair peskin thank you for those comments, and when Public Comment is closed, im going to ask d. P. H. About some questions that will probably not be fully answered in regards to Public Health and these comments. Next speaker, please. Hello . Chair peskin yes, please proceed. Hello . Chair peskin yes, we can hear you. My name is eric marcoux, and im im on the Neighborhood Council and soma resident. [inaudible] once someone positive in an s. R. O. Has occurred. I just believe these places are once something happens, it can go like wildfire, you know . Youve got to stay on top of it. Also, the data has been incomplete. Theyre supposed to give us daily update on it, and that should be done, as well. These populations are really its just the populations of s. R. O. S are frequently lowincome or seniors or people of color, and testing should be available especially to these populations. Chair peskin thank you for your comment. Are there any other members of the public wishing to testify on this item number 1 . Operator we have one more caller. Chair peskin next speaker, please. Hello. Regarding item number 1, this just invades the privacy, and again, the city it would make its policy to place the residents in solitary confinement and Isolation Hotel rooms, you know, thats i dont support this policy. I think its an invasion of privacy, its an invasion of personal liberty and freedom, and just because youre poor and have to live in an s. R. O. Doesnt mean that your freedom and right to choose who you want to be is violated. Thank you. Chair peskin are there any other members of the public who would like to testify on this item . Clerk we have no more callers. Chair peskin thank you to clerk staff for that, and seeing no more callers, Public Comment is closed. Dr. Cohen, id like to drill down into notification and how that actually works, and if you can explain that to all three of us, none of whom are doctors, and the public, that would be really helpful to me. Thank you for that for that good question. I think that you and many other people who work with this population theres a big range of s. R. O. S and a big range of buildings that are defined as s. R. O. S through the administrative code. Some of them have rooms with provide bathrooms. The degree of congregate space in each building is actually quite variable . And in addition, the specifics of each case are quite variable. So a single case in an s. R. O. Does not necessarily predict that there will be many cases in that same s. R. O. In many cases, we find that a resident works, and, for instance, was tied to an outbreak at their workplace and actually was in isolation and quarantine before they even tested, so maybe werent onsite during the time that they were infectious, and those are the type of details that we are able to look into during our investigative process. The reason thats important is going into a building and not finding any cases is not a good use of our resources, so when we go test, we want to test in places, and we want to find cases there. And that is really the purpose of the risk stratification. The test doesnt do any good. It doesnt protect the individual who was tested, and it doesnt protect the individuals loved ones, work colleagues, etc. The goal of the testing is to find cases, so we want to go to buildings where we know theres a risk for multiple cases in that building. Chair peskin so there are any number of questions thank you for that explanation. Why dont we move to the notions of privacy, which i have been very vexed by not only because our societys outlook on privacy and public rights that id like to be ive been a champion of for a long time. But ive heard from the community, and its been unclear to me, as a disease which comes with stigma, where the city wants to wraparound wrap our arms around these cases and provide opportunities for isolation and quarantine without financial burden for things like p. P. E. , to make managers and owners of these buildings to do their part. It is unclear how hipaa works. Probably some of this should be the subject of a presentation by the county attorney of their findings, but if we could riff off of that a little bit. I think the City Attorney is the best suited to comment, but i will say that as a physician who takes care of patients as my regular job, protecting each individuals private Health Information is, of course, a tenet of our work. And its really only in very unusual circumstances that we would risk disclosing someones personal Health Information, including their covid status, for the sake of Public Health. Right now, as you know in San Francisco, theres Widespread Community transmission, and people are at risk of coming down with covid wherever they go, so they need to follow the mandates of social distancing, masking, and hand washing whenever theyre out in the world. Its hard to find an exception around that core tenant protecting a residents personal information. Chair peskin no, the issue is really about making sure that other residents of these congregate settings have access to information that d. P. H. And other Health Officials have that i get not through d. P. H. But through the community because after 20 years of working in the Community Comes to me. And as we discussed yesterday and thank you for your candor yesterday the department of Public Health says we have an outbreak at m. S. C. South. The department of Public Health says we have an outbreak at public circle or laguna honda. Its not very hard to figure out where those addresses are. Yet in the same breath, i am aware of and you are aware of despite the fact that you cant tell me, but the Community Tells me of any number of other addresses, and some of those, your stratification i mean, not you, personally, but the Health Departments stratification, and you have whether or not were in contravention of the Community Ordinance that were talking about today and reenacting today, that you have implemented in an amount without wasting resource. And in other cases, in an unnamed building in chinatown, where you, we, were first informed early this month that went from four cases to ten cases, that stratification didnt work, and privacy was not our friend. And thats both a question and a comment. And to add to that question and comment, you stated earlier pursuant to the originally enacted legislation on may 19 that there is an affirmative obligation to contact the manager. And, indeed, in the case of the afo aforementioned but not identified building, you did that. But theres also an obligation to contact the owner, and owners are actually much more responsible and have a much higher obligation as the owner relative to sanitation standards, relative to what one of the earlier callers spoke about, which is allaying fears of isolation and stigma. So i want to get our arms around how we not only notify managers of professional buildings, but managers of those buildings. So i know those are two different questions, but if you want to riff off of that, go ahead. Sure. Thank you. So as of the duty to warn, the obligation to warn people in a building, we do notify close contacts of individuals in an s. R. O. , but not every resident in an s. R. O. Meets the c. D. C. Definition of a close contact to covid, so thats where the risk stratification comes in. One the positivity in the building is high enough, we do consider the entire building is close contact, and we offer not require, but offer isolation and quarantine in hotels to all the resident. But for residents in a multiunit, multistory building with provide baths and provide kitchens where the person maybe got tests two weeks after their symptoms began and are no longer infectious, all of these things come into play and theres not an obligation to notify every Single Person in the building. So its complicated because theres so much rumor and theres so much fear around this infection in our community . And people hear things or they see things. They hear someone coughing, and they make assumptions. Its really hard to filter through that, and that is what our team is trying to do every day to make the best decisions for the folks in the building. So thats the first point around your decision to notify. The second point is, we were not notified of the case in the beginning of august, and we identified that as a highrisk building immediately, worked with our partners at mekos to get the fliers going up. Thats a community that needs a lot of additional support. We were back at that building today. Well probably be back at that building again next week, and its very upsetting. Theres older folks in the building, and its not what we want to see, but its what our attem team is here to respond to. I think our stratification did work. I am as disappointed as you that there is an outbreak at a building in chinatown, and the unfortunate thing with covid, again, is were experiencing a surge, and the only way to prevent it from affecting these buildings is to keep it from entering in the first place. The last point, your statement about owner versus property manager, i think we need to make changes to our process based on that feedback, and were very open to doing that and working with you to figure out how to do that. Chair peskin thank you, dr. Cohen. We can do that in public or in provi private the rest of this week. I do want to thank you for all of the work that you and your team and your colleagues are doing. And if i have one request or admonition, is the best people in this arent supervisors and yes, they are partly doctors and health professionals, but primarily, they are the folks in the community who have advocated for generations of folks who have lived in these buildings who have always been vulnerable but now are particularly vulnerable. And i am maybe proud is the wrong word, but deeply appreciative that as least as to the s. R. O. S in chinatown, those numbers remain below that 3. 38 and 3. 55 number. I not only want to keep that number down in chinatown, but i want to replicate that number with the Latinx Community in the mission, i want to replicate that number with the many communities that are lowincome disadvantaged in the tenderloin, and thats why thats so important and why ive pushed on this. Having said all of that, my admonition is the best people that you can work with are the representatives, the advocates of those communities, and i know youre committed to doing that, and i know youre committed to making all of this information public and transparent. And with that, if there are no comments or questions from supervisors safai or preston, i would like to make a motion to continue this to the call of the chair but intend to hear this no later than the first meeting in september. Hearing no objection, madam clerk, roll call, please. [roll call] clerk you have three ayes. Chair peskin thank you, madam clerk. Madam clerk, can you please read item number 2. Clerk yes. Item number 2 is an emergency ordinance to temporarily prohibit Construction Projects in buildings with any Residential Rental units that require the suspension of water or Utility Service to residential tenants without providing alternative sources of water and power or reaching an agreement with tenants due to the covid19 pandemic. Members of the public who wish to provide Public Comment on this item should call the number 4156550001, press 1462869171. Please press pound, and pound again, and press starthree to provide Public Comment. Chair peskin thank you, madam clerk. Members of the committee, we heard this item last week. Are there any members of the public who would like to provide Public Comment . Operator we have one caller. Chair peskin first speaker, please. Clerk hello, caller . Hello, caller . Operator the caller has unraised their hand. Chair peskin are there any other members of the public on this item number 2 . Operator there are no more callers on the line. Chair peskin and before i ask my colleagues for their questions, comments, and make a motion, i will say that there were some suggestions that were made with regard to removing from this shelter in place ordinance removing buildings that were undergoing seismic recei retrofits, and i will say i do believe our colleague, supervisor mandelman, is working on introducing legislation to extend the deadline of the fourth and final tier of those mandated retrofits, which is why i chose not to accommodate those potential amendments. And with that, i will turn it over to colleagues. Supervisor preston, or supervisor safai. I see supervisor safais physical hand up. Do you have any questions or comments . Supervisor safai yes. I appreciate that because that answered one of my questions today, chair peskin, about the seismic retrofit, so i think thats good. I think that can be very disruptive, similar to what youve referred to during this time of sheltering in place, of sheltering in peace. The one thing that gives me concern that i want to talk about with you is the mandatory fire system upgrades because that is something that weve talked about many years on this board. I know its something that youve put a lot of time and effort into. In regards to the conversation with s. R. O. S, a few years ago, we had that horrible fire in the mission where the systems were not upgrades, the sprinklers were not in, so it seems to me we would extend the seismic portion of this conversation, because it seems to me that were buying ourselves more time, but the seismic thing is something that could happen any time, and its something thats been happening very often in my district, or at least weve experienced quite a few fires in my district. Id like to hear what you have to say, but it seems like making an exemption for fire system upgrades would be a smart amendment, unless youre looking at another amendment. Chair peskin so let me just ask you, are you referring to thensupervisor, now governor newsoms sprinkler ordinance that i amended three or four years ago that requires certain buildings to install sprinkler systems because i believe that that ordinance has been fully or almost fully complied with. So i am not sure what you would like done . Supervisor safai i think there was something that we might have heard related to the fire alarm systems . Chair peskin right. So then, let me get to the my presentation of last week and my comments of last week, which is, number one, this ordinance says that if there is an interruption in water or Electrical Service more than two hours, accommodations have to be made to the tenant through the provision of water or alternate energy through a generator enough to power a computer and the wifi Service Associated there with. As i said last week, it is actually relatively anemic. I do not understand how the insertion of a fire alarm system would have to do with that hold on one second, supervisor. Supervisor safai yeah, thats fine. Chair peskin yeah. If they shutdown the power, youve got to put a generator up if its more than two hours to allow people to have a modicum of power during that time. I dont see that as a remarkable burden. Supervisor safai im not sure either, but i guess it was similar to what we were talking about last time. It could cause some ser certainly, it could cause people to have some pause if theres work to be done in other units. So maybe its similar to supervisor mandelman i know its not the best solution, but what im concerned about if workers have to go into other peoples units, which would be kind of a contradiction of shelter in place i think the deadline is coming up, july 1, 2021. Chair peskin you are absolutely right, and interestingly enough, ive incide interceded in a number of cases, as mr. Dicoscio knows of individuals who had to shelter in place in individual units. But i dont think any of that is implicated by this ordinance. This ordinance is quite narrow and quite specific. If youre shutting off the water and power for more than two hours, there are protocols for notice, and there are protocols for Replacement Energy or water. I dont think any of that implicates what youre bringing up. I think the larger question that we addressed had to do with receipt otrofits. We heard from a resident of genoa, and as youll recall, the reason that this item was continued one week was in and around the provisions around creation of large amounts of noise for folks who were sheltering in place to shelter in place. Supervisor safai right, of course. Chair peskin but i dont that any of that is implicated to the extent that youre raising it for firearm alarm systems. So to the extent that someone has to gain access to an individuals tenants unit, and it does not involve the shut off of water supervisor safai no, its that you have to enter the unit and shut off the power for a period. Chair peskin so the entrance is not implemented in this legislation. If the turning off of power requires notice and the provision of what could be a battery or could be a generator, i dont think any of that, respectfully, through myself, to you, are implicated through [inaudible]. Supervisor safai well, back to you, through to yourself, i think probably one of the things that might be worthwhile is also talking to supervisor mandelman because maybe its a deadline thing. I think the other thing that ive heard from folks that are concerned aboutface they want want about this is they want to comply with this ordinance, so maybe we can take this system and put it all together. Chair peskin these are extraordinary times, and we are putting in place extraordinary measures. I am happy to speak to supervisor mandelman and happy to speak with mr. Dicoscio as to whether he has any concerns with the current firearm alarm legislation. Supervisor safai okay. Chair peskin madam clerk, out of an abundance of caution, are there any members of the public who would like to speak . I will reopen item number 2. Clerk thank you, mr. Chair. D. T. Is checking to see if there are any callers in queue. Operator we have one caller in the queue. Chair peskin first speaker, please. Umm, yeah. I just have concerns that this legislation would, you know were having very difficult Economic Times right now, and so construction in some ways, this is a good time for construction because there are fewer people on the roads, and, and so, you know, we need to have that economic sort of get back to where people need jobs and allow people to go on. So i have concerns about the Economic Impacts of that, and yeah. Id rather construction being happening now as compared to when people dont need to be using the roads than later on in the future. And i believe that the concern about noise, people are concerned about noise, that they can go take a walk in the park or something, so yeah, thank you. Thats my comment. Chair peskin are there any other members of the public that would like to comment on item number 2. Operator we have one more caller. Chair peskin yes. Yeah. About this whole thing, its really going to hurt all the businesses and the contractors. They are the ones making a living doing instruction, and i just dont really see anything. We see everyones already leaving San Francisco, so i think there should be minimums, you know, like the building has to be occupied, enough of the apartments have to be occupied at any given time, Something Like that. There needs to be more leniency in this. Yeah, thats all i have to say. Thank you. Chair peskin thank you. Seeing no other members of the Public Comment, for the second time, Public Comment has been opened on this issue, Public Comment is closed, and i will say that to the previous two speakers, this is not road construction, my friends, this is construction in apartment buildings in a rent controlled city where we have seniors and lowincome individuals who actually cannot leave their house to go to the park. And respectfully, those were two of the more ignorant comments ive ever heard. With that, i would like to make a motion to send this to the full board with positive recommendation as a Committee Report. Madam clerk, a roll call, please. Clerk on the motion to sent the report [roll call] clerk you have three ayes. Chair peskin next item, please. Clerk yes. Item 3 is an ordinance amending the health code to establish cleaning and disease prevention standards and practices in Tourist Hotel and Large Commercial Office buildings to help contain covid19, or other contagious Public Health threats, to require training relates to these standards for employees, provide certain protections to employees as they perform cleaning duties, and prohibit retaliation against employees for refusing to perform work under conditions they believe may be unsafe or for reporting such conditions or exercising rights protected by the ordinance. Chair peskin thank you, ms. Major. Colleagues, i would like to continue, as i did, with item number 1, this item to the call of the chair but would like to schedule it, if we have a meeting on the 31st day of this month, if we do not, at our first meeting of september. If there are no questions and no objections, id like to open this up to Public Comment and continue this to the call of the chair. Madam clerk, are there any speakers on this item . Clerk thank you, mr. Chair. Sean from d. T. Is checking to see if there are any callers in queue. Sean, please let us know the status. Operator there are no callers in queue. Chair peskin seeing no Public Comment, Public Comment is closed. Id like to make a motion, pursuant to my earlier comments, continue this item to the call of the chair. Madam clerk, on that item, a roll call, please. Clerk on the motion to continue to the call of the chair [roll call] clerk you have three ayes. Chair peskin thank you, madam clerk. We are adjourned. [gavel] thank you. Thank you dr. Matthews. Item three is student delegates report. Greetings. I have the student delegates report for todays meeting on august 11th. Our first update is the cabinet and committee hello im San Francisco mayor london breed i want to thank everyone in San Francisco. Thank you for your patience, for your resilience and listening to our Public Health leaders. I know the last several months havent been easy for anyone. They certainly havent been easy for me. Everyday i hear about the struggles people are going through from friends from family members and from the community. While San Francisco has been a leader in the fight against this pandemic, everyday we suffer losses. People are losing their jobs, people are losing their grip on their Mental Health. Worst of all, people are losing family members to this disease. Even as we endure these losses, im hopeful for the future. These months of Public Health crises and social unrest has shown us that when we come together, we can have the hard conversations and make the tough choices to do what needs to be done. Not just save lives but to address systemic racism head on and change society as we know it. I know today is about our budget and our path forward. As we step into the future, one that im hopeful for, is important we take a moment to recognize where weve come from. At the beginning of this year, we were living in a different world. Our Unemployment Rate was at a historic low. Tourism was at alltime high. Hotels were full, we had all plans to shape the future of this city we all love. I know i have plans to address homelessness and housing, to reimagine our Mental Health system, to improve transportation and make our streets safer and build a more equitable city. To lift up those who too often are left behind. Like i said, we had lot of plans. What we didnt have plans for was the coronavirus. It certainly had plans for us. Here we are today in a very different San Francisco with Small Businesses closing and schools struggling to bring kids back to the classrooms. With over 180 thousands san francisc100 180,000 sanfrancr unemployment. We have seen San Francisco come together in a way that makes me proud. Proud to be mayor, yes, but also proud to be a san franciscan. We Work Together to make sure thousands of people had access to medical support, to testing, food and housing. We move forward emergency policies to protect tenant and businesses from eviction. Give people emergency sick leave and keep workers safe. We raised millions of dollars in donations through give to sf to support Small Businesses, workers and vulnerable residents. We think people organized to check on elderly neighbors and deliver groceries for those who cant leave the house. While Nursing Homes across the country have been devastated by this virus, we havent had a single death among the over 700 residents at laguana hospital. Weve seen Community Groups rise up to support our most vulnerable residents in the bayview and mission and other hard hit areas. Weve seen the spirit of San Francisco rise to meet this challenge to flatten the curve and then rise once again when the virus came back the second time. Today, we are proposing a balanced budget that closes that 1. 5 billion deficit. While still meeting the needs of our city. Through all of this, we continue to protect our public workforce. Let be clear, when we talk about 180,000 san franciscans applying for unemployment, not one of those people is doing so because of city cut their job. Not one. As our economy plummeted, we wanted our city workers to focus on their health and the health of their families and on serving our residents during this crises. Not on whether or not they would have a paycheck. With the budget im proposing today, i i want to continue to prevent all layoffs. But to do that, we need our labor partners to work with us. We need them to agree to delay any planned wage increases for two years. So far, we are having good conversations with the firefighters and the Police Officers on delaying their raises im hopeful other unions will agree to do the same. I dont think this is too much to ask. Our entire city is suffering now. We all need to do our part to hair in that sacrifice. I want to be very clear, if the union dont agree to delay their raises, then we will be forced to lay people off. We will be forced to cut city services. We dont want to see those unemployment numbers go up because we are forced into layoffs. Thats not what i want. Its not what anyone wants. Im hopeful that our labor partners will step up and work with us in the coming weeks. Because there is a lot we have to do with this budget. Including continuing to fund our ongoing Covid Response. We all know we are living with covid for the next year. Likely longer than that. San francisco has been a National Leader in responding to this pandemic, thanks to our efforts to follow the data, build a testing system from scratch, create a robust Contact Tracing team and provide food, support and shelter for our most vulnerable residents. We will keep doing everything we can to get this city through this pandemic. Hopefully the federal government will continue to provide the necessary support. We know the federal government wont cover everything. Thats why we are putting 93 million from our general fund towards supporting our continued Covid Response. This is a significant investment but honestly, its not really a choice. Without a strong and sustained Covid Response our students wont return to school, people wont go back to work and our economy wont recover. Even as we continue to wrestle with covid, we cant lose sight of other key priorities. Our homelessness crises didnt go with covid. Covid has made it even more challenging. I know people are frustrated with what they see on our streets. We have had to reduce capacity in our existing shelters by 70 leaving more people out on the streets. Our outreach workers continue to do very difficult work all while practicing social distancing. We met this challenge by moving thousands of people into hotel rooms, trailers, safe sleeping site and new emergency shelters. This work took an amazing effort from city staff and nonprofit partners, work that normally take months and years in planning and implementation done in a matter of weeks. The tenderloin alone we moved over 500 people. We are expanding those efforts oeffort neighborhoods like selma and the mission. While we are seeing some progress, frankly its clearly not enough. We need more than shortterm hotel rooms. We more than parking lots for safe sleeping sites. We need housing. Lots of housing. Thats why this budget funds 1500 new units Supportive Housing. Which is part of our homeless Recovery Plan to move 4500 people from hotels, shelters and the streets into housing in the next two years. It will help us as a city meet the needs of the unsheltered and our residents who are frustrated by the conditions they see everyday in our neighborhoods. We also cant lose the progress weve made on improving our Mental Health system. Including funding Mental Health sf. That means adding more Mental Health beds, expanding our Behavioral HealthAccess Center so people can get Immediate Care when they need it and improving the system of care so that people struggling with Mental Illness and addiction. Were also creating a new Crises Response Team so that when you call 911 or 311, because someone on the street is clearly having a mental breakdown, we can send a team which includes a paramedics, clinician and Behavioral Health peer. We need to shift the burden Mental Health response call away from the police its not fair to ask our officers to do the work of Mental Health professionals. Its not effective for those in crises. This is a key piece of our Police Reform efforts. In addition to doing the work to call for service, i laid out three other major areas for Police Reform. Addressing accountability and bias, getting rid of military grade weapon and equipment and redirecting Law Enforcement funding towards the Africanamerican Community. While all are important, its the last one i want to talk about today. As a black woman who grew up in poverty in this city, Police Brutality was all too common. It was something we expected and complaints were usually ignored. Two months ago, the murder of george floyd shook this country to its core. In a way that i have never seen before. People responded like i have never seen before. Seeing people not just africanamericans, rise up against Police Brutality gave me hope that real change in this country is possible. But for those who support this movement, for those who truly believe that black lives matter, its important that we listen to black voices. Its important that we allow black people to lead this movement. Im not just talking about me or any of our black elected leaders who have been fighting this fight for generations. I mean we have to listen to the people in the community. We have to listen to the people who have seen and lived the devastation resulting from decades of disinvestment. We have to listen to the people who dont come to city hall because theyve known too many broken promises, made by those in this building who believe they know what is best for black people in this city. Thats why the first thing supervisor Shamann Walton and i said, when we announced we wanted to reprioritize funding to support the black community, was that this had to be a communityled process. Earlier this week, the Human Rights Commission released an initial report that highlighted what the Community Wants us to focus on. This report is the first step in guiding not just the investments we make with this budget but the change we need to make in the years to come. Changing the inequities in our country wont happen overnight. We wont change the fact that africanamericans have the lowest Median Household Income in San Francisco overnight. We wont change the fact that black people have the highest mortality rate for nine of the top ten causes of death in San Francisco overnight. We wont change the fact that Graduation Rates for africanamerican students in our Public School system is just 53 . We wont change that overnight. We wont change the fact that nearly half of San FranciscoPolice Department used to force cases involve black people overnight. We will change these facts with this budget. We are listening to the community and prioritizing investments in the Africanamerican Community around housing, Mental Health and wellness, workforce development, economic justice, education, advocacy and accountability. As a first step in this effort, we will redirect 120 million from Law Enforcement to support these priorities over the next two years. Let me repeat that, this is 120 million. Its a first step. If we are going to make real change, we need to do the hard work. Its going to take all of us coming together, day after day, week after week, month after month, year after year. I often talk about how i overcame poverty, despair and vince to become violence to become mayor. My goal with these investments and this change in how we prioritize the black community is simple. I want my story, my experience to be the norm and not the exception. I want black girls growing up today to rise not in spite of their upbringing here in the city but because of it. I want black boys growing up today to thrive because we chose how to change the city and how this country treats our young black men. Not as a statistic or an tragedy but as an important part of our citys future. If we accomplished nothing more than that during my time as mayor, i will leave this office proud. I want to end by acknowledging the leadership of a few of the people who are central to this budget process. First, i want to thank board president norman yee and budget chair supervisor sandy fewer to continuing to be strong and collaborative leaders. Over the coming weeks, we will work with both of them and the board of supervisors to finalize this budget so that we can continue to deliver for the people of San Francisco. I want to thank controller ben rosen field for the work he and his team has put in as well as all the city departments who worked to find ways for us to close this deficit. Finally, i want to thank my budget team. Led by ashley golfenburgering. San francisco is lucky to have these two strong smart women leading this challenging process. Now at this time, i want to introduce ashley whos going to give us a short presentation on our budget. Good afternoon, thank you mayor breed. Im the mayors acting budget director. I like to thank the rest of the mayors Budget Office team who worked so hard to put this budget together under mayor breeds leadership. Today im happy to walk you through the details of the mayors fiscal year 2021 and 2 2122 budget. The total size of the proposed budget is 13. 7 billion in fiscal year 2021 and 12. 6 billion in fiscal year 202122. The fiscal year 2021 proposely budget represents a 1. 4 billion increase over the fiscal year 1920 budget primarily driven by one expenditure related to the covid19 pandemic which go away in the second year of the budget. The total proposed budget is made up of 7. 5 billion or 54 Nongeneral Fund expenditures which include enterprise and selfsupporting activities. 6. 2 or 46 of general Fund Expenditures. It is important to note that selfsupporting and Enterprise Funding are restricted and not eligible to be used to balance the citys General Fund Budget. These includes things like operations that are airport, the Public Utilities commission, port and the mta. It is also important to note that the 3. 9 billion of the 6. 2 billion in general Fund Expenditures are restricted by state and federal reimbursements and voter mandated services for children, transit and seniors. The remaining 2. 3 billion represents Discretionary Fund budget available to pay for the Public Services san franciscans rely on. The mayors proposed budget achieved four key objectives. It balances the budget responsibly, avoiding layoffs for City Employees and Major Service cuts, it makes progress on shared priorities of homelessness and Behavioral Health. It reinvest significant resources toward initiatives that support Racial Equity and identifying alternatives to policing and it maintains a robust importance to the covid19 pandemic. The mayors required by the charter to submit a balance twoyear budget. The proposed budget utilizes variety of one time and ongoing revenue and expenditures solutions to balance this projected shortfall while also investing in shared priority areas. The may 2020 joint report projected a 1. 5 billion twoyear General Fund Budget shortfall. Driven by stark revenue losses resulting from the Economic Impact of the covid19 emergency. In july, worsening Economic Conditions resulted in a further downgrade of revenue projections for the upcoming budget period. To overcome the shortfall, the mayors proposed budget utilizes reserves, new revenue and other savings. The mayors proposed budget utilizes 340 million from the citys main economic reserves during the budget period ensuring reserve balances remain in tact to hedge against future risk. The budget assumes ongoing excess reserve from the Educational Revenue Augmentation Fund or eraf to balance the shortfall. The proposed budget assumes 300 million that will become available with the passage of Business Tax Reform measure. In order to avoid layoffs and maintain critical city services, the mayor has asked the citys labor unions to defer scheduled wage increases over the period of the twoyear budget. The savings associated with that are reflected this proposed budget. Lastly, the mayors proposed budget assumed many citywide and departmental saving. It includes underfunding the citys Capital Equipment and i. T. Programs, only funding critical projects while deferring other new costs. This also includes savings offered by city departments that keep positions vacant and achieve other efficiencies all while avoiding layoffs and Major Service impacts. Taken together, these solutions equal 1. 9 billion over the two years. Despite the economic challenges we face, the mayors propose the budget is able to make over 300 million in targeted investments in priority areas. The mayors proposed budget invest general fund dollars in Behavioral Health and homelessness, maintaining the investments weve made in shelter, Navigation Centers and Behavioral Health beds while also feeding new general fund support such as the homeless rory plan and Mental Health sf which will be implemented through the passage of the november business tax measure. The proposed budget also reinvest 120 million in Law Enforcement funding over the next two years to support programs and services that benefit the Africanamerican Community and advance Racial Equity in our city. The proposed budget also seeks to prioritize youth investing 15 million in onetime support to the San FranciscoUnified School District to provide needed Financial Relief and support for vulnerable students. Lastly, the mayors proposed budget maintains robust response to the ongoing covid19 pandemic. Allocated 100 million in new general fund support. The mayors proposed budget is able to close the projected shortfall without layoffs and Minimal Service impacts. However, we are just beginning to see the effects of this recession and must remain vigilant of the risks that uncertainties that lie ahead. Before the pandemic, San Francisco had approximately 1 billion in reserves. The proposed budget will utilize about half of those reserves over the coming three years, leaving the remainder to hedge against significant risk that far exceed the remaining reserves. These risks include the failure of the november 2020 Business Tax Reform measure, which should not prevail could create 300 million shortfall. The proposed budget assumes that the city continues to receive fema reimbursements for eligible covid expenditures through the end of the fiscal year. Should the federal government declare the emergency over, the city would face a significant financial burden to continue to respond to covid. A prolonged worsening of the pandemic would negatively impact the citys finances both in the form of ongoing expenditures not planned for in this budget and in worsening conditions that can further slow economic recovery. While we believe the assumptions around access eraf and other state revenues are sounds, theres risk that worsening conditions that the state level can result in further losses of state revenue. Lastly, while this budget proposed ongoing solutions, the city still faces a structural deficit and must maintain reserves. To conclude, while the proposed budget balanced it is balance end on a number of asunshines that could fail to materialize which under underscores the importance maintain reserves to guard against these future risks. Thank you. Thank you ashley. Thank you again. Nothing about this pandemic is easy. Nothing is certain. I believe that the more transparent we are with the facts and the more honest we are with the challenges we face, the better off we will all be. I know we will get this budget passed. We will continue to keep people healthy and safe and we will get through this challenging time roll call