operating commitments based upon two consecutive years of less than 1% operating margin revenue. st. luke s provides emergency services for orthopedic injuries without the ability of a cast cart orcas technician to facilitate the care. this would easily this would be easy to remedy the administrators if the administrators have the will. if you break your arm and go to st. luke s, they can give you a splint, but no cast. without a nearby skilled nursing community, care by physicians and needed family contact with the patient is sacrificed. this must adequately be addressed. finally, psychiatric illnesses is an enormous problem in our society. witness the recent mass shootings due to lack of early intervention. hospitalization is necessary for the violently in klein. we cannot afford hospitals to deny need. before this agreement can proceed, it needs three weeks including psychiatric care, skilled nursing beds and the elimination of the 1% clause. thank you and again, as a ci
the amendment about the down payment, and that is also the amendment not about sort of the limit on the amount of down payment as system going to any individual borrower. so there is a requirement that the downpayment assistance is not a flat number of $200,000 but what is actually needed to make that purchase affordable, and it is ltd. to 45% of the price. limited to 45% of the price. the bar or gets a first loan at a local lending institution. i think we answered some of the questions raised about whether the local lenders are participating in our program. and in fact, we have increased we actually decreased the amount of the downpayment assistance recently from $100,000 to $70,000. this is our typical program. we did that because there was such a demand on the program and we want to try to serve as many people as possible. over time, this is a shared appreciation mortgage. so over time, the principal, the original $29 million, will be returned to the mayor s office of
commitment of operation that is mandatory. i think this is sort of an extraordinary thing. and we have provisions for that if it were to happen. the other thing is the master plan for health, and the question that some people have brought up is the delay that we can t really afford with the seismic question, and it could be a few years before we have the plan city-wide. 33% or more come from outside san francisco. we have a patient base that transcends and franciscos needs, and those needs have to be met equally by all the hospitals here, and we re building a new one out of mission bay right now. i am in favor of moving this forward and it is good to look at san francisco s needs city- wide in a health care master plan, but it does not control individual hospitals. of the master plan is not anticipated to be final for about another year. held the san francisco, understand the northeast medical service is one of the biggest providers for healthy san francisco. from what i
we move up and down the two-mile sequence. as we further design construction details, we will be working closely with cpmc to ensure that they re not conflicts or other ways to can accommodate to have construction that occurs during the same time. commissioner miguel: before you leave, i have found on transportation construction projects that there is often a time span prior where utilities, other things regarding preparing the street, particularly if you go to the center option, might be necessary. i presume that is being taken into consideration. would you comment on that? yes, thank you. good question. as we are moving further with project development, we have been coordinating closely with the san francisco public utilities commission and the department of public works. we re just about finished with a sewer televising for the length of van ness avenue to get an understanding of what type of utilities would need to be moved or reinforced, particularly the sewer which is