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DPH outlines $146M share of 2016 public‑health bond and coordination with UCSF and ZSFG projects
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Summary
DPH staff briefed commissioners on the department’s portion of a 2016 bond (about $146 million for DPH after transfers), management controls for change orders, project schedules for Zuckerberg San Francisco General and three community clinics, seismic impacts increasing retrofit costs, and coordination with an adjacent UCSF research building.
Department of Public Health staff presented a program-level update on the department’s projects funded through the 2016 public health and safety bond and described coordination with an adjacent UCSF research building.
Mark Primo, who described the department’s oversight structure, said DPH’s portion of the original $350 million bond is roughly $146 million after transfers. "This is highly unusual that a department whose core mission is different than building buildings... the amount of tension that this has been given is something that I wanted to share with you," Primo said, explaining the department’s biannual retreat and routine oversight meetings that fold into project reporting.
Staff outlined financial controls and change‑order approvals tied to project size: for projects over $10 million, director approval is required for change orders above $500,000 and lower thresholds apply to smaller projects. Mark Primo and Director Garcia described that this check‑and‑balance approach aims to control overrun risks.
Terry Saltz and Joe Chin reviewed ZSFG milestones: urgent‑care phase‑1 completion targets, OSHPD submissions for the public‑health lab and dialysis facilities, a large seismic retrofit touching hundreds of rooms, and physical‑therapy and surge‑space relocations. Chin said the seismic retrofit will require intrusive work (saw cutting, reinforcing columns with fiber‑reinforced polymer skins) and could be the most operationally disruptive component.
To improve coordination and economies of scale, staff proposed using a Construction Manager/General Contractor (CMGC) approach to bundle the seismic retrofit, public‑health lab, dialysis and IT infrastructure under a single contracting team. Joe Chin said the CMGC selection will include prequalification and RFP stages focused on cost and experience.
Paul Jenny, senior vice chancellor for finance at UCSF, presented UCSF’s Research and Academic Building timeline and site logistics. He described a roadway needed for emergency and ADA access between the proposed research building and the existing hospital, and said UCSF aims for regents consideration in fall or winter 2018–19, road work in 2019 and building occupancy no later than fall 2021. Primo and Jenny confirmed close coordination to avoid construction collisions and to sequence perimeter seismic work before roadway construction begins.
Commissioners requested quarterly progress reports; staff agreed to continue quarterly updates and to return with detailed timelines as projects move into construction.
