Loading...
HomeMy WebLinkAboutStaff Report 1339City of Palo Alto (ID # 1339) City Council Staff Report Report Type: Action ItemsMeeting Date: 6/6/2011 June 06, 2011 Page 1 of 15 (ID # 1339) Council Priority: {ResProject:ClearLine} Summary Title: SUMC-EIR & Entitlement Review Title: PUBLIC HEARING-QUASI JUDICIAL: Certification of the Final Environmental Impact Report for the Stanford University Medical Center Facilities Renewal and Replacement Project (SUMC Project); Adoption of a Resolution Containing California Environmental Quality Act Findings and a Statement of Overriding Considerations; Adoption of a Resolution Amending the Comprehensive Plan to Permit the SUMC Project; Adoption of an Ordinance Amending the Zoning Code to Establish a New “Hospital District”; Adoption of an Ordinance Approving a Thirty–Year Development Agreement; Adoption of a Record of Land Use Action Approving a Conditional Use Permit for the SUMC Project; Adoption of a Resolution Commencing Annexation of an Approximate 0.65 acre Site from Santa Clara County; Acceptance of SUMC Area Plan Update; and Adoption of a Resolution Approving Architectural Review Board Findings From:City Manager Lead Department: Planning and Community Environment RECOMMENDATION Staff and the Planning and Transportation Commission recommend that the City Council take the following actions regarding the Stanford University Medical Center Facilities Renewal and Expansion Project (SUMC Project): 1. California Environmental Quality Act A. Certify the Final Environmental Impact Report (the Final EIR was previously distributed to Council; an electronic version is available on the SUMC Project website; B.Adopt a resolution containing California Environmental Quality Act Findings and a Statement of Overriding Considerations (Attachment A); 2. Land Use A.Approve a resolution adopting changes to the Comprehensive Plan to recognize taller building heights at SUMC, to exclude hospital, clinic and medical school use areas from the citywide and area specific non-residential growth limits, and changes to the Comprehensive Plan Land Use Map (Attachment B); June 06, 2011 Page 2 of 15 (ID # 1339) B.Adopt an ordinance amending the municipal code to establish a new “Hospital” district and amending the sign code and tree code to be consistent with the Hospital Zone regulations (Attachment C); 3. Other Entitlements A.Adopt an ordinance approving a thirty–year development agreement between the City of Palo Alto and the Applicants that would grant certain development rights in exchange for certain public benefits (Attachment D); B.Adopt a Record of Land Use Action approving a conditional use permit that would allow specific hospital, medical office, and related uses in the Hospital District (Attachment E); C. Adopt a resolution approving Architectural Review (Attachment F) 4. Administrative A. Adoption a Resolution initiating the annexing of an approximate 0.65 acre site from Santa Clara County (Attachment G); B. Accept the SUMC Area Plan Update (Attachment H); and C. Review recommendations from the Planning & Transportation Commission from the meeting on May 11, 2011 and May 18, 2011, listed in the Board/Commission Review and Recommendations section below. PROJECT DESCRIPTION 1.Stanford Hospitals and Clinics Stanford Hospital provides both general acute care services and tertiary medical care for patients locally, nationally and internationally. Stanford Hospital and Clinics (SHC) contains the group practice of most faculty physicians of Stanford University School of Medicine. SHC is currently licensed by the State of California to operate 613 beds, but is currently operating at a 456 bed level. In order to viably meet current and future demand, its projected need requires an increase of 144 beds. The new Stanford Hospital has been designed by Rafael Vinoly Architects. A detailed description of the new Stanford Hospital is included in the P&TC report (Attachment K). Highlights of the new hospital’s architecture and design are included in Attachment R. A complete set of plans for the hospital is included in Electronic Attachment B.10. 2.Lucile Packard Children’s Hospital The existing LPCH facility requires expansion to serve additional children and families, and to accommodate modern healthcare standards. The expansion of the LPCH is designed to promote family-centered care and create welcoming and safe healing environments by balancing the hybrid needs of clinical research advancements with the specialized needs of pediatric and obstetric patients and their families. Perkins + Will in association with Hammel, Green and Abrahamson, Inc. (HGA) have designed the new addition LPCH. A detailed description of the LPCH is included in the P&TC report June 06, 2011 Page 3 of 15 (ID # 1339) (Attachment K). Highlights of the new children’s hospital’s architecture and design are included in Attachment R. A complete set of plans for the hospital is included in Electronic Attachment B.10. 3.Hoover Pavilion Site The Hoover Pavilion Site development includes the renovation of the existing Hoover Pavilion; construction of a new 60,000 square foot medical office building (MOB) northwest of the Hoover Pavilion; and construction of a new 55-foot high parking garage west of the Hoover Pavilion with 1,085 parking capacity that has six above-grade levels and three below-grade levels, along with site improvements and landscaping that would connect the medical office building, parking garage and Hoover Pavilion. WRNS Studio, LLP and Bellinger Foster Steinmetz Landscape Architects have designed the new MOB and parking structure and its landscaping respectively. A detailed description of the Hoover Pavilion Site is included in the P&TC report (Attachment K). Highlights of the site are included in Attachment R. A complete set of plans for the Hoover renovations, the MOB, and parking structure are included in Electronic Attachment B.10. 4.School of Medicine The site for the SoM replacement facilities is generally the site of the existing facilities to be replaced. Foundations in Medicine (FIM1) would be the first SoM building to be constructed as part of this project. The architect for FIM1 is Zimmer Gunsul Frasca Architects and Tom Leader Studio is the landscape architect. A detailed description of the FIM1 buildings is included in the P&TC report (Attachment K). In the first phase, only FIM1 would be built. FIMs 2 and 3 would be constructed later. Highlights of FIM1 architecture and design are included in Attachment R. A complete set of plans for FIM1 is included in Electronic Attachment B.10. 5.Surface Improvements for Welch Road The applicants have proposed surface improvements for Welch Road and Durand Way in order to accommodate the new SUMC Project. A detailed description of the surface improvements for Welch Road is included in the P&TC report (Attachment K). A complete set of plans for the improvements are included in Electronic Attachment B.10. 6.Design Guidelines The Medical Center Design Guidelines provide a basis from which to better understand the architectural implications of new projects within the four districts that make up the medical center. WRNS Studio LLP has prepared the design guidelines for the SUMC. A detailed description of the design guidelines is included in the P&TC report (Attachment K). The Design Guideline document itself is included in Electronic Attachment B.10. BOARD/COMMISSION REVIEW AND RECOMMENDATIONS The Planning and Transportation Commission (P&TC) reviewed the SUMC Project and its June 06, 2011 Page 4 of 15 (ID # 1339) components in a meeting on May 11, 2011, with a continued meeting on May 18. 2011. The P&TC recommended approval of all items listed above in the Recommendation section. The PTC recommendation was unanimous on all items with the exception of the certification of the Environmental Impact Report and Statement of Overriding Considerations, which resulted in a 5-1 vote in favor of approval. The PTC also made two categories of additional recommendations. The first category was addressed to particular provisions of the entitlement documents and the subject of separate votes. These items included clarifying language in the Comprehensive Plan to indicate that the tall building height was mitigated through ARB review and clarification that only development in the HD Zone was exempt from the development cap; clarifying language in the HD Zone Ordinance to indicate origin of tree numbers; and additional tree and construction outreach and communication plan conditions in the CUP. The second category of comments were recommendations for specific items to be considered by the City Council. The following is a summary of those comments with a City staff response. The excerpt verbatim minutes of May 18, 2011 contain the complete record of their action and recommendations (Electronic Attachment F). 1.Commission supported the condition of approval recommended by the ARB and HRB to replace the finial (a metal sculptural element) at the Hoover Pavilion tower. Staff Response: Architectural Condition #B.2.1 requires replacement of the finial. 2.Enforcement Plan for MMRP and Conditions of Approval (CUP) –Ensure that all costs associated with MMRP and CUP enforcement costs are recouped. Staff Response: CUP Condition #12 and Architectural Review Conditions #2 and #3 contain language for recouping of costs associated with condition and mitigation monitoring, as well as inspection activities. 3.Pre-construction monitoring/post-construction monitoring of intersections affected by the SUMC Project.Staff Response: CalTrans performs intersections analysis for El Camino Real on a regular basis. In addition, the SUMC EIR establishes baseline conditions for affected intersections. However, it would be difficult to identify intersection impacts specifically as a result of the SUMC project over time, in that current and future development apart from SUMC would contribute to impacts. It is City Staff’s position that no further conditions relating to intersection monitoring are necessary. 4.A communications plan shall be implemented to inform the public of tree removal activities as part of the SUMC construction activities.Staff Response: A public communication plan for construction activities, including the removal of trees, will be implemented as part of the Construction Impact Minimization Plan (CIMP), a document that is required to be approved by City Staff prior to the issuance of construction permits. The CIMP is required as part of CUP Condition #6, Mitigation Measure TR-1.8, June 06, 2011 Page 5 of 15 (ID # 1339) and Architectural Review Condition A.4.1. In addition SUMC has hired a full-time coordinator for the SUMC construction activities. 5.Examine whether 4.5% index used for yearly increases in the fund for healthcare services (Development Agreement, Page 18, Section 5(a)(ii), is appropriate. Also examine appropriateness of other indexes for payments to third parties and payment for capital costs. Staff Response: All indexes were items negotiated by the City and SUMC representatives. The index for healthcare takes into account present value calculations. It does not take into account a specific health care index. Attachment M to this Staff Report is a memo from the City’s economic consultant which analyzes alternative indexes and their historic performance for Council’s consideration. Staff does not recommend changes to the economic factors proposed in the draft Development Agreement. 6.A Historic Fund should be established as mitigation for the impacts of demolishing Stone Building. Staff Response: The MMRP contains mitigations that would reduce the impacts resulting from demolition of the Stone building, but not to a less-than-significant level (Mitigation Measures CR-1.1 through CR-1.5).If the fund were used to further mitigate the Stone building demolition it would have to be limited to other Stone buildings. Establishment of a broader based historic fund would need to be included as an item in the Development Agreement. This is a policy decision for the Council. 7.Review and update citywide impact fees and apply the updated fees to the SUMC Project. Staff Response: As is typical in a Development Agreement, the current draft of the Development Agreement provides limits on the City’s ability to impose increased fees on the projects. While this is a policy decision for the Council, additional citywide “nexus” fee studies would need to be prepared prior to updating the fees. It is staff’s opinion that the review and update of impact fees should not be tied to the SUMC project. 8.Any revenues collected for parking passes in excess of the capital costs required to construct parking garages should be used to fund the provision of Go Passes to SUMC employees. Staff Response: Currently, parking permit fees are used to fund Transportation Demand Management programs and efforts. The funding mechanism for parking garage construction is not based upon parking permit fee revenue. The requirements for the provision of Go Passes to SUMC employees are outlined in the Development Agreement and in the MMRP. 9.There should be one point of contact at SUMC for the multitude of tracking, reporting and other follow-ups required by the City.Staff Response: Staff concurs and this has requirement has been incorporated into Condition 6 of the Conditional Use Permit. As mentioned in Comment #4 above, SUMC has hired a full-time coordinator to direct construction related activities between SUMC and the City. June 06, 2011 Page 6 of 15 (ID # 1339) 10.Prepare a matrix of payments to be made by SUMC. Staff Response: Staff has prepared a payment matrix (Attachment I) that describes the specific Development Agreement payments and the anticipated timeline for receipt. 11.References to Planning and Transportation Commission exclusion from the any possible future Site and Design review process should be deleted from the Development Agreement.Staff Response: City Staff does not anticipate any Site and Design review process that would be required for future buildings, such as FIM2, FIM3 and the SHC Clinics. City staff has removed references excluding the Commission from future reviews and removing references to the Site and Design review process. The result is that future building would be required to follow the Architectural Review process as described in the Municipal Code. Staff concurs with recommendation numbers 1, 2, 4, 9, 10, 11 and where applicable has incorporated those recommendation into the approval documents. The remaining items are policy issues and require additional Council input. Attachment L contains the P&TC recommendations and staff reponses. CITY COUNCIL ROLE IN ENTITLEMENT REVIEW While the final recommendations on this Project have been bundled together for purposes of the Staff Report, Council’s actions fall into two distinct categories: (1) approval of the CEQA documents and (2) action on entitlements. Under CEQA, before the Council can take any action on the entitlements, it must first certify the legal adequacy of the FEIR. Environmental Review The Council as lead agency for preparation of the EIR has a duty to the public to ensure that the FEIR is adequate and complete. Council must certify that the FEIR complies with CEQA and reflects the lead agency’s independent judgment and analysis. Considerable deference is given to the Council’s factual determinations and such determinations must be upheld if supported by “substantial evidence” in light of the whole record. In the CEQA area, “substantial evidence” exists if there is enough relevant information and reasonable inferences from this information that a “fair argument” can be made to support a conclusion, even though other conclusions might also be reached. The law recognizes that EIRs are intended as information documents and need not be perfect in every respect. When an EIR identifies significant environmental impacts, the Council must make one of the following findings: (1) changes or alterations have been required in, or incorporated into, the project that avoid or substantially lessen the significant environmental effects; (2) such changes or alterations are within the responsibility and jurisdiction of another public agency that has adopted, or can and should adopt, such changes; or (3) specific economic, social, legal technological, or other considerations make infeasible the mitigation measures or project alternative identified in the EIR. Lastly, for all unmitigated environmental impacts, the Council must adopt a “Statement of Overriding Considerations”. This is a separate finding that the project’s anticipated benefits override the unmitigatable environmental impacts. Like the CEQA June 06, 2011 Page 7 of 15 (ID # 1339) findings discussed above, a Statement of Overriding Considerations is judged on the deferential “substantial evidence” test. Entitlement Review By approving the CEQA documents, the Council is not technically approving the project. In order to approve the project, the Council must take a series of additional legislative and quasi-judicial land use actions, collectively referred to as project entitlements. The Council has discretion to approve, deny or condition these project entitlements. The Conditional Use Permit and Architectural Review permit are quasi-judicial decisions, and as such the Council must make specific findings supporting their decisions on these items. The Council can impose conditions on these quasi-judicial permits, but any requirement for land dedication or payment of impact fees must be “roughly proportional” to the development’s impact. This strict “rough proportionality” requirement does not apply to development agreement terms. However, any term proposed in a development agreement must be mutually agreeable to the applicant. SUMMARY OF ENTITLMENTS The P&TC Report (Attachment K) contains detailed information on the requested entitlements. Below is a high level summary of the requested entitlement package. Comprehensive Plan Amendment Text modifications to the Comprehensive Plan are proposed to clarify proposed building height exceptions and commercial square footage limits for the SUMC to accommodate the proposed building heights. Specifically, the SUMC Project sponsors propose to modify Program L-3, and the City has proposed to modify Policy L-8. In both of the requested Comprehensive Plan modifications, the changes would affect only those sites at SUMC. If the City Council decided to approve the maximum height allowance as part of the HD, the modification to Policy L-3 would be consistent with the new regulations. Zoning Ordinance The SUMC Project would conflict with existing development restrictions in the PF district, such as FAR and height limits. The Applicants request creation of a new zoning district; the “Hospital District”; specifically designed for SUMC for hospitals and clinics, associated medical research, medical office, and support uses. This new zoning district would include development standards that accommodate the SUMC Project as proposed. The proposed boundaries of the new district are depicted in Attachment C, Exhibit A. The proposed zoning changes would resolve potential zoning inconsistencies associated with the SUMC Project. Please refer to the P&TC Report (Attachment K) for further details on the HD District. Development Agreement Based on preliminary input from the Council and the public, City staff proposed four major guiding principles governing negotiation of specific deal terms for a Development Agreement with the Applicant: June 06, 2011 Page 8 of 15 (ID # 1339) 1.Minimize fiscal impacts to the City. Ensure that the project does not have a negative fiscal impact on the City through focusing, among other things, on revenue guarantees and robust analysis of long term project expenses. 2.Require project mitigation. Ensure that zoning ordinance and Conditions of Approval adequately address all project mitigations. Ensure that the General Fund is not unfairly burdened with long term impacts of project. 3.Preserve community health care. Ensure that local benefits of hospital and clinics will be retained, while transitioning towards greater world class hospital status. 4.Enhance City infrastructure. Recognize mutual interest in preserving high standard of economic and community vitality. Partner with Stanford to fund the long-term infrastructure needs of the community (capital programs, housing, transportation, and broadband). Over the past two years, City staff has been meeting with the Applicants to negotiate the terms of the Development Agreement. An important component of the negotiations has been the fiscal analysis reports prepared by the City’s consultant, Applied Development Economics (ADE) and Stanford’s consultant, CBRE. A Draft Development Agreement is included as Attachment D and a more detailed discussion of these terms is contained in the April 20, 2011 Policy & Services staff report (Electronic Attachment C.3). The following points provide a summary of the Community Benefits and Project Mitigations as listed in the Development Agreement (Attachment D): Health Care and Patient Services Benefit 1.Health Care Services: Effective in 2025, Payment of $5,600,000 paid out over ten years to be used to assist residents of Palo Alto who have self-payment responsibilities beyond their financial means, to pay healthcare services. These funds shall be above and beyond SUMC’s existing charity care program and in addition to the federal Health Care program. The payment of this fund will be deferred in order to address the Cost Neutrality Agreement (see Fiscal section below). 2.Community Health Programs: One-time payment of $4,000,000 to be used for community based health and wellness programs. While the agreement provides the City with wide discretion to allocate these funds, the agreement specifically references that all or a portion of this payment may be applied to Project Safety Net. This will be paid 45 days after the effective date of the Development Agreement. Fiscal Payments The fiscal benefits that will be provided by Stanford includes a payment of $2.42 million to address projected deficit of project as analyzed by ADE; a Use Tax Direct Payment Permit of $750,000 over life of project to be obtained by Stanford, and a guarantee by Stanford that City will receive no less than $8.1 million in Construction Use Tax Revenue. As a result, these benefits will further the cost-neutrality goals as directed by the City Council. Reduced Vehicle Trips June 06, 2011 Page 9 of 15 (ID # 1339) 1.SHC and LPCH will provide GO Passes to their employees. Their estimated cost of this mitigation is approximately $91,000,000 over 51 years. The parties have mutually worked out a TDM program that will provide for alternate TDM measures and/or penalties in the event an aggressive 35.1% alternative mode share is not achieved or Caltrain service is eliminated as a result of ongoing financial difficulties. At the City’s request, the Hospitals have agreed to begin funding the GO Pass program in 2015, well before project buildout. 2.To address the enhanced GO Pass program, SUMC will purchase and operate four new Marguerite shuttles to support service to and from the train station. The capital and operational cost over 51 years is $24,950,000. 3.SHC and LPCH will provide a permanent TDM Coordinator at the Hospitals in an amount of $5,100,000 over 51 years. 4.The Hospitals will contribute to AC Transit to address potential capacity issues caused by the project and will lease parking spaces at Ardenwood Park and Ride to encourage employees of the hospital to use AC Transit and other transit options. The total cost of these additional transit measures is $5,095,000. Linkages The Applicants will fund various City improvements to enhance the pedestrian and bicycle connections, including enhanced pedestrian and bicycle connection for the Intermodal Transit Center to El Camino Real and Quarry; improvements to the ROW to enhance pedestrian and bicycle connection from west side of El Camino to Welch Road along Quarry Road, and improvements to enhance the pedestrian connection between the Medical Center and the Stanford Shopping Center in the area of the Barn. The total cost of these linkages is $3,350,000. Infrastructure Capital Fund The Applicants will provide $23,200,000, of which approximately $2,000,000 represents the housing fee required for the clinics and the balance to be used by the City in connection with other infrastructure, sustainable neighborhoods and communities and affordable housing programs. This fund could be used for a wide variety of important infrastructure projects. This payment will be made in three equal installments timed to the construction phases. Climate Change/Sustainable Communities The Applicants will make a contribution of $12,000,000 paid in three equal installments for use in projects and programs for a sustainable community also timed to the construction phases. As described above and in the Commission staff report, the community benefits and mitigations contained within the Development Agreement are consistent with the guiding principles used throughout the negotiating process. A number of community benefits suggested by the Council and members of the public are not included in the Development Agreement. Examples of these benefits include San Francisquito Creek upstream retention, a no-cost right-of-way easement at Bol Park with Stanford University, an extension of the El Camino Park lease, also with Stanford University, and a cooperative agreement with Stanford to provide a redundant power-supply transmission infrastructure. Although the value of these proposed benefits is understood, the focus of the negotiating team centered on cost-neutrality, healthcare benefits, development of June 06, 2011 Page 10 of 15 (ID # 1339) pedestrian linkages from SUMC to the transit center, automobile trip reductions, and an infrastructure fund. These benefits are recognized to be directly related to the objectives of the SUMC project. It is anticipated that the City will continue to work with Stanford University to address those community benefits that are not included in the Development Agreement. The City and Stanford differ in their valuation of the total benefit package in that Stanford characterizes some of the required mitigations as community benefits. While they are, in fact, mitigations, City staff recognizes that the bulk of the mitigations also have an overall community benefit. Likewise many of the community benefits enhance the overall project. In total, City staff has valued the total community benefit package to be approximately $43,646,512 and Stanford has valued it to be $174,769,500. See Attachment J. A summary of the Development Agreement payments is contained in Attachment I. Regardless of the differences in calculating the total benefits, staff agrees that the package responds to immediate needs and contributes to the overall health of our communities. Conditional Use Permit and Architectural Review The proposed HD Zone provides that hospital, clinic, office and private university use are conditionally permitted uses. This additional discretionary review allows the Council to ensure that the proposed uses are appropriate for the site and are compatible with each other as well as adjoining land uses. Likewise, architectural review provides another level of discretionary design review for the project. The Mitigation Monitoring and Reporting Program (MMRP) is incorporated into the CUP Conditions of Approval as well as the Development Agreement to better ensure its enforceability. Annexation Resolution and SUMC Area Plan Update A small portion of the Project site is currently located in Santa Clara County. In order to ensure that the site is located entirely in Palo Alto and ensure compliance with the Tri-Party Agreement between the County, City and Stanford regarding use of medical center land, an annexation is required. Attachment G initiates this annexation. The final Project entitlement is the Area Plan Update. Comprehensive Plan L-46 requires Stanford and the City to prepare an Area Plan that provides the framework for development within the Project boundaries. The bulk of this work was completed in Phase 1 of the project and the guiding principles were carried through project development and also codified in the Design Guidelines formulated by the Architectural Review Board with assistance from the City’s urban designer Bruce Fukuji. The Area Plan Update is a guidance document for the City, Stanford and the public to provide an overview and context for anticipated future development at the SUMC. The Area Plan Update is not intended to establish land use or development policies or standards,and is not intended to supersede the applicable policies, regulations, requirements and standards of the City’s Comprehensive Plan and Municipal Code. Please refer to the P&TC Report (Attachment K) for details on the different sections of the Area Plan Update. Staff recommends that the City Council find the Area Plan Update to be acceptable in satisfying Comprehensive Plan Program L-46. June 06, 2011 Page 11 of 15 (ID # 1339) POLICY IMPLICATIONS A detailed matrix showing Consistency with Comprehensive Plan Policies is included in Attachment E, Exhibit B. Land Use Designations The following changes to existing land use designations would be made through the Comprehensive Plan Amendment: ·SoM proposes annexation of the 0.65-acre parcel within Santa Clara County jurisdiction. This area would be annexed under the Major Institution/Special Facilities land use designation. The proposed FIM 1 building would be consistent with this designation. ·LPCH proposes that the 701 and 703 Welch Road parcels be converted from the Research/Office Park land use designation to the Major Institution/Special Facilities land use designation. The proposed LPCH expansion would be consistent with this new designation. Please refer to the P&TC Report (Attachment K) for further details on these sites. RESOURCE IMPACT ADE prepared a fiscal impact study of the project. Due to SUMC’s tax exempt status the projected revenues from the project were less than the City induced expenses. As discussed in the fiscal section above, the Development Agreement contains a cost neutrality agreement that will ensure that the project is fiscally neutral over time. ENVIRONMENTAL IMPACTS The previously released Draft EIR (May 2010) and the Responses to Comments document (Volumes I and II, February 2011) constitute the Final EIR. The responses and revisions in the Final EIR substantiate and confirm or correct the analyses contained in the Draft EIR. It should be noted that no new significant environmental impacts and no substantial increase in the severity of an earlier identified impact have resulted from responding to comments. The Final EIR was previously distributed to the City Council. The Final EIR is available on the SUMC Project website (www.cityofpaloalto.org/sumc). Resolution Certifying Final EIR and Approving Mitigation Monitoring and Reporting Program A resolution certifying the adequacy of the Final EIR and adopting the Mitigation Monitoring and Reporting Program (MMRP) is included for review as Attachment A. The CEQA Resolution summarizes the findings of the Final EIR and makes the necessary statutory findings required to certify the Final EIR. The MMRP contains a comprehensive list of mitigation measures for the project and designates the agency responsible for monitoring compliance. References to the MMRP are incorporated into the Project Conditions of Approval as well as the Development Agreement to ensure their enforceability. As the project involves certain impacts that cannot be mitigated, a Statement of Overriding Considerations (SOC) must be adopted by the City Council before it can approve the Project. A SOC represents the City Council’s views on the ultimate balancing of the merits of approving the Project despite the significant and unavoidable June 06, 2011 Page 12 of 15 (ID # 1339) environmental impacts identified in the FEIR. Please refer to the P&TC Report (Attachment K) for further details on the MMRP and SOC. Revisions to the Previously Identified Significant and Unavoidable Impacts As a result of responding to comments and initiating changes to the analysis in the Draft EIR, revisions to the previously identified significant and unavoidable impacts have been made as described in the Final EIR.Please refer to the P&TC Report (Attachment K) for details on each of these impacts. Significant and Unavoidable Impacts Most impacts identified for the SUMC Project would either be Less-Than-Significant (LTS) or could be mitigated to a LTS level. Twelve impacts remain significant and unavoidable for the Project which include increased average daily traffic in Menlo Park, construction-and operation-related air pollutant and noise impacts, removal of up to 74 protected trees and removal of a historical structure. Additionally, the analysis of the Tree Preservation Alternative included pile-driving activities during construction. It should be clarified that the Tree Preservation Alternative reduces the number of protected trees to be removed (62 in lieu of 74) and preserves all fifteen of the biological and aesthetic tree resources, 12 are to be retained in place and three will be relocated. Please refer to the P&TC Report (Attachment K) for a detailed discussion for all impacts. Statement of Overriding Considerations If the City Council decides to approve the SUMC Project, and if the SUMC Project as approved would result in significant impacts that could not be mitigated to less-than-significant levels, then the City Council must indicate that any such unavoidable impacts are acceptable due to overriding considerations. Pursuant to CEQA Guidelines Section 15093,a “Statement of Overriding Considerations” would balance the benefits of the SUMC Project against its unavoidable environmental effects. If the City Council finds that the benefits of the SUMC Project outweigh the impacts, then the adverse environmental effects may be considered acceptable. The Statement of Overriding Considerations document includes two categories of benefits from the amenities of the Project that would constitute “overriding considerations”: A.Amenities of the development of the Project itself, such as: a)Health Care b)Level 1 Trauma Center c)Seismic Safety B.Additional community benefits and other payments negotiated as part of the Development Agreement for the Project, which include: a)Health Care Services Funding b)Community Health programs c)Infrastructure Capital Fund d)Climate Change / Sustainable Communities June 06, 2011 Page 13 of 15 (ID # 1339) e)Cost Neutrality Payment f)Use Tax Direct Payment Permit The Statement of Overriding Considerations document is included in Attachment A. City of Menlo Park Menlo Park provided a comment letter on the DEIR and FEIR relating primarily to traffic issues. Following receipt of the comment letter on the FEIR, Stanford met with representatives of Menlo Park and entered into a side agreement which fully addressed Menlo Park’s issues. As a result, Menlo Park withdrew its comment letter on the FEIR. A summary of the traffic mitigations that SUMC will provide to Menlo Park is contained in Section 5(c)(ii) of the updated Development Agreement. In total Stanford will be providing $3,699,000 to Menlo Park. City of East Palo Alto On May 12, 2011, the City of East Palo Alto submitted a comment letter on the FEIR. This comment letter focused primarily on traffic impacts. On May 19, following the P&TC continued hearing, Rajiv Bhatia submitted a related comment letter on the FEIR. (These letters are contained in Attachment O.) Staff and SUMC representatives plan to meet with East Palo Alto to discuss these issues further and will provide updated information to the Council in the staff presentation. PUBLIC CORRESPONDENCE The chief executive officers of the hospitals and the dean of the school of medicine have submitted a letter regarding the SUMC Project review process, the goals of the Project, the Development Agreement, and upcoming next steps. This letter is contained in Attachment N. Other public correspondence is contained in Attachment P. ERRATA Replacement Table: Appendix T of Final EIR An error was discovered on a table presented in Appendix T of the Final EIR. Table 4-5 of Appendix C in the Draft EIR should have been updated to be consistent with Table 3.4-18 in the Final EIR. The incorrect table is on Page 19 of Appendix T. The corrected table is contained in Attachment Q. Staff believes that this is a clerical error that does not affect the traffic analysis within the Final EIR. Electronic Attachments This staff report references attachments that are available electronically on the SUMC Project website (www.cityofpaloalto.org/sumc) for the May 11, 2010 PTC meeting. These Attachments are designated as “Electronic Attachment” throughout this report. City Councilmembers have received these attachments on compact disc. The following are the attachments available in electronic format: A.Final EIR Documents 1.Final EIR Staff Report to PTC + supporting materials and responses June 06, 2011 Page 14 of 15 (ID # 1339) 2.Final EIR Review-PTC Meeting Minutes 3.Public Comment on Final EIR B.Architectural and Historic Review –Staff Reports and Minutes 1.Design Guidelines 2.LPCH 3.Welch Road 4.FIM1 5.Hoover Renovations 6.Hoover Site Development 7.SHC 8.Peer Review Memorandums prepared by Bruce Fukuji 9.Historic Review Board –Minutes 10.Final Project Plans C.Development Agreement Discussions with City Council 1.City Council January 31 Update Meeting: Staff Report and Minutes 2.March 15, 2011 Finance Committee Meeting: Staff Report and Minutes 3.April 20, 2011 Policy and Services Committee Meeting: Staff Report and Minutes D.Fiscal Report –ADE March 9, 2011 The following documents are not on the compact disc, but are available on the SUMC Project website (www.cityofpaloalto.org/sumc): E.Final EIR, previously distributed to Council F.May 11 and May 18, 2011 PTC Excerpt Minutes ATTACHMENTS: ·Attachment A: Resolution Certifying Adequacy of CEQA FIndings and Adopting MMRP (PDF) ·Attachment B: Resolution Amending L-3 and L-8 of Comprehensive Plan (PDF) ·Attachment C: Ordinance Adding PAMC Section 18.36 (HD Zone) and Related Amendments (PDF) ·Attachment D: Ordinance Approving Development Agreement (PDF) ·Attachment E: Record of Land Use Regarding CUP (PDF) ·Attachment F: Resolution Approving Architectural Review (PDF) ·Attachment G: Resolution Initiating Annexation(PDF) ·Attachment H: Area Plan (PDF) ·Attachment I: Summary of Development Agreement Payments (PDF) ·Attachment J: Comparison of Development Agreement and Mitigations (PDF) ·Attachment K: P&TC Staff Report of May 11, 2011 (w/o attachments)(PDF) June 06, 2011 Page 15 of 15 (ID # 1339) ·Attachment L: P&TC Recommendations from May 11 and May 18 Meetings (PDF) ·Attachment M: ADE Inflation Index Memo (PDF) ·Attachment N: Correspondence from Stanford (PDF) ·Attachment O: Correspondence from City of East Palo Alto (PDF) ·Attachment P: Correspondence from Public (PDF) ·Attachment Q: Corrected Table 4-5 for FEIR Appendix T (PDF) ·Attachment R: Project Plans Highlights (for Councilmembers only under separate cover) (PDF) Prepared By:Steven Turner, Advance Planning Manager Department Head:Curtis Williams, Director City Manager Approval: James Keene, City Manager Not Yet Approved 1 110601 jb 0130719 Resolution No _________ Resolution of the Council of the City of Palo Alto Certifying the Adequacy of the Final Environmental Impact Report for the Stanford University Medical Center Facilities Renewal and Replacement Project Pursuant to the California Environmental Quality Act and Adopting the Mitigation Monitoring and Reporting Program and the Statement of Overriding Considerations The Council of the City of Palo Alto does RESOLVE as follows: SECTION 1. Introduction and Certification. (a) The City Council of the City of Palo Alto (“City Council”), in the exercise of its independent judgment, makes and adopts the following findings to comply with the requirements of the California Environmental Quality Act (“CEQA”; Pub. Resources Code, §§ 21000 et seq.), and Sections 15091, 15092, and 15093 of the CEQA Guidelines (14 Cal. Code Regs., § 15000 et seq.). All statements set forth in this Resolution constitute formal findings of the City Council, including the statements set forth in this paragraph. These findings are made relative to the conclusions of the City of Palo Alto Stanford University Medical Center (“SUMC”) Facilities Renewal and Replacement Final Environmental Impact Report (State Clearinghouse No. 2007082130) (the “Final EIR”), which includes the Draft Environmental Impact Report (“Draft EIR”), Public Comments, and Responses to Comments. The Final EIR addresses the environmental impacts of the implementation of the Stanford University Medical Center Facilities Renewal and Replacement Project (the “Project”, as further defined in Section 2(b) below) and is incorporated herein by reference. These findings are based upon the entire record of proceedings for the Project. (b) Mitigation measures associated with the potentially significant impacts of the Project will be implemented through the Mitigation Monitoring and Reporting Program described below, which is the responsibility of the City. (c) The City of Palo Alto is the Lead Agency pursuant to Public Resources Code section 21067 as it has the principal responsibility to approve and regulate the Project. Stanford Hospital and Clinics, Lucile Packard Children’s Hospital at Stanford and Stanford University (hereafter collectively, “SUMC Project sponsors”) are the Project applicants. (d) The City exercised its independent judgment in accordance with Public Resources Code section 20182.1(c), in retaining the independent consulting firm PBS&J to prepare the Final EIR, and PBS&J prepared the Final EIR under the supervision and at the direction of the City’s Director of Planning and Community Environment. (e) The City, through PBS&J, initially prepared the Draft EIR and circulated it for review by responsible and trustee agencies and the public and submitted it to the State Not Yet Approved 2 110601 jb 0130719 Clearinghouse for review and comment by state agencies, for a comment period which ran from May 20, 2010, through June 27, 2010. As noted above, the Final EIR includes the Draft EIR, copies of all comments on the Draft EIR submitted during the comment period, the City’s responses to those comments, and changes made to the Draft EIR following its public circulation. (f) The City’s Planning and Transportation Committee has reviewed the Final EIR and a draft of these findings and has provided its recommendations to the City Council regarding certification of the Final EIR. The City Council has independently reviewed the Final EIR and has considered the Planning and Transportation Committee’s recommendations in making these findings. (g) Based upon review and consideration of the information contained therein, the City Council hereby certifies that the Final EIR was completed in compliance with CEQA, and reflects the City of Palo Alto’s independent judgment and analysis. The City Council has considered evidence and arguments presented during consideration of the Project and the Final EIR. In determining whether the Project may have a significant impact on the environment, and in adopting the findings set forth below, the City Council certifies that it has complied with Public Resources Code sections 21081, 21081.5, and 21082.2. (h) Section 6 of the Final EIR shows all revisions which the Final EIR made to the Draft EIR. Having reviewed this section and the Final EIR as a whole, the City Council hereby finds, determines, and declares that no significant new information has been added to the Final EIR so as to warrant recirculation of all or a portion of the Draft EIR. Likewise, the City Council has considered all public comments and other information submitted into the record since publication of the Final EIR, and further finds that none of that additional information constitutes significant new information requiring recirculation of the Final EIR. SECTION 2. Project Information. The following Project information is supplied to provide context for the discussion and findings that follow, but is intended as a summary and not a replacement for the information contained in the Draft EIR, Final EIR, or Project approvals. (a) Project Objectives The Project Objectives of both SUMC Project sponsors in proposing the Project and the City in approving the Project are set forth in Section 2.3 of the Draft EIR, which is incorporated herein by reference. (b) Project Description The Project is the demolition, replacement, expansion, and development of new medical facilities at the SUMC Sites, which are comprised of the 56-acre Main SUMC Site and 9.9-acre Hoover Pavilion Site. The SUMC Project would demolish approximately 1.2 million square feet of existing buildings at the SUMC Sites and construct approximately 2.5 million Not Yet Approved 3 110601 jb 0130719 square feet of hospital, clinic, and research facilities, for a net increase of about 1.3 million square feet of hospital and clinic uses (research space would not increase). In addition, other existing buildings would be renovated to meet seismic standards, and approximately 2,053 net new parking spaces would be added to the sites. The Project is located on two sites that are collectively about 66 acres: the approximately 56-acre Main SUMC Site and the approximately 9.9-acre Hoover Pavilion Site. The Main SUMC Site is located mainly in the City of Palo Alto, south of Sand Hill Road and is primarily bounded to the north and east by Welch Road, to the south by Quarry Road, and to the west by Stanford University lands. A 0.75-acre portion of the Stanford University School of Medicine area within the Main SUMC Site is located in unincorporated Santa Clara County, and is proposed for annexation to the City of Palo Alto. The Hoover Pavilion Site is about 1,700 feet east of the Main SUMC Site, at the southwestern corner of Quarry Road and Palo Road. A complete description of the Project as originally proposed by the SUMC Project sponsors is set forth in Section 2 of the Draft EIR (as amended on pages 6-71 to 6-72 of the Final EIR). In addition, a description of the Tree Preservation Alternative is located at pages 5-15 through 5-22 of the Draft EIR (as amended on pages 6-128 through 6-130 of the Final EIR). As further discussed later herein, the City is approving the Tree Preservation Alternative, with certain components of the Village Concept Alternative incorporated, rather than the Project as originally proposed. Thus, as used in these Findings, the term “Project” is intended to reference the Tree Preservation Alternative and includes the following linkages components of the Village Concept Alternative and Mitigation Measure TR-6.1. Provision of a connection from the planned Everett Avenue bicycle and pedestrian undercrossing to the El Camino/Quarry Road intersection. Once the tunnel is completed, this linkage will provide a direct connection between the SUMC Project sites and Downtown North. To implement this linkage component, the SUMC Project sponsors will provide $2,250,000 for the City to construct these improvements.  Creation of an enhanced bicycle and pedestrian connection between the Stanford Shopping Center and SUMC (through the Stanford Barn area). The connection will provide an alternative route to Quarry Road, which is auto dominated. This connection will extend between Vineyard Lane and Welch Road. Pedestrian traffic signals and crosswalks shall be placed at the crossing of Vineyard Lane and Welch Road. The crosswalk will be enhanced, either by striping or by the use of contrasting paving. To implement this linkage component, the SUMC Project sponsors will construct these improvements at a cost of up to $700,000.  Enhanced signalized intersections in the Project vicinity, particularly along Quarry Road, Vineyard and Welch Roads to include 12-foot pedestrian crosswalks on all legs, with textured or colored paving or diagonal or longitudinal zebra striping as determined by the City, pedestrian push buttons and countdown pedestrian signal heads, and other specific improvements that are determined as necessary during the design Not Yet Approved 4 110601 jb 0130719 process, such as median refuge islands, advanced signing, flashing beacons, in-pavement lighting, etc. To implement this linkage component, in combination with the Quarry Road corridor linkage component set forth below, the SUMC Project sponsors will provide a total of $400,000 for the City to construct these improvements.  Incorporation into the Quarry Road corridor, from El Camino Real to Welch Road, of improvements to and within the public right-of-way to enhance the pedestrian and bicycle connection, including urban design elements and way finding, wider bicycle lanes as necessary, on Quarry Road, enhanced transit nodes for bus and/or shuttle stops, and prominent bicycle facilities. To implement this linkage component, in combination with signalized intersections linkage component set forth above, the SUMC Project sponsors will provide a total of $400,000 for the City to construct these improvements. (c) Required Approvals The approvals required by the City as lead agency for implementation of the Project include: A. Adoption of Comprehensive Plan Amendments as follows: 1. to redesignate 701 and 703 Welch Road from the Research/Office Park land use designation to the Major Institution/Special Facilities land use designation; 2. to apply the Major Institution/Special Facilities land use designation to the proposed annexation of the 0.75 acre property within Santa Clara County jurisdiction; 3. to include language that new Hospital zoning would allow buildings to exceed 50 feet in height; 4. to amend Policy L-8 to clarify that the City-wide cap on non- residential development does not apply to SUMC hospital, clinic, and medical school uses; B. Acceptance of the Stanford University Medical Center Area Plan, pursuant to Comprehensive Plan Program L-46; C. Creation of a new “Hospital District” (HD) Zone for the SUMC Sites in the Palo Alto Zoning Code that could be applied by the City to land uses specifically for hospitals, associated medical research, medical office and support uses; Not Yet Approved 5 110601 jb 0130719 D. Conditional Use Permits as necessary within the new Hospital District zone; E. Amendment to Palo Alto Municipal Code Section 8.10 to recognize and cross reference the Hospital District Ordinance; F. Annexation and prezoning of a 0.75-acre property at the northwest corner of the Main SUMC Site to the new zone; G. Rezoning of 701 and 703 Welch Road to the new HD Zone; H. Architectural review for development of the SUMC Project, including design guidelines; I. Approval of a Development Agreement, if one can be mutually agreed upon by the City and SUMC Project sponsors; J. Approval of permits to remove or relocate approximately 62 Protected Trees, in accordance with the requirements of the HD Zone. K. Issuance of building, grading, and other ministerial permits necessary for construction of the Project. The approvals required by the other responsible agencies for implementation of the Project include: A. Regional Water Quality Control Board (RWQCB), coverage under the General Construction Permit by preparation of a NOI and SWPPP. Possible approval of an individual National Pollutant Discharge Elimination System (NPDES), if major dewatering is required; B. State of California, Office of Statewide Health Planning and Development (OSHPD), approval of construction for the acute care portions of the SUMC Project. SUMC Project plans would also need to be reviewed for compliance with fire safety codes by the State Fire Marshal; C. State of California, Department of Health Services (DHS), operating licenses; D. State of California, Department of Radiological Health Services (DRHS), design review and operating licenses of shielded areas; and E. Bay Area Air Quality Management District (BAAQMD), approval of remediation of existing hazardous materials, operational ventilation related to hazardous materials and permit approvals for emergency generators and any other stationary sources. SECTION 3. Record of Proceedings. Not Yet Approved 6 110601 jb 0130719 (a) For purposes of CEQA, CEQA Guidelines section 15091(e), and these findings, the Record of Proceedings for the Project consists of the following documents, at a minimum: (1) The Final EIR, which consists of the Stanford University Medical Center Facilities Renewal and Replacement Draft Environmental Impact Report, published and circulated for public review and comment by the City from May 20, 2010 through July 27, 2010 (the “Draft EIR”), and the Stanford University Medical Center Facilities Renewal and Replacement Final Environmental Impact Report, published and made available on February 11, 2010, and all appendices, reports, documents, studies, memoranda, maps, testimony, and other materials related thereto; (2) All public notices issued by the City in connection with the Project and the preparation of the Draft EIR and the Final EIR, including but not limited to public notices for all public workshops held to seek public comments and input on the Project and the Notice of Preparation, Notice of Completion, Notice of Availability; (3) All written and oral communications submitted by agencies or interested members of the general public during the public review period for the Draft EIR, including oral communications made at public hearings or meetings held on the Project approvals; (4) The Mitigation Monitoring and Reporting Program; (5) All findings and resolutions adopted by the City Council in connection with the Project, and all documents cited or referred to therein; (6) All final reports, studies, memoranda, maps, staff reports, or other planning documents relating to the Project prepared by the City of Palo Alto, consultants, or responsible or trustee agencies with respect to the City of Palo Alto’s compliance with the requirements of CEQA, and with respect to the City of Palo Alto’s actions on the Project, including all staff reports and attachments to all staff reports for all public meetings held by the City; (7) Minutes and/or verbatim transcripts of all public meetings and/or public hearings held by the City of Palo Alto in connection with the Project; (8) Matters of common knowledge to the City of Palo Alto, including, but not limited to, federal, state, and local laws and regulations; (9) Any documents expressly cited in these findings, in addition to those cited above; and Not Yet Approved 7 110601 jb 0130719 (10) Any other materials required to be in the record of proceedings by Public Resources Code section 21167.6(e). (b) The custodian of the documents comprising the record of proceedings is the Director of Planning and Community Environment, City of Palo Alto, 250 Hamilton Avenue, Palo Alto, California, 94301. (c) Copies of all of the above-referenced documents, which constitute the record of proceedings upon which the City of Palo Alto’s decision on the Project is based, are and have been available upon request at the offices of the Planning and Community Environment Department, City of Palo Alto, 250 Hamilton Avenue, Palo Alto, California, 94301, and other locations in the City of Palo Alto. (d) The City of Palo Alto has relied upon all of the documents, materials, and evidence listed above in reaching its decision on the Project. (e) The City Council hereby finds, determines and declares that the above- referenced documents, materials, and evidence constitute substantial evidence (as that term is defined by section 15384 of the CEQA Guidelines) to support each of the findings contained herein. SECTION 4. Mitigation Monitoring and Reporting Program. (a) CEQA requires the lead agency approving a Project to adopt a Mitigation Monitoring and Reporting Program (MMRP) for the changes made to the Project that it has adopted in order to mitigate or avoid significant effects on the environment. An MMRP has been prepared and is recommended for adoption by the City Council concurrently with the adoption of these findings to ensure compliance with mitigation measures during Project implementation. As required by Public Resources Code section 21081.6, the MMRP designates responsibility and anticipated timing for the implementation of the mitigation measures recommended in the Final EIR. The MMRP will remain available for public review during the compliance period. (b) The City Council hereby adopts the MMRP for the Project attached hereto and incorporated by reference, and finds, determines, and declares that adoption of the MMRP will ensure enforcement and continued imposition of the mitigation measures recommended in the Final EIR, and set forth in the MMRP, in order to mitigate or avoid significant impacts on the environment. SECTION 5. Impacts Determined to be Less Than Significant. By these Findings, the City Council ratifies and adopts the Final EIR’s conclusions for the following potential environmental impacts which, based on the analyses in the Final EIR, this City Council determines to be less than significant, or to have no impact: 3.2 Land Use Not Yet Approved 8 110601 jb 0130719 LU-2. Conflicts with Established Residential, Recreational, Educational, Religious, or Scientific Uses in the Area. The SUMC Project would not conflict with residential, recreational, educational, religious or scientific uses. LU-3. Physical Division of an Established Community. The SUMC Project would not physically divide an established community. LU-4. Farmland Conversion. The SUMC Project would have no impact on conversion of farmland to non-agricultural uses. LU-6. Cumulative Impacts on Changes to Overall Existing or Planned Land Uses in the Area. The SUMC Project, in combination with other reasonably foreseeable probable future development in the area, would have a less-than-significant cumulative impact on overall existing or planned land uses in the vicinity of the SUMC Sites. 3.3 Visual Quality VQ-4. Terrain Modifications. The SUMC Project would not require substantial terrain modifications that would degrade the visual character of the SUMC Sites. VQ-6. Shadowing of Public Open Space. The SUMC Project would not substantially shadow public open space (other than public streets and adjacent sidewalks) between 9:00 a.m. and 3:00 p.m. from September 21 to March 21. VQ-7. Cumulative Impacts on Visual Character. The SUMC Project, in combination with other reasonably foreseeable probable future development in the area, would have a less than significant cumulative impact on visual character in the vicinity of the SUMC Sites. VQ-8. Cumulative Impacts on Sensitive Views. The SUMC Project, in combination with other reasonably foreseeable future development in the area, would have less than significant cumulative impacts on sensitive views. VQ-9. Cumulative Light and Glare. The SUMC Project, in combination with other reasonably foreseeable probable future development in the area, would be subject to Architectural Review and Municipal Code, and County requirements pertaining to light and glare. Impacts would therefore be less than significant. VQ-10. Cumulative Shadows. Shadows from the SUMC Project are not expected to combine with shadows from other nearby reasonably foreseeable probable future development. There would be no cumulative impacts. 3.4 Transportation TR-5. Freeway Impacts. The SUMC Project would result in less than significant impacts on freeways. Not Yet Approved 9 110601 jb 0130719 TR-7. Transit Impacts. Implementation of the SUMC Project would not impede the operation of the transit system as a result of increased ridership, and thus would not result in a significant impact. TR-8. Parking Impacts. The SUMC Project would provide adequate parking for its demand, and would thus have a less than significant parking impact. TR-11. Cumulative Transit Impacts. Cumulative growth would result in a less than significant cumulative impact on transit services. 3.5 Air Quality AQ-3. Localized Carbon Monoxide Impacts from Motor Vehicle Traffic. The SUMC Project would have less than significant localized air emissions resulting from additional traffic. AQ-4. Toxic Air Contaminants. Simultaneous exposures to DPM and TACs from the construction and operational components of the SUMC Project would have a less than significant impact on air quality. AQ-5. Objectionable Odors. The SUMC Project would have a less than significant impact related to exposing the public to objectionable odors that would affect a substantial number of people. AQ-8. Cumulative Construction and Operational TAC Emissions. SUMC Project TAC emissions and TAC emissions from other sources within a 1,000-foot zone of influence of the Main SUMC site, would have a less-than-significant cumulative impact on air quality under the criteria set by the BAAQMD’s 2010 CEQA Guidelines. 3.6 Climate Change CC-2. Greenhouse Gas Emissions. Implementation of the proposed Emissions Reduction Program along with regulations adopted after the CARB Scoping Plan, would reduce emissions associated with the Project to more than 30 percent below BAU. Therefore, greenhouse gas emissions from the Project would not result in a cumulatively considerable contribution to global climate change. 3.7 Noise NO-6. Cumulative Construction Vibration Impacts. Vibration during construction activities under the cumulative scenario would result in a less than significant cumulative impact. NO-7. Cumulative Operational Transportation Source Noise Impacts. Cumulative development would result in less than significant cumulative noise impacts. Not Yet Approved 10 110601 jb 0130719 NO-8. Cumulative Operational Stationary Source Noise Impacts. Cumulative development would not result in a significant increase in cumulative noise levels from operational stationary sources at sensitive receptors. 3.9 Biological Resources BR-2. Loss of Riparian or Other Sensitive Habitats, Including Wetlands as Defined by Section 404 of the Clean Water Act. Construction of the SUMC Project would have a less than significant impact on riparian or other sensitive habitat resources, including wetlands. BR-5. Conflict with any Applicable Habitat Conservation Plan or Natural Community Conservation Plan. The SUMC Project would have no impact on any applicable Habitat Conservation Plan or Natural Community Conservation Plan. BR-6. Cumulative Impacts on Special-Status Wildlife Resources. The SUMC Project, in combination with other foreseeable development, would have a less than significant impact on Special-Status Plant Resources. BR-7. Cumulative Loss of Riparian or Other Sensitive Habitats, Including Wetlands as Defined by Section 404 of the Clean Water Act. Cumulative impacts on riparian or other sensitive habitats could be significant. However, the SUMC Project’s contribution to the cumulative impact would be less than cumulatively considerable. BR-8. Cumulative Interference with the Movement of Any Native Resident or Migratory Fish or Wildlife Species or With Established Native Resident or Migratory Wildlife Corridors, or Use of Native Wildlife Nursery Sites. Cumulative interference with movement of resident or migratory species or with established migratory corridors could be significant. However, the SUMC Project’s contribution to the cumulative impact would be less than cumulatively considerable. 3.10 Geology GS-1. Exposure to Seismic-Related Hazards. The SUMC Project would have a less than significant potential to expose people or structures to substantial adverse effects, including the risk of loss, injury, or death involving rupture of a known earthquake fault, strong seismic ground shaking, seismic-related ground failure (including liquefaction), landslides, expansive soil, or major geologic hazards that cannot be mitigated through the use of standard engineering design and seismic safety techniques. GS-2. Exposure to Other Geotechnical Hazards. The SUMC Project would have a less than significant potential to be located on geologic units or on soil that is unstable, or that would become unstable as a result of the Project and potentially result in on- or off-site landslide, lateral spreading, subsidence, liquefaction, or collapse. GS-3. Cause Substantial Erosion or Siltation. The SUMC Project would have a less than significant potential to cause substantial erosion or siltation. Not Yet Approved 11 110601 jb 0130719 GS-4. Cumulative Exposure to Substantial Erosion or Siltation. The SUMC Project, in combination with other foreseeable development in the San Francisquito Creek Watershed, would not substantially increase erosion or siltation because of State, federal, and local runoff and erosion prevention requirements. As a result, the cumulative impact would be less than significant. 3.11 Hydrology HW-1. Flood Risk and Flood Flows. The SUMC Project would have no impact on flood risk or flood flows. HW-2. Groundwater Recharge and Local Water Table. The SUMC Project would have a less than significant impact on groundwater recharge and the local groundwater table level. HW-4. Stormwater Runoff and Erosion. The SUMC Project would have a less than significant impact on stormwater runoff and erosion. HW-5. Flooding and Stormwater Conveyance Capacity. The SUMC Project would have a less than significant impact on flooding and stormwater conveyance capacity. HW-6. Streambank Instability. The SUMC Project would have a less than significant impact on streambank instability. HW-7. Degradation of Surface Water Quality. The SUMC Project would have a less than significant impact on degradation of surface water quality. HW-8. Dam Failure Inundation. The SUMC Project would have a less than significant impact regarding dam failure inundation. HW-9. Violation of Any Water Quality Standards or Waste Discharge Requirements (WDRs). The SUMC Project would have a less than significant impact regarding water quality standards or WDRs. HW-10. Cumulative Groundwater Recharge and Local Water Table. The SUMC Project, in combination with reasonably foreseeable probable future development, would have a less than significant cumulative considerable impact on groundwater recharge and the local groundwater table. HW-11. Cumulative Groundwater Quality Impacts. The SUMC Project, in combination with reasonably foreseeable probable future development, would have a less than significant cumulative impact on groundwater quality. HW-12. Cumulative Stormwater Runoff and Erosion. The SUMC Project, in combination with reasonably foreseeable probable future development, would have a less than significant cumulative impact on stormwater runoff and erosion. Not Yet Approved 12 110601 jb 0130719 HW-13. Cumulative Flooding and Stormwater Conveyance. The SUMC Project, in combination with reasonably foreseeable probable future development, would have a less than significant cumulative impact on stormwater runoff and erosion. HW-14. Streambank Instability. The SUMC Project, in combination with reasonably foreseeable probable future development, would have a less than significant cumulative impact on streambank instability. HW-15. Degradation of Surface Water Quality. The SUMC Project, in combination with reasonably foreseeable probable future development, would have a less than significant cumulative impact on degradation of surface water quality. HW-16. Dam Failure Inundation. The SUMC Project, in combination with reasonably foreseeable probable future development, would have a less than significant cumulative impact regarding dam failure inundation. HW-17. Violation of Any Water Quality Standards or Waste Discharge Requirements (WDRs). The SUMC Project, in combination with reasonably foreseeable probable future development, would have a less-than-significant cumulative impact on violation of water quality standards and WDRs. 3.12 Hazardous Materials HM-1. Exposure from Hazardous Materials Use, Handling, and Disposal. The SUMC Project would not substantially increase exposure from hazardous materials use, handling, and disposal during operation. HM-4. Hazardous Waste Generation and Disposal Resulting in Increased Exposure Risk. The SUMC Project would not substantially increase exposure risk related to hazardous waste generation. HM-5. Emit Hazardous Emissions or Handle Hazardous Materials Within One- Quarter Mile of a School. The SUMC Project would not emit or handle hazardous materials within one-quarter mile of school. HM-6. Construct a School on a Property that is Subject to Hazards from Hazardous Materials Contamination, Emissions or Accidental Release. The SUMC Project would not construct a school that is subject to hazards from hazardous materials contamination, emissions or accidental release. HM-8. Wildland Fire Risk. The SUMC Project would not expose people or structures to a significant risk of loss, injury, or death involving wildland fires. HM-9. Occur on a Site Located Within an Airport Land Use Plan or Within Two Miles of a Public Airport, and Result in a Safety Hazard. The SUMC Project would not be located within an Airport Land Use Plan or within 2 miles of a Public Airport. Not Yet Approved 13 110601 jb 0130719 HM-11. Cumulative Handling, Storage, Disposal, and Transport of Hazardous Materials. Cumulative development would increase handling, storage, disposal, and transport within the SUMC Sites and adjacent areas. However, cumulative development would be subject to applicable federal, State, and local regulations that would govern these activities. As a result, the cumulative impact would be less than significant. HM-14. Cumulative Exposure of Schools to Hazardous Materials and Waste. The SUMC Project, in combination with reasonably foreseeable probable future development, would have a less than cumulatively considerable impact on exposure of schools to hazardous materials. 3.13 Population and Housing PH-1. Population Growth. The SUMC Project would increase on-site employment and visitors and thus indirectly induce housing demand and population growth; however, the percentage of regional housing demand resulting from the SUMC Project would be relatively small in comparison with projected housing growth in the region, and would comprise a less than significant environmental impact. PH-2. Displacement of Existing Housing or Residents. The SUMC Project would not displace existing housing or residents because the SUMC Project would involve infill of currently developed sites that do not contain housing. Thus, the SUMC Project would result in no impact with respect to displacement of housing or residents. PH-3. Impacts on Jobs to Employed Residents Ratio. The SUMC Project would have an impact on the City’s jobs to employed residents ratio, as the Project involves Comprehensive Plan and zoning amendments which would result in a significantly greater amount of employment-generating uses beyond what the City historically planned for this area, thus exacerbating the pre-existing imbalance between jobs and housing within the City. However, as further discussed in Section 3.13, this is not, by itself, an environmental impact. The environmental consequences of this impact on traffic and air quality are addressed elsewhere in these findings. 3.14 Public Services PS-1. Impacts Related to Fire Protection and Emergency Medical Facilities. The SUMC Project would require an increased level of fire and emergency services. However, the increased level of fire and emergency services would not be large enough to trigger the need for construction of new facilities, which could adversely affect the physical environment. Impacts would be less than significant. PS-2. Impacts from Police Protection Facilities. The SUMC Project would require an increased level of police services. However, the increased level of police services would not be large enough to trigger the need for construction of new facilities, which could adversely affect the physical environment. Impacts would be less than significant. PS-3. Impacts Related to School Facilities. An increase in students, which would require school expansions, would result as a tertiary impact of the SUMC Project, since Not Yet Approved 14 110601 jb 0130719 increased employment from the SUMC Project could induce additional housing units within the City. Both the SUMC Project and induced housing projects would be subject to SB 50 School Impact Fees, which would mitigate impacts to less than significant. PS-4. Impacts Related to Construction of New or Altered Parks and Recreation Facilities. The SUMC Project would not result in the construction or expansion of new parks or fields, which would in turn result in adverse environmental impacts. The SUMC Project would be required to pay a City Community Facility Fee, which would be used to fund new parks or an alteration to an existing park, and would mitigate impacts to less than significant. PS-5. Deterioration of Park and Recreation Facilities. Increased recreational demand from SUMC Project employees could accelerate the physical deterioration of the City’s parks and fields. The SUMC Project would be required to pay a City Community Facility Fee, which reduce or avoid any such deterioration, and would mitigate impacts to less than significant. PS-6. Cumulative Fire Protection Demand and Emergency Medical Facilities. Cumulative growth would increase demand for fire protection and emergency response services within the PAFD’s service area; however, no new PAFD facilities would need to be constructed. Cumulative impacts would be less than significant. PS-7. Cumulative Police Protection Demand. Cumulative growth in the City could necessitate construction of new or expanded police facilities in order to meet increased demand for services. Construction of new or expanded police facilities could result in significant environmental impacts. As such, cumulative impacts related to police service could be significant. However the SUMC Project’s contribution to the cumulative need for new or expanded police facilities would be less than cumulatively considerable. PS-8. Cumulative School Demand. Cumulative development in the City can be expected to necessitate expansion of school facilities, which could have adverse physical environmental impacts. This cumulative impact is conservatively assumed to be significant, although the SUMC Project’s contribution to this cumulative impact would be less than cumulatively considerable. PS-9. Cumulative Demand for Parks and Recreation Facilities, and for New Parks. Cumulative impacts related to park deterioration would be less than significant due to the City’s Community Facility Fee. Cumulative growth in the City would necessitate acquisition or development of new parklands, which could result in significant environmental impacts; however, the contribution of the SUMC Project to this cumulative impact would be less than cumulatively considerable. 3.15 Utilities UT-1. Water Demand. The SUMC Project would result in a less than significant water supply impact because it would not result in the need for new or expanded entitlements for water supplies, and would not require expansion or construction of water facilities. Not Yet Approved 15 110601 jb 0130719 UT-2. Wastewater Generation. The SUMC Project would result in a less than significant wastewater impact because it would not exceed treatment requirements of the RWQCB, would not significantly increase use of the wastewater disposal system, and would not require expansion or construction of wastewater collection or treatment facilities. UT-3. Stormwater Generation. The SUMC Project would have a less-than- significant impact related to stormwater collection system capacity because it would not significantly increase use of the stormwater collection system, and would not require expansion or construction of new stormwater facilities. UT-4. Solid Waste Generation. The SUMC Project would result in a less-than- significant solid waste impact because it would be served by landfills with sufficient capacity and, thus, would not contribute to the need to expand existing or construct new solid waste disposal facilities. UT-5. Energy Demand. Although the SUMC Project is an urban infill project and would not require the expansion of natural gas facilities and would use existing utility facilities, it may require the installation of near-site electrical facilities and natural gas pipelines to accommodate the projected additional demand. However, this installation is included in the SUMC Project and no additional off-site construction relating to electrical and natural gas facilities would occur. Therefore, the SUMC Project would have a less than significant impact related to the construction of energy facilities. UT-6. Cumulative Water Impacts. Since the City has sufficient water supply to accommodate water demands for cumulative development up to 2025, new or expanded entitlements for water supplies are not necessary. Therefore, cumulative development would have a less-than-significant cumulative impact related to water supply. UT-7. Cumulative Wastewater Impacts. Since the RWQCP has sufficient capacity to accommodate wastewater generated by cumulative development up to 2025, implementation of major facility and infrastructure improvements would not be necessary. In addition, general replacement and maintenance of old wastewater facilities is expected and would comply with applicable environmental regulations. Therefore, cumulative development would not have a significant cumulative impact related to wastewater. UT-8. Cumulative Stormwater Generation. Cumulative development in the City of Palo Alto and at Stanford University could increase the amount of stormwater runoff. This increased level of runoff may trigger the need for the replacement or maintenance of storm drain facilities. However, general replacement and maintenance of storm drain facilities is included in City plans and would comply with applicable environmental regulations. Therefore, cumulative development would have a less than significant cumulative impact related to the capacity or deterioration of storm drain facilities. UT-9. Cumulative Solid Waste Impacts. Cumulative development would generate solid waste within the permitted capacity of the SMART Station and Kirby Canyon Landfill. Cumulative development would not result in substantial deterioration of solid waste facilities. As such, cumulative impacts related to solid waste generation would be less than significant. Not Yet Approved 16 110601 jb 0130719 UT-10. Cumulative Energy Demand. Cumulative development in the City of Palo Alto would consume additional energy and, therefore, would increase the demand for energy. The City’s electrical and natural gas facilities are projected to have adequate capacity to serve the City’s increased demand for energy. The increased level of energy demand may trigger the need for the replacement or maintenance of energy facilities. However, general replacement and maintenance of energy facilities is expected and would comply with applicable environmental regulations. Therefore, cumulative development would not have a significant cumulative impact related to energy demand and energy facilities. SECTION 6. Potentially Significant Impacts to be Mitigated. The Draft EIR and the Final EIR concluded that the Project would result in potentially significant environmental impacts in the areas listed below. Through the imposition of the identified mitigation measures, these identified potentially significant environmental impacts will be reduced to less-than-significant impacts. All citations to the Draft EIR chapters below include reference to all revisions to those chapters contained in the Final EIR. 3.2 Land Use LU-1. Conflicts with Adopted Land Use Plans and Policies. The SUMC Project could conflict with Comprehensive Plan policies that avoid or reduce impacts related to visual quality, cultural resources, pedestrian circulation, urban forest resources, groundwater and runoff pollution, air quality degradation, and noise incompatibility. a) Potential impact. The impact identified above is described and discussed in Section 3.2 of the Draft EIR. b) Mitigation Measures. The following Mitigation Measures will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program, and as further described in the remainder of these findings: Mitigation Measures VQ-2.1, CR-1.1 through CR-1.5, TR-6.1, BR-4.1 through BR- 4.5, HW-3.1, AQ-1.1 and AQ-1.2, NO-1.1 and NO-4.1 c) Findings. The above-noted Mitigation Measures will ensure consistency with Comprehensive Plan Policies as follows: 1) Mitigation Measure VQ-2.1 would require that the City and SUMC Project sponsors comply with Comprehensive Plan Policy L-3 requirements for respecting views of the foothills and East Bay hills, and that the Project would maintain the scale and character of the City and is compatible with surrounding development and public spaces. 2) Mitigation Measures CR-1.1, CR-1.2, CR-1.3, CR-1.4 and CR-1.5 would minimize the loss of the historic Edward Durell Stone Building complex, and protect the Hoover pavilion from vibration impacts, thus furthering the Not Yet Approved 17 110601 jb 0130719 objectives of Comprehensive Plan Policy L-51, which encourages preservation of historic resources. 3) Mitigation Measure TR-6.1 requires the Project sponsors to implement improvements for bicycle and pedestrian safety and access at intersection affected by Project traffic, consistent with Comprehensive Plan transit policies encouraging walking and bicycling. 4) Mitigation Measures BR-4.1 through BR-4.5, provided in Section 3.9, Biological Resources, require the preparation of a Tree Preservation Report, a solar access study, a Tree Relocation Feasibility Plan, a Tree Preservation Bond/Security Guarantee, and minor site modifications to the current site plans. While complete preservation of Protected Trees would not occur, this mitigation would fulfill the City’s responsibility set out in Comprehensive Plan Policy N-14 to protect, revitalize, and expand Palo Alto’s urban forest. 5) Mitigation Measure HW-3.1, provided in Section 3.11, Hydrology, requires the SUMC Project sponsors to develop a work plan for any unknown contaminated sites. This measure would address environmental impacts associated with groundwater quality impacts, ensuring consistency with Comprehensive Plan Policy N-18. 6) Mitigation Measures AQ-1.1 and AQ-1.2 would address environmental impacts associated with particulate emissions by controlling construction dust and reducing diesel emissions. By requiring these mitigations, the City would support applicable air quality programs, consistent with Comprehensive Plan Policy N-26. These mitigation measures would reduce emissions of particulates from construction and continued implementation of the ongoing TDM programs would minimize emissions from operation of the SUMC Project, ensuring consistency with Comprehensive Plan Policy N-27. 7) Mitigation Measure NO-4.1 which requires shielding or enclosure of HVAC and emergency generator equipment, and Mitigation Measure NO-1.1 which controls construction noise, would reduce Project noise impacts to less than significant levels, consistent with Comprehensive Plan Policies N-39 and N- 43. Impact LU-5: Adverse Changes to Overall Existing or Planned Land Uses in the Area. Because the Project would increase building intensity and massing within the SUMC Sites, the Project would have a potentially significant impact pertaining to on-site character and views. a) Potential Impact. The impact identified above is described and discussed in Section 3.2 of the Draft EIR. Not Yet Approved 18 110601 jb 0130719 b) Mitigation Measures. Mitigation Measure VQ-2.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure VQ-2.1 will reduce the significant impacts on overall surroundings to a less than significant level because it requires ARB and City Council review of the design of the Project and compliance with Council-imposed conditions for final design. Architectural Review would consider whether the Project has a coherent composition and whether its bulk and mass are harmonious with surrounding development. 3.3 Visual Quality Impact VQ-1: Temporary Degradation of Visual Character During Construction. The SUMC Project would temporarily but substantially degrade the existing visual character and quality of the SUMC Sites during construction. a) Potential Impact. The impact identified above is described and discussed in Section 3.3 of the Draft EIR. b) Mitigation Measures. Mitigation Measure VQ-1.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure VQ-1.1 will reduce this impact to a less than significant level because it will require the development and implementation of a Construction Visual Improvements Plan that would aesthetically improve portions of the Project site that would remain unimproved for an extended period and screen the construction zone from view by passersby along the public streets and sidewalks. Impact VQ-2: Permanent Degradation of Visual Character Post Construction. The SUMC Project would have a significant and permanent impact pertaining to degradation of the existing visual character or quality of the SUMC Sites and their surroundings. a) Potential Impact. The impact identified above is described and discussed in Section 3.3 of the Draft EIR. b) Mitigation Measures. Mitigation Measure VQ-2.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure VQ-2.1 will reduce the Project’s impact on the existing visual character of SUMC Sites and their surroundings to a less than significant level because it will require ARB and City Council review and compliance with Council-imposed conditions addressing massing, layout, landscaping and architectural design impacts from the Project. Not Yet Approved 19 110601 jb 0130719 Impact VQ-3: Alteration of Public Viewsheds, View Corridors, or Scenic Resources. The SUMC Project would result in significant impacts on views. a) Potential Impact. The impact identified above is described and discussed in Section 3.3 of the Draft EIR. b) Mitigation Measures. Mitigation Measure VQ-2.1, above, will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure VQ-2.1 will reduce impacts on views from the proposed buildings under the Project to a less than significant level because the Architectural Review process will make recommendations to the City Council on such issues as whether natural features are appropriately preserved and integrated with the Project, on whether the design promotes harmonious transitions in scale and character, and whether the planning and siting of the various functions and buildings on the site create an internal sense of order and provide a desirable environment for the community. Impact VQ-5: New Sources of Light and Glare. The SUMC Project could increase light and glare nuisance from exterior lighting, resulting in a significant impact. a) Potential Impact. The impact identified above is described and discussed in Section 3.3 of the Draft EIR. b) Mitigation Measures. Mitigation Measure VQ-2.1, above, is hereby adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure VQ-2.1 will reduce light and glare impacts from the proposed buildings to a less than significant level because the Architectural Review process will consider and make recommendations on the issue of whether the Project incorporates quality materials, harmonious colors, appropriate ancillary features, a cohesive design with a coherent composition and an appropriate lighting plan. 3.4 Transportation Impact TR-1: Construction Impacts. Construction activity associated with the SUMC Project would result in potentially significant traffic impacts. a) Potential Impact. The impact identified above is described and discussed in Section 3.4 of the Draft EIR. b) Mitigation Measures. Mitigation Measures TR-1.1 through TR-1.9 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. Not Yet Approved 20 110601 jb 0130719 c) Findings. Mitigation Measures TR-1.1 through TR-1.9 will reduce construction-related traffic impacts to a less than significant level because these mitigation measures (either individually or through the development of a construction impact mitigation plan pursuant to TR-1.8) will: provide off-street parking for construction-related vehicles; maintain pedestrian and bicycle access during construction unless given approval by the Department of Public Works to limit such access; restrict deliveries to the construction site during morning and afternoon rush hours; require the use of designated truck routes; require the protection of public roadways from damage during construction; maintain public transit access and routes; and require additional measures to prevent roadway construction from reducing roadway capacity during special events. Impact TR-2: Intersection Levels of Service. Implementation of the SUMC Project would result in potentially significant impacts to multiple intersections during Peak Hour conditions. a) Potential Impact. The impacts identified above are described and discussed in Section 3.4 of the Draft EIR. b) Mitigation Measures. Mitigation Measures TR-2.1 through TR-2.4 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures TR-2.1 through TR-2.4 will reduce Project impacts to all intersections to a less than significant level through the installation of traffic adaptive signal technology, the funding of additional bicycle and pedestrian undercrossings, the implementation of SUMC’s enhanced transportation demand program, and the funding of additional feasible intersection improvements. The analysis in Section 3.4 of the Draft EIR, as amended on pages 6-75 through 6-89 of the Final EIR, demonstrates how the implementation of these mitigation measures will mitigate impacts at each of the intersections. Impact TR-4: Local Circulation Impacts. The SUMC Project could result in significant traffic impacts to the local circulation network in the immediate vicinity of the SUMC Sites. a) Potential Impact. The impact identified above is described and discussed in Section 3.4 of the Draft EIR. b) Mitigation Measures. Mitigation Measure TR-4.2 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure TR-4.2 will reduce traffic impacts to a less than significant level because it will require improvements to local roadways to ease traffic flow. Not Yet Approved 21 110601 jb 0130719 Impact TR-6: Bicycle and Pedestrian Impacts. The SUMC Project could impede the development or function of planned bicycle or pedestrian facilities, and result in a significant impact. a) Potential Impact. The impact identified above is described and discussed in Section 3.4 of the Draft EIR. b) Mitigation Measures. Mitigation Measures TR-2.3 and TR-6.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures TR-2.3 and TR-6.1 will reduce this impact to a less than significant level because they would combine enhancement of the SUMC TDM program, which encourages alternative transportation, with bicycle and pedestrian infrastructure improvements. These would ensure that the projected increase in on-site employment and visitorship would not significantly affect planned bicycle or pedestrian facilities. Impact TR-7: Transit Impacts. Implementation of the SUMC Project could impede the operation of the transit system as a result of increased ridership, and result in a significant impact. a) Potential Impact. The impact identified above is described and discussed in Section 3.4 of the Draft EIR. b) Mitigation Measures. Mitigation Measures TR-7.1 and TR-7.2 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures TR-7.1 and TR-7.2 will reduce the potential impact of the Project on the transportation system to a less than significant level because these measures will require the enhancement of bus stops on-site to accommodate increased ridership as well as require Project sponsors to make a fair share financial contribution toward the expansion of existing transit service to fund increases in capacity on the Marguerite Shuttle and the AC Transit U Line to serve the Project. Impact TR-9: Emergency Access. Implementation of the SUMC Project could potentially result in inadequate emergency access due to increased congestion, a significant impact. a) Potential Impact. The impact identified above is described and discussed in Section 3.4 of the Draft EIR. b) Mitigation Measures. Mitigation Measure TR-9.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. Not Yet Approved 22 110601 jb 0130719 c) Findings. Mitigation Measure TR-9.1 will reduce the impact of Project generated traffic congestion on emergency service access to a less than significant level because it will require the Project sponsors to make a fair share financial contribution to the installation of an emergency vehicle traffic signal priority system at all significantly affected intersections. Impact TR-10: Cumulative Construction Impacts. The SUMC Project, in combination with concurrent construction projects in the vicinity of the SUMC Sites, could result in a significant construction-period impact. The contribution of the SUMC Project would be cumulatively considerable. a) Potential Impact. The impact identified above is described and discussed in Section 3.4 of the Draft EIR. b) Mitigation Measures. Mitigation Measure TR-1.1 through TR-1.9 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures TR-1.1 through TR-1.9 will reduce the Project’s contribution to a cumulative construction-period impact on traffic to a less than significant level because these measures contain transportation-related construction management programs designed to reduce the impact of construction on existing traffic patterns. 3.6 Climate Change Impact CC-1: Furthering Policies of the Palo Alto Climate Protection Plan. The proposed Emissions Reduction Program would minimize greenhouse gas emission increases associated with the proposed development program. However, the proposed Emissions Reduction Program would not be sufficient to further some of the individual policies of the City’s Climate Protection Plan. a) Potential Impact. The impact identified above is described and discussed in Section 3.6 of the Draft EIR. b) Mitigation Measures. Mitigation Measures CC-1.1 through CC-1.5 and TR- 2.3 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures CC-1.1 through CC-1.5 and TR-2.3 will mitigate the Project’s impact on the Palo Alto Climate Protection Plan to a less than significant level by ensuring that the Project will meet all of the individual policies of the Plan. 3.7 Noise Impact NO-2: Construction Vibration. While the Draft and Final EIR concluded that any construction vibration from the Project as originally proposed would be less than Not Yet Approved 23 110601 jb 0130719 significant, the Draft EIR also explained that the Tree Preservation Alternative, which the City is now adopting, may necessitate the use of pile driving, which could result in potentially significant vibration impacts on the Blake-Wilbur Clinic. a) Potential Impact. The impact identified above is described and discussed in pages 5-148 and 5-149 of the Draft EIR. b) Mitigation Measures. The Draft EIR identifies two different sets of Mitigation Measures as “Mitigation Measure NO-1.1.” The first such set of measures is identified in Section 3.7, and the second set of measures (specifically addressing impacts relating to use of pile driving equipment) is identified on page 5-149 of the Draft EIR (as revised on page 6-149 of the Final EIR). Both of these sets of measures identified as Mitigation Measure NO-1.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure NO-1.1 will reduce vibration impacts from pile driving equipment on the Blake-Wilbur Clinic by requiring use of sonic pile drivers where feasible, by relocating patients and workers at the Blake-Wilbur Clinic during periods when pile driving occurs within 75 feet of the clinic, and by requiring engineering assessment of any pile driving impacts to the Blake-Wilbur Clinic, including any necessary repair. Such measures will reduce any construction vibration impacts to the Blake-Wilber Clinic to a less than significant level. As explained in the Draft and Final EIR, the Project will not result in any other potentially significant construction vibration impacts. Impact NO-4: Operational Stationary Source Noise Impacts. Operational stationary source noise generated by the SUMC Project could potentially increase ambient noise levels in the vicinity of the SUMC Sites and result in a significant impact. a) Potential Impact. The impact identified above is described and discussed in Section 3.7 of the Draft EIR. b) Mitigation Measures. Mitigation Measure NO-4.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure NO-4.1 will reduce operational stationary noise impacts to a less than significant level because the City Noise Ordinance will require that noise from mechanical equipment shall be minimized through compliance with noise standards of the Noise Ordinance, as confirmed by an acoustical analysis conducted by a qualified professional. 3.8 Cultural Resources Impact CR-2: Impacts on Prehistoric or Archaeological Resources. The SUMC Project could potentially encounter archaeological resources and result in a significant impact. Not Yet Approved 24 110601 jb 0130719 a) Potential Impact. The impact identified above is described and discussed in Section 3.8 of the Draft EIR. b) Mitigation Measures. Mitigation Measure CR-2.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure CR-2.1 will reduce impacts on prehistoric and archaeological resources to a less than significant level because the mitigation measure requires that (i) construction crews be trained regarding the possible presence and identification of cultural resources, (ii) that work be stopped within 100 feet of the site if cultural resources are discovered, (iii) a Stanford University archaeologist be consulted to evaluate the significance of discovered resources, and (iv) appropriate steps be taken to avoid, protect and preserve such resources as described in Mitigation Measure CR-2.1 on page 3.8-24 of the Draft EIR. Impact CR-3: Impacts on Human Remains. The SUMC Project could potentially encounter human remains and result in a significant impact. a) Potential Impact. The impact identified above is described and discussed in Section 3.8 of the Draft EIR. b) Mitigation Measures. Mitigation Measure CR-3.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure CR-3.1 would reduce the impacts relating to undiscovered human remains to a less-than-significant level because they would require(i) work stoppage if human remains are discovered, (ii) consultation with the Stanford University Archaeologist, City of Palo Alto, and the San Mateo County Coroner concerning appropriate treatment of such remains, and (iii) the implementation of appropriate measures based on consultation with the Coroner and archaeologist and with the Native American Heritage commission if the remains are determined to be Native American. Impact CR-4: Impacts on Paleontological Resources. The SUMC Project could have a significant impact on unique paleontological resources or unique geologic resources. a) Potential Impact. The impact identified above is described and discussed in Section 3.8 of the Draft EIR. b) Mitigation Measures. Mitigation Measure CR-4.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure CR-4.1 will reduce impacts on paleontological resources to a less than significant level because it requires that if paleontological resources are encountered on site, Project sponsors shall (i) stop work and notify the City and Stanford Archaeologist; (ii) consult with a qualified professional paleontologist; (iii) comply with the paleontologist’s recommendations to reduce impacts to paleontological Not Yet Approved 25 110601 jb 0130719 resources, including avoidance of the area if feasible, or other appropriate measures if avoidance is not feasible. Impact CR-6: Cumulative Impacts on Prehistoric and/or Archaeological Resources and Human Remains. The SUMC Project, in combination with other reasonably foreseeable probable future development, could cause a substantial change in the significance of prehistoric and/or archaeological resources or human remains and thus contribute to a significant cumulative impact. The SUMC Project is conservatively assumed to have a considerable contribution. a) Potential Impact. The impact identified above is described and discussed in Section 3.8 of the Draft EIR. b) Mitigation Measures. Mitigation Measures CR-2.1 and CR-3.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures CR-2.1 and CR-3.1 will reduce the Project’s contributions to cumulative impacts on prehistoric and archaeological resources and human remains to a less than significant level because the Project is entirely outside of the archaeologically sensitive zone, making it’s impact on such resources unlikely. If such resources were to be uncovered, the implementation of these mitigation measures will reduce the impact of the Project itself on these resources to a less than significant level. Impact CR-7: Cumulative Impacts on Paleontological Resources. The SUMC Project, in combination with other reasonably foreseeable probable future development where the Pleistocene-age creek bed may occur, could have a significant cumulative impact. Such an impact would occur if the buried Pleistocene-age creek bed is exposed in lengths greater than approximately 100 feet (or a sufficient length to support detailed hydrological study) and if such deposits contain substantially intact skeletons of extinct species. These conditions would represent a major find for regional paleontology. In the case that significant paleontological finds—such as stretches of buried Pleistocene-age creek bed greater than 100 feet in length and containing intact skeletons of extinct species—are made on the SUMC Site, then the SUMC Project’s contribution to the cumulative impact on paleontological resources could be cumulatively considerable. a) Potential Impact. The impact identified above is described and discussed in Section 3.8 of the Draft EIR. b) Mitigation Measures. Mitigation Measure CR-4.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure CR-4.1 will reduce cumulative impacts to paleontological resources to a less than significant level because should any paleontological Not Yet Approved 26 110601 jb 0130719 resources be identified on site, the Mitigation Measure imposes a protocol for the protection of these resources as described on pages 3.8-25 to 3.8-26 of the Draft EIR. 3.9 Biological Resources Impact BR-1: Impacts on Special-Status Plant or Wildlife Resources. The SUMC Project could have a significant impact on special-status wildlife resources. a) Potential Impact. The impact identified above is described and discussed in Section 3.9 of the Draft EIR. b) Mitigation Measures. Mitigation Measures BR-1.1 through BR-1.5 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures BR-1.1 through BR-1.5 will reduce impacts on special-status bats and Cooper’s hawk to a less than significant level because the measures require pre-demolition surveys for roosting bats and avoidance of the roosts, or protection of active maternity roosts if they are found, or the use of bat nest boxes if structures are to be demolished; and avoiding tree removal during the nesting season for Cooper’s Hawks as well as protection of the hawk as well as its eggs and young if tree removal or pruning is unavoidable during the nesting season. Impact BR-3: Interference with the Movement of Any Native Resident or Migratory Fish or Wildlife Species or with Established Native Resident or Migratory Wildlife Corridors, or Use of Native Wildlife Nursery Sites. The SUMC Project would have no impact on the movement of any native resident or migratory fish or wildlife species, or use of native resident or migratory wildlife corridors, but could impede the use of native wildlife nursery sites and thus result in a significant impact. a) Potential Impact. The impact identified above is described and discussed in Section 3.9 of the Draft EIR. b) Mitigation Measures. Mitigation Measures BR-3.1 and BR-3.2 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures BR-3.1 and BR-3.2 will reduce impacts on native nesting migratory birds to a less than significant level because they require (i) the avoidance of tree or shrub removal or pruning during the bird-nesting period, or (ii) if tree or shrub removal must be conducted during the nesting period, a survey to determine whether nests are present and if they are found, a delay in the removal of the tree or shrub while the nest is occupied. Not Yet Approved 27 110601 jb 0130719 3.11 Hydrology Impact HW-3: Groundwater Quality. The SUMC Project could have a significant impact on groundwater quality during construction. a) Potential Impact. The impact identified above is described and discussed in Section 3.11 of the Draft EIR. b) Mitigation Measures. Mitigation Measure HW-3.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure HW-3.1 will reduce impacts on groundwater quality during construction to a less than significant level because if any source of suspected contamination is discovered during construction, work shall cease and Project sponsors will be required to prepare a workplan to assess potential health risks from the contamination and prepare a Removal Action Workplan pursuant to state law to remove or remediate any identified source of potential groundwater contamination. 3.12 Hazardous Materials Impact HM-2: Demolition and Construction-Related Hazardous Materials Disturbance. The SUMC Project could release hazardous materials in existing buildings. a) Potential Impact. The impact identified above is described and discussed in Section 3.12 of the Draft EIR. b) Mitigation Measures. Mitigation Measure HM-2.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure HM-2.1 will reduce impacts from the disturbance of hazardous materials during demolition and construction to a less than significant level because the Measure requires the conduct of an asbestos survey by an licensed asbestos abatement contractor, and in the event that asbestos is discovered the material shall be removed and disposed of by an asbestos abatement contractor. The Measure also requires a site health and safety plan to be developed in compliance with OSHA requirements to protect worker health. Impact HM-3: Exposure to Contaminated Soil and/or Groundwater During Construction. The SUMC Project could expose construction personnel and public to existing contaminated groundwater and/or soil. a) Potential Impact. The impact identified above is described and discussed in Section 3.12 of the Draft EIR. Not Yet Approved 28 110601 jb 0130719 b) Mitigation Measures. Mitigation Measures HM-3.1 through HM-3.4 and HW-3.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures HM-3.1 through HM-3.4 and Mitigation Measure HW-3.1 will reduce the impacts of construction personnel or the public being exposed to contaminated groundwater and/or soil to a less than significant level. Phase I ESAs were conducted to identify potential hazards within the Project boundaries. Mitigation Measures HM- 3.1 through HM-3.3 address those sites where potential hazards were identified, requiring further analysis to determine the existence of contamination and remediation if contamination is discovered. Mitigation Measure HM-3.4 requires specification of measure to prevent hazards resulting from remediation. Mitigation Measure HW-3.1, which addresses potential contamination to groundwater, also requires Project sponsors to develop a work plan for any unknown contaminated site, which would further reduce the impacts to less than significant. Impact HM-7: Occur on a Site Included on the Cortese List, a List of Hazardous Materials Sites. The SUMC Project would result in construction of facilities on a site included on the Cortese List. a) Potential Impact. The impact identified above is described and discussed in Section 3.12 of the Draft EIR. b) Mitigation Measures. Mitigation Measures HM-3.3 and HM-3.4 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures MH-3.3 and HM-3.4 will reduce impacts from exposure to hazardous material to a less than significant level because they require the implementation of a soil vapor program and site management plan to address the known hazards existing on the Hoover Pavilion site. Impact HM-10: Impairment of Emergency Plans. The SUMC Project could impair implementation or physically interfere with an adopted emergency response or evacuation plan. a) Potential Impact. The impact identified above is described and discussed in Section 3.12 of the Draft EIR. b) Mitigation Measures. Mitigation Measures HM-10.1, TR-1.1, TR-1.4 through TR-1.6, TR-1.8 and TR-9.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures HM-10.1, TR-1.1, TR-1.4 through TR-1.6, TR-1.8 and TR-1.9 will reduce this impact to a less than significant level because they (i) require advance coordination with the City on construction routes or roadway closures, (ii) impose Not Yet Approved 29 110601 jb 0130719 construction-period traffic controls to reduce the impact on traffic in general and during special events scheduled to occur during construction, and (iii) reduce the impact on emergency vehicles during Project operation by requiring the installation of traffic signals giving priority to emergency vehicles. Impact HM-12: Cumulative Disturbance of Hazardous Materials from Construction. The SUMC Project and adjacent development could result in cumulative release of hazardous materials during construction, a significant cumulative impact. The SUMC Project’s contribution to the cumulative impact would be considerable. a) Potential Impact. The impact identified above is described and discussed in Section 3.12 of the Draft EIR. b) Mitigation Measures. Mitigation Measure HM-2.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measure HM-2.1 will reduce to a less than significant level the Project’s contribution to the cumulative release of hazardous materials during construction because the Measure will require asbestos abatement for construction during the Project (as described at pages 3.12-37 to 3.12-38 of the Draft EIR) that will reduce the Project’s individual impact to a less than significant level. Impact HM-13: Cumulative Exposure to Contaminated Soil and/or Groundwater, and from Cortese List Sites. The SUMC Project and adjacent development could result in cumulative disturbance of contaminated soils, release of hazardous materials during construction, a significant cumulative impact. a) Potential Impact. The impact identified above is described and discussed in Section 3.12 of the Draft EIR. b) Mitigation Measures. Mitigation Measures HM-3.1 through HM-3.4 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures HM-3.1 through HM-3.4 will reduce the Project’s contribution to cumulative release of hazardous materials during construction to a less than significant level because the Measures would require remediation of known site contamination as well as investigation of other SUMC areas and preparation for remediation where necessary. Impact HM-15: Cumulative Impairment of Emergency Plans. Cumulative development could impair implementation or physically interfere with an adopted emergency response or evacuation plan. The SUMC Project’s contribution to the cumulative impact would be considerable. Not Yet Approved 30 110601 jb 0130719 a) Potential Impact. The impact identified above is described and discussed in Section 3.12 of the Draft EIR. b) Mitigation Measures. Mitigation Measures HM-10.1, TR-1.1, TR-1.4 through TR-1.6, and TR-1.8 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Mitigation Measures HM-10.1, TR-1.1, TR-1.4 through TR-1.6 and TR-1.8 will reduce the Project’s contribution to cumulative impairment of emergency response or evacuation plans to a less than significant level because the Measures would require the implementation of construction traffic management procedures as well as other traffic management measures that would reduced the Project’s impact on the emergency vehicle access to a less than significant level. SECTION 7. Significant and Unavoidable Impacts. The Draft EIR and the Final EIR also concluded that the Project would result in significant and unavoidable environmental impacts which cannot be fully mitigated through the adoption of mitigation measures. Those impacts, along with measures to partially mitigate them, are listed below. All citations to the Draft EIR chapters below include reference to all revisions to those chapters contained in the Final EIR. Impact TR-3: Impacts on Roadway Segments. The SUMC Project would result in adverse traffic impacts to roadway segments in the City of Menlo Park. a) Potential Impact. The impact identified above is described and discussed in Section 3.4 of the Draft EIR. b) Mitigation Measures. Mitigation Measures TR-2.2, TR-2.3, and TR-7.2 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no other feasible mitigation measures available to mitigate this impact to a less-than-significant level. The implementation of the mitigation measures identified above will reduce adverse traffic impacts by encouraging the use of alternative transportation. However, even with the adoption of these measures there will still be significant and unavoidable traffic impacts on four Menlo Park roadways. (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to traffic impacts, as set forth in the Statement of Overriding Considerations below. Not Yet Approved 31 110601 jb 0130719 Impact AQ-1: Construction Criteria Air Pollutant Emissions. Construction activities associated with the SUMC Project would cause emissions of dust and pollutants from equipment exhaust that could contribute to existing air quality violations or expose sensitive receptors to substantial pollutant concentrations. a) Potential Impact. The impact identified above is described and discussed in Section 3.5 of the Draft EIR. b) Mitigation Measures. Mitigation Measures AQ-1.1 and AQ-1.2 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no other feasible mitigation measures available to mitigate this impact to a less-than-significant level. While the Mitigation Measures noted above would significantly reduce construction dust emissions as well as construction equipment emissions, the reduction of these emissions to a less than significant level cannot be guaranteed. Thus, this impact is considered significant and unavoidable. (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to emissions associated with construction activity, as set forth in the Statement of Overriding Considerations below. Impact AQ-2: Operational Criteria Air Pollutant Emissions. Combined mobile and stationary source emissions during operation of the SUMC Project would exceed the Bay Area Air Quality Management District’s significance threshold of 80 pounds/day of ROG, NOx and PM10. Therefore, air emissions would result in a substantial contribution to an existing regional air quality problem and a significant impact. a) Potential Impact. The impact identified above is described and discussed in Section 3.5 of the Draft EIR. b) Mitigation Measures. Mitigation Measure TR-2.3 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no other feasible mitigation measures available to mitigate this impact to a less-than-significant level. There are no mitigation measures available to address stationary source emissions that will result from the construction of the Project. Mitigation Measure TR-2.3 will reduce mobile source emissions through the Not Yet Approved 32 110601 jb 0130719 SUMC program encouraging the use of alternative transportation, reducing VMT. However, this reduction will not result in a sufficient decrease in mobile source emissions, and therefore the City considers this impact to be significant and unavoidable. Section 3.13 of the Draft EIR does identify additional possible mitigation strategies in its discussion of Mitigation Measure PH-3.1. However, in part for the reasons discussed on pages 3-184 through 3-186 of the Final EIR, the Council finds that it would not be feasible to impose Mitigation Measure PH-3.1 on the Project. Specifically, with respect to the suggestion that the City could amend its Zoning Code to permit additional residential uses within the City, the City it already considering what residential designations within the City are feasible as part of its update of its ongoing Housing Element and there is no further mitigation which could feasibly be imposed in the context of this specific Project. With respect to requiring SUMC to pay the City’s affordable housing fee for the portions of the project that are currently exempt from the City’s housing fee, SUMC is already agreeing to pay its equitable share in an amount equivalent to what the fee would be as part of the Development Agreement. In addition, the Council has previously made the policy decision to exempt hospital uses from paying a housing fee. With respect to providing additional housing sites within the Hospital District itself, the City agrees with SUMC’s comment (Comment 22.72 in the Final EIR) that there are no feasible sites within the Hospital District in which new housing could be required. Finally, it would not be feasible for the City to require the creation of additional housing sites in unincorporated areas outside of the City, given the City’s lack of jurisdiction to do so, and given SUMC’s opposition to any such requirement. (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to a reduction in air quality caused by mobile and stationary source emissions, as set forth in the Statement of Overriding Considerations below. Impact AQ-6: Cumulative Construction Emissions. Construction equipment NOx emissions associated with the SUMC Project could contribute considerably to regional air quality problems. a) Potential Impact. The impact identified above is described and discussed in Section 3.5 of the Draft EIR. b) Mitigation Measures. Mitigation Measures AQ-1.1 and AQ-1.2 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no other feasible mitigation measures available to mitigate this impact to a less-than-significant level. Mitigation Measures AQ-1.1 and AQ-1.2 would reduce the Project’s contribution to cumulative construction emissions, but the contribution to NOx would remain cumulatively considerable, thus making this impact significant and unavoidable. Not Yet Approved 33 110601 jb 0130719 (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to a reduction in air quality resulting from construction equipment emissions, as set forth in the Statement of Overriding Considerations below. Impact AQ-7: Cumulative Operational Emissions. SUMC Project operation could contribute considerably to a degradation of regional air quality as defined by the BAAQMD. a) Potential Impact. The impact identified above is described and discussed in Section 3.5 of the Draft EIR. b) Mitigation Measures. Mitigation Measure TR-2.3 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no other feasible mitigation measures available to mitigate this impact to a less-than-significant level. Mitigation Measure TR-2.3 will reduce mobile source emissions through the SUMC TDM program encouraging the use of alternative transportation. However, this reduction will not result in a sufficient decrease in emissions to prevent degradation in air quality, and therefore the City considers this impact to be significant and unavoidable. Mitigation Measure PH-3.1 is not feasible for the reasons discussed above. (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to degradation in air quality, as set forth in the Statement of Overriding Considerations below. Impact NO-1: Construction Noise. Construction of the SUMC Project would create a substantial temporary increase in ambient noise levels on the SUMC Sites compared to existing ambient noise levels. The noise increase would be a significant impact to the sensitive uses (i.e., patients) on the Main SUMC Site during construction. a) Potential Impact. The impact identified above is described and discussed in Section 3.7 and also on pages 5-148 to 5-149 of the Draft EIR. As discussed in those pages of the Draft EIR (as revised at page 6-149 of the Final EIR), this impact will be potentially greater with adoption of the Tree Preservation Alternative, since that alternative may necessitate the use of pile-driving. b) Mitigation Measures. The Draft EIR identifies two different sets of Mitigation Measures as “Mitigation Measure NO-1.1.” The first such set of measures is identified in Section 3.7, and the second set of measures (specifically addressing impacts relating to use of pile driving equipment) is identified on page 5-149 of the Draft EIR (as revised on page Not Yet Approved 34 110601 jb 0130719 6-149 of the Final EIR). Both of these sets of mitigation measures identified as Mitigation Measure NO-1.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no other feasible mitigation measures available to mitigate this impact to a less than significant level. While the mitigation measures identified above will reduce the impact by requiring the implementation of best management practices to reduce construction noise (including noise and vibration from pile driving) and provide a mechanism for responding to complaints about noise, it will not reduce the impact to a less than significant level. Therefore this impact remains significant and unavoidable. (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to construction noise as set forth in the Statement of Overriding Considerations below. Impact NO-3: Operational Noise Impacts from Transportation Sources. Increased traffic and helicopter noise levels due to implementation of the SUMC Project would be less than significant. However, noise from ambulances due to implementation of the SUMC Project would increase along Sand Hill Road west of El Camino Real, and would increase roadside noise levels above the thresholds established in the City’s Comprehensive Plan, albeit on an intermittent basis. a) Potential Impact. The impact identified above is described and discussed in Section 3.7 of the Draft EIR. b) Mitigation Measures. There is no feasible mitigation measure to reduce this impact. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no feasible mitigation measures available to mitigate the impact of ambulance noise to a less-than-significant level. The only available measure would be to forbid ambulance access to the new emergency room via the Durand Way access routes, a measure that would be inconsistent with the provision of emergency room services. Therefore, this impact is significant and unavoidable. (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to noise from ambulances, as set forth in the Statement of Overriding Considerations below. Not Yet Approved 35 110601 jb 0130719 Impact NO-5: Cumulative Construction Noise Impacts. If other foreseeable construction in the immediate vicinity of the SUMC Sites would occur simultaneously with the proposed SUMC Project construction, then significant cumulative noise impacts to adjacent residential and other noise-sensitive uses could occur. The SUMC Project’s contribution would likely be cumulatively considerable. a) Potential Impact. The impact identified above is described and discussed in Section 3.7 of the Draft EIR. b) Mitigation Measures. Mitigation Measure NO-1.1 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no other feasible mitigation measures available to mitigate this impact to a less-than-significant level. Although the identified mitigation measure will less construction noise from the Project, the Project’s contribution to cumulative noise will remain considerable, and therefore this impact is significant and unavoidable. (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to its contribution to cumulative construction noise as set forth in the Statement of Overriding Considerations below. Impact CR-1: Impacts on Historical Resources. The SUMC Project would have a significant impact on historical resources. a) Potential Impact. The impact identified above is described and discussed in Section 3.8 of the Draft EIR. b) Mitigation Measures. Mitigation Measures CR-1.1 through CR-1.5 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no other feasible mitigation measures available to mitigate this impact to a less-than-significant level. While the identified mitigation measures will lessen the impact on historical resources by providing protection from construction damage for the Hoover Pavilion, and historical documentation of the Stone Building Complex slated for demolition, the remaining impact will be significant and unavoidable due to the demolition of the Stone Building. However, the Council finds that impacts to the Hoover Pavilion will be mitigated to a less than significant level. Not Yet Approved 36 110601 jb 0130719 (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to historical resources as set forth in the Statement of Overriding Considerations below. Impact CR-5: Cumulative Impacts on Historic Resources. The SUMC Project, in combination with other past, current, and probable future development in the City, would cause a substantial change in the significance of the City’s historic resources and thus have a significant cumulative impact. The SUMC Project’s contribution to the cumulative impact would be cumulatively considerable. a) Potential Impact. The impact identified above is described and discussed in Section 3.8 of the Draft EIR. b) Mitigation Measures. Mitigation Measures CR-1.2 through CR-1.4 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no other feasible mitigation measures available to mitigate this impact to a less-than-significant level. The demolition of the Stone Building Complex means that the Project’s contribution to the cumulative impact on historical resources is considerable. While Mitigation Measures CR-1.2 through CR-1.4 will lessen this impact by documenting the historical significance of the Complex, the cumulative impact remains significant and unavoidable. (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to cumulative impacts on historical resources , as set forth in the Statement of Overriding Considerations below. Impact BR-4: Substantial Adverse Effect on any Protected Tree as Defined by the City of Palo Alto’s Tree Preservation Ordinance (Municipal Code Section 8.10). The SUMC Project could have a significant impact on Protected Trees. a) Potential Impact. The impact identified above is described and discussed in Section 3.9 of the Draft EIR, as well as on pages 5-152 through 5-154 of the Draft EIR (as amended on pages 6-143 and 6-144 of the Final EIR) in its discussion of the Tree Preservation Alternative. b) Mitigation Measures/Alternatives. Mitigation Measures BR-4.1 through BR-4.5 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. In addition, as further discussed in the City’s finding on alternatives below, the City is adopting the Tree Preservation Alternative described on pages 5-15 through 5-22 of Not Yet Approved 37 110601 jb 0130719 the Draft EIR, as amended on pages 6-128 through 6-130 of the Final EIR, to further reduce the Project’s impacts on protected trees. Because the City is adopting the Tree Preservation Alternative, there is no need to also adopt Mitigation Measure BR-4.6, since the Tree Preservation Alternative already achieves the purpose of that measure. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no other feasible mitigation measures available to mitigate this impact to a less-than-significant level. Implementation of Mitigation Measures BR-4.1 through BR-4.5 and adoption of the Tree Preservation Alternative would lessen the Project’s impact on Protected Trees, and avoid removal (without relocation) of all biological and aesthetical tree resources Trees. However, the Project would still be able to remove up to 59 Protected Trees, and 3 Protected Trees that are biological and aesthetic tree resources would be relocated. (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to the Project’s impact on Protected Trees, as set forth in the Statement of Overriding Considerations below. Impact BR-9: Cumulative Impacts on Protected Tree as defined by the City of Palo Alto’s Tree Preservation Ordinance (Municipal Code Section 8.10). Cumulative impacts on Protected Trees would be significant. Because the SUMC Project would result in the loss of Protected Trees, the SUMC Project’s contribution would be cumulatively considerable. a) Potential Impact. The impact identified above is described and discussed in Section 3.9 of the Draft EIR, as well as on pages 5-152 through 5-154 of the Draft EIR (as amended on pages 6-143 and 6-144 of the Final EIR) in its discussion of the Tree Preservation Alternative. b) Mitigation Measures/Alternatives. Mitigation Measures BR-4.1 through BR-4.6 will be adopted and will be implemented as provided in the Mitigation Monitoring and Reporting Program. In addition, as further discussed in the City’s finding on alternatives below, the City is adopting the Tree Preservation Alternative described on pages 5-15 through 5-22 of the Draft EIR, as amended on pages 6-128 through 6-130 of the Final EIR, to further reduce the Project’s impacts on protected trees. c) Findings. Based on the Final EIR and the entire record before the City, the City Council finds that: (i) Remaining Impacts. There are no other feasible mitigation measures available to mitigate this impact to a less-than-significant level. While Mitigation Measures BR- 4.1 through BR-4.6 and the Tree Preservation Alternative will lessen the Project’s impact on Protected Trees, as discussed above, that impact will remain significant and unavoidable, making the Project’s contribution to the cumulative impact on Protected Trees considerable. Not Yet Approved 38 110601 jb 0130719 (ii) Overriding Considerations. The environmental, social, economic and other benefits of the Project override any remaining significant adverse impacts of the Project relating to the cumulative impact on Protected Trees as set forth in the Statement of Overriding Considerations below. SECTION 8. Further Findings Regarding Proposed Mitigation Measures. The Council further rejects the following mitigation measures proposed at various stages of the proceedings for the following reasons: Private Bus Service. For the reasons stated in the Final EIR, provision of the Caltrain GO Pass to Hospital employees is expected to be an effective measure to reduce Project- related vehicle trips and associated air pollutant emissions, including greenhouse gases. Mitigation Measure TR-2.3 also includes steps that would be taken to monitor progress toward achievement of the required alternative mode splits, and the steps that would be taken if the SUMC Project sponsors cannot achieve the required alternative mode splits, either because the Caltrain GO Pass is no longer available in its current form, or because the enhanced TDM program does not perform as anticipated. The Final EIR evaluates an alternative mitigation approach under which the City would require the SUMC Project sponsors to provide a private bus service for their employees, rather than funding the GO Pass Program or other substitute programs. For the reasons presented in the Final EIR, provision of private bus service would not be as cost-effective as Mitigation Measure TR-2.3. Expanded Shuttle Service. In combination, Mitigation Measures TR-2.1, TR-2.2, TR-2.3 and TR-2.4 would reduce impacts on freeway segments and at intersections to a less- than-significant level. The Final EIR evaluates the effectiveness of increased shuttle service for SUMC employees to reduce traffic congestion impacts. The analysis shows that four possible routes could be provided to serve the local SUMC employees; however, such additional mitigation is unnecessary to reduce intersection impacts to a less-than-significant level. Further, such additional mitigation would not substantially reduce the significant and unavoidable impact from increased average daily trips on four Menlo Park roadway segments. Remote Parking. Both the Draft EIR and the Final EIR evaluate remote parking as an alternative to Mitigation Measure TR-2.3, which requires the Hospitals to provide an enhanced TDM program to address the Project’s impacts on intersections and freeway segments. The analysis identifies potential remote parking locations, all of which would require further analysis if they were to be selected with the exception of use of the existing Ardenwood Park-n- Ride lot, which is a component of Mitigation Measure TR-2.3. The analysis also identifies substantial concerns as to the effectiveness of remote parking. For the reasons presented in the Final EIR, provision of remote parking would not be as effective as Mitigation Measure TR-2.3. Further, remote parking would not substantially reduce the significant and unavoidable impact from increased average daily trips on four Menlo Park roadway segments. Other TDM Measures. Commentors have suggested a variety of TDM measures in addition to the measures described in Mitigation Measure TR-2.3. Mitigation Measure TR-2.3 Not Yet Approved 39 110601 jb 0130719 requires that the SUMC Project sponsors achieve specified alternative mode split targets and describes a process for evaluating changes to the enhanced TDM program should those targets not be achieved. The SUMC Project sponsors will adapt their TDM program as needed over time. Accordingly, it is not necessary to add TDM measures to Mitigation Measure TR-2.3. No Net New Trips (or Similar) Requirement. The Final EIR explains why it would not be feasible to impose a No Net New Trips requirement or other cap on the number of vehicle trips on the Project. Mitigation Measure TR-2.3 differs from such a requirement because it is based on mode split for employee travel, rather than trip counts. In addition to explaining why a No Net New Trips requirement would not be feasible, the Final EIR also explains why, for this Project, it is more practical to measure employee mode split than employee trip counts. The SUMC facilities will generate both patient and vehicle trips, making measurement of the actual number of employee trips difficult. SECTION 9. Findings Regarding Project Alternatives. Public Resources Code section 21002 prohibits a public agency from approving a project if there are feasible alternatives or feasible mitigation measures available which would substantially lessen the significant environmental effects of such projects. When a lead agency finds, even after the adoption of all feasible mitigation measures, that a project will still cause one or more significant environmental effects that cannot be substantially lessened or avoided, it must, prior to approving the project as mitigated, first determine whether there are any project alternatives that are feasible and that would substantially lessen or avoid the project's significant impacts. Under CEQA, “feasibility” includes “desirability” to the extent that it is based on a reasonable balancing of the relevant economic, environmental, social, and technological factors, and an alternative may be deemed by the lead agency to be “infeasible” if it fails to adequately promote the project applicant’s and/or the lead agency’s primary underlying goals and objectives for the project. Thus, a lead agency may reject an alternative, even if it would avoid or substantially lessen one or more significant environmental effects of the project, if it finds that the alternative’s failure to adequately achieve the objectives for the project, or other specific and identifiable considerations, make the alternative infeasible. The City Council certifies that the Final EIR describes a reasonable range of alternatives to the Project, or to its location, which could feasibly obtain the basic objectives of the Project, and that the City Council has evaluated the comparative merits of the alternatives. As described below and in Section 2(b) above, the City Council has decided to adopt the Tree Preservation Alternative and certain components of the Village Concept Alternative and to reject the remainder of the alternatives, as summarized below. Section 2.3 of the Draft EIR sets forth a detailed and comprehensive list of both SUMC Project sponsors’ and the City’s respective objectives for the Project. That list is incorporated herein by reference. In light of the Project sponsors’ and City’s objectives for the Project, and given that the Project is expected to result in certain significant environmental effects even after the implementation of all feasible mitigation measures, as identified above, the City hereby makes the following findings with respect to whether one or more of the alternatives evaluated in the Draft EIR could feasibly accomplish most of the goals and objectives for the Project and substantially lessen or avoid one or more of its potentially significant effects. Not Yet Approved 40 110601 jb 0130719 No Project Alternative A: Retrofitting Only No Project Alternative A: Retrofitting Only is discussed at pages 5-1 to 5-6 of the Draft EIR. No Project Alternative A is hereby rejected as infeasible because it would not achieve most of the Project objectives, as explained at page 5-40 of the Draft EIR. No Project Alternative B: Replace SB 1953 Noncompliant Structures No Project Alternative B: Replace SB 1953 Noncompliant Structures is discussed at pages 5-7 to 5-9 of the Draft EIR. No Project Alternative B is hereby rejected as infeasible because it would not achieve most of the Project objectives, as explained at pages 5-41 and 5-42 of the Draft EIR. Reduced Intensity Alternative A: Right-size SHC and LPCH Reduced Intensity Alternative A: Right-size SHC and LPCH is discussed at pages 5- 9 to 5-12 of the Draft EIR. Reduced Intensity Alternative A is hereby rejected as infeasible because it would not achieve many significant Project objectives, as explained at pages 5-42 and 5-43 of the Draft EIR. Reduced Intensity Alternative B: Right-size SHC and LPCH plus additional floor area (in an amount less than the SUMC Project) Reduced Intensity Alternative B: Right-size SHC and LPCH plus additional floor area (in an amount less than the SUMC Project) is discussed at pages 5-12 to 5-15 of the Draft EIR. Reduced Intensity Alternative B is hereby rejected as infeasible because, while it would achieve many of the short-term Project objectives, it would not achieve most of the long-term Project objectives, as explained at pages 5-43 and 5-44 of the Draft EIR. Tree Preservation Alternative The Tree Preservation Alternative is discussed at pages 5-15 to 5-22 of the Draft EIR. The Tree Preservation Alternative would attain all of the same Project objectives as would the Project as originally proposed, as explained at pages 5-44 and 5-45 of the Draft EIR. Furthermore, as discussed at pages 5-135 through 5-166 of the Draft EIR and pages 6-139 through 6-145 of the Final EIR, it would reduce the Project’s impacts on protected trees, without resulting in any new or increased environmental impacts different than those of the Project as originally proposed. Thus, the Tree Preservation Alternative would feasibly attain the Project objectives and would be environmentally superior to the Project as originally proposed. In approving the Project, the City is therefore adopting the Tree Preservation Alternative, as explained in Section 2(b) above. Historic Preservation Alternative The Historic Preservation Alternative is discussed at pages 5-22 to 5-26 of the Draft EIR. The Historic Preservation Alternative would not fully attain the Project objectives, and also Not Yet Approved 41 110601 jb 0130719 has multiple drawbacks, as discussed at pages 5-45 through 5-48 of the Draft EIR. The City Council finds that this alternative would not accomplish the Project objectives and is not feasible for the reasons explained at pages 5-45 through 5-48 of the Draft EIR. Village Concept Alternative The Village Concept Alternative is discussed at pages 5-26 to 5-38 of the DEIR. The Village Concept Alternative would attain most of the Project objectives, as discussed at pages 5-49 of the Draft EIR and 6-132 of the Final EIR. The environmental impacts of the Village Concept Alternative would be similar to the impacts of the Project as originally proposed, as discussed at pages 5-195 through 5-222 of the Draft EIR and pages 6-149 through 6-158 of the Final EIR. The City is incorporating into the Project certain components of the Village Concept Alternative, specifically, the linkage components described in Section 2(b) above. However, the Village Concept Alternative also includes a housing component which calls for the dedication of housing for SUMC employees. One of the housing sites, on Pasteur Drive, already is zoned for housing in the City of Palo Alto. The other two sites (the Quarry Road sites) are outside of Palo Alto, in unincorporated Santa Clara County. Implementation of the housing component, as a whole, would require the cooperation of the SUMC Project sponsors and land use approvals by Santa Clara County, over which the City has no control or jurisdiction. Further, according to SUMC Project sponsors, the Quarry Road sites identified in the Village Concept Alternative are currently projected for use instead by students and employees of Stanford University. The City and SUMC Project sponsors have engaged in extensive discussions regarding the potential for implementation of the housing component of the Village Concept Alternative, but SUMC Project sponsors have consistently expressed opposition to the dedication of housing to SUMC employees. Based upon the SUMC Project sponsors’ expressed opposition, and the fact that the City does not have jurisdiction over the two Quarry Road housing sites, the City finds the housing component of the Village Concept Alternative to be infeasible, but is approving the linkage components of the Village Concept Alternative as described in Section 2(b) above. Additional Alternatives Master Response 8 in the Final EIR (at pages 3-204 to 3-206) explains why various other alternatives suggested by members of the public would not feasibly attain important Project objectives. For the reasons set forth in Master Response 8 and elsewhere in the record, the Council finds that there are no additional feasible alternatives to the Project which could mitigate the above-identified significant and unavoidable environmental impacts of the Project. SECTION 10. Statement of Overriding Considerations. Pursuant to Public Resources Code Section 21081 and Section 15093 of the CEQA Guidelines, this City Council adopts and makes the following Statement of Overriding Considerations regarding the remaining significant unavoidable impacts of the Project, as discussed above, and the anticipated economic, social and other benefits of the Project. The City finds that: (i) the majority of the significant impacts of the Project will be reduced to less-than- Not Yet Approved 42 110601 jb 0130719 significant and acceptable levels by the mitigation measures described in the Final EIR and approved and adopted by these Findings; (ii) the City’s approval of the Project will result in certain significant adverse environmental effects that cannot be avoided even with the incorporation of all feasible mitigation measures into the Project; and (iii) there are no other feasible mitigation measures or feasible Project alternatives that would further mitigate or avoid the remaining significant environmental effects. The significant effects that have not been mitigated to a less-than-significant level and are therefore considered significant and unavoidable are identified in Section 7 above. Despite these potentially significant impacts, it is the City’s considered judgment that the benefits offered by the Project outweigh the potentially adverse effects of these significant impacts. The substantial evidence supporting the following described benefits of the Project can be found in the preceding findings and in the record of proceedings. The City Council finds that there are two categories of overriding considerations. The first category relates to the amenities of the development of the Project itself, and the second relates to the additional community benefits and other payments negotiated as part of the Development Agreement for the Project. It should be noted that, as discussed in Master Response 12 of the Final EIR, the SUMC Project sponsors could have requested City consideration of the Project itself without approval of the Development Agreement, and thus without the additional community benefits negotiated as part of the Development Agreement. The City Council finds that the benefits from the amenities of the Project development itself, as identified in Section 10(A) below, constitute “overriding considerations” for approval of the Project, even without the additional community benefits identified in Section 10(B) below. The City Council further finds that the additional community benefits and other payments serve as additional overriding considerations which justify approval of the Development Agreement. A. Project Amenities The benefits of the Project which the City Council finds serve as “overriding considerations” justifying its approval are as follows: a. Health Care Advancements in medicine that have taken place at the Stanford University Medical Center include pioneering achievements in transplantation medicine, advancements in cancer care through the introduction of the linear accelerator and the cyberknife, leadership in prenatal diagnosis and treatment, discovery of the protein that appears to be the root cure of the type I diabetes, and discovery of the link between exercise and increased “good” cholesterol levels. In addition to world-renowned medical breakthroughs, in 2009 the benefits provided by the Stanford Hospital and Clinics and the Lucile Salter Packard Children’s Hospital at Stanford equated to the following:  36,559 inpatients admitted  48,744 emergency department visits  4,759 babies delivered Not Yet Approved 43 110601 jb 0130719  $262.6 million in uncompensated medical services, charity care, and community programs. In addition, the two hospitals at the SUMC served 64 percent of the Palo Alto residents who required hospitalization in 2009. The Project will enable the SUMC Project sponsors to continue their important work to provide advancements in medicine, and health care services to their patients. Further, the addition of more beds for adults and children will alleviate overcrowding and allow the two hospitals to serve patients who currently must be turned away. b. Level 1 Trauma Center The two hospitals also provide the only Level 1 Trauma Center between San Francisco and San Jose. The Trauma Center and the Emergency Department ensure critical community emergency preparedness and response resources for the community in the event of an earthquake, pandemic, or other major disaster. The expansion of the Emergency Department and the associated facilities needed to support the ED services will help alleviate the critical problem of an undersized facility for the volume of people seeking care. c. Seismic Safety Several buildings at the SUMC require structural retrofit or replacement to comply with SB 1953 and other applicable laws. Also, many of the facilities require nonstructural renovations or replacement to comply with SB 1953. Portions of the School of Medicine that currently occupy space in structures used for hospital purposes must be physically separated from those structures or replaced in order to comply with SB 1953 requirements. In addition, new or replacement hospital structures must meet current standards specified by the California building code for hospitals; compliance with these standards necessitates increased square footage and height to accommodate current seismic structural requirements, patient safety requirements, air handling systems and mechanical duct work. The Project has been designed to achieve compliance with the requirements of SB 1953 and other applicable laws, and will improve the seismic safety of the facilities at the SUMC. B. Community Benefits and Other Payments Some of the additional community benefits and other payments negotiated as part of the Development Agreement are identified below. The City Council finds that these additional community benefits and other payments serve as overriding considerations which collectively justify approval of the Development Agreement. a. Health Care Services Funding Payment of $3,000,000 paid out over ten years (subject to deferral under the terms set forth in the Development Agreement) to be used to assist residents of Palo Alto who have self-payment responsibilities beyond their financial means, to pay health care services. Not Yet Approved 44 110601 jb 0130719 b. Community Health Programs One-time payment of $4,000,000 to be used for community based health and wellness programs. The agreement specifically authorizes the City to use a portion of this payment as seed money for Project Safety Net. c. Infrastructure Capital Fund The SUMC Project sponsors will provide $21,479,512 to be used by the City for infrastructure, sustainable neighborhood and community development and affordable housing programs. This fund could be used for a wide variety of important infrastructure projects. d. Climate Change/Sustainable Communities The SUMC Project sponsors will contribute $12,000,000 paid in three equal installments for use in projects and programs for sustainable communities. e. Cost Neutrality Payment The SUMC Project sponsors will pay the City $2,417,000 up front to assure City costs do not exceed City revenues generated by the Project over time. This payment represents the discounted present value of the projected deficit as calculated by the City’s economic consultant. // // // Not Yet Approved 45 110601 jb 0130719 f. Use Tax Direct Payment Permit The SUMC Project sponsors will obtain a Use Tax Direct Payment Permit which is estimated to result in $750,000 paid over the life of the Project. INTRODUCED AND PASSED: AYES: NOES: ABSENT: ABSTENTIONS: ATTEST: APPROVED: ______________________________ _________________________________ City Clerk Mayor APPROVED AS TO FORM: _________________________________ City Manager _______________________________ Senior Asst. City Attorney _________________________________ Director of Planning and Community Environment Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 1 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed LAND USE IMPACT BEING ADDRESSED: Without mitigation measures to ensure consistency with the Comprehensive Plan’s policies adopted for the purpose of avoiding or mitigating an environmental effect, the SUMC Project could conflict with Comprehensive Plan policies that avoid or reduce impacts related to visual quality, cultural resources, pedestrian circulation, urban forest resources, groundwater and runoff pollution, air quality degradation, and noise incompatibility. (LU-1) See Mitigation Measures VQ-2.1, TR-6.1, AQ-1.1 through AQ-1.2, NO-1.1, NO-4.1, CR-1.1 through CR-1.5, BR-4.1 through BR-4.5, and HW-3.1. IMPACT BEING ADDRESSED: Because the SUMC Project would intensify the planned uses within the SUMC Sites, the SUMC Project would have a significant impact pertaining to on-site character and views. (LU-5) See Mitigation Measure VQ-2.1. VISUAL QUALITY IMPACT BEING ADDRESSED: The SUMC Project would substantially degrade the existing visual character and quality of the SUMC Sites during construction. (VQ-1) VQ-1.1 Implement Construction Visual Improvements Plan. The SUMC Project sponsors shall develop and implement a Construction Visual Improvements Plan that would make visual improvements to construction zones within a given construction phase and between phases if the zone is not scheduled for construction activity or would remain unused for a period greater than six months. Construction zones subject to this mitigation measure shall be defined by the Planning Director, and shall consider the size of the area, the nature and timing of the construction activity, and the proximity or visibility of the area to public vantage points or residential uses. The Construction Visual Improvements Plan shall be implemented by the project contractor(s) and must be approved by the Planning Director. The intent of the plan is to aesthetically improve portions of the project site that would remain unimproved for an extended period and screen the construction zone from view by passersby along the public streets and sidewalks. Possible improvements in the plan include, but are not limited to, the following: a. The SUMC Project sponsors shall conceal staging areas with fencing material to be approved by the Planning Director prior to commencement of use of Review and approve Construction Visual Improvements Plans; compliance monitoring City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 2 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed the staging area for construction equipment and vehicles. b. The SUMC Project sponsors shall frequently remove construction debris and refuse from the SUMC Sites. c. The SUMC Project sponsors shall install all landscaping as early as feasible to decrease visual impacts of construction. Existing landscaping within the SUMC Sites that would not be removed by the construction shall be maintained. FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project would have a significant impact pertaining to degradation of the existing visual character or quality of the SUMC Sites and their surroundings. (VQ-2) VQ-2.1 Adhere to City’s Architectural Review Process and Recommendations. The SUMC Project sponsors shall submit final building and site plans to the ARB prior to issuance of any development permits. Architectural Review shall assess the appropriateness of proposed demolitions, proposed building heights and massing, siting of buildings and structures, architecture and façade treatments, landscaping, circulation plans, and parking. The ARB may recommend alterations to any of the above project features, or the ARB may suggest new features, such as new landscaping or public art, to improve the proposed SUMC Project design. Any conditions required by the City Council as a result of the Architectural Review process with respect to the design of the SUMC Project shall be implemented by the SUMC Project sponsors. Undergo Architectural Review; verify building permit plan compliance City of Palo Alto City Council or City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 3 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project would result in significant impacts on views. (VQ-3) See Mitigation Measure VQ-2.1. IMPACT BEING ADDRESSED: The SUMC Project could increase light and glare nuisance from exterior lighting, resulting in a significant impact. (VQ-5) See Mitigation Measure VQ-2.1. TRANSPORTATION IMPACT BEING ADDRESSED: Construction activity associated with the SUMC Project could result in significant traffic impacts. (TR-1) TR-1.1 Provide Off-Street Parking for Construction Related Vehicles. The SUMC Project sponsors shall be required to provide adequate off-street parking for all construction-related vehicles throughout the construction period. If adequate parking cannot be provided on the construction sites, a remote parking area shall be designated, and a shuttle bus shall be operated to transfer construction workers to the job site. Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 4 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date TR-1.2 Maintain Pedestrian Access. The SUMC Project sponsors shall be prohibited from substantially limiting pedestrian access while constructing the SUMC Project, without prior approval from the City of Palo Alto Department of Public Works. Such approval shall require submittal and approval of specific construction management plans to mitigate the specific impacts to a less-than-significant levels. Pedestrian access-limiting actions would include, but not be limited to, sidewalk closures, bridge closures, crosswalk closures or pedestrian re-routing at intersections, placement of construction-related material within pedestrian pathways or sidewalks, and other actions which may affect the mobility or safety of pedestrians during the construction period. If sidewalks are maintained along the construction site frontage, covered walkways shall be provided. Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 5 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 6 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed TR-1.3 Maintain Bicycle Access. The SUMC Project sponsors shall be prohibited from limiting bicycle access while constructing the SUMC Project without prior approval from the City of Palo Alto Department of Public Works. Such approval shall require submittal and approval of specific construction management plans that warn cyclists prior to reaching the impacted bicycle lanes and provide alternative routing around the construction sites to mitigate the specific impacts to a less-than- significant level. Bicycle access-limiting actions would include, but not be limited to, bicycle lane closures or narrowing, closing or narrowing of streets that are designated bicycle routes, bridge closures, the placement of construction-related materials within designated bicycle lanes or along bicycle routes, and other actions which may affect the mobility or safety of bicyclists during the construction period. Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date TR-1.4 Restrict Construction Hours. The SUMC Project sponsors shall be required to prohibit or limit the number of construction material deliveries from 7:00 a.m. to 9:00 a.m., and from 4:00 p.m. to 6:00 p.m. on weekdays. The SUMC Project sponsors shall be required Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; City of Palo Alto Planning and Community Environment, Public Works Prior to issuance of building permits for each building; compliance monitoring during SHC Hospital ______________________________________ Signature Date SHC Clinics Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 7 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed to limit the number of construction employees based upon an approved construction management plan from arriving or departing the site from the hours of 4:30 p.m. to 6:00 p.m. Although not needed to reduce the impact to a less-than-significant level, the SUMC Project sponsors also shall limit the number of construction employees from arriving at the site from 7:00 a.m. to 9:00 a.m., contingent upon the City’s granting of an exception to its construction hours under its noise ordinance to allow construction to commence at 7:00 a.m. compliance monitoring Department construction ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date TR-1.5 Restrict Construction Truck Routes. The SUMC Project sponsors shall be required to deliver and remove all construction-related equipment and materials on truck routes designated by the cities of Palo Alto, East Palo Alto and Menlo Park. Heavy construction vehicles shall be prohibited from accessing the site from other routes. Figure 3.4-6 and 3.4-7 of the EIR illustrates the Stanford Area Truck Routes which must be used by all trucks. Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 8 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date TR-1.6 Protect Public Roadways During Construction. The SUMC Project sponsors shall be required to repair any structural damage to public roadways, returning any damaged sections to original structural condition. The SUMC Project sponsors shall survey the condition of the public roadways along truck routes providing access to the proposed project site before construction, and shall again survey after construction is complete. A before- and-after survey report shall be completed and submitted to the City of Palo Alto Public Works Department for review, indicating the location and extent of any damage. Review before and after survey reports to determine the repair to public roadways City of Palo Alto Public Works Department Before construction of any portion of the SUMC projects and after SUMC Project construction is completed “Before” Survey Report ______________________________________ Signature Date “After” Survey Report ______________________________________ Signature Date Road Repair Completed, if necessary ______________________________________ Signature Date TR-1.7 Maintain Public Transit Access and Routes. The SUMC Project sponsors shall be prohibited from limiting access to public transit, and from limiting Verify that information is contained in construction impact City of Palo Alto Public Works Department Prior to issuance of building permits for each building; SHC Hospital ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 9 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed movement of public transit vehicles, without prior approval from the Santa Clara County Valley Transportation Authority (VTA) or other appropriate jurisdiction. Such approval shall require submittal and approval of specific measures to reduce impacts to a less- than-significant level. Potential actions which would impact access to transit include, but are not limited to, relocating or removing bus stops, limiting access to bus stops or transfer facilities, or otherwise restricting or constraining public transit operations. mitigation plan pursuant to TR-1.8; compliance monitoring compliance monitoring during construction SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 10 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed TR-1.8 Prepare and Implement Construction Impact Mitigation Plan. In lieu of the above mitigation measures, the SUMC Project sponsors shall submit a detailed construction impact mitigation plan to the City of Palo Alto for approval by the Director of Public Works prior to commencing any construction activities with potential transportation impacts. This plan shall address in detail the activities to be carried out in each construction phase, the potential transportation impacts of each activity, and an acceptable method of reducing or eliminating significant transportation impacts. Details such as the routing and scheduling of materials deliveries, construction employee arrival and departure schedules, employee parking locations, and emergency vehicle access shall be described and approved. Prior to its approval of the construction impact mitigation plan, the City of Palo Alto shall provide a copy of the construction impact plan to the City of Menlo Park for review and comment. Review and approve construction impact mitigation plans; compliance monitoring; transmit construction impact mitigation plans to the City of Menlo Park and receive comment City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring throughout term of the construction impact mitigation plan SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date TR-1.9 Conduct Additional Measures During Special Events. During major athletic events or other special events which attract a substantial number of visitors to the campus, the SUMC Project sponsors shall implement Review and approve SUMC Sponsor- prepared plan(s) to minimize traffic effects City of Palo Alto Planning and Community Environment As necessary during construction Welch Road Improvements ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 11 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed a mechanism to prevent roadway construction activities from reducing roadway capacity along those roadways that would be affected by the SUMC Project and that would provide access to the athletic or other special events. This measure may require a special supplemental permit to be approved by either Santa Clara County or the City of Palo Alto prior to hosting such events during significant construction phases. in advance of major events near the SUMC during construction IMPACT BEING ADDRESSED: Implementation of the SUMC Project would result in significant impacts to intersections during Peak Hour conditions. (TR-2) TR-2.1 Install Traffic-Adaptive Signal Technology. The SUMC Project sponsors shall contribute to the Palo Alto Citywide Traffic Impact Fee program, for the installation of traffic-adaptive signals. In Menlo Park, the SUMC Project sponsors shall contribute their fair share amount, which shall be tied to the amount of traffic added to analyzed intersections by the SUMC Project. The SUMC Project sponsors’ contributions shall apply towards the installation of traffic-adaptive signals as listed below.  Sand Hill Road (Oak Creek to Shopping Center) - 3 signals  Arboretum Road (Shopping Center to Palm Drive) - 3 signals  Embarcadero Road (Bryant to Saint Francis) - 7 signals  University Avenue (Palm to Lincoln) - 13 signals  Lytton Avenue (Alma to Middlefield) - 10 signals  Hamilton Avenue (Alma to Middlefield) - 10 signals  Middlefield Road (San Antonio to Homer) - 9 signals  Charleston Road (Alma to Middlefield) - 2 signals Verify payment of Citywide Traffic Impact Fee and fair share contribution towards traffic- adaptive signals in Palo Alto and Menlo Park. City of Palo Alto Department of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 12 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed  El Camino Real (northern city limits of Palo Alto to southern city limits of Palo Alto) – signals would require approval of Caltrans In addition, the SUMC Project sponsors shall pay a fair share contribution towards installation of traffic-adaptive signals at the below significantly-impacted intersections in Menlo Park. These intersections are among those at which Menlo Park anticipates installing traffic-adaptive signals:  Middlefield Road/Willow Road (intersection #18)  Middlefield Road/Ravenswood Avenue (intersection #46) TR-2.2 Fund Additional Bicycle and Pedestrian Undercrossings. The SUMC Project sponsors shall contribute their fair share to the cost of construction of the Everett Avenue undercrossing of the Caltrain tracks in Palo Alto and the Middle Avenue undercrossing in Menlo Park. In Palo Alto, there is a Citywide Traffic Impact Fee program that the SUMC Project sponsors shall contribute to. In Menlo Park, the fair share contribution shall be tied to the amount of traffic added to analyzed intersections by the SUMC Project. The construction of the Everett Avenue and Middle Avenue undercrossings would reduce traffic volumes on nearby streets, such as Ravenswood Avenue and University Avenue. Verify payment of Citywide Traffic Impact Fee and fair share contribution towards bicycle and pedestrian undercrossings in Palo Alto and Menlo Park. City of Palo Alto Department of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 13 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed TR-2.3 Enhance Stanford University Transportation Demand Management (TDM) Program. The SUMC Project sponsors shall enhance the currently- implemented TDM program in order to achieve 35.1 percent usage of alternative transportation modes (i.e., carpool, vanpool, bus, Caltrain, bicycle, and walk) by Hospital employees. The initial enhancements to the SUMC TDM program shall include the following:  Commencing on September 1, 2015, the Hospitals shall purchase annual Caltrain GO Passes (free train passes) for all existing and new Hospital employees who work more than 20 hours per week, at a cost of up to One Million Eight Hundred Thousand Dollars ($1,800,000) per year, which amount shall be adjusted annually to reflect any change in the San Francisco Bay Area Consumer Price Index (the “GO Pass Amount”). The Hospitals’ obligation to provide GO Passes shall continue for fifty-one (51) years , or until such earlier date as: (a) Caltrain discontinues the GO Pass program, or a substantially similar program; (b) Caltrain increases the cost of GO Passes, or a substantially similar program, such that the Hospitals’ annual costs would exceed the GO Pass Amount; or (c) Caltrain service is reduced by such an extent that the Hospitals and the City mutually determine purchase of annual GO Passes, or a substantially similar program, would no longer be effective in substantially reducing Hospital employee peak period trips in order to achieve the Alternative Mode targets in Table 3.4-19A in Section 3 in the Final EIR. If the cost of obtaining GO Passes exceeds the GO Pass Amount, the Hospitals shall have the option to elect either to purchase the GO Passes at the then applicable price, or to terminate the obligation to provide GO Passes, or a substantially Review TDM reports to verify that enhancements of TDM program have been implemented and determine whether interim mode split targets have been achieved; transmit TDM reports to City of Menlo Park for their review City and SUMC Project sponsors will meet annually to discuss effectiveness of enhanced TDM program and to identify potential improvements. SUMC Project sponsors may modify enhanced TDM program as needed to improve its effectiveness. Verify lease of 75 parking spaces at Ardenwood Park and Ride lot, or an equivalent location, at a cost not to exceed $45,000 per year. For U-Line load factors, verify Initial City of Palo Alto Department of Planning and Community Environment Baseline TDM report within six months of SUMC Project approval Annual TDM reports submitted each Spring Baseline TDM Report ______________________________________ Signature Date Spring 2013 ______________________________________ Signature Date Spring 2014 ______________________________________ Signature Date Spring 2015 ______________________________________ Signature Date Spring 2016 ______________________________________ Signature Date Spring 2017 ______________________________________ Signature Date Spring 2018 ______________________________________ Signature Date Spring 2019 ______________________________________ Signature Date Spring 2020 ______________________________________ Signature Date Spring 2021 Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 14 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed similar program. If the Hospitals’ obligation to provide GO Passes, or a substantially similar program, terminates for any of the reasons specified in this measure , the Hospitals shall contribute the GO Pass Amount to one or more substitute programs to encourage use of transit by Hospital employees or otherwise reduce peak period traffic trips in the intersections impacted by the Project as identified in the Project EIR, including but not limited to regional transportations systems or solutions. The substitute program or programs shall be mutually agreed upon by the SUMC Parties and the City’s Director of Planning and Community Environment.  Use all reasonable efforts to arrange with AC Transit to lease 75 spaces at the Ardenwood Park & Ride Lot, or an equivalent facility, to serve SUMC employees who commute from the East Bay.  Expand the Marguerite shuttle bus service between the SUMC and PAITS as needed to accommodate increased ridership by Hospital employees.  Use all reasonable efforts to assure that the controlling transit agency maintains load factors less than 1.00 on the U-Line.  Maintain a load factor less than or equal to 1.25 on the Marguerite shuttle.  Expand and improve the bicycle and pedestrian networks as specified by Project site plans.  Provide a full-time on-site TDM coordinator by 2015 for the hospital components. The coordinator would be responsible for organizing and disseminating TDM information primarily to hospital employees and also to hospital patients. A central location would be made available to provide information on alternative travel modes. Also, the Payment offer to AC transit ($250,000) and then subsequent annual payment offers up to $50,000 total. ______________________________________ Signature Date Spring 2022 ______________________________________ Signature Date Spring 2023 ______________________________________ Signature Date Spring 2024 ______________________________________ Signature Date Spring 2025 ______________________________________ Signature Date Spring 2062 ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 15 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed SUMC or Hospitals’ website would contain information on TDM programs.  Provide a guaranteed ride home program for all employees who use transit and other transport alternatives like carpool and vanpool. The guarantee ride home shall allow employees with dependent children the ability to use alternative modes to travel to and from work but still be able to travel home mid-day in case of an emergency.  Provide employees with shower facilities within the SUMC Sites to encourage bicycling to work. The SUMC Project sponsors shall also provide bicycle storage facilities on the SUMC Sites that would be conveniently located near the employee showers.  Establish, in conjunction with the GO Pass implementation, a “Zip Car” (or other similar car- sharing program) with Zip Cars available at the medical complex.  Perform annual TDM monitoring from the date of initial project approval through the life of the project (51 years after project approval) and submit the report to the City of Palo Alto. This report also shall be submitted to the City of Menlo Park for its review.  Within six (6) months of project approval, and annually for a period of fifty-one (51) years from initial project approval, the SUMC Project sponsors shall submit to the City’s Director of Planning and Community Environment, a Hospital TDM Program Report that shows the current number of employees employed over 20 hours per week;, the number of employees using an alternative mode share as documented by a study or survey to be completed by the Hospitals using a method mutually agreeable to the City and Hospitals; and the efforts used by the Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 16 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Hospitals to attempt to achieve the Alternative Mode targets. These enhancements may not immediately change the mode split for Hospital employees. Further, because transit use by employees of the Hospitals is voluntary, and may be influenced by a number of factors outside the reasonable control of the Hospitals, such as gasoline prices, costs and availability of alternative transit, housing costs and availability, and personal preferences of employees, the Hospitals cannot guarantee the results of their TDM programs. The interim targets in Table 3.4-19A in Section 3 in the Final EIR shall be used to measure the progress toward meeting the desired mode split by 2025. These interim targets assume that in the early phases of implementation, there may be larger shifts to alternative modes than the shifts that may occur in later phases of the TDM program enhancement. For purposes of calculating alternative mode share, any mode that does not constitute driving in a single- occupant vehicle to and from the work site shall be considered an “Alternative Mode,” including working remotely from home. For each of the interim target years, following submission of the Hospitals TDM Annual Report, the City shall determine if the interim year target has been met. If the Hospitals have not met the interim target, the Hospitals and the City shall meet to review the TDM Program and to identify possible additional TDM Program enhancements that the Hospitals should consider incorporating into their TDM Program in order to increase the Program’s effectiveness. If the Hospitals do not meet the applicable interim targets Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 17 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed for any two consecutive years prior to 2025, the Hospitals shall provide alternative transportation funding to the City of Palo Alto in annual payments in the amount of $175,000 per year until the earlier of the year 2025 or the year the Hospitals achieve the applicable interim mode split target, subject to a maximum of five annual payments. The alternative transportation funding shall be used by the City of Palo Alto for local projects and programs that encourage citywide use of alternative transportation mode uses or otherwise reduce peak period traffic trips in the intersections impacted by the Project as identified in the Project EIR, including but not limited to regional transportation systems and solutions. The City of Palo Alto should consider transportation systems and solutions that also help to reduce traffic in the City of Menlo Park. . If by 2025, the Hospitals have not demonstrated substantial achievement of the 35.1 percent target modal split for alternative transportation modes, the following measure shall be required:  The Hospitals shall make a lump sum payment of $4.0 million to the City of Palo Alto for local projects and programs that encourage and improve citywide use of alternative transportation mode uses or otherwise reduce peak period traffic trips in the intersections impacted by the Project as identified in the Project EIR, including but not limited to regional transportation systems and solutions. The City of Palo Alto shall identify capital projects and program enhancements for which the funds may be applied. Sample projects may include contributions towards regional transportation projects of interest to the City of Palo Alto and that are identified within the Valley Transportation Authority – Valley Transportation Plan or other local planning Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 18 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed documents. The City of Palo Alto should consider transportation systems and solutions that also help to reduce traffic in the City of Menlo Park. If required, said $4.0 million payment shall constitute funds to be used by the City to offset trips by Hospital employees through citywide trip reduction. The $4.0 million payment shall not relieve the Hospitals of any of their obligations under this measure, including but not limited to their obligations to continue to attempt to achieve the 35.1 percent target modal split through implementation of the GO Pass or substantially similar program, or a substitute program mutually agreed upon by the Hospitals and the City’s Director of Planning and Community Environment, which shall continue for 51 years from the date of Project approval. Further, the Hospitals shall continue to implement an enhanced TDM program, monitor modal splits by Hospital employees, and strive to maximize use of alternative commute modes by Hospital employees. In addition, the Hospitals shall continue to meet with the City on a regular basis to identify potential improvements to the enhanced TDM program. TR-2.4 Fund or Implement those Intersection Improvements that Have Been Determined to be Feasible. The SUMC Project sponsors shall implement the following measures:  At the intersection of Arboretum Road/Galvez Street, the SUMC Project sponsors shall install a traffic signal.  At the intersection of Bayfront Expressway/Willow Road, the SUMC Project sponsors shall pay a fair share towards providing one more right-turn lane for eastbound Willow Road. Verify installation of Arboretum/Galvez traffic signal Verify payment of fair share contribution for both Bayfront intersections City of Palo Alto Director of Planning and Community Environment Prior to Occupancy Permit for SHC Hospital Arboretum/Galvez traffic signal ______________________________________ Signature Date Fair Share Payment for both Bayfront intersections ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 19 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed  At the intersection of Bayfront Expressway/ University Avenue, the SUMC Project sponsors shall pay a fair share towards widening southbound Bayfront Expressway to include an additional through lane and re-stripe the exclusive right turn lane to a shared through right turn lane. As a result, two additional receiving lanes in the southbound direction on Bayfront Expressway would be needed. IMPACT BEING ADDRESSED: The SUMC Project would result in adverse traffic impacts to roadway segments in the City of Menlo Park. (TR-3) See Mitigation Measures TR-2.2, TR-2.3, TR-7.2. IMPACT BEING ADDRESSED: The SUMC Project could result in significant traffic impact to the local circulation network in the immediate vicinity of the SUMC Sites. (TR- 4) TR-4.2 Fund Signing and Striping Plan and Signal Optimization. In addition to paying for the construction of the extension of Durand Way from Sand Hill Road to Welch Road, the SUMC Project sponsors shall also pay for the following improvements to ensure that queues from the Durand Way/Sand Hill Road intersection do not spillback onto the Durand Way/Welch Road intersection.  A signing and striping plan for the Durand Way extension, which would maximize the storage capacity by creating a four-lane roadway with a left and through/right at Sand Hill Road and a right and through/left at Welch Road;  The installation and optimization of the two signals at the intersections of Durand Way/Sand Hill Road and Durand Way/Welch Road. Review signing and striping plan for Durand Way extension, and signal optimization plan for Durand Way/ Sand Hill Road and Durand Way/ Welch Road City of Palo Alto Department of Planning and Community Environment Prior to issuance of building permit for Durand Way Durand Way Improvements ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project could impede the development or function of planned bicycle or pedestrian facilities, and result in a significant impact. (TR-6) TR-6.1 Bicycle and Pedestrian Infrastructure Improvements. The SUMC Project sponsors shall fund the expansion and improvement of the bicycle and pedestrian network in the immediate vicinity of the Verify payment for connection from planned Everett bike/ped undercrossing City of Palo Alto Planning and Community Environment Payments received prior to Initial Date (45 days from Notice of Determination) Funding received for improvements ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 20 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed SUMC Project. The intent of these improvements is to:  reduce auto related traffic by providing the infrastructure for alternative travel modes;  improve the bicycle and pedestrian linkages between the SUMC Project and Downtown Palo Alto, and between the SUMC Project and the surrounding residential neighborhoods; and  mitigate the safety hazards to pedestrians and cyclists that will result from the SUMC Project related increase in vehicular traffic and congestion. The specific improvements to be funded by the SUMC Project sponsors shall include the following:  Create a bicycle and pedestrian connection between the Stanford Shopping Center and SUMC. The connection shall provide an alternative route to Quarry Road, which is auto dominated. This connection shall extend between Vineyard Lane and Welch Road. Pedestrian traffic signals and crosswalks shall be placed at the crossing of Vineyard Lane and Welch Road. The crosswalk shall be enhanced either by striping or by the use of contrasting paving.  Provide a connection from the planned Everett Avenue bicycle and pedestrian undercrossing to the El Camino Real/Quarry Road intersection. Once the tunnel is completed, this linkage shall provide a direct connection between the SUMC Project and Downtown North.  Incorporate into the Quarry Road corridor, from El Camino Real to Welch Road, improvements to and within the public right-of-way to enhance the pedestrian and bicycle connection, including urban design elements and way finding, wider bicycle lanes, as necessary, on Quarry Road, enhanced transit nodes for bus and/or shuttle stops, and prominent bicycle to ECR/Quarry ($2,250,000), and enhancements of Quarry Road and intersections ($400,000) Verify construction of bicycle/ped connection between Stanford Shopping Center and SUMC Verify that landscape plans contain sufficient Class I and III bicycle parking spaces and are located in a manner consistent with the City of Palo Alto Municipal Code City constructs improvements prior to Hospital Occupancy Permit Stanford constructs bicycle/ped connection between Stanford Shopping Center and SUMC prior to LPCH Hospital Occupancy Permit. Bike parking requirements prior to issuance of issuance of building permits for each building Improvements completed by City ______________________________________ Signature Date Improvements completed by Stanford ______________________________________ Signature Date SHC Hospital Bike Parking ______________________________________ Signature Date SHC Clinics Bike Parking ______________________________________ Signature Date LPCH Hospital/Clinics Bike Parking ______________________________________ Signature Date Hoover MOB Bike Parking ______________________________________ Signature Date FIM 1 Bike Parking ______________________________________ Signature Date FIM 2 Bike Parking ______________________________________ Signature Date FIM 3 Bike Parking ______________________________________ Signature Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 21 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed facilities.  Enhance all signalized intersections in the Project Vicinity, particularly along Quarry Road, Vineyard, and Welch Roads to include 12-foot pedestrian crosswalks on all legs, with textured or colored paving or diagonal or longitudinal zebra striping as determined by the City, pedestrian push buttons and countdown pedestrian signal heads, and other specific improvements that are determined as necessary during the design process, such as median refuge islands, advanced signing, flashing beacons, in-pavement lighting, etc.  Install the appropriate number of Class I and Class III bicycle parking spaces as required by the City’s Zoning Ordinance for the total amount of existing and future development. The SUMC Project sponsors shall install the required number of bicycle parking spaces equally distributed throughout the SUMC Sites. IMPACT BEING ADDRESSED: The SUMC Project would not adversely impact either AM or PM Peak Hour bus service in Palo Alto or Caltrain service. Nonetheless, mitigation to provide enhanced bus stops and shuttle service is identified here. (TR-7) TR-7.1 Incorporate Enhanced Bus Stops Into Site Plans. The SUMC Project sponsors shall revise their SUMC Project site plan to incorporate two enhanced bus stops to reduce the impact to transit service caused by the SUMC Project. These enhanced bus stops shall be located at Hoover Pavilion and at SHC, and shall be on-street facilities. The enhanced bus stops shall accommodate two buses simultaneously, and shall have shelters, seating, lighting, signs, maps, bus schedules, and bicycle parking. On-street bus stops along Welch Road and Quarry Road shall also be provided, but the enhanced bus stops shall accommodate the majority of transit riders and shall be located to maximize the convenience of employees, patients, and visitors. One enhanced bus stop shall be located in the vicinity of Welch Road and Pasteur Drive to Verify that enhanced bus stops have been included in site plans City of Palo Alto Department of Public Works and Department of Planning and Community Environment Prior to issuance of building permits for SHC Hospital and Hoover MOB SHC Hospital ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 22 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed serve SHC. The other enhanced bus stop shall be located near the entrance to Hoover Pavilion. Both of these enhanced bus stops shall provide the focal point for transit use for the SUMC. TR-7.2 Provide Expanded Transit Service. The SUMC Project sponsors shall fund expansion of the Marguerite shuttle service between the SUMC and PAITS, and shall make a fair share financial contribution to the cost of expanding U-Line bus service  Marguerite Shuttle. The SUMC project sponsors shall fund expansion of the Marguerite shuttle service into Palo Alto between SUMC and PAITS.  U-Line. The SUMC project sponsors shall use reasonable efforts to assure that the controlling transit agency maintains load factors of less than 1.0 on the U-Line. Verify expansion of Marguerite shuttle in annual TDM reports pursuant to TR-2.3 Verify Initial Payment offer to AC transit ($250,000) and then subsequent annual payment offers up to $50,000 total pursuant to TR-2.3. City of Palo Alto Director of Planning and Community Environment Initial Payment offer within 30 days of Hospital Occupancy Permit and then subsequent annual payments Initial AC Transit payment offer ______________________________________ Signature Date Subsequent annual payment offers ______________________________________ Signature Date IMPACT BEING ADDRESSED: Implementation of the SUMC Project could potentially result in inadequate emergency access due to increased congestion, a significant impact. (TR-9) TR-9.1 Pay Fair Share Towards OptiCom Installation. The SUMC Project sponsors shall pay their fair-share financial contribution towards the City of Palo Alto, to assist with the installation and operation of emergency vehicle traffic signal priority (OptiCom) at all significantly impacted intersections. Verify payment of fair share towards OptiCom installation ($11,200 to City of Palo Alto and $6,400 to City of Menlo Park). City of Palo Alto Department of Public Works Within 30 days of Hospital Occupancy Permit Opticom Fair Share Payment ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project, in combination with concurrent construction projects in the vicinity of the SUMC Sites, could result in a significant construction-period impact. (TR-10) See Mitigation Measures TR-1.1 through TR-1.9. AIR QUALITY IMPACT BEING ADDRESSED: Construction activities associated with the SUMC Project could cause emissions of dust and pollutants from equipment exhaust that could contribute to existing air quality violations or expose sensitive receptors to substantial pollutant concentrations. (AQ-1) AQ-1.1 Implement Recommended Dust Control Measures. To reduce dust emissions during project Verify that information is contained in City of Palo Alto Department of Prior to issuance of building permits for SHC Hospital ______________________________________ Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 23 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed demolition and construction phases, the SUMC Project sponsors shall require the construction contractors to comply with the dust control strategies developed by the BAAQMD. The SUMC Project sponsors shall include in construction contracts the following requirements: a. Cover all trucks hauling soil, sand, and other loose materials including demolition debris, or require all trucks to maintain at least two feet of freeboard; b. Water all active construction areas (exposed or disturbed soil surfaces) at least twice daily; c. Use watering to control dust generation during demolition of structures or break-up of pavement; d. Pave, apply water three times daily, or apply (non- toxic) soil stabilizers on all unpaved parking areas and staging areas; e. Sweep streets daily (with water sweepers) all paved access roads, parking areas and staging areas during the earthwork phases of construction; f. Sweep daily (with water sweepers) if visible soil material is carried onto adjacent public streets; g. Hydroseed or apply (non-toxic) soil stabilizers to inactive construction areas (previously graded areas inactive for ten days or more); h. Enclose, cover, water twice daily, or apply non- toxic soil binders to exposed stockpiles (dirt, sand, etc.); i. Limit traffic speeds on unpaved roads to 15 mph; j. Install sandbags or other erosion control measures to prevent silt runoff to public roadways; and k. Replant vegetation in disturbed areas as quickly as possible. construction impact mitigation plan pursuant to TR-1.8; compliance monitoring Public Works each building; compliance monitoring during construction Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date AQ-1.2 Implement Equipment Exhaust Emission Reduction Measures. To reduce emissions from Verify that information is contained in City of Palo Alto Public Works Prior to issuance of building permits for SHC Hospital ______________________________________ Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 24 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed construction equipment during project demolition and construction phases, the SUMC Project sponsors shall require the construction contractors to comply with the following emission reduction strategies to the maximum feasible extent. The SUMC Project sponsors shall include in construction contracts the following requirements: a. Where possible, electrical equipment shall be used instead of fossil-fuel powered equipment, b. The contractor shall install temporary electrical service whenever possible to avoid need for fossil- fuel powered equipment. c. Running equipment not being actively used for construction purposes for more than five minutes shall be turned off. (e.g., trucks waiting to deliver or receive soil, aggregate, or other bulk materials; however, rotating-drum concrete trucks may keep their engines running continuously as long as they are on site). d. Trucks shall be prohibited from idling while on residential streets serving the construction site (also included in Mitigation Measure NO-1.1). e. Diesel-powered construction equipment shall be Tier III or Tier IV California Air Resources Board (CARB) certified equipment to the maximum feasible extent. f. The engine size of construction equipment shall be the smallest practical to accomplish the task at hand. construction impact mitigation plan pursuant to TR-1.8; compliance monitoring Department each building; compliance monitoring during construction Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date IMPACT BEING ADDRESSED: Combined mobile and stationary source emissions during operation of the SUMC Project would exceed the Bay Area Air Quality Management District’s significance threshold of 80 pounds/day of ROG, NOx and PM10. Therefore, air emissions would result in a substantial contribution to an existing regional air quality problem and a significant impact. (AQ-2) See Mitigation Measure TR-2.3. IMPACT BEING ADDRESSED: Construction equipment NOx emissions associated with the SUMC Project could contribute considerably to regional air quality problems. (AQ-6) Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 25 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed See Mitigation Measures AQ-1.1 and AQ-1.2. IMPACT BEING ADDRESSED: SUMC Project operation could contribute considerably to a degradation of regional air quality as defined by the BAAQMD. (AQ-7) See Mitigation Measure TR-2.3. CLIMATE CHANGE IMPACT BEING ADDRESSED: The proposed Emissions Reduction Program would minimize greenhouse gas emission increases associated with the proposed development program. However, the proposed Emissions Reduction Program would not be sufficient to further some of the individual policies of the City’s Climate Protection Plan. (CC-1) CC-1.1 Commission and Retro-Commission Energy Systems for New and Existing Buildings. New construction for the SUMC Project shall undergo commissioning of energy and HVAC systems within one year following building occupancy. The commissioning process shall follow the standards of the American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) Guideline 0-2005 or the International Performance Measurement and Verification Protocol (MVP). The SUMC Project sponsors shall provide the City of Palo Alto with commissioning verification data within 12 months of OSHPD (or City) certificate of occupancy for each new SUMC Project building component (parking structures excluded). These components shall include: SHC Hospital (Phase 1), SHC Hospital (Phase 2), LPCH Hospital Expansion, Hoover Medical Office Building, School of Medicine (FIM 1, FIM 2 and FIM 3) and 429,000 square feet of clinic space for SHC. The commissioning of the new SHC and LPCH Expansion Hospitals shall be conducted as part of LEED Enhanced Commissioning in compliance with the ASHRAE Guideline 0-2005. During years two to five after completion of the entire SUMC Project, the SUMC Project sponsors shall annually provide the City of Palo Alto with an EPA Energy Star Statement of Energy Performance report for each new building component. This report shall be generated using the EPA Energy Star Portfolio Manager system. Building profiles and consumption details Review commissioning verification data provided by the SUMC Project sponsors for each building Review EPA Energy Star Statement of Energy Performance Report City of Palo Alto Utilities Department and Department of Planning and Community Environment Commission verification report within 1 year of occupancy permits for each building EPA Energy Star Performance Report in years 2 through 5 after completion of entire SUMC Project SHC Hospital Commissioning ______________________________________ Signature Date SHC Clinics Commissioning ______________________________________ Signature Date LPCH Hospital/Clinics Commissioning ______________________________________ Signature Date Hoover MOB Commissioning ______________________________________ Signature Date FIM 1 Commissioning ______________________________________ Signature Date FIM 2 Commissioning ______________________________________ Signature Date FIM 3 Commissioning ______________________________________ Signature Date Energy Star Performance Year 2 Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 26 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed entered in the Portfolio Manager system and a resulting energy efficiency rating is provided based on similar facilities (i.e., academic teaching facility, community hospital, free-standing surgery center, etc.) This process would ensure that new and existing energy systems would perform interactively according to construction documents, the SUMC Project design intent and the owner’s operational needs. ______________________________________ Signature Date Energy Star Performance Year 3 ______________________________________ Signature Date Energy Star Performance Year 4 ______________________________________ Signature Date Energy Star Performance Year 5 ______________________________________ Signature Date CC-1.2 Participate in a Renewable Energy Program. The SHC and LPCH Project sponsors facilities shall participate in a renewable energy program approved by the City to partially offset electricity emissions; develop new renewable generation sources in collaboration with the CPAU; incorporate a renewable energy source (such as photovoltaics) into the SUMC Project, and/or otherwise promote expansion of the use of renewable energy by CPAU customers (“Renewable Energy Program”). The Renewable Energy Program shall be approved by the City and need not directly reduce the emissions from the SUMC Project facilities, and may be designed to promote expansion of the use of renewable energy by CPAU customers, either by providing a new source of renewable energy, educating the public about use of renewable energy, or contributing to research and development of renewable energy sources. Review and approve SUMC Project sponsor’s participation in a Renewable Energy Program City of Palo Utilities Department and Department of Planning and Community Environment Prior to completion of entire SUMC Project Participation in Renewable Energy Program ______________________________________ Signature Date CC-1.3 Provide Annual Greenhouse Gas Reporting. The SHC and LPCH shall perform an annual inventory of greenhouse gas emissions associated with Hospital and medical facilities on the SUMC Sites. This inventory Review annual inventory of greenhouse gas emissions City of Palo Utilities Department and Department of Annually 2012 ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 27 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed shall be performed according to a common industry- standard emissions reporting protocol, such as the approaches recommended by California Air Resources Board, The Climate Action Registry, or Business Council for Sustainable Development (BCSD). This inventory shall be shared with the City of Palo Alto to facilitate the development of future collaborative Emissions Reduction Programs. Emissions associated with energy, water, solid waste, transportation, employee commute and other major sources shall be reported in this inventory. Planning and Community Environment 2013 ______________________________________ Signature Date 2014 ______________________________________ Signature Date 2015 ______________________________________ Signature Date 2016 ______________________________________ Signature Date 2017 ______________________________________ Signature Date 2018 ______________________________________ Signature Date 2019 ______________________________________ Signature Date 2020 ______________________________________ Signature Date 2021 ______________________________________ Signature Date 2022 Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 28 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ______________________________________ Signature Date 2023 ______________________________________ Signature Date 2024 ______________________________________ Signature Date 2025 ______________________________________ Signature Date CC-1.4 Prepare Waste Reduction Audit. The SUMC Project sponsors shall perform a waste reduction audit of waste management practices at the hospitals prior to construction of new facilities and after completion of the SUMC Project to determine post-project diversions. Review waste reduction audits City of Palo Department of Planning and Community Environment. Initial waste reduction audit prior to construction Final waste reduction audit after completion of the entire SUMC Project. Initial Waste Reduction Audit ______________________________________ Signature Date Final Waste Reduction Audit ______________________________________ Signature Date CC-1.5 Implement Construction Period Emission Reduction Measures. Prior to the issuance of a grading permit the SUMC Project sponsors shall incorporate the following measures into the construction phasing plan and submit to City Planning for approval.  Use alternative-fueled (e.g., biodiesel, electric) construction vehicles/ equipment of at least 15 percent of the fleet;  Use local building materials of at least 10 percent; and  Recycle at least 50 percent of construction or demolition materials. Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Public Works Department Prior to issuance of grading permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 29 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 30 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed NOISE IMPACT BEING ADDRESSED: Construction of the SUMC Project would create a substantial temporary increase in ambient noise levels on the SUMC Sites compared to existing ambient noise levels. The noise increase would be a significant impact to the sensitive uses (i.e., patients) on the Main SUMC Site during construction. (NO-1) NO-1.1 Implement Best Management Practices to Reduce Construction Noise. The SUMC Project sponsors shall incorporate the following practices into the construction documents to be implemented by the SUMC Project contractor: a. Provide enclosures such as heavy-duty mufflers for stationary equipment, shrouding or shielding for impact tools, and barriers around particularly noisy operations on the site. b. Use quiet construction equipment whenever possible, particularly air compressors. c. Provide sound-control devices on equipment no less effective than those provided by the manufacturer. d. Locate stationary equipment, material stockpiles, and vehicle staging areas as far as practicable from sensitive receptors. e. Prohibit unnecessary idling of internal combustion engines. f. Require applicable construction-related vehicles and equipment to comply with the City’s truck route ordinance. g. Designate a noise disturbance coordinator who shall be responsible for responding to complaints about noise during construction. The telephone number of the noise disturbance coordinator shall be conspicuously posted at the construction site and shall be provided to the City. Copies of the construction schedule shall also be posted at nearby noise-sensitive areas. Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date  NO-1.2:Implement Best Management Practices to Verify that information City of Palo Alto Prior to issuance of SHC Hospital Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 31 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Reduce Construction Noise The SUMC Project sponsors shall incorporate the following practices into the construction documents to be implemented by the project contractor: a. Require construction contractors to use noise-reducing pile driving techniques, including pre-drilling pile holes (if feasible, based on soils) to the maximum feasible depth, verify that manufacturer-provided intake and exhaust mufflers on pile driving equipment are present, vibrating piles into place when feasible, and installing shrouds around the pile driving hammer where feasible.  Implement Best Management Practices to Reduce Construction Pile Driving Vibration. The SUMC Project Sponsors shall use sonic pile drivers to reduce vibration annoyance and/or damage to on- site sensitive receptors, if feasible.  Avoid or Repair Structural Damage to SUMC Structures. The SUMC Project sponsors shall: a. Use sonic pile drivers, if feasible, to avoid potential vibration damage to the closest on-site SUMC structures near the SHC Hospital and garage site; or b. Blake-Wilbur Clinic patients and workers shall be relocated to other, more-distant buildings during periods when pile driving occurs on parts of the SHC Hospital construction site within 75 feet of the Blake- Wilbur Clinic. The structural conditions of the Blake- Wilbur Clinic shall be assessed before and after pile driving by a licensed structural engineer and any damage resulting to the Blake-Wilbur Clinic from pile driving shall be completely repaired before patients and workers are allowed to return. is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring Public Works Department building permits for each building; compliance monitoring during construction ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date IMPACT BEING ADDRESSED: Increased traffic and helicopter noise levels due to implementation of the SUMC Project would be less than significant. However, noise from Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 32 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ambulances due to implementation of the SUMC Project would increase along Sand Hill Road west of El Camino Real, and would increase roadside noise levels by an amount considered unacceptable under the policies of the City Comprehensive Plan. (NO-3) No feasible mitigation measures. IMPACT BEING ADDRESSED: Operational stationary source noise generated by the SUMC Project could potentially increase ambient noise levels in the vicinity of the SUMC Sites and result in a significant impact. (NO-4) NO-4.1 Shield or Enclose HVAC Equipment and Emergency Generators. Noise levels from mechanical equipment shall be minimized to the degree required by the City Noise Ordinance by proper siting and selection of such equipment and through installation of sufficient acoustical shielding or noise emission controls. Noise levels for the emergency generators near Welch Road shall be reduced such that noise levels do not exceed the City’s General Daytime Exception standard of 70 dBA at 25 feet. An acoustical analysis shall be prepared by a qualified professional to ensure that the new mechanical equipment is in compliance with noise standards of the Noise Ordinance. SUMC Project sponsors to prepare acoustical analysis; City to review and verify analysis City of Palo Department of Planning and Community Environment Prior to issuance of building permits for each building; compliance testing post-construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 33 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed IMPACT BEING ADDRESSED: If other foreseeable construction in the immediate vicinity of the SUMC Sites would occur simultaneously with the proposed SUMC Project construction, then significant cumulative noise impacts to adjacent residential and other noise-sensitive uses could occur. The SUMC Project’s contribution would likely be cumulatively considerable. (NO-5) See Mitigation Measure NO-1.1. CULTURAL RESOURCES IMPACT BEING ADDRESSED: The SUMC Project would have a significant impact on historical resources. (CR-1) CR-1.1 Manually Demolish Structures at the Hoover Pavilion Site. Where feasible, the project sponsors shall establish a perimeter of construction fencing around the Hoover Pavilion at a minimum of 25 feet to establish a protective buffer around the building. The demolition of these sheds and storage facilities shall be accomplished manually without the use of vibration causing equipment. Additional protective fencing at a height sufficient to prevent any debris from hitting the building shall also be installed between the Hoover Pavilion and demolition activities occurring within the 25 foot buffer. Verify that construction contracts contain Hoover Pavilion protection requirements City of Palo Alto Planning and Community Environment Prior to issuance of building permit for Hoover Pavilion renovation Hoover Pavilion Renovation ______________________________________ Signature Date CR-1.2 Prepare HABS Documentation for the Stone Building Complex. The SUMC Project sponsors shall prepare HABS-like documentation using the National Park Services’ Historic American Building Surveys Level III guidelines for each of the buildings in the Stone Building complex prior to demolition of each building that comprises this historic resource (East, West, Core, Boswell, Edwards, Lane, Alway, and Grant). HABS-like recordation shall not be required until each of the individual buildings is vacated and prepared for demolition. The documentation shall include written and photographic documentation of each of the historic structures within the Stone Building complex. The documentation shall be prepared by a qualified professional meeting the Secretary of the Interior’s Professional Qualifications Standards for Architectural History or History. Review HABS-like documentation City of Palo Department of Planning and Community Environment Upon vacation and prior to demolition of any portions of the Stone Building complex. SHC Clinics ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 34 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed The documentation shall be prepared based on the National Park Services’ HABS standards and include, at a minimum, the following:  Site-specific history and appropriate contextual information regarding the Stone Building complex. This history shall focus on the reasons for the buildings’ significance: heart transplantation program and the role of E.D. Stone in the design of the complex.  Accurate mapping of all buildings that are included in the Stone Building complex, scaled to indicate size and proportion of the buildings to surrounding buildings; if existing plans accurately reflect these relationships these may be reformatted for submittal per HABS guidelines for CAD submittals.  Architectural descriptions of the major exterior features and public rooms within the Stone Building complex as well as descriptions of typical patient, office, laboratory, and operating rooms.  Photographic documentation of the interior and exterior of the Stone Building complex and Thomas Church-designed landscape features. Either HABS standard large format or digital photography may be used. If digital photography is used, the ink and paper combinations for printing photographs must be in compliance with National Register-National Historic Landmark photo expansion policy and have a permanency rating of approximately 115 years. Digital photographs will be taken as uncompressed .TIF file format. The size of each image shall be 1600x1200 pixels at 300 ppi (pixels per inch) or larger, color format, and printed in black and white. The file name for each electronic image shall correspond with the Index to Photographs and photograph label. Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 35 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed CR-1.3 Distribute Written and Photographic Documentation to Agencies. The written and photographic documentation of historic resources shall be disseminated on archival-quality paper to Stanford University, the Northwest Information Center, and other local repositories identified by the City of Palo Alto. Verify distribution of written and photographic documents City of Palo Department of Planning and Community Environment Prior to demolition of any portion of the Stone Building complex. SHC Clinics ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date CR-1.4 Prepare Permanent Interpretive Displays/Signage/Plaques. The SUMC Project sponsors shall install interpretive displays within the SUMC Sites that provide information to visitors and residents regarding the history of the Stone Building complex. These displays shall be installed in highly visible public areas such as the property’s open space or in public areas on the interiors of buildings. The displays shall include historical data and photographs as well as physical remnants of architectural elements. Interpretive displays and the signage/plaques installed on the property shall be sufficiently durable to withstand typical Palo Alto weather conditions for at least five years. Displays and signage/plaques shall be lighted, installed at pedestrian- friendly locations, and be of adequate size to attract the interested pedestrian. Maintenance of displays and signage/plaques shall be included in the maintenance program on the property. Location and materials for the interpretative displays shall be subject to review by the Palo Alto Architectural Review Board and approval by the Planning Director. Review and approve location and materials for the displays; verify installation Review by City of Palo Alto Architectural Review Board and approval by Director of Planning and Community Environment Prior to demolition of entire Stone Building complex; verify installation post- construction Demolition of entire Stone Building Complex ______________________________________ Signature Date Installation of Permanent Interpretive Displays _______________________________________ Signature Date CR-1.5 Implement Protection Documents for the Hoover Pavilion. The SUMC Project sponsors shall ensure the implementation of the Stanford Hoover Pavilion Protection Documents (Documents) prepared by Verify that construction contracts contain Hoover Pavilion protection requirements City of Palo Alto Planning and Community Environment Prior to issuance of building permits Hoover Pavilion renovation; monitor Hoover Pavilion Renovation ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 36 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ARG and dated September 21, 2009. The SUMC Project sponsors shall comply with the specifications for the treatment and protection of the Hoover Pavilion during SUMC Project construction activities that could damage the historic fabric of the building as provided in the Documents. from ARG report dated September 21, 2009; compliance monitoring compliance during construction Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 37 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed IMPACT BEING ADDRESSED: The SUMC Project could potentially encounter archaeological resources and result in a significant impact. (CR-2) CR-2.1 Construction Staff Training and Consultation. Prior to any construction or earth-disturbing activities, a qualified archaeologist shall inform construction supervisors of the potential to encounter cultural resources. All construction personnel shall be instructed to be observant for prehistoric and historic-era artifacts, subsurface archaeological features or deposits, including accumulations of dark, friable soil (“midden”), stone artifacts, animal bone, and shell. In the event that any prehistoric or historic subsurface archaeological features or cultural deposits are discovered during construction- related earth-moving activities, all ground-disturbing activity within 100 feet of the resources shall be halted and the City shall be notified. The City shall consult with the Stanford University Archeologist to assess the significance of the find. If the find is determined to be an historical resource or a unique archaeological resource as defined by CEQA, then representatives of the City and the Stanford University Archaeologist shall meet to determine the appropriate course of action. All significant cultural materials recovered shall be subject to scientific analysis, professional museum curation, and a report shall be prepared by the qualified archaeologist according to current professional standards. SUMC Project sponsors submit report from qualified archaeologist documenting that construction supervisors were informed about potential cultural resource procedures; City to review report City of Palo Department of Planning and Community Environment Prior to issuance of grading permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 38 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed IMPACT BEING ADDRESSED: The SUMC Project could potentially encounter human remains and result in a significant impact. (CR-3) CR-3.1 Conduct Protocol and Procedures for Encountering Human Remains. If human remains (including disarticulated or cremated remains) are discovered at any SUMC Project construction site during any phase of construction, all ground-disturbing activity within 100 feet of the human remains should be halted and the Stanford University Archaeologist, City of Palo Alto, and the County coroner notified immediately, according to Section 5097.98 of the State Public Resources Code and Section 7050.5 of California’s Health and Safety Code. If the remains are determined by the County coroner to be Native American, the Native American Heritage Commission (NAHC) shall be notified within 24 hours, and the guidelines of the NAHC adhered to in the treatment and disposition of the remains. The SUMC Project sponsors shall retain a professional archaeologist with Native American burial experience to conduct a field investigation of the specific site and consult with the Most Likely Descendant, if any, identified by the NAHC. As necessary, the archaeologist may provide professional assistance to the City of Palo Alto, including the excavation and removal of the human remains. If the human remains cannot be avoided, and the Most Likely Descendant requests that the human remains be removed from its location, the SUMC Project sponsors shall implement removal of the human remains by a professional archaeologist. The City of Palo Alto shall verify that the mitigation is complete before the resumption of ground-disturbing activities within 100 feet of where the remains were discovered. SUMC Project sponsors include procedures related to possible discovery of human remains in construction contracts; City to verify City of Palo Alto Planning and Community Environment Prior to issuance of grading permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 39 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed IMPACT BEING ADDRESSED: The SUMC Project could have a significant impact on unique paleontological resources or unique geologic resources. (CR-4) CR-4.1 Conduct Protocol and Procedures for Encountering Paleontological Resources. Should paleontological resources be identified during SUMC Project ground-disturbing activities, the SUMC Project sponsors shall notify the City and the Stanford University Archaeologist and cease operations in the vicinity of the potential resource until a qualified professional paleontologist can complete the following actions when appropriate:  Identify and evaluate paleontological resources by intense field survey where impacts are considered high;  Assess effects on identified resources; and  Consult with the City of Palo Alto and the Stanford University Archaeologist. Before operations in the vicinity of the potential resource resume, the SUMC Project sponsors shall comply with the paleontologist’s recommendations to address any significant adverse effects where determined by the City of Palo Alto to be feasible. In considering any suggested mitigation proposed by the consulting paleontologist, the SUMC Project sponsors shall consult with the Stanford University Archaeologist and the City to determine whether avoidance is necessary and feasible in light of factors such as the nature of the find, project design, cost policies and land use assumptions, and other considerations. If avoidance is infeasible, other appropriate measures (e.g. data recovery) shall be instituted to avoid a significant impact. Work may proceed in other parts of the SUMC Sites while mitigation for paleontological resources is completed. SUMC Project sponsors include procedures related to possible discovery of paleontological resources in construction contracts; City to verify City of Palo Alto Planning and Community Environment Prior to issuance of grading permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 40 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed IMPACT BEING ADDRESSED: The SUMC Project, in combination with other past, current, and probable future development in the City, would cause a substantial change in the significance of the City’s historic resources and thus have a significant cumulative impact. The SUMC Project’s contribution to the cumulative impact would be cumulatively considerable. (CR-5) See Mitigation Measures CR-1.2 through CR-1.4. IMPACT BEING ADDRESSED: The SUMC Project, in combination with other reasonably foreseeable probable future development, could cause a substantial change in the significance of prehistoric and/or archaeological resources or human remains and thus contribute to a significant cumulative impact. The SUMC Project is conservatively assumed to have a considerable contribution. (CR-6) See Mitigation Measures CR-2.1 and CR-3.1. IMPACT BEING ADDRESSED: The SUMC Project, in combination with other reasonably foreseeable probable future development where the Pleistocene-age creek bed may occur, could have a significant cumulative impact. Such an impact would occur if the buried Pleistocene-age creek bed is exposed in lengths greater than approximately 100 feet (or a sufficient length to support detailed hydrological study) and if such deposits contain substantially intact skeletons of extinct species. These conditions would represent a major find for regional paleontology. In the case that significant paleontological finds—such as stretches of buried Pleistocene-age creek bed greater than 100 feet in length and containing intact skeletons of extinct species—are made on the SUMC Site, then the SUMC Project’s contribution to the cumulative impact on paleontological resources could be cumulatively considerable. (CR-7) See Mitigation Measure CR-4.1. BIOLOGICAL RESOURCES IMPACT BEING ADDRESSED: The SUMC Project could have a significant impact on special-status wildlife resources. (BR-1) BR-1.1 Conduct Pre-Demolition Survey. The SUMC Project sponsors shall retain a qualified biologist (“bat biologist”) to conduct a pre-construction survey for roosting bats in trees to be removed or pruned and structures to be removed. If no roosting bats are found, no further mitigation is required. If a bat roost is found, the SUMC Project sponsors shall implement the following measures to avoid impacts on roosting bats. Review pre- construction roosting bat survey report City of Palo Department of Planning and Community Environment. Prior to issuance of building and demolition permits and/or vegetation removal for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 41 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 42 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed BR-1.2 Avoid Roosting Areas. If non-breeding bats are found in a tree or structure to be removed, the individuals shall be safely evicted, under the direction of a qualified bat biologist, by opening the roosting area to allow airflow through the cavity. Demolition should then follow at least one night after initial disturbance for airflow. This action should allow bats to leave during darkness, thus increasing their chance of finding new roosts with a minimum of potential predation during daylight. If active maternity roosts are found in structures that will be removed as part of project construction, demolition of that structure shall commence before maternity colonies form (generally before March 1) or after young are flying (generally by July 31). Verify that construction contracts contain procedures related to avoidance of roosting bat areas; SUMC Project sponsor to provide qualified bat biologist compliance monitoring reports. . City of Palo Alto Planning and Community Environment Prior to issuance of building permits for each building; compliance monitoring during construction during site disturbance period SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date BR-1.3 Develop and Employ Bat Nest Box Plan. If Review bat nest box City of Palo Alto Prior to issuance of SHC Hospital Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 43 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed special-status bats are found in structures to be removed, the SUMC Project sponsors shall develop a bat nest box plan for the SUMC Sites employing state-of-the-art bat nest box technology. The design and placement of nest boxes shall be reviewed by a qualified bat biologist. plan, if special-status bats are found in structures to be developed; SUMC Project sponsor to provide qualified bat biologist compliance monitoring reports Planning and Community Environment building permits for each building, if required; compliance monitoring during site disturbance period ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 44 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed BR-1.4 Avoid Tree Removal During Nesting Season. Tree removal or pruning shall be avoided from February 1 through August 31, the nesting period for Cooper’s hawk, to the extent feasible. If no tree removal or pruning is proposed during the nesting period, no surveys are required. Verify that construction contracts contain procedures related to avoidance of Cooper’s Hawk nesting City of Palo Alto Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date BR-1.5 Protect Cooper’s Hawk in the Event of Nest Verify that construction City of Palo Alto Prior to issuance of SHC Hospital Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 45 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Discovery. If tree removal or pruning is unavoidable during the nesting season, the SUMC Project sponsors shall hire a qualified biologist to conduct a survey for nesting Cooper’s hawk within five days prior to the proposed start of construction. If active Cooper’s hawk nests are not present, project activities can take place as scheduled. The qualified biologist shall visit the site daily to search for nests until all nesting substrates are removed. This will avoid impacts to Cooper’s hawk that may have moved into the site and initiated nest-building after the start of tree removal activities. Additionally, if more than 5 days elapse between the initial nest search and the tree removal, it is possible for new birds to move into the construction area and begin building a nest. If there is such a delay, another nest survey shall be conducted. If any active Cooper’s hawk nests are detected, the SUMC Project sponsors shall delay removal of the applicable tree or shrub while the nest is occupied with eggs or young who have not fledged. A qualified biologist shall monitor any occupied nest to determine when the Cooper’s hawk nest is no longer used. contracts contain procedures related to timing and requirements for Cooper’s hawk surveys; SUMC Project sponsor to provide qualified biologist compliance monitoring reports Planning and Community Environment building permits for each building; compliance monitoring during site disturbance period ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project would have no impact on the movement of any native resident or migratory fish or wildlife species, or use of native resident or migratory wildlife corridors, but could impede the use of native wildlife nursery sites and thus result in a significant impact. (BR-3) Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 46 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed BR-3.1 Avoid Tree Removal During Nesting Season. Tree or shrub removal or pruning shall be avoided from February 1 through August 31, the bird-nesting period, to the extent feasible. If no tree or shrub removal or pruning is proposed during the nesting period, no surveys are required. Verify that construction contracts contain procedures related to avoidance of bird nesting City of Palo Alto Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 47 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed BR-3.2 Protect Birds in the Event of Nest Discovery. If tree and shrub removal or pruning is unavoidable during the nesting season, the SUMC Project sponsors shall hire a qualified biologist to conduct a survey for nesting raptors and other birds within five days prior to the proposed start of construction. If active nests are not present, SUMC Project activities can take place as scheduled. The qualified biologist shall visit the site daily to search for nests until all nesting substrates are removed. These procedures would avoid impacts to any birds that may have moved into the sites and initiated nest-building after the start of tree and shrub removal activities. Additionally, if more than five days elapses between the initial nest search and the vegetation removal, it is possible for new birds to move into the construction area and begin building a nest. If there is such a delay, another nest survey shall be conducted. If any active nests are detected, the SUMC Project sponsors shall delay removal of the applicable tree or shrub while the nest is occupied with eggs or young who have not fledged. A qualified biologist shall monitor any occupied nest to determine when the nest is no longer used. Verify that construction contracts contain procedures related to protection of nesting birds; SUMC Project sponsor to provide qualified biologist compliance monitoring reports City of Palo Alto Planning and Community Environment Prior to issuance of building permits for each building; compliance monitoring during site disturbance period SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project could have a significant impact on Protected Trees. (BR-4) Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 48 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed BR-4.1 Prepare a Tree Preservation Report for all Trees to be Retained. An updated tree survey and tree preservation report (TPR) prepared by a certified arborist shall be submitted for review and approval by the Director of Planning and Community Environment in consultation with the City Arborist. For reference clarity, the tree survey shall include (list and field tag) all existing trees within the SUMC Sites, including adjacent trees overhanging the SUMC Sites. The approved TPR shall be implemented in full, including mandatory inspections and monthly reporting to City Arborist. The TPR shall be based on latest SUMC plans and amended as needed to address activity within the dripline area of any existing Protected Tree to be preserved, including incidental work (utilities trenching, street work, lighting, irrigation, etc.) that may affect the health of a preserved Protected Tree. The TPR shall be consistent with the criteria set forth in the Tree Preservation Ordinance, Palo Alto Municipal Code Section 8.10.030, and the City Tree Technical Manual, Section 3.00, 4.00 and 6.30. To avoid improvements that may be detrimental to the health of Protected Trees, the Director of Planning and Community Environment, in consultation with the City Arborist shall review the SUMC Project sponsors’ landscape plan to ensure the new landscape is consistent with Tree Technical Manual, Section 5.45 and Appendix L, Landscaping under Native Oaks. SUMC Project sponsors to prepare TPR; City to review and approve TPR City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date BR-4.2 Prepare a Solar Access Study (SAS) of Short and Long Term Effects on Protected Oaks. The SUMC Project sponsors shall prepare a SAS of Short and Long Term Effects on Protected Oaks that are aesthetic tree resources for review and approval by the Director of Planning and Community Environment in consultation with the City Arborist. The SAS shall be prepared by a qualified expert team (horticulturalist, architect designer, consulting arborist) capable of determining effects, if Review and approve Solar Access Study, if project design changes and would affect biological and aesthetic tree resources City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permit for each building, if project design changes and would affect biological and aesthetic tree resources SHC Hospital ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 49 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed any, to foliage, health, disease susceptibility and also prognosis for longevity. The SAS shall contain the same information as the SAS for FIM 1 trees that are aesthetic tree resources submitted September 23, 2010. If the Director of Planning and Community Environment, in consultation with the City Arborist, determines that the SUMC Project would have an adverse effect on solar access to a Protected Tree that is an aesthetic tree resource such that the tree is unlikely to survive, then the SUMC Project sponsors shall relocate the Protected Tree to a site with sufficient solar access, as determined by the Direct0r of Planning and Community Environment, in consultation with the City Arborist. The SAS has been completed and accepted by the City for trees #608, Kaplan Lawn (trees #33 through 41), and FIM (trees #317 through 320 and #322). Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 50 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed BR-4.3 Prepare a Tree Relocation Feasibility Plan for Any Protected Tree Proposed for Relocation and Retention. Relocation of Protected Trees with the SUMC Sites shall be allowed only upon issuance of a Protected Tree relocation permit from the Director of Planning and Community Environment in consultation with the City Arborist. Because of inherent mortality associated with the process of moving mature trees, the SUMC Project sponsors shall prepare a Tree Relocation and Maintenance Plan (TRMP) to be reviewed in connection with the Protected Tree relocation permit. The TRMP shall evaluate the feasibility of moving the Protected Trees to an appropriate location on site. Feasibility shall consider current site and tree conditions, a tree’s ability to tolerate moving, relocation measures, optimum needs for the new location, aftercare, irrigation, and other long- term needs. The tree relocation permit shall specify that if the relocated trees do not survive after a period of five years, the relocated tree or trees shall be replaced with trees or a combination of trees and Tree Value Standards consistent with Section 3.20, Table 3-1 Tree Canopy Replacement, of the Tree Technical Manual. The TRMP shall be inclusive of the following minimum information: appropriate irrigation, monitoring inspections, post relocation tree maintenance, and for an annual arborist report of the condition of the relocated trees. If a tree is disfigured, leaning with supports needed, in decline with a dead top or dieback of more than 25 percent, the tree shall be considered a total loss and replaced as described above. Review and approve Tree Relocation Feasibility Plans, and Tree Relocation and Maintenance Plans Issue Protected Tree Relocation Permit City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date BR-4.4A Enter into a Memorandum of Understanding for Tree Maintenance. As a security measure, the SUMC Project sponsors shall be subject to a Memorandum of Understanding (MOU) between the City of Palo Alto and Sign Memorandum of Understanding and security guarantee for trees to be retained City of Palo Alto Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 51 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed the SUMC Project sponsors describing a tree retention amount, the list of trees to be retained, an appraised value for each listed tree, a five-year tree growth and establishment, timeline for return of security, and conditions of approval related to Protected Trees, as cited in the Conditional Use Permit for the SUMC Project. The SUMC Project sponsors and SUMC Project arborist shall coordinate with the City Arborist to determine the conditions required to guarantee the protection and/or replacement of the regulated trees on the site during construction and within five years after occupancy. The SUMC Project sponsors shall provide a security guarantee for the trees, as determined by the Director of Planning and Community Environment, in consultation with the City Arborist, in an amount consistent with the City of Palo Alto Tree Technical Manual. LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date BR 4.4B Replace Protected Trees in Accordance with the Tree Technical Manual. Removal of Protected Trees shall be allowed only upon issuance of a Protected Tree removal permit from the Director of Planning and Community Environment, in consultation with the City Arborist. Protected Trees that are removed without being relocated shall be replaced in accordance with the ratios set forth in Table 3-1 of the City of Palo Alto Tree Technical Manual in the following way, in order to maintain the appropriate landscape approach at the SUMC Sites, which has limited opportunities to plant the required replacement of trees:  The Protected Tree removal permit issued shall stipulate the tree replacement requirements for the removed tree, including number of trees, location, and irrigation;  The number and size of trees required for replacement would be calculated in accordance with Table 3-1; and Review and approve Tree Removal Plans Issue Protected Tree Removal Permit City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 52 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed  The difference between the required tree replacement and the number of trees planted at the SUMC Sites would be mitigated through contribution to the Forestry Fund in the City of Palo Alto. Payment to the Forestry Fund would be in the amount representing the value of the replacement trees that would be required under the TTM standard. BR-4.5 Provide Optimum Tree Replacement for Loss of Publicly-Owned Trees Regulated Tree Category. There are many publicly owned trees growing in the right-of-way along various frontages (Welch Road, Pasteur Drive, Quarry Road, Sand Hill Road, etc.). These trees provide an important visual and aesthetic value to the streetscape and represent a significant investment from years of public resources to maintain them. As mitigation to offset the net benefits loss from removal of mature trees, and to minimize the future years to achieve parity with visual and infrastructure service benefits (CO2 reduction, extended asphalt life, water runoff management, etc.) currently provided by the trees, the new public trees on all roadway frontages shall be provided with best practices design and materials, including, but not limited to, the following elements:  Consistency with the City of Palo Alto Public Works Department Street Tree Management Plan, in consultation with Canopy, Inc.  Provide adequate room for natural tree canopy growth and adequate root growing volume. For large trees, a target goal of 1,200 cubic feet of soil shall be used.  For pedestrian and roadway areas that are to include tree planting or adjacent to existing trees to be retained, utilize City-approved best management practices for sustainability products, such as Review landscape plans submitted as part of building permit applications for impact to publicly owned trees City of Palo Alto Department of Public Works Prior to issuance of building permits for each project SHC Hospital ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 53 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed permeable ADA sidewalk surfaces, Silva Cell base support planters, engineered soil mix base, and other advantage methods. IMPACT BEING ADDRESSED: Cumulative impacts on Protected Trees would be significant. Because the SUMC Project would result in the loss of Protected Trees, the SUMC Project’s contribution would cumulatively considerable. (BR-9) See Mitigation Measures BR-4.1 through BR-4.6. HYDROLOGY AND WATER QUALITY IMPACT BEING ADDRESSED: The SUMC Project could have a significant impact on groundwater quality during construction. (HW-3) HW-3.1 Develop a Work Plan for any Unknown Contaminated Sites. During construction, if suspected contaminated soil, undocumented underground tanks, hazardous materials pipelines, or other evidence of potential hazardous materials are discovered, construction activities shall cease and the SUMC Project sponsors shall prepare a workplan to determine the potential risk to human and ecological health. The workplan shall be prepared by a Registered Environmental Assessor and in compliance with the Department of Toxic Substances Control (DTSC) guidelines and the National Oil and Hazardous Substances Contingency Plan (the "National Contingency Plan" [NCP]). The SUMC Project sponsors, or their representative, shall be responsible for submitting the workplan for the DTSC’s review and approval prior to implementing field activities. The workplan must include all information necessary for implementing field work. The workplan shall include a Site Safety Plan (SSP) and a Sampling Work Plan (SWP). The SSP must be submitted to the DTSC in conjunction with the submittal of the SWP. The objective of the SSP is to ensure protection of the investigative team as well as the general public during sampling activities. Verify that SUMC Project sponsors have submitted workplans to DTSC, if any unknown contaminated is discovered during construction . City of Palo Alto Fire Department and Department of Planning and Community Environment As necessary SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 54 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed If risk to human or ecological health is identified, the SUMC Project sponsors shall prepare and implement a Removal Action Workplan (SB 1706 Stats. 1994, Chapter 441) (non-emergency removal action or remedial action at a hazardous substance release site which is projected to cost less than $1,000,000) that is consistent with the NCP. Signature Date FIM 3 ______________________________________ Signature Date HAZARDOUS MATERIALS IMPACT BEING ADDRESSED: The SUMC Project could release hazardous materials in existing buildings. (HM-2) HM-2.1 Conduct Asbestos Survey at the SUMC Sites. Prior to building renovation and/or demolition, an asbestos survey shall be performed on all areas of the building anticipated to be demolished and/or renovated. This survey shall be performed by a licensed asbestos abatement contractor. In the event that asbestos is identified in the buildings proposed to be demolished and/or renovated, all asbestos containing materials shall be removed and appropriately disposed of by a licensed asbestos abatement contractor. A site health and safety plan, to ensure worker safety, in compliance with OSHA requirements (8 CCR 5208) shall be developed by the SUMC Project sponsors and in place prior to commencing renovation or demolition work on portions of buildings containing asbestos. Verify that SUMC Project sponsors have conducted asbestos surveys and prepared site health and safety plan for buildings to be demolished . City of Palo Alto Fire Department and Department of Planning and Community Environment Prior to issuance of demolition permits for each project 1101 Welch Road ______________________________________ Signature Date Parking Structure III ______________________________________ Signature Date 701 Welch Road ______________________________________ Signature Date 703 Welch Road ______________________________________ Signature Date Edwards ______________________________________ Signature Date Alway ______________________________________ Signature Date Lane Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 55 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ______________________________________ Signature Date East, West, Core, Boswell, Grant ______________________________________ Signature Date Core Expansion ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project could expose construction personnel and public to existing contaminated groundwater and/or soil. (HM-3) HM-3.1 Perform a Phase II ESA for the 701 Welch Site. A Phase II ESA shall be performed at 701 Welch Site Building B. The Phase II ESA shall include sampling and analysis of soil, groundwater, wastewater, and residues on surfaces such as laboratories countertops, fume hoods, sinks, sumps, floors, and drain lines. The County Department of Environmental Health (DEH) and Palo Alto Fire Department (PAFD) shall be notified by the Project sponsors if contamination is discovered. If contamination is discovered, the SUMC Project sponsors shall prepare a site remediation assessment that (a) specifies measures to protect workers and the public from exposure to potential site hazards and (b) certifies that the proposed remediation measures would clean up contaminants, dispose of the wastes, and protect public health in accordance with federal, State, and local requirements. Site excavation activities shall not proceed until the site remediation has been approved by the County DEH and implemented by the SUMC Project sponsors. Additionally, the site remediation assessment shall be subject to review and approval by the San Francisco Bay Regional Water Quality Control Board (RWQCB). All appropriate agencies shall be notified. Receive notification if contamination is discovered during Phase II ESA at 701 Welch Site Building B Verify that County DEH has approved a site remediation plan, if necessary Compliance monitoring City of Palo Alto Fire Department As necessary 701 Welch Road ______________________________________ Signature Date HM-3.2 Excavate Contaminated Soil from the 703 Welch Site. For the 4- to 9-square-foot area near every Receive notification if contamination is City of Palo Alto Fire Department As necessary 703 Welch Road ______________________________________ Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 56 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed discharge point from the building, soil samples shall be performed and contaminated soil excavated, removed, and transported to an approved disposal facility in compliance with OSHA requirements. The County DEH and the PAFD shall be notified by the SUMC Project sponsors if contamination is encountered during construction. discovered during construction at 703 Welch . Signature Date HM-3.3 Conduct a Soil Excavation Program at the Hoover Pavilion Site. A qualified consultant, under the SUMC Project sponsors’ direction, shall undertake the following activities:  Remove all buried underground storage tanks from the property after sheds and storage buildings on the Hoover Pavilion Site have been demolished;  To the extent necessary, additional soil sampling shall be collected to determine health risks and to develop disposal criteria;  If warranted based on soil sampling, contaminated soil shall be excavated, removed, and transported to an approved disposal facility in compliance with OSHA requirements;  To the extent required based upon the results of soil sampling and the results of a health risk assessment, a Site Health and Safety Plan to ensure worker safety in compliance with OSHA requirements shall be developed by the Project sponsors, and in places prior to commencing work on any contaminated site; and  The SUMC Project sponsors shall submit documents to the County DEH to proceed with closure of the Hoover Pavilion Site. Verify that SUMC Project sponsors have removed buried underground storage tanks and conducted soil sampling, if necessary Verify that SUMC Project sponsors have prepared a site health and safety plan, if warranted Verify that SUMC Project sponsors have submitted closure documents to County DEH Compliance monitoring City of Palo Alto Fire Department As necessary Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 57 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed HM-3.4 Develop a Site Management Plan for the Hoover Pavilion Site. The SUMC Project sponsors shall prepare a site remediation assessment that (a) specifies measures to protect workers and the public from exposure to potential site hazards, including hazards from remediation itself, and (b) certifies that the proposed remediation measures would clean up contaminants, dispose of the wastes, and protect public health in accordance with federal, State, and local requirements. Site excavation activities shall not proceed until the site remediation has been approved by the County DEH and implemented by the SUMC Project sponsors. Additionally, the site remediation assessment shall be subject to review and approval by the San Francisco Bay RWQCB. All appropriate agencies shall be notified. Verify that SUMC Project sponsors have prepared and submitted a site management plan to County DEH . City of Palo Alto Fire Department Prior to excavation at the Hoover site Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project would result in construction of facilities on a site included on the Cortese List. (HM-7) See Mitigation Measures HM-3.3 and HM-3.4. IMPACT BEING ADDRESSED: The SUMC Project could impair implementation or physically interfere with an adopted emergency response or evacuation plan. (HM-10) See Mitigation Measures HM-10.1, TR-1.1, TR-1.4 through TR-1.6, TR-1.8, and TR-9.1. HM-10.1 Coordinate Construction Activities with the City of Palo Alto. The SUMC Project sponsors shall provide to the City planned construction routes, roadway closures, and access and closures schedules. This information shall be provided to the City at least two weeks in advance of the planned access and closures. The City shall coordinate this information among affected emergency service providers, including the City’s Fire and Police Departments, and private ambulance services, so that alternative routes could be planned and announced prior to the scheduled access and closures, as deemed necessary by the City. Coordinate SUMC Project information on planned construction routes, and roadway closures to affected emergency service providers City of Palo Alto Fire Department and Department of Planning and Community Environment, and Public Works Department At least two weeks prior to scheduled roadways closures SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Stanford University Medical Center Facilities Renewal and Replacement Project – Mitigation Monitoring and Reporting Plan 58 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project and adjacent development could result in cumulative release of hazardous materials during construction, a significant cumulative impact. The SUMC Project’s contribution to the cumulative impact would be considerable. (HM-12) See Mitigation Measure HM-2.1. IMPACT BEING ADDRESSED: The SUMC Project and adjacent development could result in cumulative disturbance of contaminated soils, release of hazardous materials during construction, a significant cumulative impact. The SUMC Project’s contribution to the cumulative impact would be considerable. (HM-13) See Mitigation Measures HM-3.1, HM-3.2, HM-3.3, and HM-3.4. IMPACT BEING ADDRESSED: Cumulative development could impair implementation or physically interfere with an adopted emergency response or evacuation plan. The SUMC Project’s contribution to the cumulative impact would be considerable. (HM-15) See Mitigation Measures HM-10.1, TR-1.1, TR-1.4 through TR-1.6, and TR-1.8. Not Yet Approved Resolution No. _______ Resolution of the Council of the City of Palo Alto Amending Program L-3, Policy L-8 and Map L-6 of the Land Use Element of the Palo Alto Comprehensive Plan WHEREAS, the City of Palo Alto is in the process of updating its Comprehensive Plan; WHEREAS, State law imposes strict deadlines to bring non-compliant hospitals up to current seismic standards; WHEREAS, Stanford University has applied for certain entitlements that will require amendments to the Comprehensive Plan; WHEREAS, the City desires to make discreet amendments to the Comprehensive Plan in advance of the pending update in order to expedite the proposed project so that Stanford University can comply with the State seismic requirements; WHEREAS, while the Comprehensive Plan recognizes Palo Alto’s historic preference for a 50-foot building height limit, it also recognizes that there may be extenuating circumstances for varying from this preference in very limited circumstances; WHEREAS, the Stanford University Medical Center Facilities Renewal and Replacement Environmental Impact Report certified by the City Council in June 6, 2011 (SUMC EIR) carefully analyzed the impact of taller buildings in the Hospital District and concluded that the Architectural Review process would mitigate visual impacts associated with the proposed taller buildings in the Hospital District identified in the SUMC EIR;; WHEREAS, permitting taller buildings in the Hospital District would permit the provision of more open space and result in the preservation of more trees; WHEREAS, the 1989 Citywide Land Use and Transportation Study referenced specific area caps in order to ensure that traffic would not exceed the levels anticipated in the Study’s horizon year; WHEREAS, a detailed Traffic Study was conducted by AECOM in March 2010 in connection with the SUMC EIR; WHEREAS, the Traffic Study showed that with mitigation the SUMC renovation and expansion project would not result in significant traffic impacts in Planning Area 9 nor would the project result in traffic impacts to any of the 11 intersections identified in the 1989 Citywide Land Use and Transportation Study; WHEREAS, other similarly situated medical facilities, such as the Palo Alto Medical Foundation and the Veterans Administration Hospital are exempt from monitoring; 1 100720 jb 0130753 Not Yet Approved WHEREAS, the Council desires to amend the Comprehensive Plan to clarify that taller buildings would be permitted in the Hospital District to reflect the Stanford University’s Medical Center’s unique needs; WHEREAS, the Council further desires to amend the Comprehensive Plan to clarify that hospital, clinic and medical school uses in the Hospital District are not intended to be treated as “non-residential development” for purposes of policy L-8; WHEREAS, the Planning and Transportation Commission, after duly noticed public hearings on May 11 and May 18, 2011 recommended that the City Council amend the Land Use Element of the Palo Alto Comprehensive Plan as set forth below; and WHEREAS, upon consideration of said recommendation after a duly noticed public hearing held on June 6, 2011, the Council desires to amend the Comprehensive Plan as set forth below; The Council of the City of Palo Alto does RESOLVE as follows: SECTION 1. The City Council finds that the public interest, health, safety and welfare of Palo Alto and the surrounding region would be furthered by an amendment of the Palo Alto Comprehensive Plan as set forth below. SECTION 2. Program L-3 of the Comprehensive Plan is hereby amended to read as follows: 1. Program L-3 Maintain and periodically review height and density limits to discourage single uses that are inappropriate in size and scale to the surrounding uses. The Citywide 50-foot height limit has been respected in all new development since it was adopted in the 1970’s. Only a few exceptions have been granted for architectural enhancements or seismic retrofits to noncomplying buildings. In addition, the City has allowed taller buildings within the Hospital District at the Stanford University Medical Center that reflect the Medical Center’s unique needs. SECTION 3. Policy L-8 of the Comprehensive Plan is hereby amended to read as follows: 1. Land Use and Community Design Element Policy L-8: Maintain a limit of 3,257,900 square feet of new non-residential development for the nine planning areas evaluated in the 1989 Citywide Land Use and Transportation Study, with the understanding that the City Council may make modifications for specific properties that allow modest additional growth. Such additional growth will count towards the 3,257,900 maximum. Stanford University Medical Center hospital, clinic and medical 2 100720 jb 0130753 Not Yet Approved school uses are exempt from monitoring; thus, additional growth in areas zoned “Hospital District” is exempt from this policy. Not only will the area devoted to urban development remain constant, but new non-residential growth from 1989 forward will be limited to just over 3.25 million square feet. The total non- residential development in the city in 1996 is in the range of 25 million square feet. This amount of growth was determined by the Citywide 1989 Land Use and Transportation Study and was largely implemented through commercial downzoning. This growth limit will be observed citywide for the term of this Plan. Traffic will be monitored to ensure that the intent of the limit is being achieved, though it is recognized that traffic counts are affected by both residential and non-residential growth and also by auto use behavior. Any uses identified in Map L-6 as exempt from monitoring shall not count towards the area specific or citywide caps. SECTION 4. The City Council hereby amends Map L-6 Commercial Growth Monitoring Areas from Citywide Study to clarify that hospital facilities within the HD Zone are not monitored. A revised Map L-6 is attached as Exhibit “A” to this resolution and incorporated into it by this reference. SECTION 5. The City Council hereby amends the Land Use Map of the Palo Alto Comprehensive Plan by changing the land use designation of the area depicted in Exhibit B and commonly referred to as 701 and 703 Welch Road from Research/Office Park to Major Institution/Special Facilities and by designating the area depicted in Exhibit C, which parcel is currently located in the County of Santa Clara but subject of a pending annexation request by the City of Palo Alto, as Major Institution/Special Facilities. Exhibits B and C are attached to this resolution and incorporated into it by this reference. SECTION 6. The City Council certified an Environmental Impact Report in connection with this project on June 6, 2011. INTRODUCED AND PASSED: AYES: NOES: ABSENT: ABSTENTIONS: ATTEST: APPROVED: City Clerk Mayor APPROVED AS TO FORM: City Manager Senior Assistant City Attorney 3 100720 jb 0130753 Not Yet Approved Director of Planning and Community Environment 4 100720 jb 0130753 Not Yet Approved 5 100720 jb 0130753 Attachment A ** Not Yet Approved ** Ordinance No. ______ Ordinance of the Council of the City of Palo Alto Adding Section 8.10.95 (Tree Removal in HD Zone) to Chapter 8.10 (Tree Preservation and Management Regulations) of Title 8 (Trees and Vegetation) and Amending Section 16.20.160(a)(1) (Special Purpose Signs) of Chapter 16.20 (Signs) of Title 16 (Building Regulations) and Amending Section 18.08.010 (Designation of General Districts) and Section 18.08.040 to Chapter 18.08 (Designation and Establishment of Districts) and Adding Chapter 18.36 (Hospital (HD) District) to Title 18 (Zoning) of the Palo Alto Municipal Code The Council of the City of Palo Alto does ORDAIN as follows: SECTION 1. The City Council finds as follows: (a) Stanford Hospital and Clinics (“SHC”), Lucile Salter Packard Children’s Hospital at Stanford (“LPCH”) and Stanford University School of Medicine (“SoM”) operate existing Stanford University Medical Center (“SUMC”) facilities within the City of Palo Alto on two sites that are collectively approximately 66 acres: the approximately 56-acre Main SUMC Site and the approximately 9.9-acre Hoover Pavilion Site. The two sites collectively are referred to in this zoning ordinance as the SUMC Sites. The Main SUMC Site is primarily bounded by Welch Road, Quarry Road, and Stanford University lands in unincorporated Santa Clara County. The Hoover Pavilion Site is located south and east of the corner of Quarry Road and Palo Road. The boundaries of the SUMC Sites are shown on Exhibit A to this zoning ordinance. (b) SHC, LPCH and SoM have applied for a Zone Change, Comprehensive Plan Amendment, Environmental Assessment, Architectural Review, Annexation and a Development Agreement for the Stanford University Medical Center Facilities Renewal and Replacement Project (“Project” or “SUMC Project”), including the demolition, renovation, and replacement of on-site structures, thereby adding approximately 1.3 million square feet of net new floor area. (c) Following staff review and preparation of the Environmental Impact Report for the SUMC Project, the Planning and Transportation Commission (Commission) reviewed the Project, including this zoning ordinance, and recommended approval on May 11, 2011. The Commission’s recommendations are contained in Attachment L. (d) On June 6, 2011, the City Council certified the Environmental Impact Report for the SUMC Project, adopted the findings required by the California Environmental Quality Act (CEQA) and adopted a Statement of Overriding Considerations. (e) Section 8.80.010 of Chapter 8.80 of Title 18 of the Palo Alto Municipal Code allows the City to amend Title 18 by changing the boundaries of districts, or by changing the regulations applicable within one or more districts, or by changing any other provision of Title 18, whenever the public interest or general welfare may so require. The amendments to Title 18 specified in this ordinance are necessary to carry out the SUMC Project, which will benefit the 110503 jb 0130717 1 ** Not Yet Approved ** 110503 jb 0130717 2 public interest and general welfare. The Stanford University Medical Center is recognized as a global leader in medical care and research, having pioneered advancements in transplantation medicine, cancer care, prenatal diagnosis and treatment, and diabetes and cholesterol treatments. In 2009, the SHC and LPCH served 64 percent of Palo Alto residents who required hospitalization. The Project will enable the SHC, LPCH and SoM to continue this important work, and the addition of more beds for adults and children will alleviate overcrowding and allow the hospitals to serve patients who currently must be turned away. The hospitals also provide the only Level 1 Trauma Center between San Francisco and San Jose. The Trauma Center and the Emergency Department ensure critical community emergency preparedness and response resources for the community in the event of an earthquake, pandemic, or other major disaster. SECTION 2. Section 8.10.95 of Chapter 8.10 of Title 8 of the Palo Alto Municipal Code is hereby added to read as follows: “8.10.95 Tree Removal in HD Zone Tree removal and relocation in the HD shall be subject to the provisions in Section 18.36.070. To the extent Section 18.36.070 is inconsistent with this Chapter, Section 18.36.070 shall control.” SECTION 3 The following amendments are made to Chapter 16.20 of Title 16 of the Palo Alto Municipal Code in order to address maximum sign size and location in the HD. a. Section 16.20.120(a) (Freestanding signs) is hereby amended to read as follows: “(a) Freestanding Signs Over Five Feet. Freestanding signs over five feet in height shall be permitted only on nonresidential properties in the Hospital Zone, GM zones and on El Camino Real in the CN and CS zones and for service stations, restaurants and shopping centers elsewhere.” b. Section 16.20.160(a)(1) is hereby amended to read as follows: “(1) Directory Signs. In all districts where group occupancies in office buildings are permitted, directory signs may be erected displaying the names of the occupants of a building who are engaged in a particular profession, business or the like. Such signs shall be situated at least two feet inside the property line and shall not exceed eight feet in height. Such signs may have an area of four square feet, plus one and one-half square feet per name, in no event to exceed seventy-five square feet. In the HD district, Directory and Directional signs may be up to 12 feet in height, thirty square feet in area, and located no less than two feet from the nearest public right-of-way unless an alternative location is approved by the Planning Director.” c. Section 16.20.270, Table 1, first note, is hereby amended to read as follows: “This Table is to be used in all Zoning Districts except for the GM zones, the Hospital District, and for El Camino frontages of CN and CS zoned properties.” d. Section 16.20.270, Table 2, first note, is hereby amended to add the following: “For requirements in the HD district, see Section 16.20.160(a)(1).” ** Not Yet Approved ** 110503 jb 0130717 3 SECTION 4. Section 18.08.010 (Designation of General Districts) of Chapter 18.08 (Designation and Establishment of Districts) of Title 18 (Zoning) is amended to read as follows: Map Designation Zoning District Name Chapter Number R-E Residential estate district 18.10 R-2 Two-family residence district 18.10 RMD Two unit multiple-family residence district 18.10 R-1 Single-family residence district 18.12 RM-15 Low density multiple-family residence district 18.13 RM-30 Medium density multiple-family residence district 18.13 RM-40 High density multiple-family residence district 18.13 CN Neighborhood commercial district 18.16 CC Community commercial district 18.16 CS Service commercial district 18.16 CD Downtown commercial district 18.18 MOR Medical office and medical research district 18.20 ROLM Research, office and limited manufacturing district 18.20 RP Research park district 18.20 GM General manufacturing district 18.20 PF Public facilities district 18.28 OS Open space district 18.28 AC Agricultural conservation district 18.28 PC Planned community district 18.38 HD Hospital district 18.36 SECTION 5. Section 18.08.040 (Zoning Map and District Boundaries) of Chapter 18.08 (Designation and Establishment of Districts) of Title 18 (Zoning) is amended to include the HD district on the Zoning Map. SECTION 6. The following amendments are made to Chapter 18.28 of Title 18 of the Palo Alto Municipal Code in order to remove references to the Stanford Hoover Pavilion Site from the provisions governing the Public Facilities (PF) District: a. Section 18.28.02(h) (defining the Stanford Hoover Pavilion site) is hereby deleted. b. Section 18.28.050 (Site Development Standards), Table 2, footnote 3 is hereby amended to read: “(3) Provided that, for parking facilities, the maximum floor area ratio and site coverage shall be equal to the floor area ratio and site coverage established by the most restrictive adjacent district, and provided, further, that the maximum floor area ratio for the Stanford Hoover Pavilion Site shall be .25:1.” ** Not Yet Approved ** 110503 jb 0130717 4 SECTION 7. Chapter 18.36 of Title 18 of the Palo Alto Municipal Code is hereby added to read as follows: “Chapter 18.36 HOSPITAL (HD) DISTRICT Sections: 18.36.010 Purposes 18.36.020 Applicable Regulations 18.36.030 Definitions 18.36.040 Land Uses 18.36.050 Development Standards 18.36.060 Parking and Loading 18.36.070 Tree Preservation 18.36.080 Signs 18.36.090 Historical Review 18.36.100 Architectural Review 18.36.110 Grandfathered Uses 18.36.120 Consistency with Development Agreement 18.36.010 Purposes The Hospital (HD) district is designed to accommodate medical and educational uses including the Stanford Hospital and Clinics (SHC), Lucile Packard Children’s Hospital (LPCH), medical, office, research, clinic and administrative facilities at the Stanford Hoover Pavilion Site, and School of Medicine (SoM) buildings in a manner that balances the needs of hospital, clinic, medical office and research uses with the need to minimize impacts to surrounding areas and neighborhoods. 18.36.020 Applicable Regulations The specific regulations of this chapter and the additional regulations and procedures established by this title shall apply to all Hospital Districts. 18.36.030 Definitions For the purposes of this section, the following terms are defined: (a) The “Main SUMC” site is defined as all properties zoned HD bounded by Welch Road, Pasteur Drive and Quarry Road and is comprised of Assessor’s Parcel Numbers 142-23- 003, 142-23-004, 142-08-005, 142-23-006, 142-23-007, 142-23-010, 143-23-012, 142-23- 016, 142-23-017, 142-23-018, 142-23-019, 142-23-024, 142-23-025. (b) The “Stanford Hoover Pavilion” site is defined as all properties zoned HD bounded by Quarry Road and Palo Road and is comprised of Assessor's Parcel numbers, 142-04-011 and 142-04-019. ** Not Yet Approved ** 110503 jb 0130717 5 18.36.040 Land Uses The uses of land allowed by this chapter in the HD district are identified in the following table. Land uses that are not listed on the table are not allowed, except where otherwise noted. Permitted and conditionally permitted land uses for the HD district are shown in Table 1: Table 1: HD Permitted and Conditional Uses LAND USE HD Subject to Regulations in: ACCESSORY AND SUPPORT USES Accessory facilities and activities customarily associated with or essential to permitted uses, and operated incidental to the principal use P Eating and drinking services in conjunction with a permitted use P Retail services in conjunction with a permitted use P Ch. 18.40,18.42 EDUCATIONAL, RELIGIOUS, AND ASSEMBLY USES Churches and religious institutions P Public or private colleges and universities and facilities appurtenant thereto CUP HEALTH CARE SERVICES Ambulance services CUP Convalescent Facilities CUP Hospitals CUP Medical Office CUP Medical Research CUP Medical Support Retail P Medical Support Services P OTHER USES Other uses which, in the opinion of the director, are similar to those listed as permitted or conditionally permitted uses P, CUP PUBLIC/QUASI-PUBLIC FACILITY USES All facilities owned or leased, and operated or used, by the City of Palo Alto, the County of Santa Clara, the State of California, the government of the United States, the Palo Alto Unified School District, or any other governmental agency P Community Centers CUP Utility Facilities essential to provision of utility services but excluding construction/storage yards, maintenance facilities, or corporation yards. CUP SERVICE USES Day Care Centers CUP Hotels providing not more than 10% of rooms with kitchens CUP TRANSPORTATION USES Helipads and Helicopter uses CUP Transit stops and shelters P ** Not Yet Approved ** 110503 jb 0130717 6 LAND USE HD Subject to Regulations in: Parking Facilities CUP TEMPORARY USES Farmers markets P Temporary parking facilities, provided such facilities shall remain no more than five years P 18.36.050 Development Standards (a) Development Standards Table 2 specifies the development standards for structures in the HD district. Table 2: Development Standards HD Subject to regulations in Section (7): Minimum Site Area No standards Minimum Site Width No standards Minimum Site Depth No standards Minimum Street Setbacks 10 ft (1) Maximum Site Coverage 40% (2)(4) 18.04.030(a)(86) Maximum Height (ft) 130 ft (5) 18.04.030(a)(67); 18.40.090 Maximum Floor Area Ratio (FAR) 1.5 to 1 (3)(6) 18.04.030(a)(57) (1) Measured from the right-of-way line of any public street to the base of the buildings and not including any awnings or other projections. This setback requirement does not apply to below-grade parking facilities or portions of buildings that bridge a street. This setback requirement also does not apply to any portion of a lot or site that does not abut a public street. (2) Site coverage is calculated based upon the total contiguous area within this zone (Main SUMC site or the Stanford Hoover Pavilion site), rather than on a parcel-by-parcel basis. (3) FAR is calculated based up on the total contiguous area within this zone (Main SUMC site or the Stanford Hoover Pavilion site), rather than on a parcel-by-parcel basis. (4) The maximum site coverage for the Stanford Hoover Pavilion site shall be 30 percent. (5) The maximum height for new construction at the Stanford Hoover Pavilion site shall be 60 ft. (6) The maximum floor area ratio for the Stanford Hoover Pavilion site shall be 0.5 to 1. (7) The regulations referenced in this table apply except as revised in this chapter. (b) Floor Area Ratio Except as provided in this section, floor area ratio shall be defined in accord with Chapter 18.04 of the Zoning Ordinance. All areas used to enclose service and mechanical equipment, whether on rooftops, basements, interstitial space, or other interior areas, shall be excluded from floor area calculations. All parking facilities also shall be excluded from floor area calculations. ** Not Yet Approved ** 110503 jb 0130717 7 (c) Lot Coverage Except as provided in this section, lot coverage shall be defined in accord with Chapter 18.04 of the Zoning Ordinance. Parking facilities shall be excluded from lot coverage. (d) Height and Grade (1) Except as provided in this section, building height shall be defined in accord with Chapters 18.04 and 18.40.090 of the Zoning Ordinance. Helicopter pads on top of the buildings, rooftop mechanical equipment and associated screens, cryogen vents, grease hoods, wind or solar energy equipment, and elevator shafts/ overruns shall be excluded from building height calculations, but shall be subject to architectural review as required in Chapters 18.76 and 18.77 of the Zoning Ordinance. (2) Grade shall be measured in accord with Chapter 18.04 of the Zoning Ordinance. (e) Street Setbacks Except as provided in this section, setbacks shall be defined in accord with Chapter 18.04 of the Zoning Ordinance. In the HD district, setbacks from public streets shall be defined as the area between the right of way line of any public street to the base of the building, and not including any awnings or other projections. Setback requirements do not apply to any below grade parking facilities or portions of buildings that bridge a street. Setback requirements also do not apply to any portion of a lot or site that does not abut a public street. No setback requirements other than street setback requirements apply in the HD district. (f) Recycling Storage All new development, including approved modifications that add thirty percent or more floor area to existing uses, shall provide adequate and accessible interior areas or exterior enclosures for the storage of recyclable materials in appropriate containers. The design, construction and accessibility of exterior recycling areas and exterior enclosures shall be subject to recommendation by the architectural review board, and approval by the director of planning and community environment, in accordance with Section 18.76.020 of the Zoning Ordinance. (g) Employee Shower Facilities Employee shower facilities shall be provided for any new building constructed or for any addition to or enlargement of any existing building as specified in Table 3. Table 3: Employee Showers Required Uses Gross Floor Area of New Construction (ft2) Showers Required 0 - 9,999 No requirement 10,000 – 19,999 1 20,000 – 49,999 2 All government or special district facilities designed for employee occupancy, colleges and universities, private educational facilities, business and trade schools and similar uses 50,000 and up 4 ** Not Yet Approved ** 110503 jb 0130717 8 18.36.060 Parking and Loading (a) Except as provided in this section, off-street parking and loading facilities shall be required for all permitted and conditional uses in accord with Chapter 18.52 and 18.54 of the Zoning Ordinance. Except as provided in this section, all parking and loading facilities on any site, whether required as minimums or optionally provided in addition to minimum requirements, shall comply with regulations and the design standards established by Chapters 18.52 and 18.54 of the Zoning Ordinance. (b) Parking requirements in the HD district will be performance-based, as established by the applicable conditional use permit. Parking shall be provided to meet projected needs, with consideration given to the potential for reduced parking demand due to the proximity of the Palo Alto Intermodal Transit Station (PAITS) and demonstrated effective transportation demand management (TDM) programs. (c) The following parking improvements shall be exempt from the parking landscape requirements of Section 18.54.040: (1) All structured parking facilities; (2) Restriping of existing surface parking facilities and other improvements to surface parking facilities that do not materially alter the existing conditions; and (3) Parking or loading areas identified for use in the event of emergency or mass population events such as earthquakes, pandemics, or human-made biological/chemical exposure. (d) Valet parking facilities shall be exempt from the requirements of Sections 18.54.030 and 18.54.040(c). (e) For the purposes of calculating shading percentage pursuant to Section 18.54.040(d): (1) Shade structures may be utilized in lieu of trees; (2) The canopies of Protected Trees (as defined by Section 8.10.020(j)) transplanted on the Site will count as double the actual tree canopy; and (3) Valet parking facilities may be designed to achieve 25 percent shading (rather than 50 percent shading). 18.36.070 Tree Preservation (a) Applicability (1) Except as provided in this section, development in the HD district shall comply with Palo Alto Municipal Code Chapter 8.10 (Tree Preservation and Management Regulations), and the City Tree Technical Manual. (2) No Protected tree (as defined by Section 8.10.020 (j)), shall be removed or relocated until the Director of Planning and Community Environment (“Director”), in consultation with the City Arborist, has determined whether the ** Not Yet Approved ** 110503 jb 0130717 9 Protected tree meets the standards of Group 1 or Group 2 Trees, as defined below, and the applicable Protected Tree Removal Permit or Protected Tree Relocation Permit has been obtained. The City’s determination whether a Protected Tree meets the standards of Group 1 or Group 2 Trees shall be valid for a period of ten years following the date of such determination. (3) For the purposes of this Chapter, “Biological tree resources” shall have the same meaning as “Protected trees” as defined in Section 8.10.020 (j). (4) For the purposes of this Chapter, “Biological and Aesthetic tree resources” shall consist of those trees that are both Biological tree resources and that have been designated as Group 1 Trees by the Director in consultation with the City Arborist based on a finding that the tree possesses at least one of the following characteristics: (i) Functions as an important or prominent visual feature relating to the existing area, proposed conditions, pedestrian or vehicular thoroughfares; (ii) Contributes to a larger grove or shared canopy, landscape theme or otherwise provides important visual balance to existing buildings, trees or streetscape; or (iii) Possesses unique character as defined in the designation of Heritage Trees, (Section 8.10.090) such as, an outstanding specimen of a desirable species, distinctive in form, size, age, location or historical significance. (5) Within the HD district, Protected trees fall into one of the following categories: (i) Group 1 Trees: Biological and Aesthetic tree resources which are identified in Table 4. If a Protected tree is not listed in Table 4, or if more than ten years have elapsed since the City’s determination whether the tree is a Group 1 Tree, the Director shall determine whether the tree meets the definition of Section 18.36.070(a)(3), above prior to issuance of any permit to remove or relocate the tree; (ii) Group 2 Trees: Biological tree resources that are identified in Table 4. If a Protected tree is not listed in Table 4, or if more than ten years have elapsed since the City’s determination whether the tree is a Group 2 Tree, the Director shall determine whether the tree meets the definition of Section 18.36.070(a)(2), above prior to issuance of any permit to remove or relocate the tree. ** Not Yet Approved ** 110503 jb 0130717 10 Table 4: Protected Tree Groups Tree Group Tree Tag Number (from SUMC FEIR) Tree Location 33, 34, 35, 36, 37, 38, 39, 40, 41 Kaplan Lawn 317, 318, 319, 320, 322, 323*, 324* FIM 1 1 608, 996* Welch Road 325, 326, 327, 328 FIM 1 333, 373, 374, 375, 383, 387, 388, 410, 425, 428, 433, 436, 438, 439, 440, 441, 448, 450, 478, 479, 538, 544 SHC 887, 960, 961, 966, 967, 968, 969, 970, 1010, 1011, 1016, 1017, 1092, 1096, 1097, 1098, 1102, 1103, 1104, 1107, 1108, 1109, 1111, 1119, 1170, 1172, 1174, 1175, 1176, 1177 LPCH 2 1349, 1350, 1351, 1352, 1365,1366, 1388, 1389, 1390, 1391, 1393, 1399, 1400, 1420, 1435, 1438, 1439, 1442, 1469, 1481, 1483, 1485, 1500, 1503, 1506 Hoover *Trees to be relocated. (b) Preservation. Notwithstanding Chapter 8.10, Group 1 Trees shall not be removed unless they meet the standard in Section 8.10.050(a). Authorized relocation of Group 1 Trees shall not constitute removal. (c) Relocation. Notwithstanding Chapter 8.10, Group 1 and Group 2 Trees may be relocated upon issuance of a Protected Tree Relocation Permit from the Director in consultation with the City Arborist. For purposes of this section, authorized relocation of Group 1 and 2 Trees shall not constitute removal. The requirements for a Protected Tree Relocation Permit shall be as follow: (1) The applicant shall submit a proposed Tree Relocation and Maintenance Plan (TRMP) that (i) evaluates the feasibility of moving the tree to another location on or near the development site; and (ii) identifies the actions to be taken to increase the likelihood that relocation is successful including the following information: pre-relocation irrigation, relocation procedures, monitoring inspections, and post- relocation tree irrigation and maintenance. (2) If the Director determines the proposed relocation is feasible, the Director shall issue a Protected Tree Relocation Permit requiring the following: (i) The Protected Tree Relocation Permit shall specify the actions required to increase the likelihood that relocation is successful. (ii) Location of relocated trees is subject to review and approval by the Director in consultation with the City Arborist. (iii) If the relocated tree does not survive after a period of five years, the relocated tree shall be replaced with a tree or a combination of trees and Tree Value Standards consistent with Section 3.20, ** Not Yet Approved ** 110503 jb 0130717 11 Table 3-1 Tree Canopy Replacement, of the Tree Technical Manual. If, after relocation, a relocated tree is disfigured, leaning with supports needed, or in decline with a dead top or dieback of more then 25 percent, the tree shall be considered a total loss and replaced as described in this subsection. (iv) The applicant shall provide a security guarantee for relocated trees, as determined by the Director of Planning and Community Environment, in consultation with the City Arborist, in an amount consistent with the Tree Technical Manual. (d) Removal of Group 2 Trees. Notwithstanding Chapter 8.10, removal of Group 2 Trees shall be allowed in the HD district, upon issuance of a Protected Tree Removal Permit from the Director in consultation with the City Arborist. The requirements for a Protected Tree Removal Permit shall be as follows: (1) Group 2 Trees that are removed without being relocated shall be replaced in accordance with the ratios set forth in Table 3-1 of the City of Palo Alto Tree Technical Manual in the following way: (i) The Protected Tree Removal Permit issued shall stipulate the tree replacement requirements for the removed tree, including number of trees, size, location, and irrigation. The number and size of trees required for replacement shall be calculated in accordance with Table 3-1 of the Tree Technical Manual. (ii) The difference between the required tree replacement and the number of trees that cannot be feasibly planted on site shall be mitigated through contribution to the City of Palo Alto Forestry Fund as provided in Section 3.15 of the Tree Technical Manual. Payment to the Forestry Fund would be in the amount representing the fair market value, as described in Section 3.25 of the Tree Technical Manual, of the replacement trees that cannot be feasibly planted on site. (2) Location of replacement trees is subject to review and approval by the Director in consultation with the City Arborist. (e) Appeal. Any person seeking the Director's classification of Group 1 or 2 Trees, or seeking the approval to remove or relocate a Protected tree pursuant to this Chapter who is aggrieved by a decision of the Director may appeal such decision in accordance with the procedures set forth in Chapter 18.78 (Appeals). 18.36.080 Signs Signs within the HD district shall comply with Chapter 16.20, except as follows: The requirements for Directory Signs and Directional Signs set forth in Section 16.20.160 are modified to allow such Directory and Directional signs to be up to 12 feet in height, thirty square feet in area, and located no less than two feet from the nearest public right-of-way unless an alternative location is approved by the Planning Director. ** Not Yet Approved ** 110503 jb 0130717 12 18.36.090 Historic Review Any exterior alterations to the Stanford Hoover Pavilion and any new construction on the Stanford Hoover Pavilion site shall be provided to the Historic Resources Commission for comment prior to final review by the Architectural Review Board. In reviewing any new construction on the Stanford Hoover Pavilion site the prime concern of the Historic Review Board shall be to ensure that the new construction is differentiated from the old and is compatible with the massing, size, scale, and architectural features to protect the historic integrity of the Hoover Pavilion building and site.  18.36.100 Architectural Review Architectural review, as required in Chapters 18.76 and 18.77 of the Zoning Ordinance, is required prior to the issuance of any building permit in the HD district. Architectural review for landscape and design features linking building areas within the HD district may be implemented through approval of Design Guidelines, which may be modified in the same manner as other architectural review approvals. Directory Signs, Construction Project Signs, and Directional Signs consistent with the area and location regulations set forth in Section 16.20.160 (as modified by Section 18.36.080) and temporary, unsecured pedestrian amenities such as café seating and furniture are exempt from Architectural review. 18.36.110 Grandfathered Uses (a) Applicability (1) Except as provided in this section, nonconforming uses and noncomplying facilities are governed by Chapter 18.70 of the Zoning Ordinance. (2) Any use allowed as a conditional use but legally existing as a permitted use prior to the effective date of amendments to the Zoning Ordinance modifying the allowable uses in the HD district shall be considered a conforming use, except that a conditional use permit shall be required if the use is expanded as outlined in Section 18.70.020. 18.36.120 Consistency with Development Agreement It is the intent of the City Council that the provisions of this Chapter 18.36 be interpreted consistent with the terms of the Development Agreement between the City of Palo Alto and Stanford University approved and adopted by Ordinance No. XXXX. SECTION 8. The EIR for this project was certified by the City Council on XX. / / / / / / / / ** Not Yet Approved ** 110503 jb 0130717 13 SECTION 9. This ordinance shall be effective on the thirty-first day after the date of its adoption. INTRODUCED: PASSED: AYES: NOES: ABSENT: ABSTENTIONS: ATTEST: ____________________________ ____________________________ City Clerk Mayor APPROVED AS TO FORM: APPROVED: ____________________________ ____________________________ Senior Asst. City Attorney City Manager ____________________________ Director of Administrative Services Not Yet Approved 1 110601 jb 0130722 Ordinance No. ________ Ordinance of the Council of the City of Palo Alto Approving a Development Agreement Between the City of Palo Alto and Stanford Hospital and Clinics; Lucile Salter Packard Children’s Hospital at Stanford; and the Board of Trustees of the Leland Stanford Junior University The Council of the City of Palo Alto does ORDAIN as follows: SECTION 1. Recitals. A. Stanford Hospital and Clinics, a California nonprofit public benefit corporation (“SHC”), Lucile Salter Packard Children’s Hospital at Stanford, a California nonprofit public benefit corporation (“LPCH”), and the Board of Trustees of the Leland Stanford Junior University, a body having corporate powers under the laws of the State of California (“University,” and together with SHC and LPCH, collectively, the “SUMC Parties”) intend to replace, retrofit and enhance their facilities in the City of Palo Alto. In conjunction with certain state-mandated retrofit and replacement work, the SUMC Parties also intend to expand their hospital, clinic and medical office facilities to meet patient demand. To facilitate this, the SUMC Parties have applied to the City of Palo Alto (“City”) for a development agreement pursuant to Sections 65864-65869.5 of the California Government Code and the City’s Resolution No. 6597 (“Agreement”). Pursuant to this Agreement, the SUMC Parties would provide certain community benefits and voluntary mitigation measures. B. In exchange for these community benefits and voluntary mitigation measures, and in recognition of the substantial public benefits provided by the SUMC Parties’ facilities and operations, the City would vest for a period of thirty (30) years the SUMC Parties’ rights to develop and use their facilities in Palo Alto in accordance with the Project Approvals, and would streamline the process for obtaining Subsequent Approvals, as described in the Agreement. C. Under the terms of the Agreement, the parties have the right to unilaterally terminate this Agreement, if this ordinance is subject to a referendum or if litigation is commenced seeking to rescind the Project Approvals or the City’s decision to enter into this Agreement within one year from the date of the filing of the Notice of Determination. SECTION 2. Findings. The City Council finds and determines that: A. Notice of intention to consider the development agreement has been given pursuant to Government Code section 65867. Not Yet Approved 2 110601 jb 0130722 B. The City’s Planning and Transportation Commission and City Council have given notice of intention to consider this Agreement, have conducted public hearings thereon pursuant to Government Code section 65867 and City’s Resolution No. 6597, and the City Council has found that the provisions of this Agreement are consistent with City’s Comprehensive Plan, as amended. C. The City has prepared and certified an EIR and has imposed mitigation measures as Conditions of Approval prior to the execution of this Agreement. SECTION 3. The City Council hereby approves the Development Agreement between the City of Palo Alto and Stanford Hospital and Clinics, a California nonprofit public benefit corporation (“SHC”), Lucile Salter Packard Children’s Hospital at Stanford, a California nonprofit public benefit corporation (“LPCH”), and the Board of Trustees of the Leland Stanford Junior University, a copy of which is attached hereto as Exhibit "A", and authorizes the Mayor to execute the Agreement on behalf of the City. SECTION 4. The City Clerk is directed to cause a copy of the development agreement to be recorded with the County Recorder not later than ten (10) days after it becomes effective. SECTION 5. The City Council adopts this ordinance in accordance with the California Environmental Quality Act (“CEQA”) findings adopted by Resolution No. _______. / / / / / / / / / / / / / / / / / / / / / / / / Not Yet Approved 3 110601 jb 0130722 SECTION 6. This ordinance shall be effective upon the thirty-first (31st) day after its adoption. INTRODUCED: PASSED: AYES: NOES: ABSTENTIONS: NOT PARTICIPATING: ABSENT: ATTEST: APPROVED: __________________________ __________________________ City Clerk Mayor __________________________ APPROVED AS TO FORM: City Manager __________________________ __________________________ Senior Asst. City Attorney Director of Planning and Community Environment 110520 jb 0130741 DRAFT 5/24/11 This document is recorded for the benefit of the City of Palo Alto and is entitled to be recorded free of charge in accordance with Section 6103 of the Government Code. After Recordation, mail to: City Clerk City of Palo Alto 250 Hamilton Avenue P.O. Box 10250 Palo Alto, CA 94303 DEVELOPMENT AGREEMENT Between CITY OF PALO ALTO, a chartered city and STANFORD HOSPITAL AND CLINICS, a California nonprofit public benefit corporation, LUCILE SALTER PACKARD CHILDREN’S HOSPITAL AT STANFORD, a California nonprofit public benefit corporation, and BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY, a body having corporate powers under the laws of the State of California i of v 110520 jb 0130741 TABLE OF CONTENTS R E C I T A L S ...................................................................................................... 1 A. Definitions................................................................................................... 1 B. Outline of Terms......................................................................................... 1 C. Nature and Purpose of Development Agreements...................................... 2 D. Authority for City Development Agreements............................................. 2 E. Comprehensive Plan................................................................................... 2 F. Property Interests........................................................................................ 2 G. Seismic Safety Requirements ..................................................................... 2 H. Seismic Safety Project Components........................................................... 3 I. Project Purposes.......................................................................................... 3 J. Project Approvals........................................................................................ 3 K. Compliance with City Requirements.......................................................... 3 L. Binding Future Actions............................................................................... 4 M. Elimination of Uncertainty ......................................................................... 4 N. Orderly Development.................................................................................. 4 O. Nature of Recitals ....................................................................................... 4 1. Definitions................................................................................................... 5 (a) Annual Payment.............................................................................. 5 (b) Applicable Rules............................................................................. 5 (c) Architectural Review Approval...................................................... 5 (d) City.................................................................................................. 5 (e) Comprehensive Plan....................................................................... 5 (f) Conditions of Approval................................................................... 5 (g) Construction Period. ....................................................................... 5 (h) County Property.............................................................................. 6 (i) Days................................................................................................ 6 (j) Design Guidelines........................................................................... 6 (k) Development Agreement Act. ........................................................ 6 (l) Development Impact Fees............................................................... 6 (m) Discretionary Action and Discretionary Approval......................... 6 (n) Effective Date................................................................................. 7 (o) Hospital Foundation Permit............................................................ 7 (p) Hospital Occupancy Permit............................................................ 7 (q) Hospitals. ........................................................................................ 7 (r) Hospital Zoning Ordinance............................................................. 7 (s) HSSA.............................................................................................. 7 (t) Initial Payment Date. ...................................................................... 8 (u) Initial Project Approvals................................................................. 8 (v) Life Of The Project......................................................................... 8 (w) LPCH.............................................................................................. 8 (x) Mortgage......................................................................................... 8 (y) Mortgagee....................................................................................... 8 110520 jb 0130741 ii of v (z) Net New Square Footage................................................................ 8 (aa) Occupancy Permit........................................................................... 9 (bb) OSHPD. .......................................................................................... 9 (cc) Party................................................................................................ 9 (dd) Project............................................................................................. 9 (ee) Project Approvals.......................................................................... 10 (ff) Property......................................................................................... 10 (gg) SB 1953......................................................................................... 10 (hh) SHC............................................................................................... 10 (ii) School of Medicine....................................................................... 10 (jj) Subsequent Applicable Rules. ...................................................... 10 (kk) Subsequent Approvals. ................................................................. 11 (ll) Subsequent Rules.......................................................................... 11 (mm) SUMC........................................................................................... 11 (nn) SUMC Parties............................................................................... 11 (oo) Term.............................................................................................. 11 (pp) University...................................................................................... 11 (qq) Vested Right.................................................................................. 11 (rr) Zoning Ordinance......................................................................... 11 2. Interest of the SUMC Parties.................................................................... 11 3. Binding Effect........................................................................................... 12 4. Negation of Agency.................................................................................. 12 5. SUMC Parties’ Promises.......................................................................... 12 (a) Health Care Benefits..................................................................... 12 (i) Summary of Intrinsic Benefits.......................................... 12 (ii) Fund for Healthcare Services............................................ 13 (iii) Fund for Community Health and Safety Programs........... 13 (b) Palo Alto Fiscal Benefits. ............................................................. 14 (i) Payment of Sales and Use Taxes...................................... 14 The SUMC Parties shall use their best efforts to maximize the City’s allocation of sales and use taxes associated with Project construction and operation as follows: ......................................... 14 (A) Designation of Project Site for Construction Period Sales and Use Tax Purposes. ............................................ 14 (B) Direct Pay Permit for Sales and Use Taxes from Existing Facilities.............................................................. 15 (C) Establishment of Retail Sales and Use Tax Reporting District.............................................................. 15 (ii) Assurance of Construction Use Tax Revenue. ................. 15 (A) Funds To Be Used In The Event Of A Shortfall... 15 (B) Monitoring Construction Use Tax Revenue......... 15 (C) Reconciliation and Payment of Shortage or Surplus. 16 (D) Costs of Monitoring and Compliance................... 17 (iii) Funding of Operating Deficit............................................ 17 110520 jb 0130741 iii of v (iv) Payment of Utility User Tax............................................. 18 (v) School Fees....................................................................... 18 (c) Traffic Mitigation and Reduced Vehicle Trips............................. 18 (i) Summary of Existing Programs........................................ 18 (ii) Menlo Park Traffic Mitigation.......................................... 19 (iii) Contributions to AC Transit.............................................. 20 (iv) Opticom Payments............................................................ 20 (A) Opticom Systems.................................................. 20 (v) Caltrain Go Passes............................................................ 20 (vi) Marguerite Shuttle Service. .............................................. 21 (vii) Transportation Demand Management Coordinator.......... 21 (viii) Monitoring of TDM programs.......................................... 21 (A) Submission of Reports.......................................... 22 (B) 2025 Mode Split Penalty....................................... 22 (d) Linkages........................................................................................ 23 (i) Improvements to Enhance Pedestrian and Bicycle Connection from Intermodal Transit Center to El Camino Real/Quarry Road Intersection. .................................................... 23 (ii) Public Right-of-Way Improvements to Enhance Pedestrian and Bicycle Connection on Quarry Road..................................... 24 (iii) Stanford Barn Connection................................................. 24 (e) Infrastructure, Sustainable Neighborhoods and Communities, and Affordable Housing. ..................................................................... 24 (i) Payment............................................................................. 24 (ii) Use of Funds..................................................................... 25 (iii) Use of Housing Credit. ..................................................... 25 (f) Climate Change............................................................................. 25 (i) Sustainability Programs Benefit. ...................................... 25 (g) Administrative Costs..................................................................... 26 (h) Satisfaction of All Conditions of Approval.................................. 26 6. City’s Promises......................................................................................... 26 (a) Vested Rights to Develop and Use the Property........................... 26 (b) Permitted and Conditionally Permitted Uses................................ 26 (c) Maximum Density and Intensity of Uses...................................... 27 (d) Other Development Standards...................................................... 27 (e) Subsequent Rules.......................................................................... 27 (f) Subsequent Approvals. ................................................................. 27 (g) Limitation on Architectural Review Approvals............................ 27 (h) Annexation of County Property.................................................... 28 (i) Utility and Storm Drain Connections. .......................................... 28 (j) Waste Treatment Capacity............................................................ 28 (k) Storm Drain Capacity. .................................................................. 28 (l) OSHPD. ........................................................................................ 29 (m) No Other Dedications. .................................................................. 29 (n) No Other Public Improvements or Financial Contributions......... 29 110520 jb 0130741 iv of v (o) No Obligation to Develop............................................................. 30 (p) Timing for Performance of Conditions of Approval.................... 30 7. Exceptions................................................................................................. 30 8. Exclusions................................................................................................. 30 (a) Sewer Facilities, Storm Drains and Runoff.................................. 30 (b) Limited Effect on Right to Tax, Assess, or Levy Fees or Charges31 (c) No Limit on Right of City to Adopt and Modify Uniform Codes.32 (d) No Limit on Power of City to Adopt and Apply Rules Governing Provision and Use of Utility Services........................................... 32 (e) California Environmental Quality Act Compliance (CEQA)....... 32 (f) No General Limitation on Future Exercise of Police Power........ 33 9. Indemnity.................................................................................................. 33 10. Cooperation and Implementation.............................................................. 33 11. Identification of Applicable Rules............................................................ 34 12. Periodic Review of Compliance............................................................... 34 (a) Periodic Review............................................................................ 34 (b) Special Review.............................................................................. 34 (c) Annual Report............................................................................... 35 (d) Supplement to the Annual Report................................................. 35 (e) Procedure...................................................................................... 35 (f) Default by SUMC Parties............................................................. 36 (g) Proceedings Upon Modification or Termination.......................... 36 (h) Hearings on Modification or Termination.................................... 36 (i) Certificate of Compliance............................................................. 37 13. Default by City.......................................................................................... 37 14. Remedies for Default................................................................................ 37 15. Modification, Amendment or Cancellation by Mutual Agreement.......... 39 16. Superseding State or Federal Law............................................................ 39 17. Notices...................................................................................................... 40 18. Term of Agreement; Force Majeure......................................................... 41 (a) Basic Term.................................................................................... 41 (b) Extension for Referendum, Litigation, Default or Moratorium.... 41 (c) Force Majeure............................................................................... 41 19. Assignment; Right to Assign.................................................................... 41 (a) Assignment. .................................................................................. 41 (i) Right to Assign. ................................................................ 42 (ii) Release of Transferor........................................................ 42 20. Mortgagee Protection................................................................................ 43 (a) No Impairment.............................................................................. 43 (b) Notice of Default by the SUMC Parties. ...................................... 43 (c) Notice............................................................................................ 43 (d) Transfer of Ownership.................................................................. 44 21. Miscellaneous. .......................................................................................... 44 (a) Effect of Recitals........................................................................... 44 (b) Construction.................................................................................. 44 110520 jb 0130741 v of v (c) Severability................................................................................... 44 (d) Time.............................................................................................. 44 (e) Waiver........................................................................................... 45 (f) Governing State Law.................................................................... 45 (g) Determination of Compliance....................................................... 45 (h) Entire Agreement.......................................................................... 45 (i) No Third Party Beneficiaries........................................................ 45 (j) Authority to Execute..................................................................... 45 (k) Administrative Appeal.................................................................. 46 (l) Exhibits......................................................................................... 46 (m) Signature Pages............................................................................. 46 (n) Precedence.................................................................................... 46 (o) Recordation................................................................................... 47 (p) Referendum or Challenge............................................................. 47 (i) City’s Reimbursement Obligation.................................... 47 (ii) Effect of Suspension or Termination of Agreement......... 49 (iii) Limit of City’s Reimbursement Obligations..................... 49 1 110520 jb 0130741 DEVELOPMENT AGREEMENT THIS DEVELOPMENT AGREEMENT (hereinafter “Agreement”) is entered into as of this ___ day of _______, 2011, by and between the CITY OF PALO ALTO, a chartered city of the State of California (“City”), STANFORD HOSPITAL AND CLINICS, a California nonprofit public benefit corporation (“SHC”), LUCILE SALTER PACKARD CHILDREN’S HOSPITAL AT STANFORD, a California nonprofit public benefit corporation (“LPCH”), and THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY, a body having corporate powers under the laws of the State of California (“University,” and together with SHC and LPCH, collectively, the “SUMC Parties”). R E C I T A L S THIS AGREEMENT is entered into on the basis of the following facts, understandings and intentions of the parties: A. Definitions. These Recitals use certain terms with initial capital letters that are defined in Section 1 of this Agreement. City and the SUMC Parties intend to refer to those definitions when the capitalized terms are used in these Recitals. B. Outline of Terms. Stanford Hospital and Clinics and Lucile Salter Packard Children’s Hospital provide substantial and important public benefits through operation of world-class health care facilities and provision of a Level 1 trauma center located in the City of Palo Alto. The Stanford School of Medicine, which is part of Stanford University, provides substantial and important public benefits through research that will be translated into life-saving and life-enhancing medical treatments and procedures. To comply with the requirements of state law and to provide state-of-the-art medical and research facilities, the SUMC Parties intend to replace, retrofit and enhance their facilities in the City of Palo Alto. In conjunction with certain state-mandated retrofit and replacement work, the SUMC Parties also intend to expand their hospital, clinic and medical office facilities to meet patient demand. To facilitate this, the SUMC Parties have applied to the City for a development agreement pursuant to Sections 65864-65869.5 of the California Government Code and the City’s Resolution No. 6597. Pursuant to this development agreement, the SUMC Parties would provide certain community benefits and voluntary mitigations measures. In exchange for these community benefits and voluntary mitigation measures, and in recognition of the substantial public benefits provided by the SUMC Parties’ facilities and operations, the City would vest for a period of thirty (30) years the SUMC Parties’ rights to develop and use their facilities in Palo Alto in accordance with the Project Approvals, and would streamline the process for obtaining Subsequent Approvals, as described in this Agreement. 110520 jb 0130741 2 C. Nature and Purpose of Development Agreements. Development agreements were authorized by the State of California in 1979, through the adoption of Government Code Sections 65864-65869.5. These statutes authorize the parties to enter into binding agreements for the development of real property within the City. Because California has a “late vesting” rule, landowners usually cannot be certain that they can proceed with a development project until they have actually obtained a building permit and started building. This lack of certainty can discourage long range planning and investment and make it more difficult for cities to provide needed public facilities. A development agreement, in which a city agrees that, for a certain period of time, it will not change the rules applicable to a project, and the property owner agrees to assist with the provision of public facilities or to otherwise provide community benefits, can benefit all parties. D. Authority for City Development Agreements. Pursuant to Government Code Section 65865, the City adopted Resolution No. 6597 establishing procedures and requirements for consideration of development agreements in Palo Alto. E. Comprehensive Plan. In July of 1998, the City of Palo Alto adopted its current Comprehensive Plan, a document containing the City’s official policies on land use and community design, transportation, housing, natural environment, business and economics, and community services. Its policies apply to both public and private properties. The Plan is used by the City Council and Planning and Transportation Commission to evaluate proposed land use changes in the City, including the adoption of this Agreement. It is intended to guide City land use decisions. F. Property Interests. The University is the fee owner of certain Property. SHC leases from the University certain portions of the Property and operates the Stanford Hospital and Clinics, as well as medical offices thereon. LPCH leases from the University certain other portions of the Property, and operates the Lucile Salter Packard Children’s Hospital thereon. A portion of the Property is occupied by the University’s School of Medicine. A portion of the Property consisting of approximately 0.65 acres is in the unincorporated area of Santa Clara County. The balance of the Property is within the City of Palo Alto. G. Seismic Safety Requirements. SB 1953 requires hospitals to retrofit or replace facilities that do not meet State-designated safety criteria by January 1, 2013. Further requirements must be met by 2030. If a hospital does not comply with these mandates, the State may revoke the hospital’s operating license. On September 30, 2010, Governor 110520 jb 0130741 3 Schwarzenegger signed SB 608, which will provide SHC with the ability to apply for up to five additional years for extensions to meet seismic requirements. If the extensions are granted, the legislation sets a new deadline of January 1, 2018. Effective January 1, 2011, SHC may apply for a three-year extension of the structural compliance deadline; from January 1, 2013 to January 1, 2016. SHC may also be eligible for an additional two-year extension of the 2016 deadline, subject to certain patient safety criteria. The Office of Statewide Health Planning and Development is responsible for approving plans for construction work required by SB 1953. H. Seismic Safety Project Components. Several buildings on the Property require structural retrofit or replacement to comply with SB 1953 and other applicable laws. Also, many of the facilities within the Property require nonstructural renovations or replacement to comply with SB 1953. Portions of the School of Medicine that currently occupy space in structures used for hospital purposes must be physically separated from those structures or replaced in order to comply with SB 1953 requirements. In addition, new or replacement hospital structures must meet current standards specified by the California building code for hospitals; compliance with these standards necessitates increased square footage and height to accommodate current seismic structural requirements, patient safety requirements, air handling systems and mechanical duct work. I. Project Purposes. The City and the SUMC Parties desire that the Project is designed and constructed to achieve timely compliance with the requirements of SB 1953 and other applicable laws, to meet existing and projected future demand for patient care, to provide modern, state-of-the-art facilities designed to deliver high quality healthcare services and related teaching and research, and to meet regional needs for emergency and disaster preparedness. J. Project Approvals. The SUMC Parties have applied for, and the City has certified or approved, as applicable, certain environmental documents and land use approvals and entitlements relating to the development of the Project. These actions are identified on Exhibit B. K. Compliance with City Requirements. The City’s Planning and Transportation Commission and City Council have given notice of intention to consider this Agreement, have conducted public hearings thereon pursuant to Government Code section 65867 and City’s Resolution No. 6597, and the City Council has found that the provisions of this Agreement are consistent with City’s Comprehensive Plan, as amended. 110520 jb 0130741 4 L. Binding Future Actions. This Agreement will bind future City Councils to the terms and obligations specified in this Agreement and limit, to the degree specified in this Agreement and as authorized under state law, the future exercise of City’s ability to preclude development on the Property. M. Elimination of Uncertainty. This Agreement will eliminate uncertainty in planning and provide for the orderly development of the Property, eliminate uncertainty about the validity of exactions imposed by City, allow installation of necessary improvements, provide for public services appropriate to the development of the Project, and generally serve the public interest, both within the City of Palo Alto and in the surrounding region. N. Orderly Development. Development of the Project in accordance with this Agreement and the Project Approvals will provide for orderly development consistent with City’s Comprehensive Plan. The terms and conditions of this Agreement have undergone extensive review by City staff, its Planning and Transportation Commission and the City Council, and have been found to be fair, just and reasonable. Specifically, the City Council has found that: 1. The provisions of this Agreement and its purposes are consistent with the goals, policies, programs and standards specified in City’s Comprehensive Plan; 2. This Agreement will help attain important economic, social, environmental and planning goals of City and enhances and protects the public health, safety and welfare of the residents of the City of Palo Alto and the surrounding region. 3. The SUMC Parties will incur substantial costs in providing community benefits, including voluntary mitigation, in excess of that required to address the impacts of the Project; 4. This Agreement will mitigate significant environmental impacts; and 5. This Agreement will otherwise achieve the goals and purposes for which the Development Agreement Act (California Government Code Sections 65864-65869.5) was enacted. O. Nature of Recitals. 110520 jb 0130741 5 These recitals are intended in part to paraphrase and summarize this Agreement, however, the Agreement is expressed below with particularity and the Parties intend that their rights and obligations be determined by those provisions and not by the recitals. NOW, THEREFORE, the parties do hereby agree as follows: 1. Definitions. In this Agreement, unless the context otherwise requires: (a) Annual Payment. “Annual Payment” means each annual payment subsequent to the first payment and shall be paid no later than August 31 of the year following the year in which the first payment is made. For example, if the Initial Payment Date is June, 2011, the next Annual Payment would be due by August 31, 2012. (b) Applicable Rules. “Applicable Rules” means the City ordinances, resolutions, rules, regulations and official policies in effect on the Effective Date, as amended by the Project Approvals. (c) Architectural Review Approval. “Architectural Review Approval” means the approval of an application for architectural review under the Applicable Rules, including without limitation the Hospital Zoning Ordinance. (d) City. “City” is the City of Palo Alto. (e) Comprehensive Plan. “Comprehensive Plan” is the 1998-2010 Palo Alto Comprehensive Plan, adopted in July 1998 and as amended through the Effective Date. (f) Conditions of Approval. “Conditions of Approval” are the conditions to the Project Approvals or Subsequent Approvals included in or incorporated by reference in an ordinance, resolution or motion granting a Project Approval or Subsequent Approval, and including the environmental mitigations adopted by the City Council. (g) Construction Period. 110520 jb 0130741 6 For purposes of payment, monitoring and reconciling Construction Use Tax payments in Section 5(b), “Construction Period” is the time period between the issuance of the first permit or approval by a public agency with jurisdiction over the Project, whether it be the City, OHSPD, or any other public agency, which allows the SUMC Parties to undertake development and construction activities contemplated by the Project, the issuance of which the Parties currently estimate to occur in 2011, and December 31, 2025. (h) County Property. “County Property” means the portion of the Property in the unincorporated area of Santa Clara County, consisting of approximately 0.65 acres. (i) Days. “Days” shall mean calendar days. (j) Design Guidelines. “Design Guidelines” means the Design Guidelines approved as part of the Project Approvals, as listed on Exhibit B. (k) Development Agreement Act. “Development Agreement Act” means Article 2.5 of Chapter 4, of Division 1 of the California Government Code (Sections 65864 - 65869.5). (l) Development Impact Fees. “Development Impact Fees” means all fees now or in the future collected by the City from applicants for new development (including all forms of approvals and permits necessary for development) for the funding of public services, infrastructure, improvements or facilities, but not including taxes or assessments, or fees for processing applications or permits or for design review. The fees included in this definition include, but are not limited to those fees set forth in Chapters 16.45, 16.47 and 16.58 of the Municipal Code, fees for traffic improvements and mitigation, and fees for other community facilities or related purposes (but not including any school fees imposed by a school district); provided nothing herein shall preclude City from collecting fees lawfully imposed by another entity having jurisdiction which City is required or authorized to collect pursuant to State law. (m) Discretionary Action and Discretionary Approval. “Discretionary Action” includes a “Discretionary Approval” and is an action or decision which requires the exercise of judgment, deliberation, and which contemplates the imposition of revisions or conditions, by City, including 110520 jb 0130741 7 any board, commission or department and any officer or employee thereof, in the process of approving or disapproving a particular activity, as distinguished from an activity which merely requires City, including any board, commission or department and any officer or employee thereof, to determine whether there has been compliance with applicable statutes, ordinances, regulations, or Conditions of Approval. (n) Effective Date. “Effective Date” means June 6, 2011. (o) Hospital Foundation Permit. “Hospital Foundation Permit” means the OSHPD Incremental Project Permit allowing either Hospital to construct the primary load bearing foundation for a new or expanded hospital building. The SUMC Parties’ best estimate of the anticipated date for issuance of the first Hospital Foundation Permit, based on current information, is by January 1, 2012. (p) Hospital Occupancy Permit. “Hospital Occupancy Permit” means issuance of all permits necessary to allow the first Hospital building to be used by members of the public for healthcare services. Issuance of a temporary occupancy permit for purposes of building preparations in advance of opening shall not trigger obligations based upon issuance of the Hospital Occupancy Permit. However, a temporary or partial occupancy permit that allows the Hospital building to be used by the public for healthcare services shall trigger obligations based upon issuance of the Hospital Occupancy Permit. The SUMC Parties’ best estimate of the anticipated date for issuance of the first Hospital Occupancy Permit, based on current information, is by January 1, 2018. (q) Hospitals. “Hospitals” means SHC and LPCH. (r) Hospital Zoning Ordinance. “Hospital Zoning Ordinance” is the ordinance of City, adopted as part of the Project Approvals, amending the Zoning Ordinance to revise and establish the permitted and conditionally permitted uses, intensity, and other standards and specifications applicable to the Property. (s) HSSA. “HSSA” means the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1973, as amended by the Alfred E. Alquist Hospital Facilities Seismic 110520 jb 0130741 8 Safety Act of 1983, and by SB 1953, as it may be further amended from time to time. (t) Initial Payment Date. “Initial Payment Date” means the date that is 45 days from the filing and posting of the Notice of Determination filed by the City after the second reading of the ordinance approving the Hospital District zoning and the ordinance approving this Development Agreement. (u) Initial Project Approvals. “Initial Project Approvals” means those entitlements, permits and approvals listed on Table 1 of Exhibit B. (v) Life Of The Project. “Life Of The Project” means fifty one years from the Effective Date. (w) LPCH. “LPCH” means Lucile Salter Packard Children’s Hospital at Stanford, a California nonprofit public benefit corporation. (x) Mortgage. “Mortgage” means and refers, singly and collectively, to any mortgages, deeds of trust, security agreements, assignments and other like security instruments encumbering all or any portion of the Property or any of the SUMC Parties’ rights under this Agreement. (y) Mortgagee. “Mortgagee” means and refers to the holder of any Mortgage encumbering all or any portion of the Property or any of the SUMC Parties’ rights under this Agreement, and any successor, assignee or transferee of any such Mortgage holder. (z) Net New Square Footage. “Net New Square Footage” means the amount of new square footage constructed pursuant to the Project Approvals, less the total amount of existing square footage demolished. For purposes of calculating applicable fees, the demolition of square footage of the structure at 1101 Welch Road, the 1973 Core Expansion building, and the 77 square foot hospital entry shall be credited against the fees for the new SHC hospital structure; demolition of the square footage of the structures at 701 and 703 Welch Road shall be credited against the fees for expansion of LPCH; demolition of the square footage of the Nurses’ cottage, 110520 jb 0130741 9 shops and sheds at the Hoover Pavilion Site shall be credited against the fees for the square footage of the new medical office building at the Hoover Pavilion Site; demolition of the Stone Building complex (1959 Hospital Buildings, including East, West, Core, Boswell, Grant, Alway, Lane and Edwards) shall be credited against the fees for new square footage for the University and SHC in the amount corresponding to the new square footage constructed by each entity. To the extent the SUMC Parties construct new buildings to replace the Stone Building complex and/or 1973 Core Expansion building prior to demolishing or vacating all or part of those structures, the SUMC Parties may, in their discretion, elect to take credit for future demolition of the Stone Building complex and/or 1973 Core Expansion building when calculating payment of fees for the new square footage. Construction of School of Medicine improvements for the University is not expected to result in any Net New Square Footage. (aa) Occupancy Permit. “Occupancy Permit” means a permit issued by any agency that allows a new or expanded structure to be used by members of the public for the intended uses of the facility. Issuance of a temporary occupancy permit for purposes of building preparations in advance of opening shall not trigger obligations based upon issuance of the Occupancy Permit. However, a temporary or partial occupancy permit that allows the building or structure to be used by the public for any of the intended uses of the facility shall trigger obligations based upon issuance of the Occupancy Permit. (bb) OSHPD. “OSHPD” means the Office of Statewide Health Planning and Development. (cc) Party. “Party” is a signatory to this Agreement, or a successor or assign of a signatory to this Agreement. (dd) Project. “Project” means development of the Property in accordance with the Applicable Rules, Project Approvals, and this Agreement, which is generally described as follows: (1) construction of the new SHC Hospital (in multiple phases), new SHC Clinic/Medical office buildings, new medical office/clinic building at the Hoover Pavilion site, new LPCH Hospital, new LPCH clinic/medical office space, new buildings for the School of Medicine, new SHC parking structure, new LPCH parking structure, new clinics parking structure at the Main SUMC Site, new parking structure at the Hoover Pavilion Site, Welch Road widening, Durand Way connector road, new driveways and drop-off areas, other roadway improvements, new heliport, and miscellaneous accessory 110520 jb 0130741 10 structures, surface parking, pavement and landscape improvements; (2) renovation and remodeling of existing hospital, clinic and medical office facilities including the Hoover Pavilion; and (3) demolition of the 1959 Stone Building complex (hospital and School of Medicine buildings), 1973 Core Expansion building, 1101 Welch Road medical offices, hospital entry, nurses’ cottage, miscellaneous shops and storage buildings at the Hoover Pavilion Site, 701 and 703 Welch Road medical offices, Parking Structure 3, Falk Lot 5, a portion of the Hoover Pavilion surface parking lot, and other miscellaneous surface parking, pavement and landscaped areas. (ee) Project Approvals. “Project Approvals” means the approvals, certifications or actions listed on Exhibit B and any Subsequent Approvals, including all Conditions of Approval. (ff) Property. “Property” means the real property more particularly described in Exhibit A. (gg) SB 1953. “SB 1953” means Senate Bill 1953 (Chapter 740, 1994), California Health and Safety Code Section 130000 – 130070 (amending the Alfred E. Alquist Hospital Seismic Safety Act of 1983). (hh) SHC. “SHC” means Stanford Hospital and Clinics, a California nonprofit public benefit corporation. (ii) School of Medicine. “School of Medicine” means the Stanford University School of Medicine, which is part of the University. (jj) Subsequent Applicable Rules. “Subsequent Applicable Rules” means the ordinances, resolutions, rules, regulations and official policies of City, as they may be adopted and effective after the Effective Date that do not conflict with the Applicable Rules, or that are expressly made applicable to the subject matter of this Agreement by Sections 7 and 8. 110520 jb 0130741 11 (kk) Subsequent Approvals. “Subsequent Approvals” means any approval relating to the Project issued by the City upon request of any SUMC Party after the Effective Date, including Discretionary Approvals and ministerial approvals. (ll) Subsequent Rules. “Subsequent Rules” means all City ordinances, resolutions, rules, regulations and official policies in effect at the time a City action is to be taken that would apply to the Project had this Agreement not been adopted. (mm) SUMC. “SUMC” means the Stanford University Medical Center. (nn) SUMC Parties. “SUMC Parties” means SHC, LPCH, and the University. (oo) Term. “Term” means the term of this Agreement as set forth in Section 18. (pp) University. “University” means the Board of Trustees of the Leland Stanford Junior University, a body having corporate powers under the laws of the State of California. (qq) Vested Right. “Vested Right” means a property right conferred by this Agreement that may not be rescinded, reduced, revoked or abrogated by the City. (rr) Zoning Ordinance. “Zoning Ordinance” is the zoning ordinance for the City of Palo Alto (Title 18 of the Palo Alto Municipal Code). 2. Interest of the SUMC Parties. Each of the SUMC Parties represent that, as of the Effective Date, it has a legal or equitable interest in all or a portion of the Property as required by Section 65865 of the California Government Code. 110520 jb 0130741 12 3. Binding Effect. Subject to the provisions of Section 19 below, this Agreement, and all of the terms and conditions hereof, shall run with the land and shall be binding upon and inure to the benefit of the parties and their respective assigns, heirs or other successors in interest. 4. Negation of Agency. The parties acknowledge that, in entering into and performing this Agreement, the City, on the one hand, and the SUMC Parties, on the other hand, are each acting as an independent entity and not as an agent of the other in any respect. Nothing contained herein or in any document executed in connection herewith shall be construed as making City the joint venturer or partner of any of the SUMC Parties, or any of the SUMC Parties the joint venturer or partner of the City. 5. SUMC Parties’ Promises. (a) Health Care Benefits. (i) Summary of Intrinsic Benefits. Stanford University Medical Center is recognized as a global leader in medical care and research, having pioneered advancements in transplantation medicine, cancer care, prenatal diagnosis and treatment, and diabetes and cholesterol treatments. In 2009, the SHC and LPCH provided the following benefits and services:  36,559 inpatients admitted  48,744 emergency department visits  4,759 babies delivered  $262.6 million in uncompensated medical services, charity care, and community programs. The SUMC Parties served 64 percent of Palo Alto residents who required hospitalization in 2009. The Project will enable the SUMC Project sponsors to continue this important work, and the addition of more beds for adults and children will alleviate overcrowding and allow the hospitals to serve patients who currently must be turned away. The hospitals also provide the only Level 1 Trauma Center between San Francisco and San Jose. The Trauma Center and the Emergency Department ensure critical community emergency preparedness and response resources for the community in the event of an earthquake, pandemic, or other major disaster. 110520 jb 0130741 13 (ii) Fund for Healthcare Services. Not later than the Initial Payment Date, and subject to the provisions in Section 21(p), the Hospitals will designate for Healthcare Services the amount of Three Million Dollars ($3,000,000), which amount shall increase by 4.5% per year through 2025, and thereby will total Five Million Six Hundred Thousand Dollars ($5,600,000) by December 31, 2025. After completing the reconciliation of construction use tax payments described in Section 5(b)(ii)(C), the Hospitals shall use the resulting Fund for Healthcare Services by spending the fund in even increments over a ten-year period from 2026 through 2036 to assist residents of Palo Alto who have self-payment responsibilities beyond their financial means, to pay healthcare services (“Patient Service Program”). If in any year less than one- tenth of the Fund for Healthcare Services is used by the Patient Services Program, the excess shall be used in any one or all subsequent years or added to the Fund for Community Health and Safety Programs described in Section 5(a)(iii) below. The Patient Services Program shall be in addition to the Hospitals’ Financial Assistance/Charity Care Policy dated August 2010, as amended from time to time, and in addition to any coverage afforded by the new federal Health Care and Education Reconciliation Act and subsequent amendments. The Hospitals, in their reasonable discretion, shall develop criteria for determining whether patients are qualified to receive assistance from the Patient Services Program based on Palo Alto residency status and financial need. The Hospitals shall report the criteria used to determine eligibility for assistance from the Patient Services Program, comparative criteria used to determine eligibility for assistance under the Hospitals’ charity policies (in order to verify that the Patient Services Program is in addition to the Hospitals’ charity policies and other federal requirements) and their disbursements under the Patient Services Program annually, as part of the annual report described in Section 12(d). All reporting will comply with applicable privacy laws and policies, as well as the privacy policies of the Hospitals. If at any time the Hospitals and City mutually determine that the Patient Services Program creates undue administrative burdens or is not needed by the Palo Alto community in view of other available programs, the Hospitals shall contribute, in annual installments, the remainder of the funds allocated to the Patient Services Program to the Community Health and Safety Program Fund described in Section 5(a)(iii) below. (iii) Fund for Community Health and Safety Programs. Not later than the Initial Payment Date, and subject to the provisions in Section 21(p), the SUMC Parties shall contribute, in a single lump sum payment, Four Million Dollars ($4,000,000) (the “Community Health and Safety Program Fund”) to the City, to be held in a separate account and to be distributed to selected community health programs that benefit residents of the City, which amount could be spent at the City Council’s discretion in whole or in part on the Project Safety Net Program. The SUMC Parties and the City shall establish a 110520 jb 0130741 14 joint committee to evaluate proposals regarding the other specific programs to receive funding, composed of two representatives selected by the SUMC Parties and two representatives selected by the City. The joint committee may choose to coordinate its efforts with the City’s Human Relations Commission, and the City’s representatives on the committee may be members of the Human Relations Commission. The joint committee shall make annual recommendations to the City Council regarding proposed disbursements from the Community Health and Safety Program Fund, and the City Council shall use its reasonable discretion to decide whether to accept, reject or modify the joint committee recommendations. The City shall keep the funds paid by the SUMC Parties to the Community Health and Safety Program Fund in a separate account, to be used only for the purposes described in this Section 5(a)(iii). The City shall deliver an annual report of disbursements from the Community Health and Safety Program Fund in accordance with Section 12(d) below. (b) Palo Alto Fiscal Benefits. (i) Payment of Sales and Use Taxes. The SUMC Parties shall use their best efforts to maximize the City’s allocation of sales and use taxes associated with Project construction and operation as follows: (A) Designation of Project Site for Construction Period Sales and Use Tax Purposes. The SUMC Parties shall accrue or self report sales and use taxes for the benefit of the City pursuant to the applicable regulations of the State Board of Equalization (the “SBOE”) regulations, and any additional regulations issued or amendments made thereto, for the purpose of maximizing the City’s allocation of construction use tax revenues derived from the Project available under the applicable laws and regulations. To this end, the SUMC Parties shall use their best efforts to the extent allowed by law to: (i) obtain all permits and licenses necessary to maximize the City’s allocation of construction use taxes derived from the Project, including but not limited to California Seller’s Permits, Use Tax Direct Payment Permits, and any other license or permit necessary or desirable to maximize the City’s allocation of sales and use taxes derived from the Project; (ii) designate, and require its contractors and subcontractors to designate, the Property as the place of sale of all “fixtures” furnished and/or installed as part of the Project; (iii) designate, and require all its contractors and subcontractors to designate, the Property as the place of use of all “materials” used in the construction of the Project; and (iv) require all contractors and subcontractors to allocate the local sales and use taxes derived from their contracts directly to the City. The SUMC Parties shall, and shall use their best efforts to require their contractors and subcontractors to, complete and file any forms as the SBOE requires to effect the designations required by this Section pursuant to the applicable regulations of the SBOE. The SUMC Parties shall bear all costs 110520 jb 0130741 15 associated with its activities under this Section 5(b)(i)(A). This Section 5(b)(i)(A) does not require the SUMC Parties to establish a purchasing entity or office in the City of Palo Alto. (B) Direct Pay Permit for Sales and Use Taxes from Existing Facilities. Within thirty (30) days of the Effective Date, the Hospitals shall begin and diligently complete the process necessary to obtain a use tax direct pay permit from the State of California in order to increase, on an ongoing basis, the City tax allocation for the Hospitals’ purchases. The Hospitals shall maintain the use tax direct pay permit for the Life Of The Project, unless the State of California ceases to continue to administer the use tax direct pay permit program or a substantially equivalent program. (C) Establishment of Retail Sales and Use Tax Reporting District. The SUMC Parties shall cooperate in good faith with the City to assist the City in establishing and administering a Retail Sales and Use Tax Reporting District that includes the Property and the Project, to enable the City to track the generation, allocation, reporting and payment of sales and use taxes derived from the Project. Such cooperation shall include providing the City with a list of all SBOE Permit Codes assigned to the SUMC Parties’ operations and activities on the Property and associated with the Project, and the physical locations (e.g., addresses) associated with such SBOE Permit Codes. (ii) Assurance of Construction Use Tax Revenue. The SUMC Parties shall take the following steps to provide reasonable assurance to the City that it will receive no less than Eight Million, One Hundred Thousand Dollars ($8,100,000) in construction use tax revenues resulting from the Project by December 31, 2025: (A) Funds To Be Used In The Event Of A Shortfall. As provided in Section 5(a)(ii), the Hospitals will designate the amount of Three Million Dollars ($3,000,000), which amount shall increase by 4.5% per year through 2025, and thereby will total Five Million Six Hundred Thousand Dollars ($5,600,000) by December 31, 2025. (B) Monitoring Construction Use Tax Revenue. During the Construction Period, the SUMC Parties shall use their best efforts to require Project contractors and subcontractors to report to the SUMC Parties the permits obtained and payments made pursuant to Section 5(b)(i)(A). Within six (6) months of the conclusion of each calendar year during the Construction Period, the SUMC Parties will submit to the City a report to be used 110520 jb 0130741 16 by the City to monitor payment of construction use taxes and to determine the share of such construction use taxes that the City has received as a result of the Project (“Monitoring Report”). The report shall include the following information: (i) a self-accrual report for the year identifying purchases made, purchase prices and taxes pertinent to such purchases for owner supplied items; and (ii) a memorandum for the year identifying contractor, sub-contractor, sub- contractor vendor, supplier and other similarly situated persons from whom purchases were made, where such contractor, sub-contractor, vendor, and/or other similarly situated party may allocate taxes directly to the City rather than through SUMC Parties' self-accrual system. Within sixty (60) days of receiving the SUMC Parties’ Monitoring Report, the City shall provide to the SUMC Parties its determination of the amount of construction use taxes that it has received as a result of the Project during the preceding calendar year, along with documentation of the basis for the City’s determination. In the event that the City’s local share of construction use tax revenues is diminished due to legislative/and or other legal changes, the City shall calculate the amount of construction use tax revenue that it would have received under the local share provisions existing on the Effective Date, based upon the payments actually paid to the State Board of Equalization by the SUMC Parties and their contractors and subcontractors, and the City shall add any diminished amount to the amount it has received to arrive at a total amount of “Construction Use Tax Revenues Received” as a result of the Project. The SUMC Parties shall not be required to make up, or assure, to the City that it receives the difference between the actual amount of construction use taxes that the City has received and the amount that the City would have received under the local share provisions existing on the Effective Date. However, as allowed by law and applicable restrictions, the SUMC Parties will join with the City in opposing any legislative or legal change that would result in diminution of the City’s local share of construction use tax revenues because the SUMC Parties recognize that such diminution could adversely affect City services to the community and to the Project facilities. (C) Reconciliation and Payment of Shortage or Surplus. In August 2026, or as soon thereafter as records are reasonably available, the City shall provide to the SUMC Parties its determination of the total amount of Construction Use Tax Revenues Received as a result of the Project, along with a report documenting the basis for the City’s determination (“Reconciliation Report”). Within thirty (30) days of receiving the Reconciliation Report, the SUMC Parties shall notify the City as to any dispute regarding the Reconciliation Report, and the SUMC Parties shall provide a report to the City documenting the basis for the SUMC Parties’ dispute. The Parties shall act in good faith to resolve any and all disputes regarding the Reconciliation Report within ninety (90) days from the date that the SUMC Parties notify the City of such dispute or disputes. 110520 jb 0130741 17 Shortfall. Within thirty (30) days of the date the Parties reach mutual agreement as to the total amount of Construction Use Tax Revenues Received as a result of the Project, the SUMC Parties shall pay to the City the amount of any shortfall between Eight Million One Hundred Thousand Dollars ($8,100,000) and the amount of the Construction Use Tax Revenues Received as a result of the Project, which amount shall be paid in full regardless of whether it exceeds the amount identified pursuant to Section 5(a)(ii). The amount of the Shortfall Payment then shall be deducted from the Five Million Six Hundred Thousand Dollars ($5,600,000) amount that the SUMC Parties designated pursuant to Section 5(a)(ii), and the remainder of that designated amount, if any, shall be applied to the Patient Service Program as described in Section 5(a)(ii). Surplus. Within thirty (30) days of the date the Parties reach mutual agreement as to the total amount of Construction Use Tax Revenues Received as a result of the Project, the City shall provide to the SUMC Parties the amount of any surplus between Eight Million One Hundred Thousand Dollars ($8,100,000) and the amount of the Construction Use Tax Revenues Received as a result of the Project (“Surplus Payment”). The SUMC Parties then shall reduce the amount designated pursuant to Section 5(a)(ii) in an amount commensurate with the Surplus Payment such that the fund for the Patient Service Program shall total Five Million Six Hundred Thousand Dollars ($5,600,000), comprised of the Surplus Payment paid by the City plus the difference between that payment and Five Million Six Hundred Thousand Dollars ($5,600,000) to be paid by the SUMC Parties. (D) Costs of Monitoring and Compliance. The Parties each shall bear their own costs of compliance with the provisions of Section 5(ii)(A) – (C), including but not limited to monitoring payment and receipt of construction use taxes, preparation and analysis of reports, and reconciliation. (iii) Funding of Operating Deficit. Not later than the Initial Payment Date, and subject to the provisions in Section 21(p), the SUMC Parties shall pay to the City, in a single lump sum payment, the amount of Two Million Four Hundred Seventeen Thousand Dollars ($2,417,000) for the purpose of assuring that City costs associated with the Project do not exceed revenues to the City resulting from construction and operation of the Project. This amount is the discounted net present value of the projected shortfall in revenues over a 30-year period, based upon the inflation, cost and revenue assumptions used by the consultant hired and directed by the City. 110520 jb 0130741 18 (iv) Payment of Utility User Tax. All requirements and language in Section 2.35.100(a) of the City’s Municipal Code to the contrary notwithstanding, the SUMC Parties shall pay to the City a utility user tax at a minimum rate of five percent (5%) of all electricity, gas, and water charges allocable to new construction completed as part of the Project for the Life Of The Project, which rate may be increased by the City as provided by Section 2.35.100(b) of the City’s Municipal Code. (v) School Fees. The SUMC Parties shall pay to the City, who in turn shall forward to the Palo Alto Unified School District, school fees upon issuance of each building permit from the City or OSHPD, in the amount that is generally applicable to non- residential development at the time of payment based upon Net New Square Footage. For buildings subject to OSHPD jurisdiction, the school fees will be paid within Thirty (30) days after issuance of a building permit from OSHPD. (c) Traffic Mitigation and Reduced Vehicle Trips. (i) Summary of Existing Programs. The Hospitals provide a robust program to minimize commuting by drive- alone vehicles, which currently includes the following components:  Incentives to forego driving or to carpool, including cash payments or other credit for participating in a carpool program, various parking incentives, online ride matching, pretax payroll deduction for transit passes, emergency rides home, free car rental vouchers, Zipcar car sharing credits, and other gifts and rewards.  The free Marguerite Shuttle system, supported in part by payments from the Hospitals, connecting the Hospitals to local transit, Caltrain, and local shopping and dining.  The Eco Pass program for hospital employees, allowing free use of VTA buses and light rail, the Dumbarton Express, the Highway 17 Express, and the Monterey-San Jose Express.  Free use of the U-Line Stanford Express connecting BART, the ACE train, and Ardenwood Park & Ride to Stanford.  Alternative transportation support and information, such as bicycle commuter facilities (clothes lockers, showers, bike lockers), transit pass sales, and various sources of ‘green’ and alternative transportation information including an ‘alternative transportation website. 110520 jb 0130741 19 (ii) Menlo Park Traffic Mitigation. (A) Payment. Subject to the City of Menlo Park’s agreement to be bound by provisions substantially similar to those described in Section 21(p) and subject to the City of Menlo Park’s agreement to use payments received from the SUMC Parties as described in Section 5(c)(ii)(B), below, the SUMC Parties shall contribute to the City of Menlo Park a total of Three Million Six Hundred Ninety Nine Thousand Dollars ($3,699,000) for the City of Menlo Park’s use in connection with traffic mitigation and other measures to enhance City of Menlo Park infrastructure and to promote sustainable neighborhoods and communities and affordable housing. The SUMC Parties shall make this contribution in three equal payments as follows: (1) the first payment shall be made not later than the Initial Payment Date; (2) the second payment shall be made within Thirty (30) days from issuance of the first Hospital Foundation Permit; and (3) the third payment shall be made within Thirty (30) days from issuance of the first Hospital Occupancy Permit. (B) Use of Funds. The amount of Two Hundred Ninety Thousand Dollars ($290,000) shall be used by the City of Menlo Park prior to January 1, 2018 to install Traffic-Adaptive Signal Technology at the following two intersections in the City of Menlo Park: Middlefield Road/Willow Road; and Middlefield Road/Ravenswood Avenue. The amount of One Million Forty Six Thousand Dollars ($1,046,000) shall be allocated by the City of Menlo Park to the City’s Traffic Impact Fee Fund to pay for any improvements for which the Traffic Impact Fee Fund has been established, which amount is in lieu of the SUMC Project's fair share contribution toward the cost of construction of one pedestrian/bike Caltrain undercrossing in Menlo Park; improvements at the Willow Road/Bayfront Expressway intersection; improvements at the Bayfront Expressway/University Avenue intersection; and installation of Opticom systems at the following four (4) intersections: Middlefield Road/Willow Road, Middlefield Road/Ravenswood Avenue, Willow Road/Bayfront Expressway, and Bayfront Expressway/University Avenue. The remainder of the funds shall be used by the City of Menlo Park in its discretion in connection with infrastructure, sustainable neighborhoods and communities, and affordable housing. 110520 jb 0130741 20 (iii) Contributions to AC Transit. The Hospitals shall offer to contribute the following to AC Transit: (A) Within Thirty (30) days from issuance of the Hospital Occupancy Permit, the Hospitals shall offer to make a one-time payment to the Alameda-Contra Costa Transit District (“AC Transit”) of Two Hundred Fifty Thousand Dollars ($250,000) to be used for capital improvements to the U- Line to increase capacity. (B) Commencing within Thirty (30) days from issuance of the Hospital Occupancy Permit and continuing for the Life Of The Project, the Hospitals shall offer to make Annual Payments to AC Transit in a reasonable annual amount, not to exceed Fifty Thousand Dollars ($50,000), to be used for operating costs of the U-Line to maintain a load factor for bus service to the SUMC of less than 1.0. (C) In order to encourage Hospital employees who commute from the East Bay to use public transit from the East Bay to the Project, the Hospitals shall use best efforts to lease seventy five (75) parking spaces at the Ardenwood Park and Ride lot, or an equivalent location, commencing within Thirty (30) days from issuance of the Hospital Occupancy Permit and continuing for the Life Of The Project, at a cost not to exceed Forty Five Thousand Dollars ($45,000) per year. (iv) Opticom Payments. Within Thirty (30) days after issuance of the Hospital Occupancy Permit, the SUMC Parties shall make the following contributions to mitigate traffic in Palo Alto. (A) Opticom Systems. The SUMC Parties shall pay Eleven Thousand Two Hundred Dollars ($11,200) to the City for installation of Opticom systems at the following seven (7) intersections: El Camino Real/Palm Drive/University Avenue; El Camino Real/Page Mill Road; Middlefield Road/Lytton Road; Junipero Serra/Page Mill Road; Junipero Serra/Campus Drive West, Galvez/Arboretum, Alpine/280 Northbound ramp. The City shall use its best efforts to cause the Opticom system to be installed at the intersections listed in this Section 5(c)(ii)(A) that are not located within the City’s jurisdiction. (v) Caltrain GO Passes. Commencing on September 1, 2015, the Hospitals shall purchase annual Caltrain GO Passes (free train passes) for all existing and new Hospital employees who work more than 20 hours per week, at a cost of up to One Million Eight Hundred Thousand Dollars ($1,800,000) per year, which amount shall be adjusted 110520 jb 0130741 21 annually to reflect any change in the San Francisco Bay Area Consumer Price Index (the “GO Pass Amount”). The Hospitals’ obligation to provide GO Passes shall continue for fifty one (51) years, or until such earlier date as: (a) Caltrain discontinues the GO Pass program, or a substantially similar program; (b) Caltrain increases the cost of GO Passes, or a substantially similar program, such that the Hospitals’ annual costs would exceed the GO Pass Amount; or (c) Caltrain service is reduced by such an extent that the Hospitals and the City mutually determine purchase of annual GO Passes, or a substantially similar program, would no longer be effective in substantially reducing Hospital employee peak period trips in order to achieve the Alternative Mode targets specified in Section 5(c)(viii). If the cost of obtaining GO Passes exceeds the GO Pass Amount, the Hospitals shall have the option to elect either to purchase the GO Passes at the then applicable price, or to terminate the obligation to provide GO Passes, or a substantially similar program. If the Hospitals’ obligation to provide GO Passes, or a substantially similar program, terminates for any of the reasons specified in this Section 5(c)(v), the Hospitals shall contribute the GO Pass Amount to one or more substitute programs to encourage use of transit by Hospital employees or otherwise reduce peak period traffic trips in the intersections impacted by the Project as identified in the Project EIR, including but not limited to regional transportation systems or solutions. The substitute program or programs shall be mutually agreed upon by the SUMC Parties and the City’s Director of Planning and Community Environment. (vi) Marguerite Shuttle Service. The Hospitals shall fund the reasonable costs, in an approximate amount of Two Million Dollars ($2,000,000), for the purchase of additional shuttle vehicles for the Marguerite shuttle service, as and when required to meet increased demand for shuttle service between the Project Sites and the Palo Alto Intermodal Transit Station. In addition, for the Life Of The Project, the Hospitals shall fund as Annual Payments the reasonable costs, in an approximate amount of Four Hundred Fifty Thousand Dollars ($450,000) per year, to cover the net increase in operating costs for the Marguerite Shuttle. (vii) Transportation Demand Management Coordinator. Commencing on September 1, 2015, and continuing through the Life Of The Project, the Hospitals shall employ an onsite qualified Transportation Demand Management (“TDM”) coordinator for the SUMC. (viii) Monitoring of TDM programs. The City and the SUMC Parties acknowledge that because use of transit by employees of the Hospitals is voluntary, and may be influenced by a number of factors outside of the reasonable control of the Hospitals, such as gasoline prices, costs and availability of alternative transit, housing costs and availability, and personal preferences of employees, the Hospitals cannot guarantee the results 110520 jb 0130741 22 of their TDM programs. However, the Hospitals shall monitor the success of their TDM programs from the date of the Initial Project Approvals through the Life of The Project. The following interim targets shall be used to measure the progress toward meeting the desired mode split by 2025. These interim targets assume that in the early phases of implementation, there may be larger shifts to alternative modes than the shifts that may occur in later phases of the TDM program enhancement. For purposes of calculating alternative mode share, any mode that does not constitute driving in a single-occupant vehicle to and from the work site shall be considered an “Alternative Mode,” including working remotely from home. Target Year Alternative Mode Share Percent Change EIR Baseline (2006) 22.9 % NA Project Approval Baseline (2011) TBD TBD 2018 30 % 7.1% 2021 33 % +3 % 2025 35.1 % +2.1 % If the applicable interim target is not met for any two consecutive years prior to 2025, the Hospitals shall provide alternative transportation funding to the City in Annual Payments in the amount of One Hundred Seventy Five Thousand Dollars ($175,000) per year until the earlier of the year 2025 or the year the applicable interim mode split target is achieved, subject to a maximum of five Annual Payments. The alternative transportation funding must be used by the City for local projects and programs that encourage use of alternative transportation mode uses or otherwise reduce peak period traffic trips in the intersections impacted by the Project as identified in the Project EIR, including but not limited to regional transportation systems and solutions. The City of Palo Alto should consider transportation systems and solutions that also help to reduce traffic in the City of Menlo Park. (A) Submission of Reports. The Hospitals shall submit annual reports showing the current number of employees employed over 20 hours per week; the number of employees using an alternative mode share as documented by a study or survey to be completed by the Hospitals using a method mutually agreeable to the City and Hospitals; and the efforts used by the Hospitals to attempt to achieve the Alternative Mode targets. (B) 2025 Mode Split Penalty. If by 2025, the Hospitals have not demonstrated substantial achievement of the Thirty Five and One-Tenth Percent (35.1%) target modal split for 110520 jb 0130741 23 alternative transportation modes, the Hospitals shall make a lump sum payment of Four Million Dollars ($4.0 million) to the City for local projects and programs that encourage and improve use of alternative transportation mode uses or otherwise reduce peak period traffic trips in the intersections impacted by the Project as identified in the Project EIR, including but not limited to regional transportation systems or solutions. The City shall identify capital projects and program enhancements for which the funds may be applied. Sample projects may include contributions towards regional transportation projects of interest to the City and that are identified within the Valley Transportation Authority—Valley Transportation Plan or other local planning documents. The City of Palo Alto should consider transportation systems and solutions that also help to reduce traffic in the City of Menlo Park. If required, said Four Million Dollar ($4,000,000) payment shall constitute funds to be used by the City to offset trips by Hospital employees through citywide trip reduction. The Four Million Dollar ($4,000,000) payment shall not relieve the SUMC Parties of any of their other obligations under this Agreement, including but not limited to their obligations to continue to attempt to achieve the 35.1% target modal split through implementation of the GO Pass or substantially similar program, or a substitute program mutually agreed upon by the SUMC Parties and the City’s Director of Planning and Community Environment, which shall continue pursuant to the terms of this Agreement for fifty-one (51) years from commencement of the GO Pass program. Further, the Hospitals shall continue to implement an enhanced TDM program, monitor modal splits by Hospital employees, and strive to maximize use of alternative commute modes by Hospital employees. In addition, the Hospitals shall continue to meet with the City on a regular basis to identify potential improvements to the enhanced TDM program. The City shall keep all payments received from the Hospitals pursuant to this Section 5(c)(viii) in a separate account (the “TDM Fund”), to be used only for the purposes described in this Section 5(c)(viii). The City shall deliver an annual report of disbursements from the TDM Fund in accordance with Section 12 below. (d) Linkages. To further encourage use of Caltrain, bus and other transit services, and to enhance and encourage use of pedestrian and bicycle connections between the SUMC and downtown Palo Alto, the SUMC Parties shall fund the following improvements: (i) Improvements to Enhance Pedestrian and Bicycle Connection from Intermodal Transit Center to El Camino Real/Quarry Road Intersection. Two Million Two Hundred Fifty Thousand Dollars ($2,250,000) for improvements to enhance the pedestrian and bicycle connection from the Palo Alto Intermodal Transit Center to the existing intersection at El Camino Real and Quarry Road, with up to Two Million Dollars ($2,000,000) of that amount going to the development of an attractive, landscaped passive park/green space with a 110520 jb 0130741 24 clearly marked and lighted pedestrian pathway, benches and flower borders. Not later than the Initial Payment Date, and subject to the provisions in Section 21(p), the SUMC Parties shall pay to the City Two Million Two Hundred Fifty Thousand Dollars ($2,250,000) in one lump sum (the “Intermodal Transit Fund”), and the City shall be responsible for constructing the improvements described in this Section 5(d)(i). The City shall keep the Intermodal Transit Fund in a separate account, to be used only for the purposes described in this Section 5(d)(i). The City shall deliver an annual report of disbursements from the Intermodal Transit Fund in accordance with Section 12(d) below. The City shall construct the improvements described in this Section 5(d)(i) prior to issuance of the Hospital Occupancy Permit. (ii) Public Right-of-Way Improvements to Enhance Pedestrian and Bicycle Connection on Quarry Road. Four Hundred Thousand Dollars ($400,000) for improvements to and within the public right-of-way to enhance the pedestrian and bicycle connection from the west side of El Camino Real to Welch Road along Quarry Road, including urban design elements and way finding, wider bicycle lanes, as necessary, on Quarry Road, enhanced transit nodes for bus and/or shuttle stops, and prominent bicycle facilities. Not later than the Initial Payment Date, and subject to the provisions in Section 21(p), the SUMC Parties shall pay to the City Four Hundred Thousand Dollars ($400,000) in one lump sum (the “Quarry Road Fund”), and the City will be responsible for constructing the improvements. The City shall keep the Quarry Road Fund in a separate account, to be used only for the purposes described in this Section 5(d)(ii). The City shall deliver an annual report of disbursements from the Quarry Road Fund in accordance with Section 12(d) below. The City shall construct the improvements described in this Section 5(d)(ii) prior to issuance of the Hospital Occupancy Permit. (iii) Stanford Barn Connection. Up to Seven Hundred Thousand Dollars ($700,000) for improvements to enhance the pedestrian connection between the SUMC and the Stanford Shopping Center going from Welch Road to Vineyard Lane, in the area adjacent to the Stanford Barn. The SUMC Parties shall be responsible for constructing these improvements prior to issuance of the Hospital Occupancy Permit. (e) Infrastructure, Sustainable Neighborhoods and Communities, and Affordable Housing. (i) Payment. Subject to the provisions of Section 21(p), the SUMC Parties shall pay to the City a total of Twenty-Three Million Two Hundred Thousand Dollars ($23,200,000) for use in connection with infrastructure, sustainable 110520 jb 0130741 25 neighborhoods and communities, and affordable housing. The SUMC Parties shall make this contribution in three equal payments as follows: (A) the first payment shall be made not later than the Initial Payment Date; (B) the second payment shall be made within Thirty (30) days from issuance of the first Hospital Foundation Permit; and (C) the third payment shall be made within Thirty (30) days from issuance of the first Hospital Occupancy Permit. (ii) Use of Funds. The amount of One Million Seven Hundred Twenty Thousand Four Hundred Eighty Eight Dollars ($1,720,488) shall be used in the same manner as funds collected by the City pursuant to its housing fee ordinance. The City shall keep the balance of the payments made pursuant to this Section 5(e) (the “Infrastructure, Sustainable Neighborhoods and Communities, and Affordable Housing Fund”) in a separate account, to be used only for the purposes described in this Section 5(e). The City shall deliver an annual report of disbursements from the Infrastructure, Sustainable Neighborhoods and Communities, and Affordable Housing Fund in accordance with Section 12(d) below. (iii) Use of Housing Credit. The housing credit issued to the SUMC Parties in connection with the Alma substation relocation and Quarry Substation Lease may be used to offset the obligations in this Agreement. (f) Climate Change. (i) Sustainability Programs Benefit. Subject to the provisions in Section 21(p), the SUMC Parties shall contribute Twelve Million Dollars ($12 Million) to the City for use in projects and programs (including carbon credits) for a sustainable community, including programs identified in the City’s Climate Action Plan, as may be amended, and investments in renewable energy and energy conservation. The SUMC Parties’ obligation to make this contribution is conditioned on there being no other non- voluntary requirement applicable to the Project to participate in Palo Alto Utilities’ Palo Alto Green Program. The SUMC Parties shall make this contribution in three equal payments, as follows: (A) the first payment shall be made not later than the Initial Payment Date; 110520 jb 0130741 26 (B) the second payment shall be made within Thirty (30) days from issuance of the first Hospital Foundation Permit; and (C) the third payment shall be made within Thirty (30) days from issuance of the first Hospital Occupancy Permit. The City shall keep all payments made pursuant to this Section 5(f) (the “Climate Change Fund”) in a separate account, to be used only for the purposes described in this Section 5(f). The City shall deliver an annual report of disbursements from the Climate Change Fund in accordance with Section 12(d) below. (g) Administrative Costs. In implementing each of the funds described in this Section 5, the funds may be used for the Party’s reasonable costs of administering the funds, including establishing and maintaining the necessary accounts, reporting upon the use and balance of funds, establishing and implementing procedures to allocate funding, and other activities to implement the funds’ purposes. (h) Satisfaction of All Conditions of Approval. The SUMC Parties shall satisfy all Conditions of Approval by the dates and within the time periods required by the Project Approvals, subject to such modifications allowed by this Agreement. 6. City’s Promises. (a) Vested Rights to Develop and Use the Property. City hereby grants to the SUMC Parties the vested right to develop, construct and use the Project on the Property in accordance with the terms and conditions of the Applicable Rules, the Project Approvals and this Agreement, and City hereby finds the Project consistent with the Comprehensive Plan and the Zoning Ordinance as amended by the Project Approvals. City shall not apply to the Project any change in the Applicable Rules adopted or effective after the Effective Date, except as provided in Sections 7 and 8 below. (b) Permitted and Conditionally Permitted Uses. The permitted and conditionally permitted uses of the Property shall be those described in the Hospital Zoning Ordinance. Upon approval by the City, each conditional use permit issued for the Project shall be vested for the Term of this Agreement and the provisions of Section 18.77.090 of the City’s Municipal Code shall not apply to such conditional use permits; provided however, that the rights of the SUMC Parties to continue and maintain permitted and conditionally permitted uses on the Property shall be subject to compliance with the terms and 110520 jb 0130741 27 conditions of this Agreement, the other Applicable Rules, and the Project Approvals. (c) Maximum Density and Intensity of Uses. When developed, the density and intensity of use of the Property shall not exceed those densities and intensities of use set forth in the Hospital Zoning Ordinance. (d) Other Development Standards. All design and development standards not set forth in the Project Approvals or this Agreement shall be in accordance with the Applicable Rules and the Subsequent Applicable Rules as applied to the Project; provided such standards shall not conflict with the Project Approvals or this Agreement. (e) Subsequent Rules. Subsequent Rules that conflict with the SUMC Parties’ rights to develop the Property as provided under this Agreement are applicable to the Project only under the circumstances described in Sections 7 and 8 below. This limitation applies to changes made by ordinance, initiative, referendum, resolution, policy, order or moratorium, initiated or instituted for any reason whatsoever and adopted by the Mayor, City Council, Planning and Transportation Commission or any other board, commission or department of City, or any officer or employee thereof, or by the electorate. (f) Subsequent Approvals. City shall not deny or unreasonably delay any Subsequent Approval that is necessary to the exercise of the rights vested in the SUMC Parties by this Agreement. Any conditions, terms, restrictions, and requirements for subsequent Discretionary Actions imposed or required by City, including those provided for herein, shall not prevent development of the land for the uses and to the density or intensity of development set forth in the Agreement. Except as provided in Sections 7 or 8 below. City shall not interpret any Subsequent Approval or apply any Subsequent Rule in a manner that would conflict with the Applicable Rules or the Project Approvals or reduce the development rights provided by this Agreement. . Upon City approval, each Subsequent Approval shall be vested for the Term of the Agreement and the provisions of Sections 6(a) and 6(b) shall apply to each Subsequent Approval. (g) Limitation on Architectural Review Approvals. To the extent that the Project Approvals or Applicable Rules require further decisions, determinations or actions pertaining to architectural review “Architectural Review Approval”), the decision in all cases shall be made by the Director of Planning and Community Environment, after recommendation by the 110520 jb 0130741 28 Architectural Review Board, subject only to appeal to the City Council, pursuant to Section 18.77.070 of the Municipal Code as set forth in the Applicable Rules, without review or recommendation by the Planning and Transportation Commission. Further, in each case, Architectural Approval shall be limited to determining consistency with the Design Guidelines, the Hospital Zoning Ordinance, and the findings regarding architectural review set forth in Section 18.76.020(d) of the Municipal Code. City shall process any application for Architectural Review Approval expeditiously. The provisions of this Section 6(g) shall apply to each architectural review process undertaken and Architectural Review Approval granted with regard to any portion of the Project. (h) Annexation of County Property. City shall petition the Local Agency Formation Commission (LAFCO) to annex to City the County Property. The SUMC Parties shall cooperate by executing all necessary documents, by providing all information requested by City acting as the conducting authority for purposes of the annexation proceedings, and by attending annexation hearings and testifying in favor of the annexation. The SUMC Parties shall be responsible for paying all reasonable costs of the annexation. (i) Utility and Storm Drain Connections. Unless prohibited by a moratorium lawfully adopted by another governmental agency, or by action taken by City in accordance with Sections 7 or 8, or by state or federal law, City shall allow the SUMC Parties to connect the Project to the City’s sanitary sewers, storm drains, water system, gas system and electrical system in accordance with its generally applicable rules in effect at the time of application for service and shall issue all permits and authorizations necessary for such connections and service in accordance with such generally applicable rules. A moratorium shall not prevent the issuance of Discretionary Approvals or ministerial approvals for the Project, provided that City shall not be required to allow any connections or provide any services barred by the moratorium. (j) Waste Treatment Capacity. Subject to any limitation imposed by state or federal law, in the event of a moratorium preventing or limiting sanitary sewer connections, the SUMC Parties shall have priority for sanitary sewer treatment capacity for the Project over other unbuilt residential, commercial or industrial development until December 31, 2025. In addition, the SUMC Parties shall have priority over new commercial space built or approved subsequent to the Effective Date, including but not limited to retail, office and industrial space, until December 31, 2025. These priorities apply to both “domestic waste” and “industrial waste.” (k) Storm Drain Capacity. 110520 jb 0130741 29 Subject to any limitation imposed by state or federal law, in the event of a moratorium preventing or limiting discharge or increased runoff to storm drains, the SUMC Parties shall have priority for use of storm drains for the Project over other unbuilt commercial development until December 31, 2025. The SUMC Parties also shall have priority over new commercial space built or approved subsequent to the Effective Date, including but not limited to retail, office, and industrial space, until December 31, 2025. (l) OSHPD. City recognizes that, pursuant to the HSSA, (i) OSHPD has exclusive jurisdiction of certain aspects of design and construction, including construction of associated infrastructure, of hospital buildings, including plan review, issuance of building permits, building inspections, and issuance of certificates of occupancy, and, (ii) certain OSHPD standards and rules apply to non-hospital buildings that provide outpatient clinical services. In the event that any OSHPD requirement conflicts with the Project Approvals, the City shall (a) approve revisions to Project Approvals or, as necessary, grant Subsequent Approvals for modifications that are not inconsistent with the Hospital Zoning Ordinance, or, (b) if necessary modifications would be inconsistent with the Hospital Zoning Ordinance, promptly and in good faith enter into negotiations with the appropriate SUMC Parties for such modifications to the Project Approvals as are necessary to conform to the conflicting OSHPD requirement so that the public benefits and objectives of this Agreement will be achieved at the earliest feasible date. The approval of such revisions or modifications shall be determined in the first instance by the Director of Planning and Community Environment, subject to review only by expedited appeal to the City Council. (m) No Other Dedications. Except as may be required to provide for the installation and maintenance of City-owned public utilities to the Project, including such easements as may be required to install and maintain utility laterals required to serve the Project buildings, and except as otherwise set forth in this Agreement or the Project Approvals, or as may be agreeable to the SUMC Parties, the SUMC Parties shall not be required to make any dedications or reservations of the Property, or any portion thereof or interest therein, or of any other property in connection with the development, construction, use, or operation of the Project, or any portion thereof. The Parties shall also cooperate to identify the locations for any new necessary easements, and the locations of any existing easements that are no longer necessary and may be relinquished or vacated, to minimize the costs to the Parties of creating, maintaining, or vacating such easements. (n) No Other Public Improvements or Financial Contributions. Except as may be required under the Conditions of Approval, in connection with the relocation of City-owned public utilities under Welch Road, 110520 jb 0130741 30 the gas line retrofitting on Welch Road, or restoration of any public improvements impacted by the Project construction, the SUMC Parties shall not be required to construct public improvements or make financial contributions to City in lieu of public improvements as part of the Project, except as expressly set forth in this Agreement, or as may be agreeable to the SUMC Parties, or as provided in the Project Approvals. (o) No Obligation to Develop. The SUMC Parties shall have no obligation to develop the Project, or any component of it. The SUMC Parties may develop the Project in their sole discretion in accordance with their own time schedule, subject to the terms and conditions of this Agreement. The SUMC Parties may develop and construct the Project in any sequence or phases, in their sole discretion. (p) Timing for Performance of Conditions of Approval. The SUMC Parties may request in writing a change in the time of performance of any Condition of Approval. Within a reasonable time of receiving the request, the City Manager or his or her designee (a) shall determine whether additional environmental review is required because of the proposed change; (b) may condition approval of the proposed change upon changes in the timing of related conditions or mitigation measures; and, finally, (c) shall approve, conditionally approve or deny the requested change. Within a reasonable time of receiving the City Manager’s decision on the request, the SUMC Parties shall give written notice of its acceptance or of its withdrawal of the request. The change shall be effective upon receipt by the City of the notice of acceptance. 7. Exceptions. To the extent Subsequent Rules (including a moratorium otherwise lawfully adopted by City) conflict with the Applicable Rules or Project Approvals, they may be applied to the Project without the consent of the SUMC Parties only (i) if City determines that application of such Subsequent Rules is necessary to protect against conditions that create a substantial and demonstrable risk to the physical health or safety of residents or users of the site to which the Subsequent Rules apply or the affected surrounding region; or (ii) if such Subsequent Rules are mandated or required by supervening federal, state or regional statute or regulation; or (iii) if otherwise provided by this Agreement. 8. Exclusions. (a) Sewer Facilities, Storm Drains and Runoff. This Agreement does not affect the SUMC Parties’ obligations, if any, to pay for or construct improvements in the storm drain system required to implement the Project, nor does it affect the SUMC Parties’ obligations to meet 110520 jb 0130741 31 any applicable federal, state and local discharge limits and requirements pertaining to sewer facilities, storm drains or runoff. (b) Limited Effect on Right to Tax, Assess, or Levy Fees or Charges. Except as expressly provided herein, this Agreement does not limit the power and right of the City to impose the same taxes, levy the same assessments, or require the payment of the same permit fees and charges by the SUMC Parties as the City requires for all other nonresidential development or property on a citywide basis. The SUMC Parties shall be required to pay all Development Impact Fees in effect on the Effective Date, as provided in this Section 8(b), subject to the SUMC Parties’ right to protest and/or pursue a challenge in law or equity to the new or increased Development Impact Fee. The SUMC Parties shall not be required to pay any new Development Impact Fees adopted after the Effective Date through December 31, 2019, unless such payment becomes due under the Applicable Rules or this Agreement on or after January 1, 2020. Further, the City shall not require the SUMC Parties to pay any increase in the amount of a Development Impact Fee, except as set forth in this Section 8(b) and the amount of the Development Impact Fees shall be calculated as set forth in this Section 8(b). All fees, charges, taxes and assessments permitted by this Agreement, and as modified from time to time, are Applicable Rules or Subsequent Applicable Rules. For buildings subject to OHSPD jurisdiction, City fees shall be considered due not later than 30 days after issuance of the Hospital Foundation Permit from OSHPD. In no event may any fees be paid later than the date for payment under the Applicable Rules. (i) All provisions and requirements of this Agreement and the Applicable Rules to the contrary notwithstanding, the SUMC Parties shall have the following options with respect to the timing of payment of Development Impact Fees, and the rates of Development Impact Fees will be calculated as follows: (A) If the SUMC Parties elect to pay or prepay all or any portion of the Development Impact Fees between the Effective Date and December 31, 2011, the SUMC Parties shall pay such fees at the rate in effect on the Effective Date; (B) If the SUMC Parties elect to pay or prepay all or any portion of the Development Impact Fees on or after January 1, 2012 through and including December 31, 2019, the SUMC Parties shall pay such fees at the rate applicable citywide to nonresidential development at the time of payment; except that the City shall not require the SUMC Parties to pay any increase in a Development Impact Fee that exceeds an amount calculated according to the rate in effect on the Effective Date and adjusted to reflect the change in the San Francisco Bay Area Consumer Price Index from January 1, 2012 to the date of payment. 110520 jb 0130741 32 (C) If the SUMC Parties elect to pay all or any portion of the Development Impact Fees on or after January 1, 2020, the SUMC Parties shall pay such fees at the rate applicable citywide to nonresidential development at the time of payment, subject to the SUMC Parties’ right to protest and/or pursue a challenge in law or equity to the increased fee. (ii) The SUMC Parties shall not receive any credit against any City Development Impact Fees for any community benefits provided pursuant to this Agreement. (iii) Payment of the city-wide Transportation Impact Fees in accordance with this Agreement shall constitute the Project’s entire fair share contribution to the following transportation mitigation measures: TR 2.1 (contribution to traffic adaptive signal technology in Palo Alto); TR 2.2 (contribution to Everett undercrossing in Palo Alto); and TR 7.2 (contribution to Palo Alto Crosstown Shuttle). (iv) Except as provided in this Section 8(b), the SUMC Parties shall pay Development Impact Fees in accordance with the Applicable Rules, on the basis of Net New Square Footage. (v) Nothing in this Agreement shall preclude the City from collecting fees from the SUMC Parties that are lawfully imposed on the Project by another entity having jurisdiction over the Project which the City is required or authorized to collect pursuant to applicable laws. (c) No Limit on Right of City to Adopt and Modify Uniform Codes. This Agreement does not limit the right of the City, to the extent permitted by state law, to adopt Building, Plumbing, Electrical, Fire and similar uniform construction codes, and to adopt local modifications of those codes, from time to time. Those codes, as modified from time to time, are Subsequent Applicable Rules. (d) No Limit on Power of City to Adopt and Apply Rules Governing Provision and Use of Utility Services. Except as expressly provided in Section 6, this Agreement does not limit the power and right of the City to adopt and amend from time to time rules and procedures governing the provision and use of utility services provided by the City. These rules, as modified from time to time, are Subsequent Applicable Rules. If there is any conflict between such Rules and Section 6, the latter shall control. (e) California Environmental Quality Act Compliance (CEQA). The City has prepared and certified an EIR and has imposed mitigation measures as Conditions of Approval prior to the execution of this Agreement. 110520 jb 0130741 33 This Agreement does not limit the City’s duty to comply with the provisions of CEQA and the associated Guidelines, and to comply with the provisions of its own local CEQA procedures, as they may be amended from time to time, that comply with the provisions of section 21082 of CEQA. However, the City shall not undertake additional environmental review under CEQA unless required to do so by CEQA. In the event that any such further environmental review is required for a Subsequent Approval or other Discretionary Action, it shall be in accordance with Sections 15162-15164 of the CEQA Guidelines, and the scope of analysis and evaluation shall be as required by CEQA. (f) No General Limitation on Future Exercise of Police Power. The City retains its right to exercise its general police power except when such exercise would conflict with the vested rights granted under this Agreement. The police powers so retained and enforceable under this Agreement shall include, but are not limited to, the enactment of regulations concerning the disposition of construction and demolition materials that apply generally to the City. 9. Indemnity. To the maximum extent permitted by law, the SUMC Parties shall defend, indemnify and hold harmless the City, its City Council, its officers, employees and agents (each an “Indemnified Party” and collectively the “Indemnified Parties”) from and against any claim, action, or proceeding brought by any third party against the Indemnified Parties to attack, set aside, or void any of the Project Approvals, or any Subsequent Approvals. The SUMC Parties shall take the lead role in defending any such claim, action or proceeding, and may, in their sole discretion, elect to be represented by the attorneys of their choice. The City may, in its sole discretion, elect to be represented by the attorneys of its choice in any such action or proceeding, with the reasonable costs of such representation to be paid by the SUMC Parties. The SUMC Parties and the City shall fully coordinate and cooperate in the defense of any such action and shall keep each other fully informed of all developments relevant to such defense, subject only to confidentiality requirements and any privileges or legal doctrines that may prevent the communication of any such information. The SUMC Parties’ obligations set forth in this Section 9 shall survive any suspension or termination of this Agreement, regardless of cause. 10. Cooperation and Implementation. The Parties shall cooperate to implement this Agreement in a manner that ensures that all Parties realize the intended benefits of the Agreement. With respect to the City, such cooperation shall include, but without limitation, diligent processing of applications for approval of development of the Project that comply with the Project Approvals, Applicable Rules and Subsequent Applicable Rules, and the City shall not unreasonably deny or delay any Discretionary Action, 110520 jb 0130741 34 Subsequent Approval or OSHPD approval that is necessary to the exercise of the rights vested in the SUMC Parties by this Agreement. Such cooperation shall include, but without limitation, prompt compliance by each Party with all requests by another Party for materials and information necessary to determine the responding Party’s compliance with this Agreement, and the diligent provision and implementation of all community benefits and voluntary mitigation measures to be provided by the SUMC Parties under this Agreement and the City’s expenditures of funds for the purposes described in this Agreement. 11. Identification of Applicable Rules. Prior to the Effective Date, the Parties will use reasonable efforts to identify and assemble four (4) sets of the Applicable Rules, one (1) set for the City and one (1) set for each of the SUMC Parties, so that if it becomes necessary in the future to refer to any of the Applicable Rules, there will be a common set of the Applicable Rules available to each Party. Failure by City to identify or assemble written Applicable Rules shall in no manner limit City’s ability to later identify or use such Applicable Rules. 12. Periodic Review of Compliance. (a) Periodic Review. City shall review this Agreement annually, in accordance with the procedures and standards set forth in this Agreement and City of Palo Alto City Council Resolution No. 6597 in order to ascertain the SUMC Parties’ compliance with the terms of the Agreement. The SUMC Parties shall submit an annual report (the “Annual Report”) to the Director of Planning and Community Environment (the “Planning Director”), in the form and containing the content described in Section 12(c) below, each year within thirty (30) days after the anniversary of the Effective Date. The Annual Report shall be accompanied by an annual review fee sufficient to cover the estimated costs of review of the Annual Report. The amount of the annual review fee shall not exceed the City’s actual, reasonable costs for such review. Within forty-five (45) days of receipt of the SUMC Parties’ Annual Report, the City shall prepare and submit to the SUMC Parties a Supplement to the Annual Report, in the form and containing the content described in Section 12(d) below, to demonstrate the City’s good faith compliance with the terms of this Agreement. (b) Special Review. The City Council may order a special review of compliance with this Agreement any time the City Council determines that the SUMC Parties may be in breach of the Agreement. The Planning Director or City Council, as determined from time to time by the City Council, shall conduct such special reviews, at the City’s expense. 110520 jb 0130741 35 (c) Annual Report. The Annual Report to be submitted by the SUMC Parties pursuant to Section 12(a) above shall summarize the SUMC Parties’ progress on the Project, including, at a minimum (i) a list of the net new square footage for which a certificate of occupancy has been received; (ii) a description of the steps the SUMC Parties have taken to comply with the obligations listed in Section 5 of this Agreement; and (iii) any other information the City reasonably requires to determine the SUMC Parties’ compliance with this Agreement. (d) Supplement to the Annual Report. The Supplement to the Annual Report to be submitted by the City pursuant to Section 12(a) above shall include an accounting of the funds received by the City, including a description of the account balances for each of the funds that the City is required to maintain under Section 5 of this Agreement (“City Funds”), the City’s expenditures from each of the City Funds, and the purposes for which the expenditures were used. The City’s descriptions of the expenditures shall be at the level of detail the SUMC Parties reasonably determine is necessary to confirm that the City’s expenditures from the City Funds are consistent with the terms of Section 5 of this Agreement. The City’s report shall be included in any hearings held by the City pursuant to Section 12(e) of this Agreement. The City shall bear the burden of proof that the City has complied with the requirements of Section 5 for use of funds paid by the SUMC parties. (e) Procedure. During either a periodic review or a special review, the SUMC Parties shall be required to demonstrate good faith compliance with the terms of the Agreement. The burden of proof on this issue shall be on the SUMC Parties. During the periodic or special review, the City may rely on information in addition to that provided in the Annual Report prepared by the SUMC Parties pursuant to Section 12(a) above. The Parties acknowledge that failure by the SUMC Parties to demonstrate good faith compliance shall constitute grounds for termination or modification of this Agreement in accordance with the provisions of this Section 12. (i) Upon the SUMC Parties’ submission of the Annual Report to the Planning Director, the Planning Director shall review the Annual Report and, based on the Annual Report and any other information available to the Planning Director relating to the SUMC Parties’ compliance with the Agreement, prepare and submit a report (the “Planning Director’s Report”) to the City Council setting forth the evidence concerning good faith compliance by the SUMC Parties with the terms of this Agreement and the recommended finding on that issue. (ii) The City Council shall review the Planning Director’s report, the Annual Report submitted by the SUMC Parties, and any other 110520 jb 0130741 36 information available to the City Council relating to the SUMC Parties’ compliance with the Agreement. (iii) If, upon completing its review, the City Council finds that the SUMC Parties have complied in good faith with the terms and conditions of this Agreement, the review shall be concluded. (f) Default by SUMC Parties. If, upon completing its review described in Section 12(e), the City Council makes a finding, on the basis of substantial evidence, that the SUMC Parties have not complied in good faith with the terms and conditions of this Agreement, the City shall provide written notice to the SUMC Parties describing: (i) such failure to comply with the terms and conditions of this Agreement (referred to herein as a “Default”), (ii) whether the Default can be cured, (iii) the actions, if any, required by the SUMC Parties to cure such Default, and (iv) the time period within which such Default must be cured. If the Default can be cured, the SUMC Parties shall have at a minimum 90 days after the date of such notice to cure such Default, or in the event that such Default cannot be cured within such 90-day period but can be cured within one (1) year, the SUMC Parties shall have commenced the actions necessary to cure such Default and shall be diligently proceeding to complete such actions necessary to cure such Default within 90 days from the date of the notice. If the Default cannot be cured or cannot be cured within one (1) year, as determined by City during the periodic or special review, the City Council may modify or terminate this Agreement as provided in Section 12(g) and Section 12(h). (g) Proceedings Upon Modification or Termination. If, upon a finding under Section 12(f) and the expiration of the cure period specified in Section 12(f) above, City determines to proceed with modification or termination of this Agreement, City shall give written notice to the SUMC Parties of its intention so to do. The notice shall be given at least ten calendar days before the scheduled hearing and shall contain: (i) The time and place of the hearing; (ii) A statement as to whether or not the City proposes to terminate or to modify the Agreement; and (iii) Such other information as is reasonably necessary to inform the SUMC Parties of the nature of the proceeding. (h) Hearings on Modification or Termination. At the time and place set for the hearing on modification or termination, the SUMC Parties shall be given an opportunity to be heard and shall be required to demonstrate good faith compliance with the terms and conditions of this 110520 jb 0130741 37 Agreement. The burden of proof on the issue shall be on the SUMC Parties. If the City Council finds, based upon substantial evidence, that the SUMC Parties has not complied in good faith with the terms or conditions of the Agreement, the City Council may terminate this Agreement or modify this Agreement in a manner mutually acceptable to the Parties to address the Default. The decision of the City Council shall be final and subject to judicial review as provided in Section 14, below. (i) Certificate of Compliance. If, at the conclusion of a periodic or special review, the SUMC Parties are found or deemed to be in compliance with this Agreement, City shall, upon request by the SUMC Parties, issue a Certificate of Compliance (“Certificate”) to the SUMC Parties stating that after the most recent periodic or special review and based upon the information known or made known to the Planning Director and City Council that: (1) this Agreement remains in effect, and (2) the SUMC Parties are not in Default. The Certificate shall be in recordable form, shall contain information necessary communicate constructive record notice of the finding of compliance, shall state whether the Certificate is issued after a periodic or special review and shall state the anticipated date of commencement of the next periodic review. The SUMC Parties may record the Certificate without cost or expense to City. 13. Default by City. If the SUMC Parties determine that City has failed to comply with any of the City’s obligations under this Agreement, the SUMC Parties may provide written notice to the City describing its contentions regarding (i) such failure to comply with the terms and conditions of this Agreement (referred to herein as a “City Default”), (ii) whether the City Default can be cured, (iii) the actions, if any, required of City to cure such City Default, and (iv) the time period within which such City Default must be cured. If the City Default can be cured, City shall have at least 90 days after the date of such notice to cure such Default, or in the event that such City Default cannot be cured within such 90 days period but can be cured within one year, City shall have commenced all actions necessary to cure such Default and shall be diligently proceeding to complete all such actions necessary to cure such Default within 90 days from the date of notice. If the SUMC Parties contend that the City Default cannot be cured or cannot be cured within one year, or if City fails to cure within the applicable cure period as provided in this Section 13, the SUMC Parties shall give notice to City of its contentions before pursuing the remedies described in Section 14. 14. Remedies for Default. It is acknowledged by the Parties that City would not have entered into this Agreement if doing so would subject it to the risk of incurring liability in damages, either for breach of this Agreement, anticipatory breach, repudiation of 110520 jb 0130741 38 the Agreement, or for any actions with respect to its implementation or application. The Parties intend by the provisions of this Section 14 that none of the Parties shall have any liability for money damages arising out of a breach of this Agreement, and no liability in money damages for any claims arising out of the application process, negotiation, execution and adoption, or the implementation or application of this Agreement. Each of the Parties hereto may pursue any remedy at law or equity available for the breach of any provision of this Agreement, including but not limited to temporary or permanent injunctive relief or restraining orders, except that the Parties shall have no liability in damages for any acts which are alleged to have arisen out of or relate to this Agreement, under any circumstances. The Parties further acknowledge that money damages and remedies at law generally are inadequate, and specific performance is the most appropriate remedy for the enforcement of this Agreement and should be available to all Parties for the following reasons: (a) Money damages are excluded as provided above. (b) Due to the size, nature, and scope of the Project, it may not be practical or possible to restore the Property to its original condition once implementation of this Agreement has begun. After such implementation, the SUMC Parties may be foreclosed from other choices they may have had to utilize the Property or portions thereof. The SUMC Parties have invested significant time and resources and performed extensive planning and processing of the Project in agreeing to the terms of this Agreement and will be investing even more significant time and resources in implementing the Project in reliance upon the terms of this Agreement, and it is not possible to determine the sum of money which would adequately compensate the SUMC Parties for such efforts. Except for non-damages remedies, including the remedy of specific performance, the SUMC Parties, on the one hand, and the City, on the other hand, for themselves, their successors and assignees, hereby release one another’s officers, trustees, directors, agents and employees from any and all claims, demands, actions, or suits of any kind or nature arising out of any liability, known or unknown, present or future, including, but not limited to, any claim or liability, based or asserted, pursuant to Article I, Section 19 of the California Constitution, the Fifth and Fourteenth Amendments of the United States Constitution, or any other law or ordinance which seeks to impose any money damages, whatsoever, upon the Parties because the Parties entered into this Agreement, because of the terms of this Agreement, or because of the manner of implementation or performance of this Agreement. All legal actions shall be heard by a reference from the Santa Clara County Superior Court pursuant to Code of Civil Procedure Section 638, et seq. The parties to the action shall agree upon a single referee who shall then try all 110520 jb 0130741 39 issues, whether of fact or law, and report a finding and judgment thereon and issue all legal and equitable relief appropriate under the circumstances of the controversy before the referee. If the parties to the action are unable to agree on a referee within ten (10) days of a written request to do so by any Party, any Party may seek to have one appointed pursuant to Code of Civil Procedure section 640. The cost of such proceeding shall initially be borne equally by the parties to the action. Any referee selected pursuant to this Section 13 shall be considered a temporary judge appointed pursuant to Article 6, Section 21 of the California Constitution. 15. Modification, Amendment or Cancellation by Mutual Agreement. Subject to meeting the notice and hearing requirements of Section 65867 of the Development Agreement Act, this Agreement may be modified, amended, or cancelled at any time by mutual consent of the Parties in accordance with the provisions of Section 65868 of the Development Agreement Act and City’s Resolution No. 6597. 16. Superseding State or Federal Law. In the event that any state or federal law or regulation enacted or adopted after the date of this Agreement shall prevent or preclude compliance with any of the provisions hereof, such provisions shall be modified or suspended only to the extent and for the time necessary to achieve compliance with said law or regulation and the remaining provisions of this Agreement shall be in full force and effect. Upon repeal of said law or regulation or occurrence of other circumstances removing the effect thereof upon this Agreement, the provisions hereof shall be restored to their full original effect. 110520 jb 0130741 40 17. Notices. All notices required or provided for under this Agreement shall be in writing and shall be delivered personally or by overnight courier service or sent by certified or registered mail, return receipt requested. Any notice shall be deemed to have been duly given and received upon receipt. Notices to the parties shall be addressed as follows: City: City Manager City of Palo Alto 250 Hamilton Avenue Palo Alto, California 94301 with copies to: City Attorney City of Palo Alto, 8th Floor 250 Hamilton Avenue Palo Alto, California 94301 Director of Planning and Community Environment City of Palo Alto, 5th Floor 250 Hamilton Avenue Palo Alto, California 94301 SHC/LPCH: Mark J. Tortorich, Vice President Planning, Design & Construction 384 Stanford Shopping Center Stanford, CA 94304 with a copy to: Sarah Diboise, Esq. Office of General Counsel Building 170, 3rd Floor, Main Quad P.O. Box 20386 Stanford, CA 94305-2038 Stanford University: Vice President, Land Buildings and Real Estate Stanford University 3145 Porter Drive, Building F Palo Alto, CA 94304 with a copy to: Vice President and General Counsel Stanford University P.O. Box 20386 Stanford, CA 94305 Any Party may change its address for notice by giving ten (10) days’ notice of such change in the manner provided for in this paragraph. 110520 jb 0130741 41 18. Term of Agreement; Force Majeure. (a) Basic Term. Except as to those obligations that expressly extend for the Life Of The Project,, or otherwise expressly extend beyond the stated Term of the Agreement, the Term of this Agreement shall commence as of the Effective Date, and shall continue for thirty (30) years from the adoption of the Ordinance authorizing this Agreement or until earlier terminated by mutual consent of the Parties or as otherwise provided by this Agreement. Upon the termination of this Agreement, no Party shall have any further right or obligation hereunder except with respect to any obligation to have been performed prior to such termination, or with respect to any default in the performance of the provisions of this Agreement which has occurred prior to such termination, or with respect to any obligations which are specifically set forth as surviving this Agreement. (b) Extension for Referendum, Litigation, Default or Moratorium. If a Party is deprived of a benefit under this Agreement as a result of referendum of one or more of the Project Approvals, litigation challenging one or more of the Project Approvals or one or more Subsequent Approvals, a moratorium, or a default by the other Party, then the Party so deprived may elect to extend the Term of this Agreement with respect to that benefit for the duration of the moratorium or default. (c) Force Majeure. Performance by either the SUMC Parties, on the one hand, or the City, on the other hand, of an obligation hereunder shall be excused during any period of “Permitted Delay.” Permitted Delay shall mean delay beyond the reasonable control of a Party including, without limitation, an inability to perform caused by (a) acts of God, including without limitation earthquakes, floods, fire, and other natural calamities, (b) civil commotion; (c) riots or terrorist acts; (d) strikes or other forms of material labor disputes; (e) shortages of materials or supplies; and (f) vandalism. A Party’s financial inability to perform shall not be a ground for claiming a Permitted Delay. The Party claiming the Permitted Delay shall notify the other Party of its intent to claim a Permitted Delay, the specific grounds of the same and the anticipated period of the Permitted Delay within 10 business days after the occurrence of the conditions which establish the grounds for the claim. The period of Permitted Delay shall last not longer than the conditions preventing performance. 19. Assignment; Right to Assign. (a) Assignment. 110520 jb 0130741 42 (i) Right to Assign. Each of the SUMC Parties shall have the right to sell, transfer or assign its interest in the Property, in whole or in part (provided that no such partial transfer shall be permitted to cause a violation of the Subdivision Map Act, Government Code section 66410, et seq.), to any person or entity at any time during the term of this Agreement; provided: (A) Concurrently with any such sale, transfer or assignment, or within ten (10) business days thereafter, the transferor shall notify City, in writing, of such sale, transfer or assignment and shall provide City with an executed agreement, in a form reasonably acceptable to the City, by the purchaser, transferee or assignee and providing therein that the purchaser, transferee or assignee expressly and unconditionally assumes all the duties and obligations of the transferor under this Agreement. (B) No sale, transfer or assignment of any right or interest under this Agreement shall be made without the prior written consent of the City Council, which consent may not be unreasonably withheld. Notwithstanding the failure of any purchaser, transferee or assignee to execute the agreement required by subparagraph (i) above, the burdens of this Agreement shall be binding upon such purchaser, transferee or assignee, but the benefits of this Agreement shall not inure to such purchaser, transferee or assignee until and unless such agreement is executed. (ii) Release of Transferor. Notwithstanding any sale, transfer or assignment, the transferring Party shall continue to be obligated under this Agreement unless such Party is given a release in writing by City, which release will be provided by City upon the full satisfaction by the transferring Party of all the following conditions: (A) The transferring Party no longer has a legal or equitable interest in the portion of the Property being transferred. (B) The transferring Party is not then in default and default proceedings have not been commenced by City under this Agreement. (C) The transferring Party has provided City with the notice and executed agreement required under Section 19(a)(1)(i) above. (D) The purchaser, transferee or assignee provides City with security reasonably satisfactory to City to secure performance of its obligations under this Agreement. Nothing contained in this Section 19 shall prevent a transfer of the Property, or any portion thereof, to an institutional lender or Mortgagee as a result 110520 jb 0130741 43 of a foreclosure of a Mortgage or deed in lieu of foreclosure, and any lender or Mortgagee acquiring the Property, or any portion thereof, as a result of foreclosure of a Mortgage or a deed in lieu of foreclosure shall take such Property subject to the terms of this Agreement; provided, however, in no event shall such lender or Mortgagee be liable for any defaults or monetary obligations of the SUMC Parties arising prior to acquisition of title to the Property by such lender or Mortgagee; and provided further in no event shall any such lender or Mortgagee or its successors or assigns be entitled to a building permit or occupancy certificate for any portion of the Project until all fees due under this Agreement have been paid to City, until all outstanding obligations of the SUMC Parties have been performed, and until any and all outstanding Defaults have been cured. 20. Mortgagee Protection. The Parties hereto agree that this Agreement shall not prevent or limit any of the SUMC Parties in any manner, at their sole discretion, from encumbering the Property or any portion thereof or any improvement thereon by any Mortgage securing financing with respect to the Property or development of the Property. City acknowledges that the lenders providing such financing may require certain Agreement interpretations and shall upon request, from time to time, meet with any of the SUMC Parties and representatives of such lenders to consider any such request for interpretation. City will not unreasonably withhold its consent to any such requested interpretation provided such interpretation is consistent with the intent and purposes of this Agreement. Any Mortgagee of the Property shall be entitled to the following rights and privileges: (a) No Impairment. Neither entering into this Agreement nor a breach of this Agreement shall defeat, render invalid, diminish or impair the lien of any mortgage or deed of trust on the Property made in good faith and for value. (b) Notice of Default by the SUMC Parties. The Mortgagee of any mortgage or deed of trust encumbering the Property, or any part thereof, which Mortgagee, has submitted a request in writing to the City in the manner specified herein for giving notices, shall be entitled to receive written notification from City of any Default by the SUMC Parties in the performance of the SUMC Parties’ obligations under this Agreement. (c) Notice. If City timely receives a request from a Mortgagee requesting a copy of any notice of default given to any of the SUMC Parties under the terms of this Agreement, City shall provide a copy of that notice to the Mortgagee within twenty (20) days of sending the notice of default to the SUMC Parties. The 110520 jb 0130741 44 Mortgagee shall have the right, but not the obligation, to cure the default during the remaining cure period allowed such Party under this Agreement. (d) Transfer of Ownership. Mortgagee shall have the rights set forth in the last paragraph of Section 18 above. 21. Miscellaneous. (a) Effect of Recitals. The Recitals are intended in part to paraphrase and summarize this Agreement, however, the terms, covenants and conditions of this Agreement are expressed with particularity in Section 1, et seq. and the rights and obligations of the Parties are to be determined by the terms of the Agreement and not by the Recitals. To the extent the Recitals provide factual context for the Agreement, they may be considered when interpreting the terms and provisions of the Agreement. (b) Construction. As used in this Agreement, and as the context may require, the singular includes the plural and vice versa, and the masculine gender includes the feminine and neuter and vice versa. This Agreement shall be construed as a whole according to its fair language and common meaning to achieve the objectives and purposes of the Parties. This Agreement has been reviewed and revised by legal counsel for each Signatory Party, and no presumption or rule that ambiguities shall be construed against the drafting Party shall apply to the interpretation or enforcement of this Agreement. Each Signatory Party has consulted with counsel and determined that this Agreement accurately and completely reflects the agreement of the Parties. The captions of the sections and subsections of this Agreement are solely for the convenience of reference and shall be disregarded in the construction and interpretation of this Agreement. (c) Severability. If any terms of this Agreement are determined to be invalid, void, or unenforceable, the remainder of this Agreement shall not be affected to the extent the remaining terms are not rendered impractical or impossible to perform taking into consideration the purposes of this Agreement. (d) Time. 110520 jb 0130741 45 Time is of the essence of this Agreement and of each and every term and condition hereof. (e) Waiver. No waiver of any provision of this Agreement shall be effective unless in writing and signed by a duly authorized representative of the Party against whom enforcement of a waiver is sought. No waiver of any right or remedy in respect of any occurrence or event shall be deemed a waiver of any other right or remedy or in respect of any other occurrence or event. (f) Governing State Law. This Agreement shall be construed in accordance with the laws of the state of California. (g) Determination of Compliance. At any time during the Term of this Agreement, any Party or its lender, may request any Party to this Agreement to confirm that to the best of such Party’s knowledge, no defaults exist under this Agreement or if defaults do exist, to describe the nature of such defaults. Each Party shall provide such a determination to such lender or other Party within forty-five (45) days of the request therefor. The failure of any Party to provide the requested determination within such forty-five (45) day period shall constitute a confirmation that to the best of such Party’s knowledge, no defaults exist under this Agreement. Requests for such determinations shall be made in writing and as required by Section 17 above. (h) Entire Agreement. This Agreement contains the entire understanding and agreement of the Parties. There are no oral or written representations, understandings, undertakings, or agreements that are not contained or expressly referred to herein, and any such representations, understandings, or agreements are superseded by this Agreement. No evidence of any such representations, understandings, or agreements shall be admissible in any proceeding of any kind or nature relating to the terms or conditions of this Agreement, its interpretation, or breach. (i) No Third Party Beneficiaries. This Agreement is made and entered into for the sole protection and benefit of the signatory Parties and their successors and assigns, including Mortgagees. No other person shall have any right of action based upon any provision of this Agreement. (j) Authority to Execute. 110520 jb 0130741 46 Each person executing this Agreement warrants and represents that he or she has the authority to bind the signatory Party for which he or she is signing to the performance of its obligations hereunder. (k) Administrative Appeal. Whenever in the Applicable Rules or Subsequent Applicable Rules any requirement or action by the SUMC Parties is conditioned upon the approval or satisfaction, however expressed, of any entity other than City, such condition shall not be interpreted as providing the third party the right to make any final decision other than as may be authorized by law other than the Applicable Rules or Subsequent Applicable Rules. Where a third party has no right authorized by law other than the Applicable Rules or Subsequent Applicable Rules to make a final decision, a condition requiring approval or satisfaction of such third party, however expressed, shall mean that the third party shall provide, as appropriate, advice, consultation, a recommendation and/or an initial decision regarding the condition. The actual determination in such case will be made by the official or entity of City required or authorized to make such determination in accordance with the applicable provisions of the Palo Alto Municipal Code as set forth in the Applicable Rules. Appeals from determinations made by City officials or entities shall be made in accordance with applicable provisions of the Palo Alto Municipal Code as set forth in the Applicable Rules. (l) Exhibits. The following s to which reference is made in this Agreement are deemed incorporated herein in their entirety: Exhibit A – Property Description Exhibit B – Project Approvals If the recorder refuses to record any exhibit, the City Clerk may replace it with a single sheet bearing the exhibit identification letter, stating the title of the exhibit, the reason it is not being recorded, and that the original, certified by the City Clerk, is in the possession of the City Clerk and will be reattached to the original when it is returned by the recorder to the City Clerk. (m) Signature Pages. For convenience, the signatory Parties may execute and acknowledge this Agreement on separate signature pages, which, when attached hereto, shall constitute one complete agreement. (n) Precedence. If any conflict or inconsistency arises between this Agreement and the Applicable Rules or the Subsequent Rules, the provisions of this Agreement shall 110520 jb 0130741 47 have precedence and shall control over the conflicting or inconsistent provisions of the Applicable Rules or Subsequent Rules. (o) Recordation. Whenever recordation is required or may be required by either Party, City shall be responsible for recordation. If City fails to record a document when required, the SUMC Parties may, but are not obligated to, record the document and by doing so the SUMC Parties do not assume the duties or obligations of City established by this Section or the Development Agreement Act nor does it waive any right it may have to compel City to properly perform its duties and obligations. The failure of City to record or to properly record this Agreement or any other document as provided herein shall not affect or limit in any way the SUMC Parties’ rights to enforce this Agreement and to rely upon it. (p) Referendum or Challenge. In the absence of a referendum petition, City shall not unilaterally submit the Project Approvals or the ordinance approving this Agreement to a referendum by action of the City Council on its own motion without the SUMC Parties’ consent. In addition to the remedies set forth in Section 18(b), if the Project Approvals or the ordinance approving this Agreement is the subject of a referendum, or if litigation is commenced seeking to rescind the Project Approvals or the City’s decision to enter into this Agreement or to declare this Agreement void (“Legal Action”), less than one year from the filing with the County Clerk by the City of the Notice of Determination following the second reading of the ordinance approving the Hospital District zoning and the ordinance approving this Agreement (the “NOD”), each Party shall have the right to terminate this Agreement by written notice to the other Parties no later than thirty (30) days after the event that gives a Party the right to terminate, or such later time allowed in writing by the non-terminating Party or Parties. Each Party’s right to unilaterally terminate this Agreement as set forth in this Section 21(p) shall expire one year from the date of the filing of the NOD. The Parties may also, at any time by mutual agreement, suspend performance of all or part of the obligations in this Agreement pending the outcome of any such referendum or litigation. (i) City’s Reimbursement Obligation. If the Project Approvals or the Ordinance approving this Agreement is challenged by a Legal Action as described above in Section 21(p), the City shall return payments made by the SUMC Parties to the City according to the following requirements: (A) If the Legal Action is filed with the court before 90 days have elapsed from the filing of the NOD, then the City shall return all 110520 jb 0130741 48 payments made by the SUMC Parties pursuant to Section 5 of this Agreement, within 30 days of the City’s receipt of a written request by the SUMC Parties. (B) If the Legal Action is filed with the court more than 90 days but less than one year after the filing of the NOD, then the City shall return payments made by the SUMC Parties pursuant to Section 5 of this Agreement, within 30 days of the City’s receipt of a written request by the SUMC Parties, as follows: (1) Section 5(a)(iii) (Fund for Community Health and Safety Programs) Payments. The City shall return to the SUMC Parties such portions of payments made by the SUMC Parties pursuant to Section 5(a)(iii) that have not been disbursed through the City’s Human Relations Committee or otherwise, or contractually committed to a third party community health care program by the City. (2) Section 5(b)(iii) (Fund for Operating Deficit) Payments. The City shall return to the SUMC Parties such portions of payments made by the SUMC Parties pursuant to Section 5(b)(iii) that have not been contractually committed by the City to a third party. (3) Section 5(e)(i) (Infrastructure, Sustainable Neighborhoods and Communities, and Affordable Housing Fund) Payments. The City shall return to the SUMC Parties such portions of payments made by the SUMC Parties pursuant to Section 5(e)(i) that have not been contractually committed by the City to a third party. (4) Section 5(f)(i) (Sustainability Programs) Payments. The City shall return to the SUMC Parties such portions of payments made by the SUMC Parties pursuant to Section 5(f)(i) that have not been contractually committed by the City to a third party. (C) If the Legal Action is filed with the court one year or more after the filing of the NOD, and results in a final judgment that materially impairs the SUMC Parties’ vested rights under this Agreement, then the City shall have no obligation to return any payments already made by the SUMC Parties to the City pursuant to this Agreement, and all of the Parties’ outstanding obligations under this Agreement shall be suspended until the Parties have mutually agreed to either reinstate or terminate this Agreement. 110520 jb 0130741 49 (ii) Effect of Suspension or Termination of Agreement. If the Parties mutually agree to suspend performance of all or part of the obligations in this Agreement pending the outcome of the Legal Action pursuant to Section 21(p) above, the agreement to suspend performance shall address the terms under which the SUMC Parties’ payment obligations under Section 5 shall be reinstated. In the event that the SUMC Parties unilaterally terminate this Development Agreement pursuant to Section 21(p), the City may elect at its reasonable discretion to revoke the conditional use permit for the Project in whole or in part, and the SUMC Parties will not contend that commencement of construction elsewhere on the Property has vested the SUMC Parties’ rights to construct structures for which construction has not yet commenced. The Parties’ rights and obligations set forth in this Section 21(p)(ii) shall survive the SUMC Parties’ unilateral termination of this Agreement pursuant to the provisions of Section 21(p). (iii) Limit of City’s Reimbursement Obligations. Except as specifically set forth in this Section 21(p), the City shall have no obligation to return any payments made by the SUMC Parties pursuant to this Agreement. IN WITNESS WHEREOF, this Agreement has been executed by the parties as of the day and year first above written. ATTEST: CITY OF PALO ALTO ______________________________ _____________________________ City Clerk Mayor APPROVED AS TO FORM: ______________________________ City Attorney APPROVED: ______________________________ City Manager APPROVED AS TO CONTENT: _____________________________ Director of Planning and Community Environment 110520 jb 0130741 50 STANFORD HOSPITAL AND CLINICS By: _________________________ Name: _______________________ Title: ________________________ LUCILE SALTER PACKARD CHILDREN’S HOSPITAL AT STANFORD By: __________________________ Name: ________________________ Title: _________________________ THE BOARD OF TRUSTEES OF THE LELAND STANFORD UNIVERSITY By: ___________________________ Name: _________________________ Title: __________________________ 110520 jb 0130741 51 EXHIBIT A Legal Description (To Be Inserted Later) 110520 jb 0130741 52 Exhibit B Initial Project Approvals A. Approval of the resolution adopting changes to the Comprehensive Plan to recognize taller building heights at SUMC, to exclude hospital, clinic and medical school use areas from the citywide and area specific non- residential growth limits, and changes to the Comprehensive Plan Land Use Map; B. Adoption of an ordinance amending the municipal code to establish a new “Hospital” zone district and amending the sign code and tree code to be consistent with the Hospital Zone regulations; C. Adoption of an ordinance approving a thirty–year development agreement between the City of Palo Alto and the Applicants that would grant certain development rights in exchange for certain public benefits D. Adoption of a Record of Land Use Action approving a conditional use permit that would allow specific hospital, medical office, and related uses in the Hospital Zone E. Architectural Review Board Approval of the following: 1. Stanford Hospital; 2. Lucile Packard Children’s Hospital expansion; 3. School of Medicine, Foundations in Medicine 1 building (FIM1); 4. Renovation of the existing Hoover Pavilion; 5. Medical Office Building and Parking Garage; 6. Surface Improvements along Welch Road, and Durand Way; and 7. SUMC Design Guidelines. F. Adoption of a Resolution annexing an approximate 0.65 acre site from Santa Clara County; and G. Acceptance of SUMC Area Plan Update. 110525 jb 0130751 ACTION NO. 2011-__ RECORD OF THE COUNCIL OF THE CITY OF PALO ALTO LAND USE ACTION STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT PROJECT: CONDITIONAL USE PERMIT FOR STANFORD UNIVERSITY MEDICAL CENTER (STANFORD HOSPITAL AND CLINICS, LUCILE SALTER CHILDREN’S HOSPITAL AT STANFORD, AND STANFORD UNIVERSITY, APPLICANTS) On June __, 2011, the City Council approved the Conditional Use Permit for the Stanford University Medical Center facilities within the Hospital District zone, making the following findings, determination and declarations: SECTION 1. Background. The City Council of the City of Palo Alto (“City Council”) finds, determines, and declares as follows: A. Stanford Hospital and Clinics (“SHC”), Lucile Salter Packard Children’s Hospital at Stanford (“LPCH”) and Stanford University School of Medicine (“SoM”) operate existing Stanford University Medical Center (“SUMC”) facilities within the City of Palo Alto on two sites that are collectively approximately 66 acres: the approximately 56-acre Main SUMC Site and the approximately 9.9-acre Hoover Pavilion Site. The two sites collectively are referred to in this Conditional Use Permit as the SUMC Sites. The Main SUMC Site is primarily bounded by Welch Road, Quarry Road, and Stanford University lands in unincorporated Santa Clara County. The Hoover Pavilion Site is located south and east of the corner of Quarry Road and Palo Road. The boundaries of the SUMC Sites are shown on Exhibit A to this Conditional Use Permit. B. On August 13, 2007, SHC, LPCH and SoM (collectively, the “Project Applicants”) applied for a Zone Change, Comprehensive Plan Amendment, Environmental Assessment, Architectural Review, Annexation and a Development Agreement for the Stanford University Medical Center Facilities Renewal and Replacement Project (“Project” or “SUMC Project”), including the demolition, renovation, and replacement of on-site structures, thereby adding approximately 1.3 million square feet of net new floor area, broken down as follows:  Demolition, renovation, and construction of SHC facilities, providing a net increase of approximately 824,000 square feet, the combined replacement of existing hospital beds and the addition of new hospital beds for a total of 600 beds;  Demolition, renovation, and construction of LPCH facilities, resulting in approximately 442,000 additional square feet, the addition of new hospital beds to existing beds to comprise a total of 361 beds; 110525 jb 0130751  Demolition of four existing SoM buildings and construction of three replacement buildings, with no net increase in square feet;  Demolition of shops and storage space, renovation of existing Hoover Pavilion, and net addition of approximately 46,000 square feet of new medical, office, research, clinic, and administrative facilities at the Hoover Pavilion Site for medical offices for community practitioners and SUMC-related medical offices, clinical facilities, and support uses;  Demolition of existing parking spaces and construction of 2,985 new and replacement spaces, for a net increase of 2,053 spaces to address additional demand for the SUMC Project, to be located in surface parking and above- and underground structures;  Construction of a new road connecting Sand Hill Road and Welch Road, and provision of interior driveways and improved circulation connections, including the extension of Quarry Road to Roth Way;  Widening of Welch Road by the addition of a third lane to accommodate left turns in both directions; and  Related on-site and off-site improvements. C. Following staff review and preparation of the Environmental Impact Report for the SUMC Project, the Planning and Transportation Commission (Commission) reviewed the Project, including the Conditional Use Permit, and recommended approval on __________, 2011. The Commission’s recommendations are contained in the Staff Report#1339, Attachment __. D. On __________, 2011, the City Council certified the Environmental Impact Report and approved the Project and related approvals, including the Conditional Use Permit, making certain findings, determinations and declarations. SECTION 2. Environmental Review. The City as the lead agency for the Project has determined that the Project is subject to environmental review under provisions of the California Environmental Quality Act (CEQA) under Guideline section 15081, Decision to Prepare an Environmental Impact Report. An Environmental Impact Report (EIR) was prepared for the Project and the City Council has determined that the Project would have significant impacts on the environment that can and cannot be mitigated. The Draft EIR was available for public review beginning May 20, 2010 through July 27, 2010. The Final EIR was made available on February 17, 2011. On _____________, 2011, the City Council certified the EIR, adopted the findings required by CEQA, and adopted a statement of overriding considerations for those impacts that could not be mitigated to less than significant levels. The Final Environmental Impact Report and Mitigation Monitoring Reporting Plan are contained in Staff Report #1339, Attachment __. 110525 jb 0130751 SECTION 3. Conditionally Permitted Uses. Palo Alto Municipal Code, Section 18.36.040 (Hospital District) identifies uses that may be conditionally permitted upon issuance of a Conditional Use Permit. Health Care Services (including hospitals, medical offices, medical research and ambulance services), public or private colleges and universities, services uses (including day care centers), transportation uses (including helipads and parking facilities), among other uses, are conditionally permitted uses under the HD regulations. Based on the Findings in Section 4 and the Conditions of Approval in Section 6, the City Council hereby approves the following existing and expanded uses on the SUMC Sites: 1. Existing Buildings. Continuation of the following lawful existing uses in their present locations, including legal nonconforming uses: a. Hospital/ Clinic Buildings. The conditionally permitted uses (as identified in the HD zoning regulations) in the hospital/clinic buildings at the Main SUMC Site are: public or private colleges and universities and facilities appurtenant thereto, ambulance services, convalescent facilities, hospitals, medical office, and medical research.  Original Hospital Building (East/West/Core/Boswell) (441,201 gsf)  Core Expansion (223,850 gsf)  Hospital Modernization Project (431,280 gsf)  Hospital Entry (77 gsf)  Blake-Wilbur Clinic (73,100 gsf)  801 Welch Road (12,671 gsf)  Lucile Salter Packard Children’s Hospital (274,700 gsf)  Advanced Medicine Center (224,836 gsf)  1101 Welch Road (40,100 gsf)  701 Welch Road (56,300 gsf)  703 Welch Road (23,500 gsf) Subtotal: 1,801,615 gsf b. Medical Office/ Clinic Buildings. The conditionally permitted uses (as identified in the HD zoning regulations) in the medical office/clinic buildings at the Hoover Pavilion Site are: medical office  Hoover Pavilion (84,230 gsf)  Hoover Shops and Storage, including Nurses Cottage (13,831 gsf) 110525 jb 0130751 Subtotal: 98,061 gsf c. Research Buildings. The conditionally permitted uses (as identified in the HD zoning regulations) in the research buildings at the Main SUMC Site are: public or private colleges and universities, and medical research.  Original Hospital Building (Grant/Alway/Lane/Edwards) (414,977 gsf)  Falk Building (52,226 gsf) Subtotal: 467,203 gsf d. Childcare Buildings. The conditionally permitted use (as identified in the HD zoning regulations) in the childcare buildings at the Hoover Pavilion site is Day Care Center:  Arboretum Children’s Center (9,113gsf) Subtotal: 9,113 gsf Total Existing Buildings: 2,375,992 gsf e. Transportation Uses, including all existing structured and surface parking facilities, transit stops and shelters. f. Utility facilities essential to provision of utility services. 2. New Construction at Main SUMC Site. Construction and use of up to 3,534,090 total square feet of hospital/clinic and research buildings, as well as associated utility facilities, parking facilities, helicopter and heliport facilities, and infrastructure improvements at the Main SUMC Site, including up to 1,265,272 net new square feet of hospital, clinic and research buildings, which may include all of the following: a. New or Expanded Hospital/Clinic Buildings. The conditionally permitted uses (as identified in the HD zoning regulations) in the hospital/clinic buildings at the Main SUMC Site are: public or private colleges and universities and facilities appurtenant thereto, ambulance services, convalescent facilities, hospitals, medical office, and medical research. 110525 jb 0130751  New Stanford Hospital Buildings (1,100,000 gsf; not to exceed total of 600 beds for combined existing and new Stanford Hospital facilities)  New SHC Clinic/Office Buildings, (429,000 gsf)  New Lucile Packard Children’s Hospital Buildings, including clinic/office space (521,300 gsf, not to exceed 361 beds for combined existing and new Lucile Packard Children’s Hospital) b. New Research Buildings. The conditionally permitted uses (as identified in the HD zoning regulations) in the research buildings at the Main SUMC Site are: public or private colleges and universities and facilities appurtenant thereto, and medical research.  FIM Buildings #1, #2 and #3 (414,977 gsf) c. New Public/Quasi-Public Facilities.  Such utility facilities as are essential to the provision of utility services to the permitted and conditionally permitted uses, but excluding construction/storage yards, maintenance facilities, or corporation yards. d. New Transportation Facilities.  SHC Parking Structure (approximately 970 spaces)  LPCH Parking Structure (approximately 430 spaces)  Clinics Parking (underground) (approximately 500 spaces)  Helipads and Helicopter Facilities (as described in the Final EIR) 3. New Construction at Hoover Pavilion Site. Construction and use of up to 153,343 total square feet of medical office/clinic buildings and day care center, as well as associated utility facilities, and parking facilities, at the Hoover Pavilion Site, including up to 46,169 net new square feet of medical office/clinic buildings, which may include all of the following: a. New Medical Office/Clinic Buildings. The conditionally permitted uses (as identified in the HD zoning regulations) in the medical office/clinic buildings at the Hoover Pavilion Site are: medical office. 110525 jb 0130751  Hoover Medical Office Building (60,000 gsf) b. New Public/Quasi-Public Facilities.  Such utility facilities as are essential to the provision of utility services to the permitted and conditionally permitted uses, but excluding construction/storage yards, maintenance facilities, or corporation yards. c. New Transportation Facilities.  Hoover Parking Structure (approximately 1,085 spaces) 4. Minor Variations in Square Footage. The conditionally permitted uses set forth in this Section 3 may include renovation of existing facilities at the Main SUMC Site and at the Hoover Pavilion Site, including renovation of existing Hospital/Clinic Buildings and renovation of the Hoover Pavilion. The gross square footage designations and parking space amounts set forth in Section 3 are intended to correspond to the project description in the February 2011 Final EIR. They represent the City’s and the SUMC Parties’ best estimates of the gross square footage of each building and the parking spaces in each new parking structure after construction of these described uses. The City and the SUMC Parties anticipate that there may be some variations in square footages and parking spaces from the figures listed in Section 3, such that some completed buildings and parking structures may be larger than described herein, and some buildings and parking structures may be smaller than described herein. Accordingly, the gross square footage and parking space figures in Section 3 are not intended to serve as absolute minimums or maximums on the square footage or parking spaces allowed for each building or parking structure. In no event, however, may the total square footage allocated to each type of conditionally permitted use (e.g., hospital, medical office, research uses) substantially exceed the square footage for that type of use that was quantified in the trip generation studies for the SUMC Project in the Final EIR, such that the increase in square footage allocated to the type of use would result in a materially higher overall trip generation rate than the rate studied in the Final EIR. 5. Overlapping Uses. In recognition of the unique relationship between SHC, LPCH, and the SoM facilities, and the need for the SUMC Parties to maintain close cooperation and coordination of the various uses on the Main SUMC Site and Hoover Pavilion Site in order to sustain their position 110525 jb 0130751 as a global leader in medical care and research, and to most effectively deliver to the City and the region the public benefits associated with the operation of their facilities in the City of Palo Alto, the City acknowledges and hereby allows that university uses, which are permitted Educational uses under the HD regulations, may occur in all of the existing and new buildings on the Main SUMC Site and on the Hoover Pavilion Site. Similarly, medical research uses, which are permitted Health Care Services uses under the HD regulations, may occur in all of the existing and new buildings on the Main SUMC Site and on the Hoover Pavilion Site. The occurrence of these uses in these described facilities shall not constitute a violation, or otherwise be a ground for revocation, of this conditional use permit. SECTION 4. Conditional Use Permit Findings. Neither the Director, nor the City Council on appeal, shall grant a conditional use permit, unless it is found that the granting of the application will: 1. Not be detrimental or injurious to property or improvements in the vicinity, and will not be detrimental to public health, safety, general welfare, or convenience; As described in summary in Section 2 and in detail in the June 6, 2011 Staff Report, an EIR was prepared for the Project in accordance with CEQA. It was determined that the Project would have significant and unavoidable impacts with regard to Transportation, Air Quality, Noise, Cultural Resources, and Biological Resources. With mitigation, the Project would have less- than-significant impacts with regard to Land Use, Aesthetics, Climate Change, Geology, Soils, and Seismicity, Hydrology, Hazardous Materials, Population and Housing, Public Services and Utilities. The City Council has adopted a Statement of Overriding Considerations (SOC) for those significant impacts that cannot be mitigated. As described Chapter 3.2, pages 3.2-30 to 3.2-31, of the Draft EIR for the Project, the Project would not significantly impede the function of surrounding uses despite having significant and unavoidable adverse environmental effects. The SUMC Project would not introduce a new land use. Rather, it would intensify and reconfigure the established hospital, clinic/medical office and research uses on the SUMC Sites. The nearest sensitive uses are the residences at 1100 Welch Road. The effect most likely to result in localized interference with sensitive uses is long-term operational noise. While noise from testing Project emergency generators could be heard at the residences at 1100 Welch Road, the testing would be sporadic and during times when residents would typically be out of their homes. Similarly, while ambulance noise along new ambulance routes would be significant, it would be sporadic and it would not impede the function of the nearby residential uses. The SUMC Project would not conflict with nearby 110525 jb 0130751 residential, recreational, educational, religious or scientific uses. 2. Be located and conducted in a manner in accord with the Palo Alto Comprehensive Plan and the purposes of this title (zoning). The Project is consistent with the Comprehensive Plan as outlined in the findings in Exhibit B. The Project is also in conformance with the HD zoning (Palo Alto Municipal Code, chapter 18.36) requirements approved by City Council on June __, 2011. SECTION 5. Conditional Use Permit Granted. Conditional Use Permit approval is granted for the uses described in Section 3 above by the City Council under Palo Alto Municipal Code Section 18.76.010 for the Project, subject to the conditions of approval in Section 6. SECTION 6. Conditions of Approval. ADMINISTRATIVE CONDITIONS 1. This permit is effective 30 days after final passage of the HD zoning ordinance for the Project (Ordinance #__) and shall automatically expire after 12 months from the permit’s effective date if within such twelve month period, the Project Applicants have not commenced construction of the first Project building, parking facility, or roadway improvement pursuant to and in accordance with the provisions of a building, encroachment, or grading permit issued by the City of Palo Alto or State of California Office of Statewide Health Planning and Development (“OSHPD”) for such building, parking facility or improvement. Pursuant to Palo Alto Municipal Code Section 18.77.090, the Planning Director may, without a hearing, extend such time for a maximum period of twelve additional months only, upon application filed with him or her before the expiration of the twelve-month limit. This CUP shall have no force or effect if the concurrent Development Agreement between the SUMC Parties and the City of Palo Alto is not entered into. Further, in the event that the SUMC Parties unilaterally terminate the Development Agreement pursuant to Section 21(p), the City may elect at its reasonable discretion to revoke this CUP in whole or in part, and the SUMC Parties will not contend that commencement of construction elsewhere on the Property has vested the SUMC Parties’ rights to construct structures for which construction has not yet commenced. 110525 jb 0130751 2. Within ten days of City Planning Division transmittal of the Record of Land Use Action, the Project Applicants shall sign and return a copy of the Record of Land Use Action prepared by the City Planning Division, agreeing to the conditions of approval and acknowledging that failure to comply with such conditions may constitute grounds for revocation of the permit approval. By signing same, Applicants shall not thereby waive any legal rights Applicants may possess regarding said conditions. The signed Statement shall be returned to the City Planning Division. Failure to comply with this condition may constitute grounds for permit revocation. In the event Project Applicants violate or fail to comply with any conditions of approval of this permit, no further permits, licenses, approvals or certificates of occupancy shall be issued until such violation has been fully remedied. 3. To the extent permitted by law, the Project Applicants shall defend, indemnify and hold harmless the City, its City Council, its officers, employees and agents (the “Indemnified Parties”) from and against any claim, action, or proceeding brought by a third party against the Indemnified Parties to attack, set aside, or void this Record of Land Use Action or any permit or approval authorized hereby for the Project. The Project Applicants shall take the lead role in defending such claim, action or proceeding, and may, in their sole discretion, elect to be represented by the attorneys of their choice. The City may, in its sole discretion, elect to defend any such action with attorneys of its choice, with the reasonable costs of such representation to be paid by the Project Applicants. The Project Applicants and the City shall fully coordinate and cooperate in the defense of any such action and shall keep each other fully informed of all developments relevant to such defense, subject only to confidentiality requirements and any privileges or legal doctrines that may prevent the communication of any such information. Conformance with Approved Plans 4. Project Applicants shall comply with the general and specific conditions attached to the City’s Architectural Review approval for each new or expanded building, including any modifications to such conditions requested by the Project Applicants and approved by the Director of Planning and/or City Council under the applicable Architectural Review approval procedures. 5. Project plans shall be subject to complete Code Compliance review when the building plans are submitted for plan check and shall comply with all applicable provisions of the Municipal Code and all other pertinent ordinances and Comprehensive Plan policies of the City of Palo Alto prior to building permit 110525 jb 0130751 issuance. This provision shall not be applicable to any OSHPD permitted uses. Construction Phase 6. Prior to commencement of construction of each new or expanded building, a construction period mitigation plan shall be prepared by the Project Applicants for approval by the Department of Public Works. The approved construction period mitigation plan shall be posted on the site for the duration of the Project construction and shall be produced upon request. As applicable, this plan shall include the construction-period mitigation measures identified in the MMRP as measures subject to Department of Public Works approval and shall: a. Specify the names, addresses, telephone numbers and business license numbers of all contractors and subcontractors as well as the developer and architect; b. Specify the nature and extent of any dewatering and its effect on any adjacent buildings; c. State whether any construction activity beyond normally permitted hours is proposed; d. Describe construction-period security measures including any fencing, lighting, and security personnel; e. Designate primary contact person for all construction related issues; f. Specify a community outreach program for notification of construction related work and tree removal. 7. Project Applicants shall prepare a notice, subject to the review by the Director of Planning and Community Development, that lists all construction mitigation requirements, permitted hours of construction, and identifies a contact person at City Hall as well as the Project Applicant who will respond to complaints related to the proposed construction. The notice shall be mailed to property owners within a 600-foot radius from the subject site at least five (5) days prior to the start of construction. 8. Because the Project Applicants may need to continue to occupy existing buildings after completion of construction of new or expanded buildings on the Main SUMC Site, and due to the need to maintain existing operations and efficiently transfer existing uses, equipment and occupants from existing buildings to new or expanded buildings, the total occupied square footage of the buildings on the Main SUMC Site may exceed the total existing plus net new building square footage allowed under 110525 jb 0130751 this Conditional Use Permit for a period of three years prior to demolition or closure of all or portions of each of the following buildings:  Original Hospital Buildings (East/ West/ Core/ Boswell/ Gale/ Alway/ Lane/ Edwards/ Entry) (856,255 gsf);  Core Expansion (223,850 gsf). This three-year time period shall apply separately and independently to each new or expanded building that results in an exceedance of the total occupied existing and net new building square footage allowed under this Conditional Use Permit, and each such three-year time period shall commence upon public occupancy of the new or expanded building that results in the exceedance, and shall terminate upon the earlier of (a) commencement of demolition of the existing building square footage necessary to eliminate the exceedance; or (b) closure of the existing building square footage necessary to eliminate the exceedance, which shall be accomplished by removing all occupants from the applicable structure or building square footage, and refraining from using the applicable structure or building square footage for any purpose until such structure has been demolished. The Planning Director may, without a hearing, extend each three-year time limit for a maximum period of two additional years, upon application filed with him or her before the expiration of the three-year limit. Operations 9. The conditionally permitted uses allowed by this Conditional Use Permit shall be contained within the facilities summarized in Section 3 above and described in detail within the EIR (Project Description) certified by City Council in Resolution _____. Any expansion of these conditional uses beyond the facilities summarized in Section 3 shall require an amendment to this permit. 10. The Mitigation Monitoring and Reporting Plan (MMRP) for the Project shall be implemented according to the requirements contained within Resolution _____. The MMRP is attached as Exhibit C to this Conditional Use Permit. 11. If at any time the City of Palo Alto determines that the Project Applicants are not in compliance with one or more conditions of this Conditional Use Permit, the City may revoke this permit as provided in the City of Palo Alto Municipal Code, Section 18.77.110. Failure of the Project Applicants to comply with aspects of the MMRP adopted for the Project shall also constitute a violation of this Conditional Use Permit for which revocation action may be taken as described in this 110525 jb 0130751 condition. 12. The Project Applicants shall be responsible for paying all reasonable costs associated with work conducted by the City or under supervision of the City that is conducted in conjunction with the conditions of this Conditional Use Permit, including inspections to monitor the implementation of conditions and mitigation measures. This includes reasonable costs for staff time, consultant fees and direct costs. The City will not require the Project Applicants to pay any fees otherwise payable under the Municipal Fee Schedule for any costs that the City recovers pursuant to this condition. 13. The requirements of Mitigation Measure TR-2.3 pertaining to purchase of GO Passes for existing and new Hospital employees shall apply to all clinic/office employees who work more than 20 hours per week at the New SHC Clinic/Office Buildings (429,000 gsf) at the Main SUMC Site. 14. In all newly constructed buildings and landscaping, the Project Applicants shall implement an aggressive water conservation program designed to achieve 20% water savings for hospital buildings and 25% water savings for clinics and medical office buildings based on comparable hospital and medical office projects in California. The water conservation program shall contain the following elements: Outdoor Water Conservation  The landscaping shall be designed to make maximum use of drought-tolerant, native plantings.  Landscape irrigation shall be continually adjusted using smart controllers adjusted to climatic conditions, e.g. reduced as the weather cools an turned off as the rain begins.  The grounds team shall use mulching lawn mowers that recycle grass clippings back into the lawns. This helps the soil to retain moisture, which reduces the need for irrigation water.  The grounds team shall make extensive use of bark-mulch (generated by Project Applicants’ tree pruning) to mulch the grounds, which further helps the soil to retain moisture and reduce the need for irrigation water. Indoor Water Conservation  The newly constructed facilities shall use automatic sensors on fixtures such as faucets and urinals. These devices ensure that people do not leave the water running unnecessarily.  The newly constructed facilities shall use low-flow U.S. EPA Water Sense labeled fixtures such as faucets, urinals and showerheads.  In the newly constructed hospital buildings, dual-flush toilets shall be used to save significant amounts of water, which will allow the user to select a lower volume of water per flush for 110525 jb 0130751 disposing of liquids, or a higher volume for disposing of solids. For the newly constructed non-hospital buildings, dual-flush toilets or recycled water shall be used.  The newly constructed facilities shall employ minimal use of water-cooled equipment such as ice-makers, and when such equipment is used, it will be water-efficient.  The newly constructed facilities shall not use once-through water cooled equipment, such as sterilizers and imaging equipment that use potable water once and discharge it to the drain.  The newly constructed facilities shall include anti-microbial hand pumps to reduce the need for hand washing.  The newly constructed facilities shall use water-efficient sterilizers with water recirculation and automatic shut-off. Newly constructed kitchen facilities shall use water-efficient equipment and operations, including low-flow spray-heads, water-efficient dishwashers, energy-efficient steam cookers, water-efficient ice machines and composting of food scraps instead of using a garbage disposal. Upon request by Project Applicants, the Planning Director may approve substitute water conservation features designed to achieve equivalent water savings. Project Applicants shall submit conservation monitoring reports to the City prior to occupancy of each new building, which reports shall describe the water conservation features installed in the new building and associated landscaping. 15. In order to provide maximum flexibility for on-site construction of the Project and to upgrade the utility load capacities necessary to service the Project, the City and SUMC Parties intend to enter into a collateral agreement that will permit the SUMC Parties to relocate existing utilities in the City- owned Welch Road, Quarry Road and Pasteur Drive rights of way, to install certain new facilities in such rights of way and to restore such rights of way (“Welch Road Utilities Project”). The SUMC Parties agree to pay for and be solely responsible for(1) completing the design, construction, and installation of all below- grade utility facilities and surface level improvements on, along, and under Welch Road, Pasteur Drive, and Quarry Road to service the Project; (2) abandoning and re-connecting (except as directed by City) all utilities currently in the Project area which are planned for removal or relocation under the Welch Road Utilities Project and (3) removing and replacing all necessary curb, gutter and sidewalk improvements on Welch Road, Quarry Road, Pasteur Drive, and Durand Way Extension as part of the Welch Road Utilities Project. The SUMC Parties shall also execute for recordation the following easement(s) related to the Welch Road Utilities Project: 110525 jb 0130751 1) Right of Way Easement, which grants the City of Palo Alto a nonexclusive Right of Way on and along Welch Road, and includes the right of ingress and egress across said property; and 2) Public Utility Easement, which grants the City the non- exclusive right of ingress and egress across on, along, and under Welch Road, and the non-exclusive right to install, construct, operate, maintain, repair, replace and upgrade all its below grade public utility facilities and equipment, and surface improvements and related appurtenances on, along, and under Welch Road, including but not limited to, the following: 1) Water Distribution Facilities; 2) Natural Gas Distribution Facilities; 3) Waste Water Collection Facilities; 4) Electric Distribution Facilities; 5) Storm Drain Collection Facilities; 6) Fiberoptic Facilities [if applicable]; 7) Telecommunications Facilities [if applicable]; 8) Street Lighting and Signage Facilities; 9) Street Traffic Signal and Cross Walk Facilities; 10) Landscaping and Irrigation Facilities; and 11) Reclaimed Water Facilities [if applicable]. PASSED: AYES: NOES: ABSENT: ABSTENTIONS: ATTEST: APPROVED: _________________________ ____________________________ 110525 jb 0130751 City Clerk Director of Planning and Community Environment APPROVED AS TO FORM: ___________________________ Senior Assistant City Attorney PLANS AND DRAWINGS REFERENCED: Development Plans prepared by the following: Exhibit A: Site Boundaries Exhibit B: Consistency with Comprehensive Plan Policies Exhibit C: MMRP NOTICE If this is a final decision not subject to further appeal under the City of Palo Alto Municipal Code, the time within which judicial review of this decision must be sought is governed by Code of Civil Procedure Section 1094.6, which provision has been adopted by the City pursuant to Palo Alto Municipal Code Section 1.04.071. 110525 jb 0130751 ACKNOWLEDGEMENT BY PERMIT HOLDER I hereby agree to the above conditions of approval and acknowledge that failure to comply with such conditions shall constitute grounds for potential revocation of the permit approval. _________________________ Print Name and Title _________________________ _____________________ Applicant’s Signature Date _________________________ Print Name and Title _________________________ _____________________ Applicant’s Signature Date _________________________ Print Name and Title _________________________ _____________________ Applicant’s Signature Date PROJECT AREA Source: PBS&J, 2009. PROJECT NORTH Stanford University Medical Center Facilities Renewal and Replacement Draft EIR FIGURE 2-1 Project Vicinity Location D41357.00 Camp u s D r i v e W e s t Camp u s D r i v e W e s t Menlo Par k B o u n d a r y Menlo Par k B o u n d a r y Meeennnlo Paaarar kkk B o u nnn d a rrrar yy MMMMeeeMeeeeeeeeeeMnnnnnnnllllolooooo PPPPPaPPaaPPaaPaaaaaaarraaaaPPrrrrrrr kkrrrrarkkkkkkkkkkkkkkkkrrkkrr BBBBBB ooooo uuuuu nnnnnnn ddddd addaaaaaaa radaddrrrrrrr yrryyryyyyyyyrrrryyyy Palo Alt o B o u n dar y P alo Alt o B o u ndar y Welc h R o a d to be annexed totoo bb beee anannnnexeddd to be annexed Paste u r D r i v e Paste u r D r i v e San d H i l l R o a d San d H i l l R o a d Arb o r e t u m R o a d Arb o r e t u m R o a d Co u n t y B o u n d a r y Co u n t y B o u n d a r y Qu a r r y R o a d E l C a m i n o R e a l E l C a m i n o R e a l Viney a r d L a n e Camp u s D r i v e W e s t San d H i l l R o a d San d H i l l R o a d Hoover PavilionSite Hoover PavilionSite Main SUMC Site Main SUMC Site Project Vicinity SUMC Area Plan Boundary SUMC Sites = Main SUMC Site and Hoover Pavilion Site Viney a r d L a n e Qu a r r y R o a d SUMC Sites Area to be Annexed P a l o R o a d P a l o R o a d 3.2-10 Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Comprehensive Plan Policy SUMC Project Consistency Goal L-1: A well-designed, compact city, providing residents and visitors with attractive neighborhoods, work places, shopping districts, public facilities, and open spaces. Policy L-1: Continue current City policy limiting future urban development to currently developed lands within the urban service area. The boundary of the urban service area is otherwise known as the urban growth boundary. The City would annex an approximately 0.75-acre parcel from unincorporated Santa Clara County under the SUMC Project to accommodate the proposed FIM 1 building. As part of the main Stanford University campus, this site contains landscaping and is surrounded by urban uses. This parcel is outside the existing service and political jurisdiction of the City of Palo Alto; however, annexation of the parcel would not conflict with Policy L-1 because the annexation area is small, and environmental consequences from this annexation would be minimal. The SUMC Project would not impact the undeveloped lands that this policy seeks to protect. Policy L-2: Maintain an active, cooperative working relationship with Santa Clara County and Stanford University regarding land use issues. The SUMC Project is an urban infill project that would redevelop existing sites within the City with similar, but expanded uses. While the SUMC Sites border Santa Clara County, the adjacent uses are within Stanford University, which is one of the SUMC Project sponsors. No land use conflicts are thus anticipated between the SUMC Sites and adjacent County land. Policy L-3: Guide development to respect views of the foothills and East Bay hills from public streets in the developed portions of the City. As explained further in Section 3.3, Visual Quality, and as required in Mitigation Measure VQ-2.1, the SUMC Project would be subject to the City’s Architectural Review process. The Architectural Review of the SUMC Project by the City’s Architectural Review Board (ARB) would consider, among other factors, whether the SUMC Project has a coherent composition, and whether its bulk and mass are harmonious with surrounding development. The ARB’s recommendations regarding these factors will be forwarded to the City Council for consideration. The City Council cannot approve the Architectural Review unless it finds that, among other things, natural features are appropriately preserved and integrated with the SUMC Project; the design promotes harmonious transitions in scale and character in areas between different designated land uses; and the planning and siting of the various functions and buildings on the site create an internal sense of order and provide a desirable environment for occupants, visitors, and the general community. Implementation of Mitigation Measure VQ-2.1 would require that the City and SUMC Project sponsors comply with Policy L-3 requirements for respecting views of the hillsides. Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use 3.2-11 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy L-5: Maintain the scale and character of the City. Avoid land uses that are overwhelming and unacceptable due to their size and scale. As discussed in Section 3.3, and as required in Mitigation Measure VQ-2.1, Architectural Review would consider, among other factors, whether the SUMC Project has a coherent composition and whether its bulk and mass are harmonious with surrounding development. The City Council cannot approve the Architectural Review unless it finds that, among other things, the design promotes harmonious transitions in scale and character in areas between different designated land uses; the planning and siting of the various functions and buildings on the site create an internal sense of order and provide a desirable environment for occupants, visitors, and the general community; and the amount and arrangement of open space are appropriate to the design and the function of the structures. Policy L-6: Where possible, avoid abrupt changes in scale and density between residential and non-residential areas and between residential areas of different densities. As discussed in Section 3.3, and as required in Mitigation Measure VQ-2.1, the Architectural Review would consider, among other factors, whether the SUMC Project has a coherent composition and whether its bulk and mass are harmonious with surrounding development. The City Council cannot approve the Architectural Review unless it finds that, among other things, the design promotes harmonious transitions in scale and character in areas between different designated land uses; the planning and siting of the various functions and buildings on the site create an internal sense of order and provide a desirable environment for occupants, visitors, and the general community; and the amount and arrangement of open space are appropriate to the design and the function of the structures. Policy L-7: Evaluate changes in land use in the context of regional needs, overall City welfare and objectives, as well as the desires of the surrounding neighborhoods. This EIR provides an evaluation of local as well as regional environmental effects of the SUMC Project. It should be noted that the SUMC Project would maintain but expand existing on-site land uses. Consideration of the merits of the SUMC Project in context of regional needs, City welfare, and the desires of surrounding neighborhoods will be considered by the City during the subsequent project approval process. Policy L-8: Maintain a limit of 3,257,900 square feet of new non-residential development for the nine planning areas evaluated in the 1989 Citywide Land Use and Transportation Study, with the understanding that the City Council may make modifications for specific properties that allow modest additional growth. Such additional growth will count towards the 3,257,900 maximum. The City has determined that the medical center uses associated with the SUMC Sites should not be included in the non-residential development cap established by Policy L-8. The City is proposing a Comprehensive Plan Amendment (CPA), revising the language of Policy L-8 to clarify the exemption of hospital, clinic, and research buildings from square footage caps. 3.2-12 Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Goal L-2: An enhanced sense of “community” with development designed to foster public life and meet citywide needs. Policy L-10: Maintain a citywide structure of Residential Neighborhoods, Centers, and Employment Districts. Integrate these areas with the City’s and the region’s transit and street system. The SUMC is a designated Employment District,5 accessible via the existing street network. The SUMC Project would enhance integration of this Employment District into the citywide land use and circulation network by adding pedestrian and bicycle improvements and providing better connections between the SUMC Sites, the Stanford Shopping Center, PAITS, and the downtown area. Policy L-11: Promote increased compatibility, interdependence, and support between commercial and mixed use centers and the surrounding residential neighborhoods. The SUMC Project would meet the growing demand for medical facilities in Palo Alto and the region as indicated in the SUMC Project application. The medical services that the SUMC Project would provide to residents of the City of Palo Alto would increase interdependence and support between uses on the SUMC Sites and residential uses. Goal L-5: High quality employment districts, each with their own distinctive character and each contributing to the character of the City as a whole. Policy L-42: Encourage Employment Districts to develop in a way that encourages transit, pedestrian and bicycle travel and reduces the number of auto trips for daily errands. Bicycle and pedestrian improvements are included in the SUMC Project. A shuttle service would run between the SUMC Site, nearby commercial areas, and nearby transit hubs. The SUMC Project would also include the existing Transportation Demand Management (TDM) program, which includes efforts to increase use of transit and alternative modes of transportation, and decrease trips in single occupant vehicles. Policy L-43: Provide sidewalks, pedestrian paths, and connections to the citywide bikeway system within Employment Districts. Pursue opportunities to build sidewalks and paths in renovation and expansion projects. Several bicycle and pedestrian improvements, which would connect to the existing trail network, are included in the SUMC Project. The SUMC Project would also include bicycle and pedestrian improvements which would provide better connections between the SUMC Sites, the Stanford Shopping Center, PAITS, and the downtown area. 5 City of Palo Alto, Comprehensive Plan, Land Use Element, 1998. Definition of “Employment Districts” is provided on page L-14. Employment Districts are geographic areas within the City with distinctive physical and economic characteristics. The Stanford Medical Center is one of four designated Employment Districts. Comprehensive Plan page L-33. Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use 3.2-13 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy L-45: Develop Stanford Medical Center in a manner that recognizes the citywide goal of compact, pedestrian-oriented development as well as the functional needs of the Medical Center. The Main SUMC Site is a medical campus and by function is pedestrian-oriented, providing walkways, manicured lawns, benches, fountains, art sculptures, and pathway lighting. The proposed site plan is expected to maintain its pedestrian orientation. Functional adjacencies are critical to efficient medical services and, as such, the proposed site plan would provide optimal functional adjacencies. (A SUMC Project objective is to optimize department adjacencies to ensure the healthcare facilities are clinically safe environments, promote safe and efficient patient flow, and provide access to state-of-the-art technology.) Policy L-48: Promote high quality, creative design and site planning that is compatible with surrounding development and public spaces. As discussed in Section 3.3, and as required in Mitigation Measure VQ-2.1, the Architectural Review of the SUMC Project by the ARB would consider, among other factors, whether the SUMC Project incorporates quality materials, harmonious colors, appropriate ancillary features, and a cohesive design with a coherent composition. The City Council cannot approve the Architectural Review unless it finds that, among other factors, the design is compatible with the immediate environment of the SUMC Sites, is appropriate to the function of the SUMC Project, promotes harmonious transitions in character in areas between different designated land uses, and is compatible with approved improvements both on and off the site. Implementation of Mitigation Measure VQ-2.1 would ensure that the proposed structures would be compatible with surrounding development. Policy L-49: Design buildings to revitalize streets and public spaces and to enhance a sense of community and personal safety. Provide an ordered variety of entries, porches, windows, bays and balconies along public ways where it is consistent with neighborhood character; avoid blank or solid walls at street level; and include human-scale details and massing. As discussed in Section 3.3, the SUMC draft Design Guidelines outline three basic factors to be applied to the SUMC Project: site design, building design, and connective elements. The site design concept for the SUMC Project builds upon existing patterns of pedestrian and vehicular circulation, and parking. In addition, open spaces would serve to physically connect the SUMC to the public perimeter, as well as to connect the SUMC visually to the current Stanford landscape. The proposed building designs would serve to redefine the architectural image and spatial character of the medical campus, while blending with the existing buildings and landscape. The intent of the Design Guidelines is to allow a variety of architectural expressions for each institution, while promoting a cohesive campus image. In addition, connective elements include consistent use of specific paving materials; the placement of new planting schemes; lighting; signage; shared amenities (for example, bus shelters, benches, and public art); and utilities and infrastructure. 3.2-14 Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy L-50: Encourage high quality signage that is attractive, appropriate for the location and balances visibility needs with aesthetic needs. As discussed in Section 3.3, and as required in Mitigation Measure VQ-2.1, the Architectural Review of the SUMC Project by the ARB would consider, among other factors, whether the SUMC Project incorporates quality materials, harmonious colors, appropriate ancillary features, and a cohesive design with a coherent composition. The City Council cannot approve the Architectural Review unless it finds that, among other factors, the design is compatible with the immediate environment of the SUMC Sites, is appropriate to the function of the SUMC Project, promotes harmonious transitions in character in areas between different designated land uses, and is compatible with approved improvements both on and off the site. Implementation of Mitigation Measure VQ-2.1 would ensure that the proposed structures would be compatible with surrounding development. In addition, the SUMC draft Design Guidelines state that the SUMC Project would establish a unifying signage theme and follow existing campus signage guidelines for directional and pedestrian signs. Goal L-7: Conservation and preservation of Palo Alto’s historic buildings, sites, and districts. Policy L-51: Encourage public and private upkeep and preservation of resources that have historic merit, including residences listed in the Historic Inventory. Policy L-51 encourages the preservation of historic structures. The City has identified Mitigation Measures CR-1.1, CR-1.2, CR-1.3, and CR-1.4 to help minimize the loss resulting from the demolition of the historic Edward Durell Stone Building complex (see Section 3.8, Cultural Resources). Therefore, the SUMC Project would not conflict with this policy since it encourages protection of historic resources. The SUMC Project also includes the renovation of Hoover Pavilion, which is a historic resource (see Section 3.8 Cultural Resources). Structures proposed at the Hoover Pavilion Site would be sited so as to preserve the visual prominence of the Hoover Pavilion as a historic structure. In addition, Mitigation Measure CR-1.5 would protect the Hoover Pavilion from vibration impacts during construction. The preservation and enhancement of this historic resource furthers the objectives of Policy L-51. Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use 3.2-15 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy L-54: Support the goals and objectives of the Statewide Comprehensive Historic Preservation Plan for California. The Statewide Comprehensive Historic Preservation Plan identifies current and emerging historic preservation issues throughout the State and establishes the vision, mission, and priorities for the Office of Historic Preservation (OHP). The OHP is required to review and revise the State Plan every five years as a condition for receiving a grant from the federal Historic Preservation Fund. The SUMC Project would not conflict with the OHP’s preparation or review of the State Plan, including the identification of statewide preservation issues or the establishment of the OHP’s vision, mission, and priorities. Policy L-58: Promote adaptive reuse of old buildings. The SUMC Project would renovate the Hoover Pavilion and would improve seismic operating conditions of clinic uses within. Such renovation would constitute adaptive reuse. Goal L-9: Attractive, inviting public spaces and streets that enhance the image and character of the City. Policy L-70: Enhance the appearance of streets and other public spaces by expanding and maintaining Palo Alto’s street tree system. Street trees would be incorporated into the SUMC Sites under the SUMC Project. Policy L-75: Minimize the negative physical impacts of parking lots. Locate parking behind buildings or underground wherever possible. The SUMC Project would add new underground parking structures and an above- ground parking structure at the Hoover Pavilion Site. The parking structure at the Hoover Pavilion Site would be located south of Hoover Pavilion to preserve views of this landmark from public vantage points. Policy L-76: Require trees and other landscaping within parking lots. The SUMC Project would add above- and underground parking structures to minimize the area devoted to surface parking lots; therefore, landscaping would be minimal. However, as discussed in Section 3.3, and as required under Mitigation Measure VQ-2.1, the Architectural Review of the SUMC Project by the ARB would consider, among other factors, whether the SUMC Project adequately incorporates landscaping. Upon receipt of the ARB’s recommendations, the City Council cannot approve the Architectural Review unless it finds that, among other factors, the amount and arrangement of open space are appropriate to the design and the function of the structures, and the planning and siting of the various functions and buildings provide a desirable environment for occupants, visitors, and the general community. 3.2-16 Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy L-77: Encourage alternatives to surface parking lots to minimize the amount of land that must be devoted to parking, provided that economic and traffic safety goals can still be achieved. The SUMC Project would add above- and underground parking structures to minimize the area devoted to surface parking. In addition, the proposed number of spaces would be sufficient to accommodate the resulting demand (see Section 3.4, Transportation). Lastly, a TDM Program would be continued to decrease car trips and parking demand (see description in Chapter 2, Project Description). Policy L-78: Encourage development that creatively integrates parking into the project by providing for shared use of parking areas. Parking on the SUMC Site would be shared by the various on-site uses. Sharing parking facilities with off-site uses would be infeasible due to the distance to off- site facilities. Goal T-1: Less reliance on single-occupant vehicles. Policy T-1: Make land use decisions that encourage walking, bicycling, and public transit use. The SUMC Project would involve infill within an area that is currently accessible by transit, walking, and bicycling. By reducing the size of surface parking lots and increasing development density, the SUMC Project would be expected to increase demand for alternative means of transport. The Hospitals and SoM both implement TDM Programs that encourage walking, bicycling, and public transit use. These programs would continue to decrease car trips and parking demand (see description in Chapter 2, Project Description). On-site and off-site bicycle and pedestrian improvements included in the SUMC Project would provide better connections between the SUMC Sites, the Stanford Shopping Center, PAITS, and the downtown area. Policy T-3: Support the development and expansion of comprehensive, effective programs to reduce auto use at both local and regional levels. The SUMC Project sponsors implement (and would continue to implement) a TDM Program to decrease car trips and parking demand. See also Policy T-1. Goal T-2: A convenient, efficient, public transit system that provides a viable alternative to driving. Policy T-5: Support continued development and improvement of the University Avenue and California Avenue Transit Stations, and the San Antonio Road Station as important transportation nodes for the City. The SUMC Project would continue to implement the Marguerite Shuttle, which serves the SUMC Sites and the University Avenue Transit Station. In addition, the SUMC Project would involve bicycle and pedestrian circulation improvements (to be refined during Architectural Review) that would provide access to the transit station. Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use 3.2-17 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy T-6: Improve public transit access to regional destinations, including those within Palo Alto. The SUMC Project would not impede the City’s plans to develop regional public transit. Moreover, the SUMC Project sponsors would continue to implement a TDM Program to decrease car trips and parking demand. These programs include provision of the free Marguerite Shuttle service, which connects the SUMC Sites to other destinations, local transit and Caltrain, and free use of the East Bay express bus that connects BART and ACE train to Stanford. Policy T-8: Encourage employers to develop shuttle services connecting employment areas with the multi-modal transit stations and business districts. The SUMC Project would continue the use of the Marguerite Shuttle, a free local shuttle serving the SUMC Sites, PAITS, the Shopping Center Site, and other nearby locations. Goal T-3: Facilities, services, and programs that encourage and promote walking and bicycling Policy T-14: Improve pedestrian and bicycle access to and between local destinations, including public facilities, schools, parks, open space, employment districts, shopping centers, and multi-modal transit stations. See discussion for Policy L-42. Policy T-15: Encourage the acquisition of easements for bicycle and pedestrian paths through new private developments. Several bike and pedestrian trails, which would connect to the existing trail network, are included in the SUMC Project. Policy T-19: Improve and add attractive, secure bicycle parking at both public and private facilities, including multi-modal transit stations, on transit vehicles, in City parks, in private developments, and at other community destinations. Bicycle parking would be provided at the SUMC Sites under the SUMC Project. Policy T-22: Improve amenities such as seating, lighting, bicycle, parking, street trees, and interpretive stations along bicycle and pedestrian paths and in City parks to encourage walking and cycling and enhance the feeling of safety. The SUMC Project would install new benches, lighting, bicycle, parking, landscaping along its pedestrian paths on site. Policy T-23: Encourage pedestrian-friendly design features such as sidewalks, street trees, on-street parking, public spaces, gardens, outdoor furniture, art, and interesting architectural details. See discussion for Policy T-22. Goal T-4: An efficient roadway network for all users. Policy T-25: When constructing or modifying roadways, plan for usage of the roadway space by all users, including motor vehicles, transit vehicles, bicyclists, and pedestrians. The proposed widening of Welch Road and expansion of Durand Way would accommodate bicycles, pedestrians, and transit. 3.2-18 Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy T-26: Participate in the design and implementation of comprehensive solutions to traffic problems near Stanford Shopping Center and Stanford Medical Center. Section 2, Project Description, identifies that the SUMC Project would implement traffic management solutions, such as a continued TDM Program, bicycle and pedestrian improvements, and public transit access. Policy T-27: Avoid major increases in street capacity unless necessary to remedy severe traffic congestion or critical neighborhood traffic problems. Where capacity is increased, balance the needs of motor vehicles with those of pedestrians and bicyclists. The SUMC Project would add a connection (Durand Way) between Sand Hill Road and Welch Road; however, this connection would provide new access to the Main SUMC Site. In addition, Welch Road would be widened to three lanes to provide roadway capacity. Neither of these improvements would enhance capacity for anticipated vehicle movement, including ambulance access. Policy T-28: Make effective use of the traffic-carrying ability of Palo Alto’s major street network without compromising the needs of pedestrians and bicyclists also using this network. Mitigation Measure TR-6.1 in Section 3.4, Transportation, requires the SUMC Project sponsors to implement improvements for bicycle and pedestrian safety and access at intersections affected by SUMC Project traffic. Policy T-30: Reduce the impacts of through-traffic on residential areas by designating certain streets as residential arterials. As discussed under Impact TR-3 in Section 3.4, Transportation, the SUMC Project would not result in adverse impacts to Palo Alto residential roadway segments. It should be noted that the SUMC Project would have significant impacts on residential roadways outside Palo Alto in Menlo Park. Identified mitigation would reduce the impact to less than significant (see Section 3.4, Transportation). Policy T-34: Implement traffic calming measures to slow traffic on local and collector residential streets and prioritize these measures over congestion management. Include traffic circles and other traffic calming devices among these measures. The SUMC Project would not significantly impact adversely affect traffic on residential streets within Palo Alto, and therefore does not include traffic calming measures. See Policy T-30. Policy T-39: To the extent allowed by law, continue to make safety the first priority of citywide transportation planning. Prioritize pedestrian, bicycle, and automobile safety over vehicle level-of-service at intersections. See discussion for Policy T-28. In its consideration of the SUMC Project, the City will continue to adhere to this Policy and will prioritize safety over vehicle level- of-service improvements at intersections. Goal T-7: Mobility for people with special needs. Policy T-42: Address the needs of people with disabilities and comply with the requirements of the Americans with Disabilities Act (ADA) during the planning and implementation of transportation and parking improvement projects. The SUMC Project would be required to conform to ADA standards specified in the Palo Alto Municipal Code. Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use 3.2-19 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Goal T-8: Attractive, convenient public and private parking facilities. Policy T-48: Encourage parking strategies in the Stanford Medical Center area that maximize the efficient use of parking and, in the long term, consider the possible use of remote parking lots with shuttle bus service. Parking would be provided under the SUMC Project for the calculated increased demand, which takes into account minimization of parking needs through implementation of a comprehensive TDM program. Existing TDM programs, such as operation of the Marguerite Shuttle, would be continued in order to minimize the need for additional parking. This program also includes provision of free use of the Line U Stanford Express, which connects Stanford to BART and the ACE train. The Line U express bus enables employees to park remotely, and travel to the SUMC via this service. In addition, the proposed parking structure at the Hoover Pavilion Site would be used by SUMC staff, who would take a shuttle to the Main SUMC site. Goal N-1: A citywide open space system that protects and conserves Palo Alto’s natural resources and provides a source of beauty and enjoyment for Palo Alto residents. Policy N-3: Protect sensitive plant species resources from the impacts of development. Per Section 3.9, Biological Resources, there is no habitat capable of supporting sensitive plant species at the SUMC Sites, and there would be no impacts on sensitive plant species. Policy N-6: Through implementation of the Site and Design process and the Open Space zone district regulations, minimize impacts of any new development on views of the hillsides, on the open space character, and the natural ecology of the hillsides. As explained further in Section 3.3, and as required under Mitigation Measure VQ- 2.1, the SUMC Project is subject to the City’s Architectural Review process. The Architectural Review of the SUMC Project by the City’s ARB would consider, among other factors, whether the SUMC Project has a coherent composition, and whether its bulk and mass are harmonious with surrounding development. The ARB’s recommendations regarding these factors will be forwarded to the City Council for consideration. The City Council cannot approve the Architectural Review unless it finds that, among other things, natural features are appropriately preserved and integrated with the SUMC Project; the design promotes harmonious transitions in scale and character in areas between different designated land uses; and the planning and siting of the various functions and buildings on the site create an internal sense of order and provide a desirable environment for occupants, visitors and the general community. 3.2-20 Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Goal N-2: Conservation of creeks and riparian areas as open space amenities, natural habitat areas, and elements of community design. Policy N-11: Preserve the integrity of riparian corridors. Construction associated with the SUMC Project could contribute to bed and bank erosion along the San Francisquito Creek riparian corridor. However, as discussed in Section 3.11, Hydrology, the SUMC Project would be required to comply existing regulatory requirements (Municipal Regional Permit, Construction General Permit, as well as local municipal codes), which include both construction phase and permanent erosion and sediment controls that prevent substantial erosion and sediment transport from development within the San Francisquito Creek watershed. Construction site inspection by the City, as required by the UWMP, would also ensure that appropriate erosion and sediment control BMPs are implemented and functioning. Policy N-13: Discourage creek bank instability, erosion, downstream sedimentation, and flooding by minimizing site disturbance and vegetation removal on or near creeks and carefully reviewing grading and drainage plans for development near creeks and elsewhere in the watersheds of creeks. See discussion for Policy N-11. Goal N-3: A thriving “urban forest” that provides ecological, economic, and aesthetic benefits for Palo Alto. Policy N-14: Protect, revitalize, and expand Palo Alto’s urban forest through public education, sensitive regulation, and a long-term financial commitment that is adequate to protect this resource. The SUMC Project would replace trees removed during construction and would supply new street trees. However, the SUMC Project would remove up to 71 Protected Trees, which are considered an important resource to the City. Mitigation Measures BR-4.1 through BR-4.5, provided in Section 3.9, Biological Resources, require the preparation of a Tree Preservation Report, a solar access study, a Tree Relocation Feasibility Plan, a Tree Preservation Bond/Security Guarantee, and minor site modifications to the current site plans. While complete preservation of Protected Trees would not occur, this mitigation would fulfill the City’s responsibility to protect, revitalize, and expand Palo Alto’s urban forest. Also, as required under Mitigation Measure VQ-2.1, the Architectural Review of the SUMC Project by the ARB would consider, among other factors, whether the SUMC Project adequately incorporates landscaping. Upon receipt of the ARB’s recommendations, the City Council cannot approve the Architectural Review unless it finds that, among other factors, the amount and arrangement of open space are appropriate to the design and the function of the structures, and the planning and siting of the various functions and buildings provide a desirable environment for occupants, visitors, and the general community. Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use 3.2-21 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies In addition, the SUMC draft Design Guidelines include landscaping elements in order to create visual continuity in open spaces between the SUMC Sites and the Stanford campus. The campus would include approved tree species and their typical planting patterns to serve campus cohesiveness. The SUMC Sites would include landscaping such as: the naturalistic Arboretum with native oak trees; formal open space to create nodes of interest and connectors; lawns with manicured grass; interior courtyards and gardens; and street tress that would line the streets and major pathways. Goal N-4: Water resources that are prudently managed to sustain plant and animal life, support urban activities, and protect public health and safety. Policy N-18: Protect Palo Alto’s groundwater from the adverse impacts of urban uses. During construction, impervious surfaces (e.g., parking lots and buildings) would be removed and pervious surfaces exposed to rainfall and runoff waters. Without controls, infiltrating rainfall could pick up existing pollutants in the underlying soils or pollutants associated with construction activities (e.g., spills and leaks) and carry these materials to the local groundwater table. Mitigation Measure HW-3.1, provided in Section 3.11, Hydrology, requires the SUMC Project sponsors to develop a work plan for any unknown contaminated sites. This measure would address environmental impacts associated with groundwater quality impacts. Policy N-19: Secure a reliable, long-term supply of water for Palo Alto. A Water Supply Assessment (WSA) was prepared for the SUMC Project to determine whether or not the City would have sufficient supply to meet projected demand. The WSA found that in years of average and above-average water supply, the City has adequate supplies to serve 100 percent of normal-year demands, inclusive of the SUMC Project, and that in dry-year and multiple-dry-year events, when SFPUC imposes reductions in its normal supply to the City, the City has in place a Water Shortage Contingency Plan sufficient to maintain a balance of supplies and demands. See Section 3.15, Utilities. Policy N-20: Maximize the conservation and efficient use of water in new and existing residences, businesses and industries. The SUMC Project would be required to conform to landscaping water conservation practices specified in the Municipal Code (see policy summary in Section 3.15, Utilities). Moreover, the SHC and LPCH have committed to several water conservation measures including daily and seasonal adjustment of irrigation, drought tolerant landscaping, and water and moisture-retaining mulches.6 The SUMC Project also proposes to apply water efficient fixtures, sterilizers, and kitchen equipment, and would continue its current use of microfiber mops for 6 William T. Phillips, Stanford University, Memorandum to Steven Turner, City of Palo Alto: Response to City Palo Alto’s Draft Water Supply Assessment for the Stanford University Medical Center Facilities Renewal and Replacement Project, August 2008. 3.2-22 Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies cleaning.7 Policy N-21: Reduce non-point source pollution in urban runoff from residential, commercial, industrial, municipal, and transportation land uses and activities. As discussed in Section 3.11, Hydrology, operation and construction of the SUMC Project could cause or contribute to stormwater runoff if disturbed surfaces are not stabilized and if changes in drainage patterns result in more runoff. However, compliance with existing mandatory regulations and implementation of these requirements would prevent substantial runoff by requiring erosion and sediment controls. In addition, Mitigation Measure HW-3.1, provided in Section 3.10, Hydrology, requires the SUMC Project sponsors develop a work plan for any unknown contaminated sites. This measure, along with the existing regulations, would address environmental impacts associated with groundwater and surface water quality impacts. Policy N-22: Limit the amount of impervious surface in new development or public improvement projects to reduce urban runoff into storm drains, creeks, and San Francisco Bay. As discussed in Section 3.11, Hydrology, the SUMC Project, at full buildout, would decrease stormwater runoff by increasing the pervious area on the site, including roof area that contains plant material.8 Policy N-23: Reduce the discharge of toxic materials into the City’s sanitary sewer collection system by promoting the use of Best Management Practices. Demolition of the existing structures on the SUMC Sites would disturb hazardous building materials such as asbestos, PCBs, lead, and mercury. In addition, hazardous materials, such as paints, solvents, cements, glues and fuels, would also be used in varying amounts during construction. Operation of the SUMC Project would also increase the use and amount of hazardous materials on the SUMC Sites. Examples of hazardous materials include chemical waste, medical waste, and radioactive waste. The SUMC Project sponsors would be required to comply with existing federal, State, and local laws and regulations to protect the community and the environment from exposure to hazardous materials, including the discharge of toxic materials into the City’s sanitary sewer collection system. Policy N-24: Improve storm drainage performance by constructing new system improvements where necessary and replacing undersized or otherwise inadequate lines with larger lines or parallel lines. As discussed in Section 3.14, Utilities, the SUMC Project would not require expansion of existing stormwater infrastructure. 7 Catherine Palter, memorandum to EIR Team (City of Palo Alto and PBS&J), November 12, 2008. 8 Stanford University Medical Center, Stanford University Medical Center Facilities Renewal and Replacement Project Application, August 2007, as amended; Tab 4, Figures 4-8a and 4-8b. Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use 3.2-23 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Goal N-5: Clean, healthful air for Palo Alto and the San Francisco Bay Area. Policy N-26: Support regional, State, and federal programs that improve air quality in the Bay Area. As discussed in Section 3.5, Air Quality, construction and operation of the SUMC Project would exceed BAAQMD standards for criteria pollutants. Policy N-26 does not prohibit such an exceedance. The SUMC Project includes continued implementation of the SUMC Project sponsors’ TDM program. Mitigation Measures AQ-1.1 and AQ-1.2, provided in Section 3.5, Air Quality, would address environmental impacts associated with particulate emissions by controlling construction dust and reducing diesel emissions. By requiring these mitigations, the City would support applicable air quality programs. Policy N-27: Reduce emission of particulates from wood burning stoves, construction activity, automobiles, and other sources. As discussed in Section 3.5, Air Quality, heavy construction activity on dry soil exposed during construction phases would cause emissions of dust (usually monitored as PM10), which could be annoying to persons near the construction area or otherwise unhealthy. The SUMC Project would implement existing TDM programs, which would minimize mobile source emissions during operation of the SUMC Project. Nevertheless, those emissions would exceed the Bay Area Air Quality Management District’s (BAAQMD) significance threshold of 80 pounds per day or 15 tons per year of PM10. Emissions would result in a substantial contribution to an existing regional particulate air quality problem. Mitigation Measures AQ-1.1 and AQ-1.2, provided in Section 3.5, Air Quality, would address environmental impacts associated with particulate emissions by controlling construction dust and controlling diesel emissions. These mitigation measures would reduce emissions of particulates from construction and continued implementation of the ongoing TDM programs would minimize emissions from operation of the SUMC Project. Policy N-28: Encourage developers of new projects in Palo Alto, including City projects, to provide improvements that reduce the necessity of driving alone. See Policies L-42, L-43, and N-27. 3.2-24 Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy N-29: All potential sources of odor and/or toxic air contaminants should be adequately buffered, or mechanically or otherwise mitigated to avoid odor and toxic impacts that violate relevant human health standards. As discussed in Section 3.5, Air Quality, the SUMC Project would include on-site stationary source emissions related to the periodic testing of emergency diesel generators. These emissions are not expected to have the potential for substantial odor impacts on local sensitive receptors, resulting in less-than-significant impacts. In addition, the health risk assessment prepared for the SUMC Project indicates that the estimated excess lifetime cancer risks associated with potential simultaneous exposures to construction diesel particulate matter (DPM) and operational sources of toxic air contaminants (TACs) would be below the BAAQMD significance threshold of 10 in one million, and the estimated health indexes (HIs) would be below 1. Goal N-6: An environment free of the damaging effects of biological and chemical hazardous materials. Policy N-30: Minimize the use of toxic and hazardous materials. Encourage the use of alternative materials and practices that are environmentally benign. As discussed in Section 3.11, Hazardous Materials, the SUMC Project would be required to conform to all Municipal Code, State and federal policies regarding the use of hazardous materials. Development proposed under the SUMC Project would comply with existing hazardous materials management plans. Goal N-7: Reduced volumes of solid waste; solid waste disposed in an environmentally safe, efficient, manner. Policy N-34: Reduce the amount of solid waste disposed in the City’s landfill by reducing the amount of waste generated and promoting the cost-effective reuse of materials that would otherwise be placed in a landfill. As discussed in Section 3.14, Utilities, the SUMC Project would be subject to Palo Alto Municipal Code 5.24 Requirement to Divert Construction and Demolition Waste from Landfill Ordinance. In addition to complying with Stanford University’s general waste reduction initiatives, which cover paper, cardboard, cans, glass, and plastics, compostable goods, batteries, and other items, the hospitals would implement a number of specialized recycling programs for items such as electronic wastes, fluorescent lamps, toner and inkjet cartridges, surplus chemicals, batteries, and waste anesthetics. Instrumentation and automation upgrades would also help to reduce the production of wastes. The SUMC Project would not generate wastes that would exceed the capacity of the solid waste facilities that serve the City, and would take measures to reduce, reuse, and recycle wastes. Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use 3.2-25 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy N-35: Reduce solid waste generation through salvage and reuse of building materials, including architecturally and historically significant materials. As discussed in Section 3.14, Utilities, construction of the SUMC Project would be subject to the Requirement to Divert Construction and Demolition Waste from Landfill Ordinance (Palo Alto Municipal Code 5.24). This ordinance requires that a minimum of 90 percent of inert solids (e.g., concrete, asphalt, and rock) and a minimum of 50 percent of the remaining debris, generated from construction and demolition projects, be diverted from landfills through reuse and/or recycling. Policy N-37: Ensure the environmentally sound disposal of solid waste. See Policies N-34 and N-35. Goal N-8: An environment that minimizes the adverse impacts of noise. Policy N-39: Encourage the location of land uses in areas with compatible noise environments. Use the guidelines in the table “Land Use Compatibility for Community Noise Environment” to determine compatibility. The SUMC Project would not introduce a new land use but would expand and reconfigure the established medical office and hospital land uses at the SUMC Sites. This analysis looks at the relationship of the SUMC Sites with surrounding uses. As discussed in Section 3.7, Noise, the mechanical noise generated by the SHC emergency generators off Welch Road could have a significant impact on nearby residential uses. However, Mitigation Measure NO-4.1 requires shielding or enclosure of equipment, which would reduce noise to less-than-significant levels. The SUMC Project would emit significant and unavoidable ambulance noise on residential uses off a portion of Sand Hill Road. However, ambulance noise is not considered to be incompatible in residential or other developed areas. It also should be noted that the SUMC Project would not create a new land use on the Main SUMC Site. Also, ambulance noise is already generated by the SHC Hospital, and the impact in this case would be along a portion of Sand Hill Road where there would be a new ambulance route. Policy N-39 does not prohibit location of land uses with incompatible noise sources; rather it calls for encouraging location of land uses in areas with compatible noise environments. The ambulance noise would be sporadic within the existing environment. Policy N-41: When a proposed project is subject to CEQA, the noise impact of the project on existing residential land uses should be evaluated in terms of the increase in existing noise levels and potential for adverse community impact, regardless of existing background noise levels. If an area is below the applicable maximum noise guideline, an increase in noise up to the maximum should not necessarily be allowed. A project should be considered to cause a significant degradation of the noise environment if it meets any of the following criteria: Consistent with Policy N-41, this EIR identifies where significant noise impacts will occur. Section 3.7, Noise, provides an evaluation of the SUMC Project on residential uses. Among the significance criteria applied are the standards set forth in the Comprehensive Plan. Based on the City’s Ldn criteria in the Comprehensive Plan, the SUMC Project would emit significant and unavoidable ambulance noise on residential uses off a portion of Sand Hill Road, on the basis that the ambulance noise would increase Ldn by more than 5.0 dB, as stated in Policy N-41. Existing 3.2-26 Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies • The project would cause the average 24-hour noise level (Ldn) to increase by 5.0 dB or more in an existing residential area, even if the Ldn would remain below 60 dB; • The project would cause the Ldn to increase by 3.0 dB or more in an existing residential area, thereby causing the Ldn in the area to exceed 60 dB; • The project would cause an increase of 3.0 dB or more in an existing residential area where the Ldn currently exceeds 60 dB. Ldn along Sand Hill Road ranges from 53.5 to 55.2 dBA, which is below the 75 dB maximum noise guideline for conditionally acceptable uses, per the Comprehensive Plan’s Land Use Compatibility chart. The ambulance noise would increase Ldn by about 8 dBA. At most, the resulting dBA would be about 63.2 dBA, which is still within the maximum noise guideline for conditionally acceptable uses per the Comprehensive Plan’s Land Use Compatibility chart. As such, the City may approve the SUMC Project under Policy N-41. Policy N-43: Protect the community and especially sensitive noise receptors, including schools, hospitals, and senior care facilities, from excessive noise. Section 3.7, Noise, states that construction of the SUMC Project could result in a significant noise level with respect to on-site hospital uses. Mitigation Measure NO-1.1, identified in Section 3.7, Noise, involves best management practices for construction noise and would address environmental impacts associated with pile driving noise to off-site sensitive receptors and other construction noise impacts to on-site sensitive receptors. This mitigation measure would lessen the impacts from excessive construction-related noise. Also, the mechanical noise could have a significant impact on nearby residential uses. However, Mitigation Measure NO- 4.1 requires shielding or enclosure of equipment, which would reduce noise to less- than-significant levels. The City has identified feasible measures to protect sensitive uses from excessive noise. Goal N-9: A clean, efficient, competitively-priced energy supply that makes use of cost-effective renewable resources. Policy N-47: Optimize energy conservation and efficiency in new and existing residences, businesses, and industries in Palo Alto. As discussed in Section 3.6, Climate Change, the SUMC Project includes a number of energy conservation strategies. The SHC and LPCH components of the SUMC Project would be designed to achieve EnergyStar scores of 90-95, which means they would perform better than 90-95 percent of similar hospitals. The buildings would use 35 percent less energy than typical hospitals (based on a comparison to DOE’s Commercial Buildings Energy Consumption Survey) and 20 percent less energy than a hospital designed to meet ASHRAE 90.1 standards. The new SoM buildings would meet Stanford University’s 2008 Building Performance Guidelines, which set a target energy efficiency in new buildings of 30 percent below California Title 24/ASHRAE 90.1 (2004). Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use 3.2-27 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy N-48: Encourage the appropriate use of alternative energy technologies. The City provides electricity and natural gas to the SUMC Site and is currently replacing a significant portion of its energy supply with renewable energy resources. Although no on-site renewable energy technologies are planned, the SUMC Project would support alternative energy technologies through purchase of energy through the City. Goal N-10: Protection of life and property from natural hazards, including earthquake, landslide, flooding, and fire. Policy N-51: Minimize exposure to geologic hazards, including slope stability, subsidence, and expansive soils, and to seismic hazards including groundshaking, fault rupture, liquefaction, and landsliding. As discussed in Section 3.10, Geology, non-hospital structures would be required to comply with the California Building Code, while hospital structures would be required to comply with heightened OSHPD requirements, both of which would reduce exposures to geologic hazards to a less-than-significant level. The SUMC Project was initially triggered by SB 1953, which requires the all hospital facilities meet current seismic standards to prevent disruption of hospital operations during an earthquake. Policy N-52: Minimize exposure to flood hazards by adequately reviewing proposed development in flood prone areas. This EIR reviews potential flooding impacts at the SUMC Site in Section 3.11, Hydrology. Flooding impacts were determined to be less than significant. Policy N-54: Provide emergency fire and medical services consistent with the response time standards set forth in the Fire Department’s annual budget. As discussed in Section 3.14, Public Services, the SUMC Project must construct its proposed structures to current OSHPD and City Code standards for fire safety and would install the latest fire control measures. As a part of the City’s development review process, the State Fire Marshal would review the plans for the SUMC Project (including construction, fire service water main, and Automatic Fire Alarm System plans) to determine conformance with the Fire Code prior to issuance of a building permit. Goal C-4: Attractive, well-maintained community facilities that serve Palo Alto residents. Policy C-26: Maintain and enhance existing park facilities. There are no City park facilities on the SUMC Sites. Per Section 3.14, Public Services, the SUMC Project would have a less-than-significant impact on City parks. Policy C-27: Seek opportunities to develop new parks and recreation facilities to meet the growing needs of residents and employees of Palo Alto. As discussed in Section 3.14, Public Service, as required by Palo Alto Municipal Code 16.58, the SUMC Project would be required to pay a “Community Facility Fee,” which has a line item for parks that would fund acquisition of land and improvements for neighborhood and district parks. 3.2-28 Stanford University Medical Center Facilities Renewal and Replacement Draft EIR — Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Goal C-5: Equal access to educational, recreational, and cultural services for all residents. Policy C-30: Facilitate access to parks and community facilities by a variety of transportation needs. See Policies L-42, L-43, and L-45. The Marguerite Shuttle, one of the TDM measures discussed above, would provide access between the SUMC Sites and other community facilities. Goal B-6: Thriving employment districts at Stanford Research Park, Stanford Medical Center, East Bayshore/San Antonio Road Area and Bayshore Corridor that complement the City’s business and neighborhood centers. Policy B-32: Assist Stanford Medical Center in responding to changes in the delivery of health care services. Work with the Center to plan for changing facility needs, but within the context of City of Palo Alto planning goals and policies, as well as the goals and policies of other relevant jurisdictions. The SUMC Project addresses changing demand for health care services and facilities. The City is working with the SUMC Project sponsors to determine the most appropriate plan for future development as part of the review of the SUMC Project application. This EIR has been prepared to inform the City’s decisions with respect to applicable planning goals and policies. Sources: Palo Alto Comprehensive Plan, 1998; PBS&J, 2010. Page 20 110525 jb 0130751 EXHIBIT C STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed LAND USE IMPACT BEING ADDRESSED: Without mitigation measures to ensure consistency with the Comprehensive Plan’s policies adopted for the purpose of avoiding or mitigating an environmental effect, the SUMC Project could conflict with Comprehensive Plan policies that avoid or reduce impacts related to visual quality, cultural resources, pedestrian circulation, urban forest resources, groundwater and runoff pollution, air quality degradation, and noise incompatibility. (LU-1) See Mitigation Measures VQ-2.1, TR-6.1, AQ-1.1 through AQ-1.2, NO-1.1, NO-4.1, CR-1.1 through CR-1.5, BR-4.1 through BR-4.5, and HW-3.1. IMPACT BEING ADDRESSED: Because the SUMC Project would intensify the planned uses within the SUMC Sites, the SUMC Project would have a significant impact pertaining to on-site character and views. (LU-5) See Mitigation Measure VQ-2.1. VISUAL QUALITY IMPACT BEING ADDRESSED: The SUMC Project would substantially degrade the existing visual character and quality of the SUMC Sites during construction. (VQ-1) VQ-1.1 Implement Construction Visual Improvements Plan. The SUMC Project sponsors shall develop and implement a Construction Visual Improvements Plan that would make visual improvements to construction zones within a given construction phase and between phases if the zone is not scheduled for construction activity or would remain unused for a period greater than six months. Construction zones subject to this mitigation measure shall be defined by the Planning Director, and shall consider the size of the area, the nature and timing of the construction activity, and the proximity or visibility of the area to public vantage points or residential uses. The Construction Visual Improvements Plan shall be implemented by the project contractor(s) and must be approved by the Planning Director. The intent of the plan is to aesthetically improve portions of Review and approve Construction Visual Improvements Plans; compliance monitoring City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Page 21 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed the project site that would remain unimproved for an extended period and screen the construction zone from view by passersby along the public streets and sidewalks. Possible improvements in the plan include, but are not limited to, the following: a. The SUMC Project sponsors shall conceal staging areas with fencing material to be approved by the Planning Director prior to commencement of use of the staging area for construction equipment and vehicles. b. The SUMC Project sponsors shall frequently remove construction debris and refuse from the SUMC Sites. c. The SUMC Project sponsors shall install all landscaping as early as feasible to decrease visual impacts of construction. Existing landscaping within the SUMC Sites that would not be removed by the construction shall be maintained. Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project would have a significant impact pertaining to degradation of the existing visual character or quality of the SUMC Sites and their surroundings. (VQ-2) VQ-2.1 Adhere to City’s Architectural Review Process and Recommendations. The SUMC Project sponsors shall submit final building and site plans to the ARB prior to issuance of any development permits. Architectural Review shall assess the appropriateness of proposed demolitions, proposed building heights and massing, siting of buildings and structures, architecture and façade treatments, landscaping, circulation plans, and parking. The ARB may recommend alterations to any of the above project features, or the ARB may suggest new features, such as new landscaping or public art, to improve the proposed SUMC Project design. Any Undergo Architectural Review; verify building permit plan compliance City of Palo Alto City Council or City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Page 22 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed conditions required by the City Council as a result of the Architectural Review process with respect to the design of the SUMC Project shall be implemented by the SUMC Project sponsors. Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project would result in significant impacts on views. (VQ-3) See Mitigation Measure VQ-2.1. IMPACT BEING ADDRESSED: The SUMC Project could increase light and glare nuisance from exterior lighting, resulting in a significant impact. (VQ-5) See Mitigation Measure VQ-2.1. TRANSPORTATION IMPACT BEING ADDRESSED: Construction activity associated with the SUMC Project could result in significant traffic impacts. (TR-1) TR-1.1 Provide Off-Street Parking for Construction Related Vehicles. The SUMC Project sponsors shall be required to provide adequate off-street parking for all construction-related vehicles throughout the construction Verify that information is contained in construction impact mitigation plan City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance SHC Hospital ______________________________________ Signature Date Page 23 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed period. If adequate parking cannot be provided on the construction sites, a remote parking area shall be designated, and a shuttle bus shall be operated to transfer construction workers to the job site. pursuant to TR-1.8; compliance monitoring monitoring during construction SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date TR-1.2 Maintain Pedestrian Access. The SUMC Project sponsors shall be prohibited from substantially limiting pedestrian access while constructing the SUMC Project, without prior approval from the City of Palo Alto Department of Public Works. Such approval shall Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring during SHC Hospital ______________________________________ Signature Date SHC Clinics Page 24 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed require submittal and approval of specific construction management plans to mitigate the specific impacts to a less-than-significant levels. Pedestrian access-limiting actions would include, but not be limited to, sidewalk closures, bridge closures, crosswalk closures or pedestrian re-routing at intersections, placement of construction-related material within pedestrian pathways or sidewalks, and other actions which may affect the mobility or safety of pedestrians during the construction period. If sidewalks are maintained along the construction site frontage, covered walkways shall be provided. compliance monitoring construction ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Page 25 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed TR-1.3 Maintain Bicycle Access. The SUMC Project sponsors shall be prohibited from limiting bicycle access while constructing the SUMC Project without prior approval from the City of Palo Alto Department of Public Works. Such approval shall require submittal and approval of specific construction management plans that warn cyclists prior to reaching the impacted bicycle lanes and provide alternative routing around the construction sites to mitigate the specific impacts to a less-than- significant level. Bicycle access-limiting actions would include, but not be limited to, bicycle lane closures or narrowing, closing or narrowing of streets that are designated bicycle routes, bridge closures, the placement of construction-related materials within designated bicycle lanes or along bicycle routes, and other actions which may affect the mobility or safety of bicyclists during the construction period. Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date TR-1.4 Restrict Construction Hours. The SUMC Project Verify that information City of Palo Alto Prior to issuance of SHC Hospital Page 26 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed sponsors shall be required to prohibit or limit the number of construction material deliveries from 7:00 a.m. to 9:00 a.m., and from 4:00 p.m. to 6:00 p.m. on weekdays. The SUMC Project sponsors shall be required to limit the number of construction employees based upon an approved construction management plan from arriving or departing the site from the hours of 4:30 p.m. to 6:00 p.m. Although not needed to reduce the impact to a less-than-significant level, the SUMC Project sponsors also shall limit the number of construction employees from arriving at the site from 7:00 a.m. to 9:00 a.m., contingent upon the City’s granting of an exception to its construction hours under its noise ordinance to allow construction to commence at 7:00 a.m. is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring Planning and Community Environment, Public Works Department building permits for each building; compliance monitoring during construction ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date TR-1.5 Restrict Construction Truck Routes. The SUMC Project sponsors shall be required to deliver and remove Verify that information is contained in City of Palo Alto Public Works Prior to issuance of building permits for SHC Hospital ______________________________________ Page 27 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed all construction-related equipment and materials on truck routes designated by the cities of Palo Alto, East Palo Alto and Menlo Park. Heavy construction vehicles shall be prohibited from accessing the site from other routes. Figure 3.4-6 and 3.4-7 of the EIR illustrates the Stanford Area Truck Routes which must be used by all trucks. construction impact mitigation plan pursuant to TR-1.8; compliance monitoring Department each building; compliance monitoring during construction Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Page 28 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed TR-1.6 Protect Public Roadways During Construction. The SUMC Project sponsors shall be required to repair any structural damage to public roadways, returning any damaged sections to original structural condition. The SUMC Project sponsors shall survey the condition of the public roadways along truck routes providing access to the proposed project site before construction, and shall again survey after construction is complete. A before- and-after survey report shall be completed and submitted to the City of Palo Alto Public Works Department for review, indicating the location and extent of any damage. Review before and after survey reports to determine the repair to public roadways City of Palo Alto Public Works Department Before construction of any portion of the SUMC projects and after SUMC Project construction is completed “Before” Survey Report ______________________________________ Signature Date “After” Survey Report ______________________________________ Signature Date Road Repair Completed, if necessary ______________________________________ Signature Date TR-1.7 Maintain Public Transit Access and Routes. The SUMC Project sponsors shall be prohibited from limiting access to public transit, and from limiting movement of public transit vehicles, without prior approval from the Santa Clara County Valley Transportation Authority (VTA) or other appropriate jurisdiction. Such approval shall require submittal and approval of specific measures to reduce impacts to a less-than-significant level. Potential actions which would impact access to transit include, but are not limited to, relocating or removing bus stops, limiting access to bus stops or transfer facilities, or otherwise restricting or constraining public transit operations. Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date Page 29 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Page 30 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed TR-1.8 Prepare and Implement Construction Impact Mitigation Plan. In lieu of the above mitigation measures, the SUMC Project sponsors shall submit a detailed construction impact mitigation plan to the City of Palo Alto for approval by the Director of Public Works prior to commencing any construction activities with potential transportation impacts. This plan shall address in detail the activities to be carried out in each construction phase, the potential transportation impacts of each activity, and an acceptable method of reducing or eliminating significant transportation impacts. Details such as the routing and scheduling of materials deliveries, construction employee arrival and departure schedules, employee parking locations, and emergency vehicle access shall be described and approved. Prior to its approval of the construction impact mitigation plan, the City of Palo Alto shall provide a copy of the construction impact plan to the City of Menlo Park for review and comment. Review and approve construction impact mitigation plans; compliance monitoring; transmit construction impact mitigation plans to the City of Menlo Park and receive comment City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring throughout term of the construction impact mitigation plan SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Page 31 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed TR-1.9 Conduct Additional Measures During Special Events. During major athletic events or other special events which attract a substantial number of visitors to the campus, the SUMC Project sponsors shall implement a mechanism to prevent roadway construction activities from reducing roadway capacity along those roadways that would be affected by the SUMC Project and that would provide access to the athletic or other special events. This measure may require a special supplemental permit to be approved by either Santa Clara County or the City of Palo Alto prior to hosting such events during significant construction phases. Review and approve SUMC Sponsor- prepared plan(s) to minimize traffic effects in advance of major events near the SUMC during construction City of Palo Alto Planning and Community Environment As necessary during construction Welch Road Improvements ______________________________________ Signature Date IMPACT BEING ADDRESSED: Implementation of the SUMC Project would result in significant impacts to intersections during Peak Hour conditions. (TR-2) TR-2.1 Install Traffic-Adaptive Signal Technology. The SUMC Project sponsors shall contribute to the Palo Alto Citywide Traffic Impact Fee program, for the installation of traffic-adaptive signals. In Menlo Park, the SUMC Project sponsors shall contribute their fair share amount, which shall be tied to the amount of traffic added to analyzed intersections by the SUMC Project. The SUMC Project sponsors’ contributions shall apply towards the installation of traffic-adaptive signals as listed below.  Sand Hill Road (Oak Creek to Shopping Center) - 3 signals  Arboretum Road (Shopping Center to Palm Drive) - 3 signals  Embarcadero Road (Bryant to Saint Francis) - 7 signals Verify payment of Citywide Traffic Impact Fee and fair share contribution towards traffic-adaptive signals in Palo Alto and Menlo Park. City of Palo Alto Department of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Page 32 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed  University Avenue (Palm to Lincoln) - 13 signals  Lytton Avenue (Alma to Middlefield) - 10 signals  Hamilton Avenue (Alma to Middlefield) - 10 signals  Middlefield Road (San Antonio to Homer) - 9 signals  Charleston Road (Alma to Middlefield) - 2 signals  El Camino Real (northern city limits of Palo Alto to southern city limits of Palo Alto) – signals would require approval of Caltrans In addition, the SUMC Project sponsors shall pay a fair share contribution towards installation of traffic-adaptive signals at the below significantly-impacted intersections in Menlo Park. These intersections are among those at which Menlo Park anticipates installing traffic-adaptive signals:  Middlefield Road/Willow Road (intersection #18)  Middlefield Road/Ravenswood Avenue (intersection #46) TR-2.2 Fund Additional Bicycle and Pedestrian Undercrossings. The SUMC Project sponsors shall contribute their fair share to the cost of construction of the Everett Avenue undercrossing of the Caltrain tracks in Palo Alto and the Middle Avenue undercrossing in Menlo Park. In Palo Alto, there is a Citywide Traffic Impact Fee program that the SUMC Project sponsors shall contribute to. In Menlo Park, the fair share contribution shall be tied to the amount of traffic added to Verify payment of Citywide Traffic Impact Fee and fair share contribution towards bicycle and pedestrian undercrossings in Palo Alto and Menlo Park. City of Palo Alto Department of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics Page 33 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed analyzed intersections by the SUMC Project. The construction of the Everett Avenue and Middle Avenue undercrossings would reduce traffic volumes on nearby streets, such as Ravenswood Avenue and University Avenue. ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Page 34 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed TR-2.3 Enhance Stanford University Transportation Demand Management (TDM) Program. The SUMC Project sponsors shall enhance the currently-implemented TDM program in order to achieve 35.1 percent usage of alternative transportation modes (i.e., carpool, vanpool, bus, Caltrain, bicycle, and walk) by Hospital employees. The initial enhancements to the SUMC TDM program shall include the following:  Commencing on September 1, 2015, the Hospitals shall purchase annual Caltrain GO Passes (free train passes) for all existing and new Hospital employees who work more than 20 hours per week, at a cost of up to One Million Eight Hundred Thousand Dollars ($1,800,000) per year, which amount shall be adjusted annually to reflect any change in the San Francisco Bay Area Consumer Price Index (the “GO Pass Amount”). The Hospitals’ obligation to provide GO Passes shall continue for fifty-one (51) years , or until such earlier date as: (a) Caltrain discontinues the GO Pass program, or a substantially similar program; (b) Caltrain increases the cost of GO Passes, or a substantially similar program, such that the Hospitals’ annual costs would exceed the GO Pass Amount; or (c) Caltrain service is reduced by such an extent that the Hospitals and the City mutually determine purchase of annual GO Passes, or a substantially similar program, would no longer be effective in substantially reducing Hospital employee peak period trips in order to achieve the Alternative Mode targets in Table 3.4-19A in Section 3 in the Final EIR. If the cost of obtaining GO Passes exceeds the GO Pass Amount, the Hospitals shall have the option to elect either to purchase the GO Passes at the then applicable Review TDM reports to verify that enhancements of TDM program have been implemented and determine whether interim mode split targets have been achieved; transmit TDM reports to City of Menlo Park for their review City and SUMC Project sponsors will meet annually to discuss effectiveness of enhanced TDM program and to identify potential improvements. SUMC Project sponsors may modify enhanced TDM program as needed to improve its effectiveness. Verify lease of 75 parking spaces at Ardenwood Park and Ride lot, or an equivalent location, at a cost not to exceed City of Palo Alto Department of Planning and Community Environment Baseline TDM report within six months of SUMC Project approval Annual TDM reports submitted each Spring Baseline TDM Report ______________________________________ Signature Date Spring 2013 ______________________________________ Signature Date Spring 2014 ______________________________________ Signature Date Spring 2015 ______________________________________ Signature Date Spring 2016 ______________________________________ Signature Date Spring 2017 ______________________________________ Signature Date Spring 2018 ______________________________________ Signature Date Spring 2019 ______________________________________ Signature Date Spring 2020 Page 35 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed price, or to terminate the obligation to provide GO Passes, or a substantially similar program. If the Hospitals’ obligation to provide GO Passes, or a substantially similar program, terminates for any of the reasons specified in this measure , the Hospitals shall contribute the GO Pass Amount to one or more substitute programs to encourage use of transit by Hospital employees or otherwise reduce peak period traffic trips in the intersections impacted by the Project as identified in the Project EIR, including but not limited to regional transportations systems or solutions. The substitute program or programs shall be mutually agreed upon by the SUMC Parties and the City’s Director of Planning and Community Environment.  Use all reasonable efforts to arrange with AC Transit to lease 75 spaces at the Ardenwood Park & Ride Lot, or an equivalent facility, to serve SUMC employees who commute from the East Bay.  Expand the Marguerite shuttle bus service between the SUMC and PAITS as needed to accommodate increased ridership by Hospital employees.  Use all reasonable efforts to assure that the controlling transit agency maintains load factors less than 1.00 on the U-Line.  Maintain a load factor less than or equal to 1.25 on the Marguerite shuttle.  Expand and improve the bicycle and pedestrian networks as specified by Project site plans. $45,000 per year. For U-Line load factors, verify Initial Payment offer to AC transit ($250,000) and then subsequent annual payment offers up to $50,000 total. ______________________________________ Signature Date Spring 2021 ______________________________________ Signature Date Spring 2022 ______________________________________ Signature Date Spring 2023 ______________________________________ Signature Date Spring 2024 ______________________________________ Signature Date Spring 2025 ______________________________________ Signature Date Spring 2062 ______________________________________ Signature Date Page 36 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed  Provide a full-time on-site TDM coordinator by 2015 for the hospital components. The coordinator would be responsible for organizing and disseminating TDM information primarily to hospital employees and also to hospital patients. A central location would be made available to provide information on alternative travel modes. Also, the SUMC or Hospitals’ website would contain information on TDM programs.  Provide a guaranteed ride home program for all employees who use transit and other transport alternatives like carpool and vanpool. The guarantee ride home shall allow employees with dependent children the ability to use alternative modes to travel to and from work but still be able to travel home mid- day in case of an emergency.  Provide employees with shower facilities within the SUMC Sites to encourage bicycling to work. The SUMC Project sponsors shall also provide bicycle storage facilities on the SUMC Sites that would be conveniently located near the employee showers.  Establish, in conjunction with the GO Pass implementation, a “Zip Car” (or other similar car- sharing program) with Zip Cars available at the medical complex.  Perform annual TDM monitoring from the date of initial project approval through the life of the project (51 years after project approval) and submit the report to the City of Palo Alto. This report also shall be submitted to the City of Menlo Park for its review.  Within six (6) months of project approval, and Page 37 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed annually for a period of fifty-one (51) years from initial project approval, the SUMC Project sponsors shall submit to the City’s Director of Planning and Community Environment, a Hospital TDM Program Report that shows the current number of employees employed over 20 hours per week;, the number of employees using an alternative mode share as documented by a study or survey to be completed by the Hospitals using a method mutually agreeable to the City and Hospitals; and the efforts used by the Hospitals to attempt to achieve the Alternative Mode targets. These enhancements may not immediately change the mode split for Hospital employees. Further, because transit use by employees of the Hospitals is voluntary, and may be influenced by a number of factors outside the reasonable control of the Hospitals, such as gasoline prices, costs and availability of alternative transit, housing costs and availability, and personal preferences of employees, the Hospitals cannot guarantee the results of their TDM programs. The interim targets in Table 3.4-19A in Section 3 in the Final EIR shall be used to measure the progress toward meeting the desired mode split by 2025. These interim targets assume that in the early phases of implementation, there may be larger shifts to alternative modes than the shifts that may occur in later phases of the TDM program enhancement. For purposes of calculating alternative mode share, any mode that does not constitute driving in a single-occupant vehicle to and from the work site shall be Page 38 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed considered an “Alternative Mode,” including working remotely from home. For each of the interim target years, following submission of the Hospitals TDM Annual Report, the City shall determine if the interim year target has been met. If the Hospitals have not met the interim target, the Hospitals and the City shall meet to review the TDM Program and to identify possible additional TDM Program enhancements that the Hospitals should consider incorporating into their TDM Program in order to increase the Program’s effectiveness. If the Hospitals do not meet the applicable interim targets for any two consecutive years prior to 2025, the Hospitals shall provide alternative transportation funding to the City of Palo Alto in annual payments in the amount of $175,000 per year until the earlier of the year 2025 or the year the Hospitals achieve the applicable interim mode split target, subject to a maximum of five annual payments. The alternative transportation funding shall be used by the City of Palo Alto for local projects and programs that encourage citywide use of alternative transportation mode uses or otherwise reduce peak period traffic trips in the intersections impacted by the Project as identified in the Project EIR, including but not limited to regional transportation systems and solutions. The City of Palo Alto should consider transportation systems and solutions that also help to reduce traffic in the City of Menlo Park. . If by 2025, the Hospitals have not demonstrated substantial Page 39 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed achievement of the 35.1 percent target modal split for alternative transportation modes, the following measure shall be required:  The Hospitals shall make a lump sum payment of $4.0 million to the City of Palo Alto for local projects and programs that encourage and improve citywide use of alternative transportation mode uses or otherwise reduce peak period traffic trips in the intersections impacted by the Project as identified in the Project EIR, including but not limited to regional transportation systems and solutions. The City of Palo Alto shall identify capital projects and program enhancements for which the funds may be applied. Sample projects may include contributions towards regional transportation projects of interest to the City of Palo Alto and that are identified within the Valley Transportation Authority – Valley Transportation Plan or other local planning documents. The City of Palo Alto should consider transportation systems and solutions that also help to reduce traffic in the City of Menlo Park. If required, said $4.0 million payment shall constitute funds to be used by the City to offset trips by Hospital employees through citywide trip reduction. The $4.0 million payment shall not relieve the Hospitals of any of their obligations under this measure, including but not limited to their obligations to continue to attempt to achieve the 35.1 percent target modal split through implementation of the GO Pass or substantially similar program, or a substitute program mutually agreed upon by the Hospitals and the City’s Director of Planning and Community Environment, which shall continue for 51 years from the date of Project approval. Further, the Hospitals Page 40 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed shall continue to implement an enhanced TDM program, monitor modal splits by Hospital employees, and strive to maximize use of alternative commute modes by Hospital employees. In addition, the Hospitals shall continue to meet with the City on a regular basis to identify potential improvements to the enhanced TDM program. TR-2.4 Fund or Implement those Intersection Improvements that Have Been Determined to be Feasible. The SUMC Project sponsors shall implement the following measures:  At the intersection of Arboretum Road/Galvez Street, the SUMC Project sponsors shall install a traffic signal.  At the intersection of Bayfront Expressway/Willow Road, the SUMC Project sponsors shall pay a fair share towards providing one more right-turn lane for eastbound Willow Road.  At the intersection of Bayfront Expressway/ University Avenue, the SUMC Project sponsors shall pay a fair share towards widening southbound Bayfront Expressway to include an additional through lane and re-stripe the exclusive right turn lane to a shared through right turn lane. As a result, two additional receiving lanes in the southbound direction on Bayfront Expressway would be needed. Verify installation of Arboretum/Galvez traffic signal Verify payment of fair share contribution for both Bayfront intersections City of Palo Alto Director of Planning and Community Environment Prior to Occupancy Permit for SHC Hospital Arboretum/Galvez traffic signal ______________________________________ Signature Date Fair Share Payment for both Bayfront intersections ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project would result in adverse traffic impacts to roadway segments in the City of Menlo Park. (TR-3) See Mitigation Measures TR-2.2, TR-2.3, TR-7.2. IMPACT BEING ADDRESSED: The SUMC Project could result in significant traffic impact to the local circulation network in the immediate vicinity of the SUMC Sites. (TR- Page 41 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed 4) TR-4.2 Fund Signing and Striping Plan and Signal Optimization. In addition to paying for the construction of the extension of Durand Way from Sand Hill Road to Welch Road, the SUMC Project sponsors shall also pay for the following improvements to ensure that queues from the Durand Way/Sand Hill Road intersection do not spillback onto the Durand Way/Welch Road intersection.  A signing and striping plan for the Durand Way extension, which would maximize the storage capacity by creating a four-lane roadway with a left and through/right at Sand Hill Road and a right and through/left at Welch Road;  The installation and optimization of the two signals at the intersections of Durand Way/Sand Hill Road and Durand Way/Welch Road. Review signing and striping plan for Durand Way extension, and signal optimization plan for Durand Way/ Sand Hill Road and Durand Way/ Welch Road City of Palo Alto Department of Planning and Community Environment Prior to issuance of building permit for Durand Way Durand Way Improvements ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project could impede the development or function of planned bicycle or pedestrian facilities, and result in a significant impact. (TR-6) TR-6.1 Bicycle and Pedestrian Infrastructure Improvements. The SUMC Project sponsors shall fund the expansion and improvement of the bicycle and pedestrian network in the immediate vicinity of the SUMC Project. The intent of these improvements is to:  reduce auto related traffic by providing the infrastructure for alternative travel modes;  improve the bicycle and pedestrian linkages between the SUMC Project and Downtown Palo Alto, and between the SUMC Project and the surrounding residential neighborhoods; and  mitigate the safety hazards to pedestrians and cyclists that will result from the SUMC Project related Verify payment for connection from planned Everett bike/ped undercrossing to ECR/Quarry ($2,250,000), and enhancements of Quarry Road and intersections ($400,000) Verify construction of bicycle/ped connection City of Palo Alto Planning and Community Environment Payments received prior to Initial Date (45 days from Notice of Determination) City constructs improvements prior to Hospital Occupancy Permit Stanford constructs bicycle/ped connection between Funding received for improvements ______________________________________ Signature Date Improvements completed by City ______________________________________ Signature Date Improvements completed by Stanford ______________________________________ Signature Date SHC Hospital Bike Parking Page 42 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed increase in vehicular traffic and congestion. The specific improvements to be funded by the SUMC Project sponsors shall include the following:  Create a bicycle and pedestrian connection between the Stanford Shopping Center and SUMC. The connection shall provide an alternative route to Quarry Road, which is auto dominated. This connection shall extend between Vineyard Lane and Welch Road. Pedestrian traffic signals and crosswalks shall be placed at the crossing of Vineyard Lane and Welch Road. The crosswalk shall be enhanced either by striping or by the use of contrasting paving.  Provide a connection from the planned Everett Avenue bicycle and pedestrian undercrossing to the El Camino Real/Quarry Road intersection. Once the tunnel is completed, this linkage shall provide a direct connection between the SUMC Project and Downtown North.  Incorporate into the Quarry Road corridor, from El Camino Real to Welch Road, improvements to and within the public right-of-way to enhance the pedestrian and bicycle connection, including urban design elements and way finding, wider bicycle lanes, as necessary, on Quarry Road, enhanced transit nodes for bus and/or shuttle stops, and prominent bicycle facilities.  Enhance all signalized intersections in the Project Vicinity, particularly along Quarry Road, Vineyard, and Welch Roads to include 12-foot pedestrian crosswalks on all legs, with textured or colored paving or diagonal or longitudinal zebra striping as determined by the City, pedestrian push buttons and countdown pedestrian signal between Stanford Shopping Center and SUMC Verify that landscape plans contain sufficient Class I and III bicycle parking spaces and are located in a manner consistent with the City of Palo Alto Municipal Code Stanford Shopping Center and SUMC prior to LPCH Hospital Occupancy Permit. Bike parking requirements prior to issuance of issuance of building permits for each building ______________________________________ Signature Date SHC Clinics Bike Parking ______________________________________ Signature Date LPCH Hospital/Clinics Bike Parking ______________________________________ Signature Date Hoover MOB Bike Parking ______________________________________ Signature Date FIM 1 Bike Parking ______________________________________ Signature Date FIM 2 Bike Parking ______________________________________ Signature Date FIM 3 Bike Parking ______________________________________ Signature Page 43 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed heads, and other specific improvements that are determined as necessary during the design process, such as median refuge islands, advanced signing, flashing beacons, in-pavement lighting, etc.  Install the appropriate number of Class I and Class III bicycle parking spaces as required by the City’s Zoning Ordinance for the total amount of existing and future development. The SUMC Project sponsors shall install the required number of bicycle parking spaces equally distributed throughout the SUMC Sites. IMPACT BEING ADDRESSED: The SUMC Project would not adversely impact either AM or PM Peak Hour bus service in Palo Alto or Caltrain service. Nonetheless, mitigation to provide enhanced bus stops and shuttle service is identified here. (TR-7) TR-7.1 Incorporate Enhanced Bus Stops Into Site Plans. The SUMC Project sponsors shall revise their SUMC Project site plan to incorporate two enhanced bus stops to reduce the impact to transit service caused by the SUMC Project. These enhanced bus stops shall be located at Hoover Pavilion and at SHC, and shall be on-street facilities. The enhanced bus stops shall accommodate two buses simultaneously, and shall have shelters, seating, lighting, signs, maps, bus schedules, and bicycle parking. On-street bus stops along Welch Road and Quarry Road shall also be provided, but the enhanced bus stops shall accommodate the majority of transit riders and shall be located to maximize the convenience of employees, patients, and visitors. One enhanced bus stop shall be located in the vicinity of Welch Road and Pasteur Drive to serve SHC. The other enhanced bus stop shall be located near the entrance to Hoover Pavilion. Both of these enhanced bus stops shall provide the focal point for transit use for the SUMC. Verify that enhanced bus stops have been included in site plans City of Palo Alto Department of Public Works and Department of Planning and Community Environment Prior to issuance of building permits for SHC Hospital and Hoover MOB SHC Hospital ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Page 44 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed TR-7.2 Provide Expanded Transit Service. The SUMC Project sponsors shall fund expansion of the Marguerite shuttle service between the SUMC and PAITS, and shall make a fair share financial contribution to the cost of expanding U-Line bus service  Marguerite Shuttle. The SUMC project sponsors shall fund expansion of the Marguerite shuttle service into Palo Alto between SUMC and PAITS.  U-Line. The SUMC project sponsors shall use reasonable efforts to assure that the controlling transit agency maintains load factors of less than 1.0 on the U-Line. Verify expansion of Marguerite shuttle in annual TDM reports pursuant to TR-2.3 Verify Initial Payment offer to AC transit ($250,000) and then subsequent annual payment offers up to $50,000 total pursuant to TR-2.3. City of Palo Alto Director of Planning and Community Environment Initial Payment offer within 30 days of Hospital Occupancy Permit and then subsequent annual payments Initial AC Transit payment offer ______________________________________ Signature Date Subsequent annual payment offers ______________________________________ Signature Date IMPACT BEING ADDRESSED: Implementation of the SUMC Project could potentially result in inadequate emergency access due to increased congestion, a significant impact. (TR-9) TR-9.1 Pay Fair Share Towards OptiCom Installation. The SUMC Project sponsors shall pay their fair-share financial contribution towards the City of Palo Alto, to assist with the installation and operation of emergency vehicle traffic signal priority (OptiCom) at all significantly impacted intersections. Verify payment of fair share towards OptiCom installation ($11,200 to City of Palo Alto and $6,400 to City of Menlo Park). City of Palo Alto Department of Public Works Within 30 days of Hospital Occupancy Permit Opticom Fair Share Payment ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project, in combination with concurrent construction projects in the vicinity of the SUMC Sites, could result in a significant construction-period impact. (TR-10) See Mitigation Measures TR-1.1 through TR-1.9. AIR QUALITY IMPACT BEING ADDRESSED: Construction activities associated with the SUMC Project could cause emissions of dust and pollutants from equipment exhaust that could contribute to existing air quality violations or expose sensitive receptors to substantial pollutant concentrations. (AQ-1) AQ-1.1 Implement Recommended Dust Control Measures. To reduce dust emissions during project demolition and construction phases, the SUMC Project sponsors shall Verify that information is contained in construction impact City of Palo Alto Department of Public Works Prior to issuance of building permits for each building; SHC Hospital ______________________________________ Signature Date Page 45 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed require the construction contractors to comply with the dust control strategies developed by the BAAQMD. The SUMC Project sponsors shall include in construction contracts the following requirements: a. Cover all trucks hauling soil, sand, and other loose materials including demolition debris, or require all trucks to maintain at least two feet of freeboard; b. Water all active construction areas (exposed or disturbed soil surfaces) at least twice daily; c. Use watering to control dust generation during demolition of structures or break-up of pavement; d. Pave, apply water three times daily, or apply (non- toxic) soil stabilizers on all unpaved parking areas and staging areas; e. Sweep streets daily (with water sweepers) all paved access roads, parking areas and staging areas during the earthwork phases of construction; f. Sweep daily (with water sweepers) if visible soil material is carried onto adjacent public streets; g. Hydroseed or apply (non-toxic) soil stabilizers to inactive construction areas (previously graded areas inactive for ten days or more); h. Enclose, cover, water twice daily, or apply non- toxic soil binders to exposed stockpiles (dirt, sand, etc.); i. Limit traffic speeds on unpaved roads to 15 mph; j. Install sandbags or other erosion control measures to prevent silt runoff to public roadways; and k. Replant vegetation in disturbed areas as quickly as mitigation plan pursuant to TR-1.8; compliance monitoring compliance monitoring during construction SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Page 46 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed possible. AQ-1.2 Implement Equipment Exhaust Emission Reduction Measures. To reduce emissions from construction equipment during project demolition and construction phases, the SUMC Project sponsors shall require the construction contractors to comply with the following emission reduction strategies to the maximum feasible extent. The SUMC Project sponsors shall include in construction contracts the following requirements: a. Where possible, electrical equipment shall be used instead of fossil-fuel powered equipment, b. The contractor shall install temporary electrical service whenever possible to avoid need for fossil-fuel powered equipment. c. Running equipment not being actively used for construction purposes for more than five minutes shall be turned off. (e.g., trucks waiting to deliver or receive soil, aggregate, or other bulk materials; however, rotating-drum concrete trucks may keep their engines running continuously as long as they are on site). d. Trucks shall be prohibited from idling while on residential streets serving the construction site (also included in Mitigation Measure NO-1.1). e. Diesel-powered construction equipment shall be Tier III or Tier IV California Air Resources Board (CARB) certified equipment to the maximum feasible extent. f. The engine size of construction equipment shall be the smallest practical to accomplish the task at hand. Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Page 47 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed IMPACT BEING ADDRESSED: Combined mobile and stationary source emissions during operation of the SUMC Project would exceed the Bay Area Air Quality Management District’s significance threshold of 80 pounds/day of ROG, NOx and PM10. Therefore, air emissions would result in a substantial contribution to an existing regional air quality problem and a significant impact. (AQ-2) See Mitigation Measure TR-2.3. IMPACT BEING ADDRESSED: Construction equipment NOx emissions associated with the SUMC Project could contribute considerably to regional air quality problems. (AQ- 6) See Mitigation Measures AQ-1.1 and AQ-1.2. IMPACT BEING ADDRESSED: SUMC Project operation could contribute considerably to a degradation of regional air quality as defined by the BAAQMD. (AQ-7) See Mitigation Measure TR-2.3. CLIMATE CHANGE IMPACT BEING ADDRESSED: The proposed Emissions Reduction Program would minimize greenhouse gas emission increases associated with the proposed development program. However, the proposed Emissions Reduction Program would not be sufficient to further some of the individual policies of the City’s Climate Protection Plan. (CC-1) CC-1.1 Commission and Retro-Commission Energy Systems for New and Existing Buildings. New construction for the SUMC Project shall undergo commissioning of energy and HVAC systems within one year following building occupancy. The commissioning process shall follow the standards of the American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) Guideline 0-2005 or the International Performance Measurement and Verification Protocol (MVP). The SUMC Project sponsors shall provide the City of Palo Alto with commissioning verification data within 12 months of OSHPD (or City) certificate of occupancy for each new SUMC Project building component (parking structures excluded). These components shall include: SHC Hospital (Phase 1), SHC Hospital (Phase 2), LPCH Hospital Expansion, Hoover Medical Office Building, School of Medicine (FIM 1, FIM 2 and FIM 3) and 429,000 square feet of clinic space for SHC. The commissioning of the Review commissioning verification data provided by the SUMC Project sponsors for each building Review EPA Energy Star Statement of Energy Performance Report City of Palo Alto Utilities Department and Department of Planning and Community Environment Commission verification report within 1 year of occupancy permits for each building EPA Energy Star Performance Report in years 2 through 5 after completion of entire SUMC Project SHC Hospital Commissioning ______________________________________ Signature Date SHC Clinics Commissioning ______________________________________ Signature Date LPCH Hospital/Clinics Commissioning ______________________________________ Signature Date Hoover MOB Commissioning ______________________________________ Signature Date FIM 1 Commissioning Page 48 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed new SHC and LPCH Expansion Hospitals shall be conducted as part of LEED Enhanced Commissioning in compliance with the ASHRAE Guideline 0-2005. During years two to five after completion of the entire SUMC Project, the SUMC Project sponsors shall annually provide the City of Palo Alto with an EPA Energy Star Statement of Energy Performance report for each new building component. This report shall be generated using the EPA Energy Star Portfolio Manager system. Building profiles and consumption details entered in the Portfolio Manager system and a resulting energy efficiency rating is provided based on similar facilities (i.e., academic teaching facility, community hospital, free-standing surgery center, etc.) This process would ensure that new and existing energy systems would perform interactively according to construction documents, the SUMC Project design intent and the owner’s operational needs. ______________________________________ Signature Date FIM 2 Commissioning ______________________________________ Signature Date FIM 3 Commissioning ______________________________________ Signature Date Energy Star Performance Year 2 ______________________________________ Signature Date Energy Star Performance Year 3 ______________________________________ Signature Date Energy Star Performance Year 4 ______________________________________ Signature Date Energy Star Performance Year 5 ______________________________________ Signature Date Page 49 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed CC-1.2 Participate in a Renewable Energy Program. The SHC and LPCH Project sponsors facilities shall participate in a renewable energy program approved by the City to partially offset electricity emissions; develop new renewable generation sources in collaboration with the CPAU; incorporate a renewable energy source (such as photovoltaics) into the SUMC Project, and/or otherwise promote expansion of the use of renewable energy by CPAU customers (“Renewable Energy Program”). The Renewable Energy Program shall be approved by the City and need not directly reduce the emissions from the SUMC Project facilities, and may be designed to promote expansion of the use of renewable energy by CPAU customers, either by providing a new source of renewable energy, educating the public about use of renewable energy, or contributing to research and development of renewable energy sources. Review and approve SUMC Project sponsor’s participation in a Renewable Energy Program City of Palo Utilities Department and Department of Planning and Community Environment Prior to completion of entire SUMC Project Participation in Renewable Energy Program ______________________________________ Signature Date CC-1.3 Provide Annual Greenhouse Gas Reporting. The SHC and LPCH shall perform an annual inventory of greenhouse gas emissions associated with Hospital and medical facilities on the SUMC Sites. This inventory shall be performed according to a common industry-standard emissions reporting protocol, such as the approaches recommended by California Air Resources Board, The Climate Action Registry, or Business Council for Sustainable Development (BCSD). This inventory shall be shared with the City of Palo Alto to facilitate the development of future collaborative Emissions Reduction Programs. Emissions associated with energy, water, solid waste, transportation, employee commute and other major sources shall be reported in this inventory. Review annual inventory of greenhouse gas emissions City of Palo Utilities Department and Department of Planning and Community Environment Annually 2012 ______________________________________ Signature Date 2013 ______________________________________ Signature Date 2014 ______________________________________ Signature Date 2015 ______________________________________ Signature Date Page 50 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed 2016 ______________________________________ Signature Date 2017 ______________________________________ Signature Date 2018 ______________________________________ Signature Date 2019 ______________________________________ Signature Date 2020 ______________________________________ Signature Date 2021 ______________________________________ Signature Date 2022 ______________________________________ Signature Date 2023 ______________________________________ Signature Date Page 51 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed 2024 ______________________________________ Signature Date 2025 ______________________________________ Signature Date CC-1.4 Prepare Waste Reduction Audit. The SUMC Project sponsors shall perform a waste reduction audit of waste management practices at the hospitals prior to construction of new facilities and after completion of the SUMC Project to determine post-project diversions. Review waste reduction audits City of Palo Department of Planning and Community Environment. Initial waste reduction audit prior to construction Final waste reduction audit after completion of the entire SUMC Project. Initial Waste Reduction Audit ______________________________________ Signature Date Final Waste Reduction Audit ______________________________________ Signature Date CC-1.5 Implement Construction Period Emission Reduction Measures. Prior to the issuance of a grading permit the SUMC Project sponsors shall incorporate the following measures into the construction phasing plan and submit to City Planning for approval.  Use alternative-fueled (e.g., biodiesel, electric) construction vehicles/ equipment of at least 15 percent of the fleet;  Use local building materials of at least 10 percent; and  Recycle at least 50 percent of construction or demolition materials. Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Public Works Department Prior to issuance of grading permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure Page 52 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Page 53 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed NOISE IMPACT BEING ADDRESSED: Construction of the SUMC Project would create a substantial temporary increase in ambient noise levels on the SUMC Sites compared to existing ambient noise levels. The noise increase would be a significant impact to the sensitive uses (i.e., patients) on the Main SUMC Site during construction. (NO-1) NO-1.1 Implement Best Management Practices to Reduce Construction Noise. The SUMC Project sponsors shall incorporate the following practices into the construction documents to be implemented by the SUMC Project contractor: a. Provide enclosures such as heavy-duty mufflers for stationary equipment, shrouding or shielding for impact tools, and barriers around particularly noisy operations on the site. b. Use quiet construction equipment whenever possible, particularly air compressors. c. Provide sound-control devices on equipment no less effective than those provided by the manufacturer. d. Locate stationary equipment, material stockpiles, and vehicle staging areas as far as practicable from sensitive receptors. e. Prohibit unnecessary idling of internal combustion engines. f. Require applicable construction-related vehicles and equipment to comply with the City’s truck route ordinance. g. Designate a noise disturbance coordinator who shall be responsible for responding to complaints about noise during construction. The telephone number of the noise disturbance coordinator shall be conspicuously posted at the construction site and shall be provided to the City. Copies of the construction Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 Page 54 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed schedule shall also be posted at nearby noise-sensitive areas. ______________________________________ Signature Date  NO-1.2:Implement Best Management Practices to Reduce Construction Noise The SUMC Project sponsors shall incorporate the following practices into the construction documents to be implemented by the project contractor: a. Require construction contractors to use noise- reducing pile driving techniques, including pre-drilling pile holes (if feasible, based on soils) to the maximum feasible depth, verify that manufacturer-provided intake and exhaust mufflers on pile driving equipment are present, vibrating piles into place when feasible, and installing shrouds around the pile driving hammer where feasible.  Implement Best Management Practices to Reduce Construction Pile Driving Vibration. The SUMC Project Sponsors shall use sonic pile drivers to reduce vibration annoyance and/or damage to on- site sensitive receptors, if feasible.  Avoid or Repair Structural Damage to SUMC Structures. The SUMC Project sponsors shall: a. Use sonic pile drivers, if feasible, to avoid potential vibration damage to the closest on-site SUMC structures near the SHC Hospital and garage site; or b. Blake-Wilbur Clinic patients and workers shall be relocated to other, more-distant buildings during periods when pile driving occurs on parts of the SHC Hospital Verify that information is contained in construction impact mitigation plan pursuant to TR-1.8; compliance monitoring City of Palo Alto Public Works Department Prior to issuance of building permits for each building; compliance monitoring during construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date Page 55 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed construction site within 75 feet of the Blake-Wilbur Clinic. The structural conditions of the Blake-Wilbur Clinic shall be assessed before and after pile driving by a licensed structural engineer and any damage resulting to the Blake-Wilbur Clinic from pile driving shall be completely repaired before patients and workers are allowed to return. IMPACT BEING ADDRESSED: Increased traffic and helicopter noise levels due to implementation of the SUMC Project would be less than significant. However, noise from ambulances due to implementation of the SUMC Project would increase along Sand Hill Road west of El Camino Real, and would increase roadside noise levels by an amount considered unacceptable under the policies of the City Comprehensive Plan. (NO-3) No feasible mitigation measures. IMPACT BEING ADDRESSED: Operational stationary source noise generated by the SUMC Project could potentially increase ambient noise levels in the vicinity of the SUMC Sites and result in a significant impact. (NO-4) NO-4.1 Shield or Enclose HVAC Equipment and Emergency Generators. Noise levels from mechanical equipment shall be minimized to the degree required by the City Noise Ordinance by proper siting and selection of such equipment and through installation of sufficient acoustical shielding or noise emission controls. Noise levels for the emergency generators near Welch Road shall be reduced such that noise levels do not exceed the City’s General Daytime Exception standard of 70 dBA at 25 feet. An acoustical analysis shall be prepared by a qualified professional to ensure that the new mechanical equipment is in compliance with noise standards of the Noise Ordinance. SUMC Project sponsors to prepare acoustical analysis; City to review and verify analysis City of Palo Department of Planning and Community Environment Prior to issuance of building permits for each building; compliance testing post-construction SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Page 56 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date IMPACT BEING ADDRESSED: If other foreseeable construction in the immediate vicinity of the SUMC Sites would occur simultaneously with the proposed SUMC Project construction, then significant cumulative noise impacts to adjacent residential and other noise-sensitive uses could occur. The SUMC Project’s contribution would likely be cumulatively considerable. (NO-5) See Mitigation Measure NO-1.1. CULTURAL RESOURCES IMPACT BEING ADDRESSED: The SUMC Project would have a significant impact on historical resources. (CR-1) CR-1.1 Manually Demolish Structures at the Hoover Pavilion Site. Where feasible, the project sponsors shall establish a perimeter of construction fencing around the Hoover Pavilion at a minimum of 25 feet to establish a protective buffer around the building. The demolition of these sheds and storage facilities shall be accomplished manually without the use of vibration causing equipment. Additional protective fencing at a height sufficient to prevent any debris from hitting the building shall also be installed between the Hoover Pavilion and demolition activities occurring within the 25 foot buffer. Verify that construction contracts contain Hoover Pavilion protection requirements City of Palo Alto Planning and Community Environment Prior to issuance of building permit for Hoover Pavilion renovation Hoover Pavilion Renovation ______________________________________ Signature Date Page 57 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed CR-1.2 Prepare HABS Documentation for the Stone Building Complex. The SUMC Project sponsors shall prepare HABS-like documentation using the National Park Services’ Historic American Building Surveys Level III guidelines for each of the buildings in the Stone Building complex prior to demolition of each building that comprises this historic resource (East, West, Core, Boswell, Edwards, Lane, Alway, and Grant). HABS-like recordation shall not be required until each of the individual buildings is vacated and prepared for demolition. The documentation shall include written and photographic documentation of each of the historic structures within the Stone Building complex. The documentation shall be prepared by a qualified professional meeting the Secretary of the Interior’s Professional Qualifications Standards for Architectural History or History. The documentation shall be prepared based on the National Park Services’ HABS standards and include, at a minimum, the following:  Site-specific history and appropriate contextual information regarding the Stone Building complex. This history shall focus on the reasons for the buildings’ significance: heart transplantation program and the role of E.D. Stone in the design of the complex.  Accurate mapping of all buildings that are included in the Stone Building complex, scaled to indicate size and proportion of the buildings to surrounding buildings; if existing plans accurately reflect these relationships these may be reformatted for submittal per HABS guidelines for CAD submittals. Review HABS-like documentation City of Palo Department of Planning and Community Environment Upon vacation and prior to demolition of any portions of the Stone Building complex. SHC Clinics ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Page 58 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed  Architectural descriptions of the major exterior features and public rooms within the Stone Building complex as well as descriptions of typical patient, office, laboratory, and operating rooms.  Photographic documentation of the interior and exterior of the Stone Building complex and Thomas Church-designed landscape features. Either HABS standard large format or digital photography may be used. If digital photography is used, the ink and paper combinations for printing photographs must be in compliance with National Register-National Historic Landmark photo expansion policy and have a permanency rating of approximately 115 years. Digital photographs will be taken as uncompressed .TIF file format. The size of each image shall be 1600x1200 pixels at 300 ppi (pixels per inch) or larger, color format, and printed in black and white. The file name for each electronic image shall correspond with the Index to Photographs and photograph label. CR-1.3 Distribute Written and Photographic Documentation to Agencies. The written and photographic documentation of historic resources shall be disseminated on archival-quality paper to Stanford University, the Northwest Information Center, and other local repositories identified by the City of Palo Alto. Verify distribution of written and photographic documents City of Palo Department of Planning and Community Environment Prior to demolition of any portion of the Stone Building complex. SHC Clinics ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Page 59 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed CR-1.4 Prepare Permanent Interpretive Displays/Signage/Plaques. The SUMC Project sponsors shall install interpretive displays within the SUMC Sites that provide information to visitors and residents regarding the history of the Stone Building complex. These displays shall be installed in highly visible public areas such as the property’s open space or in public areas on the interiors of buildings. The displays shall include historical data and photographs as well as physical remnants of architectural elements. Interpretive displays and the signage/plaques installed on the property shall be sufficiently durable to withstand typical Palo Alto weather conditions for at least five years. Displays and signage/plaques shall be lighted, installed at pedestrian-friendly locations, and be of adequate size to attract the interested pedestrian. Maintenance of displays and signage/plaques shall be included in the maintenance program on the property. Location and materials for the interpretative displays shall be subject to review by the Palo Alto Architectural Review Board and approval by the Planning Director. Review and approve location and materials for the displays; verify installation Review by City of Palo Alto Architectural Review Board and approval by Director of Planning and Community Environment Prior to demolition of entire Stone Building complex; verify installation post- construction Demolition of entire Stone Building Complex ______________________________________ Signature Date Installation of Permanent Interpretive Displays _______________________________________ Signature Date CR-1.5 Implement Protection Documents for the Hoover Pavilion. The SUMC Project sponsors shall ensure the implementation of the Stanford Hoover Pavilion Protection Documents (Documents) prepared by ARG and dated September 21, 2009. The SUMC Project sponsors shall comply with the specifications for the treatment and protection of the Hoover Pavilion during SUMC Project construction activities that could damage the historic fabric of the building as provided in the Documents. Verify that construction contracts contain Hoover Pavilion protection requirements from ARG report dated September 21, 2009; compliance monitoring City of Palo Alto Planning and Community Environment Prior to issuance of building permits Hoover Pavilion renovation; monitor compliance during construction Hoover Pavilion Renovation ______________________________________ Signature Date Page 60 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed IMPACT BEING ADDRESSED: The SUMC Project could potentially encounter archaeological resources and result in a significant impact. (CR-2) CR-2.1 Construction Staff Training and Consultation. Prior to any construction or earth-disturbing activities, a qualified archaeologist shall inform construction supervisors of the potential to encounter cultural resources. All construction personnel shall be instructed to be observant for prehistoric and historic-era artifacts, subsurface archaeological features or deposits, including accumulations of dark, friable soil (“midden”), stone artifacts, animal bone, and shell. In the event that any prehistoric or historic subsurface archaeological features or cultural deposits are discovered during construction-related earth-moving activities, all ground-disturbing activity within 100 feet of the resources shall be halted and the City shall be notified. The City shall consult with the Stanford University Archeologist to assess the significance of the find. If the find is determined to be an historical resource or a unique archaeological resource as defined by CEQA, then representatives of the City and the Stanford University Archaeologist shall meet to determine the appropriate course of action. All significant cultural materials recovered shall be subject to scientific analysis, professional museum curation, and a report shall be prepared by the qualified archaeologist according to current professional standards. SUMC Project sponsors submit report from qualified archaeologist documenting that construction supervisors were informed about potential cultural resource procedures; City to review report City of Palo Department of Planning and Community Environment Prior to issuance of grading permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Page 61 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Welch Road Improvements ______________________________________ Signature Date Page 62 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed IMPACT BEING ADDRESSED: The SUMC Project could potentially encounter human remains and result in a significant impact. (CR-3) CR-3.1 Conduct Protocol and Procedures for Encountering Human Remains. If human remains (including disarticulated or cremated remains) are discovered at any SUMC Project construction site during any phase of construction, all ground-disturbing activity within 100 feet of the human remains should be halted and the Stanford University Archaeologist, City of Palo Alto, and the County coroner notified immediately, according to Section 5097.98 of the State Public Resources Code and Section 7050.5 of California’s Health and Safety Code. If the remains are determined by the County coroner to be Native American, the Native American Heritage Commission (NAHC) shall be notified within 24 hours, and the guidelines of the NAHC adhered to in the treatment and disposition of the remains. The SUMC Project sponsors shall retain a professional archaeologist with Native American burial experience to conduct a field investigation of the specific site and consult with the Most Likely Descendant, if any, identified by the NAHC. As necessary, the archaeologist may provide professional assistance to the City of Palo Alto, including the excavation and removal of the human remains. If the human remains cannot be avoided, and the Most Likely Descendant requests that the human remains be removed from its location, the SUMC Project sponsors shall implement removal of the human remains by a professional archaeologist. The City of Palo Alto shall verify that the mitigation is complete before the resumption of ground-disturbing activities within 100 feet of where the remains were discovered. SUMC Project sponsors include procedures related to possible discovery of human remains in construction contracts; City to verify City of Palo Alto Planning and Community Environment Prior to issuance of grading permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Page 63 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Welch Road Improvements ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project could have a significant impact on unique paleontological resources or unique geologic resources. (CR-4) CR-4.1 Conduct Protocol and Procedures for Encountering Paleontological Resources. Should paleontological resources be identified during SUMC Project ground-disturbing activities, the SUMC Project sponsors shall notify the City and the Stanford University Archaeologist and cease operations in the vicinity of the potential resource until a qualified professional paleontologist can complete the following actions when appropriate:  Identify and evaluate paleontological resources by intense field survey where impacts are considered high;  Assess effects on identified resources; and  Consult with the City of Palo Alto and the Stanford University Archaeologist. Before operations in the vicinity of the potential resource resume, the SUMC Project sponsors shall comply with the paleontologist’s recommendations to address any significant adverse effects where determined by the City of Palo Alto to be feasible. In considering any suggested mitigation proposed by the consulting paleontologist, the SUMC Project sponsors shall consult with the Stanford University Archaeologist and the City to determine whether avoidance is necessary and feasible in light of factors such as the nature of the find, project design, cost policies and SUMC Project sponsors include procedures related to possible discovery of paleontological resources in construction contracts; City to verify City of Palo Alto Planning and Community Environment Prior to issuance of grading permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date Page 64 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed land use assumptions, and other considerations. If avoidance is infeasible, other appropriate measures (e.g. data recovery) shall be instituted to avoid a significant impact. Work may proceed in other parts of the SUMC Sites while mitigation for paleontological resources is completed. FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project, in combination with other past, current, and probable future development in the City, would cause a substantial change in the significance of the City’s historic resources and thus have a significant cumulative impact. The SUMC Project’s contribution to the cumulative impact would be cumulatively considerable. (CR-5) See Mitigation Measures CR-1.2 through CR-1.4. IMPACT BEING ADDRESSED: The SUMC Project, in combination with other reasonably foreseeable probable future development, could cause a substantial change in the significance of prehistoric and/or archaeological resources or human remains and thus contribute to a significant cumulative impact. The SUMC Project is conservatively assumed to have a considerable contribution. (CR-6) See Mitigation Measures CR-2.1 and CR-3.1. IMPACT BEING ADDRESSED: The SUMC Project, in combination with other reasonably foreseeable probable future development where the Pleistocene-age creek bed may occur, could have a significant cumulative impact. Such an impact would occur if the buried Pleistocene-age creek bed is exposed in lengths greater than approximately 100 feet (or a sufficient length to support detailed hydrological study) and if such deposits contain substantially intact skeletons of extinct species. These conditions would represent a major find for regional paleontology. In the case that significant paleontological finds—such as stretches of buried Pleistocene-age creek bed greater than 100 feet in length and containing intact skeletons of extinct species—are made on the SUMC Site, then the SUMC Project’s contribution to the cumulative impact on paleontological resources could be cumulatively considerable. (CR-7) See Mitigation Measure CR-4.1. BIOLOGICAL RESOURCES IMPACT BEING ADDRESSED: The SUMC Project could have a significant impact on special-status wildlife resources. (BR-1) BR-1.1 Conduct Pre-Demolition Survey. The SUMC Project sponsors shall retain a qualified biologist (“bat biologist”) to conduct a pre-construction survey for roosting bats in trees to be removed or pruned and structures to be removed. If no roosting bats are found, no Review pre- construction roosting bat survey report City of Palo Department of Planning and Community Environment. Prior to issuance of building and demolition permits and/or vegetation removal for each SHC Hospital ______________________________________ Signature Date SHC Clinics Page 65 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed further mitigation is required. If a bat roost is found, the SUMC Project sponsors shall implement the following measures to avoid impacts on roosting bats. building ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date Page 66 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed BR-1.2 Avoid Roosting Areas. If non-breeding bats are found in a tree or structure to be removed, the individuals shall be safely evicted, under the direction of a qualified bat biologist, by opening the roosting area to allow airflow through the cavity. Demolition should then follow at least one night after initial disturbance for airflow. This action should allow bats to leave during darkness, thus increasing their chance of finding new roosts with a minimum of potential predation during daylight. If active maternity roosts are found in structures that will be removed as part of project construction, demolition of that structure shall commence before maternity colonies form (generally before March 1) or after young are flying (generally by July 31). Verify that construction contracts contain procedures related to avoidance of roosting bat areas; SUMC Project sponsor to provide qualified bat biologist compliance monitoring reports. . City of Palo Alto Planning and Community Environment Prior to issuance of building permits for each building; compliance monitoring during construction during site disturbance period SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements Page 67 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ______________________________________ Signature Date BR-1.3 Develop and Employ Bat Nest Box Plan. If special-status bats are found in structures to be removed, the SUMC Project sponsors shall develop a bat nest box plan for the SUMC Sites employing state-of-the-art bat nest box technology. The design and placement of nest boxes shall be reviewed by a qualified bat biologist. Review bat nest box plan, if special-status bats are found in structures to be developed; SUMC Project sponsor to provide qualified bat biologist compliance monitoring reports City of Palo Alto Planning and Community Environment Prior to issuance of building permits for each building, if required; compliance monitoring during site disturbance period SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Page 68 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Signature Date Welch Road Improvements ______________________________________ Signature Date Page 69 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed BR-1.4 Avoid Tree Removal During Nesting Season. Tree removal or pruning shall be avoided from February 1 through August 31, the nesting period for Cooper’s hawk, to the extent feasible. If no tree removal or pruning is proposed during the nesting period, no surveys are required. Verify that construction contracts contain procedures related to avoidance of Cooper’s Hawk nesting City of Palo Alto Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements Page 70 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ______________________________________ Signature Date Page 71 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed BR-1.5 Protect Cooper’s Hawk in the Event of Nest Discovery. If tree removal or pruning is unavoidable during the nesting season, the SUMC Project sponsors shall hire a qualified biologist to conduct a survey for nesting Cooper’s hawk within five days prior to the proposed start of construction. If active Cooper’s hawk nests are not present, project activities can take place as scheduled. The qualified biologist shall visit the site daily to search for nests until all nesting substrates are removed. This will avoid impacts to Cooper’s hawk that may have moved into the site and initiated nest-building after the start of tree removal activities. Additionally, if more than 5 days elapse between the initial nest search and the tree removal, it is possible for new birds to move into the construction area and begin building a nest. If there is such a delay, another nest survey shall be conducted. If any active Cooper’s hawk nests are detected, the SUMC Project sponsors shall delay removal of the applicable tree or shrub while the nest is occupied with eggs or young who have not fledged. A qualified biologist shall monitor any occupied nest to determine when the Cooper’s hawk nest is no longer used. Verify that construction contracts contain procedures related to timing and requirements for Cooper’s hawk surveys; SUMC Project sponsor to provide qualified biologist compliance monitoring reports City of Palo Alto Planning and Community Environment Prior to issuance of building permits for each building; compliance monitoring during site disturbance period SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements Page 72 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project would have no impact on the movement of any native resident or migratory fish or wildlife species, or use of native resident or migratory wildlife corridors, but could impede the use of native wildlife nursery sites and thus result in a significant impact. (BR-3) BR-3.1 Avoid Tree Removal During Nesting Season. Tree or shrub removal or pruning shall be avoided from February 1 through August 31, the bird-nesting period, to the extent feasible. If no tree or shrub removal or pruning is proposed during the nesting period, no surveys are required. Verify that construction contracts contain procedures related to avoidance of bird nesting City of Palo Alto Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date Page 73 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date BR-3.2 Protect Birds in the Event of Nest Discovery. If tree and shrub removal or pruning is unavoidable during the nesting season, the SUMC Project sponsors shall hire a qualified biologist to conduct a survey for nesting raptors and other birds within five days prior to the proposed start of construction. If active nests are not present, SUMC Project activities can take place as scheduled. The qualified biologist shall visit the site daily to search for nests until all nesting substrates are removed. These procedures would avoid impacts to any birds that may have moved into the sites and initiated nest-building after the start of tree and shrub removal activities. Additionally, if more than five days elapses between the initial nest search and the vegetation removal, it is possible for new birds to move into the construction area and begin building a nest. If there is such a delay, another nest survey shall be conducted. If any active nests are detected, the SUMC Project sponsors shall delay removal of the applicable tree or shrub while the nest is occupied with eggs or young who have not fledged. A qualified biologist shall monitor any occupied nest to determine when the nest is no longer used. Verify that construction contracts contain procedures related to protection of nesting birds; SUMC Project sponsor to provide qualified biologist compliance monitoring reports City of Palo Alto Planning and Community Environment Prior to issuance of building permits for each building; compliance monitoring during site disturbance period SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 Page 74 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project could have a significant impact on Protected Trees. (BR-4) BR-4.1 Prepare a Tree Preservation Report for all Trees to be Retained. An updated tree survey and tree preservation report (TPR) prepared by a certified arborist shall be submitted for review and approval by the Director of Planning and Community Environment in consultation with the City Arborist. For reference clarity, the tree survey shall include (list and field tag) all existing trees within the SUMC Sites, including adjacent trees overhanging the SUMC Sites. The approved TPR shall be implemented in full, including mandatory inspections and monthly reporting to City Arborist. The TPR shall be based on latest SUMC plans and amended as needed to address activity within the dripline area of any existing Protected Tree to be preserved, including incidental work (utilities trenching, street work, lighting, irrigation, etc.) that may affect the health of a preserved Protected Tree. The TPR shall be consistent with the criteria set forth in the Tree Preservation Ordinance, Palo Alto Municipal Code Section 8.10.030, and the City Tree Technical Manual, Section 3.00, 4.00 and 6.30. To avoid improvements that may be detrimental to the health of Protected Trees, the SUMC Project sponsors to prepare TPR; City to review and approve TPR City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 Page 75 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Director of Planning and Community Environment, in consultation with the City Arborist shall review the SUMC Project sponsors’ landscape plan to ensure the new landscape is consistent with Tree Technical Manual, Section 5.45 and Appendix L, Landscaping under Native Oaks. ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date BR-4.2 Prepare a Solar Access Study (SAS) of Short and Long Term Effects on Protected Oaks. The SUMC Project sponsors shall prepare a SAS of Short and Long Term Effects on Protected Oaks that are aesthetic tree resources for review and approval by the Director of Planning and Community Environment in consultation with the City Arborist. The SAS shall be prepared by a qualified expert team (horticulturalist, architect designer, consulting arborist) capable of determining effects, if any, to foliage, health, disease susceptibility and also prognosis for longevity. The SAS shall contain the same information as the SAS for FIM 1 trees that are aesthetic tree resources submitted September 23, 2010. If the Director of Planning and Community Environment, in consultation with the City Arborist, determines that the SUMC Project would have an adverse effect on solar access to a Protected Tree that is an aesthetic tree resource such that the tree is unlikely to survive, then the SUMC Project sponsors shall relocate the Protected Tree to a site with sufficient solar access, as determined by the Direct0r of Planning and Community Environment, in consultation with the City Arborist. The SAS has been completed and accepted by the City for trees #608, Kaplan Lawn (trees #33 through 41), and FIM (trees #317 through 320 and #322). Review and approve Solar Access Study, if project design changes and would affect biological and aesthetic tree resources City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permit for each building, if project design changes and would affect biological and aesthetic tree resources SHC Hospital ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date Page 76 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed BR-4.3 Prepare a Tree Relocation Feasibility Plan for Any Protected Tree Proposed for Relocation and Retention. Relocation of Protected Trees with the SUMC Sites shall be allowed only upon issuance of a Protected Tree relocation permit from the Director of Planning and Community Environment in consultation with the City Arborist. Because of inherent mortality associated with the process of moving mature trees, the SUMC Project sponsors shall prepare a Tree Relocation and Maintenance Plan (TRMP) to be reviewed in connection with the Protected Tree relocation permit. The TRMP shall evaluate the feasibility of moving the Protected Trees to an appropriate location on site. Feasibility shall consider current site and tree conditions, a tree’s ability to tolerate moving, relocation measures, optimum needs for the new location, aftercare, irrigation, and other long-term needs. The tree relocation permit shall specify that if the relocated trees do not survive after a period of five years, the relocated tree or trees shall be replaced with trees or a combination of trees and Tree Value Standards consistent with Section 3.20, Table 3-1 Tree Canopy Replacement, of the Tree Technical Manual. The TRMP shall be inclusive of the following minimum information: appropriate irrigation, monitoring inspections, post relocation tree maintenance, and for an annual arborist report of the condition of the relocated trees. If a tree is disfigured, leaning with supports needed, in decline with a dead top or dieback of more than 25 percent, the tree shall be considered a total loss and replaced as described above. Review and approve Tree Relocation Feasibility Plans, and Tree Relocation and Maintenance Plans Issue Protected Tree Relocation Permit City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date BR-4.4A Enter into a Memorandum of Understanding for Tree Maintenance. As a security measure, the SUMC Sign Memorandum of Understanding and City of Palo Alto Planning and Prior to issuance of building permits for SHC Hospital ______________________________________ Page 77 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed Project sponsors shall be subject to a Memorandum of Understanding (MOU) between the City of Palo Alto and the SUMC Project sponsors describing a tree retention amount, the list of trees to be retained, an appraised value for each listed tree, a five-year tree growth and establishment, timeline for return of security, and conditions of approval related to Protected Trees, as cited in the Conditional Use Permit for the SUMC Project. The SUMC Project sponsors and SUMC Project arborist shall coordinate with the City Arborist to determine the conditions required to guarantee the protection and/or replacement of the regulated trees on the site during construction and within five years after occupancy. The SUMC Project sponsors shall provide a security guarantee for the trees, as determined by the Director of Planning and Community Environment, in consultation with the City Arborist, in an amount consistent with the City of Palo Alto Tree Technical Manual. security guarantee for trees to be retained Community Environment each building Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date BR 4.4B Replace Protected Trees in Accordance with the Tree Technical Manual. Removal of Protected Trees shall be allowed only upon issuance of a Protected Tree removal permit from the Director of Planning and Community Environment, in consultation with the City Arborist. Protected Trees that are removed without being relocated shall be replaced in accordance with the ratios set forth in Table 3-1 of the City of Palo Alto Tree Technical Manual in the following way, in order to maintain the appropriate landscape approach at the SUMC Sites, which has limited opportunities to plant the required replacement of trees:  The Protected Tree removal permit issued shall stipulate the tree replacement requirements for the removed tree, including number of trees, location, and Review and approve Tree Removal Plans Issue Protected Tree Removal Permit City of Palo Alto Director of Planning and Community Environment Prior to issuance of building permits for each building SHC Hospital ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Page 78 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed irrigation;  The number and size of trees required for replacement would be calculated in accordance with Table 3-1; and  The difference between the required tree replacement and the number of trees planted at the SUMC Sites would be mitigated through contribution to the Forestry Fund in the City of Palo Alto. Payment to the Forestry Fund would be in the amount representing the value of the replacement trees that would be required under the TTM standard. Signature Date FIM 1 ______________________________________ Signature Date BR-4.5 Provide Optimum Tree Replacement for Loss of Publicly-Owned Trees Regulated Tree Category. There are many publicly owned trees growing in the right-of-way along various frontages (Welch Road, Pasteur Drive, Quarry Road, Sand Hill Road, etc.). These trees provide an important visual and aesthetic value to the streetscape and represent a significant investment from years of public resources to maintain them. As mitigation to offset the net benefits loss from removal of mature trees, and to minimize the future years to achieve parity with visual and infrastructure service benefits (CO2 reduction, extended asphalt life, water runoff management, etc.) currently provided by the trees, the new public trees on all roadway frontages shall be provided with best practices design and materials, including, but not limited to, the following elements:  Consistency with the City of Palo Alto Public Works Department Street Tree Management Plan, in consultation with Canopy, Inc.  Provide adequate room for natural tree canopy Review landscape plans submitted as part of building permit applications for impact to publicly owned trees City of Palo Alto Department of Public Works Prior to issuance of building permits for each project SHC Hospital ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date Page 79 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed growth and adequate root growing volume. For large trees, a target goal of 1,200 cubic feet of soil shall be used.  For pedestrian and roadway areas that are to include tree planting or adjacent to existing trees to be retained, utilize City-approved best management practices for sustainability products, such as permeable ADA sidewalk surfaces, Silva Cell base support planters, engineered soil mix base, and other advantage methods. IMPACT BEING ADDRESSED: Cumulative impacts on Protected Trees would be significant. Because the SUMC Project would result in the loss of Protected Trees, the SUMC Project’s contribution would cumulatively considerable. (BR-9) See Mitigation Measures BR-4.1 through BR-4.6. HYDROLOGY AND WATER QUALITY IMPACT BEING ADDRESSED: The SUMC Project could have a significant impact on groundwater quality during construction. (HW-3) HW-3.1 Develop a Work Plan for any Unknown Contaminated Sites. During construction, if suspected contaminated soil, undocumented underground tanks, hazardous materials pipelines, or other evidence of potential hazardous materials are discovered, construction activities shall cease and the SUMC Project sponsors shall prepare a workplan to determine the potential risk to human and ecological health. The workplan shall be prepared by a Registered Environmental Assessor and in compliance with the Department of Toxic Substances Control (DTSC) guidelines and the National Oil and Hazardous Substances Contingency Plan (the "National Contingency Plan" [NCP]). The SUMC Project sponsors, or their representative, shall Verify that SUMC Project sponsors have submitted workplans to DTSC, if any unknown contaminated is discovered during construction . City of Palo Alto Fire Department and Department of Planning and Community Environment As necessary SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Page 80 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed be responsible for submitting the workplan for the DTSC’s review and approval prior to implementing field activities. The workplan must include all information necessary for implementing field work. The workplan shall include a Site Safety Plan (SSP) and a Sampling Work Plan (SWP). The SSP must be submitted to the DTSC in conjunction with the submittal of the SWP. The objective of the SSP is to ensure protection of the investigative team as well as the general public during sampling activities. If risk to human or ecological health is identified, the SUMC Project sponsors shall prepare and implement a Removal Action Workplan (SB 1706 Stats. 1994, Chapter 441) (non-emergency removal action or remedial action at a hazardous substance release site which is projected to cost less than $1,000,000) that is consistent with the NCP. Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 ______________________________________ Signature Date HAZARDOUS MATERIALS IMPACT BEING ADDRESSED: The SUMC Project could release hazardous materials in existing buildings. (HM-2) HM-2.1 Conduct Asbestos Survey at the SUMC Sites. Prior to building renovation and/or demolition, an asbestos survey shall be performed on all areas of the building anticipated to be demolished and/or renovated. This survey shall be performed by a licensed asbestos abatement contractor. In the event that asbestos is identified in the buildings proposed to be demolished and/or renovated, all asbestos containing materials shall be removed and appropriately disposed of by a licensed asbestos abatement contractor. A site health and safety plan, to Verify that SUMC Project sponsors have conducted asbestos surveys and prepared site health and safety plan for buildings to be demolished . City of Palo Alto Fire Department and Department of Planning and Community Environment Prior to issuance of demolition permits for each project 1101 Welch Road ______________________________________ Signature Date Parking Structure III ______________________________________ Signature Date 701 Welch Road ______________________________________ Signature Date Page 81 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ensure worker safety, in compliance with OSHA requirements (8 CCR 5208) shall be developed by the SUMC Project sponsors and in place prior to commencing renovation or demolition work on portions of buildings containing asbestos. 703 Welch Road ______________________________________ Signature Date Edwards ______________________________________ Signature Date Alway ______________________________________ Signature Date Lane ______________________________________ Signature Date East, West, Core, Boswell, Grant ______________________________________ Signature Date Core Expansion ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project could expose construction personnel and public to existing contaminated groundwater and/or soil. (HM-3) HM-3.1 Perform a Phase II ESA for the 701 Welch Site. A Phase II ESA shall be performed at 701 Welch Site Building B. The Phase II ESA shall include sampling and analysis of soil, groundwater, wastewater, and residues on surfaces such as laboratories countertops, fume hoods, sinks, sumps, floors, and drain lines. The County Department of Environmental Health (DEH) and Palo Alto Fire Department (PAFD) shall be notified by the Project Receive notification if contamination is discovered during Phase II ESA at 701 Welch Site Building B Verify that County DEH has approved a City of Palo Alto Fire Department As necessary 701 Welch Road ______________________________________ Signature Date Page 82 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed sponsors if contamination is discovered. If contamination is discovered, the SUMC Project sponsors shall prepare a site remediation assessment that (a) specifies measures to protect workers and the public from exposure to potential site hazards and (b) certifies that the proposed remediation measures would clean up contaminants, dispose of the wastes, and protect public health in accordance with federal, State, and local requirements. Site excavation activities shall not proceed until the site remediation has been approved by the County DEH and implemented by the SUMC Project sponsors. Additionally, the site remediation assessment shall be subject to review and approval by the San Francisco Bay Regional Water Quality Control Board (RWQCB). All appropriate agencies shall be notified. site remediation plan, if necessary Compliance monitoring HM-3.2 Excavate Contaminated Soil from the 703 Welch Site. For the 4- to 9-square-foot area near every discharge point from the building, soil samples shall be performed and contaminated soil excavated, removed, and transported to an approved disposal facility in compliance with OSHA requirements. The County DEH and the PAFD shall be notified by the SUMC Project sponsors if contamination is encountered during construction. Receive notification if contamination is discovered during construction at 703 Welch . City of Palo Alto Fire Department As necessary 703 Welch Road ______________________________________ Signature Date HM-3.3 Conduct a Soil Excavation Program at the Hoover Pavilion Site. A qualified consultant, under the SUMC Project sponsors’ direction, shall undertake the following activities:  Remove all buried underground storage tanks from the property after sheds and storage buildings on the Hoover Pavilion Site have been demolished;  To the extent necessary, additional soil sampling shall be collected to determine health risks and to Verify that SUMC Project sponsors have removed buried underground storage tanks and conducted soil sampling, if necessary Verify that SUMC Project sponsors have City of Palo Alto Fire Department As necessary Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date Page 83 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed develop disposal criteria;  If warranted based on soil sampling, contaminated soil shall be excavated, removed, and transported to an approved disposal facility in compliance with OSHA requirements;  To the extent required based upon the results of soil sampling and the results of a health risk assessment, a Site Health and Safety Plan to ensure worker safety in compliance with OSHA requirements shall be developed by the Project sponsors, and in places prior to commencing work on any contaminated site; and  The SUMC Project sponsors shall submit documents to the County DEH to proceed with closure of the Hoover Pavilion Site. prepared a site health and safety plan, if warranted Verify that SUMC Project sponsors have submitted closure documents to County DEH Compliance monitoring HM-3.4 Develop a Site Management Plan for the Hoover Pavilion Site. The SUMC Project sponsors shall prepare a site remediation assessment that (a) specifies measures to protect workers and the public from exposure to potential site hazards, including hazards from remediation itself, and (b) certifies that the proposed remediation measures would clean up contaminants, dispose of the wastes, and protect public health in accordance with federal, State, and local requirements. Site excavation activities shall not proceed until the site remediation has been approved by the County DEH and implemented by the SUMC Project sponsors. Additionally, the site remediation assessment shall be subject to review and approval by the San Francisco Bay RWQCB. All appropriate agencies shall be notified. Verify that SUMC Project sponsors have prepared and submitted a site management plan to County DEH . City of Palo Alto Fire Department Prior to excavation at the Hoover site Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project would result in construction of facilities on a site included on the Cortese List. (HM-7) Page 84 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed See Mitigation Measures HM-3.3 and HM-3.4. IMPACT BEING ADDRESSED: The SUMC Project could impair implementation or physically interfere with an adopted emergency response or evacuation plan. (HM-10) See Mitigation Measures HM-10.1, TR-1.1, TR-1.4 through TR-1.6, TR-1.8, and TR-9.1. HM-10.1 Coordinate Construction Activities with the City of Palo Alto. The SUMC Project sponsors shall provide to the City planned construction routes, roadway closures, and access and closures schedules. This information shall be provided to the City at least two weeks in advance of the planned access and closures. The City shall coordinate this information among affected emergency service providers, including the City’s Fire and Police Departments, and private ambulance services, so that alternative routes could be planned and announced prior to the scheduled access and closures, as deemed necessary by the City. Coordinate SUMC Project information on planned construction routes, and roadway closures to affected emergency service providers City of Palo Alto Fire Department and Department of Planning and Community Environment, and Public Works Department At least two weeks prior to scheduled roadways closures SHC Hospital ______________________________________ Signature Date SHC Clinics ______________________________________ Signature Date LPCH Hospital/Clinics ______________________________________ Signature Date Hoover MOB ______________________________________ Signature Date Hoover Parking Structure ______________________________________ Signature Date FIM 1 ______________________________________ Signature Date FIM 2 ______________________________________ Signature Date FIM 3 Page 85 110525 jb 0130751 STANFORD UNIVERSITY MEDICAL CENTER FACILITIES RENEWAL AND REPLACEMENT MITIGATION MONITORING AND REPORTING PLAN Mitigation Measures Monitoring or Reporting Action Responsibility Timing Signature/Date Completed ______________________________________ Signature Date Welch Road Improvements ______________________________________ Signature Date IMPACT BEING ADDRESSED: The SUMC Project and adjacent development could result in cumulative release of hazardous materials during construction, a significant cumulative impact. The SUMC Project’s contribution to the cumulative impact would be considerable. (HM-12) See Mitigation Measure HM-2.1. IMPACT BEING ADDRESSED: The SUMC Project and adjacent development could result in cumulative disturbance of contaminated soils, release of hazardous materials during construction, a significant cumulative impact. The SUMC Project’s contribution to the cumulative impact would be considerable. (HM-13) See Mitigation Measures HM-3.1, HM-3.2, HM-3.3, and HM-3.4. IMPACT BEING ADDRESSED: Cumulative development could impair implementation or physically interfere with an adopted emergency response or evacuation plan. The SUMC Project’s contribution to the cumulative impact would be considerable. (HM-15) See Mitigation Measures HM-10.1, TR-1.1, TR-1.4 through TR-1.6, and TR-1.8. Not Yet Approved 1 Resolution No. ____ Resolution of the Council of the City of Palo Alto Approving Architectural Review for the Stanford University Medical Center Facilities Renewal and Replacement Project (Stanford Hospitals and Clinics, Lucile Packard Children’s Hospital and Stanford University School of Medicine, Applicant) The Council of the City of Palo Alto does resolve as follows: SECTION 1. Background. The City Council finds, determines, and declares that: A. On August 13, 2007, Stanford Hospitals and Clinics, Lucile Packard Children’s Hospital and Stanford University School of Medicine on behalf of the Board of Trustees of the Leland Stanford Junior University, applied for a Zone Change, Comprehensive Plan Amendment, Environmental Assessment, Architectural Review, Annexation and a Development Agreement for the Stanford University Medical Center Facilities Renewal and Replacement Project, including the demolition, renovation, and replacement of on-site structures, thereby adding approximately 1.3 million square feet of net new floor area, broken down as follows:  Demolition, renovation, and construction of SHC facilities, providing a net increase of approximately 824,000 square feet;  Demolition, renovation, and construction of LPCH facilities, resulting in approximately 442,000 additional square feet;  Demolition of four existing SoM buildings and construction of three replacement buildings, with no net increase in square feet;  Demolition of shops and storage space, renovation of existing Hoover Pavilion, and net addition of approximately 46,000 square feet of new medical, office, research, clinic, and administrative facilities at the Hoover Pavilion Site for medical offices for community practitioners and SUMC-related medical offices, clinical facilities, and support uses;  Demolition of existing parking spaces and construction of 2,985 new and replacement spaces, for a net increase of 2,053 spaces to address additional demand for the SUMC Project, to be located in surface parking and above- and underground structures;  Construction of a new road connecting Sand Hill Road and Welch Road, and provision of interior driveways and improved circulation connections, including the extension of Quarry Road to Roth Way, and  Widening of Welch Road by the addition of a third lane to accommodate left turns in both directions; and related on-site and off-site improvements (“The Project”). Not Yet Approved 2 B. The City Council has adopted Resolution No. ______ certifying an Environmental Impact Report prepared for the Project, Ordinance No. _____ adopting a new chapter in Title 18 (Zoning) for a “Hospital” zone district (HD), Resolution No. ______ amending the Comprehensive Plan to clarify language in specific Land Use policies, initiation of an annexation petition for a 0.65 acre portion of land in Santa Clara County to the City of Palo Alto, approval of a Development Agreement with Stanford University that would vest certain land use and development regulations for a 30-year period in exchange for public benefits, and acceptance of an update to the Stanford University Medical Center Area Plan. C. The Architectural Review Board, at duly noticed hearings on December 2, 2010, January 6, 2011, February 3, 2011, February 17, 2011, March 24, 2011, April 7, and 2011, April 21, 2011 reviewed and considered design components of the Project and recommended approval upon certain conditions. D. The Planning and Transportation Commission held duly noticed public hearings on the Project on May 11 and May 18, 2011 and recommended approval of the design of the Project based upon the findings and upon the conditions set forth below. E. The City Council held a duly noticed public hearing on the Project on June 6, 2011 and heard and considered all public testimony, both oral and written, presented to it, together with all staff reports and the record of the proceedings before the Architectural Review Board and Planning and Transportation Commission. SECTION 2. Design Approval. The City Council hereby approves the Stanford University Medical Center Facilities Renewal and Replacement Project regarding the architecture, site planning and related site improvements, subject to the conditions set forth below, making findings as described in Exhibit A. / / / / / / / / / / / / / / / / / / Not Yet Approved 3 SECTION 3. Conditions of Approval. The City Council approves the Project subject to the conditions of approval described in Exhibit B. INTRODUCED AND PASSED: AYES: NOES: ABSENT: ABSTENTIONS: ATTEST: APPROVED: City Clerk Mayor APPROVED AS TO FORM: Senior Assistant City Attorney City Manager Director of Planning and Community Environment PLANS AND DRAWINGS REFERENCED: 1. Development Plans prepared by the following: 2. New Stanford Hospital: February 17, 2011 & March 31, 2011 3. Lucile Packard Children’s Hospital Expansion: December 2, 2010 & March 17, 2011 4. Stanford Hoover Pavilion Renovation: February 2, 2011 & March 25, 2011 5. Hoover Site Development (Medical Office Building and Parking Structure): October 14, 2010 & April 7, 2011 6. School of Medicine Foundations in Medicine: March 17, 2011 7. Welch Road Surface Improvements and Durand Way: March 17, 2011 8. SUMC Campus Design Guidelines: March 17, 2011 Exhibit A: Architectural Review Findings Exhibit B: Conditions of Approval Not Yet Approved 4 Exhibit A ARCHITECTURAL REVIEW FINDINGS A. GENERAL: The project shall be subject to the mitigation measures as identified in the Final Environmental Impact Report’s Mitigation Monitoring Reporting Program (MMRP) adopted by the City Council. The MMRP is attached an exhibit to the CEQA resolution. A.1 Planning Division 1. Plan Conformance. The plans submitted for permits shall be in substantial conformance with the following Architectural Review Board Drawing Submittals, except as modified to incorporate these conditions of approval: a. New Stanford Hospital: February 17, 2011 & March 31, 2011 b. Lucile Packard Children’s Hospital Expansion: December 2, 2010 & March 17, 2011 c. Stanford Hoover Pavilion Renovation: February 2, 2011 & March 25, 2011 d. Hoover Site Development (Medical Office Building and Parking Structure): October 14, 2010 & April 7, 2011 e. School of Medicine Foundations in Medicine: March 17, 2011 f. Welch Road Surface Improvements and Durand Way: March 17, 2011 g. SUMC Campus Design Guidelines: March 17, 2011 2. Review, Oversight, and Inspections. Due to the complexity and size of the Project and a phasing schedule that is anticipated to last approximately fifteen years, the City shall hire, at the expense of the applicant, an independent consulting firm or firms and/or contractors to perform activities including, but not limited to, plan review, condition compliance review, mitigation monitoring, inspections, and report preparation. Within 30- days of Project approval, the Project sponsors and the City of Palo Alto shall enter into a Memorandum of Understanding (MOU) that describes the initial deposit and subsequent payments, the types of contractors that could be retained, the scopes of work to be performed, procedures for amending the MOU, and reporting responsibilities, among other considerations. It is anticipated that consulting firms and contractors would be needed in the fields including, but not limited to, Planning, Building Review and Inspections, Public Works, Utilities, Fire, and Arborist. 3. Mitigation and Condition Monitoring. Within 30-days of Project approval, the Project sponsors shall meet with representatives from the Department of Planning and Community Environment to initiate a plan and process for mitigation and condition monitoring that is agreeable to all parties and is consistent with the provisions of the Development Agreement approved by City Council on ____. All project plan submittals shall include the following statement, printed on the introductory sheet of the plans, “These plans shall be consistent with the conditions of approval, located in the implementation document prepared for the Project.” 4. The proposed project shall comply with the requirements of Palo Alto Green Building Ordinance No. 5107, where applicable, prior to submittal for building permits. Projects under the jurisdiction of the Office of Statewide Health Planning and Development (OSHPD) shall be exempt from this Ordinance. Projects submitted for building review to the Palo Alto Building Department prior to adoption of Ordinance No. 5107 shall be exempt from this Ordinance. A.2 Fire Department 1. Perform a “Hazardous Materials Closure” with the PAFD for 701, 703, and 1101 Welch Road or facilities, areas or rooms within the project area that stored, used or handled hazardous materials. This includes “permitted site” as well as “unpermitted sites” discovered during the project that have or had hazardous Not Yet Approved 5 materials. For sites where a determination has been made that have or previously had hazardous materials and has not been closed with PAFD, a hazardous materials closure permit is required prior to removal of related materials and prior to demolition. Additionally, prior to removal or modification of the site an inspection by the fire dept is required unless otherwise determined. A hazardous materials closure includes the physical facility and soil below or associated with the facility. Per project specific determination, a complete Phase II ESA and / or soil sampling may be required. The Hazardous Materials Closure Application and Guidelines can be found at http//:www.unidocs.org or is available from PAFD. Hazardous Materials closure of the facility includes removal or addressing any items or areas to the degree that maintenance of a hazardous materials permit is no longer required. Any building, room or area shall have hazardous materials or residuals removed to a level at or below state hazardous waste levels, as agreed at the project start. Clean up level within the building will determine if there is a deed restriction on the building use. At a minimum the hazardous materials closure of a facility room or area will include items listed in the Hazardous Materials Closure Guidelines and may include for example; sampling of residues on facility surfaces such as laboratory countertops, fume hoods as well as sampling of walls, equipment, sinks, sumps, floors, and drain lines. Testing for lead containing materials may be required for any facility that previously contained x- ray equipment. When contamination of the soil suspected or determined, a Phase II ESA or soil sampling shall include sampling and analysis of soil and associated items; sinks, sumps, floors, and drain lines at a minimum. A post closure report shall be supplied to the PAFD. The PAFD and the County DEH shall be notified by the Project sponsors if contamination remains after the hazardous materials closure is completed with the Fire Department. If soil contamination is discovered, the project will be referred to the RWQCB. The RWQCB will determine appropriate action or referral to another agency for the project. The SUMC Project sponsors shall prepare a site remediation assessment that (a) specifies measures to protect workers and the public from exposure to potential site hazards and (b) certifies that the proposed remediation measures would clean up contaminants, dispose of the wastes, and protect public health in accordance with federal, State, and local requirements. Site excavation activities shall not proceed until the site remediation has been approved by the RWQCB or the designated regulatory oversite agency and implemented by the SUMC Project sponsors. Additionally, the site remediation assessment shall be subject to review and approval by the RWQCB. All appropriate agencies shall be notified. (Note: 701 and 703 Welch Rd. are addressed separately in this report. Other known hazardous materials use storage and handling buildings, facilities, areas or rooms are not addressed separately – such as 1101 Welch Rd, multiple medical clinics / office buildings on Welch Rd, Stanford Hospital areas being remodeled or demolished, 211 Quarry Rd structures, as well as unpermitted or unknown buildings, facility areas or rooms with hazardous materials.) A.3 Planning Arborist General Conditions 1. The Project shall be consistent with the Hospital District (Palo Alto Municipal Code, Section 18.XX) tree regulations including, but not limited to tree retention, relocation and removal. 2. All required Biological Resource mitigations as described in the MMRP approved by City Council shall be completed to the satisfaction of the Director of Planning and Community Environment or his/her designee. 3. The project shall comply with The Palo Alto Tree Technical Manual, Standards & Specifications (Palo Alto Municipal Code, Chapter 8.10.030) Prior to Demolition, Building or Grading permit issuance 1. Building Permit Submittal Review. Prior to submittal for staff review, the plans submitted for State or City of Palo Alto building permit shall be reviewed by the SUMC Project Arborist to verify that all of their recommendations have been incorporated into the final plan set. The submittal set shall be accompanied by the SUMC Project Arborist’s certification letter that the plans have incorporated the following information: a. Final Tree Preservation Report (TPR) design changes and preservation measures as required in Mitigation Measure BR-4.1. Not Yet Approved 6 b. Palo Alto Tree Technical Manual Standards, Section 2.00 and PAMC 8.10.080. 2. Site Plan Requirements. The final Plans submitted for building permit shall include the following information and notes on the relevant plan sheets: a. Sheet T-1_”Tree Protection-it's Part of the Plan” Applicant shall complete the following sections on Sheet T-1: Tree Disclosure Statement, Inspections, and Monthly Reporting. b. The Tree Preservation Report (TPR). All sheets of the TPR approved by the City shall be printed on numbered Sheet T-1 (T-2, T-3, etc) and added to the sheet index. c. Conditions of Approval- the final list of City Arborist Conditions of Approval shall be printed on the numbered Sheet T-1 (T-2, T-3, etc) and added to the sheet index. d. Protective Tree Fencing Type. Delineate on grading plans, irrigation plans, site plans and utility plans, Type II fencing around Street Trees and Type I fencing around Protected/Designated trees as a bold dashed line enclosing the Tree Protection Zone (per the approved Tree Preservation Report) per instructions on Detail #605, Sheet T-1, and the City Tree Technical Manual, Section 6.35-Site Plans. Site Plan Note- Apply to the site plan stating, "Note #1: All tree protection and inspection schedule measures, design recommendations, watering and construction scheduling shall be implemented in full by owner and contractor, as stated in the Tree Preservation Report on Sheet T-1 and the approved plans”. 3. All Other Plan Notes. All civil plans, grading plans, irrigation plans, site plans and utility plans and relevant sheets shall include the following notes applying to the trees to be protected, including neighboring trees: a. "Note #1: Regulated Trees-before working in this area contact the SUMC Project Arborist at Tel. ___"; b. “Note #2: Soils Report and excavation instructions for basement construction within the Tree Protection Zone (TPZ) of a protected tree shall specify a vertical cut (stitch piers may be necessary) in order to avoid over-excavating into the tree root zone. Any variance from this procedure requires City Arborist approval, please call (650) 329-2441.” c. “Note #3: Utility trenching shall not occur within the TPZ of the protected tree. Contractor shall be responsible for ensuring that no trenching occurs within the TPZ of the protected tree by contractors, City crews or final landscape workers. See sheet T-1 for instructions.” d. Mandatory Landscape Architect (LA) Inspection Verification to the City. The LA of record shall verify the performance measurements are achieved with a separate letter of verification to City Planning staff, in addition to owner’s representative for each of the following: i. Percolation & drainage checks have been performed and are acceptable. ii. Final grading inspection of all plantable areas has been inspected for tilling depth, rubble removal, soil test amendments, are mixed and irrigation trenching will not cut through any tree roots. iii. Tree and Shrub Planting Specifications, including delivered stock, meets Standards in the CPA Tree Technical Manual, Section 3.30-3.50. Girdling roots and previously topped trees are subject to rejection. 4. Tree Protection Verification. Prior to demolition, grading or building permit issuance, a written verification from the contractor that the required protective fencing (at the boundary of the TPZ) is in place shall be submitted to the Building Inspections Division. The fencing shall contain required warning sign and remain in place until final inspection of the project. Not Yet Approved 7 During Construction 5. Excavation Restrictions Apply (TTM, Sec. 2.20 C & D). Any approved grading, digging or trenching beneath a tree canopy shall be performed using ‘air-spade’ method as a preference, with manual hand shovel as a backup. For utility trenching, including sewer line, roots exposed with diameter of 1.5 inches and greater shall remain intact and not be damaged. If directional boring method is used to tunnel beneath roots, then Table 2-1, Trenching and Tunneling Distance, shall be printed on the final plans. Plan Changes. Revisions and/or changes to plans before or during construction shall be reviewed and responded to by the SUMC Project Arborist, (name of certified arborist of record and phone #), with written letter of acceptance before submitting the revision to the OSHPD or City of Palo Alto for review and approval. 6. Tree Damage. Tree Damage, Injury Mitigation and Inspections apply to Contractor. Reporting, injury mitigation measures and arborist inspection schedule (1-5) apply pursuant to TTM, Section 2.20-2.30. Contractor shall be responsible for the repair or replacement of any publicly owned or protected trees that are damaged during the course of construction, pursuant to Title 8 of the Palo Alto Municipal Code, and city Tree Technical Manual, Section 2.25. 7. General. The following general tree preservation measures apply to all trees to be retained: No storage of material, topsoil, vehicles or equipment shall be permitted within the TPZ. The ground under and around the TPZ shall not be altered. Trees to be retained shall be irrigated, aerated and maintained as necessary to ensure survival. Prior to Final Inspection by City Arborist 8. Landscape Inspection. The SUMC Project Arborist and Landscape Architect shall perform a final inspection and prepare a final report for submittal to the City Arborist. The Planning Department shall be in receipt of written verification that the Landscape Architect has inspected all trees, shrubs, planting and irrigation and that they are installed and functioning as specified in the approved plans. 9. Tree Inspection. The contractor shall call for an inspection by the Project Arborist and City Arborist. A final inspection and report by the project arborist shall evaluate all trees to be retained and protected, as indicated in the approved plans, the activity, health, welfare, mitigation remedies for injury, if any, and for the long term care of the trees for the new owner. The report shall provide written verification to the Planning Department that all trees, shrubs, planting and irrigation are installed as specified in the approved plans. The final arborist report shall be provided to the Planning Department prior to written request for temporary or final occupancy. The final report may be used to navigate the security guarantee return process, when applicable. Post Construction 10. Maintenance. All landscape and trees shall be maintained, watered, fertilized, and pruned according to Best Management Practices-Pruning (ANSI A300-2001 or current version). Any vegetation that dies shall be replaced or failed automatic irrigation repaired by the current property owner within 30 days of discovery. A.4 Public Works Prior to Submittal of Construction Permits 1. Construction Impact Mitigation Plan. Prior to issuance of any development permit (street work, grading, building, etc) for the SUMC project, the project sponsors shall prepare and receive approval of a Construction Impact Minimization Plan (CIMP), the minimum requirements of which are described in Mitigation Measure TR-1.8 of the Mitigation Monitoring and Reporting Plan (MMRP). Additional CIMP information not specifically described in MMRP TR-1.8 may be required. It is anticipated that a separate CIMP will be required for each of the project components. Please contact Public Works staff to initiate discussions on the development of the CIMP. 2. The applicant is required to meet with Public Works Engineering (PWE) prior to submittal of construction permits to verify the basic design parameters affecting grading, drainage and surface water infiltration. The applicant is required to submit a conceptual site grading and drainage plan that conveys site runoff to the nearest adequate municipal storm drainage system. In order to address potential storm water quality impacts, the plan shall identify the Best Management Practices (BMP’s) to be incorporated into the Storm Water Pollution Not Yet Approved 8 Prevention Plan (SWPPP) that will be required for the project. The SWPPP shall include permanent BMP’s to be incorporated into the project to protect storm water quality. (Resources and handouts are available from Public Works – Engineering. Specific reference is made to Palo Alto’s companion document to “Start at the Source”, entitled “Planning Your Land Development Project”). The elements of the PWE-approved conceptual grading and drainage plan shall be incorporated into the building permit plans. 3. A Grading and Excavation Permit issued by the CPA Building Inspection Division is required for the proposed project. Any grading permit issued in conjunction with a phased project implementation plan will only authorize grading and storm drain improvements. Other site utilities may be shown on the grading plan for reference only, and should be so noted. No utility infrastructure should be shown inside the building footprint. Installation of these other utilities will be approved as part of a subsequent Building Permit application. 4. The applicant shall submit a final grading and drainage plan to Public Works Engineering. This plan shall show spot elevations or contours of the site and demonstrate the proper conveyance of storm water to the nearest adequate municipal storm drainage system. Existing drainage patterns, including accommodation of runoff from adjacent properties, shall be maintained. 5. The proposed development will result in a change in the impervious area of the property. The applicant shall provide calculations showing the adjusted impervious area with the building permit application. A Storm Drainage Fee adjustment on the applicant’s monthly City utility bill will take place in the month following the final approval of the construction by the Building Inspection Division. The impervious area calculation sheets and instructions are available from Public Works Engineering. 6. A detailed site-specific soil report prepared by a licensed soils or geo-technical engineer must be submitted which includes information on water table and basement construction issues. This report shall identify the current groundwater level, if encountered, and by using this and other available information, as well as professional experience, the engineer shall estimate the highest projected ground-water level likely to be encountered in the future. If the proposed basement is reasonably above the projected highest water level, then the basement can be constructed in a conventional manner with a subsurface perimeter drainage system to relieve hydrostatic pressure. If not, measures must be undertaken to render the basement waterproof and able to withstand all projected hydrostatic and soil pressures. No pumping of ground water is allowed. In general, however, Public Works Engineering recommends that structures be constructed in such a way that they do not penetrate existing or projected ground water levels. 7. Storm water discharge associated with construction activity. This proposed development will disturb more than one acre of land. The applicant must apply for coverage under the State Water Resources Control Board’s (SWRCB) NPDES general permit for storm water discharge associated with construction activity. A Notice of Intent (NOI) must be filed for this project with the SWRCB in order to obtain coverage under the permit. The General Permit requires the applicant to prepare and implement a Storm Water Pollution Prevention Plan (SWPPP). The applicant is required to submit two copies of the NOI and the draft SWPPP to the Public Works Department for review and approval prior to issuance of the building permit. The SWPPP should include both permanent, post-development project design features and temporary measures employed during construction to control storm water pollution. Specific Best Management Practices (BMP’s) which apply to the work should be incorporated into the design. 8. The applicant is required to paint the “No Dumping/Flows to San Francisquito Creek” logo in blue color on a white background, adjacent to all storm drain inlets. Stencils of the logo are available from the Public Works Environmental Compliance Division, which may be contacted at (650) 329-2598. A deposit may be required to secure the return of the stencil. Include the instruction to paint the logos on the construction grading and drainage plan. Include maintenance of these logos in the Hazardous Materials Management Plan, if such a plan is part of this project. 9. Dumpster/recycling area. a. The project includes the construction of dumpster and recycling areas as part of a food service facility. Regulations require that the dumpster/recycling area be adequately roofed or covered (PAMC 5.20.120). Not Yet Approved 9 b. The project includes the construction of dumpster and recycling areas. City guidelines recommend that this area be covered where feasible (PAMC 5.20.120). 10. Storm runoff from loading docks. The plans include a loading dock. Storm runoff from loading docks where chemicals or hazardous materials may be handled shall not drain to a street, gutter, or storm drain. See 16.09.032(b)(4)(D). It is recommended that the loading dock(s) be covered to preclude the need for a drain. 11. Dewatering: The project excavations will require dewatering during construction. Public Works only allows groundwater drawdown well dewatering. Open pit groundwater dewatering is disallowed. Dewatering is only allowed from April through October due to inadequate capacity in our storm drain system. The geotechnical report for this site must list the highest anticipated groundwater level. We recommend a piezometer to be installed in the soil boring. The contractor must determine the depth to groundwater immediately prior to excavation by using the piezometer or by drilling an exploratory hole if the deepest excavation will be within 3 feet of the highest anticipated groundwater level. If groundwater is found within 2 feet of the deepest excavation, a drawdown well dewatering system must be used. Public Works will require the water to be tested for contaminants prior to initial discharge and at intervals during dewatering. The contractor must retain an independent testing firm to test the discharge water for the contaminants Public Works specifies and submit the results to Public Works. 12. Storm Water Pollution Prevention Measures. Per Palo Alto Municipal Code Chapter 16.11, the applicant must incorporate permanent storm water pollution prevention measures that treat storm water runoff prior to discharge. As of February 10, 2011, the prevention measures shall be reviewed by a qualified third-party reviewer who needs to certify that it complies with the Palo Alto Municipal Code requirements. This is required prior to the issuance of a building permit. The third-party reviewer shall be acquired by the applicant and needs to be on the Santa Clara Valley Urban Runoff Pollution Prevention Program’s (Program) list of qualified consultants. (http://www.scvurppp-w2k.com/consultants.htm) Any consultant or contractor hired to design/and/or construct a storm water treatment system for the project cannot certify the project as a third-party reviewer. 13. Basement Shoring: Shoring for the basement excavation, including tiebacks, must not extend onto adjacent private property or into the City right-of-way without having first obtained written permission from the private property owners and/or an encroachment permit from Public Works. During Construction 14. The contractor must contact the CPA Public Works Inspector at (650) 496-6929 prior to any work performed in the public right-of-way. 15. No storage of construction materials is permitted in the street or on the sidewalk without prior approval of Public Works Engineering. 16. The developer shall require its contractor to incorporate best management practices (BMP's) for stormwater pollution prevention in all construction operations, in conformance with the Storm Water Pollution Prevention Plan prepared for the project. It is unlawful to discharge any construction debris (soil, asphalt, sawcut slurry, paint, chemicals, etc.) or other waste materials into gutters or storm drains. (PAMC Chapter 16.09). 17. All construction within the City right-of-way, easements or other property under City jurisdiction shall conform to Standard Specifications of the Public Works and Utility Departments. Prior to Finalization 18. All sidewalks and curb and gutters bordering the project which have been damaged during construction shall be repaired and/or removed and replaced in compliance with Public Works approved standards. Sec. 12.08.010. 19. All unused driveways shall be removed and replaced with curb and gutter. Sec. 12.08.090. Not Yet Approved 10 20. The Public Works Inspector shall sign off the building permit prior to the finalization of this permit. All off-site improvements shall be finished prior to this sign-off. Similarly, all as-builts, on- site grading, drainage and post-developments BMP’s shall be completed prior to sign-off. As-Built drawings shall be drawn using NAD88 coordinates and submitted in digital format (ACAD) as well as 3 mil. Mylar. A.5 Public Works – Water Quality 1. PAMC 16.09.117(c) Discharge of Groundwater. Prior approval shall be obtained from the city engineer or designee to discharge water pumped from construction sites to the storm drain. The city engineer or designee may require gravity settling and filtration upon a determination that either or both would improve the water quality of the discharge. Contaminated ground water or water that exceeds state or federal requirements for discharge to navigable waters may not be discharged to the storm drain. Such water may be discharged to the sewer, provided that the requirements of Section 16.09.110 are met and the approval of the superintendent is obtained prior to discharge. The City shall be compensated for any costs it incurs in authorizing such discharge, at the rate set forth in the Municipal Fee Schedule. 2. PAMC 16.09.080 Industrial Waste Discharge Permit. Industrial dischargers must submit an application for an industrial waste discharge permit no later than sixty days in advance of commencing discharge. (This is likely to only apply to the hospital and labs/clinics buildings) 3. PAMC 16.09.180(b)(9) Covered Parking. Drain plumbing for parking garage floor drains must be connected to an oil/water separator with a minimum capacity of 100 gallons, and to the sanitary sewer system. 4. PAMC 16.09.180(b)(10) Dumpsters for New and Remodeled Facilities. New buildings and residential developments providing centralized solid waste collection, except for single-family and duplex residences, shall provide a covered area for a dumpster. The area shall be adequately sized for all waste streams and designed with grading or a berm system to prevent water runon and runoff from the area. 5. PAMC 16.09.180(b)(14) Architectural Copper. On and after January 1, 2003, copper metal roofing, copper metal gutters, copper metal down spouts, and copper granule containing asphalt shingles shall not be permitted for use on any residential, commercial or industrial building for which a building permit is required. Copper flashing for use under tiles or slates and small copper ornaments are exempt from this prohibition. Replacement roofing, gutters and downspouts on historic structures are exempt, provided that the roofing material used shall be prepatinated at the factory. For the purposes of this exemption, the definition of "historic" shall be limited to structures designated as Category 1 or Category 2 buildings in the current edition of the Palo Alto Historical and Architectural Resources Report and Inventory. 6. PAMC 16.09.175(k) (2) Loading Docks a. Loading dock drains to the storm drain system may be allowed if equipped with a fail-safe valve or equivalent device that is kept closed during the non-rainy season and during periods of loading dock operation. b. Where chemicals, hazardous materials, grease, oil, or waste products are handled or used within the loading dock area, a drain to the storm drain system shall not be allowed. A drain to the sanitary sewer system may be allowed if equipped with a fail-safe valve or equivalent device that is kept closed during the non-rainy season and during periods of loading dock operation. The area in which the drain is located shall be covered or protected from rainwater run-on by berms and/or grading. Appropriate wastewater treatment approved by the Superintendent shall be provided for all rainwater contacting the loading dock site. 7. PAMC 16.09.180(b)(5) Condensate from HVAC. Condensate lines shall not be connected or allowed to drain to the storm drain system. 8. 16.09.215 Silver Processing. Facilities conducting silver processing (photographic or X-ray films) shall either submit a treatment application or waste hauler certification for all spent silver bearing solutions. 650-329-2421. Not Yet Approved 11 9. PAMC 16.09.205 Cooling Towers. No person shall discharge or add to the sanitary sewer system or storm drain system, or add to a cooling system, pool, spa, fountain, boiler or heat exchanger, any substance that contains any of the following:  Copper in excess of 2.0 mg/liter;  Any tri-butyl tin compound in excess of 0.10 mg/liter;  Chromium in excess of 2.0 mg/liter.  Zinc in excess of 2.0 mg/liter; or  Molybdenum in excess of 2.0 mg/liter. 10. The above limits shall apply to any of the above-listed substances prior to dilution with the cooling system, pool, spa or fountain water. 11. A flow meter shall be installed to measure the volume of blowdown water from the new cooling tower. Cooling systems discharging greater than 2,000 gallons per day are required to meet a copper discharge limit of 0.25 milligrams per liter. 12. PAMC 16.09.180(b)(b) Copper Piping. Copper, copper alloys, lead and lead alloys, including brass, shall not be used in sewer lines, connectors, or seals coming in contact with sewage except for domestic waste sink traps and short lengths of associated connecting pipes where alternate materials are not practical. The plans must specify that copper piping will not be used for wastewater plumbing. 13. PAMC 16.09.175(j) Traps Below Laboratory Sinks. Sewer traps below laboratory sinks shall be made of glass or other approved transparent materials to allow inspection and to determine frequency of cleaning. Alternatively, a removable plug for cleaning the trap may be provided, in which case a cleaning frequency shall be established by the Superintendent. In establishing the cleaning frequency, the Superintendent shall consider the recommendations of the facility. The Superintendent will grant an exception to this requirement for areas where mercury will not be used; provided, that in the event such an exception is granted and mercury is subsequently used in the area, the sink trap shall be retrofitted to meet this requirement prior to use of the mercury. 14. PAMC 16.09.175(a) Floor Drains. Interior (indoor) floor drains to the sanitary sewer system may not be placed in areas where hazardous materials, hazardous wastes, industrial wastes, industrial process water, lubricating fluids, vehicle fluids or vehicle equipment cleaning wastewater are used or stored, unless secondary containment is provided for all such materials and equipment 15. PAMC 16.09.175(i) Laboratory Sinks. Laboratory countertops and laboratory sinks shall be separated by a berm which prevents hazardous materials spilled on the countertop from draining to the sink. 16. PAMC 16.09.180(b)(1) and 16.09.105 Segregated Plumbing and Sampling Locations. The owner of every new commercial and industrial building or portion thereof shall cause the building to be constructed so that industrial waste is segregated, by means of separate plumbing, from domestic waste prior to converging with other waste streams in the sanitary sewer system. For the purposes of this section only, the term "new" shall also include change to a use that requires plumbing for industrial waste. Establishments from which industrial wastes are discharged to the sanitary sewer system shall provide and maintain one or more sampling locations or metering devices or volume and flow measuring methodologies or other sampling and measuring points approved by the Superintendent which will allow the separate measuring and sampling of industrial and domestic wastes. Unless otherwise approved by the Superintendent, domestic and industrial waste shall be kept completely separated upstream of such sampling locations and/or measuring points. Establishments that are billed for sewer service on the basis of sewage effluent constituents shall provide a suitable means for sampling and/or measurement of flow to determine billing constituents in accordance with the utilities rules and requirements. Sampling locations shall be so located that they are safe and accessible to the Superintendent at any reasonable time during which discharge is occurring. (This is likely to only apply to the hospital and labs/clinics buildings) 17. 16.09.180(12) Mercury Switches. Mercury switches shall not be installed in sewer or storm drain sumps. Not Yet Approved 12 18. PAMC 16.09.205(a) Cooling Systems, Pools, Spas, Fountains, Boilers and Heat Exchangers. It shall be unlawful to discharge water from cooling systems, pools, spas, fountains boilers and heat exchangers to the storm drain system. 19. PAMC 16.09.165(h) Storm Drain Labeling. Storm drain inlets shall be clearly marked with the words "No dumping - Flows to Bay," or equivalent. 20. Designated Food Service Establishment (FSE) Project: a. Grease Control Device (GCD) Requirements, PAMC Section 16.09.075 & cited Bldg/Plumbing Codes i. The plans shall specify the manufacturer details and installation details of all proposed GCDs. (CBC 1009.2) ii. GCD(s) shall be sized in accordance with the 2007 California Plumbing Code. iii. GCD(s) shall be installed with a minimum capacity of 500 gallons. iv. GCD sizing calculations shall be included on the plans. See a sizing calculation example below. v. The size of all GCDs installed shall be equal to or larger than what is specified on the plans. vi. GCDs larger than 50 gallons (100 pounds) shall not be installed in food preparation and storage areas. Santa Clara County Department of Environmental Health prefers GCDs to be installed outside. GCDs shall be installed such that all access points or manholes are readily accessible for inspection, cleaning and removal of all contents. GCDs located outdoors shall be installed in such a manner so as to exclude the entrance of surface and stormwater. (CPC 1009.5) vii. All large, in-ground interceptors shall have a minimum of three manholes to allow visibility of each inlet piping, baffle (divider) wall, baffle piping and outlet piping. The plans shall clearly indicate the number of proposed manholes on the GCD. The Environmental Compliance Division of Public Works Department may authorize variances which allow GCDs with less than three manholes due to manufacture available options or adequate visibility. viii. Sample boxes shall be installed downstream of all GCDs. ix. All GCDs shall be fitted with relief vent(s). (CPC 1002.2 & 1004) x. GCD(s) installed in vehicle traffic areas shall be rated and indicated on plans. b. Drainage Fixture Requirements, PAMC Section 16.09.075 & cited Bldg/Plumbing Codes i. To ensure all FSE drainage fixtures are connected to the correct drain lines, each drainage fixture shall be clearly labeled on the plans. A list of all fixtures and their discharge connection, i.e. sanitary sewer or grease waste line, shall be included on the plans. ii. A list indicating all connections to each proposed GCD shall be included on the plans. This can be incorporated into the sizing calculation. iii. All grease generating drainage fixtures shall connect to a GCD. These include but are not limited to: iv. Pre-rinse (scullery) sinks (direct connection) v. Three compartment sinks (pot sinks) (direct connection) vi. Drainage fixtures in dishwashing room except for dishwashers shall connect to a GCD (direct connection) Not Yet Approved 13 vii. Examples: trough drains (small drains prior to entering a dishwasher), small drains on busing counters adjacent to pre-rinse sinks or silverware soaking sinks viii. Floor drains in dishwashing area and kitchens ix. Prep sinks (indirect connection) x. Mop (janitor) sinks xi. Outside areas designated for equipment washing shall be covered and any drains contained therein shall connect to a GCD. xii. Drains in trash/recycling enclosures xiii. Wok stoves, rotisserie ovens/broilers or other grease generating cooking equipment with drip lines (indirect connection) xiv. Kettles and tilt/braising pans and associated floor drains/sinks xv. The connection of any high temperature discharge lines and non-grease generating drainage fixtures to a GCD is prohibited. The following shall not be connected to a GCD: xvi. Dishwashers (direct connection) xvii. Steamers (indirect connection) xviii. Pasta cookers (indirect connection) xix. Hot lines from buffet counters and kitchens (indirect connection) xx. Hand sinks (direct connection) xxi. Ice machine drip lines (indirect connection) xxii. Soda machine drip lines (indirect connection) xxiii. Drainage lines in bar areas (indirect connection) xxiv. No garbage disposers (grinders) shall be installed in a FSE. (PAMC 16.09.075(d)). xxv. Plumbing lines shall not be installed above any cooking, food preparation and storage areas. xxvi. Each drainage fixture discharging into a GCD shall be individually trapped and vented. (CPC 1014.5) c. Covered Dumpsters, Recycling and Tallow Bin Areas PAMC, 16.09.075(q)(2) i. New buildings constructed to house FSEs shall include a covered area for all dumpsters, bins, carts or container used for the collection of trash, recycling, food scraps and waste cooking fats, oils and grease (FOG) or tallow. ii. The area shall be designed and shown on plans to prevent water run-on to the area and runoff from the area. iii. Drains that are installed within the enclosure for recycle and waste bins, dumpsters and tallow bins serving FSEs are optional. Any such drain installed shall be connected to a GCD. iv. If tallow is to be stored outside then an adequately sized, segregated space for a tallow bin shall be included in the covered area. Not Yet Approved 14 d. Large Item Cleaning Sink, PAMC 16.09.075(m)(2)(B) i. FSEs shall have a sink or other area drain which is connected to a GCD and large enough for cleaning the largest kitchen equipment such as floor mats, containers, carts, etc. Recommendation: Generally, sinks or cleaning areas larger than a typical mop/janitor sink are more useful. e. GCD sizing criteria and an example of a GCD sizing calculation (2007 CPC) Sizing Criteria: GCD Sizing: Drain Fixtures DFUs Total DFUs GCD Volume (gallons) Pre-rinse sink 4 8 500 3 compartment sink 3 21 750 2 compartment sink 3 35 1,000 Prep sink 3 90 1,250 Mop/Janitorial sink 3 172 1,500 Floor drain 2 216 2,000 Floor sink 2 Example GCD Sizing Calculation: Note:  All resubmitted plans to Building Department which include FSE projects shall be resubmitted to Water Quality.  It is frequently to the FSE’s advantage to install the next size larger GCD to allow for more efficient grease discharge prevention and may allow for longer times between cleaning. There are many manufacturers of GCDs which are available in different shapes, sizes and materials (plastic, reinforced fiberglass, reinforced concrete and metal)  The requirements will assist FSEs with FOG discharge prevention to the sanitary sewer and storm drain pollution prevention. The FSE at all times shall comply with the Sewer Use Ordinance of the Palo Alto Municipal Code. The ordinances include requirements for GCDs, GCD maintenance, drainage fixtures, record keeping and construction projects. A.6 Transportation Division 1. Bicycle Parking Plan. Prior to the issuance of a building permit for each project component, the project sponsors shall review the bicycle parking plan and layout with the Transportation Division. Bicycle parking shall be consistent with all applicable codes (PAMC 18.54.060). 2. Bicycle Parking During Construction. As part of the Construction Impact Minimization Plan (CIMP), the project sponsors shall include the installation of temporary bicycle parking facilities if existing facilities would be affected by construction work including bike racks, bike lockers, and covered bike racks. Prior to the Quantity Drainage Fixture & Item Number DFUs Total 1 Pre-rinse sink, Item 1 4 4 1 3 compartment sink, Item 2 3 3 2 Prep sinks, Item 3 & Floor sink, Item 4 3 6 1 Mop sink, Item 5 3 3 1 Floor trough, Item 6 & tilt skillet, Item 7 2 2 1 Floor trough, Item 6 & steam kettle, Item 8 2 2 1 Floor sink, Item 4 & wok stove, Item 9 2 2 4 Floor drains 2 8 1,000 gallon GCD minimum sized Total: 30 Not Yet Approved 15 submittal of the draft CIMP, please contact Transportation staff to discuss the layout, type, duration and number of spaces to be provided. 3. Transit Facilities During Construction. As part of the CIMP, the project sponsors shall include the installation of temporary transit facilities if existing facilities would be affected by construction work. Prior to the submittal of the draft CIMP, please contact Transportation Division staff to discuss the transit stops that would be affected and the design of temporary facilities, which may include the placement of temporary shelters, furniture, informational signage, etc. 4. Wayfinding Signage Plan a. During Construction. As part of the CIMP, the project sponsors shall include the installation of temporary pedestrian wayfinding/directional signage to improve the flow and circulation of pedestrian and bicyclists around construction areas. Prior to the submittal of the draft CIMP, please contact Transportation staff to discuss the design and placement and duration of the temporary signage. b. Permanent Signs. Prior to occupancy, the project sponsors shall submit plans for installation of permanent pedestrian wayfinding/directional signage to improve the flow and circulation of pedestrian and bicyclists around the medical center complex and at Hoover Pavilion. Please contact Transportation staff to discuss the design and placement and duration of the permanent signage. 5. Onsite Improvement Plans. Prior to the submittal of building permit plans, the project sponsors shall review with Transportation Division staff the automobile and pedestrian circulations plans for each of the project components, including the interface between the driveways, walkways, parking garages, private streets and the public right-of-way. Transportation staff shall make a determination regarding the acceptability of the improvement plans. A.7 Utilities A.7.1 Utilities Electric 1. Applicant shall adhere to the requirements listed in City of Palo Alto’s Electric Service Requirements and the City of Palo Alto’s Electric Rules and Regulations. 2. Where CPAU primary electrical facilities enter private property, the applicant/developer/owner shall supply a Public Utility Easement which shall be approved by the Electric Utilities Department. 3. Only one electric service lateral is permitted per parcel. 4. The applicant/developer/owner shall provide space for installing padmount equipment (i.e. transformers, switches, and interrupters) and associated substructure as required by the City. 5. The customer shall install all electrical substructures (conduits, boxes and pads) required from the service point to the customer’s switchgear. The design and installation shall be according to the City standards and shown on plans. 6. The applicant shall be responsible to relocate and/or upgrade all CPAU electric facilities which are impacted by the projects listed under review. 7. Location of the electric panel/switchboard shall be shown on the site plan and approved by the Architectural Review Board and Utilities Department. 8. All utility meters, lines, transformers, backflow preventers, and any other required equipment shall be shown on the landscape and irrigation plans and shall show that no conflict will occur between the utilities and landscape materials. In addition, all aboveground equipment shall be screened in a manner that is consistent with the building design and setback requirements. 9. For services larger than 1600 amps, the customer will be required to provide a transition cabinet as the interconnection point between the utility’s padmount transformer and the customer’s main switchgear. The Not Yet Approved 16 cabinet design drawings must be submitted to the Electric Utility Engineering Department for review and approval. See Drawing SR-XF-E-1020. 10. For underground services, no more than four (4) 750 MCM conductors per phase can be connected to the transformer secondary terminals; otherwise, bus duct must be used for connections to padmount transformers. If customer installs a bus duct directly between the transformer secondary terminals and the main switchgear, the installation of a transition cabinet will not be required. See Drawings SR-XF-E-1020 and DT-SE-U-1032. 11. The customer is responsible for sizing the service conductors and other required equipment according to the National Electric Code requirements and the City standards. See Drawing DT-SE-U-1032. 12. Any additional facilities and services requested by the Applicant that are beyond what the utility deems standard facilities will be subject to Special Facilities charges. The Special Facilities charges include the cost of installing the additional facilities as well as the cost of ownership. 13. The customer is responsible for installing all on-site substructures (conduits, boxes and pads) required for the electric service. No more than 270 degrees of bends are allowed in a secondary conduit run. All conduits must be sized according to National Electric Code requirements and no 1/2 – inch size conduits are permitted. All off-site substructure work will be constructed by the City at the customer’s expense. Where mutually agreed upon by the City and the Applicant, all or part of the off-site substructure work may be constructed by the Applicant. 14. All primary electric conduits shall be concrete encased with the top of the encasement at the depth of 30 inches. No more than 180 degrees of bends are allowed in a primary conduit run. Conduit runs over 500 feet in length require additional pull boxes. 15. All new underground conduits and substructures shall be installed per City standards and shall be inspected by the Electrical Underground Inspector before backfilling. 16. The customer is responsible for installing all underground electric service conductors, bus duct, transition cabinets, and other required equipment. The installation shall meet the National Electric Code and the City Standards. 17. Meter and switchboard requirements shall be in accordance with Electric Utility Service Equipment Requirements Committee (EUSERC) drawings accepted by Utility and CPA standards for meter installations. 18. Shop/factory drawings for switchboards (400A and greater) and associated hardware must be submitted for review and approval prior to installing the switchgear. 19. All new underground electric services shall be inspected and approved by both the Building Inspection Division and the Electrical Underground Inspector before energizing. 20. The Applicant shall be responsible for identification and location of all utilities, both public and private, within the work area. Prior to any excavation work at the site, the Applicant shall contact Underground Service Alert (USA) at 1-800-227-2600, at least 48 hours prior to beginning work. 21. All electrical utility installations shall meet the specifications listed in the City of Palo Alto’s Electric Service Requirement Manual. 22. Applicant shall maintain required spacing between electric facilities and all other utilities. See CPAU engineering drawing DT-SS-U-1003 for spacing requirements. 23. All conduit installation shall be in accordance with CPAU engineering drawing DT-SS-U-1003. 24. All vault and box installations shall be in accordance with CPAU engineering drawing DT-SS-U-1002. 25. Projects that require the extension of high voltage primary distribution lines or reinforcement of offsite electric facilities will be at the customer’s expense and must be coordinated with the Electric Utility. Not Yet Approved 17 A.7.2 Utilities Marketing 1. Outdoor Water Efficiency and Conservation Requirements. Please be advised that as of January 1, 2011, the City of Palo Alto is enforcing the new State Green Building Code (CALGreen) with local amendments for Palo Alto. Compliance with the tier 2 requirements for outdoor water efficiency is required for landscapes of any size when the project is a new construction, rebuild, or addition with greater than 1,000 square feet of building area. All other projects need to meet the tier 1 requirements if a landscape area included in the scope of the project is greater than 1,000 square feet. Prior to issuance of either a Building Permit or Grading Permit, the applicant will need to demonstrate compliance by providing the following documentation when applying for a Building and/or Grading Permit:  Landscape Water Use Statement  Water Use Calculations  Irrigation Plan  Grading Plan  Landscape Design and Planting Plan Applicants will need to provide this documentation to the City at the Building Permit Review stage. All landscape worksheets and Green Building Permit Applications can be found on the City’s website at www.cityofpaloalto.org/greenbuilding Please contact Catherine Elvert in Utilities Marketing Services at (650) 329-2417 catherine.elvert@cityofpaloalto.org or Kristin Parineh in Planning and Community Environment at (650) 329-2189 or kristin.parineh@cityofpaloalto.org for more information. 2. Recycled Water. The City of Palo Alto’s Recycled Water Ordinance (Ordinance No. 5002) became effective on June 12, 2008. This ordinance has requirements for irrigation and dual plumbing that are effective immediately for certain types of projects in Palo Alto. For most projects, this requires a separate irrigation system utilizing purple irrigation pipe, appropriate fittings and the installation of an approved backflow prevention device. Please see Palo Alto Municipal Code 16.12 for more information on the recycled water ordinance. A.8 Water, Gas and Wastewater Utilities Department No General Conditions of Approval at this time. Please see project specific conditions. Not Yet Approved 18 Exhibit B CONDITIONS OF APPROVAL B. CONDITIONS OF APPROVAL AS PER PROJECTS For the SUMC Projects, these conditions of approval are intended to be followed in addition to Section A. General Conditions of Approval. B.1. New Stanford Hospital B.1.1. Architectural Review Board 1. The following item shall be reviewed as part of the Architectural Review Board Consent Calendar: a. The design, construction and materials plans for kiosk at the main entry shall be further developed. B.1.2. Planning Arborist 11. Kaplan Lawn Area. Prior to the submittal of Stanford Medical Center, Main Hospital building permit plans for State or City of Palo Alto review, the Project Sponsors shall provide a construction plan for the road design through the Kaplan Lawn Area. The plans shall employ a “no-cut” road design, limited to a cut no more than 4-inches from grade as feasible. This plan shall be prepared in consultation with the Project and City Arborist to preserve the root area of trees 33, 34, 35, 36, 37, 38, 39, 40, and 41. B.1.3. Water, Gas & Wastewater Utilities Department Prior to Issuance of Demolition Permit 1. Prior to demolition, the applicant shall submit the existing water/wastewater fixture unit loads (and building as-built plans to verify the existing loads) to determine the capacity fee credit for the existing load (for all buildings to be demolished). If the applicant does not submit loads and plans they may not receive credit for the existing water/wastewater fixtures. 2. The applicant shall submit a request to disconnect all utility services and/or meters including a signed affidavit of vacancy. Utilities will be disconnected or removed within 10 working days after receipt of request. The demolition permit will be issued by the building inspection division after all utility services and/or meters have been disconnected and removed. Prior to Submittal For Building Permit 3. The applicant shall submit a completed water-gas-wastewater service connection application - load sheet for each set of meters (the load and location for each water and gas meter shall be separately detailed on one or more utility applications) to City of Palo Alto Utilities. The applicant must provide all the information requested for utility service demands (water in fixture units/g.p.m., gas in b.t.u.p.h, and sewer in fixture units/g.p.d.). 4. The applicant shall submit improvement plans for utility construction. The plans must show the size and location of all underground utilities within the development and the public right of way including meters, backflow preventers, fire service requirements, sewer mains, sewer cleanouts, sewer lift stations and any other required utilities. Not Yet Approved 19 5. Utility vaults, transformers, utility cabinets, concrete bases, or other structures can not be placed over existing water, gas or wastewater mains/services. Maintain 1’ horizontal clear separation from the vault/cabinet/concrete base to existing utilities as found in the field. If there is a conflict with existing utilities, cabinets/vaults/bases shall be relocated from the plan location as needed to meet field conditions. 6. The applicant must show on the site plan the existence of any auxiliary water supply, (i.e. water well, gray water, recycled water, rain catchment, water storage tank, etc). 7. The applicant shall be responsible for installing and upgrading the existing utility mains and/or services as necessary to handle anticipated peak loads. This responsibility includes all costs associated with the design and construction for the installation/upgrade of the utility mains and/or services. 8. Sewer drainage piping serving fixtures located less than one foot above the next upstream sewer main manhole cover shall be protected by an approved backwater valve per California Plumbing Code 710.0. The upstream sewer main manhole rim elevation shall be shown on the plans. 9. Flushing of the fire system to sanitary sewer shall not exceed 30 GPM. Higher flushing rates shall be diverted to a detention tank to achieve the 30 GPM flow to sewer. 10. Sewage ejector pumps shall meet the following conditions: a. The pump(s) be limited to a total 100 GPM capacity or less. b. The sewage line changes to a 4” gravity flow line at least 20’ from the City clean out. c. The tank and float is set up such that the pump run time not exceed 20 seconds each cycle. Prior to Issuance of Building Permit 11. The applicant's engineer shall submit flow calculations and system capacity study showing that the on-site and off-site water and sanitary sewer mains and services will provide the domestic, irrigation, fire flows, and wastewater capacity needed to service the development and adjacent properties during anticipated peak flow demands. Field testing may be required to determined current flows and water pressures on existing water main. Calculations must be signed and stamped by a registered civil engineer. The applicant is required to perform, at his/her expense, a flow monitoring study of the existing sewer main to determine the remaining capacity. The report must include existing peak flows or depth of flow based on a minimum monitoring period of seven continuous days or as determined by the senior wastewater engineer. The study shall meet the requirements and the approval of the WGW engineering section. No downstream overloading of existing sewer main will be permitted. 12. For contractor installed water and wastewater mains or services, the applicant shall submit to the WGW engineering section of the Utilities Department four copies of the installation of water and wastewater utilities off-site improvement plans in accordance with the utilities department design criteria. All utility work within the public right-of-way shall be clearly shown on the plans that are prepared, signed and stamped by a registered civil engineer. The contractor shall also submit a complete schedule of work, method of construction and the manufacture's literature on the materials to be used for approval by the utilities engineering Not Yet Approved 20 section. The applicant's contractor will not be allowed to begin work until the improvement plan and other submittals have been approved by the water, gas and wastewater engineering section. After the work is complete but prior to sign off, the applicant shall provide record drawings (as-builts) of the contractor installed water and wastewater mains and services per City of Palo Alto Utilities record drawing procedures. 13. Existing wastewater laterals to new or remodeled buildings that are not plastic (ABS, PVC, or PE) shall be replaced at the applicant’s expense. 14. The applicant shall pay the capacity fees, connection and inspection fees associated with the installation of the new water, gas or wastewater utility services, or additional load to existing services. The approved relocation of services, meters, hydrants, or other facilities will be performed at the cost of the person/entity requesting the relocation. Each unit or place of business shall have its own water and gas meter shown on the plans. An approved reduce pressure principle assembly (RPPA backflow preventer device) is required for all existing and new water connections from Palo Alto Utilities to comply with requirements of California administrative code, title 17, sections 7583 through 7605 inclusive. The RPPA shall be installed on the owner's property and directly behind the water meter, within 5’ of the property line. Show the location of the RPPA on the plans. Inspection by the utilities cross connection inspector is required for the supply pipe between the meter and the assembly. The applicant shall provide the City with current test certificates for all backflows. 15. An approved reduced pressure detector assembly is required for the existing or new water connection for the fire system to comply with requirements of California administrative code, title 17, sections 7583 through 7605 inclusive. Reduced pressure detector assemblies shall be installed on the owner's property adjacent to the property line, within 5’ of the property line. Show the location of the reduced pressure detector assembly on the plans. Inspection by the utilities cross connection inspector is required for the supply pipe between the City connection and the assembly. 16. The applicant shall secure a public utilities easement for City of Palo Alto Utilities facilities installed in private property. The applicant's engineer shall obtain, prepare, record with the county of Santa Clara, and provide the utilities engineering section with copies of the public utilities easement across the adjacent parcels as is necessary to serve the development. Where public mains are in private streets/PUEs the service agreement shall include the statement: “Public Utility Easements: If the City’s reasonable use of the Public Utility Easements, which are shown as P.U.E on the Map, results in any damage to the Common Area, then it shall be the responsibility of the Association, and not of the City, to Restore the affected portion(s) of the Common Area. This Section may not be amended without the prior written consent of the City”. 17. All existing water and wastewater services that will not be reused shall be abandoned at the main per WGW Utilities procedures before any new utility services are installed. All utility installations shall be in accordance with the City of Palo Alto utility standards for water, gas & wastewater. During Construction 18. For contractor installed water and wastewater mains or services, the applicant shall prepare and submit to the WGW engineering section of the Utilities Department as-built drawings of the installation of water and wastewater utilities to be owned and maintained by the City in accordance with: a. Two sets of as-built drawings (hard copies). Not Yet Approved 21 b. As-built drawings in 2008 or 2010 AutoCAD format. c. As-built drawings in .tiff format. d. Survey points in .csv format for all new utility features. Note: All survey data shall be collected by a California Licensed Land Surveyor. The surveyor is responsible to setup all control points needed to perform the survey work. The accuracy for all survey data shall be +/- 1cm. Survey data to be collected (what's applicable): I. Collect horizontal and vertical data for: 1. Sanitary sewer manholes (rim and invert elevations and depth) 2. Storm drain manholes and catch basins (rim and invert elevations and depth) 3. Water valves (cover and stem elevations) II. Collect horizontal data only for: 1. Service or lateral connection points at the main 2. Fire hydrants 3. Water meters 4. Sanitary sewer cleanout boxes Use CPAU WGW Engineering’s "feature codes" for naming convention available from CPAU WGW Engineering 1007 Elwell Ct, Palo Alto, CA 94303 (650) 566-4501. All drawings and survey data shall be on the California State Plane Coordinate System - Zone 3 in units of feet. The horizontal datum shall be the North American Datum of 1983 (NAD83) and the vertical datum shall be based on Bestor 93. B.2. Hoover Pavilion Site B.2.1. Architectural Review Board For Hoover Medical Office Building 1. The following items shall be reviewed by Planning Division Staff: a. Trash enclosure details b. Final hardscape plan (center spine paving) c. Bruce Fukuji’s recommendations regarding open space and parking reserve be considered. For Renovation of the existing Hoover Pavilion 1. The applicant shall reconstruct and install the finial at the top of the Hoover Pavilion corner tower. B.2.2. Water, Gas & Wastewater Utilities Department For Building Permit 1. The applicant shall submit a completed water-gas-wastewater service connection application - load sheet for City of Palo Alto Utilities. The applicant must provide all the information requested for utility Not Yet Approved 22 service demands (water in fixture units/g.p.m., gas in b.t.u.p.h, and sewer in fixture units/g.p.d.). 2. The applicant shall submit improvement plans for utility construction. The plans must show the size and location of all underground utilities within the development and the public right of way including meters, backflow preventers, fire service requirements, sewer mains, sewer cleanouts, sewer lift stations and any other required utilities. 3. Utility vaults, transformers, utility cabinets, concrete bases, or other structures cannot be placed over existing water, gas or wastewater mains/services. Maintain 1’ horizontal clear separation from the vault/cabinet/concrete base to existing utilities as found in the field. If there is a conflict with existing utilities, cabinets/vaults/bases shall be relocated from the plan location as needed to meet field conditions. 4. The applicant must show on the site plan the existence of any auxiliary water supply, (i.e. water well, gray water, recycled water, rain catchment, water storage tank, etc). 5. The applicant shall be responsible for installing and upgrading the existing utility mains and/or services as necessary to handle anticipated peak loads. This responsibility includes all costs associated with the design and construction for the installation/upgrade of the utility mains and/or services. 6. Sewer drainage piping serving fixtures located less than one foot above the next upstream sewer main manhole cover shall be protected by an approved backwater valve per California Plumbing Code 710.0. The upstream sewer main manhole rim elevation shall be shown on the plans. 7. Flushing of the fire system to sanitary sewer shall not exceed 30 GPM. Higher flushing rates shall be diverted to a detention tank to achieve the 30 GPM flow to sewer. 8. Sewage ejector pumps shall meet the following conditions: a. The pump(s) be limited to a total 100 GPM capacity or less. b. The sewage line changes to a 4” gravity flow line at least 20’ from the City clean out. c. The tank and float is set up such that the pump run time not exceed 20 seconds each cycle. The applicant's engineer may be required to submit flow calculations and system capacity study showing that the on-site and off-site water and sanitary sewer mains and services will provide the domestic, irrigation, fire flows, and wastewater capacity needed to service the development and adjacent properties during anticipated peak flow demands. Field testing may be required to determined current water and wastewater flows and water pressures on existing water and wastewater mains. Calculations must be signed and stamped by a registered civil engineer. 9. Existing wastewater laterals that are not plastic (ABS, PVC, or PE) shall be replaced at the applicant’s expense. 10. The applicant shall pay the capacity fees and connection fees associated with the installation of the new utility service/s to be installed by the City of Palo Alto Utilities or increased demand on existing water or wastewater services. The approved relocation of services, meters, hydrants, or other facilities will be performed at the cost of the person/entity requesting the relocation. 11. A separate water meter and backflow preventer is required to irrigate the approved landscape plan. Show the location of the irrigation meter on the plans. This meter shall be designated as an irrigation account an no other water service will be billed on the account. The irrigation and landscape plans submitted with the application for a grading or building permit shall conform to the City of Palo Alto water efficiency standards. An approved reduce pressure principle assembly (RPPA backflow preventer device) is required for all existing and new water connections from Palo Alto Utilities to comply with requirements of California administrative code, title 17, sections 7583 through 7605 inclusive. The RPPA shall be installed on the owner's property and directly behind the water meter, within 5’ of the property line. Show the location of the RPPA on the plans. Inspection by the utilities cross connection inspector is required for the supply pipe between the meter and the assembly. The Not Yet Approved 23 applicant shall provide the City with current test certificates for all backflows. 12. An approved reduced pressure detector assembly is required for the existing or new water connection for the fire system to comply with requirements of California administrative code, title 17, sections 7583 through 7605 inclusive. Reduced pressure detector assemblies shall be installed on the owner's property adjacent to the property line, within 5’ of the property line. Show the location of the reduced pressure detector assembly on the plans. Inspection by the utilities cross connection inspector is required for the supply pipe between the City connection and the assembly. 13. As part of this project the applicant is required to relocate the gas meter out of the breezeway to the front of the building. Show the new gas meter location on the plans. The gas meter location must conform to utilities standard details. 14. The applicant shall secure a public utilities easement for facilities installed in private property (including the existing water meters). The applicant's engineer shall obtain, prepare, record with the county of Santa Clara, and provide the utilities engineering section with copies of the public utilities easement across the adjacent parcels as is necessary to serve the development. 15. All existing water and wastewater services that will not be reused shall be abandoned at the main per WGW utilities procedures before any new utility services are installed. 16. All utility installations shall be in accordance with the City of Palo Alto utility standards for water, gas & wastewater. B.2.3. Utilities Electric 1. The Applicant and Utilities Electric staff shall meet and discuss the requirements for access to the electrical substation during construction of the Hoover parking garage and medical office building and access to accommodate future placement of additional equipment that may be needed within the existing footprint of the substation. B.3. Lucile Packard Children’s Hospital B.3.1. Architectural Review Board 2. The following items shall be reviewed by the Architectural Review Board Subcommittee: a. Exterior signage; b. Material sample for the exterior site wall adjacent to Quarry Road and Welch Road; 3. The following items shall be reviewed by Planning Division Staff: a. Final photometric plan, and b. Final light fixture plan B.4. Welch Road / Durand Way B.4.1. Architectural Review Board 1. The following items shall be reviewed by the Planning Division Staff: a. Study alternate locations for Marguerite Shuttle Stop along Quarry Road; and b. Study the intersection of Quarry Road and proposed LPCH loading dock to insure safe bike, pedestrian and traffic movements. B.4.2. Transportation Division 1. Durand Way. Durand Way shall be constructed at the earliest opportunity to improve automobile circulation from the medical center complex in the vicinity of Welch Road and Sand Hill Road. At a Not Yet Approved 24 minimum, to the extent feasible, the Durand Way intersection apron shall be constructed with the Welch Road improvements. 2. Welch Road. Welch Road shall be constructed per improvements plans approved by the City and shall include, but not be limited to: new median islands that extend from key intersections to channelize left turn vehicles and restrict driveway movements near intersections; installation of pedestrian-activated flashing beacon systems with enhanced roadway markings & signage; installation of new retro- reflective signage throughout the project corridor; traffic signal improvements including intersection safety lighting enhancements; and miscellaneous roadway improvements. 3. Quarry Road. Improvements to the Quarry Road public street shall be reviewed by Transportation Division staff prior to the submittal for permits. B.5. School of Medicine, Foundations in Medicine 1 (FIM1) B.5.1. Architectural Review Board 1. The following items shall be reviewed by the Architectural review Board Subcommittee: a. Final landscape plan; b. Proposal for a School of Medicine gateway entry feature from Pasteur Drive area; c. Final photometric plan; and d. Revisions to both FIM1 building entries to be more visible and prominent to pedestrians. B.6. Design Guidelines Document B.6.1. Architectural Review Board 1. The following items shall be added by the Applicant and reviewed by Planning Division staff: a. Add language to SHC Clinics section that describes importance of the building as terminus to Pasteur Mall and the need for a strong axial relationship of between the building massing and Pasteur Mall; b. Include language in the Executive Summary that would allow minor adjustments to the Design Guidelines for items such as light fixtures, pedestrian furniture, etc; and c. Include language to the Executive Summary that would describe the process, procedure, and review responsibilities for any future amendments to the Design Guidelines. Not Yet Approved 110503 jb 0130713 Resolution No. ________ Resolution of the Council of the City of Palo Alto Setting Date for Consideration of Reorganization of Area Designated “Major Institution/ University Lands” Property Located on the northwest side of the Main SUMC site Adjacent to Pasteur Drive; Approximately 0.65 Acre(s), (APN: 142-05-031) WHEREAS, the Council of the City of Palo Alto has received a request for annexation of territory designated “Major Institution/ University Lands” by the County of Santa Clara; and WHEREAS, the property, 0.65 + acre on the northwest side of the Main SUMC site adjacent to Pasteur Drive (APN 142-05-031) is contiguous to the City of Palo Alto and is within its urban service area; and, WHEREAS, there are no special districts that would be affected by the proposed annexation; WHEREAS, annexation would provide for use of City services; and WHEREAS, this territory was pre-zoned on June 6, 2011, to City of Palo Alto Pre- zone Hospital District; and WHEREAS, the City of Palo Alto, as Lead Agency for environmental review for the reorganization, certified the Stanford University Medical Center Facilities Renewal and Replacement Project Final Environmental Impact Report on June 6, 2011; and WHEREAS, the County Surveyor of Santa Clara county has found the map and description (Exhibits “A” and “B”) to be in accordance with Government Code Section 56757, the boundaries to be definite and certain, and the proposal to be in compliance with LAFCO’s road annexation policies; and WHEREAS, as provided in Government Code Section 56757, the Council of the City of Palo Alto shall be conducting authority for a reorganization including an annexation to the City; and WHEREAS, said territory is inhabited and all owners of land included in proposal have consented to this annexation; and WHEREAS, Government Code Section 56663 (a) provides that if a petition for annexation is signed by all owners of the land within the affected territory the City Council may approve or disapprove the annexation without public hearing. Not Yet Approved 110503 jb 0130713 NOW, THEREFORE, the Council of the City of Palo Alto does hereby resolve as follows: SECTION 1. Initiates annexation proceedings and will consider annexation of the territory designated as Major Institution/ University Lands and detachment from the County of Santa Clara at their regular meeting of June 20, 2011. SECTION 2. The Council of the City of Palo Alto hereby finds that the Stanford University Medical Center Facilities Renewal and Replacement Project Final Environmental Impact Report discussed the annexation and was certified on June 6, 2011 in accordance with the California Environmental Quality Act. INTRODUCED and PASSED: AYES: NOES: ABSENT: ABSTENTIONS: ATTEST: ____________________________ ____________________________ City Clerk Mayor APPROVED AS TO FORM: APPROVED: ____________________________ ____________________________ Senior Asst. City Attorney City Manager ____________________________ Director of Planning and Community Environment Not Yet Approved 110503 jb 0130713 Not Yet Approved 110503 jb 0130713 1 2 3 Table of Contents AREA PLAN -BACKGROUND AND PURPOSE 1.1 Purpose 1.2 His10ry and Background PLAN ELEMENTS 2.1 Planning Principles 2.2 Land Use 2.3 Linkages and Connections 2.4 Circulation, Vehicular Access, and Parking 2.5 Transil, Bicycle, and Pedestrian Ci rculation 2.6 Open Space, Historic Resources, and ,-"sual Resources 1.1 1.5 2.1 2.3 2.3 2.7 2.12 2.18 ZONING AND LAND USE REGULATIONS -EXISTING AND FUTURE 3.1 Existing Zoning -City 01 Palo Alto 3.1 3.2 Future Zoning Changes -City 01 Palo Alto 3.4 3.3 Existing and Future Comprehensive Plan Designation -City of Palo Alto 3.4 3.4 Land Use Designations -Santa Clara Counly 3.5 3.5 Jurisdictional Boundary Change 3.5 3.6 Land Use Policy Agreement 3.8 APPENDIX A Stanford University Medical Center Area Plan Update May 2011 1 2 3 ii May 2011 list of Exhibits AREA PLAN -BACKGROUND AND PURPOSE 1-1 Context 1-2 Plan Area -Boundary 1.2 1.3 1-3 SUMC Facilities Renewal and Replacement Project Documents 1.4 1 .4 Plan Area -Existing Facilities 1.8 1-5 Plan Area -Future Facilities 1.9 1-6 Past Entitlement Actions 1.10 FACILITIES RENEWAL AND REPLACEMENT NEEDS 2-1 SUMC Linkages -Future 2-2 Vehicular Circulation and Parking -Existing 2-3 Vehicular Circulation and Parking -Future 2-4 Transit -Existing 2-5 Transit -Future 2-6 Pedestrian and Bicycle -Existing 2-7 Pedestrian and Bicycle -Future 2-8 Open Space -Existing 2-9 Open Space -Future 2.4 2.8 2.9 2.14 2.15 2.16 2.17 2.20 2.21 2-10 Historic Resources -Existing 2.22 ZONING AND LAND USE REGULATIONS -EXISTING AND PROPOSED 3-1 Zoning -Existing 3-2 Zoning -Future 3-3 Comprehensive Plan -Existing 3-4 Comprehensive Plan -Future APPENDIX A Connparison of SUMC Project to Comprehensive Plan Policies Sian ford University Medical Center Area Plan Update 3.2 3.3 3.6 3.7 1 Area Plan- Background and Purpose This Stanford University Medical Center (SUMC) Area Plan has been prepared pursuant to Program L-46 of the City's 2010 Comprehensive Plan as an informational document for the City, the SUMC entities and the public. It is not a regulatory document and does not com- prise a coordinated area plan or specilic plan under the City's Municipal Code. The Area Plan is not intended. to establish land use or development policies or standards, and is not intended to supersede the applicable policies, regulations, requirements and standards of the City's Comprehensive Plan and Municipal Code. If any provisions of the Area Plan vary from or conflict with the Comprehensive Plan or Municipal Coce, the applicable provisions of the Comprehensive Plan or Municipal Code shall prevail. This Plan update is the most recent in a series of planning documents for the SUMC that be- gan in the mid-1 950s. The medical center plan evolved during master pt3nning in the 1 970s and early 1 980s, and continued through to the SUMC Land Use Area Analysis 2000 that was completed and submitted by Stanford in conjunction with an application for Palo Alto's approval for the Center for Cancer Treatment and Prevention/ Ambulatory Care Pavilion and underground parking structure. Prior to submittal of the SUMC Renewal and Replacement Project application in August 2007, a first draft of this Area Plan Update was submitted to the City in April 2007. Stanford University, Stanford Hospital and Clinics (SHC), and Lucile Packard Children'S Hospital (LPCH) have developed various plans in response to evolling land use issues and changes in the nature of teaching, medical practice, and medical research. This Area Pt3n identifies current campus planning and community design principles for the SUMC. Refer to Exhibits 1-1 and 1-2 for the planning context and the area plan boundary, respectivefy. 1,1 PURPOSE The purpose of the SUMC Area Plan Update is to respond to the City of Palo Alto Compre- hensive Plan Program L -46: Work with Stanford to prepare an area plan lor the Stanford Medical Center An area plan for the Medical Center should address building locations, floor area ratios, height limits, and parking requirements. It should discuss the preservation of historic and open space resources and the protection of views and view corridors. The plan should describe improvements to the streetscape and circulation pattern that will improve pedestrian, bicycle, transit, and auto connections. This Area Plan Update meets the requirements of Program L-46 by addressing t3nd use, cir- culation, open space, visual resources, and historic resources in the Plan Elements (Section 2). and building locations, floor area ratios, height limits, and parking requirements in Zoning and Land Use Regulations -Existing and Future (Section 3) for the SUMC area as a whole. SlanfOld Univefsily Medical Center Area Plan Update May 2011 1.1 several clinics were constructed and leased by community physicians along Welch Road, in anticipation of the new medical center facility, Construction at the Medical Genter began in 1957 and facilities opened in phases beginning in 1959, The original Medical Center cornplex included the Edwards, Lane, Alway, Boswell, and Core buildings, as well as tile East and West Pavilions, Patient care programs were located in the Edwards BUilding and in the north portion of the complex, The teaching and research pro- grams were located in the southern area, Together, these buildings are sometimes calied the "E.D, Stone Complex" afier the architect who designed them, In the 1960s, the Grant building was added to the rear of the Medical (,,enter, "filling in" the "H" structure of the o~ginal group of buildings. During th's same time frame, several more buildings were constructed along Welch Road. The 1970$ saw a small expansion of Medical Cenler build;ngs to the north, known as the Core ExpanSion, In addition, two more office/research buildings were constructed on Welch Road, The decade of the 19608 realized a signiflcanl increase in SUMC size. SHC added the Hos- pital Mode,nizatiol1 Project, including Ihree patient 'pods", In addition, housing was con- structed at 1100 Welch Road (apartments managed by the Santa Clara County Assistance League for patient families at reduced rates and apartments for medical residents and other faculty and staff), a child care center was added at the rear of Hoover Pavilion, and a parking structure was constructed to the east of the Medical Center along Campus Drive West. The 1990s continued with a new facility for LPCH, allowing a mOVe from its first location in the old convalescent hospital near Sand Hill and Arboretum roads. SHC also constructed the Blake-Wilbur Clinic for the faculty practice program, and a second parking structure. The School of Med:cine developed the Psychiatry Academic/Clinic Facil,ty at Quarry and Arbore- tum: the Medical School Lab Surge/Magnetic Resonance Spectroscopy Building (now Lucas Center): and the Center for Clinical Sciences Research. In the early 2000s, SHC constructed the ('klnter for Gencer Treatment and Prevention! Ambulatory Gare Pavilion (CCTP/ACp) at Blake-Wilbur Drive, with an underground parking structure located in the Pasteur OrNe median. The CCTP!ACP, now known as the Advance Medicine (',enter (AMC), was developed as a facility where the services of a decentralized Cancer Treatment Center and other specialized ambulatory clinics could be consolidated in a single, accessible, state-of-the-art facility, In Santa Clara County, a parking struclure at the Stockfarm parking lot was constructed. The SUMC Project, scl1eduled for approval in 2011, Includes replacement of Stanford Hospi· tal, expansion of LPCH, and replacement research facilitiP2 for the Stanford University School of Medicine, Existing and future :acilities in the Plan area are shown in Exhibits 1-4 and 1-5, respectively. 1,,6 May 2011 Stanford University Medical Center Area Plan Update SUMe Action Year Rezone 725 and 900 Blake Wilbur 1984 Construct Haspilal Modernization Project 1987 Construct Lucile Packard Children's Hospital 1991 Rezone 851 Welch Road 1990 Cons~uct Blake Wilbur (Faculty Pracllcej Clinic 1992 Rezone 801 and 1101 Welch Road 2000 Construct Cancer Center/Ambulatory Care Pavilion (AMe) 2003 The Comprehensive Plan also recognizes that "because the health care industry is constantly changing, the Medical Center is likely to need additional development entitlements from the City to respond to future facility needs and space demands," Comprehensive Plan Policy B-32 states: Assist Stanford Medical Center in responding to changes in the delivery of health care services, Worl< with the Center to plan for changing facility needs, but within the context of City of Palo Alto planning goals and policies, , , In 2000, in connection win, the City Council's consideration of the application for the Center for Cancer Treatment and Prevention/Ambulatory Care Pavilion (CCTPIACP), Stanford prepared a Land Use Area Analysis to comply with the stipulations created during the Blake Wilbur Clinic approval in 1991 and Comprehensive Plan Program l-46, Submitted to the City Council in June 2000, this document conta"ns traditional planning <,<ements such as land use: access, c'rcu'ation, and parking; and urban designicommunity charae:er, as well as a discussion of existing land use regulations, and changes to sueh regulations that might be proposed in the future, The City Council accepted the Land Use Area Analysis as the area plan tor the Medical Center. 1.2.4 Historic Entitlement Mechanisms Prior entitlement actions are listed in Exhibit 1-6, Historically, City entitlement for hospital expansions has occurred by rezoning Welch Road parcels fmm OR to PF, and adding them to the single planning p8rce" (Note that as part of a city-wide Zoning Ordinance Update in 2005, OR parcels were rezoned to Medical Office Research (MOR)), Currently, \t,ree MOR parcels remain "in-board" (toward the hospital) of Welch Road and seven MOR parcels ace located "out -board" of Welch Road, After the SUMC PrOject, one MOR parcel will reman in-board of Welch Road, The hospital uses are a conditional use on the Public Facilities parcel. Therefore, the City is- sues conditional use permits with IBquirements during each project approval, 1.10 May 2011 Stanford University Medical Center Area Plan Update 1-6 Past Entitlement Actions 2 Plan Elements 2.1 PLANNING PRINCIPLES This section discusses the broad planning principles that have been adopted by the City of Palo Alto in its Comprehensive Plan (Comp Plan) and will guide the planning and develop- ment within the Stanford University Medical Center (SUMC). The SUMC is part of an urban corridor that is a gateway to both Stanford University and Palo Alto. The district is bounded by San Francisquito Creek to the west and the more ceremonial Stanford University Palm Drive and Arboretum to the east. To the north is the Stanford Shop- ping Center, the multi-modal transit center, and downtown Palo Alto. To the south and west are additional elements of the Medical School and the rest of the Stanford Campus, residen- tial development, Menlo Park office development, access to Highway 280, and the foothills. In addition, the SUMC entities have the following campus planning principles, goals, and objectives: • To reinforce the unique character of the SUMC with respect to the City structure and to Stanford University • To establish a unified center while maintaining the unique identity of each institution • To promote a sense of security through attentiveness to personal and public safety • To create a sense of welcome to the broad community of Medical Center users • To enhance connectivity to all modes of travel and transit • To design for efficiency in land use and other resources • To plan for adaptability to new medical, research, and infrastructural technologies 2.1.1 Palo Alto Comprehensive Plan Comp Plan goals, policies and programs call for a well-designed, compact, healthy, pedes- trian-scale community, with thriving employment districts and commercial areas and with attractive gathering spaces and coherent patterns of development. Policies include working with Stanford and Santa Clara County cooperatively on land use matters while meeting the city goals for appropriate development (Policy L-2). The Comp Plan identifies several Employment Districts in Palo Alto and recognizes them as an essential part of the local economic base. Goal 6-6 is established to keep the City's em- ployment districts economically healthy in order to provide jobs, create a customer base for many local businesses, and generate City revenues. The Comp Plan identifies the SUMC as one of these important employment centers and one of the largest concentrations of health care services in the 6ay Area. The Comp Plan recognizes that because the health care in- dustry is constantly changing, the SUMC will likely need additional development entitlements to respond to future facility needs. Policy 6-32 is established to support these anticipated necessary future facilities in conjunction with the City's efforts to achieve its broader planning goals and pdicies. A full listing of Comp Plan goals and policies that apply to the SUMC are provided in Appen- dix A. Stanford University Medical Center Area Plan Update May 2011 2.1 Aerial View Northeast view of a portion of the SUMC campus with Stanford Shopping Center and Downtown Palo Alto beyond. Palo Alto is currently undergoing a Comp Plan Update process, which is expected to be completed in 2012. 2.2 LAND USE Throughout its hlsto.oy of planning for the SUMC, Stanford University has established the fundamental land use goals of unity, synergy of functional relationships, security, and fiex- biLty. It has striven to accommodate and integrate clinical uses w,th teaching and research whi'e providing necessaoy support uses such as housing, childca'B, and related non-Stanford University health care and commerCial uses, 2.2.1 Palo Alto Comprehensive Plan Land use objectives of Comp Plan goals, policies, and programs emphasize sound plan- ning and focus on maintaining appropriate scale and density. Other objectives include the reuse of old buildings and the appropriate siting and design of parking. Comp Plan Goal L-1 expresses the City's desire for a werl-designed, compact city, and recognizes that infill and redevelopment of the Cty's urban land will pro.ide protection of the baylands and foothills. Specifically for tt18 SUMC, PoliCY L-45 encourages future development to support compact, pedestrian-oriented development that also meets the functional needs of the facilities within the SUMC. As part of the Comp Plan, the City's 1989 Citywide Land Use end Transportation Study ana- lyzed a specified amount of development and Policy L-8 maintains that amount 01 develOp- ment as a citywide limit on new non-residential development. As part of any project approval process, the City determines whether the SUMC proposed facilities are within tho established citywide limit. While the now development in the SUMC project is within the overall city development cap set forth in L-B. the amount of development anticipated for district 9 (which includes the Medical Center) would be exceeded wittl the proposed SUMC development. In approviog the prOJect, the city will adopt a Comprehensive Plan amendment to clarify that development within the Hospital District is exemot from the policy. 2.3 LINKAGES AND CONNECTIONS Although tne SUMC is a distinct area w,tn defined boundaries, it exists wtflin a larger land use context. Refer to Exhibit 2-1 lor a depict,on of SlJMC linkages with adjacent areas. Stanford Shopping Center Area The Stanford Shopping Center shares streets and other Infrastructure with SLJMC and pro- Vides important retail support for SUMC employees, patients, and visitors. Other Nearby City Areas O!her areas in the city have geographical or functional relationships to the SUMC area. The downtown Provides retail shopping opPOrtun,ties and services 10 employees and other SUMC users, and benefts from the employee and user populations at the SUMC. Residen- Staliford University Medical Center Area Plan Update May 2011 2,3 lial areas north and south of downtown, in nearby Menlo Park and espedally the housing along Sand Hili Road are very close to the SUMC and undoubtedly provide housing for some SUMC employees, Development along EI Camino Real such as Town and Country Village, the Palo Alto Mee1ical Foundation and the hotels just east of University also serve the SUMC and benefit from the proximity of SUMC, Open Space The regional open space resources of the Arboretum and San Francisquito Creek are sig- nificant fealures that provide landscape amenity to SUMC employees, patients and visitors Structured open spaces within the Medical Center provide more immedate relief and respite to Cente:-users. Campus Linkage It is ver, important that linkages to the campus be not only maintained but also strength- ened, The School of Medicine has affinities with the main academic campus that will only increase as interdisciplinacj academic programs grow, Further, many hospital employees take advantage of cultu'al amenities and other services available on ca",pus, Transportation Transportation facilities and routes that enable ;ravel are clearly important to the vitality of the SUMC, The important transportation linkages include the regional roadways that serve the SUMC: 1-280 and Foothill Expressway to the south; and EI Ca'1Cino Real, Alma/Central Expressway, and Highway 101 to the north, Local actarial roadways providing connection to the region roadways (and generally running east-west) include Sand Hill Road, Alpine Road, Quarry Road, University Avenue, Embarcadero Road and Page Mill RoadiOregon Express- way, All available regional and local transit systems connect to the Palo Alto Intermada: Transit Station (PAITS), The systems include the Caltrain Peninsula Rail SeIVice, SamTrans, VTA, Dumbarton Express (east bay service) and the Palo Alto and Marguerite shuttles, Streets linking Ihe Cenler to the PAITS include Quarry Road, Palm Drive, EI Camino Real, and Sand Hill Road, An extensive pathway network exists beyond the street system, The paths provide opportu- nities for pedestrians and cyclists to connect to the related land uses and transportation sys- tems dIscussed above. A more thorough description of streets, paths, and transit facHities is provided in Section 2.4 (Circulation, Vehicular Access, and Parking) and Section 25 (Transit, Bicycle, and Pedestrian Circulation), Slar:tord University Modical Cer:ter Area Plan Update :V1ay 2011 2,5 Internal Linkages Most internal linkage within the SUMC and between it and the Shopping Center will occur on the streets paths and systems referenced above and described further in Section 2.4 (Circulation, Vehicular Access, and Parking) and Section 2,5 (Transit, Bicycle, and Pedestrian Circulation), There are, however, three connections of special significance that bear mention- ing here, The main pedestrian spine of the SUMC aligns with the centra! mall of the Shopping Center, The SUMC Project includes a signalized intersection where the Stanford Barn and LPCH drVeways intersect with Welch Roaa, The signal provides an opportunity to create a central- ized ana protected pedestrian crossing and extend the central Medical CAJnter pedestrian route through to the Shopping Center. The SUMC Proisct will rearrange the parking at 700 and 730 Welch Road to consolidate access to a single driveway, Two well-defined pedes- trian paths wil be created; ono wil, be adjacent to the Stanford Barn and the other adjacent to the building at 730 Welch Road, Quany Road was widened as part of the Sand Hill Road Project in 2002, creating a new "lulI- service" intersection at EI Camino, This intersection creates a new entry point to the SUMC on Quarry, one of the few roads in the local network with capacity for more movement. The Sand Hill Road Project also upgraded and extended sidewalks and bike lanes to increase capacity for those modes. The SUMC Project includes funding Of a future Class 1 multi-use path connecting directly from the Quarry/EI Camino intersection to tllO futuro Everett Tunnel in order to benefit pedestrians ana cyclists traveling between downtown and the SUMC, The developrDent parce's on Quarry Road borde' tho deSignated Campus Open Space of the Arboret"m, The University has located a utility corridor along this edge. Stanford Univer- sity may, in the future, construct a pathway through its campus lands to connect the SUMC to EI Camino Real by crossing diagonally along the norttl side of the Stanford arboretum, Such a pattlway would be within the jurisd'ction of Senta Clara County, The pathway could serve the University campus, SUMC and future planned housing sites on Quarry Road. If Stanford pursues this paUlway on County lands, Stanford and Santa Clara County would need to address pedestrian safety in the location where the pathway crosses Arboretum Road, Safety teatures could include integration of Palo Road and Arboretum Road crossings with housing site entry drives to create controlled intersections. This facility would provide connection to the PAITS and Downtown as well as allowing users to experience the path network, open space and cultu'al resources of the Arboretum, Nodes Access to the streots, routes and paths described above occu's at key points or nodes gen- erally wheee facilities intersect. Primary nodes 3'SO act as entry points to the City, University or district. These are located at EI Camino ReaVSand Hill, Sand Hit/Pasteur and EI Camino/ Pam/ University, Secondary Nodes inciude EI Camino/Quarry, QuarryiWe:ch, Quarry/Cam- pus, and Quarry/Arboretum, Minor Nodes are generaliy iearned through local knowledge, but 2.6 May2011 Stanford University Medical Center Area Plan Update they are important in that they provide even greate' opportunity to disperse traffic (all modes) throughout the network and give travelers options. The minor nodes alB: Sand HiIiNine\<ard, Sand HilVDurand, CampusiWelch and Campus/Roth. Palo Alto Comprehensive Plan The Comp Plan includes policies intended to encourage linkages and connections via walking and other non-vehicular modes of travel. The Medical Center's proximity to related and supporting uses, such as retail and open space, create opportunities to increase and enhance those connections. 2.4 CIRCULATION, VEHICULAR ACCESS, AND PARKING Th's and the following section ana,fZc transportation opportunities and limitations in the Plan area. Given the recogn:zed constraints on road capacity, 8 fundamental goal is to minimize auto top incr~,ases. Similarly, another pri"'"ry goal is to increase access opportunities lor bicyclists and pedestrians. Clarity and order in the circulation systems, clear connections to regional transportation resources. and convenient and accessible parking are of prime importance. The layout and past development ot the SUMC and the local circulation systems have cre- ated Infrastructure to support walking and hiking. The Area Plan Update examines opportuni- ties to expand these systems through specific improvements while providing efficient access for vehicles. the primary travel mode for patients and visitors and the means for delivery of goods and support selVices to the Center. Refer to Exhibits 2-2 and 2-3 for a depiction of existing and future vehicular circulation and parking. Road System The SUMC utilizes an overall network of circulation, via roads, paths, other pedestrian ways, selVice areas. and parking lots. This circulation system is a hierarchical network of public roads linking it to regional roadways and surroundng communities: feeder I entry roads; a loop road system enci~cling the main SUMC, connecting it to the main campus and tre pecimeter SUMC parcels; and internal distributor roads connecting the loop to final vehicular destinations. Primary objectives include safety, clarity, and convenience of routes from entry to parking and, via pedestrian paths, to destinations. Roads should have sufficient capacity for antici- pated Iraffic. Routes for emergency vehicles should be well-signed, direct, and free from obstruction and congestion. The system should provide equally clear access to all principle destinations for every mode of travel. The entry and loop roads connect to four major public roads that provide puhl<o access to the SUMC. These roads are EI Cam'no Real, Junipero Serra Bouevard, Sand Hill Road, and Ouacry Road. These roads connect to highways and expressways that are regional trans- portation 'aei'ities iUS 101, 1280. CA 84, etc,). Some acal arterials such as Alpine Road in Stanford University Medical Center Area Plan Update: 2.7 San Mateo County and Embarcadero Road in Palo Alto also provide connection between the Center and regional facilities. The most important external access routes are those serving the Emergency Department (ED), which is currently reached via Quarry Road from Cam- pus Drive, Welch Road, Arboretum Road, and EI Camino Real. Construction of the SHC replacement hospital will relocate the ED to the west side of the hospital complex and shift the primary access to Welch Road. The above streets will continue to provide ED access but Sand Hill Road will become the primary route connecting to Welch via Pasteur Drive and the Durand Way extension. Entryways should be designed and articulated to welcome visitors, clearly announce their status as main entries and convey a sense of quality and care representative of the institu- tions. Under the SUMC Project, each of the major destinations, the Stanford School of Medicine, Stanford Hospital and Clinics, and Lucile Packard Children's Hospital, along with three additional entries, will have a distinct identity and arrival statement. Three entry roads serve as major arrival statements to the SUMC and orient visitors to main building entries or other primary destinations. These entries are Pasteur Drive, Quarry Road, and Campus Drive. Through their geometry and urban design elements, these roads announce their status as main entries and provide new visitors with clear messages of arrival destinations. Quarry Road will be clarified and enhanced to identify it as a principle entry. A secondary entry to provide access to Welch Road and entry to some outpatient facilities will be constructed by extending Durand Way from Sand Hill Road. Loop roads consist of Campus Drive West, Welch Road, Vineyard Lane, and Quarry Road. These roads support the basic University circulation at the perimeter, connecting to penetra- tions that allow convenient access to all possible campus destinations. These roads are generally engineered to serve as collectors and are designed to identify them as such. The internal distribution roads are the final roadway links in the system. They consist of con- nections that provide necessary vehicular access to each facility. These routes include minor streets, driveways and parking lot aisles. To clarify and reinforce these as access routes, their design and engineering will emphasize transition from vehicular to pedestrian movement and clearly communicate available destinations, Under the SUMC Project, service areas for the delivery of materials and building access by vendor and service personnel will generally be centralized and located to facilitate convenient vehicular access from internal distribu- tor roads reached via loop and entry roads. The primary service access for central materials receiving will remain via the service drive off of the Quarry Road extension. The SUMC has a major network of service corridors located at the basement level to distribute goods from central service pOints. Some perimeter facilities not connected to the service corridors will need dedicated service entries. Where service and pedestrian access coincide, service areas would be screened or enhanced and integrated through design and landscape. 2.10 May 2011 Stanford University Medical Center Area Plan Update Parking Parking in the SUMC serves a variety of functions. Close-in parking, convenient to the front door entries of clinical facilities, is used primarily for patients, their visitors, and families. Com- munity physicians, vendors, and other business visitors to the Center also use this parking. The next tier of parking is commuter parking in the University parking system. Hospital and University faculty, staff, and students who desire or need parking close to their work or research place may purchase premium-priced permits for close-in parking, which is man- aged to assure adequate vacancies, with some spaces reserved for the safety and security of evening shift workers. General commuter parking is also available, first-come-first-served, on the perimeter of the SUMC. It is generally a longer walk from most employment and aca- demic areas and is often served by the campus shuttle system. The existing Palo Alto Use Permits for SUMC facilities allow for Stanford's regional parking approach that relies on parking in City and Santa Clara County locations, rather than relying upon parking assigned on a building-by-building basis. In the future, performance-based parking requirements will be established to recognize the unique demands of this medical center, located near a multi-modal transit center and supported by an extensive Transporta- tion Demand Management program. Staff and long-term parking will continue to be evalu- ated for remote locations with proximity to freeway access as a part of a larger campus/ community-wide program for transportation management and parking. As uses intensify and density increases in the core of the SUMC, three principles guide the planning of parking facilities: • Maintain supplies of front door parking to serve patients, community physicians and care givers, visitors, and evening shift workers. • Locate parking in structures or below grade when feasible to maintain space for clinical and academic facilities. • Provide general purpose staff/commuter parking in perimeter locations not needed for clinical or academic facilities 2.4.1 Palo Alto Comprehensive Plan Applicable Comp Plan policies include the consideration of economic, environmental, and social costs of transportation decisions and the possibility of higher density or concentrated land uses to support transportation efficiencies. Program and policies also support the plan- ning, design, and creation of complete streets and other facilities to support all transportation modes as well as vehicles. Stanford University Medical Center Area Plan Update May 2011 2.11 elsewhere on the site during the SUMC Project. The Design Guidelines Identify and describe a variety of new and enhanced landscapes that will result from the SUMC Project. The design of the SUMC Project continues the Stanford tradition of integrating open space and land- scape elements into the design of Its facilities. Regional Open Spa" .. The regional open space resources near the SUMC include the Arboretum and San Fran- clsqulto Creek. Both are near the SUMC and currently connected by existing streets and pathways. The connections to the natural landscape of the creek corridor were enhanced w.th the pathways and designation of preserves as a resul of the Sand Hill Road Projects. The SUMC Project will inc:ude an extension of Durand Way to Welch Road, thereby connect- ing the creek open space corridor and Stanford West to the core of the SUMG. Section 2,3 describes a possible future campus pedestrian bike path along the edge of the Arboretum where it borders the Quarry Road parcels. This path would link the campus and SUMC stree1Jpath systems near the intersection of Quarry Road and Campus Drive, provid- ing users of the Stanford campus and SUMC with enhanced access to the Arboretum and the landscape resources it contains. This route would extend south through the campus and link other important campus open spaces. The northern terminus of the path is the EI Camino Reali Palm intersection where path users could connect to the Palo Alto intermodal Transit Station, related commercfal and clinical uses along EI Camino, and Downtown Palo Alto, The open space features discussed above are general:y not developed playfields for orga- nized, active recreation. There are a nLOmber of such faciliUes in the area. These include the EI Camino Park in Palo A'to, the Intramura' Playfie'ds on campus and the Village Green at the Stanford West apartments, These nearby facilities are also included on the Open Space Diagram, Opportunties to view natural landscape features such as the foothills and rpaoan corridor are preserved and enhanced under tha SUMC Project Landscape features such as the Arboretum, Governor's Avenue and the rural features along Sand Hii' Road are also important to creating a sense of place, The SUMC Project wlit be carefuity sited and designed to f:t into this landscape context and to provide Visual connection to these resources. Historic Resources Two historic structures have heen identified within the Area Plan boundaries: the Hoover Pavilion and the Stone Building Comp'ex and are shown in Exhibit 2-10. Neither structure is formally iisted as a local, state or nalionellandmark; how€\:er, both were found eligible lor listing during the env'ronmental assessment process for the SUMG Project. Under the SUMG Project, the Hoover Pavilion. a zigzag Moderne building sited on the edge at the Arboretum, will be preserved and restored follOWing the Sacrelsoy of the Intenor's Standards for the Treatment of Historic Structures. The restored building will house medical offices and StanforO GnivefSly Medical Center Area Plan Update \4ay 2011 2,19 Hoover Pavilion, 19305 Image provided by the Palo Alto Historical Association a health library, and will be open to the public. The SUMC Project was designed to preserve the view of the Hoover Pavilion's historic main entry from the Quarry Road/Palo Road inter- section. This view will be enhanced by removal of overgrown vegetation and the restoration of the exterior fa<;ade of the building. The Stone Building Complex cannot be retrofitted for hospital use and must be removed in order to create space for construction of the new medi- cal facilities. Regional Historic Resources There are a number of nearby historic resources including the Stanford Museum of Art/Can- tor Center for Visual Arts at Stanford, the university's Main Quadrangle, Palm Drive and the university's entrance gates, the Palo Alto Southern PaCific Railroad Depot, Hostess House (currently the MacArthur Park restaurant), and the Stanford Winery Barn. These resources (shown on Exhibit 2.10) are reached by the circulation network presented in the Area Plan and provide both visual interest and programs of interest to SUMC staff and visitors. 2.6.1 Palo Alto Comprehensive Plan Comp Plan policies for the protection of distant open space views are incorporated into building siting decisions. Policies and programs intended to protect and enhance the com- munity forest will guide the planning for site and street tree protection, replacement, and planting. Palo Alto and the SUMC entities value the backdrop of forested hills to the southwest. Comp Plan Policy L-3 guides development to respect views of these hills from public City streets to provide a sense of enclosure and a reminder of the City's proximity to open space and the natural environment. Additional policies and programs intended to protect and enhance the community forest (i.e., Policy L-76 and Policy N-16) will further guide the planning for site and street tree protection, replacement, and planting. Comp Plan Policy L-51 encourages public and private upkeep and preservation of resources that have historical merit and Policy L-58 promotes adaptive reuse of old buildings. Stanford University Medical Center Area Plan Update May 2011 2.23 2.24 tJay 2Cl1 Stan'o"d University Medical Center Area Plan Update 3 Zoning and land Use Regulations Existing and Future 3.1 EXISTING ZONING -CITY OF PALO ALTO 3.1.1 Public Facilities (PF) The majority of the Stanlord University Medical Center (SUMC) in Palo Alto is presently zoned Public Facilities (PF) (Exhibit 3·1). The PF public facilities district is "designed to accommo- date governmental, public utility, educational, and community service or recreationallacili- ties." The PF parcels in the SUMC are treated as a single planning parcel to which the zoning regu- lations apply. Current PF development standards include: • Private educational facilities. hospitals, and outpatient medk:al facilities with associated medical research are conditionally permilled uses. A new or amended conditional use permit is necessary for expansion of a building site or area. • The maximum Floor Area Ratio (FAR) is 1 to t (i.e., 1 sf of development per 1 sf of land area). On the Hoover Pavilion site. the FAR is ,25 to 1. • The maximum site coverage is 30% of the site area; however, for parking facilities the maximum site coverage is equal to the site coverage allowed by the most restrictive adjacent zoning district. • The maximum height is 50 feet. Sites abutting or having any portion located within 150 feet of any residential district are subject to special requirements. • Parking requirements are established in Zoning Code section 18.83. For a hospital, the requirement is 1 space for every 1.5 beds; lor medical offices, the requirement is 1 space for every 250 square feet of gross floor area. It is possible to defer up to 20% of the required parking based upon a showing that alternative transportation programs will reduce demand. • At least a 20 foot street setback (yard) is required. Minimum setbacks are equal to the setbacks in the most restrictive abutting district. Sites abulling a reSidential district must have a solid wall or fence, and a 10 foot interior yard planted or maintained as a landscape screen. Sites oppoSite from a residential district and separated by a street. drainage facility or other open area. require a minimum yard of 10 feet. planted and maintained as a landscape screen. Generally. use permits require that parking be maintained at quantities necessary to meet zoning requirements. However. in recognition that there is no formal distinctiOn between hos- pital and campus parking and that the Medical Center spans two jurisdictions. use permits in the SUMC have allowed for a regional parking approach that relies on parking in bOth City and County locations. not assigned on a building-by-building basis. 3.1.2 Medical Office Research (MOR) Outside the PF parcels. there are also several leasehold parcels along Welch Road owned by Stanf{)(d University which fall within the bOundaries zoned Medical Office Research (MOR) (FAR =0.5). SlanlOfd University Medical Center Area Plan Updale May 2011 3.1 3.1.3 High Density Multiple Family (RM·40j The area located no.1heast of the Sand H:II Road!Pasteur Drive intersection is zoned RM-40 (high density multiple-family residential), which has a maximum density of 40 dwelling units per acre. 3.2 FUTURE ZONING CHANGES -CITY OF PALO ALTO 3.2.1 Future Zoning Ordinance and Designation Changes The SUMC Project will rosull in two zoning changes (ExhibiI3-2). First. a new general zoning district knewn as the "Hospital District" will be created and ap- plied, replacing the PF zoning district on those sites. Second, 701 and 703 Welch Road will be brought within the same zOl1lng designation as the other inboard We!ch Road properties li.e., rezoned from MOR to the new Hosplal District zone discussed above). 3.2.2 Changes to Development Standards for SUMC The Hospital District zoning for the development sites includes the following revised develop- ment standards to accommodate the SUMC Project: o The maximum FAR for the in board Welch Road "Hospital District" zoned sites wi!' be 1.5 to 1. The maximum FAR for the Hoover Pavilion site would be 0.5 to 1. o The maximum height at tho in-board Welch Road sites will bo 130 feet. The maximum height at the Hoover Pavilion site will be 60 feet. Other changes to the existing PF district development standards include: • Site coverage reqUlremenls. o Yard (setback) requi.'Bments. o Performance-based packing requirements instead of traditional parking ratios. o Regulation of Protected Trees • Landscape requirements in parking areas 3.3 EXISTING AND FUTURE COMPREHENSIVE PLAN DESIGNATION - CITY OF PALO ALTO SUMC lands that are beated in the Cily of Palo Alto are subject to the Palo Alto Compre- hensive Plan. The Comp Plan identifies the SUMC as one at four employment districts in the City. Most of the SUMC is designated as "Major Institution! Special Facilities" (Exhibit 3-3), which specifically applies 10 hospitals. The Camp Plan designates other portions of the SUMC Area as "Research/Office Park" and "Mu'lple Family Residential: As a result of the SUMC Project, the Comp Pian designation for 70' and 703 Welch Road will be changed trom "Research/Office Park" to "Ma;or Institutionl Special Faci'ities" IExhibit 3-4). 3.4 f\1ay 2011 Stan:o~-d University Medical Center Area P!an Update The Palo Alto Comp Plan includes many policies that apply to the SUMC. Appendix A pro- vides Table 3.2-2 from the SUMC Project Environmental Impact Report, which presents the Comp Plan policies that apply to the SUMC. 3.4 LAND USE DESIGNATIONS -SANTA CLARA COUNTY Three portions of the SUMC Area are within the jurisdiction of Santa Clara County: the Quarry "Rectangle" (northeast of Quarry/Arboretum), the Quarry "Trapezoid" (southeast of Quarry/ Arboretum), and the Quarry/EI Camino site. The Quarry Rectangle and the Quarry EVCamino site are referred to in this Area Plan Update as the "Quarry housing sites." Development of Stanford's lands in unincorporated Santa Clara County is subject to the County's land use regulations, The Stanford campus is designated as "Major Educational and Institutional Uses" in the County's General Plan. In December 2000, Santa Clara County approved the Stanford Community Plan, which was adopted as an amendment to the County's General Plan and contains Stanford-specific land use designations and policies. The Stanford Community Plan divides the campus into seven land use categories and designates the Quarry Trapezoid and the Quarry housing sites as "Academic Campus." Allowable Academic Campus uses in- clude: instruction and research (including teaching hospital facilities); administrative facilities; housing intended for students, postgraduate fellows, and other designated personnel; high density housing for faculty and staff; athletics, physical education, and recreation facilities; support services; infrastructure, storage, and maintenance facilities; cultural facilities associ- ated with the University; and non-profit research institutions with close academic ties to the University. Also in December 2000, the County approved Stanford's General Use Permit (GUP) for con- struction of 2,035,000 gsf of additional academic and academic support facilities, and ap- proximately 3,000 additional housing units on Stanford's lands. The 2000 General Use Permit sub-divides the campus into ten Development Districts. The Quarry Trapezoid and Quarry housing sites are in the Quarry Development District. The General Use Permit anticipates 50,000 gsf of academic development and 350 housing units within this development district. The GUP allows reallocation of academic and housing development between Development Districts after preparation of an environmental assessment and approval of the County Plan- ning Commission. 3.5 JURISDICTIONAL BOUNDARY CHANGE The current placement of the jurisdictional boundary between the City of Palo Alto and Santa Clara County along the southern edge of the SUMC region bisects the future site for the School of Medicine's FIM1 building, requiring a minor adjustment to the City-County line in the future. Stanford University Medical Center Area Plan Update May 2011 3.5 3.6 LAND USE POLICY AGREEMENT The 1985 Land Use Policy Agreement (also known as the three-party agreement) between the Stanford University Board of Trustees, the City of Palo Alto, and the County of Santa Clara, describes the polices regarding land use, annexation, planning and development of Stanford University lands in unincorporated Santa Clara County. Stanford provides its own municipal services to the academic facilities on these lands (including by contract with neighboring municipalities). The agreement specifies that academic land uses do not require annexation. Palo Alto and Santa Clara County recognize in the agreement that each has a legitimate interest in planning decisions made by the other and agree to timely notification of projects or proposals that could affect the other. The Land Use Policy Agreement states that the County, the City and Stanford agree that Stanford lands" ... are held in perpetual trust for educational purposes ... " (Policy 1 a). The Land Use Policy Agreement also refers to an informational document, known as the Protocol, which is maintained by the three parties to the agreement and outlines all adopted land use designations, regulations, restrictions, and review and referral procedures governing Stanford lands in Santa Clara County. This protocol outlines the mechanism by which Palo Alto reviews Stanford University proposals in Santa Clara County. 3.8 May 2011 Stanford University Medical Center Area Plan Update Appendix A Table 3.2·2 Comparison of SUMC Project to Comprehensive Plan Policies (19 pages) Fror.1 Stanford University Modical Cente, Facilities Renewal and Replacement Deaf! EIR (May 2010). updated by Fnal EIR (February 2011) Stanford University Medical Center Area Plan Update May 2011 to/a, 2C~ 1 Staq!or::j J,)jversity Medical Center Area Plan Update Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Comprehensive Plan Policy SUMC Project Consistency Goal L-l: A well-designed, compact city, providing residents and visitors with attractive neighborhoods, work places, shopping spaces. and open Policy L-1. Continue current City policy limiting future urban development to currently developed lands within the urban service area. The boundary of the urban service area is otherwise known as the urban growth boundary. L-2: Maintain an active, cooperative working relationship with Santa Clara County and Stanford University regarding Jand usc issues. Policy L-3. Guide development to respect views of the foothills and East Bay hills from public streets in the developed portions of the City. The City would annex an approximately 0.75-aere parcel from unincorporated Santa Clara County under the SUMC Project to accommodate the proposed FIM I As part of til. main Stanford University campus, this site contains landscaping and is surrounded by urban uscs. This parcel tS outside the existing service and political jurisdiction of the City of Palo Alto; however, annexation of the parcel would not conflict with Policy L-l because the annexation area is small, and environmental consequences from this annexation would be minimal. The SUMC Project would not impact the undeveloped lands that this policy seeks to protect. The SUMC PrOject is an urban inlill project that would redevelop existing sites within lhe City with similar, but expanded uses. While lhc SUMC Siles border Santa Clara County, the adjacent uses arc within Stanford University, which is one of the SUMC Project sponsors. No land usc conflicts arc thus anticipated between the SUMC Sites and adjacent County land. As explained further in Section 3.3. Visual Quality, and as required in Mitigation Measure VQ-2.1, the SUMC Project would be subject to the City's Architectural Review process. The Architectural Review of the SUMC PrOject by the City's Architectural Review Board (ARB) would consider, among other factors, whether the SUMC Project has a coherent composition, and whether its bulk and mass arc hannonious with surrounding development. The ARB's recommendations regarding these factors will be forwarded to the City Council for consideration. The City Council cannot approve the Architectural Rev1cw unless it finds that, among other things, natural features arc appropriately preserved and integrated with the SUMC Project; the design promotes harmonious transitions in scale and character in areas between different designated land uses; and the planning and sjting of the various functions and buildings on the site create an internal sense of order and provide a desirable environment for occupants, visitors, and the general community. Implementation of Mitigation Measure VQ-2.l would require that the City and SUMC Project sponsors comply with Policy L-3 requirements for respecting views of the hillsides. SIOf!ford UniverslIY Medical Ccnrer FaciliTies Renewal and Replacement Draft EIR Land Use 1 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy L-5.· Maintain the scalc and character of the City. Avoid land uscs that arc overwhelming and unacceptable due to their size and scale. Policy 1.-6: Where possible. avoid abrupt changes in scale and density between residential and non-residential areas and between residential areas of different densities. L-7: Evaluate changes in land use in the context of regional needs, overall City welfare and objectives., as well as the desires of the surrounding neighborhoods. Policy L-8: Maintain a limit of 3.257,900 square feet of ncw non-residential development for the nine planning areas evaluated in the 1989 Citywide Land Use and Tmnsportation Study, with the understanding that the City Council may make modifications for specific properties that allow modest additional growth. Such additional growth will count towards the 3,257,900 maximum, 2 As discussed in Section 3.3, and as required in Mitigation Measure VQ-2.1, Architectural Review would consider, among other factors, whether the SUMC Project has a coherent composition and whether its bulk and mass are harmonious with surrounding development. The City Council cannot approve the Architectural Review unless it finds that. among other things, the design promotes hannonious transitions in scale and character in areas between different designated land uscs~ the planning and siting of the various functions and buildings on the site create an internal sense of order and provide a desirable environment for occupants, visitors, and the general community: and the amount and arrangement of open space arc appropriate to the design and the function of the structures. As discussed jn Section 3.3, and as rcquired in MWgation Measure VQ~2.1, the Architectural Review would consider, among other factors, whether the SUMC Project has a coherent composition and whether its bulk and mass are hannonious with surroundIng development. The City Council cannot approve the Architectural Review unless it finds that, among other things, the design promote..:;; harmonious transitions in scale and charactcr in areas between different designated land uses~ the planning and siting of the various functions and buildings on the site create an intemal sense of order and provide a desirable enyironrnent for oceupants~ visitorS, and the general community; and thc amount and arrangement of open space are appropriate to thc design and the function of the structures. This EIR provides an evaluation of local as well as regional environmental effects of the SUMC Project. It should be noted that the SUMC Project would maintain but expand existing on-site land uses, Consideration of the merits of the SUMC Project in context of regional needs, City welfarer and the desires of surrounding neighborhoods will be considered by the City during the subsequent project approval process. The City has dctellllined that the medical eentcr uses associated witb the SUMC Sites should not he included in the non-residential development cap established by Policy L-S. Thc City is proposing a Comprehensive Plan Amendment (CPA), revising the language of Policy L~8 to clarify the exemption of hospital. clinic, and research buildings from square footage caps. Stal?ford University Medical Center For,..-ilities Renewal and Replacement Draft EJR -Land {he Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Goal L-2: An enh anced sense of"community" with development designed to foster public life and meet citywide needs. Policy L·]O: Maintain a citywide structure of Residential Neighborhoods. Centers. and Employment Distric ts. Integrate these areas with the City 's and the region's transit and street system. Policy L-1 I: Promote increased compatibili ty, interdependence, and support between commercial and mixed use centers and the surroun ding residential neighborhoods. The SUMC is a designated Employment District,l accessible via the exi sting street network. The SUMC Project would enhance integration of this Employment District into the citywide land use and circulation network by adding pedestrian and bicycle improvements and providing better connections between the SUMC Sites, the Stanford Shopping Center. PAITS , and the downtown area. The SUMC Project wo uld meet the growing demand fo r medical facilities in Palo Alto and the region as indicated in the SUMC Project applicati on. The medical services that th e SUMC Project would provide to residents of the City of Palo Alto would increase interdependence and support between uses on the SUMC Sites and residential uses. Goal L-5: High qu alit y employment districts, each with their own di stinctive character and each contri buting to the character of the City as a whole. Pohcy L-42: Encourage Employment Districts to develop in a way that encourages transit, pedestrian and bicycle travel and reduces the number of auto trips fo r daily errands. Policy L-43: Provide sidewalks, pedestrian paths, and connections to the citywide bikeway system within Employment Districts. Pursue opportunities to build sidewalks and paths in renovation and expansion projects. Bicycle and pedestrian improvements arc included in th e SUMC Project. A shuttle service would run between th e SUMC Site, nearby commercial areas, and nearby transit hubs. The SUMC Project would also include the existing Transportation Demand Management (TDM) program, which includes efforts to increase use of transit and alternative modes of transportation, and decrease trips in single occupant vehicles. Several bicycle and pedestrian improvements, which would connect to the existing trail network, are included in the SUMC Project. The SUMC Project would also include bicycle and pedestrian improvements which would prov ide better connections between the SUMC Sites, the Stanford Shopping Center, PAITS, and the downtown area. City of Palo Alto, Comprehensive Plan, Land Use Element, 1998. Definition of "Employment Districts" is provided on page L-14. Employment Districts are geographic areas within th e City with distincti ve physical and economic characteristi cs. The Stanford Medical Center is one of fo ur designated Employment Districts. Comprehensive Plan page L-33. Stanford University Medical Cenler Facilities Renewal and Replacement Draft EIR -Lond Use 3 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy L-45: Develop Stanford Medical Center io a manner that recognizes the citywIde goal of compact. pedestrian-oriented development as well as the functional needs of the Medical Center. Policy L~48: Promote high quaHtj\ creative design and site planning that is compatible with surrounding development and public spaces. L-49: Design buildings to revjtalize streets and public spaces and to enhance a sense of community and personal safety. Provide an ordered variety of entries. porches. windows, bays and balconies along public ways where it is consistent with neighborhood character: avoid blank or solid walls at street level; and include human-scale details and massing. 4 The Main SUMC Site is a medical campus and by function is pedestrian-oriented. provjding walkways, manicured lawns, benches, fountains, art sculptures, and pathway lighting. The proposed site plan is cxpeeted to maintain its pcdestrian urientation. Functional adjacencies are critical to efficient medical services and, as such, the proposed site plan would provide optimal functional adjacencies. (A SlJMC Project objective is to optimize department adjacencies to cnsure the healthcare facilities are clinically safe environments, promote safe and efficient patient flow, and provide access to state-of-the-art technology,) As discussed in Section 3.3. and as required in Mitigation Measure VQ-2. 1, the Architectural Review of the SUMC Project by the ARB would consider, among other factors, whether the SUMC Project incorporates quality materials, hannonious colors, appropriate ancillary features, and a cohesive design wif,h a coherent composition. The City Council cannot approve the Architectural Review unless it finds that, among other factors, the design is compatible with the immediate environment of the SUMC Sites, is appropriate to the function of the SUMC Project, promotes harmonious transitions in character in areas between different designated land uses. and is compatible with approved improvements both on and off the site. Implementation ol'Mitigation Measure VQ-2.1 would ensure that the proposed structures would be compatible with surrounding development As discussed in Section 3.3. the SUMC draft Design Guidelines outline three basic factors to be applied to the SUMC Project: site design. building design, and connective elements. Thc site design concept for the SUMC Project builds upon existing patterns of pedestrian and vehicular circulation! and parking, In addition, open spaces would scrve to physically connect the SUMC to the public perimetcr. as wcll as to eonncct the SUMC visually to the current Stanford landscape. The proposed buiJding designs would serve to redefine the architectural image and spatial character of the medical campus~ while blending with the existing buildings and landscape. The intent of the Design Guidelines is to allow a varicty of architectural expressions for each institution, while promoting a cohesive campus image. fn addition, connective clements include consistent usc of specific paving materials; the placement of new planting schemes; lighting; signage; shared amenitics (for example. bus shelters. benches, and publie art); and utilities and infrastructure. Stanford University' Nledical Center Facilities Renewal and Rcpla(xment Draft EJR -Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy L·50: Encourage high quality signage that is attractive, appropriate for the location and balances visibility needs with aesthetic needs. As discussed in Section and as required in Mitigation Measure VQ-2. 1, the Architectural Review of the SUMC Project by the ARB would consider, among other taetors. whether the SUMC Project incorporates quality materials. harmonious colors~ appropriate ancillary features:. and a cohesive with a coherent composltlon. The City Council cannot approve the Architectural Review unless it finds that, among other factors, the design is compatible with the immediatc cnvironment of the SUMC Sites, is appropriate to the function of the SUMC Project, promotes hannonious transitions in character in areas between different designated land U5CS, and is compatible with approved improvements both on and off the site. Implementation of Mitigation Measure VQ·2.1 would ensure that the proposed structures would be compatible with surrounding development. In addition, the SUMC draft Design Guidelines state that (he SUMC Project would establish a unifying signage theme and follow existing campus signage guidelines for directional and pedestrian signs. Coal L-7: Conservation and preservation of Palo Alto's historic buildings, siles, and districts, Policy L-5 f: Encourage public and private upkcep and preservation of resources that have historic merit, including residenccs listed in the Historic Inventory. L-Sl encourages the preservation of historic structures. The City has identified Mitigation Measures CR·L1, CR-1.2, CR-I.3, and CR· 1.4 to help minimize the loss resulting from thc demolition of the historic Edward Durell Stone Building complex (see Section 3.8, Cultural Resources). Therefore, the SUMC Proje<;t would not conflict with this policy since it encourages protection of historic resources. The SUMC Project also includes the renovation of Hoover Pavilion, which is a historic resource (sec Section 3.8 Cultural Resources), Structure:; proposed at the Hoover Pavilion Site would hc sited so as to preserve the visual prominence of the Hoover Pavilion as a historic structure. In addition, Mitigation Measure CR-I.5 would protect the Hoover Pavilion from vibration impacts during con~troction. Thc preservation and enhancement of this historic resOUrce furthers the objectives of Policy L-S!' Stanford UniversifY Medin;/ Center Facilities Renewal and Replacemenl Hill --Land Use 5 Table 3.2-2 Comparison ofSUMC Project to Comprehensive Plan Policics Policy L-54: Suppor! the goals and objectives ofthe Statewidc Comprehensive Historic Preservation Plan for California. Policy L-58: Promote adaptive reuse of old buildings. The Statewide Comprehensive Historic Preservation Plan identifies current and emerging historic preservation issues throughout the State and estabHshcs the vision. mission. and priorities for the Omce of Historic Prcscrvation (OHP). The OHP is required to review and revise the State Plan every five years as a condition for receiving a grant from the federal Historic Preservation Fund. The SUMC Project would not conflict with the OHP's prcparation or review ofthc State Plan. including the identification of statewide preservation issues or the establishment of the OHP's vision, mission. and priQrities. The SUMC Project would renovate the Hoover Pavilion and would improve seismic operating conditions of clinic uses within. Such renovation would constitute adaptive reuse. Goal L-9: Attractive. public spaces and streets that enhance the imagc and character of the City. Policy L-70: Enhance thc appearance of streets and other public spaces by expanding and maintaining PaJo Alto's street trec system. Policy L·75: Minimize the negative physical impacts of parking lots. Locate parking behind buildings or underground wherever possible. Pulicy L-76: Require t.rees and other landscaping within parking lots. 6 Street trecs would be incorporated into the SUMC Sites under the SUMC Project. The SUMC Project would add new underground parking structures and an above- ground parking structure at the Hoover Pavilion Site. The parking structure at the Hoover Pavilion Slte would be located south of Hoover Pavilion to preserve views ofthis landmark from puhlic vantage points. The SUMC Project would add above-and underground parking structures to minimize the area devoted to surface parking lots; therefore, landscaping would be minimaL However, as discussed in Section 3.3, and as rcqujrcd under Mitigation Measure VQ-2.1. the Architectural Review of the SUMC Project by the ARB would consider. among other factors, whether the SUMC Project adequately incorporates landscaping. Upon receipt of the ARB~s recommendations. the City Council cannot approve the Architectural Review unless it finds that, among other factors. the amount and arrangement of open space arc appropriate to the design and the function of the structures, and the planning and siting ofthc various functions and buildings provide a desirable environment lor occupants, visitors, and the general community_ Stanford Ul1iversi(v Medical Center Facilities Renewal and Replacement Drajl EIR -l.and Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Polides Policy L-77: Encourage alternatives to surface parking lots to minimize the amount of land that must be devoted to parking, provided that economic and traffic safety goals can still he achieved. Policy L-78: Encourage development that creatively integrales parking into the project by providing for shared usc of parking areas, Goal 1'-1: Less reliance on single-occupant vehicles. The SUMC Project would add above-and underground parking ,truetures to minimize the area devoted to surface parking. In addition, the proposed number of spaces would be sufficient to accommodate Lhe resulting demand (see Section 3.4. Transportation). Lastly. a TUM Program would be continued to decrease car trips and parking demand (sec description in Chapter 2. Project Dcseripllon). Parking on the SUMC Site would be shared by the various on-site uses. Sharing facilities with off-site uses would be infeasible due to the distance to off- T-I: Make land usc decisions that encoura.ge transit uSc. and public The SUMC Project would involve infill within an area that is currently accessible by transit, walking, and bicycling, By reducing the size of surface parking lots and increasing development density, the SUMC Project would be expected to increase demand lor aiternative mcans of transport. The Hospitals and SoM both implement TUM Programs that encourage walking, bicycling, and publie transit usc. These programs would continue to decrease ear trips and parking demand (sec description in Chapter 2, Project Description), On-site and off-sitc bicycle and pedestrian improvcments included in the SUMC Project would provide better connections between the SUMC Sites, the Stanford Shopping Center, PAITS, and the downtown area. Policy T-3.' Support the development and expansion of comprehensive, effective programs to reduce auto usc at both local and rcgionallevcls. The SUMC Project sponsors implcment (and would continue to implement) a TUM Program to decrease car trips and parking demand. See also Policy T-l. Goal T -2: A convenient. efficient, public transit system that provides a viable altcrnatlvc to driving . .. _-------- Policy T-5: Support continued development and improvement of the University Avenue and California Avenue Transit Stations, and thc San Antonio Road Station as important transportation nodes for the City. The SUMC Project would continue to implement the Marguerite Shuttle, which serves the SUMC Sites and the University Avenue Transit Station. In addition. the SUMC Project would involve bicycle and pedestrian circulation improvemenL.r.:; be refined during Architectural Review) that would provide access to the transit station. Suu?(ord University Medical Cent(!r Facilities Renewal and Replacement Draft EIR -Land Uxe 7 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy T~6: Improve public transit access to regional destinations, including those within Palo Alto. Policy T-8: Encourage employerS to develop shuttle services connecting employment areas with the multi-modal transIt stations and business districts, The SUMC Project would not impede the City's plans to develop regional public transit Moreover, the SUMC Project sponsors would continue to implement a TDM Program to decrease car trips and parking demand. These programs include provision of the free Marguerite ShuUle service, which connects the SUMC Sites to other destinations1 local transit and Caltmin, and free use of the East Bay express hus that connects BART and ACE train to Stanford. The SUMC Project would eantmuc the usc or the Marguerile Shuttle, a frce local shuttle serving the SUMC Sites, PAITS, the Shopping Center Site, and other nearby locations. Goal T M3: Fadlities, services, and programs that encourage and promotc walking and bicycling Policy T-14: Improve pedeslrian and bicyclc access to and between local destinations, including public facilities~ schools, parks, open spaec, employment districts, shopping eentcrs, and multi-modal transit stations, Policy T-15: Encourage the acquisition of easements for bicycle and pedestrian paths through ncw privale developments. Policy T-19' Improve and add attractive, seClire bicycle parking at both public and private facilities, including multi-modal transit stations, on transit vehielest in parks, in privatc developments, and at other community destinations. Policy T-22: Improve amenities such as seating, lighting. bicycle, parkingl street trees, and interpretive stations along bicycle and pedestrian paths and in City parks to encourage walking and cycling and cnhance the feeling of safcty. Polic.v T-23: EncQurage pedestrian-friendly deSlgn features such as sidewalks, street trces, oo-strect parking, public spaces, gardens, outdoor furniture, art, and interesting architectural details. Goal T -4: An efficient roadway network for all users. Policy T-25: \Vhen constructing or modifying roadways. plan for usage of the roadway space by aU users, including motor vehicles. transit vehicles, hicyclists, and pcdcstrian~. 8 See discussion for Policy L-42. Several bike and pe:destrian trails, which would connect to the existing trail network, arC includcd in the SUMC Proiect. Bicycle parking would be provided at the SUMC Siles under the SUMC Project. The SUMe Project would instaIl new benches, lighting, bicycle, parking, landscaping along its pedestrian paths on site. See discussion for Policy T-22. The proposed widcning of Welch Road and expansion of Durand Way would accommodate hicyelcs~ pedestrians, and transit. Stanford UniV(!rsity .Medical Center Facilities Renewal and Replacemenr Dro./i EIR -Land Use Table 3.2-2 Comparison orSUMC Project to Cnmprehensive Plan Policies Policy T-26: Participate in the design and implementation of comprehensive solution, to traffic problems ncar Stanford Shopping Center and Stanford Medical Center. Polie,v T-27: Avoid major increases in street capacity unless necessary to remedy severe traffic congestion or critical neighborhood traffic problems. Where capacity is increased, balance the needs of motor vehicles with those of pedestrians and Policy T-28: Make effcctivc usc ofthc tranic-carrying ability of Palo Alto's street network without compromising the needs of pedestrians and bicyclists also this nctwork. T-30; Reduce thc impacts of through-traffic on residential areas by designating certain streets as residential arterials. Policy T-34: Implement traffic calming measures to slow traffic on local and collector residential streets and prioritize these measures over congestion management Include trafJic circles and oth(,."f traffic calming devices among these measures. Policy T-39: To the extent allowed by law, continue to make safety the first priority of citywide transportation planning, Prioritize pedestrian, bicycle, and automobile safety Over vehIcle level-of-service at intersections. Section 2, Project Description, identifies that the SUMC Projcct would implement traffic management solutions, such as a continued TOM Program, bicycle and Dcdestrian improvements, and public transit access. GencraHy~ exis.ting roadway capacity is improved by adding left and right tum lanes to the intcrsections, The SUMC Project would add a connection (Durand Way) between Sand Hill Road and Welch Road; however. this connection would cxtcnd through one block and would provide new access to thc Main SUMC Site, The Durand Way extension would increase roadway capacity, but only to the extent that it would provide traffic relicf to Pasteur Road and Sand Hill Road, This would enable traffic from EI Camino Rcal to rely on Durand Way and traffic from 1-280 to rely on Pasteur Drive, Although roadway capacity would increasc, bicycle and pedestrian facilities would be included as part of the Durand Way extension. which would connect to thc Class 1 bicycle path along San Franeisquito Creek, This connection would help satisfy compliance with Policy T ·27, In addition, W cleh Road would be widened to three lanes in order to improve safety and to accommodate on-strcct hicycle lanes. Mitigation Measure TR-6, I in Scetion 3.4, Tf'dnsportation, requires the SUMC Project sponsors to implement improvements for bicyclc and pedestrian safety and access at intersections affccted by SUMC Project traffic. As discussed under Impact TR-3 in Section 3.4, Transportation, thc SUMC Project would not result in adverse impacts to PaJo Alto residential roadway segments. It should bc noted that the SUMC Project would have significant impacts On residential roadways outside Palo Alto in Menlo Park, Idcntified mitigation would reduce the impact to Jess than significant (see Section 3.4. Transportation), Thc SUMC Project would not significantly impact adversely atTect traffic on residential streets within Palo Alto, and therefore does not include traffic calming measures, See Policy T-30, See discussion for Policy T-28.ln its consideration of the SUMC Project. the City will continue to adhere to this Policy and will prioritize safety ovcr vchiclc level- of-service improvcmcnt.<i at intersections. Stanford University Medical Gm/a Facilities Renewal and Replacement Draft EIR ---Land U.W~ 9 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Goal T-7: Mobility for pcople with special needs. Policy T-42: Address the needs of people with disabilities and comply with the requirements of the Americans with Disabilities Act (ADA) during the planning and implementation of transportation and parking improvement projects. Goal T..s: Attractive, convenient public and parking tacilities. Policy T-48: Encourage parking strategies in the Stanford Medical Center area that maximize the cfHcienl usc of parking and, in the long term, consider the possible usc of remote parking lots with shuttle bus service, The SUMC Project would be required to contemn to ADA staodards speeitled in the Palo Alto Municipal Code. Parking would be provided under the SUMC Project for the calculated increased demand, which takc~ into account minimization of parking needs through implementation of a comprehensive TDM progmm. Existing TOM programs~ such as operation of the Marguerite Shuttle, would be continued in order to minImize the need for additional parking. This program also includes provision of free usc ofthe Line U Stanford Express, which connects Stanford to BART and the ACE train. The Line U express bus enables employees to park remotely, and travel to the SUMC via thIs service. In addition, the proposed parking structure at the Hoover Pavilion Site would be used by SUMC staff, who would take a shuttle to the Main SUMC site. Goal N-l: A citywide open space systcm that protects and conserve;:; Palo Alto's natural resources and provides a source of beauty and enjoyment for Palo Alto residents. Policy N-3: Protect sensitive development. species resources from the impacts of Policy N-6: Through implementation of lhe Site and Design process and the Open Spacc zone district regulations, minimize impacts of any new development on views of the hillsides, on thc open space character, and the natural ecology of the hillsides. /0 Pcr Section 3.9, Biological Resources, there is no habitat capable of supporting sensitive plant species at the SUMC Sites, and there would be no imnacts on scnsitive SpCCICS. As explained further in Section 3.3, and as required under Mitigation Measure VQ- 2.1, the SUMC Project is subject to the City's Architectural Review process. The Architectural Review ofthc SUMC Project by the City's ARB would consider, among other factors, whether the S UMC Project has a coherent composition, and whether its bulk and mass are harmonious with surrounding development. The ARB)s recommendations regarding these factors will be forwarded to the City Council for consideration. The City Council cannot approve the Architectural Review unless it finds that, among other things, natural features are appropriately preserved and integrated with the SUMC Project; the design promotes harmonious transitions in scale and character in ar(;!as between different designated land uscs; and the planning and siting of the various functions and buildings on the site create an internal sense of order and provide a desirable environment for occupants, visitors and the general community. Stanford University Medica! Center For.dJities Renewal and Replacemem Draft EIR -Land Use Table 3.2-2 Comparison ofSUMC Project to Comprehensive Plan Policies Goal N-2: Conservation of creeks and riparian areas as open space amenities, natural habitat areas, and clements of community design. folic.'v N-ll: Preserve the integrity of riparian corridors. Construction associated with the SUMC Project could contribute to bed and bank erosion along the San Francisquilo Creek riparian corridor. However, as discussed in Section 3.11, Hydrology. the SUMC PrOject would bo required to comply existing regulatory requirements (Municipal Regional Penn it, Construction General Permit, as well a'-tlocal municipal codes), which include both construction phase and permanent erosion and sediment controls that prevent substantial erosion and sediment transport from development within the San Franelsquito Creek watershed. Construction site inspection by the City, as required by the UWMP, would also cnsure that appropriate crosion and sediment control BMPs arc implemented and functioning. Policy N-13: Discourage ereek bank instability, erosion, downstream Sec discussion for Policy N~I 1. sedimentation, and flooding by minimizing sitc disturbance and vegetation removal on or near t:rccks and carefully reviewing grading and drainage plans for development ncar creeks and elsewhere in the watersheds of creeks. Goal N~3: A thriving "urban forcst" that provides ecological, economic. and aesthetic benefits for Palo Alto. Policy N-l 4: Protcct, revitalize, and cxpand Palo Aho's urban forest through public educalion, sensitive regulation, and a long-te[ID financial commitment that is adequate to protect this resource. The SUMC Project would replace trees removed during construction and would supply new street trees, However, the SUMC Project would remove up to 74 Protected Trees, which arc considered an important resource to the Mitigation Measures BR~4.1 through BR-4.5, provided in Section 3.9, Biological Resourccs, require the preparation ofa Tree Preservation Report, a solar access study~ a Tree Relocation FeasibiJity Plan, a Tree Preservation Memorandum of Understanding, and minor site modjfications to the current site plans. While complete preservation or relocation of Protected Trees would not occur, this mitigation would fulfill the City's responsibility to protect. revitalize, and expand Palo Alto's urban forest Also. as required under Mitigation Measure VQ-2.1, the Architectural Review of the SUMC Project by the ARB would consider, among other factors, whether the SUMC Project adequately incorporates landscaping, Upon receipt ofthc ARB's recommendations, the City Council cannot approve the Architectural Review unless it finds that. among other factors, the amount and arrangement of open space are appropriate to the deSign and the function of the structl1rcs~ and the planning and siting of the various functions and buildings provide a desirable environment StaT~fiJrd Unfversi(v Afedi('a! Center Facilities Rent'Wal and Replacement Droll EfR ---Land Usc 11 Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Polk}' /11-21: Reduce non-point source pollution in urban runoff from residential, commercial, industrial, municipal. and transportation land llS(;S and activities. N-22: Limit the amount of impervious surface in new development or improvement projects to reduce urban runoff into stonn drains, creeks, and San Francisco Bay. Polh.y N-23: Reduce the discharge of toxic materials into the City's sanitary sewer collection system by promoting the use of Rest Management Practices. Polic:v N-24: Improve Slorm drainage performance by constructing new system improvements where necessary and replacing undersized or otherwise inadequate lines with Jarger lines or parallel lines. SUMC Project also proposes to apply waler efficient lixtures, sterilizers, and kitchen equipment, and would continue its current use of microfibcr mops for cfeaning.3 As discussed in Section 3.11. Hydrology, operation and construction of the SUMC Project could cause or contribute to stonnwater runoff jf disturbed surfaces arc not stabilized and if changes in drainage patterns result in more runoff. However. compliance wlth existing mandatory regulalions and implementation of these requirements would prevent substantial runoff by requiring erosion and sedimenl controls. In addItion, Mitigation Ivfcasurc HW-3. I, provided in Seclion 3.10~ Hydrology, requires the SUMC Project sponsors develop a work plan for any unknown contaminated sites. Thi!) measure, along with the existing regulations. would address environmental impact~ associated with groundwater and t>urface water quality impacts. As discussed in Section 3.11. Hydrology, thc SUMC Project, at full buildout. would decrease stonnwatcrrunoffby increasing the pervious area on the site, including roof area that contains olant material.4 Demolition ofthc existing structures on the SliMC Sites would disturb hazardous buildIng materials sueh as asbestos, PCBs, lead, and mercury. In addition, hazardous Inatcrialsj such as paints, solvents, cements, glues and fuels. would also be used in varying amounts during construction. Operation of the SliMC Project would also increase the use and amount of hazardous materials on the SUMe Sites. Examples of hazardous materials include chemical waste, medical waste, and radioactiye waste. The SUMC Project sponsors would be required to comply with existing federal, State, and local laws and regulations to protect the community and the environment from exposure to hazardous materials, including the discharge of toxic materials into the City}s. s.anitary sewer collection system, As discussed in Section 3.14, Utilities, the SUMC Project would not require expansion of existing stonnwatcr infrastructure. Catherine Paller, memorandum to F'IR Team (City of Palo Alto and PBS&J), November 12,2008, 4 Stanford University Medical Center. Stanford University Medical Center Facilities Renewal and Replacement Project Apphcation, August 2007, as amended; Tab 4, Figures 4-8a and 4·8b. Stanford University Medical Center Facilities Renewal and Replacement RIR -Land U5e 13 Table 3.2-2 Comparison of SUMC Project to Comprehensivc Plan Policies Goal N-5: Clean, heallhful air for Palo Alto and the San Francisco Bay Arca. Policy N·26: Support regional, State, and fedcral programs that improve air quality in thc Bay Area. Policy N~27: Reduce emission of particulates from wood burning stoves, construction activity, automobiles. and other sources. Policy N-28: Encourage dcvelopcrs of new projects in Palo Alto, including City projects, to provide improvements that reduce the necessity of driving alonr..:. 14 As discllssed in Section 3.5, Air Quality. construction and operation of the SUMC Project would excccd BAAQMD standard, for criteria pollutants. Policy N-26 docs not prohihit such an cxceerlance. The SUMe Prqject includes continued implementation of the SUMe Project sponsors' TDM program. Mitigation Measures AQ-I. J and AQ-I .2, provided in Section Air Quality, would address environmental impacts associated with particulate emissions by controlJing construction dust and rcducing dicscl emissions. By requiring these mitigations, the City would support applicable air quality programs. As discussed in Section 3.5, Air Quality, heavy construction activity on dry soil exposed during construction phases would eausc cmissions of dust (usually monitored as PM 10), which could be annoying to persons near the construction area or otherwise unhealthy. The SUMC Project would implement cxisting TDM programs, whieh would minimize mobile source emissions during operation of the SUMC Project. Nevertheless, those emissions would exceed the Bay Arca Air Qualily Management District's (BAAQMD) significance threshold of80 pounds per day or IS tons per year of PM 10. Emissions would result in a substanlial contribution to an existing regional particulate air quality problem. Mitigation Measures AQ-I.I and AQ-1.2, providcd in Scction Air Quality. would address environmental impacts associated with particulate emissions hy controlling construction dust and controlling diesel emissions. These mitigation measurcs would reduce emissions of particulates from construction and continued implementation of the ongoing TOM programs would minimize emissions from operation of the SUMC Project. See Policies L-42, L-43, and N-27. Stanford University Medical Center Facilifies Renewal and Rep!acemenr Drqft EJR -Land Use Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies Policy N-29: All potential sources of odor andlor toxic air contaminants should be adequately buffered, or mechanically or otherwise mitigated to avoid odor and toxic impacts that violate relevant human health standards. As discussed in Section 3.5, Air Quality, the SUMC Project would include on-site stationary source emissions related to the periodic testing of emergency diesel generators. These emissions are nor expected to have the potential for substantial odor impacts on local sensitive receptors, resulting in less-than-significant impacts. In addition, the health risk assessment prepared for the SUMC Project indicates that the estimated excess lifetime cancer risks associated with potential simultaneous exposures to construction diesel particulate maHer (DPM) and operational sources of toxic air contaminants (TAC,) would be below the BAAQMD significance threshold of 10 in one million, and the estimated health indexes (HIs) would be below L Goal N-6: An environment free of the damaging effccts ofbioiogical and chemical hazardous materials. Po/icy N-30: Minimize the usc of toxic and hazardous materials, Encourage the usc of alternative materials and practices that are environmentally benign. As discussed in Section 3.11, Hazardous Materials, the SUMC Project would be required to conform to all Municipal Code, State and federal policies regarding the use of hazardous materials. Development proposed under the SUMC Project would comply with existing hazardous materials management plans. Goal N-7: Reduced volumes of solid waste; solid waste disposed in an environmentally safe, eft1cicnt, manner. Policy N-34: Reduce the amount of solid waste disposed in the City'S landfill by reducing the amount of waste generated and promoting the cost-efteetive reuse of materials that would otherwise bc olaccd in a landfill. As discussed in Section 3.14, Utilities, the SUMC Project would be subject to Palo Alto Municipal Code 5.24 Requirement to Divert Construction and Demolition Waste/rom Landfilt Ordinance. In addition to complying with Stanford University's general waste reduction initiatlves~ which cover paper, cardboardj cans, glass, and plastics, compostablc goods, batteries, and other items, the hospitals would implement a number of special ized recycling programs for items such as electronic wastes~ fluorescent lamps> toner and inkjct cartridges, chemicals. batteries. and waste anesthetics. Instrumentation and automation upgrades would also help to reduce the production of wastes. The SUMC Project would not gcnerale wastes that would exceed the capacity of the solid waste facilities that Serve the City, and would take measures to reduce, reuse, and recycle wastes. Sla/~/bJ"d Universi~'y' Medicaf Center Foci/We.'; Renewal and Replacement EIR ~ Land Use 15 Table 3.2-2 Comparison of SUMC Projecllo Comprehensive Plan Policies Policy N-35: Reduce solid wasle generation through salvage and reuse of building materials, including architecturally and historically significant materials. Policy N-37: Ensure the environmentally sound disposal of solid waste. Goal N-8: An environment that minimizes the adverse impacts of nOIse. Polk.':! N-39: Encourage the location of land uses in areas with compatIble noise environments. Usc the guidelines in the table '"'Land Use Compatibility for Community Noise Environment" to determine compatibility. Policy N-41: When a proposed project is subject to CEQA. the noise impact of the project on existing residential land uses should be evaluated In terms of the increase in existing noise levels and potentja1 for adverse community impact, regardless of cxisting background noise levels. If an area is below the applicable maximum noise guideline, an increase in noise up to the maximum should not necessarily be allowed. A project should be considered to cause a significant degradation of the noise environment if it meet..:; any of the following criteria: 16 As discussed in Sc<tion 3.14, Utilities. construction of the SlJMC Project would bc subject to the Requirement to Divert Constructiun and Demolition Waste from Landfill Ordinance (Palo Alto Municipal Code 5.24). This ordinance requires that a minimum 0[90 percent of inert solids concret.e, asphalt, and rock) and a minimum of 50 percent of the remaining debris, generated from constnlction and demolition projects. he diverted from landfills through reuse and/or recycling. Sec Policies N-34 and N-3S. The SUMC Project would not introduce a new land usc but would expand and reconfigure the established medical office and hospital land uses at the SUMC Sites. This analysis looks at the relationship of the SUMC Sites with surrounding uses. As discussed in Section 3.7, Noise, the mechanical noise generated by the SHe emergency generators off W clch Road could have a significant impact on nearby residential uses, However, Mitigation Measure NO-4.1 requires shielding or enclosure of equipment, which would reduce noisc to less-than~slgnificant levels, The SUMC Project would emit significant and unavoidable ambulance noise on residential uses off a portion of Sand Hill Road. However, ambulance noise is not considered to be incompatible in residential or other developed areas, It also should be noted that the SUMC Projcct would not ereatc a new land use on the Main SUMC Site. Also. ambulance noisc is already generatcd by the SHC Hospital, and the impact in this case would be along a portion of Sand Hill Road where there would be a new ambulance route. Policy N-39 does not prohibit location of land uses with incompatible noise sources; rather it calls for encouraging location of land uses in areas with eornpatible noise environments. The ambulance noise would be sporadic within the existing cnvJronment. Consistent with Policy N-4J, this EIR idcntifies where significant noise impacts will occur. Section 3.7, Noise, provides an evaluation of the SUMC Project on residential uses. Among the significance criteria applied are the standards set torth in the Comprehensive Plan. Basc-d on the City's Ldn criteria in the Comprehensive Plan. the SUMC Project would emit significant and unavoidable ambulanee noise on residential uses off a portion of Sand Hill Road, on the basis that the ambulance noise would increase Ldn by morc than 5.0 dB, as stated in Policy N-4 L Existing Sta~ford University l'vfedical Center Facilities Renewal and Rep/Of.:ement Draft EIR Land U:)C! Table 3.2-2 Comparison of SUMC Project to Comprehensive Plan Policies The project would cause the average 24~hour noise level (Ldn) to increase by 5.0 dB or more in an existing residential area~ even ifthc Ldn would remain below 60dB; The project would cause the Ldn to increase by 3.0 dB or more in an existing residential area, thereby causing the Ldn in the area to exceed 60 dB~ The project would cause an increase of3.0 dB or more in an existing residential area where the Ldn currently exceeds 60 dB. Pu/ky N-43: Protect the community and especially sensitive noise receptors, including schools, hospitals, and senior care faci1itics~ from excessive noisc. Ldn along Sand Hill Road ranges from 53.5 to 55.2 dBA. which is below the 75 dB maximum noise guideline for conditionally acceptable uses. per the Comprehensive Plan's Land Usc Compatibility chart. The ambulance noise would increase Len by about 8 dBA. At most. the resulting dBA would be about 63.2 dBA, which is still withjn the maximum noise guideline for conditionally acceptable uses per the Comprehensive Plan's Land Use Compatibility chart. As such, the City may approve the SUMC Project under Policy N-4I. Section 3.7, Noise, states that construction of the SUMC Project could result in a significant noise level with respect to on-slte hospital uses. Mitigation Measure NO-L]~ identified in Section 3.7, Noise, involves best management practices for construction noise and would address environmental impacts associated wilh pile driving noise to off-site sensitive receptors and other construction noise impacts to on-site sensitive receptors, This mitigation measure would lessen the impacts from excessive eonstruction~related noise. Also, the mechanical noise could have a significant impact on nearhy residential uses. However, Mitigation Measure NO- 4.1 requires shielding or enclosure of equipment, which would reduce noise to less- than-significant levels. The City has identified feasible measures to protect sensitive uses from excessive noise. G&.I N-9: A efficient. competitively-priced energy supply that makes use of cost-effective renewable resources. Policy N-47: Optimize energy conservation and efficiency in new and existing residences, businesses, and industrjcs jn Palo Alto. As discussed in Section 3.6. Climate Change, the SUMC Project includes a number of energy conservation strategies. The SHe and LPCH components of the SUMC Project would be designed to achieve EncrgyStar scores of90-95, which means they would perform better than 90-95 percent of similar hospitals. The buildings would use 35 percent less energy than typical hospitals (based on a comparison to DOE's Commercial Buildings Energy Consumption Survey) and 20 percent less energy than a hospital designed to meet ASH RAE 90.1 standards. The new SaM buildings would meet Stanford University's 2008 Building Perfonnance Guidelines, whieh set a target energy efficiency in new buildings of30 percent below California Title 24!ASHRAE 90.1 (2004). Sran/(wd Uni.,,'ersity Medical Center Facilities Renewal and Replacement EfR ~ Land Use 17 Table 3.2-2 Comparison of SUMC Project to ComprebensiYe Plan Polieies Policy N-48: Encourage the appropriate use of alternative energy technologies. The City provides electricity and natuml gas to the SUMC Site and is currently replacing a significant portion of its energy supply with renewable energy resources. Although no oowsite renewable energy technologies are planned, the SUMC Project would support alternative cncrgy techno logics through purchase of energy through the City. Goal N-10: Protection of life and property from natural hazards. including earthquake, landslide, and fire. Policy N-51: Minimize exposure to geologic hazards, including slope stability, subsidence, and expansive soils, and to seismic hazards including groundshaking, fault rupture, liquefaction, and landsliding. Policy N-52: Minimize exposure to flood hazards by adcquately reviewing proposed deyelopmcnt in flood prone arcas. Policy N-54: Provide emergency fire and medical services consistent with the response time standards set forth in the Fire Department's annual budget. As discussed in Section 3.10, Geology, non-hospital structures would be required to comply with the California Building Code, while hospital structures would be required to comply with heightened OSHPD requirements, both of which would reduce exposures to geologic hazards to a Icss-than-significant level. The-SUMC Project was initially triggered by SB 1953, whieh requires the aU hospital facilities meet current seismic standards to prevent disruption of hospital operations during an earthquake. This EIR reviews potential flooding impacts at the SUMC Site in Section 3.11, Hydrology. Flooding impacts were determined to be less than significant. As discussed in Section 3.14, Public SOrYices, the SUMC Project must construct its proposed structures to current OSHPD and City Code standards for fire safety and would install the latest fire control measures. As a part of the City'S development review process, the Statc Fire Marshal would review the plans for the SUMC Project (including construction, fire service water majn~ and Automatic Fire Alarm System plans) to determine conformance with the Fire Code prior to issuance of a building permit, Goal C-4: Attractive, well-maintained community facilities that serve Palo Alto residents. Policy C-26: Maintain and enhance existing park facilities. Policy C-27: Seck opportunities to devclop new parks and recreation facilities to meet the growing needs of residents and employees of Palo Alto. 18 There arc no City park facilities on the SUMC Sites" Per Section 3.14, Public Services, the SUMC Project would have a less-than-significant impact on City parks. As discussed in Section 3.14, Public Service, as required by Palo Alto Municipal Code 16.58, the SUMC Project would be required to pay a "Community Facility Fee," which has a line item for parks that would fund acquisition of land and improvement"]. for neighborhood and district parks. Stanford University A1edical Center Facilities Renewal and Replacement Draft EJR Land U.~e Table 3.2-2 Comparison or SUMC Project to Comprehensive Plan Policies Goal C~5: Equal access fO cducational~ recreational" and cultural services for all residents. C-30: Facilitate access to parks and community facilities by a variety of transportation needs. See Policies L-42, L-43, and L-45. The Marguerite Shuttle. one of the TDM measures discussed above, would provide access between the SUMC Sites and other community faciHlies. Go.1 B-6: Thriving employment dislricL, at Stanford Research Park, Stanford Medical Center, East Bayshore/San Antonio Road Area and Bayshor. Corridor that complement the City's busincss and neighborhood eentcrS. Policy B-32: Assist Stanford Medical Center in responding to changes in the delivery of health care services. Work with the Center to plan tor changing facility needs, but within the context of City oIPalo Alto planning goals and policies, as well as the goals and policies of other relevant jurisdictions. The SUMC Project addresses changing demand for health care services and facilities. The City is working with the SUMC Project sponsors to determine the most appropriate plan for future development as part of the review of the SUMC Project application. This EIR has been prepared to inform the City's decisions with respect to applicable planning goals and policics. Sources: Palo Alto Comprehensive Plan, 1998; PBS&J, 20 I O. Stanford Universi(v Medical Cemer Facilities Renewal and Replacement Drojf E!R Land Use 19 Stanford University Medical Center Summary of Development Agreement Payments Updated May 24, 2011 Payment Description Development Agreement Paragraph Summer 2011 (Initial Payment Date) January 2012 (Estimated date of 1st Hospital Foundation Permit) September 2015 January 2018 (Estimated date of 1st Hospital Occupancy Permit) Spring 2026 Cumulative Total Payments to Palo Alto Healthcare Services 5(a)(ii) $560,000/year for 10 years $5,600,000 (final amount depends upon construction use taxes received by City) Community Health & Safety Programs 5(a)(iii)$4,000,000 $4,000,000 Fiscal Neutrality Payment 5 (b)(iii)$2,417,000 $2,417,000 Linkage from Downtown through PAITS to Quarry/ECR Intersection 5(d)(i)$2,250,000 $2,250,000 Linkage along Quarry Road for Pedestrian/ Bicycles/Transit 5(d)(ii)$400,000 $400,000 Infrastructure, Sustainable Neighborhoods & Affordable Housing 5(e)(i)$7,733,333 $7,733,333 $7,733,333 $23,200,000 Sustainability Programs 5(f)(i)$4,000,000 $4,000,000 $4,000,000 $12,000,000 Opticom Payment to Palo Alto 5(c)(iv) $11,200 $11,200 110524 jb Att I_Summary of SUMC Development Agreement Payments.doc Summary of Stanford Hospital Development Agreement Payments May 24, 2011 110524 jb Att I_Summary of SUMC Development Agreement Payments.doc Payment Description Development Agreement Paragraph Summer 2011 (Initial Payment Date) January 2012 (Estimated date of 1st Hospital Foundation Permit) September 2015 January 2018 (Estimated date of 1st Hospital Occupancy Permit) Spring 2026 Cumulative Total Linkage from Shopping Center through Barn to SUMC (Stanford Builds) 5(d)(iii) $700,000 $700,000 Payments to Menlo Park Traffic Mitigation Payment to Menlo Park 5(c)(ii)$1,233,000 $1,233,000 $1,233,000 $3,699,000 Payments to AC Transit Payment to AC Transit for additional buses 5(c)(iii) $250,000 $250,000 Payment to AC Transit for additional operating costs 5(c)(iii) $50,000/year $50,000/year (Life of Project Payment for long term lease for Ardenwood Lot (AC Transit) 5(c)(iii) $45,000/year $45,000/year (Life of Project) Payments to Caltrain Begin Purchasing Go Passes 5(c)(v)$1, 800,000 + CPI $91,000,000 + CPI Analysis of SUMC Development Agreement Proposal Updated April 20, 2011 SUMC Proposal City Staff Response Health Care In‐patient and out‐patient services $ 3,000,000           3,000,000                                 Community health programs 4,000,000           4,000,000                                 Total Health Care $ 7,000,000           $7,000,000                                 Reduced Vehicle Trips Four new shuttles $ 2,000,000           Mitigation Shuttle operations over 51 years 22,950,000         Mitigation GO PASS over 51 years 90,907,500         Mitigation Sub Total $ 115,857,500       TDM Coordinator $ 5,100,000           Mitigation AC Transit and U‐Line‐Capital 250,000              Mitigation AC Transit and U‐Line ‐Operating 2,550,000           Mitigation East Bay Transit options ‐ Ardenwood Lease 2,295,000           Mitigation Sub Total $ 10,195,000         $‐                                             Total Reduced Vehicle Trips $ 126,052,500      $‐                                             Linkages Improvements to enhance the pedestrian and  bicycle connection $              2,250,000 Mitigation Improvements to the public ROW to enhance the  ped/bike connection $ 400,000                Mitigation Improvements t enhance ped connection between  SUMC/SSC/Welch Rd $ 700,000                Mitigation Total Linkages $3,350,000           $‐                                             Housing Housing Impact Fee $ 1,720,488           Required Impact Fee Housing/Sustainable Neighborhoods and  Communities $           21,479,512 $                                  21,479,512  Total Housing $ 23,200,000         $21,479,512                               Climate Change/Sustainable Communities Defined contribution $ 12,000,000         $12,000,000                               Total Climate Change/Sustainable Communities $ 12,000,000         $12,000,000                               Fiscal Upfront Contribution/Cost Neutrality Assurance $ 2,417,000           $                                  2,417,000  Use Tax Direct Payment Permit 750,000              $750,000                                     Total Fiscal $ 3,167,000           $3,167,000                                 TOTAL $ 174,769,500      $43,646,512                               Item Description Defined as a mitigation in DEIR/Required Impact Fee 110308 jb 0130685 S:\ATT\USERS\013 Silver\0130710 SUMC Development Agmt Proposal April 20 2011.xlsx 2. Land Use A. Recommend approval of the resolution adopting changes to the Comprehensive Plan to recognize taller building heights at SUMC, to exclude hospital, clinic and medical school use areas fronl the citywide and area specific non-residential growth limits, and changes to the Comprehensive Plan Land Use Map; B. Recommend adoption of an ordinance amending the municipal code to establish a new "Hospital" zone district and amending the sign code and tree code to be consistent with the Hospital Zone regulations; 3. Entitlements A. Recommend adoption of an ordinance approving a thirty-year development agreement between the City of Palo Alto and the Applicants that would grant certain development rights in exchange for certain public benefits' B. Recommend adoption of a Record of Land Use Action approving a conditional use permit that would allow specific hospital, medical office, and related uses in the Hospital Zone; 4. Administrative A. Recommend adoption of a Resolution annexing an approximate 0.65 acre site from Santa Clara County; B. Recommend acceptance of SUMC Area Plan Update, and C. Review Architectural Review Board findings and Historic Resources Board comments and forward to City Council. EXECUTIVE SlTMMARY The Stanford University Medical Center (SlJMC) comprises the general area between Sand Hill Road, Vineyard Lane, Quarry Road, Pasteur Drive, and including Welch Road and Blake Wilbur Drive. The area is zoned Medical Office and Medical Research (MOR) and Public Facilities (PF). The applicant is proposing the demolition of the existing Stanford Hospital and Clinics (SHC), construction of new hospital buildings, renovation and expansion of the Lucile Packard Children's Hospital (LPCH), reconstruction of the School of Medicine (SoM) facilities, and construction of new medical office buildings and parking structure as well as the renovation of the Hoover Pavilion to meet State mandated seismic safety standards (SB 1953) and to address capacity issues, changing patient needs and modernization requirements. The renovation and expansion project, which would be constructed over a 20-year horizon, would result in a net increase of approximately 1.3 million square feet of hospital, clinic, and office space. This staff report discusses the package of entitlements requested by Applicant and recommends that the Planning and Transportation Commission make the following recommendations to the City Council: • Certify the Final Environmental Impact Report for the Project and Adopt a Statement of Findings and Statement of Overriding Considerations, • Adopt Comprehensive Plan Amendments to: o Change in land use designations at 701 and 703 Welch Road from the Research/Office Park land use designation to the Major Institution/Special Facilities land use designation; City of Palo Alto Page 2 o Annexation to the City of Palo Alto of a 0.65-acre property within Santa Clara County jurisdiction with a Major Institution/Special Facilities land use designation to be applied to this property; o Modify the text of Program L-3 to identify the hospital zone as an exception to the 50- foot citywide limit due to the Medical Center's unique needs, and o Amend Policy L-8 to clarify that the hospital, clinic and medical school and treatment uses are exempt from the development cap. • Adopt Zoning Code and Map Amendments to: o Create a new "Hospital District"; o Rezone 701 and 703 Welch Road from Medical Office Research (MOR) to the new "Hospital District"; o Clarify treatment of Protected Trees in Hospital Zone; o Clarify treatment of freestanding signs in Hospital Zone; and o Pre-zone the site to be annexed to the City to the new "Hospital District". • Approve a 30-year Development Agreement that would vest Applicant's rights to develop the Project in exchange for a robust package of community benefits; • Forward Architectural Review of the SHC, LPCH, Foundations in Medicine Building 1 (FIMl), Medical Office Building and Parking Structure at the Hoover Pavilion Site, Hoover Pavilion Renovations, Surface Improvements for Welch Road and Durand Way, and SUMC Design Guidelines; • Approve a Conditional Use Permit that would allow specific hospital, medical office, and related uses in the Hospital Zone as discussed in the FEIR, and • Acceptance of the SUMC Area Plan Update prepared by the Stanford University in collaboration with the City of Palo Alto. PROJECT DESCRIPTION 1. Stanford Hospitals and Clinics Stanford Hospital provides both general acute care services and tertiary medical care for patients locally, nationally and internationally. Stanford Clinics contains the group practice of most faculty physicians of Stanford University School of Medicine. SHC is currently licensed by the State of California to operate 613 beds, 'but is currently operating at a 456 bed level. In order to viably meet current and future demand, its projected need requires an increase of 144 beds. The application materials describe the SHC as follows: • The new SHC would build approximately 1,100,000 gross square feet of facilities, which will include surgical operating suites, new diagnostic and treatment suites, new emergency department and associated nursing and support space. This space would primarily consist of five, connected towers extending 130-feet to the parapet and l80-feet to the top of the helipad elevator; • There would be a new addition of 429,000 gross square feet to house clinics, medical offices, and administrativ~ offices on the Main SUMC site; • The existing D, E and F nursing units would be renovated and reused; as will the remaining 1989 Hospital Modernization Project (HMP) building to house diagnostic and treatment space and other supporting fimctions such as materials management, clinical laboratory , and physician and administrative offices; _ • Demolition of a total of approximately 705,000 square feet of existing facilities on the site City of Palo Alto Page 3 which includes 441,201 gsf of the original medical center complex, commonly referred to as the Stone Building (East Building, West Building, Core Building and Boswell Clinics Building); 223,850 gsfofthe existing Core Expansion Building and 40,100 gsfofthe 1101 Welch Road structures; • Replacement of 456 hospital beds; addition of 144 new hospital beds for a total of 600 beds; • Construction of a new four level above-grade and three level below-grade parking garage containing approximately 970 automobile parking spaces, bicycle parking facilities, and a rooftop landscaped area, including nleeting room areas and wellness center; • Site improvements and landscaping, including the development of a "Medical Center Promenade" connecting various hospital and university uses at the SUMC campus, a medicinal garden, a main entrance with shared spaces for automobiles and pedestrians, and outdoor spaces for cafe-style seating, and • At SHC, automobile parking would be available in a new four level above-grade and three level below-grade parking garage at the Welch Road/Pasteur Drive intersection. A total of 970 parking spaces would be provided in this facility. Access would be from Welch Road and Pasteur Drive. The Emergency Department entrance/parking would be along Pasteur Drive side of the new SHC Hospital building. The new Stanford Hospital has been designed by Rafael Vinoly Architects, based in New York· City. Highlights of the new hospital's architecture and design are included in Attachment I-J. A complete set of plans for the hospital are included in Attachment II -B.11. hl the first phase, construction of the five cOlmected hospital towers, emergency department, and parking structure, renovation of the D, E, and F nursing units, associated demolition and site improvement activities would take place. The clinics building would be constructed later. The Applicant has not requested architectural review approval for the clinics at this time. 2. Lucile Packard Children's Hospital The existing LPCH facility requires expansion to serve additional children and families, and to accommodate modem healthcare standards. The expansion of the LPCH is designed to promote family-centered care and create welcoming and safe healing environments by balancing the hybrid needs of clinical research advancements with the specialized needs of pediatric and obstetric patients and their families. The Applicant proposes to construct a new hospital addition on the properties located at 701 and 703 Welch Road, atthe comer of Quarry and Welch Roads. This new addition will become the key entry point to the medical center. The existing LPCH hospital facility would continue to house inpatient beds as well as diagnostic, treatment, clinical, and support services. The LPCH project will include the following components: • Demolition of approximately 80,000 square feet of the 701 and 703 Welch Road buildings and the existing parking lot north of the Falk building; • Construction of approximately 521,000 square feet of new surgical operating suites, diagnostic and treatment suites, and associated nursing and support space. This space would be an expansion of the existing children's hospital and would serve at its main entrance. The building height would extend to 85-feet to the parapet; City of Palo Alto Page 4 • Addition 104 new patients beds to the existing 257 beds currently in use for a total of 361 beds, in addition to surgical operating suites, diagnostic and treatment suites, and associated nursing and support space; • Construction of a three level below-grade parking garage to be accessed from Welch Road containing approximately 430 automobile parking spaces, and • Site improvements and landscaping, including retention of mature redwood tree grove at the comer of Welch and Quarry Roads, landscaping and garden spaces specifically designed for various users of the hospital. Perkins + Will in association with Hammel, Green and Abrahamson, Inc. (HGA) have designed the new addition LPCH. Highlights of the new hospital's architecture and design are included in Attachment I-J. A complete set of plans for the hospital are included in Attachment II-B. 11. 3. Hoover Pavilion Site The Hoover Pavilion site is an area of approximately 10 acres located at the comer of Palo and Quarry Road between EI Camino Real and Arboretum Road. The site includes approximately 84,200 square feet of the existing Hoover Pavilion, 7,400 square feet within the Arboretum Children's Center, and 13,800 square feet of miscellaneous shops and storage outside of the Hoover Pavilion Building. Hoover Pavilion was constructed as the Palo Alto Hospital, in operation from 1930 to 1939. The building is T-shaped in plan with a five-story central block, six-story tower, and four-story wings. It is Art Deco in style, which is represented in the ziggurat form, vertical emphasis of window bays, and stylized floral and geometric terra cotta panels and fixtures. In brief, components of the SUMC Project and the Hoover Pavilion Site development include: Renovation o/the existing Hoover Pavilion • Retention of the 84,000 square foot Hoover Pavilion building, to be used for SHC clinic- related uses, as it is used currently. Interior renovations and reconfiguration for medical office uses. Healthcare providers who currently lease space at 701, 703 and 1101 Welch Road would be offered leases in the Hoover Pavilion; • Demolition of approximately 13,800 square feet of industrial shops and storage to accommodate the construction under the SUMC Project; • Removal of existing mechanical penthouses and construction of new mechanical penthouses on the roof of the south wing, east wing, and fifth floor of the tower at the north fa9ade; • Repair of exterior concrete walls; • Alterations to main (north) fa9ade entrance bay; • Window repair and replacement, removal of window air conditioning units; • New exterior stairway on the south fa9ade of the south wing; • Structural, mechanical, plumbing, and electrical upgrades; • Site improvements and landscaping, and • Retention of the existing 7,375 sf Arboretum Child Care Center. Adjacent New Construction • Construction of a new 60,000 square foot Medical Office Building (MOB) northwest of the Hoover Pavilion; City of Palo Alto Page 5 • Construction of a new 55-foot high Parking Garage west of the Hoover Pavilion with 1,085 parking capacity that has six above-grade levels and three below-grade levels, and • Site improvements and landscaping that would connect the medical office building, parking garage and Hoover Pavilion. WRNS Studio, LLP and Bellinger Foster Steinmetz Landscape Architects have designed the new MOB and parking structure and its landscaping respectively. Highlights of the new hospital's architecture and design are included in Attachment I-J. A complete set of plans for the Hoover renovations, the MOB, and parking structure are included in Attachment II -B.11. 4. School of Medicine The site for the SoM replacement facilities is generally the site of the existing facilities to be replaced. The four buildings occupied by SoM within the City's boundaries are designated as Edwards, Lane, Alway and Grant. The site includes these four buildings as well as an existing landscape area currently developed as a forecourt/garden immediately north of the Center for Clinical Sciences Research (CCSR) building. The site abuts the boundary between the City of Palo Alto and Santa Clara County campus lands. According to the applicant, these buildings no longer serve the medical center's clinical and translational research needs and must be replaced. Currently, the buildings house the primary faculty offices, research laboratories and administrative support for 13 of the School's 28 academic departments, including the departments of Medicine, Neurology, Neurosurgery, Obstetrics & Gynecology, Orthopedic Surgery, and Pediatrics. In addition, the applicant has stated that upgrading the existing buildings to accommodate changes to the building requirements for occupancy separation, exiting, mechanical systems, circulation, laboratory support, and Americans with Disabilities Act requirements could only be accomplished at great cost and would result in inefficiencies in the use of space. As per the application materials, construction of the SoM would include the following components: • Demolition of approximately 415,000 square feet of the existing School of Medicine, including buildings Edward, Lane Always, and Grant; • Construction of approximately 415,000 square feet within three Foundations in Medicine Buildings (FIM1, FIM2 and FIM3), and • Site improvements and landscaping. FIM1 would be the first SoM building to be constructed as part of this project. The architect for the School of Medicine building is Zimmer Gunsul Frasca Architects and Tom Leader Studio is the landscape architect. FIM1 is proposed to be a four story building with a basement, located at the southwest comer of the SUMC project site, adjacent to Pasteur Drive, Governor's Avenue, and the CCSR. The gross floor area would be approximately 168,000 square feet. Building heights would be approximately 68' to the top of the building parapet and approximately 80' to the top of the mechanical penthouse screen. In the first phase, construction only FIM1 would be built. FIMs 2 and 3 would be constructed later. The Applicant has not requested architectural review approval for FIMs 2 and 3 at this time. Highlights of the new hospital's architecture and design are included in Attachment I-J. A complete set of plans for FIM1 are included in Attachment II-B.ll. City of Palo Alto Page 6 5. Surface Improvements for Welch Road The Applicant has proposed surface improvements for Welch Road and Durand Way in order to accommodate the new SUMC Project. These improvements include the following components: • Welch Road would be widened from two to three lanes to provide a dedicated left-tum lane in both directions, and it would continue to serve vehicle circulation within the SUMC, connecting Quarry Road to Pasteur Drive and to Campus Drive. • Durand Way, a four-lane connector road, would be constructed between Sand Hill Road and Welch Road to provide additional Medical Center access from Sand Hill Road (at the current signal). No demolition of existing structures would be necessary to construct Durand Way. This connector road would extend into the Advanced Medicine Center. • A new driveway would be constructed with ingress and egress from Welch Road serving the SHC Emergency Department. A second new driveway would be provided for public access to the ED, along with a small area for patient drop-off; • Two new driveways would be installed to the east and to the south of the proposed new LPCH Hospital addition; these driveways would provide drop off access and access to the new LPCH loading area. • Signalized intersections at the vicinity of LPCH and Durand Way would improve traffic flow and safety for pedestrians; and • Coordinated landscaping along the length of Welch road, including sidewalks, street trees and groun4 level plantings; landscaped roadway islands would also be installed. A complete set of plans for the Welch Road improvements are included in Attachment II -B.II. 6. Design Guidelines The Medical Center Design Guidelines provide a basis from which to better understand the architectural implications of new projects within the four districts that make up the medical center. The SUMC Design Guidelines document serves the following functions: • A document that provides illustration of the variety of architectural expressions that would be allowed for development of the SUMC project while promoting a cohesive campus environment, with enhanced connections to Stanford University. It is a document to be used to evaluate future development at the SlTMC sites; • The Design Guidelines provides a basis from which to understand the architectural implications and connections between the different projects within the medical center. They express the similarities and differences of the new project components and how they contribute to a cohesive identity, and • The Design Guidelines includes sections on: Site Design (Site Design, Main Circulation, Parking, Public Access Streets, Open Spaces, and Pathways), Building Design (Visual Hierarchy, Density Pattern and Context, Massing and Building Composition, Material Palette, and Entry Expression), and Connective Elements (Paving, Planting, Lighting, Signage, and Shared Amenities). In addition, there is an Appendix that describes the approach to preservation at Hoover Pavilion and the future SHC Clinics. To that end, the Medical Center Design Guidelines seek to provide consistent and equal representation of all the proposed -SUMC projects. WRNS Studio LLP has prepared the design guidelines for the SUMC. The Design Guideline document is included in Attachment II -B.II. City of Palo Alto Page 7 ENTITLEMENT DESCRIPTION Environmental Impact Report and Statement of Overriding Considerations A Draft EIR, pursuant to the California Environmental Quality Act (CEQA), was prepared by the City of Palo Alto to disclose the potential environmental effects of the SUMC Project. The Draft EIR includes a description of the SUMC Project, an assessment of its potential effects, a description of possible mitigation measures to reduce significant effects that were identified in the Draft EIR, and a consideration of alternatives that could address potential impacts. An extended 69-day public review period for the Draft EIR began on May 20,2010 (CEQ A typically requires a 45-day review period). During the public review period, the document was reviewed by various State, regional, and local agencies, as well as by interested organizations and individuals. Comment letters on the Draft EIR were received from 10 public agencies, three City Council members, three private organizations and 34 private individuals. The public review period also included six Planning and Transportation Commission (Commission) hearings, five City Council hearings, one Architectural Review Board (ARB) hearing, and one Historic Resources Board (HRB) hearing, for a total of 13 public hearings. The Commission and City Council hearings were open to the public and comments during the hearings were received from members of the public, commissioners, City Council members, and members of the ARB and HRB. The public review period ended on July 27,2010. There were over 1,000 individual comments on the Draft EIR. Response to Conunents At the conclusion of the public review period, City staff began the process of responding to the comments. The result of the process was the preparation of a Response to Comments document. It contains the public comments received on the Draft EIR, written responses to those comments, and changes made to the Draft EIR in response to the comments. This document was completed in February 2011. Details regarding the Final EIR Responses to Comments can be found in the Staff Report for the Planning and Transportation Commission meeting held on March 9 and 23, 2011 (Attachment II -A. 1). The Staff-Initiated Changes and Master Responses presented below are included in the Final EIR Responses to Comments document and address the following topics: Staff-Initiated Changes • Staff-Initiated Change 1: Quantified SUMC Project Transit Analysis • Staff-Initiated Change 2: Changes to Intersection Impact Conclusions • Staff-Initiated Change 3: Changes to Analysis of Cumulative Health Risk from Toxic Air Contaminants • Staff-Initiated Change 4: Changes to Calculation of Greenhouse Gas Emissions and Climate Change Analysis of the SUMC Project and its Alternatives • Staff-Initiated Change 5: Impacts of the Proposed Hoover Pavilion Renovation and Site Development on the Hoover Pavilion's Potential Status as a Historic Resource • Staff-Initiated Change 6: Changes to Protected Tree Numbers and Mitigation Measures Under the SUMC Project and the Tree Preservation Alternative City of Palo Alto Page 8 • Staff-Initiated Change 7: Changes to Table 3.13-8, SUMC Project 2025 Indirect Housing Demand by County/City Based on Existing SUMC Employee Zip Code Distribution • Staff-Initiated Change 8: Changes to Trip Generation and Level of Service Analysis of Alternatives to the SUMC Project Master Responses • Master Response 1: Viability of the Caltrain GO Pass Mitigation Measure and Alternative Mitigation Measures to the GO Pass • Master Response 2: Other Traffic Mitigation Measures • Master Response 3: Background Growth and Cumulative Traffic Impacts • Master Response 4: Construction Traffic • Master Response 5: Connection of Pasteur Drive and Roth Way • Master Response 6: Cost of Transportation-Related Mitigation Measures and Fair Share Calculations • Master Response 7: Impact on City's Jobs to Employed Residents Ratio and Mitigation Regarding Affordable Housing • Master Response 8: Range of Alternatives Analyzed and Consideration of Alternatives in the SUMC Project Approval Process • Master Response 9: Merits of the SUMC Project and Alternatives • Master Response 10: Response to Comments Not Applicable to CEQA and Not Applicable to SUMC Project • Master Response 11: City Process for Reviewing and Deciding on SUMC Project • Master Response 12: Development Agreement A summary of the Staff Initiated Changes and Master Responses are contained in Attachment 11- A. Together, the previously released Draft EIR (May 2010) and the Responses to Comments document (Volumes I and II, February 2011) constitute the Final EIR. The responses and revisions in the Final EIR substantiate and confirm or correct the analyses contained in the Draft EIR. It should be noted that no new significant environmental impacts and no substantial increase in the severity of an earlier identified impact have resulted from responding to comments. Resolution Certifying Final EIR and Approving Mitigation Monitoring and Reporting Program A resolution certifying the adequacy of the Final EIR and adopting the Mitigation Monitoring and Reporting Program (MMRP) is included for review as Attachment I-A. The CEQA Resolution summarizes the findings of the Final EIR and makes the necessary statutory fmdings required to certify the Final EIR. The MMRP contains a comprehensive list of mitigation nleasures for the project and designates the agency responsible for nl0nitoring compliance. References to the MMRP are incorporated into the Project Conditions of Approval as well as the Development Agreement to ensure their enforceability. As the project involves certain impacts that cannot be mitigated, a Statement of Overriding Considerations (SOC) must be adopted by the City Council before it can approve the Project. A SOC represents the City Council's views on the ultimate balancing of the merits of approving the Project despite the significant and City of Palo Alto Page 9 unavoidable environmental impacts identified in the FEIR. A discussion of the SOC is provided below in the Environmental Review section, below. Comprehensive Plan Amendment The Applicant is seeking amendments to the City's Comprehensive Plan. These amendments would result in changes to the Comprehensive Plan Land Use Map and modify language to specific policies and programs that directly relate to the Project. These changes would only affect sites within the Project area. The Applicant has requested the following changes in land use designations at several locations within the Project site: • Change in land use designations at 701 and 703 Welch Road from the Research/Office Park and use designation to the Major Institution/Special Facilities land use designation. • Annexation to Palo Alto of a 0.65-acre property within Santa Clara County jurisdiction with a Major Institution/Special Facilities land use designation to be applied to this property. In addition, the Applicant has proposed changing the text associated with Program L-3 of the Comprehensive Plan. Program L-3 states that the City will maintain and periodically review height and density limits to discourage single uses that are inappropriate in size and scale to the surrounding uses. The discussion following Program L-3 refers to the City's historic 50-foot height limit. As proposed, some portions of the SUMC Project would exceed the current limit by approximately 80 feet. Accordingly, the Applicant requests the applicable Comprehensive Plan language be modified to identify the hospital zone as an exception to the 50-foot citywide limit due to the Medical Center's unique needs. City staff has proposed an additional change to the Comprehensive Plan to clarify Policy L-8. Policy L-8 directs the City to maintain a limit of3,257,900 square feet of new nonresidential development within nine planning areas evaluated in a 1989 Citywide Land Use and TransPQrtation Study. On a citywide basis, there is 1,944,090 square feet of development potential remaining under the Comprehensive Plan policy. The Comprehensive Plan also divides the City into nine distinct areas for transportation monitoring and the SUMC Project is located in Planning Area 9. Under a strict reading of the Comprehensive Plan each planning area also has development caps. At the time the Comprehensive Plan, most public facilities and institutional uses were exempt from the area specific cap; however, due to an apparent oversight it appears that the SlTMC uses were not exempted. Accordingly, City staff has suggested a modification of the text of this policy to specify that neither the citywide nor the Planning Area 9 cap is meant to apply to hospital, clinic and medical school uses. A discussion of these requested amendments is provided below in the Policy Impacts section. The Comprehensive Plan amendment resolution is provided in Attachment I-B. Hospital District Zoning Ordinance The Applicant has requested an ordinance that would establish a new zoning district for the Project area. The new zone district would be designated as "Hospital District" (HD). The purpose of the HD district would be to accommodate medical and educational uses including the SHC and LPCH, medical, office, research, clinic and administrative facilities at the Hoover Pavilion site, and SoM buildings in a manner that balances the needs of hospital clinic, medical City of Palo Alto Page 10 offices and research uses with the need to minimize impacts to surrounding areas and neighborhoods. The HD would allow, by right or through the issuance of a conditional use pernlit, land uses related to the functions and operations of SUMC. Most health care services, including hospitals, medical offices, and medical research would require a conditional use permit. Educational uses, such as private universities and activities related to the Stanford University SoM, would also require a conditional use permit. As part of the entitlement process, the City has prepared a conditional use permit for Commission and City Council review, which is provided in Attachment I-E. The HD would also include the following Development Standards: • The maximum FAR for the area for the Main SUMC Site would be 1.5 to 1. FAR would be calculated based on the total contiguous area within this zone, rather than on a parcel by parcel basis. The maximum FAR for the Hoover Pavilion Site would be 0.5 to 1. Rooftop, basement, interstitial space, and interior areas used to enclose mechanical equipment would be excluded from floor area calculations; • The maximum site coverage for the inboard Welch Road area would be 40 percent of the site area. The maximum site coverage for the Hoover Pavilion Site would remain at 30 percent. Parking facilities would not be counted in determining site coverage. Site coverage would be calculated based on the total contiguous area within this zone, rather than on a parcel by parcel basis; • The maximum height on the Main SUMC Site would be 130 feet and the maximum height on the Hoover Pavilion Site would be 60 feet (for new structures). Helicopter pads on top of buildings would be excluded from height calculations; • No yard adjoining a street would be less than 10 feet, measured from the curb to the base of the buildings and not including any awnings or other projections. This setback requirement would not apply to below-grade parking facilities or portions of buildings that bridge a street; • No standards would be-specified for the site area, including width or depth; • Regulations governing accessory facilities and uses, and the application of site development regulations in specific instances would be established by Chapter 18.42; • Parking requirements would be performance-based, as established during review of project design. Parking would be provided to meet projected needs, with consideration given to the potential for reduced parking demand due to the proximity of the P AITS, and • Tree preservation would be based on regulations specifically proposed for the HD. In the HD, specific trees would be categorized into two groups based upon their "Biological" and "Aesthetic" values. Group 1 trees, possessing both Biological and Aesthetic values, could not be removed (with exception of diseased or dead trees). Group 2 trees, possessing only "Biological" values (consistent with the existing definition of a Protected tree) could only be removed after issuance of a Tree Removal Permit and replaced according to specific ratios. Other section of the City of Palo Alto Municipal Code (PAMC) would also be amended to modify specific requirements and for consistency with the HD, including: • P AMC Title 8.10 (Tree Preservation) would be amended to recognize the HD and to refer to the specific requirements of the HD for tree preservation and removal requirements; City of Palo Alto Page 11 • PAMC Title 16.20 (Signs) would be amended to allow Freestanding sign taller than five-feet and Directory and Directional sign to extend up to twelve-feet in height and not to exceed thirty square feet in area; • PAMC Title 18.08.010 (Designation of General Districts) would be amended to include the HD and the chapter number in the table of districts, and • P AMC Title 18.08.080 (Zoning Map and District Boundaries) would be amended to include the HD on the zoning'map. The HD Ordinance is provided in Attachment I-C. Development Agreement The California Planning and Zoning Law authorizes cities to enter into "development agreements" which grant certain rights to developers, typically in exchange for other benefits which cities otherwise do not have the police power to require. The scope of a development agreement is prescribed by State law (Government Code section 65864-65869.5.). A development agreement has the effect of immediately vesting a developer's right to proceed under existing zoning and other local laws, without having to worry about later changes in those zoning requirements imposing expensive new requirements or preventing the project from proceeding. Development agreements are also generally needed for bond financing. The Government Code imposes various requirements on development agreements, including a requirement that each development agreement specify its duration. Additional background information on development agreements is contained in the January 31, 2011 City Council Staff Report (Attachment II-C. 1). The Development Agreement for Commission and Council consideration is contained in Attachment I-D. An overview of the negotiation process, terms, and fiscal issues are contained in the Discussion section, below. Annexation In order to construct the new SoM Foundations in Medicine (FIM) buildings, a 0.65 acre portion of land immediately adjacent to Governor' Lane and Pasteur Drive would need to be annexed from Santa Clara County to the City of Palo Alto. Prior to annexation, the site would first need to be pre-zoned to be consistent with the Main SUMC campus. If the City of Palo Alto supports the annexation, the process with Santa Clara County and the Local Agency Formation Commission (LAFCO) is a ministerial process. Annexation documents are contained in Attachment I-G. Conditional Use Permit As proposed in the HD ordinance, specific land uses at the SUMC would require a Conditional Use Permit (CUP). Staff has prepared a draft Record of Land Use Action (RLUA) for issuance ofaCUP. Under the proposed Hospital Zone, the major components of the Project would require Conditional Use Permits. As part of the Development Agreement negotiations, the City is processing the entire proj ect under an umbrella CUP with more lenient vesting procedures than provided by the existing CUP process. In the event the Development Agreement is not approved, the Applicant has agreed to re-apply for separate CUPs for each major Project component. City of Palo Alto Page 12 Approval ofa CUP requires the following findings under PAMC Section 18.76.010(c): a. Not be detrimental or injurious to property or improvements in the vicinity, and will not be detrimental to the public health, safety, general welfare, or convenience; b. Be located and conducted in a manner in accord with the Palo Alto Comprehensive Plan and the purposes of this title (Zoning). The draft RL U A is contained in Attachment I-E. Architectural Review The Applicant's entitlement request includes Architectural Review for the following project components, as described earlier in the Project Description section: 1. Stanford Hospital and Clinics Main Hospital 2. Lucile Packard Children's Hospital 3. Hoover Pavilion Renovations 4. Hoover Pavilion Site Development 5. School of Medicine, Foundations in Medicine Building 1 5. Welch Road Improvements 6. Design Guidelines The items listed above represent the extent of the applicant's request for Architectural Review. The request for architectural review does not include the SHC clinics buildings (approximately 429,000 square feet) and Foundations in Medicine Buildings 2 and 3 (approximately 116,000 and 131,000 square feet, respectively). However, the overall Project as analyzed in the FEIR and the applicant's request for entitlements include the floor area for the SHC clinics and School of Medicine buildings. The SHC clinics and School of Medicine buildings would require Architectural Review prior to submittal for building permits. Bruce Fukuji, the City's Urban Design Peer Reviewer, has been involved in the architectural review process for each component over the past three years. His peer review comments have allowed the ARB to more easily focus on the important elements of design. All of the Architectural Review staff reports, minutes of the meetings, Bruce Fukuji's peer review memos, and project plans are contained in Attachment II-B. DISCUSSION Development Agreement Development agreements are mutually agreeable contracts and thus the parties have broad latitude on negotiating terms. At a minimunl, however, State law requires a Development Agreement to specify the duration of the agreement, the permitted uses of the property, the density or intensity of use, the maximum height and size of proposed buildings, and provisions for reservation or dedication of land for public purposes. In addition, it is typical for a development agreement to include a package of community benefits in exchange for the vested rights conferred. Based on preliminary input from the Council and the public, City staff proposed four major guiding principles governing negotiation of specific deal terms: City of Palo Alto Page 13 1. Minimize fiscal impacts to the City. Ensure that the project does not have a negative fiscal impact on the City through focusing, among other things, on revenue guarantees and robust analysis of long term project expenses. 2. Require project mitigation. Ensure that zoning ordinance and Conditions of Approval adequately address all project mitigations. Ensure that the General Fund is not unfairly burdened with long term impacts of project. 3. Preserve community health care. Ensure that local benefits of hospital and clinics will be retained, while transitioning towards greater world class hospital status. 4. Enhance City infrastructure. Recognize mutual interest in preserving high standard of economic and community vitality. Partner with Stanford to fund the long-term infrastructure needs of the community (capital programs, housing, transportation, and broadband). Over the past two years, City staff has been meeting with the Applicant to negotiate the terms of the Development Agreement. An important component of the negotiations has been the fiscal analysis reports prepared by the City's consultant, Applied Development Economics (ADE) and Stanford's consultant, CBRE. The City recently completed a comparative analysis of the annualized projection of fiscal impacts, based upon a revised CBRE report submitted at the beginning of the year. On January 12,2011, Stanford's consultant CBRE informed the City that there had been a slight shifting of the SUMC Project phasing that could impact the fiscal analysis. City staff requested its fiscal consultant ADE to update its fiscal analysis to account for the updated project phasing and also'to run the fiscal analysis through the life of the project (51 years), rather than the previous 31 years used by CBRE. The 51 year period better aligns with the project conditions imposed through the Development Agreement. An updated version of ADE's Fiscal Report is included as Attachment II-D. ADE's updated analysis projects a cumulative project related deficit for the City of $8.46 million in constant dollars over 51 years and CBRE's extrapolated projection shows a surplus of approximately $6.5 million in constant dollars. Both projections assume that all projected revenues are realized (April 20, 2011 Policy & Services Committee Staff Report, Attachment II-C.3, Table 1). Throughout the negotiating period, staff has updated the City Council on the progress of the negotiations. The pace of negotiations increased at the end of 20 1 0 and the beginning of 20 11. Although significant progress was made during the negotiation period, there were remaining items that had not been resolved, including a cost neutrality agreement as directed by City Council and identification of a reliable revenue stream before hospital employment is added and expenses incurred. Staff presented updates to the Council on January 31, March 15 (Finance Committee) and April 20, 2011 (Policy & Services Committee). Staff reports for these meetings are contained in Attachments II-C.2 and II-C.3. Immediately prior to the April 20 Policy & Services Committee meeting, the SUMC negotiating team presented an offer to the City to address the unresolved items. Summary of Terms of Agreement A Draft Development Agreement is included as Attachment I-D. Subject to approval by the Council; the respective negotiating teams have reached agreement on all of the principle terms of the agreenlent as well as the major scope of the community benefit package. Below is a summary outline of the key terms of the agreement as well as the proposed community benefits. A more City of Palo Alto Page 14 detailed discussion of these terms is contained in the April 20, 2011 Policy & Services staff report (Attachment II-C.3): 1. Duration of Agreement (Section 18(a)): The basic term of the Agreement is 30 years; however, there are certain obligations that are longer. These longer provisions include the indemnity provision and maintenance of the TDM program. A thirty year term exceeds the terms of other City Development Agreements, but given the scope and nature of this project, staff believes the extended term is warranted. 2. Permitted and Conditionally Permitted Uses (Section 6(b)): The permitted uses of the Property will be set forth in the Hospital District zoning ordinance (Attachment I-C). In general, hospital, clinic and school of medicine uses will be permitted subject to a conditional use permit. 3. Maximum height and density (Section 6(c)): The height and density of the buildings will be set forth in the Hospital District zoning ordinance. In general, the Hospital District will contain a 130 feet height limit, 40% site coverage and a maximum Floor Area Ratio of 1.5 to 1.0. 4. Reservation of Easements (Section 6(n)): With the exception of easements for City owned public utilities, the City will not require any easements for park or open space or other public facilities. 5. Payment of Fees (Section 8(b)): Applicants will pay all processing and permit fees in accordance with the rates in effect at the time the fee is due. With respect to existing Development Impact Fees (i.e. housing, transportation and community facilities), the proposed agreement has an incentive for pre-payment by providing that all fees paid prior to December 31, 2011, would be subject to the rates in effect at the time the agreement is signed. All impact fees paid between December 31, 2011 and December 31, 2019 would be subject to a CPI adjustment. Finally all fees paid after December 31, 2019 would be at the rates in effect at the time of payment, thus providing a disincentive for deferring payment of impact fees. The project would be exempt from new Development Impact fees until 2019. 6. Indemnity (Section 9): The SUMC Parties will indemnify the City in the event that a legal action is brought by a third party to set aside any of the project approvaL In addition, the SUMC will pay for the City's reasonable costs of defending such an action. 7. Periodic Review (Section 12): The SUMC Parties will file an Annual Report describing their progress on the Project and demonstrating compliance with the Development Agreement. In addition, the City shall submit a supplement to the Annual Report containing an accounting of all funds received under the Development Agreement. The Planning Department will be the lead on this task with Administrative Services assisting in validating information. Summary of Community Benefits and Project Mitigations Health Care and Patient Services Benefit 1. Health Care Services: Payment of $3,000,000 paid out over ten years to be used to assist residents of Palo Alto who have self-payment responsibilities beyond their financial means, to pay healthcare services. These funds shall be above and beyond SUMC's existing charity care program and in addition to the federal Health Care program. The payment of this fund will be deferred in order to address the Cost Neutrality Agreement (see Fiscal section below). City of Palo Alto Page 15 2. Community Health Programs: One-time payment of $4,000,000 to be used for community based health and wellness programs. The agreement specifically authorizes the City to use a portion of this payment as seed money for Project Safety Net. This will be paid 45 days after the effective date of the Development Agreement. Reduced Vehicle Trips 1. Stanford Hospitals will provide Go Passes to its hospital employees. Their estimated cost of this mitigation is $90,907,500 over 51 years. The parties have mutually worked out a TDM program that will provide for alternate TDM measures and/or penalties in the event an aggressive 35.1 % alternative mode share is not achieved or Caltrain service is eliminated as a result of ongoing financial difficulties. At the City's request, Stanford has agreed to begin funding the Go Pass program in 2015, well before project buildout. 2. To address the enhanced Go Pass program, SUMC will purchase and operate four new Marguerite shuttles to support service to and from the train station. The capital and operational cost over 51 years is $24,950,000. 3. Stanford will provide a permanent TDM Coordinator at the Hospitals in an amount of $5,100,000 over 51 years. 4. The Hospitals will contribute to AC Transit to address potential capacity issues caused by the project and will lease parking spaces at Ardenwood Park and Ride to encourage employees of the hospital to use AC Transit and other transit options. The total cost of these additional transit measures are $5,095,000. Linkages Stanford will fund various City improvements to enhance the pedestrian and bicycle connections, including enhanced pedestrian and bicycle cOIUlection for the Intermodal Transit Center to EI Camino Real and Quarry; improvements to the ROW to enhance pedestrian and bicycle connection from west side of EI Camino to Welch Road along Quarry Road, and improvements to enhance the pedestrian connection between the Medical Center and the Stanford Shopping Center in the area of the Bam. The total cost of these linkages is $3,350,000. Infrastructure Capital Fund Stanford will provide $23,060,490, of which approximately $2,000,000 represents the housing fee required for the clinics and the balance to be used by the City for other sustainable neighborhood and community development and affordable housing programs. This fund could be used for a wide variety of important infrastructure projects. This payment will be made in three equal installments timed to the construction phases. Climate Change/Sustainable Communities Stanford will make a contribution of $12,000,000 paid in three equal installments for use in projects and programs for a sustainable community also timed to the construction phases. Fiscal issues Immediately prior to the April 20, 2011 Policy and Services Committee meeting, SUMC presented City staffwith a proposal to resolve the issues of cost neutrality, which had been highlighted as an area of disagreement between the City and SUMC. The April 20 staff report does not contain an analysis of the proposal, but it was discussed with the committee at the City of Palo Alto Page 16 ••• If meeting. The fiscal benefits to be provided by SUMC include the following: 1. Stanford will provide a payment of $2.42 million to address the projected deficit of the project as analyzed by ADE. The deficit is a result of the gap between City revenues and expenditures generated by the project over time and represents the present value of the projected deficit as calculated by the City's economic consultant. 2. In addition Stanford will obtain a Use Tax Direct Payment Permit which will result in $750,000 over the life of the project. 3. Stanford will guarantee that the City will receive no less than $8.1 million in Construction Use Tax Revenue (CUTR) as a proxy for potential revenue leakage. In order to provide assurance of this guarantee, Stanford would use the funds originally dedicated for In/Out- patient services for low income residents, in the a>mount of $3 million, to be set aside by SUMC, increased at 4.5% per year through 2025, for a total of$5.6 million at 2025. In 2025, after the CUTR revenues have been reconciled, SUMC would use the $5.6 million to cover any shortfall of ClTTR between what was received at the $8.1 million guarantee. The remaining balance of the $5.6 million would be used by the SUMC parties to support the original purpose of the fund, except that implementation would start in 2025. The City negotiating team led by the City Manager believes that community benefit package is fair and reasonable and that the cost neutrality agreement mitigates any potential operating deficit resulting from the Project's property tax exempt status. Note that the City and Stanford differ in their valuation of the total benefit package in that Stanford characterizes some of the required mitigations as community benefits. While they are, )n fact, mitigations, City staff recognizes that the bulk of the mitigations also have an overall community benefit. Likewise many of the community benefits enhance the overall project. In total, City staffhas valued the total community benefit package to be approximately $43,646,512 and Stanford has valued it to be $174,769,500. See Attachment I-D. Conditional Use Permit As described above, a conditional use permit would be required for many of the medical-related uses in the new HD district. Staffhas prepared a draft Record of Land Use Action (Attachment I- E) for a Conditional Use Permit that would allow medical-related and other uses at SUMC, subject to conditions of approval. . Architectural Review Board Recommendation Over the course of the past four years, each of the SUMC Project conlponents has been reviewed by the Architectural Review Board (ARB) through a series of study sessions, preliminary reviews, and final ARB reviews. The following is a list of all ARB meetings for each component of the SUMC Project. City of Palo Alto Page 17 s ummaryo fARBM f ee In ,!S, 2007 2011 - Project Component Date Meeting Type Notes Project Introduction December 20, 2007 Study Session May 20,2010 Study Session Fly-Through Video Presentation & Photomontages SUMC Design Guidelines January 17,2008 Study Session April 3, 2008 Study Session June 12, 2008 Joint Study Session SSC & SUMC Guidelines July 3,2008 Preliminary Review August 5, 2010 Preliminary Review March 24,2011 Final Review New Stanford Hospital June 19, 2008 Study Session (SHC) October 20, 2008 Study Session Joint Session for SHC & LPCH November 20,2008 Preliminary Review February 18,2010 Study Session June 17,2010 Preliminary Review 1 September 2, 2010 Preliminary Review 2 February 17,2011 Pre-Final Review April 21, 2011 Final Review Lucile Packard Children's August 21,2008 Study Session Hospital (LPCH) October 20, 2008 Study Session Joint Session for SHC & LPCH August 20, 2009 Study Session February 4, 2010 Study Session May 20, 2010 Preliminary Review 1 July 15,2010 Preliminary Review 2 _ December 2, 2010 Pre-Final Review March 24,2011 Final Review Hoover Site Development, August 7, 2008 Preliminary Review including: December 4, 2008 Study Session a) Medical Office Building & Parking Structure June 3, 2010 Preliminary Review 1 b) Hoover Pavilion August 19,2010 Preliminary Review 2 Renovation February 3, 2011 Pre-Final Review April 7, 2011 Final Review School of Medicine (SoM) July 17, 2008 Preliminary Review Foundations In Medicine July 1,2010 Preliminary Review 1 (FIM) 1 Building October 21,2010 Preliminary Review 2 January 6, 2011 Pre-Final Review March 24,2011 Final Review Surface Improvements for August 5, 2010 Preliminary Review Welch Road + Durand December 2, 2010 Pre-Final Review Way March 24, 2011 Final Review City of Palo Alto Page 18 The ARB mernbers evaluated each of the Project components by reviewed the proposed designs with elements contained in the Architectural Review Findings (PAMC 18.76.020(d)), including, but not limited to the following: • Site development and planning; • Pedestrian movements; • Landscaping (including trees and other natural features), open space, hardscape materials; • Automobile, bicycle parking and circulation; • Signage and lighting; • Building massing and contextual relationships; • Exterior materials and finishes, and • Energy conservation and green building features. The Architectural Review Findings provide a basis from which to understand the architectural implications and connections between the different projects within the Medical Center. Hence, the SUMC Design Guidelines document was prepared in order to express the similarities and differences of the new project components and how they could contribute to a cohesive identity over the entire SlTMC site. Consequently, at the end of the ARB review process in April 2011, the ARB recommended approval of all of the SUMC Project components with recommended architectural conditions of approval. These recommendations are included in Attachment I-F. Tree Preservation Alternative During the course of the application review and comments from the ARB, major design changes were observed. One of the most significant project refinements was developed by the Applicant, which included minimizing tree impacts, providing more compact building footprints and expanding gardens and open space. The City discussed this refinement in the EIR as the Applicant's preferred project, the Tree Preservation Alternative. The design of each Project component was revised on the basis of this alternative, which in tum preserved 74 protected trees on the entire SUMC site. These protected trees have been discussed earlier in the Tree Preservation Alternative Discussion section above. The Tree Preservation Alternative primarily brought about the following major changes to the design of the new Stanford Hospital: • Eliminated a tower from the Kaplan Lawn and incorporated that use into the remaining portions of the project preserving nine oak trees in this area. Each hospital module was reduced in size and all four modules were made equal in height. In addition, the hospital was enclosed at level 3 and the size of the central atrium was reduced to provide a more compact footprint; • Changed the parking plan to include a parking garage off of Welch Road with a conference center and garden and wellness center on the third floor roof that connected to the Hospital. This parking garage was subsequently set back further from Welch Road to form a more cohesive landscaped and tree lined front; and • Incorporated a landscaped area at the comer of Welch Road and Pasteur Drive. City of Palo Alto Page 19 All the trees to be removed would be required to be replaced, as proposed, in accordance with the ratios set forth in Table 3-1 of the City of Palo Alto Tree Technical Manual (TTM) in order to maintain the appropriate landscape approach at the SUMC. The difference between the required tree replacement and the number of trees planted at SUMC would be mitigated through contribution to the Forestry Fund in the City of Palo Alto. Payment to the Forestry Fund would be in the amount representing the value of the replacement trees that would be required under the TIM standard if appropriate replacement tree locations cannot be identified within the proposed "Hospital" district. The following table summarizes the total number of protected trees on site and the manner in h· h th ld b t' did tr ltd fj th SUMC P . t W IC eywou e re alne ,rep ace or ansp an e or e rOJec. Site Trees to be Trees to be Trees to be Trees to Total removed removed and transplanted remain Number of replaced Trees Stanford Hospitals -4 16 3 23 and Clinics Lucile Packard -11 16 4 31 Children's Hospital Hoover Pavilion Site 1 -10 14 25 School of Medicine 3 -2 7 12 Buildings Visual Quality The Draft EIR prepared for the project includes an analysis of how development of the SUMC Project would affect the existing visual quality of the SUMC Sites and the vicinity. Visual quality pertains to how people see and experience the environment, particularly its visual character. A detailed discussion regarding how the -existing visual quality is addressed on the SUMC sites and the vicinity is included in the ARB staffreports for each project component (See Attachments II-B.2 to II-B.7). Over the course of the four-year design review process, changes were made to the Project components that resulted in better consistency with the Architectural Review Findings. The site planning and design revisions that resulted in the Tree Preservation Alternative is a primary example of the efforts of the City, the Applicant and the ARB to design a Project that has dramatically improved from the start of the process. The design drawings submitted by the Project applicant and reviewed by the ARB responded to each of the Visual Quality impacts identified in the Draft EIR, and were thus found to be consistent with the Architectural Review Findings. The ARB recommended approval of each of the Project components. The ARB staff reports and minutes from the final review meeting are located in Attachment II-B. Historic Review and Historic Review Board Comments In preparation for the environmental analysis, the consulting firm Architectural Resources Group (ARG) provided descriptions and assessments of a number of potential resources within the SUMC sites. Each resource was evaluated using the standards for eligibility for listing on the California Register of Historical Resources (CRHR) and the National Register of Historic Places (NRHP). Part of the evaluation process includes determining if the resource maintains integrity, City of Palo Alto Page 20 as identified by the National Parks Service. ARG's report is contained within the Draft EIR in Attachment I. The resources that would be affected by the SlTMC Project include Hoover Pavilion and the Stone Building. Stone Building Complex The Stone Building complex (also referred to as the 1959 Hospital Building complex), constructed in 1959 and 1963, is a large three-story building with two wings projecting from the main block to form a forecourt with a central fountain. Interior courtyards are located throughout the building complex. Originally the joint Palo Alto-Stanford Hospital and Stanford University Medical School, the building complex was designed by Edward Durell Stone and the landscaping was designed by Thomas Church. Evaluation and analysis of the Stone Building Complex was performed by Stanford University as part of the SUMC application submittal and peer reviewed ARG for the environmental analysis. Although the Stanford University analysis found that the Stone Building Complex was not a historic resource, ARG concluded that it appeared eligible for listing on the CRHR and should be considered a historical resource for purposes of the City's CEQA review. This conclusion was supported by the City of Palo Alto's Historic Preservation Planner. The SlTMC project would result in the demolition of the Stone Building Complex. Since the building is to be considered as a historical resource for purposes of CEQA review, demolition would result in a significant and unavoidable impact. As described above in the Environmental Review section, City Council would need to adopt a Statement of Overriding Considerations that would allow demolition of a historic resource. Hoover Pavilion The Hoover Pavilion is not currently listed on the National Register or the California Register. The property was not included in the City of Palo Alto's 1978-79 historic survey report by Beach and Boghosian that created the City's original Historic Inventory because it was outside the boundary of the surveyed area. The Dames and Moore report "Final Survey Report Palo Alto Historical Survey Update" dated February 2001, evaluated the Hoover Pavilion and found it to appear eligible for the National Register under Criteria A and C. The significance and integrity of the Hoover Pavilion was again evaluated in the "Cultural Resources and Stanford University Medical Center Facilities Renewal and Replacement Project" report prepared by SU,MC staff. The SUMC report concluded that the Hoover Pavilion retained integrity and appeared to be eligible for listing in the California Register under Criterion 3, as an important example of pre- World War II hospital design and for its Art Deco features and original building materials. ARG who was hired to analyze the Project for the EIR, concurred with the SUMC findings of eligibility for the California Register in its September 2009 report "Historic Resource Evaluation and Peer Review: Stanford University Medical Center Project." As a property that appears to be eligible for the National Register of Historic Places (National Register) and California Register of Historical Resources (California Register), the Hoover Pavilion is considered a historical resource for the purposes of California Environmental Quality Act (CEQA). Generally, under CEQA a project that follows The Secretary of the Interior's Standards for the Treatment of Historic Properties with Guidelines for Preserving, City of Palo Alto Page 21 Rehabilitating, Restoring, and Reconstructing Historic Buildings (The Standards) or The Secretary of Interior's Standards for Rehabilitation and Guidelines for Rehabilitating Historic Structures is considered to have mitigated impacts to a historical resource to a less-than- significant level (CEQA Guidelines 15064.5). ARG analyzed the potential impacts of the project on the Hoover Pavilion in their report, "Stanford Hoover Pavilion Renovation Project Impact Analysis Report," dated January 18, 2011 (Attachment II-B.5). ARG found that while integrity would be diminished, overall the historical resource would retain good integrity and the physical characteristics that convey its historical significance and that justify its eligibility for inclusion in the California Register. As defined by CEQA, the proposed project would result in a less-than-significant impact to the Hoover Pavilion. In Section 6 of its report, however, ARG provided detailed recommendations to further reduce project impacts on the historic character of Hoover Pavilion, and to enhance consistency with the Secretary of the Interior's Standards for Rehabilitation beyond the minimum required. The· Stone Building Complex and Hoover Pavilion are not listed on the City of Palo Alto's Historic Inventory. The City'S Historic Resources Board (HRB) does not have authority under the existing Code to make recommendations on historic resources that are not listed on the Historic Inventory (PAMC 16.49.050). However, it was recognized that the HRB could provide valuable input with regard to the Hoover Pavilion renovations and affect of the proposed MOB and parking structure on Hoover Pavilion. In addition, the proposed Hospital Zone also provides a special HRB review process for future development on the Hoover site. City Staff presented the Hoover Pavilion renovations project to the HRB on February 2 and April 6, 2011. Staff also reviewed the Cultural Resources chapter of the Draft EIR with the HRB on July 7, 2010. At those meetings, the HRB expressed general support for the renovation to Hoover Pavilion. Suggestions were made with regard to the modifications to historic main entry and the rooftop equipment screens, as well as the renovation and replacement of exterior windows. These suggestions were transmitted to the ARB for their consideration. See Attachment 11-B.l 0 for the minutes of these meetings. The HRB also commented on the relationship between the MOB and parking garage to Hoover Pavilion. ARG, in their January 2011 report, had indicated that the location of the MOB would reduce views of a primary favade of Hoover Pavilion. As described above, this would be in conflict with one of the Standards and would diminish the integrity of Hoover Pavilion (but overall, Hoover Pavilion would still be eligible for listing on the California Register). The HRB agreed with the ARG report. The HRB recommended, as a way to reduce the impacts of the MOB, that the finial, which had been located at the Hoover Pavilion comer tower but removed decades ago, be restored and replaced. The finial would restore visual focus to the impressive comer tower. This recommendation was also transmitted to the ARB. The ARB recommended that asa condition of approval, the finial be replaced. Green Building The non-OSHPD buildings are subject to all requirements of the City's Green Building Code. The OSHPD permitted buildings will receive their building permits from the State and are subject to a different set of regulations applicable to hospitals. City of Palo Alto Page 22 Despite the separate regulations governing the hospitals component, Applicant is targeting LEED for New Construction (LEED-NC) Silver certification equivalency. LEED for New Construction and Major Renovations is designed to guide and distinguish high-performance commercial and institutional projects. The LPCH Expansion Project is targeting LEED for Healthcare (LEED- HC) Silver certification equivalency. LEED for Healthcare, passed by member ballot on November 16,2010, is designed to guide and distinguish high-performance healthcare projects, including inpatient and outpatient care facilities and long term care facilities. Information regarding LEED for New Construction and LEED for Healthcare may be found at the u.S. Green Building Council's website: www.usgbc.org. Both the LPCH and the Stanford Hospital and Clinics have been tracking 15 "big sustainability ideas" throughout the design process, which include: 1. Alternative System Approaches to Reduce Energy Demand (Displacement Ventilation) 2. Passive Design Elements to Reduce Energy Demand 3. Maximize Daylight and Views 4. Healthy Materials -Develop Material "Precautionary List" 5. Site as Therapeutic & Restorative Tool 6. Restore the Landscape & Create Habitat 7. Rainwater Harvesting to Provide 100% Irrigation 8. Reduce Potable Water Use by at least 30% from BAU 9. Alternative Transportation & Active Living 10. Renewable Energy Sources 11. Local Materials -Regional Materials Sourcing 12. Sustainability Sourced Materials with Low Embodied Energy 13. Minimize Construction Waste 14. Optimize Indoor Air Quality 15. Learning -educate visitors by integrating sustainable design features into the patient experience During the architectural review, the applicants have highlighted the sustainable design aspects of the exterior fa9ade, and have explained how the skin system is integral to the Displacement Ventilation HV AC System. POLICY IMP ACTS Consistency with Comprehensive Plan Land Use Designations and Policies Land Use Designations The majority of the SlTMC Site falls within a Major Institution/Special Facilities land use designation. However, small portions of the Main SUMC Site fall into the Research/Office Park land use designation. These portions include the 701 Welch Road and 703 Welch Road clinics near the intersection of Welch Road and Quarry Road, and the property immediately west of 800 Welch Road between Sand Hill Road and Welch Road. The .0.65-acre area on the western City of Palo Alto Page 23 boundary of the SUMC Site falls within the jurisdiction of unincorporated Santa Clara County and is designated for Major InstitutionlUniversity Lands/Campus Educational Facilities uses. The SUMC Project would expand the LPCH Hospital into the area occupied by the 701 and 703 Welch Road clinics, which would be demolished. This expansion would conflict with the existing Research/Office Park designation, which does not allow hospital uses. However, as part of the SUMC Project, modifications to the existing Comprehensive Plan land use designations are proposed. The following changes to existing land use designations would be made through the Comprehensive Plan Amendment: • SoM proposes annexation of the 0.65-acre parcel within Santa Clara County jurisdiction. This area would be annexed under the Major Institution/Special Facilities land use designation. The proposed FIM 1 building would be consistent with this designation. • LPCH proposes that the 701 and 703 Welch Road parcels be converted from the Research/Office Park land use designation to the Major Institution/Special Facilities land use designation. The proposed LPCH expansion would be consistent with this new designation. Comprehensive Plan Policies and Programs The SUMC Project is required to be consistent with the Comprehensive Plan. In order to ensure such consistency is achieved, City staffhas identified all Comprehensive Plan policies applicable to the SUMC Project. The Draft Environmental Impact Report, Table 3.2-2 demonstrates how the SUMC Project would be consistent with each of these policies with mitigation. This analysis is based upon the Project Description and upon the environmental analysis provided in subsequent sections of this EIR. Where the environmental analysis identifies necessary mitigation measures, the analysis in Table 3.2-2 briefly describes those measures. Mitigation measures would help ensure consistency with Comprehensive Plan policies that avoid or reduce impacts related to visual quality, cultural resources, pedestrian circulation, urban forest resources, groundwater and runoff pollution, air quality degradation, and noise incompatibility. The mitigation measures are described in the Mitigation Monitoring and Reporting Plan in Attachment I-A. Text modifications to the Comprehensive Plan are also proposed to clarify proposed building height exceptions and commercial square footage limits for the SUMC to accommodate the proposed building heights. Specifically, the SUMC Project sponsors propose to modify Program L-3 as follows (underlined text would be added): The Citywide 50-foot height limit has been respected in all new residential and commercial development since it was adopted in the 1970's. Only a few exceptions have been granted for architectural enhancements or seismic retrofits to noncomplying buildings. In addition, the City has allowed taller buildings within the Hospital District at the Stanford University Medical Center that reflect the Medical Center's unique needs. In addition, the City has proposed to nl0dify Policy L-8 as follows (underlined text would be added): Maintain a limit of 3,257,000 square feet of new non-residential development for the nine planning areas evaluated in the 1989 Citywide Land Use and Transportation Study, with City of Palo Alto Page 24 the understanding that the City Council may make modifications for specific properties that allow modest additional growth. Such additional growth will count towards the 3,257,900 maximum. Stanford University Medical Center hospital, clinic and medical school uses are not intended to be treated as "non-residential development" for the purposes of this policy; thus, additional growth in areas zoned "Hospital District" is exempt from this policy. In both of the requested Comprehensive Plan modifications, the changes would affect only those sites at SUMC. If the City Council decided to approve the maximum height allowance as part of the HD, the modification to Policy L-3 would be consistent with the new regulations. The modification recognizes the unique needs of SUMC, as well as the development plan which supports more efficient medical-related functions with vertically designed buildings and preservation of landscaping, plazas and walkways that would promote pedestrian activities. The modification to Policy L-8 clarifies an exemption for SUMC that currently exists for other medical-related uses in the City, including the Palo Alto Medical Foundation facility on El Camino Real and the Veteran's Administration Hospital on Miranda Avenue, as shown on Comprehensive Plan Map L-6. Zoning Ordi.oance . The SUMC Project would conflict with existing development restrictions in the PF district, such as FAR and height limits. The Applicant requests creation of a new zoning district specifically designed for SUMC for hospitals and clinics, associated medical research, medical office, and support uses. The new zoning district is proposed as "Hospital District," and would include development standards that accommodate the SUMC Project as proposed. The following table illustrates the differences between the existing PF district and the proposed HD: Comparison of existing PF zone district regulations with the new HD district regulations HD PF Minimum Site Area No standards No standards Minimum Site Width No standards No standards Minimum Site Depth No standards No standards Minimum Street Setbacks 10 ft (1) 20 ft Maximum Site Coverage 400/0 (2)(4) 30%(7) Maximum Height (ft) 130 ft (5) 50 ft . Maximum Floor Area Ratio (FAR) 1.5 to 1 (3)(6) 1 to 1 City of Palo Alto Page 25 Comparison of existine; PF zone district ree;ulations with the new HD district ree;ulations I HD I PF llJ Measured from the right-of-way line of any public street to the base of the buildings and not including any awnings or other projections. This setback requirement does not apply to below-grade parking facilities or portions of buildings that bridge a street. This setback requirement also does not apply to any portion of a lot or site that does not abut a public street. (2) Site coverage is calculated based upon the total contiguous area within this zone (Main SUMC site or the Stanford Hoover Pavilion site), rather than on a parcel-by-parcel basis. (3) FARis calculated based up on the total contiguous area within this zone (Main SUMC site or the Stanford Hoover Pavilion site), rather than on a parcel-by-parcel basis. (4) The maximum site coverage for the Stanford Hoover Pavilion site shall be 30 percent. (5) The maximum height for new construction at the Stanford Hoover Pavilion site shall be 60 ft. (6) The maximum floor area ratio for the Stanford Hoover Pavilion site shall be 0.5 to 1. (7) Provided that, for parking facilities the maximum floor area ratio and site coverage shall be equal to the floor area ratio and site coverage established by the most restrictive adjacent district, and provided, further, that the maximum floor area ratio for the Stanford Hoover Pavilion site shall be 0.25: 1. The proposed boundaries of the new district are depicted in Attachment I-C. The proposed zoning changes would resolve potential zoning inconsistencies associated with the SUMC Project. With the adoption of the new Hospital District, the SUMC Project would be consistent with the Palo Alto Zoning Ordinance. Area Plan update The Stanford University Medical Center (SUMC) Area Plan Update has been prepared pursuant to Program L-46 of the City's 2010 Comprehensive Plan, which states: Work with Stanford to prepare an area plan for the Stanford Medical Center. An area plan for the Medical Center should address building locations, floor area ratios, height limits, and parking requirements. It should discuss the preservation of historic and open space resources and the protection of views and view corridors. The plan should describe improvements to the streetscape and circulation pattern that will improve pedestrian, bicycle, transit, and auto connections. The Area Plan Update has been cooperatively prepared by the City and Stanford with the City having ultimate approval authority (Attachment I-H). The Area Plan Update is a guidance document for the City, Stanford and the public to provide .an overview and context for anticipated future development at the SUMC. The Area Plan Update is not intended to establish land use or development policies or standards, and is not intended to supersede the applicable policies, regulations, requirements and standards of the City's Comprehensive Plan and Municipal Code. The Area Plan Update does not identify mitigation measures for project impacts, evaluate alternatives to the proposed project, or specify community benefits outside the immediate scope of the proj ect. The draft Area Plan Update is divided into the following sections: 1.0 Area Plan-Background and Purpose This section identifies the purpose and intent of the Area Plan and a history of hospital planning and development at Stanford. City of Palo Alto Page 26 2.0 Plan Elements This section discusses the key issues and broad planning principles that have been adopted by the City in the Comprehensive Plan to guide the planning and development within the SUMC. Sub- sections within Section 3 include Land Use; Linkages and Connections; Circulation, Vehicular Access and Parking; Transit, Bicycle, and Pedestrian Circulation; Open Space, Historical Resources, and Visual; Resources. 3.0 Zoning and Land Use Regulations This chapter identifies the Comprehensive Plan and zoning changes that may be needed to accommodate the SUMC's current proposals. The draft Area Plan Update has been reviewed by the City Council on May 14 and July 23,2007 and by the Commission on June 27 and July 11,2007. Comments received at these meetings have info1'11led and shaped the development of the Draft Area Plan Update. It is important to understand that the SUMC Area Plan Update is not a regulatory document and does not comprise a coordinated area plan or specific plan under the City's Municipal Code. Staff recommends that the City Council find the Area Plan Update to be acceptable in satisfying Comprehensive Plan Program L-46. ENVIRONMENTAL REVIEW As described earlier, the previously released Draft EIR (May 2010) and the Responses to Comments document (Volumes I and II, February 2011) constitute the Final EIR (Attachment II- A). The responses and revisions in the Final EIR substantiate and confirm or correct the analyses contained in the Draft EIR. It should be noted that no new significant environmental impacts and no substantial increase in the severity of an earlier identified impact have resulted from responding to comments. Mitigation Monitoring and Reporting Program As described earlier in the Entitlement Description section, if the City Council decides to approve the SUMC Project, then the City Council must adopt a Mitigation Monitoring and Reporting Program (MMRP). Pursuant to CEQA Guidelines Section 15097, an MMRP is a mechanism used for the monitoring and reporting of revisions to the project or conditions of approval that the public agency has required as mitigation measures to lessen or avoid significant environmental effects. The City can conduct the reporting or monitoring, or it can delegate the responsibilities to another public agency or private entity that accepts the delegation. The SUMC Project MMRP would identify: the specific monitoring action that would occur, the various City departments or other entities that would oversee the completion of the measures, and a timeline for when these measures would be implemented. The responsible departments would ensure that due diligence is carried out during implementation of the measures. Execution of the MMRP would reduce the severity or eliminate the identified significant impacts. The MMRP is included in Attachment I-A. City of Palo Alto Page 27 Revisions to the Previously Identified Significant and Unavoidable Impacts As a result of responding to comments and initiating changes to the analysis in the Draft EIR, revisions to the previously identified significant and unavoidable impacts have been made as described in the Final EIR. The following five impacts are no longer significant and unavoidable: • (TR-2) Intersection Level of Service: The Significant and Unavoidable (SU) LOS impacts during Peak Hour conditions at three Menlo Park intersections (Middlefield Road and Willow Road, Bayfront Expressway and Willow Road, and University Avenue and Bayfront Expressway) have now been reduced to Less Than Significant (LTS). Please refer to Staff- Initiated Change 2 in Section 3 of the, Final EIR for a detailed explanation of this change. • (TR-7) Transit impacts: The SUMC Project would not adversely impact either AM or PM Peak Hour bus service in Palo Alto or Caltrain service. Nonetheless, mitigation to provide enhanced bus stops and shuttle service is included. • (AQ-8) Cumulative Construction and Operational TAC and Fine Particulate Matter Emissions: A revised analysis of cumulative Toxic Air Contaminants (TAC) and fine particulate matter emissions has been completed for the SUMC Project using the methodology and thresholds established by the 2010 Bay Area Air Quality Management District (BAAQMD) CEQA Guidelines. This quantified analysis replaces the qualitative analysis in the Draft EIR and yields more accurate results. The results show that all cumulative estimates for cancer risk, chronic non-cancer Health Indexes (HI), and annual average PM2.5 concentration would be below the BAAQMD cumulative significance thresholds for on-site patient receptors and maximally exposed off-site residential receptors within the zone of influence. Please refer to Staff-Initiated Change 3 in Section 3 of the Final EIR for a detailed explanation of this change. • (CC-l) Furthering Individual Policies of the Palo Alto Climate Protection Plan and (CC-2) Emit Significant Greenhouse Gas Emissions: The SUMC Project's greenhouse gas emissions were reevaluated. The reevaluation has determined that, compared to the Business as Usual (BAU) scenario, the SUMC Project would reduce greenhouse gas emissions by more than 30 percent. Also, the SlTMC Project would be consistent with the goals of the City's Climate Protection Plan after implementation of identified mitigation measures. As such, the SUMC Project's contribution to global climate change would be less than cumulatively considerable after mitigation. A major driver for the change in this conclusion is that the City has determined that, from a global perspective, increased patient/visitor trips would not constitute new trips that would result from the SUMC expansion. This is because patients would be expected to seek medical treatment somewhere, even if the SUMC Hospitals were not expanded. Please refer to Staff-Initiated Change 4 in Section 3 of the Final EIR for a detailed explanation of this change. Significant and Unavoidable Impacts Most impacts identified for the SUMC Project would either be LTS or could be mitigated to a LTS leveL The following is a list of the twelve impacts that remain significant and unavoidable: • (TR-3) Impacts on Roadway Segments: Increased average daily traffic on four Menlo Park roadway segments on Marsh Road, Sand Hill Road, Willow Road, and Alpine Road; • (AQ-l) Construction Criteria Air Pollutant Emissions and (AQ-6): Emission of criteria air pollutants (NOx) during construction, on both a project level and cumulative level; • (AQ-2) Operational Criteria Air Pollutant Emissions and (AQ-7): Emission of criteria air pollutants (ROG, NOx, PMlO) during operation, on both a project level and cumulative level; City of Palo Alto Page 28 • (NO-I) Construction Noise and (NO-5): Temporary but substantial noise during construction, on both a project level and cumulative level; • (NO-3) Operational Noise Impacts from Transportation Sources: Emission of ambulance noise along a new route along Sand Hill Road into the proposed Durand Way extension, so that noise levels at roadside residences would increase by a level considered unacceptable under the City's Comprehensive Plan; • (CR-I) Impacts on Historical Resources and (CR-5): Demolition of an historical structure, the 1959 Hospital Building complex (also referred to as the Stone Building complex), which is a significant and unavoidable impact on both a project and cumulative level; and • (BR-4) Result in a Substantial Adverse Effect on any Protected Tree and (BR-9): Removal of up to 74 Protected Trees, as defined in City of Palo Alto's Tree Protection and Management Regulations, which is a significant and unavoidable impact on both a project level and a cumulative level. While the Draft EIR identified the loss of up to 71 Protected Trees, per revisions to the analysis, this number has been corrected to 74 Protected Trees. Additionally, the analysis of the Tree Preservation Alternative included pile-driving activities during construction. It has been determined by the SlTMC Project sponsors that pile-driving may be required in order to construct the replacement SHC Hospital. Also the SUMC Project sponsors have identified the Tree Preservation Alternative as a preferred site plan such that, going forward, refinements to project design would focus on the site plan for the Tree Preservation Alternative. As such, the Draft EIR addresses pile-driving impacts under the Tree Preservation Alternative scenario. The Draft EIR indicates that potential pile-driving activities would result in significant and unavoidable noise effects to nearby residents. Statement of Overriding Considerations If the City Council decides to approve the SUMC Project, and if the SUMC Project as approved would result in significant impacts that could not be mitigated to less-than-significant levels, then the City Council must indicate that any such unavoidable impacts are acceptable due to overriding considerations. Pursuant to CEQA Guidelines Section 15093, a "Statement of Overriding Considerations" would balance the benefits of the SUMC Project against its unavoidable environmental effects. If the City Council finds that the benefits of the SUMC Project outweigh the impacts, then the adverse environmental effects may be considered acceptable. The Statement of Overriding Considerations document includes two categories of benefits from the amenities of the Project that would constitute "overriding considerations": A. Amenities of the development of the Project itself, such as: a) Health Care b) Level·1 Trauma Center c) Seismic Safety B. Additional community benefits and other payments negotiated as part of the Development Agreement for the Project, which include: a) Health Care Services Funding b) Community Health programs c) Infrastructure Capital Fund d) Climate Change / Sustainable Communities e) Cost Neutrality Payment City of Palo Alto Page 29 f) Use Tax Direct Payment Permit The Statement of Overriding Considerations document is included in Attachment I-A. NEXT STEPS The Commission's recommendation will be forwarded to the City Council, which is tentatively expected to review the Project on June 5, 2011. ATTACHMENTS I -Printed A. CEQA Resolution & Mitigation Monitoring and Reporting Plan B. Comprehensive Plan Amendment Resolution C. Hospital District Ordinance D. Development Agreement E. Record of Land Use Action for the Conditional Use Permit F. Resolution for Architectural Review G. Resolution for Annexation H. SUMC Area Plan I. SUMC Application Excerpt Materials J. SUMC Project Plans Highlights Pages ATTACHMENTS II -ELECTRONIC (CD) A. Final EIR Documents 1. Final EIR Staff Report to PTC + supporting materials and responses 2. Final EIR Review-PTC Meeting Minutes 3. Public Comment on Final EIR B. Architectural and Historic Resources -Staff Reports and Minutes 1. Design Guidelines ) 2. LPCH ) -ARB Staff Reports of March 24,2011 3. Welch Road ) 4. FIM1 ) 5. Hoover Renovations ) ARB Staff Reports of April 7, 2011 6. Hoover Site Development ) 7. New Stanford Hospital (SHC) -ARB Staff Report of April 21, 2011 8. Peer Review Memorandums prepared by Bruce Fukuji 9. ARB Minutes of March 24, April 7 and April 21, 2011 10. HRB Minutes of February 2 and April 6, 2011 11. Final Project Plans C. Development Agreement Discussions with City Council 1. City Council January 31 Update Meeting: Staff Report and Minutes 2. March 15,2011 Finance Committee Meeting: Staff Report and Minutes 3. April 20, 2011 Policy and Services Committee Meeting: Staff Report D. Fiscal Report -ADE March 9, 2011 City of Palo Alto Page 30 As part of its action to recommend approval of the SUMC Project, the Commission included recommendations for specific items to be considered by the City Council. The following is a summary of those comments with a City staff response. The verbatim minutes of May 18, 2011 contain the complete record of their action and recommendations. 1. Commission supported the condition of approval recommended by the ARB and HRB to replace the finial (a metal sculptural element) at the Hoover Pavilion tower. Staff Response: Architectural Condition #B.2.1 requires replacement of the finial. 2. Enforcement Plan for MMRP and Conditions of Approval (CUP) – Ensure that all costs associated with MMRP and CUP enforcement costs are recouped. Staff Response: CUP Condition #12 and Architectural Review Conditions #2 and #3 contain language for recouping of costs associated with condition and mitigation monitoring, as well as inspection activities. 3. Pre-construction monitoring/post-construction monitoring of intersections affected by the SUMC Project. Staff Response: CalTrans performs intersections analysis for El Camino Real on a regular basis. In addition, the SUMC EIR establishes baseline conditions for affected intersections. However, it would be difficult to identify intersection impacts specifically as a result of the SUMC project over time, in that current and future development apart from SUMC would contribute to impacts. It is City Staff’s position that no further conditions relating to intersection monitoring are necessary. 4. A communications plan shall be implemented to inform the public of tree removal activities as part of the SUMC construction activities. Staff Response: A public communication plan for construction activities, including the removal of trees, will be implemented as part of the Construction Impact Minimization Plan (CIMP), a document that is required to be approved by City Staff prior to the issuance of construction permits. The CIMP is required as part of CUP Condition #6, Mitigation Measure TR-1.8, and Architectural Review Condition A.4.1. In addition SUMC has hired a full-time coordinator for the SUMC construction activities. 5. Examine whether 4.5% index used for yearly increases in the fund for healthcare services (Development Agreement, Page 18, Section 5(a)(ii), is appropriate. Also examine appropriateness of other indexes for payments to third parties and payment for capital costs. Staff Response: All indexes were items negotiated by the City and SUMC representatives. The index for healthcare takes into account present value calculations. It does not take into account a specific health care index. Staff has requested additional information from the City’s economic consultant and will include it in the staff report for Council’s consideration. 6. A Historic Fund should be established as mitigation for the impacts of demolishing Stone Building. Staff Response: The MMRP contains mitigations that would reduce the impacts resulting from demolition of the Stone building, but not to a less-than-significant level (Mitigation Measures CR-1.1 through CR-1.5). If the fund were used to further mitigate the Stone building demolition it would have to be limited to other Stone buildings. Establishment of a broader based historic fund would need to be included as an item in the Development Agreement. This is a policy call for the Council. 7. Review and update citywide impact fees and apply the updated fees to the SUMC Project. Staff Response: As is typical in a Development Agreement, the current draft of the Development Agreement provides limits on the City’s ability to impose increased fees on the projects. While this is a policy decision for the Council, additional citywide “nexus” fee studies would need to be prepared prior to updating the fees. It is staff’s opinion that the review and update of impact fees should not be tied to the SUMC project. 8. Any revenues collected for parking passes in excess of the capital costs required to construct parking garages should be used to fund the provision of Go Passes to SUMC employees. Staff Response: Currently, parking permit fees are used to fund Transportation Demand Management programs and efforts. The funding mechanism for parking garage construction is not based upon parking permit fee revenue. The requirements for the provision of Go Passes to SUMC employees are outlined in the Development Agreement and in the MMRP. 9. There should be one point of contact at SUMC for the multitude of tracking, reporting and other follow-ups required by the City. Staff Response: Staff concurs. As mentioned in Comment #4 above, SUMC has hired a full-time coordinator to direct construction related activities between SUMC and the City. 10. Prepare a matrix of payments to be made by SUMC. Staff Response: Staff has prepared a payment matrix (Attachment A) that describes the specific Development Agreement payments and the anticipated timeline for receipt. 11. References to Planning and Transportation Commission exclusion from the any possible future Site and Design review process should be deleted from the Development Agreement. Staff Response: City Staff does not anticipate any Site and Design review process that would be required for future buildings, such as FIM2, FIM3 and the SHC Clinics. City staff has removed references excluding the Commission from future reviews and removing references to the Site and Design review process. The result is that future building would be required to follow the Architectural Review process as described in the Municipal Code. MEMO TO: Joe Saccio FROM: Doug Svensson, AICP DATE: May 27, 2011 RE: Consumer Price Indexes I have compiled several consumer price indexes for items that are relevant to costs associated with the SUMC Expansion project. The table below summarizes the annual compound growth rates for each index for two time periods, the past 10 years and the past 20 years. Most of the inflation analysis conducted for the fiscal impact study for the SUMC project used the 10 year San Francisco Consumer Price Index (All Items), which had a 2.34% annual growth rate. This is also the rate used to escalate Caltrans Go Passes in the proposed Development Agreement. The 20 year time frame may a helpful context for some of the specific cost categories under consideration. TABLE 1 ANNUAL GROWTH RATES FOR SELECTED CPI CATEGORIES SAN FRANCISCO REGION Time Period Category 2000- 2010 1990- 2010 SF CPI (All Items) 2.36 2.75 Energy 5.90 4.13 Medical Care 4.86 4.54 Transportation 2.21 2.22 Building Construction Costs* 3.53 1.75 *Construction costs are national rather than regional. Source: US Bureau of labor Statistics and Engineering News Record.com According to the Bureau of Labor Statistics, the CPI is based on “prices for food, clothing, shelter, and fuels, transportation fares, charges for doctors’ and dentists’ services, drugs, and other goods and services that people buy for day-to-day living.” The Energy index includes all forms of energy such as electricity, natural gas and transportation fuels. The Transportation index includes both private and public transportation. 100 Pringle Avenue, Suite 560  Walnut Creek, CA 94596  Tel 925.934.8712  Fax 925.934.2402 www.adeusa.com May 27 Page 2 of 4 The following graphs show volatility of each index during the 20 year period. For example, although the Transportation index has had a lower growth rate, it has shown a similar pattern to the Energy index. FIGURE 1 SAN FRANCISCO REGION ALL ITEMS CONSUMER PRICE INDEX FIGURE 2 SAN FRANCISCO REGION ENERGY PRICE INDEX May 27 Page 3 of 4 FIGURE 3 SAN FRANCISCO REGION MEDICAL CARE PRICE INDEX FIGURE 4 SAN FRANCISCO REGION TRANSPORTATION COST INDEX May 27 Page 4 of 4 FIGURE 5 ENGINEERING NEWS RECORD BUILDING COST INDEX Index: 1913 = 100 Sfanford University M~/ic(/1 Cenier May 26, 2011 Mayor Sid Espinosa Palo Alto City Council Members 250 Hamilton Avenue Palo Alto, California 94301 Lucile Packard Children's Hospital AT STANFORD Dear Mayor Espinosa and Members of the Council, We're here when you need us most. we • ~ T S(aliford University Medical Cellter We look forward to your upcoming June 6, 2011 City Council meeting at which the Stanford University Medical Center Renewal Project will be presented for formal action. Since the Project application was submitted in August 2007, a tremendous collaborative effort by the City Council and its committees, the Architectural Review Board, Historic Resources Board, Planning and Transportation Commission, and City staff has brought us to this major milestone. We are very grateful to all who have participated in this extensive and important process and want to express our sincere appreciation to the City. Since we first introduced the project to the City Council in late 2006, our primary goal has continued to be to ensure that our community has access to seismically safe, modern hospitals with sufficient capacity for Palo Altans and the residents of our neighboring communities. By expanding Lucile Packard Children's Hospital, rebuilding Stanford Hospital & Clinics, and replacing the School of Medicine's outdated facilities, we will be making an historic investment of more than $5 billion-an amount that will benefit all of our patients wherever they live and work. Stanford University Medical Center will playa transformative role in the future of health care, and we are proud that this investment will enable us to offer the most advanced treatments and breakthroughs to our community first. The recent earthquakes across the globe have underscored the urgency of seismic safety, adequate emergency department capacity and sufficient hospital beds for children and adults in need of care. The process to review and analyze the Renewal Project has been inclusive and extensive, providing opportunities for community input at more than 95 public meetings over nearly four years. We are gratified that so many local citizens took the time to learn about our plans, understand the issues, and express their perspectives and support. The terms of the proposed Development Agreement that will be brought to the Council on June 6 reflect a productive and respectful dialogue with the City. We believe it is a fair and generous proposal that is responsive to community priorities, including traffic demand management, climate change, infrastructure, housing, community health and safety services, and a fiscally healthy city. For the latter, we have created a comprehensive agreement that assures financial neutrality for the City and accelerates upfront payment of funds that the City may need for the future. SUIII/ord University Medical Celller Lucile Packard Children's Hospital AT STANFORD We're here when you need us most. we o. ~ T S[(Jnjord Ulliutrsity Medical Cenlcr We are pleased and excited that the final reviews and decisions by the City Council are nearing completion. As we anticipate the start of construction, we look forward to continuing a positive relationship with the City and to assuring that a key contributor to the quality of life in Palo Alto-access to the finest health care available anywhere-will always be part of this community. With sincerest appreciation, Christopher G. Dawes Philip Pizzo, MD President & CEO Dean Lucile Packard Children's Hospital Stanford University School of Medicine Amir Dan Rubin President & CEO Stanford Hospital & Clinics Mayor Carlos Romero City of East Palo Alto 2415 University Avenue East Palo Alto, CA 94303 ~!!Y_QfJ~~Q_t\J!Q- Office of the. Mayor and City Council May 23, 2011 Re: Stanford University Medical Center Facilities Renewal and Replacement Project Dear Mayor Romero: Thank you for reviewing and commenting on the Final Environmental Impact Report (FEIR) for the Stanford University Medical Center (SUMC) Facilities Renewal and Replacement Project. East Palo Alto's involvement in the environmental review portion of this project has been very valuable. I understand that Stanford and Palo Alto City staff are in the process of setting up a meeting with East Palo Alto representatives to discuss the issues raised in your May 12, 2011 letter. I look forward to our cities' continuing dialogue and collaboration on this important project. cc: Members ofthe Palo Alto City Council James R. Keene, City Manager Steve Emslie, Deputy City Manager Cara Silver, Senior Asst. City Attorney Very truly yours, J1.{i~tft¥---MayO~-\- Michael J. Peterson, Stanford Hospital & Clinics William T. Phillips, Stanford University Land, Buildings & Real Estate 110520 jb 0130744 Printed with soy-based inks on 100% recycled paper processed without chlorine. P.O. Box 10250 Palo Alto, CA 94303 650.329.2477 650.328.3631 fax CIT Y 0 F E A S T PAL 0 A L T 0 (;1 ry or: PAL OFFICE OF THE MAYOR CITY CLERK~ALTO. CA 2415 University Avenue. East Palo Alto, CA 94303 \ OFFICE Tel: (650) 853-3100. Fax: (652~I~gJ3if9 j.iJj i= oa II MAY 16 P~f I: 57 ------------------------------------~----~~~-------- Mayor Sid Espinosa City of Palo Alto 250 Hamilton Avenue Palo Alto, California 94301 May 12,2011 Re: Stanford University Medical Center Facilities Renewal and Replacement Project Final Environmental Impact Report Dear Mayor Espinosa, The City of East Palo Alto would like to take this opportunity to provide you written comments on the final Environmental Impact Report (FEIR) for the Stanford University Medical Center (SUMC) Facilities Renewal and Replacement Project. As indicated in the City's official comment letter, dated July 26, 2010, the City has appreciated the broad support that Stanford University Medical Center and Lucile Packard Children's Hospital have provided through the city's various non-profit organizations. The collaborative spirit demonstrated by those community-based organizations that have partnered with the City of Palo Alto to address the disparity between our two communities is also sincerely appreciated. While the City of East Palo Alto welcomes these initiatives and recognizes the importance of the SUMC to the wider community, the conclusions reached by the authors of the report, and the assumptions contained within it are likely to have detrimental impacts to the residents of the City of East Palo Alto, if they remain unmitigated as proposed. By this letter, the City of East Palo Alto formally notifies you that one of the most concerning deficiencies in the FEIR is the decision to apply thresholds of significance which are the least onerous and which therefore have a significantly greater likelihood to overlook impacts requiring mitigation. One of the most commonly identified concerns in the comment letter are the potential impacts on non-motorized mobility, such as walking, bicycling, skateboarding and using wheelchairs or other forms of active transportation. Given that 26% of all trips generated by the project pass through the City of East Palo Alto, a city which has one of the lowest median ages for any population in the peninSUla, the impact of such an omission could be significant. Our youth are the most likely to skateboard, bike, and use other active means of transportation, and therefore this oversight impacts those least able of providing for themselves. The City of East Palo Alto feels that the FEIR should review impacts through more than one lens, and especially more rigorous ones, such as Palo Alto's adopted thresholds of significance. By not doing so, I fear that the FEIR not only perpetuates a disparity, but aggravates it. Moreover, the California State legislature, which has required all jurisdictions to include a section on environmental justice in General Plans, argues for such an approach. That guidance provided through the Office of Planning and Research and published in the General Plan Guidelines (2003) argues for application of the most rigorous level of analysis, not the least, as is evident by the FEIR. In conclusion, the City remains steadfast in its belief that the comments provided on July 26,2010, and supported by peer reviewed literature are valid. We, however, remain willing to discuss how our concerns can be addressed other than through the mitigations proposed. Mayor cc: Stanford President, John Hennessy Members of the East Palo Alto City Council Members of the Palo Alto City Council Members of the Palo Alto Planning and Transportation Commission 1 Rajiv Bhatia 1324 Oxford Street Berkeley, CA 94709 Via Email: Sid.Espinosa@CityofPaloAlto.org May 19, 2011 Honorable Sid Espinoza Mayor, City of Palo Alto 250 Hamilton Avenue Palo Alto, California 94301 Re: Stanford University Medical Center FEIR Dear Mayor Espinoza: As a graduate of Stanford University Medical School (1989) who has practiced medicine and public health in the Bay Area since 1992, I am writing to express my concern that the Final Environmental Impact Report (FEIR) on the Stanford University Medical Center is not equitable with regards to the concerns raised by the City of East Palo Alto. I am requesting that the City of Palo Alto investigate these concerns thoughtfully and work towards a collaborative and equitable solution with the City of East Palo Alto before certifying the FEIR for this project. I would also suggest that the City of Palo Alto consider reviewing its process for implementing the California Environmental Quality Act with regards to environmental justice and neighboring jurisdictions. The SUMC project is necessary for seismic safety and has many compelling societal benefits. However, as recognized in the EIR, a development of this nature, has effects, both positive and negative, on living conditions in neighboring jurisdictions, including Palo Alto, Menlo Park, and East Palo Alto. An equitable EIR process under CEQA should treat each of these communities in the same way with regards to both analysis of potentially adverse health and environmental effects and the mitigation of these effect. In my reading, the FEIR analysis of the SUMC project appears to be discriminatory in at least two ways.  The authors of the FEIR have limited the scope of the transportation analysis conducted in East Palo Alto relative to the scope of analysis conducted in Palo Alto and Menlo Park.  The authors of the FEIR have limited the evaluation of health impacts of concern to the City of East Palo Alto. California law defines "environmental justice" as the fair treatment of people of all races, cultures, and incomes with respect to the development, adoption, implementation, and enforcement of environmental laws, regulations, and policies. Relative to Palo Alto and Menlo Park, the City East Palo Alto has a higher proportion of low income and minority residents than the region as a whole. These facts define East Palo Alto as a community at risk for environmental injustice. Regional agencies including the Metropolitan 2 Transportation Commission and the Bay Area Air Quality Management District also consider East Palo Alto to represent a “community of concern” vulnerable to discriminatory environmental and civil rights impacts. The two-tiered application of environmental analysis and standards analysis in this FEIR appear create the potential for environmental justice impacts. Furthermore, media reports indicate that proponents of the SUMC project have offered $3.7 million to the City of Menlo Park to address impacts associated with the project. No similar compensation or mitigation fund has been offered to the City of East Palo Alto. The authors of the FEIR have limited the scope of the transportation analysis conducted in East Palo Alto relative to the scope of analysis conducted in Palo Alto and Menlo Park. It is well accepted that the development and use of adopted significance thresholds varies by jurisdiction in California. Not all individual jurisdictions have adopted thresholds for all potentially important environmental effects nor are they required to have adopted thresholds. The absence of adopted significance thresholds do not remove the obligation for and EIR conducted under CEQA to provide an adequate environmental analysis. The lead agency in this case has evaluated transportation impacts using a substantially different scope of analysis for East Palo Alto relative to Palo Alto and Menlo Park. In East Palo Alto, the City currently has approved quantitative thresholds for one type of transportation impact—intersection level of service (LOS). East Palo Alto uses the measures of intersection delay and vehicle to capacity ratios to evaluate impacts on LOS. The SUMC EIR has consequently chosen to only analyze intersection level of service impacts in EPA, ignoring other potential impacts on transportation. The LOS evaluation has also applied somewhat weaker East Palo Alto LOS significance criteria to East Palo Alto intersections rather than using the somewhat stronger LOS standards of Palo Alto and Menlo Park. More importantly, for the jurisdictions of Palo Alto and Menlo Park, the EIR has conducted as substantially greater scope of analysis considering several potential impacts on transportation in addition to LOS impacts. The City of Palo Alto has adopted a set of transportation impact thresholds that are more comprehensive with regards to potential impacts on transportation, reflecting issues such as safety and neighborhood quality of life. For example, Palo Alto uses the Traffic Impact on the Residential Environment (TIRE) index to evaluate impacts. The TIRE index is based on the work of Appleyard (1981) and other research that has found that changes in traffic volumes, irrespective of intersection-level vehicle delay, can significantly change residents’ levels of satisfaction with their neighborhood environment.1 Underlying these resident perceptions are known causal relationships among the level of traffic volume and pedestrian injury collisions, environmental noise, and air pollution. While in cases, it may be acceptable or appropriate to defer to a jurisdictions own significance threshold in evaluating impact analysis, it appears clearly discriminatory to vary the scope of analysis among jurisdictions and to fail to analyze potentially important 1 Appleyard, “Livable Streets,” University of California Press: Berkeley, CA, 1981. 3 impact simply because the jurisdiction does not have an adopted significance threshold for those impacts. The authors of the FEIR have limited the evaluation of health impacts of concern to the City of East Palo Alto Several comments on the DEIR, including those from the City of East Palo Alto, identify the need for the EIR to analyze health impacts of the project, including safety and mobility impacts on vulnerable road users (pedestrians and pedal-cyclists). While do not have sufficient information to evaluate the substantive merit of the claims, the nature of these health concerns is broader that those related to air pollution and evaluated in the air quality risk assessment on the project. Many of the health concerns raised by East Palo Alto comments were not analyzed or addressed in the EIR; rather responses in the FEIR incorrectly imply that CEQA does not require the analysis of a project’s health effects. In arguing against the need for analysis, the FEIR responses appear to incorrectly confound human health effects with other social and economic effects. While CEQA regulations make a clear distinction between how environmental and social effects may be considered, they provide equal clarity on the necessity of an adequate analysis of any adverse impacts on human health that may be related to physical changes resulting from the project. Under 14 Cal. Code Regulation 15126.2, regarding the content of an EIR, “direct and indirect significant effects of the project on the environment shall be clearly identified and described, giving due consideration to both the short-term and long-term effects” Under the same section, the discussion of environmental impacts should also include “health and safety problems caused by the physical changes.” Furthermore, Under 14 Cal. Code Regulation 15065(d), which identifies certain mandatory findings of significance. CEQA requires an EIR for any project where: “The environmental effects of a project will cause substantial adverse effects on human beings, either directly or indirectly.” The FEIR on the SUMC project has included an air pollution health risk assessment for East Palo Alto in a supplement to the FEIR. This risk assessment appear to have been generally conducted in conformance with the 2010 BAAQMD CEQA guidance. However, the risk assessment presents only the incremental air pollution risks in East Palo Alto from additional SUMC project-generated traffic. While not explicitly required by the BAAQMD guidance, a more complete health risk assessment of this issue would include information about the community vulnerability to air pollution risk (e.g. baseline prevalence of asthma and ischemic heart disease) and information about cumulative exposures to air pollution from all sources. Many residential areas in East Palo Alto are downwind of US Highway 101 and already experience substantial, health adverse exposures to air pollution. Moreover, development in Palo Alto may have adverse health impacts on East Palo Alto through mechanisms beyond air pollution. An air pollutant health risk assessment is not a sufficient analytic tool for all heath impacts of concern. Physical development can produce health risks due to changes in hazards related to noise, traffic safety, water quality, housing adequacy, and food resources. In October 2010, the California 4 Department of Public Health issued a guidance document for health impact assessment that describes a range of methods that may be utilized in comprehensive health assessment. 2 Overall, a two-tiered approach to the analysis of transportation impacts and failure to comprehensively consider all of the health effects of concern raised in comments appears to be inequitable. The fact that the project has offered compensation / mitigation fund to Menlo Park but not East Palo Alto further suggests a discriminatory process that may be resulting in discriminatory outcomes. Both the procedures and outcomes in this case appear to contravene the purpose of CEQA and widely accepted principles of environmental justice and equal rights. 3 I urge the City of Palo Alto to consider and investigate these concerns and work towards a collaborative and equitable solution with the City of East Palo Alto before certifying the FEIR for this project. For the future, the City of Palo Alto might productively review how it implements the California Environmental Quality Act with regards to environmental justice. Thank you in advance for considering my concerns. Sincerely, Rajiv Bhatia, MD,MPH. (Stanford University Medical Center Class of 1989) cc: Palo Alto City Council (city.council@cityofpaloalto.org) Steven Turner (steven.turner@cityofpaloalto.org) Carlos Romero (cromero@cityofepa.org) Brent Butler (bbutler@cityofepa.org) Cathleen Baker (cabaker@co.sanmateo.ca.us) 2 Bhatia R. A Guide to Health Impact Assessment. California Department of Public Health. October 2010. Available at: http://www.cdph.ca.gov/pubsforms/Guidelines/Documents/HIA%20Guide%20FINAL%2010-19- 10.pdf 3 California Code - Section 11135 (a) No person in the State of California shall, on the basis of race, national origin, ethnic group identification, religion, age, sex, sexual orientation, color, or disability, be unlawfully denied full and equal access to the benefits of, or be unlawfully subjected to discrimination under, any program or activity that is conducted, operated, or administered by the state or by any state agency, is funded directly by the state, or receives any financial assistance from the state. BIOGRAPHICAL SKETCH NAME Bhatia, Rajiv eRA COMMONS USER NAME (credential, e.g., agency login) RAJIVBHATIA POSITION TITLE Director, Occupational and Environmental Health Department of Public Health, San Francisco, CA Assistant Clinical Professor of Medicine, University of California, San Francisco EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.) INSTITUTION AND LOCATION DEGREE (if applicable) YEAR(s) FIELD OF STUDY Stanford University, Palo Alto, CA B.S.June/85 Electrical Engineering Stanford University, Palo Alto, CA M.D. May/89 Medicine  Stanford University Hospital, Palo Alto, CA Residency June/89-91 Internal Medicine  Mount Zion Hospital, San Francisco, CA Residency June/92-93 Internal Medicine  University of California, Berkeley M.P.H. May/96 Environmental Health  University of California, San Francisco Postgraduate July/95-97 Occupational & Environmental Medicine  Positions and Employment 1985-1987 Research Assistant, Division of Medical Computer Sciences, Stanford University, Palo Alto, CA 1992-1995 Staff Physician, Tom Waddell Clinic, San Francisco Department of Public Health, San Francisco, CA 1997-1998 Staff Physician, Alta Bates Occupational Medicine Clinic, Oakland, CA 1999- Assistant Clinical Professor of Medicine, University of California, San Francisco 1998- Director of Occupational and Environmental Health, San Francisco Department of Public Health, San Francisco, CA Other Experience and Professional Memberships 1994- Member, International Medical Commission to Bhopal 1994-1996 Board of Directors, Santa Clara Committee On Occupational Safety and Health 1994-1999 Board of Directors, Asian Pacific Environmental Network 1997-2006 Board of Directors, Pesticide Action Network North America 2001-2007 Social Justice Team, National Association of City & County Health Officers 2006- Faculty, UC Berkeley School of Public Health, PH 267 (Health Impact Assessment) 2006- Co-founder and Scientific Advisor, Human Impact Partners 2009-2010 Health Impact Assessment Academic Advisory Committee, California Air Resources Board 2009-2010 San Francisco Mayor’s Food Policy Advisory Committee 2010- Working Group on Health Indicators for Transportation, WHO, Geneva 2010-2011 Committee on Health Impact Assessment, National Research Council Peer-reviewed publications 1. Bhatia R, Tognoni G . An analysis of pharmaceutical use in the victims of the Carbide Gas exposure. International Perspectives in Public Health 1996; 11:14-22. 2. Bhatia R, Lopperio P, Smith AH. Meta-analysis of occupational studies of diesel exhaust exposure and lung cancer. Epidemiology. 1998; 9:84-91. 3. Bhatia R, Katz, M. Estimation of health benefits accruing from a Living Wage Ordinance. American Journal of Public Health 2001;91:1398-1402. 4. Bhatia R, Shiau R, Petreas M, Weintraub JM, Farhang L, and Eskenazi B. 2004. Organochlorine Pesticides and Male Genital Anomalies in the Child Health and Development Studies. Environ Health Perspectives 2005; 133: 220-224. 5. Farhang L, Weintraub JM, Petreas M, Eskenazi B, and Bhatia R. Association of DDT and DDE with birthweight and length of gestation in the Child Health and Development Studies, 1959-1967. American Journal of Epidemiology. 2005;162:717-25 6. Dannenberg A, Bhatia R, Cole B, Dora C Fielding JE, Kraft K, McClymont-Peace, D Mindell J, Onyekere C, Roberts JA, Ross CL, Rutt CD, Scott-Samuel A, Tilson HH. Growing the Field of Health Impact Assessment in the United States: An Agenda for Research and Practice. American Journal of Public Health 2006; 96:262-70. 7. Kessell ER, Bhatia R, Bamberger JD, Kushel MB. Public health care utilization in a cohort of homeless adult applicants to a supportive housing program. Journal of Urban Health. 2006;83:860-73. 8. Bhatia, R. Protecting Health with Environmental Impact Assessment: A Case Study of San Francisco Land Use Decision-Making. American Journal of Public Health 2007; 97:406-413. 9. Seto E, Holt A, Rivard T, Bhatia R. Spatial distribution of traffic induced noise exposures in a US city: an analytic tool for assessing the health impacts of urban planning decisions. International Journal of Health Geographics. 2007; 6:24 10. Corburn J, Bhatia R. Health Impact Assessment in San Francisco: Incorporating the. Social Determinants of Health into Environmental Planning. Journal of Environmental Planning and Management. 2007; 50: 323-341. 11. Dannenberg A, Bhatia R, Cole B, Heaton S, Feldman J, Rutt C. 2008. Use of Health Impact Assessment in the United States: 27 Case Studies, 1999-2007. American Journal of Preventive Medicine 34: 241-256. 12. Farhang L, Bhatia R, Comerford-Scully C, Corburn J, Gaydos M, Malekfzali S. Creating tools for healthy development: Case study of San Francisco’s Eastern Neighborhoods Community Health Impact Assessment. Journal of Public Health Policy and Management. May 2008 13. Bhatia R, Wernham A. Integrating Human Health into Environmental Impact Assessment: An Unrealized Opportunity for Environmental Health and Justice. Environmental Health Perspectives. August 2008; 116: 991- . 14. Weir M, Weintraub J, Seto E, Humphreys E, Bhatia R. An area-level model of vehicle-pedestrian injury collisions with implications for land use and transportation planning. Accident Analysis & Prevention. 2009; 41: 137–145. 15. Wier M, Sciammas C, Seto E, Bhatia R, Rivard T. Health, Traffic, and Environmental Justice: Collaborative Research and Community Action in San Francisco, California. American Journal of Public Health. 2009; 99(S3): S499-S502. 16. Bhatia R, Wier M. Safety in Numbers" re-examined: Can we make valid or practical inferences from available evidence? Accident Analysis and Prevention. 2011; 43: 235-240. DOI: 10.1016/j.aap.2010.08.015 17. Bhatia R, Seto E. Quantitative estimation in Health Impact Assessment: Opportunities and challenges. Environmental Impact Assessment Review. 2011; 31:301-309. DOI:10.1016/j.eiar.2010.08.003 18. Jones P and Bhatia R. Supporting Equitable Food Systems through Food Assistance at Farmers Markets. American Journal of Public Health. (2011) DOI: 10.2105/AJPH.2010.300021 19. Bhatia R, Jones P, Reicker Z. Competitive Foods, Discrimination, and Participation in the National School Lunch Program. American Journal of Public Health. (in press) Ongoing Research Support Robert Wood Johnson Foundation Bhatia (PI) 12/1/09-7/1/11 Health Impact Assessment of San Francisco Area Congestion Pricing Scheme. Conduct of health impact assessment for a proposed congestion pricing program and alternatives in San Francisco. Role: Principal Investigator Completed Research Support R29ES09042-01A1 Bhatia (PI) 8/1/98-1/31/06 NIEHS Organochlorine Insecticides and Male Genital Anomalies Determine whether in utero exposure to the pesticide DDT is a determinant of cryptorchidism and hypospadias. Role: Principal Investigator SFDPH Bhatia (PI) 7/1/06- 7/1/08 San Francisco Pedestrian Collision Forecasting Model Developed and applied a predictive model to predict pedestrian-vehicle collisions associated with area-level transportation and land use characteristics. Role: Principal Investigator SFDPH Bhatia (PI) 1/1/07-12/31/08 Community Transportation Planning for Treasure Island Conducted a community planning process for a bicycle and pedestrian transportation action plan for military base reuse and redevelopment in San Francisco. Role: Principal Investigator NIOSH 1 R25 OH008146 Bhatia (PI) 10/1/03-12/30/08 Jornoleros Unidos Con El Pueblo Implemented participatory Research to address health, economic, and environmental justice issues affecting Latino Day Laborers in San Francisco. Role: Principal Investigator SFDPH Bhatia (PI) 1/1/04-12/31/06 Eastern Neighborhoods Community Health Impact Assessment Developed and implemented of a collaborative urban planning process to create policy tools to integration of public health goals in urban planning. Role: Principal Investigator EPA 82872601 Bhatia (PI) 11/1/00-10/31/03 San Francisco Healthy Homes for Healthy Airways Intervention research to evaluate the effectiveness and sustainability of in-home environmental education and empowerment to assist clients with asthma to identify and reduce indoor asthma triggers. Role: Principal Investigator SFDPH Bhatia (PI) 11/1/98-3/30/00 Health Benefits of the San Francisco Living Wage A health impact assessment of the San Francisco Living Wage Ordinance. Role: Principal Investigator R21OH009081 Bhatia (Co-PI) 9/1/07-8/31/09 NIEHS Worker Health and Safety in Chinatown Restaurants Analyze the association between working conditions and workers’ health and injuries using checklist and surveys developed with Chinatown restaurant workers. Role: Principal Investigator Centers for Disease Control and Prevention Seto (PI) 10/1/08-9/31/09 Health Impact Assessment of San Francisco Public Housing Provide technical support for Health Impact Assessment of HOPE VI public housing project redevelopment in San Francisco to inform future housing redevelopment policy and design. Role: Collaborating Investigator Annette Glanckopf 2747 Bryant Street 650-321-8933 Annette_G@att.net . '!'-Stanford Medical Genter Renewal Project" City Council Meeting June 6, 2011 Dear Mayor Espinosa and Council Members, I am writing to urge the council to come to closure and approve the Stanford Medical Center Renewal Project. I want to focus my comments on the key council priority of emergency preparedness: In the event of a major earthquake, will the hospitals (Stanford and Packard) withstand or will they crumble like a pack of cards? Approval of earthquake safe hospitals that meet the current California laws & seismic standards should be considered a critical action item in the City's emergency preparedness planning. Not only do these 'hospitals play this critical role for Palo Alto, but both hospitals playa major role in the Santa Clara County health care network and in the region's overall disaster preparedness program. The Stanford Emergency Department (ED), which serves both hospitals, was built to accommodate 25,000 patients a year; however, the ED is currently receiving over 48,000 patients a year. The Renewal Project will significantly expand and modernize the ED. Specifically the treatment spaces will increase from 38 to 51 spaces which is a 34% increase. As mentioned many times before -the ED will be modernized with larger treatment and equipped with the latest technology The hospitals not only have the responsibility for general emergencies; they are one of 3 trauma centers in Santa Clara County. (See attached on difference between a Trauma Center v Emergency Department) Stanford and Santa Clara Valley Medical Centers are Level 1 Trauma Centers -the highest. certification from the American College of Surgeons. Regional Medical Center is a Level 2 Trauma Center. Stanford is the only Trauma Center between San Jose and San Francisco. Thus it serves as the Trauma Center for southern San Mateo County as well as northern Santa Clara County. Past studies have shown that hospitals in our county have just adequate capacity (inpatient & ED beds) to care for our patients in normal circumstances but would be quickly overwhelmed in a disaster or pandemic. Having more inpatient beds helps with surge in the ED, because patients can be moved to regular (inpatient) rooms sooner. To this point, Stanford Hospital will add 144 beds for a total of 600 patient beds. Packard will add 104 beds for a total of 361 patient beds. Our community needs this extra capacity. (,"").C") -~~ In closing: The sooner that the city approves the project, the sooner we will have a seismicallf:iafe~-< building with increased capacity for times of disaster. ~ n~ r c..> rn-o :;0 » Respectfully submitted, ~r tho ~ .J;~ allJj~rI-~ ~~ __ ["l"\C? --1> Annette Glanckopf Extracted and modified from an article from Eden Hospital (San Leandro) Trauma centers v EDs What is Trauma? Trauma is a medical term for a class of very serious injuries that include amputations; penetrating injuries to the head, neck or torso (Le. gunshot or knife wounds); blunt injuries to the head, neck or torso (most often-associated with motor-vehicle accidents );ejection from a moving vehicle; certain vehicle accidents and rollovers; falls; multiple bone fractures; and other potentially serious injuries to the head, spine or vital organs. There are specific criteria that paramedics use at the scene to determine if a patient is a critical trauma patient. Whenever a patient is determined to be a trauma patient, the paramedics transport him or her to the nearest trauma center, bypassing closer hospitals. Because they are alerted by radio from the scene or in transport, the trauma team can assemble in the trauma unit and begin treating the patient the moment he or she arrives. The Golden Hour "Before trauma centers, patients would have to wait hours in an Emergency Room for surgeons or specialists to arrive at the hospital; now, our trauma team is fully prepared and assembled in the trauma room before the patient arrives," explains one trauma surgeon. "The golden hour is real. If you can take care of these people, or at least start treatment on them within the first hour, it really can save their lives." "We start preparing in advance, as soon as a trauma call comes in," says one trauma nurse. "We get a very brief report that includes the patient's age, gender and the mechanism of injury, and we immediately begin thinking, 'What are the worst injuries this patient could have?' The surgeon, anesthesiologist, respiratory therapist and other trauma team members begin assembling immediately. We set up the surgery trays, and get everything ready. As the paramedics who were on scene wheel the patient in, they describe what injuries they've assessed and what treatment they've started. Then we begin checking the patient's airway, breathing and circulation. Is their chest moving? Can they speak? Do they have a list of medications they take or are allergic to in their wallet?" The radiology technologist takes X-rays of injured . areas, blood is drawn and lab tests are conducted immediately. If the patient needs immediate surgery, the operating room nurse begins those preparations. An operating room is available around-the-clock for any trauma patient who needs surgery. As the trauma team works on the patient, a scribe is writing down everything that happens and at what exact time. How is a Trauma Center Different from an Emergency Room? This question often arises when a patient is seriously injured in an accident and the ambulance transports the patient to a trauma center, bypassing hospitals that are closer to the scene of the accident. There are several factors that are involved, including the severity of the injury and the need for immediate treatment. While most emergency rooms have an emergency medicine physician on duty, they do not have an entire medical team and surgical capability at any moment, 24 hours a day. It would require valuable time to assemble the appropriate staff, equipment and support in a basic emergency room -time that trauma patients do not have. The trauma system was created when it was discovered that more lives could be saved by taking critically injured patients to specialized trauma centers for immediate care, eliminating the delays to activate on-call staff and open an operating room. A trauma center differs from an emergency department in its organized, systematic approach to trauma, its rigorous staffing criteria, and its constant state of readiness 24-hours a day. In addition to a full trauma staff that includes a board-certified trauma surgeon and an anesthesiologist on the premises 24 hours a day. Other specialists are on-call and can be at the hospital within minutes. Usually trauma centers have a helicopter landing site on campus, allowing patients to be delivered by air ambulance. Minor,8eth From: Paula Sandas [psandas@paloaltochamber.com] Sent: Wednesday, June 01, 2011 8:26 AM To: Council, City Subject: Stanford Med Ctr Renewal June 1,2011 Mr. Sid Espinosa, Mayor City of Palo Alto 250 Hamilton Avenue Palo Alto, CA 94301 Page 1 of2 CITY OF PALO ALTO. CA CITY CLERK'S OFfICE: IL:JUN-f AMID: 13 RE: Support for Stanford University Medical Center Renewal Project Dear Mayor Espinosa and Members of the City Council, The Palo Alto Chamber of Commerce Board of Directors supports the proposed Stanford University Medical Center Renewal project and encourages the City Council to complete its multi-year review of the project and grant project approval in June, 2011. The Chamber Board of Directors appreciates the comprehensive review that the City Council and City staff have given the Renewal Project. The reasons for the Board's support include the following: *The Stanford Hospital and Clinics and Lucile Packard Children's Hospital serve as Palo Alto's community hospitals and the Hospitals are critical to our community. The state mandated seismic requirements and the proposed upgraded facilities and expansion are necessary to meet current and future healthcare needs. *The Hospitals, in conjunction with their proximity to the Stanford School of Medicine, provide the dual role of ongoing research and discoveries, resulting in cutting -edge treatments and cures that benefit patients in the community and in the world. The proposed upgrades will insure the Medical Center's ability to implement new technologies and improved patient care. *The Stanford Medical Center is the only Level 1 Trauma Center between San Francisco and San Jose. As such, it constitutes a critical element and major participant in emergency preparedness and disaster planning for Palo Alto and the Silicon Valley. *The Medical Center is also a key employer in Palo Alto and serves as a business anchor and hub that attracts, sustains, and creates new business for the area and the region. The Renewal Project is targeted to create over 2200 long term jobs which will be a good economic stimulus after the last few years. *The new facilities at both Hospitals are being designed to incorporate leading "green" technologies. The design includes maximizing sustainable practices which complements the Chamber's efforts to encourage building a green sustainable economy. Our City is extremely fortunate to have "right here in our own backyard" two premiere Hospitals providing excellent patient care, medical services, research, and innovation. The Chamber Board of Directors urges the City Council to approve this important project. Thank you for your consideration. Sincerely, Paula Sandas President/CEO 6/1/2011 Dan Dykwel Chair, Board of Directors Minor,8eth From: Paula Sandas [psandas@paloaltochamber.com] Sent: Wednesday, June 01, 2011 8:26 AM To: Council, City Subject: Stanford Med Ctr Renewal June 1,2011 Mr. Sid Espinosa, Mayor City of Palo Alto 250 Hamilton Avenue Palo Alto, CA 94301 Page 1 of2 CITY OF PALO ALTO. CA CITY CLERK'S OFfICE: IL:JUN-f AMID: 13 RE: Support for Stanford University Medical Center Renewal Project Dear Mayor Espinosa and Members of the City Council, The Palo Alto Chamber of Commerce Board of Directors supports the proposed Stanford University Medical Center Renewal project and encourages the City Council to complete its multi-year review of the project and grant project approval in June, 2011. The Chamber Board of Directors appreciates the comprehensive review that the City Council and City staff have given the Renewal Project. The reasons for the Board's support include the following: *The Stanford Hospital and Clinics and Lucile Packard Children's Hospital serve as Palo Alto's community hospitals and the Hospitals are critical to our community. The state mandated seismic requirements and the proposed upgraded facilities and expansion are necessary to meet current and future healthcare needs. *The Hospitals, in conjunction with their proximity to the Stanford School of Medicine, provide the dual role of ongoing research and discoveries, resulting in cutting -edge treatments and cures that benefit patients in the community and in the world. The proposed upgrades will insure the Medical Center's ability to implement new technologies and improved patient care. *The Stanford Medical Center is the only Level 1 Trauma Center between San Francisco and San Jose. As such, it constitutes a critical element and major participant in emergency preparedness and disaster planning for Palo Alto and the Silicon Valley. *The Medical Center is also a key employer in Palo Alto and serves as a business anchor and hub that attracts, sustains, and creates new business for the area and the region. The Renewal Project is targeted to create over 2200 long term jobs which will be a good economic stimulus after the last few years. *The new facilities at both Hospitals are being designed to incorporate leading "green" technologies. The design includes maximizing sustainable practices which complements the Chamber's efforts to encourage building a green sustainable economy. Our City is extremely fortunate to have "right here in our own backyard" two premiere Hospitals providing excellent patient care, medical services, research, and innovation. The Chamber Board of Directors urges the City Council to approve this important project. Thank you for your consideration. Sincerely, Paula Sandas President/CEO 6/1/2011 Dan Dykwel Chair, Board of Directors SC-2 AECOM 1 March, 2011 C:\Documents and Settings\sturner\Local Settings\Temporary Internet Files\OLK6\SC-2_Table 4-5 (2).docx Revised Table 4-5 of Draft EIR Appendix C Summary of Impact Locations Avg Avg Avg Avg Avg Avg Avg Crit Avg Crit Avg Crit Avg Crit Avg Crit Avg Crit Del Crit Del Del Crit Del Del Crit Del Del Crit Del Del Crit Del Del Crit Del #Intersection LOS (sec) V/C (sec) LOS (sec) V/C (sec) LOS (sec) V/C (sec) LOS (sec) V/C (sec) LOS (sec) V/C (sec) LOS (sec) V/C (sec) 10 ECR/University-Palm (Single Int) E- 79.5 1.107 98.3 F 95.8 1.165 120.9 E 65.7 1.075 87 -11.3 -0.032 N D- 51.6 0.943 61.3 E 71 1.017 79.8 D 43.2 0.893 50.4 -10.9 -0.05 N 23 Junipero-Foothill/Page Mill Road F 126 1.23 177 F 128 1.236 180 F 128 1.236 180 3 0.006 N F 109.2 1.136 151.4 F 112.9 1.152 157.7 F 100.5 1.1 137 -14.4 -0.04 N 26 Junipero/Campus West D 50.8 0.687 62.3 D- 54.5 0.697 62.9 C 31.7 0.67 26.4 -35.9 -0.017 N E- 79.8 0.995 103.8 F 83.9 1.005 108.2 E+ 59.9 0.961 79.3 -24.5 -0.03 N 37 Arboretum/Galvez * E 38.8 0.772 38.8 E 45.4 0.819 45.4 A 9.6 0.399 6.1 -32.7 -0.373 N F 230.5 1.463 230.5 F 263.1 1.543 263.1 B 13.8 0.631 13.3 -217 -0.83 N 52 Bayfront Expy/Willow D 42.5 0.969 65.3 D 43.6 0.981 67.9 D 42.2 0.981 67.9 2.6 0.012 N F 115.6 1.221 147.7 F 119.2 1.232 152.3 E 62.4 1.028 74.2 -73.5 -0.19 N 53 Bayfront Expy/University D 43.5 1.057 86.8 D 44.6 1.064 89.3 C 28.3 0.948 54.9 -31.9 -0.109 N F 104.6 1.167 120.8 F 107.7 1.176 124.5 D+ 36.9 0.88 41 -79.8 -0.29 N 62 I-280 NB Off-Ramp / Alpine Road *F 323.6 2.474 324 F 336 2.524 335.5 F 93.9 1.168 127 -197 -1.306 N F 205.7 1.789 205.7 F 215.8 1.83 215.8 D 39.7 0.895 47.4 -158 -0.89 N * Unsignalized 10 23 26 Increase signal cycle length to 90 seconds. This mitigation is feasible. This intersection is under the jurisdiction of Santa Clara County. Changes to the signal timing would require County approval. 37*Signalize the intersection. Signalization of this intersection is feasible. Traffic signal warrants are met. 52 53 Widen southbound Bayfront Expressway to include an additional through lane and re-stripe the exclusive right turn lane to a shared through right turn lane. As a result, two additional receiving lanes in the southbound direction on Bayfront Expressway would be needed. This intersection is located in Menlo Park. Approval for implementation would be required from Caltrans and Menlo Park. 62*Signalize the intersection. Signalization of this intersection is feasible. Traffic signal warrants are met. 2025 No Build 2025 + SUMC 2025 + SUMC _Mitigation AM AM AM Compare PM PM PM 2025 + SUMC 2025 + SUMC _Mitigation2025 No Build Compare ∆ Avg Crit Delay ∆ Crit V/C Impact ? ∆ Avg Crit Delay ∆Crit V/C Impact ? Provide one more right-turn lane for eastbound Willow Road and make the right-turn movement for southbound Bayfront Expressway 'overlap' with the left-turn of eastbound Willow Road. The intersection has signals for the right-turn movement for southbound Bayfront but the ‘overlap’ phase is not implemented. The intersection performance will also improve with only the additional eastbound right-turn lane provision. Implementation is physically possible . This intersection is reducing the width of already narrow front yards. Capacity improvements at this intersection would be contrary to the City’s General Plan Policy T-27. Provide three left-turn lanes for northbound Foothill Expressway onto westbound Page Mill Road. In addition, Page Mill Road must be widened to receive the three turn lanes. Though physically possible, it would be costly to widen Page Mill Road between Junipero Serra Boulevard and Old Page Mill Road (or Coyote Hill Road) and Foothill Expressway. This intersection is under the jurisdiction of Santa Clara County and implementation of any mitigation measures would require their approval. Proposed Mitigation Provide an exclusive right-turn lane for eastbound and westbound Palm Drive-University Avenue, giving two lanes to the through movement along Palm Drive-University Avenue. While physically possible, this mitigation would require the acquisition of right-of-way, the construction of a retaining wall for the westbound right turn and the relocation of the entrance arch to Stanford for the eastbound right turn. This mitigation measure would be inconsistent with City General Plan Policy T-27 ATTACHMENT R SUMC PROJECT PLANS HIGHLIGHTS PAGE (UNDER SEPARATE COVER) COUNCIL AND LIBRARIES ONLY ALSO AVAILABLE AT: http://webadmin.cityofpaloalto.org/news/displaynews.asp?NewsID=1786