Project Grant CE152441

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NATIVE AMERICAN HEALTH CENTER (NAHC) WILL AUGMENT ITS THREE EXISTING HEALTH AND WELLNESS FACILITIES IN OAKLAND'S FRUITVALE DISTRICT WITH A NEW 20,360 SQUARE FOOT HEALTH CENTER AT 3050 INTERNATIONAL BOULEVARD. THE NEW SITE WILL FEATURE 20 DENTAL EXAM ROOMS AND DEDICATED SPACE FOR SOCIAL SERVICES, INCLUDING A 300-PERSON CAPACITY CULTURAL COMMUNITY CENTER. NAHC CURRENTLY HAS WAITING LISTS OF 221 FOR NEW PATIENTS, 955 FOR RECALL EXAMS, AND 1,394 FOR TREATMENTS FOR A TOTAL OF 2,570 PEOPLE ON DENTAL WAITING LISTS. THE 13 EXISTING DENTAL OPERATORIES AT ITS OAKLAND CLINICS ARE NOT ENOUGH TO MEET PATIENT DEMAND. THE NEW BUILDING WILL INCREASE DENTAL CAPACITY BY 20 ADDITIONAL OPERATORIES, AND WILL ENABLE 40 HOURS OF ADDITIONAL APPOINTMENTS PER WEEK, AND AN ESTIMATED 6,200 NEW COMMUNITY MEMBERS SERVED ANNUALLY, AND AN ESTIMATED 19,572 ADDITIONAL DENTAL VISITS PER YEAR. NAHC'S CULTURAL AND COMMUNITY-BUILDING SERVICES CURRENTLY OPERATE IN ONE SMALL ROOM THAT HOLDS 35 PEOPLE. THE NEW CULTURAL COMMUNITY CENTER WILL ENABLE NAHC TO HOST LARGER COMMUNITY EVENTS AND SIMULTANEOUS MEETINGS, AS WELL AS CONFERENCES, GROUP MEDICAL CARE, FOOD DISTRIBUTION, WELLNESS SERVICES, CULTURAL CLASSES, CEREMONIES, AND HEALINGS. THE DENTAL CLINIC, CULTURAL CENTER, AND PARKING WILL OCCUPY THE GROUND FLOOR OF A 5-STORY BUILDING THAT NAHC IS DEVELOPING IN PARTNERSHIP WITH SATELLITE AFFORDABLE HOUSING ASSOCIATES (SAHA). SAHA WILL DEVELOP AND MANAGE THE 76 AFFORDABLE HOUSING UNITS ON THE SECOND TO FIFTH FLOORS. NAHC AND SAHA ARE DEVELOPING THE PROJECT ACCORDING TO A JDA (JOINT DEVELOPMENT AGREEMENT) AND AN LDDA (LEASE DISPOSITION AND DEVELOPMENT AGREEMENT) WITH THE CITY OF OAKLAND WHO OWNS THE LAND. KEY AGREEMENTS INCLUDE: O THE LAND IS BEING DIVIDED INTO 2 PARCELS BY AN AIR-RIGHTS SUBDIVISION, ONE PARCEL FOR NAHC AND ONE FOR SAHA O THE CITY OF OAKLAND WILL GROUND-LEASE EACH PARCEL TO NAHC AND SAHA SEPARATELY. THE LEASE HAS A 99 YEAR TERM. O PREDEVELOPMENT COSTS ARE SHARED WITH SAH A ACCORDING TO A SPLIT DERIVED FROM THE BUILDING'S SQUARE FOOTAGE -- 85% FOR SAHA AND 15% FOR NAHC. O THE COST FOR CONSTRUCTION OF THE BUILDING'S SHELL WILL BE SHARED WITH SAHA, WITH NAHC RESPONSIBLE FOR APPROXIMATELY 6% OF THE COST. O NAHC WILL COVER THE COST TO BUILD ITS OWN GROUND FLOOR SPACE, INCLUDING PARKING. THE TOTAL PROJECT COST FOR THE NAHC GROUND FLOOR SPACE, AS WELL AS ITS SHARE OF THE COST FOR THE BUILDING'S SHELL, IS $20,629,314. THE HARD CONSTRUCTION COST IS $10,369,515, A COST OF $509 PER SQUARE FOOT, WHICH IS IN LINE WITH MEDICAL OFFICE CONSTRUCTION IN THE SAN FRANCISCO BAY AREA, ACCORDING TO LOCAL CONTRACTORS. THIS APPLICATION REQUESTS $1,000,000 TO SUPPORT THE CONSTRUCTION COSTS. THE BALANCE WILL BE PAID DIRECTLY BY NAHC OUT OF FUNDS RAISED AND IN-HAND, AUGMENTED BY A NEW MARKETS TAX CREDIT LOAN.