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San Leandro Commercial Broadband Strategy telemedicine programs buy services from existing providers rather than constructing facilities, and can potentially be anchor tenants of new broadband projects. The possibility of tapping into these funds should be considered whenever a health care provider can be served by proposed lateral or other network extensions in San Leandro. 6. Public agencies as anchor tenants. Local governments are no different than any other large organization: broadband access is essential and is included, to one extent or another, in budgets. The assumptions that underly many public agency budgets will be changing dramatically in the next few years. In cases where public agencies face rising costs for telecommunications services, it might make more sense to spend information technology and telecommunication budgets on building facilities rather than leasing increasingly expensive services. If a public building is located in (or proposed for) a prospective broadband project area, it might be possible to negotiate a long term lease that provides an assured source of income for the project while saving money for the agency involved. 7. Public works projects. If coordinated with service providers through an open trench program, planned street and other improvements create an opportunity to greatly reduce the cost of broadband facility construction. There might be cases where broadband facilities, particularly empty conduit, can be included in project budgets. 16 July 2012 TellusVenture Associates Page 39