Standard&Poor's Ratings Services assigned its 'AA' long-term rating to the City and County of San Francisco, Calif.'s general obligation (GO) bonds (San Francisco General Hospital) series 2009A. At the same time, Standard&Poor's assigned its 'AA-' long-term rating to the city's lease revenue bonds, series 2009A (Branch Library Improvement Program). Finally, Standard&Poor's affirmed its 'AA' long-term rating and underlying rating (SPUR) on the city's outstanding GO debt and its 'AA-' long-term rating and SPUR on the city's existing lease-backed debt. The rating reflects our opinion of the city's: Central role in the dynamic San Francisco Bay Area, including a healthy job market and its enduring appeal as a destination for business and tourists; Spending reductions