NOTICE OF GENERAL OBLIGATION BOND COMMITTEE MEETING OF THE

GROSSMONT HEALTHCARE DISTRICT

A Meeting of the General Obligation Bond Committee of Grossmont Healthcare District will be held Monday, September 25, 2017, at 12:15 p.m. at the District Administrative Offices, 9001 Wakarusa Street, La Mesa, California. AGENDA September 25, 2017 – 12:15 p.m.

A. Call To Order

B. Approval of Agenda

C. Public Comment

D. Discussion/Consideration

1. Project Updates/Miscellaneous

a. September 2017 Monthly Report of Prop G Projects at Grossmont Hospital

i. Summary PowerPoint Presentation

ii. Detailed Project Reports

2. Board Memos/Approvals

a. Report of POs / Change Orders

b. Board Memos

i. Heart and Vascular Level 1 Surgery Floor Buildout (Level 1 Buildout) Project: Board Memo #379, Consideration of a Supplemental Services Agreement (SSA) to Cuningham Group Architecture for Construction Document Changes (Not To Exceed $148,235)

3. Miscellaneous/Information/Brief Reports

New Business or Updates to Continued Business

a. Continuation of Supplemental Insurance – Discussion

b. Updates to H&V Level 1 Equipment – Details Forthcoming

c. Update on Rule 21 Gear roof protection – Letter from Sharp Grossmont Hospital

d. Self Generation Incentive Program (SGIP) payment – Awaiting

e. Accounts receivable report

f. Litigation Legal Expenses – Information

g. Prop G “non-litigation” legal expenses for reimbursement (Information)

h. Request from Sharp Grossmont Hospital for handrails to be added to 4 East (carrying this item until new budget realignment)

E. Next Meeting

F. Adjournment

1

Grossmont Healthcare District

September 2017 Prop G Board Report

Reflection

“See the light in others and treat them as if that is all you see.” – Dr. Wayne Dyer

2

1. Regulatory Compliance 2. H&V Level 1 Surgery Build Out 3. The plans:

i. Sharp Infill/Build Out ii. Surgery Suite Overview

4. Schedule 5. Budget 6. Snapshot on Sharp HealthCare

Infill Project 7. Looking Ahead

Overview

3

Medical Gas Zone Valves, Complete

September 2017

September 2017 1. Regulatory Compliance

4

Cath Lab #1023: Mechanical ductwork installation,

structural framing to support booms and CT Scanner, med

gas lines complete

Project Safety Event

Infection Control Breach

Notice of Non-

Compliance

Level 1 Surgery Build Out

0

0

0

2. H&V Level 1 Surgery Build Out

5

• Schedule delays holding at 50 days plus Owner 20 day float included in contract

• Drywall complete in all ORs, nearing completion in all other areas

• Ceiling framing underway in ORs #1025 & #1027

• P-Tube station roughed-in, piping installed in sterile core

• All Air Handling Equipment in place on the roof

Control Rooms: Overhead Electrical Nearing Completion

September 2017

3i. Sharp Infill/GHD Build Out Plans

6

September 2017

Existing/ Renovation

Sharp Infill = PACU 1 & all other work in the existing

Hospital

GHD Build Out = 8 procedure rooms + work

areas in the new shell space GHD Level 1 Build Out

3ii. Surgery Suite Overview Plan

7

September 2017

The Project

Cath Lab

General OR #1025

Hybrid OR

Open Heart OR #1027

Hybrid OR

Cath Lab

BiplaneCath Lab

EPCath Lab

4. Schedule – Prop G

8

We are here Updated 9-20-2017

Prop G Level 1 Surgery Build Out Li

cens

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Bid

Aw

ard

NTP

#1/

2

N D J F M A M J J A S O N D J F M A M J J A S2016 2017

Construction

2018

September 2017

4. Schedule: Prop G + Sharp Infill

9

September 2017

Ro

om

Re

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y

Lic

en

sin

g

Bid

Re

-Bid

Aw

ard

NT

P #

1/#

2

Aw

ard

NT

P

Phase 4 @ 6 mos

J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D J F M A2019

Schedule Overview of GHD & Sharp Work

GHD Prop G Surgery Build-Out Construction 15 Months

Gro

up

1 T

ie-I

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Gro

up

2 T

ie-I

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Ele

ct.

Gro

up

2 T

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Ga

s,

Ste

am

V e ndor Insta ll

Mobilize

2016 2017 2018

Sharp HealthCare Infill - Construction Phases 1, 2 & 3 @ 23 months

Infill Schedule Extended 2 Months

5. Budget

10

September 2017

Category Project Name Projected Cost At Completion (09/20/17)

Projected Cost At Completion (8/23/2017)

Funds Available Total Prop G Building Fund (Bond Proceeds, Interest Earned, Grants, Etc.) $257,072,011 $257,072,011

Projects Completed Central Energy Plant, ED-CCU, Heart & Vascular Bldg, East Tower Renovation, Early Utilities $225,996,922 $225,996,922

Remaining Prop G Building Funds before Level 1 Surgery $31,075,089 $31,075,089

Projects Under Construction H&V Level 1 Surgery Floor Buildout $29,533,684 $29,533,684

Potential Surplus $1,541,405 $1,541,405

6. Snapshot on Sharp HealthCare Infill Project

11

• All Phase 1 construction is complete

• Phase 2 construction underway, including demo in former Level 1 Lab

• Phase 2B demo to start, including Level 1 Sterile Storage and Decontamination

• Schedule delays continue, due to unforeseen conditions

Level 1 Ceiling Existing Conditions

Level 1 Wall, Flooring, Ceiling Demo

September 2017

7. Looking Ahead

12

• Continue Installation of Overhead Ductwork, Fire Dampers, Fire Caulking

• Continue rough-in of Overhead Low Voltage/Nurse Call/Fire Alarm

• Group Two Utilities Tie-In with Sharp Infill for electrical, medical gases scheduled for late September; Steam Tie-In postponed to late November to simplify chlorination process

• Helix Waterline potholing, to determine a route for the completed waterline, in progress

September 2017

Questions?

13

Report of PO’s/Change Orders for Approval/Review by CEO or GOBC

Grossmont Healthcare

District

GO Bond Committee

Memo

To: Barry M. Jantz, CEO

From: Proposition G Design and Construction Services

Date: September 25, 2017

SUBJ: Report of PO’s / Change Orders for Approval/Review by CEO or GO Bond Committee

Change Orders/ SSA’s / PO’s ($25k to $50k) for approval by CEO and for GO Bond review:

Project SSA/

CO # DOC # Assignment Contractor/

Consultant Item Cost Cost

Projected? Approval/

Review

20

17

B

ud

get

Late

st

Fore

cast

Level 1 PCO#36 F-AE revisions Swinerton Change window opening size at

1025 and 1027 to match 1029 and

1030 due to drawing error by

HOK.

$31,861 Y Y

Level 1 PCO#37 A-Agency Swinerton Install sound board in lieu of regular

drywall to achieve req’d STC ratings.

$40,441 Y Y

Change Orders / SSA’s /PO’s ($50k to $100k) recommended for GO Bond Committee approval:

Project SSA/ CO #

DOC # Assignment Contractor/ Consultant

Item Cost Cost Project

ed?

Approval/ Review

20

17

B

ud

get

Latest

Forecas

t

Level 1 PCO#28r1 C-User Request

Swinerton Add 4” High Pressure Steam and valves for future Sharp steam main project. This is a reimbursement to

Prop G.

$89,737 N Y

Level 1 PCO#16 D-Unforeseen

Swinerton Added BIM services for BIM coordination and meetings-

previously reviewed at GOBC on 8/28 at $45K

ROM

$95,349 ROM

Y Y

September 25, 2017

Report of PO’s/Change Orders for Approval/Review by CEO or GOBC 2

Pending Board Memos for Board authorization to issue Change Orders / SSA’s /PO’s ($100k plus): (Items in shaded lines were discussed at prior GO Bond Committee Meeting) Project SSA/

CO # DOC # Assignment Contractor/

Consultant Item Cost Cost

Projected? Approval/

Review

20

17

B

ud

get

Late

st

Fore

cast

Level 1 PCO#11 G-Anticipated

Cuningham Drawing changes per Bid Addendums 1-4 ,

Kiebel markups, equipment plan and book matchups, and housekeeping pad details for roof top

AHU.

$148,235 Y Y

Pending Review by ICBOC for Change Orders / SSA’s /PO’s ($250k plus): Project SSA/

CO # DOC # Assignment Contractor/

Consultant Item Cost Cost

Projected?

Approval/ Review

20

17

B

ud

gtt

Late

st

Fore

cast

Assignment Codes: A – Agency Request (OSHPD, FLSO, City, SDG&E, etc.) B – Program Management Request C – Hospital Request D – Unforeseen Condition E – General Contractor Request F – A/E Revision (Architect/Engineer) G – Anticipated

Board Memo #379, CGA OSHPD CO#02-Conformed Bid Documents-$148,235 1

To: GHD Board of Directors

From: Proposition G Design and Construction Services

Cc: Barry M. Jantz, CEO

Jeff Scott, District Counsel

Tom Saiz, CFO

Date: October 2, 2017

SUBJECT: Heart and Vascular Level 1 Surgery Floor Buildout (Level 1 Buildout) Project: Board

Memo #379, Consideration of a Supplemental Services Agreement (SSA) to Cuningham Group

Architecture (CGA) for Construction Document Changes (Not To Exceed $148,235).

RECOMMENDATION of DESIGN AND CONSTRUCTION SERVICES (DCS):

Design and Construction Services (DCS) recommends the approval of an SSA for the cost of the

Construction Document Changes as submitted to OSHPD for the Level 1 Buildout Project (Not To Exceed

cost of $148,235).

ASSIGNMENT/FUNDING:

Anticipated/Contingency

PURPOSE/JUSTIFICATION OF RECOMMENDED ACTIONS:

Purpose for Supplemental Services Agreement:

The Supplemental Service Agreement, if approved, would authorize and obligate CGA to update the

Construction Document changes to incorporate all clarifications, modifications, or other adjustments made to

the approved Construction Documents by addenda during the Bidding Phase.

Justification/Background:

As part of the language and the services provisions in the CGA Agreement, Schedule A, Construction Phase

Services, Section III, ‘Conformed Bid Documents, Section A’, the Architect shall provide these services

which include the drawings and the Project Manual for construction that are developed by the Architect

which consist of all revisions and adjustments made by addenda during the Bidding Phase and approved by

OSHPD. The Bidding phase occurred between 7/22/16 with the first Pre-Bid meeting and ended on 11/17/16,

the Re-Bid#2 due date. The revised documents including Bid Addendums 1-4 plus Owner discoveries of

previous HOK drawing errors picked up during the Bid Phase were submitted to OSHPD on 10/26/16 and

approved on 12/29/16. The Conformed Bid Documents were then submitted to the Construction Contractor

GROSSMONT

HEALTHCARE

DISTRICT BOARD MEMO

APPROVALS

CEO: Approved Date: ________

GO Bond

Committee: Approved Date: ________

GHD Board: Approved Date: ________

ICBOC Review: No Comments Date: ________

Board Memo #379, CGA OSHPD CO#02-Conformed Bid Documents-$148,235 2

as an Architectural Supplemental Instruction (ASI) package/Post Approval Document (PAD) and served as

the basis of the Construction Contractor’s proceeding with the coordination processes.

Supplemental Services Agreement:

On November 18, 2016, the Board entered into a contract with CGA to provide Architect of Record services

for the Level 1 Buildout project. The current status of prior awards is summarized in the following table:

Description/

Contract Info

Original

Contract

Amount

Executed

Change

Orders

Current

Contracts

Amount

This

Change

Other

Pending

Changes

Projected Cost

at Completion

Base Contract $1,250,753 $116,165 $1,366,918 $148,235 $454,565 $1,969,718

CGA

Reimbursables $5,000 $0 $5,000 5,000 $10,000

Subtotals $1,255,753 $116,165 $1,371,918 $148,235 $2,800 $1,979,718

Current

Contingency $2,055,120

This Change $148,235

Remaining

Contingency

Balance

$1,906,885

Other Pending

CO’s $459,565

All Other

Pending Changes $936,183

Potential Ending

Contingency

Balance/(Deficit)

$511,137

ICBOC REVIEW:

This recommendation will not require a review by the Independent Citizens’ Bond Oversight Committee

(ICBOC) as determined in the Board adopted Change Order Policy Board Resolution 01-13.

FISCAL IMPACT/FUNDING:

The total cost for this Supplemental Services Agreement is available from the current contingency budget in

the Level 1 project budget as approved by the Board on July 21, 2017.

FACTS AND PROVISIONS/LEGAL REQUIREMENTS:

Recommended design and construction changes require approval as indicated by Resolution No. 01-13; the

construction change order policy. The policy also sets forth a review by the ICBOC of change orders in an

amount greater than $250,000 that constitutes increases in approved project budget(s).

IMPACT ON CURRENT SERVICES OR PROJECTS:

Board Memo #379, CGA OSHPD CO#02-Conformed Bid Documents-$148,235 3

This Supplemental Services Agreement does not impact other Prop G projects.

IMPACT ON SCHEDULE:

This Supplemental Services Agreement does not request any added working days to the project schedule.

CONTRACTING PROCESS:

The full scope of this Supplemental Services Agreement has a Not to Exceed cost of $148,235.