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 24, 2018, at 12:15 p.m. at the District Administrative Offices, 9001 Wakarusa Street, La Mesa, California. AGENDA September 24, 2018 – 12:15 p.m.

A. Call To Order

B. Approval of Agenda

C. Public Comment

D. Discussion/Consideration

1. Project Updates/Miscellaneous

a. September 2018 Monthly Report of Prop G Projects

i. Summary PowerPoint Presentation/Budget Update

ii. Detailed Project Reports

2. Board Memos/Approvals

a. Board Memos – None

b. Report of PCOs / Change Orders

3. Close-Out Process – Additional discussion, if needed

a. As-Builts

b. Other

4. Miscellaneous/Information/Brief Reports (New Business or Continued Business)

a. Helix Water Line Update

b. Release of Final General Contractor Retention

c. Release Equipment Reimbursement to Sharp (not including final Steris consideration)

d. Accounts Receivable Report

e. Other Information – if needed

E. Closed Session

Conference with Legal Counsel Pursuant to Government Code 54596.9(d)(1) Potential Litigation (one case)

F. Report After Closed Session

G. Next Meeting

H. Adjournment

1

Grossmont Healthcare District

September 2018 Prop G Board Report

Reflection:

“Autumn is a second spring when every leaf is a flower.”

Albert Camus

1. Regulatory Compliance 2. H&V Level 1 Surgery Build Out 3. Helix Waterline Replacement 4. Schedule 5. Budget 6. Snapshot on Sharp HealthCare Infill Project 7. Looking Ahead

p. 3 Bi-Plane Cath Lab: Ready for

inspection by CDPH

Overview: September 2018

Project Safety Event

Infection Control Breach

Notice of Non-Compliance

Level 1 Surgery Build Out

0

0

0

Helix Waterline Replacement

0

0

0

p. 4

1. Regulatory Compliance: September 2018

• Schedule delays: 105.5 calendar days approved • CDPH licensing visit requested September 4, 2018 • Claim from Swinerton Builders on behalf of Alpha

Mechanical under negotiation • All Change Orders processed • Working with Swinerton Builders to resolve minor

deficiencies

p. 5

2. H&V Level 1 Surgery Build Out: September 2018

p. 6

• Budget: • Currently $300,000

• Scope: • Researching a shallower path of travel • HWD proposes to bid work to a short list of qualified bidders

• Schedule: • Restart of work will take place November 2018, to accommodate a

Planned Outage for the SDG&E Hospital service & to minimize risk of an unplanned outage

• Once restarted, the work should be completed in approximately 6 weeks

3. Helix Waterline Replacement: September 2018

We are here

Updated 9-20-2018

Prop G: Licen

sing

Level 1 Surgery Build Out Bid Aw

ard

NTP

#1/

2

HWD Waterline Replacement Bid

/Aw

ard

Cons

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Com

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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

Construction

p. 6

4. Schedule: Prop G: September 2018

Sheet1

Updated 9-20-2018

Prop G: Licensing

Level 1 Surgery Build OutBidAwardNTP #1/2Constructiont

HWD Waterline Replacement Bid/AwardConstructComplete

NDJFMAMJJASONDJFMAMJJASOND

201620172018

Bid

Re

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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 A M J

GHD Prop G Surgery Build-Out Construction 17 Months

2019

Schedule Overview of GHD & Sharp Work

Gro

up

1 T

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Mobilize

2016 2017 2018

Gro

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V e ndor Insta ll

Sharp HealthCare Infill - Construction Phases 1, 2 & 3 @ 25 months

Requested CDPH Licensing inspection on 9-4-18, before Infill Phase 3 is completed

OSHPD Construction Final issued 8-6-18

Infill Phases 3 & 4 delayed 2-3 months

Licensing

p. 7

4. Schedule: Prop G + Sharp Infill

4. Schedule: Prop G + Sharp Infill: September 2018

Sheet1

Schedule Overview of GHD & Sharp Work

BidRe-BidAwardNTP #1/#2GHD Prop G Surgery Build-Out Construction 17 Monthst

Group 1 Tie-In CompleteGroup 2 Tie-In Elect. CompleteVendor Install

Group 2 Tie-in: Gas, Steam

AwardNTP

MobilizeSharp HealthCare Infill - Construction Phases 1, 2 & 3 @ 25 monthst

Phase 4 @ 6 most

2016201720182019

JASONDJFMAMJJASONDJFMAMJJASONDJFMAMJ

p. 8

5. Budget: September 2018

Category Project Name Projected Cost At Completion

(09/20/18)

Projected Cost At Completion (08/23/18) Footnotes

Current Funds Available Total Prop G Building Fund (Bond and Settlement Proceeds, Interest Earned, Grants, Etc.) $ 261,198,796 $ 261,198,796 1

Projects Completed Central Energy Plant, ED-CCU, Heart & Vascular Bldg, East Tower Renovation, Early Utilities $ 225,834,531 $ 225,834,531

Remaining Prop G Building Funds $ 35,364,265 $ 35,364,265 Projects Under Construction H&V Level 1 Surgery Floor Buildout $ 34,194,527 $ 34,194,527

Forecast Potential Surplus $ 1,169,738 $ 1,169,738

Footnote:

1-Current funds Available includes interest/dividend earnings received for FY18 of $216,253

p. 10

Installation – Overhead Duct & Utilities

• Completing cut-over of existing final emergency electrical panel to new panels

• Installation of overhead utilities ongoing in new Lockers/Lounge

• Installation underway of 1-side drywall & door frames

• Experience Center & offices work is ongoing with installation of walls & utilities

Relocation – Electrical to new Panels

6. Snapshot on Sharp HealthCare Infill Project: September 2018

p. 11

• Finalize Contractor claims • Resolve action plan for the Helix Waterline

replacement, including: • Finalize route • Helix Water District to bid work to short-list of

qualified Contractors • Coordinate start of work with Hospital & SDG&E,

including scheduled shut down of the Hospital COGEN Plant and planned outage for SDG&E

7. Looking Ahead: September 2018

Questions? September 2018 p. 12

GROSSMONT HEALTHCARE DISTRICT PROPOSITION G

DESIGN & CONSTRUCTION SERVICES

Monthly Project Construction Report For the month of __________

Project: _______________________ Updated: ________________

Contractor: _______________ Architect: _______________

Construction Budget Status $ Work In Place %

Complete Schedule Status

Award Amount: Contract Award: Executed Contract:

Approved CO’s: Original Completion: Duration % Complete:

Revised Contract: Approved Time Extension:

Invoiced to Date: New Completion:

Balance Project Scheduled Variance:

Total Forecast Pending CO’s: Actual Completion:

Forecast Adjusted Budget % Complete per forecast:

RISK STATUS Budget: Schedule:

Incident Dashboard

Safety - CAL OSHA Incident

Regulatory Compliance / OSHPD

(Notice of Non-Compliance) Infection Control

Breach Month Yes No Yes No Yes No January

February March April May June July

August September

October November December

Total

herke1Highlight

herke1Highlight

herke1Highlight

GROSSMONT HEALTHCARE DISTRICT PROPOSITION G

DESIGN & CONSTRUCTION SERVICES

1

Monthly Project Construction Report Level 1 Build Out – September 2018

Safety- CAL OSHA:

o Construction commenced with NTP, issued February 9, 2017. o Notice of completion for the Build Out recorded August 8, 2018. o Construction on the Helix Water District waterline replacement project is on hold pending

resolution on how to proceed and when. No activity and no safety incidents in September

for HWD. Regulatory Compliance/OSHPD (Notice of Non-Compliance):

o None. Infection Control Issues/Status:

o None. Overall Progress:

o The Hospital requested Licensing from CDPH on September 4th.

o ORs: Installation of medical equipment is complete in all ORs.

o Cath Labs: Installation of medical equipment is complete in all Cath Labs.

o Test and Balance of the mechanical system is complete with the exception of finalizing emergency operations settings (see 3

rd party Commissioning).

o 3rd party Commissioning is complete pending resolution on the emergency operations settings in the event that one AHU is shut down (see below).

Construction Status Photos:

o See below. Design Issues:

o As described regarding the waterline replacement project (see below). Construction Issues:

o (1) Build Out: Resolve auto-door functioning/hardware on all double doors with auto-opening devices (includes all entrances to the ORs and Cath Labs, plus entrances to

equipment storage rooms):

The doors are equipped with hands-free auto-open devices. Once put in service and in operation by the surgical staff, during training to use

the spaces the staff complained that the doors do not remain open long enough

to ensure that patients or staff can enter/exit safely.

To resolve this issue, occupancy sensors, specified by the Architect, were added to the hardware on all of the auto-operation doors.

Once installed and in use, the occupancy sensors were found to be effective only when the doors were fully open or fully closed, and were unable to detect/react

to motion in the area of the door swing while in the mode of opening or closing.

After meetings on site and unsuccessful attempts to adjust the occupancy sensors, a meeting on site was set with the door hardware manufacturer for

9/20/18 to determine how to resolve this issue.

In the interim, Hospital staff have advised that they will not place the rooms in service until the doors equipped auto-operation functions perform such that the

doors stay open as long as an object/person is within the door swing radius.

GROSSMONT HEALTHCARE DISTRICT PROPOSITION G

DESIGN & CONSTRUCTION SERVICES

2

Whether this item will affect approval from CDPH is unknown. o (2) Build Out: Two steam traps appear to be stuck in the “open” position, which isn’t a

hazard but needs fixing:

The traps were previously removed/returned to the manufacturer for replacement/repair, but are still mal-functioning.

The mechanical subcontractor has declared that the problem is not with the traps but likely with the additive specified for the steel steam system, which they

didn’t specify.

We are discussing the matter with the mechanical engineer. This is not an item that would affect approval from CDPH or use by the

Hospital.

o (3) Build Out: Finalize settings on the operation of the AHU’s in the event one shuts down, either through failure or scheduled maintenance:

The Commissioning Agent’s testing of the system found that the minimum air flows are not being met under emergency operation. We are following up with

the MEOR, Siemens and the Hospital to reach consensus on resolution.

o Helix Water District waterline replacement: A third follow-up meeting was held on August 22nd with Tim Ross and Billy

Gaston from the Helix Water District to continue discussions on how best to

proceed, with a follow-up meeting scheduled for September 20th

. The agreed

path forward:

A new 8” diameter PVC pipe will be installed as shallow as necessary.

A revised Engineering drawing has been prepared, including a structural section showing the proposed new pipe.

HWD will request bids to remove the remaining soil and slurry from the excavation prior to requesting bids for placement of the new pipe.

Work in the trench will be phased as follows: o Excavate around the Cogen Plant conduits while the Plant is shut

down for semi-annual maintenance, October 12-14. Work to be

performed by Diversified Electric.

o Complete excavation around the SDG&E conduits during a planned 2-day shut down in early November, after the end of the

high-demand power season. Work to be performed by Diversified

Electric.

o The Hospital will prepare a MOP (Method of Procedure) for OSHPD and notify CDPH for the planned SDG&E shut down

o HWD to bid the line replacement, backfill, road patch, etc., to a select list of bidders.

Completion is anticipated prior to the end of 2018. Corrective Action Plan (when applicable):

o Design: none o Construction: none

Safety Issues:

o None. Photos:

GROSSMONT HEALTHCARE DISTRICT PROPOSITION G

DESIGN & CONSTRUCTION SERVICES

3

8-15-18 Open Heart Operating Room

8-29-18 Bi-Plane Cath Lab, viewed from its the Control Room

Prepared by: Kate Herring

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 24, 2018

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

18

B

ud

get

Late

st

Fore

cast

Level 1 02 PCO 02 G-Anticipated Sindoni Consulting

Mods to the functional

performance testing on the

emergency/equip-ment mode and extended project duration due to

Commissiong issues, and site meetings.

$31,605 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 Projected?

Approval/ Review

20

18

B

ud

get

Latest

Forecast

September 24, 2018

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

18

B

ud

get

Late

st

Fore

cast

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

18

B

ud

get

Late

st

Fore

cast

Level 1 BM-TBD C Sharp

HealthCare

Future reimbursement to

Sharp for additional Prop G fixed

equipment costs. Upon approval, a Master Budget

Realignment will be submitted for Board approval with this

added cost.

NTE $1,426,438

N N

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

GO Bond Agenda - 2018 - September 24September 2018 Board ReportR1Slide Number 1Slide Number 2Slide Number 3Slide Number 4Slide Number 5Slide Number 6Slide Number 7Slide Number 8Slide Number 9Slide Number 10Slide Number 11Slide Number 12

Detailed reportSBO Const Status Report September 2018SBO Monthly Construction Status Report -September 2018R1

GOBC PCO Report 9.24.18r1

For the month of: September 2018Project: Level 1 Build OutUpdated: September 19, 2018Contractor: Swinerton BuildersArchitect: Cuningham GroupAward Amount: $10,247,122Contract Award: December 5, 2016 Executed Contract: February 9, 2017Approved COs: $2,548,681Original Completion: April 3, 2018Duration Complete: 91%Revised Contract: $12,795,803Approved Time Extension: 71 Invoiced to Date: $12,579,656Work In Place CompleteInvoiced to Date: 99% New Completion: June 13, 2018 Balance: $216,147Project Scheduled Variance: 126 Total Forecast Pending COs: $270,140Forecast Completion: August 6, 2018 Forecast Adjusted Budget: $13,065,943Complete per forecast: 100% Total: 0Total_2: 9Total_3: 6Total_4: 3Total_5: 0Total_6: 9Check Box1: OffCheck Box2: OffCheck Box3: OffCheck Box4: OffCheck Box5: OffCheck Box6: OffCheck Box7: OffCheck Box8: OffCheck Box9: OffCheck Box10: OffCheck Box11: OffCheck Box12: OffCheck Box1a: YesCheck Box2a: YesCheck Box3a: YesCheck Box4a: YesCheck Box5a: YesCheck Box6a: YesCheck Box7a: YesCheck Box8a: YesCheck Box9a: YesCheck Box10a: OffCheck Box11a: OffCheck Box12a: OffCheck Box1b: YesCheck Box2b: YesCheck Box3b: YesCheck Box4b: YesCheck Box5b: YesCheck Box6b: YesCheck Box7b: OffCheck Box8b: OffCheck Box9b: OffCheck Box10b: OffCheck Box11b: OffCheck Box12b: OffCheck Box1c: OffCheck Box2c: OffCheck Box3c: OffCheck Box4c: OffCheck Box5c: OffCheck Box6c: OffCheck Box7c: YesCheck Box8c: YesCheck Box9c: YesCheck Box10c: OffCheck Box11c: OffCheck Box12c: OffCheck Box1e: YesCheck Box2e: YesCheck Box3e: YesCheck Box4e: YesCheck Box5e: YesCheck Box6e: YesCheck Box7e: YesCheck Box8e: YesCheck Box9e: YesCheck Box10e: OffCheck Box11e: OffCheck Box12e: OffCheck Box1d: OffCheck Box2d: OffCheck Box3d: OffCheck Box4d: OffCheck Box5d: OffCheck Box6d: OffCheck Box7d: OffCheck Box8d: OffCheck Box9d: OffCheck Box10d: OffCheck Box11d: OffCheck Box12d: OffBudget1: Choice1Sched1: Choice4Other Project Costs:: Other Proj Costs:Equip,A/E & AdminOPC: $21,128,584Total Project Costs:: Total Project Costs:TPC: $34,194,527