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, June 25, 2018, at 12:15 p.m. at the District Administrative Offices, 9001 Wakarusa Street, La Mesa, California. AGENDA June 25, 2018 – 12:15 p.m.

A. Call To Order

B. Approval of Agenda

C. Public Comment

D. Discussion/Consideration

1. Project Updates/Miscellaneous

a. June 2018 Monthly Report of Prop G Projects at Grossmont Hospital

i. Summary PowerPoint Presentation/Budget Update

ii. Detailed Project Reports

2. Board Memos/Approvals

a. Report of PCOs / Change Orders

b. Consideration of Issuing a Notice of Completion for Pneumatic Tube System Upgrade and Expansion Project

c. Board Memos – None

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

a. Update – Request from Sharp HealthCare for consideration of the following for future construction projects:

i. Transferring to Sharp the use and/or cost of District owned/leased trailers and office furnishings – April 13, 2018 Letter sent to City of La Mesa

Anything else needed on this?

ii. Transferring to Sharp the use of construction laydown site – Next steps

At the April 30, 2018 Committee meeting, a discussion was requested for a future meeting, including a) possible licensing agreement with Sharp, and b) if this would be a “no cost” use of the property

b. Contractor/Sub-contractor Matters

i. Update – Engaging FS3 Hodges for analysis of requests:

Additional work for FS3 Hodges (Needed?/Discussion)

c. Helix Water Line Update – MOU signed and delivered to Helix

d. Accounts Receivable Report

e. Other Information – if needed

E. Next Meeting

F. Adjournment

1

Grossmont Healthcare District

June 2018 Prop G Board Report Hybrid OR #1030

Reflection:

“It’s not what you look at that matters, it’s what you see.”

Henry David Thoreau June, 2018 p. 2

1. Regulatory Compliance 2. H&V Level 1 Surgery Build Out 3. The Plan, Cath Labs, ORs 4. Schedule 5. Budget 6. Snapshot on Sharp HealthCare

Infill Project 7. Looking Ahead

Overview

June 2018 p. 3

Cath Lab #1023

1. Regulatory Compliance

June 2018 p. 4

Project Safety Event

Infection Control Breach

Notice of Non-

Compliance

Level 1 Surgery Build Out

0

0

3

As of 6-21-18 fourteen issues had been escalated to NNC’s, and eleven have been resolved. Resolution is anticipated on the

remaining three within the next week.

2. H&V Level 1 Surgery Build Out

June 2018 p. 5

• Medical equipment installation is complete throughout

• AE formal punch list is complete throughout; items are being addressed

• Schedule delays: 65 days approved to date. 13 day delay incurred due to Philips medical equipment installation, plus 7 delay days due to completion issues (possibly non-compensable)

• Test & Balance of HVAC system is complete • Commissioning of the medical equipment system

is complete • Commissioning of the electrical, HVAC systems

started June 13th • 4th Floor East Tower Handrails complete • Helix Waterline Replacement work started 6-18-

18 and should be complete in August 2018.

North Corridor: Complete

3i. Surgery Suite Overview Plan:

June 2018 p. 6

The Project

Cath Lab #1023

General OR #1025

Hybrid OR#1030

Open Heart OR #1027

Hybrid OR#1029

Cath Lab#1024

BiplaneCath Lab#1033

EP Cath Lab#1032

The installation of medical equipment is complete in all rooms

3ii. Cath Lab #1023:

June 2018 p. 7

3iii. Cath Lab #1024:

June 2018 p. 8

3iv. EP Cath Lab #1032:

June 2018 p. 9

3v. Bi-Plane Cath Lab #1033:

June 2018 p. 10

3vi. General OR #1025:

June 2018 p. 11

3vii. Open Heart OR #1027:

June 2018 p. 12

3viii. Hybrid OR #1029:

June 2018 p. 13

3ix. Hybrid OR #1030:

June 2018 p. 14

4. Schedule – Prop G

June 2018 p. 15

We are here

Updated 6-21-2018Prop G Level 1 Surgery Build Out Li

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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 S2016 2017 2018

Construction

4. Schedule: Prop G + Sharp Infill

June 2018 p. 16

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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

Schedule Overview of GHD & Sharp Work

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GHD Prop G Surgery Build-Out Construction 16 1/2 Months

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

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2019

Once OSHPD issues a Temporary Certificate of Occupancy, the Hospital will apply for licensing from CDPH, requesting utilization of the Build Out ORs and Cath Labs BEFORE Infill Phase 3 is completed

OSHPD “T” C of O targeted for 6-26-18

Infill Phases 3 & 4 delayed 2 months

5. Budget

June 2018 p. 17

Category Project Name Projected Cost At Completion (06/21/18)

Projected Cost At Completion (05/23/18)

Current Funds Available Total Prop G Building Fund (Bond and Settlement Proceeds, Interest Earned, Grants, Etc.) $ 260,982,543 $ 260,982,543

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 $ 35,148,012 $ 35,148,012

Projects Under Construction H&V Level 1 Surgery Floor Buildout $ 34,194,527 $ 34,194,527

Forecast Potential Surplus $ 953,485 $ 953,485

6. Snapshot on Sharp HealthCare Infill Project

June 2018 p. 18 Start Demolition of former Prep B

• CDPH approval rec’d for Phase 2 (PACU’s, Nurse Station, Sterile Storage

• Complete install of scaffolding south of H&V building for Phase 3

• Complete build of construction barriers, Phase 3

• Complete cut/cap of existing OR Air & Exhaust systems

Phase 3 Barrier Install

7. Looking Ahead

June 2018 p. 19

• Complete Functional Performance Testing of essential systems

• Complete 3rd party commissioning of HVAC, and electrical systems

• Helix Water District to continue with waterline replacement (completion anticipated August, 2018)

• Complete installation of software to support medical equipment in all ORs and Cath Labs, projected into late July

• Issue Notice of Completion

Questions?

June 2018 p. 20

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: Forecast 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

GROSSMONT HEALTHCARE DISTRICT PROPOSITION G

DESIGN & CONSTRUCTION SERVICES

1

Monthly Project Construction Report Level 1 Build Out – June 2018

Safety- CAL OSHA:

o Construction commenced with NTP, issued February 9, 2017. No safety incidents in June.

Regulatory Compliance/OSHPD (Notice of Non-Compliance):

o 3 Notices of Non-Compliance remain open, as follows:

1. Required valves to the AHU’s missing (opened 1/25/18: GC Action: agreed

solution underway)

2. The maximum allowable gap has been exceeded at 6 fire doors. (opened 6/4/18:

GC Action: procure/install approved door bottoms to close the gaps)

3. The location of the toilet paper dispenser is not compliant with ADA. (opened

6/13/18: GC Action: relocate the TPD and repair wall)

o NOTE: To date, 14 NNC’s have been issued. 11 have been successfully resolved. We

anticipate that these 3 items will be resolved in the next week.

Infection Control Issues/Status:

o none

Overall Progress: 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 Corridors: Utility installations are complete.

o The fire sprinkler system is complete.

o Test and Balance of the mechanical system is almost complete.

Construction Status Photos:

o See below. Photos of the Cath Labs and Operating Rooms have been included in the

PowerPoint and have not been included herein.

Design Issues:

o There are no current, unresolved design issues.

Construction Issues:

o Connection from the Build Out to the Hospital’s newly renovated PACU/existing ORs is

designed to occur through 3 pairs of doors that cross an expansion joint spanning between

the existing hospital and the new Heart and Vascular building. The pairs of doors are in

place, but installation of the expansion joint enclosures, part of the Hospital Infill projects’

Scope of Work, was held up at OSHPD since 7-17. Issuance of an Occupancy Certificate

may be delayed until this work is performed. On 5-22-18 the Infill Contractor presented a

plan and schedule to complete 2 of the 3 door openings by 7-13-18. The 3rd

opening, for

convenience between the new ORs and the existing ORs, will be completed by Infill during

their Phase 4 work.

o In addition to the 3 open NNC’s there are 2 open NOC’s, 1 dating back to 8/2017. Both

GROSSMONT HEALTHCARE DISTRICT PROPOSITION G

DESIGN & CONSTRUCTION SERVICES

2

pertain to mechanical issues. Swinerton continues to work actively to resolve and clear

these items as they occur.

o During testing of the humidification system, leaks developed in 3 locations on the West

Corridor. Trouble-shooting has resolved one location, but leaks persist in the other 2.

Swinerton and their mechanical sub-contractor continue to work to resolve this issue.

Corrective Action Plan (when applicable):

o Design: none

o Construction: Swinerton continues their efforts to correct open NOC’s and NNC’s.

Safety Issues:

o None again this month. Sharp Safety has discontinued their regular safety walks, and will

visit the site periodically as they perform their usual Hospital rounds.

Photos:

6-6-18: North Corridor complete.

GROSSMONT HEALTHCARE DISTRICT PROPOSITION G

DESIGN & CONSTRUCTION SERVICES

3

6-6-18: South Corridor complete.

6-13-18: Typical Equipment Room (1023B) cabinets open and work by medical equipment providers

in progress.

GROSSMONT HEALTHCARE DISTRICT PROPOSITION G

DESIGN & CONSTRUCTION SERVICES

4

6-13-18: Typical Control Room (1030A): monitors deployed, under-cabinet wiring a work in progress.

6-13-18: South Sterile Core: Sterilizer to be installed, warming cabinets anchored but otherwise

complete.

GROSSMONT HEALTHCARE DISTRICT PROPOSITION G

DESIGN & CONSTRUCTION SERVICES

5

6-13-18: West Corridor: Chasing leaks in the humidification system.

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: June 25, 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 PCO 77r1/PCI

218

F Swinerton Humidifier Condensate Steam

Trap Pump and Inline Traps

$32,230 Y Y

Level 1 PCI#214 D Swinerton Schedule Impacts 20 days @ $1500/day

(Est contract completion 7/9)

$30,000 ROM

N N

Level 1 PCI 251 F Swinerton Installation of Pressure Reducing Valve (PRV) Station on Racks. Bid docs were undefined for

the bracing..

$36,428 ROM

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

June 25, 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

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

1

RECORDING REQUESTED BY &

WHEN RECORDED RETURN TO:

Grossmont Healthcare District

9001 Wakarusa Street

La Mesa, CA 91942

NOTICE OF COMPLETION

NOTICE IS HEREBY GIVEN THAT:

1. The undersigned is owner or agent of the owner of the interest or estate stated below in the

property hereinafter described.

2. The full name and address of the owner is Grossmont Healthcare District, 9001 Wakarusa

Street, La Mesa, CA 91942.

3. The nature of the interest or estate of the undersigned is: in fee.

4. A work of improvement on the property hereinafter described was completed on: April 30,

2018.

5. The work of improvement completed is described as follows: the construction of the

Sharp Grossmont Hospital Pneumatic Tube System Upgrade and Expansion, Bid Package

No. 007.

6. The name of the original contractor for such work of improvement is: Advanced

Pneumatic Tubes, Inc.

7. The street address of said property is: 5555 Grossmont Center Drive, La Mesa, CA

91942.

8. The property on which said work of improvement was completed is in the City of La

Mesa, County of San Diego, State of California, and is described as follows: Grossmont

Hospital, 5555 Grossmont Center Drive, La Mesa, CA 91942.

Dated: ___________, 2018 Grossmont Healthcare District, a Public Agency

By_____________________________________

Barry Jantz, Chief Executive Officer

2

VERIFICATION

I, the undersigned, declare under penalty of perjury under the laws of the State of

California: that I am the Chief Executive Officer of Grossmont Healthcare District, owner of

the aforesaid interest or estate in the property described in the above notice; that I know and

understand the contents thereof and that the facts stated therein are true and correct.

Dated: ___________, 2018 _______________________________

Barry Jantz, Chief Executive Officer

CERTIFICATE OF ACKNOWLEDGMENT

STATE OF CALIFORNIA )

COUNTY OF SAN DIEGO )

On _____________, 2018, before me, ___________________________, Notary

Public, personally appeared BARRY JANTZ, proved to be me on the basis of satisfactory

evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and

acknowledged to me that he/she/they executed the same in his/her/their authorized

capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the

entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that

the foregoing is true and correct.

WITNESS my hand and official seal.

___________________________

Notary Public (SEAL)

A notary public or other officer completing this certificate

verifies only the identity of the individual who signed the

document, to which this certificate is attached, and not the

truthfulness, accuracy, or validity of that document.