Memo
GROSSMONT
HEALTHCARE
DISTRICT
To:
GO Bond Committee
Via:
Program Director
Thomas Fakner, Program Director
From:
Program Management Team
Tim Meehan, Senior Program Manager
Dan McDaniel, Senior Program Manager
Cc:
Barry M. Jantz, CEO
Jeff Scott, District Counsel
Tom Saiz, CFO
Date:
June 30, 2011
SUBJ:
Board Memo #143 - Consideration of Master Program Budget Revisions July 5, 2011
RECOMMENDATION of the PROGRAM MANAGEMENT TEAM:
Adopt the revisions incorporated in the July 5, 2011Master Program Budget Update.
ASSIGNMENT:
Not Applicable
PURPOSE/JUSTIFICATION OF RECOMMENDED ACTIONS:
Reason for Change:
The Early Utilities Package and Interim Dietary Loading Dock projects (Make Ready – Early Utilities &
North Dock) were recently bid to pre-qualified bidders. The low bid amount exceeded the previously approved
construction cost estimate for these projects. The Early Utilities Package project also included work to install a
new IS Data Backbone (estimated at $800,000) which will be funded by Sharp Healthcare during the
construction phase. Funds for the IS Data Backbone are budgeted by Sharp Healthcare as part of their Capital
Program Budgets.
Description of Change:
Revise the Master Program Budgets to transfer funds from the Additional Contingency line item to the Early
Utilities Package and Interim Dietary Loading Dock projects Construction Cost line item and to revise the
H&V Center Budget to reflect the most recent construction cost estimate.
FISCAL IMPACT/FUNDING:
Approval of this budget will have a net positive impact of $1,111,961 on the previously approved Master
Program Budget Total.
FACTS AND PROVISIONS/LEGAL REQUIREMENTS:
The stated goal of the Prop G Program is “To improve life-saving emergency care in East County, reduce
emergency room overcrowding and improve medical facility access following earthquakes, wildfires or other
#143 Memo to Board -Master Program Budget Revisions July 5, 2011.doc
disasters, issue $247,000,000 of bonds to complete Grossmont Hospital’s Emergency and Critical Care Center,
expand cardiac care, acquire, construct, repair and improve medical facilities, add patient beds, modernize
medical technology, and improve seismic safety, with independent citizens’ oversight and with all funds used
locally to improve medical facilities in East County.”
IMPLEMENTATION OF MASTER PLAN GOALS:
Not Applicable.
ENVIRONMENTAL DOCUMENTATION:
Not Applicable.
IMPACT ON CURRENT SERVICES (OR PROJECTS):
This action does not impact other Prop G projects.
IMPACT ON SCHEDULE:
The overall Master Program Schedule completion date is not extended due to this change. Approving this
change will allow the Early Utilities Package and Interim Dietary Loading Dock projects to begin as
scheduled.
CONTRACTING PROCESS:
Not Applicable.
 Page 2
Grossmont Healthcare District
Prop G All Projects
Variance Report
7/5/2011
Opinion of Probable Cost
Project
EDU/CCU
East Tower
Central Energy Plant
Make Ready- Early Utilities & North Dock
Make Ready- South Dock/Level B Seismic
H&V Center
Level 1 Buildout (Base Option only)
Subtotal
HOTC
Bond Issuance Costs
Subtotal
Add'l Contingency
Total
Approved Budget 2/14/11
$41,093,543
$44,448,508
$50,478,045
$7,820,620
$6,518,673
$60,895,300
$27,503,996
$238,758,685
$7,500,000
$3,811,093
$250,069,778
$2,150,000
$252,219,778
Re-Baseline Budget
$40,823,543
$44,448,508
$50,478,045
$10,445,318
$6,518,673
$59,578,642
$27,503,996
$239,796,724
$7,500,000
$3,811,093
$251,107,817
$0
$251,107,817
Remaining Variance from Prop G Funds Conceptual Budget ($247,000,000)
Notes:
1) includes allowance for headwall units as fixed equipment
2) includes $2M in above ceiling unidentified scope
3) includes APSI estimate 1-10-2009, Cumming Estimate (1-31-2011) & Moving Budget ($500,000)
4) based on 90% CD Construction Estimate dated 4-21-2011
5) based on most current Stantec/Cumming estimate dated 12-7-2010
6) includes allowance for HOK fees (negotiated)
7) based on bid results
8) includes 20% construction cost contingency on all projects
9) includes contract closeout adjustment
10) Contingency moved to Make ready - Early Utilities & North Dock Construction Cost
Master Budget Update 110705.xls
6/28/2011
Variance
Notes
9
$270,000
($0) 1,2,5
($0)
($2,624,698) 7
($0) 3
$1,316,658 4
$0 6
($1,038,039) 8
$0
$0
($1,038,039)
$2,150,000 10
$1,111,961
($4,107,817)
Grossmont Healthcare District
2-4-5 Build Out
Opinion of Probable Cost
12/21/2007
Complete
Current 2-4-5
Metrics
Metrics
d.) Renovation Sq. Ft.
e.) Renovation Cost per Sq. Ft.
f.) New Construction Sq. Ft. Finished
g.) New Construction Cost per Sq. Ft. Finished
h.) Shelled Space Sq. Ft.
i.) Shelled Space Cost/Sq.Ft.
j.) Total Construction Cost/Sq.Ft.
k.) Total Project Cost/Sq. Ft.
l.) Total Project Sq. Ft.
$0.00
68,386
$399.94
$0.00
$484.31
$600.91
68,386
OPC
Factor
Construction
a. New Construction Finished
$/Sq.Ft.
b. New Construction Shelled
$/Sq.Ft.
c. Renovation
$/Sq.Ft.
d. Commissioning
e. Contract Close Out Adjustment
f. Hazerdous Material Abatement
Total Direct Construction and Site Cost
Escalation & Design Contingency included Above
Construction Contingency
$273.33
$3.72
$
0.00%
20.00%
Construction Cost
$
$0
$27,350,000
$0
$0
$250,000
-$270,000
$0
27,330,000
incl
$5,520,000
32,850,000
Equipment
a. Medical Equipment -Heraeus Arms
b Furniture,
b.
Furniture Fixtures and EquipmentEquipment Sharp Expenditures
c. Graphic Signage
d. Telecommunications/Information Systems New
e. Telecommunications/Information Systems Devices/Instruments/Cabling
f. Nursecall System
g. Security/Paging/PA/Specialty
h. Food Service
Subtotal for Equipment Budget
Equipment Contingency
$/sq.ft.
$/sq.ft.
$/sq.ft.
$/bed
$/sq.ft.
$1,143,000
$0
$125,000
$273,544
$188,062
$0
$350,000
$0
$2,079,605
$103,980
$1.83
$4.00
$2.75
$0.00
$5.12
5.00%
Equipment Cost
$
2,183,585
Design and Consultant Fees
a. Preconstruction Services Fees
b. Architect and Engineers (includes: MEP, Structural, Civil, ID, & LS)
c. Equipment Planning /Other Consultant Fees.
d. Food Service
e. Security Consultant
Subtotal for Design and Consultant Fees
Design and Consultant Contingency
$0
$1,831,605
$0
$0
$25,000
$1,856,605
$92,830
6.64%
LS
5.00%
Design and Consultants Cost
$
1,949,435
Administrative Costs
a. Permit Fees
b. Permit Fees Local
c. Site Survey, Testing, Boring, and Reports
d. Testing Services
e. Inspector of Record
f. Legal Fees/ Insurance
g. Move-in - Start-up Costs
h. Project Management Internal
i. Other Administrative Costs (Recoverable Costs)
Subtotal for Administrative Costs
Administrative Contingency
1.65%
$546,480
$0
$50,000
$275,000
$250,000
$50,000
$0
$1,656,000
$937,738
$3,765,218
$75,305
Allowance
Allowance
Allowance
Allowance
5.00%
2.00%
Administrative Cost
Total Construction, Equipment, Consultant and Administratve Costs
$
3,840,523
$
40,823,543
$0
Total Project Contingencies Included Above
Financing Costs
$0
$0
0.00%
TOTAL PROJECT Opinion of Probable Cost
$
Page 1
40,823,543
Master Budget Update 110705.xls
Grossmont Healthcare District
Make Ready- Early Utilities & North Dock
Opinion of Probable Cost
7/5/2011
Bid Results
Total
Utility Master Plan
Metrics
Metrics
a.) Renovation Sq. Ft.
b.) Renovation Cost per Sq. Ft.
c.) New Construction Sq. Ft. Finished
d.) New Construction Cost per Sq. Ft. Finished
e.) Shelled Space Sq. Ft.
f.) Shelled Space Cost/Sq.Ft.
g.) Total Construction Cost/Sq.Ft.
h.) Total Project Cost/Sq. Ft.
i.) Total Project Sq. Ft.
Factor
OPC
Construction
a. New Construction
$/Sq.Ft.
a. New Construction Shelled
$/Sq.Ft.
c. Renovation
$/Sq.Ft.
d. Commissioning
e. Elevators
f. Hazerdous Material Abatement
Total Direct Construction and Site Cost
g. GC Fee
h. General Conditions
i. Bonding
j. Insurance
k. Sales Tax
Total Indirect Construction Costs
*
*
*
*
0.00%
0.00%
0.75%
0.00%
0.00%
0.00%
$
$
$
$
$
$
$
$7,508,775
$0
$0
$0
$0
$0
7,508,775
-
$7,508,775
Subtotal for Construction Contract
Escalation & Design Contingency included Above
Construction Contingency
0.00%
20.00%
incl
$1,501,755
Construction Cost
$9,010,530
a. Medical Equipment -Fixed
b. Furniture, Fixtures and Equipment- Sharp Expenditures
c. Graphic Signage including all exterior and interior / Artwork & Plants
d. Telecommunications/Information Systems New
e. Telecommunications/Information Systems Devices/Instruments/Cabling
f. Nursecall System
g. Security/Paging/PA/Specialty
h. Allowance for Installation of Equipment
Subtotal for Equipment Budget
Equipment Contingency*
$0
$0
$0
$0
$0
$0
$0
$0
$0
Equipment
$/sq.ft.
$/sq.ft.
$/sq.ft.
$/sq.ft.
$
Equipment Cost
$0
Design and Consultant Fees
a. Preconstruction Services
b. Architect and Engineers (includes: MEP, Structural, Civil, ID, & LS)
c. Equipment Planning & Other Consultant Fees.
d. Food Service
e. Security Consultant
Subtotal for Design and Consultant Fees
Design and Consultant Contingency
$0
$369,714
$80,000
$0
$0
$449,714
$22,485
4.10%
0.89%
5.00%
Design and Consultants Cost
$472,199
Administrative Costs
a. Permit Fees
b. Permit Fees Local
d. Site Survey, Testing, Boring, and Reports
e. Testing Services
f Inspector of Record
f.
f. Legal Fees / Insurance
g. Move-in - Start-up Costs
h. Project Management Internal
I. Other Administrative Costs (Recoverable Costs)
Subtotal for Administrative Costs
Administrative Contingency
1.65%
$148,674
$0
$30,000
$50,000
$158 840
$158,840
$10,000
$50,000
$469,237
$0
$916,751
$45,838
Allowance
Allowance
Allowance
Allowance
Allowance
5.21%
5.00%
Administrative Cost
$962,588
Total Construction, Equipment, Consultant and Administratve Costs
Total Project Contingencies Included Above
$
$1,570,078
$0
15.03%
TOTAL PROJECT Opinion of Probable Cost
$
Page 1
10,445,318
10,445,318
Master Budget Update 110705.xls
Grossmont Healthcare District
Heart and Vascular Center Building
Opinion of Probable Cost
7/5/2011
@90% CD Phase
D&T Inc 1, 2 &3
Metrics
Metrics
3,324
$1,339.04
50,703
$507.93
20,319
$166.06
$568.41
$801.37
74,346
OPC
a.) Renovation Sq. Ft.
b.) Renovation Cost per Sq. Ft.
c.) New Construction Sq. Ft. Finished
d.) New Construction Cost per Sq. Ft. Finished
e.) Shelled Space Sq. Ft.
f.) Shelled Space Cost/Sq.Ft.
g.) Total Construction Cost/Sq.Ft.
h.) Total Project Cost/Sq. Ft.
i.) Total Project Sq. Ft.
Factor
Construction
a. New Construction Finished
$/Sq.Ft.
a. New Construction Shelled
$/Sq.Ft.
c. Renovation
$/Sq.Ft.
d. Commissioning
e. Pneumatic Tube Upgrades
f. Hazerdous Material Abatement
Total Direct Construction and Site Cost
Escalation & Design Contingency included Above
Construction Contingency
$507.93
$166.06
$1,339.04
$10.06
$
0.00%
20.00%
Construction Cost
$25,753,622
$3,374,280
$4,450,969
$547,921
$800,000
$288,800
35,215,592
incl
$7,043,118
$42,258,710
Equipment
a. Medical Equipment -Fixed
b. Furniture, Fixtures and Equipment- Sharp Expenditures
c. Graphic Signage including all exterior and interior / Artwork & Plants
d. Telecommunications/Information Systems New
e. Telecommunications/Information Systems Devices/Instruments/Cabling
f. Nursecall System
g. Security/Paging/PA/Specialty
h. Allowance for Installation of Equipment
Subtotal for Equipment Budget
Equipment Contingency*
3.05%
$/sq.ft.
$/sq.ft.
$/sq.ft.
$1.65
$4.53
$3.65
$/sq.ft.
$5.79
$
5.00%
Equipment Cost
$53,915
$0
$122,859
$229,456
$184,841
$0
$293,704
$25,000
909,775
$45,489
$955,264
Design and Consultant Fees
a. Preconstruction Services
b. Architect and Engineers (includes: MEP, Structural, Civil, ID, & LS)
c. Equipment Planning & Other Consultant Fees.
d. Food Service
e. Security Consultant
Subtotal for Design and Consultant Fees
Design and Consultant Contingency
0.00%
22.46%
1.18%
$0
$9,489,559
$500,000
$0
$0
$9,989,559
$499,478
5.00%
Design and Consultants Cost
$10,489,037
Administrative Costs
a. Permit Fees
b. Permit Fees Local
d. Site Survey, Testing, Boring, and Reports
e. Testing Services
f. Inspector of Record
f. Legal Fees / Insurance
g. Move-in - Start-up Costs
h. Project Management Internal
I.
I Other Administrative Costs (Recoverable Costs)
Subtotal for Administrative Costs
Administrative Contingency
1.65%
$697,269
$0
$250,000
$400,000
$405,840
$150,000
$0
$3,692,729
$0
$5,595,838
$279,792
Allowance
Allowance
Allowance
Allowance
Allowance
6.20%
5.00%
Administrative Cost
$5,875,629
Total Construction, Equipment, Consultant and Administratve Costs
$
59,578,641
* Equipment Contingency includes $1,500,000 outlined in Board Memo #92
Total Project Contingencies Included Above
Additional Contingency- None
$7,867,877
$0
13.21%
TOTAL PROJECT Opinion of Probable Cost
Page 1
$
59,578,642
Master Budget Update 110705.xls