Sign New York Electrical Services Contract Later

Document type sign electrical services contract new york later

the quarter report is on we're ready to go fenny okay thank you colisia welcome and thank you for joining us today for the meeting of the new york city health and hospital capital committee today's meeting is officially called to order first i would like to propose a motion to adopt the minutes of the capital committee meeting held on may 14 2020. i will be polling each member individually for this or her boat jose pagan uh yes dr katz yes dr katz yes can you not hear me uh no we were not but now we can hear you okay okay uh frida juan yes sally hernandez pinero yes thank you so um the motion is carried next we will hear from our senior vice president um ms flaherty please good morning thank you chair person pina mora and sharapogan and capital committee despite these challenging times where it feels like the only certainty is uncertainty our ofd department continues to persevere in close collaboration and consultation with our facility and central office leadership teams today's four construction resolutions one major design resolution and one license agreement are a culmination of efforts by our bidding team led by ricky tullock our design and construction team led by oscar and gonzalez and our real estate and legal teams with the big thanks to leora john teff and jeremy berman over the course of our of the summer our directors of engineering and union trade staff in our facilities have continued pandemic resiliency efforts in installing additional physical barriers for our staff and patients enhancing our air exchange rates and adding hepa filtration where possible increasing our dialysis capacity and potential surge areas and increasing oxygen outlets in specific areas of concern manny and our operations team has supported the vision of our facility leader ceos and we continue to be in the ready to deploy our resources for the unknown meanwhile our planning design and construction unit has completed a large portion of fema work and additional batch of cares projects to further prepare our facilities for an increase of potential covid19 patients in partnership with gotham leadership michelle lewis and her team another emergency program led by senior director starleen scott with oscar is our emergency program being constructed by ddc that is nearing completion in the bronx brooklyn and queens these are our covid centers of excellence prior to the covet 19 pandemic new york city health and hospitals selected these three sites to build primary care clinics to fill the gap of limited primary care services and other safety net health resources available in these communities these same neighborhoods also experienced an increased disease burden from the pandemic caused by historical poor health outcomes and other social determinants of health the kovitt centers of excellence are specifically designed to be responsive to the emerging needs for coba 19 survivors and reduced demand on the closest public hospitals in those communities elmhurst lincoln and wood hall to allow the hospitals to focus on more acutely ill patients these substantial projects are expected to open beginning in the fall in the bronx and into the winter the three sites will offer copied recovery service services to address the unique conditions affecting many survivors of covid including specific evidence-based pulmonary and cardiology evaluation and treatment mental health and other specialized care for certain chronic conditions that have been altered by the effects of the virus now more than ever sorry thank you can you hear me yes thank you additionally now more than ever housing our most vulnerable homeless patients will remain a steadfast commitment of health and hospitals we look forward to presenting our first potential supportive housing development and collaboration with hpd for a second phase of communal life 2 at wood hall hospital in october earlier this month myself and our avp of housing and real estate liara john teff met with the commissioner of hpd and her team as we look at opportunities to partner to expand housing access in additional ways in the city for our patients we look forward to these important partnerships to support our high utilizer patients that could lead healthier lives if provided housing under the leadership of our supply chain team our office continues to work hard at increasing our mwbe participation in august i presented upcoming opportunities to the local chapter of the national association of minority contractors through a zoom meeting with our team there were over a hundred participants on the call recently we've seen a major increase in bidders for our public solicitations which these resolutions will show including many mwbe firms as primes and all all bids are coming in with robust mwbe plans often higher than the 30 percent goal where prior covid prior to covid we had bids we were receiving bids of two to four we are now opening bids with 12 to 17 vendors bid values are also lower and we continue to work hard to ensure our low bidders are ready and prepared to work for our system under heather mccrary's leadership and supply chain we have conducted two mwbe closed pool solicitations over the course of the last six months that will be supporting our 50 water street consolidation and we are continuing to identify opportunities for mwbe firms our cm solicitation which had been on hold due to the pandemic is back on track and oscar gonzalez is leading that process with supply chain we expect to present the uh the results of that solicitation to the board in november it involves looking at 19 submissions including multiple mwbe primes we appreciate the committee's understanding and allowing us to present this resolution in november for contracts that expire in december we want to ensure that we have additional firms able to support the system and we will be increasing the pool of firms from five to seven so thank you for your patience and we're happy to have any questions on that i want to thank the committee for your time and your feedback throughout the course of the summer as we look to get ourselves back to normal and continue to persevere and prepare for the fall into the winter thank you thank you christine uh for your summary of the activities i just want to say um that uh we have been very impressed with your work and your team um you know it has been very challenging times for all of us and particularly your team has race to the occasion supporting the needs of the programmatic needs of the whole system so thank you and i also would like to thank you and your team for continuing to do that at the same time that you continue to further the goals that were established recovered so um please send our most uh heartfelt uh sincere thanks to all the members of your team um is there anything thank you is there any question or comments about christine summary we just go through the um the members of the poor jose funny i just want to uh you you said it you said it very well and i i'll add that uh christine the work done on the kobe centers of excellence the way you are all thinking about planning for something that could happen or in better prepare is is pretty impressive i i've enjoyed working with you over the summer and feni and everybody else on the board to to sort of like uh discuss what are the plans um the also the wood hall project very very exciting uh and interesting and uh just you know we're i'm so happy about the work that you are all doing to despite all the difficulties that we're facing so thank you and thank you thank you thank you dr katz any comments or sorry i had a little one i would just add and thank you uh fenia jose for noticing that if the hospital ceos were here you know they would be cheering for uh christine's team they really feel that now whether it's because something goes wrong which sometimes happens in aging facilities her team is there right away uh manny is there you know within minutes trying to help um and that uh for the new things that she always has uh her team a creative idea of how to solve problems and so you know the she really sees she and her team really see their facilities as the customer and get out there for the sake of the patients about making whatever changes and improvements need to happen but thank you for noticing thank you mitch i i just would like to add that you know we just also noticed the culture that you have fermented throughout the whole system of partnership and i think christine is of course emblemic but we also would like to thank you for creating that culture of support and collegiality among all the units in the um in the system so thank you mitch for everything you have been doing of course recovery during coming and now after the lockdown so thank you so much for being here wonderful culture thank you now frida any comments not to pile on but i think um you all have have said um basically expressed how i feel i think it's incredibly impressive christine we've talked about this in the past your team has been um just amazing and how important and mitch described it you know responding immediately and and being very creative in your solutions i know you also think about the financing side and how to maximize dollars there and use that most efficiently and so i i i commend you for that as well and i just want to say i'm incredibly impressed by your outreach to the community the vendor community the suppliers the contractors and the statistics that you just reported on are are quite amazing and so important in this time to be expanding that pool and get getting opportunities and getting people in and working and giving you know helping us do what we need to do so thank you for your focus on that in in the midst of all of this as well you and your team thank you thank you frida and i i just would like i'm sorry that i got into almost every comment but uh some of the things that i also have uh being able to observe christine do is like really trying to uh position health and hospital as a client of choice and i think this outreach to the contracting community to the professional services community and now in particularly which you know there is a tough economy and now there are vendors that are looking at health and hospital as a client that they may not have been looking before i think christine and her team are making sure that you are using this opportunity to create um the partnership to ensure that um the system is able to deliver for all the units so i really would like to thank also christine for helping ensure that health and hospital becomes a client of choice for all those service providers yeah uh sally you don't have to say i can't just sit here and i i'm the last piley i want to say that um everyone had extraordinary demands during the pandemic but the physical demands on your folks were really extraordinary and uh you rose to the occasion and now we come before you and we can see that in the interim very short period of time you've been working on old initiatives or missions you started as well as new initiatives um and looking at our current agenda um you know you're you're there for the hospitals all the way christine so i do want to thank you and your folks along with everyone else thank you sally and now uh if there are no further comments um we have a number of uh resolutions to consider and so miss flaherty you'd have the floor thank you good morning so our first resolution as it is coming up on the screen is requesting authorization for new york city health and hospitals corporation nyc health and hospitals to execute a contract with ba global construction corporation the contract door for an amount not to exceed seven million one hundred and forty three thousand nine hundred and forty six dollars for construction services necessary for the reconstruction of the exterior facade rehabilitation at health and hospitals wood hall hospital center the facility with an eight and a half percent project contingency of seven hundred and twelve thousand two hundred and ninety nine dollars for unexpected changes in scope yielding the total authorized expenditure of seven million eight hundred and fifty six thousand two hundred and forty five dollars um good morning i think now the presentation is visible i believe uh my colleagues from woodhall are on the line for purposes of question and answer lisa scott mckenzie and ricardo um let's get started so the background here is that uh wood hall hospital which as a structural as an engineer i love wood hall hospital and how it looks see the structure from the outside okay [Music] okay let's get started so the background here is that uh okay i think you have to mute lisa okay there is wood hall okay so i'm gonna i'm gonna start uh again so the facade of wood hall hospital needs some work um the exterior facade which was constructed in the late 70s it requires a number of areas that have been deemed unsafe structurally and an extensive sidewalk shed is already installed at the hospital joint sealants and gaskets and the steel paneled facades have deteriorated and are in need of replacement and the face bricks have cracked and mortar joints have deteriorated also requiring new pointing the steel sheeting soffit and column panels have rusted and cracked and they're several windows that require replacement a number of railings throughout the hospital also have to be restored and replaced next slide other um i think in order to comply with these requirements no i feel like we we initiated design services and the design is complete for this scope of work and so those design documents were sent out to the market and sourced via a public bid the public bid resulted in 12 bidders bidding on the work and ba global construction corporation is our lowest bidder this is an mbe firm and they also identified a 37.2 subcontractor mwbe plan the va global will be uh self-performing 62 of the work and the um mwbe plan is listed here on slide floor and the subcontractor mwbe utilization plan demonstrates it over two million dollar participation from subcontractors as well as the work being self-performed by ba global this project it once initiated and registered with the controller would be expected to be completed in 2022 in looking at ba global construction corporation is exciting to see that this is a company with experience as a subcontractor as well as a prime and their experience with health and hospitals actually started as a subcontractor now they've they're building their capacity to the extent of being able to complete a project such as this based on three evaluations uh received um we had ratings that included excellent they did not have a prime um rating within passport because they uh haven't done substantial prime work but uh we did call money evaluations to determine their um ability to to get this work done and all of the ratings were positive next slide this shows you the project budget for the overall funding for this project which is an 8.2 million dollar project funding the construction is listed there the award the design services as well as the available contingency at the oh the beginning of this construction of 712 thousand dollars so this is our resolution which i read as the slide uh was coming up and there's language here to again repeat the project budget and the budget breakdown at this point i think we'd be ready to take any questions thank you christine for your presentation and particularly i'm quite impressed with this presentation and your comments with respect to the contractor that they have been performing sub uh work and now are taking on as a prime work so i think this is a very good story um in terms of the nwb community so thank you um and i i'm very glad to see this type of progress um so now i'm going to ask each member of the board for any questions or discussions with respect to this resolution um jose no questions thank you okay thank you dr katz no questions thank you frieda question thank you penny so thank you sally quick question did this come before the committee once before and is this a continuation of the construction process or is this a new building so this is uh this is a construction bid uh so this has not become this specific project at this location hasn't come before this committee b fore however we do have a large portfolio of facade projects where i think the most recent facade project with similar uh dilapidated outside was uh the t building at kings county but this specific one to help wood hall hospital has not come before the committee in the past okay thank you thank you if there are no further questions or discussions i would like to propose a motion to approve this resolution for submission to the board i will go through each one of the members for the boat jose yes mitch yes frida yes uh sally yes the motion is carrie thank you um christine good morning so this project is for jempo gemco electric i believe on the line we have dr khanna from lincoln hospital we have two different construction resolutions uh associated with lincoln hospital this is for the project background for why this project is required lincoln hospital is not in compliance with nfpa codes that require a separation of the three branches of electric system critical life safety and equipment branches they are required by code to be separated so this re this involves the red outlets them that help tie to medical equipment and patient rooms exit signs emergency lighting and all of the medical equipment that's so important to save lives every day at lincoln hospital next in order to get into compliance a substantial amount of electrical work is required at our hospitals the existing panels at the main electric switch gear rooms has mixed wiring at the life safety critical equipment branches and it causes disruption to the operation of the emergency department surgical department and all hospital intensive care units this work is incredibly uh invasive in that it has to be done in collaboration with our hospital staff with the contractor and so it involves a tremendous amount of careful phased work over a period of time so this uh project was designed and it was sent to public bid uh jemfo this was a bid that happened ahead before covid hit us and uh there were four bidders at the time of this uh procurement jemco electric contractors was the lowest responsible bidder and they presented an mwbe plan of 30 with all of the mwbe providers listed here uh jemco is a gc anal electrical contractor who does a large amount of projects for health and hospitals both jacks as well as hard money goods the contract amount here is five million one hundred eighty eight thousand three hundred dollars and the mwbe utilization plan is one over 1.5 million dollars this project is scheduled to be completed in 2021 based on evaluations in mocks both by health and hospitals and dep we found ratings that included excellent and good submitted for gemco next here shows the project budget um i will point out that the project contingency varies per project because of the fact that we're not sure exactly where the bids are going to come in so in this case uh we have a 12 project contingency available based upon the 5.1 million dollar bid and a total project funding of 6.3 million dollars so now i'll read the resolution that we're requesting we're requesting this resolution authorizing the new york city health and hospitals corporation nyc health and hospitals to execute a contract with jemco electrical contractor inc the contractor for an amount not to exceed five million one hundred and eighty eight thousand three hundred dollars for electrical upgrade services necessary for the hospital essential electrical system at new york city health and hospitals lincoln the facility with a 12 project contingency of and 778 five dollars for unexpected changes in scope yielding a total authorized expenditure of five million nine hundred and sixty six thousand five hundred and forty five dollars thank you christine um i just have a question um before opening up for all the members um here you use the terminology project con contingency is that because you foresee that there may be some expenses as you're saying here in design testing and filing or are you expecting this contingency only to go to construction i think that we would we could depending on the nature of an unforeseen condition we could run into a situation where additional engineering may be required and so we're calling it a project contingency one to be consistent um recognizing that some changes at times would result additional costs beyond just the contractor okay thank you thank you so i would like now to ask for the members if they have any questions uh jose no questions thank you uh mitch no questions thank you uh frida i just have one question christine that gemco is also a requirements um one of our requirements contractors right is that yes that's correct okay and so this is a large job of specific project and that's why we wouldn't use it through the requirements process is that kind of how it works correct um we try to uh we try to keep the scope of the jocks contracts anywhere from under a million dollars to one to two depending on uh you know the specific project and how urgent it is but we do try to send out to bid as much as possible to the market for larger scale complex work and this is an example of that okay that makes total sense thank you thank you thank you freda sally no questions uh i would like to follow up on frida's question um you know talking about the contractor sometimes owners are concerned about capacity of the contractors if they are doing a lot of jobs within the same organization was this considered during the evaluation this bidder had to demonstrate they had capacity they also are going to have to submit a bond associated with the work um and and that vetting demonstrated this firm could perform the work okay thank you now if there are no further questions um i would like to propose a motion to approve this resolution for submission to the bombers i will call each member individually for his or her vote um jose yes uh mitch yes frida yes sally yes the motion is scary thank you uh christine the next superstar so our next resolution will be requesting um authorization to enter into an agreement for the underground storage tanks at lincoln hospital as part of our energy program and so cyril has joined us who leads our energy team he's here on my left i think you're a visible right and this provides a project background lincoln hospital currently has four fifty thousand gallon number two fuel oil underground storage tanks they also have two ten thousand dollar ten thousand gallon uh diesel underground storage tanks these tanks are past their useful life and they require substantial replacements they this also ties into other energy efforts at the hospital and uh the tanks themselves uh have required leak detection system the we have currently violations for these tanks with dec that we need to replace these tanks as quickly as we can and appropriately as we can and the new project will reduce uh the amount of tanks and the amount of volume we have on the campus which is good and also improve um what is where uh and so uh this will involve both decommissioning the existing tanks as well as installing brand new tanks at a location adjacent so um let's go to the next slide this shows you a diagram of what is being um replaced the oh help me out here cyril the blue is the old thanks christine within uh plant plant b because the the site is divided into two plants plant b we will allow the existing uh tanks to remain and plant and on that same plant we will be installing uh two new uh 30 000 gallon tank along with the 25 000 gallon diesel tank on plan b on plant a we will be removing the old tank and installing a new 25 000 gallon diesel tank thank you sarah next slide so i did want to provide a little context to this resolution in that it's a little different in that uh we utilize uh new york power authority to help us deliver a number of energy projects under an encore agreement that the city has with new york power authority and so this project is being executed by the new york power authority these encore agreements serve a number of organizations across the city health and hospitals cuny dcas and uh doe department of education and so in this case um nypa hires construction management firms and designers and contractors and so the bidding in this case was actually delivered by naipa but we are sharing all of the information so you have a sense of the project and the awardees in this case next slide so naipa has on their team for this project a construction management firm guth de konzo and that construction management firm acquired through nypa's processes a competitive bidding process there were four bidders that are listed here and the lowest qualified bidder was dynamic u.s nypa has an active supplier diversity program and has 30 percent mwbe goals similar to our goals dynamic us is the lowest responsible bidder of the four bidders they had a 33.6 subcontractor utilization plan and we've listed out the three firms associated with the mwbe plan below is the construction contract amount as well as the mwbe amount the projected completion date for this project is december of 2022 and we did pool evaluation information about dynamic they had a substantial amount of long history with dep which makes sense they have a lot of tanks at dep and so we saw a number of ratings good good and excellent submitted for dynamic within the mock system this shows you the project budget the breakdown of the project uh totaling the 19.6 million dollars uh design construction bonds project contingency construction management fees the project management fee as well as as well as interest during the course of construction so this is a resolution authorizing new york city health and hospitals nyc health and hospitals to execute a customer installation commitment cic with the new york power authority nypa for an amount not to exceed 19 million five hundred 645 twenty one dollars including a ten percent contingency of one million four hundred and forty nine thousand seven hundred and seventy seven dollars for the planning design procurement construction construction management and project management services necessary to install new underground storage tanks at new york city health and hospitals lincoln any questions thank you uh christine um we would like to open up for questions to the um uh committee uh jose very good thank you uh mitch no questions uh frieda um christine thank you it was very helpful for the explanation with naiba so i just want to make sure i understand um the relationship so we're entering into a contract with naipa for this specific project that is sort of governed by the encore two is that how to think that's correct yeah that's correct so like the project management fee tonight is that something that is in with embedded and standardized in the in the um in the encore relationship or is it something that we you know do on a transaction by transaction basis uh it's embedded uh within the encore agreement and there are different percentages depending on the the size of the project okay got it and then the interest during construction is the interest on neither's part because we're not being charged interest on the geo bonds right is that where does interest well the process how it works is that um nypo pees out uh to the construction uh to the contractor as the the you know different phases of the project is completed and so this outlay of funds you know relates to some interest for that initial uh payment that has been um you know disbursed to contractors and currently they are using i think around four percent which is extremely high uh interest charge but generally uh because of the way uh health and hospital reimburses uh new york authority the interest during construction is is minimal at the end of the project so this is just an estimated estimated amount and it's it's basically whatever their the actual interest charges is that yes it's estimated or wrong amount for the duration of the project the two-year duration of this project that's the estimated just an estimated amount okay um okay uh that's helpful i think it's an it i guess that the general encore relationship is it makes sense to have knight been doing all of this and you know us having them as our project manager is that yeah it it it's very helpful and um they have kind of experts around energy oriented projects uh dcas is kind of the master negotiator for the encore agreements and so there are certain aspects of the terms that we are kind of sub recipients to i would say and then we we execute um mousse with d to acknowledge the encore agreements okay thank you thank you thank you frida sally sally do you have any questions i think you're muted sally can you hear me now i can we can hear you hey can you hear me now yes now yes fantastic um i had two questions one on the evaluations there were two goods and an excellent and i don't know um when you look at the bidders let's say the next lowest bidder had three excellence i'm just curious do you uh say if they're at least three goods that's foundational enough we're good enough with that i was just curious about the weight of that evaluation um so the evaluations are looked at uh at the time of opening if there's anything below a good that's where you have kind of a caution to try to really better understand um and you know price is the first area of focus and then all of all of the responsive and responsible elements come into play including uh vendor evaluations and i don't know if keith tell these on the line if he has anything to add but i mean that's kind of the steps or for ricky in this case we weren't the ones administering this right so we we kind of grabbed the information and we did a little bit of our own due diligence on the vendors uh to be in format with how we present these to the board okay and on the project budget this is a little bit along frida's line of questioning are each of the line items line items that we would have included is there anything missing or anything they added um i think that the contract structure itself lends to certain built-in line items with nypa because of the way the funding occurs and their consultants that are on board so i think we as you notice there's a couple more lines here than what we normally give in a project breakdown uh but it's it's all the basics design construction management project management uh in this case we have i believe interest that's added here uh that normally we don't show the breakdown payment and performance bonds are usually in our construction line so it's it's just that we gave a little more uh breakdown because this is really a resolution to be in an agreement with naipa so we wanted to share fully uh what the terms of that agreement are okay thank you thank you thank you sally um if there are no other questions i would like to propose a motion to um to accept this resolution for forwarding to the old board i will be going through each one of the members for his or her vote yes uh mitch yes afrida yes sally yes the march i also voted yes and the motion is carried um now christine the next resolution great thank you our next resolution is authorizing new york city health and hospitals corporation to the system to execute a five-year revocable license agreement with the grace foundation of new york the licensee for its continued use and occupancy of 5 700 square feet of space in the isolation building to operate support programs for individuals affected by autism spectrum disorder in their families in new york city health and hospitals sea view hospital rehabilitation center and home the facility with the occupancy waived on the line with me is matt levy and scott rasnow from um from the cvu campus let me give a briefing associated with the grace foundation an amazing organization that does great work in staten island the grace foundation is a non-profit that performed in 2002 with the goal of improving the lives of individuals and families affected by autism spectrum disorder asd is a neurological disorder that impacts the development and language and communication skills as well as social interaction and the relatedness with individuals the complex this disorder is highly complex each person with asd is unique and requires indev visualized guidance and support the grace foundation really provides an incredib y unique program the members of the leadership team they're really providing unique services that are free of charge to any individual that comes through their doors that focus on socialization after school care events community involvement and things that are outside the traditional iep and 504 that many of us are faced with when we're figuring out the rules of the road of how to help our children that may be on the spectrum the program here is takes medicare referrals and they serve over 300 individuals all the way from age three to four years old to a 30 year old adults they're a key member of the fabric of the community in staten island their funding just to operate is predominantly coming from either donations locally as well as council and borough president and the building itself is being maintained by them on our campus one of many buildings at sea view that many of which are fully closed here is a slide on slide three shows you a sense of the funding that is coming from them where how they're operating largely it's local elected funding as well as local community uh organizations that see the benefit of such a high impact organization over the years they they collaborate with many many uh community partners as well and they try to help those with asd live their healthiest lives currently the grace foundation has been at seaview campus for 10 years two different five-year term license agreements have been executed and the current license agreement they have in this space expires in december of 2020. uh they will continue to occupy the space that they're in i do want to point out that we do have to correct the square footage here uh this was a late ad that happened this morning so my apologies it's actually 6 900 not 5 700. um the entire building is 15 000 so they occupy a portion of the building um we will update that in the language but i i did want to that was a question that was asked when i showed the map in a later slide and we did follow up and found out there was a little bit more square footage that they're in um they are committed and interested in taking referrals from health and hospitals i mean we don't have a hospital on staten island but we do have vanderbilt and we do have nicole who leads community care so we're looking forward to collaborating with them further and seeing if there's additional synergies in in them playing a role in helping our population of patients sea seaview provides uh electricity and gas to the location however they maintain this building and they even have investments that occur through donations to keep the facility and its surrounding area in a state of good repair which is not what we can say for some of our buildings at sea views campus just recently the parking lot had been able to get repaved with funding from elsewhere and so the cost of the maintenance and the and the upkeep of this building definitely uh take into account and and really is the minimum you know it's much higher value compared to the cost of utilities this is a map of cvu's campus and it might be hard to see but to the far right off brielle avenue is where the building is where this nonprofit is occupying space on cvu's campus so here is the resolution which i read as the slide was coming up i'm not going to reread it i'm happy to take any questions uh from the committee we we felt as though this this organization uh its mission very much aligns with our organization of helping everyone lead their healthiest lives and be the best they can in their community and as a mom of a child with autism spectrum disorder i completely know that the challenges that brings to us as parents and wanting to see our our children do the best they can and be the best they can and and learning from others that are going through it and and having a sense of community uh within that and advocacy for autism is just so important and this organization really uh has that in spades and it's very clear they make a big impact for staten island thank you christine i would like now to open the floor for the members of the board to ask any questions or any comments i will go first with uh joseph again uh thank you feni yeah this sounds like like a like something that is well aligned with what we do and and just wanted to say that thank you thank you dr katz all right dr katz i think you were unit now you're i think okay okay now sorry uh no questions thank you thank you uh frida juan christine thank you and thank you for your comments and um the description of the work of grace foundation it really sounds like a wonderful um organization and a good way for us to use our unused space is there other um opportunities like this uh we have uh open you know is the rest of the building not utilized and and i think it's a great um way to try to move forward our mission that's one one question the other is i noted that you mentioned they're committed to taking referrals from health and hospitals is that something they've been doing um for the last 10 years and have we had good synergies on that front um i think today i don't know that we've organized a referral aspect currently you know with staten island having limited health and hospitals presence the skilled nursing facility which is definitely a leader in that area it's not the the same patient population that would refer over to this location however we're going to be working closely and i hope by the time the full board meeting we'll have some little more clear opportunity for referral for our vanderbilt clinic that's on staten island as well as uh working with our community care team for home care services to determine if there's opportunities for referral um they are definitely uh open to uh collaborate more officially with health and hospitals i i'd probably guess that we probably do have some overlap already it just hadn't been something that had been quantified and so we're going to be looking at that to answer your other question about the cvu campus there are a number of community organizations on the campus with various roles that do occupy portions of our campus we continue to try to identify opportunities for revitalization of a number of buildings as you notice there's a pretty large number of vacant buildings on the campus 15 through 20 are all buildings on this map here that are unoccupied buildings um the the rest of the building um that where this this location is uh the other portion of this building is occupied by the police surgeon and so we do have other organizational presence both public and non-profit on the campus as well as a couple of pain customers as well so um we we have two different um detoxification centers with camelot that one of those came before the board during my tenure so so we do have kind of a combination on sea view campus of license agreements and actually uh you know paying rent kind of uh scenarios on that point and do do we have a general policy on waivers of um you know operating fees and and i i think this is perfectly appropriate it's not a question on gray's foundation but just in general do we have a kind of you know a catalog first of the the foregone rent that we may be um not getting and just and then how do we think about that both with existing ones and going forward you know whether we continue or whether we offer yeah so that's a great question so since uh joining i've been working closely with jeremy berman and andy cohen's team and legal and leora joined us this past november and uh diane and leora and jeremy we we now have a spreadsheet that tells us all of the license agreements and all of the leases and dates of expiring so that we can kind of look at that and plan um additionally and and those are all of the the things that we have as a system and um i don't think we have a system-wide policy per se but i think that you're asking exactly the right question as we look to optimize our locations in all ways from a care environment as well as an environment of structure so so um that is something that we are looking towards in the long term in collaboration with each of our facility leaders who also have specific needs uh across the system and so clearly we want to we want to make sure there's aligned goals and an accomplishment a compliment and a tie into health and hospitals great i think i think that would be i'm i'm not surprised you already have a spreadsheet going and i think that's um really important to to um put some framework around that so thank you thank you frieda thank you frida um if there is no more questions i would like yes charlie i'm sorry sally tell you not to later sorry sorry sally okay first i just want to express how perfect i am that notwithstanding our very severe challenges we continue to find creative ways to provide additional critical services to our patients and christine your own testimonial really reinforced the important importance of this service and secondly you don't often see nonprofits that survive from 2002 with such a multiplicity of funding because clearly they work hard to raise their money uh so really to test them into the management of the organization as well thank you sally yeah i i would say that um the chair of the organization who's the chair of the board is a father of a high functioning son who's now in college and he's been involved in the organization 20 years and has um just very you know it's clear that there is a long uh history of commitment from the organization and their mission and that i would agree that it's it really uh it's a testament to the organization itself thank you thank you sally thank you uh christine um is there any other comments uh so let me just um uh propose a motion to approve this resolution for submission to the board i will pull each member individually jose pagan yes dr katz yes frida wang yes uh the motions carry now from the remaining of the meeting i will request myself and chair joseph again will continue to chair this meeting thank you thank you [Music] our next resolution uh oscar gonzalez and i think uh please christine i'm gonna be recusing myself and oscar gonzalez will be presenting this resolution thank you chris i'll [Music] good morning uh my name is oscar gonzalez [Music] my name is oscar gonzalez assistant vice president of osp on the phone should be mahanjana indar also known as menji uh senior director of ofd and we're here to um request to execute exterior envelope requirement contracts for seven architectural and engineering consulting firms a quick overview h requires professional architectural engineering design and construction related services on an as needed basis for projects throughout the systems that are related to the exterior envelopes of our buildings these services include facade projects roofing and roofing related work such as such as parapet walls window assembly and local law 11 compliance the current contracts in place for similar services previously referred to as local law 11 uh will expire on december 2020 this year uh the current spend for facade services is six million two hundred and eighty four thousand a hundred and thirty eight to date um a quick little quick background uh dob has asked h h to develop a systemic plan to address the historical local law 11 violations and to schedule the cycle seven and eight required inspections one of our consultants superstructures had an existing database of health and hospital buildings and they've met with dob on h's behalf to update the local law 11 universe this included updating the building addresses dismissing age violations address current violations of the six point nearly 6.3 million spent a day there uh there is six million fifty thousand two hundred ninety eight approve the work orders assigned to superstructures alone on file to investigate and to do corrective infrastructure work in our facilities with the help of superstructures and elizabeth young bar one of our team members uh uh we were able to reduce our outstanding violations from 250 violations down to 110 but there's still a lot of work remaining to do the criteria for the rfp uh was a mwb utilization plan minimum of five years of satisfactory comparable services to health healthcare facilities um licensed professional to hold new york state licenses uh the substantive criteria was 25 approaching methodology 25 appropriateness and quality of the firm's experience 25 of the quality quality excuse me qualifications of proposers consultants and staffing 15 of the status of the mwb utilization plan and 10 of the costs uh the committee involved two representatives from ofc and a representative from metropolitan kings jacoby and eits overview of the procurement timeline included uh crc approved an application to issue solicitation last year on october 15th on january 9th an rfp was sent directly to vendors and posted on city record on january 16th there was a mandatory pre-proposal conference call where 33 vendors attended the deadline for the proposals was january 31st we received 21 proposals um all the proposals obtained a mwbe utilization plan which were very robust and on march 12th the evaluation committee reviewed the proposals and we scored them and we had a natural break of the scoring where we invited 12 a e vendors to come in and present to the evaluation committee uh out of those 12 two of them were mwe uh shortlisted firms uh there was a slight delay uh after that uh to the current situation um but on july 13th uh when the presentation's invested in the evaluation committee's scoring occurred so as a result we're seeking to enter into contract uh with the seven architectural firms related to exterior envelope uh uh these are the firms listed um they uh i'll just go through the names real quick um architectural preservation studio also known as aps h2m hoffman architects lord trip associates urban architects brynette riley architects and superstructures all of them with very good ratings good excellent satisfactory uh for uh exterior envelope related work throughout our throughout the city on multiple different agencies so we're requesting to enter into a three-year contract with uh two one-year options to renew uh effective no later than january 1st um total pool contract value of 10 million and uh the 30 utilization plan has been submitted by all vendors on the next slide it'll show you the um the list of all the subcontractors provided by the vendors and it totals to a 52 52 mwb vendors that would be utilized by these prime contractors so the resolution um sorry uh we're authorizing the new york city health and hospitals corporation new york city health and hospitals to negotiate and execute requirement contracts with seven architectural and engineering a e consulting firms namely architectural preservation studio dcp h2m architects and engineers hoffman architects incorporated lothrop associates llp architects rennette reilly architect superstructures engineering and architecture urban architects dcp to provide professional a e design services related to exterior facade projects on an as needed basis at various facilities throughout the corporation the contract shall be for a term of three years with two one-year options for renewal solely exercisable by new york city health and hospitals for a cumulative amount not to exceed 10 million for services provided by all such consultants thank you i'll go through committee members now dr katz any questions any questions you're muted sorry having joe with the mute button uh uh no questions thank you thank you cats uh frida wang question any questions uh no questions thank you sally sally any questions okay so the me then uh sally's trying to talk sally we can't hear you we cannot hear you and it's that like we hire seven firms for a very modest amount of money six million dollars and we have a pipeline of work that's still outstanding and so i i wonder going through this whole process of picking them and everything isn't there a way to kind of have a little pipeline of work approved that is still contingent where funding is still contingent but where you don't have to go through this whole process of selecting the firms and approving the firms um i i mean it's just a question it's just such a modest amount of money um and we do have a lot of work still to be done agree there is a lot of work um just just to just for semantics uh the the contract values for 10 million but these are for for consulting services so these are you know to bring uh consultants on boards do the assessments do the surveys do the full designs um typically the design consulting it's about ten percent of the project cost um so ultimately we're going to need to find that funding for the construction part of this um so if you want to make some an easy translation if 10 if 10 million dollars is 10 typically of of the construction value yeah you're looking at 100 million dollars worth of work so um yeah so it's it's it's a i would say it's a significant amount of work for consultants uh but not necessarily for contractors also the other thing i want to mention is it's important to have the consultants on board because um if we don't have these requirement contracts on board then we would have to do a stand-alone uh procurement each and every time yeah i i wish we could do more you know contract for a greater scope of work at one time but if it doesn't it's fine yeah yeah the other the other the issue with this is um you know having to get capital eligibility when it comes to exterior envelope um there is very strict parameters as to what's capitally eligible or not um if we're if we're updating or upgrading the entire facade of a building that's pretty simple that's pretty capita that's pretty much copy eligible otherwise they give us a hard time trying to decipher what's a significant amount of work was contiguous amount of work versus repair so if we're just repairing um they really uh scrutinize uh our our involvement there so it becomes a little bit more of a harder lift okay thank you no problem um you know actually uh what study what you brought up may be uh an interesting conversation to have with christine and uh feni yes just to see you know if there are ways in which some of those ideas could you know could be considered um and i just wanted to say i was kind of very impressed with how you know all these firms pre-presented mwbe plans at 30 percent and and uh it's it's it's uh yeah it's nice to see that you know that that we're doing that in a very systematic way so um so anything so there was one thing that i think i forgot to mention um out of the seven firms elected there were two of them there are mwbe uh that are going to be serving as prime um one of them annette riley who's done work with us before uh but aps has not done working here with us and and they did a very good job with the proposal and with the presentation uh thank you oscar so let's vote on the resolution so dr katz yes yes frida juan yes sally here yes and joseph yes so the resolution carries let's move to the next one uh thank you oscar um hi good morning can you hear me yes yes okay um i know christine has joined us and we're going to to partner in this effort to discuss the express care so christine do you want to kick it off or would you like me to get started now go ahead ebeneze thank you okay um well first i'd just like to thank christine and her team dr katz we thanked you publicly and members of our board we have as well but i think that what ofd has been able to do and the support that they've been able to provide to us has been nothing short of really miraculous and you've just done a phenomenal job christine and team so i just want to say that thank you so our our desert project and it is a part of the district funding umbrella is around creation of an urgent care attached to new york city health and hospitals harlem it will be directly adjacent to our current emergency department and one of the reasons we find this to be so important is many years later and we're just now really able to secure the funds and design but why we find this to be important is because we currently have a fast track program in our emergency department that sees around 25 000 people including about 10 000 children so we wanted to make sure that we had a location that was separate and apart from the main emergency department that would allow for people to be able to access care um in a safe space but also so that the providers could focus on those that had high acuity and in speaking to our emergency providers they really shared that sometimes the disproportionate amount of back and forth that they have as physicians going from someone who's very very ill hemodynamically unstable to someone who's got you know a sprained ankle or who they're looking at for for very very mild asthma treatment it's very difficult for them to navigate and so clinically we know that there's great support for express care we understand the business case because of the proliferation of city mds around express care and for us we're just very excited because one of the ways that we've designed this is also to be a patient education center to make sure that people who continue to have readmission problems or who have unnecessary or avoidable admissions really have somewhere to go and for us we need to be realistic that for our patients ambulatory care is not always the place that they want to receive care based on their utilization statistics so while we are working on access and nyc care i think having a hybrid kind of space where people can really access care ask their questions get their prescriptions refilled is really the white way the right way to proceed so i'll stop there because i know that the case for urgent care is appreciated by most and see if there are any questions or perhaps christine if you want to talk more about the construction aspect that would be fine also so i i think if there's any specific questions for miss carrington who does a great job leading harlem hospital um if there's any specifics to the clinical care i really appreciate you joining us on your day off evan a um and being able to come to the table to really articulate well the needs of harlem we appreciate it um i can go into the design and construction piece uh do any members of the committee have questions specific for mna um [Music] there's a sentence that says as an extension of the hospital's ambulatory care practice but managed by the emergency department could you um expand on that sure um and that's probably my fault in just a nomenclature so when we talk about a hybrid when you look at express care you basically have a very low acuity population of patients specifically those that would be seen in a clinic however either for psychosocial issues or just because of preference they choose not to engage in primary care consistently these are people who are using our emergency department of course at a much higher cost than necessary and to the point of the providers that i was making really making it difficult to navigate between very very acute care that's needed in an emergency setting versus someone who's just come for something less acute and we know this because when you come to an emergency department your triage status or your esi level is about how many resources are going to be necessary to care for you and when you have esis in the four and five category it's very very basic it means a nurse or a doctor can care for you a provider or an extender can care for you and so while we call it an extension of the ambulatory care practices because these are very low acuity patients however the emergency physicians will be the ones that are credentialed to care for and to provide the treatment for these patients um as well and so what we found is that by having a board-certified emergency physician who has the ability to really see and treat you very quickly and do a head to toe assessment if there is a higher level of care necessary you're going right around the corner you're actually wheeled to the main emergency department so it's better to have that that skill set than just a family practitioner and the ability for patients to actually be linked to care is what makes this one so i think so new and nuanced in its design is that we and i think that's why we got the money quite frankly because we were always very patient-centric in our approach to the education and to appreciating the causal factors to why they kept coming to an ed and there's nothing in terms of the amount of time that's taken there that we can really use to address why they're coming to an emergency department but in express care there's a discharge hub there's a social worker there's some amcare patient um care staff to intake you some managed care staff sitting there to enroll you if you were under uninsured and so for us this is really the nice and the right bridge to helping people get from going to the emergency department to the clinic our population is really kind of hot and cold they go to the ev or they don't go anywhere and so we think that express care is actually a way to engage folks into the care delivery system and by talking with them about what they need their chronic diseases and getting them linked to an appointment quickly and timely we we hope that that's an engagement strategy so so for us this is just a plan that brings a lot of components of our strategic plan together okay thank you very much ebony you're welcome thank you i want to thank you for being so attuned to what the community needs and and like a very interesting project so okay christine so this uh project was completed its design in the spring and it went out to bid uh just as covid was getting a little better in our system and uh so this was an incredibly active robust uh amount of vendors that downloaded the design documents and uh did openings involved 17 different bidders it was a record-breaking bid opening and our lowest bidder here was turner construction and they had a 42 mwb subcontractor utilization plan with a number of subcontractors that actually have participated in a number of emergency contracts during covid as well um so the contract amount here with the bid is 5 million the mwbe participation is over 2 million and the project is expected to be completed in 2021 uh evaluations of turner construction here have turned up in mocks both excellent and good by department of design and construction and turner construction is our construction manager for edc at our coney island uh css building the major project happening there with our sandy fema funds and they did provide us a number of emergency surge projects over the course of covid and uh i would highlight uh some of the work that oscar did with them associated with turning hundreds of beds that were behavioral health into low acuity hospital beds at king's county as well as a large body of work at coney island hospital specifically for surge so turner construction is a known entity to health and hospitals as well as other parts of the city next slide uh this shows you the project budget this is an example of um essentially us having currently a relatively high project contingency because our bid environment was so competitive and so we were below the engineers estimate for the project this allows us to this is the value of the disrupt grant of 9.6 million dollars and it shows you the cost breakdown between design construction management construction eits as well as the project contingency next slide so this resolution is requesting authorizing the new york city health and hospitals corporation nyc health and hospitals to execute a contract with turner construction corporation the contractor for amount not to exceed five million ninety five thousand five hundred and fifty one dollars for construction services necessary for the emergency department reconfiguration aka the build out of the new express care at new york city health and hospitals harlem hospital center the facility with other contracts associated with this project totaling one million eight hundred and eighty two thousand twenty two dollars including architectural engineering services and a twenty eight percent project contingency of two million six hundred and fifty nine thousand one hundred seventy six dollars for unexpected changes in scope yielding a total authorized expenditure of nine million six hundred and thirty six thousand seven hundred and fifty dollars we're happy to take any questions thank you christine any questions dr katz uh dr katz uh frida wang any questions um christine i just had one question on the contingency it's at 28 contingency is that it seems a higher number than we've seen and i don't have context for that but so um we had an engineer's estimate that was substantially higher ahead of this bid i think 10 to 18 percent higher than where the bid came in as i mentioned this uh bid came out i believe it was june july and so it was right when i would say there there still is a very large volume of contractors fitting our work and so this was an incredibly competitive uh bid that that allowed us to all of a sudden have a larger contingency than we normally ever would have got it okay thank you thank you uh sally hernandez uh i don't even know if i'm on or off but i just want to say it's impressive you have turner on on a very modest contract for them and the 42 percent uh mwbe uh representation is terrific yes we're excited thank you sally uh christine um with with covet you know this project has a completion date of 2021 is that impact does that impact uh the timeline for the project so i think that uh we will see i think our you know the the how we do construction is clear with uh social distancing and mass those guidelines are all in place turner construction is incredibly aware of all of those requirements uh there has been industry-wide a recognition uh for future construction that there is a productivity factor of potentially five to ten percent however uh we are confident in our builders and ensuring they know all the rules and the regs and they move forward what i can't anticipate is you know what will happen for additional patients uh coming to the hospital and if there's a need in that way but um but we we hope that this can be completed by 2021 i think uh larger work was completed within 30 days during the emergency so i think this is possible chair chair chair padan we also have several projects going on as we speak at the hospital and so what we found is that their their infection control processes and practices are very strong we haven't seen any degradation in the timeline or any slippage and so working in very strong collaboration with our facilities team that's doing a very strong job of helping to coordinate we don't find that this could be rate limited excellent thank you so much so let's vote on the resolution then dr katz yes frida juan yes sally hernandez pinero [Music] sally i'm sorry oh gosh hear you sally yes yes yes thank you so much uh and your business to come to the committee any new business if there's no old or new business the there's no further discussion the meetings adjourned thank you so much thank you thank you so much you everyone bye