Professional Documents
Culture Documents
INTERNATIONAL SPECIALISED
HOSPITAL OF UGANDA
S. Naduvath
A XX-03-2020 IFI First Issue Diego Cupellini Ugo Galli
Kalathil
Rev. Date Status Description Prepared Checked Approved
INTERNATIONAL SPECIALISED HOSPITAL OF UGANDA
TABLE OF CONTENTS
1. INTRODUCTION..............................................................................................................................3
1.1. PURPOSE OF THIS DOCUMENT.................................................................................................4
2. EXECUTIVE SUMMARY....................................................................................................................5
3. PERFORMED ACTIVITIES.................................................................................................................7
3.1. PROJECT MANAGEMENT.........................................................................................................7
3.2. STAFF TRAINING...................................................................................................................7
3.3. FINAL DESIGN......................................................................................................................8
3.4. CONSTRUCTION WORKS.........................................................................................................8
3.5. MEDICAL EQUIPMENT AND FF&E.............................................................................................9
4. COMPLETED MILESTONES.............................................................................................................10
5. PERMITTING MONITORING..........................................................................................................11
6. PROGRESS OF WORKS...................................................................................................................13
6.1. PROGRESS MEASUREMENT: EARNED VALUE MANAGEMENT SYSTEM..............................................13
6.2. PROGRESS MONITORING: SCHEDULE VARIANCE AND SCHEDULE PERFORMANCE INDEX.......................13
6.3. FORECAST AT CUT-OFF DATE.................................................................................................14
6.4. MAIN MILESTONES SCHEDULE...............................................................................................14
7. ONE-MONTH LOOKAHEAD............................................................................................................16
7.1. PLANNED MAIN ACTIVITIES...................................................................................................16
7.2. PLANNED MILESTONES.........................................................................................................17
8. COST MANAGEMENT....................................................................................................................18
8.1. MCCS’ ACCRUED VALUE......................................................................................................18
8.2. ISSUED PROMISSORY NOTES..................................................................................................18
9. SITE PHOTOGRAPHIC REPORT.......................................................................................................19
10. ANNEXES......................................................................................................................................28
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GENERAL NOTICE
As per Clause 18.2.2 of the PWIA, during the Construction Period, Finasi-ISHU Construction SPV
SMC shall perform the Works in accordance with the Works Implementation Schedule (hereinafter
referred to as “the WIS”), approved by the Owner’s Engineer before the Construction Effective Date
as per Clause 18.2.1 of the PWIA.
On the 27th of January 2020 Finasi-ISHU Construction SPV Ltd (SMC) presented to the Owner’s
Engineer for his approval a revised Works Implementation Schedule (WIS), which was approved on
the 10th of February 2020. The WIS includes the Works Programme and the Project Performance
Budget, i.e. a revised list of the milestones along with the corresponding value and planned
completion date. Based on the revised Works Implementation Schedule the Works shall be
completed within 27 months after the Construction Effective Date, i.e. on 09-09-2021
Thus, starting the month of February 2020 the Monthly Report is based on the revised WIS.
1. Introduction
Finasi-ISHU Construction SPV Ltd (SMC) (herein after referred to as “the Client” or “Finasi-ISHU” or
“the SPV”), originally named Finasi/Roko Construction SPV Ltd, has signed with the Government of
Uganda, represented by the Ministry of Finance, Planning and Economic Development and the
Ministry of Health (hereinafter referred to as “GoU”), on 27-05-2015, a Project Works Investment
Agreement (hereinafter referred to as “the PWIA”) to Finance, Design, Build and Equip the
International Specialised Hospital of Uganda in Kampala, Uganda (herein after referred to as “the
Project”).
With the purpose of Financing the Project, Finasi-ISHU Construction SPV Ltd (SMC) has also signed
with the GoU and the Lenders, on 04-12-2018, a Direct Agreement (hereinafter referred to as “the
DA”) and with the Lenders, on 04-12-2018, a Note Purchase Agreement (hereinafter referred to as
“the NPA”).
The Healthcare Complex will include a world-class internationally accredited 264-bed hospital,
residences for senior staff, doctors and nurses, a specialized training school, a conference and
exhibition center for healthcare related events and a 80-room budget hotel for relatives and friends
of the patients. The Complex, property of the Government of Uganda – Ministry of Health
(hereinafter referred to as “the End-User”) but operated for the first 8 years by The International
Specialised Hospital of Uganda Limited (hereinafter referred to as “the Operator”), will be immersed
in a rehabilitation park, in a 300.000 sqm plot in Lubowa, close to the Kampala-Entebbe road.
As per Clause 18.2.2 of the PWIA, during the Construction Period, Finasi-ISHU Construction SPV
SMC shall perform the Works in accordance with the Works Implementation Schedule (hereinafter
referred to as “the WIS”), approved by the Owner’s Engineer before the Construction Effective Date
as per Clause 18.2.1 of the PWIA and subsequently revised. The Works Implementation Schedule
includes a GANTT chart Programme of Works and the Project Performance Budget (hereinafter
referred to as “the PPB”), which is a list of the milestones set with the corresponding value and
planned completion date.
The Construction Effective Date, as defined in Clause 17.3.2 of the PWIA, was confirmed by the
Owner’s Engineer’s Commencement Order as falling on 10-06-2019. The Works shall be completed
during the Construction Period, defined by the revised WIS approved by the Owner’s Engineer on
10-02-2020 as 27 months after the Construction Effective Date, i.e. on 09-09-2021.
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3. EXECUTIVE SUMMARY
The following table summarizes the Progress of Works and highlights the key information regarding
the Project related to the relevant period, i.e. the month of February 2020.
EXECUTIVE SUMMARY
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Block A Substructures
Lookahead – Next
Block B Substructures
Milestones
Block C Substructures
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4. Performed Activities
The main targets of the SPV during the month of February 2020 have been to obtain approval of the
revised Works Implementation Schedule, continue with preparation of the IFC drawings which are
being issued to the civil works contractor in accordance with the requirements set forth in the work
programme and ongoing mobilization works, with particular focus on the completion of site offices,
completion of temporary road works, site facilities (Distribution Room, Lavatory and Cesspit) and
Completion of Hospital earthworks, ongoing anti-termite treatment on the bottom of the main
excavation, blinding and waterproofing of hospital building, starting excavation of conference and
exhibition center building
All the activities performed during the above mentioned month and the other arrangements made or
ongoing are listed below, divided in the main activity areas.
5. PROJECT MANAGEMENT
Completed Activities:
Project Control activities: submission of January Monthly Report and bi-weekly Project
Dashboards; approval of revised Works Implementation Schedule; Issuance of Milestone
Completion Report MCR 003;
Project Management activities: Project Management Services, with particular focus on overall
Project Management procedures, Schedule Management, Quality Management Services;
Works Supervision activities: Works Supervision services, with particular focus on the Site
Management procedures.
Ongoing Activities:
Project Control activities: progress measurement, monitoring and reporting;
Detailed Construction Schedule, which will be updated monthly based on actual progress;
Supervision of the Works on site.
6. STAFF TRAINING
Completed Activities:
Completion of list of medical and nursing roles to be trained
Mapping of Clinical activities and services
Ongoing Activities:
Further definition of Recruitment programme and requirements, with focus on the identification of
all the roles to be trained;
Set-up of an on-line training platform for nurses, with contents provided by an international
medical content publisher and multimedia support, including videos for key procedures;
7. FINAL DESIGN
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Ongoing activities
Considering Owner’s Engineer’s approval of the Final Design, the Designer has started the
preparation and the issuing of the IFC deliverables, incorporating Owner Engineer’s comments and
prioritizing the Foundations works of the Hospital building and other packages which are required to
feed Construction Works.
The IFC drawings are being issued to the civil works contractor in accordance with the requirements
set forth in the work programme
8. CONSTRUCTION WORKS
Completed Activities:
Site offices
Excavation for the Hospital building;
Anti-termite termite and soil compaction of Hospital building blocks A, B, E
Labors toilet 1 and 2 works;
Engineer’s and Contractors’ Site office finishing works;
Temporary electrical works;
Blinding concrete first layer for Hospital foundation, blocks A and B;
Water proofing primer and membrane for Hospital foundations, block A;
Temporary road works and secondary gate;
Construction of rebar stockyard.
Ongoing Activities:
NEMA audits in accordance to the Certificate issued;
Labors toilet 2 works;
Setting out for Main building foundations;
Engineer’s and Contractors’ Site office snagging;
Steel production and bar bending works;
Anti-termite treatment for Block D & F.
, soil compaction for Block D & F,
Second layer of blinding concrete for block A & B , water proofing primer and membrane for
Hospital foundation for Blocks F & D ;
Excavation for Conference and Exhibition Centre;
Construction of canteen;
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During the relevant period, four milestones listed in the PPB were completed:
Hospital Bulk Earthworks;
Monthly Project Progress Report - M7 and M8
Completion of list of medical and nursing roles to be trained
Mapping of Clinical activities and services
During the relevant period, one Milestone Completion Report has been submitted to the Owner’s
Engineer on 12.02.2020, who issued the related thereto Milestone Completion Certificate MCC 003
on 26-02-2020.
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The below table is intended to summarize the status of the applicable permits to be obtained from
the related local authorities. The table will be expanded, if required, during the development of the
Project.
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EV PV SV SPI
47,877,291.00 47,877,291.00 0.00 1
100.00%
1
0.00%
SV SPI
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The below is a summary table reporting the Progress of Works (Previous, Current, Cumulative and
Remaining) at the cut-off date against the total Construction Cost, comparing the planned schedule
and the actual progress:
Planned Actual Variance
Previous Progress (up to January 2020) 18.30% 18.30% 0.00%
Current Monthly Progress (February 2020) 0.86% 0.86% 0.00%
Cumulative Progress (up to February 2020) 19.16% 19.16% 0.00%
Remaining Works 80.84% 80.84% 0.00%
19.16%
0.00%
19.16%
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Below table summarizes the status of the project with reference to the main milestones.
The first three main milestones are directly identified by the PWIA, as amended by the DA. The other
main milestones are inferred from the Works Implementation Schedule.
Completion Date
Main Milestones
Planned (WIS) Actual Status
Final Design Approval 30/10/19 30/10/19 COMPLETED
Substantial Completion 09/06/21 09/06/21 ON SCHEDULE
Practical completion 09/09/21 09/09/21 ON SCHEDULE
Hospital Building 09/06/21 09/06/21 ON SCHEDULE
Auxiliary Buildings 05/06/21 05/06/21 ON SCHEDULE
Utilities Network 15/05/21 15/05/21 ON SCHEDULE
Accessory Buildings 04/06/21 04/06/21 ON SCHEDULE
External Infrastructures 27/05/21 27/05/21 ON SCHEDULE
Minor Buildings 11/05/21 11/05/21 ON SCHEDULE
Staff Training 09/06/21 09/06/21 ON SCHEDULE
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This section provides a list of the main activities planned for the following reporting period as per the
revised Works Implementation Schedule, the detailed activity schedules and any adjustment
subsequent to the analysis included in the above section 6.
Furthermore, it provides a full list of the milestones whose completion is planned for the following
reporting period as per the revised Project Performance Budget.
Go-live of the training platform for nurses and selection of Training facilities;
Soil compaction and blinding concrete of the Hospital with the following sequence: blocks D+F;
Water proofing primer and membrane for the Hospital with the following sequence: blocks
B+E+F+D;
Foundation reinforcement works for Hospital with the following sequence; blocks A+B+E;
Form works for Hospital with the following sequence; blocks A+B+E;
Casting of concrete for Hospital with the following sequence; blocks A+B+E;
Submission of updated site layout, showing canteen details for labour and revised position of
Bonded Warehouse;
Construction of the canteen facilities;
Approvals of mix designs and test results for ready mix concrete supplies;.
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Method Statements for raft slab concrete works for blocks B, C, D, E & F and block C & D and
Shop Drawing submittals for waterproofing, earthing and rebar for blocks E & F and blocks C &
D;
Approvals of materials testing from 3rd Party;
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Milestone Completion Report 003 claiming the completion of nos. 6 project milestones was
submitted to the Owner’s Engineer.
The related Milestone Completion Certificate 003 has been issued by the Owner’s Engineer on 26-
02-2020, i.e. during the reference period.
Subsequently, the Value accrued with the issuance of the MCCs increased during the reference
period. The below table offers details on the MCC’s accrued value for the relevant and the previous
reporting period.
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Toilet 2 Works
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Canteen works
Canteen works
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Canteen works
Canteen works
Canteen Works
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Delivery of Rebar
24. annexes
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A. UPDATED S-CURVE
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ANNEX A
UPDATED S-CURVE