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FINASI LLC

INTERNATIONAL SPECIALISED
HOSPITAL OF UGANDA

LC&PARTNERS PROJECT MANAGEMENT MINISTRY OF HEALTH


MONTHLY REPORT REPUBLIC OF UGANDA

LC&P Doc No. 16008-CR-XXXXXX Rev. A

MONTHLY REPORT - FEBRUARY 2020

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

16008-CR-XXXX Monthly Report – February 2020

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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16008-CR-XXXX Monthly Report – February 2020

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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16008-CR-XXXX Monthly Report – February 2020

2. PURPOSE OF THIS DOCUMENT


This document intends to:
 provide the Client with details regarding the activities performed during the month of February
2020, listing the milestones completed during the relevant period;
 monitor the technical progress of the Works with reference to the progress measuring system
agreed with the Owner’s Engineer, the Earned Value Management System (EVMS);
 propose adjustments to the planned activities, if required, to deliver the Works as stipulated in
the PWIA;
 according to the technical progress of the Works, monitor the financial progress of the Project in
terms of accrued value and issued payments;
 report the Project main risks, issues and constraints, if any.

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16008-CR-XXXX Monthly Report – February 2020

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

 Construction Effective Date: 10/06/19

Project Duration  Project Duration: 27 Months


Summary  Elapsed Duration: 264 days
 Project Finish Date: 09/09/21

 Project Management: January Monthly Report and Bi-weekly


Dashboards, Project Management Services and Works Supervision
services;
 Site Mobilization: Engineer’s Site Office Finishes, Contractor’s Site
Office Finishes, Minor Site Facilities (Distribution Room, Lavatory,
canteen and Cesspit), Rectifications of temporary drainage trench
Main Performed works, Preparation works for steel wokshop and generator room,
Activities Temporary roads
 Site Works: Anti termite treatment, Compaction and blinding concrete of
Main Building; Excavation of Conference and Exhibition center
 Medical Equipment: Planning, BOQ and Specifications being finalized in
coordination with JCI to be submitted for project record to NACME;
Tender Documents and pre-installation requirements for all
departments.

Milestones  Hospital Bulk Earthworks;


Completed during
 Monthly Project Progress Report - M7 and M8
the Month reference
period  Completion of list of medical and nursing roles to be trained
 Mapping of Clinical activities and services

 Earned Value (EV) = 47,877,291.00 USD, par to 19.16% of the total


Construction Cost;
 Planned Value (PV) = 47,877,291.00.00 USD;
Progress of Works
 Schedule Variance (SV) = (EV – PV) = 0.00;
 Schedule Performance Index (SPI) =1;
 The Project is on track.

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 Block A Substructures
Lookahead – Next
 Block B Substructures
Milestones
 Block C Substructures

 Total Construction Works Cost: 249,900,000.00 $


Cost Management  Total Amount of MCRs issued: 47,877,291.00 $
 Total Amount of MCCs certified by Client: 47,877,291.00 $
 Advance Payment invoiced to Client: 49,980,000.00 $
Advance Payment  Advance Payment repaid: 6,659,586.00 $
 Advance Payment Outstanding: 43,320,414.00 $
 Amount invoiced to Client: 113,249,891.08 $
Project Accounting
 Amount due by Client: 113,249,891.08 $
(excluding VAT)
 Amount overdue by Client: 0.00 $

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16008-CR-XXXX Monthly Report – February 2020

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;

 Excavation of Recreation and Motel

 Construction of canteen;

 Construction of steel workshop. and rebar stockyard

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9. MEDICAL EQUIPMENT AND FF&E


Ongoing Activities:
 Cyclotron and Linear Accelerators shop drawings;
 Medical planning and equipment specifications being updated as per approved Final Design and
finalized in accordance to JCI’s comments and latest technologies, with focus on Nuclear
Medicine, Radiopharmacy and Radiology;
 Medical Equipment and FF&E Procurement and Installation detailed planning, considering the
Detailed Construction Schedule;
 Prioritizing major equipment (long lead items), focusing on Nuclear Medicine, Radiotherapy and
Medical Gases System;
 Tender Documents and pre-installation requirements for all Hospital departments.

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10. Completed milestones

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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11. permitting monitoring

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.

Ite Description Authority Status


m
1 PLANNING APPROVALS
1.1 Building Plans: Master Plan, Makindye Ssabagabo Municipal 30th June 2017
Architectural and Structural Council
Schematic Design Approval
1.2 Water and Sanitation Design Makindye Ssabagabo Municipal 4th August 2017
Approval (during Construction) Council
1.3 Building Plans: Architectural and Makindye Ssabagabo Municipal BY PACKAGE
Structural Final Design Approval Council
1.4 Permission to Start the Works Makindye Ssabagabo Municipal 8th August 2019
Council
2 ENVIRONMENTAL APPROVALS
2.1 Approval of Terms of Reference National Environmental OBTAINED
as per submitted Environmental Management Authority (NEMA)
and Social Impact Assessment
(ESIA) report
2.2 Certificate of Approval of National Environmental 10th November 2015
Environmental Impact Management Authority (NEMA)
Assessment
2.3 Letter of Approval waiving Night National Environmental 28th July 2017
Shifts interdict Management Authority (NEMA)
2.4 Letter of Approval waiving National Environmental 4th July 2018
conditions of Approval in the Management Authority (NEMA)
EIA
2.5 Letter of Approval waiving on- National Environmental IN PROGRESS
site Staff Camp Management Authority (NEMA)
3 HELIPAD, TRAFFIC AND ACCESS ROAD APPROVALS
3.1 Clearance and Approvals for Civil Aviation Authority (CAA) of 24th July 2017
Construction of Helipad Uganda
3.2 Approval of the modifications to Uganda National Roads AFTER FINAL
the public road network Authority (UNRA) DESIGN
COMPLETION
4 OTHER APPROVALS
4.1 Approvals for the Cyclotron, Uganda Atomic Energy Council 9 MONTHS FROM
Linear Accelerator, (UAEC) FINANCIAL
Radiotherapy/Brachytherapy CLOSURE
(nuclear and radiology
equipment)
4.2 Facilities, collections storage Uganda Atomic Energy Council 9 MONTHS FROM

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and disposal of radioactive (UAEC) FINANCIAL


waste CLOSURE

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12. Progress of Works

13. PROGRESS MEASUREMENT: EARNED VALUE MANAGEMENT SYSTEM


With reference to the Works Implementation Schedule and considering the diverse nature of the
milestones identified, it was agreed with the Owner’s Engineer to measure, and subsequently
monitor, the Progress of the Works as the cumulative Earned Value referred to the milestone value
set in the Project Performance Budget, which is considered the Project Cost Baseline, expressed as
a percentage of the total Construction Cost for the Project which corresponds to the Budget at
Completion (BAC).
The Earned Value is calculated as the accrued value in USD corresponding to the milestones
actually completed to the date of analysis. For the particular contractual conditions and payment
mechanics of the Project, partially completed activities/milestones will not be considered for the
calculation of the Earned Value.

14. PROGRESS MONITORING: SCHEDULE VARIANCE AND SCHEDULE PERFORMANCE INDEX


In order to monitor the Progress of Works and undertake corrective measures when required, the
above defined Earned Value (EV) is compared with the Planned Value (PV), which is the value in
USD corresponding to the milestones planned to be completed to the date of analysis, taken from
the Project Performance Budget. Similarly to the Earned Value, activities/milestones which were
planned to be partially completed will not be considered for the calculation of the Planned Value.
The variables considered to assess the Progress of Works are the Schedule Variance (SV) and the
Schedule Performance Index (SPI), defined as follows:
 SV = EV – PV
 SPI = EV / PV
The Schedule Variance represents the amount in USD that the project is ahead or behind schedule
at the point of analysis. A positive SV means the project is ahead of schedule, a negative one means
that it is behind schedule.
The Schedule Performance Index indicates the amount that the project is ahead or behind schedule
relative to the overall size of the project. The SPI describes how much ahead or behind the schedule
the project is. For example: SPI = 0.8 means the project is 20% behind schedule.
For the considered period of February 2020, the four values are calculated below:

EV PV SV SPI
47,877,291.00 47,877,291.00 0.00 1

SPI & SV % Index

100.00%
1
0.00%

0.00% 20.00% 40.00% 60.00% 80.00% 100.00% 120.00%

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%

PLANNED Vs ACTUAL PROGRESS (%)

19.16%
0.00%
19.16%

0.00% 5.00% 10.00% 15.00% 20.00% 25.00%

ACTUAL VARIANCE PLANNED

15. FORECAST AT CUT-OFF DATE


Schedule variances of less than 10% in the Schedule Performance Index will maintain a status of
normal, so those values will show a green indicator in the project status reports. Schedule variances
between +/-10% and +/-20% in the SPI will change the status of the progress to cautionary, so,
those values will be changed to a yellow indicator in the project status reports. Schedule variances of
+/-20% or more in the SPI will change the status of the progress to an alert stage, so those values
will be changed to a red indicator in the project status report. The red indicator will require corrective
actions from the Project Manager to bring the SPI below the alert level. These actions may imply
schedule changes, budget increase requests, or optimizations in Project scope to get back on track.
With reference to the above analysis of the performance, the project results in potential delay.
Despite no immediate corrective action needs to be taken, close monitoring has been put in place
due to the decrease in the SPI which brought the status to cautionaryon schedule.

16. MAIN MILESTONES SCHEDULE

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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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17. One-month lookahead

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.

18. PLANNED MAIN ACTIVITIES


 Approval of revised Works Implementation Schedule;

 Issuance and sale of Promissory Notes for MCC 002;

 Issuance and sale of Promissory Notes for MCC 003;

 Issuance of IFC design packages (in batches);

 Onboarding of Ministry of Health on recruitment programme, requirements and channels;

 Definition of the roles/positions to be trained;

 Go-live of the training platform for nurses and selection of Training facilities;

 Completing Site Offices construction and facilities installations;

 Completing minor Site Facilities (Distribution Room, Cesspit, Lavatories, Accommodation,


canteen and clinic);
 Submission of tower crane technical information and initial implementation;

 Anti-termite treatment for foundation blocks F and D;

 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;

 Completion of excavation for Conference and Exhibition Centre;

 Excavation of Nurses hostel.

 Excavation of Doctors hostel.

 Completion of excavation for Recreation and Motel;

 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;

 Preparation of Cyclotron and Linear Accelerators shop drawings;


 Order confirmation for Nuclear Medicine equipment.

19. PLANNED MILESTONES


 Block A Substructures
 Block B Substructures
 Block C Substructures

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20. cost management

21. MCCS’ ACCRUED VALUE


During the month of February 2020 four milestones were completed:
 4.2.a: Hospital Bulk Earthworks;
 7.1.d: Monthly Project Progress Report - M7 and M8
 2.1.c: Completion of list of medical and nursing roles to be trained
 2.1.e: Mapping of Clinical activities and services

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.

Previous Reporting Period Current Reporting Period


(up to January 2020) (up to February 2020)
Value in USD Percentage on BAC Value in USD Percentage on BAC
45,743,521.00 18.30% 47,877,291.00 19.16%

22. ISSUED PROMISSORY NOTES


As per the PWIA, as amended by the DA and the NPA, a first drawdown occurred at financial
closing.
Following the issuance of MCC 003, the related Promissory Notes shall be issued to the SPV,
enabling the third drawdown.
The submission of MCR 004 and the subsequent issuance of MCC 004 are scheduled for the end of
month 10 from the Construction Effective Date, i.e. within 09.04.20. The issuance of the related
Promissory Notes will follow.

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23. Site Photographic Report

Hospital Building Compaction

Hospital Building Lean concrete

Hospital Building Lean concrete

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Hospital Building Curing

Hospital Building Curing

Hospital Building Waterproofing Works

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Hospital Building Curing

Hospital Building Compaction

Hospital Building Lean concrete and Waterproofing

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Hospital Building Lean Concrete

Steel Work shop Preparation Works

Temporary Road Works

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Temporary Road Preparation Works

Toilet 2 Cesspit Works

Toilet 2 Works

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Batching plant Aggregate Stockyard

Canteen works

Canteen works

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Canteen works

Canteen works

Canteen Works

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Steel stock yard Works

Temporary Road works

Conference and Exhibition Centre Excavation

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Conference and Exhibition Centre Excavation

Delivery of Rebar

Construction of 2nd Security Gate

24. annexes

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A. UPDATED S-CURVE

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16008-CR-0B07MSN1 Monthly Report – January 2020

ANNEX A
UPDATED S-CURVE

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