Transmittal of Oinaha Lead Site 

Paint Stabilization File Folder 

Said# J?/7^ ^ Date: ^—V-/0 

Address: /OO(p 3.^C . ^-f- - . 

Contractor: CityofOmaha Year: P^^70 

Paint Stabilization 

Property File Folder Documents 

ix^or k Write Up 

Ix^igned Access Agreement for subject property 

. Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

j^Tainting AgreemenfCity of Omaha Purchase Order 

Settlement documents (i.e., for damage or to replace plants, etc.) 

Renovation Recordkeeping Checklist signed by Certified Renovator 

l/prPropert e 

y information from Douglas County Assessor's Office 

l.^Other (describe): [^^Kd'fa>$ 

City of Omaha Representative Signature Date 

LJo>V i)ffJf\A^Ji^^ 3U0/^^I^ 

EPA Representative Signature ' Date 

30262470 

miHiiiHiiiii 

Superfund 
CITY OF OMAHA 

PURCHASING - ROOM 1003 Purchase Order 

1819 FARNAM STREET 

PURCHASE REVISION PAGE ORDER NO. 

OMAHA, NE 68183-1003 

1166939 0 . 1 FAX# 402-444-5423 

MARCOS PROFESSIONAL PAINTING VENDOR: MARCOASALAZAR 

2514 J ST 

OMAHA, NE 68107 

SHIP TO: 

CITY OF OMAHA 

HOUSING & COMM DEV RM #1111 

1819 FARNAM STREET 

OMAHA,NE 68183 

): BILL TO: -< 

CITY OF OMAHA FINAkNCE 

DISBURSEMENTS ROOM #1007 

1819 FARNAM STREET 

OMAHA.NE 68183 

ORIGINAL PURCHASE ORDER • VENDOR'S COPY (SEE INSTRUCTIONS BELOW) 

CUSTOMER ACCOUNT NO. VENDOR NO. DATE OF ORDER/ BUYER REVISED DATE//BUYER 

81569 29-JUN-10 H HURT 

PAYMENTTERMS SHIP VIA F.O.B. 

IMMEDIATE DESTINATION 

FREIGHT TERMS REQUEST0R«3ELIVER TO CONFIRM TO / TELEPHONE 

MARUCA. T MARIE 

> • -< ITEM PART NUMBER / DESCRIPTION DELIVERY DATE QUANTITY UNIT UNITPRICE EXTENSION 

All prices and amounts on this order are express 3d in : US Dollar 


NEEDED: 1,477.00 N 
 30-JUN-lO 


EPA PAINT STABlLIZATIOtl 


PROGRAM GROUP 143 1006; 


S 26TH ST i 


O SHIP TO: i 


Address at top of page 


NEEDED: 1,577.0 0 N 

30-JUN-lO 

EPA PAINT STABILIZATION 


PROGRAM GROUP 143 505 tl 


41ST AV 


o SHIP TO: I 


Address at top of pa^e 

SHIPTO: Address shown above. Ifshipmentisdelayedorany Items not available, advise at once. Pur­

chase order number must appear on all Invoices, packages, packing lists, bill of lading, and conespondence. Tota l ( 3.054.00 ^ 

SHIPPING CHARGES TO BE PREPAID, IF APPLICABLE AiND ADDED TO INVOICED, copy to be fur­

nished with Invoice. 

TAX EXEMPTION: The City of Omaha'ls exempt from Federal Excise Taxes and the Nebraska and City of 

Omaha Sales Taxes. Federal I.D. 476006304; STATE I.D. 01-0316768; Fuel Dealers Uc. 91-0316768. 

City Purchasing Agent / ^uyer 
Plaiming Department 

Omaha/Douglas Civic Center Inspector: Steve Zivny 1819 Famam Surcct, Suite 1003 

Date: 5/13/10 Omaha, Nebraska 68183 

(402) 444-5150 

Telefax (402) 546-0714 

Name: Yesenia Cabrera R. E. Cunningham, RA, F.SAME 

City of Omaha Address Director : 1006 8 26"" Street Jifii Sutde, Mayor 

OMAHA EXTERIOR PAINT STABILIZATION PROGRAM 

FOR THE EPA OMAHA LEAD SITE 

The Contract bid documents consist of the following sections: 

• . General P».esponsibilities for the Contractor and Occupani. 

• Lead Hazard Control Plan, Interim Confrol of Lead Based Paint Hazards. 

The Contractor Shall: 

• Comply with HUD's "Guidelines for the Evaluation and Control of Lead-Based 

Paint Hazards in Housing." (Copies are available at the Planning Department.) 

• Comply with Standards called for in the "Construction and Rehabilitation 

Specifications, Housing and Community Development Division, City of Omaha, 

Nebraska." (Copies are available al the Plarming Department.) 

• Comply with the State ofNebraska Health and Human Services Regulation and 

Licensure, Title 178 Chapter 23 Lead Base Paint Regulations. 

• , Coordinate daily construction schedule with the occupant 

• Submit infonnation cut sheets for all substitutions or approved equals prior to 

written approval of the Construction Specialist. 

• Repair or replace all items damaged or disturbed during paint stabilization 

activities. 

• Keep work site and surrounding area free from accumulations of waste materials 

or rubbish caused by the work at all times. 

• Upon daily completion of work: clean up all rubbish, excess material, equipment, 

and etc., that is connected with the work, and leave all parts ofthe work areas in a 

neat, sanitary, lead safe and presentable condition. 

• Complete this project within 30 calendar days. 

The Occupant/Owner Shall 

• Remove and store away any personal property within twenty (20) feet of the area 

to be remediated. 

• Provide access to elecfricity and water throughout the paint stabilization process. 

• Ensure that all household members stay at least ten feet away from all work areas 

and also keep all pets at least ten feet away at all times until the work has been 

completed and the area has passed a visual inspection. 

,:...• - . . Initials/ 
1006 S 26tii Street (Continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

• Stabilize all previously painted exterior wood, brick, metal, concrete 

surfaces ofthe dwelling/garage to include but not limited to the siding, 

fascia, eaves,frim, window trim, shutters, gutters, railings, downspouts, 

door trim and foundation. DO NOT INCLUDE WINDOWS OR MAN 

DOORS. DO NOT INCLUDE CEMENTITIOUS SIDING. 

INCLUDE VEHICLE DOORS IF APPLICABLE. 

• Prepare and paint all previously painted surfaces by following the Safe 

Work Practices protocol for EPA exterior lead based paint stabilization­

• All paint colors to match existing paint pattem. Prime and apply two 

coats of approved finish coat. (Refer to Plarming Dept. approved paint 

list).' 

• IF SPRAYED, ONE COAT SHALL BE BACK-BRUSHED OR 

BACK-ROLLED. 

Lead Based Paint Waste 

Lead-based paint waste must be hanidled as follows 

• All paint chips and componerit debris must be double bagged for disposal. 

• Clean paint chips from ground around perimeter of dwelling before 

starting, during and after the project. 

• All lead painted components and debris must be removedfrom the site 

daily unless otherwise approved by the construction specialist. 

• All lead-based paint debris (chips and components) must be disposed of in 

a municipal solid waste landfill. 

^erty Ownei^ / Date 

ih. 

^"^-27^ W^MLL^ Propel yiWr ^^-^^-^ 

Date 

Witne. 

Date i 

Occupant (i f applicable) 

Date 

Occupant (ifapplicable) . Date 
Exterior Lead-based Paint Stabilization Program Managed by the City of 

Omaha for EPA Region 7 

Omaha Lead Site 

The purpose of this program is to prevent yards where lead-contaminated soil is cleaned 

up from becoming re-contaminated by deteriorating exterior lead-based paint. This is 

not a home repair program. 

Which Homes Are Eligible? 

• Homes where soil clean-up has been or will be done and an EPA contractor has 

identified deteriorating exterior lead-based paint. 

• Homes are eligible only by referral from tiie EPA. 

What work vvill be done? 

•. Loose and flaking lead-based paint will be removed safely from fascia, eaves, 

siding, frim, window trim, door trim and foundation. 

• Surfaces will be primed and painted to match existing paint color as closely as 

possible. 

What will not be done? 

• • Surfaces which have no paint will not be treated. 

.• Windows or doors will not be included. 

• Rotten wood will not be replaced. 

• No housing repair will be done. 

Who will perform the work? 

• EPA confractors will test paint on exterior house surfaces and give the results to 

the City of Omaha Paint Stabilization Program. 

• City Consfruction Specialists will prepare a work plan and contact the property 

owner for permission to proceed. 

• Work will be competitively bid by approved, frained confractors. 

When will the work be done? 

• This program began in 2007 and will continue for several years. 

• The City staff will prioritize homes based on the presence of children under age 

six ifknown and the severity ofthe problem. 

Paint Stabilization is voluntary and will be done only with permission ofthe owner. 

Initials / f > 

^^ ^ 
Consedt for Access to Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States Environmental Protection 

Agency (USEPA) or its authorized representatives, collectively the Grantee, to enter and perform 

. certain environmental response activities upon the following described premises: 

Owner's Name: Davtime Phone: 

Owner Name(s): Yesenia Cabrera 651-2529 

Addresses of Properties Covered by this Agreement 

Property Address City/State/Zip Code • 

1006S.26tiiSt. Omaha, NE 68105 

Grantor understands that this grant does not limit EPA's right of access under the Comprehensive 

Environmental Response and Liabilitv Act (CERCLA! 42 USC. & 9601-9675. or anv other law. 

PURPOSE OF ACCESS 

The purpose of the response action is to stabilize loose or flaking exterior lead-based, paint on 

residential properties, including day-care facilities, where remediation of lead contaminated soil has 

or will take place. Sampling of soil may be conducted. This consent shall allow Graritee onto 

Grantor's property and ftirther, provides the Grantee the right to perform any and all envirorunental 

response actions and activities it deems appropriate. 

ENVIRONMENTAL RESPONSE ACTIONS 

The environmental response actions to be performed on subject property may include the following 

activities: 

1.: Locating equipment and/or machinery on subject property in preparation for and in the course of 

the response activities. 

2. Obtaining siamples from Grantor's property. 

(1) 2/12/2007 
Address: 1006S. 26tii St. 

Consent for Access to Propertv (Page 2) 

3. Plarming and implementing the response action on the Grantor's property. This will include 

1) removal of loose or flaking.paint identified by EPA using lead-safe methods in compliance 

with HUD/EPA regulations and 2) repainting according to the attached specifications. 

TERM 

This access agreement shall be operable for the period of time it takes to complete the 

environmental response activities. Upon completion of the response actions, all rights and 

privileges given by the Grantor shall cease on that date, unless extended by a subsequent 

agreement. 

AGREEMENT NOT TO INTERFERE 

Grantor agrees riot to interfere \Yith any of the activities undertaken by Grantee at the Property, 

tamper with any of Grantee's property, or take any actions regarding the use ofthe Property which 

will endanger human health or.welfare or the environment, or allow others to use the Property in 

such manner during the term of this consent. Grantor agrees to provide notice and a copy of this 

agreement to prospective purchasers, lessees, assigns, or grantees of the property or any portion of 

it. Grantor agrees to provide 30-day notice to EPA prior to any transfer of ownership rights to the 

property. 

SAMPLING RESULTS 

Grantee agrees to provide Grantor with the results of any and all sampling.and/or analysis resulting 

from Grantee's response activities on the property. 

PRIOR CONDITIONS AGREEMENT 

The grantor agrees to the condition of the property prior to remediation arid indicates on Page 3 any 

items to be removed by the Grantor before activities commence. 

RESTORATION OF PROPERTY 

Except for the above stated paint stabilization, tiie Grantee agrees that said property will be restored 

as nearly as possible to its original state and condition as found immediately preceding the 

beginning of activities authorized by tiiis Agreement, following completion of tiie response 

activities. 

(2) 2/12/2007 
Address: 1006 S. 26th St. 

, Omaha, NE, 68105 

CURRENT CONDITION / PROPOSED RESPONSE ACTIVITIES 

The purpose of this section is to provide a mutual agreement as to conditions of property prior to 

contractor activities. This will also serve as documentation for the purpose of assuring that 

restoration activities are completed to the satisfaction of the property owner and the United States 

.Environmental Protection Agency (EPA). 

Items to be removed bv propertv owner prior to the response activities:' . \, 

1. . 

2. 

3. 

4. 

5. 

Items NOT to be removed bv confractor during removal activities: 

I. ~ 

2. 

3. . 

4. 

5. 

ADDITIONAL COMMENTS: 

I have read the foregoing document and understand that it is an agreement granting permission to 

the Grantee to enter the above described premises for the purpose of conducting environmental 

response activities, arid I agree to its terms and conditions. I acknowledge' that I have received the 

pamphlet "Renovate Right". 

Grantor's Signattire: ^'^,y^ ^ ( 7ld^c4f^ Date £-l^-JO 

(3) 2/12/2007 
Douglas County Accoimt Information Page 1 of3 

Douglas County, Nebraska Property Record - R1714230000 

Print Report 

NEW Feature - Parcel Dimensions available Q scale 0-50 ft west of 52nd St - Vie w OR Ma p Inforniation is valid as of 2010-4-5 Treasurer's Tax Report 

New Feature "* •* ?> Auto Saies Search 

Owner 

CABRERA YESENIA 

ETAL 

56574 195 ST 

PACIFIC JUNCTION IA 61561-0000 

Property Informatio n 

Key Number: 1423 0000 17 

Account Type: Residential 

Parcel Number: 1714230000 

Parcel Address: 1006 S 26 ST 

OMAHA NE 68105-0000 

Legal Description: MARSHS ADD LOT 2 BLOCK 9 1/2 VAC ALLEY ADJ & LOT 2 BLK 9 50 X 132.5 

Value Informatio n 

Land Improvement Total 

2009 

2008 

2007 

2006 

2005 

2004 

$4,800.00 

$4,800.00 

$4,800.00 

$4,800.00 

$4,800.00 

$4,800.00 

$43,500.00 

$43,500.00 

$43,500.00 

$46,800.00 

$46,800.00 

$46,800.00 

$48,300.00 

$48,300.00 

$48,300.00 

$51,600.00 

$51,600.00 

$51,600.00 

Sales Informatio n 

Sales Date: 2008-06-20 

Deed Page: Type: WD Book: 2008 062502 

Price: $53,500.00 

Grantor: RAMIREZ GONZALO P 

Grantee: CABRERA YESENIA ETAL 

Valid/Invalid: Valid. 

Exclusion Reason: 

Sales Date: 2002-06-21 

Deed Type: SWD Soofr: 2215 Page: 524 

Price: $23,200.00 

Grantor 

http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accOimtno=R17... 4/16/2010 
Douglas County Account Information Page 2 of 3 

Grantee: 

Valld/lnvalld: Valid 

Exclusion Reason: 

Sales Date: 2001-07-11 

Deed Type: MOD Book: 2195 Page: 43 

Price: $34,360.00 

Grantor: 

Grantee: 

Valid/Invalid: Invalid 

Exclusion Reason: Foreclosure 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.15 6600.0 1.0 132.0 50.0 No 

Improvemen t Informatio n 

Building 1 

inn soinrfitlt'^ 

rta«" 

ur mtn' •< 

tui 1 1/2 STORY RNISHED 

CLICK TO ENLARGE IMAGE 

Square Footage: 1402.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 1 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 6.0 

Exterior: Frame Shingle Units: 1.0 

Interior: Plaster Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl7... 4/16/2010 
Douglas County Account Information Page 3 of3 

1 Sprinltier Square Footage: | 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1910 0 0% 1910 100 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 fl 912.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Garage Attached 210.0 

Porch EncI Solid Wall 120.0 

http://dougIasne.mapping-bnline.com/DouglasCoNe/static/accountinfo.j sp?accountao=R 17... 4/16/2010