Transmittal of Omaha Lead Site 

Paint Stabilization File Folder 

Said # :7- 5"V^ 7 Date: /-^ ^ " O ^ 

Address: /3^ 3 / ^ . ^ ^ ^t -

Contractor: Citv of Omaha Year: .^^32? (P 

Paint Stabilization 

Property File Folder Documents 

i / W^or c k Write Up 

Signed Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Reitiovation Form for Occupant/Tenant, ifapplicable 

^ Painting Agreement/City of Omaha Purchase Order 

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

Renovation Recordkeeping Checklist signed by Certified Renovator 

l^Property information from Douglas County Assessor's Office 

^^Other(describe): It'cfun J , " 

City of Omaha Representative Signature Date 

EPA Representative Sign_ature.__ ._ __ _ - Date 

30262435 

iiniiiiiiii 

Superfund 
CITY OF OMAHA 

PURCHASING - ROOM 1003 Purchase Order 

1819 FARNAM STREET REVISION PAGE 

OMAHA, NE 68183-1003 PURCHASE ORDER NO. 


1149685 
 0 1

FAX# 402-444-5423 

SHIPTO: 

CITY OF OMAHA 

HOUSING & COMM DEV RM #1111 

1819 FARNAM STREET 

0MAHA,NE 68183 

. G W TIBBS CONSTRUCTION VENDOR: > < BILL TO: 

CITY OF OMAHA FINANCE 

ATTN GARRY TIBBS 

4321 N 56 ST DISBURSEMENTS ROOM #1007 

OMAHA, NE 68104 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 

80190 07-AUG-08 P BURKE 

PAYMENT TERMS SHIP VIA F.O.B. 

DESTINATION 

FREIGHT TERMS REQUESTOR/DELIVER TO CONFIRM TO / TELEPHONE 

MARUCA.T MARIE 

> • ITEM PART NUMBER / DESCRIPTION DELIVERY DATE QUANTTTY UNIT UNIT PRICE EXTENSION s

IMPORTANT DO NOT START WORK UNTIL PROCEED ORDEP is ISSUED BY THE PLANNING 

DEPARTMENT - PER GROUP 2.2 BID DATED 7/30/08. 
 All prices and amounts on this order are express d in : US Doi: ar 


NEEDED: 
 1,000.00 N
 08-AUG-08 


EPA PAINT STABILIZATION 


PROGRAM GROUP 22 1323 


N. 29TH ST. 
 o SHIP TO: 


Address at top of page 


' t* * * * * * * * * * * * * * * * * * * * * * * * * * ******************** 


NEEDED: 3,000.00 N 


08-AUG-08 


EPA PAINT STABILIZATION 


PROGRAM GROUP 22 4218 


DAVENPORT ST. 
 O SHIP TO: 


Address at top of page 


Jlr ****** * * * *. ********* * *.* * * * ******************* * 

SHIPTO: Address shown above. If shipment is delayed or any items not available, advise at once. Purchase order numt>er must appear on all Invoices, packages, packing lists, bill of lading, and correspondence. 

SHIPPING CHARGES TO BE PREPAID, IFAPPLICABLE AND ADDED TO INVOICED, copy to be furnished with invoice. 

TAX EXEMPTION: The City of Omaha is exempt firom Federal Excise Taxes and the Nebraska and City of 

Omaha Sales Taxes. Federal I.O. 476006304; STATE I.O. 01-0316766; Fuel Dealers Lie. 91-0316768. 
DOUGLAS COUNTY 

REQUEST FOR BID AND BIO SHEET 

ON: CITY OF OMAHA EXTERIOR PAINT STABILIZATION PROGRAM FOR THE 

EPA OMAHA LEAD SITE - GROUP #22 

FROM: P.M. Burke Published July 16. 2008 

Asst. Douglas Courity Purchasing Agent NOT AN ORDER Page 1 

902 Omaha-Dougias Civic Center 

1819 Famam Street 

Omaha, Nebraska 68183-0902 

Bid Closing Time & Date: 11:00 a.m. July 30,2006 

IMPORTANT 

1. Sid must be in the office ol Ihe CITY CLERK, LC-1. OMAHA-DOUGLAS CIVIC CENTER, 4. If Federal Excise Tax applies, show amount of same and deduct. 

1819 Farnam Street, Omaha, NE 68183-0011 by the closing date and dme indicated Exemption certificates will be furnished. Do not include tax in bid. 

in a saalad envelope marked: 

BID ON: CITY OF OMAHA EXTERIOR PAINT STABILIZATION 5. BID MUST INCLUDE ANY DELIVERY OR SHIPPING CHARGES. 

PROGRAM FOR THE EPA OMAHA LEAD SITE • GROUP #22 

6. When submitting bid on items lisled, bidder may on a. separate sheet, make 

2. BID BOND: A bid bond is nol required for this project. suggestions covering reduction in costs wherever this is possible through 

redesign, change ol material or utilization ot standaid items or quantity change. 

3. Right is ressnred to accept or reject any or all bids in their entirety and the bidders shall 

have the right to appeal any decision to the City Council. Right'is also resenrad to 7. II you do hot bid, return sheets with reason lor declining. Failure to do so will indicate 

accept ot reject any part of your bid unlessolhenvise indicated by you. your desire to be removed from our mailing list. If you desire a copy of tabulation 

check here FH 

PLEASEOO NOT CALL FOR THIS INFORMATION 

Quote your lowest price, best delivery and terms, F.O.B..delivery point on the item(s) listed below: 

QUANTITY DESCRIPTION UNIT PRICE EXTENSION 

The City of Omaha is seeking bids from pre-qualified suppliers to • perforrn the scope of vt/ork as described in the attached 

specifications. 

Each site is a gieographically separate site, not dependent or 

related to any other site, and each site will be considered a 

separate avyard, per bid and attached specifications. 

DAVIS BACON ACT 

For questions regarding this bid, or questions on how to qualify to 

become a bidder for this or future bids with this scope of work, 

contact Mr. Mike Honaker at (402)444-5333. 

All contractors can obtain a current City of Omaha Certified Protected Business Enterprise/Certified Business Enterprise (PBE/DBE) listing Ironi the City ol Omaha.website at 

www.ci.omaha.ne.us. Click on 'Departments, click on 'HUMAN RIGHTS & RELATIONS', click on 'PBE/DBE CERTIFIED DIRECTORY'. All bidders awarded a contract in the amount ol SS.OOO 

or nure must comply with the Contract Compliance Ordinanace and have on file with Ihe Human Rights and RelationsOepartment the Contract Compliance Report (Fonn CC-1). This report 

shall be in effecl for 24 months from the date received by the Human Rights & Relations Department. Any queslions regarding the Contract Compliance Ordinance or PBE/DBE Listings shoukt 

be directed to the Human Rights & Relations Department at (402)444-5055. 

* Reter anv Questions reoardlng the BID or SPECIFICATIONS directly to the Purchasing DBoartment (402)444-7155 or as shown on bid. 

7PLEASE PRINT LEAIBL V OR TYPE) 1 

Firm Cr » U ^ "^ v Y> \\ 5 1 Incorporated in: 

Payment Terms % 

Name Signature' 

Delivery (or completion) 

title Phone Fax 

calendar days followina award 

Address 

Slreel/|J.U. Uox uiiy ytate £ip 

Email Address 
Planning Departniient 

Inspector: Bo b Pickera l Omaha/Douglas civic Center 

Date: June 18,2008 • ^^^^ '"'V"'"" ^"'"' S""*: ^003 

Omaha, Nebraska 68183 

(402) 444-5150 

Name: Rhonda Taylor Telefax (4O2)546-07i4 

cityofomaha Addrcssi 132 3 N 29^^ St. "'""^'^'"""DJ^.C^ ^ 

Mike Fahey, Mayor 

OMAHA EXTERIOR PAINT STABILIZATION PROGRAM 

FOR THE EPA OMAHA LEAD SITE 

The Contract bid docuirients consist of the following sections: 

. • General Responsibilities for the Contractor and Occupant. 

• Lead Hazard Control Plan, Interim Control 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 at the Planning Department.) 

• Comply with the State of Nebraska 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 Rehabilitation Inspector. 

• Repair or replace all items damaged or disturbed during construction. 

• At all times keep the site of work and surrounding area free from accumulations 

of waste materials or rubbish caused by the work. 

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

and etc., that is coniiected with the work, and leave all parts of the work areas in a 

neat, sanitary, lead safe and presentable condition. 

• Complete this project within 30 calendar days. 

The Occupant Shall 

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

to be remediated. 

• Remove volunteer trees and vegetation from the drip line of the roof, and cut back 

shrubs and bushes at least two feet from the house and garage. 

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

and also keep all pets at least ten feet alway at all times until the work ha^been 

completed and the area has passed a visual inspection. 

Initials 
Address: 1323 N 29 ST, Omaha, Ne, 

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 activitites are completed to the satisfaction of the property owner and the United States 

Environmental Protection Agency (EPA). 

Items to be removed by propertv owner prior to the response activities: 

3. . 

4. 

5. 

Items NOT to be removed bv contractor during removal activities: 

1. 

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 pi'emises for the purpose of conducting environmental 

response activities, and I agree to its terms and conditions. 

Grantor's Signature: U'^U^A^^T^.y \jJiMUb/ ^ Date • ^'(^0-^ { 

(3) vmiwn 
Address: 1323 N 29 ST 

Consent for Access to Property (Page 2) 

3. Planning 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 not to interfere with any of the activities undertaken by Grantee at the Property, 

tamper with any of Grantee's property, or take any actions regarding the use of the 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 and 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, the Grantee agrees that said property will be restored 

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

bieginning of activities authorized by this Agreement, following completion of the response 

activities. 

(2) 2/12/2007 
Consent 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): Rhonda Taylor 344-0681 

• 

Addresses of Properties Covered by this Agreement 

Property Address 

City/State/Zip Code 

1323 N 29 ST 

Omaha, Ne 

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 Grantee onto 

Grantor's.property and further, provides the Grantee the right to perform any and all environmental 

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 samples from Grantor's property. 

(1) 2/12/2007 
Witness 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 recontaminated 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 the EPA. 

What work will he done.? 

• Loose and flaking lead-based paint will be removed safely from exterior walls, 

trim, and window frames. 

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

possible. 

What will not be done? 

• Surfaces which have no lead-based paint will not be treated 

• Windows will not be treated 

• Rotten wood will not be replaced 

• No housing repair will be done 

Who will perform the work? 

• EPA contractors will test paint on exterior hoe surfaces and give the results to the 

City of Omaha Paint Stabilization Program. 

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

owner for permission to proceed.­

• Work will be competitively bid by approved, trained contractors. 

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 if known and the severity of the problem. 

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

Initials 7^' ' 
Address (continued) 1323 N 29* St. 

Lead Hazard Gontrol Plan 

Interim Control of Lead based Paiilt Hazards 

Paint Stabilization 

• Prepare and paint all previously painted exterior surfaces of the dwelling 

to include the fascia, eaves, siding, trim, window trim, door trim and 

foundation. Do not paint windows or doors. 

• Prepare and paint aJl previously painted surfaces of the front porch. 

• Prepare and paint all previously painted exterior surfaces of the garage if 

applicable. 

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

• See planning Department's list of approved paint products for lead 

projects. 

Lead Based Paint Waste 

Lead-based paint waste must be handled as follows 

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

• Clean paint chips before starting, during and after the project. 

• All lead painted components and debris must be removed from 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. 

^tYj^\Jf»r 

Property Owner ' 

^ t^5 

Date 

:£?/ 

Property Owner / Date 

Witness Date 

Occupant (if applicable) Date 

Occupant (if applicable) Date 
Douglas County Account Information Page 1 of 3 

Douglas County, Nebraska Property Record - R2141810000 

Print Report 

Parcel Dimensions available « scale 0-50 It west of 144 St - VIB W OH Ms p Information is valid as of 2008-5-19 Treasurer's Tax Report 

New Feature -»-•- > Auto Sales Search 

Owner 

TAYLOR RHONDA 

1323 N 29 ST 

OMAHA NE 68131-0000 

Property Information 

Key Number: 4181 0000 21 

Account Type: Residential 

Parcel Number: 2141810000 

Parcel Address: 1323 N 29 ST 

OMAHA NE 68131-0000 

Legal Description: ST CLARE ADD LOT 8 BLOCK 0 N 1/3 LTS 7 & 42.5 X 100 

Value Informatio n 

Land Improvement Total 

2008 $2,200.00 $63,300.00 $65,500.00 

2007 $2,200.00 $63,300.00 $65,500.00 

2006 $2,200.00 $63,300.00 $65,500.00 

2005 $2,200.00 $63,300.00 $65,500.00 

2004 $2,200.00 $23,000.00 $25,200.00 

2003 $2,200.00 $23,000.00 , $25,200.00 

Sales Informatio n 

Sales Date: 2001-09-09 

Deed Type: WD Book: 2195- Page: 206 

Price: $58,000.00 

Grantor: 

Grantee: 

Valid/Invalid: Invalid 

Exclusion Reason: Financing Sellor/Special 

Sales Date: 2001-09-09 

Deed Type: WD Book: 2195 Page: 207 

Price: $1.00 

Grantor: 

http://douelasne.maDDinp-online.eom/DougIasCoNe/.sfarin/af:r.niintinfn icn9Qo/-rMintr.r.-Doi/i Kn/nrtno 
Douglas County Account Information Page 2 of 3 

Grantee: 

Valid/Invalid: Invalid 

Exclusion Reason: Multiple 451 Parti Int Invalid 

Lan d Informatio n 

Acres SF Units Depth Width Vacant 

0.09 4300.0 1.0 100.0 43.0 No 

Improvemen t Informatio n 

Building 1 

laao oeu inu- 112JN:»S T 

TWO STORY 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1520.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 2 Story Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 7.0 

Exterior: Frame Vinyl Units: 1.0 

Interior: Drywall Baths: 2.0 

Roof Cover: Composition Sliingle Bedrooms: 3.0 

Roof Type: Hip Stories: 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1912 0 0% 1912 96 

Defa/7 Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 654.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 2.0 

http://doug]asne.mapping-online.com/DouglasCoNe/static/accountinfo.isn?accountnp=R"'14 (^n/'^aoR 
Douglas County Account Information Page 3 of 3 

Garage Detached 216.0 

Porch Slab Roof Ceil 144.0 

User 10% TRAFFIC NOISE 1.0 

httD://doupla.<!ne.manninp-nnHnp..com/r)nii«TlasCnNe./Rtatir./arrnnntinfn icn95i(-^niiTifnr.—ooi/i ^/o/onno 
Results 1 -1 of 1 

El ! ^ Parcels 

^ TAYLOR RHONDA 

Parcel Search Page 1 of 1 

finnnni} 

B 

1323 N 29 ST 

Parcel ID 

Owner Name 

Property Address 

City 

Zip 

Owner Address 

Owner Address 2 

Oywner City 

Owner State 

Owner Zip 

Sec-Twn-Rng 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Treasurer Website Link 

Assessor Website Link 

htto://www.dopi!?.orp/dnpi.>5 alias/dnBi.s/nareel.Searrh

2141810000 ^ 

TAYLOR RHONDA 

1323 N 29 ST 

OMAHA 

68131 

1323 N 29 ST 

OMAHA 

NE 

68131 . 

16-15-13 

ST CLARE ADD 

0 

8 

N1/3LTS7& 

42.5X100 

Treasurer Information 

Valuation Information 

 a!5nx'>anvTTc*»r=falc*».«ri;'aliHTTc»r—foico