Transmittal of Omaha Lead Site 

Paint Stabilization File Folder 

Said# ^/35> ^ Date: "^^P 52-/ 0 

Address: /^S 3 JS . 3 V SfContractor: CityofOmaha Year: '^0 ^O 

Paint Stabilization 

Property File Folder Documents. 

l^Work Write Up 

\ y Signed Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

I x Painting Agreement/City of Omaha Purchase Order 

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

Renovation Recordkeeping Checklist signed by Certified Renovator 

f^nPropertV information from Douglas County Assessor's Office 

_Uf Other (describe): nrlafa ^ 

Jtr^*^ 7^>i^ 3-^^"-7::^ 

City of Omaha Representative Signature Date 

EPA Representative Signature / Date 

30262468 

IHIi 

Superfund 
CITY OF OIVIAHA 

PURCHASING - ROOM 1003 Purchase L )raer 

1819 FARNAM STREET REVISION PAGE . PURCHASE ORDER NO. 

OMAHA, NE 68183-1003 •11684S7 0 1

FAX#'402-444-5423 

VENDOR G& M .PAINTING CO INC : 

13707 CUMING ST 

OMAHA, NE 68154 

SHIP TO: 

CITY OF OMAHA 

HOUSING & COMM DEV RM #1111 

1319 FARNAM STREET' 

OMAHA.NE 68183 

>. BILL TO: 

CITY OF OMAHA FINANCE 

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/7BUYER 

91298 07-SEP-10 H HURT 

PAYMENTTERMS SHIP VIA F.O.B. 

IMMEDIATE DESTINATION 

FREIGHT TERMS REQUESTOR/DELIVER TO CONFIRM TO / TELEPHONE 

ZIVNY. STEVEN D 

> ITEM PART NUMBER / DESCRIPTION DELIVERY DATE QUANTITY UNIT 

All prices and amounts on this order are. express


NEEDED: 


05-SEP-lO 


EPA PAINT STABILIZATIOt* 


PROGRAM GROUP 166 1033; 


S 3iST ST • 
 O SHIP TO: i 


Address at top of page 


NEEDED: 

05-SEP-lO 

EPA PAINT STABILIZATION 


PROGRAM GROUP 166 908 B 


36TH ST 


O SHIP TO: 


Address at top of pa^e 


UNIT PRICE EXTENSION 

=d in .- US D.olJ ar 


1,290.00 N 


1,315.0 0 N 

- < 

7 

SHIPTO: Address shown above. If shipment Is delayed or any Items not available, advise at once. Pur­

chase order number must appear on all invoices, packages, packing lists, bill of lading, and correspondence. Tota 2,605.00 

SHIPPING CHARGES TO BE PREPAID, IF APPUCABLE AND ADDED TO INVOICED, copy to be fur­ l C J

nished with invoice. 

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

Omaha Sales Taxes. Federal I.D; 476006304; STATE I.D. 01-0316768: Fuel Dealers Lie. 91-0316768. Cily Puichasing Agcn// Buyer 
Planning Department 

Inspector: Steve Zivny

 t^J^^^^m 

Date : 6/21/10 Omaha, Nebrask* 68183 

(402)444-5150 

Telefax (402) 546-0714 

Name: AlexKudenJr. _„ _ . . „. PC^MP 

R. E. Cunningham, RA, F.aAMt 

CityofOmaha AddrCSS I 103 3 S 3 1 StrCC t Director 

Jim Suttle, Mayor 

OMAHA EXTERIOR PAINT STABILIZATION PROGRAM 

FOR THE EPA OMAHA LEAD SITE 

The Contract bid documents consist of the following sections: 

• General Responsibilities for the Contractor and Occupant. 

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

The Contractor Shall: 

• Comply with HUD's "Guidelines for the Evaluation and Confrol 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 ofNebraska Health and Human Services Regulation and 

Licensure, Title 178 Chapter 23 Lead Base Paint Regulations. 

• Coordinate daily construction.schedule with the occupant 

• Submit information 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 vvaste 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 electricity and water throughout the paint stabilization process. 

• Ehsure 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 arid the area has passed a visual inspection. sL-Z-^ 

Initials ^f C 
1033 S 31st 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 of thie dwelling to include but not limited to the siding, fascia, 

. eaves, trim, window trim, shutters, gutters, railings, downspouts, door trim 

and foundation. DO NOT INCLUDE MAN DOORS OR WINDOWS. 

DO NOT INCLUDE METAL OR CONCRETE SIDING. INCLUDE 

READ DECK AND STAIRS. 

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

surfaces ofthe garage to include but not limited to the siding, fascia^ 

eaves, trim, window trim, shutters, gutters, railings, downspouts, door trim 

and foundation. DO NOT INCLUDE MAN DOORS OR WINDOWS. 

DO INCLUDE VEHCILE DOOR. 

• 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 Planning 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 handled as follows 

• All paint chips and component 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 removed from the site 

daily unless otherwise approved by the constmction specialist. 

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

a municipal solid waste landfill. 

Property Owner 

Date 

07/sofio 

Propert/Owner 

Witness Date 

Occupant (ifapplicable) 

Date 

Occupant (if applicable) 

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-contamiha:ted 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 the EPA. 

What work will 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 freated. 

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

the City of Ornaha 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 ifknown and the severity ofthe problem. 

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

Initials 7M ^ 
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): Alex KudenJr. 

345-3404 ' 

Addresses of Properties Covered by this Agreement 

Property Address City/State/Zip Code 

1033 S. 31st St. Omaha, NE 68105 

' 

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

Environmental Response and Liabilitv Act fCERCLAI. 42 USC. «fe 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 farther, 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 
Address: 1033 S. 31st St. 

Consent for Access to Propertv (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 ofthe Property which 

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

such marmer 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 ofthe 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 

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

activities. 

^2) 2/12/2007 
Address: 1033 S. 3lst 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 

Enviromnental Protection Agency (EPA). 

items to be removed bv property owner prior to the response activities: 

I. 

.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 premises for the purpose of conducting environmental 

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

pamphlet "Renovate Right". 

Grantor's Signature: ^/^£^C^^^ Date 07p/) 10 

2/12/2007 (3) 
Douglas County Account Infomiation Page 1 of2 

Pouglas County, Nebraska Property Record - R1318580000 

Print Report 

NEW Feature - Parcel Dimensiont availalile Q icale 0-50 n weat of S2nd St - Vle W OH Ma p Infbrmation is valid as of 2010-4-5 Treasurer's Tax Report 

New Feature ^i^^M ! Auto Sales Search 

Owner 

KUDEN JR ALEX 

1033 S 31 ST 

OMAHA NE 68105-0000 

Property Informatio n 

Key Number: 1858 000013 

Account Type: Multiple Res 

Parcel Number 1318580000 

Parcel Address: 1033 S 31 ST 

OMAHA NE 68105-0000 

Legal Description: HIMEBAUGH PLACE LOT 30 BLOCK 0 S 25 FT LT 29 & N 20 W 128 FT 25X 160 

20X128 

Value Informatio n 

2009 

2008 

2007 

2006 

2005 

2004 

Land 

$6,400.00. 

$6,400.00 

$6,400.00 

$6,400.00 

$6,400.00 

$6,400.00 

Improvement 

$35,000.00 

$35,200.00 

$35,200.00 

$33,600.00 

$33,600.00 

$32,500.00 

Total 

$41,400.00 

$41,600.00 

$41,600.00 

$40,000.00 

$40,000.00 

$38,900.00 

Land Informatio n 

Acres 

0.14 

SF 

6480.0 

Units 

1.0 

Depth 

144.0 

Widtii 

45.0 

Vacant 

No 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountao=R13... 4/16/2010 
Douglas County Account Information Page 2 of 2 

jl^miiMsM 

^ i f 

-aiL. i f 

1 IG STORY FIMSHE0 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1065.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Poor 

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

HVAC: Central Air to Air Rooms: 6.0 

Exterior: Frame Aluminum Units: 2.0 

interior: Drywall Baths: 1.5 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinl<ier Square Footage: 0.0 

Year Percent Adjusted Year 

year Built Physical Age Remodeled Remodeled Built 

1885 0% 1885 125 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 1065.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Fixture Bath Half 1.0 

Garage Detached 336.0 

Porch EncI Solid Wall 108.0 

Porch Slab Roof Ceiling 245.0 

Porch Slab Roof Ceiling 32.0 

Porch Wood Deck 50.0 

User 2 UNIT CONVERSION? 1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp7accountno-R13... 4/16/2010