## Transmitta l o f Omah aLea d Sit e Pain t Stabilizatio n Fil e Folde r Said #FS^6>7 ^ Date : ^'7^-£> f Address : 3/P. 9 /1/</ / SJ

Contractor : Cit v o f

Omah aYear : ^-^rc>* ^ 

## Pain t Stabilizatio n Propert y Fil e Folde r Document s L^or k Writ e U p ^•^Signe d Acces s Agreemen t fo r

subject propert y Pre-Renovation for msigned b y Propert y Owne r Pre-Renovation For mfo r

Occupant/Tenant , ifapplicabl e Ix^Paintin g Agreement/Cit y o f

Omah aPurchas e Orde r Settlemen t documents (i.e. , fo r

damag e o r

t

o replac e plants , etc. ) Renovation Recordkeepin g Checklis t signe d b y Certifie d Renovato r ^ Propert y informatio n fromDougla s Count y Assessor' s Offic e ^ Othe r

(describe) : \\\(& 0 

## 7^w^> . /^ ^ 3-75^ 7 < Cit y of Omah aRepresentative Signatur e Dat e EP A Representativ e Signatur e ___. . --- . Dat e 3026245 0 

# iiinniHii i Superfun dPlannin g Departmen t Inspector : Stev e Zivn yOmahi/Dougla s civi c Cente r Date : 7/13/0 9 ' ^^^'S T ^^u'^?^".1!2^ Omaha , Nebrask a6818 3 (402 ) 444-515 0 

## Name : Kristan E Mone y . TeWax(402 ) 546-07i 4 CityofOmah a- AddreSS ! 312 9 N 48^ ^ StTcc t

''^^'''''•J''^^'"'^S;i ^ Ji mSuttle , Mayo r 

## OMAHA EXTERIO RPAINT STABILIZATIO N PROGRA M FO RTH E EP A OMAH A LEAD SIT E Th e Contrac t bi d document s consis t ofth e followin g sections : •Geriera l Responsibilitie s fo r th e Contracto r an d Occupant . •Lea d Hazar d Contro l Plan , Interi mContro l o f Lead Base d Pain t Hazards . Th e Contracto r Shall : •Compl y wit h HUD' s "Guideline s for the Evaluatio n an d Contro l o f Lead-Base d

. Pain t Hazard s i n Housing. " (Copie s ar e availabl e a t th e Plannin g Department. ) •Compl y wit h Standard s calle d fo r i n th e "Constructio n an d Rehabilitatio n Specifications , Housin g an d Communit y Developmen t Division , Cit y o f Omaha , Nebraska. " (Copie s ar e availabl e a t th e Plannin g Department. ) •Compl y wit h th e State ofNebrask aHealt h an d Human Service s Regulatio n aii d Licensure , Titl e 17 8 Chapte r 2 3 Lead Bas e Pain t Regulations . •Coordinat e dail y constructio n schedul e wit h th e occupan t

. •Submi t informatio n cu t sheet s fo r al l substitution s or approve d equal s prio r to writte n approval ofth e Constructio n Specialist . •Repai r or replac e al l item s damage d o r disturbe d durin g pain t stabilizatio n 'activities. ' •Kee p wor k

sit e an d surroundin g are afree fro maccumulation s o f waste material s o

r rubbis h cause d b y th e wor k

a

t al l times . • Upo n dail y completio n o f work : clean u p al l rubbish , exces s material , equipment , an d etc. , tha t i s connecte d wit h th e work , and leav e all pairts ofih e wor k

area s i n a neat , sanitary , lead saf e an d presentabl e condition . •Complet e thi s projec t withi n 3 0 calenda r days . Th e Oc c upaiit/Owner Shal l •Remov e and stor e awa y any persona l propert y withi n twent y (20 ) fee t ofth e are a t o b e remediated . •Provid e acces s t o electricit y an d water throughou t th e pain t stabilizatio n process . •Ensur e that al l househol d member s sta y a t leas t te n fee t away fromal l wor k

area s an d als o kee p al l pet s a t leas t te n feet awa y a t all time s unti l th e wor k

ha s bee n complete d and th e are aha s passe d avisua l inspection . hiitiai s (AflY l312 9 N 48t h S t (Continued ) 

## Lea d Hazar d Contro l Pla n Interi mContro l o f Lea d base d Pain t Hazard s Pairi t Stabilizatio n •Stabiliz e al l previousl y painte d exterio r woo d or concret e surface s ofth e dwellin g to includ e bu t no t limite d to th e fascia , eaves , trim , windo w trim , gutters , doo r trim , an d foundation . D o no t includ e door s o r windows . INCLUD E FOUNDATIO N WINDOWS . •Stabiliz e al l previousl y painte d exteirio r surface s o f th e garage . •Prepar e an d pain t al l previousl y painte d surface s b y followin g th e Saf e Wor k

Practice s protoco l fo r EP A exterio r lead ba^e d pain t stabiliziation . •Al l pain t color s to matc h existin g pain t pattern . Prim e an d appl y tw o coat s o f approve d finis h coat . (Refe r t o Plannin g Dept . approve d pain t list ) Ruste d meta l wil l require rust-inhibitin g primer . •I F SPRAYED , ON E COA T SHAL L B E BACK-BRUSHE D O R BACK-ROLLED . Lea d Base d Pain t Wast e Lead-base d pain t wast e mus t b e handle d a s follow s • Al l pain t chip s an d componen t debri s mus t b e doubl e bagge d fo r disposal . •Clean pain t chip s fromgroun d aroun d perimete r o f dwellin g befor e starting , durin g an d afte r th e project . •Al l lea d painte d component s and debri s mus t b e remove d from

- th e sit e dail y unles s otherwis e approve d b y th e constructio n specialist . • Al l lead-base d pairi t debri s (chip s an d components ) mus t b e disposed , o f i n amunicipa l soli d wast e landfill . ^ropert y Owne r IDat e Property Owne r Dat e 

## >JJ J 471AAIJUL ^ 

## J-l^-O'T l Witnes s Dat e Occupan t (i f applicable )Dat e Occupan t (ifapplicable )Dat e Witnes s Dat eExterio r Lead-base d Paiti t Stabilizatio n Progra mManage d b y th e Cit y o f Omah afo r EP A Regio n 7 Omah aLea d Sit e

Th e purpos e o f thi s progra mi s to preven t yard s wher e lead-contaminate d soi l i s cleane d u p fro mbecomin g re-contaminate d b y deterioratin g exterio r lead-base d paint . Thi s i s no t ahom e repai r program . Whic h Home s Ar e Eligible ? •Home s wher e soi l clean-u p ha s bee n o r wil l b e don e an d a n EP A contracto r ha s identifie d deterioratin g exterio r lead-base d paint . •Home s are eligibl e onl y b y referral fromth e EPA . What work wil l b e done ? •Loos e an d flaking lead-base d pain t wil l b e remove d safely fi-omfascia , eaves , siding , trim , windo w trim , doo r tri man d foundation . •Surface s wil l b e prime d an d painte d to matc h existin g pain t colo r a s closel y a s possible . Wha t wil l no t b e done ? •Surface s whic h hav e n o pain t wil l no t b e treated . • Window s or door s wil l no t b e included . ' • Rotte n woo d will no t b e replaced . •N o housin g repai r wil l b e done . Wh o wil l perfor mth e work ? • EP A contractor s wil l tes t pain t o n exterio r hous e surface s an d giv e th e result s to th e City o f Omah aPain t Stabilizatio n Program . •Cit y Constructio n Specialist s wil l prepar e awor k

pla n an d contac t the propert y owne r fo r pennissio n t o proceed . •Wor k

wil l b e competitivel y bi d b y approved, , traine d contractors . Whe n wil l th e wor k

b e done ?

. • Thi s programbega n in 200 7 and wil l continu e fo r severa l years . •Th e Cit y staf f wil l prioritiz e home s base d o n th e presenc e o f childre n under ag e si x ifknown . and th e severit y ofth e problem . Pain t Stabilizatio n i s voluntar y an d wil l b e don e onl y wit h permissio n ofth e owner . 

### Initial s iifjff ]

### Consen t fo r

Acces s to Propert y RIGH T O F ENTR Y T O PREMISES Granto r

(the propert y owner ) consent s t o an d authorize s the Unite d State s Environmenta l Protectio n Agenc y (USEPA ) o r

it s authorized representatives , collectively th e Grantee , t o ente r

an d perfor m certai n environmenta l respons e activitie s upo n thefollowin g described premises : Owner' s Name : Davtim e Phone : Owne r

Name(s) : Krista n Mone y 98U832 7

Addresse s of Propertie s Covere d b y thi s Agreemen t Propert y Addres s City/State/Zi p Cod e 312 9 N . 48t h St . Omaha, N E 6810 4 J 

### Granto r

understand s tha t thi s gran t doe s no t limi t EPA' s righ t of acces s unde r

th e Comprehensiv e Environmenta l Respons e an d Liabilit v Ac t CCERCLA l 4 2 USC . & 9601-9675 . o r

an v othe r

law . PURPOS E O F ACCES S Th e purpos e of the respons e actio n i s t o stabihz e loos e o r

flaking exterio r

lead-based pain t o

n residentia l properties , including day-car e facilities , wher e remediation of lea d contaminate d soi l has o

r

wil l tak e place . Samplin g o f soi l ma y b e conducted . Thi s consen t shal l allo w Grante e ont o Grantor' s propert y an d fiirther, provide s th e Grante e th e right t

o perfor man y an d al l environmenta l respons e action s an d activitie s i t deems appropriate . FUTUR E ACTIO N B y signing thi s document , th e granto r

agree s t o allow a n EP A contracto r

t

o conduc t asoil cleanu p a

t thi s propert y followin g completion of lead-base d pain t stabilization . Th e granto r

acknowledge s tha t th e pain t stabilizatio n contractor caimo t provid e assurance s tha t biri d th e soil cleanu p contractor . Th e granto r

understand s tha t th e soil cleanu p contracto r

will mak e al l reasonable effort s to addres s concem s tha t th e granto r

ma y have regarding soil cleanu p a t thi s property . ENVIRONMENTA L RESPONS E ACTION S Th e environmenta l respons e action s t p b e performe d o n subjec t propert y ma y includ e th e following . activities : 1 .

Locating equipmen t and/o r

machiner y o n subjec t propert y i n preparation fo r

an d i n th e cours e o f th

e respons e activities . 2 .

Obtaining samples.fro mGrantor' s property .

### Address : 3129 N . 48t h St . Consen t fo r

Acces s t o Propert v (Pag e 2 ) 3 .Plaimin g an d implementing the respons e action on the Grantor' s property . Thi s wil l includ e 1 ) remova l o f

loos e o r flaking pain t identified b y EP A using ' lead-saf e method s i n complianc e wit h HUD/EP A regulation s an d 2 ) repainting according t o the attache d specifications . TER M Thi s acces s agreemen t shal l b e operable fo r

th e perio d o f tim e i t take s t o complet e th e environmenta l respons e activities . Upo n completio n o f th e respons e actions , all rights an d privilege s give n .b y the Granto r

shall ceas e o n tha t date , unles s extende d b y asubsequen t agreement . AGREEMEN T NOT T O INTERFER E Granto r

agree s not t

o interfer e wit h an y o f

th e activitie s undertake n b y Grantee a t the Property , tampe r

wit h an y o f Grantee' s property , o r

tak e an y action s regardin g the us e of th e Propert y whic h will endange r

huma n healt h o r

welfar e o r

th e environment j o r

allow other s t o us e th e Propert y in . suc h maime r

during th e teim i of thi s consent . Granto r

agree s t o provid e notic e an d acop y o f

thi s agreemen t t

o prospectiv e purchasers , lessees , assigns , o r

grantee s ofth e propert y o r

an y portio n o f it . Granto r

agree s t o provid e 30-da y notic e t o EP A prior t

o an y transfe r

of ownershi p rights t o th e property . SAMPLIN G RESULTS Grantee agree s t o provide Granto r

wit h the result s of an y an d al l samphn g and/o r

analysi s resultin g fromGrantee' s respons e activitie s on the property . PRIORCONDITION S AGREEMEN T Th e granto r

agree s t o th e condition .o f

the propert y prio r

t

o remediation an d indicate s o n Page 3 an y item s t o b e removed b y th e Granto r

befor e activitie s commence . RESTORATIO N O F PROPERT Y Except fo r

the above stated pain t stabilization , the Grantee agree s tha t said propert y wil l be restored as nearly a s possibl e t o it s origina l stat e an d conditio n a s foun d immediatel y preceding th e beginning o f

activitie s authorized b y thi s Agreement, followin g completion o f

th e response . activities .

### Address : 3129 N . 48t h St. , Omaha , NE , 6810 4 CURREN T CONDITIO N / PROPOSE D RESPONS E ACTIVITIES Th e purpos e o f thi s sectio n i s to.provid e amutua l agreemen t a

s t o condition s of propert y prio r

t

o contracto r

activities . Thi s will als o serve as documentatio n fo r

th e purpos e of assurin g tha t restoratio n activitie s ar e completed t o th e satisfactio n o f

the propert y owne r

an d th e United States Enviromnenta l Protection Agenc y (EPA) . Items t o b e remove d bv propert v owne r

prio r

t

o th e respons e activities : 1 . " . 2 . 3 . 4 .

• 5 . 

### Item s NOT t o b e removed b v contracto r

durin g remova l activities : L , 2 . 3 . 4 . . ' 5 . . 

### ADDITIONA L COMMENTS :

I have rea d the foregoin g documen t an d understan d tha t i

t i s a n agreemen t granting permission t o th e Grante e t o ente r

th e above described premise s fo r

th e purpos e o f conducting envirormienta l respons e activities , an d I agre e t o it s terms an d conditions . I acknowledge tha t I hav e receive d th e pamphle t "Renovat e Right" . Grantor' s Signature : '^'^'^jTo^/C^ f jl(y\jii j Dat e 2/2^ 2

i'k

\vwm n

## CIT Y O F OIVIAH A PURCHASIN G - ROO M 100 3 

### Purchas e Orde r

181 9 FARNA M STREE T PURCHAS E ORDE R NO . OMAHA , N E 68183-100 3 115976 4

FAX # 402-444-542 3 SHI P TO : CITY O F OMAH A HOUSIN G & COM M DE V R M »111 1 .181 9 FARNA M STREE T OMAHA.N E 6818 3 BRA D BATE S PAINTIN G VENDOR : < > .

BIL L TO : 314 1 s o 52 S T CITY O F OMAH A FINANC E OMAHA , N E 6810 6 DISBURSEMENT S ROO M #100 7 181 9 FARNA M STREE T OMAHA.N E 6818 3 • ORIGINA L PURCHAS E ORDE R - VENDOR' S COP Y (SE E INSTRUCTION S BELOW ) CUSTOMfi R ACCOUN T NO . VENDO R NO . DAT E O F ORDER / BUYE R REVISE D DATE//BUYE R 7299 0 21-AUG-0 9 J ROBBI N 21-AUG-0 9 J ROBBIN S PAYMEN T TERM S SHI P VI A F.O.B . FREIGH T rERM S REQUESTOR/DELIVE R T O CONFIR M T O / TELEPHON E MARUCA , T MARI E • (402 ) 551-092 7 ^ -< ITE M PAR T NUMBE R / DESCRIPTIO N DELIVER Y DAT E QUANTITY UNI T UNI T PRIC E EXTENSIO N PROGRA M GROU P 5 6 2 90 2 N 04 8 S T O SHI P TO : j Addres s :a t to p o f pag e 1,925.0 0 N EP APAIN T STABILIZATIO N PROGRA M GROU P .5 6 311 5 U 0 4 7 A V : O SHI P TO : . i Addres s at to p o f pa^ e 575.0 0 N EP APAIN T STABILIZATIO N PROGRA M GROU P .56-312 9 N .04 3 S T O SHI P TO : •• • Addres s at to p o f pag e 750.0 0 N EP APAIN T STABILIZATION . PROGRA M GROU P 5 6 451 6 : MAYBERR Y S T i O SHI P TO : Addres s at to p o f pag e

SHIPTO : Addres s Show n above . I I shipmen t i s delaye d o ran y item s no t available , advis e a t once . Pur­ chas e ord(.': ' numbe rmus t appea ron . al l invoices , packages , packin g lists , bil l o f lading , an d correspondence . Tota l ( Conlinue d ) SHIPPIN G CHARGE S T O B E PREPAID , I F APPLICABL E AN D ADDE D T O INVOICED , copy t o b e lur - • nishe d will ; invoice . TA X EXENiPTION : Th e City of Omah a i s exemp t fro m Federa l Excis e Taxe s an d th e Nebraska an d Cil y o f Omah a Sa ! ; s Taxes . Federa l I.D . 476006304 ; STAT E I.D . 01-0316768 : Fue l Dealers Lie . 91-0316768 . Cil y Purchasin g Agen t / Buye r V '