## Transmitta l o f

Oniah aLea dSite Pain t Stabilizatio n Fil e Folde r
Said #^7 3 75" " Date : /Q-JO-O d Address : 3 3 " 7 C ) F^^K^I ^ M Contractor : Cit v of OmahaYear : ^O O p 

## Pain t Stabilizatio n Propert y Fil e Folde r Document s _l/w c /or k

Writ e U p Signe dAcces s Agreemen t fo r

subjec t propert y Pre-Renovatio n for msignedb y Propert y Owne r Pre-Renovatio n For mfo r

OccupantTTenant , ifapplicabl e ^ Painting Agreement/Cit y o f

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

damage o r

t

o replac e plants , etc. ) Renovatio n Recordkeeping Checklis t signe db y Certifie dRenovato r L ^ Propert y informatio n fro mDougla s Count y Assessor' s Office ^ Othe r

(describe) : \r \0(fQ > '. . ., \t^ ^ /^^v- ^ : 3 "f^

- /' Cit y o f Omah aRepresentativ e Signatur e Dat e
EP A Representative Signatur e - - - Dat e 3026243 6 

# iiniiiiiniiiH i Superfun d

# T Y O F OMAH A PURCHASIN G - ROO M 100 3 

### Purchas e Orde r

181 9 FARNA M STREE T REVISIO N PAG E OMAHA , N E 68183-100 3 115023 6 PURCHAS E ORDE R NO
. FAX # 402-444-542 3 SHIPTO : CIT Y O F OMAH A HOUSIN G & COM M DE V R M #111 1 181 9 FARNA M STREE T 0MAHA.N E 6818 3 LAMB' S REMODELIN G IN C VENDOR : > < BIL L TO : 21210WELS H R D CITY O F OMAHA,FINANC E ELKHORN
. N E 6802 2 DISBURSEMENT S ROO M #100 7 181 9 FARNA M STREE T OMAHA.N E 6818 3 ORIGINAL.PURCHAS E ORDE R - VENDOR' S COP Y (SE E INSTRUCTION S BELOW ) CUSTOME R ACCOUN T NO
. VENDO R NO
. DAT E O F ORDER / BUYE R REVISE D DATE//BUYE R 665 2 28-AUG-0 8 P BURK E PAYMEN T TERM S SHI P VI A F.O.B : DESTINATIO N FREIGH T TERM S REQUESTOR/DELIVE R T O CONFIR M T O / TELEPHON E MARUCA. T MARI E 

# y < ITE M PAR T NUMBER/DESCRIPTIO N DELIVER Y DAT E QUANTITY UNI T UNI T PRIC E EXTENSIO N 3 0-AUG-0 8 EP APAIN T STABILIZATIO N PROGRAM GROU P 2 6 337 0 PATRIC K AVE . O SHI P TO : Addres s a t to p o f pag e

********************^************************ * i NEEDED : 1,140.0 0 N • 30-AUG-0 8 EP APAIN T STABILIZATIOK f PROGRAM GROU P 2 6 423 7 LAK E ST . O SHI P TO : Addres s a t to p o f pap e

******************* * ************************* *

SHI P TO : Addres s show n above . I f shipmen t i s delaye d o ran y item s no t available , advis e a t once . Purchas e orde rnumbe rmus t appea ro n all invoices , packages , packin g lists , bil l o f lading , an d correspondence . SHIPPIN G CHAR'GE S T O B E PREPAID , I F APPLICABL E AN D ADDE D T O INVOICED , cop y t o b e fur nishe d wit h invoice . TA X EXEMPTION : Th e Cit y o f Omah a i s exemp t fro m Federa l Excis e Taxe s an d th e Nebrask a an d Cit y o f Omah a Sale s taxes . Federa l I.O
. 476006304 ; STAT E I.D . 01-0316768 : Fue l Dealers Uc . 91-0316768 .

## - C 

## t T Y O F OMAH A PURCHASIN G ­ ROO M 100 3 

### Purchas e Orde r

181 9 FARNA M STREE T / • PURCHAS E ORDE R NO
. REVISIO N PAG E OMAHA , N E 68183-100 3

FAX # 402-444-542 3 115023 6 0 1 V SHI P TO ; CIT Y 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 LAMB' S REMODELIN G IN C VENDOR : > BIL L TO : 2121 0 WELS H R D CIT Y O F OMAH A FINANC E ELKHORN , N E 6802 2 DISBURSEMENT S ROO M #100 7 181 9 FARNA M STREE T OMAHA.NE 6818 3 ORIGINA L PURCHAS E ORDE R -VENDOR' S COP Y (SE E INSTRUCTION S BELOW ) CUSTOME R ACCOUN T NO
. VENDO R NO
. DAT E O F ORDER/BUYE R REVISE D DATE//BUYE R 665 2 28-AUG-0 8 P BURK E PAYMEN T TERM S SHI P VI A F.O.B
. DESTINATIO N FREIGH T TERM S REQUESTOR/DELIVE R T O CONFIR M T O /TELEPHON E MARUCA. T MARI E > < ITE M PAR T NUMBE R / DESCRIPTIO N DELIVER Y DAT E QUANTIT Y UNI T UNI T PRIC E EXTENSIO N IMPORTAN T D O NO T STAR T WOR K UNTI L PROCEE D ORDE p I S ISSUE D B Y TH E PLANNIN G DEPARTMEN T - PE R GROU P 2 6 BI D DTAE D 8/27/0 8 Al l price s an d amount s o n thi s orde r ar e expres s d i n : U S Doi : a r NEEDED : 1,380.0 0 N 30-AUG-0 8 EP APAIN T STABILIZATIO N PROGRA M GROU P 2 6 261 0 S . 3 2ND ST. . b ' SHI P TO : Addres s a t to p o f pag e

********************w************************ * NEEDED : 1,240.0 0 .N 30-AUG-0 8 EP APAIN T STABILIZATIO N PROGRA M GROU P 2 6 330 2 LAFAYETT E AVE . O SHI P TO : Addres s a t top . o f pag e

jt*** * ************* * ****** * ******** * *. * ******** * NEEDED. : 960.0 0 N ,

SHI P TO : Addres s show n above . I f shipmen t i s delaye d o ran y item s no t available , advis e a t once . Pur ­ chas e orde rnumbe rmus t appea roi l al l invoices , packages , packin g lists , bil l o f lading , an d correspondence . 

## Tota l C Continue d 

# D SHIPPIN G CHARGE S T O B E PREPAID . I F APPLICABL E AN D ADDE D T O INVOICED , cop y t o b e fur nishe d wit h invoice . TA X EXEMPTION : Th e City o f Omah a i s exemp t fro m Federa l Excis e Taxe s an d Ih e Nebrask a an d Cit y o f Omah a Sale s Taxes . Federa l I.D . 476006304 ; STAT E I.D . 01-0316768 ; Fue l Dealer s Lie . 91-0316768 . Cil y Purchasin g Agen i / Buye r

### Plannin g Departmen t Inspector : Bo b Pickera l Omaha/Dougla s civi c Cente r 

### Date : June 18,200 8'^^''A'T\^,'u'^f';i?o ^
' Omaha , Nebrask a6818 3 (402)444-515 0 

## Name : Janyc e McNei l Tciefax(402)546-07i 4 ci. y of Omah aAddiess i 337 0 Patric k Ave . ^••=^'^ " ^'^'"""DJ^Sf r Mik e Fahey , Mayo r 

## OMAH A EXTERIO RPAIN T STABILIZATIO N PROGRA M FO RTH E EP A OMAH A LEA D SIT E Th e Contrac t bi ddocument s consis t o f th e following , sections : • . Genera l Responsibilitie s fo r

th e Contracto r

an dOccupant . •Lea dHazar dControl Plan , Interi mControl o f

Lea dBase dPain t Hazards . Th e Coiitracto r Shall : • Compl y wit h HUD' s "Guideline s fo r

th e Evaluation an dControl o f

Lead-Base d Pain t Hazard s i n Housing. " (Copie s ar e available a t th e Plannin g Department. ) • Compl y wit h Standard s calle dfo r

i

n th e "Construction An dRehabilitation Specifications , Housin g an dCommunit y Developmen t Division , Cit y o f

Omaha, Nebraska. " (Copie s ar e available a t th e Planning Department. ) • •Compl y wit h th e Stat e o f

Nebrask aHealt h an dHuma n Service s Regulation an d Licensure , Title 17 8 Chapte r

2 3 Lea dBas e iPain t Regulations . •Coordinat e dail y construction schedule wit h the occupan t •Submi t informatio n cu t sheets fo r

al l substitution s o r

approve dequal s prio r

t

o writte n approva l o f

th e Rehabilitation Inspector . •Repai r

o

r

replac e all item s damage do r

disturbeddurin g construction . •A t al l time s kee p th e sit e o f

wor k

an dsurrounding areafre e fro maccumulation s o

f

wast e material s o r

rubbish cause db y th e work . • Upo n dail y completion o f

wor k

clea n u p al l rubbish , exces s material , equipment , an detc. , tha t i s connectedwit h th e work, an dleave al l parts o f

th e wor k

areas i n a neat , sanitary , lea dsaf e an dpresentable condition . •Complet e thi s projec t withi n 3 0 calenda r

days . Th e Occupan t Shal l •Remov e an dstor e awa y an y persona l propert y withi n twent y (20) fee t o

f

th e area t o b e remediated . •Remov e voluntee r

tree s an dvegetatio n fro mthe drip,line o f

th e roof , an dcu t bac k shrub s an dbushe s a t leas t two fee t fro mth e hous e an dgarage . • Ensur e tha t al l householdmember s sta y a t leas t te n fee t awa y fro mal l wor k

areas an dals o kee p al l pets a t leas t te n fee t awa y a t al l time s unti l th e wor k

has bee n complete dari dthe are ahas passedavisua l inspection . 

## InitialsJZ ^Addres s (continued ) 337 0 Patric k Ave . 

## Lea dHazar dContro l Pla n InterimContro l o f

Lea d base dPain t Hazard s Pain t Stabilizatio n •Prepar e an dpain t al l previousl y painte dexterio r surface s o f th e dwellin g t o includ e th e fascia , eayes , siding , trim , windo w trim , doo r tri man d foundation . D o no t pain t window s o r doors . •Prepar e an dpain t al l previousl y painte dsurface s of th e fron t porch . •Prepar e an dpain t al l previousl y painte dexterio r surface s o f th e garag e if applicable . • All pain t color s t o matc h existing . Prim e andappl y tw o coats . • 'Se e plannin g Department' s lis t o f approve dpaint product s for lea d projects . 

### Lea dBasedPain t Wast e Lead-base dpain t waste mus t b e handle da s foIloVv s

• All pain t chip s an dcomponen t debri s mus t b e doubl e bagge dfor disposal . • • Clea n pain t chip s before starting , durin g an dafte r th e project . •All lea dpainte dcomponent s an ddebri s mus t b e remove dfromth e sit e dail y iinles s otherwis e approve db y th e constructio n specialist . • Al l lead-base dpain t debri s (chip s an dcomponents ) mus t b e dispose dof i

n amunicipal soli dwast e landfill . 

# ntr\^^U^\-o i 'Property . Owne r Dat e Property Owne r Dat e Witnes s Dat e Occupan t (i f applicable ) Dat e Occupan t (i f applicable ) Dat eWitnes s Dat e Exterio r Lead-base dPain t Stabilizatio n ProgramManage dby th e City o f Omah afor EP A Regio n 7 Omah aLea dSit e

Th e purpos e o f thi s progra mi s t o preven t yard s where lead-contaminate dsoi l i s cleane d up frombecomin g recontaminate db y deterioratin g exterio r lead-base dpaint . Thi s i s no t ahom e repai r program . Whic h Home s Are Eligible ? •Home s wher e soi l clean-u p ha s bee n o r wil l b e don e an da n EP A contracto r ha s identifie ddeterioratin g exterio r lead-base dpaint . •Home s ar e eligibl e onl y b y referral fro mth e EPA . What wor k

wil l b e done ? •Loos e an dflakin g lead-base dpain t wil l b e remove dsafely fromexterio r walls , trim , an dwindow , frames . •Surface s wil l b e prime dan dpainte dt o matc h existin g pain t colo r a s closel y a s possible . What wil l no t b e done ? •Surface s whic h hav e n o lead-base dpain t wil l no t b e treate d •Window s wil l no t b e treate d •Rotte n woo dwil l no t b e replace d •N o housin g repai r wil l b e don e Wh o wil l perfor mth e work ? •EP A contractor s wil l tes t pain t o n exterio r ho e surface s an dgiv e th e result s t o th e City o f Omah aPain t Stabilizatio n Program . •City Constructio n Specialist s wil l prepar e awor k

pla n an dcontac t th e property owne r for permissior i t o proceed . •Wor k

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

b e done ? •Thi s pr9gra mbegan i n 200 7 an dwil l continu e for severa l years . •Th e Cit y staf f wil l prioritiz e home s base do n th e presenc e of childre n unde r ag e si x if know n an dth e severit y of th e problem . Pain t Stabilizatio n i s voluntar y an dwil l b e don e only wit h permissio n of th e owner . Initials ^ ^ »Consen t fo r Acces s t o Propert y RIGH T O F ENTR Y T O PREMISE S Granto r (th e property owner) consent s t o aridauthorize s th e Uriite dState s Environmental Pi-otectio n Agenc y (USEPA ) o r it s authorize drepresentatives, ' collectivel y th e Grantee , t o ente r an dperfor m certai n environmenta l respons e activitie s upo n th e followin g describe dpremises :
Owner' s Name : Davtime Phone : Owner Naine(s) : Janyc e McNei l 689-256 6

Addresse s of Propertie s Covere db y thi s Agreement Propert y Addres s City/State/Zi p Cod e 337 0 Patric k Av Omaha . N e 6811 1

Granto r understand s tha t thi s grant doe s no t limi t EPA' s right o

f acces s unde r th e Comprehensiv e Environmenta l Respons e andLiabilitv Ac t (CERCLA> . 4 2 USC . & 9601-9675 . o r an v other law . PURPOS E O F ACCES S Th e purpos e of th e respons e actio n i s t o stabiliz e loos e o r flakin g exterio r lead-base dpain t on residentia l properties , includin g day-care facilities , where remediatio n of lea dcontaminate dsoi l ha s 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 property an dfurther , provide s th e Grante e th e right to perfor many an dal l environmental respons e action s an dactivitie s i t deem s appropriate . ENVIRONMENTA L RESPONS E ACTION S Th e environmenta l respons e action s t o b e performe do n subjec t propert y ma y includ e th e followin g activities : 1 .Locatin g equipmen t and/o r machiner y on subjec t propert y i n preparatio n for andin th e cours e o f th e respons e activities . 2 .

Obtainin g sample s fro mGrantor' s property .

(1 ) 2/12/200 7Address : 337 0 Patric k Av Consen t for Acces s to Propertv (Pag e 2 ) 3 .Plannin g an dimplementin g th e respons e actio n on th e Grantor' s property . Thi s \yil l includ e 1 ) removal of loos e o r flakin g pain t identifie dby EPA usin g lead-saf e method s i n complianc e wit h HUD/EPA regulation s an d2 ) repaintin g accordin g to th e attache dspecifications . TER M Thi s acces s agreement shal l b e operabl e fo r th e perio do f tim e i t take s t o complet e the environmenta l respons e activities . Upoi i completio n o f th e respons e actions , al l rights an d privilege s given b y th e Granto r shal l ceas e on tha t date , unles s extende db y asubsequent agreement . AGREEMEN T NO T T O INTERFERE Granto r agree s no t to interfere wit h any o f th e activitie s undertake n b y Grante e ai t th e Property , tampe r with an y of Grantee' s property , o r take an y action s regardin g th e us e of th e Propert y which wil l endange r huma n healt h o r welfar e o r th e environment , o r allo w other s t o us e th e Propert y in suc h manne r durin g th e termof thi s consent . Granto r agree s to provid e notic e an dacop y of thi s agreemen t t o prospectiv e purchasers , lessees , assigns , o r grantee s o f th e propert y o r an y portio n o f it . Granto r agree s to provid e 30-da y notic e to . EP A prio r t o an y transfe r of ownershi p rights t o th e property . SAMPLIN G RESULT S • Grante e agree s to provid e Granto r wit h th e result s o f any an dall samplin g and/o r analysi s resultin g fro mGrantee' s respons e activitie s on th e property . • PRIO RCONDITION S AGREEMEN T Th e granto r agree s to th e conditio n of th e propert y prio r t o remediatio n an dindicate s o n Pag e 3 an y item s t o b e remove db y th e Granto r before activitie s commence . RESTORATIO N O F PROPERT Y Excep t for th e abov e state dpain t stabilization , th e Grante e agree s that sai dpropert y wil l b e restore d a s nearl y a s possibl e t o it s original stat e an dconditio n a s foun dimmediatel y precedin g th e beginnin g o f activitie s authorize db y thi s Agreement , followin g completio n of th e respons e activities .

(2 ) •2/12/200 7

### Address : 337 0 Patric k

Av , Omaha, Ne , 6811 1 CURREN T CONDITIO N / PROPOSE D RESPONS E ACTIVrnE S Th e purpos e o f

thi s section i s t o provid e amutua l agreemen t a

s t o condition s o f

propert y prio r

t

o contracto r

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

th e purpos e o f

assurin g tha t restoration activitite s ar e complete dt o th e satisfactio n o f

th e propert y owne r

an dth e Uriite dState s Environmenta l Protection Agenc y (EPA) . Item s t o b e remove db v propert v owne r

prio r

t

o th e respons e activities : 1 . 2 . . 3 . 4 . 5 . Item s NO T t o be remove db v contracto r

durin g remova l activities : 1 . 2 . .3 . 4 . • 

### 5 . ADDITIONA L COMMENTS :

I have rea dth e foregoin g documen t an dunderstari dtha t i

t i s a n agreemen t grantin g permissio n t o the Grantee t o ente r

the above describedpremise s fo r

th e purpos e o f

conductin g environmenta l respons e activities , an dI agre e t o it s terms an dconditions . Grantor' s SignaturejVXUv-^^ ^ iTlVVi^^J ^ Date^";j,g^- ^ Q Q

(3 ) 2/12/200 7Dougla s Count y Accoun t Informatio n Pag e lo f 2 Dougla s County , Nebrask a Propert y Recor d - R254700060 0 Prin t Repor t Parce l Dimension s availabl e e scal e 0-5 0 f t wes t o f 14 4 S t - VJe W O H Ma O Informatio n i s vali d a s o f 2008-5-1 9 Treasurer' s Tax Repor t Ne w Featur e -•->- • Aut o Sale s Search
. Owne r f\/ICNEI L JANYC E 337 0 PATRIC KAV E OMAH A N E 68111-000 0 Propert y Informatio n Ke y Numtter : 470 0 000 0 2 5 Accoun t Type : Residentia l Parce l Number : 254700000 0 Parce l Address : 337 0 PATRIC KA V OMAH A N E 68111-000 0 Lega l Description : YAL E PLAC E LOT 9 9 BLOC K0 4 0 X 119. 5 Valu e Informatio n 200 8 200 7 200 6 200 5 200 4 200 3 Lan d $2,300.0 0 $2,300.0 0 $2,300.0 0 $2,300.0 0 $2,300.0 0 $2,300.0 0 Improvemen t $49,400.0 0 $49,400.0 0 $49,400.0 0 $49,400.0 0 $10,200.0 0 $10,200.0 0 Tota l $51,700.0 0 $51,700.0 0 $51,700.0 0 $51,700.0 0 $12;500.0 0 $12,500.0 0 Sale s Informatio n Sale s Date : 2004-02-2 3 Dee d Type : Price : Q C $1.0 0 Book : 200 4 Page : 02503 1 Grantor : TOMM Y MOOR E Grantee : JANYC E M C NEI L Valid/Invalid : Invali d Exclusio n Reason : Famil y Sal e Lan d Informatio n Acre s 0. 1 S F 4760. 0 Unit s 1. 0 Dept h 119. 0 Widt h 40. 0 Vacan t N o Improvemen t Informatio n
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