# Transmitta l o f

Omah aLea d Site Pain t Stabilizatio n Fil e Folde r Sai d#;Z-gS^ V Date : 6e'~f'5-/ 7 Address : ^?f^ ? I t -i-u ^ ^j j Contractor : CityofOmah a Year : ^ ^ f7 

# Paint . Stabilizatio n Propert y Fil e Folde r Document s 

# y . ^or k Writ e U p Signe dAcces s Agreemen t fo r

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

Occupant/Tenant , ifapplicabl e LXraintin g 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 , ete. ) Renovatio n Recordkeepin g Checklis t signe db y Certifie dRenovato r ^ Propert y informatio n fromDouglas Count y Assessor' s Offic e _6/C)ther(describe) : fnO'i~O. S 

## T^^^' ^ 7 ^ 

# 3 "/S"-/^ ^ Cit y of Omah aRepresentativ e Signatur e Dat e 

# _Ja}x- Q 

# ,yM/xoix EP A Representative Signatur e 3026249 8 

# IIDHIIIi l Superfun d

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

### Purchas e Orde r

181 9 FARNA M STREE T OMAHA . N E 68183-100 3

FAX * 402-444-542 3 PURCHAS E ORDE R NO . 117441 8 REVISIO N 0 PAG E 1
SHIPTO :

CITYOFOMAH A HOUSIN G & COM M OE V R M #111 1 181 9 FARNA M STREE T OMAHA,N E 6818 3 VENDOR : CHEREK' S HOM E REPAI R 1022 4 WEI R ST > . BIL L TO : 

# 7

CIT Y O F OMAH A FINANC E OMAHA . N E 6812 7 DISBURSEMENTS ROO M #100 7 181 9 FARNA M STREE T OMAHA,N E 6818 3 OWQINA L PURCHAS E ORDE R - VENDOR' S COP Y (SE E INSTRUCTION S BELOW ) CUSTOME R ACCOUN T NO . VENOO R NO . DAT E O F ORDER/BUYE R REVISE D DATE//BUYE R 7298 9 11-MAY-1 1 HHUR T PAYMENTTERM S SHI P VI A F.O.B. . DESTINATIO N FREIGHTTERM S REQUESTOR/DELIVE R T O CONFIR M T O / TELEPHON E MARTINEZ , MARGARE T P (402)659-200 4 < rrE M PAR T NUMBE R / DESCRIPTIO N DELIVERYDAT E QUANTIT Y UNI T UNITPRIC E EXTENSIO N 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 NEEDElD : 2,000.0 0 N 07-MAY-l l EP APAINT STABILIZATIOfr l PROGRA M GR P #19 4 - 190 0 LAIR D S T • C SHI P TO : • Addres s a t top o f pag e :NEEDED : 2,000.0 0 N '

)7-MAY-l l '^EP APAIN T STABILIZATION PROGRA M GRP ' #19 4 - 286 & TITU S AV E i O SHI P TO : ; Addres s a t to p o f NEEDED : 2,262.0 0 N 07-MAY-l l EP APAINT STABILIZATION PROGRA M GR P #19 4 - 451 P LARIMOR E S T ! o SHI P TO : i Addres s a t to p o f pag e

SHIPTO : Addres s show n above . I f shipinen t i s delaye d o ran y Item s no t available , advis e a t onca . Purchas e orde rnumbe rmus t appea ro n al l Invoices , packages , packin g lists , bil l o f lading , an d correspondence . 6.262.0 0 

# Tota l C 

# J SHIPPIN G CHARGE S T O B E PREPAID . I F APPLICABL E AN D ADDE D T O INVOICED , cop y to. b e fur ­ nishe d wit h Irivoice . TA X EXEMPTION : Th e Cit y o f Omah a I s exempt fro m Federa l Excis e Taxe s an d th e Nebrask a an d City o f 

# 4il M dlu,^ j Omah a Sale s Taxes . Federa l I.D . 476006304 ; STAT E I.D . 01-0316768 ; Fue l Dealer s Uc . 91-0316768 . Cil y Puichsiin g Agieij l / Buye r 

# WPlannin g Depart>Tian t Omaha/Dougla s Civic i-CTK r Inspector : To mRoz a !3i 9 Far.-.?..T i St-e« ; Suit t aO O Date : 3/25/11 ' Oma.ha , Nebraslc j o2i8 3 (402 ) '!44-il5 0 Telefax (•'102 ) 44'l-i)I4 0 

## Name : Carri e Russell R . E . Cunningham , RA , F.SA.Vt S Ciq'o f Omah a DilKtO C 

## Address : 286 8 Titu s A v . Ji mSuttle , 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 consisto f the followin g sections : • • General . Responsibilitie s fo r vl'i e Contracto r an dOcoupanr . •Les dHazar dContro l Piaii , Interi mContro l o f Lea dBa.so dPairit Ha.-:ards . 

## TheContracto r Shall : •Contracto r an dal l subcontractorfs ) shal l complet e an dsubmi t a"Citizenship . Attestation " / "Emplove e Classification " for mt o th e Plannin g Department , pe r Stat e requirements , befor e final paymen t can b e issued . •Comply v^^it h HUD' s "Guideline s fo r th e Evaluatio n an dContro l of Lead-Ba<?e dPain t Hazard s i n Housing. " (Copie s ar e availabl e a t th e Plannin g Department. ) •Comply wit h Standard s calle dfo r i

n th e "Constructio n an dRehabilitatio n Specifications , Housin g an dCommunit y Development.Division j Cit y of Omaha , Nebraska. " (Copiesar e availabi e a t th e Plannin g Department. ) •Complywith th e Stat e o f Nebrask aHealt h and-Huma n Service s Regulatio n and- • Licensure , Title . 1.7 8 Chapter 2 3 Lea dBas e Pain t Regulations . • Coordinate daily , constructio n schedul e .with , th e occupant •

. •

.• Subrrii t informatio n cu t sheet s fo r all substitution s or approvisdequal s prio r t

o written approva l ofth e Constructio n Specialist . • • Repai r or.replac e all item s daniage do r disturbe ddurin g pain t stabilizatio n activities . •Kee p wor k

site an dsurroundin g are afree froi n accumulation s o f wast e material s o r rubbis h cause dby th e wor k

a

t all times.

­ •.Upo n dail y completion , o f work:-clea n u p al l nibbish , e.wes s material , equipmeht , an d etc. , tha t i s connecte dwit h th e work , an dleav e al l part s o f th e wor k

area s i n aneat , .tsanitary , lea dsaf e an dpresentabl e condition . •Complete this.p.roject withi n 3 0 calenda r days . Th e OccujDant-'Ownei-Shall . • ' • Remov e an dstore awa y any persona l propert y withi n twent y (20 ) fee t ofth e are ato b e remediated . •Provid e acces s t o electricity an dwate r throughou t th e pain t stabilizatio n process . •Remov e voluntee r tree s an dvegetatio n fromth e dri p lin e o f th e roof , an dcu t bac k shrub s an dbushe s a t leas t tw o feet fro mth e house . • .Ensure tha t all househol dmember s sta y a t leas t ten feet .awa y fro mal l woi' k

area s an d als o kee p al l pet s a t leasttsn.fee t awa y at . al l time s unti l th e wor k

ha s bee n complete dan d th e are aha s passe davisual inspection . / * V) ../.- . InitiaL s • ^^I'^ y

### Exterio r Lead-base dPain t Stabilizatio n Progra mManage db y th e Cit y o f

- Omaha , fo r EP A Regio n 7 Omah aLea dSit e The purpos e o f thi s progra mi s to preven t yard s wher e lead-contaminate dsoil i s cleane d u

p fro mbecomin g re-contaminaite db y deterioratin g e.xterio r lead-base dpaint . Thi s i s no t ahom e repai r program . Whic h Home s Ar e Eligible ? ­ •Home s where soi l clean-up ha s been o r will b e done an da n EP A contractor has

identifie ddeterioratin g exterio r lead-base dpaint . •Home s ar e eligibl e only by referra l fro mthe EPA . Wha t wor k

will b e done ? . . •Loos e an dflakin g lead-base dpaint wil l b e remove dsafel y fro mfascia , eaves , siding , trim , windo w trim , doo r tri man dfoundation . • "Surface s wil l b e prime dan dpainte dt o match existin g pain t color a s cl.osel y a s possible . Wha t wil l not b e done ? •Surface s whic h have.n o pain t wil l no t b e treated . • 'Window s o r door s wil l no t b e included . •Rotten woo dwil l no t b e replaced . •N o housin g repair wil l b e done . Who wil l perfor mth e work ? •EPA contractor s wil l tes t pain t o n exterio r hous e surface s an dgiv e the result s to . the Cit y o f Omah aPaint Stabilizatio n Program . •Cit y ConstruGtion Specialist s wil l prepar e awor k

pla n an dcontac t th e propert y owne r fo r .permissio n t o proceed , •Wor k

wil l b e competitivel y bi dby approved , trainedcontractors ; When wil l th e wor k

b e done ? •Thi s progra mbega n in 200 7 an dWil l continu e fo r severa l years . Th e Cit y staf f wil l prioritiz e home s base do n th e presenc e ofchildre n unde r ag e • 

### si x i f know n andth e severit y o f th e problem . Pain t Stabilizatio n i s voluntar y an dwil l b e don e onl y wit h permissio n ofth e owner .



## Initial s QyH ^ ^

### Address : 286 8 TITU S A V Consen t fo r Acces s t o Propert v (Pag e 2) 3 .Plannin g an dimplementin g th e respons e actio n on the Grantor' s property . Thi s wil l include .1 ) remova l o f loos e or flakin g pain t identifie db y EP A using lead-saf e method s i n complianc e wit h HUD/'EP A regulation s and2 ) repaintin g accordin g t o th e attache dspecifications . TERM Thi s acces s agreemen t shal l b e operabl e fo r the perio do f tim e it take s t o complet e th e environmental response , activities . Upon conipletio n o f the respons e actions , al l right s an d privilege s given b y the Granto r shal l ceas e on tha t date , unles s extende db y asubsequen t agreement . AGREEMENT NO T T O INTERf ER E Granto r agree s no t to interfere wit h an y o f .the activitie s undertaken b y Grantee a t th e Property , tampe r wit h an y o f Grantee' s property , o r tak e an y action s regarding the us e ofth e Propert y whic h wil l endanger huma n healt h o r welfar e o r the

- environment , or allo w other s t o us e th e Propert y i n suc h manne r durin g th e ter mo f thi s consent . Grantor agree s t o provid e notic e an d . acop y o f thi s agreemen t to prospectiv e purchasers , lessees , assigns , o r grantee s of 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 t o EP A prio r t

o an y transfe r of ownershi p right s t o th e property . SAMPLIN G RESULT S Grante e agree s t o provid e Grantor wit h th e result s of an y andal l sampling and/or analysi s resulting fro mGrantee' s respons e activitie s o n the property . PRIO RCONDITION S AGREEMEN T • Th e granto r agree s to th e conditio n ofth e propert y prior t

o remediatio n an dindicates.onPag e 3 an y item s t o b e remov.e dby th e Grantor befor e activitie s commence. . RESTORATIO N O F PROPERT Y Excep t fo r th e abov e state dpaint stabilization , the Grante e agree s tha t sai dpropeit y wil l b e restored . a s nearl y a s possibl e t o it s origina l stat e an dconditio n a s foun dimmediatel y precedin g the beginnin g o f activitie s authorize db y thi s Agreement , following

- completio n o f the respons e activities .

### Dougla s Count y Accoun t Information Pag e 1 of 3 Dougla s County , Nebrask a Propert y Recor d - R175476000 0 Prin t Repor t Informatio n i s vali d a s o f 2012-2-2 8 Vie w Interactiv e GI S Ma p Treasurer' s Ta x Repor t

- Ne w Featur e ­^ r * - > Subdivisio n Sale s Searc h Owne r RUSSEL L CARRI E N ETA L 286 8 TITU S AV E OMAH A N E 68112-000 0 Propert y Informatio n Ke y Numbe r 547 6 000 0 1 7 Accoun t Type : Residentia l Parce l Number : 175476000 0 Parce l Address : 286 8 TITU S A V OMAH A N E 68112-000 0 Lega l Description : MINN E LUS A LO T 2 5 BLOC K3 0 4 2 X 12 0 Valu e Informatio n Lan d Improvemen t Tota l 201 1 $5,700.0 0 $63,900.0 0 $69,600.0 0 201 0 $5,700.0 0 $63,900.0 0 $69,600.0 0 200 9 $5,700.0 0 $63,900.0 0 $69,600.0 0 200 8 $5,700.0 0 . $63,900.0 0 $69,600.0 0 200 7 $5,700.0 0 $79,200.0 0 $84,900.0 0 200 6 $5,700.0 0 $79,200.0 0 $84,900.0 0 Sale s Informatio n Sale s Data : 2004-04-2 3 Dee d Type : W D SooAr : 200 4 Page : 07202 9 Price : $90,000.0 0 Grantor : Jo n J Coa n eta l Grantee : Carri e N Russel l eta l Valld/lnvalld : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit a Dept h Widti i Vacan t 0.1 1 5040. 0 1. 0 120. 0 42. 0 N o Improvemen t Informatio n 

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### Dougla s Count y Accoun t Information Pag e 2 o f

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CLIC KT O ENLARG E IMAG E CLIC KT O ENLARG E IMAG E Squar e Footage : 864. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Goo d

Buil t As : 1 1/ 2 Stor y Unfi n Cond o Squar e Footage : 0. 0 HVAC : Centra l Ai rt o Ai r Rooms : 5. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal l Baths : 1. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 4. 0

Roo f Type : Gabl e Stories : 1. 5 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea r Percen t Adjuste d Yea r Yea rBuil t Physica l Ag e Remodele d Remodele d Buil t 192 2 0 % 192 2 9 0 Deta/ 7 Typ e Detai l Descriptio n Unit s Ad d O n Unfinishe d Atti c W/floo r 192. 0 Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 f t 864. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 Porc h Enc I Soli d Wal l 192. 0



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