## Transmitta l o f

Oinah aLea d Site Pain t Stabilizatio n Fil e Folde r Said #3^S'7^ — Date : 1-^-/7 ) 0: 2 P^i ^

^'VWOV X B)»M ^ At y 

### Address : Contractor : CityofOmah a Year : <P- C 7 O 

## Pain t Stabilizatio n Propert y Fil e Folde r Document s ^^^or k Writ e U p _^,^j« f

Signe d Acces s Agreemen t fo r

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

Occupant/Tenant , ifapplicabl e /•'faintin g Agreement/Cit y o f

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

damage o r

l

b replac e plants , etc. ) Renovation Recordkeepin g Checklis t signe db y Certifie dRenovato r Propert y informatio n fi-omDougla s Counl y Assessor' s Offic e ^^^the r (describe) : Tn(yh(X S

"T'a^vt—/^M- ^ 

### 3-7S'-7'3L^ Cit y o f OmahaRepreseptatiy e Signatur e Dat e 

# mdM y EP A Representativ e Signatur e Dat e 3026249 0 

# P Superfun d

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

### Purchas e Orde r

181 9 FARNA M STREE T PURCHAS E OROE A NO . OMAHA , N E 68183-100 3 116662 4

FAX # 402-444-542 3 SHI P TO : CITYOFOMAH A HOUSIN G & COM M DE V R M #111 1 181 9 FARNA M STREE T 0MAHA,N E 6818 3 G 4 M PAINTIN G C O IN C VENDOR : > . - < BIL L TO : 1370 7 CUMINGS T CIT Y O F OMAH A FINANC E OMAHA . N E 6815 4 DISBURSEMENT S ROO M #100 7 181 9 FARNA M STREE T OMAHA,N E 6818 3 ORIGINA L PURCHAS E ORDE R • VEND0R: 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 9129 8 17-JUN-1 0 H HUR T PAYMENTTERM S SHI P VI A F.O.B . • DESTINATIO N IMMEDIAT E FREIGHTTERM S REQUESTOR/DELIVE R T O CONFIR M T O / TELEPHON E MARUCA , T MARI E > < ITE M PAR T NUMBE R / DESCRIPTIO N DELIVERYDAT E QUANTITY 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 NEEDED : 1,395.0 0 N 16-JUN-1 0 EP APAIN T • STABILIZATIOt J PROGRA M GROU P .13. 4 2508 ! AME S A V O SHI P TO : Addres s a t to p o f pag e NEEDED : 1,840.0 0 N 16--mjN-1 0 EP APAINT^^TABILIZATIO N PROGRA M GROU P 13- 4 289 5 CROW NPOIN T A V O SHI P TO : ' Address , a t to p o f pag e NEEDED : i,960.0 0 N 16-JUN-l O EP APAIN T STABILIZATIO N PROGRA M GROU P 13 4 3150 ! LARIMOR E A V O SHI P TO : Addres s a t to p o f pag e NEEDED : 1,860.0 0 N

SHI P TO : Acidres 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 al l invoices , packages , packin g lists , bil l o f lading , an d conespondence . 

# Total C__E^^- ) SHIPPIN G CHARGE S T O B E PREPAID , > F APPLICABL E AN D ADDE D T O INVOICED , cop y lob e furnishe d wit h invoice . TA X EXEMPTION : Th e City o f Omah a I s exemp t fro m Federa l Excis e Taxesan d th e Nebraska an d City o f Omah a Sale s Taxes . Federa l I.O : 476006304 ; STAT E I.D . 01-0316768 ; Fue l Dealei- s Lie . 91-0316768 . Cil y Purchas'ingAgpn l / Buye r 

### ^ ' : L_ : '.>:; • 'i-' . 

### Plannin g Departmen t

Omaha/Dougla s Civi c Center inspector : Io mRoz a181 9 Fama mStreet,Suit e 100 3 Dale : 5/11/1 0 Omaha , Nebrask a6818 3 (402)444-515 0 Telefa x (402 ) 546-071 4 

## Name : Riv aInvestment s LL ^ E . 

## Cunningham , RA,F.SAM E 

## jiSsmuXy'l. r

Address : 289 5 Crow n Poin t Av ^^-- ' 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

ofth e followin g sections : •General Responsibilitie s fo r th e Contiacto r an dOccupani . •Lea dHazardContro l Plan , Interi mContro l o f LeadBase dPain l Hazards . Th e Contracto r Shall : •Compl y with HUD' s "Guideline s fo r th e Evaluatio n an dContro l o f Lead-Base d

. Pain l Hazard s i n Housing. " (Copie s are availabl e a l th e Plannin g Department. ) •Compl y wilh Standard s calle dfo r in th e "Constructio n an dRehabilitatio n Specifications , Housin g an dCommunit y Developmen t Division , Cit y o f Omaha , Nebraska. " (Copie s are availabl e a t Ihe'Plannin g Department. ) •Comply wit h th e Stat e ofNebrask aHealt h an dHuman Service s Regulation , and Licensure , Titi e 17 8 Chapte r 2 3 LeadBas e Pain t Regulations . •Coordinat e dail y constiuctio 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 dequal s prio r t o writte n approva l o f th e Constructio n Specialist . •Repai r or replac e al i ilem s damage do r disturbe ddurin g pain t stabilizatio n activities . •Kee p wor k

sit e an dsurroundin g are afree fromaccumulation s o f wast e maleriai s o r

rubbis h cause db y th e wor k

a

t al l times . •Upondail y completio n o f work : clean u p al l rubbish , exces s niaterial , equipment , an detc. , that i s connecte dwith th e work , andleav e al l part s ofth e wor k

area s i n a neat , sanitary , leadsaf e an dpresentabl e condition . •Complet e thi s projec t withi n 3 0 calenda r days . Th e Occupant'Owne r Shal l •Remov e an dstor e away any personal propert y withi n twent y (20 ) feet o f th e are a to b e remediated . •Provid e acces s to electricity an dwate r tiiroughoul th e pain t stabilizatio n process . •Ensure that al l househol dmember s sta y a t leas t te n feet awa y fromal l wor k

area s andals o kee p al l pet s a l leas t te n fee l awa y a t al l times unti l th e wor k

ha s bee n complete dan dth e are aha s passe davisua l inspection . Initial s ^ ^289 5 Crow n Poin t A v (Continued ) 

## Lea d Hazar d Contro l Plan Interi mContro l o f Lea dbase dPain t Hazard s Pain t Stabilizatio n •Prepair e an dpain l al l previousl y painte d exterio r surface s ofth e dwellin g an dgarag e to includ e but no t limite d l o th e fascia , eaves , trim , windo w trim , doo r tri man d foundation. . Includ e flush windo w 6 n wes t sid e of hous e an dwoo ddoo r ( ^ rea r o f hous e an d garage ^ •Prepare an dpain 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 base d pain t stabilization . • Al l pain l color s l o matc h existin g pain l pattern . Prim e an d appl y tw o coal s o f

approve dfinis h coat . (Refer t o Plarmin g Dept . approve dpain t list ) • 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 da 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 perimeie r o f dwellin g before starting , durin g an d afte r th e project . • Al l lea dpainte dcomponent s an d debri s mus t b e remove d fromth e sit e dail y unles s otherwis e approve d b y th e constructio n specialist . • Al l lead-base dpainl debri s (chip s an d components ) mus t b e dispose d o f in 

# MU ^ ^-n-f O 

### Propert y C^wne r Dat e Propert y Owne r Dat e Witnes s Dat e Occupan t (ifapplicable ) Dat e Occupan t (ifapplicable ) . Dat e Witnes s Dat eExterio r Lead-base dPain 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 program , i s l o preven t yard s where lead-contaminate d soi l i s cleane d u p frombecomin g re-conlaminale d b y deterioratin g exierio r lead-base dpaint . 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 EPA conlracto r ha s identifie ddeterioratin g exterio r lead-base d painl . •Home s are eligibl e onl y b y referral fromth e EPA . What wor k

wil l b e done ? •Loos e an dflakin g lead-base d pain t wil l b e remove d safel y fro mfascia , eaves , siding , tiim, windo w trirn , doo r tri man d foundation . •Surface s wil l b e prime dan dpainte d td matc h existin g pain t colo r a s closel y a s possible . What wil l no l b e done ? •Surface s whic h hav e n o pain t wil l no t b e treated . •Window s o r door s wil l no l b e included . •Rotte n woo dwil l 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 and giv e th e result s to . th e Cit y O f Omah aPain l Stabilizatio n Program . •Cit y Constructio n Specialist s wil l prepar e awor k

plan an d contac t th e property owne r fo r permissio 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 progra mbegan i n 200 7 an d wil l continu e fo r several years . •Th e Cil y staf f wil l prioritiz e home s base d o n th e presenc e ofchildre n unde r ag e si x ifknow n an dth e severity 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 S^i /Consen t fo r Acces s to Propert y RJGH T O F ENTR Y T O PREMISE S Granto r (th e properl y ov^ner ) consent s t o an d authorize s th e Unite d State s Environmenlai Protectio n Agenc y (USEPA ) o r it s authorize drepresentatives , colleclivel y th e Grantee j l o enter an d perfor m certai n environmental respons e activitie s upo n th e followin g describe d premises : Owner' s Name : Davtime Phone : Owne r Name(s) : Riv aInvestment s 402-350-944 2

Addresse s o f Propertie s Covere d b y thi s Agreement Property Addres s City/Stale/Zi p Cod e . 289 5 Crow n Poin t 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 Environmenla i Respons e an dLiabilitv Ac t fCERCLA V 4 2 USC . & 9601-9675 . or an v other law . PURPOS E O F ACCES S Th e purpos e o f th e respons e actio n i s to stabiliz e loos e or flakin g exterio r lead-base d paint on residentia l properties , includin g day-care facilities , wher e remediatio n o f lea dcontaminate dsoil 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 properl y an dfiirther, provide s th e Grante e th e right t o perfor many an d al l environmenlai respons e action s an dactivitie s i t deem s appropriate . ENVIRONMENTA L RESPONS E ACTION S Th e environmenla i respons e action s to b e performe d o n Subject propert y ma y includ e th e followin g activities : 1 .

Locatin g equipmen t and/o r machiner y o n subjec t propert y i n preparatio n fo r an d i n th e cours e o f th e respons e activities . 2 . Obtainin g sample s fro mGrantor' s property .

2/12/200 7 (1 )Address : 289 5 Crow n Poin t Av . Consen t fo r Acces s l o Propertv ("Pag e 2 ) 3 .Plarmin g andimplementin g th e respons e actio n o n tiie Grantor' s properly . Thi s wil l includ e 1 ) remova l o f loos e or flakin g pain l identifie d by EP A usin g lead-saf e method s i n complianc e wit h HUD/EP A regulation s an d2 ) repaintin g accordin g l o th e attache d specifications . TERM , Thi s acces s agreemen t shal l b e operabl e fo r th e perio d o f time i t lake s t o complet e th e environmenla i respons e activities . Upo n completio n oi f th e respons e actions , al l right s and privilege s give n b y th e Granto r shal l ceas e o n tha t date , unles s extende d b y asubsequent agreement . AGREEMEN T NO T T O INTERFERE Granto r agree s no t to interfere wilh any ofth e aclivitie s undertake n by Grante e a t th e Property , tampe r wil h an y o f Grantee' s property , o r tak e an y action s regardin g th e us e ofth e Propert y which wil l endange r huma n healt h or welfare o r th e environment , o r allo w other s l o us e th e Propert y i n suc h manne r durin g th e ter mo f thi s consent . Granto r agree s t o provid e notic e arid acop y o f thi s agreemen l t o prospectiv e purchasers , lessees , assigns , o r grantee s ofth e property or an y portio n o f il . Granto r agree s to provid e 30-da y notic e t o EPA prio r t o an y transfer o f ownershi p right s lo th e property . SAMPLIN G RESULT S Grante e agree s t o provid e Granto r wit h th e result s o f any an d al l samplin g and/o r analysi s resultin g fro mGrantee' s respons e activitie s o n th e properly . PRIO RCONDITION S AGREEMEN T Th e granto r agree s t o th e conditio n ofth e property prio r to remediatio n and indicate s o n Pag e 3 any 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 fo r th e abov e state dpain t stabilization , th e Grante e agree s tha t sai d property wil l b e restore d a s nearl y a s possibl e t o its . original stal e an d conditio n a s foun d immediatel y precedin g th e beginnin g o f activitie s authorize dby thi s Agreement , followin g completio n o f th e respons e activities .

(2 )2/12/200 7Address : 289 5 Crow n Poin t Av . , Omiaha i NE , 6811 1 CURREN T CONDITIO N / PROPOSE D RESPONS E ACTIVITIE S Th e purpos e o f thi s sectio n i s to provid e amulual agreemen t a s t o condition s o f property prio r t

o conlraclo r activities . Thi s wil l als o serv e a s documentatio n fo r th e purpos e o f assurin g tiiat restoratio n activitie s ar e complete dl o th e satisfactio n o f th e properl y owner an d th e Unite d Slate s Environmental Prolectio n Agenc y (EPA) . Ilem s to b e remove db v propertv owner prio r l o th e respons e activities : 1 .

4 . 5 . Item s NO T to b e remove db v contiacto r durin g removal activities : 1 . • . 2 . 3

- . . . 4 . 5 . • ADDITIONA L COMMENTS :

I hav e readth e foiregoin g documen t an d understan d that i t i s a n agreemen t grantin g permissio n t o th e Grante e t o ente r tiie abov e describe d premise s fo r th e purpos e o f conductin g environmental respons e activities , an dI agre e t o it s term s an d conditions . I acknowledg e tha t I hav e receive d th e pamphle t "Renovat e Right" . Grantor' s Signature : '^SiUOJA—^^^ ^ 'T''/ ? "f O

(3 ) 2/12/2007