## Transmitta l o f

Omah aLea dSit e Pain t Stabilizatio n Fil e Folde r Sai d#;Z-3P7 ^ Date : /l-C-^C ^ Address : ^X l 8 /^AC/^^ A 

### jf^cjy - ^ jsi ~ Contractor : Cit v o f

Omah a' Year : ^Ct > p 

## Pain t Stabilizatio n Propert y Fil e Folde r Document s j^Wor k Writ e U p Signe dAcces s Agreemen t fo r

subject propert y Pre-Renovation for msigne dby Propert y Owne r Pre-Renovation For mfo r

Occupant/Tenant , ifapplicabl e jx ^ 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. ) Renovation Recordkeepin g Checklis t signedb y Certifie dRenovato r Propert y informatio n fro mDouglas Count y Assessor' s Offic e ^ Othe r

(describe) : Jic/Wl S

Cit y of Omah aRepresentative Signatur e Dat e

~' Dat e 3026243 4 

# iiniiHiii i Superfun d

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

### Date : June 12,200 8''^'^^n"'u'^Tu^t"',Z l Omalia , Nebrask a6818 3 (402)444-515 0 

### Name : Gregor y & Susann aClinto n TM'=f'" ' (^°2 ) 546-07i 4 cityofomah aAddrcss : 421 8 Davcnpor t St . ^''"'"''•^''"''"h^ Z 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 dContro l Plan , Interi mControl o f

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

the Evaluation an dControl o f

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

i

n the "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 the Planning Department. ) •Coriipl y wit h th e Stat e o f

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

2 3 Lea dBas e Pain t Regulations . •Coordinat e dail y construction schedule wit h th e 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

the Rehabilitation Inspector . •Repai r

o

r

replac e al l 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 the work . •Upo n dail y completion o f

wor k

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

the wor k

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

days . The 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 are a t o be remediated . • Remove voluntee r

tree s an dvegetatio n fro mthe 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 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 completedan dth e are aha s passe davisua l inspection . Initial s M^ ^

### Addres s (continued ) 421 8 Davenpor t St . 

## Lea dHazar dContro l Pla n Interi mControl o f

Lea dbasedPain t Hazard s Pain t Stabilizatio n •Prepa:r e an dpain t al l previousl y painte dexterio r surface s of th e dwellin g t o includ e th e fascia , eaves , 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 o f 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 i f .applicable,
- ^^l^^'T^-lrt'^ j -^i/fwpe ^ sJ i ^ ( ^ All pain t color s t o matc h existingjPnm e an dappl y tw o coats . ' • Se e plannin g Department' s lis t o f approve dpain t product s for lea d projects . 

### Lea dBase dPain t Wast e Lead-base dpain t waste mus t b e handle da s follow s Al l pain t chip s an dcomponen t debri s mus t b e doubl e bagge dfor disposal . Clean pain t chip s befor e starting , durin g an dafter th e project . Al l lea dpainte dcomponent s an ddebri s mus t b e remove dfro mth e sit e dail y unles s otherwis e approve db y the . constructio n specialist . Al l lead-basedpain t debri s (chip s an dcomponents ) mus t b e dispose do f i n jnlcioa l soli dwast e landfill .



# LiAlui i Occupan t (i f applicable ) Dat e Occupan t (i f applicable ) Dat e

### ^itnej ^ Dat e Exterio r Lead-base dPain t Stabilizatio n Progra mManage dby th e Cit y o f Omah afor EP A Region ? Omah aLea dSit e Th e purpos e o f thi s progra mi s t o preven t yard s \yher e lead-contaminate dsoi l i s cleane d u p fro mbecomin g recontaminate db y deterioratin g exterio r lead-basedpaint . 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 fron i th e EPA . Wha t wor k

wil l b e done ? • Loos e an dflakin g lead-base dpain t wil l b e remove dsafel y fro mexterio r walls , -irjm . andwindo w frames . • Surface s wil l b e prime dan dpainte dt o matc h existin g pain t colo r a s closel v a s " ^ possible . ^0-f
- arei / o- ^ Z* ^ nouJj jUfjp ^ What wil l no t b e done ? " i^rh L ^I'^j^up./jz. n ^ i d Iny •Surface s whic h hav e n o lead-basedpain t wil l no t b e treate db7/ci< . rc a-^urm^^lon •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 . • Cit y Constructio n Specialist s wil l prepar e awor k

pla n ari dcontac t th e property owne r fo r permissio n t o proceed . • Wor k

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

b e dorie ? • Thi s progra mbega n i n 200 7 an dwil l continu e for several years . •Th e City staf f wil l prioritiz e home s base do n th e presenc e o f childre n unde r ag e si x if know n an dth e severity o f th e problem . Paint Stabilizatio n i s voluntar y an dwil l b e don e onl y wit h permissior i o f th e owner . Initial s CT^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 an dauthorize s th e Unite dState s Environmental Protectio n Agenc y (USEPA ) o r it s authorize drepresentatives , collectivel y th e Grantee , to enter 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 Name(s) : Gregor y Clinto n & Susann aClinto n 345-686 7

Addresse s of Propertie s Covere db y thi s Agreement . Propert y Addres s City/State/Zi p Cod e 421 8 DAVENPOR T S T Omaha , N e

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

f acces s under th e Comprehensiv e Environmenta l Respons e an dLiabilit v Ac t (CERCLA) . 4 2 USC . & 9601-9675 . o r an v othe r 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 , wher e remediatio n o f leadcontaminate dsoi l ha s o r

wil l tak e place . Samplin g of 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 andall environmental respons e action s an dactivitie s i t deem s appropriate . ENVIRONMENTAL RESPONS E ACTION S Th e environmental 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 property i n preparatio n fo r andin th e cours e of th e responis e activities . 2 .

Obtainin g sample s fro mGrantor' s property .

(1 ) 2/12/200 7Address : 421 8 DAVENPORT S T Consen t for Acces s t o Propertv (Pag e 2 ) 3 .

Plannin g an dimplementin g th e respons e actio n on th e Grantor' s property . Thi s wil l includ e 1 ) removal of loos e o r flakin g pain t identifie dby EP A usin g lead-saf e method s i n complianc e wit h HUD/EPA regulation s an d2 ) repaintin g accordin g t o th e attache dspecifications . TER M Thi s acces s agreemen t shal l b e operabl e for th e perio do f tim e i t take s t o complet e the environmenta l respons e activities . Upo n completio n of th e respons e actions , al l right s an d privilege s give n 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 INTERFER E Granto r agree s no t t o interfere wit h any o f th e activitie s undertake n b y Grante e a t th e Property , tampe r wit h any o f Grantee' s property , o r tak e any action s regardin g th e us e o f th 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 t o us e th e Propert y in suc h manne r durin g th e ter mof 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 of th 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 EPA prio r t o any transfer of ownershi p rights .t o th e property . SAMPLIN G RESULTS . Grante e agree s t o provid e Granto r wit h th e result s of an y an dall samplin g and/o r analysi s resultin g fromGrantee' s respons e activitie s on th e property . PRIO RCONDITION S AGREEMEN T Th e granto r agree s t o th e conditio n o f th e property prio r to remediatio n an dindicate s on Pag e 3 an y item s t o b e remove db y th e Granto r befor e 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 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 preceding
- 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 7Address : 421 8 DAVENPORT ST , Omaha , Ne , CURREN T CONDITIO N / PROPOSE D RESPONS E ACTIVITIE S Th e purpos e o f thi s sectio n i s t o provid e amutua l agreement a s t o condition s o f propert y prio r t

o contracto r activities . Thi s wil l als o serv e a s documentatio n fo r th e purpos e o f assurin g tha t restoratio n activitite s are complete dt o th e satisfactio n of th e propert y owne r andth e Unite dState s Environmenta l Protectio n Agenc y (EPA) . Item s t o b e remove dbv propertv owne r prio r t o th e respons e activities : 1 . • . 

### 2 . 3 . 4 . 5 . • Item s NO T t o b e remove dby contracto r durin g removal activities : 1 . . 

### 2 . ' • 

### 3 . 4 . • 

### 5 . ADDITIONAL COMMENTS : 

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I hav e rea dth e foregoin g documen t an dunderstan dtha t i t i s a n agreemen t grantiri g permissio n to th e Grante e t o ente r th e abov e describe dpremise s for th e purpos e of conductin g environmental respons e activities , an dI agre e to it s terrii s an dconditions . 

### Grantor' s Signature : ^''^^y^y'^ST^t^^^C^^^^i^^ P J Dat e T^/ls/o S

(3 ) iivuifx nDougla s Count y Accoun t Informatio n Pag e 1 o f 2 Dougla s County , Nebrask a Propert y Recor d - R202076000 0 Prin t Repor t Parce l Dimension s availabl e 6 scal e 0-5 0 ft was t of 144 S t - VIe W O n Mfl B 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 Searc h Owner . CLINTO N GREGORY J ETA L 4218DAVENPRTS T OMAH A N E 68131-000 0 Propert y Informatio n Ke y Number : 207 6 000 0 2 0 Accoun t Type : Residentia l Parce l Number : 202076000 0 Parce l Address : 421 8 DAVENPOR T S T OMAH A N E 68131-000 0 Lega l Description : POPPLETO N PAR KLOT 1 3 BLOC K2 6 5 0 X 12 8 Valu e Informatio n Lan d Improvemen t Tota l 200 8 $6,400.0 0 $125^200.0 0 $131,600.0 0 200 7 $6,400.0 0 $119,000.0 0 $125,400.0 0 200 6 $6,400.0 0 $119,000.0 0 $125,400.0 0 200 5 $6,400.0 0 $119,000.0 0 $125,400.0 0 200 4 $6,400.0 0 $73,000.0 0 $79,400.0 0 200 3 $6,400.0 0 $73,000.0 0 $79,400.0 0 Sale s Informatio n Sale s Date : 2001-12-1 2 Dee d Type : W D Book : 219 9 Page : 30 8 Price : $123,000.0 0 Grantor : Grantee : Valid/Invalid : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 4 6400. 0 1. 0 128. 0 50. 0 N o Improvemen t Informatio n

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1* 1 « H 6yTi<fMle<^ 1 CS^'O'x i C ' CLIC KT O ENLARG E IMAG E CLIC KT O ENLARG E IMAG E Squar e Footage : 1820. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Goo d

Buil t As : 2 1/ 2 Stor y Unfi n Cond o Squar e Footage : 0. 0 HVAC : Centra l Ai rt o Ai r Rooms : 9. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal l Baths : 2. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 4. 0

Roo f Type : Gabl e Stories : 2. 5 Floorcover : Allow/anc e Foundation : Blocl < Sprinl<le 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 0 0 0 % 192 0 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Applianc e Fireplac e Masonr y 1. 0 Basemen t Bsmn t Bloc k 8 f t 952. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Batt i Ful l 2. 0 Garag e Detache d 280. 0 Porc h Sla b Roo f Cei l 190. 0 Porc h Sla b Roo f Cei l 20. 0 Porc h Woo d Decl < 200. 0 Use r Atti c Ful l Finis h 336. 0 Use r Chec k ML S 1. 0

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CLINTO N GREGOR Y J Q 421 8 DAVENPORT S T 202076000 0 # CLINTO N GREGORY J 421 8 DAVENPOR T S T OMAH A 6813 1 4218DAVENPRTS T OMAH A N E 6813 1 20-15-1 3 POPPLETO N PAR K 2 6 1 3 50X12 8

Treasure rInformatio n Valuatio n Informatio nEP A Pain t Stabilizatio n Program Cit y o f Omah aPlannin g Departmen t Housin g an dCoinmunity Developmen t Divisio n 

### Chang e Orde r Purchas e Order 114968 5 Grdup.No . 2 2 Project : Gregor y Clinto n & Susann aClinto n Chang e Order No . 1 421 8 Davenport St . Datfe : 10/17/200 8 Contractor : G . W . Tibb s Constructio n 432 1 N. . 56t h St . Omaha , N E 6810 4 Th e Contrac t i s change da s follows : Lif t needed , for uppe r dormer . Asbesto s shingle s an droo f slop e prevente dworker s fro maccess .

Th e original contrac t amoun t was : $3,000.0 0 Ne t chang e b y preyiOsuly authorize dChang e Orders : $0.0 0 Th e contrac t amoun t prio r t o thi s Chang e Orde r was : $3,000.0 0 Th e Contrac t wil l b e increase db y thi s Charig e Orde r i

n th e amoun t of : $300.0 0 Th e nev v contrac t amoun t includin g thi s Chang e Orde r wil l be : $ 3,300.0 0 Th e Contrac t tim e wil l b e change db y 6 0 days . Th e dat e o f substantia l completio n a s o f th e dat e o f thi s Chang e Order therefore is : 10/14/200 8 CONTRACTOR : CIT Y O F OMAH A Signatur e Signatur e B y • ) B y / ­ 

## 1 0 iL L Dat e Dat e 

# H

cc : Edwar dDantzle r Maria n Tod 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 ORDE R NO . REVISIO N PAG E OMAHA , N E 68183-100 3

FAX # 402-444-542 3 114968 5 0 1 V SHIPTO : CIT Y O F OMAH A HOUSIN G &COMMDE V RM#1111 , 181 9 FARNA M STREE T OMAHA.NE 6818 3 G W TIBB S CONSTRUCTIO N VENDOR : > : - < BIL L TO : ATT N GARR Y TIBB S CIT Y O F OMAH A FINANC E DISBURSEMENT S ROO M #100 7 432 1 N 5 6 S T OMAHA . N E 6810 4 181 9 F/\RNA M STREE T OMAHA.N E 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 8019 0 07-AUG-08 P BURK E PAYMENTTERM S SHI P VI A F.O.B . DESTINATIO N FREIGH T TERM S REQUEST0FM3ELIVE 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 PLANNING DEPARTMEN T - PE R GROUP ! 2 2 BI D DATE D 7/30/0 8 Al l price s an d amounts ! o n thi s orde r ar e expres s d i n : U S Doi ; a r • NEEDED: 1,000.0 0 N i 08-AUG-0 8 EP APAIN T STABILIZATIOi J PROGRA M GROU P 2 2 132 3 N . 29T H ST . o SHI P TO : Addres s a t to p o f pag e

* * * * * * * * * * * * * * • * . * * * * * \ * *********************** * * NEEDED : 3,000.0 0 N 08-AUG-0 8 EP APAIN T STABILIZATIO N PROGRA M GROU P 2 2 421 8 DAVENPOR T ST . O SHI P TO : Addres s a t to p o f pag e

******************* * • ^

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

SHIPTO : Address 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 ro n al l Inva'ces . packages , packin g lists , bil l o f lading , an d conespondance . 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 tur nishedAwit h invoice . TA X EXEMPTION : Th e Cit yo f Omah a i s exemp t fira m Federa l Excis e Taxe s an d th e Nebrask a an d Cit yo f Omah a Sale s Taxes . Federa l I.D . 476006304 ; STAT E I.O . 01-0316768 : Fue l Dealer s Lie . 91-0316768 .DOUGLA S COUNT Y / REQUES T FO R BI O AN D BI D SHEE T ON : CIT Y O ^ OMAH A EXTERIO R PAIN T STABILIZATIO N PROGRA M FO R TH E EP A OMAH A LEA D SIT E - GROU P #2 2 FROM : ' P.M . Burk e Asst . Dougla s Count y Purchasin g Agen t 90 2 Omaha-Dougla s Civi c Cente r 181 9 Farna m Stree t Omaha , Nebrask a 66183-090 2 Publishe d NO T A N ORDE R Jul y 16 , 200 8 Pag e 1

Bi d Closiri g Tim e & Date : 11:0 0 a.m . Jiil y 30 . 200 8 IMPORTAN T 1 . Bi d mus t b

e in th e offic e o

t th e CIT Y CLERK , LC-1 , OMAHA-DOUGLA S CIVI C CENTER , 4 . I f Federa l Excis e Ta x applies , sho w amoun t o f sam e an d deduct . 181 9 Fama m Street , Omaha , N E 68183-001 1 t> yth e closin g dat e an d tim e Indicate d Exemptio n certificate s wil l b e furnished . D o no t includ e ta x i n bid . in a seale d envelop e marked : BI D ON : CIT Y O F OMAH A EXTERIO R PAIN T STABILIZATIO N 5 . BI D MUS T INCLUD E AN Y DELIVER Y O R SHIPPIN G CHARGES . PROGRA M FO R TH E EP A OMAH A LEA D SIT E - GROU P #2 2 6 . When submittin g bi d o n item s listed , bidde rma yo n a separat e sheet , mak e 2 .BI D BOND : A bi d bon d is no t require d fo rthi s project . suggestion s coverin g reductio n in cost s whereve rthi s i s possibl e throug h redesign , change o l materia l o rutilizatio n d t standar d item s o rquantit y change . 3 . Righ t is rasen/e d t

o accep t o rrejec t an

yo ral l bids in their.entiret y an d th e bidder s shal l hav e th e right t o appea l an y decisio n t o th e Cit y Council , liigh t I s als o resen/e d t

o 7 . I I yo u d o no t bid , retur n sheet s wit h reason lo rdeclining . Failur e t

o d

o s

o wil l indicat e accep t o rrejec t an

ypar t o

f you rbi d unles s otherwis e indicated b yyou . you rdesir e t

o b

e remove d Iro m ou rmailin g list . I I you desir e a cop y o l tabulatio n checkher ef H PLEAS E D O NO T CAL L FO R THI S INFORMATIO N Quot e you rlowes t price , bes t deliver y an d terms , F.O.B . deliver y poin t o n th e item(s ) liste d below : QUANTIT Y DESCRIPTION . UNI T PRIC E EXTENSIO N Tfi e Cit y o f Omah a i s seel<in g bid s fro m pre-qualifie d supplier s t o perfor m th e scop e o f wori < a s describe d i n th e attached . specifications . Eac h sit e i s a geographicall y seiparat e site , no t dependen t o r relate d t o an y othe rsite , an d eac h sit e wil l b e considere d a separat e award , pe rbi d an d attache d specifications . DAVI S BACO N AC T • Fo rquestion s regardin g thi s bid , o rquestion s o n ho w t o qualif y t o becom e a' bidde rfo rthi s o rfutur e bid s wit h thi s scop e o f work , contac t Mr . Mik e Honake ra t (402)444-5333 .

Al l contractor s ca n obtai n a curren t Cit y o l Omah a Certifie d Protecte d Busines s Enterprise/Certifie d Busines s Enterpris e (PBE/DBE ) listin g Iro m th e Cit y o l Omah a websit e a

t www.ci.omaha.ne.us . Clic k o n 'Departments , click o

n 'HUMA N RIGHT S & RELATIONS' , click o n 'PBE/DB E CERTIFIE D DIRECTORY' . Al l bidder s awarde d a contrac t i n th e amoun t o

f $5,00 0 o rmor e mus t compl y wit h th e Contrac t Complianc e Ordinanac e an d hav e o n lli e wit h th e Huma n Right s an d Relation s Departmen t th e Contrac t Complianc e Repor t (For m CC-1) . Thi s repor t shal l b e in effec l fo r2 4 months fro m th e dat e receive d b

yth e Huma n Right s & Relation s Department . An yquestnn s regardin g th e Contrac t Complianc e Ordinance.o rPBE/DBE Listings shoul d b e directe d to th e Huma n Right s & Relation s Departmen t a

t (402)444-5055 . • Rele ran vouesttons reoardln g th e BI D o rSPECIFICATION S directl y l o th e Purchasin g Departmen t (402)444-715 5 o ra s show n o n bid . r• ' ­ ­ - (PLEAS E PRIN T LEGIBL V O R TYPE ) Fir

m r- l U ^ -T . \ i \\ 5 1 Incorporate d in : Paymen t Term s % Nam e Signatur e Deliver y (o rcompletion) ' Titl e Phon e Fa x calenda rday s followin q awar d Addres s yireeUP.U . Uo x un y .Stat e ^i p Emai l Addres s