Transmittal of Omaha Lead Site 

Paint Stabilization File Folder 

Said# ^O^b H Date: S-'/'^-J^c S 

Address: /I7 3 li/7//ra.ti &^ 

Conti-actor: City of Omaha Year: J^QiJ d 

Paint Stabilization 

Property File Folder Documents 

6^Work Write Up 

__i^Signed Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

y Painting Agreement/City of Omaha Purchase Order 

Settlement documents (i.e., for damage or to replace plants, etc.) 

Renovation Recordkeeping Checklist signed by Certified Renovator 

^^Property information from Douglas County Assessoi*'s Office 

Other (describe): r/lo/^3 1 

/ f5>vv H>\ ^ /^^-^L-- 3-yr^/ ^ 

City of Omaha Representative Signature Date 

EP'AA RpnrPBPntafivp .^ionntiire ' Datft Representative Signature.. . ' Date 

30262431 

Superfund 
Planning Department 

Inspector: Jame s Janovic h Omaha/Douglas Civic Center 

S 1 Q 9nn 8 ^^^' Farnam Street, Suite 1003 

J-i:/-ZUUO Omaha. Nebraska 68183 

(402) 444-5150 

Louis Cortez and Teieft.x(402) 545-0714 

T-v 1 /^i l 1- J Steven N . Jensen, AICP 

City of Omaha DaTlCn e LnaDOUa e Director 

Mike F.hey. Mayor 111 3 Willia m S t 

OMAHA EXTERIOR PAINT STABILIZATION PROGRAM 

FOR THE EPA OMAHA LEAD SITE 

The Contract bid documents consist of the following sections: 

• General Responsibilities for the Contractor and.Occupant. 

• Lead Hazard Control Plan, Interim Control of Lead Based Paint Hazards. 

The Contractor Shall: 

• Comply with HUD's "Guidelines for die Evaluation and Control of Lead-Based 

Paint Hazards in Housing." (Copies are available at the Planning Department.) 

• Comply with Standards called for in the "Construction And Rehabilitation 

Specifications, Housing and Comiriunity Development Diyision,,..City of Omaha, 

Nebraska." (Copies are available at the Planning Department.)..; • 

• Comply with the State of Nebraska Health and Human Services Regulation and 

Licensure, Title 178 Chapter 23 Lead Base Paint Regulations. ..- ^ , 

• Coordinate daily construction schedule with the occupant 

• Submit information cut sheets for all substitutions or approved equals prior to 

written approval of the Rehabilitation Inspector. 

• Repair or replace all items damaged or disturbed during construction. 

• At all times keep the site of work and surrounding area free from accumulations 

of waste materials or rubbish caused by the work. 

• Upon daily completion of work clean up all rubbish, excess material, equipment^ 

and etc., that is connected with the work, and leave all parts of the work areas in a 

neat, sanitary, lead safe and presentable condition. 

• Complete this project within 30 calendar days. 

The Occupant Shall 

• Remove and store away any personal property within twenty (20) feet of the area 

to be remediated. 

• Remove volunteer trees and vegetation from the drip line of the roof, and cut back 

shrubs and bushes at least two feet from the house and garage. 

• Ensure that all household members stay at least ten feet away from all work areas 

and also keep all pets at least ten feet away at all times until the work has been 

completed and the area has passed a visual inspection. j 

Initials r • ^ 
1113 William St (continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

• Prepare and paint all previously painted exterior surfaces of the dwelling 

to include the fascia, eaves, siding, trim, window trim, door trim and 

foundation. Do not paint windows or doors. 

• Prepare and paint all previously painted surfaces of the front porch. 

• Prepare and paint all previously painted surfaces of the decks. 

• DO NOT PAINT VEsfYL, STEEL, OR ALUMINUM SURFACES. 

• All paint colors to match existing. Prime and apply two coats. 

• See planning Department's list of approved paint products for lead 

projects. 

Lead Based Paint Waste 

Lead-based paint waste must be handled as follows 

All paint chips and component debris must be double bagged for disposal. 

Clean paint chips before starting, during and after the project. 

All lead painted components and debris must be removed from the site 

daily unless otherwise approved by the construction specialist. 

All lead-based paint debris (chips and components) must be disposed of in 

a municipal solid waste landfill. 

Property Owner 

PropertyOwner 

n 

_&li2k 

Witness 

.<VL.(t 

Occupant (if applicable) Date 

Occupant (if applicable) Date 

Witness Date 
Exterior Lead-based Paint Stabilization Program Managed by the 

City of Omaha for EPA Region 7 

Omaha Lead Site 

The purpose of this program is to prevent yards where lead-contaminated soil is cleaned 

up from becotning recontaminated by deteriorating exterior lead-based paint. This is not 

a home repair program. 

Which Homes Are Eligible? 

• Homes where soil ciean-up has been or.will be done and an EPA contractor has 

identified deteriorating exterior lead-based paint. 

• Homes are eligible only by referral from the EPA. 

What work will be done? 

• Loose and flaking lead-based paint will be removed safely from exterior walls, 

trim, and window frames. 

• Surfaces will be primed and painted to match existing paint color as closely as 

possible. 

What will not be done? 

• Surfaces which have no paint will not be treated 

• Windows will not be treated 

• Rotten wood will not be replaced 

• No housing repair will be done 

Who will perform the work? 

• EPA contractors will test paint on exterior house surfaces and give the results to 

the City of Omaha Paint Stabilization Program. 

• City Construction Specialists will prepare, a work plan and contact the property 

owner for permission to proceed. 

• Work will be competitively bid by approved, trained contractors. 

^yhen will the work be done? 

• This program began in 2007 and will continue for several years. 

• The City staff will prioritize homes based on the presence of children under age 

six if known and the severity of the problem. 

Paint Stabilization is voluntary and will be done only with permission of the owner. 

L 

Initials '^' ^ 
Consent for Access to Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States Environmental Protection 

Agency (USEPA) or its authorized representatives, collectively the Grantee, to enter and perfonn 

certain environmental response activities upon, the following described premises: 

Owner's Name: 

Owner Name(s): Louis Cortez & Darlene Chaboude 

Davtime Phone: 

916-600-0649 

Addresses of Properties Covered by this Agreement 

Property Address 

1113WIIXIAMST ^ 

City/State/Zip Code 

Omaha, Ne 

Grantor understands that this grant does not limit EPA's right of access under the Comprehensive 

Environmental Response and Liabilitv Act (CERCLAI. 42 USC. & 9601-9675. or anv other law. 

PURPOSE OF ACCESS 

The purpose of. the response action is to stabilize loose or flaking exterior lead-based paint on 

residential properties, including day-care facilities, where remediation of lead contaminated soil has 

or will take place. Sampling of soil may be conducted. This consent shall allow Grantee onto 

Grantor's property and further, provides the Grantee the right to perform any and all environmental 

response actions and activities it deems appropriate. 

ENVIRONMENTAL RESPONSE ACTIONS 

The environmental response actions to be performed on subject property may include the following 

activities; 

1. Locating equipment and/or machinery on subject property in preparation for arid in the course of 

the response activities. 

2. Obtaining samples from Grantor's property. 

(n 2/12/2007 
Address:. 1113 WILLIAM ST 

Consent for Access to Propertv (Page 2) 

3. Planning and implementing the response action on the Grantor's property. This will include 

1) removal of loose or flaking paint identified by EPA using lead-safe methods in compliance 

with HUD/EPA regulations and 2) repainting according to the attached specifications. 

TERM 

This access agreement shall be operable for the period of time it takes to complete the 

environmental response activities. Upon completion of the-response actions, all rights and 

privileges given by the Grantor shall cease on that date, unless extended by a subsequent 

agreement. 

AGREEMENT NOT TO INTERFERE 

Grantor agrees not to interfere with any of the activities undertaken by Grantee at the Property, 

tamper with any of Grantee's property, or take any actions regarding the use of the Property which 

will endanger human health or welfare or the environment, or allow others to use the Property in 

such manner during the term of this consent. Grantor agrees to provide notice and a copy of this 

agreement to prospective purchasers, lessees, assigns, or grantees of the property or any portion of 

it. Grantor agrees to provide 30-day notice to EPA prior to any transfer of ownership rights to the 

property. 

SAMPLING RESULTS 

Grantee agrees to provide Grantor with the results of any and all sampling and/or analysis resulting 

from Grantee's response activities on the property. 

PRIOR CONDITIONS AGREEMENT 

The grantor agrees to the condition of the property prior to remediation and indicates on Page 3 any 

items to be reriioved by the Grantor before activities corrimencc. 

RESTORATION OF PROPERTY 

Except for the above stated paint stabilization, the Grantee agrees that said property will be restored 

as nearly as possible to its original state and condition as found immediately preceding the 

beginning of activities authorized by this Agreement, following completion of the response 

activities. 

(2\ 2/12/2007 
Address: 1113 WILLIAM ST, Omaha, Ne, 

CURRENT CONDITION /PROPOSED RESPONSE ACTIVITIES 

The purpose of this section is to provide a mutual agreement as to conditions of property prior to 

contractor activities. This will also serve as documentation for the purpose of assuring that 

restoration activitites are completed to the satisfaction of the property owner and the United States 

Environmental Protection Agency (EPA). 

Items to be removed bv propertv owner prior to the response activities: 

L . 

2 : • . 

3. 

4. 

5- , . 

Items NOT to be removed bv contractor during removal activities: 

1. 

2. 

3. . 

4 . . • • • _ 

5. 

ADDITIONAL COMMENTS: 

I have read the foregoing document and understand that it is an agreement granting permission to 

the Grantee to enter the above -described premises for the purpose of conducting environmental 

response activities, and I agree/o its termsand conditions. 

Grantor's Signature: cJ^^Jlt^^puJ^SlztsT^^ . ^^^^J-bQlA-^d^ 

(Z\ 2j\2n.(xn 
Douglas County Account Information Page 1 of 3 

Douglas County, Nebraska Property Record - R1519700002 

Information is valid as of 2008-4-17 

Print Report 

Parcel Dimenaibns available O scale 0-50 H west ol 144 St - Vie w O n Ma p 

Treasurer's Tax Report 

New Feature -»-*- > Auto Sales Searcti 

Owner 

CORTEZ LOUIS M 

hIAL 

7711 DUTRA BEND DR 

SACRAMENTO CA 95831-0000 

Property Information 

Key Number: 

Account Type: 

Parcel Number: 

Parcel Address: 

Legal Description: 

1970 0002 15 

Multiple Res 

1519700002 

1113 WILLIAM ST 

OMAHA NE 68108-0000 

KOUNTZE 3RD ADD LOT 2 BLOCK 11 W 48 FT LOT 1 & E 16 FT 64 X 150 

Value Information 

2007 

2006 

2005 

2004 

2003 

2002 

Land 

$5,800.00 

$5,800.00 

$5,800.00 

$5,800.00 

$5,800.00 

$0.00 

Improvement 

$22,600.00 

• $22,600.00 

$22,600.00 

$22,600.00 

$22,600.00 

$0.00 

Total 

$28,400.00 

$28,400.00 

$28,400.00 

$28,400.00 

$28,400.00 

$0.00 

Sales Information 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

2007-05-24 

WD Book: 2007 Page: 062437 

$89,000.00 

BETHEA HORACE ETAL 

CORTEZ LOUIS ETAL 

Valid 

2000-02-14 

D Book: 2144 Page: 501 

$39,000,00 

hffn'//HniialnBTip mannino-nnlin p mm/nr«iio-1acr'r»'Mp/ct-atir'/Qf'rniintinfr» icn^ar^/^minf-nn—P 1 < ^/10/onflQ 
Douglas County Account Information Page 2 of 3 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: 1993-04-29 

Deed Type: Book: 1954 Page: 408 

Price: $25,000.00 

Grantor: 

Grantee: 

Valid/lnvalid: Valid 

Exclusion Reason: 

Lan d Informatio n 

Acres SF Units Depth Width Vacant 

0.22 9600.0 1.0 150.0 64.0 No 

Improvemen t Informatio n 

Building 1 

CLICK TO ENLARGE IMAGE 

1113 William 

9913 Oiq t 

!•nll'. ^ t 

C'tSaillr!!! 

J ^ 

I i«fiOfit 

2 1/2 STORY FINISHED 

Biirm SioA » n 

10M.0sq.lt. 

Kir 

CLICK TO ENLARGEJMAG.E 

Square Footage: 2214.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: End Condition: Fair 

Built As: 2 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 11.0 

Exterior: Frame Aluminum Units: 3.0 

interior: Drywall Baths: 2.5 

Roof Cover: Composition Shingle Bedrooms: 4,0 

Roof Type: Gable Stories: 2.5 

Floorcover: Allowance Foundation: Block 

httn://(iniip1a.snR.manninp-nnlinp. rom/nniiplasrnNp./.stntir/.nr.rniintinfn isn'^'^rr-nimfnn-P 1 '^ <:/ionnn9 
Douglas County Account Information Page 3 of 3 

Year Bum 

1 1900 

Year 

Remodeled 

0 

Detail Type 

1 Add On 

1 Appliance 

1 Basement 

1 Fixture 

1 Fixture 

1 Fixture 

Garage 

Porch 

[ Porch 

1 Porch 

User 

User 

Percent 

Remodeled 

0% 

Sprinkler Square Footage: | 0.0 

Adjusted Year 

Built 

1900 

Physical Age 

105 

Detail Description 

Fence Chain Link 

Allowance 

Bsmnt Block 8 ft 

Base Fixtures 

Bath Full 

Bath Half 

Detached 

Slab Roof Ceil 

Slab Roof Ceil 

Wood Deck 

3 Apt Conv 

Attic Full Finish 

Units 1 

1.0 

1.0 

990.0 

1-0 

2.0 

i..o' 

661.0 

140.0 1 

140.0 1 

78.0 1 

1.0 

432.0 1 

hftn-//Hr»iialnsnp. manninor-nnlin p pr»m/r>r\iio1ocr'r>TM<»/ct!Jtin/ar>r>r»iintinfr. ieT\')'ir.f>n^,^,n^nr,—T)^^ ' C/IO/Onno 
>ITY OF OMAHA 

PURCHASING - ROOM 1003 

1819 FARNAM STREET 

OMAHA, NE 68183-1003 

FAX* 402-444-5423 

Purchase Order 

PURCHASE ORDER NO. 

1149372 

REVISION 

1 

PAGE 

SHIP TO: 

CITY OF OMAHA 

HOUSING & COMM DEV RM #1111 

1819 FARNAM STREET 

OMAHA.NE 68183 

VENDOR: G WTIBBS CONSTRUCTION 

ATTN GARRY TIBBS 

4321 N 56 ST 

OMAHA. NE 68104 

> 

BILL TO: 

CITY OF OMAHA FINANCE 

DISBURSEMENTS ROOM #1007 

1819 FARNAM STREET 

OMAHA.NE 68183 

• < 

ORIGINAL PURCHASE ORDER - VENDOR'S COPY (SEE rNSTRUCTIONS BELOW) 

CUSTOMER ACCOUNT NO. VENDOR NO. 

80190 

DATE OF ORDER/ BUYER 

25-JUL-08 P BURKE 

REVISED DATE/ /BUYER 

2WUL-0 8 P BURKE 

PAYMENT TERMS SHIP VIA F.O.B. 

DESTINATION 

FREIGHT TERMS 

>-

REQUESTOR/DELIVER TO 

MARUCA T MARIE 

CONFIRM TO / TELEPHONE 

< ITEM PART NUMBER / DESCRIPTION DELIVERY DATE QUANTITY UNIT UNIT PRICE EXTENSION 

IMPORTANT - DO NOT START WORK UNTIL PROCEED ORDE^ 

DEPARTMENT - PER GROUP: 20 BID DATED 7/16/08. 

All prices and amounts; on this order are express 

! NEEDED: 

i 24-JUL-08 

EPA PAINT STABILIZATION 

PROGRAM GROUP 20 1113 

WILLIAM ST. 

O SHIP TO: 

Address at top of page 

IS ISSUED BY 

bd in : US 

THE PLANNING 

Dol^ar 

1,200.00 N 

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

SHIP TO: Address shown above. If shipment is delayed or any items not available, advise at once. Purchase order number must appear on all invoices^ packages, packing lists, bill of lading, and correspondence. 

SHIPPING CHARGES TO BE PREPAID. IF APPLICABLE AND ADDED TO INVOICED, copy to be furnished with invoice. 

TAX EXEMPTION: The City of Omaha is exennpt from Federal Excise Taxes and the Nebraska and City of 

Omaha Sales Taxes. Federal I.D. 476006304; STATE I.D. 01-0316768; Fuel Dealers Lie. 91-0316768. 

Ciy Purchasing Agent / Buyer