# Transmitta l o f

Omah aLea d Sit e Pain t Stabilizatio n Fil e Folde r
Said#60^ ^ • Date : &>->^-7 / Address : J^'~ ^ ^ /^hn-e s /T V Contractor : CityofOmah aYear : ^ ^ / / 

# Pain t Stabilizatio n Propert y Fil e Folde r Document s Wor k

Writ e U p Signe dAcces 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 _t £ 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 Recordkeeping Checklis t signe dby Certifie dRenovato r Propert y informatio n fro mDouglas Count y Assessor' s Offic e Othe r

(describe) : rhoM i • . ^


## :7Zr^'^ ^

>^ ^ 3- 7 J -J> ^ Cit y of Omah aRepresentativ e Signatur e Dat e
EP A Representativ e Signatur e ' '.Dat e I 3026249 4 

# HHiin i Superfun d) 

# tllT Y O F OMAH A PURCHASIN G • ROCf.>.=s!00 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
. 117446 2 REVISIO N PAO E 1
SHIPTO :

CIT V O F OMAH A HOUSING&COM M DEVR M #111 1 181 9 FARNA M STREE T OMAHA.N E 6818 3 VENDOR : GWALL G 250 5 N 2 4 S T ST E 211- A OMAHA , N E 6811 0 > BIL L TO :

CIT T O F OMAH A FINANC E DISBURSEMENT S ROO M «100 7 181 9 FARNA 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
. VENDORNO
. 9135 6 DAT E O F ORDER/ BUYE R 13-MAY-1 1 H HUR T REVISE D DATE//BUYE R 13-MAY.1 1 H HUR T PAYMENTTERM S SHI P VI A F.O.B
. DESTINATIO N FREIGHTTERM S REQUESTORAJELIVE R T O ^ CONFIR M T O / TELEPHON E MARTINEZ , MARGARE T P > 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 expresse d i n : U S Dolla r NEEDED : 1,100.0 0 N 13-MAY-l l EPA.PAIN T STABILIZATIOt J PROGRAM . GROUP. . 20 3 - 1822'N;3 8 S T " ©SHI P TO : % Addres s a t to p o f pa^ e ; NEEDED : 1,100.0 0 N i 13-MAy.rl l EP APAIN T STABILIZATIO M PROGRA M GROU P 20 3 ­ 243 0 .HAliTMA NAV E o SHI P TO : i Addres s a t to p o f pag e I NEEDED : 2,800.0 0 N ^IJJ-MAY-l l EPJl-PA-IirrTTA B IL I ZATIOt i '-'TROGRA M GROU P 20 3 ­ *2502 ^ AME S "AVE';??; " •' ! 0 SHI P TO : ! Addres s a t to p o f pag e NEEDE j 3,426.0 0 N

SHIPTO : Addres s show n above , i f shipmen t I s delaye d a an y Item s no t avallablo , advis e a t onoe . Pur chas e orde rnunibe rmus t appea ro n all Invoices , packages , packin g lists , bl H o f lading , an d correspondence
. 

## Tota l Continue d 

# J 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 - 

# c nishe d wil 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 1.0.476006304 ; STAT E I.D
. 01-0316768 : Fue l Dealers Uc
. 91-0316768
. Cll y Purchiitn g /Jjjnt/Buye rPlannin g Departmen t Omaha/Dcug'ia s Civic Ccntc : Inspector : To mRoz a. 18l9.Farr.i.- n Scrcsc,,SuiteH0 O Date : 3/31/1 1 Gmiha , NcbrasSta'SSiS j (402)44^515 0 Telefax (402 ) 444-614 0 

## Name : Meliss aBarte e R..E . Cunningham , R.* , F.SAME Cir/o f Omah a 

## Address : 250 2 Ame s Av e Dirccior 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 biddocument s consist o f

th e followin g sections :
• . Genera l Responsibilitie s fo r th e Contracto r andOccupant . •Lea dHazar dContro l Plan , InterimContro l of Lea dBase dPain t Hazards
. 

## Th e Contracto r

Shall :
• Contracto r an dal l gubcontractorCs ) shal l complet e andsubmi t a"Citizenshi p • Attestation " / "Employe e Classification " formt o th e Plannin g Department , pe r Stat e requirements , befor e final paymen t ca n b e issued
. •. Compl y wit h HUD' s "Guideline s fo r th e Evaluatio n andContro l o f Lead-Base dPaint ' Hazard s i n Housing. " (Copies.ar e availabl e a t th e Planning Department. ) •Comply wit h Standard s called , fo r i

n the "Constructio n an dRehabilitatioi i Specifications , Housin g an dCommunit y Development Division , Cit y of Om.aha , Nebraska. " (Copie s ar e availabi e atth e Plannin g Department. ) •Comply wit h th e Stal e ofNebrask aHealt h andHuma n Service s Regulatio n and

. Licensure' , Titl e 1 TS.Cha^pte r V

> Lea dBas e Pain t Regulations
. •Coordinate daily constructio n schedul e wit h th e occupant •Submit informatio n cu t sheet s fo r al l substitution s o r approvedequal s prior to written approva l ofth e Constructio n Specialist
. • Repai r o

r replac e al l item s damage do r disturbe ddurin g pain t stabilizatio n activities
. • •Kee p wor k

site an dsurroundin g are afree fro maccumulation s o f wast e material s o r rubbis h causedb y th e wor k

at al i limes
. • Upo n daily completio n o f work : clea n u p ail rubbish , exces s material , equipment , an d etc. , tha t i s connecte dwit h th e work , an dleav e all part s ofth e wor k

area s i n aneat , sanitary , lea dsaf 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 awa y any persona l propert y witlii n twent y (20 ) fee t o

f th e are at o b e remediated
. • Provide acces s t o electricit y andwater tliroughout th e pain t stabilizatio n process . • Remov e voluntee r tree s an dvegetatio n fro mth e dri p lin e ofth e roof , an dcutback , shrub s an dbushe s a t leas t tw o feet fro mth e house
. • Ensur e tha t al

l househol dmember s sta y a t leas t te n fee t awa y fro mal l vvor k

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

ha s bee n complete dan d th e are aha s pas.se davisual inspection
. - ^ . j ^ initial s / H • > < ^ ^J

­

### Exterio r Lead-base dPain t Stabilizatio n Progra mManage db y th e Cit y o f
• Omah afo r EP A Regio n 7 Omah aLea dSit e Th e purpos e of thi s progra mi s to preven t yard s where lead-ccn.taminatedsoi l i s cleane d u

p frombecon:iin g re-contaminate dby deterioradn g exterio r lead-base dpaint
. Thi s i s no l ahom e repai r prograrri
. • Whic h Home s Ar e Eligible ? •Home s wher e soi l cle'an-u p ha s bee n or wil l b e don e an da n EP A contractor ha s identifie ddeterioratin g exterio r lead-base dpaint
. •Home s ar e eligibl e onl y b y referra l fro mth e EPA . Wha t wor k

wil l b e done ? •Loos e an d flaildng lead-base dpain t wil l b e remove dsafel y fro mfascia , eaves , siding , trim , windo w trim , doo r tri man dfoundation
. •Surface s will b e prime dan dpainte dto match.existin g pain t colo r a s closely a s possible
. Wha t wil l no t b e done ?
• Surface s whic h hav e no pain t wil l no t b e treated.
. • • ' Window s o r door s wil l no t b e included
. •Rotte n woo dwil l not b e replaced
. •N o housin g repai r will b e done
. Wh o wil l perfor mth e work ? •. EP A contractor s wil l tes t paint o n exterior hous e surface s an dgiv e th e result s to th e Cit y o f Omah aPaint Stabilizatio n Program. . •• .Cit y Constructio n Specialist s wil l prepar e awor k

pla n an dcontact the propert y owne r fo r pemiissio n t o proceed
. •Wor k

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

b e done ? •Thi s progra mbega n in 200 7 andwill continu e fo r severa l years . •The Cit y staf f will prioritiz e home s base don th e presenc e o f children unde r ag e • si x ifknow n an dth e severit y ofth e problem
. Pain t Stabilizatio n i s voluntar y an dwil l b e don e onl y wit h permission of the owner . 

## Initials'ITL/J I

### Address : 250 2 AME S A V Consent fo r .Acces s l o Propert y fPage 2 ) 3 .Plannin g andimplementin g th e respons e actio n o n th e Grantor' s property . Thi s wil l include 1 ) removal , of loos e o r flakin g pain t identifie db y EP A using lead-saf e method s i n compliance wit h HUD/EP A regulation s an d2 ) repaintin g accordin g t o th e attache dspecifications
. TER M Thi s acces s agreement shall b e operabl e fo r th e perio do f tim e i t take s t o complet e th e environmental respons e activities
. Upon completio n o f th e respons e actions , all right s an d privilege s given b y th e Grantor shal l ceas e on tha t date , unles s extende db y asubsequen t agreement . AGREEMENT NO T TO INTERFER E Granto r agree s no l l o interfer e with.an y o f th e activitie s undertake n b y Grante e a t the Property , tamper wit h an y o f Grantee' s property , or take an y action s regarding the us e ofth e Propert y whic h wil l endanger huma n healt h or welfar e or 'th e environment, , or allo w other s to us e the Propert y i n suc h manne r durin g th e ter mo f thi s consent . Grantor agree s t o provide notic e an dacop y of this agreement t o prospectiv e purchasers , lessees , assigns,-or grantee s of .th e propert y o r an y portio n o f i f

Granto r agree s to provid e 30-da y notic e t o EP A prior t o an y transfe r o f ownershi p right s t o th e property . SAMPLIN G RESULT S Grante e agree s to provid e Grantor wit h th e result s of an y an dal l samplin g and/or 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 t o the conditio n ofth e propert y prio r t

o remediation an dindicate s o n Pag e 3 an y item s to b e rernove db y th e Grantor befor e activitie s commence . RESTORATIO N O F PROPERTY Excep t fo r th e abov e state dpaint stabilization , th e Grantee agree s tha t sai dpropert y will 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 dimmediately precedin g th e beginnin g of activitie s authorize db y thi s Agreement , followin g completion'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 - R122257000 0 Prin t Repor t Vie w Interactiv e GI S Ma p Informatio n I s vali d a s o f 2012-2-2 8 Treasurer' s Ta x Repor t Ne w Featur e - > - > r > Subdivisio n Sale s Searc h Owne r BARTE E MELISS A L 250 2 AME S AV E OMAH A N E 681.11-000 0 Propert y Informatio n Ke y Number : 225 7 000 0 1 2 Accoun t Type : Residentia l Parce l Number
. 122257000 0 Parce l Address : 250 2 AME S A V OMAH A N E 68111-000 0 Lega l Description : GRUENI G AD D LO T 1 5 BLOC K3 5 4 X 10 6 Valu e Informatio n Lan d Improvemen t Tota l 201 1 $ 2,500.0 0 $ 31,300.0 0 $ 33,800.0 0 201 0 $ 2,500.0 0 $ 31,300.0 0 $ 33,800.0 0 200 9 $ 2,500.0 0 $ 40,000.0 0 $ 42,500.0 0 200 8 $ 2,500.0 0 $ 40,000.0 0 $ 42,500.0 0 200 7 $ 2,500.0 0 $ 40,000.0 0 $ 42,500.0 0 200 6 $ 2,500.0 0 $ 40,000.0 0 $ 42,500.0 0 Lan d Informatio n Acre s S F Unlt a Dept h Widt h Vacan t 0.1 3 5724. 0 1. 0 106. 0 54. 0 N o Lan d Attribute s Attiibut a Attribut e Descriptio n Negativ e Influenc e Traffi c 2 Improvemen t Informatio n Buildin g 1



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R12..
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### Dougla s County Accoun t Informatio n Pag e 2 o f 3

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# J
FifUFIoo f n r SaccndFlN r » " 10160« f "

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2 FINISHE D STOR Y CLIC KT O ENLARG E IMAG E Squar e Footage : 1724. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Poo r

Buil t As : 1 1/ 2 Stor y Fi n Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 7. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Plaste r Baths : 2. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 3. 0

Roo f Type : Gabl e Stories : 1. 5 Floorcover : Allowanc e Foundation : Sprinkle rSquar e Footage : 0. 0 Yea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 190 0 0 0 % 190 0 11 0 Defa/ 7 Typ e Detai l Descriptio n Unit s Ad d O n Fenc e Chai n Lin k 1. 0 Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 f t 968. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 2. 0 Porc h Cvrd Woo d Dec k 110. 0 Porc h Enc I Soli d Wal l 40. 0



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### Dougla s County Accoun t Informatio n Pag e 3 o f 3

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.



### http://douglasne.mapping-online.com/DouglasCoNe/slatic/accounlinfo.jsp?accounlno=R12.
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