Transmittal of Omaha Lead Site 

Paint Stabilization File Folder 

Said# 60^ ^ • Date: &>->^-7 / 

Address: J^'~^ ^ /^hn-es /TV 

Contractor: CityofOmaha Year: ^ ^ / / 

Paint Stabilization 

Property File Folder Documents 

Work Write Up 

Signed Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

_t£ 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 Assessor's Office 

Other (describe): rhoM i 

• . ^ 

:7Zr^'^^ >^ ^ 3- 7 J -J> ^ 

City of Omaha Representative Signature Date 

EPA Representative Signature ' '.Date 

I 

30262494 

HHiini 

Superfund 
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tllTY OF OMAHA 

PURCHASING • ROCf.>.=s!003 Purchase Order 

1819 FARNAM STREET 

OMAHA, NE 68183-1003 

FAX# 402-444-5423 

PURCHASE ORDER NO. 

1174462 

REVISION PAOE 

1 

SHIPTO: 

CITV OF OMAHA 

HOUSING&COMM DEVRM #1111 

1819 FARNAM STREET 

OMAHA.NE 68183 

VENDOR: GWALLG 

2505 N 24 ST STE 211-A 

OMAHA, NE 68110 

>

BILL TO: CITT OF OMAHA FINANCE 

DISBURSEMENTS ROOM «1007 

1819 FARNAM STREET 

OMAHA,NE 68183 

< 

ORIGINAL PURCHASE ORDER • VENDOR'S COPY (SEE INSTRUCTIONS BELOW) 

CUSTOMER ACCOUNT NO. VENDORNO. 

91356 

DATE OF ORDER/ BUYER 

13-MAY-11 H HURT 

REVISED DATE//BUYER 

13-MAY.11 H HURT 

PAYMENTTERMS SHIP VIA F.O.B. 

DESTINATION 

FREIGHTTERMS REQUESTORAJELIVER TO ^ CONFIRM TO / TELEPHONE 

MARTINEZ, MARGARET P 

> rrEM PART NUMBER / DESCRIPTION DELIVERYDATE QUANTITY UNIT UNITPRICE EXTENSION 

All prices and amounts on this order are expressed in : US Dollar 


NEEDED: 1,100.00 N 


13-MAY-ll 


EPA.PAINT STABILIZATIOtJ 


PROGRAM. GROUP.. 203 -
 1822'N;38 ST " 


©SHIP TO: % 


Address at top of pa^e 


; NEEDED: 1,100.00 N 


i 13-MAy.rll 


EPA PAINT STABILIZATIOM 


PROGRAM GROUP 203 ­ 2430 .HAliTMAN AVE 


o SHIP TO: i 


Address at top of page 


I NEEDED: 2,800.00 N 


^IJJ-MAY-ll 


EPJl-PA-IirrTTAB ILI ZATIOti 


'-'TROGRAM GROUP 203 ­ *2502^ AMES "AVE';??;" •' ! 


0 SHIP TO: ! 


Address at top of page 


NEEDEj 3,426.00 N 


SHIPTO: Address shown above, if shipment Is delayed a any Items not avallablo, advise at onoe. Purchase order nuniber must appear on all Invoices, packages, packing lists, blH of lading, and correspondence. Total Continued 

SHIPPING CHARGES TO BE PREPAID. IF APPLICABLE AND ADDED TO INVOICED, copy to be fur- c J

nished wilh Invoice. 

TAX EXEMPTION: The City of Omaha Is exempt from Federal Excise Taxes and the Nebraska and City of 

Omaha Sales Taxes. Federal 1.0.476006304; STATE I.D. 01-0316768: Fuel Dealers Uc. 91-0316768. Clly Purchiitng /Jjjnt/Buyer 
Planning Department 

Omaha/Dcug'ias Civic Ccntc: Inspector: Tom Roza . 18l9.Farr.i.-n Scrcsc,,SuiteH0O 

Date: 3/31/11 Gmiha, NcbrasSta'SSiSj 

(402)44^5150 

Telefax (402) 444-6140 

Name: Melissa Bartee 

R..E. Cunningham, R.*, F.SAME Cir/of Omaha Address: 2502 Ames Ave 

Dirccior Jim Suttle, Mayor 

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: • Contractor and all gubcontractorCs) shall complete and submit a "Citizenship • 

Attestation" / "Employee Classification" form to the Planning Department, per 

State requirements, before final payment can be issued. 

• . Comply with HUD's "Guidelines for the 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 Rehabilitatioii Specifications, 

Housing and Community Development Division, City of Om.aha, Nebraska." (Copies are 

availabie atthe Planning Department.) 

• Comply with the Stale ofNebraska Health and Human Services Regulation and 

. Licensure', Title 1 TS.Cha^pter V> 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 ofthe Construction Specialist. 

• Repair or replace all items damaged or disturbed during paint stabilization activities. 

• • Keep work site and surrounding area free from accumulations of waste materials or 

rubbish caused by the work at ali limes. 

• Upon daily completion of work: clean up ail rubbish, excess material, equipment, and 

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

sanitary, lead safe and presentable condition.­

• Complete this project within 30 calendar days. 

The Occupant/Owner Shall 

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

remediated. 

• Provide access to electricity and water tliroughout the paint stabilization process. 

• Remove volunteer trees and vegetation from the drip line ofthe roof, and cutback, 

shrubs and bushes at least two feet from the house. 

• Ensure that all household members stay at least ten feet away from all vvork areas and . 

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

the area has pas.sed a visual inspection. - ^ . j ^ 

initials / H • >< ^ ^J­
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-ccn.taminated soil is cleaned 

up from becon:iing re-contaminated by deterioradng exterior lead-based paint. This is 

nol a home repair prograrri. • 

Which Homes Are Eligible? 

• Homes where soil cle'an-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 andflaildng lead-based paint will be removed safely from fascia, eaves, 

siding, trim, window trim, door trim and foundation. 

• 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 or doors will not be included. 

• 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 pemiission to proceed. 

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

When 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 ifknown and the severity ofthe problem. 

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

Initials'ITL/JI 
Address: 2502 AMES AV 

Consent for .Access lo Property fPage 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 nol lo 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 ofthe 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 

if 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 ofthe property prior to remediation and indicates on Page 3 any 

items to be rernoved by the Grantor before activities commence. 

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. 
Douglas County Account Information Page 1 of3 

Douglas County, Nebraska Property Record - R1222570000 

Print Report 

View Interactive GIS Map Information Is valid as of 2012-2-28 Treasurer's Tax Report 

New Feature -> -> r> Subdivision Sales Search 

Owner 

BARTEE MELISSA L 

2502 AMES AVE 

OMAHA NE 681.11-0000 

Property Informatio n 

Key Number: 2257 0000 12 

Account Type: Residential 

Parcel Number. 1222570000 


Parcel Address: 2502 AMES AV 

OMAHA NE 68111-0000 

Legal Description: GRUENIG ADD LOT 15 BLOCK 3 54 X 106 

Value Informatio n 

Land Improvement Total 

2011 $2,500.00 $31,300.00 $33,800.00 

2010 $2,500.00 $31,300.00 $33,800.00 

2009 $2,500.00 $40,000.00 $42,500.00 

2008 $2,500.00 $40,000.00 $42,500.00 

2007 $2,500.00 $40,000.00 $42,500.00 

2006 $2,500.00 $40,000.00 $42,500.00 

Land Informatio n 

Acres SF Unlta Depth Width Vacant 

0.13 5724.0 1.0 106.0 54.0 No 

Land Attributes 

Attiibuta Attribute Description 

Negative Influence Traffic 2 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R12... 3/14/2012 
Douglas County Account Information Page 2 of 3 

2»)2 AMES AV 

•cHjft'yff 

J 

FifUFIoof n r SaccndFlNr 

» " 10160«f " 

BVWd0U«tiK J 

t 1/2 FINISHED STORY 

CLICK TO ENLARGE IMAGE 

Square Footage: 1724.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Poor 

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

HVAC: Forced Air Rooms: 7.0 

Exterior: Frame Siding Units: 1.0 

Interior: Plaster Baths: 2.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1900 0 0% 1900 110 

Defa/7 Type Detail Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 968.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 2.0 

Porch Cvrd Wood Deck 110.0 

Porch EncI Solid Wall 40.0 

http://douglasne.mapping-online.com/DouglasCoNe/stalic/accountinfo.jsp?accountno=Rl2... 3/14/2012 
Douglas County Account Information 

Page 3 of 3 

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Map data ©2012 Google 

The above map is powered by Google, and is intended to provide a general idea of a property's location. If you 

require a more exact property location, you may use the Interactive GIS Maps that are maintained by our 

office. 

http://douglasne.mapping-online.com/DouglasCoNe/slatic/accounlinfo.jsp?accounlno=R12... 3/14/2012