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RES 2012-1326 - Agmt for rehabilitation and lead reduction work to 2520 Pierce St . - Planning Department 6 �,X,��; Omaha/Douglas Civic Center }} 1819 Farnam Street,Suite 1100 x11 ��1..�o& _�� h i; E 3 '�" j �' Omaha,Nebraska 68183 n®�r Pl�'tf6 wtx � (402)444-5150 ro C a " et ; Telefax(402)444-6140 FA FEBR ;; , E 6 t. if a R.E.Cunningham,RA,F.SAME City of Omaha Director Jim Suttle,Mayor October 2 , 2012 Honorable President and Members of the City Council, The attached Resolution approves a Grant Agreement for the rehabilitation of the property owned by Joanne Lighthill,Raina McAuliffe and Marie Digilio and occupied by Joanne Lighthill and Donald Lighthill, and located at 2520 Pierce Street, Omaha, Nebraska 68105, within the Columbus Park Neighborhood, with funding from the Community Development Block Grant(CDBG)funds. The contractor is Tom Lamb,Lamb's Remodeling. This project was competitively bid with $33,884.00 as amended by Addendum#1 being the best bid received. This bid is within the Planning Department's Financing Guidelines for the Outside (Neighborhood Revitalization Strategy Area (NRSA) Community Development Block Grant (CDBG) funds. The Planning Department has determined that this bid is reasonable for the work on this property, based on the certified cost estimate and the bids received. The total household income is below 80%of the Median Income by Family Size as established by the Department of 1-lousing and Urban Development. The total project cost is $33,884.00 from the CDBG Program (CDBG NRSA Target Area Rehabilitation Fund No. 12186, Org.No. 129114). The rehabilitation of this single-family home meets the requirements of the Community Development Block Program, the City's Underwriting Guidelines and is consistent with the FY 2012 Consolidated Submission for Community Planning and Development Program approved by the City Council on November 8, 2011 by Resolution No. 1234. The Contractor, Tom Lamb, Lamb's Remodeling, has on file a current Annual Contract Compliance Report Form (CC-1). As is City policy, the Human Rights and Relations Department will review the Contractor to ensure compliance with the Contract Compliance Ordinance. Your favorable consideration of this Resolution is requested. Sincere' , Referre ity Council for Consideration: 41IPP*' E. Cunninghar, • 117 Date Mayor's O fice Date Planning Director Approved as to Funs • Approved: S> Vq?":4id J11)2 9// ;l- id Pam S accarotella Date Human Rights and Relations Director Date p r�� g Finance Director 1761 dlh ent) $ PROPPeracEcideNOAMAGE S L UMBRELLA LIAR ■ OCCURIIIIIIIIIIIIIIIIII $ S EXCESS LIAR III CLAIMS-MADEIIMIIIIIIIIIIIII EACH OCCURRENCE DED ■ RETENTION S WORKERS COMPENSATIONI $ AND EMPLOYERS'LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVE r'Y-'I N . ■� $ OFFICE OP IETOR 6XCLUDED7 1�JI It Fee,(Mandatory In NH) DES E.L.EACH ACCIDENT CRIPTION OF OPERATIONS below $ $ E.L.DISEASE-EA EMPLOYE: $ E.L,DISEASE•POLICY LIMIT $ 11111 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,AM:0110nal Remarks Schedule,If more space Is required) • • • CERTIFICATE HOLDER (402)444-6140 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of OmahaTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS- • • 1819 Farnam Room 110 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ 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CI • 0 a u 0 !.)•.c Q Z to .p A A u e . e GRANT AGREEMENT THIS AGREEMENT is entered into by and between the CITY OF OMAHA, a Municipal Corporation of the Metropolitan class in the State of Nebraska(hereinafter referred to as CITY)and, Joanne Lighthill,Donald Lighthill,Raina McAuliffe& Marie Digilio hereinafter referred to as OWNER(S). WITNESSETH: WHEREAS, the OWNER(S) is the sole owner of a certain property located at 2520 Pierce Street and legally described as follows, to wit: The South 93 feet of the West one-half of Lot 9, Block 3, Shulls Addition, an addition to the City of Omaha,as surveyed, platted and recorded in Douglas County,Nebraska (hereinafter referred to as the PROPERTY); and, WHEREAS, the CITY has received Lead-based Paint Hazard Control Program funds awarded to the City from the United States Department of Housing and Urban Development, Office of Healthy Homes and Lead Hazard Control; and, WHEREAS, the City has received Lead-based Paint Hazard Control Program funds awarded to the City in Nebraska Revised Statues 66-1519 2 (i) through the Nebraska Department of Environmental Quality (NDEQ) to carry out the Federal Residential Lead-based Paint Hazard Reduction Act of 1992, 42 U.S.C. 4851 et seq.; and, WHEREAS, the City has received State of Nebraska Affordable Housing Trust Fund Program funds awarded to the City by the State of Nebraska Department of Economic Development; and, WHEREAS, the City receives funds pursuant to an Agreement with the United States Department of Housing and Urban Development, pursuant to the Housing and Community Development Act of 1974, Title I; and, WHEREAS, funds from various sources may be combined in one project; and, -1- 10 EQUAL HOUSING OPPORTUNITY Revised and approved 7/16/2010 Program, the City's Underwriting Guidelines and is consistent with the FY 2012 Consolidated Submission for Community Planning and Development Program approved by the City Council on November 8, 2011 by Resolution No. 1234. The Contractor, Tom Lamb, Lamb's Remodeling, has on file a current Annual Contract Compliance Report Form (CC-1). As is City policy, the Human Rights and Relations Department will review the Contractor to ensure compliance with the Contract Compliance Ordinance. Your favorable consideration of this Resolution is requested. Sincere' , Referre ity Council for Consideration: 41IPP*' E. Cunninghar, • 117 Date Mayor's O fice Date Planning Director Approved as to Funs • Approved: S> Vq?":4id J11)2 9// ;l- id Pam S accarotella Date Human Rights and Relations Director Date p r�� g Finance Director 1761 dlh ent) $ PROPPeracEcideNOAMAGE S L UMBRELLA LIAR ■ OCCURIIIIIIIIIIIIIIIIII $ S EXCESS LIAR III CLAIMS-MADEIIMIIIIIIIIIIIII EACH OCCURRENCE DED ■ RETENTION S WORKERS COMPENSATIONI $ AND EMPLOYERS'LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVE r'Y-'I N . ■� $ OFFICE OP IETOR 6XCLUDED7 1�JI It Fee,(Mandatory In NH) DES E.L.EACH ACCIDENT CRIPTION OF OPERATIONS below $ $ E.L.DISEASE-EA EMPLOYE: $ E.L,DISEASE•POLICY LIMIT $ 11111 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,AM:0110nal Remarks Schedule,If more space Is required) • • • CERTIFICATE HOLDER (402)444-6140 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of OmahaTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS- • • 1819 Farnam Room 110 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ 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CI • 0 a u 0 !.)•.c Q Z to .p A A u WHEREAS, the OWNER(S) desire to use a portion of such funds for the purpose of controlling lead- . based paint hazards in the PROPERTY; and, WHEREAS, the parties wish to agree upon the terms and conditions that the OWNER(S) must abide to having accepted a grant of such funds for lead-based paint hazard control. In consideration of the mutual agreements herein contained,the parties hereto agree as follows: Section 1. The following terms shall have the following meaning for all purposes in this Agreement: a. "Construction Contract" shall mean the contract for certain construction work at the property as follows: Contractor: Tom Lamb,Lamb's Remodeling Date Contractor Signed: August 9,2012 LHC File No.: HCD File No: 20018-2012 b. "Construction Specialist" shall mean the assigned City of Omaha Planning Department staff person. c. "Contractor" shall mean the contractor party to the construction contract. d. "Director" shall mean the Director of the City of Omaha Planning Department, or his/her designated representative. e. "Dwelling" shall mean the dwelling structure upon which the lead-based paint hazard control work is being performed. f. "Housing Ordinances" shall mean any health, safety or minimum dwelling standard ordinance applicable to the premises. g. "Premises"shall mean the property dwelling and structures thereon. h "Lead-based Paint Hazard Control Work" shall mean the Lead-based paint hazard control work agreed upon in the construction contract. i. "HUD" shall mean the U. S. Department of Housing and Urban Development. Section 2. The CITY agrees to grant the OWNER(S) the sum of Thirty Three Thousand Eight Hundred Eighty Four Dollars and no/cents ($33,884.00) or the actual funds disbursed as shown on the HCD Loan Program Disposition of Funds Statement, provided that: a. the proceeds from this grant shall be paid-in-full to the Contractor when the City issues a certificate of completion pursuant to the construction contract and the City certifies that lead dust wipe samples have met clearance standards in accordance with HUD regulations; and b. the construction contract and any change thereto shall be first approved by the Director. c. in the event that Lead-based Paint Hazard Control Funds are not available, the Director may substitute Other Funds that may be available for the completion of the project. Section 3. This grant to the OWNER(s) shall be provided from various funding sources in the following combination: Lead-based Paint Hazard Control Funds $ State of Nebraska NDEQ Funds $ State of Nebraska Affordable Housing Trust Funds( ) $ Community Development Block Grant Funds $33,884.00 Other Funds $ Total amount $33,884.00 Section 4. The OWNER(S)authorizes the CITY to make grant payments directly to the Contractor. Section 5. The OWNER(S)shall: a. own the premises and reside at the premises for a term of at least thirty-six (36) months. The thirty-six(36)month term shall begin the date of closing for this grant; and, b. only use the grant for the lead-based paint hazard control work if applicable; and, -2- Revised and approved 7/22/2011 MIT $ 11111 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,AM:0110nal Remarks Schedule,If more space Is required) • • • CERTIFICATE HOLDER (402)444-6140 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of OmahaTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS- • • 1819 Farnam Room 110 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u c. maintain the premises in a safe and sanitary condition, conform to CITY housing and zoning ordinances and not commit waste; and, d. keep the property taxes current during the 36-month term the OWNER is required to own the dwelling; and e. arrange for blood lead level testing before construction for all children under age six residing in or spending at least 12 hours per week at the premises; and, f. participate in one-on-one training on lead safe maintenance practices provided by the Planning Department or other approved training; and, g. continue lead-based paint hazard control maintenance practices after the project is complete. Section 6. The OWNER(S) shall pay any and all delinquent taxes on the above-described property prior to the date of this Agreement. Section 7. The OWNER(S)agree, and the CITY state that the CITY: a. is not acting as the OWNER'S architect or engineer; and, b. makes no warranties, express or implied, as to the lead-based paint hazard control work; and, c. owes no duty to the OWNER(S) or any other person that shall arise because of any inspection of the premises by the City's employees; and, d. may inspect the premises at reasonable times; and, d. is held harmless for all injury and damages arising by virtue of this Agreement. Section 8. Either party may pursue any remedy to enforce this contract at law or equity; except in the event of a breach of Section 5(a), (e) or(f) herein, the CITY shall be limited to having no further obligation to disperse remaining grant sums and shall be reimbursed by the OWNER(S) a sum equal to 1/36 of the grant for each remaining month of the thirty-six month term, provided that the reimbursed sum shall not exceed the sum previously dispersed from the grant. In the event of default, gross negligence or other substantial noncompliance by the OWNER, the outstanding amount of the grant at the time of default shall be due and payable immediately from the OWNER(S), its successors and assigns to the City. Section 9. This Agreement is not assignable without prior written consent of the CITY. Section 10. Attestation of Citizenship. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: The Developer/Owner/Subrecipient shall include the following language in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.0 1324a, known as the E-verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: a) The Contractor must complete the United States Citizenship Attestation form available on the Department of Administrative Services website at www.das.state.ne.us. b) If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u c) The Contractor understands and agrees that lawful presence in the United States is required and the Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as required by Neb. Rev. Stat. 4-108." The Developer/Owner/Subrecipient shall have each person/applicant signing the application for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. Section 11. Employee Classification Act. To comply with the Nebraska Employee Classification Act, all general contractors and subcontractors who perform construction or delivery service pursuant to this contract shall submit to the City an Affidavit for Employee Classification Act(Exhibit "B") attesting that(1) each individual performing services for such contractor is properly classified under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act:"), (2) such contractor has completed a federal I-9 immigration form and has such form on file for each employee performing services, (3) such contractor has complied with Neb. Rev. Stat Section 4-114 (federal immigration verification system), (4) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (5) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. The contractor shall follow the provisions of the Act. A violation of the Act by a contractor is grounds for rescission of the contract by the City. • (REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK) _q_ Revised and approved 7/22/2011 rant. In the event of default, gross negligence or other substantial noncompliance by the OWNER, the outstanding amount of the grant at the time of default shall be due and payable immediately from the OWNER(S), its successors and assigns to the City. Section 9. This Agreement is not assignable without prior written consent of the CITY. Section 10. Attestation of Citizenship. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: The Developer/Owner/Subrecipient shall include the following language in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.0 1324a, known as the E-verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: a) The Contractor must complete the United States Citizenship Attestation form available on the Department of Administrative Services website at www.das.state.ne.us. b) If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u ■ Section 12. Interest of the City. Pursuant to Section 8.05 of the Home Rule Charter, no elected official or any- __ officer or employee of the CITY shall have a financial interest, direct or indirect, in any CITY Agreement. Any violation of this section with the knowledge of the person or corporation contracting with the CITY shall render the contract voidable ythe Ma or or Council. 17--'5-/ 6-e, `IX 9- /3 -_/P Joanne Lighthill, Own r Date D nald Lighthil ,Dwn is me Date Joanne Lighthill,Attorney-in-fact for V Joanne Lighthill,Attorney-in-fact for Marie Digilio Raina McAulliffe Date Date y--/y_ f i STATE OF NEBRASKA ) )§ COUNTY OF DOUGLAS ) On this /0 day of5eM , 20 / .D., before me, j(�Qr I - iiraff , a Notary Public in and for said County, personally came Joanne Li hthill and onald Lighthill, personallyto g g � me known to be the identical person(s) whose name(s) is affixed to the above and foregoing instrument and they acknowledged the said instrument and the execution thereof to be their voluntary act and deed, for the purposes therein expressed. In testimony whereof, I have hereunto set my hand and affixed by my Notary Seal at Omaha, Nebraska on the day and date last above written "€Q;••: - NORITA A MATT nW- i•i"n"1.1.'� MY COMMISSION EXPIRES "°'""`'` I. Jul 22.20014 NotaryPublic •'%1fi�A�S�-�:' Y My Commission expires , 20/(7 ATTEST CITY OF OMAH , A Municipal Corporation '<litenel4 . itV City Clerk of the City of Omaha Date Mayor of the City of Omaha Date y /Z__ ACTING APPROVED AS TO FORM: UStiLq 1 -\ /i*/i Ass stant d�'ity Attorney r Date -5- Revised and approved 7/22/2011 nt of the grant at the time of default shall be due and payable immediately from the OWNER(S), its successors and assigns to the City. Section 9. This Agreement is not assignable without prior written consent of the CITY. Section 10. Attestation of Citizenship. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: The Developer/Owner/Subrecipient shall include the following language in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.0 1324a, known as the E-verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: a) The Contractor must complete the United States Citizenship Attestation form available on the Department of Administrative Services website at www.das.state.ne.us. b) If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u REHABILITATION CONTRACT Loan Number: RIP$ -Rota This Contract is between Joanne Lighthill, Owner, Donald Lighthill, Owner's Husband, Joanne Lighthill, Attorney-in-Fact for Raina McAuliffe, Owner's Daughter, Joanne Lighthill, Attorney- in-Fact for Marie Digilio, Owner's Daughter (Owner's Name) of 2520 Pierce Street , Omaha,Nebraska (Owner's Address) (City and State) (referred to herein as the "Owner" and lamb's Remodelign (Contractor's Name) of 21210 Welsh Road , Omaha,Nebraska (Contractor's Address) (City and State) a Sole Proprietorship (referred to herein as the "Contractor") warranting itself to be licensed, and/or bonded (if applicable) and qualified to perform the work specified herein. This contract is for the rehabilitation of property located at at 2520 Pierce Street , Omaha,Nebraska (Property Address) (City and State) (herein after referred to as the "Property"). IN CONSIDERATION OF THEIR MUTUAL PROMISES, THE PARTIES AGREE AS FOLLOWS: PART I - SPECIFIC TERMS • Revised and approved 8/4/2011 - 1 - therein expressed. In testimony whereof, I have hereunto set my hand and affixed by my Notary Seal at Omaha, Nebraska on the day and date last above written "€Q;••: - NORITA A MATT nW- i•i"n"1.1.'� MY COMMISSION EXPIRES "°'""`'` I. Jul 22.20014 NotaryPublic •'%1fi�A�S�-�:' Y My Commission expires , 20/(7 ATTEST CITY OF OMAH , A Municipal Corporation '<litenel4 . itV City Clerk of the City of Omaha Date Mayor of the City of Omaha Date y /Z__ ACTING APPROVED AS TO FORM: UStiLq 1 -\ /i*/i Ass stant d�'ity Attorney r Date -5- Revised and approved 7/22/2011 nt of the grant at the time of default shall be due and payable immediately from the OWNER(S), its successors and assigns to the City. Section 9. This Agreement is not assignable without prior written consent of the CITY. Section 10. Attestation of Citizenship. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: The Developer/Owner/Subrecipient shall include the following language in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.0 1324a, known as the E-verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: a) The Contractor must complete the United States Citizenship Attestation form available on the Department of Administrative Services website at www.das.state.ne.us. b) If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u **Work in the amount of $900.00 is being added to the contractor's original bid of $32,984.00. Thd::new contract amount is $33,884.00. 1. EFFECTIVE DATE: This document shall have no force or effect unless and until executed by the Owner and the Contractor, and approved by the City of Omaha, (referred to herein as the "City"), and unless and until a properly executed and approved copy is delivered to the Contractor. The date on which the copy is received shall be referred to as the "Effective date." If a properly executedte7 d .ro/ Z. d copy of the Contract is not delivered to the Contractor on or before, l jar' , 2012, (date equal to sixty (60) Date) days from date that the Contractor signs this contract), the Contractor may refuse to be bound by the terms of this Contract. If, however, a properly executed and approved copy of this Contract is delivered after the above date and the Contractor subsequently performs work or delivers materials to the Property, the Contractor shall be bound by the contract. For the purposes of this paragraph, a copy of this Contract shall be deemed to have been delivered to and received by the Contractor upon mailing by the City to the Contractor's address shown above. The Contractor shall not be compensated under this Contract for work commenced or materials delivered to the Property before the Effective Date. 2. THE CONTRACT: This Contract consists only of this Part 1 (Specific Terms) and the following attachments: A. Schedule of Work (work write-up dated July 9, 2012); B. Other, (identify) (1) Part II - STANDARD TERMS (2) Section 3 Clause (3) City of Omaha Contract Compliance Ordinance (4) Change Order and/or Addendum (if applicable) 3. TIME FOR COMMENCEMENT AND COMPLETION. The Contractor agrees to complete, free of liens or rights of liens of contractors, mechanics, suppliers, or laborers, all work listed in the Schedule of Work by the completion date indicated on the Proceed Order, subject to extensions approved by the Owner(s) and the City for the period of any excusable delays (including strikes, acts of God, or any other reasons beyond the control of the Owner(s) or Contractor). The Contractor agrees that time is of the essence in this Contract. 4. CONTRACT PRICE: The Contractor agrees to accomplish work as described in the Schedule of Work in accordance with each and every term and condition of this Contract, for a total contract price of$32,984.00.*The price of specific items of work is stated in the Schedule of Work. 5. PROGRESS PAYMENTS: The Contractor agrees that the total contract price shall be paid in one or more progress payments, based on the value of the work completed at the time the progress payment request is made. Should any work for which payment is requested, not. be completed, be completed incorrectly, or not be done in a high quality workmanlike manner, the amount of such work shall be deducted from the payment request. Payment for any Revised and approved 8/4/2011 -2 - Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: a) The Contractor must complete the United States Citizenship Attestation form available on the Department of Administrative Services website at www.das.state.ne.us. b) If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u work so deducted may be requested on future requests for payment; provided, said work has been satisfactorily completed and the reason for the initial denial of payment no longer exists. Partial lien waivers from general contractor shall be provided with each progress payment requested. Progress payments will be made up to and including 90% of the value of the work completed. Any further payment would be made when project is 100% complete. In the case of inclement weather or any other factor that the City determines that will prevent project completion, the Contractor will be paid based on the actual amount of work completed. Final lien waivers shall be presented from the general contractor at the time the request for final payment is made. Such progress payments shall be disbursed at the request of the Owner(s), after inspection and approval of the work by the Owner(s) and the City. Final payment shall be due upon satisfactory completion and acceptance of work as being in compliance with this Contract by the Owner and the City, permit sign-off (if applicable), submission of satisfactory waiver(s) of liens, or a bond satisfactory to the Owner and the City indemnifying the Owner against any lien, and the submission of all warranties and guarantees to the Owner through the City. The Owner shall not withhold payment to the Contractor except for non-compliance with the terms of this Contract, and SHALL NOT REQUEST THE CONTRACTOR TO PERFORM WORK OUTSIDE THE SCOPE OF THIS CONTRACT AS A CONDITION OF RECEIVING PAYMENT. Any work completed that is not in compliance with the items set out in the Schedule of Work will not be paid for out of the rehabilitation funds unless said additions/deletions/changes have been authorized by a written and approved change order executed by all parties PRIOR TO the commencement of such work. Payment for any work completed without a written and approved change order is the sole responsibility of the Owner and/or the Contractor. The Contractor shall not refuse to complete the work set forth in the Schedule of Work because of any dispute between himself/herself and the Owner relative to work contracted "on the outside" or outside the scope of work as set forth above. The Contractor acknowledges that it is a material breach of this Contract to request or accept a progress or final payment which is in excess of the price of the work completed at the time such payment is requested. 6. WARRANT: The Contractor warrants that all improvements, hardware, and fixtures of whatever kind of nature to be installed or constructed on the Property by the Contractor or the Contractor's sub-contractors will be of good quality, suitable for their purpose, and free from defects in workmanship or materials or other deficiencies. This is a full warranty extending to the Owner and subsequent Owners of the Property; provided, however, that warranty set forth in this paragraph shall apply only to the deficiencies and defects about which the Owner or subsequent Owner(s) shall have notified the Contractor at the address stated above WITHIN ONE YEAR, except for any longer warranty periods specified in the warranty. (Note: Contractor to supply extended warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u f- r A. The Developer/Owner/Subrecipient shall include the following language in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a, known as the E-Verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: 1) The Contractor must complete the United States Citizenship Attestation Form available on the Department of Administrative Services website at www.das.state.ne.us. 2) If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien verification for Entitlements (SAVE) Program. 3) The Contractor understands and agrees that lawful presence in the United States is required and the Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as required by Neb. Rev. Stat. 4-108." 8. EMPLOYEE CLASSIFICATION ACT. To comply with the Nebraska Employee Classification Act, each contractor who performs construction or delivery service pursuant to this • contract shall submit to the City an Affidavit For Employee Classification Act (Exhibit 1) attesting that (1) each individual performing services for such contractor is properly classified under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act"), (2) such contractor has completed a federal I-9 immigration form and has such form on file for each employee performing services, (3) such contractor has complied with Neb. Rev. Stat. Section 4-114 (federal immigration verification system), (4) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (5) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. The contractor shall follow the provisions of the Act. A violation of the Act by a contractor is grounds for rescission of the contract by the City. Revised and approved 8/4/2011 -4- ut which the Owner or subsequent Owner(s) shall have notified the Contractor at the address stated above WITHIN ONE YEAR, except for any longer warranty periods specified in the warranty. (Note: Contractor to supply extended warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u 1 9. PARTIES TO CONTRACT: The OWNER and CONTRACTOR agree that they are the sole parties to this Contract and are solely responsible for its performance. The parties agree that neither the City nor the United States Department of Housing and Urban Development (HUD) assumes any liability or responsibility whatsoever for the performance of any terms of this Contract. z 0 Owner: Joanne Lighthill, Owner Date Owner: Donal Lighthill, Date Owner's Husband 6 2 , /a-/GP -- (A Owner: Joanne L ghthill, AIF for Date Owner: Joanne Lighthill, AIF for Date Raina McAuliffe, Owner's Daughter Marie Digilio, Owner's Daughter Owner: Date Owner: Date /..,Ira° ' i C9/*/ i/ itness Date Lamb's Remodeling Contractor BY: Thomas Lamb V"--C-- TIT E: Owner ' F/91/.-.1.— Witness Approve y the City on 7aite y , 20 it BY: �� I ame: James R. Thele 1 TITLE: Assistant Planning Director Mailed to CONTRACTOR, and Effective on ! / 17 , 20 2 Revised and approved 8/4/2011 -5 - d alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien verification for Entitlements (SAVE) Program. 3) The Contractor understands and agrees that lawful presence in the United States is required and the Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as required by Neb. Rev. Stat. 4-108." 8. EMPLOYEE CLASSIFICATION ACT. To comply with the Nebraska Employee Classification Act, each contractor who performs construction or delivery service pursuant to this • contract shall submit to the City an Affidavit For Employee Classification Act (Exhibit 1) attesting that (1) each individual performing services for such contractor is properly classified under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act"), (2) such contractor has completed a federal I-9 immigration form and has such form on file for each employee performing services, (3) such contractor has complied with Neb. Rev. Stat. Section 4-114 (federal immigration verification system), (4) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (5) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. The contractor shall follow the provisions of the Act. A violation of the Act by a contractor is grounds for rescission of the contract by the City. Revised and approved 8/4/2011 -4- ut which the Owner or subsequent Owner(s) shall have notified the Contractor at the address stated above WITHIN ONE YEAR, except for any longer warranty periods specified in the warranty. (Note: Contractor to supply extended warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u i PART II STANDARD TERMS 1. INSURANCE: During the continuance of the work under this Contract, the Contractor and all subcontractors (as applicable) shall: A. Maintain, at a minimum, the applicable following classes of coverage which will provide, at a minimum, the following amount of coverage: (1) No bid bond or performance bond will be required for a Rehabilitation Contract in an amount less than the Federal Government's small purchase threshold under OMB Circular A-110, currently at $100,000. On a case- by-case basis the Director of the Planning Department can require a bond if it is in the best interest of the Federal Government and the City of Omaha. The contractor must be on the Planning Department approved contractors list. (2) Contractor's Personal Liability $1,000,000 (3) Combined Bodily Injury and Property Damage $2,000,000 (1,000,000 per occurrence) (4) Product, Including Completed Operations $1,000,000 (5) Workers' Compensation These coverages are required to protect the Contractor and the Owner from any liability or damage from injury to, or death of, any of their employees, other persons, or property wherever located, resulting from any action or operation under this Contract, or in connection with the work including liability or damage which may arise by virtue of any statute or law in force or which may hereinafter be enacted. The Contractor agrees to provide evidence to the Owner through the City of such insurance prior to the commencement of the work. Failure to provide adequate evidence of insurance, or failure to maintain the insurance as required by this paragraph, shall be grounds for terminating this Contract at the option of the Owner. The City of Omaha shall be named insured on all comprehensive liability insurance policies. 2. CONTRACT COMPLIANCE CLAUSE: Sec. 10-192. Equal employment opportunity clause. All contracts hereafter entered into by the City shall incorporate an equal employment opportunity clause, which shall read as follows: During the performance of this contract, the Contractor agrees as follows: Revised and approved 8/4/2011 -6- such form on file for each employee performing services, (3) such contractor has complied with Neb. Rev. Stat. Section 4-114 (federal immigration verification system), (4) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (5) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. The contractor shall follow the provisions of the Act. A violation of the Act by a contractor is grounds for rescission of the contract by the City. Revised and approved 8/4/2011 -4- ut which the Owner or subsequent Owner(s) shall have notified the Contractor at the address stated above WITHIN ONE YEAR, except for any longer warranty periods specified in the warranty. (Note: Contractor to supply extended warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u A The Contractor shall not discriminate against any employee or applicant for employment because of race, religion, color, sex, age, disability or national origin. The Contractor shall take affirmative action to ensure that applicants are employed and that employees are treated during employment without regard to their race, religion, color, sex, age, disability or national origin. As used herein, the word "treated" shall mean and include, without limitation, the following: recruited, whether by advertising or by other means; compensated; selected for training, including apprenticeship; promoted; upgraded; demoted; downgraded; transferred; laid off; and terminated. The Contractor agrees to and shall post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officers setting forth the provisions of this nondiscrimination clause. B The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, religion, color, sex, age, disability or national origin. 3. ASSIGNMENT: The Contractor agrees not to assign this Contract without written consent of the Owner and written concurrence by the City. 4. CHANGE ORDERS: The Contractor agrees not to make any changes to the Schedule of Work or the Specifications, whether or not requested to do so by the Owner, without a written change order executed by. all parties prior to the commencement of the work. A written and executed change order is required even if the modification involves no change in the dollar amount of the Contract. 5. PERMITS AND CODES: The Contractor agrees to secure and pay for all applicable and necessary permits and licenses required for the Contractor's performance of this Contract in compliance with applicable requirements, including local building and housing codes where applicable, whether or not covered by the specifications and drawings for the work, and further agrees to perform all work in conformance with the highest standard of all applicable codes and local property rehabilitation standards. 6. HOLD HARMLESS: The Contractor agrees to defend, indemnify and hold the Owner harmless from any liability or claims for damages because of bodily injury, death, property damage, sickness, disease, or loss and expense arising from the Contractor's performance of this Contract. Both parties agree that each Contractor and Subcontractor is acting in the capacity of an independent contractor with respect to the Owner. The Contractor further agrees to protect, defend, and indemnify the Owner form any claims by laborers, subcontractors, or suppliers for unpaid work or labor performed, or materials supplied in connection with this Contract. Revised and approved 8/4/2011 -7- Owner(s) shall have notified the Contractor at the address stated above WITHIN ONE YEAR, except for any longer warranty periods specified in the warranty. (Note: Contractor to supply extended warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u The Owner and the Contractor agree to hold and save harmless the City of Omaha from any and all loss, cost, or damages of every kind, nature or description arising under this Contract. 7. ELIGIBILITY: The Contractor represents that he/she is not listed on the Disbarred and Suspended Contractor's List of the U.S. Department of Housing and Urban Development (HUD) or of the City, and further agrees not to hire or utilize as a subcontractor or supplier or any person or firm that is so listed. 8. CONDITION OF PREMISES: The Contractor agrees to keep the premises broom clean and orderly and to remove all debris as needed during the course of the work, in order to maintain work conditions which do not cause health or safety hazards. 9. LEAD BASED PAINT: The Contractor agrees to use no lead-based paint in the performance of this Contract, including the performance of any subcontractor. "Lead-based paint" means any paint containing more than six one-hundredths of one (1) per centum of lead by weight (calculated as lead metal) in the total nonvolatile content of the paint, or the equivalent measure of lead in the dried film of paint already applied. The Contractor further agrees to abide by all Federal requirements regarding lead-based paint poison prevention. Lead-Based Paint Regulations at 24 CFR 570.608 and 24 CFR Part 35 and in particular Sub-Part B thereof. Such regulations pertain to all HUD-assisted housing and require that all owners, prospective owners or tenants or properties constructed prior to 1978 be properly notified that such properties may include lead-based paint and require specific treatments according to the amount of HUD funding allocated to the Project. 10. TERMINATION: The Contractor agrees that the Owner shall have the right to declare the Contractor in default if the Contractor fails to furnish materials or perform work in accordance with the provisions of this Contract. In such event, the Owner shall be responsible for providing written notice to the Contractor by registered/certified mail of such default. If the Contractor fails to remedy such default within ten (10) working days of such notice, the Owner shall have the right to select one or more substitute contractors. If the expense of finishing the work exceeds the balance not yet paid to the Contractor on this Contract, the Contractor shall pay the difference to the Owner through the City. The City will assure that all substitute contractors, subcontractors, suppliers, etc. are paid from the funds received from the original Contractor. Lien waivers, warranties, etc., shall be obtained just as though the original Contractor had completed the job. Any funds received from the original Contractor may be used only to correct/complete items set forth in the Schedule of Work and may not be used to complete other or extra work desired by the Owner. 11. INSPECTION: The U.S. Government, the City, and their designees shall have the right to inspect all rehabilitation work, and the Contractor will take all steps necessary Revised and approved 8/4/2011 -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u to assure that the Government, the City, or their designees are permitted to examine and inspect the rehabilitation work, and all contracts, materials, equipment, payrolls, and conditions of employment pertaining to the work, including all relevant data and records. The U.S. Government and the City by inspecting the premises, records, suppliers, and equipment assumes no responsibility to the Owner for defective materials or work in the rehabilitation, or to either party for any breach of this Contract by the other. 12. INTEREST OF FEDERAL AND CITY OF OMAHA PERSONNEL: The Contractor agrees that none of the following shall have any interest or benefit, direct or indirect, in this Contract for any work, supplies, or services, financed in whole or in part under this Contract: A. Any member of the governing body of the Locality; B. Any member of the governing body of the City of Omaha; C. Any officer or employee of the Locality or the City of Omaha who exercises any functions or responsibilities in connection with the administration of the Community Development Block Grant(CDBG) Program; D. Any member of or delegate to the Congress of the United States; E. Any Resident commissioner. 13. EQUAL OPPORTUNITY: The Contractor agrees to abide by all Federal, State, and/or local regulations relative to equal opportunity to all persons, without discrimination as to race, color, handicap, sex, familial status, age, political, or religious opinions, affiliations or national origin and status with regard to public assistance. On agreements of$10,000 or more, the Contractor agrees to abide by the following provisions of Executive Order 11246, and agrees to incorporate such language in all contracts for $10,000 or more which he/she may enter into in connection with this Contract. During the course of this contract, the Contractor agrees as follows: A. The Contractor will not discriminate against any employee or applicant for employment because of race, color, sex or origin. The Contractor will take affirmative action to ensure that applicants and/or employees are employed or treated during employment without regard to their race, color, creed, religion, national origin, sex, marital status, age, and status with regard to public assistance or disability. On Agreements of $10,000 or more, the Contractor agrees to abide by the following provisions of Executive Order 11246, and agrees to incorporate such language in all contracts for $10,000 or more which he/she may enter into in connection with this Contract. Such action shall include but not be limited to, the following: employment, upgrading, demotion Revised and approved 8/4/2011 -9- only to correct/complete items set forth in the Schedule of Work and may not be used to complete other or extra work desired by the Owner. 11. INSPECTION: The U.S. Government, the City, and their designees shall have the right to inspect all rehabilitation work, and the Contractor will take all steps necessary Revised and approved 8/4/2011 -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the locality setting forth the provisions of this nondiscrimination clause. B. The Contractor will, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex or national origin. C. The Contractor will send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice, to be provided, advising the said labor union or worker's representative of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. ' D. The contractor will comply with all provisions of Executive Order 11246 of September 24,1965, (or as may be amended) and of the rules, regulations, and relevant orders of the U. S. Secretary of Labor. E. The Contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, (or as may be amended) and by the rules, regulations and orders of the Secretary of Labor and/or the U.S. Secretary of Housing and Urban Development and will permit access to his/her books, records, and accounts by the Secretary of Housing and Urban Development, or his/her designees, and the Secretary of Labor, or his/her designees, for purposes of investigation to ascertain compliance with such rules, regulations, and orders. F. In the event of the Contractor's noncompliance with the nondiscrimination clauses of this Contract, or with any of the said rules, regulations, or orders, this Contract may be cancelled, terminated, or suspended in whole or in part, and the Contractor may be declared ineligible for further Government contracts or Federally-assisted construction contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965; and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246, or by rules, regulations or orders of the Secretary of Labor, or as otherwise provided by law. G. The Contractor will include the portion of the sentence immediately preceding paragraph (A) and the provisions of paragraphs (A) through (G) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246, so that such provisions will be binding upon each subcontractor or vendor. The Contractor will take such action with respect to any subcontract or Revised and approved 8/4/2011 - 10- all steps necessary Revised and approved 8/4/2011 -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u • purchase order which the property owner or the Secretary of Housing and Urban • Development may direct as a means of enforcing such provisions, including sanctions for noncompliance: Provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation by a subcontractor or vendor as a result of such direction by the property owner or the Secretary of Housing and Urban Development, the Contractor may request the United States to enter into such litigation to protect the interest of the Secretary of Housing and Urban Development of the United States. 14. TRAINING, EMPLOYMENT, AND BUSINESS OPPORTUNITIES: The Contractor agrees to abide by the following provisions and to include them in any subcontract into which the Contractor enters in performance of the Contract. A. The work to be performed under this Contract is on a project assisted under a program providing direct Federal financial assistance from the Department of Housing and Urban Development and is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701 u. Section 13 requires that to the greatest extent feasible, opportunities for training and employment be given lower income residents of the project area(s) and contracts for work in connection with the project be awarded to business concerns which are located in, or owned in substantial part by persons residing in the area of the project. B. The parties to this contract will comply with the provisions of said Section 3 and the regulations issued pursuant thereto by the Secretary of Housing and Urban Development as set forth in 24 CFR Part 135, and all applicable rules and orders of the Department issued thereunder prior to the execution of this Contract. The parties to this Contract certify and agree that they are under no contractual or other disability which would prevent them from complying with these requirements. C. The Contractor will send to each labor organization or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, if any, a notice advising the said labor organization or worker's representative of his/her commitments under this Section 3 clause and shall post copies of the notice in conspicuous places available to employees and applicants for employment and/or training. D. The Contractor will include this Section 3 clause in every subcontract for work in connection with the project and will, at the direction of the applicant for, or recipient of, Federal financial assistance take appropriate action pursuant to the subcontract upon a finding that the subcontractor is in violation of regulations issued by the Secretary of Housing and Urban Development, 24 CFR Part 135. The Contractor will not subcontract with any subcontractor where he/she has notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u subcontractor has first provided him/her with a preliminary statement of ability to comply with the requirements of these regulations. E. Compliance with the provisions of Section 3, the regulations set forth in 24 CFR Part 135, and all applicable rules and orders of the Department issued thereunder prior to the execution of the Contract, shall be a condition of the Federal financial assistance provided to the project, binding upon the applicant or recipient for such assistance, its successors, and assigns. Failure to fulfill these requirements shall subject the applicant or recipient, his/her contractors and subcontractors, all successors, and assigns to those sanctions specified by the grant and/or loan agreement or contract through with Federal assistance is provided, and to such sanctions as are specified by 24 CFR Part 135. 15. MISCELLANEOUS PROVISIONS: The Contractor and Owner agree as follows: A. That the Owner shall permit the Contractor to use, at no cost, existing utilities such as light, heat, power, and water necessary to the carrying out and completion of the work. B. The parties agree that the reference to "days" in this Contract shall mean consecutive calendar days; provided, however, that in the event the last consecutive day of the term shall be on a Sunday or legal holiday, the term shall then terminate on the next regular day. C. The parties agree that materials and equipment that have been removed and replaced as part of the work shall belong to the Contractor unless otherwise specified by the Owner. D. The parties agree that should any dispute arise respecting the percentage of completion, the construction, the meaning of drawings or specifications, or should any dispute respecting the true value of any omitted or improper workmanship or materials, or of any loss sustained by the Owner, and if the manner of estimation is not herein otherwise provided for, the same shall be determined in the following manner: Either party shall notify the other in writing that the dispute be submitted to arbitration. Within ten (10) days after such written notice, each of the parties shall meet with the Director of the Planning Department, or his/her authorized representative, and both parties agree to be bound by the decision reached as a result of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u opportunity provisions of local, state, or federal law and abide by the provisions of the attached Section 3 clause. The Contractor further agrees to comply with ' all requests by the governmental agency for employment records to enforce this position. F. The Contractor agrees to comply with affirmative action requirements mandated by Executive Order 11246 and the regulations promulgated thereunder; and the civil rights compliance ordinance of the Omaha Municipal Code. SCHEDULE OF WORK CHECKLIST 1. WORK DESCRIPTION: Each item of work and material must be described in sufficient detail to provide a standard against which the completed work may be judged. 2. PRICE: This shall reflect the actual price, including profit and overhead. In no case shall reimbursement to the Contractor exceed the actual amount of the funds available under the loan. 3. Schedule for completing work in accordance with payment schedule which will allow the City and the borrower to monitor actual performance against estimates of what will be necessary to complete the project on time must be provided. Revised and approved 8/4/2011 - 13 - ys" in this Contract shall mean consecutive calendar days; provided, however, that in the event the last consecutive day of the term shall be on a Sunday or legal holiday, the term shall then terminate on the next regular day. C. The parties agree that materials and equipment that have been removed and replaced as part of the work shall belong to the Contractor unless otherwise specified by the Owner. D. The parties agree that should any dispute arise respecting the percentage of completion, the construction, the meaning of drawings or specifications, or should any dispute respecting the true value of any omitted or improper workmanship or materials, or of any loss sustained by the Owner, and if the manner of estimation is not herein otherwise provided for, the same shall be determined in the following manner: Either party shall notify the other in writing that the dispute be submitted to arbitration. Within ten (10) days after such written notice, each of the parties shall meet with the Director of the Planning Department, or his/her authorized representative, and both parties agree to be bound by the decision reached as a result of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u I - ----- — ADDENDUM #1 — — NAME: Joanne Lighthill, Owner, Donald Lighthill, Owner's Husband, Joanne Lighthill, Attorney-in-Fact for Raina McAuliffe, Owner's Daughter, and Joanne Lighthill,Attorney-in-Fact for Marie Digilio, Owner's Daughter ADDRESS: 2520 Pierce Street AREA: Target Area Project CONTRACTOR: Lamb's Remodeling The Rehabilitation Contract as originally issued, signed by the Contractor on , is hereby amended. The following work in the amount of $900.00 is being added to the Contractor's original bid of $32,984.00. The new contract amount is $33,884.00. j 1. Install a new floor drain in the new basement floor. Cost$900.00 The foregoing changes to the above mentioned Contract shall have the same force and effect as if such change or changes had been incorporated in the original Contract and this Addendum No. 1 to the Contract will be incorporated in and become a part of the contract documents of the work. The Addendum No. 1 shall in no way be construed as altering the aforementioned Contract; meaning and intent, except as expressly set forth in the above-mentioned items, and all other provisions of the Contract shall remain unchanged and in full force and effect. The undersigned hereby acknowledge and consent to the above changes to the original Rehabilitation Contract. then terminate on the next regular day. C. The parties agree that materials and equipment that have been removed and replaced as part of the work shall belong to the Contractor unless otherwise specified by the Owner. D. The parties agree that should any dispute arise respecting the percentage of completion, the construction, the meaning of drawings or specifications, or should any dispute respecting the true value of any omitted or improper workmanship or materials, or of any loss sustained by the Owner, and if the manner of estimation is not herein otherwise provided for, the same shall be determined in the following manner: Either party shall notify the other in writing that the dispute be submitted to arbitration. Within ten (10) days after such written notice, each of the parties shall meet with the Director of the Planning Department, or his/her authorized representative, and both parties agree to be bound by the decision reached as a result of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u --- Addendum #1 2520 Pierce Street Page 2 Contractor: Lamb's Remodeling Dat wner: Joanne LightSil, Owner Date &ea.,.......yrW -- r - I'—IC — / 2- Owner: Donald Lighthill, Owner's Husband Date O'— Owner: Joanne Lighthill, Attorney-in-Fact for Date Raina McAuliffe, Owner's Daughter Owner: Joanne Lighthill, Attorney-in-Fact for Date Marie Digillio, Owner's Daughter W/q12' Rehabilitation Specialist: Robert Pickeral Date of2- Development Section Manage Date ob Pickeral TURN-AROUND DATE: 7/2/12 f 3 Not a Historic Structure I I Historic Structure (l Exempt Activity /;0-7/'_e Don Seten Date HCD Preservation Officer January 2011 in this Exhibit. 12 i Mayo --� CU s y ADDENDUM # NAME: Joanne Lighthill, Owner Donald Lighthill, Owner's Spouse, Joanne Lighthill, Attorney-In-Fact for Raina McAuliffe, Owner's Daughter, and Joanne Lighthill, Attorney-In-Fact for Marie Digilio, Owner's Daughter ADDRESS: 2520 Pierce Street AREA: OLBPHCP CONTRACTOR: Lamb's Remodeling The Rehabilitation Contract as originally issued, signed by the Contractor on August 9, 2012, is hereby amended. The "effective date" clause contained in paragraph 1 therefore shall be amended from "delivered to the contractor on or before October 9, 2012", to "delivered to the contractor on or before December 10, 2012". The foregoing changes to the above mentioned contract shall have the same force and effect as if such change or changes had been incorporated in the original contract and this Addendum No. 1 to the contract will be incorporated in and become a part of the contract documents of the work. The Addendum No.1 shall in no way be construed as altering the aforementioned contract; meaning and intent, except as expressly set forth in the above-mentioned items and all other provisions of the contract shall remain unchanged and in full force and effect. The undersigned hereby acknowledge and consent to the above changes to the original Rehabilitation Contract. Contractor: Lamb's Remodeling Date / d— ( 6 — /� Owner: Joanne Lighthill Date /81‘ --/ d-- Owner's Spouse: Donald ighthill Date \ / d`/ C wner's Daughter: Joanne Lighthill, Attorney- Date In-Fact for Raina McAuliffe 6 - ,2 wner's Daughter: Joanne ighthill, Attorney- Date In-Fa t for Marie Digilio / 7/‘(/-2_, Construction Specialist: Bob Pickeral Date specifications, or should any dispute respecting the true value of any omitted or improper workmanship or materials, or of any loss sustained by the Owner, and if the manner of estimation is not herein otherwise provided for, the same shall be determined in the following manner: Either party shall notify the other in writing that the dispute be submitted to arbitration. Within ten (10) days after such written notice, each of the parties shall meet with the Director of the Planning Department, or his/her authorized representative, and both parties agree to be bound by the decision reached as a result of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u ' opAA,l�. Planning Department, �, Cr _...„rf.. r,-.- 7 Omaha/Douglas las Civic Center ,.�r TAP Program g — l¢¢�irtiJl .� N g 1819 Farnam Street,Suite I100 n®i,.Ci �!� '� Omaha,Nebraska 68183 (402)444- 140 OR 2520 Pierce St. • Telefax(402)444-6140 'r fD FEB1kA3 Donald & JoAnne Lighthill R. E.Cunningham, RA,F.SAME City of Omaha (402) 934-9304 Director Jim Suttle,Mayor Inspector: Bob Pickeral 444-1602 The Contract bid documents consist of the following sections: • General Responsibilities for the Contractor and Occupant. • Lead Hazard Control Plan, Lead Hazard Reduction Work. • Non Lead Work. The Contractor Shall: • 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 Rehabilitation Specifications, Housing and Community Development Division, City of Omaha, Nebraska". (Copies,are available at the Planning Department.) • Comply with the State of Nebraska 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: • Move all furniture and appliances necessary to do required work. Large furniture left in containment areas may be wrapped with plastic, seal all joints. • 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 90 calendar days from the proceed order. The Occupant Shall: • Remove, store away and reinstall all effected window coverings. • Remove and store away pictures, lamps, knick-knacks, valuables, etc out of the work areas. • Provide a clean, uncluttered dwelling to work in. ner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u • Allow Final Clearance testing upon substantial completion of work as determined by the Rehab Inspector. • 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 clearance test. Lead Work Exterior 1 Scrape, prepare,prime all previously painted surfaces of the exterior of the house and porches to include the, trim, soffits, porch beams, posts, and ceilings. All work must be done using Lead Safe work practices. 2- Wrap all new fascia in white metal. Install white metal soffits around entire house. Make sure that all rafter tails are attached to a fascia. Frame as necessary to install soffits. Wrap front porch posts above floor level. 3- Remove existing lattice under front porch and install new vinyl lattice and cedar framing. Use lead safe procedures when removing existing lattice. Remove existing posts under porch. Install new pier footings per code. Install new 6x6 AC2 posts. Paint posts and 2x4 bracing to blend with new lattice. Three posts minimum required. 4- Remove front porch carpet, floor, and framing, as well as railings and stairs. Frame new floor, including new tongue and groove AC2 flooring. Install new AC2 stairs and painted metal railings for stairs and porch. Stairs are to have three stringers, and be a minimum of 42"wide. Install non-skid runners on treads. All work to be per code. Homeowner to choose color of railing. 5 Remove the door and frame of basement exterior door. Replace with new systems to match existing. Paint all exterior doors Replace all hardware to match existing. Interior trim to be sealed and exterior to be metal wrapped. Install storm door at basement door. Check sizes before bidding. Non Lead Work Exterior 1- Retaining Wall a- Remove existing front retaining walls and haul away. b- Install new Versa-lock or equal retaining wall per manufacturer's requirement on the front, of lot. All walls to have glued top caps c- Install a minimum of 8" of gravel behind all walls to within 6" of surface. d- Install topsoil to the top of retaining walls. Seed and straw all disturbed areas. the proceed order. The Occupant Shall: • Remove, store away and reinstall all effected window coverings. • Remove and store away pictures, lamps, knick-knacks, valuables, etc out of the work areas. • Provide a clean, uncluttered dwelling to work in. ner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u 2- Rear and Side Retaining Walls a- Remove existing fencing. b- Install cmu block cap on all existing retaining wall block. Remove any block now above existing dirt or paving line. Remove block from upper rear retaining wall. Install footing and re-lay loose block at rear wall before setting new block cap. c- Add dirt as needed to allow for positive flow of water. d- Seed and straw as needed. 3- Sidewalks a- Install three ft. sidewalk as needed to stairway from public sidewalk. b- Remove all cracked public sidewalk as needed and install new to code. c- Seed and straw as needed. 4- Misc. a- Remove existing fence in rear and install new 4' chain link fence. b- Remove existing and install new continuous aluminum white guttering and downspouts around overhangs. c- Install new vinyl vent to cover attic hole at rear of house. Vent to have screening inside. d- Remove all broken vinyl siding and trims and install new, to match as closely as possible. This may require removing existing siding from the rear of the house and using it in other areas, then re-siding the rear of house. e- Install trellis at east side of house to cover side retaining wall. Trellis to match front, including paint. Posts to be 4x4 with cap. f- Install positive drain away from house and seed, straw all new work. g- Seal any broken concrete drain gutter. Interior a- Repair all drywall and paint all rooms, including sealing all doors and trim. b- Install base in living room, dining room, entry, and bathroom. Stain and seal wood. c- Remove door at front bedroom and replace with new to match existing. Stain and seal. Re-install existing lock d- Remove hardware from existing bypass door in rear bedroom and install new. e- Remove front bedroom closet door. Cut hole for standard 24" door unit. Install new door and hardware to match existing in house. Trim to match existing in house. Stain and seal all wood. Install door bump. f- Install apron under windows as needed. Wood to match rest of house. Stain and seal wood. h- Install hold-open at cellar door at rear of house. j- Remove existing and install new vinyl sheet floor in front and rear entry. Replace subfloor before installing vinyl. Install shoe molding and stain. • Remove and store away pictures, lamps, knick-knacks, valuables, etc out of the work areas. • Provide a clean, uncluttered dwelling to work in. ner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u Allowance to be $16.00 per square yard. Metal trim is to be placed around cellar door. k- Remove existing and install new carpet and pad in living room, dining room, and bedrooms. Allowance for carpet and pad to be $18.00 per square yard. 1- Remove all existing wood in basement where it meets the crawlspace and build new, to enclose crawlspace. Install door opening to crawlspace per code. Paint all wood. m- Re-adjust steel beam in basement to better secure it. Set three posts minimum. Install proper footings for all posts. Secure beam to walls. o- Insulate all rim joists to code with fiberglass insulation. p- Pour 4" concrete floor in basement. Move all appliances as necessary to pour floor. 1- Electrical a- Install GFI outlets at front and rear doors as per code. b- Install a carbon monoxide/smoke detector in the basement as per code. c- Rewire and install new light at rear door. Allowance to be $15.00. 2- HVAC a- Clean furnace after pouring concrete floor. Install new filter. 3- Plumbing a- Re-pipe gas lines in basement. b- Remove hot water heater to pour floor. Re-install and service. ?Jr-, 20 Property Owner Dat r /9- 0-ti4,("P" Property Owner Date Posts to be 4x4 with cap. f- Install positive drain away from house and seed, straw all new work. g- Seal any broken concrete drain gutter. Interior a- Repair all drywall and paint all rooms, including sealing all doors and trim. b- Install base in living room, dining room, entry, and bathroom. Stain and seal wood. c- Remove door at front bedroom and replace with new to match existing. Stain and seal. Re-install existing lock d- Remove hardware from existing bypass door in rear bedroom and install new. e- Remove front bedroom closet door. Cut hole for standard 24" door unit. Install new door and hardware to match existing in house. Trim to match existing in house. Stain and seal all wood. Install door bump. f- Install apron under windows as needed. Wood to match rest of house. Stain and seal wood. h- Install hold-open at cellar door at rear of house. j- Remove existing and install new vinyl sheet floor in front and rear entry. Replace subfloor before installing vinyl. Install shoe molding and stain. • Remove and store away pictures, lamps, knick-knacks, valuables, etc out of the work areas. • Provide a clean, uncluttered dwelling to work in. ner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u City of Omaha, Housing and Community Development Division COST ESTIMATE & CERTIFICATION: Target Area ® Exterior Project n Special Needs ❑ NAHFT IZ Redevelopment Area: Columbus Park Address: 2520 Pierce St. Owner(s): JoAnne Lighthill The estimated cost for the above project is as follows: Preliminary Revised Date of Cost Estimate April 26,2012 7/9/2012 General Construction Cost ' $ 29,325.00 $ 26,998.00 Electrical Cost $ ' 1,070.00 $ 420.00 Plumbing Cost $ 1,760.00 $ 750.00 HVAC $ 2,200.00 $ 300.00 Overhead/Profit/ NE. Contractor Tax(15%) $ 5,152.00 $ 3,398.00 Lead Liability Fee Total Construction Cost Estimate $ 39,507.00 $ 31,866.00 The source for the estimate data is the current addition of Repair & Remodeling Cost Data by R. S. Means, recent competitive bid pricing for similar work and product and material research. The Rehabilitation Division has reviewed the project cost estimate, work write-up or plans and specifications. In our opinion the project cost estimate is accurate. This estimate is for the use of the City of Omaha, Housing and Community Development Division, 1 Rehabilitation Section only. The actua cost may vary. Signed, Construction Specialist / — Date 7 c}�7 Z Initial Inspection Date: 4/23/2012; Work Write,.up ate: 4/2 /2012 ised_7/9/2012 r . Approved, Development Section Mgr. 7- r�7) %''" ;.�� Date____Op v f, C: Cheryl ,,-'. File Rev. 8/29/08 ntry, and bathroom. Stain and seal wood. c- Remove door at front bedroom and replace with new to match existing. Stain and seal. Re-install existing lock d- Remove hardware from existing bypass door in rear bedroom and install new. e- Remove front bedroom closet door. Cut hole for standard 24" door unit. Install new door and hardware to match existing in house. Trim to match existing in house. Stain and seal all wood. Install door bump. f- Install apron under windows as needed. Wood to match rest of house. Stain and seal wood. h- Install hold-open at cellar door at rear of house. j- Remove existing and install new vinyl sheet floor in front and rear entry. Replace subfloor before installing vinyl. Install shoe molding and stain. • Remove and store away pictures, lamps, knick-knacks, valuables, etc out of the work areas. • Provide a clean, uncluttered dwelling to work in. ner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u • • -o 7 L V N O H N> ct Q • Q Q W W v) Q W v H U oG U WW �' a ¢ WCa � v) Q aE" QVqw w ¢ w ao4 x rn D co " co E a, F. ZH F.v) ti a L N Q H , U MI .¢ oo • ¢ H Q ¢ • az Q W• I E 0.) M L 1 L U c) * N N O c) C c, cC0 .c-)R. oo H O c"." c 4Q > ON c.,., o.) 00 ^ 'fl C v+ -v o E vW ¢ � .. w - . .. yz- -. .. -.. cG Q Ut ci' Q qQq F tc�� p o o c Cqa G• WL U 6 W j u o _ Q W Q Q rx w o o z U O c L V W o a.w w w U o ._ ti ` U o 0 Op_ c4 0 d ;r, v) �w n Ca co m a o: 0 -� m 0 1 - up ate: 4/2 /2012 ised_7/9/2012 r . Approved, Development Section Mgr. 7- r�7) %''" ;.�� Date____Op v f, C: Cheryl ,,-'. File Rev. 8/29/08 ntry, and bathroom. Stain and seal wood. c- Remove door at front bedroom and replace with new to match existing. Stain and seal. Re-install existing lock d- Remove hardware from existing bypass door in rear bedroom and install new. e- Remove front bedroom closet door. Cut hole for standard 24" door unit. Install new door and hardware to match existing in house. Trim to match existing in house. Stain and seal all wood. Install door bump. f- Install apron under windows as needed. Wood to match rest of house. Stain and seal wood. h- Install hold-open at cellar door at rear of house. j- Remove existing and install new vinyl sheet floor in front and rear entry. Replace subfloor before installing vinyl. Install shoe molding and stain. • Remove and store away pictures, lamps, knick-knacks, valuables, etc out of the work areas. • Provide a clean, uncluttered dwelling to work in. ner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u • Lead Based Paint Hazard Control Program City of Omaha, Planning,Department Housing and Community Development Division Bid Withdrawal Request Dear James R. Thele, Assistant.Planning Director: Concerning the bid I submitted on 3-7-2012, for the rehabilitation of the property Iocated at 2520 Pierce St.. I request my bid be withdrawn. ,JCL • -- t tl f / .. Contractor: Date: Daughter W/q12' Rehabilitation Specialist: Robert Pickeral Date of2- Development Section Manage Date ob Pickeral TURN-AROUND DATE: 7/2/12 f 3 Not a Historic Structure I I Historic Structure (l Exempt Activity /;0-7/'_e Don Seten Date HCD Preservation Officer January 2011 in this Exhibit. 12 i Mayo --� CU s y City of Omaha, Housing and Community Development Division BID EVALUATION FORM Project Owner : Donald & Joanne Lighhill Project Address: 2520 Pierce St. Target Area Project X Exterior Project Special Needs NAHTF Funding Source: Block Grant X Home Other Contractor Planning Dept. Comments General Conditions: Site Work: $6,680.00 $7,559.00 Concrete: $5,600.00 $2,334.00 Masonry: $2,540.00 $1,200.00 Metals: $1,440.00 • Woods and Plastics: $2,840.00 $8,118.00 Thermal & Moisture Prot.: $3,126.00 $1,328.00. Doors & Windows: $949.00 $515.00 Finishes: $4,496.00 $4,504.00 Specialties: Equipment: Furnishings: Special Constr.: Plumbing: $475.00 $750.00 add $900.00 for basement floor drain HVAC: $75.00 $300.00 Electrical: $1,263.00 $420.00 Lead. $4,940.00 Overhead & Profit: $3,398.00 TOTAL: $32,984.00 $31,866.00 new total: $33,884.00 The undersigned has evaluated the bids and proposed construction costs and hereby certifies that the costs are reasonable. Construction Specialist: �, Date: e/` p,2.._ Development Section Manager: Date: 6-7-00 • ti ` U o 0 Op_ c4 0 d ;r, v) �w n Ca co m a o: 0 -� m 0 1 - up ate: 4/2 /2012 ised_7/9/2012 r . Approved, Development Section Mgr. 7- r�7) %''" ;.�� Date____Op v f, C: Cheryl ,,-'. File Rev. 8/29/08 ntry, and bathroom. Stain and seal wood. c- Remove door at front bedroom and replace with new to match existing. Stain and seal. Re-install existing lock d- Remove hardware from existing bypass door in rear bedroom and install new. e- Remove front bedroom closet door. Cut hole for standard 24" door unit. Install new door and hardware to match existing in house. Trim to match existing in house. Stain and seal all wood. Install door bump. f- Install apron under windows as needed. Wood to match rest of house. Stain and seal wood. h- Install hold-open at cellar door at rear of house. j- Remove existing and install new vinyl sheet floor in front and rear entry. Replace subfloor before installing vinyl. Install shoe molding and stain. • Remove and store away pictures, lamps, knick-knacks, valuables, etc out of the work areas. • Provide a clean, uncluttered dwelling to work in. ner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u • Housing and Community Development Division City of Omaha Planning Department Cost Certification Form Project Name: Target Area Program Project Owner: Donald & Joanne Lighthill Project Address: 2520 Pierce St. Certified amount: $33,884.00 The Rehabilitation Division has reviewed the project cost estimate, work write-up or plans, specifications, &proposal. In our opinion the project cost proposed is reasonable given the type of work that is to be completed. (See attached) Construction Specialist: Date: J/-�/�. ire(4 Development Section Manager: _� �� Date: f 3 Not a Historic Structure I I Historic Structure (l Exempt Activity /;0-7/'_e Don Seten Date HCD Preservation Officer January 2011 in this Exhibit. 12 i Mayo --� CU s y HOMEOWNER' S ACCEPTANCE FORM I have reviewed all of the bids submitted for the rehabilitation of my property located at : 2520 Pierce St. My contractor of choice is: Lamb's Remodeling Owner's Signature or Personal Representative: Date: O / cc: Cheryl • File , work write-up or plans, specifications, &proposal. In our opinion the project cost proposed is reasonable given the type of work that is to be completed. (See attached) Construction Specialist: Date: J/-�/�. ire(4 Development Section Manager: _� �� Date: f 3 Not a Historic Structure I I Historic Structure (l Exempt Activity /;0-7/'_e Don Seten Date HCD Preservation Officer January 2011 in this Exhibit. 12 i Mayo --� CU s y City of Omaha Planning Department Housing and Community Development Division Tier-II CEST Statutory Checklist (2012-032) For Rehabilitation Programs Tier I CEST Statutory Checklist (2012-001) Project Name: None Project Address: 2520 Pierce Street Project Activity: Seethe attached Section 106 Review form. Program: Target Area Program The Tier I CEST Statutory Checklist requires a Tier II Statutory Checklist the following Impact Categories: • Contamination and Toxic Substances • Explosive and Flammable Operations • Floodplain Management • Historic Preservation • Noise Control • Floodplain Insurance The following table presents the Tier II determinations for these categories. An A in the Status box indicates there are no compliance issues associated with this project and the project may proceed without further consultation. A B in the Status box indicates there additional steps are required to address this issue (e.g., removal of hazardous materials). An Environmental Conditions Form must be completed at the end of the project. Impact Categories Status Source Documentation AorB The target property is located in the Omaha Lead Superfund Site. According to www.OmahaLEAD.orq, the soil was tested for high lead concentrations in 2003. Soil clean up is required. Since part of the Contamination and Toxic project will include working with a retaining wall, the Substances A City will mitigate potential lead dust hazards by keeping the soil moist during work. Radon testing is required, according to the City's radon policy, because the estimated project cost ($30,000) is over half the property's assessed value -install existing lock d- Remove hardware from existing bypass door in rear bedroom and install new. e- Remove front bedroom closet door. Cut hole for standard 24" door unit. Install new door and hardware to match existing in house. Trim to match existing in house. Stain and seal all wood. Install door bump. f- Install apron under windows as needed. Wood to match rest of house. Stain and seal wood. h- Install hold-open at cellar door at rear of house. j- Remove existing and install new vinyl sheet floor in front and rear entry. Replace subfloor before installing vinyl. Install shoe molding and stain. • Remove and store away pictures, lamps, knick-knacks, valuables, etc out of the work areas. • Provide a clean, uncluttered dwelling to work in. ner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u ($40,800) according to the Douglas County Assessor's Office. Based on a review of aerial photographs, it does not Explosives and Flammable appear that any explosives or flammable operation Operations A are located at or near the target property. The target property is located in a residential neighborhood. According to FEMA Flood Insurance rate map Floodplain Management A 31055C0352H, accessed from the FEMA website on 20-June-2012, the property is not located in a flood plain. The City's Historic Preservation Officer has determined the home is not historic. Historic Preservation A Attached Supporting Documentation Section 106 Review for 2520 Pierce Street, 20-June- 2012 There is one road noise source near the target property, South 24th Street, to the east. Distance from Target Site South 24th Street = 524 feet Speed Limit (miles per hour) South 24th Street = 35 Traffic Counts (vehicle trips per day) South 24th Street = 9,100 Gradient (%) Noise Control A South 24th Street = 3 There are no stop signs along South 24th Street. According to the Metropolitan Area Planning Agency, about 2% of all road traffic is due to heavy trucks. They do not provide an estimate for medium trucks. There is also a rail line within 3,000 feet of the target property. The rail line is approximately 2,248 feet to the southeast, receives 42 trips per day, has an average speed limit of 50 miles per hour, has bolted tracks, and it was assumed that there are two diesel engines and eight freight cars per day since ar bedroom and install new. e- Remove front bedroom closet door. Cut hole for standard 24" door unit. Install new door and hardware to match existing in house. Trim to match existing in house. Stain and seal all wood. Install door bump. f- Install apron under windows as needed. Wood to match rest of house. Stain and seal wood. h- Install hold-open at cellar door at rear of house. j- Remove existing and install new vinyl sheet floor in front and rear entry. Replace subfloor before installing vinyl. Install shoe molding and stain. • Remove and store away pictures, lamps, knick-knacks, valuables, etc out of the work areas. • Provide a clean, uncluttered dwelling to work in. ner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u exact train composition is not known. This information was evaluated using HUD's DNL calculator. The result of the evaluation indicates the noise level at the target property is 55 decibels, which falls into HUD's Acceptable noise level range. HUD regulations also require a projection for noise levels 10 years into the future. The MAPA Long Range Transportation Plan 2035 predicts population levels will increase by 30 percent over the next thirty years. From this it was assumed that the population will increase by 10% over the next 10 years. Traffic counts were increase by 10% to reflect this projection. Using the new traffic count data, the project site DNL level is 55 decibels, which is within HUD's Acceptable noise level range. Flood Disaster Protection The property is not located in a flood plain so flood Act A insurance is not required. Please see Floodplain Management, presented above. A project-specific Tier II environmental review has been performed at the above location in compliance with HUD environmental review regulations (24 CFR Part 58) and related laws, authorities and requirements. The review has been performed prior to the commitment of HUD or non-HUD funds, as required by §58.22(a) and (c). This review shall be retained as a component of the City's Environmental Review Record (ERR). Consult the Tier I CEST Statutory Checklist identified above for information regarding compliance with other laws and authorities for this HUD-assisted project or program. Prepared by: / Date: aD J�= ,Jc� p 1-4/.,A0:1,//: /� Approved b : — '- "�`� Date: .�a PP Y ✓� May 2009 are two diesel engines and eight freight cars per day since ar bedroom and install new. e- Remove front bedroom closet door. Cut hole for standard 24" door unit. Install new door and hardware to match existing in house. Trim to match existing in house. Stain and seal all wood. Install door bump. f- Install apron under windows as needed. Wood to match rest of house. Stain and seal wood. h- Install hold-open at cellar door at rear of house. j- Remove existing and install new vinyl sheet floor in front and rear entry. Replace subfloor before installing vinyl. Install shoe molding and stain. • Remove and store away pictures, lamps, knick-knacks, valuables, etc out of the work areas. • Provide a clean, uncluttered dwelling to work in. ner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2011 - 12- s notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2011 - 11 - -8- warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: Revised and approved 8/4/2011 -3 estation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. -3- Revised and approved 7/22/2011 Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Ray Sluyter/WES2 ACORD 25(2010/05) INS025(zoioos).at • The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All righ g is reserved. ented in performing the contract, and pay to the Unemployment Compensation Fund of the State of Nebraska the unemployment contributions and interest due under provisions of the Nebraska Employment Security Law on wages paid to individuals employed in the performance of this contract. All work required in carrying out this contract shall be performed in compliance with the laws of the State of Nebraska. The party of the second part further agrees to perform the work under the supervision of the Owner. The administrator of the Federal Highway Administration or his/her authorized agent, including the State of Nebraska, Department of Roads shall have the right at all times,but not the duty,to inspect the work for eligibility for federal funding in accordance with the laws of the State of Nebraska, and the rules and regulations of the Administrator of the Federal Highway Administration of the United States,for the purpose of carrying out the provisions of Title 23,United States Code,as amended and supplemented(Federal Aid Highway Acts). That in consideration of the foregoing, the parties understand that when the Owner authorizes payment(s)the Owner will see that prompt payment is made by the State of Nebraska, Department of Roads on behalf of the Owner and the Federal 1 Revised 10-09 Con-20.3 a; N. adOi G ^^T '0 O m 0 J) <T F- p to lii!°" ro*a0 F- g-30 ' m N N N N N N N N N N N N >w N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u , . Target Property TAP . V :'• rillk 144; ' ",, 6,,,,.. •4 4,M016, .., -'...J 4 1..1. ...;7'''. F-410.• .il„r=, , .„.. , rr-- ... .• - ,;• i tt.. 1 • .0...,_ s or P let .. :7 ,,At ., ,..' ' , ,•,,7 - 71 "$ Ar. ;..1 .Olir \ ."; " .;., ;" .. tl f ".•t '.I .... • k r. • k..• 3.i ,z , I ' ' • •,, • 4 "4,24 4.1111•1.'-ts .t. 41.mu I J r a , . • . • . . 4 .. • . o. . •••%.i. . , , ,'Cr, • - "..;' .t,-4 -..g64W-• ' ' ''4 • ' .• .J , N 1 ti-ai4• 14• •- ,, .: nk• - - _. , ' ' • .1 f. • • ,,,,j ". . • \ f..14. --, .•, N........:,.' • ' nr • 1.,.- ' mil 4ix. - ' 4•!... -- MOP leN1111% 'MU ”77 , % - • ,•.: . ,-.-. - ...i.'or: • •._...".__• A I k' tjr0 1 ii • r•-•: 4; . • , 4 •-.; • --..--- , ; _. .,..1 ,• . , . ji),t .t• • '?...•••4 . ,„0,,-.,,i. .. , .... . . f • . g'. 'ept,-.,••1 , : .• _ it •_ .. f• , „. . ,,,,-.•_,.: ,i -,r __,.._,_. , .-21 , -4,0 Ai 4% 1 •• :I; •4 44 ,... , tir ... . A. , v •••••- ' 4 '• i*-jr.X••• -. .• 1-...1.• 1 t •'• '14 p ii .• ,ft,4 • 4...).:A,, ,„.• .. ....., •J'k'1•4••. k• ' •• rs "... '''•!,t ,•,•••• tt " , 1 '4' •-•i, I •:. 'ici. kg i il ..,, --. -.4 tiros* IA .4 t.;4- ., •-: x mipm.. •••••• - 1,71, , 4 '4,:.•,,, ,,, t sr, ''• 104 . . 2 - -Jr r N '''":.ei ,,t_ .. • • i:•••- ,. ,..4t. •... • ,•• •. k. 1 • di 7i...ie; tA . ' - • .-- , .4 " ,` .' . ' " -- .... , i ,,,,,,.., 1 , r‘ ,' •'. ti , - .,..*.tt . . ., . . .' . . 1,44 I 41. . ,1:,,. '2^' a* , ....e ,.., e ••4fti 1.1',' • IV ••i • t , i4', --' ' . t,,,,,..-. ,'", -11!:.--4.---51t, ' ,'•• ilf 1,14,1 rt._ „ .,-1' 1 •-•?r,, ::. _ ..A. * •eke ._:_ .: • k 4. . -----• ,,,,- for -i..,tYrr \',1`.+,..vrip.m.g.00 - - Igliderfterd%-•••.--stgarfe. arj,ir„_ 4.rc 9,1 . . ,.,,. r7- • i - 50001111111k ''; • ,-•. ' lousilainilMININMemr.it-, 41 •glnli. 1..„ ',.A•ar.)=TT-..-: 41;rikAlic -. • t•1" d.'v ' -171;:i` ' 10'.`jilite 0,4., -, --pq - - • ,., -...,.. .,,, . ‘ ... ,. tok r....-41 !... . ., . • . . , t , .y-, 'a .lo''IVY. '( f 4 li ..... r • •.••.•'',• • ,• 0 t ...„ .,•••:, 4 ,t g ..-4., - - - ..V ;...1 - or ..,- -,, 654 r - r ''T. • i . ..-•-. 1 .# 1, -_, .._* r :4,4 '‘.4 A ,,...... jper: 4 ....:_.: , ii, .,-.. If -V -,„ i - AllikX 1",.. it t,.. - ' 1. .;'.e.4. ' . • .-.J.' 4 ' ' 710111 '' 4... - ,-•_, , ... ,‘ • ,4,.. .- r t . ,*40,0 .44,.4,74111'4. - ,, • 0- • - I . ..• • i• ‘.•, . , '' tr . -4,-• •,0 . , „„/,, ati• .rb ,.,rt „••••—. _ f :‘14'' Vri 1 1.., 1 .C •.:Y,....P,,1" 1 — ' , 4. . . , - - .,,4* 11*.,,r. '1. , ••'•1"-%• - "." ... , , . ; ir -0'. { ‘'. !.., .A:. ... 'I .... ...1-4, i MA' • .r• „ t, 0.,..,21.1..f • o'r ,- ,.t• •1 y ' k "r 314 ::11. 1 • .i 44 0 ,i.r.,, ti ir . . ?..4,1 • • • S .:As . • , -,.0,,A : C - ' cfr,'",,'.:, ._•k,_. - , - :1-."1 - -.,.-7, • • -" ,. . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u . SECTION 106 REVIEW REQUEST FORM Please answer the questions to the best of your ability and submit the form to Don Seten with the City of Omaha Planning Department PROPERTY OWNER: Donald & Joanne Lighthill PROPERTY ADDRESS: 2520 Pierce St. DATE BUILT: 1885 PROGRAM: TAP EST. REHAB COST (if applicable): $30,000.00 LEVEL OF ASSISTANCE (if applicable): $30,000.00 ASSESSED VALUE: $40,800.00 DESCRIPTION OF PROPOSED UNDERTAKING: Replace front porch Pour basement floor Install retaining wall in front of house Repair siding SUBMITTED BY: Bob Pickeral TURN-AROUND DATE: 6/22/12 _iRl Not a Historic Structure C Historic Structure ❑ Exempt Ac `ty / / , Don Seten Date HCD Preservation Officer January 2011 U s y `s ,--- • eY..- ?•• n ` ,ice.: r 1 1 00.- �f•. ' ' ej�. l ar", J 11 �K 1 l ! .h ` f i p' • f'f y,y •r r `.• * u` 5';'' a-rr ~ 7;`•,T�W Ct*: ,'4? •N 7 ?...4 1. r ,, : �,t te e''ate . t i } 1 \ , glik. . , \` 1 n, 1 ' '..M.*°:. ffil .- . 70( 1 ,,. ,.. ..iii-,.. 11111 11�' f - C Historic Structure ❑ Exempt Ac `ty / / , Don Seten Date HCD Preservation Officer January 2011 U s y Dugl as County Account Information http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo... . . Fe:',11.1n,ticiari , ,,-.,... i..) .! mi cr. a, . in •-i! 1';' ..) —r- Oci.ritla Cr) Chtirr:h .if Omant-,Ini • Harney St 4,1 . - -- - 0 N Flarriey St E.:, s..c• u....) City Hall Harney ' 41. = cn cn ,b Dewey Ave 22 Dewey Ave i 0 V 0 CO SV • e 0 -..° .1 . I Hui ta r d St 7 ; q.'' '3 J.A ., , + Le, . to La 3. .a......16.'' ; 1.r. r\'' I.• a ,. .7. rr; k;. --, - ' Landon Ct • . 7i; 'Z .me Ja St C.12 , St . --7 l'' rr• 4, ‹,,, •-; Leavenworth st M ,JaVe.son aPP- 1.,, ,-- St -. ck.son (A • 05! f . ,..y., Business - r.., — co w . G.: Isa- . '... S1 MaIVS PNC N.1 ;.7 1., Leavenworth • ••-• 0 . -_-:.• '• st t - c., 9 .. Jones SI cr. o) Leavenworth St . , " -• 0 , - Leavenworth St . - Leavenworth St ..P. Miticy F....1 'di marry Si: 5 . M. CP a roat:on st •-v: , ,.., Mas:in St Mason St t..- ‘...r: '.-.' - Mason St ,...., c.) u, •-, , :. 4.: I:' j (I.CO .7 VI < 11` 1/: V,,.! ...1. • Rees S41w z- - • ic • . . - --- -',..1- - 1-13 Pitailt 51 in 9acric 51 co =- CP 0) Ell I c, •'-.. • C=ierce St • Pierce St Ty I • 4.1 IV • ':: r1 u. Harris St '-:.' ' :ri tri C.ii.' • .. CO titan Alia , = Poppleton Ave Pr_ippie:cri A...e cr) tr :il .. rn CCIUMbL5 Park ClUt til • .1:til tr CCILIMb115 $ v.: . Wiliarr Vr.,iwurtli o'wr3 . 1 ...,C)C)','It" - • - , '.g Park o-.. L.. - v- .1 ,...I.1 ‹l! N N L, 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. . . ffi . . . . . . . • • • . . . . . ' —el 6/15/2012 1:24 PM • t•1" d.'v ' -171;:i` ' 10'.`jilite 0,4., -, --pq - - • ,., -...,.. .,,, . ‘ ... ,. tok r....-41 !... . ., . • . . , t , .y-, 'a .lo''IVY. '( f 4 li ..... r • •.••.•'',• • ,• 0 t ...„ .,•••:, 4 ,t g ..-4., - - - ..V ;...1 - or ..,- -,, 654 r - r ''T. • i . ..-•-. 1 .# 1, -_, .._* r :4,4 '‘.4 A ,,...... jper: 4 ....:_.: , ii, .,-.. If -V -,„ i - AllikX 1",.. it t,.. - ' 1. .;'.e.4. ' . • .-.J.' 4 ' ' 710111 '' 4... - ,-•_, , ... ,‘ • ,4,.. .- r t . ,*40,0 .44,.4,74111'4. - ,, • 0- • - I . ..• • i• ‘.•, . , '' tr . -4,-• •,0 . , „„/,, ati• .rb ,.,rt „••••—. _ f :‘14'' Vri 1 1.., 1 .C •.:Y,....P,,1" 1 — ' , 4. . . , - - .,,4* 11*.,,r. '1. , ••'•1"-%• - "." ... , , . ; ir -0'. { ‘'. !.., .A:. ... 'I .... ...1-4, i MA' • .r• „ t, 0.,..,21.1..f • o'r ,- ,.t• •1 y ' k "r 314 ::11. 1 • .i 44 0 ,i.r.,, ti ir . . ?..4,1 • • • S .:As . • , -,.0,,A : C - ' cfr,'",,'.:, ._•k,_. - , - :1-."1 - -.,.-7, • • -" ,. . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u �....1 OP ID: BH '��R r CERTIFICATE OF LIABILITY INSURANCE DAT09/26D/YYYY) 09/26/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 402-938-5008 CONTACT NAME:. . NP Dodge Insurance Agency, Inc 402-938-5090 (A/C.No,Extl: FAX No): 12002 Pacific St. E-MAIL Omaha, NE 68154-3507 ADDRESS: CUSTOMER LAMBS-1 John E. Bush CUSTOMER ID#: I INSURER(S)AFFORDING COVERAGE NAIC# INSURED Lambs Remodeling INSURER A:Iowa Mutual Group 14338 Thomas F Lamb D/B/A INSURER B: 21210 Welsh Road INSURER C Elkhorn, NE 68022 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTRR INSR WVD POLICY NUMBER JMM/DD/YYYYUMM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X A027863GL 10/10/11 10/10/12 OAMAGEES S((EaRENTED PREMIS occurrence) $ 100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 —1 POLICY PRO- JECT LOC $ • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ' A ANY AUTO A027863BA 10/10/11 10/10/12 (Ea accident) $ 1,000,000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS •• PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE I RETENTION $ I •$ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N DORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE A027863WC 10/10/11 10/10/12 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is added as additional insured on the General Liability Policy. CERTIFICATE HOLDER CANCELLATION CIT2001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Omaha THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Planning Department Cheryl Williams AUTHORIZED REPRESENTATIVE 1819 Farnam Room 1111 I John E. Bush Omaha, NE 68183 1 1988- 009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks Af ACORD k "r 314 ::11. 1 • .i 44 0 ,i.r.,, ti ir . . ?..4,1 • • • S .:As . • , -,.0,,A : C - ' cfr,'",,'.:, ._•k,_. - , - :1-."1 - -.,.-7, • • -" ,. . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u Housing and Community Development Division City of Omaha Planning Department Contractor Eligibility Form Project Name: Target Area Program • Project Owner: Donald&Joanne Lighthill Project Address: 2520 Pierce St. Contractor: Lamb's Remodeling Based on the review of the current "List of Parties Excluded from Federal Procurement and Nonprocurement Programs" a government publication. _X Contractor is eligible Contractor is not eligible ,...------ ••2,7-—7/—4.,- Construction z .ecialist Date 0 1,...... _ ...el 0.°-41-.- Ak f/3112'°' Development Sectio r . eager Date 11�' f - C Historic Structure ❑ Exempt Ac `ty / / , Don Seten Date HCD Preservation Officer January 2011 U s y Excluded Parties List System Page 1 of 1 • L S .- - - - Exclude-d P-ashes bi-st-Sys-te a , 0 .:„ .i.„-Firre-mov, 0,„.,..t Search-Current Exclusions EPLS Search Resources Results >Advanced Search >Search Help >Multiple Names Search Results for Parties >Advanced Search Tips >Exact Name and SSN/TIN Excluded by >Public User's Manual >MyEPLS Firm,Entity,or Vessel :Lamb's Remodeling >FAQ >Recent Updates As of 26-Jul-2012 10:32 AM EDT >Acronyms >Browse All Records Save to MyEPLS >Privacy Act Provisions • >News View Cause and Treatment Code System for Award Management Descriptions -- Your search returned no results. >(SAM) >Reciprocal Codes Back New Search Printer-Friendly Reports >Procurement Codes • >Nonprocurement Codes >Advanced Reports >Recent Updates Agency&Acronym Information >Dashboard >Agency Contacts Archive Search-Past Exclusions >Agency Descriptions • >State/Country Code Descriptions >Advanced Archive Search >Multiple Names OFFICIAL GOVERNMENT USE ONLY >Recent Updates >Browse All Records >Debar Maintenance >Administration Contact Information >Upload Login >For Help: Federal Service Desk • https://www.epls.gov/epls/search.do 7/26/2012 S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTRR INSR WVD POLICY NUMBER JMM/DD/YYYYUMM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X A027863GL 10/10/11 10/10/12 OAMAGEES S((EaRENTED PREMIS occurrence) $ 100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 —1 POLICY PRO- JECT LOC $ • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ' A ANY AUTO A027863BA 10/10/11 10/10/12 (Ea accident) $ 1,000,000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS •• PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE I RETENTION $ I •$ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N DORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE A027863WC 10/10/11 10/10/12 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is added as additional insured on the General Liability Policy. CERTIFICATE HOLDER CANCELLATION CIT2001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Omaha THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Planning Department Cheryl Williams AUTHORIZED REPRESENTATIVE 1819 Farnam Room 1111 I John E. Bush Omaha, NE 68183 1 1988- 009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks Af ACORD k "r 314 ::11. 1 • .i 44 0 ,i.r.,, ti ir . . ?..4,1 • • • S .:As . • , -,.0,,A : C - ' cfr,'",,'.:, ._•k,_. - , - :1-."1 - -.,.-7, • • -" ,. . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u • • f� .: , � - • • - '• *•4".' .,...41,, 4...r I',...0:'41Vit44-• Vs4c44 ' -.1.- ' at • ryatcY,' • .Y•' •2••:f '� 41711.1 ' �*,'•'Th, � `* "...: -4C.N� ti w. +r . •ve ~ * �' " tM X 5 •Y9ypT . s a I. ' w:;'. � y . rw . r• y41a 4 y? r' " A • r► a 53 � sn7 T} " w4 "�' • s J < � ► ( i pyrq - - -w r,tL 4}y.b ''.°"s t'^•' `^^#i 14fY' kkS '.tw l • �. Y i` `.o ft .,• 4 f) n � lye r'Sav At.' 1,4A7v-77' 5(If R F�j'. - ' , .�1t t :y?C y,. 'Y. i ,t yt a•. .T f 3t+"c. f� • Are S Tlit, 'i j`Srl04x 3f � i 1 ? • x, ..i ! '3. .• /i)` - l✓'ia .�''} y Y "" 9:Sw •�itS�' ! M1, f1.',t��3 E Ff e \S 1 . ita t. �trPw,t.. •• 'r 'r'r ,..4.4+yy3 y 44.•<�ai�5� 74.wta /, ny .a,1R • 'i.- a , /y, "' `' a k �,Xf¢�^fpi r t`• !Lr71r.7.�.,'. 'c V ft.-4 L�Sa •{�.,�,{ • • • ' ,te -_-_ Po d `• 1.• ^._74 .Z-i�l � •7.e" (�4i YJ" '.7 q� � i +lF•'*'r' ! fr`.•'♦31 �.�} s _ rx, , j'" ; isy }{ ra+A'tkyt 4-,•4 . ., a Kf „ e , : t { '�' Yl f "z -b11 wa` Y� C$_ �SX1,/NN ,r `4)`..,- }G .v' , ,. a'f ' '.• 4. •4#1tei ''"" t Y ',•S#' T ;F 'at . • *114 �'�N� i >ems',,t''' 4•` xr �.� •t, Sys r;:e W,,,..,. Zt8, �!f)y• 4:4.:' _ + "39 ,-... ,Y.1";s. #••:44,44 ,tirl...-1.t',t, ife t.). .1.7 MOIMMISMINiliftwitamir. i ^'14- .0 ..., .;:•;•.-I. -_' "..4-..;:c . ',Ili.--• 4,..-:-k:75,!4,. ""41. l'A-'74:1‘-' i L. ' ' 5_��-2L� {y • .t - -"W•`A M+i"y-• ^yam 4f`�-�'ay4(I FM<y.": ' Ai7, '.Il ley • ,y_Zt.a, ,.- i. �.. .�fi "v.. -ai d E ,�-1 li t ., "S-'`�/t-;i, 'Arr7il;l t ' ; YN .t,,. ,'* - 4s- lr 'ate"'y<,."`.•a • .- , a}„ ' '< ,f `, Y A .yam - } •. ` it .� ■ a� .,t.,.-„,;-1•'"4.L'.: z ,t x f 4K '4 3►.. ty.,h 'S i _-- F `„`. 1 f. 1, - y.� t't fYv. 1Y .4i„f.',...7.*.y..s.4.4P7.'0„s...i......,'l.,:."1t1:.l..•.44I.,.'.f4...1t•;.tT i,4'*;t,,tT,-.,,A-,i---t,ii,ik'-'t-t.l.t,.'-•N c'l.4'.'-'=1,.t l:--i.•.-.k'.-''.8,.,:;3 7 q j,".f'"+r T v•?<. 1 t«'`� ..,w M 17�+a� ThJ . .�p 4"fit ' i j• , r' .it. .'1 ° Wf .77r af[fiiY- ..yite3.'''`'. Ffr.y^., r r 47:4 .< „ i A " : ff■■ {{ ■`i4-_1'; a * .4 -. -r1•/ r ,i<•F"i"y' - t' K~Ss .':,}. -; .;I_ �. ,l�\11'■ii- 1L•,, , r _,.k,.y,cinn,• ,` _`? � �►�, i ' 14 } -' i.i• ,pry' `lY4' 'tYbYZCf`�"Ui Xii 441 ‘_„ .� ,'';""'- • f r - f • • u . • OTH- AND EMPLOYERS'LIABILITY Y/N DORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE A027863WC 10/10/11 10/10/12 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is added as additional insured on the General Liability Policy. CERTIFICATE HOLDER CANCELLATION CIT2001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Omaha THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Planning Department Cheryl Williams AUTHORIZED REPRESENTATIVE 1819 Farnam Room 1111 I John E. Bush Omaha, NE 68183 1 1988- 009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks Af ACORD k "r 314 ::11. 1 • .i 44 0 ,i.r.,, ti ir . . ?..4,1 • • • S .:As . • , -,.0,,A : C - ' cfr,'",,'.:, ._•k,_. - , - :1-."1 - -.,.-7, • • -" ,. . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. 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C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u J iOF..<0;iti,t,\ AHA; �e �� Planning Department >' e : Omaha/Douglas Chic Center IrJ t «1 `1� 1819 Farnam Street,Suite 1100 -;- . � Omaha,Nebraska 68183 p..: its +,n, o �. (402)444-5150 �'Tso aesR�r� Telefax(402)444-6140 City of OmahaR. E. Cunningham,RA,F.SAME T?m$uttle,Mayor April 2 17 Director Joanne & Donald Lighthill Omaha, NE 68105 RE: 2520 Pierce St. Dear Mr. & Mrs. Lighthill: Pursuant to your application for the Target Area Program, a courtesy inspection of the above-referenced property was completed on April 23, 2012. The following violations of the Omaha Municipal Code, Chapter 48 Property Maintenance Code, Section 48-111, were noted and are hereby brought to your attention: EXTERIOR Section 1) 302.3: Sidewalks and Driveways: Replace sidewalk and steps to house. 2) 302.7: Accessory Structures: Install new front retaining wall. 3) 304.4: Structural Members: Replace existing front porch with new, to code. INTERIOR Section 1) 305.3: Interior Surfaces: Repair and paint walls where needed. 1) 305.2: Structural Members: Re-set and secure main beam in basement. 2) 704.4: Smoke Alarms: Install smoke detectors per code. • This does not necessarily recognize all violations. If you have any questions, please call me at 444-1602. Sinc rely, i Robert F. Pickeral Construction Specialist C: Cheryl •• '•:I,'. ' • .. '' r•t' t,' - ' • 4 : • • •. •'..'. • ••.?.,. J7' • it.,...tf".. • .. .. • , • •, .. . . . , - .. . . , • •jit :' ' ..-' •• • ' • . . • , .,•,,,, . . .., . , I.I.' ''''•II '.;•\,P, .P- .--,,e. t,.. • • .. . • . . ... . • r, , , r ,.....)....-.,-. ,.. 2, ..... . . .. . ..„,,„.„...4,..t - --, - - .? ly' 4 •• . , - 4 a •, • s - - ..- • . .. • . . . •• , . . .. .. „ . ... . . . .• ..2, •:.•,,., •. . I ,-,., 1 . . ...44.... : •• k t ' . • . , • ., . ' kt • 4 , • f •',- , ''.. ..... •. : •. yl..e-, _ ='',, ' ,e-147-1,- .' , . .• ..,,. • •,k '),. 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Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u AFFIDAVIT FOR EMPLOYEE CLASSIFICATION ACT STATE OF/�e6f � ) COUNTY OF �'�� _. _ .._ _ __ ....... -- I, ,being first duly sworn under oath, state and depose as follows: 1. I am competent to testify to, and have personal knowledge of,the matters stated in this affidavit, /� 6�F 2. I am (a contractor) (the authorized agent of the contractors ). I attest to the following: (a) each individual performing services for such contractor is properly classified under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act"), (b) such contractor has completed a federal 1-9 immigration form and has such form on file for each employee performing services, (c) such contractor has complied with Neb. Rev. Stat. section 4-114 (federal immigration verification system), (d) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (e) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. FURTHER AFFIANT SAYETH NAUGHT. `ffiant SUBSCRIBED AND SWORN TO before me this 9 day of�7 ,20 f Z . 4 GENERAL NOTARY-State o1Nebraska War -r' ICI MARK T.tAUX Notat Public My Comm.1,10.Sept 13,2014 Approved 6/1/10 Sinc rely, i Robert F. Pickeral Construction Specialist C: Cheryl •• '•:I,'. ' • .. '' r•t' t,' - ' • 4 : • • •. •'..'. • ••.?.,. J7' • it.,...tf".. • .. .. • , • •, .. . . . , - .. . . , • •jit :' ' ..-' •• • ' • . . • , .,•,,,, . . .., . , I.I.' ''''•II '.;•\,P, .P- .--,,e. t,.. • • .. . • . . ... . • r, , , r ,.....)....-.,-. ,.. 2, ..... . . .. . ..„,,„.„...4,..t - --, - - .? ly' 4 •• . , - 4 a •, • s - - ..- • . .. • . . . •• , . . .. .. „ . ... . . . .• ..2, •:.•,,., •. . I ,-,., 1 . . ...44.... : •• k t ' . • . , • ., . ' kt • 4 , • f •',- , ''.. ..... •. : •. yl..e-, _ ='',, ' ,e-147-1,- .' , . .• ..,,. • •,k '),. A . ,--,:• . .., .. . .. ! . • ...., • . , . • : , . . • •--.),''' . • . • . , ' • ‘,. .. • , • ••.1., N . ... ... ,. . . .. ..-. ., • ,- i-. 4', • • , . .•-- . . '{• fi.."- .4i Y". ' v . . -. . . . •...:".. . . • . " . , • • •.--.. — . ,. • .. . ' •. . • ,. .;...?‘• , .. • . . • . . . ,:,r.....} . • . . ... . ,;•••.1 . , . . . . I • . . . . • r,- -,.. . , • . . .• . . • • •• _ •:•...-51„, ,-- • •• .:=,'.,„•.:1 ,-- 1 . . , . • . •, .'.4' .. . -...h. • ,.- _ - •' . . . .. . " •. . ..•., • .. .1.: L , . . . • -.... • • . . ••• , .- • • 1 . , . . . • . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u AFFIDAVIT FOR EMPLOYEE CLASSIFICATION ACT STATE OF N1-6(1,4-14 ) COUNTY OF,41,-.,1-- •�; .. ._. IQ 4r— I,te , being first duly sworn under oath, state and depose as follows: 1. I am competent to testify to,and have personal knowledge of,the matters stated in this affidavit. 2. I am (a contractor) (the authorized agent of the contractor ). I attest to the following: (a) each individual performing services for such contractor is properly classified under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act"), (b) such contractor 1 has completed a federal I-9 immigration form and has such form on file for each employee 1 performing services, (c) such contractor has complied with Neb. Rev. Stat. section 4-114 (federal immigration verification system), (d) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (e) as of the i time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. FURTHER AFFIANT SAYETH NAUGHT. ..------' ....--- -- z________T- Affiant SUBSCRIBED AND SWORN TO before me this q day of e 20 /Z . GENERA.NOTARY�sigte of Nebras� LAUX ifi "'°. MAFiKT.. _ My Comm.Exp.Sept.13,2014 NotaPublic Approved 6/1/10 Pickeral Construction Specialist C: Cheryl •• '•:I,'. ' • .. '' r•t' t,' - ' • 4 : • • •. •'..'. • ••.?.,. J7' • it.,...tf".. • .. .. • , • •, .. . . . , - .. . . , • •jit :' ' ..-' •• • ' • . . • , .,•,,,, . . .., . , I.I.' ''''•II '.;•\,P, .P- .--,,e. t,.. • • .. . • . . ... . • r, , , r ,.....)....-.,-. ,.. 2, ..... . . .. . ..„,,„.„...4,..t - --, - - .? ly' 4 •• . , - 4 a •, • s - - ..- • . .. • . . . •• , . . .. .. „ . ... . . . .• ..2, •:.•,,., •. . I ,-,., 1 . . ...44.... : •• k t ' . • . , • ., . ' kt • 4 , • f •',- , ''.. ..... •. : •. yl..e-, _ ='',, ' ,e-147-1,- .' , . .• ..,,. • •,k '),. A . ,--,:• . .., .. . .. ! . • ...., • . , . • : , . . • •--.),''' . • . • . , ' • ‘,. .. • , • ••.1., N . ... ... ,. . . .. ..-. ., • ,- i-. 4', • • , . .•-- . . '{• fi.."- .4i Y". ' v . . -. . . . •...:".. . . • . " . , • • •.--.. — . ,. • .. . ' •. . • ,. .;...?‘• , .. • . . • . . . ,:,r.....} . • . . ... . ,;•••.1 . , . . . . I • . . . . • r,- -,.. . , • . . .• . . • • •• _ •:•...-51„, ,-- • •• .:=,'.,„•.:1 ,-- 1 . . , . • . •, .'.4' .. . -...h. • ,.- _ - •' . . . .. . " •. . ..•., • .. .1.: L , . . . • -.... • • . . ••• , .- • • 1 . , . . . • . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u AFFIDAVIT FOR EMPLOYEE CLASSIFICATION ACT STATE OF ge.c.,-A , COUNTY OF a ,being first duly sworn under oath, state and depose as follows: 1. I am competent to testify to, and have personal knowledge of, the matters stated in this affidavit. 2. I am (a contractor) (the authorized agent of the contractor ). I attest to the following: (a) each individual performing services for such contractor is properly classified under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act"), (b) such contractor has completed a federal I-9 immigration form and has such form on file for each employee performing services, (c) such contractor has complied with Neb. Rev. Stat. section 4-114 (federal immigration verification system), (d) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (e) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. FURTHER AFFIANT SAYETH NAUGHT. ant SUBSCRIBED SUBSCRIBED AND SWORN TO before me this /G�' day ofQ . , 20 It . GERM NOTARY•State of Nebraska MARK t LAUX 141 My COMM.Exp.Sept 13 2014 Notary ublic Approved 6/1/10 q day of e 20 /Z . GENERA.NOTARY�sigte of Nebras� LAUX ifi "'°. MAFiKT.. _ My Comm.Exp.Sept.13,2014 NotaPublic Approved 6/1/10 Pickeral Construction Specialist C: Cheryl •• '•:I,'. ' • .. '' r•t' t,' - ' • 4 : • • •. •'..'. • ••.?.,. J7' • it.,...tf".. • .. .. • , • •, .. . . . , - .. . . , • •jit :' ' ..-' •• • ' • . . • , .,•,,,, . . .., . , I.I.' ''''•II '.;•\,P, .P- .--,,e. t,.. • • .. . • . . ... . • r, , , r ,.....)....-.,-. ,.. 2, ..... . . .. . ..„,,„.„...4,..t - --, - - .? ly' 4 •• . , - 4 a •, • s - - ..- • . .. • . . . •• , . . .. .. „ . ... . . . .• ..2, •:.•,,., •. . I ,-,., 1 . . ...44.... : •• k t ' . • . , • ., . ' kt • 4 , • f •',- , ''.. ..... •. : •. yl..e-, _ ='',, ' ,e-147-1,- .' , . .• ..,,. • •,k '),. A . ,--,:• . .., .. . .. ! . • ...., • . , . • : , . . • •--.),''' . • . • . , ' • ‘,. .. • , • ••.1., N . ... ... ,. . . .. ..-. ., • ,- i-. 4', • • , . .•-- . . '{• fi.."- .4i Y". ' v . . -. . . . •...:".. . . • . " . , • • •.--.. — . ,. • .. . ' •. . • ,. .;...?‘• , .. • . . • . . . ,:,r.....} . • . . ... . ,;•••.1 . , . . . . I • . . . . • r,- -,.. . , • . . .• . . • • •• _ •:•...-51„, ,-- • •• .:=,'.,„•.:1 ,-- 1 . . , . • . •, .'.4' .. . -...h. • ,.- _ - •' . . . .. . " •. . ..•., • .. .1.: L , . . . • -.... • • . . ••• , .- • • 1 . , . . . • . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u . I AFFIDAVIT FOR EMPLOYEE CLASSIFICATION ACT STATE OF 1N1 ) ) § COUNTY OF s :. ) I, 6 ,being first duly sworn under oath, state and depose as follows: 1. I am competent to testify to,and have personal knowledge of,the matters stated in this affidavit. L Yf(t�� 2. I am (a contractor) (the authorized agent of the contractor ). I attest to the following: (a) each individual performing services for such contractor is properly classified under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act"), (b) such contractor has completed a federal I-9 immigration form and has such form on file for each employee performing services, (c)'such coitractor has complied with Neb. Rev. Stat. section 4-114 (federal immigration verification system), (d) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (e) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. FURTHER AFFIANT SAYETH NAUGHT. -/ — Affiant SUBSCRIBED AND SWORN TO before me this / day 0,4420 (Z- . MARK T.LAM Mltaongb.Ei Sapt.18 2014 N ary Public Approved 6/1/10 i "'°. MAFiKT.. _ My Comm.Exp.Sept.13,2014 NotaPublic Approved 6/1/10 Pickeral Construction Specialist C: Cheryl •• '•:I,'. ' • .. '' r•t' t,' - ' • 4 : • • •. •'..'. • ••.?.,. J7' • it.,...tf".. • .. .. • , • •, .. . . . , - .. . . , • •jit :' ' ..-' •• • ' • . . • , .,•,,,, . . .., . , I.I.' ''''•II '.;•\,P, .P- .--,,e. t,.. • • .. . • . . ... . • r, , , r ,.....)....-.,-. ,.. 2, ..... . . .. . ..„,,„.„...4,..t - --, - - .? ly' 4 •• . , - 4 a •, • s - - ..- • . .. • . . . •• , . . .. .. „ . ... . . . .• ..2, •:.•,,., •. . I ,-,., 1 . . ...44.... : •• k t ' . • . , • ., . ' kt • 4 , • f •',- , ''.. ..... •. : •. yl..e-, _ ='',, ' ,e-147-1,- .' , . .• ..,,. • •,k '),. A . ,--,:• . .., .. . .. ! . • ...., • . , . • : , . . • •--.),''' . • . • . , ' • ‘,. .. • , • ••.1., N . ... ... ,. . . .. ..-. ., • ,- i-. 4', • • , . .•-- . . '{• fi.."- .4i Y". ' v . . -. . . . •...:".. . . • . " . , • • •.--.. — . ,. • .. . ' •. . • ,. .;...?‘• , .. • . . • . . . ,:,r.....} . • . . ... . ,;•••.1 . , . . . . I • . . . . • r,- -,.. . , • . . .• . . • • •• _ •:•...-51„, ,-- • •• .:=,'.,„•.:1 ,-- 1 . . , . • . •, .'.4' .. . -...h. • ,.- _ - •' . . . .. . " •. . ..•., • .. .1.: L , . . . • -.... • • . . ••• , .- • • 1 . , . . . • . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u I LEAD SAFE HOUSING RULE-APPLICABILITY FORM Address/location of property: 2520 Pierce St. Activity: remodel Regulation Eligibility Statements (check all that apply): _X_Property is receiving Federal Funds. _X_ Unit was built prior to 1978. Note: If both Eligibility Statements above have been checked, continue with the Exemption Statements below. If not, the regulation does not apply. Sign and date the form. Regulation Exemption Statements [24 CFT 35.115] (check all that apply): _Emergency repairs to the property are being performed to safeguard against imminent danger to human life, health or safety, or to protect the property from further structural damage due to natural disaster, fire or structural collapse. The exemption applies only to repairs necessary to respond to the emergency. _The property will not be used for human residential habitation. This does not apply to common areas such as hallways and stairways of residential and mixed use properties. Housing "exclusively" for the elderly or persons with disabilities,with the provision that children less than six years of age will not reside in the dwelling unit. _An inspection performed according to HUD standards found the property contained no lead-based paint. _According to documented methodologies, lead-based paint has been identified and removed; and the property has achieved clearance. The rehabilitation will not disturb any painted surface. The property has no bedrooms. _The property is currently vacant and will remain vacant until demolition. If any of the above Exemption Statements have been checked, the Regulation does not apply. On this basis, sign and date the form. I attest that the information above is true and accurate to the best of my knowl:.g e _ �of l Construction Specialist Date Development.:ect.o Manager Date . • , .,•,,,, . . .., . , I.I.' ''''•II '.;•\,P, .P- .--,,e. t,.. • • .. . • . . ... . • r, , , r ,.....)....-.,-. ,.. 2, ..... . . .. . ..„,,„.„...4,..t - --, - - .? ly' 4 •• . , - 4 a •, • s - - ..- • . .. • . . . •• , . . .. .. „ . ... . . . .• ..2, •:.•,,., •. . I ,-,., 1 . . ...44.... : •• k t ' . • . , • ., . ' kt • 4 , • f •',- , ''.. ..... •. : •. yl..e-, _ ='',, ' ,e-147-1,- .' , . .• ..,,. • •,k '),. A . ,--,:• . .., .. . .. ! . • ...., • . , . • : , . . • •--.),''' . • . • . , ' • ‘,. .. • , • ••.1., N . ... ... ,. . . .. ..-. ., • ,- i-. 4', • • , . .•-- . . '{• fi.."- .4i Y". ' v . . -. . . . •...:".. . . • . " . , • • •.--.. — . ,. • .. . ' •. . • ,. .;...?‘• , .. • . . • . . . ,:,r.....} . • . . ... . ,;•••.1 . , . . . . I • . . . . • r,- -,.. . , • . . .• . . • • •• _ •:•...-51„, ,-- • •• .:=,'.,„•.:1 ,-- 1 . . , . • . •, .'.4' .. . -...h. • ,.- _ - •' . . . .. . " •. . ..•., • .. .1.: L , . . . • -.... • • . . ••• , .- • • 1 . , . . . • . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u c-25A CITY OF OMAHA LEGISLATIVE CHAMBER Omaha,Nebraska RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: WHEREAS, the City annually receives Community Development Block Grant (CDBG) funds under Title 1 of the Housing and Community Development Act of 1974, as amended, for the purpose of benefiting low- and moderate-income residents, eliminating slum and blight and for other urgent community development needs; and, WHEREAS, the Mayor recommended various projects in the 2012 Consolidated Submission for Community Planning and Development Programs(Consolidated Plan); and, WHEREAS, the City Council approved the 2012 Consolidated Plan on November 8, 2011 by Resolution No. 1234,which includes the Community Development Block Grant(CDBG)Program;and, WHEREAS,this property is located in the Outside NRSA Columbus Park Program;and, WHEREAS, the best bid was received in an amount,of$33,884.00 as amended by Addendum#1 from Tom Lamb, Lamb's Remodeling, to perform rehabilitation work and lead reduction work when applicable, at the property owned by Joanne Lighthill, Raina McAuliffe and Marie Digilio, and occupied by Joanne Lighthill and Donald Lighthill,and located at 2520 Pierce Street,Omaha,Nebraska 68105; and, WHEREAS,the total project cost is$33,884.00;and, WHEREAS, this project is in the best interest of the residents of the City of Omaha and those residing therein. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, the attached Grant Agreement, as recommended by the Mayor, to provide funding in the amount of$33,884.00 for the rehabilitation and lead reduction work, when applicable, to the property owned by Joanne Lighthill, Raina McAuliffe and Marie Digilio, and occupied by Joanne Lighthill and Donald Lighthill, located at 2520 Pierce Street, Omaha, Nebraska 68105, is hereby approved. The contract is to be awarded to Torn Lamb, Lamb's Remodeling. Funds in the amount of$33,884.00 shall be paid from the CDBG Program, Fund No. 12186, Organization No. 129114. APPROVED AS TO FCRM: A-C)a°H CIT ATTORNEY DA 'E / 1761 dlh 9N00-Pletel / , By ncilmember Adopted Zdt.i. — 2 2012 ityCe . erX/h A<244117144 ACTIN May • . . . •• , . . .. .. „ . ... . . . .• ..2, •:.•,,., •. . I ,-,., 1 . . ...44.... : •• k t ' . • . , • ., . ' kt • 4 , • f •',- , ''.. ..... •. : •. yl..e-, _ ='',, ' ,e-147-1,- .' , . .• ..,,. • •,k '),. A . ,--,:• . .., .. . .. ! . • ...., • . , . • : , . . • •--.),''' . • . • . , ' • ‘,. .. • , • ••.1., N . ... ... ,. . . .. ..-. ., • ,- i-. 4', • • , . .•-- . . '{• fi.."- .4i Y". ' v . . -. . . . •...:".. . . • . " . , • • •.--.. — . ,. • .. . ' •. . • ,. .;...?‘• , .. • . . • . . . ,:,r.....} . • . . ... . ,;•••.1 . , . . . . I • . . . . • r,- -,.. . , • . . .• . . • • •• _ •:•...-51„, ,-- • •• .:=,'.,„•.:1 ,-- 1 . . , . • . •, .'.4' .. . -...h. • ,.- _ - •' . . . .. . " •. . ..•., • .. .1.: L , . . . • -.... • • . . ••• , .- • • 1 . , . . . • . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u C-25A CITY OF OMAHA LEGISLATIVE CHAMBER Omaha,Nebraska RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: .44 WHEREAS, the City annually receives Community Development Block Grant (CDBG) funds under Title 1 of the Housing and Community Development Act of 1974, as amended, for the purpose of benefiting low- and moderate-income residents, eliminating slum and blight and for other urgent community development needs;and, • r' WHEREAS, the Mayor recommended various projects in the 2012 Consolidated Submission for Community Planning and Development Programs(Consolidated Plan);and, WHEREAS, the City Council approved the 2012 Consolidated Plan on November 8, 2011 by Resolution No. 1234,which includes the Community Development Block Grant(CDBG)Program;and, WHEREAS,this property is located in the Outside NRSA Columbus Park Program;and, WHEREAS, the best bid was received in an amount,of$33,884.00 as amended by Addendum #1 from Tom Lamb, Lamb's Remodeling, to perform rehabilitation work and lead reduction work when applicable, at the property owned by Joanne Lighthill, Raina McAuliffe and Marie Digilio, and occupied by Joanne Lighthill and Donald Lighthill, and located at 2520 Pierce Street,Omaha,Nebraska 68105;and, WHEREAS,the total project cost is$33,884.00;and, WHEREAS, this project is in the best interest of the residents of the City of Omaha and those residing therein. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, the attached Grant Agreement, as recommended by the Mayor, to provide funding in the amount of$33,884.00 for the rehabilitation and lead reduction work, when applicable, to the property owned by Joanne Lighthill, Raina McAuliffe and Marie Digilio, and occupied by Joanne Lighthill and Donald Lighthill, located at 2520 Pierce Street, Omaha, Nebraska 68105, is hereby approved. The contract is to be awarded to Torn Lamb, Lamb's Remodeling. Funds in the amount of$33,884.00 shall be paid from the CDBG Program, Fund No. 12186,Organization No. 129114. APPROVED AS TO F RM: 9 lyta, CIT ATTO EY DA E 1761 dih a697144 By ncilmember Adopted 143 99T - 2 2012 ityCe . /15-A/4 AakriNa4 ACTIN May . •• , . . .. .. „ . ... . . . .• ..2, •:.•,,., •. . I ,-,., 1 . . ...44.... : •• k t ' . • . , • ., . ' kt • 4 , • f •',- , ''.. ..... •. : •. yl..e-, _ ='',, ' ,e-147-1,- .' , . .• ..,,. • •,k '),. A . ,--,:• . .., .. . .. ! . • ...., • . , . • : , . . • •--.),''' . • . • . , ' • ‘,. .. • , • ••.1., N . ... ... ,. . . .. ..-. ., • ,- i-. 4', • • , . .•-- . . '{• fi.."- .4i Y". ' v . . -. . . . •...:".. . . • . " . , • • •.--.. — . ,. • .. . ' •. . • ,. .;...?‘• , .. • . . • . . . ,:,r.....} . • . . ... . ,;•••.1 . , . . . . I • . . . . • r,- -,.. . , • . . .• . . • • •• _ •:•...-51„, ,-- • •• .:=,'.,„•.:1 ,-- 1 . . , . • . •, .'.4' .. . -...h. • ,.- _ - •' . . . .. . " •. . ..•., • .. .1.: L , . . . • -.... • • . . ••• , .- • • 1 . , . . . • . , ,1! ,. • - .4), .‘. 14":70 - ' .' &It * 7• • ;. •. r i „ , OW fi t . , , r- i- I.. 1.- . I AL,- ‘ ..,..r„. _AMC r — . . . •,,., 4 . - , . •...:51.P.A. . .4- . .- • •. a • ,n... - . : , 34.4 -It eg ..• i 1. ' ' r d ' .k v • .D.p. : •, • 1. ', - .,.• ....4•.../, ' " 4::$ • .}..7.•,_. • 4 • 'Ai ''.• ., .... ,-- -,.. . ..,,..,.. . a., • it .. s ••'• i -41.. ' tif&- • t:.r A, 47.*- - , . -'.:;:i1,-4, I N . . Legend 1 Feet A 0 1 00 200 2520 Pierce Street I ......... Streets 1 N•0 N N N N N N N N N N N N N N N N N N N N N N N N N N TiWWWWWWWWWWWWWWWWWWWWWWWWWW E N d•O of of of of of of of of of of of Oi ai aim of ai of ai ai of of of of tT of E m°-c > • e° v w .4.4................ C >O•V E d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .En. y d O C "ZC N .O N~ da EdO = I` nd01 « y E N LuoN aW1 • zN u • d 0) vENtdaO • • o > axcwo0 I 6 Uz W d O N N N N N N N N N N N N N N N N N N N N N N N N N N C a a a a a a a a V a a V a a a • N W m p ,p N C ' a ' a Ol Ol Ol Ol Ol Ol m m m 01 m Ol Ol Ol Q7 Ol m m m Ol m m m Ol Ol Ol C{= r R p Y I N N N N N N N N N N N N N N N N N N N N N N N N N N .220 C O 1 0t00w0W0UUOWtDDDwODWWWt0DDWt0D r. — C ; 6 t Err.. O0i0oam0 .iaD Oos0maOmOmofD01 E $ 0 .. c c N • 7 O R yNNNN N NNNN NN N C 0) A W E • O U)aH U1 N U1 M U1 a Ul N Ul LO LL)N U)00 U1 O1 U1 O U)a V1 N to M U1 a U1 U1 N Q a 0) t0 N W O a-1 N M a Ul af� © T.-1 O'•i N.i ee-1 a ea-I~ H C`F N u Q W jJ t° N C . I- O 7 0. CI • 0 a u 0 !.)•.c Q Z to .p A A u