RES 2012-0988 - Agmt with Lamb's Remodeling for rehabiulitation and lead hazard reduction work at 4231 Ellison Ave °F°rnr xe'NFe� Planning Department
a b�� {` .gektv RECEIVED
E C E I ,f a°� Omaha/Douglas Civic Center
• VC? rRp.. 4+ i 1819 Farnam Street,Suite 1100
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z n `' gOr e } t Omaha,Nebraska 68183
0'4,-- 12 JUL 1 6 A l l 9; 21 (402)444-5150
o4 *.. Telefax(402)444-6140
47.ED FEBR)A CITY L5 E R.E. Cunningham,RA,F.SAME
City of Omaha OMAHA, ME:84141,SKA Director
Jim Suttle,Mayor
July 24, 2012
Honorable President
and Members of the City Council,
The attached Resolution authorizes the Planning Director to enter into an Agreement with
Thomas F. Lamb, Sole Proprietor, Lamb's Remodeling, 21210 Welsh Road, Elkhorn, Nebraska
68022 for the rehabilitation of property located at 4231 Ellison Avenue, Omaha, Nebraska
68111. The Agreement provides for the rehabilitation and lead hazard reduction work as
applicable in FY 2012 Community Development Block Grant Program (CDBG) funds to
rehabilitate single family property located at 4231 Ellison Avenue, Omaha, Nebraska 68111, to
be purchased and occupied by a low- and moderate-income family whose annual household
income is at or below 80% the Medium Income by Family Size (hereinafter referred to as the
"Project").
This project was competitively bid with the lowest and best bid being received at $89,827.00.
The Planning Department believes this bid is reasonable for the work on this property, based on
the certified cost estimate and the bids received.
This Project will be funded under the CDBG 2012 Urban Homestead Program, which is included
in the City's FY 2012 Consolidated Submission for Community Planning and Development
Programs (hereinafter referred to as "Consolidated Plan"), approved November 8, 2011, by City
Council Resolution No. 1234, and as amended.
The cost for this rehabilitation project is estimated at $89,827.00. The CDBG Funds shall be
paid from FY 2012 Omaha CDBG Funds, Fund No. 12186, Organization No. 129161.
This Project meets the requirements of the Federal CDBG Program, the City's CDBG Urban
Homestead Guidelines, is consistent with the FY 2012 Consolidated Plan, and is eligible for
funding.
tor exceed the actual amount of the funds
available under this Agreement.
7.03 Schedule for Completing Work. In accordance with the payment schedule which
will allow the City to monitor actual performance against estimates of what will
be necessary to complete the project on time must be provided.
20
FO AL HOUSING
OPPORTUNITY
uence an
officer or employee of any agency, a Member of Congress, an officer of
employee of Congress, or an employee of a Member of Congress in
connection with this federal contract, grant, loan or cooperative
agreement, the Contractor shall complete and submit standard Form-
18
EQUAL HOUSING
OPPORTUNITY
ed
States, or any of their duly authorized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
.
Honorable President
And Members of the City Council
Page 2
The Contractor, Thomas F. Lamb, Sole Proprietor, Lamb's Remodeling, 21210 Welsh Road,
Elkhorn, Nebraska 68022 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.
Sincerely, Referred . City Council for Consideration:
0
. E. Cunning , . AME ate Mayor's ffig Date
Planning Dir ctor
Approved as t ding: Approved:
fetejj
uo-( 1y -SEIC -7A7j/(D--.
Pam Spaccarotella 09" Date Human Rights and Relations Department Date
Finance Director
Jfj 1 730-cover letter
les Manager
or
Page 14 of f t
• CDBG 2012 URBAN HOMESTEAD CONTRACTOR AGREEMENT
TO CONTRACT FOR REHABILITATION WORK
THIS AGREEMENT is entered into between the City of Omaha (hereinafter referred to
as "City") and Thomas F. Lamb, Sole Proprietor, Lamb's Remodeling, 21210 Welsh Road,
Elkhorn, Nebraska 68022 (hereinafter referred to as "Contractor"), based on terms, conditions
and provisions as set forth below.
RECITALS:
WHEREAS, the City is a municipal corporation located in Douglas County, Nebraska,
and is organized and existing under the laws of the State of Nebraska, and is authorized and
empowered to exercise all powers conferred by the State constitution laws, Home Rule Charter
of the City of Omaha, 1956, as amended, and local ordinances, including but not limited to, the
power to contract; and,
WHEREAS, the City has received Community Development Block Grant (hereinafter
referred to as "CDBG") Funds for implementing the Omaha-Council Bluffs Consortium
Consolidated Submission for Community Planning and Development Programs Action Plan for
Fiscal Year 2012, for the creation of affordable housing opportunities for renters and owners,
among other objectives; and,
WHEREAS, the City's FY 2012 Consolidated Submission for Community Planning and
Development Programs (hereinafter referred to as "Consolidated Plan"), outlining priorities,
programs and funding allocations for the 2012 program year, that included the Urban Homestead
Program, was approved by City Council Resolution No. 1234 on November 8, 2011, as
amended; and,
EQUAL HOUSING
OPPORTUNITY
This Project will be funded under the CDBG 2012 Urban Homestead Program, which is included
in the City's FY 2012 Consolidated Submission for Community Planning and Development
Programs (hereinafter referred to as "Consolidated Plan"), approved November 8, 2011, by City
Council Resolution No. 1234, and as amended.
The cost for this rehabilitation project is estimated at $89,827.00. The CDBG Funds shall be
paid from FY 2012 Omaha CDBG Funds, Fund No. 12186, Organization No. 129161.
This Project meets the requirements of the Federal CDBG Program, the City's CDBG Urban
Homestead Guidelines, is consistent with the FY 2012 Consolidated Plan, and is eligible for
funding.
tor exceed the actual amount of the funds
available under this Agreement.
7.03 Schedule for Completing Work. In accordance with the payment schedule which
will allow the City to monitor actual performance against estimates of what will
be necessary to complete the project on time must be provided.
20
FO AL HOUSING
OPPORTUNITY
uence an
officer or employee of any agency, a Member of Congress, an officer of
employee of Congress, or an employee of a Member of Congress in
connection with this federal contract, grant, loan or cooperative
agreement, the Contractor shall complete and submit standard Form-
18
EQUAL HOUSING
OPPORTUNITY
ed
States, or any of their duly authorized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
WHEREAS, the Project is eligible for funding under the FY 2012 CDBG Urban
Homestead Rehabilitation Program, and $500,000.00 was allocated to the Project; and,
WHEREAS, it is in the best interest of the City and the residents thereof that the City
enter into an Agreement with the Contractor to provide rehabilitation funding based on a
competitive bid process for the Project.
NOW, THEREFORE, IN CONSIDERATION OF THESE MUTUAL COVENANTS,
the parties do hereby agree as follows:
SECTION 1. DEFINITIONS AND ABBREVIATIONS.
•
1.01 "Rehabilitation/Construction Completion" shall mean — the date the Project has
been certified by the City as meeting all state, federal and local laws, ordinances,
regulations and codes, including but not limited to, Section 8 Housing Quality
Standards for Existing Homes (HQS) as established by HUD, the City of Omaha
Property Rehabilitation Standards, Nebraska Department of Economic
Development Rehabilitation Standards, and accessibility requirements, where
applicable.
1.02 "Construction Completion" shall mean — the date Rehabilitation/Construction
Completion has been certified and approved by the City, and all CDBG funds
allocated to the Agreement have been disbursed.
1.03 "Property" shall mean — the property located at 4231 Ellison Avenue, Omaha,
Nebraska 68111.
1.04 "CDBG Funds" shall mean that portion of the FY 2012 Urban Homestead
Program funds awarded to the City, subject to and conditioned upon actual receipt
of same by the City of Omaha, as may be available to loan during the program FY
2012 for the use specified herein in an amount not to exceed $89,827.00.
1.05 "Contractor" shall mean - Thomas F. Lamb, Sole Proprietor, Lamb's Remodeling,
21210 Welsh Road, Elkhorn, Nebraska 68022, a Corporation (referred to herein
as the "Contractor") warranting itself to be licensed and/or bonded (if applicable)
and qualified to perform the work specified herein.
1.06 "City" shall mean—the City of Omaha, a Nebraska Corporation.
1.07 "HUD" shall mean—the U.S. Department of Housing and Urban Development.
2
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and is eligible for
funding.
tor exceed the actual amount of the funds
available under this Agreement.
7.03 Schedule for Completing Work. In accordance with the payment schedule which
will allow the City to monitor actual performance against estimates of what will
be necessary to complete the project on time must be provided.
20
FO AL HOUSING
OPPORTUNITY
uence an
officer or employee of any agency, a Member of Congress, an officer of
employee of Congress, or an employee of a Member of Congress in
connection with this federal contract, grant, loan or cooperative
agreement, the Contractor shall complete and submit standard Form-
18
EQUAL HOUSING
OPPORTUNITY
ed
States, or any of their duly authorized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
• 1.08 "Director" shall mean—the Planning Director of the City of Omaha.
SECTION 2. RESPONSIBILITIES OF CONTRACTOR.
2.01 Overall Project Performance
2.01.1 The Contractor shall use the $89,827.00 in CDBG 2012 Urban
Homestead Program Funds for rehabilitation and lead hazard reduction
• work as applicable at the vacant and foreclosed-upon property located at
4231 Ellison Avenue, Omaha,Nebraska 68111.
2.02 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 Work Write-up by the completion date indicated on
the Proceed Order, subject to extensions approved by the City for the period of
any excusable delays (including strikes, acts of God, or any other reasons beyond
the control of the City or Contractor). The Contractor agrees that time is of the
essence in the performance of the Agreement terms.
2.03 AGREEMENT PRICE. The Contractor agrees to accomplish work as described
in the Work Write-up in•accordance with each and every term and condition of
this Agreement, for a total Agreement price of$89,827.00.
2.04 PROGRESS PAYMENTS. The Contractor agrees that the total Agreement price
shall be paid in one or more progress payments. 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 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 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 Construction completion, the Contractor
will be paid based on the actual amount of work completed. Final lien waivers
shall be presented from the Contractor at the time the request for final payment is
made. Such progress payments shall be disbursed after inspection and approval
of the work by the City. Final payment shall be due upon satisfactory completion
and acceptance of work as being in compliance with this Agreement by the City,
permit sign-off(if applicable), and submission of satisfactory waiver(s) of liens.
The City shall not withhold payment to the Contractor except for non-compliance
with the terms of this Agreement, and SHALL NOT REQUEST THE
CONTRACTOR TO PERFORM WORK OUTSIDE THE SCOPE OF THIS
AGREEMENT AS A CONDITION OF RECEIVING PAYMENT. Any work
3
O
EOUAL MOUSING
OPPORTUNITY
EQUAL HOUSING
OPPORTUNITY
ed
States, or any of their duly authorized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
completed that is not in compliance with the items set out in the Work Write-up
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 Contractor.
The Contractor acknowledges that it is a material breach of this Agreement 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.
2.04.1 Progress payments and final payment as may be authorized by the
Director or his designated representative are subject to:
2.04.1.1 Receipt, verification and approval of a lien waiver and an
AIA Document G702 "Application and Certification for
Payment" or comparable document. All documents for each
pay request submission must be forwarded to the Planning
Department Construction Specialist assigned to the Project.
2.04.2 A 10% retainage of CDBG Urban Homestead Program funds will be
held by the City until all punch list items have been corrected to the
satisfaction of the City Construction Specialist assigned to this project,
and until the Construction Completion requirements as stated in Section
1, Paragraph 1.02 are satisfied.
2.05 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 City of Omaha 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
City of Omaha or subsequent Owners) 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 the City at the time of final inspection.)
2.06 TERM OF THE AGREEMENT This Agreement shall start effective upon the
Notice to Proceed, and the terms of this Agreement shall be completed 120 days
from Notice to Proceed. The Planning Director may extend the term of this
Agreement, but in no event shall the date extend beyond 12 months from date
approved by City Council.
SECTION 3. STANDARD TERMS
4
O
EQUAL HOUSING
OPPORTUNITY
PERFORM WORK OUTSIDE THE SCOPE OF THIS
AGREEMENT AS A CONDITION OF RECEIVING PAYMENT. Any work
3
O
EOUAL MOUSING
OPPORTUNITY
EQUAL HOUSING
OPPORTUNITY
ed
States, or any of their duly authorized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
g �c oiz��lm osm .� •• -tl...........I,4 yyo
Hq 5ioma E8 >4gb1 i i, c 1 go mm 8
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p0 -o p, ` WESTPLEX s <
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9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
3.01 INSURANCE: During the continuance of the work under this Agreement, the
Contractor and all subcontractors (as applicable) shall:
3.01.1 Maintain, at a minimum, the applicable following classes of coverage
which will provide, at a minimum, the following amount of coverage:
(1) Bid Security is required. No performance bond will be required
for a Rehabilitation Agreement in an amount less than the federal
government's small purchase threshold under OMB Circular A-
110, currently at $100,000.00 (Exhibit "C"). 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 $1,000,000.00
(3) Combined Bodily Injury and Property Damage $2,000,000.00
($1,000.000.00 per occurrence)
(4) Product, including completed operations $1,000,000.00
(5) Worker's Compensation
The Contractor agrees to provide evidence to 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 termination of this Agreement at the
option of the City of Omaha.
The City of Omaha shall be named insured on all comprehensive liability
insurance policies.
3.02 EQUAL EMPLOYMENT OPPORTUNITY CLAUSE.
3.02.1 Section 10-192 of the Omaha Municipal Code, Equal Employment
Opportunity Clause. The Developer and its contractor shall not
discriminate against any employee or applicant for employment because
of race, religion, color, sex, age, sexual orientation, gender identity,
national origin, familial or handicap status. 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
5
O
EQUAL HOUSING
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ctive upon the
Notice to Proceed, and the terms of this Agreement shall be completed 120 days
from Notice to Proceed. The Planning Director may extend the term of this
Agreement, but in no event shall the date extend beyond 12 months from date
approved by City Council.
SECTION 3. STANDARD TERMS
4
O
EQUAL HOUSING
OPPORTUNITY
PERFORM WORK OUTSIDE THE SCOPE OF THIS
AGREEMENT AS A CONDITION OF RECEIVING PAYMENT. Any work
3
O
EOUAL MOUSING
OPPORTUNITY
EQUAL HOUSING
OPPORTUNITY
ed
States, or any of their duly authorized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
Developer and its contractor agree 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.
The contractors and its subcontractors 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, sexual orientation,
gender identity, national origin, familial or handicap status.
3.02.2 The contractors or its subcontractors shall send to each representative of
workers with which he has a collective bargaining agreement or other
contract or understanding a notice advising the labor union or workers'
representative of the contractor's commitments under the equal
employment opportunity clause of the City and shall post copies of
the notice in conspicuous places available to employees and
applicants for employment.
3.02.3 The contractors or its subcontractors shall furnish to the Human Rights
and Relations Department all federal forms containing the information
and reports required by the federal government for federal agreements
under federal rules and regulations, including the information required
by Sections 10-192 to 10-194, inclusive, of the Omaha Municipal Code
and shall permit reasonable access to his records. Records accessible to
the Human Rights and Relations Department shall be those which
related to Paragraphs 3.02.1 through 3.02.10 of this subsection and only
after reasonable notice is given the contractor. The purpose of this
provision is to provide for investigation to ascertain compliance with the
program provided herein.
3.02.4 The contractors or its subcontractors shall take such actions with respect
to any subcontractor as the City may direct as a means of enforcing the
provisions of Paragraphs 3.02.1 through 3.02.10 herein, including
penalties and sanctions for noncompliance; however, in the event the
contractor becomes involved in or is threatened with litigation as the
result of such directions by the City, the City will enter into such
litigation as is necessary to protect the interests of the City and to
effectuate the provisions of this division, and, in the case of Agreements
receiving federal assistance, the contractor or the City may request the
United States to enter into such litigation to protect the interests of the
United States.
3.02.5 The contractors shall file and shall cause his subcontractors, if any, to
file compliance reports with the contractor in the same form and to the
extent as required by the federal government for federal agreements
6
OPPORTUNITY
duly authorized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
under federal rules and regulations. Such compliance reports shall be
filed with the City's Human Relations Department. Compliance reports
filed at such times as directed shall contain information as to the
employment practices, policies, programs and statistics of the contractor
and his subcontractors.
3.02.6 The contractors or its subcontractors shall include the provisions of
Paragraphs 3.02.1 through 3.02.10 of this section, "Equal Employment
Opportunity Clause", and Section 10.193 in every contract, subcontract
or purchase order so that such provisions will be binding upon each
subcontractor or vendor. (Code 1980, Section 10-192; Ord. No. 35344,
Sections 1, 9-26-00)
3.02.7 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.
3.02.8 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, for purposes of
investigation to ascertain compliance with such rules, regulations and
orders.
3.02.9 In the event of the Contractor's noncompliance with the
nondiscrimination clauses of this Amendment or with any of the said
rules, regulations, or orders, this Agreement may be cancelled,
terminated, suspended in whole or in part, and the Contractor may be
declared ineligible for further government agreements or federally-
assisted construction agreements 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.
3.03 ASSIGNMENT. The Contractor agrees not to assign this Agreement without
written consent of the City of Omaha.
3.04 CHANGE ORDERS. The Contractor agrees not to make any changes to the
Work Write-up or the Specifications, 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 Agreement.
7
FO AL OUSING
OPPORTUNITY .
mpliance reports with the contractor in the same form and to the
extent as required by the federal government for federal agreements
6
OPPORTUNITY
duly authorized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
3.05 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 Agreement in compliance with applicable requirements,
including local building and housing codes where 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.
3.06 HOLD HARMLESS. The Contractor agrees to defend, indemnify and hold the
City of Omaha 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 Agreement. Both parties agree
that each Contractor and Subcontractor is acting in the capacity of an independent
contractor. The Contractor further agrees to protect, defend and indemnify the
City of Omaha from any claims by laborers, subcontractors, or suppliers for
unpaid work or labor performed, or materials supplied in connection with this
Agreement.
The Contractor agrees 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
Agreement.
3.07 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. The
contractor and all subcontractors and sub-tiers must be registered with the
Nebraska Department of Labor.
3.08 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 causes health or
safety hazards.
3.09 LEAD-BASED PAINT. The Contractor agrees to use no lead-based paint in the
performance of this Agreement, 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.
8
el I
EQUAL 0 SING
OPPORTUNITY
n the dollar
amount of the Agreement.
7
FO AL OUSING
OPPORTUNITY .
mpliance reports with the contractor in the same form and to the
extent as required by the federal government for federal agreements
6
OPPORTUNITY
duly authorized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
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.
3.10 SECTION 3 —EMPLOYMENT OF LOW-INCOME PERSONS (SECTION 3 OF
HUD ACT OF 1968 AS AMENDED). 12 U.S.C. 1701u). 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 Agreement.
3.10.1 The work to be performed under this Agreement 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. 1701u. Section 3 requires that to the
greatest extent feasible, opportunities for training and employment be
given lower income residents of the project area(s) and Agreements 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.
3.10.2 The parties to this Agreement 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 Agreement. The parties to this Contact certify
and agree that they are under no contractual or other disability which
would prevent them from complying with these requirements.
3.10.3 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 financing 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
subcontractor has first provided him/her with a preliminary statement of
ability to comply with the requirements of these regulations.
3.10.4 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
9
O
F.OUAL HOUSING
OPPORTUNITY
horized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
issued thereunder prior to the execution of the Agreement, 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 which federal assistance is
provided, and to such sanctions as are specified by 24 CFR Part 135.
3.11 Plan Submissions. Contractor shall submit all plans, working drawings and/or
specifications necessary or incidental to this Project to the City of Omaha for
review and approval prior to the commencement of any construction work.
3.12 Minority/Women Owned Business Enterprise Plan. Contractor shall submit to the
Director for review and approval a minority and women business participation
plan, which discusses economic development and employment opportunities.
These plans shall ensure that the Contractor and its subcontractors will make their
best efforts to ensure that construction services, contracts and employment
opportunities and affirmatively marketed to women and members of minority
groups.
3.13 Section 504 of the Rehabilitation Act of 1973, as Amended (29 U.S.C. 794). No
otherwise qualified individual will, solely by reason of his or her handicap, be
excluded from.participation (including employment), denied program benefits or
subjected to discrimination under any program or activity receiving federal
assistance funds. Section 504 applies to alteration to dwelling units in multi-
family housing projects. This Project is exempt as a single-family unit (Exhibit
3.14 Davis-Bacon Labor Standards. Not required — see Exhibit "E", Exemption
Checklist.
3.15 Property Standards (24 C.F.R. 92.251). During the construction period, the
Contractor shall ensure that all work performed and the Construction Work meets
all state, federal and local laws, ordinances, regulations and codes, including but
not limited to, Section 8 Housing Quality Standards for Existing Homes (HQS) as
established by HUD, the City of Omaha Property Rehabilitation Standards,
Nebraska Department of Economic Development Rehabilitation Standards
(Exhibit "D"), and accessibility requirements, where applicable.
3.15.1 After completion of Construction Work, the Property must comply with
all appropriate City codes and ordinances, Federal Section.8 Housing
Quality Standards and with fire safety codes (24 C.F.R. 570.02), City of
Omaha Property Rehabilitation Standards, Nebraska Department of
10
EQU l OUSING
OPPORTUNITY
24 CFR Part 135, and all applicable rules and orders of the Department
9
O
F.OUAL HOUSING
OPPORTUNITY
horized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
Economic Development Rehabilitation Standards, and accessibility
requirements, if applicable.
3.16 Affirmative Marketing Plan. A copy of the Contractor's and its subcontractor's
affirmative marketing plan shall be submitted to the City for review and approval.
3.17 Section 109 of the Housing and Community Act of 1974. No person in the
United States shall on the grounds of race, color, national origin, or sex be
excluded from participation in, be denied benefits of or be subjected to
discrimination under any program or activity funded in whole or in part with
funds made available under this title.
3.18 Age Discrimination Act of 1975, as Amended (42 U.S.C. 6101, et. seq.). No
person will be excluded from participation, denied program benefits or subjected
to discrimination on the basis of age under any program or activity receiving
federal funding assistance.
3.19 Title VI of the Civil Rights Act of 1964. No person shall, on the grounds of race,
color or national origin be excluded from participation in, be denied the benefits
of, or be subjected to discrimination under any program or activity receiving
federal financial assistance.
3.20 Attestation of Citizenship. To comply with Neb. Rev. Stat. 4-108 through 4-114,
the Developer agrees to comply with the requirements of 3.20.1 and 3.20.2.
3.20.1 The Developer 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:
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
11
EQUAL HOUSING
OPPORTUNITY
ards, Nebraska Department of
10
EQU l OUSING
OPPORTUNITY
24 CFR Part 135, and all applicable rules and orders of the Department
9
O
F.OUAL HOUSING
OPPORTUNITY
horized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
Contractor's lawful presence in the United States using the Systematic
Alien Verification for Entitlements (SAVE)Program.
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."
3.20.2 The Developer shall have each person signing the application for a benefit
under this agreement execute a United States Citizenship Attestation Form
For Public Benefit (Exhibit "M") verifying eligibility status for the
purposes of receiving a public benefit. The Developer shall maintain
aggregate records for the duration of the contract showing: (a)the number
of applicants for public benefits under this agreement; and (b) the number
of applicants rejected pursuant to the lawful presence requirement set forth
in the above-referenced Nebraska statutes. Further the Developer shall
provide a summary report to the City no later than December 15th each
calendar year reflecting this applicant data for such calendar year.
3.21 Employee Classification Act. To comply with the Nebraska Employee
Classification Act, all general and subcontractors who perform construction or
delivery service pursuant to this contract shall submit to the City an Affidavit For
Employee Classification Act (Exhibit "L") 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.
SECTION 4. PROJECT RESPONSIBILITIES OF THE CONTRACTOR
4.01 Eligible Use of Funds. The Contractor hereby certifies, contracts and agrees that
anyand all fundingobtained or made available hereunder shall be used solelyand
exclusively purposes for the u oses described herein.
4.01.1 Ineligible Costs. The Contractor shall be responsible for payment of any
Project costs that exceed those specified in this Agreement.
12
EQ AL USING
OPPORTUNITY
10
EQU l OUSING
OPPORTUNITY
24 CFR Part 135, and all applicable rules and orders of the Department
9
O
F.OUAL HOUSING
OPPORTUNITY
horized representatives, or any duly
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
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9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
4.02 Terms and Conditions. The Contractor shall abide by all terms and conditions of
this Agreement and shall be responsible for the security and maintenance of the
sites described in Section 1.03 herein.
4.03 Documentation and Recordkeeping. The Contractor and its subcontractors shall
maintain such records and accounts with respect to any of the matters covered in
this Agreement, including property, personnel and financial records, as are
deemed necessary by the City to assure a proper account for all expenses. The
Comptroller General of the United States, or any of their duly authorized
representatives, or any duly authorized representatives of the City, as approved by
the Director, shall have access to any books, documents, papers, records and
accounts of the Contractor, or its subcontractors which are directly pertinent to
this Project for the purpose of making audit, examination, excerpts and
transcriptions. Such records and accounts shall be made available to the City, its
designees or the federal government at any time during normal business hours,
and shall be retained for ten (10) years after expiration of the Agreement. In the
event the terms of the Agreement would be extended, the record retention period
would be extended for the additional time. Any contract entered into by the
Contractor with any subcontractors shall include this section to insure said access.
4.03.1 Construction Progress Reports. The Contractor shall provide reports to
the Director (AIA G702 Form or comparable document) describing the
progress of construction, and any significant problems and/or delays in
construction on this project. The Contractor shall submit these reports
on a financial status report form as more specifically required in Section
4.03.2 herein. The progress reports are required until such time as all
construction work is completed and the City issues the final payment of
construction to the Owner.
4.03.2 Financial Status Reports. The Contractor shall submit financial status
reports (OMB Circular A-110) (Exhibit "C") along with pay requests.
These reports shall accompany pay requests. In the event pay requests
are not submitted for ninety (90) days, financial status report shall be
due, at a minimum, 15 calendar days from the end of the calendar year
quarter. Attached as Exhibit "K", and incorporated herein by this
reference as though fully set forth, is a sample financial status report.
4.03.3 Record Retention. The Owner, its contractors and subcontractors shall
maintain such records and accounts, including property, personnel and
financial records, as are deemed necessary by the City to assure a proper
accounting for all expenses. The Comptroller General of the United
States, or any of their duly authorized representatives, or any duly
authorized representatives of the City, as approved by the Director, shall
have access to any books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
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9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
•
the Contractor, or subcontractors which are directly pertinent to this
Project for the purpose of making audit, examination, excerpts and
transcriptions. Such records and accounts shall be retained for ten (10)
years after expiration of the Agreement. (OMB Circular A-110)
(Exhibit"C").
4.04 Soil Work Policy. The Contractor will comply with the Soil Work Policy for
Housing Development Program projects that may involve the removal of
structures, installation of public infrastructure and site preparation work prior to
the construction of new residential structures. (See Attachment 4.)
4.05 Cost Principles. The Contractor shall comply with the requirements and the
standards of OMB Circular No. A-87 Revised "Cost Principles for State, Local
and Indian Tribal Governments" (Exhibit"G").
4.06 Accounting Standards. The Contractor agrees to comply with OMB Circular A-
110 and agrees to adhere to the accounting principles and procedures required
therein, utilize adequate internal controls, and maintain necessary source
documentation for all costs incurred. (Exhibit "C", attached hereto and
incorporated herein as though fully set forth.)
4.07 Employment Insurance and Bonding. The Contractor shall purchase a blanket
fidelity bond covering all employees, at a minimum, in an amount equal to cash
advances from the City. The Contractor shall comply with bonding and insurance
requirements of OMB Circular A-110 (Exhibit"C") Bonding and Insurance.
4.08 Audits. The Contractor shall comply with all provisions and regulations of the
Program and have an annual audit completed in compliance with OMB Circular
A-133, attached hereto as Exhibit "J", and incorporated herein as though fully set
forth. A copy of the audit shall be provided to the Director or his designee. The
auditor shall determine the appropriate type of audit to be conducted; i.e., limited
scope or full compliance. A single audit is not an allowable expense unless the
Subrecipient expends total federal funds over $500,000.00 in each fiscal year. A
limited-scope audit may be allowable provided the auditor conducts the audit in
accordance with generally accepted auditing standards and the recipient expends
less than$500,000.00 in each fiscal year.
4.09 Preconstruction Meeting. The Contractor and its subcontractors shall attend a
preconstruction meeting with the City Construction Specialist prior to the start of
any Rehabilitation work.
4.10 National Environment Policy Act of 1969. The Contractor shall not begin any
rehabilitation or construction work of a Property until it receives approval by the
City that all provisions of the National Environmental Policy Act of 1969 (NEPA)
14
EQUAL HOUSING
OPPORTUNITY
y of their duly authorized representatives, or any duly
authorized representatives of the City, as approved by the Director, shall
have access to any books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
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9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
and related authorities listed in HUD's implementing regulations at 24 CFR Parts
50 and 58 have been met regarding the Property.
4.11 Environmental Review. The Contractor agrees to comply with the following
regulations insofar as they apply to the performance of this Agreement.
4.11.1 Clean Air Act, 42, U.S.C., 1857, et seq.
4.11.2 Federal Water Pollution Control Act, as amended, 33 U.S.C. 1251, et
seq., as amended, 1318 relating to inspection, monitoring entry, reports
and information, as well as other requirements specified in Section 114
and Section 308, and all regulations and guidelines issued thereunder.
4.11.3 Environmental Protection Agency (EPA) regulations pursuant to 40
C.F.R., as amended.
4.11.4 National Environmental Policy Act of 1969.
4.11.5 HUD Environmental Review Procedures (24 C.F.R. Part 58).
4.12 Flood Disaster Protection Act of 1973 (24 U.S.C. 4106 and P.L. 2234) in regard
to the sale, lease or other transfer of land acquired, cleared or improved under the
terms of the Agreement as it may apply to provisions of this Agreement.
4.13 Historic Preservation requirements set forth in the National Historic Preservation
Act of 1966, as amended (16 U.S.C. 470) and the procedures set forth in 36
C.F.R., Part 800, Advisory Council on Historic Preservation Procedures for
Protection of Historic Properties, insofar as they apply to the performance of this
Agreement. In general, this requires concurrence from the State Historic
Preservation Office for all rehabilitation and demolition of historic properties that
are 45 year old or older or that are included on a Federal, State or local historic
property list.
SECTION 5. RESPONSIBILITIES OF THE CITY.
5.01 Performance Monitoring. The City will monitor the performance standards of the
Contractor as stated herein. Substandard performance as determined by the City
will constitute non-compliance with this Agreement. If action to correct such
substandard performance is not taken by the Contractor within a reasonable
period of time after being notified by the City, contract suspension or termination
procedures may be initiated.
5.02 Payments. It is expressly agreed and understood that the total amount to be paid
by the City under this Agreement shall not exceed $89,827.00 in CDBG funds.
The payment of these funds is subject to and conditioned upon actual receipt by
15
O
EOUAL OUSING
OPPORTUNITY
litation work.
4.10 National Environment Policy Act of 1969. The Contractor shall not begin any
rehabilitation or construction work of a Property until it receives approval by the
City that all provisions of the National Environmental Policy Act of 1969 (NEPA)
14
EQUAL HOUSING
OPPORTUNITY
y of their duly authorized representatives, or any duly
authorized representatives of the City, as approved by the Director, shall
have access to any books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
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9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
the City of the same. Should adequate funding not be available to the City, the
City shall notify the Contractor as soon as reasonably possible and the Agreement
will be terminated.
5.02.1 Obligation for Payment. In no event shall the City become obligated to
make any payments for any work performed, materials furnished,
expense incurred, or any other expenditure of any kind whatsoever,
unless same is expressly included in this Agreement; nor shall the City
incur any liability hereunder, unless and until the Contractor has timely
and fully complied with its duties and obligations hereunder. No
payments shall be made for any work, labor, material or expenses
incurred the Director deems to be:
5.02.1.1 Not in conformance with applicable state, federal and/or local
laws, including but not limited to, the building, plumbing
and/or electrical codes; or,
5.02.1.2 Not in conformance with all plans, working drawings and/or
specifications as approved; or,
5.02.1.3 Unacceptable or substandard; or,
5.02.1.4. Not in accordance with this Agreement or related contracts as
approved for this Project.
SECTION 6. MUTUAL AGREEMENTS BETWEEN CITY AND CONTRACTOR.
6.01 Release of Information Laws. The Contractor specifically hereby states, agrees,
and certifies that it is familiar with the limited purpose set forth in the Federal
Laws, Rules and Regulations, and in the laws of the State of Nebraska, for which
personal information requested may be used and that the information received
will be used solely for those limited purposes and not to harass, degrade or
humiliate any person. The information released shall be used for the limited
purposes stated, and the Contractor further agrees to indemnify and hold harmless
the City of Omaha for any liability arising out of improper use by the Contractor
of information provided.
6.02 Applicable Laws. Parties to this Agreement shall conform with all existing and
applicable City ordinances, resolutions, state laws, federal laws, and all existing
and applicable rules and regulations. Nebraska law will govern the term and the
performance under this Agreement.
6.03 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
16
EOUAL HOUSING
OPPORTUNITY
ronment Policy Act of 1969. The Contractor shall not begin any
rehabilitation or construction work of a Property until it receives approval by the
City that all provisions of the National Environmental Policy Act of 1969 (NEPA)
14
EQUAL HOUSING
OPPORTUNITY
y of their duly authorized representatives, or any duly
authorized representatives of the City, as approved by the Director, shall
have access to any books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
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9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
•
with the knowledge of the person or corporation contracting with the City shall
render the Agreement voidable by the Mayor or Council.
6.04 Independent Contractor. Nothing contained in this Agreement is intended to, or
shall be construed in any manner, as creating or establishing the relationship of
employer/employee between the parties. The Contractor shall at all times remain
an independent contractor with respect to the services to be performed under this
Agreement. The City shall be exempt from payment of all Unemployment
Compensation, FICA, retirement, life and/or medical insurance and Worker's
Compensation Insurance as the Contractor is an Independent Contractor.
6.05 Captions. Captions used in this Agreement are for convenience and are not used
in the construction of this Agreement.
6.06 Merger. This Agreement shall not be merged into any other oral or written
agreement, lease or deed of any type.
6.07 Modification. This Agreement and any related documents securing the financing
contain the entire agreement of the parties. No representations were made or
relied upon by either party other than those that are expressly set forth herein. No
agent, employee, or other representative of either party is empowered to alter any
of the terms herein unless done in writing and signed by an authorized officer of
the respective parties, pursuant to Section 10-142 of the Omaha Municipal Code.
6.08 Strict Compliance. All provisions of this Agreement and each and every
document that shall be attached shall be strictly complied with as written, and no
substitution or change shall be made without written direction from authorized
representatives of the parties.
6.09 Termination. This Agreement may be suspended or terminated in accordance
with 24 CFR 85.43, Enforcement or CFR 85.44, Termination for Convenience
(Exhibit "H", attached hereto and incorporated herein by this reference as though
fully set forth). Upon termination of this Agreement, all funds and interest in any
account hereunder shall become the property of the City and shall be returned to
the.City.
The Contractor agrees that the City of Omaha 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 Agreement. In such event, the City of
Omaha 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 City shall have the right
to select one or more substitute contractors. The City will assure that all
substitute contractors, subcontractors, suppliers, etc. are paid from the funds
17
EQUAL HTUNOUSING
OPPORITY
y authorized representatives, or any duly
authorized representatives of the City, as approved by the Director, shall
have access to any books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
g �c oiz��lm osm .� •• -tl...........I,4 yyo
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r>,0°1 m='m.vA 7 _fig
p0 -o p, ` WESTPLEX s <
-I ,TAaLOT 5
D SD NF D "' P �
9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
received from the original Contractor. Lien waivers, warranties, etc., shall be
obtained just as though the original Contractor had completed the job.
6.10 Inspection. The federal government, the City and their designees shall have the
right to inspect all rehabilitation work, and the Contractor will take all steps
necessary to assure that the federal 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.
6.11 Unenforceable Provisions. Any provision of this Agreement which is prohibited
or unenforceable in any jurisdiction shall, as to such jurisdiction, be in effect to
the extent of such prohibition or enforceability without invalidating the remaining
provisions hereof or affecting the validity or enforceability of such provision in
any other jurisdiction.
6.12 Conflict of Interest. The Contractor agrees to abide by the provisions of 24 CFR
92.356 with respect to conflicts of interest, and covenants that it presently has
financial interest and shall not acquire any financial interest, direct or indirect,
which would conflict in any manner or degree with the performance of services
required under this Agreement. The Contractor further covenants that in the
performance of this Agreement no person having such a financial interest shall be
employed or retained by the Contractor hereunder. These conflict of interest
provisions apply to any person who is an employee, agent, consultant, officer or
elected official or appointed official of the City or any designated public agencies
or Contractor which are receiving funds under the entitlement program.
6.13 Disclosure of Lobbying. The Contractor shall certify and disclose, to the best of
its knowledge and belief, that:
6.13.1 No federally-appropriated funds have been paid or will be paid, by or on
behalf of the Contractor to any person for influencing or attempting to
influence an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any federal
contract, the making of any federal grant, the making of any federal
loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment or modification of any federal
contract, grant, loan or cooperative agreement.
6.13.2 If any funds other than federally-appropriated funds have been paid or
will be paid to any person for influencing or attempting to influence an
officer or employee of any agency, a Member of Congress,,an officer of
employee of Congress, or an employee of a Member of Congress in
connection with this federal contract, grant, loan or cooperative
agreement, the Contractor shall complete and submit standard Form-
1 8
BOU L HOUSING
OPPORTUNITY
books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
g �c oiz��lm osm .� •• -tl...........I,4 yyo
Hq 5ioma E8 >4gb1 i i, c 1 go mm 8
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-I ,TAaLOT 5
D SD NF D "' P �
9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
LLL, "Disclosure Form to Report Lobbying", in accordance with its
instructions.
6.13.3 The language of this certification be included in the award documents
for all subawards at all tiers (including subcontracts, subgrants, and
contracts under grants, loans and cooperative agreements), and that all
subrecipients shall certify and disclose accordingly.
6.14 Notices. The City and the Contractor hereby expressly agree that for purposes of
notice, including legal service or process, during the term of this Agreement, and
for the period of any applicable statute of limitations thereafter, the following
named individuals shall be authorized representatives of the parties:
1) City: 2) Contractor:
City of Omaha Thomas F. Lamb, Sole Proprietor
Planning Department Lamb's Remodeling
1819 Farnam Street 21210 Welsh Road
Suite 1100 Elkhorn, Nebraska 68022
Omaha,Nebraska 68183
In the event the authorized representative changes during the term of this
Agreement, prior written notice will be given to the respective party at the address
noted above.
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 Agreement, 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.
6.15 Applicability. This Agreement shall be binding upon the parties herein.
6.16 Miscellaneous Provisions.
6.16.1 That the City 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.
6.16.2 The parties agree that the reference to "days" in this Agreement shall
mean consecutive calendar days; provided, however, that in the event
19
EQUAL HO SING
OPPORTUNITY
modification of any federal
contract, grant, loan or cooperative agreement.
6.13.2 If any funds other than federally-appropriated funds have been paid or
will be paid to any person for influencing or attempting to influence an
officer or employee of any agency, a Member of Congress,,an officer of
employee of Congress, or an employee of a Member of Congress in
connection with this federal contract, grant, loan or cooperative
agreement, the Contractor shall complete and submit standard Form-
1 8
BOU L HOUSING
OPPORTUNITY
books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
g �c oiz��lm osm .� •• -tl...........I,4 yyo
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-I ,TAaLOT 5
D SD NF D "' P �
9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
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.
6.16.3 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 City.
6.16.4 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 City, of Omaha 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.
6.16.5 As governmental funds are being used, the Contractor agrees that he/she
and his/her subcontractors will obey all civil rights and equal
employment 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 agency for employment records to enforce this position.
6.16.6 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.
SECTION 7. WORK WRITE-UP CHECKLIST.
7.01 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.
7.02 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 this Agreement.
7.03 Schedule for Completing Work. In accordance with the payment schedule which
will allow the City to monitor actual performance against estimates of what will
be necessary to complete the project on time must be provided.
20
EOUAL HOUSING
OPPORTUNITY
influencing or attempting to influence an
officer or employee of any agency, a Member of Congress,,an officer of
employee of Congress, or an employee of a Member of Congress in
connection with this federal contract, grant, loan or cooperative
agreement, the Contractor shall complete and submit standard Form-
1 8
BOU L HOUSING
OPPORTUNITY
books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
g �c oiz��lm osm .� •• -tl...........I,4 yyo
Hq 5ioma E8 >4gb1 i i, c 1 go mm 8
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p0 -o p, ` WESTPLEX s <
-I ,TAaLOT 5
D SD NF D "' P �
9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
•
SECTION 8. DEFAULT PROVISIONS.
8.01 Remedies. If, through any cause, the Contractor shall fail to fulfill in a timely and
proper manner any obligations under this Agreement, or violate any of the
covenants, representations or agreements hereof, the City may upon written notice
terminate this Agreement or such parts thereof as to this Agreement, and may
initiate legal proceedings for any damages caused to the City by reasons of such
default and termination.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date
indicated below:
ATTEST: CITY OF OMAHA:
c
6Ø2 .-vim /___ _is' ____ • . ---0?___
C CLERK OF THE CITY OF OMA M` O' OF TH CITY OF 0 MIA
WITNESS:- /homas F. Lamb, Sole Proprietor, Lamb's
Remodeling, 21210 Welsh Road, Elkhorn,
Nebraska 68022
-IIC3-;,;.;
*' Thomas F. Lamb
1/Y/2 Z)/:- I
3// a'-----
Date Date
APPROVED AS TO FORM:
\ 776-/ d
ASS STANT CITY ATTORNEY Date
21
0
EQUAL HOUSING
OPPORTUNITY
funds are being used, the Contractor agrees that he/she
and his/her subcontractors will obey all civil rights and equal
employment 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 agency for employment records to enforce this position.
6.16.6 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.
SECTION 7. WORK WRITE-UP CHECKLIST.
7.01 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.
7.02 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 this Agreement.
7.03 Schedule for Completing Work. In accordance with the payment schedule which
will allow the City to monitor actual performance against estimates of what will
be necessary to complete the project on time must be provided.
20
EOUAL HOUSING
OPPORTUNITY
influencing or attempting to influence an
officer or employee of any agency, a Member of Congress,,an officer of
employee of Congress, or an employee of a Member of Congress in
connection with this federal contract, grant, loan or cooperative
agreement, the Contractor shall complete and submit standard Form-
1 8
BOU L HOUSING
OPPORTUNITY
books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
g �c oiz��lm osm .� •• -tl...........I,4 yyo
Hq 5ioma E8 >4gb1 i i, c 1 go mm 8
8 g m Am
Sl
Pali (B3
2 Z/ �6p g sL r ' . CO
r>,0°1 m='m.vA 7 _fig
p0 -o p, ` WESTPLEX s <
-I ,TAaLOT 5
D SD NF D "' P �
9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
SCHEDULE OF EXHIBITS
Agreement
Exhibit Location Description
A Bid Tab
B 2.03, 2.04, Work Write-up Change Order and/or
3.04, 7.01, 7.03 Addendum if Applicable
C 3.01.1 (1), 4.03.2, OMB Circular A-110
4.03.3, 4.06, 4.07
D 1.01, 3.15, 3.15.1 NDED Rehabilitation Standards
E • 3.14 Davis-Bacon Exemption Checklist
F 3.13 Section 504
G 4.05 OMB Circular A-87 revised
H 6.09 Termination—24 CFR 85.43 — 85.44
I Articles of Incorporation, Corporate
Resolution, By-laws, or Partnership Papers
as applicable
K 4.03.2 Financial Status Report
L 3.21 Employee Classification Act
M 3.20 United States Citizenship Attestation
ATTACHMENTS
Description
1. Equal Opportunity
2. Section 3 Clause
3. Minority and Women Business Plan
4. Soil Work Policy
5. Cost Certification
6. Lead-based Paint Procedures
7. Procurement Standards
8. Affirmative Marketing Policy
Approved and revised 5/10/10
22
PORTUNITY
funds are being used, the Contractor agrees that he/she
and his/her subcontractors will obey all civil rights and equal
employment 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 agency for employment records to enforce this position.
6.16.6 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.
SECTION 7. WORK WRITE-UP CHECKLIST.
7.01 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.
7.02 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 this Agreement.
7.03 Schedule for Completing Work. In accordance with the payment schedule which
will allow the City to monitor actual performance against estimates of what will
be necessary to complete the project on time must be provided.
20
EOUAL HOUSING
OPPORTUNITY
influencing or attempting to influence an
officer or employee of any agency, a Member of Congress,,an officer of
employee of Congress, or an employee of a Member of Congress in
connection with this federal contract, grant, loan or cooperative
agreement, the Contractor shall complete and submit standard Form-
1 8
BOU L HOUSING
OPPORTUNITY
books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
g �c oiz��lm osm .� •• -tl...........I,4 yyo
Hq 5ioma E8 >4gb1 i i, c 1 go mm 8
8 g m Am
Sl
Pali (B3
2 Z/ �6p g sL r ' . CO
r>,0°1 m='m.vA 7 _fig
p0 -o p, ` WESTPLEX s <
-I ,TAaLOT 5
D SD NF D "' P �
9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
C-25A CITY OF OMAHA
LEGISLATIVE CHAMBER -
Omaha,Nebraska
RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA:
WHEREAS, the City of Omaha has applied for and received Community Development
Block Grant (hereinafter referred to as "CDBG") Funds for implementing the Omaha-Council Bluffs
Consortium Consolidated Submission for Community Planning and Development Programs.Action Plan
for Fiscal Year 2012, for the creation of affordable housing opportunities for renters and owners,rarfiong
other objectives; 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,
2012 by Resolution No. 1234, as amended, which included the CDBG 2012 Urban Homestead Program;
and,
WHEREAS, the lowest and best bid was received in an amount of $89,827.00 from
Thomas F. Lamb, Sole Proprietor, Lamb's Remodeling, 21210 Welsh Road, Elkhorn, Nebraska
68022 to perform rehabilitation work and lead reduction work when applicable, at the property located at
4231 Ellison Avenue,Omaha,Nebraska 68111; and,
WHEREAS,the project cost is $89,827.00; and,
WHEREAS,this project is in the best interest of the City and the residents thereof.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF OMAHA:
THAT,the attached Agreement between the City of Omaha and Thomas F. Lamb, Sole
Proprietor, Lamb's Remodeling, 21210 Welsh Road, Elkhorn, Nebraska 68022, as recommended
by the Mayor, to provide Community Development Block Grant Program (CDBG) Funds in the amount
of $89,827.00 for the rehabilitation and lead hazard reduction work when applicable, on the property
located at 4231 Ellison Avenue, Omaha, Nebraska 68111 is hereby approved. Funds in the amount of
$89,827.00 shall be paid from Omaha CDBG Funds,Fund No. 12186, Organization No. 129161.
ROVED AS ORM:
1 51/0
CITY ATTO EY DATE//
JJ)1730-res
armaz •
By
Co ici member
Adopted dA4cei
UL:.2.:.4..2012. -2--6'
C. Clerk
Approved.... e
Mayor
imbursement to the Contractor exceed the actual amount of the funds
available under this Agreement.
7.03 Schedule for Completing Work. In accordance with the payment schedule which
will allow the City to monitor actual performance against estimates of what will
be necessary to complete the project on time must be provided.
20
EOUAL HOUSING
OPPORTUNITY
influencing or attempting to influence an
officer or employee of any agency, a Member of Congress,,an officer of
employee of Congress, or an employee of a Member of Congress in
connection with this federal contract, grant, loan or cooperative
agreement, the Contractor shall complete and submit standard Form-
1 8
BOU L HOUSING
OPPORTUNITY
books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
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equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)
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EOUAL HOUSING
OPPORTUNITY
influencing or attempting to influence an
officer or employee of any agency, a Member of Congress,,an officer of
employee of Congress, or an employee of a Member of Congress in
connection with this federal contract, grant, loan or cooperative
agreement, the Contractor shall complete and submit standard Form-
1 8
BOU L HOUSING
OPPORTUNITY
books, documents, papers, records and accounts of
13
O
EQUAL HOUSING
OPPORTUNITY
. ?— 9 ,1 1
.II •
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 US 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.
SION ALL COPIES Firm / G1�
By
Title -
CONTINUATION SHEET
epartment at(402)444-
5055.
..� L (PLEASE PRINT LEGIBLY OR TYPE)
Payment Terms%_1��r/ Firm: jt t /LiL /V
iTt tr" Incorporated In:
Delluery, r completion) Name:/if M%t 4 I - AN Signature: /
v 57` .calendar days following TItlQ / Phone:ft _5 ''x 0/�,L�(♦ Fax l j, �,� 2'
award Address:45z,--SO /ag Sr C�l(�Gf �vl9 65/7-7
Street/P.O.Box City State Zip
Email Address: N(/v�� ei 41.4 17-1..)Gite. GOA(
. G 114'n'� AO = 8: y+0ri
g �c oiz��lm osm .� •• -tl...........I,4 yyo
Hq 5ioma E8 >4gb1 i i, c 1 go mm 8
8 g m Am
Sl
Pali (B3
2 Z/ �6p g sL r ' . CO
r>,0°1 m='m.vA 7 _fig
p0 -o p, ` WESTPLEX s <
-I ,TAaLOT 5
D SD NF D "' P �
9
equester discloses or uses TINs in violation of Federal law,the requester may be subject to civil and criminal penalties.
NOTE:if you are exempt from backup withholding,you should still complete this form to avoid possible backup withholding.
•
Professional Service Agreement—Schemmer Associates Inc.
Parks & Recreation Maintenance Garage - Design
Page 11 of 11
artners'share of
effectively connected income.
Cat.No.10231X Form W-9(Rev.12-2011)