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RES 2011-1332 - Agmt for rehabilitation and lead reduction work at 3356 Grand Ave 0 pFpMAHA',Iiku A,4 Planning Department v�►� 1..(�� fi ._": Omaha/Douglas Civic Center rh j a n v 4.. 1819 Farnam Street,Suite 1100 • z �� 1 r! f {��.,�g, Omah Nebraska 68183 (402)444-5150 oR �� Telefax(402)444 6140 4TED FEB a i'p j " rFa : ' f ,A R.E.Cunningham,RA,F.SAME Cityof Omaha ``',' :a k.fi. ; yk; , , �,. _,{_' Director IC Jim Suttle,Mayor November 8,2011 Honorable President and Members of the City Council, The attached Resolution approves a Grant Agreement for the rehabilitation of the property owned and occupied by Cynthia A. Barnett, Owner and Charles E. Barnett, Owner's spouse, located at 3356 Grand Avenue, Omaha, Nebraska 68111, with funding from the Community Development Block Grant (CDBG). The contractor is Rife Construction, Steve Rife,Owner. The Planning Department Financing Guidelines for the North Neighborhood Revitalization Strategy Area(NRSA) CDBG Target Area Rehabilitation Funds provide that hard construction costs do not exceed $55,000.00. This project was competitively bid with the best bid being received at $33,233 as amended by Addendum #1. The Planning Department believes this bid is reasonable for the work on this property, based on the certified cost estimate and the bids received. The total household income is 77.15% of the Median Income by Family Size as established by the Department of Housing and Urban Development. The funding is comprised of a$33,233.00 grant from the CDBG Program for a total project of$33,233.00. Funds in the amount of$33,233.00 shall be paid from the CDBG North NRSA Target Area Rehabilitation Fund No. 12186,Organization No. 129114. The rehabilitation of this single-family home meets the requirements of the CDBG Program, the City's Underwriting Guidelines and is consistent with the FY 2011 Consolidated Submission for Community Planning and Development Program approved by the City Council on December 14,2010 by Resolution No. 1356. The Contractor, Rife Construction, Steve Rife, Owner, 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 to City Council for Consideration: %' E1_ /A' fit Fc"2v11 ' 3Q n i . �4- N a!Q I0124��1 P. .Cunning am,`7" L±G'ff Date Mayor's Office Date Planning Director Approved as to Funding: Approved: aL444-Cli-'id /j)- -4° // ''' Z&jlZCI 1 '%2'/1J re) Pam Spaccarotella Date Human Rights and Relations Department Date Finance Directo,� '¢N pinlsf1607-cover etter t, work or services. Such cooperative procurement may be based upon competitive bids • secured by a cooperating public corporation or unit of government: (Code 1980, § 10-111) • Sec. 10-112. Bid specifications for building construction to conform to building codes: http://library 5.municode.com/default-test/DocView/10945/1/69/73?hilite=procurement;proc... 6/4/2010 . lowest bidder shall be approved by council resolution. If the department recommends awarding a • http://library5.municode.com/default-test/DocVi ew/10945/1/69/73?hilite=procurement;proc... 6/4/2010 significant impact on a Federal program or have not been corrected. (3) Federal programs not recently audited as major programs 31 allow the Federal agency to comply with the Government Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 • GRANT AGREEMENT THIS AGREEMENT is entered into by and between the CITY OF OMAHA, a Municipal Corporation of the Metropolitan class in the State of Nebraska(hereinafter referred to as CITY)and, Cynthia A.Barnett,Owner and Charles E.Barnett,Owner's spouse hereinafter referred to as OWNER(S). WITNESSETH: WHEREAS, the OWNER(S) is the sole owner of a certain property located at 3356 Grand Avenue, Omaha,Nebraska 68111 and legally described as follows,to wit: Lots 7 and 8, Block 2, Fort View Terrace, an addition to the City of Omaha, as surveyed, platted and recorded in Douglas County,Nebraska (hereinafter referred to as the PROPERTY); and, WHEREAS, the CITY has received Lead-based Paint Hazard Control Program funds awarded to the City from the United States Department of Housing and Urban Development, Office of Healthy Homes and Lead Hazard Control; and, WHEREAS, the City has received Lead-based Paint Hazard Control Program funds awarded to the City in Nebraska Revised Statues 66-1519 2 (i)through the Nebraska Department of Environmental Quality (NDEQ) to carry out the Federal Residential Lead-based Paint Hazard Reduction Act of 1992,42 U.S.C.4851 et seq.; and, WHEREAS, the City has received State of Nebraska Affordable Housing Trust Fund Program funds awarded to the City by the State of Nebraska Department of Economic Development; and, WHEREAS, the City receives funds pursuant to an Agreement with the United States Department of Housing and Urban Development, pursuant to the Housing and Community Development Act of 1974, Title I; and, WHEREAS, funds from various sources may be combined in one project; and, WHEREAS, the OWNER(S) desire to use a portion of such funds for the purpose of controlling lead- based paint hazards in the PROPERTY; and, WHEREAS, the parties wish to agree upon the terms and conditions that the OWNER(S) must abide to having accepted a grant of such funds for lead-based paint hazard control. -1- Revised and approved 7/16/2010 mmunity Planning and Development Program approved by the City Council on December 14,2010 by Resolution No. 1356. The Contractor, Rife Construction, Steve Rife, Owner, 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 to City Council for Consideration: %' E1_ /A' fit Fc"2v11 ' 3Q n i . �4- N a!Q I0124��1 P. .Cunning am,`7" L±G'ff Date Mayor's Office Date Planning Director Approved as to Funding: Approved: aL444-Cli-'id /j)- -4° // ''' Z&jlZCI 1 '%2'/1J re) Pam Spaccarotella Date Human Rights and Relations Department Date Finance Directo,� '¢N pinlsf1607-cover etter t, work or services. Such cooperative procurement may be based upon competitive bids • secured by a cooperating public corporation or unit of government: (Code 1980, § 10-111) • Sec. 10-112. Bid specifications for building construction to conform to building codes: http://library 5.municode.com/default-test/DocView/10945/1/69/73?hilite=procurement;proc... 6/4/2010 . lowest bidder shall be approved by council resolution. If the department recommends awarding a • http://library5.municode.com/default-test/DocVi ew/10945/1/69/73?hilite=procurement;proc... 6/4/2010 significant impact on a Federal program or have not been corrected. (3) Federal programs not recently audited as major programs 31 allow the Federal agency to comply with the Government Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 In consideration of the mutual agreements herein contained,the parties hereto agree as follows: Section 1. The following terms shall have the following meaning for all purposes in this Agreement: a. "Construction Contract" shall mean the contract for certain construction work at the property as follows: Contractor: Rife Construction, Steve Rife,Owner Date Contractor Signed: September 22,2011 LHC File No.: HCD File No: 11-HCD/3315 b. "Contractor" shall mean the contractor party to the construction contract. c. "Director" shall mean the Director of the City of Omaha Planning Department, or his/her designated representative. d. "Dwelling" shall mean the dwelling structure upon which the lead-based paint hazard control work is being performed. e. "Housing Ordinances" shall mean any health, safety or minimum dwelling standard ordinance applicable to the premises. f. "Premises" shall mean the property dwelling and structures thereon. g. "Lead-based Paint Hazard Control Work" shall mean the Lead-based paint hazard control work agreed upon in the construction contract. h. "HUD" shall mean the U. S.Department of Housing and Urban Development. Section 2. The CITY agrees to.grant the OWNER(S) the sum of Thirty-Three Thousand, Two Hundred and Thirty-Three Dollars and No/100 ($33,233.00) or the actual funds disbursed as shown on the HCD Loan Program Disposition of Funds Statement,provided that: a. the proceeds from this grant shall be paid-in-full to the Contractor when the City issues a certificate of completion pursuant to the construction contract and the City certifies that lead dust wipe samples have met clearance standards in accordance with HUD regulations; and b. the construction contract and any change thereto shall be first approved by the Director. c. in the event that Lead-based Paint Hazard Control Funds are not available, the Director may substitute Other Funds that may be available for the completion of the project. Section 3. This grant to the OWNER(s) shall be provided from various funding sources in the following combination: Lead-based Paint Hazard Control Funds $ State of Nebraska NDEQ Funds $ State of Nebraska Affordable Housing Trust Funds( ) $ Community Development Block Grant Funds $33,233.00 Other Funds $ Total amount $33,233.00 Section 4. The OWNER(S)authorizes the CITY to make grant payments directly to the Contractor. Section 5. The OWNER(S) shall: a. own the premises and reside at the premises for a term of at least thirty-six (36) months. The thirty-six(36)month term shall begin the date of closing for this grant; and, b. only use the grant for the lead-based paint hazard control work if applicable; and, c. maintain the premises in a safe and sanitary condition, conform to CITY housing and zoning ordinances and not commit waste; and, d. keep the property taxes current during the 36-month term the OWNER is required to own the dwelling; and e. arrange for blood lead level testing before construction for all children under age six residing in or spending at least 12 hours per week at the premises; and, f. participate in one-on-one training on lead safe maintenance practices provided by the Planning Department or other approved training; and, -2- Revised and approved 7/16/2010 default-test/DocVi ew/10945/1/69/73?hilite=procurement;proc... 6/4/2010 significant impact on a Federal program or have not been corrected. (3) Federal programs not recently audited as major programs 31 allow the Federal agency to comply with the Government Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 • g. continue lead-based paint hazard control maintenance practices after the project is complete. Section 6. The OWNER(S) shall pay any and all delinquent taxes on the above-described property prior to the date of this Agreement. Section 7. The OWNER(S)agree, and the CITY state that the CITY: a. is not acting as the OWNER'S architect or engineer; and, b. makes no warranties, express or implied, as to the lead-based paint hazard control work; and, c. owes no duty to the OWNER(S) or any other person that shall arise because of any inspection of the premises by the City's employees; and, d. may inspect the premises at reasonable times; and, e. is held harmless for all injury and damages arising by virtue of this Agreement. Section 8. Either party may pursue any remedy to enforce this contract at law or equity; except in the event of a breach of Section 5(a), (e) or (f) herein, the CITY shall be limited to having no further obligation to disperse remaining grant sums and shall be reimbursed by the OWNER(S) a sum equal to 1/36 of the grant for each remaining month of the thirty-six month term, provided that the reimbursed sum shall not exceed the sum previously dispersed from the grant. In the event of default, gross negligence or other substantial noncompliance by the OWNER, the outstanding amount of the grant at the time of default shall be due and payable immediately from the OWNER(S), its successors and assigns to the City. Section 9. This Agreement is not assignable without prior written consent of the CITY. Section10. Attestation of Citizenship. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: The Developer/Owner/Subrecipient shall include the following language in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.0 1324a, known as the E-verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: a) The Contractor must complete the United States Citizenship Attestation form available on the Department of Administrative Services website at www.das.state.ne.us. b) If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. c) The Contractor understands and agrees that lawful presence in the United States is required and the Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as required by Neb. Rev. Stat. 4-108." The Developer/Owner/Subrecipient shall have each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 Section 11. Employee Classification Act. To comply with the Nebraska Employee Classification Act, all general contractors and subcontractors who perform construction or delivery service pursuant to this contract shall submit to the City an Affidavit for Employee Classification Act(Exhibit"B") attesting that(1) each individual performing services for such contractor is properly classified under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act:"), (2) such contractor has completed a federal I-9 immigration form and has such form on file for each employee performing services, (3) such contractor has complied with Neb. Rev. Stat Section 4-114 (federal immigration verification system), (4) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (5) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. The contractor shall follow the provisions of the Act. A violation of the Act by a contractor is grounds for rescission of the contract by the City. (REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK) -4- Revised and approved 7/16/2010 of default, gross negligence or other substantial noncompliance by the OWNER, the outstanding amount of the grant at the time of default shall be due and payable immediately from the OWNER(S), its successors and assigns to the City. Section 9. This Agreement is not assignable without prior written consent of the CITY. Section10. Attestation of Citizenship. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: The Developer/Owner/Subrecipient shall include the following language in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.0 1324a, known as the E-verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: a) The Contractor must complete the United States Citizenship Attestation form available on the Department of Administrative Services website at www.das.state.ne.us. b) If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. c) The Contractor understands and agrees that lawful presence in the United States is required and the Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as required by Neb. Rev. Stat. 4-108." The Developer/Owner/Subrecipient shall have each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 Section 12. Interest of the City. Pursuant to Section 8.05 of the Home Rule Charter, no elected official or any officer or employee of the CITY shall have a financial interest, direct or indirect, in any CITY Agreement. Any violation of this section with the knowledge of the person or corporation contracting with the CITY shall render the contract voidable by the Mayor or Council. 444A' li 6('JP GIAAVeb /0-Z11 ONki2-Q- c73(4Y`1\AAA I 0-a i -// Cynthia A.Barnett, Owner Date Charles E.Barnett,Owner's Spouse Date Date Date STATE OF NEBRASKA ) )§ COUNTY OF DOUGLAS ) On this ( day of_ C_ , 2011 A.D.,before me, ild j� f ' - , a Notary Public in and for said County, personally came Cynthia A. Barn tt, Owner and Charles E. Barnett, Owner's spouse, personally to me known to be the identical person whose name is affixed to the above and foregoing instrument and they acknowledged the said instrument and the execution thereof to be their voluntary act and deed, for the purposes therein expressed. In testimony whereof, I have hereunto set my hand and affi edby my Notary Seal at Omaha, Nebraska on the day and date last above written cf 9 NORITA A MATT � / n lat MYCOMMON EXPIRESJuly 22,2014 N/ / isi y Public y 20%1 My Commission expirese•Ivr . ATTEST'^! `. CITY OF OMAHA, A Municipal Corporation 1 e. City Clerk of the City-of Omaha ate Ma s 4f the C '—of Oma ate 1 APPROVED AS TO FORM: r t'iCctu' I°-21' 11 Ass tant city Ato ey Date I Plnlsf1607-agreement -5- Revised and approved 7/16/2010 The Developer/Owner/Subrecipient shall include the following language in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.0 1324a, known as the E-verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: a) The Contractor must complete the United States Citizenship Attestation form available on the Department of Administrative Services website at www.das.state.ne.us. b) If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. c) The Contractor understands and agrees that lawful presence in the United States is required and the Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as required by Neb. Rev. Stat. 4-108." The Developer/Owner/Subrecipient shall have each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 �, •zv REHABILITATION CONTRACT Loan Number:/ e0/((3(1/i This Contract is between Cynthia A. Barnett, Owner & Charles E. Barnett, Owner's Spouse (Owner's Name) of 3356 Grand Avenue , Omaha,Nebraska (Owner's Address) (City and State) (referred to herein as the "Owner" and Rife Construction, Inc. (Contractor's Name) of 4515 Military Avenue , Omaha, Nebraska (Contractor's Address) (City and State) 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. This contract is for the rehabilitation of property located at at 3356 Grand Avenue , Omaha, Nebraska (Property Address) (City and State) (herein after referred to as the "Property"). IN CONSIDERATION OF THEIR MUTUAL PROMISES, THE PARTIES AGREE AS FOLLOWS: PART I - SPECIFIC TERMS 1. EFFECTIVE DATE: This document shall have no force or effect unless and until executed by the Owner and the Contractor, and approved by the City of Omaha, (referred to herein as the "City"), and unless and until a properly executed and approved copy is delivered to the Contractor. The date on which the copy is received shall be referred to as the "Effective date." If a properly executed and approved copy of the Contract is not delivered to the Contractor on or before, , 2011, (date equal to sixty (60) Date) Revised and approved 8/4/2010 - 1 - 4f the C '—of Oma ate 1 APPROVED AS TO FORM: r t'iCctu' I°-21' 11 Ass tant city Ato ey Date I Plnlsf1607-agreement -5- Revised and approved 7/16/2010 The Developer/Owner/Subrecipient shall include the following language in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.0 1324a, known as the E-verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: a) The Contractor must complete the United States Citizenship Attestation form available on the Department of Administrative Services website at www.das.state.ne.us. b) If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements(SAVE)Program. c) The Contractor understands and agrees that lawful presence in the United States is required and the Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as required by Neb. Rev. Stat. 4-108." The Developer/Owner/Subrecipient shall have each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 **Work in the amount of $1,294.90 is being deleted and $3,289.00 is being added to the contractor's original bid of $31,238.90. The new contract amount is $33,233.00. days from date that the Contractor signs this contract), the Contractor may refuse to be bound by • the terms of this Contract. If, however, a properly executed and approved copy of this Contract is delivered after the above date and the Contractor subsequently performs work or delivers materials to the Property, the Contractor shall be bound by the contract. For the purposes of this paragraph, a copy of this Contract shall be deemed to have been delivered to and received by the Contractor upon mailing by the City to the Contractor's address shown above. The Contractor shall not be compensated under this Contract for work commenced or materials delivered to the Property before the Effective Date. 2. THE CONTRACT: This Contract consists only of this Part 1 (Specific Terms) and the following attachments: A. Schedule of Work (work write-up dated August 5, 2011); B. Other, (identify) (1) Part II - STANDARD TERMS (2) Section 3 Clause (3) City of Omaha Contract Compliance Ordinance (4) Change Order and/or Addendum (if applicable) 3. TIME FOR COMMENCEMENT AND COMPLETION. The Contractor agrees to complete, free of liens or rights of liens of contractors, mechanics, suppliers, or laborers, all work listed in the Schedule of Work by the completion date indicated on the Proceed Order, subject to extensions approved by the Owner(s) and the City for the period of any excusable delays (including strikes, acts of God, or any other reasons beyond the control of the Owner(s) or Contractor). The Contractor agrees that time is of the essence in this Contract. 4. CONTRACT PRICE: The Contractor agrees to accomplish work as described in the Schedule of Work in accordance with each and every term and condition of this Contract, for a total contract price of$31,238.90**. The price of specific items of work is stated in the Schedule of Work. 5. PROGRESS PAYMENTS: The Contractor agrees that the total contract price shall be paid in one or more progress payments, based on the value of the work completed at the time the progress payment request is made. Should any work for which payment is requested, not be completed, be completed incorrectly, or not be done in a high quality workmanlike manner, the amount of such work shall be deducted from the payment request. Payment for any work so deducted may be requested on future requests for payment; provided, said work has been satisfactorily completed and the reason for the initial denial of payment no longer exists. Partial lien waivers from general contractor shall be provided with each progress payment requested. Progress payments will be made up to and including 90% of the value of the work completed. Any further payment would be made when project is 100% complete. In the case of inclement weather or any other factor that the City determines that will prevent project completion, the Contractor will be paid based on the actual amount of work completed. Final Revised and approved 8/4/2011 -2- ments(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." The Developer/Owner/Subrecipient shall have each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 , r ' lien waivers shall be presented from the general contractor at the time the request for final payment is made. Such progress payments shall be disbursed at the request of the Owner(s), after inspection and approval of the work by the Owner(s) and the City. Final payment shall be due upon satisfactory completion and acceptance of work as being in compliance with this Contract by the Owner and the City, permit sign-off (if applicable), submission of satisfactory waiver(s) of liens, or a bond satisfactory to the Owner and the City indemnifying the Owner against any lien, and the submission of all warranties and guarantees to the Owner through the City. The Owner shall not withhold payment to the Contractor except for non-compliance with the terms of this Contract, and SHALL NOT REQUEST THE CONTRACTOR TO PERFORM WORK OUTSIDE THE SCOPE OF THIS CONTRACT AS A CONDITION OF RECEIVING PAYMENT. Any work completed that is not in compliance with the items set out in the Schedule of Work will not be paid for out of the rehabilitation funds unless said additions/deletions/changes have been authorized by a written and approved change order executed by all parties PRIOR TO the commencement of such work. Payment for any work completed without a written and,approved change order is the sole responsibility of the Owner and/or the Contractor. The Contractor shall not refuse to complete the work set forth in the Schedule of Work because of any dispute between himself/herself and the Owner relative to work contracted "on the outside" or outside the scope of work as set forth above. The Contractor acknowledges that it is a material breach of this Contract to request or accept a progress or final payment which is in excess of the price of the work completed at the time such payment is requested. 6. WARRANT: The Contractor warrants that all improvements, hardware, and fixtures of whatever kind of nature to be installed or constructed on the Property by the Contractor or the Contractor's sub-contractors will be of good quality, suitable for their purpose, and free from defects in workmanship or materials or other deficiencies. This is a full warranty extending to the Owner and subsequent Owners of the Property; provided, however, that warranty set forth in this paragraph shall apply only to the deficiencies and defects about which the Owner or subsequent Owner(s) shall have notified the Contractor at the address stated above WITHIN ONE YEAR, except for any longer warranty periods specified in the warranty. (Note: Contractor to supply extended warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: A. The Developer/Owner/Subrecipient shall include the following language, in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 1324a, known as the E-Verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: 1) The Contractor must complete the United States Citizenship Attestation Form available on the Department of Administrative Services website at www.das.state.ne.us. 2) If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the U.S. Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien verification for Entitlements (SAVE) Program. 3) The Contractor understands and agrees that lawful presence in the United States is required and the Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as required by Neb. Rev. Stat. 4-108." 8. EMPLOYEE CLASSIFICATION ACT. To comply with the Nebraska Employee Classification Act, each contractor who performs construction or delivery service pursuant to this contract shall submit to the City an Affidavit For Employee Classification Act (Exhibit 1) attesting that (1) each individual performing services for such contractor is properly classified under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act"), (2) such contractor has completed a federal 1-9 immigration form and has such form on file for each employee performing services, (3) such contractor has complied with Neb. Rev. Stat. Section 4-114 (federal immigration verification system), (4) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (5) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. The contractor shall follow the provisions of the Act. A violation of the Act by a contractor is grounds for rescission of the contract by the City. Revised and approved 8/4/2010 -4- ncies and defects about which the Owner or subsequent Owner(s) shall have notified the Contractor at the address stated above WITHIN ONE YEAR, except for any longer warranty periods specified in the warranty. (Note: Contractor to supply extended warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: A. The Developer/Owner/Subrecipient shall include the following language, in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 9. PARTIES TO CONTRACT: The OWNER and CONTRACTOR agree that they are the sole parties to this Contract and are solely responsible for its performance. The parties agree that neither the City nor the United States Department of Housing and Urban Development (HUD) assumes any liability or responsibility whatsoever for the performance of any terms of this Contract. ey 'b c , k..• `��, - C V3A 1l- /677 Owner: Cynthia A. Barnett Date Owner: Charles E. Barnett, Date Owner's Spouse Owner: Date Owner: Date Owner: Date Owner: Date [1(64' 4/at ess Date Rife Construction, Inc. Contractor 94,4 BY: Cin J son Date TITLE: Office Manager it ss Date Approved by the City on / , 20 8, BY: me: James R. Thele TITLE: Assistant Planning Director Mailed to CONTRACTOR, and Effective on , 20 Revised and approved 8/4/2010 -5 - contract terminated if such lawful presence cannot be verified as required by Neb. Rev. Stat. 4-108." 8. EMPLOYEE CLASSIFICATION ACT. To comply with the Nebraska Employee Classification Act, each contractor who performs construction or delivery service pursuant to this contract shall submit to the City an Affidavit For Employee Classification Act (Exhibit 1) attesting that (1) each individual performing services for such contractor is properly classified under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act"), (2) such contractor has completed a federal 1-9 immigration form and has such form on file for each employee performing services, (3) such contractor has complied with Neb. Rev. Stat. Section 4-114 (federal immigration verification system), (4) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (5) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. The contractor shall follow the provisions of the Act. A violation of the Act by a contractor is grounds for rescission of the contract by the City. Revised and approved 8/4/2010 -4- ncies and defects about which the Owner or subsequent Owner(s) shall have notified the Contractor at the address stated above WITHIN ONE YEAR, except for any longer warranty periods specified in the warranty. (Note: Contractor to supply extended warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: A. The Developer/Owner/Subrecipient shall include the following language, in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 PART II STANDARD TERMS • 1. INSURANCE: During the continuance of the work under this Contract, the Contractor and all subcontractors (as applicable) shall: A. Maintain, at a minimum, the applicable following classes of coverage which will provide, at a minimum, the following amount of coverage: (1) No bid bond or performance bond will be required for a Rehabilitation Contract in an amount less than the Federal Government's small purchase threshold under OMB Circular A-110, currently at $100,000. On a case- by-case basis the Director of the Planning Department can require a bond if it is in the best interest of the Federal Government and the City of Omaha. The contractor must be on the Planning Department approved contractors list. (2) Contractor's Personal Liability $1,000,000 (3) Combined Bodily Injury and Property Damage $2,000,000 (1,000,000 per occurrence) (4) Product, Including Completed Operations $1,000,000 (5) Workers' Compensation These coverages are required to protect the Contractor and the Owner from any liability or damage from injury to, or death of, any of their employees, other persons, or property wherever located, resulting from any action or operation under this Contract, or in connection with the work including liability or damage which may arise by virtue of any statute or law in force or which may hereinafter be enacted. The Contractor agrees to provide evidence to the Owner through the City of such insurance prior to the commencement of the work. Failure to provide adequate evidence of insurance, or failure to maintain the insurance as required by this paragraph, shall be grounds for terminating this Contract at the option of the Owner. The City of Omaha shall be named insured on all comprehensive liability insurance policies. 2. CONTRACT COMPLIANCE CLAUSE: Sec. 10-192. Equal employment opportunity clause. All contracts hereafter entered into by the City shall incorporate an equal employment opportunity clause, which shall read as follows: During the performance of this contract, the Contractor agrees as follows: Revised and approved 8/4/2010 -6- 8/4/2010 -4- ncies and defects about which the Owner or subsequent Owner(s) shall have notified the Contractor at the address stated above WITHIN ONE YEAR, except for any longer warranty periods specified in the warranty. (Note: Contractor to supply extended warranty documents to homeowner(s) at the time of final inspection) 7. ATTESTATION OF CITIZENSHIP. To comply with Neb. Rev. Stat. 4-108 through 4-114, the Developer/Owner/Subrecipient agrees to comply with the following requirements: A. The Developer/Owner/Subrecipient shall include the following language, in all contracts and subcontracts for the physical performance of services: "The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 • A The Contractor shall not discriminate against any employee or applicant for employment because of race, religion, color, sex, age, disability or national origin. The Contractor shall take affirmative action to ensure that applicants are employed and that employees are treated during employment without regard to their race, religion, color, sex, age, disability or national origin. As used herein, the word "treated" shall mean and include, without limitation, the following: recruited, whether by advertising or by other means; compensated; selected for training, including apprenticeship; promoted; upgraded; demoted; downgraded; transferred; laid off; and terminated. The Contractor agrees to and shall post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officers setting forth the provisions of this nondiscrimination clause. B The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, religion, color, sex, age, disability or national origin. 3. ASSIGNMENT: The Contractor agrees not to assign this Contract without written consent of the Owner and written concurrence by the City. 4. CHANGE ORDERS: The Contractor agrees not to make any changes to the Schedule of Work or the Specifications, whether or not requested to do so by the Owner, without a written change order executed by all parties prior to the commencement of the work. A written and executed change order is required even if the modification involves no change in the dollar amount of the Contract. 5. PERMITS AND CODES: The Contractor agrees to secure and pay for all applicable and necessary permits and licenses required for the Contractor's performance of this Contract in compliance with applicable requirements, including local building and housing codes where applicable, whether or not covered by the specifications and drawings for the work, and further agrees to perform all work in conformance with the highest standard of all applicable codes and local property rehabilitation standards. 6. HOLD HARMLESS: The Contractor agrees to defend, indemnify and hold the Owner harmless from any liability or claims for damages because of bodily injury, death, property damage, sickness, disease, or loss and expense arising from the Contractor's performance of this Contract. Both parties agree that each Contractor and Subcontractor is acting in the capacity of an independent contractor with respect to the Owner. The Contractor further agrees to protect, defend, and indemnify the Owner form any claims by laborers, subcontractors, or suppliers for unpaid work or labor performed, or materials supplied in connection with this Contract. Revised and approved 8/4/2010 -7- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 The Owner and the Contractor agree to hold and save harmless the City of Omaha from any and all loss, cost, or damages of every kind, nature or description arising under this Contract. 7. ELIGIBILITY: The Contractor represents that he/she is not listed on the Disbarred and Suspended Contractor's List of the U.S. Department of Housing and Urban Development (HUD) or of the City, and further agrees not to hire or utilize as a subcontractor or supplier or any person or firm that is so listed. 8. CONDITION OF PREMISES: The Contractor agrees to keep the premises broom clean and orderly and to remove all debris as needed during the course of the work, in order to maintain work conditions which do not cause health or safety hazards. 9. LEAD BASED PAINT: The Contractor agrees to use no lead-based paint in the performance of this Contract, including the performance of any subcontractor. "Lead-based paint" means any paint containing more than six one-hundredths of one (1) per centum of lead by weight (calculated as lead metal) in the total nonvolatile content of the paint, or the equivalent measure of lead in the dried film of paint already applied. The Contractor further agrees to abide by all Federal requirements regarding lead-based paint poison prevention. Lead-Based Paint Regulations at 24 CFR 570.608 and 24 CFR Part 35 and in particular Sub-Part B thereof Such regulations pertain to all HUD-assisted housing and require that all owners, prospective owners or tenants or properties constructed prior to 1978 be properly notified that such properties may include lead-based paint and require specific treatments according to the amount of HUD funding allocated to the Project. 10. TERMINATION: The Contractor agrees that the Owner shall have the right to declare the Contractor in default if the Contractor fails to furnish materials or perform work in accordance with the provisions of this Contract. In such event, the Owner shall be responsible for providing written notice to the Contractor by registered/certified mail of such default. If the Contractor fails to remedy such default within ten (10) working days of such notice, the Owner shall have the right to select one or more substitute contractors. If the expense of finishing the work exceeds the balance not yet paid to the Contractor on this Contract, the Contractor shall pay the difference to the Owner through the City. The City will assure that all substitute contractors, subcontractors, suppliers, etc. are paid from the funds received from the original Contractor. Lien waivers, warranties, etc., shall be obtained just as though the original Contractor had completed the job. Any funds received from the original Contractor may be used only to correct/complete items set forth in the Schedule of Work and may not be used to complete other or extra work desired by the Owner. 11. INSPECTION: The U.S. Government, the City, and their designees shall have the right to inspect all rehabilitation work, and the Contractor will take all steps necessary Revised and approved 8/4/2010 -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 to assure that the Government, the City, or their designees are permitted to examine and inspect the rehabilitation work, and all contracts, materials, equipment, payrolls, and conditions of employment pertaining to the work, including all relevant data and records. The U.S. Government and the City by inspecting the premises, records, suppliers, and equipment assumes no responsibility to the Owner for defective materials or work in the rehabilitation, or to either party for any breach of this Contract by the other. 12. INTEREST OF FEDERAL AND CITY OF OMAHA PERSONNEL: The Contractor agrees that none of the following shall have any interest or benefit, direct or indirect, in this Contract for any work, supplies, or services, financed in whole or in part under this Contract: A. Any member of the governing body of the Locality; B. Any member of the governing body of the City of Omaha; C. Any officer or employee of the Locality or the City of Omaha who exercises any functions or responsibilities in connection with the administration of the Community Development Block Grant (CDBG) Program; D. Any member of or delegate to the Congress of the United States; E. Any Resident commissioner. 13. EQUAL OPPORTUNITY: The Contractor agrees to abide by all Federal, State, and/or local regulations relative to equal opportunity to all persons, without discrimination as to race, color, handicap, sex, familial status, age, political, or religious opinions, affiliations or national origin and status with regard to public assistance. On agreements of$10,000 or more, the Contractor agrees to abide by the following provisions of Executive Order 11246, and agrees to incorporate such language in all contracts for $10,000 or more which he/she may enter into in connection with this Contract. During the course of this contract, the Contractor agrees as follows: A. The Contractor will not discriminate against any employee or applicant for employment because of race, color, sex or origin. The Contractor will take affirmative action to ensure that applicants and/or employees are employed or treated during employment without regard to their race, color, creed, religion, national origin, sex, marital status, age, and status with regard to public assistance or disability. On Agreements of $10,000 or more, the Contractor agrees to abide by the following provisions of Executive Order 11246, and agrees to incorporate such language in all contracts for $10,000 or more which he/she may enter into in connection with this Contract. Such action shall include but not be limited to, the following: employment, upgrading, demotion Revised and approved 8/4/2010 -9- plete items set forth in the Schedule of Work and may not be used to complete other or extra work desired by the Owner. 11. INSPECTION: The U.S. Government, the City, and their designees shall have the right to inspect all rehabilitation work, and the Contractor will take all steps necessary Revised and approved 8/4/2010 -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the locality setting forth the provisions of this nondiscrimination clause. B. The Contractor will, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex or national origin. C. The Contractor will send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice, to be provided, advising the said labor union or worker's representative of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. D. The contractor will comply with all provisions of Executive Order 11246 of September 24,1965, (or as may be amended) and of the rules, regulations, and relevant orders of the U. S. Secretary of Labor. E. The Contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, (or as may be amended) and by the rules, regulations and orders of the Secretary of Labor and/or the U.S. Secretary of Housing and Urban Development and will permit access to his/her books, records, and accounts by the Secretary of Housing and Urban Development, or his/her designees, and the Secretary of Labor, or his/her designees, for purposes of investigation to ascertain compliance with such rules, regulations, and orders. F. In the event of the Contractor's noncompliance with the nondiscrimination clauses of this Contract, or with any of the said rules, regulations, or orders, this Contract may be cancelled, terminated, or suspended in whole or in part, and the Contractor may be declared ineligible for further Government contracts or Federally-assisted construction. contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965; and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246, or by rules, regulations or orders of the Secretary of Labor, or as otherwise provided by law. G. The Contractor will include the portion of the sentence immediately preceding paragraph (A) and the provisions of paragraphs (A) through (G) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246, so that such provisions will be binding upon each subcontractor or vendor. The Contractor will take such action with respect to any subcontract or Revised and approved 8/4/2010 - 10- Contractor will take all steps necessary Revised and approved 8/4/2010 -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 • purchase order which the property owner or the Secretary of Housing and Urban Development may direct as a means of enforcing such provisions, including sanctions for noncompliance: Provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation by a subcontractor or vendor as a result of such direction by the property owner or the Secretary of Housing and Urban Development, the Contractor may request the United States to enter into such litigation to protect the interest of the Secretary of Housing and Urban Development of the United States. 14. TRAINING, EMPLOYMENT, AND BUSINESS OPPORTUNITIES: The Contractor agrees to abide by the following provisions and to include them in any subcontract into which the Contractor enters in performance of the Contract. A. The work to be performed under this Contract is on a project assisted under a program providing direct Federal financial assistance from the Department of Housing and Urban Development and is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701 u. Section 13 requires that to the greatest extent feasible, opportunities for training and employment be given lower income residents of the project area(s) and contracts for work in connection with the project be awarded to business concerns which are located in, or owned in substantial part by persons residing in the area of the project. B. The parties to this contract will comply with the provisions of said Section 3 and the regulations issued pursuant thereto by the Secretary of Housing and Urban Development as set forth in 24 CFR Part 135, and all applicable rules and orders of the Department issued thereunder prior to the execution of this Contract. The parties to this Contract certify and agree that they are under no contractual or other disability which would prevent them from complying with these requirements. C. The Contractor will send to each labor organization or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, if any, a notice advising the said labor organization or worker's representative of his/her commitments under this Section 3 clause and shall post copies of the notice in conspicuous places available to employees and applicants for employment and/or training. D. The Contractor will include this Section 3 clause in every subcontract for work in connection with the project and will, at the direction of the applicant for, or recipient of, Federal financial assistance take appropriate action pursuant to the subcontract upon a finding that the subcontractor is in violation of regulations issued by the Secretary of Housing and Urban Development, 24 CFR Part 135. The Contractor will not subcontract with any subcontractor where he/she has notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2010 - 11 - -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 subcontractor has first provided him/her with a preliminary statement of ability to comply with the requirements of these regulations. E. Compliance with the provisions of Section 3, the regulations set forth in 24 CFR Part 135, and all applicable rules and orders of the Department issued thereunder prior to the execution of the Contract, shall be a condition of the Federal financial assistance provided to the project, binding upon the applicant or recipient for such assistance, its successors, and assigns. Failure to fulfill these requirements shall subject the applicant or recipient, his/her contractors and subcontractors, all successors, and assigns to those sanctions specified by the grant and/or loan agreement or contract through with Federal assistance is provided, and to such sanctions as are specified by 24 CFR Part 135. 15. MISCELLANEOUS PROVISIONS: The Contractor and Owner agree as follows: A. That the Owner shall permit the Contractor to use, at no cost, existing utilities such as light, heat, power, and water necessary to the carrying out and completion of the work. B. The parties agree that the reference to "days" in this Contract shall mean consecutive calendar days; provided, however, that in the event the last consecutive day of the term shall be on a Sunday or legal holiday, the term shall then terminate on the next regular day. C. The parties agree that materials and equipment that have been removed and replaced as part of the work shall belong to the Contractor unless otherwise specified by the Owner. D. The parties agree that should any dispute arise respecting the percentage of completion, the construction, the meaning of drawings or specifications, or should any dispute respecting the true value of any omitted or improper workmanship or materials, or of any loss sustained by the Owner, and if the manner of estimation is not herein otherwise provided for, the same shall be determined in the following manner: Either party shall notify the other in writing that the dispute be submitted to arbitration. Within ten (10) days after such written notice, each of the parties shall meet with the Director of the Planning Department, or his/her authorized representative, and both parties agree to be bound by the decision reached as a result of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2010 - 12- has notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2010 - 11 - -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 opportunity provisions of local, state, or federal law and abide by the provisions of the attached Section 3 clause. The Contractor further agrees to comply with all requests by the governmental agency for employment records to enforce this position. F. The Contractor agrees to comply with affirmative action requirements mandated • by Executive Order 11246 and the regulations promulgated thereunder; and the civil rights compliance ordinance of the Omaha Municipal Code. SCHEDULE OF WORK CHECKLIST 1. WORK DESCRIPTION: Each item of work and material must be described in sufficient detail to provide a standard against which the completed work may be judged. 2. PRICE: This shall reflect the actual price, including profit and overhead. In no case shall reimbursement to the Contractor exceed the actual amount of the funds available under the loan. 3. Schedule for completing work in accordance with payment schedule which will allow the City and the borrower to monitor actual performance against estimates of what will be necessary to complete the project on time must be provided. Revised and approved 8/4/2010 - 13 - this Contract shall mean consecutive calendar days; provided, however, that in the event the last consecutive day of the term shall be on a Sunday or legal holiday, the term shall then terminate on the next regular day. C. The parties agree that materials and equipment that have been removed and replaced as part of the work shall belong to the Contractor unless otherwise specified by the Owner. D. The parties agree that should any dispute arise respecting the percentage of completion, the construction, the meaning of drawings or specifications, or should any dispute respecting the true value of any omitted or improper workmanship or materials, or of any loss sustained by the Owner, and if the manner of estimation is not herein otherwise provided for, the same shall be determined in the following manner: Either party shall notify the other in writing that the dispute be submitted to arbitration. Within ten (10) days after such written notice, each of the parties shall meet with the Director of the Planning Department, or his/her authorized representative, and both parties agree to be bound by the decision reached as a result of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2010 - 12- has notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2010 - 11 - -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 ADDENDUM #1 • NAME: Cynthia A. Barnett & Charles E. Barnett, Owner's Spouse ADDRESS: 3356 Grand Avenue AREA: Target Area Project CONTRACTOR: Rife Construction, Inc. The Rehabilitation Contract as originally issued, signed by the Contractor on , is hereby amended. The following work in the amount of -$1,294.90 is being deleted from the contractor's original bid of $31,238.90, and an additional $3,289.00 is being added. The new contract amount is $33,233.00. A deduction in the amount of $1,235.00 for the removal of all exterior sidewalks and dirt work from the contract. Also a deduction of $59.90 for dropping the allowance of ceramic tile from $3.00 per square foot to $2.00 per square foot, located with carpentry. This will thus be a total deduction of $1,294.90. Install new furnace for an additional $3,289.00 The foregoing changes to the above mentioned Contract shall have the same force and effect as if such change or changes had been incorporated in the original Contract and this Addendum No. 1 to the Contract will be incorporated in and become a part of the contract documents of the work. The Addendum No. 1 shall in no way be construed as altering the aforementioned Contract; meaning and intent, except as expressly set forth in the above-mentioned items, and all other provisions of the Contract shall remain unchanged and in full force and effect. The undersigned hereby acknowledge and consent to the above changes to the original Reh ilitation Contract. --i/ Contractor Rif Construction, Inc. Date Avakoi, ev,A. 7 I H O -l l Owner: Cynthia A. Barnett Date 2 ( - ) t, f1 Owner: Charles E. Barnett, Owner's Spouse Date /eV4 _ Construction Specialist: Robert ickeral Date any omitted or improper workmanship or materials, or of any loss sustained by the Owner, and if the manner of estimation is not herein otherwise provided for, the same shall be determined in the following manner: Either party shall notify the other in writing that the dispute be submitted to arbitration. Within ten (10) days after such written notice, each of the parties shall meet with the Director of the Planning Department, or his/her authorized representative, and both parties agree to be bound by the decision reached as a result of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2010 - 12- has notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2010 - 11 - -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 • • • O U 0 Q Q w w • vi w w w w. w <4 co Q ,,,,— 1 cp'4' ¢ ,,, 1 , V U r M •Ac 3ct > O O 1� ♦ , T v • .-) O A0 Q () 9) T 0 CU -( g \%C/`- 45 -." 64 c5N, . 1 v coc� — � N" `9 4 \\i Z m *5 .T., 1A 1 )' Iti'(\\ . , m U a. 1' pj Q Ca co w w a� CA F ¢ w v� w Cd W ¢ E� > v1 • Jr-Ti o 8 d U O 1 d r› O z 22 VD 0.4 ✓ 'C(- . Q` 1 a Q . • ,_ . J3- ----"-- CS. ' -41—' *:s.2 . tl- ''''' VN co . c%-_,.- A _N ,.„ U ,--. \- cS` ` _ cn ,6- 7, cn q ., __ c� ~ •m •• ‘bg, iH o� Q W Q ~ Q W d Q • O W Q • ..,, Q 4 $ p q p (1 CQ Q the above changes to the original Reh ilitation Contract. --i/ Contractor Rif Construction, Inc. Date Avakoi, ev,A. 7 I H O -l l Owner: Cynthia A. Barnett Date 2 ( - ) t, f1 Owner: Charles E. Barnett, Owner's Spouse Date /eV4 _ Construction Specialist: Robert ickeral Date any omitted or improper workmanship or materials, or of any loss sustained by the Owner, and if the manner of estimation is not herein otherwise provided for, the same shall be determined in the following manner: Either party shall notify the other in writing that the dispute be submitted to arbitration. Within ten (10) days after such written notice, each of the parties shall meet with the Director of the Planning Department, or his/her authorized representative, and both parties agree to be bound by the decision reached as a result of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2010 - 12- has notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2010 - 11 - -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 • .. . , . . . . . . . .. . . . . . . . . .. , • , . .. - . . • . . , * - . • ' . ,,I-"Ji kt.„.:.„. ‘..4..„,014:7,.-* . ,IfIt . .• s . , • - . 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If you require a more exact property location, you may use the Interactive GIS Maps that are maintained by our office. • • f 3 8/10/2011 2:40 PM $ p q p (1 CQ Q the above changes to the original Reh ilitation Contract. --i/ Contractor Rif Construction, Inc. Date Avakoi, ev,A. 7 I H O -l l Owner: Cynthia A. Barnett Date 2 ( - ) t, f1 Owner: Charles E. Barnett, Owner's Spouse Date /eV4 _ Construction Specialist: Robert ickeral Date any omitted or improper workmanship or materials, or of any loss sustained by the Owner, and if the manner of estimation is not herein otherwise provided for, the same shall be determined in the following manner: Either party shall notify the other in writing that the dispute be submitted to arbitration. Within ten (10) days after such written notice, each of the parties shall meet with the Director of the Planning Department, or his/her authorized representative, and both parties agree to be bound by the decision reached as a result of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2010 - 12- has notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2010 - 11 - -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 • • City of Omaha Planning Department Housing and Community Development Division Tier II CEST Statutory Checklist (2011-096) For Rehabilitation Programs Tier I CEST Statutory Checklist (2011-002) Project Name: None Project Address: 3356 Grand Avenue Project Activity: New sidewalks, new windows, a new bathroom, and a new kitchen Program: Target Area Program The Tier I CEST Statutory Checklist requires a Tier II Statutory Checklist the following Impact Categories: • Contamination and Toxic Substances • Explosive and Flammable Operations • Floodplain Management • Historic Preservation • Noise Control • • Floodplain Insurance The following table presents the Tier II determinations for these categories. An A in the Status box indicates there are no compliance issues associated with this project and the project may proceed without further consultation. A B in the Status box indicates there additional steps are required to address this issue (e.g., removal of hazardous materials). An Environmental Conditions Form must be completed at the end of the project. Impact Status Categories A or B Source Documentation Lead Lead-based paint hazards may be present. Because of the cost of Contamination rehabilitation is over $25,000, all lead hazards will be abated. and Toxic A The property is located within the boundary of the Omaha Lead Substances Superfund Site, according to the EPA (1). The yard was tested for high lead levels in 2004 but was not eligible for site clean up. Radon -l l Owner: Cynthia A. Barnett Date 2 ( - ) t, f1 Owner: Charles E. Barnett, Owner's Spouse Date /eV4 _ Construction Specialist: Robert ickeral Date any omitted or improper workmanship or materials, or of any loss sustained by the Owner, and if the manner of estimation is not herein otherwise provided for, the same shall be determined in the following manner: Either party shall notify the other in writing that the dispute be submitted to arbitration. Within ten (10) days after such written notice, each of the parties shall meet with the Director of the Planning Department, or his/her authorized representative, and both parties agree to be bound by the decision reached as a result of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2010 - 12- has notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2010 - 11 - -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 • The City's radon policy states that radon levels will be tested if the assisted cost of rehabilitation meets or exceeds fifty percent of the assessed value of the property, and if radon levels exceed 4 picoCuries per Liter, an active radon remediation system will be installed. According to the Douglas County Assessor's website, the assessed value of this property is $36,100 (2). The cost of rehabilitation is approximately $30,000. Radon testing is required. Other Contaminants A review of an aerial photograph (3) did not identify additional contamination sources or toxic substances at or near the project site. References (1) EPA Omaha.Lead Superfund Site status spreadsheet, provided to the City of Omaha in July 2011, not.attached. (2) Douglas County Assessor's website, http://www.dcassessor.org/index.php, accessed 16- August-2011, not attached. (3)City of Omaha GIS Records, accessed 16-August-2011, see map. A review of an aerial photograph (1) did not identify any explosive Explosives or flammable operations at or near the project site. and A References Flammable Operations (1)City of Omaha GIS Records, accessed 16-August-2011, see map. According to the City of Omaha's GIS records (1), the property is not located within a floodplain. The City's GIS records include FEMA's flood plain maps and Letters of Map Correction and Floodplain A Letters of Map Amendments. Management References (1)City of Omaha GIS Records, accessed 16-August-2011, see map. The project site is not historic, according to the City of Omaha Planning Department, Housing and Community Development Historic A Division's Historic Preservation Officer (1). Preservation References (1)Section 106 Review form for 3356 Grand Avenue, 15- August-2011, attached. party shall notify the other in writing that the dispute be submitted to arbitration. Within ten (10) days after such written notice, each of the parties shall meet with the Director of the Planning Department, or his/her authorized representative, and both parties agree to be bound by the decision reached as a result of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2010 - 12- has notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2010 - 11 - -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 Noise sources near the project site includes one road; Sorensen Parkway. The HUD Site DNL Calculator (1) was used to calculate the noise level at the project site using the following information. According to the Metropolitan Area Planning Association ("MAPA") (2), Sorensen Parkway receives approximately 29,000 vehicle trips per day. MAPA approximates that 2% of all traffic is due to heavy trucks. They do not have an estimate for medium truck traffic. Other factors required by the Site DNL Calculator include the road gradient, distance from the project site, and speed limit. According to the City of Omaha's GIS records (3); • Sorensen Parkway is approximately 340 feet from the home, has a speed limit of 40 miles per hour, and a 1% gradient. There are no loud or impulsive noise sources in the area (3). There are no railroad tracks within 3,000 feet (3). There is an airport within 15 miles of the project site, but no noise level data (3). Intervening structures between the noise sources and the project site are not accounted for in the calculation. Noise Control A Based upon this information, the calculated Site DNL is 62 decibels, which is within HUD's Acceptable noise level range and therefore additional noise mitigation is not required. HUD further requires that a 10-year noise level projection for the project site. It is unlikely that any of the parameters presented above will change except for traffic volume. MAPA predicts an 18% population increase over the next 30 years (4). From this it was concluded that a 6% volume increase will occur over the next 10 years. Using the modified traffic volumes in the Site DNL calculator generates a Site DNL of 62 decibels. This is also within HUD's Acceptable noise level range. Resources (1) HUD Site DNL Calculator, http://www.hud.gov/offices/cpd/environment/dnlcalculatort ool.cfm, accessed 16-August-2011, not attached. (2) MAPA 2008 Traffic Flow Map, http://www.mapacog.org/images/stories/2008_traffic_flow _map.pdf, accessed 16-August-2011, not attached. (3)City of Omaha GIS Records, accessed 16-August-2011, not attached. t of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2010 - 12- has notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2010 - 11 - -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 • (4) MAPA 2030 Long Range Transportation Plan, May 2006, http://www.mapacog.org/2030Irtp.pdf, Accessed 28- October-2009. Flood Disaster The project site is not located in a flood plain, see Floodplain Protection Act A Management, above. A project-specific Tier II environmental review has been performed at the above location in compliance with HUD environmental review regulations (24 CFR Part 58) and related laws, authorities and requirements. The review has been performed prior to the commitment of HUD or non-HUD funds, as required by §58.22(a) and (c). This review shall be retained as a component of the City's Environmental Review Record (ERR). Consult the Tier I CEST Statutory Checklist identified above for information regarding compliance with other laws and authorities for this HUD-assisted project or program. Prepared.by: ��%'�2/ h.J/7 Date: /6-/ � --2-0j/ Approved by: Date: q4/ft May 2009 There is an airport within 15 miles of the project site, but no noise level data (3). Intervening structures between the noise sources and the project site are not accounted for in the calculation. Noise Control A Based upon this information, the calculated Site DNL is 62 decibels, which is within HUD's Acceptable noise level range and therefore additional noise mitigation is not required. HUD further requires that a 10-year noise level projection for the project site. It is unlikely that any of the parameters presented above will change except for traffic volume. MAPA predicts an 18% population increase over the next 30 years (4). From this it was concluded that a 6% volume increase will occur over the next 10 years. Using the modified traffic volumes in the Site DNL calculator generates a Site DNL of 62 decibels. This is also within HUD's Acceptable noise level range. Resources (1) HUD Site DNL Calculator, http://www.hud.gov/offices/cpd/environment/dnlcalculatort ool.cfm, accessed 16-August-2011, not attached. (2) MAPA 2008 Traffic Flow Map, http://www.mapacog.org/images/stories/2008_traffic_flow _map.pdf, accessed 16-August-2011, not attached. (3)City of Omaha GIS Records, accessed 16-August-2011, not attached. t of this meeting. If a finding of a formal dispute resolution finds that the Contractor must be paid, and if the Owner refuses to give his or her approval, the City must authorize the disbursement and process for payment without the Owner's signature, noting the reasons for doing so on the pay request and in the rehabilitation file. E. As governmental funds are being used, the Contractor agrees that he/she and his/her subcontractors will obey all civil rights and equal employment Revised and approved 8/4/2010 - 12- has notice or knowledge that the latter has been found in violations of regulations under 24 CFR Part 135, and will not let any subcontract unless the Revised and approved 8/4/2010 - 11 - -8- 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. Revised and approved 8/4/2010 -3 - ve each adult member of the household applying for a benefit under this agreement execute a United States Citizenship Attestation Form for Public Benefit (Exhibit"A")verifying eligibility status for the purposes of receiving a public benefit. -3- Revised and approved 7/16/2010 Management Reform Act of 1994 (31 U.S.C. 3515) . The Federal agency shall notify the recipient and, if known, the auditor at least 180 days prior to the 29 and pass-through entities to arrive at a management decision. The following specific information shall be 27 Health is a major subdivision in the Department of Health and Human Services. 16 o be materially incomplete or inaccurate. The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 •- -'''. , „..7,-4.1-cow:-..tr,,,,t-41,0,71,:f'• "i",4P-.4,„*.'.... -ze".-4 4.,,t - .,-c-.-- -....• -ii.-.4-.4.NtrA-1, --....v.:!.V..4.-'47,ii:4").,: :','1...Y-5,''•.- ?:-gt,i,:: ' - ; . 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I . ‘-- --1...., . . , . 14P,,--'s • . - • '''...... ........4 ,.: ...: . ,-. t, i.- .. .. t..... ,,, ....i..... r 3356 Grand Avenue Target Area Program Legend N 3356 Grand Avenue Streets 0 50 1 0 0 20 0 30 0 MIMI .1 // Zoning-100-Year Flood Feet 1 z • 1,0 Tor, , D North NRS ouglas - inrai ° 11 Omaha 1111,1-T-I" 14 -1). i 4- FIB Nag . JIM It South NRSA milJ a I_ DATE A ® CERTIFICATE OF LIABILITY INSURANCE 6/9/2011DmvY) 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES . BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to . the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: The Harry A. Koch Co. (a/c NNo.Ext):402-861-7000 FAX No): P.O. Box 45279 E-MAIL Omaha NE 68145-0279 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Nationwide Mutual Insurance Company 23787 INSURED INSURER B:AMCO Insurance Company 19100 Rife Construction Inc INSURERC: 4515 Military Ave INSURERD: Omaha NE 68104 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1765943935 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS . CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) B GENERAL LIABILITY GLA07214454147 6/1/2011 5/1/2012 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY', PREMISES(Ea occurrence) $300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 Housing and Community Development Division City of Omaha Planning Department Contractor Eligibility Form Project Name: Target Area Project Owner: Cynthia A. & Charles E. Barnett Project Address: 3356 Grand Avenue Contractor: Rife Construction Based on the review of the current"List of Parties Excluded from Federal Procurement and Nonprocurement Programs" a government publication. X Contractor is eligible Contractor is not eligible Wij Construct' n ec' ist Date 7 / l� Development Section ark 11 Date �YES � , t I, , ?a ' Ho OFPORTUNNITII YY Revised 5/1/08 OPPO • at 444-5530. • 3 Reviewed and approved 3/28/2011 letter ��ry1 Excluded Parties List System Page 1 of 1 ILT)JJ � ' • • Excluded:Parties.List System �La?N� Is�t. . ! _ � 1 • r� • �v �� .�.� A •_�- Search-Current Exclusions EPLS Search Resources Results >Advanced Search �� >Search Help >Multiple Names Search Results for Parties >Advanced Search Tips >Exact Name and SSN/TIN Excluded by >Public User's Manual >MyEPLS Firm,Entity,or Vessel:Rife Construction >FAQ >Recent Updates As of 13-Sep-2011 9:07 AM EDT >Acronyms >Browse All Records Save to MyEPLS >Privacy Act Provisions >News View Cause and Treatment Code System for Award Management Descriptions Your search returned no results. >(SAM) >Reciprocal Codes Back New Search Printer-Friendly Reports >Procurement Codes >Nonprocurement Codes >Advanced Reports >Recent Updates Agency&Acronym Information >Dashboard >Agency Contacts Archive Search-Past Exclusions >Agency Descriptions >State/Country Code Descriptions >Advanced Archive Search >Multiple Names OFFICIAL GOVERNMENT USE ONLY >Recent Updates >Browse All Records >Debar Maintenance >Administration Contact Information >Upload Login >For Help:Federal Service Desk https://www.epls.gov/epls/search.do 9/13/2011 ITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS . CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) B GENERAL LIABILITY GLA07214454147 6/1/2011 5/1/2012 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY', PREMISES(Ea occurrence) $300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 y { ' 2 ; y{ tRF'r { �, r• c 1E x y r f i ;t I t kF y 1 t/ :1'� ' ma•} 1 ^. , tit f Y Ill ••� I P j elf i 1 L L lit 1 1 , i- t ll itftair y 1 WM 1;I ' , 41 _ •., �! , y 1.. I\11 lam".• j. - A "� . •ii , j a 0 L .rT' S ��yy,�,, a il 41 __. - _.s_�.-.- ,' Sii � a r 11su� L ... c. . � �''�. '!'a •; .. 11 • -- •� �. �. - a F TC.�'.' 1 N ty,� .-. lSt l , -[[ , or ,110, ,, Itt . ..- rt. \ , 1 .; ,. , -,... 74/ 4y. ^��` a a ,' j4 >Multiple Names OFFICIAL GOVERNMENT USE ONLY >Recent Updates >Browse All Records >Debar Maintenance >Administration Contact Information >Upload Login >For Help:Federal Service Desk https://www.epls.gov/epls/search.do 9/13/2011 ITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS . CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) B GENERAL LIABILITY GLA07214454147 6/1/2011 5/1/2012 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY', PREMISES(Ea occurrence) $300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 0 Y. Zt sS �. �� 1ti , , 411 � ( y \ , '' , ' J r \1' ' — �. '� - I t�. 1 r i _ r " 1 k r Z.. %, to i , . . ,,,,,,,,,,r. -je. i t ,IA , - ' '5-J-'' ••• .t } t 9 fr t, 1 " 1 _ ',*AI- 'IS -V S f:..t4 '''' g.... ' 0 ' 11,v, f _ , ,. , _ ._, ,6,,e, L,„,:::......,..„......_ �: F � ir$•1'• �lyl, "' �� ! • Gam.... ,.. "^' lam, µ � r .r�,� ilk \ 'f_ ,,,sf .Ir - C" flitil ;A-, w 7.ay.s��r' t R r '+•mow.. �yes .cm .LentillMilnellrtair,. _-._,,, r , __ ...,,, . ... . i: _. __ lc. ,...., .. ..,,, L.., , r .._,1 iisik, 1 A ......-.., .,, m LI tie` s O°@ r. j , ::Y / i ' ,,, }r ,,,t_Lki .__ ' ..?' - . /1.,,, \ , r AN r. e A - " t?tit s. / - '- + '4 't - - 4I.. "'r. 1 .r V RESPECT TO WHICH THIS . CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) B GENERAL LIABILITY GLA07214454147 6/1/2011 5/1/2012 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY', PREMISES(Ea occurrence) $300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 °F°"`H'�^�g� Planning Department :�` -, / o�.� i % Omaha/Douglas Civic Center • n l i 1819 Farnam Street,Suite 1100 z �Y r Omaha,Nebraska 68183 o �r. ;..+ _ (402)444-5150 o,Q, �i 4A Telefax(402)444-6140 TEDFEB �r R.E.Cunningham,RA,F.SAME City of Omaha Director 1 Jim Suttle,Mayor August 19, 2011 Charles & Cynthia Barnett Omaha,NE 68111 RE: 3356 Grand Ave. • Dear Mr. & Mrs. Barnett: Pursuant to your application for the Target Area Program, a courtesy inspection'of the above-referenced property was completed on August 5, 2011. The following violations of the Omaha Municipal Code, Chapter 48 Property Maintenance Code, Section 48-111, were noted and are hereby brought to your attention: EXTERIOR Section 1) 302.3: Sidewalks and Driveways: Replace public sidewalk and sidewalk to house. 2) 304.7: Roofs and Drainage: Install new gutters at rear of house. 3) 304.13: Windows: Replace existing, with new or repaint and glaze. ' INTERIOR Section 1) 305.3: Interior Surfaces: Replace kitchen and bathroom drywall and floors. 2) 504.1: Plumbing: Replace bathroom and kitchen fixtures. 3) 506.2: Sanitary Drainage System: Replace all loose and falling sewer drain lines. This does not necessarily recognize all violations. If you have any questions, please call me at 444-1602. Sincer y, k obert F. Pickeral Construction Specialist C: Cheryl 4I.. "'r. 1 .r V RESPECT TO WHICH THIS . CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) B GENERAL LIABILITY GLA07214454147 6/1/2011 5/1/2012 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY', PREMISES(Ea occurrence) $300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 AFFIDAVIT FOR EMPLOYEE CLASSIFICATION ACT STATE OF NEBRASKA ) ) § COUNTY OF DOUGLAS ) • I, Cindy Johnson, being first duly sworn under oath,state and depose as follows: 1. 1 am competent to testify to,and have personal knowledge of,the matters stated in this affidavit. 2. I am (a contractor)(the authorized agent of the contractor Rife Construction, Inc.). I attest to the following: (a) each individual performing services for such contractor is properly classified under the Nebraska • Employee Classification Act, 2010 LB 563 ("the Act"), (b)such contractor has completed a federal I-9 immigration form and has such form on file for each employee performing services, (c) such contractor has complied with Neb. Rev. Stat. section 4-1 14 (federal immigration verification system), (d) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (e) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. FURTHER AFFIANT SAYETH NAUGHT. d%4*(-11PAffiant SUBSCRIBED AND SWORN TO before me this Z'y of September,2011. ry Public GENERAL.NOTARY-State of Nebraska JOYCE M.STEVENS My Comm.Exp.July29,2014 OPPORTUNITY Approved 6/1/10 all violations. If you have any questions, please call me at 444-1602. Sincer y, k obert F. Pickeral Construction Specialist C: Cheryl 4I.. "'r. 1 .r V RESPECT TO WHICH THIS . CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) B GENERAL LIABILITY GLA07214454147 6/1/2011 5/1/2012 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY', PREMISES(Ea occurrence) $300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 AFFIDAVIT FOR EMPLOYEE CLASSIFICATION ACT STATE OF NEBRASKA ) ) § COUNTY OF DOUGLAS ) I,Cindy Johnson,being first duly sworn under oath,state and depose as follows: 1. I am competent to testify to,and have personal knowledge of, the matters stated in this affidavit. 2. I am (a contractor)(the authorized agent of the contractor Rife Construction, Inc.). I attest to the following: (a) each individual performing services for such contractor is properly classified under the Nebraska Employee Classification Act,2010 LB 563 ("the Act"), (b)such contractor has completed a federal 1-9 immigration form and has such form on file for each employee performing services, (c) such contractor has complied with Neb. Rev. Stat. section 4-114 (federal immigration verification system), (d) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (e) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. FURTHER AFFIANT SAYETH NAUGHT. C-44:6111CAffian ww�A SUBSCRIBED AND SWORN TO before me this aa^ iay of September,2011. ytiv� Public GENERAL.NOTARY-State of Nebraska JOYCE M.STEVENS My Comm.Exp.July 29,2014 eaua.HOUSING Approved 6/1/10 OPPORTUNITY If you have any questions, please call me at 444-1602. Sincer y, k obert F. Pickeral Construction Specialist C: Cheryl 4I.. "'r. 1 .r V RESPECT TO WHICH THIS . CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) B GENERAL LIABILITY GLA07214454147 6/1/2011 5/1/2012 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY', PREMISES(Ea occurrence) $300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 AFFIDAVIT FOR EMPLOYEE CLASSIFICATION ACT STATE OF NEBRASKA ) ) § COUNTY OF DOUGLAS ) I,Cindy Johnson,being first duly sworn under oath,state and depose as follows: 1. I am competent to testify to, and have personal knowledge of,the matters stated in this affidavit. 2. I am(a contractor)(the authorized agent of the contractor Rife Construction, Inc.). I attest to the following: (a) each individual performing services for such contractor is properly classified under the Nebraska • Employee Classification Act, 2010 LB 563 ("the Act"), (b) such contractor has completed a federal 1-9 immigration form and has such form on file for each employee performing services, (c) such contractor has complied with Neb. Rev. Stat. section 4-114 (federal immigration verification system), (d) such contractor has no reasonable basis to believe that any individual performing services for such contractor is an undocumented worker, and (e) as of the time of the contract, such contractor is not barred from contracting with the state or any political subdivision pursuant to the Act. FURTHER AFFIANT SAYETH NAUGHT. Affiant SUBSCRIBED AND SWORN TO before me this lay of September,2011. t Public GENERAL NOTARY-State of Nebraska JOYCE M.STEVENS My Comm.Exp.July 29,2014 A OPPORTUl HOUSING • Approved 6/1/10 RTUNITY If you have any questions, please call me at 444-1602. Sincer y, k obert F. Pickeral Construction Specialist C: Cheryl 4I.. "'r. 1 .r V RESPECT TO WHICH THIS . CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) B GENERAL LIABILITY GLA07214454147 6/1/2011 5/1/2012 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY', PREMISES(Ea occurrence) $300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 LEAD SAFE HOUSING RULE-APPLICABILITY FORM Address/location of property: 3356 Grand Ave. Activity: remodel Regulation Eligibility Statements (check all that apply): _X Property is receiving Federal Funds. _X_Unit was built prior to 1978. Note: If both Eligibility Statements above have been checked, continue with the Exemption Statements below. If not, the regulation does not apply. Sign and date the form. Regulation Exemption Statements [24 CFT 35.115] (check all that apply): Emergency repairs to the property are being performed to safeguard against imminent danger to human life, health or safety, or to protect the property from further structural damage due to natural disaster, fire or structural collapse. The exemption applies only to repairs necessary to respond to the emergency. The property will not be used for human residential habitation. This does not apply to common areas such as hallways and stairways of residential and mixed use properties. Housing "exclusively" for the elderly or persons with disabilities, with the provision that children less than six years of age will not reside in the dwelling unit. An inspection performed according to HUD standards found the property contained no lead-based paint. _According to documented methodologies, lead-based paint has been identified and removed; and the property has achieved clearance. The rehabilitation will not disturb any painted surface. The property has no bedrooms. _The property is currently vacant and will remain vacant until demolition. If any of the above Exemption Statements have been checked, the Regulation does not apply. On this basis, sign and date the form. I attest that the information above is true and accurate to the best of my knowle e. Construction Specialist Date Development S i anager Date .LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) B GENERAL LIABILITY GLA07214454147 6/1/2011 5/1/2012 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY', PREMISES(Ea occurrence) $300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 �A�`i r, �,s, Planning Department u�`,�� Omaha/Douglas Civic Center Mititt!'►�R, Target Area Program 1819 Farnam Street,Suite 1100 z th'�� _'k� Omaha,Nebraska 68183 ooy'•' `- "° (402)444 5150ry 3356 Grand Ave. Telefax(402)444-6140�1TfO FEBW Charles and Cynthia Barnett R.E. Cunningham,RA,F.SAME City of Omaha Director Jim Suttle,Mayor 504-1340 Inspector: Bob Pickeral 444-1602 The Contract bid documents consist of the following sections: • General Responsibilities for the Contractor and Occupant. • Lead Hazard Control Plan, Lead Hazard Reduction Work. • Non Lead Work. The Contractor Shall: • Comply with HUD's "Guidelines for the Evaluation and Control of Lead- Based Paint Hazards in Housing". (Copies are available at the Planning Department.) • Comply with standards called for in the "Construction and Rehabilitation Specifications, Housing and Community Development Division, City of Omaha, Nebraska". (Copies are available at the Planning Department.) • Comply with the State of Nebraska of Nebraska Health and Human Services Regulation and Licensure, Title 178 Chapter 23 Lead Base paint regulations. • Coordinate daily construction schedule with the occupant. • Submit information cut sheets for all substitutions or approved equals prior to written approval of the Rehabilitation Inspector. • Move all furniture and appliances necessary to do required work. Large furniture left in containment areas may be wrapped with plastic, seal all joints. • Repair or replace all items damaged or disturbed during construction. • At all times keep the site of work and surrounding area free from accumulations of waste materials or rubbish caused by the work. • Upon daily completion of work clean up all rubbish, excess material, equipment, and etc., that is connected with the work, and leave all parts of the work areas in a neat, sanitary, lead safe and presentable condition. • Complete this project within 90 calendar days from the proceed order. • Provide one dumpster at start of job for homeowner to clean, allowing contractor better access to construction areas. LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 The Occupant Shall: • Remove, store away and reinstall all effected window coverings. • Remove and store away pictures, lamps, knick-knacks, valuables, etc out of the work areas. • Provide a clean, uncluttered dwelling to work in. • Allow Final Clearance testing upon substantial completion of work as determined by the Rehab Inspector. • Ensure that all household members stay at least ten feet away from all work areas and also keep all pets at least ten feet away at all times until the work has been completed and the area has passed a clearance test. Lead Work Exterior 1- Scrape, prepare, prime all previously painted surfaces of the porches,to include the, trim, porch floors, walls, and ceilings. All work must be done using Lead Safe work practices. 2- Install 2x6 fascia on all roof edge where not already installed. Cut back rafter tails as necessary. Paint all new fascias to match existing color. 3- Remove existing steps in rear of house and replace with new. 4- Remove and replace broken glass on porch windows. Use lead safe procedures in removing glass. Glaze all porch windows as needed, and then paint. Interior 1- Remove and dispose of all window units and storm windows. Replace with approved double hung, Low E, insulated glass, argon filled, vinyl replacement units white in color. Fifteen (15) units total including porch windows. Windows to have full screens. Bathroom glass to be opaque. All windows to be Energy Star. 2- Scrape, prime and paint two coats approved paint on all interior window trim. 3- Scrape, prime and paint two coats approved paint on all basement windows. 4- Strip friction and impact surfaces of the painted door systems using lead safe practices. Repair all painted doors to function properly. Paint the entire door systems to match existing colors. 5- Clean all horizontal surfaces using a Hepa-Vac to achieve clearance. Approved Window Manufacturers Simonton Prism Ultra Gold, Stanley Pro-Fit, Winnova CVD-200, Kensington 3910/3510/ 4510, Ellison Series 1300/1500/1600, Silverton 8500/9500, Pella ThermaStar, Gerkin Series 4800. owner to clean, allowing contractor better access to construction areas. LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 • Non Lead Work Exterior 1- New Sidewalk a- Remove and dispose of all concrete and debris from existing sidewalk locations. b- Install a new 4"public and front house sidewalks to match existing. Front walk should be 3' wide. Cost to include any steps needed. c- Work to include all dirt work and any fill or cut costs. d- Backfill up to walks. e- Seed and straw all new fill. 5- Misc. a- Close in basement door in rear of house with block and fill in depressed area. b- Replace all gutters with new, including downspouts. Add any downspouts needed to allow for water to eliminate efficiently. c- Re-build rear steps to code, using AC2 lumber. d- Tuck point foundation as needed. Seed all affected areas and cover with straw. Interior 1- Electrical a- Install a new exhaust fan with light in the bathroom, including switch. b- Install GFI in bathroom and kitchen per code. c- Install a new vanity light and switch in bathroom. d- Install new exhaust hood in kitchen..Wire hood. e- Install new main kitchen light as well as sink light. f- Install dedicated outlet for refrigerator, located where refrigerator is moved. g- Install outlet for stove where it relocates. Note: Lighting allowance for every fixture except exhaust fans to be $175.00 2- HVAC a- Service existing furnace. b- Hook up dryer to a new vent installed to the outside of the house. 3- Plumbing a- Install new main stack and all new drain lines as well as any vents that are needed. Remove all existing stacks, drains, and vents above basement floor. b- Install new plumbing lines throughout. Remove all existing plumbing lines. Install all new shut offs, including main. c- Install new floor drain. Snake drain to street. to function properly. Paint the entire door systems to match existing colors. 5- Clean all horizontal surfaces using a Hepa-Vac to achieve clearance. Approved Window Manufacturers Simonton Prism Ultra Gold, Stanley Pro-Fit, Winnova CVD-200, Kensington 3910/3510/ 4510, Ellison Series 1300/1500/1600, Silverton 8500/9500, Pella ThermaStar, Gerkin Series 4800. owner to clean, allowing contractor better access to construction areas. LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 d- Install new fiberglass 4' shower floor pan in bathroom. e- Install new shower faucet, pedestal sink with faucet, and toilet in bathroom. f- Install new kitchen stainless steel sink and faucet. g- Install new line if needed for refrigerator ice maker. h- Service hot water heater. i- Move gas line as needed for any relocation of kitchen stove. Note: Allowance for plumbing fixtures other that fiberglass tub and shower floor to be $1,000.00. 4- Miscellaneous a- Repair/tighten handrail in basement stairway.as per code. Remove existing stairway and install new, including AC2 stringers. b- Install new underlayment and vinyl floor in bathroom and kitchen. Remove existing floor and underlayment before installing new. c- Replace drywall and paint bathroom, including ceiling. Repair drywall in kitchen, replacing any drywall too damaged to keep. Repaint kitchen, including trim and shelving. d- Remove and replace cabinetry in kitchen. New cabinetry to be Schrock or equal. Install new laminate countertop with no drip edge or equal. e- Repair drywall and repaint living room and bedroom. f- Repair any broken or rotted floor joists, especially in bathroom and kitchen. Replace sub-floor as needed. g- Clean water off basement floor. Sanitize floor as needed. h- Repair all broken concrete shelf wall in basement. Remove vegetation. i- Paint all window and door trims. j- Install new medicine cabinet in bathroom. k- Install new bathroom accessories, including toilet paper holder, towel bar, towel ring, and shower curtain rod. 1- Install ceramic tile around shower to ceiling. All backer shall be concrete board or equal. Ceramic to wrap around window. m- Install new handles on all cabinetry, as well as new door knobs and door stops. Note: 1. Kitchen to include pantry and mud room. 2. All vinyl flooring allowance to be $16.00 per sq. yd. 3. Kitchen cabinet allowance to be $1,600.00, including handles,(installed by contractor). 4. Countertops to be standard laminate costs. 5. Homeowner to pick paint colors. No more than two colors allowed. 6. Any door handles other than standard bell handle will be an up charge to the homeowner. 7. Medicine cabinet allowance to be$120.00. 8. Ceramic tile allowance to be$3.00 per sf. allowing contractor better access to construction areas. LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 eU/cAjC14/ aAAWbt F-f91-1/ Pro erty Owner Date Je, 112-(AN_M Property Owner Date ibility Form Project Name: Target Area Project Owner: Cynthia A. & Charles E. Barnett Project Address: 3356 Grand Avenue Contractor: Rife Construction Based on the review of the current"List of Parties Excluded from Federal Procurement and Nonprocurement Programs" a government publication. X Contractor is eligible Contractor is not eligible Wij Construct' n ec' ist Date 7 / l� Development Section ark 11 Date �YES � , t I, , ?a ' Ho OFPORTUNNITII YY Revised 5/1/08 OPPO • at 444-5530. • 3 Reviewed and approved 3/28/2011 letter ��ry1 . City of Omaha, Housing and Community Development Division COST ESTIMATE & CERTIFICATION: Target Area ® Exterior Project ❑ Special Needs ❑ Barrier Removal ❑ Redevelopment Area: Address: 3356 Grand Ave. Owner(s): Cynthia A. Barnett & Charles E. Barnett The estimated cost for the above project is as follows: Preliminary Revised Date of Cost Estimate 8/9/2011 General Construction Cost $" 19,310.00 Electrical Cost $ 1,220.00 Plumbing Cost $ 5,850.00 HVAC $ 500.00 Overhead/Profit/ NE. Contractor Tax(15%) $ 4,031.00 Lead Liability Fee Total Construction Cost Estimate $ 30,911.00 The source for the estimate data is the current addition of Repair & Remodeling Cost Data by R. S. Means, recent competitive bid pricing for similar work and product and material research. The Rehabilitation Division has reviewed the project cost estimate, work write-up or plans and specifications. In our opinion the project cost estimate is accurate. This estimate is for the use of the City of Omaha, Housing and Community Development Division, Rehabilitation Section only. The actual cost may vary. Signed, Construction Specialist / Date / 9/Ii Z-V21/ Initial Inspection Date: _8/5/11 Work Write-up Date: _8/17/11 Approved, Development Section Mgr. y ', Date OH C: Cheryl File Rev. 8/29/08 ine cabinet in bathroom. k- Install new bathroom accessories, including toilet paper holder, towel bar, towel ring, and shower curtain rod. 1- Install ceramic tile around shower to ceiling. All backer shall be concrete board or equal. Ceramic to wrap around window. m- Install new handles on all cabinetry, as well as new door knobs and door stops. Note: 1. Kitchen to include pantry and mud room. 2. All vinyl flooring allowance to be $16.00 per sq. yd. 3. Kitchen cabinet allowance to be $1,600.00, including handles,(installed by contractor). 4. Countertops to be standard laminate costs. 5. Homeowner to pick paint colors. No more than two colors allowed. 6. Any door handles other than standard bell handle will be an up charge to the homeowner. 7. Medicine cabinet allowance to be$120.00. 8. Ceramic tile allowance to be$3.00 per sf. allowing contractor better access to construction areas. LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 City of Omaha, Housing and Community Development Division BID EVALUATION FORM Project Owner : Cynthia A. & Charles E. Barnett Project Address: 3356 Grand Ave. Target Area Project_X Exterior Project Special Needs Barrier Removal Funding Source: Block Grant_X Home Other Contractor Planning Dept. Comments General Conditions: $989.90 Demolition: $1,000.00 Site: Concrete: $1,235.00 $1,500.00 (remove all concrete-delete $1,235.00) Masonry: $1,000.00 Railings: $500.00 Carpentry: $1,500.00 $4,338.00 (reduce cost of ceramic tile to $2.00 per sqft) Cabinets, Counter Tops: $3,200.00 $2,300.00 subtract $59.90) Roofing, Gutters: $552.00 Insulation: Siding: Doors: Windows: $6,675.00 $6,360.00 Repair & Gyp. Board: $1,000.00 $1,201.00 Interior Paint: $500.00 $1,997.00 Exterior Paint: $500.00 Carpet: Sheet Vinyl: $1,000.00 $1,062.00 Special I Lead: $1,400.00 Plumbing: $5,900.00 $5,850.00 HVAC: $775.00 $500.00 (addition of a new furnace-add $3289.00) Electrical: $1,225.00 $1,220.00 Bond. Overhead & Profit: $2,839.00 $4,031.00 TOTAL: $31,238.90 $30,911.00 revised bid = $33,233.00 The undersigned has evaluated the bids and proposed construction costs and hereby certifies that the costs are reasonable. Construction Specialist: Date:!' /7✓ Development Section Manager: Date: M fi7 cl 6-7-00 all new bathroom accessories, including toilet paper holder, towel bar, towel ring, and shower curtain rod. 1- Install ceramic tile around shower to ceiling. All backer shall be concrete board or equal. Ceramic to wrap around window. m- Install new handles on all cabinetry, as well as new door knobs and door stops. Note: 1. Kitchen to include pantry and mud room. 2. All vinyl flooring allowance to be $16.00 per sq. yd. 3. Kitchen cabinet allowance to be $1,600.00, including handles,(installed by contractor). 4. Countertops to be standard laminate costs. 5. Homeowner to pick paint colors. No more than two colors allowed. 6. Any door handles other than standard bell handle will be an up charge to the homeowner. 7. Medicine cabinet allowance to be$120.00. 8. Ceramic tile allowance to be$3.00 per sf. allowing contractor better access to construction areas. LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 Housing and Community Development Division City of Omaha Planning Department Cost Certification Form Project Name: Target Area Project Owner: Cynthia A. & Charles E. Barnett Project Address: 3356 Grand Ave. Certified amount: $33,233.00 • The Rehabilitation Division has reviewed the project cost estimate, work write-up or plans, specifications, & proposal. In our opinion the project cost proposed is reasonable given the type of work that is to be completed. (See attached) Construction Specialist: — Date: (O % Development Section Manager: _ ______ Date: ° `9Gl Date �YES � , t I, , ?a ' Ho OFPORTUNNITII YY Revised 5/1/08 OPPO • at 444-5530. • 3 Reviewed and approved 3/28/2011 letter ��ry1 HOMEOWNER'S ACCEPTANCE FORM I have reviewed all of the bids submitted for the rehabilitation of my property located at : 3356 Grand Ave. My contractor of choice is: Rife Construction Owner's Signature or Personal Representative: cwitot2.6 err _ _ 1 -e/(--er Date: �.- le �' cc: Cheryl File proposed is reasonable given the type of work that is to be completed. (See attached) Construction Specialist: — Date: (O % Development Section Manager: _ ______ Date: ° `9Gl Date �YES � , t I, , ?a ' Ho OFPORTUNNITII YY Revised 5/1/08 OPPO • at 444-5530. • 3 Reviewed and approved 3/28/2011 letter ��ry1 BHA, &�oF°°'.0 ,p, Planning Department • (, , Omaha/Douglas Civic Center • -4. ;;;raK k, SECTION 106 REVIEW 1819 Farnam Street,Suite 1100 '6M`1 ^ a ` - Omaha,Nebraska 68183 z y. o", e:• '- (402)444-5150 Aoe .sry Telefax(402)444-6140 �-ii F':t P" RTY OWNER: Cynthia Barnett R.E. Cunningham,RA,F.SAME City of Omaha Director Jim s0R WARTY ADDRESS: 3356 Grand Ave. TURN-AROUND DATE: 8/18/11 DATE BUILT: _1914 EST. REHAB COST (if applicable):$30,000. ASSESSED VALUE: $36,100. DESCRIPTION OF PROPOSED UNDERTAKING: • sidewalks windows • bathroom kitchen • Submitted By: Bob Pickeral Program: TAP Not a Historic Structure Historic Structure ❑ Exempt Activi ' / �J ;;- Don Seten Date . HCD Preservation Officer a new furnace-add $3289.00) Electrical: $1,225.00 $1,220.00 Bond. Overhead & Profit: $2,839.00 $4,031.00 TOTAL: $31,238.90 $30,911.00 revised bid = $33,233.00 The undersigned has evaluated the bids and proposed construction costs and hereby certifies that the costs are reasonable. Construction Specialist: Date:!' /7✓ Development Section Manager: Date: M fi7 cl 6-7-00 all new bathroom accessories, including toilet paper holder, towel bar, towel ring, and shower curtain rod. 1- Install ceramic tile around shower to ceiling. All backer shall be concrete board or equal. Ceramic to wrap around window. m- Install new handles on all cabinetry, as well as new door knobs and door stops. Note: 1. Kitchen to include pantry and mud room. 2. All vinyl flooring allowance to be $16.00 per sq. yd. 3. Kitchen cabinet allowance to be $1,600.00, including handles,(installed by contractor). 4. Countertops to be standard laminate costs. 5. Homeowner to pick paint colors. No more than two colors allowed. 6. Any door handles other than standard bell handle will be an up charge to the homeowner. 7. Medicine cabinet allowance to be$120.00. 8. Ceramic tile allowance to be$3.00 per sf. allowing contractor better access to construction areas. LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 C-25A CITY OF OMAHA LEGISLATIVE CHAMBER Omaha,Nebraska RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: WHEREAS, the City annually receives Community Development Block Grant (CDBG) funds under Title 1 of the Housing and Community Development Act of 1974, as amended, for the purpose of benefiting low- and moderate-income residents, eliminating slum and blight and for other urgent community development needs;and, WHEREAS, the Mayor recommended various projects in the 2011 Consolidated Submission for Community Planning and Development Programs(Consolidated Plan);and, WHEREAS, the City Council approved the 2011 Consolidated Plan on December 14, 2010 by Resolution No. 1356,which included the North NRSA Single-Family Target Area Rehabilitation Program;and, WHEREAS, this property is located in the North NRSA CDBG Single-Family Target Area Rehabilitation Program;and, WHEREAS,the best bid was received in an amount of$33,233.00 as amended by Addendum#1 from Rife Construction, Steve Rife, Owner, to perform rehabilitation work and lead reduction work when applicable, at the property owned and occupied by Cynthia A. Barnett, Owner and Charles E. Barnett, Owner's spouse,and located at 3356 Grand Avenue,Omaha,Nebraska 68111;and, WHEREAS,the total project cost is$33,233.00;and, WHEREAS, this project is in the best interest of the residents of the City of Omaha and those residing therein. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, the attached Grant Agreement, as recommended by the Mayor, to provide a Community Development Block Grant (CDBG) in the amount of$33,233.00 for the rehabilitation and lead reduction work, when applicable,at the property owned and occupied by Cynthia A.Barnett, Owner and Charles E.Barnett,Owner's spouse, located at 3356 Grand Avenue, Omaha,Nebraska 68111, is hereby approved. The contract is to be awarded to Rife Construction, Steve Rife, Owner. Funds in the amount of $33,233.00 shall be paid from North Neighborhood Revitalization Strategy Area (NRSA) CDBG Single-Family Target Area Rehabilitation Program, Fund No. 12186,Organization No. 129114. APPROVED AS TO FORM: 'r' CITY ATTORNEY DATE pinlsf1607-res By • ncilmember Adopted — 8 201.1 Q City Clerk Approved \- Mayor APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1 POLICY I-( I PEQ LOC ' $ B AUTOMOBILE LIABILITY BAA7214454147 6/1/2011 6/1/2012 Ca accident) DSINGLE LIMIT CO accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident)• $ B UMBRELLA LIAB X OCCUR CAA7214454147 6/1/2011 6/1/2012 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DEO RETENTION$ $ A WORKERS COMPENSATION WC7214454147 6/1/2011 6/1/2012 X WC STATUS OTH • - j AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Omaha is Additional Insured for General Liability Any & All Projects • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Omaha Planning Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 1819 Farnam St. Ste. 1100 Omaha NE 68183 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD RP RAT N. All rights reserved. • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD The agreed upon rates shall be made available to all Federal agencies for their use. http://www.whitehouse.gov/omb/circulars_a087_2004/ 10/24/2011 accordance with the records retention requirements contained in the Common Rule. b. A governmental unit for which a cognizant agency assignment has been specifically designated must submit its indirect cost rate proposal to its cognizant agency.The Office of Management and Budget(OMB)will periodically publish lists of governmental units identifying the appropriate Federal cognizant agencies.The cognizant agency for all governmental units or agencies not identified by OMB will be determined based on the Federal agency providing the largest amount of Federal funds.In these cases,a governmental unit must develop an indirect cost proposal in accordance with the requirements of this Circular and maintain the proposal and related supporting documentation for audit.These governmental units are not required to submit their proposals unless they are specifically requested to do so by the cognizant agency.Where a local government only receives funds as a sub recipient,the primary recipient will be responsible for negotiating and/or monitoring the sub recipient's plan. c. Each Indian tribal government desiring reimbursement of Indirect costs must submit its indirect cost proposal to the Department of the Interior(its cognizant Federal agency). d. Indirect cost proposals must be developed(and,when required,submitted)within six months after the close of the governmental unit's fiscal year,unless an exception is approved by the cognizant Federal agency.If the proposed central service cost allocation plan for the same period has not been approved by that time,the indirect cost http://www.whitehouse.gov/omb/circulars_a087_2004/ - 10/24/2011 10/24/2011 e would result in a more equitable allocation of the costs,or that a more readily available base would not increase the costs charged to sponsored awards.The results of special cost studies(such as an engineering utility study)shall not be used to determine and allocate the indirect costs to sponsored awards. http://www.whitehouse.gov/omb/circularsal 22_2004/ 10/26/2011 =o a � CDo �• wogcc ° i, w'8 - O v 5A . • wDwO ' oQ o a f p a n. a � � sps 5 `< coCD o 0 )\3 '-' '-'• !" a z '4 = 5-' ° .-, O '-, bYo 0 P a Fr co 4w to - i ° ? o nza •< w � � U 0 Csift CZ d Pr by aa-r � E, Go.e r,0 o o s o o . o s D apcA; " ` n 5a 0,71 q S\ n 53. ,ad, 5 6°�'9 O W °' 0 ¢. N n (CD p - w - a 0, Cz� .� co P.o ° coo .1 Ri to co ;itIdiII 1 OPPO • at 444-5530. • 3 Reviewed and approved 3/28/2011 letter ��ry1