RES 2010-1121 - Agmt for rehabilitation and lead reduction work to 4127 Ohio St i, t Planning Department
i�r -{c iaw Omaha/Douglas Civic Center
ZE~ 1819 Farnam Street,Suite 1100
0 SEP i 7 A�1 10: 3� Omaha,Nebraska 68183
(402)444-5150
O4TED FEBR‘r¢�ry 1 + v t.i +'�+1 Telefax(402)444-6140
,t E 3,1 4 S K 4 R.E.Cunningham,RA,F.SAME
City of Omaha Director
Jim Suttle,Mayor
September 28,2010
Honorable President
and Members of the City Council,
The attached Resolution is for the rehabilitation of the property owned and occupied by Helen M. Duncan, Owner
and Charlester Larry, Owner's Spouse, at 4127 Ohio Street, Omaha,NE 68111, with funding from the Community
Development Block Grant(CDBG). The contractor is GWA,LLC,Cheryl Weston,President.
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 $28,720.00. The Planning Department believes
this bid is reasonable for the work on this property,based on the certified cost estimate and the bids received.
The total household income is 63.05% of the Median Income by Family Size as established by the Department of
Housing and Urban Development. The funding is comprised of a $28,720.00 grant from the CDBG Program for a
total project of$28,720.00. Funds in the amount of$28,720.00 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 2010 Consolidated Submission for Community Planning and
Development Program approved by the City Council on November 24,2009 by Resolution No. 1347.
The Contractor, GWA, LLC, Cheryl Weston, President, 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 Council for Consideration:
tANO i)S(P1-261 0
. unningham, S M ate Mayor Of ce Date
Planning Director kti
Approved as to F Approved:
(11/39—/4 -4/0 bZ�2�C l
Pam Spaccarotella ,► Date Tom Marfisr �' ) Date
Finance Director df./0 Human Rights and Relation Director
Plnlsf1457-cover letter
TE I $ •
Is ,•
DEDUCTIBLE ! 1$ •
RETENTION $ ! i i I i$
A : WORKERS COMPENSATION ! I WC LIMITS 1 :TH-I
AND EMPLOYERS'LIABILITY
ANY PROPRIETOIVPARTNER/EXECUTIVE YIN j E.L.EACH ACCIDENT I. S 100,000 •
OFFICER/MEMBER EXCLUDED? - --'
(Mandatory in NH) a020494) 18/26/2009 18/26/2010 i E.LDISEASE-EAEMPLOYEE$ 100,000
If yea describe under
SPECIAL PROVISIONS below ; I •I E.L.DISEASE-POLICY LIMIT I $ 500,000
OTHER •
.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS
City of Omaha is also listed as addlitioaal insured
CERTIFICATE HOLDER CANCELLATION •
444-614 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
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paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
•
•
•
•
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,
Helen M.Duncan, Owner and Charlester Larry,Owner's Spouse
hereinafter referred to as OWNER(S).
WITNESSETH: •
WHEREAS, the OWNER(S) is the sole owner of a certain property located at 4127 Ohio Street,
Omaha,Nebraska 68111 and legally described as follows, to wit:
Lot 7, Block 5, Hitchcock's First Addition, an addition to the City of Omaha, in Douglas County,
Nebraska(commonly known as 4127 Ohio Street)
(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 Depai(Anient 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 Depail,nent 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
mpliance with the Contract Compliance Ordinance.
Your favorable consideration of this Resolution is requested.
Sincerely, Referred to Council for Consideration:
tANO i)S(P1-261 0
. unningham, S M ate Mayor Of ce Date
Planning Director kti
Approved as to F Approved:
(11/39—/4 -4/0 bZ�2�C l
Pam Spaccarotella ,► Date Tom Marfisr �' ) Date
Finance Director df./0 Human Rights and Relation Director
Plnlsf1457-cover letter
TE I $ •
Is ,•
DEDUCTIBLE ! 1$ •
RETENTION $ ! i i I i$
A : WORKERS COMPENSATION ! I WC LIMITS 1 :TH-I
AND EMPLOYERS'LIABILITY
ANY PROPRIETOIVPARTNER/EXECUTIVE YIN j E.L.EACH ACCIDENT I. S 100,000 •
OFFICER/MEMBER EXCLUDED? - --'
(Mandatory in NH) a020494) 18/26/2009 18/26/2010 i E.LDISEASE-EAEMPLOYEE$ 100,000
If yea describe under
SPECIAL PROVISIONS below ; I •I E.L.DISEASE-POLICY LIMIT I $ 500,000
OTHER •
.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS
City of Omaha is also listed as addlitioaal insured
CERTIFICATE HOLDER CANCELLATION •
444-614 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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: GWA,LLC, Cheryl Weston,President
Date Contractor Signed: September 1, 2010
LHC File No.: HCD File No: 10-HCD/3259
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 Twenty-eight Thousand, Seven Hundred
and Twenty Dollars and no/100 ($28,720.00) 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 $28,720.00
Other Funds $
Total amount $28,720.00
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
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
•
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.
Section 10. Attestation of Citizenship. To comply with Neb. Rev: Stat. 4-114, the Developer agrees to: (1) have
its general contractor and all subcontractors execute a United States Citizenship Attestation Form
verifying work eligibility status for purposes of employment under public contracts; and (2) have
each adult member of the household applying for a benefit under this agreement execute a United
States Citizenship Attestation Form For Public Benefit.
Section 11. 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 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)
-3- Revised and approved 7/16/2010
d,
f. participate in one-on-one training on lead safe maintenance practices provided by the Planning
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
. ,
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, , _ .. • 1
4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
' 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.
iliin
Helen M.Duncan, Owner Date Charlester Larry, OwneKs,S ouse Date
Date Date
STATE OF NEBRASKA )
)§
COUNTY OF DOUGLAS )
POn this id day of5 lien\
,'2010 A.D., before me, ` ner --- , a
Notary Public iri" and for said ounty, personally came HelM. Duncan, 0 and Cha., ester Larry,
Owner's Spouse,personally to me known to be the identical person(s)whose name(s) is affixed to the above and
foregoing instrument and they acknowledged the said instrument and the execution thereof to be their voluntary
act and deed, for the purposes therein expressed.
In testimony whereof, I have hereunto set my hand and affixed by my Notary Seal at Omaha, Nebraska
on the day and date last above written.
otary Public /( Q
My Commission expires _ , 20[�.
,,,Zvi lP,.._ NORITA A MA
'°E"E""`: = MY COMMISSION EXPIRES
July.,.j.�R"O�ARY: July 22'2014
"St.P.`
ATTEST ,e • CITY OF OMAHA, A Municipal Corporation
r ` /
I - /,___,A) . - , 7 dal o
ity Clerk oft e ty of Omaha Date i •r of the ity of Omaha hl�� Date
t. k -' /*
APPROVED AS TO FORM:
°I • 14' l0
sistant City Attorney Date
-4- Revised and approved 7/16/2010
nship Attestation Form
verifying work eligibility status for purposes of employment under public contracts; and (2) have
each adult member of the household applying for a benefit under this agreement execute a United
States Citizenship Attestation Form For Public Benefit.
Section 11. 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 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)
-3- Revised and approved 7/16/2010
d,
f. participate in one-on-one training on lead safe maintenance practices provided by the Planning
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
•
REHABILITATION CONTRACT
Loan Number: 1D±.Qt 3Z5i
This Contract is between Helen M. Duncan & Charlester Larry, Owner's Husband
(Owner's Name)
of 4127 Ohio Street , Omaha,Nebraska
(Owner's Address) (City and State)
(referred to herein as the "Owner" and GWA, LLC
(Contractor's Name)
of 2505 North 24th Street, #211-A , Omaha,Nebraska
(Contractor's Address) (City and State)
a Limited Liability Company (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 4127 Ohio Street , Omaha,Nebraska
(Property Address) (City and State)
(herein after referred to as the "Property").
IN CONSIDERATION OF THEIR MUTUAL PROMISES, THE PARTIES AGREE AS
FOLLOWS:
PART I - SPECIFIC TERMS
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, d —� 1 --�� , 2010, (date equal to sixty(60)
Date)
Revised and approved 8/4/2010
- 1 -
oft e ty of Omaha Date i •r of the ity of Omaha hl�� Date
t. k -' /*
APPROVED AS TO FORM:
°I • 14' l0
sistant City Attorney Date
-4- Revised and approved 7/16/2010
nship Attestation Form
verifying work eligibility status for purposes of employment under public contracts; and (2) have
each adult member of the household applying for a benefit under this agreement execute a United
States Citizenship Attestation Form For Public Benefit.
Section 11. 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 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)
-3- Revised and approved 7/16/2010
d,
f. participate in one-on-one training on lead safe maintenance practices provided by the Planning
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
days from date that the Contractor signs this contract), the Contractor may refuse to be bound by
the terms of this Contract. If, however, a properly executed and approved copy of this Contract is
delivered after the above date and the Contractor subsequently performs work or delivers
materials to the Property, the Contractor shall be bound by the contract. For the purposes of this
paragraph, a copy of this Contract shall be deemed to have been delivered to and received by the
Contractor upon mailing by the City to the Contractor's address shown above. The Contractor
shall not be compensated under this Contract for work commenced or materials delivered to the
Property before the Effective Date.
2. THE CONTRACT: This Contract consists only of this Part 1 (Specific Terms)
and the following attachments:
A. Schedule of Work (work write-up dated July 23, 2010);
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$28,720.00. The price of specific items of work is stated in
the Schedule of Work.
5. PROGRESS PAYMENTS: The Contractor agrees that the total contract price
shall be paid in one or more progress payments, based on the value of the work completed at the
time the progress payment request is made: Should any work for which payment is requested,
not be completed, be completed incorrectly, or not be done in a high quality workmanlike
manner, the amount of such work shall be deducted from the payment request. Payment for any
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 8/4/2010
-2-
e 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)
-3- Revised and approved 7/16/2010
d,
f. participate in one-on-one training on lead safe maintenance practices provided by the Planning
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
. ,
-•-• , ''''''.'"14.44c-- -' '. • : ' , . .
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4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
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,....,....,
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--.7..:11 _
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4:421 .krar- .l:>...•:: 1'2..'''''Irliiiit'.n••• \
'
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-
-
..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
. ,
-•-• , ''''''.'"14.44c-- -' '. • : ' , . .
, , _ .. • 1
4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
..• .
,....,....,
.
«,,,,.., ----,,--..-„. •;:,
•., . • ...
.• ,, , ,.
' •
E..--::_-__-_...1--. ..,:;_.
------ ,, , 7
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--.7..:11 _
--
-,
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„..-_
•
_
rift/jar_ -,-1/X :::, 1"
;.r.l. ,
,•A.*f.„:,'4,;
.......1%.
...,:-.F.34 L'4,,'. -- . - _ - ........ '• .• .4•4 .
4:421 .krar- .l:>...•:: 1'2..'''''Irliiiit'.n••• \
'
I , 1
-
-
..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
•
1324a, known as the E-Verify Program, or an equivalent federal program
designated by the United States Department of Homeland Security or
other federal agency authorized to verify the work eligibility status of a
newly hired employee. If the Contractor is an individual or sole
proprietorship, the following applies:
1) The Contractor must complete the United States Citizenship
Attestation Form available on the Department of Administrative
Services website at www.das.state.ne.us.
2) If the Contractor indicates on such attestation form that he or she is
a qualified alien, the Contractor agrees to provide the U.S.
Citizenship and Immigration Services documentation required to
verify the Contractor's lawful presence in the United States using
the Systematic Alien verification for Entitlements (SAVE)
Program.
3) The Contractor understands and agrees that lawful presence in the
United States is required and the Contractor may be disqualified or
the contract terminated if such lawful presence cannot be verified
as required by Neb. Rev. Stat. 4-108."
8. EMPLOYEE CLASSIFICATION ACT. To comply with the Nebraska Employee
Classification Act, each contractor who performs construction or delivery service pursuant to this
contract shall submit to the City an Affidavit For Employee Classification Act (Exhibit 1)
attesting that (1) each individual performing services for such contractor is properly classified
under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act"), (2) such contractor
has completed a federal I-9 immigration form and has such form on file for each employee
performing services, (3) such contractor has complied with Neb. Rev. Stat. Section 4-114
(federal immigration verification system), (4) such contractor has no reasonable basis to believe
that any individual performing services for such contractor is an undocumented worker, and (5)
as of the time of the contract, such contractor is not barred from contracting with the state or any
political subdivision pursuant to the Act. The contractor shall follow the provisions of the Act.
A violation of the Act by a contractor is grounds for rescission of the contract by the City.
Revised and approved 8/4/2010
• -4-
t 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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
. ,
-•-• , ''''''.'"14.44c-- -' '. • : ' , . .
, , _ .. • 1
4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
..• .
,....,....,
.
«,,,,.., ----,,--..-„. •;:,
•., . • ...
.• ,, , ,.
' •
E..--::_-__-_...1--. ..,:;_.
------ ,, , 7
r:".--4..-------..- . ---:--- .:-_-_;i'-'7?".;474•••- - 1,., i. ... 1 _:".."---__. , _-.2_:.-....."- -.-.:-_-:"..:7:-.L.-;-... . , "I:_ _
--.7..:11 _
--
-,
- l':4:c.111. .‘:".,*----' T-7----_--._-1 , ----,___,,' -....,,,t)s.7.77,7.
„..-_
•
_
rift/jar_ -,-1/X :::, 1"
;.r.l. ,
,•A.*f.„:,'4,;
.......1%.
...,:-.F.34 L'4,,'. -- . - _ - ........ '• .• .4•4 .
4:421 .krar- .l:>...•:: 1'2..'''''Irliiiit'.n••• \
'
I , 1
-
-
..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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.
0, , OJ'd p_kej4 y /0, (c-,ge)/0
Owner: Helen uncan Date Owner: Charlester Larry Date
Owner's Husban
Owner: Date Owner: Date
Owner: Date Owner: Date
j(/�y /
1
: itness Date
GWA, LLC
Co 4rbtor
,//
70
Y:• Cher. Weston Date
TITLE: Member & Authorized Representative
31/1A4) . Waif& Cf.1 .10
Witness Date
Approved by the City on q ( cr
, 20 JP,
BY: i2- -c .r
ame: James R. Thele
TITLE: Assistant Planning Director
Mailed to CONTRACTOR, and Effective on iv 5.___
, 20/,
•
Revised and approved 8/4/2010
-5 -
t. 4-108."
8. EMPLOYEE CLASSIFICATION ACT. To comply with the Nebraska Employee
Classification Act, each contractor who performs construction or delivery service pursuant to this
contract shall submit to the City an Affidavit For Employee Classification Act (Exhibit 1)
attesting that (1) each individual performing services for such contractor is properly classified
under the Nebraska Employee Classification Act, 2010 LB 563 ("the Act"), (2) such contractor
has completed a federal I-9 immigration form and has such form on file for each employee
performing services, (3) such contractor has complied with Neb. Rev. Stat. Section 4-114
(federal immigration verification system), (4) such contractor has no reasonable basis to believe
that any individual performing services for such contractor is an undocumented worker, and (5)
as of the time of the contract, such contractor is not barred from contracting with the state or any
political subdivision pursuant to the Act. The contractor shall follow the provisions of the Act.
A violation of the Act by a contractor is grounds for rescission of the contract by the City.
Revised and approved 8/4/2010
• -4-
t 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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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-
Revised and approved 8/4/2010
• -4-
t 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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
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--.7..:11 _
--
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
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-•-• , ''''''.'"14.44c-- -' '. • : ' , . .
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4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
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--.7..:11 _
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4:421 .krar- .l:>...•:: 1'2..'''''Irliiiit'.n••• \
'
I , 1
-
-
..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
. ,
-•-• , ''''''.'"14.44c-- -' '. • : ' , . .
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4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
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--.7..:11 _
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4:421 .krar- .l:>...•:: 1'2..'''''Irliiiit'.n••• \
'
I , 1
-
-
..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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-
ontractor 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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
. ,
-•-• , ''''''.'"14.44c-- -' '. • : ' , . .
, , _ .. • 1
4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
..• .
,....,....,
.
«,,,,.., ----,,--..-„. •;:,
•., . • ...
.• ,, , ,.
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------ ,, , 7
r:".--4..-------..- . ---:--- .:-_-_;i'-'7?".;474•••- - 1,., i. ... 1 _:".."---__. , _-.2_:.-....."- -.-.:-_-:"..:7:-.L.-;-... . , "I:_ _
--.7..:11 _
--
-,
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„..-_
•
_
rift/jar_ -,-1/X :::, 1"
;.r.l. ,
,•A.*f.„:,'4,;
.......1%.
...,:-.F.34 L'4,,'. -- . - _ - ........ '• .• .4•4 .
4:421 .krar- .l:>...•:: 1'2..'''''Irliiiit'.n••• \
'
I , 1
-
-
..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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-
teps necessary
Revised and approved 8/4/2010
-8-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
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--.7..:11 _
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..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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.
1701u. 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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
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--.7..:11 _
--
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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-
actor 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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
. ,
-•-• , ''''''.'"14.44c-- -' '. • : ' , . .
, , _ .. • 1
4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
..• .
,....,....,
.
«,,,,.., ----,,--..-„. •;:,
•., . • ...
.• ,, , ,.
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------ ,, , 7
r:".--4..-------..- . ---:--- .:-_-_;i'-'7?".;474•••- - 1,., i. ... 1 _:".."---__. , _-.2_:.-....."- -.-.:-_-:"..:7:-.L.-;-... . , "I:_ _
--.7..:11 _
--
-,
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...,:-.F.34 L'4,,'. -- . - _ - ........ '• .• .4•4 .
4:421 .krar- .l:>...•:: 1'2..'''''Irliiiit'.n••• \
'
I , 1
-
-
..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
,v
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 -
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-
actor 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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
. ,
-•-• , ''''''.'"14.44c-- -' '. • : ' , . .
, , _ .. • 1
4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
..• .
,....,....,
.
«,,,,.., ----,,--..-„. •;:,
•., . • ...
.• ,, , ,.
' •
E..--::_-__-_...1--. ..,:;_.
------ ,, , 7
r:".--4..-------..- . ---:--- .:-_-_;i'-'7?".;474•••- - 1,., i. ... 1 _:".."---__. , _-.2_:.-....."- -.-.:-_-:"..:7:-.L.-;-... . , "I:_ _
--.7..:11 _
--
-,
- l':4:c.111. .‘:".,*----' T-7----_--._-1 , ----,___,,' -....,,,t)s.7.77,7.
„..-_
•
_
rift/jar_ -,-1/X :::, 1"
;.r.l. ,
,•A.*f.„:,'4,;
.......1%.
...,:-.F.34 L'4,,'. -- . - _ - ........ '• .• .4•4 .
4:421 .krar- .l:>...•:: 1'2..'''''Irliiiit'.n••• \
'
I , 1
-
-
..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
AFFIDAVIT FOR EMPLOYEE CLASSIFICATION ACT
STATE OF Nebraska )
) §
COUNTY OF Douglas )
I, Cheryl Weston, Member and Authorized Representative, 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 GWA, LLC, a
Nebraska Limited Liability Company). I attest to the following: (a) each individual performing
services for such contractor is properly classified under the Nebraska Employee Classification
Act, 2010 LB 563 ("the Act"), (b) such contractor has completed a federal I-9 immigration form
and has such form on file for each employee performing services, (c) such contractor has
complied with Neb. Rev. Stat. section 4-114 (federal immigration verification system), .(d) such
contractor has no reasonable basis to believe that any individual performing services for such
contractor is an undocumented worker, and (e) as of the time of the contract, such contractor is
not barred from contracting with the state or any political subdivision pursuant to the Act.
FURTHER AFFIANT SAYETH NAUG .
Af
SUBSCRIBED AND SWORN TO before me this 1 day of ,20 1 .
.44:v- NORITA A MATT
oENENAIti ` MY COMMISSION EXPIRES
'NOTARY; -
July 22,2014 otary Public
Approved 6/1/10
ent 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-
actor 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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
. ,
-•-• , ''''''.'"14.44c-- -' '. • : ' , . .
, , _ .. • 1
4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
..• .
,....,....,
.
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
•
F Oh1bHA'�'E'�
Planning Department
•
Omaha/Douglas Civic Center
r� TARGET PROJECT 18,E rarnam Street,Suite 1100
�� P jOmaha,Nebraska 68183
o,. ,,_,.:...,: _ Helen Duncan & Larry Charlester
_J ti- (402)444-5150
O ,.!�f = 4127 Ohio St. Telefax(402) 444-6140
�4TFD FE13P`3t'4
City of Omaha Omaha, NE. 68111 R.E. Cunningham, RA, F.SAME
Jim Suttee,Mayor Ph: 453-9552 Director
Constr. Specialist: Bob Pickeral
Ph: 444-1602
For Window Replacement and Paint Stabilization Work, The
Contractor Shall:
1. Comply with HUD's "Guidelines for the Evaluation and Control of Lead-
Based Paint Hazards in Housing". (Copies are available at the Planning
Department.)
2. 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.).
3. Coordinate daily construction schedule with the occupant.
4. At all times keep the site of work and surrounding area free from
accumulations of waste materials or rubbish caused by the work.
5. Upon daily completion of work clean up rubbish, excess material,
equipment, etc., that is connected with the work, and leave all parts of the
work areas in a neat, sanitary, lead safe presentable condition.
•
The Contractor Shall:
1 . The sequence of work activities shall be contractor option.
2. Use trained, certified, supervised workers to do the abatement work and
paint stabilization.
3. HEPA vacuum and clean all surfaces and horizontal surfaces to achieve
clearance.
o Schedule clearance testing after lead hazard reduction work &
cleaning.
4. Make every effort to match existing materials & surrounding surfaces.
5. Examine worksite to determine conditions & what is required to perform
the work.
o The bid includes cost to perform the lead work & cost to achieve
clearance.
6. Place dumpster on site for entire project for debris removal
7. Make colors available for all items to be chosen.
1
tative, 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-
actor 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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
Homeowner Shall:
a) Provide an unobstructed work area for contractors prior to work
commencing. Remove all pictures, plaques, knickknacks, etc. within work
area.
b) Owner shall make all color, pattern, and style selections.
Lead Related Work
1. Remove existing gutters and downspout. Wrap all fascias and install
soffits in metal. Repair any existing wood fascia and soffit as necessary
before wrapping. Wet scrape and prime all needed area, using lead safe
procedures, before wrapping wood in metal. Cut existing soffit as needed,
and install vented, metal soffit as needed for best results in ventilating attic.
2. Wet scrape all existing outside trim. All exposed woodwork is to then be
painted with one coat of primer as needed and wrapped in metal.
3. All exterior door trims and exterior doors to be wet scraped, sanding all
friction surfaces, and painted. New hardware installed, including peephole,
thresh plates, and weather-stripping, on all doors.
4. Wet scrape and paint foundation using lead safe procedures. Caulk any
holes or cracks in foundation before painting. Color to be homeowner's
choice.
Work at Windows
1. Basement windows.
o Caulk around windows and repair any sill and trim damage. Scrape
and paint foundation windows using lead safe practices.
o All paint to be one coat primer and two coats enamel.
o Install new window wells, with one foot of gravel inside. Window
well for egress window to be standard egress window well with
ladder as needed. All window wells to be bolted to house.
• .o Rake area smooth, removing any dirt necessary, and reseed
disturbed area.
3. Main windows.
o Remove existing window sashes and stops using lead safe
procedures. Windows to be wrapped and discarded according to
HUD regulations. Windows to be removed from outside of building
provided all clean up follows HUD lead guidelines.
o Install one new bathroom vinyl window with full opaque glass, Low
E, double hung, and insulated glass, argon filled with full screens.
Wet scrape and paint all exterior sides of window, exterior trim and
stop. Caulk both edges of trim.
o Insulate edge of windows before installing stop. Remove stop on
exterior, install new and wrap in break metal. Paint sill and trim on
rest of window. Pre-caulk holes and gaps as needed.
2
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-
actor 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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
Approved Window Manufacturers:
1. Stanley Proline 4. Gerkin Series 4800
2. Pella Thermastar 5. Simonton Prisma Ultra Gold
3. Silverline 8500/9500 6. Winnova CVD-200
General Note: All work to be completed in accordance with City of Omaha
Planning Department Specifications dated Dec. 1, 2009.
(Copies are available at the Planning Department)
Normal Work- Exterior
Concrete
1. Install new concrete driveway from street to building. All subsoil to be firm or
compacted as necessary before pouring concrete. Wire mesh to be installed
and raised during pour to fit at approximate middle of 4" thickness of
concrete. Install expansion joint at garage. Cut all joints and caulk
approximately two weeks or more after cutting.
2. Install new 6" thick apron, meeting all current codes. Replace entire public
sidewalk. Remove existing and install new concrete sidewalk to side entry to
match existing in length and three feet in width. Replace broken concrete
from front porch to about four feet out at front sidewalk. Install new footings
per code for approximately 4'x10' wood deck.
3. Remove deck on side of house, including steps. Remove cmu block wall now
serving as a retaining wall. Install new Versa-lock or equal retaining wall from
lot line to house, using manufacturer's standards for installation, including
gravel behind the wall of approximately 8"-12" in width, in approximately the
same area as existing. Seed and straw disturbed area.
4. Remove existing wood retaining wall on either side of existing rear sidewalk
and install Versa-lock or equal. Seed and straw all disturbed areas.
5. Install 4'x4' landing pad for rear steps of new deck at side of house.
6. Fill dirt around house as needed to allow for positive drainage. Seed and
straw all new dirt. Repair all damage due to construction in the same manner.
Carpentry and Misc.
1. Remove existing roof shingles, roof paper, and all flashings. Install new
flashings, to include D-channel and gutter apron. Install 151b. felt and ice
shield per code. Install owner's choice of 25yr. 3-tab shingle. Cut plywood as
necessary at cap, and install ridge vent. Fill in any area where box vent
originally existed, before installing new shingles.
2. Install standard continuous gutter and four downspouts
3. Cut siding as necessary and install new 4'x10' AC2 wood deck at side door.
Install standard wood railing to meet code and steps on both front and rear of
deck. All posts to be set on top of concrete with a metal foot.
4. Remove existing front fence and install new to match. Install new gates at
driveway. Re-use existing posts unless dented or bent.
3
he Contractor agrees that he/she and
his/her subcontractors will obey all civil rights and equal employment
Revised and approved 8/4/2010
- 12-
actor 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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
. ,
-•-• , ''''''.'"14.44c-- -' '. • : ' , . .
, , _ .. • 1
4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
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,....,....,
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--.7..:11 _
--
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rift/jar_ -,-1/X :::, 1"
;.r.l. ,
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.......1%.
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4:421 .krar- .l:>...•:: 1'2..'''''Irliiiit'.n••• \
'
I , 1
-
-
..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
•
5. Replace existing rear storm door with new Larson or equal door, ($180.00
allowance for purchase of door).
Electrical
1 . Install new lights at front, side, and rear doors, ($60.00 allowance for lights).
2. Replace disconnect for air conditioner unit and hook new unit up after
installation of air conditioner.
HVAC
1. Install new air conditioner unit for house and tie into new furnace.
•
Interior
Carpentry & Misc.
1. Remove existing ceramic tile in main bathroom and install new. Tile to go to
ceiling around tub/shower and wrap around to new window. Replace existing
drywall behind tile with concrete board or equal. Caulk around tub and at all
joints and edges. Homeowner's choice of 4"x4"or 6"x8" tile,($3.00 sf. tile
• allowance)
2. Repair crack in living room ceiling and paint ceiling in living room and hallway.
3. Remove existing vinyl floor and sub-floor, and install new sheet vinyl floor in
kitchen. Remove any shoe molding and install new after installation, ($16.00
sq yd vinyl allowance).
4. Remove any flooring on stairs to basement and repair/replace treads and
risers as needed. Shore up stairway from behind as needed.
5. Cut away molded drywall in basement, especially around floor area, as
needed and replace with new drywall. Remove and replace insulation behind
wall where mold exists. Finish all drywall, ready to paint.
6. Remove existing door and frame to furnace room and install new, louvered.
door.
7. Replace any base or trim taken off because of mold. Trim new furnace room
door.
8. Remove existing handrail to basement and install new, lengthened and
returned to meet code. Repair all,drywall as needed. Include new rail
brackets.
9. Repaint entire finished basement, including trims and ceilings.
10.Remove existing and install new carpet in basement and stairway, including
pad, (allowance for carpet and pad is $18.00 per sq yd.).
Electrical of Interior:
1. Replace lights in two bedroom ceilings, ($20.00 light allowance). Do not
include master bedroom.
2. Install GFI outlet at vanity in main bathroom per current code.
4
here box vent
originally existed, before installing new shingles.
2. Install standard continuous gutter and four downspouts
3. Cut siding as necessary and install new 4'x10' AC2 wood deck at side door.
Install standard wood railing to meet code and steps on both front and rear of
deck. All posts to be set on top of concrete with a metal foot.
4. Remove existing front fence and install new to match. Install new gates at
driveway. Re-use existing posts unless dented or bent.
3
he Contractor agrees that he/she and
his/her subcontractors will obey all civil rights and equal employment
Revised and approved 8/4/2010
- 12-
actor 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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
'".' ---- -..... ) •, r
' '''•---- me'. ' '' • ,...., -.-' •,, . '. . , i i. .
. ,
-•-• , ''''''.'"14.44c-- -' '. • : ' , . .
, , _ .. • 1
4 . ; •' l':. '-‘,..„,,..., ‘ ,........ :,-..,t
..• .
,....,....,
.
«,,,,.., ----,,--..-„. •;:,
•., . • ...
.• ,, , ,.
' •
E..--::_-__-_...1--. ..,:;_.
------ ,, , 7
r:".--4..-------..- . ---:--- .:-_-_;i'-'7?".;474•••- - 1,., i. ... 1 _:".."---__. , _-.2_:.-....."- -.-.:-_-:"..:7:-.L.-;-... . , "I:_ _
--.7..:11 _
--
-,
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„..-_
•
_
rift/jar_ -,-1/X :::, 1"
;.r.l. ,
,•A.*f.„:,'4,;
.......1%.
...,:-.F.34 L'4,,'. -- . - _ - ........ '• .• .4•4 .
4:421 .krar- .l:>...•:: 1'2..'''''Irliiiit'.n••• \
'
I , 1
-
-
..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
3. Install new keyless light in furnace room with new switch. There currently is
no light.
4. Conduit wiring for light in laundry room to allow it to meet code.
5. Install smoke detectors in house to meet code. Install smoke detector/carbon
monoxide detector in basement, close to furnace room.
6. Hook up new furnace.
HVAC:
Install new furnace to replace existing. Hook up furnace with new air conditioning
unit.
By signing this work write up you as the homeowner are
certifying:
o Complete understanding of all work items listed.
o Only work items listed are to be bid on and done by the Contractor.
o Any additional work must first be approved by the Planning Department.
c;_.-0/ 6
Owner: Helen Duncan Date
,t171/4
c2c
Owner: Larry Ch ter Date
5
9 520 South 31 Street cover letter
G
City of Omaha, Housing and Community Development Division
COST ESTIMATE & CERTIFICATION:
Target Area X Exterior Project Special Needs n Barrier Removal
Redevelopment Area:
Address: 4127 Ohio St.
Owner(s): Helen Duncan & Larry Charlester
The estimated cost for the above project is as follows:
Preliminary Revised
Date of Cost Estimate • 7/26/2010
General Construction Cost $ 22,454.00
.Electrical Cost $ 1,265.00
Plumbing Cost
HVAC $ 5,200.00
Overhead/Profit! NE. Contractor Tax (15%) $ 3,921.00
Lead Liability Fee
Total Construction Cost Estimate $32,840.00
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 i Date L-'
Initial Inspection Date: _7/14/10 Work Write-up Date: _7/23/10
Approved, Development Section Mgr. <' . €
7/)-*
C: Cheryl• ..... __..._
File - Rev. 8/29/08
to paint.
6. Remove existing door and frame to furnace room and install new, louvered.
door.
7. Replace any base or trim taken off because of mold. Trim new furnace room
door.
8. Remove existing handrail to basement and install new, lengthened and
returned to meet code. Repair all,drywall as needed. Include new rail
brackets.
9. Repaint entire finished basement, including trims and ceilings.
10.Remove existing and install new carpet in basement and stairway, including
pad, (allowance for carpet and pad is $18.00 per sq yd.).
Electrical of Interior:
1. Replace lights in two bedroom ceilings, ($20.00 light allowance). Do not
include master bedroom.
2. Install GFI outlet at vanity in main bathroom per current code.
4
here box vent
originally existed, before installing new shingles.
2. Install standard continuous gutter and four downspouts
3. Cut siding as necessary and install new 4'x10' AC2 wood deck at side door.
Install standard wood railing to meet code and steps on both front and rear of
deck. All posts to be set on top of concrete with a metal foot.
4. Remove existing front fence and install new to match. Install new gates at
driveway. Re-use existing posts unless dented or bent.
3
he Contractor agrees that he/she and
his/her subcontractors will obey all civil rights and equal employment
Revised and approved 8/4/2010
- 12-
actor 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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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Owner: Larry Ch ter Date
5
9 520 South 31 Street cover letter
G
City. of Omaha, Housing and Community Development Division
BID EVALUATION FORM
•
Project Owner: Helen Duncan & Larry Charfester
Project Address:4127 Ohio St. Contractor: GWA Enterprises
Target Area Project X NAHTF Project I I Special Needs I I LBP/SN
Funding Source: Block Grant > Home I Other
•
Contractor Planning Comments
Dept.
General Conditions:
Demolition:
Site:
Concrete: $4,765.00 $4,558.00
Masonry:
Railings:
Carpentry: $9,500.00 $9,017.00
Cabinets & Counter Tops:
Roofing & Gutters: $4,500.00 $5,335.00
Insulation:
Siding:
Doors:
Windows: $2,200.00 $980.00
Repair & Gyp. Board:
:Interior Paint:
-Exterior Paint:
:Carpet: $1,375.00 $2,564.00
Sheet Vinyl:
Special / Misc:
Plumbing:
HVAC: • $3,300.00 $5,200.00
Electrical: $1,080.00 $1,265.00
Lead: $1,000.00
Pollution Liability Ins. :
NHHS Notification Fee:
Overhead & Profit: $1,000.00 $3,921.00
S28,720.00 S32,840.00 •
TOTAL:
The undersigned has evaluated the bids and proposed construction costs and hereby certifies that the costs
are reasonable and eligible.
Date: 7/7t,
Construction Specialist:
Development Section Mgr.: �
Date: � 7/(
Rev. 8/5/08
furnace room and install new, louvered.
door.
7. Replace any base or trim taken off because of mold. Trim new furnace room
door.
8. Remove existing handrail to basement and install new, lengthened and
returned to meet code. Repair all,drywall as needed. Include new rail
brackets.
9. Repaint entire finished basement, including trims and ceilings.
10.Remove existing and install new carpet in basement and stairway, including
pad, (allowance for carpet and pad is $18.00 per sq yd.).
Electrical of Interior:
1. Replace lights in two bedroom ceilings, ($20.00 light allowance). Do not
include master bedroom.
2. Install GFI outlet at vanity in main bathroom per current code.
4
here box vent
originally existed, before installing new shingles.
2. Install standard continuous gutter and four downspouts
3. Cut siding as necessary and install new 4'x10' AC2 wood deck at side door.
Install standard wood railing to meet code and steps on both front and rear of
deck. All posts to be set on top of concrete with a metal foot.
4. Remove existing front fence and install new to match. Install new gates at
driveway. Re-use existing posts unless dented or bent.
3
he Contractor agrees that he/she and
his/her subcontractors will obey all civil rights and equal employment
Revised and approved 8/4/2010
- 12-
actor 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-
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-
Depai tuient or other approved training; and,
-2- Revised and approved 7/16/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION •
City of Omaha DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: Cheryl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Omaha, NE
IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES. '
AUTHORIZED REPRESENTATIVE
Ray Sluyter/SM
ACORD 25(2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved.
INs025(200901) The ACORD name and logo are registered marks of ACORD
, • , 1 ',,,' 1 .
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
I--lousing and Community Development Division
City of Omaha Planning Department
Cost Certification Form
Project Name: TAP
Project Owner: Helen Duncan and Larry Charlester
Project Address: 4127 Ohio St.
Certified amount: $28,720.00
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: !,
Development Section Manager: .Date: //iho
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Owner: Larry Ch ter Date
5
9 520 South 31 Street cover letter
G
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•
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re.-..vi ,vecl all o.i.r the bid sziomitted for the
rei....Zollita.tion of (Ily property located at: •
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My contractor ol choice is: .
• .
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Owner: Larry Ch ter Date
5
9 520 South 31 Street cover letter
G
SECTION 106 REVIEW
PROPERTY OWNER: Helen Duncan
PROPERTY ADDRESS: 4127 Ohio St.
TURN-AROUND DATE: 8/16/10
DATE-BUILT: 1956 EST. REHAB COST (if applicable):_$30,000.
ASSESSED VALUE: $45,800.
DESCRIPTION OF PROPOSED UNDERTAKING:
Tear down front fence and re-build
New window at bathroom
Retaining wall
New roof
Repair mold in basement
Submitted By: Bob Pickeral Program:.TAP
XNot a Historic Structure
❑ Historic Structure
n Exempt Activity
Don Seten Date
HCD Preservation Officer
. .
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•
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Owner: Larry Ch ter Date
5
9 520 South 31 Street cover letter
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
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i EXHIBIT
,
City of Omaha Planning Department
Hou j and Community Development Di' 'on
• Tier II Environmental Assessment (2010-189)
For
City-wide Rehabilitation Programs - Revised (2010-106)
Project Name: 4127 Ohio Street Rehabilitation
Project Address: 4127 Ohio Street
Project Activity: Rehabilitation including fence demolition and construction of a new fence, a
new window in the bathroom, retaining wall construction, a new roof, and mold removal. •
Program: Target Area Program
The Tier I CEST requires a Tier II review for project specific activities. The Tier II review must
address the following Statutory Checklist items and Section 58.6 Requirements:
• Contamination and Toxic Substances
• Explosive and Flammable Operations
• Floodplain Management
• Historic Preservation
• Noise Control
• Floodplain Insurance for project sites in flood plains. •
Enter A in the Status box if there are no compliance issues associated with this site-specific
project. Enter B in the Status box if additional steps are required to address this isse (e.g.,
removal of hazardous materials). The following table presents the Tier II determinations for
these categories.
Status
Impact Categories Source Documentation
AorB
Contamination and toxic substances are not
evident on aerial photographs of the property
(1). A site visit by City Staff did identified
mold in the basement (2). However, the
following conditions may also be present:
Contamination and Toxic Radon may be present in this house. The
Substances i3 City's policy on radon is that if the assisted
cost of rehabilitation exceeds 50% of the
assessed value of the home, then radon must
be addressed as part of the home's
rehabilitation. The estimated cost of
rehabilitation of this property is approximately
$30,000 and the assessed value of the home
1 Iu II I j I i C;
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
•
HCD Preservation Officer (1).
Supporting Doc ‘ntation
(1) Section 106 Review 4127 Ohio Street, 4-
August-2010.
The nearest roads with traffic count
information are Lake Street and North 40th
Street. According to Metropolitan Area
Planning Agency ("MAPA") 2008 traffic count
information (1):
• Lake Street- 10,200 trips per day
• North 40th Street — 3,200 trips per day
MAPA also estimates that approximately 2%
of all traffic is due to heavy truck traffic (2).
According to the City's GIS records:
• Lake Street— 780 feet from the home
• North 40th Street — 230 feet from the
home
The speed limit on:
• Lake Street— 30 miles per hour
• North 40th Street— 25 miles per hour
The gradients are:
• Lake Street — 3%
Noise Control A
• North 40th Street — 2%
Intervening structures and elevation
differences between the road and project site
are not accounted for.
Using these numbers in HUD's Site DNL
calculator, the calculated noise level for this
• residence is 59 decibels ("dB'), which falls
into HUD's acceptable noise level range. The
upper boundary of this range is 65 dB.
MAPA predicts an 18% population increase in
Douglas County over the next 30 years (3),
but offers no traffic projections. Assuming
growth will be consistent per year, we must
assume a 6-percent increase in traffic volume
over the next 10 years.
Using these assumptions and HUD's Site DNL
calculator, the 10-year projection for noise at
this residence is 59 dB.
Noise mitigation is not required at this
location because the predicted noise levels
fall into the acceptable range.
Supporting Documentation
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
(1) MAPA 200 verage Daily Traffic Flow, . •
http://www.mapacog.org/TF08.pdf, accessed
• 18-August-2010.
(2) Telephone conversation between "Greg
Youell, MAPA, and Bill Lukash, City of Omaha
Planning Department, 2009.
• (3) MAPA 2030 Long Range Transportation
Plan, May 2006,
http://www.mapacog.org/20301rtp.pdf,
Accessed 28-Oct-2009.
Flood Disaster Protection The residence is not located within a
Act A floodplain. See Floodplain 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 review listed above for further information as to compliance with other laws
and authorities for this HUD-assisted project or program.
Prepared by: ';r,; t .%°/7 Date: Sri.
Approved b Date: IV/
pp Y
May 2009
• residence is 59 decibels ("dB'), which falls
into HUD's acceptable noise level range. The
upper boundary of this range is 65 dB.
MAPA predicts an 18% population increase in
Douglas County over the next 30 years (3),
but offers no traffic projections. Assuming
growth will be consistent per year, we must
assume a 6-percent increase in traffic volume
over the next 10 years.
Using these assumptions and HUD's Site DNL
calculator, the 10-year projection for noise at
this residence is 59 dB.
Noise mitigation is not required at this
location because the predicted noise levels
fall into the acceptable range.
Supporting Documentation
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paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
1 e: 4b2y::�b22 TOMMY HUGHES ST `c. F PAGE 02i 02
Certificate of Insurance
This certifies that x State Farm Fire and Casualty Company, Bloomington,Illinois
mra ,..
State Farm General Insurance Company, Bloomington,Illinois
State Farm Fire and Casualty Company,Aurora,Oniarlo
"r State Farm Florida Insurance Company,winter Haven,Florida
n State Farm Lloyds, Dallas,Texas
insures the following policyholder for the coverages indicated below:
Policyholder GWA LLC
Address of policyholder 2505 N. 24TH STREET STE 211A
Location of operations SAME AS ABOVE
Description of operations EXTERIOR PAINTING
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
•
subject to all the terms,exclusions, and conditions of those policies.The limits of liability shown may have been reduced by any paid claims.
Policy Period Limits of Liability
Policy Number Type of Insurance Effective Date f Expiration Date (at beginning of policy period)
Comprehensive BODILY INJURY AND
97-BB-F411-3 F Business Liability 11-21-2008 11.21-2010 PROPERTY DAMAGE
This insurance includes: . , Products-Completed Operations • •
X Contractual Liability Each Occurrence $ 1,000,000.00
X Personal Injury
Advertising Injury General Aggregate $ 2,000,000.00
•
Product-Completed $ 2,000,000.00
Operations Aggregate
Policy Period BODILY INJURY AND PROPERTY DAMAGE
Policy Number EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit)
[]umbrella Each Occurrence $
D Other • Aggregate $
Policy Period
Effective Date i Expiration Date Part I- Workers Compensation-.Statutory
97-BB-F410-1 F Workers'Compensation 11-21-2008 11-21-2010 Part II-Employers Liability
and Employers Liability Each Accident $ 1,000,000.00
Disease-Each Employee $ 1,000,000.00
Disease-Policy Limit $ 100,000.00
Policy Period Limits of Liability
Policy Number Type of Insurance Effective Date 1 Expiration Date (at beginning of policy period)
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
Name and Address of Certification Holder . If any of the described policies are canceled before
CITY OF OMAHA AND ITS ADDITIONAL INSUREDS their expiration date, State Farm®will try to mail a
1819 FARNAM STREET written notice to the certificate holder 30 days
OMAHA, NE. 08102 before cancellation, If we fail to mail such notice, no
obligation or liability will be imposed on State Farm or
its a ants or representatives.
•
. Signature of Authorized l ear ntative
AGENT 12-07-206!
Title Dale
TOMMY D. HUGHES JR.
Agent Name
Telephone Number (402) 930-2200
Agents Co ,L m 6'
Agent Code IT. Hughes Jr.. 27.9A22
AFO Code '/...�....� Fire.15
P ;;es..
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paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
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person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
Housing and Community Development Division
City of Omaha Planning Department
Contractor Eligibility Form
Project Name: Target Area Project
Project Owner: Helen Duncan & Larry Charlester
Project Address: 4127 Ohio St...
Contractor: GWA Enterprises
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
/ ip
Construction Specialis Date
/ 1c
Development Section i ager Date
. .
. . . .
. .
. .
•
. .
. . •
•
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Owner: Larry Ch ter Date
5
9 520 South 31 Street cover letter
G
•
Excluded Parties List System Page 1 of 1
EpLSExcluded Parties List System
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Resources
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OFFICIAL GOVERNMENT USE ONLY Contact Information • •
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Product-Completed $ 2,000,000.00
Operations Aggregate
Policy Period BODILY INJURY AND PROPERTY DAMAGE
Policy Number EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit)
[]umbrella Each Occurrence $
D Other • Aggregate $
Policy Period
Effective Date i Expiration Date Part I- Workers Compensation-.Statutory
97-BB-F410-1 F Workers'Compensation 11-21-2008 11-21-2010 Part II-Employers Liability
and Employers Liability Each Accident $ 1,000,000.00
Disease-Each Employee $ 1,000,000.00
Disease-Policy Limit $ 100,000.00
Policy Period Limits of Liability
Policy Number Type of Insurance Effective Date 1 Expiration Date (at beginning of policy period)
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
Name and Address of Certification Holder . If any of the described policies are canceled before
CITY OF OMAHA AND ITS ADDITIONAL INSUREDS their expiration date, State Farm®will try to mail a
1819 FARNAM STREET written notice to the certificate holder 30 days
OMAHA, NE. 08102 before cancellation, If we fail to mail such notice, no
obligation or liability will be imposed on State Farm or
its a ants or representatives.
•
. Signature of Authorized l ear ntative
AGENT 12-07-206!
Title Dale
TOMMY D. HUGHES JR.
Agent Name
Telephone Number (402) 930-2200
Agents Co ,L m 6'
Agent Code IT. Hughes Jr.. 27.9A22
AFO Code '/...�....� Fire.15
P ;;es..
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paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
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person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
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11-21-2010 Part II-Employers Liability
and Employers Liability Each Accident $ 1,000,000.00
Disease-Each Employee $ 1,000,000.00
Disease-Policy Limit $ 100,000.00
Policy Period Limits of Liability
Policy Number Type of Insurance Effective Date 1 Expiration Date (at beginning of policy period)
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
Name and Address of Certification Holder . If any of the described policies are canceled before
CITY OF OMAHA AND ITS ADDITIONAL INSUREDS their expiration date, State Farm®will try to mail a
1819 FARNAM STREET written notice to the certificate holder 30 days
OMAHA, NE. 08102 before cancellation, If we fail to mail such notice, no
obligation or liability will be imposed on State Farm or
its a ants or representatives.
•
. Signature of Authorized l ear ntative
AGENT 12-07-206!
Title Dale
TOMMY D. HUGHES JR.
Agent Name
Telephone Number (402) 930-2200
Agents Co ,L m 6'
Agent Code IT. Hughes Jr.. 27.9A22
AFO Code '/...�....� Fire.15
P ;;es..
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
.o .1i 4', July 30, 2010 Planning Department
;, -�p�i�,-� 7. Omaha/Douglas Civic Center
==4c;'��-\v'721„- 1819 Farnam Street,Suite 1100
z-y" y,".. , 4 Helen Duncan & Larry Charlester omalia,Nebraska 68100
° .: :.:.,._ ` 4127 Ohio St. (402)444-5150
4> ; 4 Telefax(402)444-6140
47.ED FEBSI-
R. E. Cunningham,RA, F.SAME
City of Omaha Director
Jim Suttle,Mayor
RE: 4127 Ohio St. t
r
Dear Ms. Duncan,
In response to your application for the Target area Program, an inspection of the above property was
completed on July 14, 2010.
The following violations of the Omaha Municipal Code, Chapter 48 Property Maintenance, Section 48-
112, were noted and are herby brought to your attention, this list may not include all of the violations:
EXTERIOR
1. 302.3: Replace existing concrete driveway as well as public sidewalk.
2. 304.13: Repair or replace bathroom window.
3. 304.5: Fill holes around foundation to prevent water in basement.
5. 304.7: Repair/replace leaking roof as well as holes in exterior soffit.
6. 304.10: Repair/replace rear wood deck and step.
INTERIOR
1. 108.1.3: Remove all mold from premises, especially the basement, according to current mold
safety procedures.
2. 305.1: Repair interior wall and ceilings and paint as needed.
3. 305.4: Secure stairways, especially in basement, including proper handrails and guardrails.
4. 603.1: Repair or replace existing gas furnace as well as hot water heater.
5. 604.3: All wiring in laundry room to be placed in conduit.
6. 704.2: Install smoke detectors in all bedrooms, hallways, and other required rooms as well as
carbon monoxide detector in basement.
If you have any questions,please call me at 444-1602.
Sincer ly,
Robert F. Pickeral
Construction Specialist
Yf.+
I14
'
11-21-2010 Part II-Employers Liability
and Employers Liability Each Accident $ 1,000,000.00
Disease-Each Employee $ 1,000,000.00
Disease-Policy Limit $ 100,000.00
Policy Period Limits of Liability
Policy Number Type of Insurance Effective Date 1 Expiration Date (at beginning of policy period)
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
Name and Address of Certification Holder . If any of the described policies are canceled before
CITY OF OMAHA AND ITS ADDITIONAL INSUREDS their expiration date, State Farm®will try to mail a
1819 FARNAM STREET written notice to the certificate holder 30 days
OMAHA, NE. 08102 before cancellation, If we fail to mail such notice, no
obligation or liability will be imposed on State Farm or
its a ants or representatives.
•
. Signature of Authorized l ear ntative
AGENT 12-07-206!
Title Dale
TOMMY D. HUGHES JR.
Agent Name
Telephone Number (402) 930-2200
Agents Co ,L m 6'
Agent Code IT. Hughes Jr.. 27.9A22
AFO Code '/...�....� Fire.15
P ;;es..
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
•
UNITED STATES CITIZENSHIP ATTESTATION FORM
For the purposes of complying with Neb. Rev. Stat. §§ 4-108 through 4-1 14, I attest as follows:
1, I am a citizen of the United States.
i
OR
I am a qualified alien under the Federal Immigration and Nationality Act. My
immigration status and alien number as follows:
, and I agree to provide •
a copy of the USCIS (United States Citizenship and Immigration Services)
documentation upon request required to verify the Contractor's•lawful presence in the
United States using the Systematic Alien Verification for Entitlements (SAVE) Program.
I hereby attest that my response and the information provided on this form and any related
application for public benefits are true, complete and accurate and I understand that this
information may be used to verify my lawful presence in the United States. I understand and
agree 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.
GWA, LLC, a Nebraska Limited Liability Company:
PRINT.NAM :
• By: Cher 1 Weston, Member and •
• Aut oriz Representative
SIGNATURE:
DATE: • , 9
'ret!ied(Ind npprmved 10'2 J 009
3. 305.4: Secure stairways, especially in basement, including proper handrails and guardrails.
4. 603.1: Repair or replace existing gas furnace as well as hot water heater.
5. 604.3: All wiring in laundry room to be placed in conduit.
6. 704.2: Install smoke detectors in all bedrooms, hallways, and other required rooms as well as
carbon monoxide detector in basement.
If you have any questions,please call me at 444-1602.
Sincer ly,
Robert F. Pickeral
Construction Specialist
Yf.+
I14
'
11-21-2010 Part II-Employers Liability
and Employers Liability Each Accident $ 1,000,000.00
Disease-Each Employee $ 1,000,000.00
Disease-Policy Limit $ 100,000.00
Policy Period Limits of Liability
Policy Number Type of Insurance Effective Date 1 Expiration Date (at beginning of policy period)
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
Name and Address of Certification Holder . If any of the described policies are canceled before
CITY OF OMAHA AND ITS ADDITIONAL INSUREDS their expiration date, State Farm®will try to mail a
1819 FARNAM STREET written notice to the certificate holder 30 days
OMAHA, NE. 08102 before cancellation, If we fail to mail such notice, no
obligation or liability will be imposed on State Farm or
its a ants or representatives.
•
. Signature of Authorized l ear ntative
AGENT 12-07-206!
Title Dale
TOMMY D. HUGHES JR.
Agent Name
Telephone Number (402) 930-2200
Agents Co ,L m 6'
Agent Code IT. Hughes Jr.. 27.9A22
AFO Code '/...�....� Fire.15
P ;;es..
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ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
c 2sA 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 Giant (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 2010 Consolidated Submission for
Community Planning and Development Programs(Consolidated Plan);and,
WHEREAS, the City Council approved the 2010 Consolidated Plan on November 24, 2009 by
Resolution No. 1347,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$28,720.00 from GWA, LLC, Cheryl
Weston, President, to perform rehabilitation work and lead reduction work when applicable, at the property owned
and occupied by Helen M. Duncan, Owner and Charlester Larry, Owner's Spouse, 4127 Ohio Street, Omaha,
Nebraska 68111;and,
WHEREAS,the total project cost is$28,720.00; 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$28,720.00 for the rehabilitation and lead reduction work when
applicable, at the property owned and occupied by Helen M. Duncan, Owner and Charlester Larry, Owner's Spouse,
located at 4127 Ohio Street Street, Omaha, Nebraska 68111 is hereby approved. The contract is to be awarded to
GWA, LLC, Cheryl Weston, President. Funds in the amount of $28,720.00.00 shall be paid from North
Neighborhood Revitalization Strategy Area (NRSA) CDBG Single-Family Target Area Rehabilitation Program,
Fund No. 12186, Organization No. 129114. •
APPIAVED S 0 FORM:
., CITY ATTORNE ' DATE
Plnlsf1457-res
• By 904.4;407 Pg444841444.
Councilmember
Adopted ..5EP...2..8..
ity Clerkg'
Approved...
�'"
Mayor
IRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
Name and Address of Certification Holder . If any of the described policies are canceled before
CITY OF OMAHA AND ITS ADDITIONAL INSUREDS their expiration date, State Farm®will try to mail a
1819 FARNAM STREET written notice to the certificate holder 30 days
OMAHA, NE. 08102 before cancellation, If we fail to mail such notice, no
obligation or liability will be imposed on State Farm or
its a ants or representatives.
•
. Signature of Authorized l ear ntative
AGENT 12-07-206!
Title Dale
TOMMY D. HUGHES JR.
Agent Name
Telephone Number (402) 930-2200
Agents Co ,L m 6'
Agent Code IT. Hughes Jr.. 27.9A22
AFO Code '/...�....� Fire.15
P ;;es..
1 -;-I I ' I 5 '. �I IF S ''a.
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4:421 .krar- .l:>...•:: 1'2..'''''Irliiiit'.n••• \
'
I , 1
-
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..1
ce versa. (d) Captions and
paragraph headings used herein are for convenience only, are not a part of this agreement, and shall not be used in construing it. If
more than one person is named herein as Trustor, each obligation of Trustor shall be the joint and several obligation of each such
person. The rights or remedies granted hereunder,or by law,shall not be exclusive,but shall be concurrent and cumulative.
ubstitute a successor or
successors to any Trustee named herein or acting hereunder, which instrument executed and acknowledged by Beneficiary and
recorded in the office of the register of deeds of the county or counties where such property is situated, shall be conclusive proof of
proper substitution of such Trustee or Trustees, who shall, without conveyance form the Trustee predecessor, succeed to all its title,
estate, rights, power and duties.
19. No Waiver by Beneficiary: No waiver by Beneficiary of any right under this Deed of Trust shall be effective unless in
writing. Waiver of Beneficiary of any right granted to Beneficiary under this Deed of Trust or of any provision of this Deed of Trust as to
69
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