HomeMy WebLinkAbout159-14 RESOLUTIONRESOLUTION NO. 159-14
A RESOLUTION TO AUTHORIZE A CONTRACT WITH EVANS
CONSTRUCTION AND REMODELING, LLC IN THE AMOUNT OF
$32,065.00 FOR COMMUNITY DEVELOPMENT BLOCK GRANT
REHABILITATION OF AN ELIGIBLE RESIDENCE LOCATED AT 1628 N.
BROADVIEW DRIVE
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1. That the City Council of the City of Fayetteville, Arkansas hereby authorizes a
contract with Evans Construction and Remodeling, LLC in the amount of $32,065.00 for
Community Development Block Grant rehabilitation of an eligible residence located at 1628 N.
Broadview Drive.
PASSED and APPROVED this 2nd day of September, 2014.
APPR()VPn-
IC
ATTEST:
By:,
SONDRA E. SMITH, City Clerk/Treasurer
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Yolanda Fields
Submitted By
City of Fayetteville Staff Review Form
2014-0359
Legistar File ID
9/2/2014
City Council Meeting Date - Agenda Item Only
N/A for Non -Agenda Item
8/5/2014
Submitted Date
Action Recommendation:
Community Resources /
Development Services Department
Division / Department
Approval to award Bid# 62123-1410 to Evans Construction & Remodeling LLC for a Community Development Block
Grant (CDBG) Rehabilitation at 1628 N. Broadview Dr. and to approve a purchase order in the amount of $32,065.
2180.4940.5315.00
Account Number
62123.1410
Project Number
Budgeted Item? Yes
Does item have a cost? Yes
Budget Adjustment Attached? No
Previous Ordinance or Resolution #
Original Contract Number:
Comments:
Budget Impact:
Current Budget
Funds Obligated
Current Balance
Item Cost
Budget Adjustment
Remaining Budget
2180 - CDBG
Fund
1628 N Broadview
Project Title
$ 482,037.00
$ 119,913.84
$ 362,123.1
$ 32,065.00
330,058.16
V20140710
Approval Date: —g-1
4
ENTERED
his/ / B�
CITY OF
��i
T Vl
ARKANSAS
MEETING OF SEPTEMBER 2, 2014
CITY COUNCIL AGENDA MEMO
TO: Mayor and City Council �Q
THRU: Jeremy Pate, Dir. Development Servicesc
FROM: Yolanda Fields, Community Resources D r
DATE: August 5, 2014
SUBJECT: Approval of Contract & Purchase Order for Bid# 62123-1410
RECOMMENDATION:
Staff recommends approval to award Bid# 62123-1410 to Evans Construction & Remodeling
LLC and approval of the attached purchase order in the amount of $32,065 for the housing
rehabilitation project located at 1628 N. Broadview Dr.
BACKGROUND:
Community Resources has deemed the $32,065 housing rehabilitation project cost necessary in
order to fully rehabilitate the home located at 1628 N. Broadview Dr. A brief scope of the project
includes performing repairs to trim and electric system, replacing ceiling tiles in two rooms,
installing new siding, windows, HVAC unit, deck railing, gutters and insulation. For the full
scope of the project, please see the attached bid packet.
DISCUSSION:
In December 2013, a Fayetteville home -owner applied for a housing rehabilitation project on
their home at 1628 N. Broadview Dr. After verifying that the owner qualified for the program by
being within the low-income population, Community Resources conducted an environmental
review of the property, performed an assessment of the property, and completed a dwelling
assessment on the property. The housing structure was deemed stable, livable, and eligible for
rehabilitation.
In July, the bid for the rehab project was advertised in the local newspaper and emails were
send out to contractors with the bid packet attached. Only one contractor, Evans Construction
& Remodeling, placed a bid on the project.
BUDGET/STAFF IMPACT:
Project cost is $32,065
Attachments:
Purchase Order
Receipt of Bids and Bids
Bid Invitation Packet
Mailing Address:
113 W. Mountain Street www.€ayetteville-ar.gov
Fayetteville, AR 72701
A RESOLUTION TO AUTHORIZE A CONTRACT WITH EVANS
CONSTRUCTION AND REMODELING, LLC IN THE AMOUNT OF
$32,065.00 FOR COMMUNITY DEVELOPMENT BLOCK GRANT
REHABILITATION OF AN ELIGIBLE RESIDENCE LOCATED AT 1628 N.
BROADVIEW DRIVE
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1. That the City Council of the City of Fayetteville, Arkansas hereby authorizes a
contract with Evans Construction and Remodeling, LLC in the amount of $32,065.00 for
Community Development Block Grant rehabilitation of an eligible residence located at 1628 N.
Broadview Drive.
PASSED and APPROVED this 2°a day of September, 2014.
APPROVED:
At
LIONELD JORDAN, Mayor
ATTEST:
By:
SONDRA E. SMITH, City Clerk/Treasurer
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RECEIPT OF BIDS
OWNER(S): Wes & Maggie Mouser
ADDRESS: 1628 N. Broadview Dr. PROJECT No 62123-1410
PROJECT TITLE: Moderate Rehabilitation of a Residential Building
BID CLOSING DAY/DATE/TIME: August 4.2014.4:00 P.M.
CONTRACTOR: BID AMOUNT: � 3 z
CONTRACTOR: BID AMOUNT:
Certified Date: _
Form CR 118
K:\CR\NEW CR\CDBG\Housing\CDBG Hsin Forns -« Current\Bid\Form CR 118 receipt of bids
ew ogo. oc
STANDARD BID PROPOSAL FORM
PROJECT NUMBER: 62123-1410 DATE ISSUED: 07-21-2014
DATE AND TIME OF OPENING: Monday, 4:00 pm, August 4, 2014
OWNER'S NAME:
City of Fayetteville
PROJECT ADDRESS: 1628 N. Broadview Dr., Fayetteville, AR 72703
ATTENTION
The City has the right to select which of the items fisted below will be completed based on
the amount of funds available.
*In blanks below please quote price for each item and the total for project at the bottom.
A) Electrical:
.�
B) Siding:
DO
Q HVAC
D) Windows:
'1 U o�
E) Insulation:
F) Gutters:
G 3 0
G) Ceiling Tiles:
H) Deck Railing:
I) Trim & Paint
(1-L
J) Cleanup:
LSD
K) Other:
boo
113 W. Mountain Street www.fayetteville-ar.gov
Fayetteville, AR 72701
MY TOTAL BID PRICE FOR THIS PROJECT IS $ ) Z, 0 tD S'
Upon signing this Bid, the bidder certifies that they have viewed the property, read and agree to
the requirements set forth in this bid proposal, including specifications, terms and standard
conditions, and pertinent information regarding the articles being bid on, and agree to furnish
these articles at the prices stated.
Complete Business Address: ! (2-3
Name of (AL Phone k � S30 " 08DI
Residential Contractor's License number U
A,G'49B l y
Street address or P.O. Box, I: I ct,&, d&V._ a
City / State/ Zip Code jA!� e,4 rA I
Printed Name. c: r�
Signature:
Title: `-tli
CITY OF
TayARKANSAS
CITY OF FAYETTEVILLE
113 W. Mountain St.
Fayetteville, AR 72701
INVITATION TO BID
Bid# 62123-1410
Community Resources Division
(479) 575-8240
BID#: 62123-1410
DATE ISSUED: 07-21-2014
DATE & TIME OF OPENING: Monday, August 4, 2014 4:00pm
CONTACT: Kyle Belt—(479) 575-8240
Mailing Address: COMMUNITY RESOURCES
113 W. MoUntain Street www.fayetteville-ar.gov
Fayetteville, AR 72701
CITY OF
7ay7 T—Ikle
ANAS
INVITATION TO BID
DATE ISSUED: July 21, 2014
RECEIPT OF BIDS: Monday, 4:00 pm, August 4, 2014
Community Resources Division
125 West Mountain Street
Fayetteville, AR 72701
COMMUNITY DEVELOPMENT PROGRAMS ADMINISTRATOR:
Kyle Belt
CDBG Programs Administrator
113 West Mountain Street
Fayetteville, Arkansas 72701
Phone (479) 575-8240
BRIEF SCOPE OF PROJECT: Install new siding, windows, HVAC unit, deck railing, gutters
and insulation. Perform repairs to trim and electric system. Replace ceiling tiles in two rooms.
PROJECT NUMBER: 62123-1410
PROJECT LOCATION: 1628 N. Broadview Dr., Fayetteville, AR 72703
CITY OF FAYETTEVILLE: The City of Fayetteville encourages participation of small,
minority and women owned business enterprises in the procurements of goods, services, and
construction, either as a general contractor or subcontractor. The City is an affirmative action /
equal opportunity employer. Section 55.55 prohibits discrimination against qualified individuals
because of their handicapped status.
GENERAL: A copy of the Specifications is available at the Community Resources Division's
office.
****** Attention! New Requirements! ******
• New permitting requirements, please see attached
• Any bid of $20,000 or over must be accompanied by a certified check or bid bond in
an amount not less than five percent (5%) of the amount bid.
• A one hundred percent (100%) performance and payment bond is required with a
contract awarded amount of over $20,000 and filed with the Washington County
Circuit Clerk.
• A State of Arkansas Residential Contractor's License is required for ALL bids.
Mailing Address: COMMUNITY RESOURCES
113 W. MOLlntaln Street tiuwti0ayetteville-angov
Fayetteville, Ali 72701
'AilyKA
f ARKANS t
MUNITY DEVELOPMENT BLOCK GRANT
SPECIAL TERMS AND CONDITIONS
1. All bids shall be submitted in a sealed envelope and must be submitted on forms provided by
the city. No employees of the Community Resources Division are allowed to fill out bid
sheets for Contractors.
2. The company or contractor name and project # shall be stated on the face of the sealed bid
envelope.
3. Bidders shall include all applicable local, state, and federal sales tax in the bid. The
responsibility of payment shall remain with the successful bidder.
4. Prices shall include all labor, materials, profit, insurance, etc., to cover the furnishing of the
items of the bid.
5. Bids received after the date and time set for receiving bids will not be considered.
6. The Owner reserves the right to accept or reject any and all bids, waive formalities in the
bidding and make a bid award deemed to be in the best interest of the Owner. The Owner
shall be able to purchase more or less than the quantity indicated subject to availability of
funds.
7. The bid price shall remain good and firm for a period of thirty (30) calendar days from bid
opening date; however, the -prices may remain firm for a longer period of time if mutually
agreeable between bidder and the Owner.
8. All products delivered shall comply with applicable standards of quality.
9. Any exceptions to the requirements of the City of Fayetteville must be noted on the Bid Form
or on an attached form.
10. In the event of two or more identical low bids, the contract may be awarded arbitrarily or for
any reason to any such bidders, at the discretion of the Owner.
11. The Contractor is to supply the City with evidence of the following:
1) Current and valid Certificate of Liability Insurance that includes coverage for
a) Workman's Compensation and Employer Liability in accordance with the laws of
the State of Arkansas, b) Commercial General Liability that covers public liability
and property damage and c) Automobile Liability, if applicable. All premiums and
113 W MOUNTAIN ST I FAYETTEVILLE AR 72701 1 PHONE 479.575.8260 1 FAX 479.444.3445
Form CR 117
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
costs shall be paid by the Contractor. In no way will the Owner be responsible in
case of accident.
2) Current and valid license from the State of Arkansas Contractors Licensing Board.
3) EPA/HUD Approved Lead Safety Training Program certification.
12. Specifications furnished with this invitation are intended to establish a desired quality or
performance level, or other minimum dimensions and capacities, which will provide the best
product at the lowest possible price. Other than designated brands and/or models approved
as equal to designated products shall receive equal consideration.
13. The City reserves the right to request any additional information it deems necessary from any
or all bidders after the submission deadline.
14. Quality, time and probability of performance may be factors in making an award.
15. Any ambiguity in any bid as a result of omission, error, lack of clarity or non-compliance by
the bidder with specifications, instructions, and all conditions of bidding shall be construed in
the light most favorable to the Owner.
16. Bidders must provide the City with their bids signed by an employee having legal authority
to submit bids on behalf of the bidder.
17. The request for bid is not to be construed as an offer, a contract, or a commitment of any
kind; nor does it commit the city to pay for any costs incurred by bidder in preparation of bid.
18. Bids must be hand delivered or received by mail in the Community Resources Office, 125
West Mountain St. Fayetteville, and AR. 72701, on or before the time of closing listed on the
Bid Form: Under no circumstances will faxed bids be allowed.
19. The successful bidder will be required to enter into a contract with the Owner and shall
provide a certificate of insurance to the Community Resources Division within ten (10) days
of notice of bid award.
20. In the event a contract is entered into pursuant to the "Invitation to Bid", the bidder shall not
discriminate against any qualified employee or qualified applicant for employment because
of race, sex, color, creed, national origin, or ancestry. The bidder must include in any and all
subcontracts a provision similar to the above.
21. The contractor must be prepared to commence work on start date per Notice to Proceed
issued by the City Community Resources Division, and must complete the work within
Thirty (30) calendar days. Exceptions as noted in the Rehabilitation Contract.
113 W MOUNTAIN ST I FAYETTEVILLE AR 72701 1 PHONE 479.575.8260 1 FAX 479.444.3445
Form CR 117
CITY OF
Fayql -Ile
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
22. A Maximum of three payments may be made on each Housing Rehabilitation Project. Upon
satisfactory completion of 40% of the work and submission of proper documentation, 30% of
the contract amount may be released to the contractor with 10% being held as retainer. Upon
satisfactory completion of 70% of the work and submission of proper documentation, 60% of
the contract amount may be released to the contractor with 10% being held as retainer. Final
payment shall be made after satisfactory completion and acceptance of the project. Retainers
shall be released with the final payment.
23. A certificate of final inspection by the City of Fayetteville's Building Safety Division must
be performed before the release of the final check.
24. Any construction material containing Lead -Based Paint (LBP) shall be removed by workers
certified in LBP Interim Controls and with adherence to the current HUD Regulation on LBP
Hazards.
113 W MOUNTAIN ST I FAYETTEVILLE AR 72701 1 PHONE 479.575.8260 1 FAX 479.444.3445
Form CR 117
CITY OF
ARKA NSAS
DEVELOPMENT BLOCK GRANT
Residential Permit Application
and Plan Review Requirements
The following shall be the submittal requirements:
• Completion of the Master Permit application and review before any work starts.
• "CDBG" will be entered in the Description of Work field.
• Specification sheets will be submitted with the application.
• CDBG fee waiver sheet for the application process. (Provided by CDBG Staff)
• A site plan of the property drawn to scale will be submitted according to permitting
procedures.
• A floor plan drawn to scale will be submitted indicating where changes to the
structure are to occur. This can be done in two parts as before and after with 8 V2 x
11 plans.
• The Master permit must be issued before any other permit may be applied for.
Highland Home Builder, Inc.
Bruce Kerr 479-903-0966
Community Resources Spec writer
brucegkerr@netzero.com
Community Resources Division
�NLA
Home Builder, Inc.
MODERATE HOUSING REHABILITATION PROJECT
Scope of Project: Install new siding, windows, HVAC unit, deck railing, gutters and insulation.
Perform repairs to trim and electric system. Replace ceiling tiles in two rooms
Owner's Name: Wes & Maggie Mouser Phone: 479-879-2242
Project Location: 1628 N Broadview Drive, Fayetteville, AR 72703
Project # 62123-1410
Administrator: Kyle Belt Phone: 479-575-8240 Fax: 479-444-3445
Contractors Description of Work:
Minimum requirements for bidder: Proof of current Arkansas Residential Contractor's license (or
Commercial Contractor's license if required by law) which is provided by the State of Arkansas
Contractors Licensing Board, Certificate of Liability Insurance, and a statement of Completion of
EPA/HUD Approved Lead Safety Training if applicable.
GENERAL:
The contractor will be responsible for all aspects of the construction, installation, repairs, and cleanup
as stated in the Scope of Work and Specifics at the project location stated above. Each bidder will be
responsible for a complete inspection of the property at the project location before submitting bid.
Give occupant 24 hour notice before inspection. All the distances, measurements, procedures, and
listed materials should be verified before submitting your bid to complete the work. The
requirements listed here, in the description of work, are general requirements and it will be the
responsibility of the winning bidder to assure the City of Fayetteville that the finished project is in
compliance with all applicable codes and standards and achieves the goal of raising the efficiency of
the building.
The contractor's duties and responsibilities include, but are not limited to, the following:
1) Purchasing of all materials.
2) Supervision of all employees and subcontractors.
3) Coordination with the City of Fayetteville CDBG Administrator, the City of Fayetteville
Code Compliance Office and owners.
4) Project design.
5) Clean up and restoration of all lawns, planters, walking and driving surfaces to their original
condition.
6) Keep job site safe for others and practice safe working practices as required.
SPECIFICS:
A: ELECTRICAL
A - 1 Install a new GFI outlet in the bathroom and repair wiring or replace GFI outlet in the kitchen
so it is in working order.
A — 2 Make all connections necessary for the new HVAC system, adding any needed breakers and
electrical components needed.
A —3 Install any missing outlet and switch covers in the home.
A — 4 Add any missing smoke detectors to bring the old section of the home up to code.
A — 5 Determine what the switch in the laundry room that is missing a cover controls and make
repairs. If the switch does not run anything anymore just cap it off and put a blank cover on it.
B: SIDING
B —1 Install new vinyl siding with vinyl soffits. Build any sub structure to the soffits if needed to
install vinyl soffit material. Use metal fascia and cover any exposed wood with aluminum coil
as needed. Have colors and profile approved by homeowner. (Soffits have tested positive for
lead)
B — 2 Build three new crawlspace doors that open and close easily. One of the crawlspace doors
may need to be enlarged to allow the new HVAC unit in the crawlspace. Make adjustments as
needed to accommodate the new unit. -
B — 3 The front porch columns have tested positive for lead. Cover them with coil metal or paint
them to match the siding using lead safe practices.
C: HVAC
C —1 Install a new natural gas 90 plus furnace in the crawlspace of the home. The units should be
Energy Star rated with the AC unit with a minimum seer rating of 15. The outdoor AC unit
should be installed near the electric meter.
C — 2 Install central air vents in the crawlspace. Ensure all ducts are sealed and insulated properly.
The unit should have a return air with a filter grill installed for customer to change filters
easily. Determine the best way to provide a space for the return air and have it approved by
the homeowner.
C — 3 Remove the old gas heater in the living room and cap of the gas.
D: WINDOWS
D —1 Remove old windows. The windows tested positive for lead so remove them using lead safe
practices.
D — 2 Replace all windows except front left bedroom window that faces front with new single or
double hung windows. The left front bedroom window that faces front should be a casement
window that meets egress. The windows should be white vinyl windows that are energy star
rated with Low-e glass.
D — 3 Cover the outside wood around the window trim with metal coil trim bent to fit.
D — 4 Seal around all windows to keep out water or air.
E: INSULATION
E —1 Blow in attic insulation to bring R value to R 38.
E — 2 Install a vapor barrier over the dirt in the crawl space of the home.
E — 3 Install new R-19 floor insulation between the joists in the crawlspace.
F: GUTTERS
F —1 Add seamless gutters and downspouts to the home. Have color approved by homeowner.
G: CEILING TILES
G —1 Replace the ceiling in the laundry room and office off of the kitchen with similar style ceiling
tiles. Repair ceiling above tiles as needed so the new ceiling will not sag. Help the customer
by moving any furniture or appliances as needed to perform the work.
H: DECK RAILING
H —1 Install a new handrail on the back porch and stairs that meets code. Use pressure treaded
wood.
I: TRIM AND PAINT
1-1 Make any needed repairs inside the home around the windows. Add or repair any trim or
paint as needed.
1-2 Install a new 1x4 baseboard in the hallway where it is missing. Paint to match.
J: CLEANUP
J - 1 All new, used, and excess construction materials that relate to the job or a change order(s)
belongs to the contractor and can be removed from the property by the contractor as needed
during the project and shall be removed at completion.
J - 2 All trash shall be hauled off by contractor and preferably recycled if possible.
J - 3 All affected areas shall be left broom clean.
J - 4 If lead paint is present, cleanup will be compliant with EPA/HUD Approved Lead Safety
standards.
K: OTHER
K - 1 All work or materials which are not directly noted in the Scope of Work and Specifics, but are
necessary for the proper carrying out of the obvious intentions thereof, are to be .understood
as implied work and will be provided for by the contractor as if specifically described or
drawn.
K - 2 All work shall be performed in a workmanlike manner according to common construction
practices, according to the specifications set forth in the Community Resources Program's
General Specification Manual, and with adherence to city, state, and national codes.
K - 3 Any damage to the dwelling or property caused by the contractor, his/her worker(s) or
delivery person, and/or their vehicles during the project shall be repaired to like new
conditions.
K - 4 Where applicable, all plumbing work shall be performed by a Arkansas State licensed
plumbing contractor with adherence to the current Arkansas Plumbing Code.
K - 5 Where applicable, all electrical work shall be performed by a Arkansas State licensed electrical
contractor with adherence to the current National Electrical Code.
K - 6 Where applicable, all HVAC work shall be performed under the supervision of a licensed HVAC
contractor with adherence to all codes.
LEADTE, CHNOL 0 GIE S
1922 Sannyland.Road
31ountain View, Arkansas 72560
May 29, 2014
Mr. Kyle Belt
City of Fayetteville
113 West Mountain Street
Fayetteville, Arkansas 72701
Dear Mr..Belt:
This is a report of the lead -based paint inspection conducted at the :residence of Wes & Maggie Mouser,
1628 BroadviewFayettevillej Arkansas. The inspection was conducted on May 15, 2014. The purpose of
the inspection was to determine if lead -based paint was present at or above the Department of Housing and
Urban Development's (HUD) regulated level of 1.0 mg/cm2. Lead -based paint was found. on the exterior
and interior of the dwelling. One hundred. seventy-four XRF readings were taken with seven of the
readings at or above the HUD regulated level. Please refer to the summary report for additional
information on specific locations and, lead concentrations.
The summary report lists all concentrations that are at or above the HUD regulated level of 1.0 mg/cm2. A
sequentialreport lists all XRF readings in. the order they were taken. Both reports provide the structure on
which the reading was taken, the location, paint condition, substrate, color and concentration. The wall
refers to the side of the,house: (location) that each reading was taken. Example: Exterior wall A is the front
entrance side, when looking at the front of the house, then proceed clockwise, wall B being to the lefi of A
and go on. Each room after that is oriented the same, with wall A in the living room being the wall facing
the front entrance. Paint condition is classified by intact (good), fair and poor conditions. The mode refers
to the sampling method selected for conducting the x-ray fluorescence measurements. A diagram with
room identifiers and room numbers is included for reference. The inspection was conducted using the
RMD LPA-I x-ray fluorescence analyzer (XRF), serial number 3204. The XRF was operated in the quick
mode for the quantitative measurement of lead in paint.
Frank Terry of Lead Technologies conducted the lead paint inspection. Mr. Terry is a certified lead paint
inspector and a certified risk assessor. Lead Technologies is an Arkansas licensed lead paint consultant.
According to HUD and EPA regulations a disclosure statement must be provided to the property owner and
.any new lessees (tenants) and purchasers of this property prior to becoming obligated under a lease or sales
contract. A copy of this report must be .made available to the occupants within 15 days. A lead -based paint
disclosure is included with this letter. Please provide the EPA information pamphlet; "Protect Your
Family from Lead in Your Home" or "Renovate Right" to the homeowner when you deliver the lead report
to them.
If you have any questions concerning this survey report or need additional assistance, please feel free to
call us. We appreciate you selecting Lead Technologies to conduct your lead paint inspection.
Sincerely,
Juanita Terry, Vice Presid t
Lead. Tecbnologies 7
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"A copy of this summary must be provided to new lessees
(tenants) and purchasers of this property under Federal Law
(24 DFR Part 35 and 40 CFR Part 745) before they become
obligated under a lease or sales contract. The complete
report must also be provided to new purchasers and it must
be made available to new tenants. Landlords (lessors) and
sellers are also required to distribute an educational pamphlet
approved by the U.S. Environmental Protection Agency and
,include standard warning language in their leases or sales
contracts to ensure that parents have the information they
need to protect their children from lead -based paint hazards."
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REPORT NUMBER: S#03204 - 05/15114 10:33
INSPECTION FOR: Mr..Kyle.Richard Belt
City of Fayetteville, Comm. Serv.
113 West Mountain Street
Fayetteville, Arkansas 72701
PERFORMED AT: 1628. Broadview
Fayetteville, Arkansas
INSPECTION DATE: 05/15/14
INSTRUMENT TYPE:
ACTION LEVEL.:
OPERATOR LICENSE:
RMID
,MODEL LPA-1
XRF TYPE ANALYZER
Serial Number: 03204
1.0 Mgjdlb2 ._
GLmO`142
SIGNED --
Date
1628 Broadview
Fayetteville, AR
C
...........____..._.._...........
Porch
.
Closet
Bedroom
Storage
Rm5
Rm7
Bath
Rm6
Office
Laundry
Rm4
Rm8
Closet
Kitchen
Rm9
Bedroom
Rm3
D
SUMMARY REPORT OF LEAD PAINT INSPECTION FOR: Mr. Kyle Richard Belt
Inspection Date:
Report Date:
Abatement Level
Report No.
Total Readings:
Job Started:
Job Finished:
05/15/14
5/17/2014
1.0
S#03204 - 05/15/14 10:33.
174 Actionable: 7
05/15/14 10:33
05/15/14 12:25
Reading
No. Wall Structure Location Member
1628 Broadview
Fayetteville, Arkansas
Paint lead
Cond Substrate Color (mg/emz) Mode
Exterior
Room 001 Exterior
015 A
Fascia
I
Wood
Tan
1.5
QM
006A
Column
Rgt
L column
I
Wood
Tan
1.0
QM
004 A
PorchCeiling
Ctr
I
wood
Tan
1.10
QM.
005 A
Porch Supp.
Ctr
I
Wood
Tan
1A
QM
008 A
Rafter End
Rgt
I
Wood
Tan
1.0
QM
037 C
Window
Rgt
Sash
P
Wood
white
1.3
QM'
Interior
Room 001 Living Rm
050 D
Window
Lft
Sash
I
Wood
White
1.4
QM
Calibration .Readings
----
End of
Readings ----
1
SEQUENTIAL REPORT OF LEAD PAINT INSPECTION FOR: Mr. Kyle Richard Belt
Inspection Date:
05/15/14 1628 Broadview
Report Date:
5/17/2014 Fayetteville, Arkansas
Abatement Level:.
1.0
Report No.
S#03204 - 05/15/14 10`33
Total Readings:
174
Job Started:
05/15/14 10:33
Job Finished:
05/15/14 12:25
Read
No.
Rm Room
No. Name
Paint
Wall Structure Location Member Cond Substrate
Color
Lead
(mg/cm2) Mode
1
CALIBRATION
0.9
TC
2
CALIBRATION
1.0
TC
3
CALIBRATION
0.9
TC
4
001 Exterior
A
PorchCeiling
Ctr
I Wood
Tan
1.0
QM
5
001 Exterior
A
Porch Supp.
Ctr
I Wood
Tan
1.0
QM
6
001 Exterior
A
Column
Rgt L column
I Wood
Tan
1.0
QM
7
001 Exterior
A.
Soffit
I Wood
Tan
0.6
QM
8
001 Exterior
A
Rafter End
Rgt
I Wood
Tan
1.0
QM
9
001 Exterior
A
Door
Ctr Lft casing
I Wood
Tan
0.0
QM
10
001 Exterior
A
Door
Ctr Rgt jamb
I Wood
White
0.1
QM
11
001 Exterior
A
Door
Ctr U Lft
I Wood
Natural
-0.1
QM
12
001 Exterior
A
Wall
U Rgt
I Wood
flan
-0.2
QM
13
001 Exterior
A
Wall
L Lft
I Wood
Tan
-0.3
QM
14
001 Exterior
A
Corner board
Lft
I Wood
Tan
0.0
QM
15
001 Exterior
A
Fascia
I Wood
Tan
1.5
QM
16
001 Exterior
B
Fascia
I Wood
Tan
0.0
QM
17
001 Exterior
B
Soffit
I Wood
Tan
-0.1
QM
18
001 Exterior
B
Rafter End
Lft
I Wood
Tan
0,5
QM
.19
001 Exterior
B
Wall
U Ctr
I Wood
Tan
-0.2
QM
20
001 Exterior
B
Corner board
Rgt
I Wood
Tan
-0.1
QM
21
001 Exterior
B
Door
Lft Rgt casing
I Wood
Tan
0.0
QM
22
001 Exterior
B
Door
Lft Lft jamb
I Wood
White
0.0
QM
23
001 Exterior
B
Door
Lft U Ctr
I Wood
Natural
-0.2
QM
24
001 Exterior
C
Door
Lft U Rgt
I Wood
Natural
-0.1
QM
25
001 Exterior
C
Door
Lft Rgt jamb
I'Wood
White
-0.1-
QM
26
001 Exterior
C
Door
Lft Lft casing
I Wood
Tan
-0.1
QM
27
001 Exterior
C
Railing
Lft Railing
I Wood
Tan
0.2
QM
28
001 Exterior
C
Column
Rgt U column
I Wood
Tan
0.0
QM
29
001 Exterior
C
Porch Floor
Lft
P Wood
Tan
-0.2
QNt
30
001 Exterior
C
PorchCelling
Lft
I Wood
Tan
-0.1
QM
31
001 Exterior
C
Porch Supp.
Lft
I Wood
Tan
0.2
QM
32
001.Exteri_or
C
Soffit
I Wood
Tan
-0.1
QM
33
001 Exterior
C
Rafter End
Lft
I Wood
Tan
-0.1
QM
34
001 Exterior
C
Fascia
I Wood
Tan
0.0
QM
35
0.01 Exterior
C
Corner board
Rgt
I Wood
Tan
-0.1
QM
36
001. Exterior
C
Wall
L Ctr
I Wood
Tan
-0.3
QM
37
001 Exterior
C
Window
Rgt Sash
P Wood
White
1.3
QM
38
001 Exterior
D
Wall
L Lft
I Wood
Tan
-0.3
QM
39
001 Exterior
D
Conner board
Lft
I Wood
Tan
-0.1
QM
SEQUENTIAL REPORT OF LEAD PAINT INSPECTION FOR; Mr. Kyle Richard Belt
Read Rm Room Paint Lead
No. No. Name Wall Structure Location Member Cond Substrate Color (mg/cm') Mode
40
001 Exterior
D
Crawlspace
Lft
P Wood
Tan
-0.3
QM
41
001 Exterior
D
Soffit
I Wood
Tan
-0.1
QM
42
001 Exterior
D
Fascia
I Wood
Tan
0.0
QM
43
001 Exterior
D
Rafter End
Rgt
I Wood
Tan
0.0
QM
44
001 Exterior
D
Vent Pipe
Ctr
I Metal
Tan
0-1
QM
45
001 Living Rm
A
Wall
L Lft
I Drywall
Tan
-0.1
QM,
46
001 Living Rm
B
Wall
U Ctr
I Drywall
Tan
-0.1
QM
47
001 Living Rm
C
Wall
L Lft
I Drywall
Tan
0.1
QM
48
001 Living Rm
D
Wall
U Rgt
I Drywall
Tan
0.1
QM
49
001 Living Rm
D
Window
Lft Well
P Wood
White
0.5
QM
50
001 Living Rm
D
Window
Lft Sash
I Wood
White
1.4
QM
51
001 Living Rm
A
Baseboard
Lft
I Wood
White
0.0
QM
52
001 Living Rm
A
Crown Mlag
Oft
I Wood
White
0.1
QM
53
001 Living Rm
A
Door
Rgt Header
I Wood
White
0.0
QM
54
001 Living Rm:
A
Door
Rgt Lft jamb
I Wood
Natural
0.2
QM
55
001 Living Rm
A.
Door
Rgt L Lft
I Wood
Natural
0.1
QM.
56
002 Bedroom.
C
Door
Rgt Lft casing
I Wood
White
0.2
QM
57
002 Bedroom
C
Door
Rgt Rgt jamb
I Wood
White
0.0
QM
58
002 Bedroom
C
Door
Rgt L Ctr
I wood
white
-0.1
QM
59
002 Bedroom
B
Window
Ctr Sill
I Wood
White
-0.5
QM
60
002 Bedroom
B
'Window
Ctr Lft jamb
I Wood
White
-0.1
QM
61
002 Bedroom
D
Baseboard
Lft
I Wood
White
0.0
QM
62
002 Bedroom
B
Closet
Rgt Door
I Wood
White
-0•.2
QM
63
002 Bedroom
B
Closet
Rgt Door Casing
I Wood
White
0.1
QM
64
002 Bedroom
B
Closet
Rgt Door Jamb
I Wood
White
0.1
QM
65
002 Bedroom
B
Closet
Rgt Shelf
I Wood,
White
0.1
QM
66
002 Bedroom
B
Closet
Rgt Shelf Sup.
I Wood
White
0.0
QM
67
002 Bedroom
B
Closet
Rgt Wall
I:Drywall.
White
-0.2
QM
68
002 Bedroom
B
Ceiling
I Drywall
White
-0.1
QM
69
002 Bedroom
A
Wall.
L Rgt
I Drywall
White.
0.0
QM.
70
0.02 Bedroom
B
Wall
U Lft
I Drywall
White
-0.1
QM
71
002 Bedroom
C
Wall,
L Ctr
I Drywall
White
-0.1
QM
72 --
002 Bedroom
D
Wall.
U Lft
I 'Drywall
White
-0.1
QM
73
003 Bathroom
A
Wall
U Ctr
I Drywall
Green
-0- 1
QM
74
003 Bathroom
B
Wall
L Ctr
I Drywall
Green
-0.3
QM"
75
003 Bathroom
C
Wall
U Rgt
I Drywall
Green
-0.3
QM
76
003 Bathroom
D
Wall
L Lft
I Drywall
Green
0.0
QM
77
003 Bathroom
C
Ceiling
I Drywall
White
-0.3
QM
78
003 Bathroom
B
Window
Ctr Sill
I:Wood
White
-0.2
QM
79
003 Bathroom
B
Window
Ctr Apron
I Wood
White
-0.1
QM
80
003 Bathroom
A
Cabinet
Rgt
I Wood.
White
-0.3
QM
81
003 Bathroom
A
Vanity
Lft
I Wood
White
-0.1
QM
82
003 Bathroom
D
Door
Rgt Rgt casing
I Wood
White
-0.2
QM
83
003 Bathroom
D
Door
Rgt Lft jamb
I Wood
White
-0- 1
QM
84
003 Bathroom
D
Door
Rgt L Rgt
I Wood
White
-0.2
QM
85
003 Bathroom
D
Closet
Lft Door Casing
I Wood
White
0.0
QM
86
003 Bathroom
D
Closet
Lft Door Jamb
I Wood
White
0.0
QM
SEQUENTIAL REPORT OF LEAD PAINT INSPECTION FOR: Mr. Kyle Richard Belt
Read Rm Room Paint Lead
No. No. Name Wall Structure Location Member Cond Substrate Color (mglcm2) Mode
87
003 Bathroom
B
Baseboard
Rgt
I Wood
White
-0.1
QM
88
003
Bathroom
A
Attic Entry
Ctr
I Wood
White
0.1
QM
89
004
Office
A
Wall
U
Lft
I Wood
Natural
-0.1
QM
90
004
Office
B
Wall
U
Rgt
I Wood
Natural
-0.1
QM
91
004
Office
C
Wall
L
Ctr
I Wood
Natural
0.0
QM
92
004
Office
D
Wall
U
Rgt
I Wood
Natural
0.0
QM
93
004
Office
C
Baseboard
Lft
I Wood
Natural
0.0
QM
94
004
Office
B
Floor
I Wood
Natural
-0.3
QM
95
004
Office
B
Window
Lft
Lft casing
I Wood
Natural
-0.2
QM
96
004
Office
B
Window
Lft
Well
I Wood
White
0.3
QM
97
00.4
Office
C
Door
Lft
Rgt casing
I Wood
Natural
0.1
QM
98
604
office
C
Door
Lft
Lft jamb
I Wood
Natural
-0.4
QM
99
004
Office
C
Door
Lft
U Lft
I Wood
Natural
0.0
QM
100
004
O€€ice
A
Closet
Rgt
Door
I Wood
Natural
0.0
QM.
101
004
Office
A
Closet
Rgt
Door Jamb
I Wood
Natural
0.1
QM
102
004
Office
A
Closet
Rgt
Shelf
I Wood
Natural
0.1
QM
103
004
Office
A.
Closet
Rgt
Shelf Sup_
I Wood
Natural
-0.1
QM'
104
004
Office
A
Closet
Rgt
Wall
I Wood
Natural
0.2
QM
105
005
Bedroom
A
.Door
Ctr
U Ctr
I Wood
Natural
0.0
QM
106
005
Bedroom
A
Door
Ctr
Lft jamb
I Wood
Natural
0.0
QM
107'
005
Bedroom
A
Door
Ctr
Header
I Wood
Brown
0.1
QM
108
005
Bedroom
C
Baseboard
Lft
I Wood
Brown
-0.1
QM.
10'9
005
Bedroom
B
Window
Lft
Rgt casing
I Wood
Brown
0.1
QM.
110
005
Bedroom
B
Window
Lft
Lft casing
I Wood
Brown
-0.1
QM
Ill
005
Bedroom
B
Crown Mldg
Ctr
I Wood
Brown
-0.1
QM.
112
005
Bedroom
A
'Wall
L
Ctr
I Wood
Natural
0.1
QM
1.13
005
Bedroom
B
Wall
U
Rgt
I Wood
Natural
0.0
QM
114
005
Bedroom
C
Wall
L
Lft
I Wood
Natural
0.0
QM
115
005
Bedroom
D
Wall
U
Rgt
I Wood
Natural
-0.1
QM
116
006
Bathroom
A
Vanity
Ctr
I Wood
Natural
0.0
QM
117
006
Bathroom
A
Cabinet
Lft
I Wood
Natural.
-0.1
QM.
118
006
Bathroom.
B
Door
Lft
U Rgt
I Wood
Natural
-0.2
QM
119
006.Bathroom
B
'Door
Lft
Lft casing
I Wood
Brown
-0.1
QM
120
006
Bathroom
B
Door
Lft
Rgt jamb
I Wood
Brown
-0.1
QM
121
006
Bathroom
D
Baseboard
Rgt
I Wood
Brown
-0.2
QM
122
006
Bathroom
C
Closet
Lft
Door
i Wood
Brown
-0.3
QM
123
006
Bathroom
C
Closet
Lft
Door Casing
I Wood
Brown
0.0
QM
124
00.6
Bathroom
C
Closet
Lft
Door Jamb
i Wood
Brown
0.0.
QM
125
006
Bathroom
C
Closet
Lft
Shelf
I Wood
Brown
0.0
QM
126
006
Bathroom
C
Closet
Lft
Shelf Sup.
I Wood
Brown
0.0
QM
127
006
Bathroom
C
Closet
Lft
Wall
I Wood
Broom
0.0
QM
128
006
Bathroom
D
Heater
Rgt
I Metal
Brown
0.0
QM
129
007
Storage
A
Wall
U
Rgt
I Wood
Brown
-0.2
QM
130
007
Storage
B
Wall
L
Lft
I Wood
Brown
0.1
QM
131
007
Storage
C
Wall
U
Ctr
I Wood
Brown
-0.2
QM
132
007
Storage
D
Wall
U
Lft
I Wood
Brown
-0.2
QM
133
007
storage
D
Window
Rgt
Rgt casing
I Wood
Brown
-0-.1
QM
SEQUENTIAL REPORT OF LEAD PAINT INSPECTION FOR: Mr. Kyle Richard Belt
Read Rm Room Paint Lead
No. No. Name Wall Structure Location Member Cond Substrate Color (mg/cm') Mode
134
007
Storage
D
Window
Rgt
Sill
I"Wood
Brown
0.1
QM
135
007
Storage
A
Closet
Ctr
Door Casing
I Wood
Brown
0.0
QM
136
007
Storage
A
Closet
Ctr
Door Jamb
I Wood
Brown
0.0
QM
137
007
Storage
A
Closet
Ctr
Shelf Sup_
L Wood
Brown
0.2
QM
138
007
Storage
B
Baseboard
Lft
I Wood
Brown
0.1
QM
139
007
Storage
B
Crown Mldg
Lft
I Wood
Brown
-0.1
QM
140
0:07
Storage
A
Door
Rgt
Rgt casing
I Wood
Brown
0.1
QM
141
007
Storage
A
Door
Rgt
Lft jamb
I Wood
Natural
-0.1
QM
142
007
Storage
A
Door
Rgt
U Rgt
I Wood
Natural
0.0
QM
143
008
Laundry
A
Wall
U
Ctr
I Wood
Natural
-0.1
QM
14.4
008
Laundry
B
Wall
L
Lft
I Wood
Natural
-0.1
QM
145
008
Laundry
C
Wall
L
Ctr
I Wood
Natural
0.1
QM
146
008
Laundry
D
Wall
U
Rgt
I Wood
Natural
-0.2
QM
14.7
608
Laundry
D
Window
Ctr
Apron
I Wood
Natural
-0.1
QM
148
008
Laundry
D
Window
Ctr
Sash
I Wood
Natural
0.1
QM
149
00.8
Laundry
B
Baseboard
Lft
I Wood
Natural
-0.1
QM
150
008
Laundry
A
Door
Rgt
Header
I Wood
Natural
-0.1
QM
151
008
Laundry
A
Door
Rgt
Rgt jamb.
I Wood
Natural
0.0
QM
152
008
Laundry
A
Door
Rgt-L
Rgt
i"Wood
Natural
0.0
QM
153
008
Laundry
C
Closet
Ctr
Door
I Wood
Natural
-0_2
QM
154
008
Laundry
C
Closet
Ctr
Door Casing
I Wood
Natural
-0.1
QM
155
008
Laundry
C
Closet
Ctr
Wall
I Wood
Natural
-0.2
QM
156'
008
Laundry
C
Closet
Ctr
Wall
I Wood
Brown
-0.1
QM
157
008
Laundry
C
Floor
P Concrete
Grey
0.0
QM
158
009
Kitchen
A
Cabinet
Lft
1 Wood
White
o.0
QM
159
G09
Kitchen
D
Window
Ctr
.Sill
I Wood
White
-0.1
QM
160
009
Kitchen
C
Door
Rgt
U Rgt
I Wood
Natural
-0.2
QM
161
009
Kitchen
C
Door
Rgt
Header
I Wood
Grey
-0.4
QM
162
009
Kitchen
C
Door
Rgt
Lft jamb
I Wood
Grey
-0.1
QM
163
009:
Kitchen
C
Baseboard
Lft
I Wood
Grey
0.0
QM
164
009
Kitchen
C
Chair rail
Lft
I Wood
Grey
-0.1
QM
165,
009
Kitchen
A
Wall
L
Ctr
I Wood
Grey
-0.1
QM
166
009
Kitchen
B
Wall
L
Rgt
I Wood
Grey
0.0
QM
167
009
Kitchen
C
Wall
L
Lft
T Werad-
Grey
-0.1
QM
16.8
009
Kitchen
D
Wall
L
Ctr
I Wood
Grey
-0.1
QM
169'
009
Kitchen
A
Wall
U
Lft
I Drywall
Grey
-0.1
QM
170
009
Kitchen
B
Wall
U
Ctr
1 Drywall
Grey
-0.3
QM
171
069
Kitchen
C
Wall
U
Ctr
i Drywall.
Grey
-0.1
QM
172
CALIBRATION
0.8
TC
173
CALIBRATION
0.8
TC
174
CALIBRATION
0.8
TC
----
End of Readings
----
Risk Assessment Summary
Part l: Identifying Information:
A lead -based paint inspection and a risk assessment were conducted at the residence of
Wes & Maggie Mouser, 1628 Broadview, Fayetteville; Arkansas. Frank & Juanita Terry,
certified inspectors and risk assessors, Arkansas certification numbers 000327 & 000328
and 000325 & 000326, conductedthe inspection and risk assessment on May 15, 2014.
Lead Technologies is an Arkansas lead -based paint consulting firm; license number
000606.
Part 2: Results:
List of Locations and Type of Identified Lead Hazards:
The exterior was covered with wood clad. The overall condition. of the exterior and
interior of the house was intact except for some of the windows which were in poor
condition.
Deteriorated lead -based, paint was found on the exterior of the house on the window
components.
Non -deteriorated lead based paint was found on the fascia, the front porch column s and
the front porch ceiling and porch supports, and on the rafter ends..
Environmental dust wipe samples were collected throughout the house to evaluate the
lead. in dust concentrations. The lead in dust was .above the HUD standard for the
windowsills. The HUD standards are 40 ug/ft2 for the floors; the windowsills. are at 250
ug/ft2 and the window troughs are set at 400 ug/ft2. Using these criteria, the lead in dust
is considered a hazard.
One soil sample was collected at the perimeter of the house on sides A, B, C and D; the
soil was mostly covered. The soil lead level was less than 49 (ug/g) for the perimeter
sample. That level is below the EPA Guidance'Ievel: for soil. The .current EPA Guidance
level for soil is 1,200 ug/g for bare soil at building perimeters and yard areas and 400
ug/g for bare soil play areas. Using these criteria; the covered soil is not considered a.lead
hazard.
Part 3: Lead hazard Control and Estimated Costs;
A licensed lead -abatement contractor or an E.PA RRP certified contracting film, using
certified renovators, as directed in 745.89 shall conduct the lead work. The Contractor
shall comply with EPA 40 CFR Part 745 orHUD Lead Safe Housing rule, June 2004.
a. The Contractor shall post signs clearly defining the work area and warning occupants
or other persons not involved in the renovation to remain outside the work areas. The
occupants are not permitted to enter the worksite during hazard reduction activities, until
after hazard reduction work has been completed and clearance is achieved.
b. Before beginning the renovation, the firm must isolate the work area so that no dust or
debris leaves the work area while the renovation is being performed. In addition, the firm
must maintain the integrity of the containment by ensuring that any plastic or other
impermeable materials are not torn or displaced. During all exterior work that will
disturb lead -based paint, the windows, doors, ventilation intakes and other openings in or
near the worksite (within 20 feet of the renovation) shall be sealed. during the hazard
control work. For interior work close all windows and doors in the work area, cover with
plastic sheeting to confine dust and debris. Cover the ducts opening with plastic sheeting.
The firm must ensure that the containment does not interfere with the occupantand.
worker egress in an emergency.
c. Ensure that doors within the work areas that will be used while the job is performed are:
covered with plastic that allows workers to pass through while confining the dust and
debris.
d. Cover the ground or area with. plastic or other disposable .impermeable material
extending 10 feet beyond the work or a sufficient distance to collect falling debris. If the
property line is within 10 feet of the property line, a vertical containment roust be erected.:
to prevent the migration of contamination (dust and debris).
e. The work practices listed below are prohibited during renovation:
l.) Open flame burning or torching of painted surfaces.
2) The use of machines through high speed operations such as sanding, grinding, power
planning, needle gun, abrasive blasting, or sandblasting unless equipped with HEPA
vacuum attachments to collect dust and debris at the point of generation. The machines
must be operated so that no visible dust or release of air occurs outside the shroud or
containment system.
a) Opexating;a heat gum or painted surfaces is permitted only at temperatures below 1,100
degrees Fahrenheit..
f. All waste must the contained to prevent the release of dust and debris.
g. A. thorough clean ng:shall be conducted on the exterior and interior of the property.
Interiors must .be wet wiped -and. HEPA vacuumed to remove dust, debris and residue..
h. Clearance testing must be conducted at the completion of all rehabilitation work to
ensure that any existing lead contamination is removed. If the rehabilitation cost exceeds
$25,000, then a licensed lead -abatement contractor will be required to conduct all the
lead work.
Hazard f: Deteriorated Paint — Deteriorated lead -based paint was found on the exterior
of the house on the window components.
a. Place visqueen below/around the exterior work areas to contain the paint chips. Seal
the interior window area with visqueen to limit dust migration to the inside. Remove and
replace the windows with new windows. Conduct a thorough cleanup of the interior
using the HEPA vacuum/wet wash methods. Clean up any paint chips on
the ground. $5,500.00
Hazard 2: Elevated Lead Dust Concentrations - The lead in dust concentration was
above the HUD standards for the window troughs.
a. Conduct a thorough cleaning of all the windows, floors and/or horizontal surfaces
throughout the house and porch. Cleaning shall be conductedutilizing the HEPA
vacuum, wet wash, HEPA vacuum sequence or other method of
equivalent efficacy. $1,800.00
Part 4 Summary and Ongoing Monitoring Recommendations: A lead -based paint
inspection and risk assessment was conducted on May 15, 2014. Deteriorated lead -based
paint was found to be a hazard and the lead in dust concentrations exceeded the standard
for the window troughs.
HUD recommends ongoing monitoring of dwellings by reevaluations and visual
examinations of all properties containing lead -based paint or lead -based paint hazards. A
reevaluation is a risk assessment that includes more limited soil and dust sampling and a
detailed visual examination of paint films and any existing lead hazard controls (such as
enclosures).
According to the finding of this survey, a. reevaluation should be conducted in one year.
The reevaluation should be conducted by a certified risk assessor and should include both
a visualexamination and. environmental sampling for lead contaminated dust.
A visual survey (by the owner or owner's representative) should be conducted annually
and whenever information indicates a possible problem.
According to the HUD regulations; notification of the results of this lead -based paint risk
assessment must be provided to the occupants within 1.5 days of receipt of this report.
J to Terry, Certified re!'000326
sessor
Arkansas certification n
Chapter 5: Risk Assessment
Form 50
Resident Questionnaire
(To be completed by risk assessor via interview with resident.)
Children/Children's Habits
l . (a) Do you have any children that live in your tome? No
(If no children, skip to Question 5)
(b) If yes, how many? NIA
(c) Record blood lead levels, if }mown.
(d) Are there women of childbearing age preseit? No
I nrarinn nfthP rnnms/areas where each child sleeps_ eats_ and olays.
Name of child
Location of Bedroom.
Location ofall rooms
where child eats
Primary location
where child plays
indoors
Primary location.
where child plays
outdoors
3. Where are toys stored/kept?
4. is there any visible evidence of chewedor peeling paint on
the woodwork furniture, or toys.
Family Use Patterns
5. r Which entrances are used most frequently?
6. Which windows are opened most frequently?
7. Do you use window air conditioners? If yes, where?
(Condensation often causes paint deterioration)
8. (a) Do any household members. garden?
(b) Location of garden.
(c) Are you planning any landscaping: activities that will. remove
grass or ground covering?
9. (a) How often is the household cleaned?
(b) What cleaning methods do you use?
10. (a) Did you recently complete any building renovations?
(b) If yes, where?
(c) Was building debris stored in. the yard? If yes, where?
l l . Are you planning any building renovations? if yes, where?
12. (a) Do any household members work in a lead -related industry?
(b) If yes, where are dirty work clothes placed and cleaned?
N/A
NIA
Front
All
Yes, Back bedroom
MO_
N/A
Yes
Weekly
Sweet). mot). vacuum, dust
No
N/A
No
Yes. City of Fayetteville
No.
N/A
Chapter 5: Risk Assessment
Form 5.1
Building Condition Form
Condition
Yes
No
Roof missing parts of surfaces (tiles, boards, shakes, etc.)
X
Roof has Boles or large cracks
x
Gutters or down spouts broken
NIA
Chimney masonry cracked, bricks .loose or inissing, obviously out of
plumb
NIA
Exterior or interior walls have obvious large cracks or holes, requiring
more than routine pointing (if masonry) or painting
X
Exterior siding has missing boards or shingles
X
Water stains on interior walls or ceilings
X
Plaster, walls or ceilings deteriorated
X
Two or more windows or doors broken, missing; or boarded rap
X
Porch or steps have major elements broken, missing, or boarded up
Y.
Foundation has major cracks, missing material, structure leans,
or visiblyunsound
X
x Total number
Z
7
s: If the Yes column has two or more checks, the dwelling is usually considered to be -in poor conditionfor the purposes
of a risk assessment. However specific conditions and. extenuating circumstances should be considered before
determining the final condition of the dwelling and the appropriateness of a lead hazard screen.
Notes: Some of the windows had been, replace and some were old wooden windows. The living room had ceiling
damage. There were water stains in the kitchen, laundry room, storage room and the back bedroom. According to the
Homeowner, the roof had been repaired and there were no active water leaks. There .had been significant water
damage to the front bedroom due to water intrusion from the outside.
Chapter 5': Risk Assessment
Form 5.2
Paint Conditions on Selected Surfaces
(Single -Family, Owner -Occupied)
Building
component
Location Notes
Paint condition
(intact, fair, poor,
or not present) to
be completed by
risk assessor
Deterioration
due to friction
or impact?
Deterioration
due to
moisture?
Location of
painted
component with
visible bite marks
Building siding
INTACT
NO
NO
NO
Exterior trim
Fascia
FAIR
NO
YES
NO
Exterior windows
POOR
YES
YES
NO
Exterior doors
SfaSii
FAIR
YES
YES
NO
Railhogs:
FAIR
YES
YES
NO
Porch floors
Back porch
POOR
YES
YES
NO
Other porch
surfaces-
INTACT
NO
NO
NO
*Interior doors
FAIR
YES
NO
NO
Ceilings
FAIR
NO
YES:
NO
Walls
FAIR
YES
YES
NO
Interior windows
POOR
YES
YES
NO
interior floors .
Laundry room
POOR
YES
NO
NO
Interior trim
FAIR
YES
NO
NO
Stairways
NIA
Radiator
NIA
Kitchen cabinets
INTACT
NO
NO
NO
Bathroom cabinets.
Stain
INTACT
NO
NO
NO
Other surfaces
If the: overall condition of a component is similar throughout a dwelling, that condition should be recorded. If a component in a couple of locations
is to poor condition, but the overall condition is good or fair, the specific sites. of the badly deteriorated paint should be noted. The specificlocations
of any component with:bite rnarks.should he recorded.
Chapter 5: Risk Assessment
Form 5.3
Field Sampling Form for Dust
(Single -Surface Sampling)
Name of risk assessor: Juanita Terry
Name of property owner: Wes & Maggie Mouser
Properly address: 1628 Broadview, Fayetteville, Arkansas
Dwelling selection protocol: x All dwellings Targeted Worst case Random
Target dwelling criteria (check all that apply)
Code violations
x. Judged to be,:in poor condition
Presence of two or more children between ages of 6 months and 6 years
Serves as day-care facility
Recentlyprepared for re -occupancy
Sample number
Room (record name of room
used by the owner orresident)
Surface type
(circle the type)
Wood
Is surface
smooth and
cleanable?
Dimensions of
sample area
(inches x inches)
Area aa)
Result of lab
analysis (jig(W)
5/152014 Wl..
office
Floor
Yes
12x12
1.00
<1.0.0
W2
'Living room.
Window
trough
Yes
39.5x4.25
L17
2,058.4
W3
Kitchen
Floor
Yes
12x12
1.,00
<10.0
W4
Kitchen
Window sill
Yes
28x3.25
0.63
<15.9
W5
Laundry room
.Floor
Yes
12x12
1.:00
24.6
W6
Office - -
Window
trough
Yes
28x4.25
0,83
451.2
W7
Bathroom
Floor
I Yes
12x12
1.00I
<10.0
1ti18** I
Bathroom
Window sill I
Yes
28x4.25
9.83
1 <1.2.0
"*Blind plank
' Measure to the nearest .1/8 inch,
HUD standards: 40 µglitl(floors), 250 µg/ft'- (interior windowsills), 400 l:tg/ft' (window troughs)
Total number of samples on this page 8
Page 4 of 5
Date of sample collection: 5/15/2014 Date shipped to lab: 5/19/2014
Shipped by: Juanita Terry Received by: See laboratory chain of custody .form
Chapter 5':.Risk Assessment
Form 5.4
Field Sampling Form for Soil
(Composite Sampling Only)
Name of risk assessor:_
Name of property ourner Wes & Maggie Mouser
Property, address:. 1628 Broadview. Fayetteville Arkansas
Sample number
Location
Bare or covered
Lab result (µg/g)
5/15/14/St
Building perimeter sides
A,B,C,D:
Mostly Covered
49
HUD interim. standard for play area 400
HUD interim standard for perimeter 1,200
Collect only the top 1/2 inch of soil.
Total, number of samples on this page I
'.Page 5 of 5
Date of sample collection: 5/15/1:4. Date shipped to lab: 5/19/14
Shipped by: Juanita Te►y _ Received by: See lab chain of custody form.
SCHNEIDER LABORATORIES GLOBAL
INCORPORATED
2512 W. Cary Street • Richmond, Virginia • 23220-5117
804-353-6778. 800-785-LABS (5227) (FAX) 804-359-1475
Over 25 Years of Excellence in Service and Technology
LABORATORY ANALYSIS REPORT
Lead Analysis based on EPA 7000B Method
Using Preparation Method EPA 3050E
ACCOUNT #: 647-14-3341
CUSTOMER: LEAD TECHNOLOGIES
DATE RECEIVED:
5/21/2014
ADDRESS: 1922 Sunnyland Road
DATE ANALYZED:
5/21/2014
Mountain View, AR 72560
DATE REPORTED:
5/21/2014
PROJECT NAME: City Of Fayetteville
JOB LOCATION: 1628 Broadview
PROJECT NO.:
PO NO.:
Sample Type:
WIPE
SLI Customer Collection
Sample
Sample
Total
Lead
Sample Sample Date
Description
Area
Lead
Conc
No. No-
(ft2)
(pg)
(Ilg/fie)
32217737 5-15-14 W 1 5/15/2014
10:00 AM
Office Floor
i.00
< 10.0
< 10.0
322/7738 5-15-14 W 2 5/15/2014
10:00 AM
Living Rm W Trough
1.17
2,408.3
2,058.4
32217739 5-15-14 W 3 5/15/2014
10:00 AM
Kitchen Floor
1.00
< 10:0
< 10.0
32217740 5-15-14 W 4 5/15/2014
10:00 AM
Kitchen W Sill
0.63
< 10.0
< 15.9
32217741 5-15-14 W 5 5/15/2014
10:00 AM
Laundry Floor
1.00
24.6
24.6
32217742 5-15.14 W 6 5/15/2014
10:00 AM
Office Window well
0.83
374.5
451.2
32217743 5-15-14 W 7 5/15/2014
10:00 AM
Bath Floor
__. 1.00
< 10.0
< 10.0
.32217744 5-15-14 W 8 5/15/2014
10:00 AM
Bath W Sill
0.83
< 10.0
< 12.0
Analysis Run ID: 53431
Analyst: MARTI H. BAIRD
Total Number of Pages in Report: 1 Reviewed By Mohammed Eltilib, Metals Team Leader
Results relate only to samples as received by the laboratory. Visit www.siabinc.com for current certifications.
Final concentration calculations are based on client supplied information.
Accrediting bodies: AIHA-LAP, LLC 100527, NVLAP 101150-0, VELAP/NELAC 460135 - Call laboratory for current national and state certifications.
Minimum Reporting Limit: 10.0 jig. EPA Lead Hazard Std. 40 ug/it2 floors (please check lead wipe EPA HUD limit in your state) and 250
ug/ft2 interior window sills, based on weighted avg of all samples taken. EPA Clearance Std. 40 Pg/ft2 floors, 250 ug/ft2 interior window sills,
400 ug/ft2 window troughs. MDLs and resulting reporting limits are based on ASTM E 1792 compliant media. `Data precision justifies 2 sig
figures. All internal OC parameters were met. Unusual sample conditions, if any, are.described.
M [
t SCHNEIDER EASORATORIES GLOBAL,I WorkOrdje{]rjK,e jj ppll(�
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CITY of
7ayN 711c
ARKANSAS
STANDARD BID PROPOSAL FORM
PROJECT NUMBER: 62123-1410 DATE ISSUED: 07-21-2014
DATE AND TIME OF OPENING: Monday, 4:00 pm, August 4, 2014
OWNER'S NAME: City of Fayetteville
-PROJECT ADDRESS: 1628 N. Broadview Dr., Fayetteville, AR 72703
ATTENTION
The City has the right to select which of the items listed below will be completed based on
the amount of funds available.
*In blanks below please quote price for each item and the total for project at the bottom.
A) Electrical:
B) Siding:
C) HVAC:
D) Windows:
E) Insulation:
F) Gutters:
G) Ceiling Tiles:
H) Deck Railing:
I) Trim & Paint:
J) Cleanup:
K) Other:
Mailing Address:
113 W. Mountain Street
Fayetteville, AR 72701
COMMUNITY RESOURCES
~0ayettevi lle-ar.gov
MY TOTAL BID PRICE FOR THIS PROJECT IS $
Upon signing this Bid, the bidder certifies that they have viewed the property, read and agree to
the requirements set forth in this bid proposal, including specifications, terms and standard
conditions, and pertinent information regarding the articles being bid on, and agree to furnish
these articles at the prices stated.
Complete Business Address:
Name of Firm: Phone #
Residential Contractor's License number
Street address or P.O. Box
City / State/ Zip Code
Printed Name:
Signature: Title:
CITY OF
Ta—Ile
ARKANSAS
COMMUNITY DEVELOPMENT BU
REHABILITATION CONTRACT
THIS CONTRACT, executed this 18th day of September, 2014
BETWEEN
Wesley & Margaret Mouser
1628 N. Broadview Dr.
Fayetteville, AR 72703
Hereinafter referred to as the "Owner" whom resides at the stated property and
Evans Construction and Remodeling LLC
1123 Crutcher St.
Springdale, AR 72764
Hereinafter referred to as the "Contractor" whom warrants themselves to be licensed and qualified
to perform the work specified herein and APPROVED BY the City of Fayetteville, hereinafter
referred to as the "City,"
IN CONSIDERATION OF THEIR MUTUAL COVENANTS, THE PARTIES AGREE AS FOLLOWS:
1. EFFECTIVE DATE: This document shall have no force or effect unless and
until executed by the Owner and Contractor, and approved by the City of
Fayetteville. A properly executed and approved copy shall be mailed to the
Contractor at the address shown above. The date on which the copy is mailed
shall be referred to as the "Effective Date." If a properly executed and
approved copy of this Contract is not mailed on or before thirty (30)
consecutive calendar days from the date of execution, the Contractor is not
bound by the terms of this Contract. If however, a properly executed and
approved copy of this Contract is mailed after that date, and the Contractor
subsequently performs work on or delivers materials to the Property, the
Contractor shall be bound by this Contract. The Contractor shall not be
compensated under this Contract for work commenced or materials delivered to
the Property before the Effective Date.
113 W MOUNTAIN ST I FAYETTEVILLE AR 72701 1 PHONE 479.575.8260 1 FAX 479.444.3445
Form CR 125
CITY OF
r
Teele
ARKAN5A5
NITY DEVELOPMENT BLOCK GRANT PROGRAM
2. THE CONTRACT: This Contract consists only of this Part I (Specific Terms),
Part II (Standard Terms), and the following attachments:
A. Description of Work Specifications — (dated 7-17-2014 )
B. Community Resources, Housing Rehabilitation General Specifications
C. Payment Schedule
3. TIME FOR COMMENCEMENT AND COMPLETION: The Contractor agrees to
commence, or cause to be commenced, the actual work described in the
Description of Work, on start date per Notice to proceed. The Contractor
agrees to complete, free of liens or rights of liens of contractors, mechanics,
material men or laborers, all work listed in the Description of Work within
Thirty (30) days from the start date per the Notice to Proceed If work has not
been completed by such date, subject to extensions approved by the Owner and
the City for the period of any excusable delays (e.g. strikes, acts of nature or
other reasons beyond the control of the Owner or Contractor) the Contractor
shall be assessed liquidated damages in favor of the City in the amount of
Twenty-five Dollars ($25.00) per day for each calendar day proceeding the
effective date, as stated above. If, for any cause, the Contractor fails to fulfill in
a timely and proper manner the obligations under this contract, the City shall
have the right to terminate this contract by giving a written notice to the
Contractor of such termination and specifying the effective date of such
termination.
Upon termination of a contract, the work accomplished in the specified manner
under this contract shall be compensated for in a manner based upon the
itemized bid submitted by the Contractor prior to the initiation of this contract.
If work has not been started by said date, this contract may be considered null
and void, all housing assistance contracts of the Contractor, approved but for
which Notices to Proceed have not been issued, may be considered null and
void, and the "City" will have the right to consider the Contractor ineligible to
bid future projects.
113 W MOUNTAIN ST I FAYETTEVILLE AR 72701 1 PHONE 479.575.8260 1 FAX 479.444.3445
Form CR 125
CITY OF
T. Neville
ARKANSAS
4. CONTRACT PRICE: The Contractor agrees to accomplish work as described in
the Description of Work in accordance with each and every term and condition
of this Contract, for a total contract price of Thirty-two thousand & sixty-five
dollars ($32,065.00) The price of specific items of work is stated in the
Description of Work and/or the Bid Proposal Form.
5. PROGRESS PAYMENTS: The Contractor agrees that the total contract price
shall be paid in one payment 100% completion, two payments 50% progress
and 100% completion, or three payments 40% progress, 70% progress, and
100% completion, based upon the value of the work completed at the time the
progress payment is requested. Such progress payments shall be disbursed at
the time and in the amounts specified in the Payment Schedule (attachment C),
after inspection and approval of the work by the Owner and the City, less a
retainage of ten percent (10%) of the price of the work completed. The
retainage shall be retained until final payment in order to protect the Owner
from any default by the Contractor.
6. CONTRACTOR: In the event the Contractor defaults, the retainage shall be
disbursed in accordance with Part II, paragraph 10 of this Contract. Final
payment shall be due upon satisfactory completion and acceptance of the work
as in compliance with this Contract by the Owner and the City, permit sign -off,
submission of satisfactory wavier(s) of liens satisfactory to the Owner and the
City indemnifying the Owner against any lien, and submission of all warranties
and guarantees. The Owner shall not withhold payment to the Contractor
except for noncompliance 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. Retainages will be held until all inspections required by
the City have been performed and passed. 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, less the required retainage.
7. WARRANTY: The Contractor warrants that all improvements, hardware and
fixtures of whatever kind or nature to be installed or constructed on the Property
by the Contractor or Contractor's subcontractors will be of good quality,
113 W MOUNTAIN ST I FAYETTEVILLE AR 72701 1 PHONE 479.575.8260 1 FAX 479.444.3445
Form CR 125
CITY OF
ellevit
ARKANSi
Y DEVELOPMENT
suitable for their purpose and free from defects in workmanship or materials, or
other deficiencies. The Contractor agrees that before final payment is made on a
completed and approved project, the Contractor will furnish the Owner and
City, (1) manufacture's warranties and/or guarantees on all warrantable
products and materials installed in the project, including but not limited to:
asphalt shingles, water heaters, and furnaces and other heating equipment and
(2) Contractor's warranty which is valid for one (1) year from the date of final
inspection. The Contractor agree to remedy any defects in the Contractor's
work and materials and any damage resulting there from which may appear
within a period of one (1) year from the date of final acceptance of the work
which is the date upon which final inspection was performed.
8. 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 the neither the City nor the United States Department of
Housing and Urban Development assumes any liability or responsibility
whatsoever for the performance of any term of this Contract. The owner(s)
WILL NOT perform or hire another contractor to perform any type of
construction related repairs, improvements, or modifications to his/her/their
home as of the date of this contract through the final inspection phase which
will be performed by the City or The Community Resources Division.
Failure to comply with this section will cause this project to be placed on hold
until the unauthorized repairs, improvements, or modifications have been
completed. The Owner agrees that only the items listed in the Contract and
Description of Work are to be accomplished by the rehabilitation project. The
owner agrees that he or she will provide notice of defects in workmanship or
materials installed in the project within a reasonable period of time (30 calendar
days). The Contractor will not be responsible for defects caused by acts of the
occupants, by occupant's abuse, neglect or inadequate maintenance, or by Acts
of God. It is recognized by the parties that the City shall make a grant and/or
loan to the Owner which shall be used to pay in whole or in part the cost of the
contract, subject to additions and deductions in written and signed change
orders, as provided in the Description of Work and Housing Specs of the
contract. The Contractor agrees that the CDBG Programs Administrator shall
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have the right to act for the owners in taking all actions necessary to insure the
full and complete performance of the obligations of the Contractor under this
contract, and the Contractor agrees to hold the City harmless from and
indemnify and the City against any and all claims from the owner or any third
persons arising from the action of the Contractor with reference to this contract.
9. CONTRACT LIMITS: This Contract shall be deemed to be the entire Contract
and no other work shall be done or monies paid for such work unless advance
notice thereof is given to the City of Fayetteville Community Resources
Division and the specific procedures set forth in the General conditions for
Rehabilitation are followed.
IO.STATEMENT OF WORK: The Contractor does hereby agree that, according to
this Contract and for the price set forth hereinabove, he/she will furnish
supervision, technical, personnel, labor, materials, tools, equipment, fixtures
and services including transportation services, and perform and complete all
work required in an efficient and workmanlike manner for the Rehabilitation of
Property listed above. The Contractor shall not assign this Rehabilitation
Contract without prior written consent of the Owner and said request for
assignment of the Contract shall be submitted to the City of Fayetteville
Community Resources Division.
I LLEAD-BASED CLEARANCE TEST RESPONSIBILITES: The City will provide
funding for no more than two clearance tests, where applicable. It is the sole
responsibility of the Contractor to provide funding for any clearance tests
needed after the first and second clearance tests provided by the City.
EQUAL OPPORTUNITY PROVISIONS
1. CIVIL RIGHTS ACT OF 1964 COMPLIANCE
During the performance of this contract, the contractor agrees to comply with the
following requirement: Under Title VI of the Civil Rights Act of 1964, no person
shall, on the grounds of race, color, sex, or national origin, be excluded from
participation in, be denied the benefits of, or be subjected to discrimination under
any program or activity receiving Federal financial assistance.
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2. SECTION 503 HANDICAPPED COMPLIANCE (IF $2,500 OR OVER)
During the performance of this contract, the contractor agrees to comply with the
following requirements:
AFFIRMATIVE ACTION FOR HANDICAPPED WORKERS
a) The contractor will not discriminate against any employee or applicant for
employment because of physical or mental handicap in regard to any position
for which the employee or applicant for employment is qualified.
b) The contractor agrees to take affirmative action to employ, advance in
employment and otherwise treat qualified handicapped individuals without
discrimination based upon their physical or mental handicap in all employment
practices such as the following: Employment, upgrading, demotion or transfer,
recruitment, advertising, layoff or termination, rates of pay or other forms of
compensation, and selection for training, including apprenticeship.
c) The contractor agrees to comply with the rules, regulations and relevant orders
of the Secretary of Labor issued pursuant to the Act.
d) In the event of the CONTRACTOR'S noncompliance with the requirements of
this clause, actions for noncompliance may be taken in accordance with the
rules, regulations and relevant orders of the Secretary of Labor issued pursuant
to the Act.
e) The contractor agrees to post in conspicuous places, available to employees and
applicants for employment, notices in a form to be prescribed by the Director,
provided by or through the Contracting Officer. Such notices shall state the
contractor's obligation under the law to take affirmative action to employ and
advance in employment qualified handicapped employees and applicants for
employment, and the rights of applicants and employees.
f) The contractor will notify each labor union or representative of workers with
which it has a collective bargaining agreement or other contract understanding,
that the contractor is bound by the terms of Section 503 of the Rehabilitation
Act of 1973, and is committed to take affirmative action to employ and advance
in employment of physically and mentally handicapped individuals.
g) The contractor will include the provisions of this clause in every subcontract or
purchase order of $2,500 or more unless exempted by rules, regulations, or
orders of the Secretary issued pursuant to Section 503 of the Act, so that such
provisions will be binding upon each subcontractor or vendor. The contractor
will take such action with respect to any subcontract or purchase order as the
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CITY OF
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PROGRAM
Director of the Office of Federal Contractor Compliance Programs may direct
to enforce such provisions, including action for noncompliance.
3. SECTION 109 OF THE HOUSING AND COMMUNITY DEVELOPMENT ACT OF
1974 COMPLIANCE
During the performance of this contract, the contractor agrees to comply with
the following requirements: No person in the United States shall on the ground
of race, color, national origin, or sex be excluded from participation in, be
denied the benefits of, or be subjected to discrimination under any program or
activity funded in whole or in part with funds made available under this title.
a) Whenever the Secretary determines that a State or unit of general local
government which is a recipient of assistance under this title has failed to
comply with subsection (a) or an applicable regulation, he shall notify the
Governor of such State or the Chief Executive Officer of such unit of local
government of the noncompliance and shall request the Governor or the Chief
Executive Officer to secure compliance. If within a reasonable period of time,
not to exceed sixty (60) days, the Governor or the Chief Executive Officer fails
or refuses to secure compliance, the Secretary is authorized to (1) refer the
matter to the Attorney General with a recommendation that appropriate civil
action be instituted; (2) exercise the powers and functions provided by Title VI
of the Civil Rights Act of 1964 (42 U.S.C. 2000 d); (3) exercise the powers and
functions provided for in Section III (A) of this Act; or (4) take such other
action as may be provided by law.
b) When a matter is referred to the attorney General pursuant to subsection (b), or
whenever he has reason to believe that a State Government or unit of general
local government is engaged in a pattern or practice in violation of the
provisions of this Section, the Attorney General may bring a civil action in any
appropriate United States District Court for such relief as may be appropriate,
including injunctive relief.
EXECUTION/SIGNATORIES TO AGREEMENT PROVIDED ON SUCCEEDING PAGE
113 W MOUNTAIN ST I FAYETTEVILLE AR 72701 1 PHONE 479.575.8260 1 FAX 479.444.3445
Form CR 125
CITY OF
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ray Reville
ARKANSAS
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
IN WITNESS WHEREOF, we have hereunto set our hands on the date first written above.
Wesley Mous r, Owner f
r
Margaret ouser, Owner
Randy Evans, Evans Construction and Remodeling LLC, Contractor
Approved b3
By Yolanda
Community
113 W MOUNTAIN ST I FAYETTEVILLE AR 72701 1 PHONE 479.575.8260 1 FAX 479.444.3445
Form CR 125