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HomeMy WebLinkAbout432036 ENVIRONMENTAL DEMOLITIONS INC - CONTRACT - BID - 6063 ASBESTOS ABATEMENT AT SOAPSTONE RANCH HOUSE 311118SERVICES AGREEMENT THIS AGREEMENT made and entered into the day and year set forth below by and between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter referred to as the "City" and Environmental Demolition, Inc, hereinafter referred to as "Service Provider" WITNESSETH In consideration of the mutual covenants and obligations herein expressed, it is agreed by and between the parties hereto as follows 1 Scope of Services The Service Provider agrees to provide services in accordance with the scope of services for Soapstone Ranch Manager House attached hereto as Exhibit "A", consisting of Nineteen (19) pages and incorporated herein by this reference 2 Contract Period This Agreement shall commence within five days of signing, and shall continue in full force and effect until November 30, 2007, unless sooner terminated as herein provided 3 Delay If either party is prevented in whole or in part from performing its obligations by unforeseeable causes beyond its reasonable control and without its fault or negligence, then the party so prevented shall be excused from whatever performance is prevented by such cause To the extent that the performance is actually prevented, the Service Provider must provide written notice to the City of such condition within fifteen (15) days from the onset of such condition 4 Early Termination by City/Notice Notwithstanding the time periods contained herein, the City may terminate this Agreement at any time without cause by providing written notice of termination to the Service Provider Such notice shall be delivered at least fifteen (15) days prior to the termination date contained in said notice unless otherwise agreed in writing by the parties All notices provided under this Agreement shall be effective when mailed, postage prepaid and sent to the following addresses Mr Jun Miller City of Fort Collins August 3, 2007 Page 3 of 4 REGULATORY COMPLIANCE ACM identified in this report is subject to the USEPA National Emissions Standards for Hazardous Air Pollutants (NESHAP) and the CDPHE regulations In addition, ACM is subject to OSHA standards for asbestos Materials containing a trace amount of asbestos may be subject to OSHA regulations if air concentrations are at or above the permissible exposure limit (PEL) of 0 1 fibers per cubic centimeter (f/ce) or the excursion limit (EL) of 1 0 f/cc LEAD -BASED PAINT SAMPLING METHODOLOGY AND FINDINGS Exterior painted components that were reported to be impacted by the renovation of the residences weie evaluated for the presence of lead -based paint (LBP) A total of four (4) representative paint clop samples were collected and submitted to Reservoirs Environmental, Inc for lead analysis by atormc absorption spectroscopy (AAS) The United States Department of Housing and Urban Development (HUD) defines LBP as paint having a lead content of greater than or equal to 0 5 percent using AAS analysis A table included in Attachment C of this report provides a summary of the painted components sampled foi LBP at the site and the lead results AAS analysis results identified no potentially impacted components that contained lead above the HUD action level of 0 5 percent Laboratory test results for the paint chip samples are also included in Attachment C It should be noted that while the paint sampled was not classified as LBP, low but detectable concentrations of lead were present in select samples The renovation contractor/personnel should be made aware of the presence and location of lead - containing materials and comply with all current OSHA regulations for employee exposure to lead Additionally since lead has been identified in materials which will be disposed following renovation, a waste determination must be performed on the material generated from the planned renovation The USEPA maximum contaminant concentration (MCC) for lead is 5 0 milligrams per liter (mg/L) All samples displaying a MCC greater than or equal to 5 0 mg/L for lead exhibit the toxicity characteristic for this compound and require management as a hazardous waste The typical analysis to determine contaminate concentration is Toxicity Characteristic Leaching Procedure (TCLP) However, to evaluate the hazardous waste regulatory status of a 100 percent solid, a theoretical leachate concentration can be calculated using the reported total constituent concentration of the component This calculation can be used in lieu of the TCLP analysis The calculated theoretical leachate concentration is obtained by dividing the reported total constituent concentration by twenty and then comparing the result to the appropriate MCC for the contaminant Due to the low concentrations of lead reported in the paint samples, the maximum theoretical leachate concentration of the components do not exceed the MCC for lead, and therefore do not require management as a hazardous waste RECOMMENDATIONS Under renovation and/or demolition, any activity that directly impacts or disturbs ACM must comply with requirements set forth in the Federal and State regulations and applicable OSHA standards For renovation and/or demolition activities that impact ACM, all friable and non- . C hmirunmenul &wnngt and Fnpn"rti, i I( w" .m eadogy dnd en0roumead comFznny Mr Jim Miller City ofFort Collins August 3, 2007 Page 4 of 4 friable ACM that will be rendered friable must be properly removed prior to renovation activities in accordance with applicable regulations The renovation contractor/personnel should be made aware of the presence and location of lead -containing materials and comply with all current OSHA regulations tot employee exposure to lead LIMITATIONS WALSH performed these services in a manner consistent with the level of care and expertise exercised by members of the asbestos inspection and LBP assessment profession WALSH does not imply or guarantee that every potential asbestos -containing material or LBP on or in the structures has been identified or sampled because the inspection was limited in scope Historically, asbestos has been added as a component to over three thousand materials and products produced in the United States In addition, LBP was used for many years as a key ingredient in commercially available paints and coatings The inspection was intended to identify those accessible materials that were reasonably suspect and that were most likely to contain asbestos/LBP in quantities subject to regulation, based on existing industry and regulatory standards If you have any questions or comments regarding the information presented in this report, please contact us at (970) 223-5655 Sincerely, WALSH ENVIRONMENTAL SCIENTISTS AND ENGINEERS, LLC Michael P Castell Environmental Scientist Attachments NN ahsli Troy C Sanders, PG, CHMM Branch Manager ,ui wolopy uu() environment urmlmny ATTACHMENT A ASBESTOS BULK SAMPLING INFORMATION TABLE, LABORATORY RESULTS, AND CHAIN -OF -CUSTODY FORM ` W'441I L^muonmenWt Sr,iouhus aial S n leers, t 7 L on nenlMv and ea0ronmerif-ompmny Asbestos Bulk Sampling Information and Analytical Results Soapstone Prairie Natural Area, Unincorporated Larimer County, Colorado Sample Suspect Material Room/Area Type Friability Analytical Result Number' (Percent and Type of Asbestos C601-01 Exterior of"Ranch Category It Gray cement board siding Manager" Miscellaneous Non -friable o 10 /o Chrysotile residence CB02-01 Exterior of "Summer Category II Gray cement board siding Home" Miscellaneous Non -friable o 10 /o Chrysottle residence RS01-01 Black roof sealant Roof of "Summer Miscellaneous Category 1 15% Chrysotile Home" residence Non -friable RSG01-01 White roofing shingle and black Roof of "Summer Miscellaneous I Category II NAD tar paper Home" residence Non -friable ' All sample numbers were assigned a prefix of "7321010" NAD = No Asbestos Detected r, ........... 1v1R�Vf WL:ifr`RM4K�INn'iS,>92Tu65dflV'A*WW'#fi4dyA'Wl.4Y'SMPAi�MSVl3MM-%.'kY W49fi&'R..KSFF*VPd t'M+��TQ?Afti Y 4W1VvkY�t+` `. �k ?�!✓ia Rr=1 LAB Re-qervolfr-q Environmental, Inc. July 25, 2007 Laboratory Code RES Subcontract Number NA Laboratory Report RES 141872-1 Protect Description 7321-010 City of Ft Collins - Mike Castell Soapstone Walsh Environmental - (F C ) 2629 Redwing Rd , Suite 280 Ft Collins CO 80526 Dear Customer, Reservoirs Environmental, Inc is an analytical laboratory accredited for the analysis of industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code # 101896 and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively Reservoirs Environmental, Inc has analyzed the following samples for asbestos content as per your request The analysis has been completed in general ,accordance with the appropriate methodology as stated in the attached analysis table The results have been submitted to your office RES 141872-1 is the job number assigned to this study This report is considered highly confidential and the sole property of the customer Reservoirs Environmental, Inc will not discuss any part of this study with personnel other than those of the client The results descnbed in this report only apply to the samples analyzed This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U S Government This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc Samples will be disposed of after sixty days unless longer storage is requested If you have any questions about this report, please feel free to call 303-964-1986 Sincerely, Jeanne Spencer Orr President Analyst(s) Paul D LoScalzo Wenlong Liu Paul F Knappe Rich Wegrzyn Michael Scales P 303-964-1986 5801 Logan Street, Suite 100 Denver, CO 80216 1-866-RESI-ENV F 303-477-4275 www retlab com Page 1 of 2 RESERVOIRS ENVIRONMENTAL, INC. NVLAP Accredited Laboratory # 101896 TDH Licensed Laboratory # 30-0136 TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number Client Client Project Number / P O Client Project Description Date Samples Received Analysis Type Turnaround Date Analyzed RES 141872-1 Walsh Environmental - IF C.) 7321-010 City of Ft. Collins - Soapstone July 18, 2007 PLM, Short Report 3-5 Day July 24, 2007 Page 2 of 2 Analyst PFK lent Lab L",Asbestos{Gontent + on on - Sample ID Number A Sub Asbestos Fibrous Number Y Physical Part j Fibrous Components E Description (%) Mineral ; Visual omponents (%) R I Estimatel% (%) 7321010-CB01-01 EM 161559 A Gray transite board w/ white paint 100 Chrysotile 10 0 90 7321010-CB02-01 EM 161560 A Gray transite board w/ green paint 100 Chrysotile 10 0 90 7321010-RS01-01 Eivi 161561 I A Black tar 100 Chrysotile 15 0 851 732Mu-RSG01-0i Eiv 161561 `A Black tar paper 20 ND 901 101 B Multi -colored shingle 80 ND 50 50 ND = None Detected TR = Trace, < 1 % Visual Estimate Trer Act = Tremolite-Actnolite Data QA s Due Date-t�`--' Due Time. hi"? RM Rene voirw Ety! ,tea �a� �,. Inc. seal Loom st OMPlnr, co eom • Fai aaaaeataRR-FmiRt18-I?7�tT75 . Ftigl i"as •&&R R:-at•EtFt SUMMED BY: MVOICE TO: 11F•D1FFf4zFp 1, � of Fort PC'diITEM _Rti5fi {SxmeDa—PRioRDDY(wA DI (Rush KM - 2hr, TEM - Bat A(SlWtL 00006RY-HOUR 4Yedittla ts.'1 ;?' 5)1 Dug# _ RUSH _ 24 hr _3 5 Da 81mmi3&WOlotog P 1 RUSH_5t1ap_9Qtlay ScaulTCCP .ks 24 of _.38aY-5 DaY "PrtofraeanCadon to mgptPet(rtiriiul m wmatcunda - fY 1 �{. Ipl Pb Ir dy Rliv� It111 '}p i i .tl if fi 1 I I^"frt rti)`e h T RI n drp F g�a SJdnftoi� �Sur4o",�,a p� t' 11�1� �. �! �)I!'���� E'!'I1�1plth&t?a'a �If t�l�I il� "�Il;i) u�l •'�I 0 tarn•. In inn, im 1 r �.0 Y it ;:u 11 ai tmtracoom. _ rd e y ! ,0 X T i n t tl `. Ism 3893 c0 a 970-21 `a-3W4 I?ill�l:+� -DD�r�nlx:�ts�s�s,;� � .�, `ll� PL''A811�riTESc,il1 Air=A Bulk _ Dust-D' Faint=F ---------- - _ sob=s wipe Ddhl-d 'Water _ other = O m� m, 4D 6 Data Time ¢ o I CO,4eated I ,coneded ?.l ��.�� mmla=fl• ( h'Ymm NG r 13 ( I I I 1 I' 1 '_I I I 1 I Number of 3arlptas rec&,eu t>"ndkl'waal eat> i sr�a7lDa qua on har)1 } rormJ' - RomR�idaendrat ia�:vwOo�etlwarhdwnefxa.nka!vWe+Jy�aateemgtw�derar a5�nm' +?9�c19nt. ans+es+YSquanlromacwfacyoemokaaah i�b!�aa�en'amrpmrRco , aa�°crazaueoa wma a...ww..v�,...«...,�wuanam.a..no.•»at.r.x�n.nd.n'.uAe�er,3iw„m.n.me'Suviz�tawna„ud..msd}iF_i'91fde`a tafmatua nidbvniq oan�enefmin.^.�men.esil[as n`t59G malatN ht.mresi mYtlmms Reii,7 utstsed B . OAtefilnte- 07 IV!v' Sample cortCitfw� On tce 7ranp, (P) YM SeWed in Y11u �t Laboratory Use Only Renewed BY: �7 OgP ne t h , V lt Gahm CgMaci a Paune Emai Fax Dale Tiros Ind9z Cdntacl Paga Phpna,Efnaft Fax Data iaxre InBfals Cfztfact a Pthmla Email Fax Date Tiaw lntlrals lCqftd Errait Fax DaA - Time Inaials ATTACHMENT B CONSULTANT CERTIFICATIONS „e an urology and enYfrnnnleni anmpany � ! �� � � • �_� �� � µ� •.y � ♦� ��5 Pala i I1waJ. iia !P _ ASBESTOS CERTIFICATION* Colorado Department of I'ublic I-Ic.ilih and Em it onment Air Pollution Controt Division This certifies that Michael Phillip Castell Certification No: •4210 has met the requirements of 25-7-507, C It S and An Quality Control Commission Regulation No 8, Part B, and is hereby certified b} the state o1'Colorado in the following discipline I uspector/Manageme tit Planner* Issued: 11 /9/2006 Expo es on. 11 /9/2007 �\ �7 t Ch1-th AuOiorire 1 QPGL �i�prey�nt~�t've I,( erlificale t, valid will, n tlG a carv! ar l7nnma•uppro ud trwareg nr«r!r certrJeeaI'ma m the dnupliee yeojted ahoy! bfAL x 051 14367 Lakeview Lane, Broomfield Colorado 80020 Tel 303 424 4647 Fax 303 432,8669 CERTIFIES THAT Has successfully completed The EP A-AYprvved AHERA Annual Refresher Course for INSPECTORMANAGEMENT PLANNER This course is EPA -approved under Section 206 of the Toxic Substances Control Act (TSCA) and meets the requirements of Colorado Regulation No 8 io Course date 917/06 N Exam Date_ N/A _--- Certificate No. AE06-046-BUMP-03 7 `/ Expiration [Date 917107 K. Jay Gal P iderst x City: Service Provider: City of Fort Collins Environmental Demolition, Inc Attn Purchasing Attn Sean Helton PO Box 580 321 West 45" Avenue Fort Collins, CO 80522 Denver, CO 80216 In the event of early termination by the City, the Service Provider shall be paid for services rendered to the date of termination, subject only to the satisfactory performance of the Service Provider's obligations under this Agreement Such payment shall be the Service Provider's sole right and remedy for such termination 5 Contract Sum In consideration of the services to be performed pursuant to this Agreement, the City agrees to pay Professional a fixed fee in the amount of Three Thousand Five Hundred Seventy Five Dollars ($3,575 00) 6 City Representative The Citywill designate, prior to commencement of thework, its representative who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the services provided under this agreement All requests concerning this agreement shall be directed to the City Representative 7 Independent Service provider The services to be performed by Service Provider are those of an independent service provider and not of an employee of the City of Fort Collins The City shall not be responsible for withholding any portion of Service Provider's compensation hereunder for the payment of FICA, Workmen's Compensation or othertaxes or benefits or for any other purpose 8 Personal Services It is understood that the City enters into the Agreement based on the special abilities of the Service Provider and that this Agreement shall be considered as an agreement for personal services Accordingly, the Service Provider shall neither assign any responsibilities nor delegate any duties arising under the Agreement without the prior written consent of the City 9 Acceptance Not Waiver The City's approval or acceptance of, or payment for any of the services shall not be construed to operate as a waiver of any rights or benefits provided to No Text ATTACHMENT C LEAD -BASED PAINT INFORMATION TABLE, LABORATORY RESULTS, AND CHAIN -OF -CUSTODY FORM `NaLslI do omlugy and cnvimnmenl cnmpxny Lead -Based Paint Sampling Information and Analytical Results Soapstone Prairie Natural Area, Unlncorpotated Larimer County, Colorado Calculated Sample Component Visible Lead Lead -Based Theoretical Number' Type Color Colo Concert trahon paint Leachate Comments (/o) Concentration m /L PAINT-01 Door Blue BDL No NA "Ranch Manager' residence PAINT-02 Window Frame Blue 0 011 No 00006 "Ranch Manager" residence PAINT-03 Siding White BDL No NA "Ranch Manager' residence PAINT-04 Siding Green 0 016 No 00008 "Summer Home" residence All sample numbers were assigned a prefix of "73210102 BDL = Below Detection Limit mg/L = Milligrams per liter NA = Not Applicable jat"'W'sh On eminpy and environment u,mpany WA k K-Ir". !{"''"- July 25, 2007 Mike Castell Walsh Environmental - (F C ) 2629 Redwing Rd , Suite 280 Ft Collins CO 80526 Dear Customer, Laboratory Code Subcontract Number Laboratory Report Project Description RES NA RES 141873-1 7321-010 City of Ft Collins - Soapstone Reservoirs Environmental, Inc is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the American Industrial Hygiene Associaton, Lab ID 101533 - Accreditation Certificate #480 The laboratory is currently proficient in both PAT & ELPAT programs respectively Reservoirs has analyzed the following sample(s) using Atomic Absorption Spectroscopy (AAS) / Atomic Emission Spectroscopy - Inductively Coupled Plasma (AES-ICP) per your request The analysis has been completed in general accordance with the appropriate methodology as stated in the analysis table Results have been sent to your office RES 141873-1 is the fob number assigned to this study This report is considered highly confidential and the sole property of the customer Reservoirs Environmental, Inc will not discuss any part of this study with personnel other than those authorized by the client The results described in this report only apply to the samples analyzed This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc Samples will be disposed of after sixty days unless longer storage is requested If you should have any questions about this report, please feel free to call me at 303-964-1986 Sincerely, Jeanne Spencer Orr President P 303-964-1986 5801 Logan Street, Suite 100 Denver, CO 80216 F 303-477-4275 Page 1 of 2 1-866-RESI-EN V www reilab com RESERVOIRS ENVIRONMENTAL, INC. NVLAP Accredited Laboratory 4101896 A114A Certificate of Accredidation #480 LAB ID 101533 TABLE ANALYSIS RES Job Number Client Client Project Number / P O Client Project Description Dale Samples Received Analyst% Type Turnaround Date Samples Analyzed LEAD IN PAINT RES 141873-1 Walsh Environmental - (F C ) 7321-010 City of Ft Colhns - Soapstone July 19, 2007 USEPA SW846 3050B / AA (7420) 3-5 Day July 22, 2007 Client Lab Detection LEAD ID Number ID Number Limit CONCENTRATION 7321010-PAINT-01 EM 161563 0 005 BDL 7321010-PAINT-02 EM 161564 0 004 0 011 7321010-PAINT-03 EM 161565 0 004 BDL 7321010-PAINT-04 EM 161566 0 008 0 016 * Unless otherwise noted all quality control samples performed within specifications established by the laboratory. BDL = Below Detection Limit Page 2 of 2 Data Oa • 17 IFOWAU f, .ph wa F(Mt LAM reservoirs Environmental, inc. 1 141873 wp Sam team)anm�,Co owls -ph '.:pyfEfdiV�.'8 •Fax lOMrr.6Y7a •TOO FrogI=RC•S- NY luw^ +CT . 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Drinking Water=DVd vvwte aN6'W c WVV Other - 0 ----_— -- 8ll Eli ' tpproa.•a wipe media drily" E ;y„j 2i 1 mi Date rMle Ce m:W i Cage ea zI "°' ( ma"° ---------- -semravm�fetfib##s;pt+asnaraswnrtnmvrlora.sfin,{�emtetwmvr.roomiremrdas.'oraaasrapt�gd;,`'t-------- .. � '�'', nemunaal tOaa&�hr�eKfifib)1m. �ffiekcaDa �Si�ayps.w a syoetm msaucdona.: _ " l�Si 'j,tubaratumi c+ t CEien1'satn alb Ln -nFM r x r 'mustt .i I irriL 1 7321010-PAINT-01 X ( 1P 1 1 7117107 1 t / =% r %i,cilFilAYlifRT EiTd ' I� (p �'�',_ ,. '4 ,I.I � "�� !9` ,I(Ii ki 19�.4 fd k' .{�• ! P 77/17/07 •tit j, i !'I' a(a `� �� 14 3 7321010-PAINT-03 � X jF�� 7117/071 4 73' UAD=PAWT-0si 1 ? _ = �, �; ! ;l. 31 ";;fit r{i ,;, i (P i 7/17/07 ,{ 5 $� , 'I 'r . i - { � --'�r,i• '}" hi P4 „n, `(� t'i,'y}� i•t ti ;( =?s ;t' ,l _ '1 i� }'t •1� d4 Gn'},i lip__ .__-5�41 4 g { ? 4i , ,- 11 12 13' ( _ NYmbar ef 9aVVk% Mceroed V4dd s ebb be Dated on afteated tang farm ) nO:t<`I�MP araRs>�tO sm�agwalWmlmanffi ml#Rj@IW as Srm[4#ar0ad9ab64maWIBSr�®#aa ®8>ro9wraclMflRarW eme' BYal4rtna Cthl��FPs#Y raOr2i:Yn4:hma#•ri+�4`ae SULrtnsdat4(Ina mmvh�fit naracaw m�mism mUYa COaScatalnmaY atmA cmWluta On NtNAMa aameRRlt.MOI OaNnanr trilsq d'NET 30 dap, ran" tmmattt#yrevn!N#t 9`!t m,•ttGMl'Imm'effit#+#enraaa �# 'T 3 condw n: On Ice Seated t !F'j YIN YIN YN Tmm inrhata Rnviromuernal ScienL%is and Engnraen, LLC Corpurale Headquarter% Buulder Colorado Grand Junction, Colurado Colorado Sprinp, Colorado Port C.'ollin%. Colorado Quitu, Ecuador Lima Pew ['/91c3`i] INSURANCE REQUIREMENTS 1 The Service Provider will provide, from insurance companies acceptable to the City, the insurance coverage designated hereinafter and pay all costs Before commencing work under this bid, the Service Provider shall furnish the City with certificates of insurance showing the type, amount, class of operations covered, effective dates and date of expiration of policies, and containing substantially the following statement "The insurance evidenced by this Certificate will not be cancelled or materially altered, except after ten (10) days written notice has been received by the City of Fort Collins " In case of the breach of any provision of the Insurance Requirements, the City, at its option, may take out and maintain, at the expense of the Service Provider, such insurance as the City may deem proper and may deduct the cost of such insurance from any monies which may be due or become due the Service Provider under this Agreement The City, its officers, agents and employees shall be named as additional insureds on the Service Provider's general liability and automobile liability insurance policies for any claims arising out of work performed under this Agreement Insurance coverages shall be as follows A Workers' Compensation & Employer's Liability The Service Provider shall maintain during the life of this Agreement for all of the Service Provider's employees engaged in work performed under this agreement Workers' Compensation insurance with statutory limits as required by Colorado law Employer's Liability insurance with limits of $100,000 per accident, $500,000 disease aggregate, and $100,000 disease each employee B Commercial General & Vehicle Liability The Service Provider shall maintain during the life of this Agreement such commercial general liability and automobile liability insurance as will provide coverage for damage claims of personal injury, including accidental death, as well as for claims for property damage, which may arise directly or indirectly from the performance of work under this Agreement Coverage for property damage shall be on a "broad form" basis The amount of insurance for each coverage, Commercial General and Vehicle, shall not be less than $500,000 combined single limits for bodily injury and property damage In the event any work is performed by a subcontractor, the Service Provider shall be responsible for any liability directly or indirectly arising out of the work performed under this Agreement by a subcontractor, which liability is not covered by the subcontractor's insurance From Jess Pultorak At Forsberg Engerman Company FaxID 303-762-1733 To EnAronrnental Demokbon Inc Date 11/162007 0921 AM Page 2 of 2 ACORD CERTIFICATE OF LIABILITY INSURANCE OF ID °AM MMIDDIYYY0 ENVIR-1 11/16/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Forsberg Engerman Company HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3575 S Sherman St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Englewood CO 80113 Phone 303-762-1717 INSURERS AFFORDING COVERAGE NAIC# Environmental Demolition Inc 321 West 45th Avenue Denver CO 80216-2616 COVERAGES INSURER a.erican Int'I specialty Linea INSURERS Pinnacol Assurance INSURER EMC Insurance Companies INSURER D INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE RISLPED NAMED ABOVE FOR THE POLICY PERICO INDICATED NOTNIMSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICII THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN 111E INSURANCE AFFORDED By THE POLICIES DCSCRIBED HEREIN IS SUBJECT TO ALL ME TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHORN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR NSR TYPE OF INSURANCE POLICY NUMBER ATE (MMID M) DATE IMMIDDMT PO DATE 77FR TIO LIMITS EACH OCCURRENCE $ 15000000 GENERAL LIABILITY A X 11 COML�ERCIAL GENERAL LIABILITY PROP4761931 11/15/07 05/27/08 PREMISES (Ea« eme) $ 100000 CLAIMS MADE OCCUR MILE EXP(A,1 one person) i 10000 X Pollution PERSONAL B ADV INXRV $ 15000000 X XCU Included GENERAL AGGREGATE $ 15000000 GENIE AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP AGO $ 15000000 X POLICY PRU ECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 C X ANY AUTO 3ES446608 05/27/07 05/27/08 fEe e<aoentl BODILY INJURY E ALL Ow1e D AUMOs SCHEDLRED AUTOB (Px person) BODILY INJURY $ C X HIRED AUTOS C X NONOWfiED AUTOS (Paf eca0ert) PROPERTY DAMAGE $ (Per xaEert) GARAGE LIABILNY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ MY AUTO . $ AUTO ONLY ADD EXCESSNMBRELLA LIABILITY EACH OCCURRENCE E OCCUR ❑CLAIMS MADE AGGREGATE $ $ E DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND X TORY LIMITS X ER B EMPLOYERS LIABILITY 4029650 06/01/07 06/01/08 EL FACH ACCIDENT $ 1000000 ANY PROPRIETOPPPARTNEPF ECUTIVE EL DISEASE EA EMPLOYEE Is 1000000 OFFICEWMEABER EXCLUDED? II yes desI,ri viler SPECIAL PROVISIONS bebw EL DISEASE POLICY LIMIT $ 1000000 OTHER C Sheduled Equipment 3C5446608 (DED $500) 05/27/07 05/27/08 Limit $304387 C Leased/Rented 3CS446608 (DED $500) 05/27/07 05/27/08 Limit $25000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEWCLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project Soapstne Ranch 3700 soapstone Ranch Road, Wellington CO City of Fort Collins is named as an Additoinal Insured with respect to General Liability coverage CERTIFICATE HOLDER CANCELLATION City of Fort Collins Building & zoning Dept P O Box 580 281 N College Avenue Ft Collins CO 80522-0580 CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WALL ENDEAVOR TO MAM. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER US AGENTS OR REPRESENTATIVES m ACORD the City under this Agreement or cause of action arising out of performance of this Agreement 10 Warranty (a) Service Provider warrants that all work performed hereunder shall be performed with the highest degree of competence and care in accordance with accepted standards for work of a similar nature (b) Unless otherwise provided in the Agreement, all materials and equipment incorporated into any work shall be new and, where not specified, of the most suitable grade of their respective kinds for their intended use, and all workmanship shall be acceptable to City (c) Service Provider warrants all equipment, materials, labor and other work, provided under this Agreement, except City -furnished materials, equipment and labor, against defects and nonconformances in design, materials and workmanship/workwomanship for a period beginning with the start of the work and ending twelve (12) months from and after final acceptance under the Agreement, regardless whether the same were furnished or performed by Service Provider or by any of its subcontractors of any tier Upon receipt of written notice from City of any such defect or nonconformances, the affected item or part thereof shall be redesigned, repaired or replaced by Service Provider in a manner and at a time acceptable to City 11 Default Each and every term and condition hereof shall be deemed to be a material element of this Agreement In the event either party should fad or refuse to perform according to the terms of this agreement, such party may be declared in default thereof 12 Remedies In the event a party has been declared in default, such defaulting party shall be allowed a period often (10) days within which to cure said default In the event the default remains uncorrected, the party declaring default may elect to (a) terminate the Agreement and seek damages, (b) treat the Agreement as continuing and require specific performance, or (c) avail himself of any other remedy at law or equity If the non -defaulting party commences legal or equitable actions against the defaulting party, the defaulting party shall be liable to the non - defaulting parry for the non -defaulting party's reasonable attorney fees and costs incurred because of the default 13 Binding Effect This writing, together with the exhibits hereto, constitutes the entire agreement between the parties and shall be binding upon said parties, their officers, employees, agents and assigns and shall inure to the benefit of the respective survivors, heirs, personal representatives, successors and assigns of said parties 14 Indemnity/Insurance a The Service Provider agrees to indemnify and save harmless the City, its officers, agents and employees against and from any and all actions, suits, claims, demands or liability of any character whatsoever brought or asserted for injuries to or death of any person or persons, or damages to property arising out of, result from or occurring in connection with the performance of any service hereunder b The Service Provider shall take all necessary precautions in performing the work hereunder to prevent injury to persons and property c Without limiting any of the Service Provider's obligations hereunder, the Service Provider shall provide and maintain insurance coverage naming the City as an additional insured under this Agreement of the type and with the limits specified within Exhibit C, consisting of one (1) page, attached hereto and incorporated herein by this reference The Service Provider before commencing services hereunder, shall deliver to the City's Director of Purchasing and Risk Management, P O Box 580 Fort Collins, Colorado 80522 one copy of a certificate evidencing the insurance coverage required from an insurance company acceptable to the City 15 Entire Agreement This Agreement, along with all Exhibits and other documents incorporated herein, shall constitute the entire Agreement of the parties Covenants or representations not contained in this Agreement shall not be binding on the parties 16 Law/Severability The laws of the State of Colorado shall govern the construction interpretation, execution and enforcement of this Agreement In the event any provision of this Agreement shall be held invalid or unenforceable by any court of competent jurisdiction, such holding shall not invalidate or render unenforceable any other provision of this Agreement 17 Prohibition Against Employing Illegal Aliens This paragraph shall apply to all Contractors whose performance of work under this Agreement does not involve the delivery of a specific end product other than reports that are merely incidental to the performance of said work Pursuant to Section 8-17 5-101, C R S , et seq , Contractor represents and agrees that a As of the date of this Agreement 1 Contractor does not knowingly employ or contract with an illegal alien, and 2 Contractor has participated or attempted to participate in the basic pilot employment verification program created in Public Law 208, 104th Congress, as amended, and expanded in Public Law 156, 108th Congress, as amended, administered by the United States Department of Homeland Security (the 'Basic Pilot Program") in order to confirm the employment eligibility of all newly hired employees b Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or knowingly enter into a contract with a subcontractor that knowingly employs or contracts with an illegal alien to perform work under this Agreement c Contractor shall continue to apply to participate in the Basic Pilot Program and shall in writing verify same every three (3) calendar months thereafter, until Contractor is accepted or the public contract for services has been completed, whichever is earlier The requirements of this section shall not be required or effective if the Basic Pilot Program is discontinued d Contractor is prohibited from using Basic Pilot Program procedures to undertake pre -employment screening of job applicants while this Agreement is being performed e If Contractor obtains actual knowledge that a subcontractor performing work under this Agreement knowingly employs or contracts with an illegal alien, Contractor shall 1 Notify such subcontractor and the City within three days that Contractor has actual knowledge that the subcontractor is employing or contracting with an illegal alien, and 2 Terminate the subcontract with the subcontractor if within three days of receiving the notice required pursuant to this section the subcontractor does not cease employing or contracting with the illegal alien, except that Contractor shall not terminate the contract with the subcontractor if during such three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien f Contractor shall comply with any reasonable request by the Colorado Department of Labor and Employment (the "Department") made in the course of an investigation that the Department undertakes or is undertaking pursuant to the authority established in Subsection 8-17 5-102 (5). C R S g If Contractor violates any provision of this Agreement pertaining to the duties imposed by Subsection 8-17 5-102, C R S the City may terminate this Agreement If this Agreement is so terminated, Contractor shall be liable for actual and consequential damages to the City arising out of Contractor's violation of Subsection 8-17 5-102, C R S h The City will notify the Office of the Secretary of State if Contractor violates this provision of this Agreement and the City terminates the Agreement for such breach CITY OF FORT COLLINS, COLORADO a mu n ipal corpoort By (/J\ Jame O'Neill ll, CPPO, FNIGP DirectW of Purchasing and Risk Management Date 11 /-7C(D Enviornmenfal Demolition. Inc M ;ESIDE Date T 8 CORPORATE SECRETARY y Y 1 ' rr JI fi `! i3r� �1 OR VICE PRESIDENT EXHIBIT "R, Scope of SaNjces t3nruarau ntal Sueou�[s. a�,t! )-nPuteets, i 1 t AIS GCf3fli�+} :3AY} G119111g1fl1CRi by➢l]Qil'a August 3, 2007 Mr Jim Millet City of Fort Collins Natural Resources Department- Natural Areas 1745 Hoffman Mill Road PO Box 580 Fort Collins, Colorado 80522-0580 Subject: Renovation Specific Asbestos and Lead Sampling Report Soapstone Prairie Natural Area Untneorporated Larinter County, Colorado WALSHProject No. 732I-010 INTRODUCTION Walsh Environmental Scientists and Engineers, LLC (WALSH) was contracted to perform a renovation specific inspection for asbestos and lead -based paint at two residences located at the Soapstone Prairie Natural Area in unincorporated Lanmer County, Colorado The inspection was limited in scope and purpose and was conducted to assess materials that will be disturbed during planned renovations of the exterior of the residences The field work was conducted on July 17, 2007 The scope of work of the inspection consisted of performing a visual assessment and collecting bulk samples of suspect asbestos -containing building materials, assessing painted surfaces and collecting representative paint samples, coordinating laboratory analysis of the samples, and limited reporting ASBESTOS SAMPLING METHODOLOGY The collection of bulk asbestos samples was performed by Asbestos Hazard Emergency Response Act (AHERA) and State of Colorado accredited building inspector WALSH collected bulk samples of suspect materials in a random and representative maimer, as determined by the inspector Samples were collected by obtaining a portion of the material which included all layers within the suspect material Each sample was collected using hand tools such as a razor knife, or a screwdriver or pliers, and then immediately placed within a sealed sampling container and labeled with a unique identification number Each suspect material was identified and catalogued on field sampling worksheets, the primary working document Upon completion of collection of samples, the numerical identification information i art CiAlmh Oflhw 2{24 Ru king ftuad * Salle 281) Foil Colima, Cot. t ado ­A)O N 2F79 • Phrmo (Wl)) 2Zt,c6�5 - FAX (M) 2248577 ('it, ixamw Ofliu. 4988 Pearl i' w f irde • Sint, 148 • Boulder, (.olol n9,) - • P=iu t; 1103) 441,3282 • I AX (301) 11k 016I Mr Jam Miller City ofFort Collins August 3, 2007 Page 2 of 4 was transcribed to a chain -of -custody document to accompany samples during transport to the laboratory The bulk samples were submitted for analyses to Reservoirs Environmental, Inc a National Voluntary Lab Accreditation Program (NVLAP) accredited laboratory Analysis of the bulk samples was performed using polarized light microscopy (PLM) using procedures developed by McCrone Reseaieh Institute and in compliance with the guidelines established by the United States Environmental Protection Agency (USEPA) (USEPA-600/M4-82-020, 1982) to determine asbestos type and content The PLM analytical results are reported as percent asbestos by weight Percent asbestos for separate layers and total for the sample are delineated in the laboratory report Unused portions of samples are arcluved for six months unless the client requests special handling ASBESTOS FINDINGS Four (4) samples were collected from four (4) suspect building materials identified in the areas of the residences scheduled for renovation Samples were submitted to the accredited laboratory for PLM analysis A total of four (4) samples were analyzed by PLM analysis The USEPA, Colorado Department of Public Health and Environment (CDPHE), and United States Department of Labor -Occupational Safety and Health Administration (OSHA) define asbestos - containing material (ACM) as a material containing more than one percent asbestos or a material that is assumed to contain asbestos Three (3) samples from three (3) suspect building materials were found to contain greater than one percent asbestos The following table summarizes information regarding the confirmed ACM found as a result of the inspection Table,1. Confirmed ACM Soapstone Prairie Natural Area, Unincorporated Larimer County, Colorado Mater`laf,l8eni�i(y�atlon,Cocle'- "' `•PM�>en,al',_L'3g`;atlon,"�"`,`° ;yj"F'roaprlitp- "'F'grce"rft��ea�; `jSf c ptlon - O$t'� CB01 — Gray cement board siding Exterior of "Ranch Manager" Category II 10% Chrysotde residence Non -friable C602 — Gray cement board siding Exterior of "Summer Home' Category II 10% Chryso4le residence Non -friable RS01 — Black roof sealant Roof of "Summer Home' Category 1 residence Non -friable 15% Chrysotile A summary table and copy of the laboratory results, and a copy of the chain -of -custody documentation for the bulk asbestos samples are included in Attachment A Consultant certifications are included in Attachment B Atals hmirenmental sun im,ls and tin nerr,., I 1 C an ecology and eavlwtnnrent company