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14-MOVE TO APPROVE RES ACCEPTING BID AND AWARDING CONTRACT FOR SECOND PHASE OF HAZARDOUS MATERIALS REMEDIATION OF GRAND THEATER TO NCM DEMOLITION AND REMEDIATION LPCITY COUNCIL AGENDA ITEM BRIEFING SHEET Submittal Date: Originating Department: Presented By: Agenda Item No.: 06/14/12 Engineering, Planning & Shawn Napier, P.E. Council Date: Development 14. 06/25/12 RECOMMENDED MOTION: Move to approve a resolution accepting the bid and awarding a contract in the amount of $47,539.65 for the second phase of Hazardous Materials Remediation of the Grand Theater to NCM Demolition and Remediation, LP. POLICY ISSUE(S): Contract BACKGROUND: The City of Paris was awarded a$200,000.00 EPA Brownfield Grant to clean up the Grand Theater. The City's match for the grant was $40,000.00, for a total project budget of $240,000.00. The City of Paris contracted with Terracon to determine what hazardous materials and waste are on site and to developed plans and specifications for removal of the waste. The next step is for Terracon to provide oversight of NCM Demolition and Remediation, LP to do the Phase II removal of the hazardous materials and waste in accordance with applicable state and federal regulations. The costs are as follows: Architectural Inventory by Denney Architects $6,185.00 (not to exceed $15,000.00), administrative fees by Municipal Development Services $10,000.00, Environmental services by Terracon $40,575.00 (contract amount $66,480.00) and 911 Restoration $71,777.00. The remaining fund balance is just over $63,000.00. BOARD/COMMISSION RECOMMENDATION: EXHIBITS: Resolution and bid tabulation. You may review the contract in the City Clerk's Office or on the City web-site. ACTION: BUDGET INFO: Grant, City match ❑ Financial Report ❑ Minute Order Expense $47,539.65 ❑ Department Report Z Resolution Budgeted Amt. $240,000.00 ❑ Presentation ❑ Ordinance ❑ Public Hearing ❑ Other y'TD Actual $115,936.63 ($25,840 last two budgets) Acct. Name Grand Theater - Brownfield Grant Acct. Number 25-0352-40-00 FISCAL NOTES: City of Paris c 1 Revised 2/04/08 U1 Draft RESOLUTION NO. A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS, TEXAS, AWARDING A CONTRACT TO NCM DEMOLITION AND REMEDIATION, LP, CORPORATION FOR THE GRAND THEATER HAZARDOUS MATERIALS REMEDIATION PHASE II PROJECT; MAKING OTHER FINDINGS AND PROVISIONS RELATED TO THE SUBJECT; AND DECLARING AN EFFECTIVE DATE. WHEREAS, the City of Paris contracted with Terracon to determine what hazardous materials and waste are on site and developed plans and specifications for removal of the waste. The next step is for Terracon to provide oversight of NCM Demolition and Remediation, LP., to for Phase II removal of the hazardous materials and waste in accordance with applicable state and federal regulations ; and, WHEREAS, the lowest responsible bid providing the best value to the City was received from NCM Demolition and Remediation, LP; and, WHEREAS, the contract should be awarded to NCM Demolition and Remediation, LP in accordance with the unit prices bid and the other terms and conditions set out in the Terracon bid and the Request For Bid and Master Specifications for the Grand Theater Hazardous Materials Remediation Phase II Project, attached hereto as Exhibit "A"; and, WHEREAS, the City Manager should be authorized to execute the necessary documents on behalf of the City of Paris, in the form attached hereto as Exhibit "A". NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PARIS, TEXAS: Section 1. That the findings set out in the preamble of this resolution are hereby in all things approved. Section 2. That the bid of NCM Demolition and Remediation, LP, for the Grand Theater Hazardous Materials Remediation Phase II Project in the City of Paris is hereby accepted as the lowest responsible bid which provides the best value to the City and the contract for this project is hereby let conditioned upon said contractor meeting all of the terms and specifications included in the Agreement, Bid Documents and Project Specifications for the Grand Theater Hazardous Materials Remediation Phase II Project attached hereto as Exhibit "A" and timely execution of a written contract with the City of Paris. Section 3. That the City Manager of the City of Paris, be, and he is hereby authorized and directed to execute on behalf of the City of Paris the Grand Theater Hazardous Materials Remediation Phase II Project for the work referenced herein in substantially the form attached hereto as Exhibit "A". 62 AGREEMENT FOR HAZARDOUS MATERIALS REMEDIATION GRAND THEATER STATE OF TEXAS § KNOW ALL MEN BY THESE PRESENTS: COUNTY OF LAMAR § THIS AGREEMENT is entered into by and between the City of Paris, Texas, a home rule municipal corporation, hereinafter called "CITY," and NCM Demolition and Remediation, LP with main offices located at 9090 N. Stemmons, Suite C, Dallas, Texas 75247; hereinafter called "CONTRACTOR", effective as of June 25, 2012. 1.01 CITY employs CONTRACTOR to perform and CONTRACTOR agrees to perform Hazardous Clean-up Remediation (the "Work") in accordance with this Agreement, Bid Documents, scope of work and project specifications (including all addendum to the bid documents) for Grand Theater Remediation Phase II attached hereto and incorporated herein as Exhibit "A", and CONTRACTOR's Bid attached hereto and incorporated herein as Exhibit "B" (hereinafter collectively referred to as the `Bid Documents".) 1.02 CONTRACTOR shall complete Work assigned under this Agreement within fourteen (14) calendar days following City's Notice to Proceed. Additional time to complete the Wark will be allowed by the CITY only in the instance of weather delays which make performance impractical, as determined exclusively by and approved by the CITY. Weather delays will be considered by the CITY only if requested immediately by the CONTRACTOR. 1.03 CONTRACTOR Agrees to furnish all labor, materials and equipment necessary to complete the Hazardous Materials Remediation Phase II Project at the Grand Theater, Paris, Texas for a total cost of FORTY SEVEN THOUSAND FIVE HUNDRED THIRTY NINE DOLLARS AND 65/100, ($47,539.65). CONTRACTOR must submit invoices to CITY within thirty (30) days of completion of the Work. No additional charges will be permitted unless approved in advance in writing by CITY as a change order. No extra charges will be permitted for weather delays. CONTRACTOR will be paid within thirty (30) days of receipt of invoice by CITY for Work completed in conformance with this Agreement, the Bid Documents, and City Work Orders. Nothing herein shall require CITY to expend more funds than that amount approved by the City Council. 1.04 CONTRACTOR covenants and agrees that CONTRACTOR is an independent contractor and not an officer, agent, servant, or employee of CITY; that CONTRACTOR shall have exclusive control of and exclusive right to control the details of the Work performed hereunder and all persons performing same, and shall be responsible for the acts and omissions of its officers, agents, employees, contractors, subcontractors and consultants; that the doctrine of respondeat superior shall not apply as between CITY and CONTRACTOR, its officers, agents, employees, contractors, subcontractors, and consultants, and nothing herein shall be construed as creating a partnership or joint enterprise between CITY and CONTRACTOR. 1.05 CONTRACTOR shall be responsible for the safety of operations and shall provide appropriate safety warnings for the protection of the work area. Provision of safety includes use of appropriate barricades, traffic control, control of the use of equipment near traffic or pedestrians, and provision of other controls and warnings as needed. 1.06 CITY shall not be liable to CONTRACTOR, CONTRACTOR's agents, servants, employees, patrons, customers, visitors, guests, or invitees, nor any pedestrian or bystander for any damage or injury caused by the acts or negligence of CONTRACTOR, CONTRACTOR's officers, employees, agents, or servants, or resulting from the operation of any device or equipment located upon the contracted property, or any appurtenance thereof, nor for any damage or injury from any defect or want of repair of any structure or device on the contracted property. 1.07 CONTRACTOR agrees to defend, indemnify, save, and hold the CITY, its elected officials, officers, and employees and agents harmless from any and all demands, debts, liabilities, suits, claims, and causes of action of every kind on account of injury or damage to any person or property, arising from or connected with the services and contractual duties provided by the CONTRACTOR hereunder. 1.08 CONTRACTOR must, at all times during the term of this Agreement, keep and maintain in full force and effect a policy or policies of insurance, providing at least $500,000.00 per occurrence and $1,000,000.00 aggregate for bodily injury or death and $500,000.00 for any single occurrence for injury to or destruction of property, indemnifying all persons for any and all damages, personal injuries, or property damages sustained as the result of the negligence of CONTRACTOR, its agents, servants, or employees, and shall pay all premiums due thereon when due. 1.09 It is expressly provided that all insurance policies required hereunder shall and must be written by a reputable insurance company or companies licensed and authorized to write insurance policies by the State of Texas, and where appropriate must show the CITY, its elected officials, officers, and employees as an additional insured, subject to approval by the City Attorney of the City of Paris; and the CONTRACTOR's insurance carrier or carriers shall deliver a copy of any such policies to the City Clerk of the City of Paris, or furnish to said City Clerk a current letter or certificate from such company or companies, evidencing the fact that such insurance is in full force and shall remain in effect at all times during this contract period. All such policies shall be written so that CITY will be notified of cancellation or of any restrictive amendment of the policies at least thirty (30) days prior to the effective date of such cancellation or amendment. Notice shall be made to the CITY by certified mail, return receipt requested, addressed to the City of Paris at the following address: City Clerk, City of Paris, P.O. Box 9037, Paris, Texas 75461-9037. 1.10 CONTRACTOR shall timely perform and complete the Work herein in accordance with this Agreement and the Bid Documents attached. In the event CONTRACTOR shall default in any covenant, condition, provision, or stipulation herein contained, CITY will notify CONTRACTOR verbally or, at its discretion, in writing, that a default has occurred. Notice when given shall include a description of the default and the time within which CONTRACTOR must correct or remedy the default. CONTRACTOR remains solely responsible to complete the work as contracted, whether notified of a default by CITY or not, and failure of CITY to notify of such default shall not excuse CONTRACTOR's obligations hereunder. 111 CITY will not be responsible for CONTRACTOR's faulty work or additional work required by CONTRACTOR's errors or omissions or mechanical breakdown of CONTRACTOR's equipment. The buildings are presumed to be vacant, but it shall be CONTRACTOR's responsibilitv to inspect the structures for inhabitants before commencing with Remediation. The properties are also subject to illegal dumping and other misuse, and it is expressly the CONTRACTOR's obligation to use caution while performing the work at all times. 112 CITY may terminate this Agreement for cause or at its convenience at any time during the period of performance. If termination is for cause, CONTRACTOR shall immediately cease further services and shall be compensated only for that work completed up to the date of termination and completed in full conformance with this Agreement including the Bid Documents attached. If terminarion is for the CITY's convenience, CONTRACTOR shall be compensated for that work completed or partially completed up to the date of termination and performed in full conformance with this Agreement and the Bid Documents attached; CONTRACTOR shall also be compensated for any additional charges reasonably incurred by CONTRACTOR in preparation for the performance of any further services required by this Agreement, said additional charges to be determined by the CITY. Other than as stated herein, CONTRACTOR shall have no other claim or recourse against the CITY for termination of the Agreement. 1.13 This Agreement may not be subcontracted, in whole or in part, without the CITY's express written approval in advance of the services. 1.14 CONTRACTOR shall not discriminate against any employee because of race, color, religion, sex, national origin, age, or disability. 1.15 The provisions of this Agreement are severable, and if any provision or part of this Agreement or the application thereof to any person or circumstance shall ever be held by any court of competent jurisdiction to be invalid or unconstitutional for any reason, the remainder of this Agreement shall not be affected thereby. 1.16 This Agreement embodies the entire understanding between the parties and there are no prior effective representations, warranties, or agreements, written or oral, between the parties. 1.17 This Agreement shall be subject to all present and future valid laws of the United States, State of Texas, and Ordinances of the City of Paris, Texas. 1.18 All services to be performed hereunder shall be and are to be rendered exclusively in Lamar County, Texas. Venue for any State Court cause of action arising out of or in any way related to this contract shall lie exclusively in the courts of Lamar County, Texas, and venue for any Federal Court cause of action shall lie exclusively in the U.S. District Court for the Eastern District of Texas, Tyler Division. 1.19 By executing this Agreement, the CONTRACTOR hereby certifies that the only person or persons interested in this Agreement as principals are named herein, and the CONTRACTOR during the bid process or otherwise has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with the services contracted herein. Collusion in the bid process will constitute a substantial breach of the contract and justify termination of the Agreement by the CITY for cause. Executed in duplicates, each of which is deemed to be an original and effective as of the day and date first written in this Agreement. This Agreement will be effective on June 25, 2012. NCM DEMOLITION AND REMEDIATION, LP CITY OF PARIS, TEXAS Chip Breitbarth, Chief Estimator (Corporate Seal) ATTEST: Address for giving notices: 9090 N. Stemmons, Suite C Dallas, Texas 75247 John Godwin, City Manager (Corporate Sea1) ATTEST: Janice Ellis, City Clerk Address for giving notices: 150 SE 1 S` Street Paris, Texas 75460 ACKNOWLEDGMENTS BEFORE ME, the undersigned authority, on this day personally appeared John Godwin, City Manager of the City of Paris, Texas, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he executed the same for the purposes and consideration therein expressed and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE, this day of .2012. Notary Public, State of Texas STATE OF TEXAS § § COUNTY OF LAMAR § BEFORE ME, the undersigned authority, on this day personally appeared Name Title of NCM Demolition and Remediation, LP, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he executed the same for the purposes and consideration therein expressed. GIVEN UNDER MY HAND AND SEAL OF OFFICE, this day of 12012. Notary Public, State of Texas Irerracon 8901 Carpenter Freeway, Suite 100 Dallas, Texas 75247 214-630-1010 Project Overview This project consists of the remediation of hazardous materials at the Grand Theater including asbestos containing materials (ACM), lead based paint (LBP), building materials which exhibited fungal contamination and pigeon-related debris (PRD). The site specific asbestos abatement design, lead abatement work plan, and fungal-biological hazard remediation protocol, are provided in separate sections within this document. In building work areas where asbestos abatement, lead abatement and fungal-biological hazard remediation overlap, the more stringent remedial work practice, based on state and federal regulations, will take precedent. It is important to note that the building has historical significance and it is the Owner's intent to preserve the identified original components of historical value throughout the remediation project. The work areas that comprise Phase II are demarcated on Figure G-1 presented within the individual scope of work for each hazardous material. The contractor will perform the hazardous materials remediation in a sequence that ensures compliance with applicable state and federal asbestos, lead and fungal regulations. The defined sequencing will avoid combining regulated waste generated as part of the remediation. The contractor will provided a detailed schedule of the remediation sequence which will include at a minimum containment and non-containment areas, regulated areas, order in which identified hazardous materials will be remediated, waste packaging and disposal to ensure regulatory compliance with applicable state and federal regulations. The Contractor selected to perform the remediation work will demonstrate experience performing abatement of each of the hazardous materials identified. Prior to beginning work at the site the Contractor will attend a preconstruction meeting to coordinate all site activities with the Owner and their designated representative. In addition prior to beginning any remediation activities the contractor will conduct an orientation meeting with their personnel. The purpose of the meeting will be to inform each employee of the historical significance of the structure and the specific procedures to be followed in protecting the finishes and fixtures that are in each work area, as well as a safety review regarding the project and the hazardous materials to be remediated. EXHIBiT 1,. Respesnsive ■ Rcsoureeful ■ Ref¢abPe TDSHS SCOPE OF WORK for ASBESTOS ABATEMENT Phase II Grand Theatre 21 Lamar Avenue Paris, Texas rroughs I~Asbestos Consultant Po. 10-5095 s 02.09.13 June 4, 2012 Terracon Project No.94107645 Prepared for: City of Paris Paris, Texas Prepared by: Terracon Consultants, I nc. Dallas, Texas TDSHS Consultant Agency License No. 10-0157 TABLE OF CONTENTS 1.0 INTRODUCTION 3 2.0 MATERIAL DESCRIPTION AND QUANITITIES ..3 3.0 WORK PRACTICES ..3 3.1 Respiratory Protection ..3 3.2 Protective Clothing ..3 3.3 ContainmentlRegulated Area ..3 3.4 Removal ..8 3.5 Disposal ..9 3.6 Clearance 10 4.0 CONTRACTOR SUBMITTALS 10 5.0 CONSTRUCTION NOTES 12 6.0 PRODUCTS 14 7.0 AIR MONITORING SERVICES 15 APPENDIX A SITE DRAWINGS APPENDIX B ASBESTOS ANALYTICAL 4 VIS aurrou9ns TDSH i #0-5095 Expiration 02.09.13 Phase II - Scope of Work - Asbestos Abatement Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 Irerracon SCOPE OF WORK - ASBESTOS ABATEMENT PHASE II - Grand Theatre 21 Lamar Avenue Paris, Texas Terracon Project No.94107645 1.0 INTRODUCTION The work will consist of the abatement of asbestos containing materials identified within the scope of work. The asbestos abatement design is dated June 4, 2012. 2.0 MATERIAL DESCRIPTtON AND QUANITITIES Briefly and without force and effect upon the contract documents, the work of the Contract can be summarized as including removal and disposal of asbestos-containing materials associated with: Acoustical Ceiling Texture - 10 % Chrysotile Asbestos Floor tile/floor tile mastic - 3-10% Chrysotile Asbestos Thermal Pipe/Fitting Insulation - 60% Chrysotile Asbestos Thermal Duct Insulation - 60% Chrysotile Asbestos Thermal Tape - 60% Chrysotile Asbestos Quantities listed are estimates only. The CONTRACTOR is responsible for verifying quantity estimates prior to submission of bid. The CONTRACTOR will perform work for materials and locations indicated, regardless of actual quantities, and no increase in Contract amount will be allowed for quantity adjustment. First Floor - Theater/Office Area (see attached drawing) Acoustical Ceiling Texture Floor Tile/Floor Tile Mastic Thermal Tape Insulation 2,100 square feet (sq. ft.) 1,800 sq. ft. 200 linear feet Second Floor -Office Area/Restrooms (see attached drawinq) Floor Tile/Floor Tile Mastic 200 sq. ft. le rroughs TDSHS Li se 10-5095 Expiration ~ 02.09.13 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 Exterior (see attached drawinq) Thermal Pipe/Fitting Insulation 100 In. ft. NOTES: a) CONTRACTOR will be responsible for site security throughout the remediation project. b) Due to the deterioration of interior building materials the work area will require extensive precleaning prior to beginning remediation activities. The precleaning may consist of the clean-up of asbestos, lead and fungal contaminated debris. These activities will be performed after the installation of critical barriers separating each work area and installing a three chambered decontamination system. Placement in the work area of negative air machines which will be exhausted to the outside. c) CONTRACTOR will remove the air supply vents/ registers and any designated lighting from the ceiling on the first and second floor. These items will be cleaned and decontaminated and stored in a designated area for re-use by the Owner. d) CONTRACTOR will remove and dispose of the carpet in the first floor lobby as asbestos waste. e) CONTRACTOR is responsible for providing all scaffolding, ladders and/or staging necessary to accomplish the work of this contract. The type, erection and use of scaffolding, including provisions for fall protection and employee training, shall comply with OSHA 29 CFR 1962, SUBPART L. fl CONTRACTOR is responsible for Fall Protection for his employees. CONTRACTOR is solely responsible for protection CONTRACTOR's employees form fall hazards. Fall protections protocols must comply with all applicable provision of OSHA 29 CFR 1926.500, SUBPART L. Documentation of training for each employee will be provided prior to beginning work. g) Due to the deterioration of interior building materials the work area will require extensive precleaning prior to beginning remediation activities. The precleaning may consist of the clean-up of asbestos, lead and fungal contaminated debris. These activities will be perFormed after the installation of critical barriers separating each work area and installing a three chambered deco7h*h ination system. Placement in the work area of negative air mach~ eswill be exhausted to the outside. K le roughs TDSHS kce e # -5095 Expiratio Date: 2.09.13 3 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 h) CONTRACTOR will be responsible for the cleaning/decontamination of identified items which the Owner intends to save due to their historical significance. These items may consist of various equipment, projectors and/or related equipment. Once these items are cleaned they will be stored in a designated area provided by the Owner. These items will be identified by the Consultant prior to beginning remediation. i) Remaining equipment, fixtures and items in the proposed works area are considered contaminated and will be disposed of asbestos waste. These items may consist of desks, signs and other, ceiling grid, lightning, and other items within the work area. j) CONTRACTOR will demolish and remove all theater seating in the designated work area on the first floor lobby. The seating may be decontaminated and disposed of as general construction waster. k) CONTRACTOR will provide a continuous fire watch whenever an active containment is in operation. I) If the CONTRACTOR does not perform load out through the decontamination chamber a separate waste load out chamber will be connected to the work area, with material ingress and egress through a flapped doorway constructed of six millimeter polyethylene sheeting. The exit of the waste load out area will also be constructed with six millimeter polyethylene flapped doorway. The water used during the waste load out procedures as a result of cleaning the outside of the bags will be properly filtered prior to discharge. No personnel may use this for ingress or egress in the containment area. m) Drawings provided depict the general locations of the identified asbestos- containing materials (ACM's) to be abated. The drawings show the basic configuration of the identified ACM's and are provided for informational purposes. The CONTRACTOR will perform work for materials present, regardless of actual quantities or extent of material and no increase in Contract amount will be allowed for quantity adjustment. n) Owner will provide sources of power and water for the project, it will be the CONTRACTOR's responsibility to route each to the area of usage at the CONTRACTOR's expense. o) CONTRACTOR's fee will include the cost of the electrician/plumber expe abatement area "make safe." ^ TDSHS Li Expiration 09.13 for Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 p) CONTRACTOR will include the cost of the TDSHS notification fee in their base bid. q) AIA Contract A-101 2007 will be used for this project as the contract with the owner. Supplementary Condition to the Standard Form of Agreement Between Owner and CONTRACTOR. 3.0 WORK PRACTICES 3.1 Respiratory Protection Throughout the project, respirators shall be provided by the CONTRACTOR. The CONTRACTOR will provide respirators which are applicable and suitable for the purpose intended in accordance with OSHA 1910.134 - Respirator Standard. The CONTRACTOR will ensure that the respirators are equipped with filter cartridges designed for asbestos-containing dusts and mists, vapors, and color-coded in accordance with ANSI Z228.2 (1980). 3.2 Protective Clothing During removal of the ACM, at least one protective suit will be worn by each worker. Boots and gloves will be made available to each worker as needed. All protective suits will be properly disposed of at the conclusion of the work. The workers performing the abatement will decontaminate thoroughly in three-chambered wet decontamination system attached to each containment. 3.3 Containment The asbestos containing materials will be abated in a full containment constructed of two (2) layers of 4-mil polyethylene sheeting on the walls and two (2) layers of 6-mil polyethylene sheeting on the floors (where applicable), and one layer of 4-mil polyethylene sheeting on the ceiling, in conjunction with critical barriers, negative pressure, and a three chambered wet decontamination system. Decontamination System: disposable/pop-up units displaying excessive use or wear will not be permitted for the decontamination system. Provide a Personnel Decontamination Unit consisting of a serial arrangement of connected rooms or spaces, Changing Room, Shower Room, and Equipment Room. Require all persons without exception to pass through this decontamination unit for entry into and exiting from the work area for any purpose. Do not allow parallel routes for entry or exit. / Chanqinq Room (clean room): Provide a room that is physically and vAsyfally/separated rcye rrougns TDSHS ice e # 0-5095 13 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 from the rest of the building for the purpose of changing into protective ciothing. Construct using polyethylene sheeting, at least 6-mil in thickness, to provide an airtight seal between the Changing Room and the rest of the building. Locate so that access to Work Area from Changing Room is through Shower Room. Separate Changing Room from the building by a sheet polyethylene flapped doorway. Maintain floor of changing room dry and clean at all times. Do not allow overflow water from shower to wet floor in changing room. Damp wipe all surfaces twice after each shift change with a disinfectant solution. Provide a continuously adequate supply of disposable bath towels. Provide posted information for all emergency phone numbers and procedures. Shower Room: Provide a completely water tight operational shower to be used for transit by cleanly dressed workers entering the Work Area from the Changing Room, or for showering by workers exiting the Work Area after undressing in the Equipment Room. Construct room by providing a shower pan and 2 shower walls in a configuration that will cause water running down walls to drip into pan. Install a freely draining floor in the shower pan at an elevation that is at the top of pan. Separate this room from the rest of the building with airtight walls fabricated of 6 mil polyethylene sheeting. Separate this room from the Changing and Equipment Rooms with airtight walls fabricated of 6 mil polyethylene sheeting. Provide splash-proof entrances to Changing and Equipment Rooms with 2 doors arranged in the following configuration: At each entrance to the Shower Room construct a doorframe out of lumber, PVC Pipe or equivalent. Attach to this door frame two overlapping flaps fastened at the head (top) and jambs (sides). Overlap the flaps that present a shingle-like configuration to the water stream from the shower. Arrange so that any air movement out of the Work Area will cause the flaps to seal against the door frame. Provide shower head and controls. Provide temporary extensions of existing hot and cold water and drainage, as necessary for a complete and operable shower. Provide a continuously adequate supply of soap and maintain in sanitary condition. Arrange so that water from showering does not splash into the Changing or Equipment Rooms. / Provide flexible hose showerhead. Pump wastewater to drain or to storag r use in amended water. If pumped to drain, provide 20 micron and 5 micron-w-N44 ater filters TDSHS Li~n e # : 5095 Expiration at 09.13 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 in line to drain or waste water storage. Change filters daily or more often if necessary. Provide Hose Bib. Equipment Room (contaminated area): Require work equipment, footwear and additional contaminated work clothing to be left here. This is a change and transit area for workers. Separate this room from the work area by a 6 mil polyethylene flap doorway. Separate this room from the rest of the building with airtight walls fabricated of 6 mil polyethylene sheeting. Separate this room from the Shower Room and Work Area with airtight walls fabricated of 6 mil polyethylene sheeting. Work Area: Separate work area from the Equipment Room by polyethylene barriers. If the airborne asbestos level in the work area is expected to be high, as in dry removal, add an intermediate cleaning space between the Equipment room and the Work area. Damp wipe clean all surfaces after each shift change. Provide one additional floor layer of 6 mil polyethylene sheeting per shift change and remove contaminated layer after each shift. Waste Load Out Area: the CONTRACTOR will conduct the waste load out in areas separate from any non-project personnel or passers-by. 3.4 Removal The CONTRACTOR will perform the removal and disposal in accordance with current local, state and federal regulations. Acoustical Ceilinq Texture: acoustical ceiling texture will be removed in a full containment. Spray asbestos containing material(s) with amended water or removal encapsulant. Allow time for amended water or removal encapsulant to saturate the material. Do not over saturate to cause excess dripping. If amended water is used, spray material repeatedly during the work process to maintain a continuously wet condition. The acoustical texture will be removed from the plaster substrate. The clean surfaces will be encapsulated after passing a visual inspection conducted by a Terracon representative. The abated material will be bagged and disposed of in accordance with the asbestos abatement design. Floor Tile/Mastic : floor tile/mastic will be removed in a full containment. Spray asbestos containing flooring/mastic with amended water or removal encapsulant. Allow time for amended water or removal encapsulant to saturate the material. Do not over saturate to cause excess dripping. The flooring/mastic will be removed from the substrate. Once the flooring is removed the mastic remover may be applied to the floor mastic remaining on the substrate (where applicable). If mastic remover is use will have a flash point greater than 140 degrees Fahrenheit. The masticswillAhe moved ~yl B rroughs TDSHS Lic ns # 0-5095 Expiration ate. 02.09.13 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 using a mopping action or with the use of low speed buffers. The clean surfaces will be encapsulated after passing a visual inspection conducted by a Terracon representative. The abated material will be bagged and disposed in accordance with the asbestos abatement design. Thermal Pipe/Fittinq Insulation: the thermal pipe and/or fitting insulation that is not present within a contained area may be removed using the glove bag method. Prior to beginning the glove bag removal operations the area will be properly demarcated as a regulated area. A drop cloth consisting of six millimeter plastic will be placed beneath the work area. The drop cloth will extended a minimum of three feet in each direction beyond the material being removed. A remote three-chambered wet decontamination system will be centrally located adjacent to the regulated work area for the workers to proper decontaminate. The glove bag technique used will be in strict accordance with OSHA 1926.1101. The clean surfaces will be encapsulated after passing a visual inspection conducted by a Terracon representative. Thermal Tape: may be removed as a component. Spray thermal tape with amended water or removal encapsulant. In order to remove the thermal tape (TT) as a component the CONTRACTOR will completely cover the TT with duct tape or a similar material and place a drop cloth beneath the ductwork. The drop cloth will consist of six millimeter polyethylene. The drop cloth will extended a minimum of three feet in each direction beyond the material being removed. The area will be properly demarcated during the component removal. Sections of the metal duct may be "cut" on either side of the TT, taking care not to disturb the TT. A central wet decontamination unit will be set-up for use by the workers performing the component removal. The team performing the component removal will consist of a minimum of two workers at all times. The area of abatement removal will pass a visual inspection conducted by a Terracon representative. The abated material will be bagged and disposed in accordance with the asbestos abatement design. 3.5 Disposal 1. Once the regulated ACM is removed, it will be double bagged and labeled In accordance with Texas Department of State Health Services (TDSHS) and OSHA guidelines. Pre-printed Generator Labels shall be affixed to each bag or wrapped component prior to being placed in the lined waste disposal dumpster or trailer. The use of bladder bags, onion bags or any other disposal bags deemed unconventional by the consultant will not be permitted, unless authorized in writing by the Consultant prior to contract award. , 2. All waste will be labeled in accordance with 29 CFR 1910.1200 (fl Df O HA's Hazard Communication standard, and will contain the foll ing 'or tion: TDSHS Li~nse 10 095 Expiration ate: 09.13 Phase II - Scope of Work - Asbestos Abatement lrerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 DANGER CONTAINS ASBESTOS FIBERS AVOID CREATING DUST CANCER AND LUNG DISEASE HAZARD 3. The area between the bag-out area and the prepared waste receptacle shall be regulated with barrier tape during bag-out operations. The waste dumpster or trailer shall remain secured during all other periods. 4. The waste will be disposed in an approved landfill. The waste will be transported to the landfill in a lined closed top receptacle. Verification of disposal at the landfill will be provided to the OWNER by CONTRACTOR via the Uniform Hazardous Waste Manifest signed by the landfill. . 5. The waste will be transported to the landfill in a lined closed top receptacle. Verification of disposal at the landfill will be provided to the OWNER by CONTRACTOR via the Uniform Hazardous Waste Manifest. 3.6 Clearance Aggressive PCM clearance sampling will be conducted in accordance with the NIOSH 7400 Method, in each contained area in which abatement has occurred. Static up and down wind air sampling will be conducted during the abatement of the exterior thermal pipe insulation. 4.0 CONTRACTOR SUBMITTALS Submittals required for proper execution include but are not limited to the following: Pre-Construction Submittals (submitted to CONSULTANT): Regulatory Notification Information Plan of Action Fire Action Plan Emergency Phone List Project Schedule n#rroug hs TD SHS Lic -5095 Expiration 09.13 Phase II - Scope of Work - Asbestos Abatement lrerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 Copy of Written Respirator Program which conforms to 29 CFR 1910.134(b) OSHA Material Safety and Data Sheets (Product Handling) Negative Initial Exposure Assessment Construction Submittals (submitted to CONSULTANT before start of work on-site) Licenses: CONTRACTOR, Supervisor, Transporter(s) NESHAP Training Certificate Personal Air Monitoring Lab Results List of Workers Worker Registration Certificates Medical Examination Results Worker Training Certificates Respiratory Fit Test Certificate Employee Fall Protection Training Certificates of Worker Acknowledgement Proiect Closeout (submitted to CONSULTANT) CONTRACTOR's Daily Log Worker Registration Certificates for Personnel Company Licenses Worker Training Certificates Respiratory Fit Test Certificate Employee Fall Protection Training Certificates of Worker Acknowledgement Personal Air Monitoring Lab Results Waste Disposal Manifest Copies RESUBMISSION: Revise submittals as required and resubmit as specified for initial submittal. Indicate any changes which have been made other than those requested by CONSULTANT. CONTRACTOR RESPONSIBILITIES: Illegible submittals will be rejected and returned for re-submittal. Schedule submittals according to general flow of Work and so as to allow for adequate and timely review of submittals by CONSULTANT. Review submittals prior to submission and submit to CONSULTANT in accordance with provisions herein. Verify field measurements, construction criteria, catalog numbers and si 1(76~ . I oughs TDSHS Lice s #1 5095 Expiration Date: .09.13 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 Coordinate submittals with requirements of Work and Contract Documents. CONTRACTOR'S responsibility for errors or omissions is not relieved by CONSULTANT's review. CONTRACTOR'S responsibility for deviations from requirements of Contract Documents is not relieved by CONSULTANT'S review, unless CONSULTANT is notified of deviations in writing at time of submittal, and gives written review of specific deviations. Do not begin work which requires submittals until reviewed submittals have been reviewed and approved by CONSULTANT. If required, reproduce and distribute copies after CONSULTANT'S review. CONSULTANT'S RESPONSIBILITIES: The responsibility of performing the final visual inspection and the final air clearance is delegated to Terracon's on-site State of Texas licensed project manager. Review submittals within two working days or indicate in writing reasons for reviews which require additional time. Review for conformance with design concept of project and information given in Contract Documents. Indicate results of review and return submittals to CONTRACTOR for distribution. CONSULTANT is not responsible for verification of field measurements, construction criteria, catalog numbers and other similar data. Review of separate items does not constitute review of an assembly in which items function. 5.0 CONSTRUCTION NOTES The CONTRACTOR shall be responsible for the submission of the Demolition/Renovation Notification Form. The CONTRACTOR shall provide proper written notification (and revisions as required) to the appropriate regulatory agencies on the agency's designated form. The Notification form shall be complete and accurate and contain a statement indicating the Scope of Work and accurate quantitiep,,~FAGM to be y Burroughs TDSHS " ns #10-5095 Expiration t . 02.09.13 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 removed. The CONTRACTOR is responsible for the accuracy and timelines of the notification. The execution of a ContractNVork Order for this project by the OWNER shall constitute written authorization for the CONTRACTOR to complete and sign the Notification on the OWNER'S behalf. CONTRACTOR'S bid will include the cost of the TDSHS fee and will be paid by the CONTRACTOR. The CONTRACTOR shall be responsible for payment of notification fees included in the Demolition/Renovation Notification Form. On Notification form, OWNER shall be listed as stated in the contract with the OWNER. The CONTRACTOR will be responsible for routing water and electricity to the work areas. Water and electrical service are present on the site at this time. The CONTRACTOR is to be current and in good standing on all asbestos abatement notification fees. The OWNER reserves the right to verify CONTRACTOR'S standing. The CONTRACTOR shall maintain all records required by TDSHS Texas Asbestos Health Protection Rules Section 295.62 Operations: Recordkeeping CONTRACTOR parking and disposal dumpster areas will be as designated by the OWNER. The CONTRACTOR will keep work and parking areas clean. Prior to any asbestos abatement activities the CONTRACTOR will provide a licensed electrician to provide power lock-out and tag-out of all circuits to be affected by the asbestos abatement activities. Lock-out/Tag-out must meet OSHA 1910.147 requirements. All electrical circuits in the regulated and/or contained area shall have ground-fault interrupter (GFCI) units installed. Exhaust negative pressure ventilation system to outside of building. The CONTRACTOR shall be responsible for installing hard barriers in any window openings utilized for exhaust of negative pressure and shall ensure that the building can be secured between work periods. If necessary, a hard barrier decontamination unit shall be constructed at the site to ensure building security. The CONTRACTOR shall arrange the use of on-site toilet facilities with the OWNER or provide temporary self-contained toilet units for use by CONTRACTOR'S personnel throughout the duration of abatement activities. The CONTRACTOR shall install one fire extinguisher in the work area for each 1,000 square feet of work area or fraction thereof. Additional fire extinguishers shall be installed in the Equipment Room and Clean Room of the decontamination unit. The CONTRACTOR shall conduct a safety meeting for CONTRACT041)vemployees k yl urroughs TDSHS Li se 10-5095 Expiration Date: 02.09.13 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 with emphasis on operation of fire extinguishers and emergency exits in case of fire. CONTRACTOR shall have posted emergency phone numbers for the fire department and police. CONTRACTOR shall store a minimum of volatile substances on the job site and in fire resistant containers only. 6.0 PRODUCTS Amended Water: Provide water to which a surfactant has been added. Use a mixture of surfactant and water which results in wetting of the ACM and retardation of fiber release during disturbance of the material. Disposal Bags: Provide as a minimum, individual, 6 mil thick, leak-tight, manufactured polyethylene bags. Disposal Baq Labels: Provide labels with OWNER'S name, CONTRACTOR'S name, project site address and the following warnings and labels, in accordance with regulatory requirements. Labels shall be lettered with indelible ink. First Label: CAUTION CONTAINS ASBESTOS FIBERS AVOID OPENING OR BREAKING CONTAINER BREATHING ASBESTOS IS HAZARDOUS TO YOUR HEALTH Second Label: Provide in accordance with 29 CFR 1910.1200(o of OSHA's Hazard Communication standard: DANGER CONTAINS ASBESTOS FIBERS AVOID CREATING DUST CANCER AND LUNG DISEASE HAZARD BREATHING AIRBORNE ASBESTOS, TREMOLITE, ANTHOPHYLLITE, OR ACTINOLITE FIBERS IS HAZARDOUS TO YOUR HEALTH Third Label: Provide in accordance with U.S. Department of Transportation Regulation on hazardous waste marking. 49 CFR parts 171 and 172. Hazardous Substances: Final Rule: RQ HAZARDOUS SUBSTANCE, CLASS 9, NA 2212, PG I I I roughs TDSHS L yle0-5095 Expiration Date: 02.09.13 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 (ASBESTOS) Polvethvlene Wrap: Provide minimum 6 mil polyethylene sheeting as a wrapping for large sections of rigid waste material and for construction of floors and critical barriers in the containment areas. Provide minimum 4 mil polyethylene sheeting for construction of walls of the containment. Removal Encapsulant: Provide a penetrating type encapsulant designed specifically for removal of ACM. Utilize an encapsulant that will meet or exceed the results produced by use of Amended Water, as described above. 7.0 AIR MONITORING SERVICES The responsibility for performing visual inspections and air monitoring services is delegated to Terracon's on-site State of Texas licensed project manager/air monitoring technician. The CONSULTANT shall verify that the Work performed is in compliance with applicable regulations and that the building areas beyond the Work Area and the outside environment remain free of contamination. This section also sets forth airborne fiber levels both inside and outside the Work Area as permissible exposure limits (PELs), and describes the action required by the CONTRACTOR if a permissible exposure limit is met or exceeded. AIR MONITORING: The CONSULTANT will be conducting air monitoring throughout the course of the project. Work Area Isolation: The CONSULTANT will monitor airborne fiber counts outside the Work Area. The purpose of this air monitoring will be to detect faults in the Work Area isolation including, but not limited to, contamination of the building outside of the Work Area with airborne asbestos fibers, failure of filtration or rupture in the ventilation system, or contamination of the exterior of the building with airborne asbestos fibers. Should any of the above occur, the CONTRACTOR shall immediately cease asbestos abatement activities until the fault is corrected. Work shall not recommence until authorized by the CONSULTANT. Work Area Airborne Fiber Count: The CONSULTANT will monitor airborne fiber counts in the Work Area. The purpose of this air monitoring will be to detect airborne fiber counts which may significantly challenge the integrity of Work Area isolation proce ,dures ly urroughs TDSHS Lic n 0-5095 Expiration Date..09.13 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 that protect the balance of the building or outside of the building from contamination by airborne fibers. AIRBORNE FIBER COUNTS: Inside Work Area: Maintain an average airborne count in the Work Area of less than 0.1 fibers per cubic centimeter. If the fiber counts rise above this figure for any sample taken, revise work procedures to lower fiber counts. If the Time Weighted Average (l1NA) fiber count for any Work shift or eight (8) hour period exceeds 0.1 fibers per cubic centimeter, stop work and leave ventilation system in operation. Do not recommence work until authorized by the CONSULTANT. Outside Work Area: Maintain an average airborne count outside the Work Area below the Permissible Exposure Limit (PEL) of 0.1 f/cc of air. If any air sample taken outside the Work Area exceeds the PEL, immediately stop work until the source of the elevated fiber readings can be determined by the CONSULTANT. Immediately take corrective as instructed by the CONSULTANT. Decontaminate the affected area in accordance industry standard methods. ANALYTICAL METHODS: The following methods will be utilized at the discretion of the CONSULTANT in collecting and analyzing air samples: Phase Contrast Microscopy (NIOSH 7400 Method, Issue 2, Revision 3 or OSHA Reference Method) SAMPLE PROTOCOLS: General: The number and volume of air samples taken by the CONSULTANT will generally be in accordance with the following schedule. Sample quantities, locations, volumes and methodologies may vary depending upon the analytical method, project layout, procedures used and at the discretion of the CONSULTANT. SCHEDULE OF AIR SAMPLES FOR CONTAINMENT(S): Daily Sample Schedule (per 8-hour work period): The CONSULTANT will generally take the following samples on a daily (8-hour work period) basis. The number of samples may vary according to site plan and on authorization of CONSULTANT. K le rroughs TDSHS Li e e# 0-5095 Expiration Date: 02.09.13 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 Base Line Sample Schedule: The CONSULTANT will secure the following air samples to establish a Base Line before start of Work. The number of samples may vary according to site plan and on authorization of CONSULTANT. ~Locatioa~m~pled~~ ~ M~~m pu~mi Nu~mb'~er~ in ` ua ple lan ed °`"`~lyt ~al~° '~~K~ ry ~ ~ ~ olur~ Method. Each WorkArea 3 1,250 Liters PCM Daily Sample Schedule (per 8-hour work period): The CONSULTANT will generally take the following samples on a daily (8-hour work period) basis. The number of samples may vary according to site plan and on authorization of CONSULTANT. Locat onkSampled ~ A Minimum Number~~ *,ll*,nU.Mk " a e k"Panne ~nalytical ~ oSa olum Method~ ~ ' .~.~t.,., . Each Work Area 1 500 Liters PCM Outside Each Work 1 500 Liters PCM Area/Inside Building Decon Unit Clean 1 500 Liters PCM Room Output of Negative Pressure Ventilation 1 500 Liters PCM System Clearance Sample Schedule: The CONSULTANT will secure the following air samples to determine air clearance at the conclusion of abatement. The number of samples may vary according to site plan and on authorization of CONSULTANT. Nd Mirn uumber~ y Min~n i um< Sa F~tgpn anne `Anal ical .q '.~'~;y- ofSamples* u Method ~ Each WorkArea 3 1,250 Liters PCM Clearance will be achieved if each air sample is analyzed and determined to be less than 0.01 fibers per cubic centimeter of air by the on-site analyst. The CONSULTANT, in addition to providing air monitoring services, will provide full- time, on-site inspection of work activities. Work shall not proceed without prior notice to the CONSULTANT and presence of the CONSULTANT on the work site (requires 48 hours advance notice of work). le roughs TDSHS Li #1 5095 Expiration ate: 02.09.13 Phase II - Scope of Work - Asbestos Abatement lrerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 The CONSULTANT will conduct the following key Project inspections and no work by the CONTRACTOR will proceed beyond these points until all discrepancies noted during the inspection have been corrected. The CONSULTANT'S inspections do not relieve the CONTRACTOR of Contract obligations and are not designed to locate all project discrepancies. The CONTRACTOR is responsible for project quality. First Key Inspection: Inspection of Work Area Prior to Start of Removal: Removal operations shall not proceed until the CONSULTANT has completed inspection of the Work Area preparations and until all discrepancies noted have been corrected. Second Key Inspection: Inspection Durinq Removal: Removal Work shall not be conducted unless the CONSULTANT is on the Project site. Daily inspection of the Work Area and Work practices will be conducted; upon discovery and report of a discrepancy the CONTRACTOR shall immediately stop Work and correct the discrepancy. Third Key Inspection: Inspection of Work Area After Completion of Removal Work, but Prior to Encapsulation and Containment Disassemblv: A visual inspection of the Work site and/or Containment areas and removal surfaces will be conducted at this point by the CONSULTANT and encapsulation and/or containment disassembly shall not proceed until discrepancies noted have been corrected. Fourth Key Inspection: Final Clearance: After encapsulation and final clean-up of the Work Area, but prior to removal of Critical Barriers, the CONSULTANT will conduct a visual inspection. Final Key Inspection: Proiect Closeout Inspection: A final inspection will be conducted by the CONSULTANT after the CONTRACTOR has removed all barrier tape, drop-cloths, equipment, and supplies. A project "Punch List" will be provided of any items requiring correction or completion. Punch List items shall be completed prior to issuance of final completion notice by the CONTRACTOR. iyl rroughs TDSHS Li n e 0-5095 Expiration at ~ 2.09.13 Phase II - Scope of Work - Asbestos Abatement Irerracon Grand Theatre■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■Terracon Project No. 94107645 Discrepancies or needed corrective measures observed by the CONSULTANT will be reported to the CONTRACTOR'S Superintendent on-site and shall be immediately corrected. The above inspections are not necessarily single events. Failed inspections will be re- conducted and time classified as retests and charged back to the CONTRACTOR in accordance with the project documents. Inspections will require 24 hours advance notice to the CONSULTANT. PERSONAL MONITORING: The CONTRACTOR shall perform air monitoring as required to meet OSHA requirements for maintenance of Time Weighted Average (TWA) and excursion limit fiber counts for types of respiratory protection provided. The OWNER will not be providing air monitoring services to meet these OSHA requirements. Note: Results of Personal Monitoring shall be submitted to the CONSULTANT within 72 hours of the time samples are obtained. A listing of all personal monitoring results obtained during the project shall be submitted to the CONSULTANT with the CONTRACTOR closeout submittals. LABORATORY TESTING: The CONSULTANT will perform field analysis of the air samples. A microscope and field laboratory will be set up at the jobsite, at the option of the CONSULTANT, so that verbal reports on air samples can be obtained promptly after collection. Reports to the OWNER by the CONSULTANT will include air monitoring data and pertinent information on work being conducted such as: work hours, number of workers, procedures used, CONTRACTOR discrepancies and corrective measures, containment methods and construction, and amount of ACM removed. Ky Burroughs TDSHS Li ens #10-5095 Expiration : 02.09.13 APPENDIX A: SITE DIAGRAMS I q~~ I I 'i, ROOM OJECTION ( I TATf~ STAGE ~ 0 J C N U W Q Z ~ w ~ J Q ~ 0 T O J ~ 3 ~ O ~ 0 `-CONTAINED r WORK AREA I ~ LOBBY L -\7i TICKET BOOTH I~f FIRST FLOOR SECOND FLOOR , ~oYS ProjeclMngr. PrajectNa. 94107645 CONTAINED WORK AREAS FIGURE Dra. BY S`ale Irerracon FIRST and SECOND FLOOR JJD 1"=20' cnedkeaey oaie: ConsWting Engineers and Scientists (RegisVa6onNa.:FJ272) GRAND THEATRE ~ Approved By: 8901 CARPENTFR FREEVJAY DALLAS, TEXAS 75247 21 LAMARAVENUE PARIS, TEXAS V PH.(214)630-1010 FAIC(214)630.7070 VVn's I Aol\LY WORK AREA \ \ \ \ \ \ \ \ ~ \ \ \ \ \ \ \ / ~ \ \ ~ " I / r I ~ STAGE I ~ ~ I 1 ~ ~ \ I ~ ~ I ~ ~ L ~ \ \ \ I ~ 0 J C d J U H Q m ~ r o 0 ~ ~ T O J O3 v 0 ~ ~ LEGEND: ~ ASBESTOS FLOOR TILE/MASTIC ASBESTOS ACOUSTICAL CEILING TEXTURE ~ n ASBESTOS THERMAL PIPE INSULATION c:, LOBBY ASBESTOS TAPE ON DUCT WORK a, (CRAWLSPACE OFF STAIRS) o 0 ~ BASEMENT ACCESS % ~ u a~ 0 a` / z ~ ~ I I ; LJ BOOTH Z N 11 Ln O ~ ~ ProleciMngr. Pro10 N. 94107645 ASBESTOS ABATEMENT - PHASE 11 FIGURE o~e,~,aY: smfe Irerr~con FIRST FLOOR JJD 1"=20' CheckedBy oaie: Consulting Engineers and Scientists GRAND THEATRE AB 1 (RegisVatlon No.: F3272) 21 LAMAR AVENUE - ApprovedBy. 8901GARPENTERFREEWAY IIALLAS,TEXA575247 pARIS,TEXAS PH.(211) 630-1010 FAX.(274) fi3P7070 ProjedMngr. ProiemNo. 94107645 ASBESTOS ABATEMENT FIGURE DravmBy 8m1e: lrerracon PHASE 11 - SECOND FLOOR JJp 1„_10, cneckeaey oate: Consulting Engineers and Scientists (RegisUationNo.:F-3272) GRAND THEATRE AB~~ ApprovedBy: 8901 CARPENTER FREEWAY OALLAS,TEXAS75247 21 LAMARAVENUE pARIS,TEXAS PH.(214)630-1070 FAX.(214)630-7070 FungalmBiological Hazard Remediation Protocol Phase II Grand Theater 21 Lamar Avenue Paris, Texas 75460 June 4, 2012 Terracon Project No. 94107645 Prepared for: Robert Garrison Jlold Assessment Consultant cense No. MAC 0107 Expires 11.10.2012 City of Paris 150 S. E. 1 St Street Paris, Texas 75460 Prepared by: Terracon Consultants, Inc. Dallas, Texas TDSHS Consultant Agency License No. AC00117 TABLE OF CONTENTS PROJECT SUMMARY ...................................................................................1 1.0 SAFETY PRACTICES 2 2.0 ACCESS TO WORK AREA 2 3.0 MOVEABLEINON-MOVEABLE OBJECTS 2 4.0 HVAC SYSTEM EQUIPMENT 2 5.0 DECONTAMINATION SYSTEM 2 6.0 CONTAINMENT/CRITICAL BARRIERS 2 7.0 VENTILATION 3 8.0 PPE DURING FUNGAL REMEDIATION 3 9.0 CLEANING/DECONTAMINATION 4 10.0 REMOVAL OF BUILDING MATERIALS 5 11.0 PROJECT MODIFICATION 5 12.0 POST REMEDIATION VERIFICATION CRITERIA 5 13.0 WASTE DISPOSAL 6 14.0 CONTRACTOR RESPONSIBILITIES 6 15.0 PROJECT SUBMITTALS 7 16.0 MITIGATION OF MOISTURE 7 APPENDIX A: Site Diagrams Irerracon 8901 Carpenter Freeway, Suite 100 Dallas, Texas 75247 214-630-1010 SCOPE OF WORK FUNGAL-BIOLOGICAL HAZARD REMEDIATION June 4, 2012 Project: Grand Theater Phase 11 21 Lamar Avenue Paris, Texas 75460 Terracon Project No. 94107645 PROJECT SUMMARY: The Grand Theater, Phase II Fungal Biological Hazard Remediation project is demarcated in the attached drawing (Figure G-1). Terracon documented water damage, fungal growth, and biological contamination associated with pigeon infestation in the Grand Theater in the location identified in the attached drawing (Figures F-1 and F-2). Additionally, non-regulated fungal growth may be present on water damaged building materials at various locations within the contained work area. Biological-hazard contamination related to historical pigeon infestation is present as pigeon feces and pigeon carcasses and for the purposes of this report will be described as "pigeon related debris". Pigeon related debris (PRD) is present on the majority of horizontal surfaces in the building areas that comprise Phase II. The quantity and location of water damage/wood rot, fungal growth, and PRD in the referenced locations is further described in Section 10.0, and the site diagrams in Appendix A. The remedial activities will be conducted in general accordance with the Texas Department of State Health Services (TDSHS) regulations contained in "The Texas Mold Assessment and Remediation Ru/es", (TMARR). In general, the remediation of regulated fungal growth will consist of the removal and disposal of building materials as referenced in Section 10.0 and demarcated in the drawings presented in Appendix A. The general debris and the PRD that comprise the defined biological-hazard in Phase II locations will be removed and disposed as construction debris, unless the material is further contaminated with asbestos or lead paint as defined in Terracon's corollary Scope of Work for Hazardous Materials Abatement, Terracon Project No. 94107645, dated June 4, 2012. The remediation work will be conducted within containment(s) under negative pressure with HEPA filtered exhaust. The remedial work conducted in Phase II building locations will require the use of full face N- 100 respirators. Due to the potential for elevated concentrations of biological pathogens related to PRD, Terracon recommends that the use of Powered Air Purifying Respirators (PAPR) should be considered. Responsive ■ Resourceful ■ Reliable 1 MAC # 0107/11-10-12 Fungal-Biological Hazard Remediation Protocol-Phase II Grand Theater ■ 21 Lamar Street, Paris, Texas February 24, 2011 ■ Terracon Project No. 94117645 Irerracon Terracon has documented the presence of asbestos containing materials (ACM) and lead based paint (LBP) in the majority of the Phase II building locations. The abatement of ACM and LBP will be conducted prior to or simultaneous to fungal and PRD remediation. The asbestos and LBP abatement specifications are provided in the Scope of Work for Hazardous Materials Abatement, Terracon Project No. 94107645, dated June 4, 2012. 1.0 SAFETY PRACTICES The contractor is responsible for all OSHA safety practices associated with worker protection. In addition, the contractor shall ensure that all electrical and fire hazard safety protocols are followed in compliance with typical construction regulations. It is the contractor's responsibility to ensure that workers on scaffold platforms or working from ladders or other elevated platforms should be safe and secure from slipping or falling. 2.0 ACCESS TO WORK AREA A secure work area will be established. Only licensed/registered individuals qualified to wear respiratory protection will enter the vacant building work area during the project. The contractor will ensure that access to the work area is periodically monitored. 3.0 MOVEABLE/NON-MOVEABLE OBJECTS Not applicable. 4.0 HEATING, VENTILATION, AND AIR CONDITIONING SYSTEM EQUIPMENT Not applicable. 5.0 DECONTAMINATION SYSTEM a) The Phase 11 remediation work area will be entered through the decontamination system previously constructed for the ACM-LBP abatement as referenced in Scope of Work for Hazardous Materials Abatement, Terracon Project No. 94107645, June 4, 2012. 6.0 CONTAINMENT/CRITICAL BARRIERS a) The Phase II work areas will have the majority of the required containments and critical barriers in place from the previous ACM-LBP abatement as referenced in Scope of Work for Hazardous Materials Abatement, Terracon Project No. 94107645, June 4, 2012. The TMARR stipulates that a vacant building with controlled access does not require negatively pressurized, contained work areas, if only licensed 6?esponsive ■ Resourceful ■ FZeliable 2 MAC # 0107/11-10-12 Fungal-Biological Hazard Remediation Protocol-Phase II Irerracon Grand Theater ■ 21 Lamar Street, Paris, Texas February 24, 2011 ■ Terracon Project No. 94117645 individuals enter the vacant building during the duration of the fungal remediation project (Rule § 295.322, Minimum Work Practices and Procedures for Mold Remediation: (d) Containment is not required if only persons who are licensed or registered under this subchapter occupy the building in which the remediation takes place at any time between the start-date and stop-date for the project). b) The remedial work areas will have a minimum of four (4) air changes per hour and will be operated continuously for the duration of the project. The duration of the Fungal-Biological Hazard Remediation project for the purposes of this requirement will be considered from the time containment is established through the time acceptable post remediation clearance results are provided by the Mold Assessment Consultant (MAC). The containment/critical barriers must remain in place until interim written notification of post remediation clearance has been received from the MAC. The contained works will be exhausted to the outdoor environment and not operated under recirculation mode unless the MAC has given approval of short-term recirculation due to building security issues or extended worker absence. Prior to Final Clearance air sample collection the contained work areas will have been operating under exhaust for a minimum of 72 hours. 7.0 VENTILATION a) The Phase II remediation work area will be ventilated with the previously established ventilation system as defined for the ACM-LBP abatement as referenced in Scope of Work for Hazardous Materials Abatement, Terracon Project No. 94107645, June 4, 2012. Containment/critical barriers must remain in place until interim written notification of post remediation clearance has been received from the MAC. b) The Phase II containment must be maintained at a negative pressure differential of 5 Pascal, or, 0.02 inches of water, with HEPA filtered negative air machines (NAMS) that are exhausted to the immediate outdoor environment. The containment should have a minimum of four (4) air changes per hour and shall be operated continuously for the duration of the project. The negative pressure differential will be continuously monitored with a manometer. The containment/critical barriers must remain in place until interim written notification of post remediation clearance has been received from the MAC. 8.0 PPE DURING FUNGAL REMEDIATION Workers will wear personal protective equipment consisting of, at a minimum, full face N-100 respirators, disposable heavy duty work gloves and full body disposable coveralls while performing remedial work. If a worker cuts himself or has a skin abrasion during the h'.esponsive ■ Resourceful ■ Reliable 3 MAC # 0107/11-10-12 Fungal-Biological Hazard Remediation Protocol-Phase II Irerracon Grand Theater ■ 21 Lamar Street, Paris, Texas February 24, 2011 ■ Terracon Project No. 94117645 remedial work the worker should leave containment as previously described and clean, disinfect and securely bandage the injury prior to returning to the remediation work area. It is the Contractor's responsibility to ensure that his employees are afforded the respiratory protection as required by the OSHA standard for respiratory protection (29 CFR 1910.134, December, 2008) or the respiratory protection requested by the employee. The Contractor shall ensure the workers are instructed and trained in the proper use, maintenance, and care of respiratory protection in accordance with Title 29 CFR 1910.134. It is the contractor's responsibility to ensure that workers on scaffold platforms or working from ladders or other elevated platforms should be safe and secure from slipping or falling. 9.0 CLEANING/DECONTAMINATION The gross removal of PRD will consist of pre-wetting the PRD with a quaternary ammonium chloride disinfectant solution to reduce hydrophobicity and mitigate dust generation prior to handling. The PRD will be continuously wetted using an airless spray pump as desiccated layers are uncovered during the removal process. The PRD should not be saturated but lightly misted with the quaternary ammonium chloride disinfectant solution. Examples of approved biocide/disinfectants include Fosters 40/800 (quaternary ammonium chloride), Shockwave0 (quaternary ammonium chloride), or an equivalent product when approved by the MAC prior to application. Material Safety Data Sheets for all chemicals used during the remediation must be maintained onsite by the MRC. PRD will be cleaned from remaining environmental surfaces by mechanical cleaning and decontamination procedures using HEPA vacuuming and wet wiping. After gross removal of PRD, surfaces should be HEPA vacuumed to remove loose materials and provide the first stage of decontamination. The second stage of decontamination and disinfection of the substrate is wet wiping, which will be performed with water amended with an appropriately labeled and EPA registered biocide, and used on non-porous or semi-porous substrates. A wire brush or other abrasive techniques will be required to clean non-porous and semi- porous surfaces. Removal of PRD and fungal growth from the referenced surFaces will continue until no PRD or fungal growth is visible. Stains on the surFace of wood, concrete or other building materials left in place should be lightly sanded or wire brushed to remove the first layer of the substrate. Run off of aqueous cleaning solutions must be controlled and contained within the defined work areas. The environmental surfaces within the containment area, including floors, walls and other environmental surfaces, will be re-cleaned prior to the Post Remedial Verification (PRV). Responsive ■ Resourceful ■ Reliable 4 MAC # 0107/11-10-12 Fungal-Biological Hazard Remediation Protocol-Phase II Grand Theater ■ 21 Lamar Street, Paris, Texas February 24, 2011 ■ Terracon Project No. 94117645 10.0 REMOVAL OF BUILDING MATERIALS Irerracon The building materials that will be removed and disposed following PRD remediation are identified in Table 1.0. TABLE 1.0, REMOVAL OF BUILDING MATERIALS LOCATION'': . BUILDING MATERIAL ` : HAZARD . QUANTITY 2"d Floor Lobby Ceiling tiles, floor, walls, Fungal Growth/PRD 82 ftz/NA Restrooms contents 2"a Floor Lobby Floors, walls, contents PRD NA Auditorium Floors, walls, contents PRD NA The PRD and general contaminated debris will be placed in double bags and discarded as construction debris. The materials to be disposed as construction debris will be placed in double bags and the bags decontaminated prior to removal from the contained work areas. 11.0 PROJECT MODIFICATION The MAC, on an individual basis, will consider modifications designed to expedite or enhance the fungal remediation procedure. The MAC must approve deviations from the fungal-biological hazard remediation procedure described. 12.0 POST REMEDIATION VERIFICATION CRITERIA The project will be cleared by, 1) visual inspection, and 2) total bioaerosol analysis. The post remedial visual inspection and sample collection will be conducted while containments/critical barriers are in place and properly depressurized. The containment(s) may not be removed or completely depressurized until final clearance has been achieved and written, interim notice provided by the MAC to the MRC. ii. The visual inspection criteria will consist of an evaluation of the remediation area to determine if the remediation has been properly conducted in accordance with the project specifications, applicable state regulations and the fungal growth, defined biological-hazards, and extraneous debris within the work areas has been properly removed. Responsive ■ 12esourceful ■ Reliable 5 MAC # 0107/11-10-12 Fungal-Biological Hazard Remediation Protocol-Phase II Irerracon Grand Theater ■ 21 Lamar Street, Paris, Texas February 24, 2011 ■ Terracon Project No. 94117645 iii. Representative air samples shall be collected from within the work areas, the outdoor environment, and analyzed by standard optical light microscopy methodology. Total bioaerosol analysis must be conducted by a licensed Mold Analysis Laboratory. Any area whose air test does not meet post remediation criteria will be re-tested following cleaning and air scrubbing of those areas. iv. Total bioaerosol analytical clearance criteria will be based on qualitative and quantitative similarity between the indoor samples and the ambient outdoor control samples collected contemporaneously. Air samples will be collected and analyzed in a manner that provides a minimum detection limit of 43 spores/m3. Fungal aerosols in the indoor environment should not exceed the contemporaneously collected outdoor control samples by more than 650 spore/m3, or by more than 50 % of the "high" results for Typical Outdoor Spore Levels (Texas) as reported in the EMLab P& K IAQ Pocket Reference Guide, 6th Edition. The consultant may make numeric exceptions for frequently isolated genera such as Cladosporium or other typical phylloplane fungi. 13.0 WASTE DISPOSAL Waste materials will be double bagged or wrapped in opaque six (6) mil polyethylene unlabeled disposal bags. Disposal bags will be HEPA vacuumed prior to removal from the work areas. Debris will be disposed as construction waste and placed in an enclosed, secured dumpster provided by the contractor unless otherwise noted. 14.0 CONTRACTOR RESPONSIBILITIES In the contained areas the remediation contractor will assume full responsibility and liability for compliance with all applicable federal, state and local regulations pertaining to work practices, transport, disposal, and protection of workers, visitors to the site and persons occupying areas adjacent to the site. The Contractor will hold the Owner, the General Contractor and the Consultant harmless for failure to comply on the part of himself, his employees or his subcontractors. Federal, state and local regulations include, but are not limited to, the following: 14.1 U.S. Department of Labor, Occupational Safety and Health Administration, (OSHA), including but not limited to: ■ Respiratory Protection: Title 29, Part 1910, Section 134 of the Code of Federal Regulations ■ Access to Employee Exposure and Medical Records: Title 29, Part 1910, Section 2 of the Code of Federal Regulations ■ Hazard Communication: Title 29, Part 1910, Section 1200 of the Code of Federal Regulations Responsive ■ 12esourceful ■ Reliable 6 MAC # 0107/11-10-12 Fungal-Biological Hazard Remediation Protocol-Phase II Grand Theater ■ 21 Lamar Street, Paris, Texas February 24, 2011 ■ Terracon Project No. 94117645 Irerracon ■ Specifications for Accident Prevention Signs and Tags: Title 29, Part 1910, Section 145 of the Code of Federal Regulations. 14.2 Texas Department of State Health Services (TDSHS): Texas Mold Assessment and Remediation Rules, 2004 (TMARR). 15.0 PROJECT SUBMITTALS Prior to start of work, as a minimum, one copy of the following is to be provided to Terracon by the MRC: ■ TDSHS 5-Day (or emergency) notification. ■ Contractor's TDSHS license (corporate and supervisor). ■ Worker documentation, including evidence that all workers have received proper training and are accredited and registered as required by regulations; respiratory fit test for each worker who is to be at the jobsite. ■ Material Safety Data Sheets (MSDS) to be utilized on this project. ■ Mold Remediation Work Plan At the conclusion of the remedial project the MRC will submit the following: ■ A Certificate of Mold Remediation Damage in accordance with TDSHS regulations contained in the TMARR (25 TAC §295.301-295.338). 16.0 MITIGATION OF MOISTURE The building owner is responsible for the mitigation of moisture intrusion and the required remedial actions should be provided to the MAC. ➢ Roof repairs must be verified to ensure that moisture intrusion due to roof leaks has been mitigated. Responsive ■ Resocarceful ■ Reliable 7 MAC # 0107/11-10-12 APPENDIX A: SITE DIAGRAMS ~ i ,i, ROOM OJECTION I I ~ TAIR~ STAGE 0 0 J C N ~ U w Q Z Er W ~ J Q ~ 0 T O J ~ 3 ~ 0 ~CONTAINED r WORK AREA I ~ LOBBY n ' 1 ~ ~ L ° TICKET ~ BOOTH 0 a FIRST FLOOR SECOND FLOOR 11 Pro;.d M'9' ProjeciNo. CONTAINED WORK AREAS FIGURE 94107645 Dravm By. Swle: lrerracon FIRST and SECOND FLOOR JJD 1"=20' Checketl By oMe: Consulting Engineers and Scientists GRAND THEATRE ^ (ReglsVafion Na.: F-3272) 21 LAMAR AVENUE ' ~ V AppravedBy B901CARPENTERFREEWAY OALLAS,TEXAS75247 PARIS,TEXAS PH.(214)fi30-1010 FAX.(214)630-7070 V CONTAINED WORK AREA ~ TO / I BASEMENT ~ I ' I ❑ APPROX.LOCATION RO oo TIO I I STAGE pENTR,4 ON TO I I BASEMENT ~ I ~ I ~ III a~ T J ~ ~ ~ OFFICE a~i N a~ a z ~ ~ r. o I 0 J H I N I ~ T O J O+ 3 v 0 ~ n 0 ~ i ~ ~ ° LOBBY ~ % ° LEGEND: 0 y ~ PRD CONTAMINATION U N o a` / z TICKET ~ I BOOTH N ~ LJ ` N ~ ~ o \~~0 ~ 0 0 PmlectMngr. Pro;act NO. 94107645 FUNGAL/BIOLOGICAL HAZARD FIGURE o~~, ay: s~le: Irerracon REMEDIATION - PHASE II - AUDITORIUM JJD "=20' 1 ChedcedBy oa+e: Consulting Engineers and Scientists GRAND THEATRE (RegisVation No.: F3272) 21 LAMAR AVENUE 1 Appraved By. 8901 CARPENTER FAEEWAY DALLAS, TEXAS 75247 PARIS, TEXAS PH.(214)630-0010 FA%.(214)630-7070 PmJeciMngr. RojanNo. 94107645 FUNGAL/BIOLOGICAL HAZARD FIGURE or~ By: S~ale: Irerracon REMEDIATION - PHASE 11 - 2ND FLOOR JJp 1 °=1o, CherhedBy. oaie: Consulting Engineers and Scientists GRAND THEATRE ApprovedBy (ReglsUatlonNO.:F3272) 8901CARPENTERFREEWAY DALLAS TE%AS75247 21 LAMARAVENUE F~2 , PARIS,TEXAS PH.(214) 630-1010 FAl(.(214)630-7070 `ti ,t ~ SCOPE OF WORK for LEAD ABATEMENT Phase II Grand Theatre 21 Lamar Avenue Paris, Texas June 4, 2012 Terracon Project No. 94107645 Prepared for: City of Paris 150 S. E. 1 St Street Paris, Texas 75460 Prepared by: Terracon Consultants, Inc. Dallas, Texas TABLE OF CONTENTS _Toc318112737 1.0 INTRODUCTION ......................................................................................14 2.0 MATERIAL DESCRIPTION AND QUANITITIES .....................................14 3.0 WORK PRACTICES 33 3.1 Respiratory Protection 33 3.3 Containment 44 3.4 Removai 88 3.5 Disposal ...............................................................................................9-9 3.6 Clearance .........................................................................................114-a- 4.0 CONTRACTOR SUBMITTALS 11a-a- 5.0 CONSTRUCTION NOTES ...................................................................14a-4 6.0 PRODUCTS .........................................................................................141-4 7.0 VISUAL INSPECTION/VVIPE TESTING ...............................................154-5 APPENDIX A SITE DRAWING SCOPE OF WORK - LEAD PAINT ABATEMENT Grand Theatre 21 Lamar Avenue Paris, Texas Terracon Project No. 94107645 1.0 INTRODUCTION The work will consist of the abatement of lead based paint (LBP) identified within the scope of work. The lead paint abatement design is dated June 4, 2012. The contractor performing the LBP abatement will be a TDSHS certified lead firm. During the LBP activities a TDSHS lead abatement supervisor will be on-site at all times and the work will only be performed by TDSHS lead certified workers. 2.0 MATERIAL DESCRIPTION AND QUANITITIES Briefly and without force and effect upon the contract documents, the work of the Contract can be summarized as including removal and disposal of damaged flaking lead containing paint associated with: Plaster Walls/Ceilings Wood Baseboards/Aprons Wood Doors, Casings and Jambs Metal Stair Railings Concrete Walls/Ceilings Metal Doors, Casings and Jambs Wood Stage Concrete Stairs Plaster Crown Molding Exterior/Interior Metal Vent Interior and Exterior Metal Windows, Casings and Sashes The CONTRACTOR will perForm work for materials and locations indicated, regardless of actual quantities, and no increase in Contract amount will be allowed for quantity adjustment. First Floor - Lobbv/Stairwell (see attached drawinq) Plaster Walls/Ceilings Wood Door, Jamb and Casings Wood Baseboards and Apron Responsive ■ Resourceful■ Reliable 1 Phase 11 - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 Second Floor - Lobbv/Restroom/Office (see attached drawinq) Plaster Walls/Ceilings Plaster Crown Molding Metal Door, Jamb and Casings Wood Door, Jamb and Casings Wood Baseboards Metal Window, Casing and Sash NOTES: a) CONTRACTOR will be responsible for site security throughout the remediation project. CONTRACTOR will remove and dispose of all the theater seating in each theater. The seats may be cleaned and decontaminated and disposed of as general construction debris. They CONTRACTOR must take special care not to inadvertently remove materials containing lead paint outside the scope of lead remediation. b) CONTRACTOR will remove the lay-in ceiling tile system in second floor men and women's restroom. These materials will be disposed of contaminated with lead. c) CONTRACTOR will remove the carpet in the second floor lobby and office area as contaminated with lead. d) CONTRACTOR will remove the wall curtains in the first floor theaters within the work area. These materials will be disposed of as contaminated with lead. e) CONTRACTOR will remove the water damaged ceiling on the south end of the second floor lobby inclusive of the plaster, wire mesh and metal supports. fl CONTRACTOR will remove the damaged plaster walls in each work area to the brick substrate. g) CONTRACTOR is responsible for providing all scaffolding, ladders and/or staging necessary to accomplish the work of this contract. The type, erection and use of scaffolding, including provisions for fall protection and employee training, shall comply with OSHA 29 CFR 1962, SUBPART L. h) CONTRACTOR is responsible for Fall Protection for his employees. CONTRACTOR is solely responsible for protection CONTRACTOR's employees Responsive ■ Resourceful■ Reliable 2 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 form fall hazards. Fall protections protocols must comply with all applicable provision of OSHA 29 CFR 1926.500, SUBPART L. Documentation of training for each employee will be provided prior to beginning work. i) CONTRACTOR will be responsible for the cleaning/decontamination of identified items which the Owner intends to save due to their historical significance. Once these items are cleaned they will be stored in a designated area provided by the Owner. These items will be identified by the Consultant prior to beginning remediation. j) Remaining equipment, fixtures and items in the proposed works area are considered contaminated and will be disposed of asbestos waste or lead waste. k) CONTRACTOR will provide a continuous fire watch whenever an active containment is in operation. I) Drawings provided depict the generat locations of the identified lead containing paint to be remediated. The drawings show the basic configuration or general locations of the lead containing paint and are provided for informational purposes. The CONTRACTOR will perform work for materials present, regardless of actual quantities, extent of materials, even if the item is not depicted on the drawings. No increase in Contract amount will be allowed for quantity adjustment. m) Owner will provide sources of power and water for the project, it will be the CONTRACTOR's responsibility to route each to the area of usage at the CONTRACTOR's expense. n) CONTRACTOR's fee will include the cost of the electrician/plumber expense for abatement area "make safe." 3.0 WORK PRACTICES 3.1 Respiratory Protection Throughout the project, respirators shall be provided by the Contractor. The Contractor will provide respirators which are applicable and suitable for the purpose intended in accordance with OSHA 1910.134 - Respirator Standard. The Contractor will ensure that the respirators are equipped with filter cartridges designed for lead paint, dusts and mists, vapors, and color-coded in accordance with ANSI Z228.2 (1980). 3.2 Protective Clothing During removal of the loose and flaking LBP, at least one protective suit will be worn by Responsive ■ Resoueceful■ Reliable 3 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre e 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 each worker. Boots and gloves will be made available to each worker as needed. All protective suits will be properly disposed of at the conclusion of the work. The workers performing the abatement will decontaminate thoroughly in three-chambered wet decontamination system attached to each containment. 3.3 Containment Summary: The work of this section includes containment construction guidelines for Work Areas inside and outside of the building, unless the materials are being removed as a component. Inspection: Make detailed inspection of the Work Area prior to beginning. Report in writing unsatisfactory conditions encountered; do not begin Work until conditions are correct. Beginning Work signifies acceptance of conditions. Site Protection: Protect items, materials, and structures designated to remain after completion of Project. If wall, ceiling, or floor mounted items are removed to facilitate containment construction, inventory removed items and replace in operating condition at completion of Project. Replace, or repair to the satisfaction of the OWNER, elements that become damaged or lost prior to Final Acceptance at no additional cost to OWNER. Containment Construction: Carry out the following installation procedures sequentially unless directed otherwise, in writing: Provide Worker Protection per Section 3.1 and 3.2. Post warning signs in accordance with applicable State and Federal Regulations. HEPA vacuum and Wet-Clean openings that will be covered by Critical Barriers. Critical Barriers: Openings to the Work Area: Completely separate the Work Area from other portions of the building, the outside, and from openings to adjacent areas (doorways, windows, etc.) by sheet plastic barriers at least 6 mil in thickness. Responsive ■ Resourceful■ Reliable 4 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 Individually seal ventilation openings in walls (supply and exhaust), wall mounted fixtures, connectors, and other wall and floor openings into the Work Area with polyethylene sheeting at least 6 mil in thickness, taped securely in place with adhesive tape. Maintain seal until Work, including work of Final Clearance Section, is completed. Exercise care in sealing active lighting and other fixture to avoid melting or burning of sheeting. Seal the perimeter and seams of sheet plastic barriers with adhesive tape. Cover floor drains to prevent liquids from any source entering the sewer system. Provide leak protection to floor surface adequate to prevent water leaks to floors below the Work area or to areas outside the containment. Complete Pre-Cleaning and Decontamination procedures before proceeding beyond this point. Primary Barrier (first layer), install as necessary for the type of Containment Construction required: Floor: One layer of clear polyethylene sheeting, 6 mil thick minimum. Cover floor, including Critical Barriers, and turn polyethylene up walls at least six inches (6"). Form a sharp right angle bend at junction of floor and wall so that there is no radius which could be stepped on causing the wall attachment to be pulled loose. Both spray-glue and adhesive tape seams in floor covering. Wall and/or Ceiling: One layer of clear polyethylene sheeting, 4 or 6 mil thick as indicated. Cover walls and/or ceiling in Work Area, including Critical Barriers. Support, as required to maintain barrier throughout Project Duration. Attach edge of sheeting at least eight inches (8") away from lead material. Seal perimeters and joints including the floor covering joint with adhesive tape. Do not locate seals at wall to wall joints. Secondary Barrier (second layer), install as necessary for the type of Containment Construction required: Floor: One layer of clear polyethylene sheeting, 6 mil thick minimum. Overlap first barrier and turn polyethylene up walls at least twelve inches (12"). Utilize the same installation procedures as Primary Barrier. Locate seams in top layer at a minimum of six (6) feet from, or at right angles to, seams in bottom (first) layer. Install sheeting so that this top layer can be removed independently of bottom layer. Wall and/or Ceiling: One layer of clear polyethylene sheeting, 4 or 6 mil thick as indicated. Overlap and attach second layer of polyethylene eight inches (8") beyond first layer, as close as possible to lead material without causing disturbance of material. Install sheeting so that this top layer can be removed independently of bottom layer. Do Responsive ■ Resourceful■ Fdeliable 5 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 not locate seams at wall to wall joints. Drop Cloth: Over the floor sheeting, install as a drop cloth, a clear 6 mil sheet plastic in areas where lead removal work is to be carried out. Completely cover floor with sheet plastic. Where the work is within 10 feet of a wall, extend the Drop Cloth up wall. Support sheet plastic on wall with duct tape, seal top of Drop Cloth plastic to wall Barrier with duct tape so that debris is unable to get behind it. Provide cross strips of duct tape at wall support as necessary to support sheet plastic and prevent its falling during removal operations. Install Drop Cloth at the beginning of each work shift. Install only sufficient plastic for work of that shift. Remove Drop Cloth at end of each work shift or as work in an area is completed. Fold plastic toward center of sheet and pack in disposal bags. Keep material on sheet continuously wet until bagged. Install Walkways of 6 mil plastic between active removal areas and decontamination units to protect top floor layer from tracked material. Install walkways at the beginning of, and remove at the end of each work shift. Emergency Exits: At each existing door from the Work Area, provide the following means for emergency exiting: Arrange exit door so that it is secure from outside the Work Area but permits exiting from the Work Area. Mark outline of door on wall sheeting with luminescent paint or tape at least one inch (1") wide. Hang a razor knife on a string beside outline. Arrange wall Barriers so that they can be easily cut with one pass of razor knife. Tape or paint with luminescent paint, the word "EXIT" inside outline in letters at least six inches (6") high and one inch (1") thick. Windows: Install window or windows into Containment Area to allow view to fullest extent possible. Locate as required by the OWNER'S ON-SITE REPRESENTATIVE. Negative Pressure: The following requirements are intended to provide a satisfactory negative pressure ventilation rate in the Work Area. PRESSURE DIFFERENTIAL: Provide a fully operational ventilation system within the Work Area maintaining continuously a pressure differential across Work Area of 0.02 inches of H2O. Location of Exhaust Units: Locate exhaust unit(s) so that makeup air enters Work Area primarily through decontamination facilities and traverses Work Area as much as possible. This may be accomplished by positioning the exhaust unit(s) at a maximum Responsive ■ Resourceful■ Reliable 6 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 distance from the worker access opening or other makeup air sources. Vent to Outside of Building, unless authorized otherwise, in writing by the OWNER'S REPRESENTATIVE. This may involve the use of additional lengths of flexible or rigid duct connected to the air outlet and routed to the nearest outside opening. At the completion of the work, reinstall window panes which have to be removed temporarily. The containment area must remain under negative pressure throughout the lead remediation process. Testing the System: Test ventilation system before any lead-containing material is removed. After the Work Area has been prepared, the decontamination facility set up, and the exhaust unit(s) installed, start the unit(s) (one at a time). Demonstrate operation of ventilation system to the OWNER'S ON-SITE REPRESENTATIVE. Demonstration of the Operation of the ventilation system to the OWNER'S ON-SITE REPRESENTATIVE shall include, but not to be limited to, the following: Plastic barriers, sheeting move lightly in toward Work Area. Curtain of decontamination units move lightly in toward Work Area. There is a noticeable movement of air through the decontamination unit. Measurement of the air pressure. Modify the Ventilation System as necessary to successfully demonstrate the above to the satisfaction of the OWNER'S ON-SITE REPRESENTATIVE. Use of System During Abatement Operations: Start exhaust units before beginning work (before any lead-containing material is disturbed). After abatement work has begun, run units continuously to maintain a constant negative pressure until decontamination of the Work Area is complete and area has achieved clearance. Do not turn off units at the end of the work shift or when abatement operations temporarily stop. Provide full-time, 24 hour per day monitoring of the Work Area to assure security, continuous operation of the ventilation system, and fire safety. , Do not shut down ventilation system during encapsulating procedures, unless authorized by the OWNER'S ON-SITE REPRESENTATIVE. Start abatement work at a location farthest from the exhaust units and proceed toward them. If an electric power failure occurs, immediately stop abatement work and do not resume until power is restored and exhaust units are operating again. Responsive ■ Resourceful■ Reliable 7 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 At completion of abatement work, allow exhaust units to run to remove lead dust that may have been generated during abatement work and cleanup and to purge the Work Area with clean makeup air. Dismantling the System: When a final inspection and the results of final testing indicates that the area has been decontaminated, exhaust units may be removed from the Work Area. Before removal from the Work Area, remove and properly dispose of prefilter, and seal intake to the machine with 6 mil polyethylene to prevent environmental contamination from the filters. Extension of the Work Area: If the containment barrier is breached in any manner that could allow the passage of lead debris or airborne lead, then add affected area to the Work Area. Provide temporary containment as required in accordance with this scope of work. Additional Containment Requirements: Stairs and Ramps: Do not cover stairs or ramps with unsecured sheet plastic. Where stairs or ramps are covered with plastic, provide treads securely held in place, over plastic. Do not cover rungs or rails with any type of protective materials. Scaffolding inside the Work Area: Cover containment floor plastic with a plywood or hardboard of sufficient thickness to protect plastic from punctures and tears. Wrap edges and corner of each sheet with adhesive tape. At completion of abatement work, wrap plywood or hardboard with two (2) layers of 6 mil polyethylene and move to next Work Area or dispose of as lead-contaminated waste in accordance with Section 02080.24. Containment constructed on Scaffolding Deck: Cover deck (floor) of scaffolding with the following layers as a minimum: One layer of 10 mil thick, clear, reinforced, polyethylene sheeting as bottom layer, turned up walls at least fourteen inches (14"). One layer of corrugated cardboard over bottom layer. Follow with two individual layers of 6 mil thick clear polyethylene, installed in same manner as Primary and Secondary Barriers for floors. Install Drop Cloth as final layer. Proceed with installation of wall barriers for the type of containment construction required. 3.4 Removal The CONTRACTOR will perform the removal and disposal of the damaged flaking paint in accordance with current applicable local, state and federal regulations. The Contractor will minimize the creation of lead contaminated dust and airborne particles using methods and procedures that create the least amount of dust. Responsive ■ Resourceful■ Reliable 8 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 3.5 Disposal This section describes the disposal of lead containing or lead contaminated components and/or waste materials. Disposal includes packaging of all non-metal waste materials and shall be accomplished by land filling or incineration as appropriate. Approval by OWNER is required prior to all recycling or disposal activities. Testing of waste will be performed to determine disposal requirements. The testing shall be conducted by the Owner's Representative. The Owner's Representative shall verify that all the waster has been properly segregated, containerized, and classified in the following categories: Place all waste generated during the project in a DOT approved drum lined with a 6 mil. disposal bag in an enclosed dumpster, truck or designated secure storage area. Separate waste materials into the following categories and label all disposal drums. a. Non-Hazardous Solid Waste: • After thorough cleaning, plastic sheeting and duct tape used during abatement. b. Hazardous Solid Waste: • Paint chips • Rags, sponges, mops, HEPA vacuum filters and contents, respirator cartridges, protective clothing, shower water filter(s) and other materials used during abatement. • Wood Components if applicable c. Hazardous Liquid Waste (as determined by testing) • Waste water All waste shall be handled and disposed of according to local, city, state, and federal regulations. All waste assumed to be hazardous shall be transported off-site to the approved disposal site by CONTRACTOR. Disposal of Non-Hazardous Solid Waste (as categorized by Owner's Representative) Materials are to remain in 6 mil disposal bags or wrapped in polyethylene sheeting. Transport waste in enclosed trucks or dumpsters. Disposal of Non-Hazardous Liquid Waste(as categorized by Owner's Representative) Responsive ■ Resourceful■ Reliable 9 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 Dispose of liquid waste by pouring into sanitary sewage system if permission is received from publicly owned treatment works facility (POTW). Do not dispose of liquid waste by pouring onto ground or into storm drain. If the liquid waste contains phosphates or other chemicals advise treatment facility of quantity of liquid and that it is likely to contain phosphates. Properly filtered shower water shall be disposed of as non-hazardous liquid waste. All filters hall be disposed of in accordance with applicable regulations. Disposal of Hazardous Liquid or Solid Wastes (as categorized by Owner's Representative): a. Comply with Resource Conservation Recovery Act (RCRA), Department of Transportation (DOT), state and local regulations. b. Comply with DOT and state regulations for containers. The most stringent regulation shall apply. c. All waste is to be hauled by a licensed waste hauler with all required licenses from all state and local authorities with jurisdiction. d. Load all waste material into properly sized disposal bags, polyethylene sheeting, and prior to being placed in lead-tight drums. Prior to transporting, all materials are to be contained in a DOT approved sealable steel drum with one of the following: • One, 6-mil layer of sheet polyethylene, duct tape all seams or • One, 6-mil disposal bag; or • Two, 4-mil disposal bags e. Protect interior of truck or dumpster with two (2) layers of 6-mil polyethylene sheeting will all seams sealed with duct tape. f. Load containerized waste in fully enclosed dumpsters or trucks for transport. g. Do not store containerized materials outside of the Work Area. Take containers from the Work Area directly to the designated storage area or enclosed dumpster or truck. h. At completion of hauling and disposal of each load submit copy of Uniform Hazardous Waste Manifest to Owner's Representative. Responsive ■ Resourceful■ Reliable 10 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 3.6 Clearance The lead risk assessor shall confirm job completeness by determining whether LBP has been abated according to the abatement plan. Once the surface has passed a visual inspection wipe sampling for lead dust concentrations shall be collected by the Owner's Representative and conducted as follows: a) Post-abatement or removal to determine if previously specified clearance criteria has been met in each area of remediation. The clearance level has been established at 40 micrograms per square foot (µg/ft) on horizontal surfaces. b) The specific location and number of samples will be determined upon conclusion of the remediation. If at any time the post-abatement or removal wipe samples exceed the clearance levels identified. The Contractor shall be responsible additional cleaning of the area to attempt to achieve clearance levels. If additional cleaning is required, the Contractor will perform the re-cleaning with no adjustment in the contract price. In addition, the Contractor will be responsible for the costs of retesting, and the on-site industrial hygiene technician's time on-site during the cleaning activities. 4.0 CONTRACTOR SUBMITTALS Submittals required for proper execution include but are not limited to the following: Each of the following documents shall be current and remain current during the course of the project. If a document expires during the course of the project, workers will not be allowed to perForm abatement operations until an updated document has been submitted to the OWNER'S REPRESENTATIVE. Pre-Construction Submittals (submitted to CONSULTANT): Regulatory Notification Information Plan of Action Fire Action Plan Emergency Phone List Project Schedule Responsive ■ Resourceful■ Reliable 11 Phase il - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 Copy of Written Respirator Program which conforms to 29 CFR 1910.134(b) OSHA Material Safety and Data Sheets (Product Handling) Negative Initial Exposure Assessment Copy of EPA "uniform hazardous waste manifest" form Sample of disposal bag and labels to be used. Construction Submittals (submitted to CONSULTANT before start of work on-site) Licenses/Certifications: Contractor, Supervisor, Transporter(s) List of Certified Lead Supervisor and Workers Medical Examination Results Pre-project lead blood level monitoring testing for each supervisor and worker Worker Training Certificates Respiratory Fit Test Certificate Proiect Closeout (submitted to CONSULTANT) Contractor's Daily Log Worker Registration Certificates for Personnel Company Licenses/Certifications Worker Training Certificates Respiratory Fit Test Certificate Post-project lead blood level monitoring testing for each supervisor and worker Personal OSHA Air Monitoring Results Waste Disposal Manifest Copies RESUBMISSION: Revise submittals as required and resubmit as specified for initial submittal. Indicate any changes which have been made other than those requested by CONSULTANT. Responsive ■ Resourceful■ Reliable 12 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 CONTRACTOR RESPONSIBILITIES: Illegible submittals will be rejected and returned for re-submittal. Schedule submittals according to general flow of Work and so as to allow for adequate and timely review of submittals by CONSULTANT. Review submittals prior to submission and submit to CONSULTANT in accordance with provisions herein. Verify field measurements, construction criteria, catalog numbers and similar data. Coordinate submittals with requirements of Work and Contract Documents. CONTRACTOR'S responsibility for errors or omissions is not relieved by CONSULTANT's review. CONTRACTOR'S responsibility for deviations from requirements of Contract Documents is not relieved by CONSULTANT'S review, unless CONSULTANT is notified of deviations in writing at time of submittal, and gives written review of specific deviations. Do not begin work which requires submittals until reviewed submittals have been reviewed and approved by CONSULTANT. If required, reproduce and distribute copies after CONSULTANT'S review. CONSULTANT'S RESPONSIBILITIES: Review submittals within five working days or indicate in writing reasons for reviews which require additional time. Review for conformance with design concept of project and information given in Contract Documents. Indicate results of review and return submittals to CONTRACTOR for distribution. CONSULTANT is not responsible for verification of field measurements, construction criteria, catalog numbers and other similar data. Review of separate items does not constitute review of an assembly in which items function. Ftesponsive ■ Resourceful■ Re9'sable 13 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 5.0 CONSTRUCTiON NOTES The CONTRACTOR will be responsible for routing water and electricity to the work areas. Water and electrical service are present on the site at this time. Prior to any lead paint abatement activities the CONTRACTOR will provide a licensed electrician to provide power lock-out and tag-out of all circuits to be affected by the lead paint abatement activities. Lock-out/Tag-out must meet OSHA 1910.147 requirements. All electrical circuits in the regulated and/or contained area shall have ground-fault interrupter (GFCI) units installed. Exhaust negative pressure ventilation system to outside of building. The CONTRACTOR shall be responsible for installing hard barriers in any window openings utilized for exhaust of negative pressure and shall ensure that the building can be secured between work periods. If necessary, a hard barrier decontamination unit shall be constructed at the site to ensure building security. Toilet facilities are not available on the project site, the CONTRACTOR shall arrange for temporary self-contained toilet units for use by CONTRACTOR'S personnel throughout the duration of abatement activities. The CONTRACTOR shall install one fire extinguisher in the work area for each 1,000 square feet of work area or fraction thereof. Additional fire extinguishers shall be installed in the Equipment Room and Clean Room of the decontamination unit. The CONTRACTOR shall conduct a safety meeting for CONTRACTOR'S employees with emphasis on operation of fire extinguishers and emergency exits in case of fire. CONTRACTOR shall have posted emergency phone numbers for the fire department and police. CONTRACTOR shall store a minimum of volatile substances on the job site and in fire resistant containers only. 6.0 PRODUCTS Amended Water: Provide water to which a surfactant has been added. Use a mixture of surFactant and water which results in wetting of the ACM and retardation of fiber release during disturbance of the material. Disposal Baqs: Provide as a minimum, individual, 6 mil thick, leak-tight, manufactured polyethylene bags. Responsive ■ Resourceful■ Reliable 14 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 P_olyethvlene Wrap: Provide minimum 6 mil polyethylene sheeting as a wrapping for large sections of rigid waste material and for construction of floors and critical barriers in the containment areas. Provide minimum 4 mil polyethylene sheeting for construction of walls of the containment. Tri-Sodium Phosphate: Provide a detergent solution for cleaning abated surfaces. 7.0 VISUAL 1NSPECTION/WIPE TESTING The CONSULTANT shall verify that the Work performed is in compliance with applicable regulations and that the building areas beyond the Work Area and the outside environment remain free of contamination. Upon completion of the lead paint abatement, in a particular area, and a satisfactory visual inspection by the Owner's Representative in a given work area, a preliminary cleaning shall be performed by the Contractor. This cleaning includes removal of any contaminated material, equipment or debris including polyethylene sheeting from the work area. Where polyethylene sheeting has been used, it shall be sprayed or misted with water for dust control, debris removed, and then the sheeting removed by folding it in upon itself. The following methodology shall be utilized during the cleanup prior to clearance. a) The lead-contaminated dust or debris shall be containerized in accordance with the work plan. b) Once the polyethylene sheeting, is removed from the work area, cleaning shall begin. It shall be done in the following sequence: HEPA vacuum; Tri-Sodium Phosphate (TSP) wash (or other cleaner approved by the Owner's Representative); clean water rinsing and HEPA vacuum. HEPA vacuum all surfaces. Begin with ceilings and proceed down the walls, including window, doors, all trim, and ending with floors. Begin vacuuming at the farthest corner away from the entrance to the work area. Wash all of the surFaces vacuumed in the same sequence previously described. The Contractor shall utilize a 5-10% tri-sodium phosphate (TSP) detergent solution or other equally effective cleaning agent and allow the surface to dry. The Contractor shall clean water rinse all surFaces after washing. c) HEPA vacuum all surfaces, as detailed above. d) The wastewater from cleaning shall be contained and disposed in accordance with this work plan. Responsive ■ Resourceful■ Reliable 15 Phase II - Scope of Work - Lead Paint Abatement Irerracon Grand Theatre ■ 21 Lamar Avenue, Paris, Texas June 4, 2012 ■ Terracon Project No. 94107645 Post-abatement or removal to determine if previously specified clearance criteria has been met in each area of remediation. The clearance level has been established at 40 micrograms per square foot (µg/ft2) on horizontal surfaces. The specific location and number of samples will be determined upon conclusion of the remediation. If at any time the post-abatement or removal wipe samples exceed the clearance levels identified. The Contractor shall be responsible additional cleaning of the area to attempt to achieve clearance levels. If additional cleaning is required, the Contractor will perform the re- cleaning with no adjustment in the contract price. PERSONAL MONITORING: The CONTRACTOR shall perform air monitoring as required to meet OSHA requirements for maintenance of Time Weighted Average (TWA) and excursion limit fiber counts for types of respiratory protection provided. The OWNER will not be providing air monitoring services to meet these OSHA requirements. Note: Results of Personal Monitoring shall be submitted to the CONSULTANT within 72 hours of the time samples are obtained. A listing of all personal monitoring results obtained during the project shall be submitted to the CONSULTANT with the CONTRACTOR closeout submittals. Responsive ■ Resourceful■ Reliable 16 APPENDIX A: SITE DIAGRAMS i ' IROJECTION ' ROOM ( I ~ ( I I STAGE L: 0 J r I ~ CONTAINED WORK AREA w Q z ~ W ~ J Q J 0 T O J ~ 3 ~ 0 FIRST FLOOR SECOND FLOOR ProjectMngr ProjeclNo. CONTAINED WORK AREAS FIGURE . 94107645 5 ~ Ir FIRST and SECOND FLOOR o- eY JJD : ce erracon CherkedBy oale: Consulting Engineers and Scientists GRAND THEATRE n ~ (RegisVationNo.:P-3272) 21 LAMAF2AVENUE ' V Approved8y: 8901 CARPENTER FREEWAY DALLAS,TE%AS75217 pqRIS,TEXAS PH.(214)630-1010 FAX.(214)630d070 LOBBY TICKET BOOTH vvllv I r+u111cv WORK AREA P`°,e"""^9r. P`°;e«"°. LEAD PAINT ABATEM 94107645 ENT - PHASE 11 FIGURE Drawn By. 5.": Irerracon FIRST FLOOR JJD 1"=20' cneckeaey oaie: Consulting Engineers and Scientists GRAND THEATRE LB 1 (Registratlon No: F-3272) 21 LAMAR AVENUE - ApprovedBy 8901CARPEN7ERFREE44AY DALLAS, TEXAS 75247 PARIS,TEXAS PH. (214) 630.1010 FAX. (214) 630-7070 I -17-L-TICKET L - - - j BOOTH ProjeciMigr ProjectNo. LEAD PAINT ABATEMENT FIGURE . 94107645 l S Ir PHASE 11 - SECOND FLOOR Drawn By: JJD ca e: 111=10' erracon cneckeaey oate: Consulting Engineers and Scientists GRAND THEATRE (RegisVation No.: Fd272) 21 LAMAR AVENUE ~B_2 AppravedBy 8901CARPENTERFREEWAV DALLAS, TEXAS 75247 PARIS,TEXAS PH. (214) 630-1010 FAX.(214) 630-7070 1 ['erracon PHASE !i - B1D FORM FOR HAZARDOUS MATERIALS REMEDIATION Project: Phase II - Grand Theatre Company: 21 Lamar Confact: Paris, Texas Phone: Email: Terracon Project No.: 94107645 BID FORM To: Terracon NCM Demolition and Remediation, LP Jack Nbrraw 972-579-8939 jmorrow@nanqroup. cacn Date: June 8. 2012_ In compliance wifh your Invitation for Bids and subject to all the conditions thereof the undersigned; NCN1 Demolition and Remediation LP Name of Bidder A Corporation organized and existing under the laws of the State of , a Partnership consisting of see be1ow or an Individual trading as , having principal offices in the city of Brea , hereby proposes to furnish all labor and materials and perform all Work required for the following Project: N(M Demolition and Remediation GP, Inc. (GP) & NCM Group Holdings, LLC (LP) ACKNOWLEDGMENTS: The bidder declares that he himself has examined the site of the Work and fully informed himself regarding all pertinent conditions, and that he has examined the Scope of Work (including all Addenda received) for the work relative thereto, and that he has satisfisd himself relative to the Work to be performed. 1. BASE BID (Time Frame 1): The Bidder herewith submits for the portion of the Work identified as "Base Bid" a lump sum bid of: $47, 539 65 2. ADDENDA: The Bidder acknowledges receipt of Addenda No'S: N/A Kyfe Jes2. hs EX H I BIT R be Garrison Tex se No. 10-5095 T a icense No. 0107 Expi'.13 Expire s 11.10.12 BID FORM FOR HAZARDOUS MATERIAL ABATEMENT - PAGE 1 Irerracon 3. PROJECT SCHEDULE: The bidder submits the following work schedule: The bidder agrees to start work within 21 consecutive calendar days of receipt of notice to proceed and complete the Contract within: 1. Total number of work days for compietion: Number of days per week Contractor will work: Number of days per week Contractor will work: Hours per day the Contractor will work: Number of TDSHS Supervisors/Workers: 14 5 5 8 1_ Sunervisor / 6-8 - Workers 1NDIVlDUAL PRICE BREAKDOWN: A. Removal 1. Base Bid $ 47,539.65 B. Cost of Performance and Payment Bond (Base Bid): C. PerfoRnance and Payment Bonding Rate $ 1,384.65 3% Kyle Burr gns Te~as ense No. 0107 Texas Lic se No 10-5095 Expi 11.10.12 Expires 02. . B1D FORM FOR HAZARDOUS MATERIAL ABATEMENT - PAGE 2 Irerracon CERTIFtCATIONS: The undersigned certifies that he is authorized to execute contracts on behalf of the Bidder as legally named, that this proposal is submitted in goad faith without fraud or collusion with any other Bidder, that the data indicated below is true and complete, and that the bid is made in good faith and in full accord with State Law. Notice or acceptance may be sent to the undersigned at the address set forth below: Legal Name of Bidder*: NCM Demolition and ltemediation, LP Mailing Address: 909 N Suite C Dallas TX 75247 By (Legal Signature): Name Typed: qhip Breitbarth _ Title: Chief Estimator DATA ON BIDDER: Abatement Contractor's State License: Submit Copy of License. lf a pattnership, list all partners and their addresses. If a corporation, affix corporate seal: If bid is signed by other than the president or vice president, attach written authority to bind the corporation. If an individual, then so state. Any modifications to a bid shall be over the initials of the person signing the bid or of an agent who supplied written authority with the modification. Kyle B Ro ert arrison rou hs Texas L en . 1 D-5095 Expires 2.0 .13 TexExpires 11.10. cense 12 No. 0107 BID FORM FOR HAZARDOUS MATERIAL ABATEMENT - PAGE 3 Qtl~~ i rerracon The Bidder as part of the bid package shall submit a list of a minimum of five (5) previous asbestos, fungal and lead paint abatement projects of a similar scope and size, Succes5fully completed by the Bidder along with the Owner's name, address and telephone number. If the projects were handled by a consulting firm, the name, address, contact and telephone number of the firm shall also be included. LIST FIVE PREVIOUS HAZARDOUS MATERIAL ABATEMENT PROJECTS OF SIMILAR SCOPE (highlight historical and municipal projects): 1. Owner: See attached Contract Amount: Consultant: 2. Owner: Contract Amount: Consultant: 3. Owner: Contract Amount: Consultant: 4 Owner: Contract Amount: Consultant: Phone No.: Completion Date: Phone No.: Phone No.: Completion Date: Phone No.: Phone No.: Completion Date: Phone No.: Phone No.: Completion Date: Phone No.: 5. Owner: Phone No.: Contract Amount: Completion Date: Consultant: Phone No.: ADDITIONAL ITEMS REQUIRED WITH BID: The following items are additionally required as part of this bid submittal. 1. INSURANCE CERTIFICATES. 2. CONTRACTOR'S QUALIFICATION STATEMENT: Completed AIA Document A305. 3. A notarized statement, signed by an officer of the company, containing the following information of a statement of negative of the same: a) A record of citations issued by Federal, State, or Local regulatory agencies relating to asbestos, fungal(mold) and lead paint abatement activity for the Contracting company and any and ail affiliates. Include projects, dates and resolutions. Kyle Bur ug s be Garrison Texas Lic No. 10-5095 T xa icense No. 0107 Expires 02 0.1 Ex es 11.10.12 ID FORM FOR HAZARQOUS MATER[AL ABATEMENT - PAGE 4 11'erracon b) Situations in which an asbestos, fungal and lead related contract has been terminated including projects, dates and reasons for terminations. c) A listing of any asbestos, fungal or lead-related legal proceedings/claims in which the Bidder (or employees scheduled to participate in this project) have participated or are currently involved. Include descriptions of role, issue and resolution to date. 4. Name of supervisor and/or supervisors who will work on the project. Include a detailed description of his/her experience with references and years of experience. 5. Contractor will provide the name and appropriate permit information of the was#e transporter and their insufance certificate. 6. Contractor wil) provide the name of the landfill at which the asbestos, fungal and lead waste will be disposed. END OF BID FORM Ky(e u ou s Texa Li n e No. 10-5095 Exqir s 02.0 . Rob rt arrison Tex L' ense No. 0107 Expir 11.10.12 FORM FOR HAZARDOUS MATERIAL ABATEMENT - PAGE 5 1 ~ iy,t ~~5 ~ ~ •5 ~ - , j1 • ~ . Z"~ . - 3 ~ W U ~ ~ W ~ H ~ W ~ ~ ~ ~ ~ O ~ 1~"q ~ W Q ~ W H a ~ ~ d ~ A ~ ~ O H H O ~ A ~ ~ ~ ~ 0 ~i ~ d ° ~ Cd ~ 0 U ~ ~ 12 ~ ~ ~ ~ d ~ ~ 0 N ~ ~ ~ ~ N~ ,r O tl ~ 0 ~ o~ a ~ ~ a~ U 'V V A^ O h O ~ ~ a~ ~a ~ o~ ~ ~ ~ ~ fA W ~x O ` ~z ~ O Ar 0 M y N p ~ cd W Q ~ o Q ~ ~a ~ W ...r ~ 00 :7, z z ~ 0 a ~ U p LU ~ ~ W LL ~ 9 ~7 Z 0 z ~ ix W J Q 0 > ~ m ~ ^y 0 . UO W r l v tol ~ q 4b ~ ~ U o ~ 42 eo w W ~ A ~ ~ a ti m cri ° LL z ~ ~ ~ F7 P, ° • ~ ~ ~ ~ ~ ~ a Z • ~ . O y z ~ H ~ ° w F- N ~ ~ ~ ~ U LL w a b y - H ~ ~ 1-13 W U ~ o OC) ~ A z b ~ "Zt V o N W ~ ~ A ~ ~ z o C ~ A) ' " a w "~w NCM li NCM Demoiition and Remediation, LP 9090 North Stemmons Fwy, Suite C Daltas. Tx 752473512 T 972.579.8939 F 972.579.9009 www.ncmgroup.com TX license t1800879 Partners NCM Demolition and Remediation GP, Inc. (General Partner) 404 North Berry Street Brea, CA 92821 NCM Group Holdings, LLC (Limited Partner) 35131 SE Center Street Snoqualmie, WA 98065 NCM Demolition and Remediation, LP Completed Projects Name and Location oi' Project: Jaycee Zaragoza Recreation Center 3114 Clymer Street Dallas, TX 75212 Contract Amount: $34,260.00 Start/Finish Dates: May 23, 2011- May 28, 2011 Owner Contact: AECOM Phone: 214-557-1920 - Frank Engalina Description: Abated a pproximately 4,000 SF of molded sheetrock walls and ceilings. 1Vame and Location of Project: Texas Womans University - Old Science Building 1201 Old Main Street Denton, TX 76204 Contract Amount: $45,400.00 StardFinish Dates: February l, 2010 - February 26, 2010 Owner Contact: Texas Womans University Phone: Don Strickland - 940-898-3156 Description: Removed and disposed of 13,000 SF of die, 124 transite table tops, 20 fume hoods, 1,200 FT of fume hood ducting and 17 chalkboards. Name and Location of Project: Carr Elementary School - Bid Package 17 1952 Bayside Street Dallas, TX 75212 Total Contract Amount: $167,066.00 Date: 2010 Owner Contact: Dallas ISD / AECOM Phone• Gale Roberge - 214-673-2813 Description: Removed and diposed oF 1,239 LF of TSI in crawlspace, 177 LF underground, 354 LF of TSI in chases above ceilings, 10 LF of TSI on roof top, 50 LF TSI in mechanical room, 150 SF of floor tile / mastic in 6 restrooms, 2,470 SF of ceiling texture and lay-in in cafeteria, 3,236 SF of ceiling texture in auditorium. Removed and disposed of LBP from 109 windows. Name aad Location of Project: Texas Womans University - Parkland Campus 5500 Southivest Medical Avenue Contract Amount: StardFinish Dates: Owner Contact: Phone: Dallas, TX 75209 $418,300.00 January 2011 - May 2011 Teras Womans University Don Strickland - 940-898-3156 Description: Removed and disposed of 108,500 SF of sheetrock, 65,042 SF of floor tile and mastic, 1,250 SF tank insuladon, 2,700 LP of TSI, 330 elbows, 2 boiter gaskets, 20,520 SF of CMU block terture and 39,000 SF of duct insulation. Name and Location of Project: JCPenney Store, La Plaza Mall 2200 S. lOth Street McAllen, TX 78503 Contract Amount: $270,255.00 Start/Finish Dates: February 2011 - May 2011 Owner Contaet: Shrader Martinez Construction Phone: Mark Chi[ton - 928-282-7554 Description: Removed and disposed of 84,223 SF of floor tile and mastic. ~0 CERTIFICATE OF LIABILITY INSURANCE OATE(MMlDDIYYYY) ACORO 71311201z 4125/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TNIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. THIS CERTiFICATE OF INSURANCE DOES NOT CONS7ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESHNTATIVE OR PRODUCHR, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certfficate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement A stacement on this certiftcate does not confer rights to the certificate holder tn tieu of such endorsement(s). PRODUCER Lockton Insurance Brokers, LLC NAME A!C No : 725 S. Figueroa Sveet, 35th FI. P"°NE A CA License #OFI5767 E•IAAiL Los Angeles CA 90017 A~ ORess! (213) 689-0065 INSURER 5 APFORDING COVERA6E NAIC t tNsuRFxn:Chartis5 ciai InsuranceCom an 26883 INSUREO BVSURfR 8: 1077381 NCM DemoliGon and Remediation, LP Attn: Ms. Tina Bumell iNsupx c: A C ianC 1] 150 9090 N. Stemmons Freeway, Suite C INSURER n:New Ham shire Insurance Com an 23841 Dallas TX 95247 INSllRER E: ...T~uaufiete. 171177r7 REVISIONNUMBER: xxxxxxX GOVEKAGtAJ I.JILtN u1 %.n ~c....... . TIFY THAT THE POLICIES OF 1NSURANCE LISTED BELOW HAVE BEEN 155UED TO 7HE iNSUREO NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CER TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 1MTH RESPECT TO 1NHICH TH1S TWITHSTANDING ANY REQUIREAAENT , INDICATED. NO THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB.IECT TO ALL THE TERMS, MAY BE ISSUEO OR MAY PERTAIN T , E CERTIFICA EXCLUSIONS ANb CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CWMS, INSR LTy TYPfOFINSURANCE SUBR POLICYNUMBER POUCY EFF MMIDDM/W POLICY EXP MM/DD/YYYV LIMITS EruLu~+eiurr 7/14/2011 7/3120I2 - A o~ N N PROP147-67260 DAMAGE TO RENTED MMERCIAL GENERyL11p81UTY w/Asb/Lead/Mold Poll PREMISES (Ea ocarrer~ce $ 1000000 A I_• ~ R . MEDEXP An am eraan 5 10,000 ~CU CLAIMS-MADE ~,J x GL410,000 DC(I. PERSONAL 8 ADV INJURY S],OOO,OOO X /Claims Made f P GENERALAGGREGATE E 2000.000 . ro S PER ' PRODUCTS - COMP/OP AG S 2,000,000 GE . l AGGREGATE LIMIT APPUE N POUCY xl PR4 LOC a g AUTOMOBILE LIABILITY N N CA 763-3849(AOS) 7/1412011 713I/2012 ~Ea acdaenq s 1,000,000 p CA 192-4840(NfA) 1932264(HI) 7/14/2011 7/1412011 7/31/2012 7131/2012 BODILYIWURV(Paperaon) S J( D X A~'n'AUTO IOWN£D AI SCHEDULED BOOILYINJURY eraccidenl $ xxxxxx X . AUTOS X AUTOS X X NON-ONMED PROPERTY DAMAGE E ]()(xxxxX HIRED AUTOS AUTOS Comp/Coll s 1,000 X LTM A X UMBRELLA UAB X occuR N N PROU147-67284 7/14/2011 7/31/2012 FACH occuarteNCE $ 2$ 000 000 A EXCESS LlAB CLAIMS-MAOE Poll w/Asb/Lead/Mold AGGREGATE E q Prof. Claims Made DED X RETENTIONS 10,000 S Xxxxxxx WO RKERSCONPENSA710N ' N '71WCf8876400(inc1.U$L&H) 4/30/2012 4/30/2013 X TORYLIMITS ER C UA8ILITY AND ENPLOYERS YIN & Itemed. LP NCM DClt10 LEACHACCIOENT E E 0 C ANYPROPRIE70RfPARTNEWEXECUTIVE . H) i 1 USL8 CI8876500 4/30~012 4/30/2013 . 1,000,0 0 C OFFICERJMEMBER EXCIUDED7 N N/A c ( nc . 71W C (MandaWry in NH) NCM Cottiracpng Group LP E.L DISEASE - EA EMPLOYEE S] QQO,OOO I(yea. descabe untler DESCRIPTION OF OPERATIONS belaw El. DISEASE - POLICY LIMR S 1,000,000 DESCRIPTON OF OPERATION51 LOCATONS ! YEHICLES (Altach ACORD 101, Additionsl Namailcs SchWUk, if more apace Is requlred) CERTIFICATE HOLDER SHOULD ANY OF 7HE ABOVE DESCRIBED POLiCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NO71CE WILL BE DELIVERED IN ACCORDANCE YVITH 7HE POUCY PROVI310NS. 11127767 AUTMDaZED RERESENTATIVE Evidence of Coverage TX eRl,% ACORD 26 (2010/05) The ACOIiD name and iogo are reyistereA t~uHka of RD 988- 0 COR ORATION. All rights Peserved CONTRACTOR'S QUALIFICATION STATEMENT (Representing AIA document: A-305, 1986 Edition) The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misfeading. SUBMITTED TO: Terracon NAME: Mr. Kyle Burroughs ADDRESS: 8901 Carpenter Freeway, Suite 100 Dallas, TX 75247 SUBMITTED BY: NCM Demolition and Remediation, LP Corporation ❑ Partnership x NAME: Amy Parrish Individuai ❑ Joint Venture 0 ADDRESS: 9090 N. Stemmons, Suite C Minority Owned C Dallas, TX 75247 Women Owned o 972-579-8939 Other ❑ PRINCIPAL OFFICES: Brea, CA (Corporate Offices) San Leandro, CA Houston, TX Dailas, TX Baton Rouge, LA Orlando, FL Chariotte, NC TYPE OF WORK: Asbestos Abatement Lead Abatement Mold Remediation Emergency Response Service Demolition Plant Decommissioning ORGANIZATION 1.1 How many years has your organization been in business as a Contractor? Three (3) years as CST Envlronmental, LP with recent name change to NCM Demolltfon and Remed/ation, LP Twenty (20) years as former entity CST Environmental, lnc. 1.2 How many yeafs has your organization been in business under its present business name? Ten (10) months 1.2.1 Under what other or former names has your organization operated? CST Environmental, lnc. and CST Enviro»mental, LP 1.3 If your organization is a corporation, answer the following: 1.3.1 Date of incorporation: 1.3.2 State of incorporation: 1.3.3 President's name: 1.3.4 Vice-presidenYs name(s): 1.3.5 Secretary's name: 1.3.6 Treasurer's name: 1.4 If your organization is a partnership, answer the following: 1.4.1 Date of organization: October 16, 2007 1.4.2 Type of partnership (if applicable): Limited Partnership 1.4.3 Name(s) of general partner(s): NCM Demolition and Remedistion GP, Inc. (General Partner) NCM Group Holdfngs, LLC (Limifed Partner) 1.5 If your organization is individually owned, answer the following: 1.5.1 Date of organization: N/A 1.5.2 Name of owner: N/A 1.6 If the form of your organization is other than those listed above, describe it and name the principals: N/A 2. LICENSING 2.1a tist jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate registration or license numbers, if applicable. Refer to the aftached IJst of Ncenses held 2.1 b For each category, list the geographic areas your firm is active in. Northeast, Southeast, South Central, and Western United States 2.2 List jurisdictions in which your organization's partnership or trade name is filed. Refer to the attached lisf of licenses he/d 3. EXPERIENCE 3.1 List the categories of work that your organization normally perForms with its own forces. Asbestos abatement, lead abatement, PCB disposal, hazardous materials remediafion, mold remedlation, demolifion and plant decommissioning 3.2 Claims and Suits. (If the answer to any of the questions below is yes, please attach details.) 3.2.1 Has your organization ever failed to complete any work awarded to it? NO 3.2.2 Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers? NO 32.3 Has your organization filed any lawsuits or requested arbitration with regard to asbestos abatement contracts within the last five years? NO 3.2.4 Has your organization ever been declared in default? NO 3.3 Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? (If the answer is yes, please attach details.) NO 3.4 On a separate sheet, list major projects your organization has in progress, giving the name of the project, owner, architect, contract amount, percent complete and scheduled completion date. Availab/e upon request. 3.5 On a separate sheet, list the major projects your organization has completed in the past five years, giving the name of the project, speciflc project address, owner, architect, contract amount, date of completion and percentage of the cost of the work petformed wikh your own forces. Available upon requesf. 3.5.1 State average annual amaunt of asbestos related work performed during the past five years: $ 85 Mil. 3.6 On a separate sheet, list the asbestos abatement experience and present commitments of the key individuals of your organization. Available upon request. 4. REFERENCES 4.1 Trade References: Gulf Coast Vacuum Service, Inc. P.O. Box 2504 / 4901 Shank Road Pearland, Texas 77588-2504 Attn: Neal Moore (281) 997-6969 Eagle Construction 8 Environmental Services P.O. Box 872 Eastland, Texas 76448 Attn: Bfll Myers (281) 867-9139 Aramsco P.O. Box 29 Thorofare, NJ 08086-0029 Attn: Daria Lomas (800)767-6933 Exf. 7747 4.2 Bank References: Wells Fargo Bank, NA 333 Market Street, 3'd Floor San Franciscq CA 94163 Contact: Louise Cosby (415)371-3093 Prosperity Bank 9906 A/dine Bender Houston, 7X 77032-3094 Contact: Vanessa Silva (281) 987-7600 4.3 Surety: 4.3.1 Name of bonding company: Westchester Fire Insurance Company 4.3.2 Name and address of agent: Lockton Insurance Brokers 725 South Figueroa Street, 35"' Floor Los Ange/es, California 90017 Contact: Heather Win (213) 6894207 5. FINANCING 5.1 Financial Statement Available upon request. 5.1.1 Attach a financial statement, preferable audited, including your organization's latest balance sheet and income statement showing the following items: Current Assets (e.g., cash, joint venture accounts, accounts receivable, notes receivable, accrued income, deposits, materials inventory and prepaid expenses); Net Fixed Assets; Other Assets; CuRent Liabilities (e.g., accounts payable, notes payable, accrued expenses, provision for income taxes, advances, accrued salaries and accrued payroll taxes); Other Liabilities (e.g., capital, capital stock, authorized and outstanding shares par values, earned surplus and retained eamings). 5.9.2 Name and address af firm preparing attached financial statement, and date thereof: Moss-Adams, tLP 5.1.3 Is the attached financial statement for the identical organization named on page one? Yes 5.1.4 If not, explain the relationship and financial responsibility of the organization whose financial statement is provided (e.g., parent- subsidiary). 5.2 Will the organization whose financial statement is attached act as guarantor of the contract for asbestos related work? Yes 5.3 Insurance: Provide information regarding current and maximum insurance coverage, deductibles, types ("Occurrence Based" vs. Claims Made"), and limits. Provide insurance company's location of incorporation. Provide information regarding both current and maximum bond ability. Please provide all necessary certifications. Please See Atfached 6. SIGNATURE 6.1 Dated at Dallas, TX this 8th day of June. 2012 6.1 Name of Org izat: De oli bn and Remediation, LP BY: Name/Tit : Chip Breitbarth, Chief Estimator 6.2 Chip Breitbarth being duly swom deposes and says that the information provided herein is true and sufficiently complete so as not to be misleading. Subscribed and sworn before me this 8th day of June 2012. f' J' NW p Notary Public: ' o?Mr~a~~ ~ AMY PARRISH Notary Public, State ai Texes My Commission Expires My Commission Expires: n~ September 08, 2014 Ni` NCM NCM Demolition and Remediation. LP 9090 Narth 5[emmons Fwy. Suite C Dallas, TX 75247-3512 T 972.579.8939 F 972.579.9009 www.ncmgroup.com TX License #800879 As an authorized representative of NCM Demolition and Remediation, LP, I certify to the following statements: ~ Please see attached list of citations. ~ NCM Demolirion and Remediation, LP certifies that there have not been any contract terminations. ~ NCM Demolition and Remediation, LP certifies that there have not been any asbestos or lead related legal proceedings/claims in which NCM or any of our employees have participated or are currently involved. r it h State of Texas County of Dallas Sign and subscribed to me on this 8th day of June 2012. < • Si nature of Notary Public AMY PARRfSH Notary Public, State of Texas My Commission Expires %Z,;; aF~E;• September 08, 2014 NCM Demolition and Remediation, LP OSHA VIOLATtON STATEMENT - 3 YEARS The following is the citation history for NCM Demoiition and Remediation, LP (including former names and/or predecessor identities, as applicable). NCM and/or its predecessors have not received any wiilful or repeat citations. NCM Demolition was issued one citation by Maryland Department of Labor, OSHA (December, 2011) (OSHA Activity#315827253). The citation was issued because a#oreman did not use appropriate personal protective equipment when testing a 13.8 kV switchgear cabinet. A reduced penalty of $4200 was paid. OSHA classified the citation as Other. MARCOR Environmental, LP was issued three citations by the California Department of Labor, OSHA (April 2011) [OSHA Activity #3156077881. 7wo of the violations related to the hearing conservation program and one violatton related to an inventory of chemicals being used per the hazard communication standard. A reduced penalty of $4,039.20 was paid. OSHA classified all three of the violations as Other. CST Environmental, LP was issued three citations by the Nevada OSHA (February 2011) [OSHA Activity #314888967J. Two citations were related to the use of a floor bufFer to remove mastic without having a proper notification submitted prior to pertorming the activity. The errors were corrected by amending the notification to include the use of a floor buffer. The third citation was issued for failure to perform proper final air ciearance. This was corrected by providing all employees an eight hour asbestos refresher course with an emphasis on final air clearance requirements. A reduced penalty of $1,664 was paid. OSHA classified these violations as Other. CST Environmental, LP was issued one citation by the Ohio Department of Labor, OSHA (December 2010) [OSHA Activity #395039453] concerning adequate use of fall protection equipment. Superoisor overseeing selective interior demolition failed to properly mark opening in floor, a potential fall hazard. Materials were immediately obtained and the opening was properly secured during time of inspection. Retraining was held for supervisor and employees on properly securing potential fall hazards. A reduced penalty of $3,500 was paid. CST Environmental, LP was issued one citation by the Ohio Department of Labor, OSHA (December 2010' [OSHA Activity#394100637] concerning dust control on a demolition project. The number of fire hoses used during the demolition process was increased to suppress the creation of dust. Proper PPE's were used at all times to protect employees from exposure to dust. No fine was issued. OSHA classified this violation as Other. CST Environmental, Inc, was issued one citation by the Industrial Commission of Arizona, Division of Occupational Safety and Health (March 2010) [OSHA Activity #314384363J related to an incomplete decontamination unit installed at a regulated work area. The cited conditions were immediately corrected to the inspector's satisfaction. The citation was issued as non-serious without monetary penalty. OSHA classified this violation as Other. CST Environmental, LP was issued three citations by the Florida Department of Labor (March 2010) [OSHA Activity#314495225]concerning housekeeping. One citation was related to items not kept cleared from work areas, passageways exposing employees to possible trip, fall or cut hazards. The demolition debris was immediately removed from the work area and properly disposed. Two citations related to the temporary use of an extension cord (or hoses) in an inactive stairway to perform the work. The cords were immediately removed from the stairuvay when identified as a potential trip hazard. Workmen were advised to secure cords (or hoses) overhead or outside the potential path of travel. A reduced penalty of $3,037 was paid. NCM Demolition and Remediation, LP CST Environmental, Inc. was issued one citation by Cal-OSHA (November 2009) jOSHA Activify #3116696831 related to the requirement for permits to demolish structures over 36' in height. Although CST maintains a Cal-OSHA Annua! Activitv Permit for demolition of structures over 36' in height, a project specific permit had not been issued prior to preparation of the structure for work. A reduced penalty of $750 was paid. MARCOR Remediation, Inc. was issued two citations by Nevada OSHA (May 2009) [OSHA Actrvity #313241648] conceming proper grounding and medical certiflcations. One citation related to improperly grounded equipment. The other citation related to missing documentation of inedical examinakion for two employees. Both items were immediately corrected to the inspector's satisfaction. No fine was issued. . OSHA classified this violation as Other. Submittal:OSHA citation.3 yrs / revised 1/18l2012 NCM"t ADDITIONAL ITEMS REQUIRED WITH BID NCM Demolition and Remediation, lP 9090 North Stemmons Fwy, Suite C Dallas. TX 75247-3512 T 972.579.8939 F 972.579.9009 www.ncmgroup.com TX License tt800879 4. The supervisor(s) For this proJect are unknown at this time, all oP NCM'S SUpCNi50f5 I1dVe been employed by us for at least 9 years in which they have performed many different sizes of projects. CBA Services, Inc. 5877 Burnett Road, Suite A Krum, 1X 76249 (940) 482-3320 (940) 482-3457 fax Texas DSHS No. 40-0312 6. Landfill - Asbestos and Mold DRN Recycling and Disposal Facility 1600 Railroad Street Lewisville,lX 75067 (972) 315-5421 Permit No. 1025-B Lead Disoosal US Ecology Texas, Inc. P.O. Box 307 Robstown, TX 78380 3277 CountY Road 69 Robstown, TX 1-800-242-3209