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HomeMy WebLinkAbout2017-27992017 -2799 Contract #107--2711 CITY OF COLUMBIA HEIGHTS WORK AGREEMENT This Agreement is made this 10th day of July, 2017 by and between the City of Columbia Heights ( "the City") and Kamish Excavating, Inc.-(the "Contractor ") for abatement of asbestos, lead and hazardous materials, and building demolition of two (2) residential properties located at 4201 Jefferson Street NE and 4641 -43 Polk Street NE, Columbia Heights, Minnesota as detailed in the Request For Quotes (the "RFQ "). WITNESSETH: WHEREAS, the City desires to have performed or constructed the services or facilities described in the Contract Documents (the "Work "); WHEREAS, Contractor represents that it has the necessary personnel, experience, competence, and legal right to perform the Work; WHEREAS, the City has adopted a motion authorizing City staff to enter into a contract for the completion of the Work specified herein. NOW, THEREFORE, in consideration of the premises and the mutual obligations of the parties hereto, each of them does hereby covenant and agree with the other as follows: 1. WORK TO BE COMPLETED ... The Work shall be performed in strict accordance with the Contract Documents. The Contractor shall carefully review all of the Contract Documents before performing the Work and shall promptly call to the attention of the City any discrepancy or inconsistency which may exist between any two or more documents or between any parts of the same document. The City shall have discretion as to how to address any such discrepancy or inconsistency and shall modify, interpret, or adjust the Contract Documents accordingly as the case may be. Seeding of the site per specifications outlined in "Standard Specifications for Removals, Excavations, and Restorations" is required by October 15, 2017, a 10% retainer will be held until proper seeding is completed. If the specifications are not met by April 15, 2018 or grass is not established in a timely manner the City will use the 10% retainer to seed the lot. 2. CONTRACT DOCUMENTS ... The Contract Documents shall consist of this Work Agreement and the Scope of Work & Specifications prepared by the City, and signed by you, in connection with the Work (where specified), the Standard and Specifications for Removals, Excavation, and Restoration, all Amendment Request Certificates approved by the City, all Change Orders issued by the City, the Notice to Proceed, the Completion Certificate, and written interpretations of the Contract Documents issued by the City. The Contract Documents shall, insofar as is possible, be interpreted to be consistent with one another. Any inconsistencies shall be addressed pursuant of section 1 of this Agreement. 3. PERMITS AND REGULATIONS ... Prior to commencing the Work, the Contractor shall secure all necessary building permits and licenses as may be required, and before and during the progress of the Work, give all notices and comply with all the laws, ordinances, rules, and regulations of every kind and nature now or hereafter in effect that are promulgated by any federal, state, county, or other governmental authority, relating to the performance of the Work. If the Contractor's performance is contrary to any such law, ordinance, rule, or regulation, it shall bear all costs arising there from. Contractor specifically agrees to abide by and observe all standards and regulations of the Occupational Safety and Health Administration, which are applicable to the Work. 4. PROSECUTION OF THE WORK... The Contractor shall at all times prosecute the Work diligently so as to insure its completion in full accordance with the Contract Documents and shall at all times furnish sufficient numbers and amounts of properly skilled Workers, acceptable materials and equipment, adequate services, construction tools, and equipment. The Work shall be performed in a good and Workmanlike manner. Contractor shall keep the Work site clean and orderly during the course of the Work and remove all debris at the completion of the Work. If the Contractor is negligent in these areas, the City reserves the right to perform this work with its own forces at overtime rates. The costs of such work shall be charged to the Contractor. The Contractor will adequately protect the Work from damage, will protect the property from injury or loss, and will take all necessary precautions during the progress of the Work to protect all persons and the property of others from injury or damage. The Contractor will assume full responsibility for all its tools and equipment and all materials to be used in connection with the Work. Materials and equipment that have been removed and replaced, as part of the Work shall belong to the Contractor unless agreed otherwise. 5. COMMENCEMENT AND COMPLETION OF WORK; LIQUIDATED DAMAGES ... The Work must not start until after July 10, 2017 and all contracts have been signed and must be satisfactorily completed in the opinion of the City by September 15, 2017. If the Contractor is unable to commence the Work by August 7, 2017, it must promptly notify the City. In the event the Work is not completed by the specified date, the Contractor and its sureties shall be assessed liquidated damages of one percent (1 %) of the total Contract Price or fifty dollars ($50.00), whichever is greater, per day for each calendar day of delay excluding Saturday, Sunday, and legal holidays. This sum shall be deducted from the Contract Price at the time of payment. This provision for liquidated damages represents the best estimate by the City and the Contractor of loss suffered by the City due to failure to complete the Work on time, and shall not be, or is deemed to be, a penalty or forfeiture. This provision for liquidated damages is in addition to any and all other rights and remedies to which the City maybe entitled at law or in equity in connection with this Agreement. 6. EXCUSABLE DELAYS ... The following circumstances, and only these circumstances, will, at the City's discretion, be considered legitimate cause for a change in the commencement and /or completion dates specified in paragraph 5 of this Agreement: a. Material delay -- material delays that are beyond the control of the Contractor, which can be shown to have directly caused the overall late completion. b. Adverse weather conditions -- weather conditions that directly affect the scheduling of exterior work over a significant portion of the term of this Agreement. Strikes -- Contractors who face union work stoppage in the case where they have to rely on such a work force in order to complete the Work. d. Amendments -- significant amendments in the original scope of work, which can be reasonably shown to require an extension of the time, allowed for completion. e. Emergencies -- accidents, death or illness in the immediate family of the Contractor, which necessitates a significant leave of absence from the job. f. Proven lack of cooperation from persons in possession of the property resulting in significant delays. g. Proven lack of cooperation from the Contractor's agents resulting in significant delays. 7. AMENDMENT REQUEST CERTIFICATE ... Changes in the scope, specifications, or cost of the Work that are proposed by the Contractor subsequent to the execution of this Agreement shall be considered Amendments. No such Amendments shall be made without pAor written approval by the City. Any Amendment proposed by the Contractor shall be submitted via an Amendment Request Certificate. The Amendment Request Certificate must: (a) be signed and dated by the Contractor; (b) specify how the Work is to be amended and the cost for such Amendments; and (c) specify the reason for any cost increase /decrease resulting from the Amendment(s). The City will approve or disapprove the Amendment Request Certificate after appropriate review and property inspection. If approved, a copy of the signed Amendment Request Certificate will be forwarded to the Contractor. Upon receipt by the Contractor of the approved Amendment Request Certificate, the approved Amendment(s) may be implemented. All Amendments made before receipt of an approved Amendment Request Certificate will not be compensable by the City. No such Amendment Request Certificate shall be deemed to constitute a waiver of any remaining covenant, agreement, term, or condition contained in the Contract Documents. 8. CHANGE ORDER... The City shall have the right, within the general scope of the Work and without notice to any surety or sureties of the Contractor, to make changes in the Work, either by altering the nature of the same or by adding to or deducting from it. All changes shall, except in the case of emergencies endangering the safety of persons or property be made by written Change Order. The Contractor shall promptly comply with any and all written Change Orders. No such Change Order shall be deemed to invalidate the remaining terms and conditions contained in the Contract Documents. 9. GENERAL GUARANTY ... The Contractor hereby guarantees to the City that all of the Work shall be done in competent, workman-like manner and that such Work shall be and remain free of defects in workmanship and materials for a period of one (1) year from the date that the City executes the Completion Certificate pursuant to section 17 of this Agreement. The Contractor warrants that all materials and equipment furnished in connection with the Work will be new, unless otherwise specified, and be of good quality and free from faults and defects. The Contractor shall assign to the City (if assignable) or enforce for the benefit of the City (if not assignable) any guarantees provided by manufacturers or sellers of machinery materials or equipment that are to be incorporated into the Work. The City's acceptance of the Work shall not be deemed to be a waiver of any of the City's rights under this section. 10. WAIVER OF LIABILITY ... It is agreed that the Work is undertaken at the sole risk of the Contractor. The Contractor does expressly forever release the City from any claims, demands, injuries, damage actions, or causes of action whatsoever, arising out of or connected with the Work. 11. INDEMNIFICATION ... Any and all claims that arise or may arise as a consequence of any act or omission on the part of the Contractor, its agents, servants, or employees while engaged in the performance of the Work shall in no way be the obligation or responsibility of the City. The Contractor shall indemnify, hold harmless, and defend the City, council members, officers, employees, successors, and assigns against any and all liability, loss, cost, damages, expenses, claims, or actions, including attorney's fees which the City, council members, officers, or employees may hereinafter incur or be required to pay on account of injury to or death of any person or persons or damage to any property arising out of or by reason of any act or omission of the Contractor, its agents, servants, or employees in the execution, performance, or failure to adequately perform its obligations under this Agreement, whatever the cause of such injuries or damage. 12. INSURANCE ... The Contractor agrees that in order to protect itself, the City under the indemnity provisions set forth in section 11 of this Agreement, it will at all times during the term of this Agreement, maintain, at a minimum, the following insurance policies: a. Workers Compensation Insurance. The Contractor shall maintain worker's compensation insurance in compliance with all applicable statutes including Chapter 176 of the Minnesota Statutes. Such policy shall include Employer's Liability Coverage and at least such amount(s) as are customarily provided in worker's compensation policies issued in Minnesota. Contractor further agrees to require all subcontractors and independent contractors to maintain worker's compensation insurance in compliance with all applicable statutes and to monitor the compliance of such subcontractors and independent contractors with the applicable statutes. b. Commercial General Liability Insurance. The Contractor shall maintain Occurrence Based Commercial General Liability Insurance ( "CGL "), providing coverage on an "occurrence ", rather than on a "claims made" basis, which policy shall include coverage for the Completed Operations Hazard, and which shall also include a Broad Form General Liability Endorsement, ISO number GL 0404, or an equivalent form (or forms), so long as such an equivalent form (or forms) affords coverage which is in all material respects at least as broad. Any equivalent form (or forms) of coverage, shall be approved by the EDA. The Contractor agrees to maintain total liability policy limits of at least One Million Dollars ($1,000,000), applying to liability for Bodily Injury, Personal Injury, and Property Damage, which total limits may be satisfied by the limits afforded under its Occurrence Based CGL policy as specified above, or by such policy in combination with the limits afforded by an Umbrella Liability Policy (or policies) provided, however, that the coverage afforded under any such Umbrella Liability Policy shall be at least as broad as that afforded by the underlying occurrence based CGL Policy as specified above. C. Automobile Liability Insurance. The Contractor shall maintain automobile liability insurance covering liability for Bodily Injury and Property Damage arising out of the ownership, use, maintenance, or operation of all owned, non - owned, and hired automobiles and other motor vehicles. Such policy shall provide total liability limits for combined Bodily Injury and /or Property Damage in the amount of at least One Million Dollars ($1,000,000) per accident, which total limits may be satisfied by the limits afforded under such policy, or by such policy in combination with the limits afforded by an Umbrella Liability Policy (or policies) provided, however, that the coverage afforded under any such Umbrella Liability Policy shall be at least as broad as that afforded by the underlying automobile liability insurance policy. The City shall be named as "additional insured" parties with respect to the insurance policies specified in (b) and (c) above. The Contractor shall not commence work until a Certificate of Insurance evidencing all ofthe insurance policies required above is approved and a written Notice to Proceed is issued by an authorized, representative of the City. The City shall, at any time during the term of this agreement, have the right to require that the Contractor secure any additional insurance, or additional feature to existing insurance, as the City may reasonably require for the protection of its interests or those of the public. It is expressly understood that the City does not in any way represent that the minimum insurance coverage set forth in this section is sufficient or adequate to protect the interest or liabilities of the Contractor. 13. LIEN WAIVER... Neither the Contractor nor any subcontractor or other person or entity furnishing labor, equipment, or materials in connection with the Work shall file any mechanic's lien against the City's buildings, structures or land or any part thereof. The Contractor shall protect, defend, indemnify, and hold harmless the City from any and all claims, demands, or actions of whatever nature arising out of work, labor, equipment, or materials furnished by the Contractor or its subcontractors in connection with the Work. Payment of the Contract Price shall not be due until the Contractor has delivered to the City lien waivers acceptable to the City, which release the City from all liens that may arise in connection with the Work. The Contractor shall list below the names of all suppliers and /or subcontractors that will provide materials, services, or labor in connection with the Work. The Contractor will notify the City of any changes in this list prior to the commencement of the Work. Red Pine Industries 14. CONTRACT PRICE ... The Contractor agrees to furnish all work, labor, materials, and equipment necessary to complete the Work as set forth in the Contract Documents for the sum of $48,449.00 (the "Contract Price "), to be paid by the City in accordance with the terms and conditions of this Agreement and the Scope of Work and Specifications. The Contract Price shall constitute the sole compensation payable to the Contractor for its performance of the Work or anything done in connection therewith including expenditures by the Contractor for all taxes, permits, licenses, and bonds required to perform the Work. The Contractor shall indemnify and save the City harmless from and against any liability for any such taxes, fees, premiums, contributions, etc. that the Contractor incurs in connection with the Work. 15. EXAMINATION OF WORK SITE ... Contractor agrees that the Contract Price specified in section 14 of this Agreement is based upon Contractors examination of the work site and that it will make no claim for additional compensation or the extension of time for performance if the conditions encountered differ from those anticipated by such examination, unless such a claim is based upon conditions at the work site, or omissions, ambiguities, or conflicts in the Contract Documents, which Contractor can show could not have been discovered in the exercise of reasonable care prior to the submission of the Contract Price. 16. PAYMENT OF CONTRACT PRICE... The Contractor agrees to provide the City with the following documentation as a condition to receiving payment of the Contract Price: (a) an itemized bill for the completed Work; (b) all lien waivers as required by section 14 of this Agreement (c) and receipts from demolition disposal and asbestos disposal. The City may withhold payment of the Contract Price to the Contractor to such extent as may be necessary to protect the City from loss on account of: (a) defective work not remedied; (b) claims or actions filed or evidence reasonably indicating the probable filing of the same against the City with respect to the Work performed; (c) the failure of the Contractor to make payments properly to subcontractors and /or suppliers for equipment, material, or labor, or to provide evidence that such payments have been made; (d) any cost for which the Contractor is liable under the Contract Documents; or (e) a breach by Contractor of any term, condition, or provision contained in the Contract Documents. 17. EQUAL EMPLOYMENT OPPORTUNITY ... The Contractor shall not discriminate against any employee or applicant for employment on the basis of age, race, color, religion, sex, or national origin. The Contractor shall comply with all applicable laws, Executive Orders, and regulations concerning non - discrimination in employment, including the Equal Opportunity Clause of Section 202, Executive Order 11246, as amended, which is hereby incorporated by reference. 18. INDEPENDENT CONTRACTOR STATUS ... Contractor is and shall remain an independent contractor in the performance of the Work, maintaining complete control of its workers and operations. Neither Contractor nor anyone employed or engaged by Contractor shall become an agent, representative, servant, or employee of the City in the performance of the Work or any part thereof. 19. CONTRACT REPRESENTATIVES ; ADDRESSES ... The City's representative with respect to this Agreement shall be Keith Dahl, Economic Development Manager, for the City. The Contractor's representative with respect to this Agreement shall be Brad Ensrude. All notices, requests, and instructions, or other communications given or received by either party under the terms of this Agreement shall, unless otherwise specifically provided herein, be made in writing signed by the designated representative of the party making such communication and be delivered or addressed to the designated representative of the other parry at the following address: CITY ADDRESS: City of Columbia Heights Attn: Keith Dahl 590 401h Avenue Northeast Columbia Heights, MN 55421 CONTRACTOR ADDRESS: Kamish Excavating, LLC Attn: Brad Ensrude 1301 South Concord Street South St. Paul, MN 55075 20. SUBCONTRACTORS ... Contractor agrees to bind every subcontractor by the terms, conditions, and provisions set forth in the Contract Documents that are applicable to the subcontractor's work, unless otherwise specifically agreed otherwise in writing by the City. 21. ASSIGNMENT ... This Agreement shall be binding upon and in order to the benefit of the Contractor, its legal representatives, heirs, successors, and assigns. No assignment or attempted assignment of this Agreement or any rights hereunder shall be effective unless the written consent of the City is first obtained. No such assignment, even if consented to by the City, shall relieve the Contractor from liability under this Agreement for the performance and completion of the Work in accordance with the Contract Documents. 22. ENTIRE AGREEMENT ... The Contract Documents contain all the terms, conditions, and provisions pertaining to the Work to be completed by the Contractor, there being no other understandings, agreements, or warranties, express or implied. All prior negotiations and dealings regarding the subject matter of the Contract Documents are superseded by and merged into the Contract Documents. 23. APPLICABLE LAW ... This Agreement shall be construed in accordance with and governed by the laws of the state of Minnesota. 24. AMENDMENT ... This Agreement may be modified or amended only with the written approval of the City and the Contractor. 25. CONSTRUCTION ... In the event that any one or more of the provisions of this Agreement, or any application thereof, shall be found to be invalid, illegal, or otherwise unenforceable, the validity, legality, and enforceability of the remaining provisions or any application thereof shall not in any way be affected or impaired thereby. 26. AUTHORITY ... Each of the undersigned parties warrants that it has the full authority to execute this Agreement, and each individual signing this Agreement on behalf of a corporation hereby warrants that he or she has full authority to sign on behalf of the corporation and that he or she represents and binds such corporation thereby. 27. WAIVER ... No failure by the City to insist upon the strict performance of any covenant, duty, agreement, or condition contained in this Agreement or to exercise any right or remedy consequent upon a breach thereof shall constitute a waiver of any such breach or any other covenant, agreement, term, or condition, nor does it imply that such covenant, agreement, term, or condition may be waived again. 28. NOTICE TO PROCEED... The Contractor shall not proceed with work until the City issues a notice to proceed which evidences the securing of necessary permits, insurances and any other requirements of the contract documents. 29. COMPLETION CERTIFICATE... The Contractor shall receive a completion certificate upon satisfactorily completing the work outlined in the contract documents. IN WITNESS WHEREOF, the parties have set their hands this 10th day of July 2017. CITY OF COLUMBIA HEIGHTS It's Mayor - It's City Manger - Wafter R. Fehst CONTRACTOR &- X ,4L J Its: Prc s i dt- Contract # 2017 -2799 CITY OF COLUMBIA HEIGHTS WORK AGREEMENT – CHANGE ORDER The Work Agreement made on the 10th day of July, 2017 by and between the City of Columbia Heights (the "City') and Kamish Excavating, Inc. (the "Contractor ") for the abatement of asbestos, lead and hazardous materials; and demolition of two (2) residential properties located at 4201 Jefferson Street NE and 4641 -43 Polk Street NE, Columbia Heights, Minnesota as detailed in the Request For Quotes (the "RFQ "). CONTRACT PRICE ... The Contractor agrees to furnish all work, labor, materials, and equipment necessary to complete the Work as set forth in the Contract Documents for the sum of $49,468.00 (the "Contract Price "), to be paid by the City in accordance with the terms and conditions of this Agreement and the Scope of Work and Specifications. The Contract Price shall constitute the sole compensation payable to the Contractor for its performance of the Work or anything done in connection therewith including expenditures by the Contractor for all taxes, permits, licenses, and bonds required to perform the Work. The Contractor shall indemnify and save the City harmless from and against any liability for any such taxes, fees, premiums, contributions, etc. that the Contractor incurs in connection with the Work. An increase of $1,019.00 has been added to the Contract Price due to the additional costs of excavation and disposal of the transite asbestos piping that was uncovered during demolition of the primary residential structure located at 4641 -43 Polk Street NE. All other terms of the Work Agreement and Scope of Work and Specifications remain in effect. Dated: 6 %( + l_> / -) , 2017. CITY OF COLUMBIA HEIGHTS By atffi� � Its Mayor f �r By Its City Manag r CONTRACTOR ;1 BY — 1 P ident. ;l SCOPE OF WORK AND SPECIFICATIONS QUOTES FOR ABATEMENT OF ASBESTOS, LEAD AND HAZARDOUS MATERIALS AND BUILDING DEMOLITION OF TWO (2) RESIDENTIAL PROPERTIES LOCATED AT 4201 JEFFERSON STREET NE AND 4641 -43 POLK STREET NE COLUMBIA HEIGHTS, MINNESOTA The City of Columbia Heights (the "City ") will receive quotes for the abatement of hazardous materials and building demolition of the residential structures located at 4201 Jefferson Street and 4641 -43 Polk Street NE (the "Subject Property"). Quotes should be delivered to the Community Development Department at 590 40th Avenue NE, Columbia Heights, Minnesota 55421 by Friday, June 30, 2017. The City reserves the right to reject any and all quotes, and to waive any informalities in any quotes without explanation. Building Demolition A total of two (2) properties are included in this request for quotes. The Subject Property located at 4201 Jefferson Street was built in 1924 as a single - family home; the primary structure is approximately 1,536 square feet consisting of a main floor and basement. Removal of the deck, chain link fence, and detached accessory structure shall also be included in the building demolition. The primary structure does contain materials that have been confirmed to be asbestos - containing materials (ACM). Workers should be informed of the presence of asbestos and comply with applicable OSHA requirements. The Subject Property located at 4641 -43 Polk Street was built in 1961 as a duplex; the primary structure is 1,976 square feet consisting of a main floor and basement. There are no accessory structures on this property; however removal of the fenced trash enclosure located adjacent to the alley shall be included in the building demolition. The primary structure does contain materials that have been confirmed to be asbestos - containing materials (ACM). Workers should be informed of the presence of asbestos and comply with applicable OSHA requirements. The Contractor and Subcontractor(s) shall furnish all materials, labor and equipment necessary to remove the structure, foundation and any existing concrete sidewalks, driveways, advertising signs, and any other hardcover present on the Subject Property. The Contractor and Subcontract(s) shall avoid damaging sidewalks, streets, curbs, pavements, utilities, structures or any other property either on or adjacent to the Subject Property that is not scheduled for removal. The Contractor, at its own expense, shall be held responsible for repair of any damage caused by operations related to abatement of asbestos, lead and hazardous materials and building demolition. The City owns the Subject Property and will cut all utilities and water mains prior to commencement of demolition by the Contractor or Subcontractor(s). Restricted Materials At a minimum, the Contractor and Subcontractor(s) will be responsible for adhering to the following requirements as they pertain to building demolition: The City will ensure that service to all onsite utilities are cut at the curb. Unless otherwise directed, demolition includes the removal of all above -grade and below -grade structures or objects including, but not limited to, fences, building foundations, concrete, storage bins, steel rail and railroad ties, buried utilities, miscellaneous debris, etc. Demolished materials become the property of the Contractor and Subcontractor(s) and shall be loaded, properly transported to and disposed of at an appropriate off -site facility (i.e. demolition landfill, recycling center, etc.). Contractors and Subcontractor(s) are encouraged to salvage or recycle as much of the building materials as possible, however is not required. Attached are two separate Asbestos, Lead, and Hazardous Materials Inspection Profiles (the "Surveys ") for the Subject Property. The Surveys identifies the specific locations of ACMs, as well as those suspect ACMs which were analyzed and were found not to contain asbestos. Any suspect materials uncovered during demolition of the structure not identified on the Surveys should be assumed to contain hazardous materials and be treated as such. Asbestos Materials A Minnesota Licensed Abetment Contractor is required for the removal and proper disposal of all ACMs prior to commencement of demolition. Abatement includes the removal, under full containment, in two (2) separate work areas, of the following approximate amounts of ACM: Work Area #1 (Subject Property - 4201 Jefferson Street NEB • One Thousand Six Hundred (1,600) Square Feet of Plaster Texture. • Six Hundred and Fifty (650) Square Feet of Sand Textured Ceiling on 1st Floor. • Three Hundred and Fifty (350) Square Feet of Popcorn Textured Ceiling in Basement. • One (1) Kitchen Sink Undercoating. Work Area #2 (Sub 'ect Property - 4641 -43 Polk Street NE) • Fifty Five (55) Square Feet of 9" x 9" Beige Floor Tile & Associated Black Mastic. • One Thousand Eight Hundred (1,800) Square Feet of Acoustical Ceiling Texture — Sand Texture The Abatement Contractor is responsible for supplying power and water throughout the duration of the project to include power for duration samples and clearance air testing. Water and electricity has been shut off to the Subject Property by the City. Specific locations of these materials, as well as those suspect materials which were analyzed and were found not to contain asbestos, are identified in the attached Surveys. N Lead -Based Paint The Demolition Contractor must be notified of the lead content in the paint. It is the Demolition Contractor's responsibility to comply with OSHA's Lead in Construction "Interim Final Rule" 29 CFR 1926.62. OSHA does not acknowledge the standards by the Minnesota Department of Health (the "MDH ") and the US Housing and Urban Development Department (the "HUD ") and regulates any amount of lead in paint. Specific locations of identified lead -based painted surfaces, as well as painted surfaces which were analyzed and were found not to be considered lead -based paint are identified in the attached Surveys. Hazardous Materials The Demolition Contractor shall be responsible for the removal and proper disposal of all hazardous materials prior to any commencement of demolition on the Subject Property. Specific locations of identified hazardous materials are identified in the attached Surveys. Removal of Bituminous /Concrete Pavement Seeding of the entire excavated site, with three inches of topsoil, will be required per specifications outlined in "Standard Specifications for Removals, Excavation, and Restoration" (attached) is required by October 15, 2017, a 10% retainer will be held until proper seeding is completed. If the specifications are not met by April 15, 2018 or grass is not established in a timely manner the City will use the 10% retainer to seed the Subject Property. Backfill and Grading See specifications outlined in "Standard Specifications for Removals, Excavation, and Restoration" (Attached). Additional Requirements • All work must be completed in accordance with Local, State and/or Federal laws. Contractor and Subcontractor(s) must be licensed, as necessary and is required to obtain all necessary permits, notifications, etc. • The Contractor and Subcontractor(s) must comply with the existing storm water pollution prevention plan for the Site. As deemed necessary by the City, the Contractor will be required to install silt fence, inlet protection, gravel entrances /exits, etc. • The Contractor and Subcontractor(s) will be responsible for controlling fugitive dust and minimizing noise, odors and off -site tracking to the extent possible. • Excessive material must be removed from all haul trucks prior to leaving the Site. Furthermore, all haul trucks must be covered when transporting demolition debris. 3 • In the event an unknown condition is encountered during the Project, the Contractor must notify the City immediately. The appropriate course of action will be determined and, if necessary, a change order may be authorized prior to completing the work. • The Contractor and Subcontractor(s) will be responsible for taking the appropriate measures (i.e. erecting and maintaining temporary fencing) to ensure that partially demolished buildings, debris piles, excavations, etc. are appropriately secured at the end of work each day. • The Contractor and Subcontractor(s) shall maintain the properties in a safe and neat manner. The properties and adjoining streets and right -of -ways shall be kept free of dirt and debris. All excavations shall be protected by fencing. If the Contractor or Subcontractor(s) are negligent in these areas, the City reserves the right to perform this work with its own forces at overtime rates. The costs of such work shall be charged to the Contractor. The Contractor and Subcontractor(s) will not be allowed to trespass on private property unless the Contractor and Subcontractor(s) have received written permission from the private property owner. • The Contractor and Subcontractor(s) shall be responsible for the removal, storage, and replacement of all signs, which may have to be moved during the work. The Contractor and Subcontractor(s) shall provide barricades, fences or guardrails to protect workers and the general public from dangerous areas. • The Contractor and Subcontractor(s) are responsible for maintaining safe operation of its personnel and equipment. • The Contractor shall submit all post project submittals to include, but not limited to, contractor license, permit, insurance, supervisor /worker certification, project documentation, and original pertinent waste manifests. • Working hours shall be conducted between the hours of 7:00 a.m. and 7:00 p.m. Work shall not be conducted on weekends unless approved by the City. • Questions regarding the scope of work or contractual obligations with the City should be directed to Keith Dahl, Economic Development Manager, at 763 - 706 -3674. Process • The Contractor shall include in his or her quote: - Any necessary demolition permit costs - Mandatory MPCA 10 -day notification - Mandatory MDH 5 -day notification - Mobilization costs - Household hazmat removal — Surveys Attached - Breakdown between demolition and restricted/hazardous material removal • Those quoting shall qualify themselves for a personal examination of the site. Arrangements to view the interior structures of the Subject Property can be made by contacting Keith Dahl in the Community Development Department at (763) 706 -3674. • The City reserves the right to reject any and all quotes, to waive any informalities therein and to adjourn the meeting to a later date for the purpose of further consideration of the quotes and taking action thereon. 11 1. ►'1 3. • The City will not approve additional costs related to winter conditions. • The Contractor shall state in its proposal the date of commencement and time required for final completion of work. Proposals will only be accepted if the completion time is 30 days or less. Said dates will be incorporated into the contract. No special conditions or contingencies shall be added to the proposal form by a bidder. • If awarded the bid, a contract will be sent to the Contractor to be signed prior to commencement of any work. • Two copies of your quote are due at the Columbia Heights City Hall (Community Development Department) no later than 4:00 p.m. on Friday, June 30, 2017. City staff will review quotes and make a recommendation to the Columbia Heights City Council, which will consider award of the contract at their regular meeting held on July 10, 2017 at 7:00 p.m. in City Hall. • Quotes must list Subcontractors tentatively scheduled to work on this project. All changes must be submitted to the Community Development Department. Quotes are to be submitted in an envelope bearing on the outside the name of the bidder, their address and the statement "Quote for the demolition of 4201 Jefferson Street NE and 4641 -43 Polk Street NE ". Quotes must be received by the time and location indicated above. E- mailed bids are acceptable. Submit bids to: Keith Dahl Columbia Heights City Hall 590 40'b Avenue NE Columbia Heights, MN 55421 Phone: 763 - 706 -3674 KDahlgcolumbiahei htsmn. ov Selected Contractor The Contractor selected for this project must enter into a Work Agreement with the City. As such, Contactor agrees to the terms and conditions as set forth in this Work Agreement. The work agreement must be signed and returned before any work can start. The successful Contractor will be required to post a Certificate of Insurance, as required in the Work Agreement. The city owns the property. All utilities are scheduled to be cut. (confirm at time of demolition permit) The contractor shall provide the City with a schedule of the work, outlining how and when the work shall proceed. The City will inspect the work. Any questions regarding the work shall be directed to the Community Development Department at (763) 706 -3670. uote The total quote for the Subject Property building demolition, abatement of asbestos, lead and hazardous materials, and anything listed in the specifications, of 4201 Jefferson Street NE and 4641 -43 Polk Street NE Avenue is $ Quote for demolition $ Signature of Company Official Date Company Name Quote for abatement $ Contact Name Contact Telephone ,:1 ASBESTOS & HAZARDOUS MATERIALS INSPECTION PROFILE Single Family Residence 4201 Jefferson Street Columbia Heights, Minnesota May 19, 2017 Submitted to: Walter Fehst City of Columbia Heights Submitted by: Institute for Environmental Assessment 9201 West Broadway North, Suite 600 Brooklyn Park, MN 55445 -1922 763 -315 -7900 / 800 - 233 -9513 IEA Project #201710443 INDEX SECTION I ■ Asbestos Summary and Inspection Report SECTION II ■ Asbestos Sample Locations Drawings SECTION III ■ Asbestos Laboratory Report SECTION IV ■ Hazardous Material Inventory Summary SECTION V ■ Asbestos Inspector's License SECTION I Asbestos Summary and Inspection Report Asbestos Summary 4201 Jefferson Street Columbia Heights, Minnesota On May 9, 2017, an inspection for asbestos- containing materials (ACM) was performed at the above - referenced location. The scope of the inspection included all suspect ACM within the building. Suspect ACM was identified and sampled for asbestos content. Identified materials confirmed to be ACM include the following: ♦ Plaster Texture ♦ 1st Floor Sand Textured Ceiling ♦ Basement Popcorn Textured Ceiling ♦ Kitchen Sink Undercoating The following materials were identified and confirmed to contain one percent or less (:51%) asbestos. By definition, materials which contain greater than one percent ( >1 %) asbestos are considered asbestos - containing materials (ACM). Although these materials do not meet the definition of ACM, workers should be informed of the presence of asbestos and comply with applicable OSHA requirements. Identified materials found to be <1% asbestos include the following: ♦ Sheetrock/Joint Compound The EPA NESHAP rules allow taping compound to be considered an integral part of sheetrock, forming a wall system. In this case, the wall system contains <1% asbestos, contractors and employees who may disturb the taping compound must be made aware that the taping compound contains asbestos. Specific locations of these materials, as well as those suspect materials which were analyzed and were found not to contain asbestos, are identified in the attached report. This inspection meets the requirements of the Minnesota Pollution Control Agency (MPCA) and Minnesota OSHA (MNOSHA) for an asbestos demolition/renovation inspection. Bulk samples of accessible suspect material were collected and analyzed in accordance with Environmental Protection Agency (EPA) sampling and analytical procedure requirements. Sampling was conducted in a manner determined by the inspector to be sufficient to identify whether the suspect materials are asbestos containing. The purpose of the inspection was to identify all suspect materials that may contain asbestos prior to demolition. Any suspect materials not identified on the survey that are uncovered prior to demolition should be assumed to contain asbestos or sampled. GENERAL COMMENTS The report is prepared for the exclusive use of our client for specific application to the project discussed and has been prepared in accordance with generally accepted practices. Other than as provided in the preceding sentence and in our Proposal #6068 dated May 4, 2017 regarding Hazardous Materials Assessments at the building including the General Conditions attached thereto, no warranties are extended or made. © IEA, Inc. INSTITUTE FOR ENVIRONMENTAL ASSESSMENT, INC. Page 1 of 1 www, ieasafety.com C O z N_ C � •O v� U U U "O ^C C C O O U U N I' tn z O � h�l W � h O � � V � o H � O O O V � O 0 l� PC V � .n b a� NN � O cu U � � U G � U � � O � O A C �I I r rA W U N Qt Q O z z 0 r E F w a w 0 0 0 w F x F O 0 U ti Q o z � N U w 0 0 v, F F O O O w R O U Q � � O � v b � V 'J O a � N U w O O c4 a c 0 C � a d N O U � GQ 7 U G O d w ti 0 a a a, b Q w H v x x o x F U U U w � F O w o 0 91 C O z U 0 CzrJ � U 0 0 It 0 0 It v� o w 0 0 0 w F x F O 0 U ti Q o z � N U w 0 0 v, F F O O O w R O U Q � � O � v b � V 'J O a � N U w O O c4 a c 0 C � a d N O U � GQ 7 U G O d w ti 0 a a a, b o � F O � C O cad 0 U v� o cqs N .Si UQUQF��v� II II II II II II II � � Q U U U d d d d � � ao Q W U w 0 0 0 w F x F O 0 U ti Q o z � N U w 0 0 v, F F O O O w R O U Q � � O � v b � V 'J O a � N U w O O c4 a c 0 C � a d N O U � GQ 7 U G O d w ti 0 a a a, a C C a A A A A A A A U U U U U U U s W m W W U W W W W U w w w w P P P P P P P P P 0 0 N 0 N 0 N 0 N 0 N 0 N 0 N 0 N N d O N W M W [� O O 0 a a p0 y0 O F F FV„ F F cn Ln d U 0.1 oo 'v 6 L1 v vai a° 0 00 0 '" 0 wz U � / / \ / = m m m & w m m u az � z a co co a E @ @ ) ) ) § 5 5 ® - Q } } } \ \ ( 4 ( § § ( ) ) ) 7 § n k § k k _ § §# § ) � \ \ w u o u u u u u u u ) | � \ k k § § § § § § � \ \ \ \ ƒ \ 5 z ) ( ) @ } k j ® Cl ( ® m ° ° ° § ) ( ej u u ) i [ ) ) a ) a ) ) } / � }) \/ \� } }) }) \) \} }j � /^ u o u u o o SECTION II Asbestos Sample Locations Drawing % C q o LU _ Q CIQ QQ$ 2� >R �� & 2 % 0 � §� O o � � _ a m � r _ � r �■ 2 t0 U. �q » � 0- m 2 R k 0 0 � � O E @ m� 2 � + s .7 ¢ 2 m n E � U m E 0 § 3 2 � 0 G « §U- L ) k \\ \o � 0 _ \� m [z/ k %k) « §Eg .�e&m # $52 .�� SECTION III Asbestos Laboratory Report EMSL Analytical, Inc. 14375 23rd Avenue North Minneapolis, Mn 55447 Tel /Fax: (763) 449 -4922 / (763) 449 -4924 http: / /www.EMSL.com / minneapolislab @emsl.com EMSL Order: 351703162 Customer ID: IFEA50 Customer PO: Project ID: Attention: Jennifer Theis Phone: (952) 687 -1427 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/09/2017 5:05 PM Suite 600 Analysis Date: 05/12/2017 - 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710443 - 4201 Jefferson St. Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R- 93/116 Method using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance % Fibrous % Non - Fibrous % Type 050917CN- 01 -Textu Throughout 1st FI - White 98°% Non - fibrous (Other) 2 %Chrysotile re Plaster, MOA Non - Fibrous 351703162 -0001 Homogeneous 050917CN -01 -Top Throughout 1st FI - Gray 100% Non - fibrous (Other) None Detected Plaster Plaster, MOA Non - Fibrous 351703162 -0001A Homogeneous 050917CN -01 -Base Throughout 1st FI - White <1% Cellulose 100% Non - fibrous (Other) None Detected Plaster Plaster, MOA Fibrous <1% Hair 351703162 -00018 Homogeneous 050917CN -02 -Comp Throughout - Beige 10% Cellulose 90% Non - fibrous (Other) <1% Chrysotile osite Sheetrock, NOA Fibrous 351703162 -0002 Homogeneous This is a composite result of wallboard, jt. compound, and tape 050917CN -03 -Comp Basement - Sheetrock, White /Beige 10°% Cellulose 90% Non - fibrous (Other) None Detected osite NOB Non - Fibrous 351703162 -0003 Homogeneous This is a composite result of wallboard, it. compound, and tape 050917CN -04 Living Rm - Rough Beige 97% Non - fibrous (Other) 3 %Chrysotile 351703162 -0004 Sand Texture, G 1 A Fibrous Homogeneous 050917CN -05 Bed 1 - Rough Sand Positive Stop 351703162 -0005 Texture, G1A (Not Analyzed) 050917CN -06 Bed 2 - Rough Sand Positive Stop 351703162 -0006 Texture, G1A (Not Analyzed) 050917CN -07 Family Rm, Popcorn White 100% Non- fibrous (Other) None Detected 351703162 -0007 Texture, G1B Non - Fibrous Homogeneous EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalyfical, Inc. Dallas, TX NVLAP Lab Code 600111 -0, TX 300456 Report amended: 05/15/2017 11:19:10 Replaces initial report from: 05/12/2017 13:49:01 Reason Code: Client - Results Changed Printed: 5/15/2017 11:20:04AM Page 1 of 6 EMSL Analytical, Inc. 14375 23rd Avenue North Minneapolis, Mn 55447 Tel/Fax: (763) 449-4922 / (763) 449-4924 http: / /www.EMSL.com / minneapolislab @emsl.com EMSL Order: 351703162 Customer ID: IFEA50 Customer PO: Project ID: r -- Attention: Jennifer Theis Phone: (952) 687 -1427 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/09/2017 5:05 PM Suite 600 Analysis Date: 05/12/2017 - 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710443 - 4201 Jefferson St. rEMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalytical, Inc. Dallas, TX NVLAP Lab Code 600111 -0, TX 300456 Report amended: 05/15/2017 11:19:10 Replaces initial report from: 05/12/2017 13:49:01 Reason Code: Client - Results Changed Printed:5 /15/2017 11:20:04AM Page 2 of 6 Test Report: Asbestos Analysis of Bulk Materials via EPA 600 /R- 93/116 Method using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance % Fibrous % Non - Fibrous % Type 050917CN -08 Family Rm, Popcorn White 100% Non - fibrous (Other) None Detected 351703162 -0009 Texture, G1B Non- Fibrous Homogeneous 050917CN -09 Family Rm, Popcorn White 98% Non - fibrous (Other) 2 %, Chrysotile 351703162 -0009 Texture, G 1 B Non - Fibrous Homogeneous 050917CN -10 Living Rm - Brick Gray 100% Non - fibrous (Other) None Detected 351703162 -0010 Mortar - Fireplace, J3A Non- Fibrous Homogeneous 050917CN -11 Bath Rm - Floor Filler, Gray 100% Non - fibrous (Other) None Detected 351703162 -0011 J3B Non - Fibrous Homogeneous 050917CN -12 Utility - Chimney Gray 100% Non - fibrous (Other) None Detected 351703162 -0012 Mortar, J3C Non- Fibrous Homogeneous 050917CN -13 -Coati Utility - Glass Block White 5% Wollastonite 95% Non - fibrous (Other) None Detected ng Mortar, J3D Non- Fibrous 351703162 -0013 Homogeneous 050917CN- 13 -Morta Utility - Glass Block Gray 100% Non - fibrous (Other) None Detected r Mortar, J31) Non- Fibrous 351703162 -0013A Homogeneous 050917CN -15 Family - Block Mortar, Gray 100% Non - fibrous (Other) None Detected 351703162 -0014 J3E Non - Fibrous Homogeneous 050917CN -16 Family - Surface White 5% Wollastonite 95% Non - fibrous (Other) None Detected 351703162 -0015 Coating, G2A Non - Fibrous Homogeneous 050917CN -17 Utility - Surface White 2% Hair 98% Non - fibrous (Other) None Detected 351703162 -0016 Coating, G2A Fibrous Homogeneous rEMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalytical, Inc. Dallas, TX NVLAP Lab Code 600111 -0, TX 300456 Report amended: 05/15/2017 11:19:10 Replaces initial report from: 05/12/2017 13:49:01 Reason Code: Client - Results Changed Printed:5 /15/2017 11:20:04AM Page 2 of 6 EMSL Analytical, Inc. 14375 23rd Avenue North Minneapolis, Mn 55447 Tel /Fax: (763) 449 -4922 / (763) 449 -4924 http: / /www.EMSL.com / minneapolislab @emsl.com EMSL Order: 351703162 Customer ID: IFEA50 Customer PO: Project ID: Attention: Jennifer Theis Phone: (952) 687 -1427 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/09/2017 5:05 PM Suite 600 Analysis Date: 05/12/2017 - 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710443 - 4201 Jefferson St. Test Report: Asbestos Analysis of Bulk Materials via EPA 600 /R- 93/116 Method using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance % Fibrous % Non- Fibrous % Type 050917CN -18 Utility - Surface White 100% Non - fibrous (Other) None Detected 351703162 -0017 Coating, G2A Non- Fibrous Homogeneous 050917CN -19 Utility - Canvas Gasket, Brown 85% Cellulose 15% Non - fibrous (Other) None Detected 351703162 -0018 LOA Fibrous Homogeneous 050917CN- 20 -Marbl Bath - 12" Marble Tile White 100% Non - fibrous (Other) None Detected e Tile System, X1A Non - Fibrous 351703162 -0019 Homogeneous 050917CN -20 -Grout Bath - 12" Marble Tile Gray 100% Non- fibrous (Other) None Detected 351703162 -0019A System, X1A Non- Fibrous Homogeneous 050917CN -21 -Grout Kitchen - 4" Ceramic Gray 100% Non - fibrous (Other) None Detected 351703162 -0020 Tile System, X1 B Non- Fibrous Homogeneous 050917CN -21 -Mast! Kitchen - 4" Ceramic Tan 100% Non - fibrous (Other) None Detected c Tile System, X1 B Non - Fibrous 351703162 -0020A Homogeneous 050917CN -22 Kitchen - Sink Black 97% Non - fibrous (Other) 3 %Chrysotile 351703162 -0021 Undercoating - Black, Non - Fibrous VOA Homogeneous 050917CN -23 -Sheet Kitchen - 8" Square Gray 20% Cellulose 78% Non - fibrous (Other) None Detected Flooring Pattern Sheetflooring, Fibrous 2% Glass 351703162 -0022 K1A Homogeneous 050917CN- 23 -Masti Kitchen - 8" Square Yellow 100% Non - fibrous (Other) None Detected C Pattern Sheetflooring, Non - Fibrous 351703162 -0022A K1A Homogeneous 050917CN -24 Bath - Fixture Caulk - Clear 100% Non - fibrous (Other) None Detected 351703162 -0023 Clear, XOA Non - Fibrous Homogeneous EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalytical, Inc. Dallas, TX NVLAP Lab Code 600111 -0, TX 300456 Report amended: 05/15/2017 11:19:10 Replaces initial report from: 05/12/2017 13:49:01 Reason Code: Client - Results Changed I Printed:5 /15/2017 11:20:04AM Page 3 of 6 EMSL Analytical, Inc. 14375 23rd Avenue North Minneapolis, Mn 55447 Tel /Fax: (763) 449 -4922 / (763) 449 -4924 http: / /www.EMSL.com / minneapolislab @emsl.com EMSL Order: 351703162 Customer ID: IFEA50 Customer PO: Project ID: Attention: Jennifer Theis Phone: (952) 687 -1427 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/09/2017 5:05 PM Suite 600 Analysis Date: 05/12/2017 - 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710443 - 4201 Jefferson St. Test Report: Asbestos Analysis of Bulk Materials via EPA 600 /R- 93/116 Method using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance °% Fibrous % Non - Fibrous % Type 050917CN -25 Kitchen - Counter White 100% Non - fibrous (Other) None Detected 351703162 -0024 Caulk - White, XOB Non - Fibrous Homogeneous 050917CN -26 Exterior - Gray 100% Non - fibrous (Other) None Detected 351703162 -0025 Window /Door Caulk, Non - Fibrous XOE Homogeneous 050917CN -27 Exterior - Clear Brown 100% Non - fibrous (Other) None Detected 351703162 -0026 Sealant, XOD Non- Fibrous Homogeneous 050917CN -28 -Clear Exterior - Brown Clear 100% Non - fibrous (Other) None Detected Sealant Sealant, XOC Non - Fibrous 351703162 -0027 Homogeneous 050917CN -28 -Brow Exterior - Brown Brown 100% Non - fibrous (Other) None Detected n Sealant Sealant, XOC Non- Fibrous 351703162 -0027A Homogeneous 05091 7CN-28-B lack Exterior - Brown Black 5% Cellulose 95% Non - fibrous (Other) None Detected Sealant Sealant, XOC Non - Fibrous 351703162 -00278 Homogeneous 050917CN- 29 -Stucc Exterior - Stucco, MOB White 100% Non - fibrous (Other) None Detected o Non - Fibrous 351703162 -0028 Homogeneous 050917CN- 29 -Plast Exterior - Stucco, MOB Gray 100% Non - fibrous (Other) None Detected er Non - Fibrous 351703162 -0028A Homogeneous 050917CN -30 -Roofs Exterior - Shingles - Black 15% Glass 85°% Non - fibrous (Other) None Detected ng Shingle House, ZOA Fibrous 351703162 -0029 Homogeneous 050917CN -30 -Roofs Exterior - Shingles - Black 85% Cellulose 15% Non - fibrous (Other) None Detected ng Felt House, ZOA Fibrous 351703162 -0029A Homogeneous EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available ipon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalytical, Inc. Dallas, TX NVLAP Lab Code 600111 -0, TX 300456 Report amended: 05115/2017 11:19:10 Replaces initial report from: 05/12/2017 13:49:01 Reason Code: Client - Results Changed Printed:5 /15/2017 11:20:04AM Page 4 of 6 �tEMSL Analytical, Inc. 14375 23rd Avenue North Minneapolis, Mn 55447 Tel /Fax: (763) 449 -4922 / (763) 449 -4924 http: / /www.EMSL.com / minneapolislab @emsl.com EMSL Order: 351703162 Customer ID: IFEA50 Customer PO: Project ID: Attention: Jennifer Theis Phone: (952) 687 -1427 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/09/2017 5:05 PM Suite 600 Analysis Date: 05/12/2017 - 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710443 - 4201 Jefferson St. Test Report: Asbestos Analysis of Bulk Materials via EPA 600 /R- 93/116 Method using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance % Fibrous % Non - Fibrous % Type 050917CN -31 Exterior - Black Roof Black 10% Cellulose 90% Non - fibrous (Other) None Detected 351703162 -0030 Sealant, Z1A Fibrous Homogeneous 050917CN -32 -Roofs Garage - Shingles - Black 15% Glass 85% Non - fibrous (Other) None Detected ng Shingle Garage, ZOB Fibrous 351703162 -0031 Homogeneous 050917CN -32 -Roofs Garage - Shingles - Black 85% Cellulose 15% Non - fibrous (Other) None Detected ng Felt Garage, ZOB Fibrous 351703162 -0031A Homogeneous 050917CN -33 Utility - Floor Tan 100% Cellulose 0% Non - fibrous (Other) None Detected 351703162 -0032 Underlayment, SOA Fibrous Homogeneous 050917CN -34 Attic - Vapor Barrier, Tan /Black 75% Cellulose 25% Non - fibrous (Other) None Detected 351703162 -0033 SOB Fibrous Homogeneous EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalytical, Inc. Dallas, TX NVLAP Lab Code 600111 -0, TX 300456 Report amended: 05/15/2017 11:19:10 Replaces initial report from: 05/12/2017 13:49:01 Reason Code: Client - Results Changed Printed:5 /15/2017 11:20:04AM Page 5 of 6 EMSL Analytical, Inc. 14375 23rd Avenue North Minneapolis, Mn 55447 Tel /Fax: (763) 449 -4922 / (763) 449 -4924 http: / /www.EMSL.com / minneapolislab @emsl.com EMSL Order: 351703162 Customer ID: IFEA50 Customer PO: Project ID: Attention: Jennifer Theis Phone: (952) 687 -1427 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/09/2017 5:05 PM Suite 600 Analysis Date: 05/12/2017 - 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710443 - 4201 Jefferson St. Report Comments: Sample Receipt Date: 05/09/2017 Analysis Completed Date: 05/15/2017 Analyst(s): Beverly Lorenzana PLM (16) Rachel Travis PLM (2) Samples Reviewed and approved by: Sample Receipt Time Analysis Completed Time Cindy Nguyen PLM (24) 5:05 PM 11:17 AM f_,&, LJ 'A___ Rachel Travis, Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1 Samples analyzed by EMSLAnalytical, Inc. Dallas, TX NVLAP Lab Code 600111 -0, TX 300456 Report amended: 05/15/2017 11:19:10 Replaces initial report from: 05/12/2017 13:49:01 Reason Code: Client - Results Changed Printed: 5/15/2017 11:20:04AM Page 6 of 6 EMSL Analytical, Inc. 14375 23rd Avenue North Minneapolis, Mn 55447 Phone /Fax: (763) 449 -4922 / (763) 449 -4924 http: / /www.EMSL.com / minneapolislab @emsl,com EMSL Order: 351703162 Customer ID: IFEA50 Customer PO: Project ID: Attention: Jennifer Theis Phone: (952) 687 -1427 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received: 05/09/2017 5:05 PM Suite 600 Analysis Date: 05/18/2017 Brooklyn Park, MN 55445 Collected: Project: 201710443 - 4201 Jefferson St. Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R- 93/116 Method using Polarized Light Microscopy. Quantitation using 400 Point Count Procedure Non - Asbestos Asbestos Sample Description Appearance % Fibrous % Non - Fibrous %Type 050917CN -02 -Comp Throughout - Tan/White /Beige 100% Non - fibrous (Other) <0.25% Chrysotile osite Sheetrock, NOA Fibrous 351703162 -0002 Heterogeneous Analyst(s) Rachel Travis (1) This is a composite result of wallboard, jt. compound, and tape f-a,- Li Rachel Travis, Laboratory Manager or other approved signatory Disclaimer:Some samples may contain asbestos fibers present in dimensions below PLM resolution limits. The limit of detection as stated in the method is 0.25%. EMSL Analytical Inc suggests that samples reported as <0,25% or none detected undergo additional analysis via TEM . The above test report relates only to the items tested. This report may not be reproduced, except in full, without written approval of EMSLAnalytical Inc. This test report must not be used by the client to claim product endorsement by NVLAP or any agency of the United States Government . EMSL Analytical Inc., bears no responsibility for sample collection activities, analytical method limitations, or the accuracy of results when requested to separate layered samples. EMSLAnalytical Inc., liability is limited to the cost of sample analysis.The test results contained within this report meet the requirements of NELAC unless otherwise noted. Samples received in good condition unless otherwise noted. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Samples analyzed by EMSL Analytical, Inc. Dallas, TX NVLAP Lab Code 600111 -0, TX 300456 Initial report from: 05/18/2017 09:54:12 J Printed 5/18/2017 9:54:14AM Page 1 of 1 OrderID: 351703162 6 0 a A O E� U w O x U I z� a� RIO w e� tun St,, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Z o y L wn 8' 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O o WL O O O O O O O O O O O O O O O y W'ld A� w3d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 w 8 H A QN 8 � 6 1ma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 V „d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 Z Ra U � a s► � 8� g , a Ilk a B > v Paqe 1 Of 3 OrderID: 351703162 1- l O A O Fy U w O z x U zi ooaRa 3 MM V-4 Page 2 Of tun Sb, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 z w 2 +.► �n g' O O O O O O O O O O O O O O O O F F e � � W RoT'11 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 a Wks 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C3. a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 A Wn4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 H �" ding 3cd 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ` a � a s PO a 4 � b N �y Page 2 Of OrderID: 351703162 ` f m A O F* U W z x U tiV J 0 z L � nSb O O O O O O O O O O O O O O O o °e 420 �+ wn g• 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O F F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O '�' ,g � � �• I I i J o 0 0 0 0 0 0 0 0 0 0 0 0 o o 4 00111 T A Z .� waa 000000000000000 0. all 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 �' H C xing „d 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 � C u tND z g A4 U G Er � 0 1 A lz CA L o V E cc, r � i 7- z � Paae 3 Of 3 .. SECTION IV Hazardous Material Inventory Summary Regulated Materials Inventory Institute of Environmental Assessment, Inc. 9201 West Broadway Avenue, Suite 600 Brooklyn Park, MN 55445 763 - 315 -7900 Client: City of Columbia Heights Location: 4201 Jefferson St., Columbia Heights, MN Date of Survey: May 9, 2017 Proiect No.: 201710443 Area Location Regulated Items - Associated Hazards Quantity Living Room Pneumatic Door Closure - Oil 1 Thermostat - Circuitry 1 Bedroom 1 No Regulated Items Identified -- Bedroom 2 No Regulated Items Identified -- Bathroom No Regulated Items Identified -- Kitchen Pneumatic Door Closure - Oil 1 Dish Washer - Circuitry /Appliance 1 Range - Appliance 1 Refrigerator - ODC /Appliance 1 Smoke Detector - Circuitry 1 Surge Protector - Circuitry 1 Miscellaneous Chemicals - Quart Containers 4 Basement Compact Fluorescent Bulb 2 Water Heater - Appliance 1 Refrigerator - ODC /Appliance 1 Paint - Quart Container 1 Paint - 1 Gallon Container 18 Paint - Aerosol Cans 4 Television - Circuitry 1 Fan - Circuitry 1 Miscellaneous Chemicals - 1 Gallon Containers 6 Dehumidifier - ODC 1 Paper Shredder - Circuitry 1 Computer (CPU) - Circuitry 1 Natural Gas Furnace - Mercury /Appliance 1 Garage 4' Fluorescent Bulb 4 Ballast 2 Oil - Free in Container 1 Oil - Quart Containers 8 Paint,- 1 Gallon Container 3 Paint - 5 Gallon Container 1 Miscellaneous Adhesives - Quart Container 3 Miscellaneous Chemicals - Quart Containers 1 Dish Washer - Appliance 1 Garage Door Opener - Circuitry ODC = Ozone Depleting Chemical Page 2 of 2 SECTION V Asbestos Inspector's License Asbestos Inspector State Certification /Accreditation Inspector ASBESTOS JUSFECIOIR Certified by: State of Minnesota Department of Health Expires, 08/12/2017 Collin T Nelson 6720 Quantico Ln N Maple Grove, MN 66311 No P1813y' ` Ilasue . 0&18 /2016 I have completed an EPA - approved training course and all appropriate refresher courses and am licensed as an Asbestos Inspector by the Minnesota Department of Health. Signature Collin Nelson Print Name May 9, 2017 Date of Inspection AI8136 State Certification/Accreditation Number ASBESTOS & HAZARDOUS MATERIALS INSPECTION PROFILE Duplex 4641 -4643 Polk Street Columbia Heights, Minnesota May 19, 2017 Submitted to: Walter Fehst City of Columbia Heights Submitted by: Institute for Environmental Assessment 9201 West Broadway North, Suite 600 Brooklyn Park, MN 55445 -1922 763 - 315 -7900 / 800 - 233 -9513 IEA Project #201710444 INDEX SECTION I ■ Asbestos Summary and Inspection Report SECTION II ■ Asbestos Sample Locations Drawings SECTION III ■ Asbestos Laboratory Report SECTION IV ■ Hazardous Material Inventory Summary SECTION V ■ Asbestos Inspector's License SECTION I Asbestos Summary and Inspection Report Asbestos Summary 4641 -4643 Polk Street Columbia Heights, Minnesota On May 10, 2017, an inspection for asbestos - containing materials (ACM) was performed at the above - referenced location. The scope of the inspection included all suspect ACM within the building. Suspect ACM was identified and sampled for asbestos content. Identified materials confirmed to be ACM include the following: ♦ 9" x 9" Beige Floor Tile & Associated Black Mastic ♦ Acoustical Ceiling Texture — Sand Texture Specific locations of these materials, as well as those suspect materials which were analyzed and were found not to contain asbestos, are identified in the attached report. This inspection meets the requirements of the Minnesota Pollution Control Agency (MPCA) and Minnesota OSHA (MNOSHA) for an asbestos demolition/renovation inspection. Bulk samples of accessible suspect material were collected and analyzed in accordance with Environmental Protection Agency (EPA) sampling and analytical procedure requirements. Sampling was conducted in a manner determined by the inspector to be sufficient to identify whether the suspect materials are asbestos containing. The purpose of the inspection was to identify all suspect materials that may contain asbestos prior to demolition. Any suspect materials not identified on the survey that are uncovered prior to demolition should be assumed to contain asbestos or sampled. GENERAL COMMENTS The report is prepared for the exclusive use of our client for specific application to the project discussed and has been prepared in accordance with generally accepted practices. Other than as provided in the preceding sentence and in our Proposal #6067 dated May 4, 2017 regarding Hazardous Materials Assessments at the building including the General Conditions attached thereto, no warranties are extended or made. © IEA, Inc. INSTITUTE FOR ENVIRONMENTAL, ASSESSMENT, INC. Page 1 of I www.ieasafety.com C O N r.' o ^� r+ o O C4 U U J ".3 C C O O U U N � tt az x o a� a x � a rl O 4° W � O O O U� O 0 r.. �I U � b c b b N A N O +�'••' C U Uun O C Q �� II .-. 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U °o U F m o o u o U o •• i" d a M U m o a U U N � K W > O M .,WZ � A H W F W A z °z i x Q W z a a W O 0 w �o O x 0 N M C v A H W F W A z O N z 0 N a z a W O a b m 0 O v � w 3 � m N m M 0 U U H "t! a U N m O a F a W O a F o° w T � K. a m 7 M U A F U W A z O N z 0 N w N O 0 dw a 0 O S a, m 0 v � U W X M C U A F U A z zz CIO d a O 0 W a W O a o U mY W o y X C b M 0 U W W A z h O a a v O 0 a O o N � O o •• X M U A H F A � O a z 0 ca P. U °o U F m o o u o U o •• i" d a M U SECTION II Asbestos Sample Locations Drawing C7 N O N 7 m LL O N a td �C C _:3 U J U) W -Y > O W 0- J co CC dq W T O J C o O J yam mmr=u N J U a cn °Wz H z c 2 CO Q ~mow c~n z co *k ?w¢ EM-1-1 J W W J cc W M IL 0- cz c 0 c� U 0 _(D Q E f,m^ VJ o 0 m U- s N A tU >_ m o w- U �LL 0 i °oE � �aM E 3y cn mm` LL N _j C) Q �Qz d LLO H wZ yFW Z � uj Z) 0 Q F mw II �zvi 7 ?w¢ i�� SECTION III Asbestos Laboratory Report EMSL Analytical, Inc. 2500 Gateway Centre Blvd., Suite 600 Morrisville, NC 27560 Tel /Fax: (919) 465 -3900 / (919) 465 -3950 http: / /www.EMSL.com / raleighlab @emsl.com EMSL Order: 291703845 Customer ID: IFEA50 Customer PO: Project ID: Attention: Collin Nelson Phone: (763) 315 -7906 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/12/2017 10:00 AM Suite 600 Analysis Date: 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710444, City of Columbia Heights, 4641 -4647 Polk St. Test Report: Asbestos Analysis of Bulk Materials via EPA 600 /R- 93/116 Method using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance % Fibrous % Non - Fibrous % Type 051017CN -01 -Shing Shingles, Exterior - Black 20°% Glass 80% Non - fibrous (Other) None Detected le 1 ZOA Fibrous 291703845 -0001 Homogeneous 051017CN -01 -Shing Shingles, Exterior - Black 30% Glass 70% Non - fibrous (Other) None Detected le 2 ZOA Fibrous 291703845 -0001A Homogeneous 051017CN -02 Siding Caulk - Gray, Gray <1% Cellulose 100% Non - fibrous (Other) None Detected 291703845 -0002 Exterior - XOA Non- Fibrous Homogeneous 051017CN -03 Window Caulk - White, Gray/White <1% Cellulose 100% Non - fibrous (Other) None Detected 291703845 -0003 Exterior - XOB Non- Fibrous Homogeneous 051017CN -04 Door Caulk - White, White 100% Non - fibrous (Other) None Detected 291703845 -0004 Exterior - XOC Non- Fibrous Homogeneous 051017CN -05 Door / Window Caulk - Brown /Gray 5°% Wollastonite 95% Non - fibrous (Other) None Detected 291703845 -0005 Brown, Exterior - XOD Fibrous Homogeneous 051017CN -06 -Floor 12'x12" Floor Tile - Gray 100% Non - fibrous (Other) None Detected Tile 1 Multi Colored Tiles, Non- Fibrous 291703845 -0006 Living Room - K2A Homogeneous 05101 7CN-06- Floor 12'x12" Floor Tile - Beige 100% Non - fibrous (Other) None Detected Tile 2 Multi Colored Tiles, Non- Fibrous 291703845 -00066 Living Room - K2A Homogeneous 051017CN -06 -Floor 12'x12" Floor Tile - White 100% Non - fibrous (Other) None Detected Tile 3 Multi Colored Tiles, Non - Fibrous 291703845 -0006D Living Room - K2A Homogeneous 051017CN- 06 -Masti 12'x12" Floor Tile - Yellow 3% Cellulose 97% Non - fibrous (Other) None Detected c Multi Colored Tiles, Fibrous 291703845 -0006E Living Room - K2A Homogeneous =MSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no esponsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client o claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and herefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available ipon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% >amples analyzed by EMSLAnalytical, Inc. Morrisville, NC NVLAP Lab Code 200671 -0, VA 3333 000278, WVA LT000296 Initial report from: 05/15/2017 17:44:26 Printed:5 115/2017 5:44:28PM Page 1 of 7 EMSL Analytical, Inc. 2500 Gateway Centre Blvd., Suite 600 Morrisville, NC 27560 Tel /Fax: (919) 465 -3900 / (919) 465 -3950 http: / /www.EMSL.com / raleighlab @emsl.com EMSL Order: 291703845 Customer ID: IFEA50 Customer PO: Project ID: r Attention: Collin Nelson Phone: (763) 315 -7906 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/12/2017 10:00 AM Suite 600 Analysis Date: 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710444, City of Columbia Heights, 4641 -4647 Polk St. Test Report: Asbestos Analysis of Bulk Materials via EPA 600 /R- 93/116 Method using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance °% Fibrous % Non - Fibrous % Type 051017CN -07 -Floor 12"x12" Floor Tile, Beige 100% Non - fibrous (Other) None Detected Tile Cream Mottled, Kitchen Non - Fibrous 291703845 -0007 - K2B Homogeneous 051017CN- 07 -Masti 12 "x12" Floor Tile, Tan 2% Cellulose 98% Non - fibrous (Other) None Detected c Cream Mottled, Kitchen Fibrous 291703845 -0007A - K26 Homogeneous 051017CN -08 Sink Undercoating Black 2°% Cellulose 98°% Non - fibrous (Other) None Detected 291703845 -0008 Black, Kitchen - VOA Fibrous Homogeneous 051017CN -09 -Base Black Basecove & Black 100% Non - fibrous (Other) None Detected cove Adhesive, Laundry - Non - Fibrous 291703845 -0009 ROA Homogeneous 051017CN- 09 -Adhe Black Basecove & Brown/Tan 5% Cellulose 95% Non - fibrous (Other) None Detected sive Adhesive, Laundry - Fibrous 291703845 -0009A ROA Homogeneous 051017CN -10 3" Ceramic Pattern Tan/White 25% Cellulose 60% Non - fibrous (Other) None Detected 291703845 -0010 Sheet Flooring, Hall - Fibrous 10% Glass K1A Homogeneous 5% Wollastonite 051017CN -11 Caulk -White, Kitchen - White 100% Non - fibrous (Other) None Detected 291703845 -0011 VOE Non - Fibrous Homogeneous 051017CN -12 Floor Underlayment, Brown 60°% Cellulose 30% Non - fibrous (Other) None Detected 291703845 -0012 Living Room - SOA Fibrous 10°% Wollastonite Homogeneous 051017CN -13 -Floor 12 "x12" Floor Tile, Beige 100% Non - fibrous (Other) None Detected Tile Beige Mottled, Hall - Non - Fibrous 291703845 -0013 K2C Homogeneous 051017CN- 13 -Masti 12'x12" Floor Tile, Tan 2% Cellulose 98% Non - fibrous (Other) None Detected c Beige Mottled, Hall - Fibrous 291703845 -0013A K2C Homogeneous EMSL maintains liability limited to cost of analysis, This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis . Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalytical, Inc. Morrisville, NC NVLAP Lab Code 200671 -0, VA 3333 000278, WVA LT000296 Initial report from: 05/15/2017 17:44:26 Printed: 5/15/2017 5:44:28PM Page 2 of 7 EMSL Analytical, Inc. 2500 Gateway Centre Blvd., Suite 600 Morrisville, NC 27560 Tel /Fax: (919) 465 -3900 / (919) 465 -3950 http: / /www.EMSL.com / raleighlab @emsl.com EMSL Order: 291703845 Customer ID: IFEA50 Customer PO: Project ID: Attention: Collin Nelson Phone: (763) 315 -7906 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/12/2017 10:00 AM Suite 600 Analysis Date: 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710444, City of Columbia Heights, 4641 -4647 Polk St. Test Report: Asbestos Analysis of Bulk Materials via EPA 600 /R- 93/116 Method using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance % Fibrous % Non - Fibrous % Type 051017CN -14 12" Stone Pattern Gray/White <1% Cellulose 100% Non - fibrous (Other) None Detected 291703845 -0014 Sheet Flooring, Bath - Non- Fibrous K1B Homogeneous 051017CN -15 Vapor Barrier, Bath - Tan/White 45% Cellulose 15% Non - fibrous (Other) None Detected 291703845 -0015 SOB Fibrous 25% Synthetic Homogeneous 10% Glass 5% Wollastonite 051017CN -16 -Tile 4" Ceramic Wall Tile White 100% Non - fibrous (Other) None Detected 291703845 -0016 System, Bath - X1 Non- Fibrous Homogeneous 051017CN -16 -Grout 4" Ceramic Wall Tile White 100% Non - fibrous (Other) None Detected 291703845 -0016A System, Bath - X1A Non- Fibrous Homogeneous 051017CN- 16 -Adhe 4" Ceramic Wall Tile Tan 5% Cellulose 95% Non - fibrous (Other) None Detected sive System, Bath - X1 Fibrous 291703845 -0016B Homogeneous 051017CN -17 Speckled Sheet Brown /Tan 30% Cellulose 55% Non - fibrous (Other) None Detected 291703845 -0017 Flooring, Utility - KIC Fibrous 10% Synthetic Homogeneous 5% Wollastonite 051017CN -18 3" Square Pattern Tan 30% Cellulose 60°% Non - fibrous (Other) None Detected 291703845 -0018 Sheet Flooring, Kitchen Fibrous 10% Glass - K1D Homogeneous 051017CN -19 -Floor Multi -Layer Floor Tile White 100% Non - fibrous (Other) None Detected Tile 1 System, Kitchen - K2D Non - Fibrous 291703845 -0019 Homogeneous 051017CN -19 -Floor Multi -Layer Floor Tile Beige 100% Non - fibrous (Other) None Detected Tile 2 System, Kitchen - K2D Non - Fibrous 291703845 -0019A Homogeneous 051017CN- 19 -Masti Multi -Layer Floor Tile Tan 3% Cellulose 95% Non - fibrous (Other) None Detected c System, Kitchen - K21D Fibrous 2% Synthetic 291703845 -0019B Homogeneous EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalytical, Inc. Morrisville, NC NVLAP Lab Code 200671 -0, VA 3333 000278, WVA LT000296 Initial report from: 05/15/2017 17:44:26 Printed:5 /15/2017 5:44:28PM Page 3 of 7 EMSL Analytical, Inc. 2500 Gateway Centre Blvd., Suite 600 Morrisville, NC 27560 Tel /Fax: (919) 465 -3900 / (919) 465 -3950 http: / /www.EMSL.com / raleighlab @emsl.com EMSL Order: 291703845 Customer ID: IFEA50 Customer PO: Project ID: Attention: Collin Nelson Phone: (763) 315 -7906 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/12/2017 10:00 AM Suite 600 Analysis Date: 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710444, City of Columbia Heights, 4641 -4647 Polk St. Test Report: Asbestos Analysis of Bulk Materials via EPA 600 /R- 93/116 Method using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance % Fibrous % Non - Fibrous % Type 051017CN -20 8" Stone Pattern Sheet Gray 10% Glass 90% Non - fibrous (Other) None Detected 291703845 -0020 Flooring, Front Entry - Fibrous K1 E Homogeneous 051017CN -21 -Floor 9'x9" Floor Tile - Beige, Beige 98% Non - fibrous (Other) 2 %Chrysotile Tile Front Entry - KOA Fibrous 291703845 -0021 Homogeneous 051017CN -21 -Mast! 9'x9" Floor Tile - Beige, Black 2% Cellulose 96% Non-fibrous (Other) 2% Chrysotile c Front Entry - KOA Fibrous 291703845 -0021A Homogeneous 051017CN -22 Residual Black Mastic, Tan /Black 3% Cellulose 97% Non - fibrous (Other) None Detected 291703845 -0022 Bedroom 2 - KOB Fibrous Homogeneous 051017CN -23 -Floor 12'x12" Floor Tile - Brown 100% Non - fibrous (Other) None Detected Tile 1 Brown /Beige Checker Non - Fibrous 291703845 -0023 Pattern, Kitchen - K2E Homogeneous Insufficient amount of mastic for analysis. 051017CN -23 -Floor 12'x12" Floor Tile - Beige 100% Non - fibrous (Other) None Detected The 2 Brown /Beige Checker Non- Fibrous 291703845 -0023A Pattern, Kitchen - K2E Homogeneous Insufficient amount of mastic for analysis. 051017CN -24 -Base White Basecove & Gray <1% Cellulose 100% Non - fibrous (Other) None Detected cove Adhesive, Kitchen - Non - Fibrous 291703845 -0024 ROB Homogeneous 051017CN- 24 -Adhe White Basecove & Tan 2% Cellulose 98% Non - fibrous (Other) None Detected sive Adhesive, Kitchen - Fibrous 291703845 -0024A ROB Homogeneous 051017CN -25 -Tile 1" Ceramic Floor The Gray/White 100% Non - fibrous (Other) None Detected 291703845-0025 System, Bath - X1 B Non - Fibrous Homogeneous EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP. NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalytical, Inc. Morrisville, NC NVLAP Lab Code 200671 -0, VA 3333 000278, WVA LT000296 Initial report from: 05/15/2017 17:44:26 Printed:5 /15/2017 5:44:28PM Page 4 of 7 �0EMSL Analytical, Inc. 2500 Gateway Centre Blvd., Suite 600 Morrisville, NC 27560 Tel /Fax: (919) 465 -3900 / (919) 465 -3950 http: / /www.EMSL,com / raleighlab @emsl.com EMSL Order: 291703845 Customer ID: IFEA50 Customer PO: Project ID: Attention: Collin Nelson Phone: (763) 315 -7906 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/12/2017 10:00 AM Suite 600 Analysis Date: 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710444, City of Columbia Heights, 4641 -4647 Polk St. EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalytical, Inc. Morrisville, NC NVLAP Lab Code 200671 -0, VA 3333 000278, WVA LT000296 Initial report from: 05/15/2017 17:44:26 Printed:5 /15/2017 5:44:28PM Page 5 of 7 Test Report: Asbestos Analysis of Bulk Materials via EPA 600 /R- 93/116 Method using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance % Fibrous % Non - Fibrous % Type 051017CN -25 -Grout 1" Ceramic Floor Tile Brown 100% Non - fibrous (Other) None Detected 291703845 -0025A System, Bath - X1 B Non - Fibrous Homogeneous 051017CN- 25 -Adhe 1" Ceramic Floor Tile Tan 2% Cellulose 98% Non - fibrous (Other) None Detected sive System, Bath - X 1 B Fibrous 291703845 -00258 Homogeneous 051017CN -26 Shower Surround Tan/White 5% Cellulose 95% Non - fibrous (Other) None Detected 291703845 -0026 Adhesive, Bath - XOF Fibrous Homogeneous 051017CN -27 Sheetrock, Kitchen - Brown/White 15% Cellulose 83°% Non - fibrous (Other) None Detected 291703845 -0027 NOA Fibrous 2% Glass Homogeneous <1% Wollastonite This is a composite result of sheetrock, and joint compound. 051017CN -28 Acoustical Texture - White 97% Non - fibrous (Other) 3 %Chrysotile 291703845 -0028 Sand Texture - G1A Fibrous Homogeneous 051017CN -29 Acoustical Texture - Positive Stop 291703845 -0029 Sand Texture - G1A (Not Analyzed) 051017CN -30 Acoustical Texture - Positive Stop 291 703 64 5 -003 0 Sand Texture - G1A (Not Analyzed) 051017CN -31 Acoustical Texture - Positive Stop 291703845 -0031 Sand Texture, Living (Not Analyzed) Room - G1A 051017CN -32 Acoustical Texture - Positive Stop 291703845 -0032 Sand Texture, (Not Analyzed) Bedroom - G1A 051017CN -33 Brick Mortar, Exterior - Brown /Gray 100% Non - fibrous (Other) None Detected 291703845 -0033 J3A Non - Fibrous Homogeneous EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalytical, Inc. Morrisville, NC NVLAP Lab Code 200671 -0, VA 3333 000278, WVA LT000296 Initial report from: 05/15/2017 17:44:26 Printed:5 /15/2017 5:44:28PM Page 5 of 7 EMSL Analytical, Inc. 2500 Gateway Centre Blvd., Suite 600 Morrisville, NC 27560 Tel /Fax: (919) 465-39001 (919) 465 -3950 http: / /www.EMSL,com / raleighlab @emsl.com EMSL Order: 291703845 Customer ID: IFEA50 Customer PO: Project ID: Attention: Collin Nelson Phone: (763) 315 -7906 Inst. For Environmental Assessment Fax: (763) 315 -7920 9201 West Broadway Received Date: 05/12/2017 10:00 AM Suite 600 Analysis Date: 05/15/2017 Brooklyn Park, MN 55445 Collected Date: Project: 201710444, City of Columbia Heights, 4641 -4647 Polk St. EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis, Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSL Analytical, Inc. Morrisville, NC NVLAP Lab Code 200671 -0, VA 3333 000278, wVA LT000296 (Initial report from: 05/15/2017 17:44:26 Printed:5 /15/2017 5:44:28PM Page 6 of 7 Test Report: Asbestos Analysis of Bulk Materials via EPA 600 /R- 93/116 Method using Polarized Light Microscopy Non - Asbestos Asbestos Sample Description Appearance % Fibrous % Non - Fibrous % Type 051017CN -34 Cellulose Insulation, Brown 85% Cellulose 15% Non - fibrous (Other) None Detected 291703845 -0034 Attic - YOA Fibrous Homogeneous 051017CN -35 Cellulose Insulation, Brown 85% Cellulose 15% Non - fibrous (Other) None Detected 291703845 -0035 Attic - YOA Fibrous Homogeneous 051017CN -36 Cellulose Insulation, Brown /Gray 75% Cellulose 20% Non - fibrous (Other) None Detected 291703845 -0036 Attic - YOA Fibrous 5% Glass Homogeneous EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis, Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSL Analytical, Inc. Morrisville, NC NVLAP Lab Code 200671 -0, VA 3333 000278, wVA LT000296 (Initial report from: 05/15/2017 17:44:26 Printed:5 /15/2017 5:44:28PM Page 6 of 7 EMSL Analytical, Inc. 2500 Gateway Centre Blvd., Suite 600 Morrisville, NC 27560 Tel /Fax: (919) 465 -3900 / (919) 465 -3950 M http: / /www.EMSL.com / raleighlab @emsl.corn Attention: Collin Nelson Inst. For Environmental Assessment 9201 West Broadway Suite 600 Brooklyn Park, MN 55445 Project: 201710444, City of Columbia Heights, 4641 -4647 Polk St. Report Comments: Sample Receipt Date: 05/12/2017 Analysis Completed Date: 05/15/2017 Analyst(s): Signature Not Loaded Joshua Moorman PLM (47) Samples Reviewed and approved by: EMSL Order: 291703845 Customer ID: IFEA50 Customer PO: Project ID: Phone: (763) 315 -7906 Fax: (763) 315 -7920 Received Date: 05/12/2017 10:00 AM Analysis Date: 05/15/2017 Collected Date: Sample Receipt Time Analysis Completed Time C��t J" Kelly Gallisdorfer PLM (1) 10:00 AM 11:45 AM Billy Barnes, Asbestos Lab Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non - friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1 Samples analyzed by EMSLAnalytical, Inc. Morrisville, NC NVLAP Lab Code 200671 -0, VA 3333 000278, WVA LT000296 Initial report from: 05/1512017 17:44:26 Printed:5 /15/2017 5:44:28PM Page 7 of 7 OrderID: 291703845 C) I ` 0 I 6D 8�¢ M O r d d o$o 0 CL _ y om t LU'S ~ V `o LL c i?3 th z Oy M s. a. sa � o 0 y d! L C2 p d A P. 0 a 0 U �lxI ,u La Vow � Ilk \l� � C Paae 1 Of 3 �Nh � e a x 0 s A F IF Q I P �iI FACE A� 7° 1a um Sb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 & as 0 � � z O F ~ i. tuts 8' o 0 o 0 0 0 o 0 0 0 o 0 o 0 0 0 � o o 0 0 o 0 0 o 0 o o 0 0 0 o o` s d � a o o o 0 o o o o o o o o o o o o •y p W id v y�� 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Q , � H A IQ O O O O 0 0 0 0 0 0 0 0 0 0 0 � Fy xing O O „ d o o 0 0 o O o o O o o �- ,u La Vow � Ilk \l� � C Paae 1 Of 3 �Nh � e a x 0 s A F IF Q I P �iI FACE A� 7° 1a \ Q z z U & as 0 � � 0 O cu 0 � o s d ,u La Vow � Ilk \l� � C Paae 1 Of 3 �Nh � e a x 0 s A F IF Q I P �iI FACE A� 7° 1a OrderID: 291703845 &!I 6 N! 9 C o ti Y ao x 3 o m �a m E U 0 Pao 'C V w ,00, �R�aa I A z m� ww Paqe 2 Of 0 0 N Q r uin Sti, O O O O 0 0 0 0 0 0 0 O O 0 0 z 5 w e id mn 8• 0 0 0 0 0 0 0 0 0 0 0 0 0 O O O P r M � c � W SOW o 0 0 o 0 o o 0 o 0 o o 0 o 0 ca .0 ., Q Wei o o o o o o o o o o o o o o 0 E Wed 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 V d A � u isno 0 0 0 0 0 0 0 0 0 0 O O O 0 0 c A ~ XInH IT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ' k �1 .?4 V g° NCO V z z ` C 61 � ` w p O 1 ' � � b p A j v T a I- � P 4-} i ilk rN a F y ° Paqe 2 Of 0 0 N Q r OrderID: 291703845 � 1 r b ti i 'oE $r� U) Y a x 73 cli m �a z b 7 0 U 0 U ooti � � N �0IL s q z M �ir, Q1 ^� N Paste 3 Of 0 0 N X tun Sb, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 w um 8' 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O gow 000000000000000 0 H I'M 000000000000000 WT,' 0 0 0 0 0 0 0'0 0 0 0 0 0 0 0 A U Fr isn(I 0 0 0 0 0 0 0 O O O O 0 0 0 0 8 H H �" ) •� Xing O O O(A O 0 0 0 0 O O O O 0 0 0 0 L v z z ig z � .. o z .. O Q ~ a Ul C O 4 o d U V d � GO > > Q h Paste 3 Of 0 0 N X SECTION IV Hazardous Material Inventory Summary Regulated Materials Inventory Institute of Environmental Assessment, Inc. 9201 West Broadway Avenue, Suite 600 Brooklyn Park, MN 55445 763 - 315 -7900 Client: City of Columbia Heights Location: 4641 -4643 Polk St., Columbia Heights, MN Date of Survey: May 9, 2017 Proiect No.: 201710444 Area Location Regulated Items - Associated Hazards Quantity Front Entry Paint - 1 Gallon Container 1 Printer - Circuitry 1 Back Entry No Regulated Items Identified -- Exterior Motion Sensor - Circuitry 1 Electric Meters - Circuitry 2 Miscellaneous Control Boxes - Circuitry 3 UPPER LEVEL Living Room PTEC AC Unit - Circuitry /ODC 1 Kitchen No Regulated Items Identified -- Utility Room Natural Gas Furnace - Mercury /Appliance 1 Water Heater - Appliance 1 Laundry /Hall Thermostat - Mercury 1 Smoke Detector - Circuitry 1 Bathroom No Regulated Items Identified -- Bedroom 1 Smoke Detector - Circuitry 1 Bedroom 2 ISmoke Detector - Circuitry 1 1 LOWER LEVEL Living Room PTEC AC Unit - Circuitry /ODC 1 Thermostat - Mercury 1 Kitchen Range - Appliance 1 Utility Room Natural Gas Furnace - Mercury /Appliance 1 Water Heater - Appliance 1 Laundry /Hall No Regulated Items Identified -- Bathroom No Regulated Items Identified -- Bedroom 1 Smoke Detector - Circuitry 1 Bedroom 2 ISmoke Detector - Circuitry 1 ODC = Ozone Depleting Chemical Page 2 of 2