HomeMy WebLinkAbout2021-4037Contract # 2021-4037
EDA IN AND FOR THE CITY OF COLUMBIA HEIGHTS CONTRACT FOR
AT 2307 960 AND 1002 40TH AVENUE NE.
For valuable consideration as set forth below, this Contract dated the ,� -04 y
da of
November, 2021, is made and entered into between the Economic Development Authority in and
for the City of Columbia Heights, a public body corporate and politic created pursuant to the
laws of the State of Minnesota ("EDA") and Drobnick's Construction Clean -Up, DBA,
Drobnick's Demolition, a Minnesota corporation ("Contractor").
1. CONTRACT DOCUMENTS
Contractor hereby promises and agrees to perform and comply with all the provisions of
this Contract pursuant to the specifications for demolition, site grading, and utility work attached
hereto as Exhibit A for the residential properties located at 230, 960, and 1002 40th Avenue NE,
Columbia Heights, Minnesota ("Properties"). The Contract including specifications in Exhibit
A shall comprise the total agreement of the parties hereto. No oral order, objection, or claim by
any party to the other shall affect or modify any of the terms or obligations contained in this
Contract.
2. THE WORK
The work to be performed by Contractor under this Contract (hereinafter the "Work"), is
defined in the Proposal as demolition of all building and site improvements located on the
Properties and re -grading of the Properties. As part of the Work, Contractor agrees to remove all
excess material from the Properties.
3. CONTRACT PRICE
The EDA agrees to pay Contractor the sum of $41,295 in exchange for Contractor
furnishing labor and materials for the Work at the Properties, payable within 30 days of
Contractor's completion of the Work.
Contractor may start work on this project upon its execution of this Contract and
providing proof of insurance pursuant to paragraph 5.
4. COMPLETION DATE/LIQUIDATED DAMAGES
Contractor shall complete all Work on or before May 31, 2022 ("Completion Date").
Due to the difficulty in ascertaining and establishing the actual damages which the EDA or City
would sustain, liquidated damages are specified as follows for failure of Contractor to complete
his performance under this Contract by the Completion Date: for every calendar day that the
Contract shall remain uncompleted beyond the Completion Date of May 31, 2022, Contractor
shall pay the EDA S50.00 per day as liquidated damages.
—1—
5. INSURANCE
Before beginning actual work under this Contract, Contractor shall submit to the EDA
and obtain the EDA's approval of a certificate of insurance on Standard Form C.I.C.C.-701 or
ACORD 25 forms, showing the following insurance coverage, and listing the Contractor as a
loss payee under the policies:
a. General Contractor Liability:
$1,000,000.00
b. Workman's Compensation: Statutory Amounts
The EDA and the City shall be named as an Additional Insureds in regard to the General
Contractor Liability forms where required by written contract on a primary and non-contributory
basis, including completed operations. This certificate must provide for the above coverages to
be in effect from the date of the Contract until 30 days after the Completion Date, and must
provide the insurance coverage will not be canceled by the insurance company without 30 days
written notice to the EDA of intent to cancel. The certificate must further provide that
Contractor's insurance coverage is primary coverage notwithstanding any insurance coverage
carried by the EDA that may apply to injury or damage relating to the maintenance or repair of
the City streets or rights -of -way by either the City, EDA or any employee, agent, independent
contractor or any other person or entity retained by the City or EDA to perform the services
described herein. All insurance is subject to the review and approval of the Columbia Heights
City Attorney.
6. LAWS, REGULATIONS AND SAFETY
Contractor shall give all notices and comply with all laws, ordinances, rules, and
regulations applicable to performance under this Contract. Contractor shall provide adequate
signs and/or barricades, and will take all necessary precautions for the protection of the work and
the safety of the public.
7. INDEMNIFICATION
To the fullest extent permitted by law, Contractor shall indemnify and hold harmless the
City, EDA, their agents and employees from and against all claims, damages, losses and
expenses, including but not limited to attorney's fees, arising out of or resulting from the
performance of Work, provided that any such claim, damage, loss or expense (1) is attributable
to bodily injury, sickness, disease or death, or to injury or to destruction of tangible properties
(other than the Work itself) including the loss of use resulting therefrom, and (2) is caused in
whole or in part by any negligent act or omission of Contractor, any Subcontractor, anyone
directly or indirectly employed by any of them or anyone for whose acts any of them may be
liable, regardless of whether or not it is caused in part by a party indemnified hereunder.
—2—
Ell
Contractor shall not assign or transfer, whether by an assignment or novation or
otherwise, any of its rights, duties, benefits, obligations, liabilities or responsibilities without
prior written consent of the EDA.
9. NOTICE
The address and telephone number of Contractor for purposes of giving notices and any
other purpose under this Contract shall be 17611 Kettle River Boulevard NE, Forest Lake, MN
55110, (651) 723-4313.
The address of the EDA for purposes of giving notices and any other purposes under this
Contract shall be 590 40`' Ave. NE. Columbia Heights, MN 55421.
IN WITNESS WHEREOF, the parties to this Contract have hereunto set their hands
and seals as of the day and year first above written.
ECONOMIC DEVELOPMENT AUTHORITY
IN AND FOR THE CITY OF COLUMBIA
HEIGHTS
By:
Kelli Bour eo s
Its: Executive Director
DROBNICK'S CONSTRUCTION CLEAN-UP
DBA- DROBNICK'S DEMOLITION
By: �'. L4
Its: o w ✓le r
—3—
See attached.
Exhibit A
Specifications
me
From: The Economic Development Authority in and for the City of Columbia Heights
Subject: Request for quotes for demolition, site grading, and utility work at three
properties addressed: 230,960 and 1002 40th Ave NE.
Overview:
The City of Columbia Heights EDA is the owner of the properties addressed 230 40th
Avenue NE (P.I.D. 35-30-24-32-0104), 960 40th Ave NE (P.I.D. 36-30-24-32-0046) and
1002 40th Ave NE (P.I.D. 36-30-24-32-0042). The EDA is requesting quotes for
demolition and removal of all building and site improvements at these locations
followed by re -grading of the primary excavation areas. If you are interested in
submitting a quote for this project, please review the enclosed specifications and inspect
the sites. Please call Aaron Chirpich in the Community Development Department with
any questions, 763-706-3675
Proposals must be completed on the enclosed bid form and submitted by 4:30p.m. On
October 27th 2021. Proposals may be submitted by U.S. Mail, e-mail or in person; please
note the enclosed bid form must be used. City staff will review the submitted proposals
and forward them to the EDA. City staff expects the EDA to select a demolition
contractor at their November 1st meeting. The timeline for completion of all work will
be weather dependent.
Submit proposals to the following: Attn: Aaron Chirpich
City of Columbia Heights Community
Development Department
590 40th Ave, NE
Columbia Heights, MN 55421
ahirpich@columbiahei htg smn.gov
Property Owner: City of Columbia Heights EDA
Property Address: 230, 960 and 1002 40th Ave NE
For a price of $ . the contractor named below proposes to fully
complete the work in accordance with the attached specifications for demolition, site
grading, and utility work at 230, 960 and 1002 40th Ave NE.
Name of Contractor:
License Number:
Address:
Telephone:
E-mail Address:
Contractor Signature:
Title:
A. Scope of Work
1. General
a. Contractor shall furnish all labor, materials and equipment, and shall perform
all service and work required to remove the; buildings, structures, and
improvements from the site along with the post demolition grading of the
site, in strict accordance with these specifications and in accordance with all
applicable ordinances and laws pertaining to removal of buildings,
structures, grading and erosion control. Before demolition, contractor is to
install erosion control protection around entire excavation area either
machine laid silt fence, or erosion control logs.
b. Contractor shall thoroughly review these specifications and examine the site
to evaluate existing and proposed conditions prior to making a quote. Failure
to do so shall in no way relieve contractor from performing the work as
required or be grounds for a claim for extra payment.
2. Demolition and Disposal of Buildings and Site Improvements
a. All buildings and site improvements on the site shall be removed and
properly disposed of. Demolition to include, but not limited to stairs, ramps,
fences, retaining walls, floor slabs, garages, equipment bases, driveways,
aprons, foundation walls and footings, and other structure components,
appurtenances and contents associated with each structure, unless noted
otherwise.
b. All demolition materials, substrates, debris, waste, or other materials shall be
collected, stored, handled, managed, and disposed in accordance with
currently accepted practices at an approved, licensed, or permitted facility in
accordance with applicable federal, state, and local ordinances, rules, and
regulations.
3. Backfill, Compaction, Grading, and Restoration
a. No demolition material shall be left in, or placed in any excavation. All
excavations unless otherwise noted, shall be back filled with common fill.
Common fill material shall be a mineral aggregate of which not more than
twenty (20%) percent (by weight) passes the No. 22 sieve. The material shall
be free of rocks or clumps greater than 3 inches in diameter. Material shall be
classified as sand, sandy loam, gravel, or pit run. Common fill shall be
thoroughly compacted by the method of ordinary compaction.
b. The finished grade shall be determined by matching the existing average
grade of the excavation areas prior to demolition. The final grade shall
maintain pre demolition drainage patterns.
c. Upon completion of the finished rough grade, contractor shall spread 6" of
imported topsoil to all disturbed areas of the site and apply seed and blanket
to the same. Topsoil, meeting MN DOT Specification 3877 "Common Topsoil
Borrow', is to be furnished. The material shall be compacted firmly and
raked prior to placement of seed and blanket. *Exception* At 960 40th
Avenue, contractor is to place 4" of Class 5 gravel over the excavation area.
Class 5 gravel shall be compacted with ordinary compaction. This area will
serve as construction ap rking for the adjacent job -site trailer.
4. Abandonment of Wells
a. The city is not aware of any wells on the properties. If a well is discovered:
As part of this bid, the demolition contractor is to notify the City immediately
and hire a well sealing company to properly seal the well and record the
sealing with the Minnesota Department of Health. Contractor must provide
records of the well sealing to the City upon completion. Contractor will be
reimbursed for actual well sealing costs plus an overhead multiplier of 2.0 if
well sealing is necessary.
5. Utilities
a. Contractor shall be responsible for calling Gopher State One Call for the
location of any underground utilities prior to commencement of demolition
and site grading work.
b. The city has completed the disconnection of electricity (Excel Energy), natural
gas (CenterPoint Energy), along with City sewer and water services for the
properties. Contractor shall field verify disconnections prior to demolition.
Other private communication utilities such as telephone and cable may still
be connected; if so, contractor shall roll them back and secure them at the pole
prior to demolition.
c. The water and sewer services have been disconnected at the main(s).
Contractor is to remove the private water and sewer lines to the property line
at each location. Contractor shall also remove water curb stop. Contractor
shall call the Public Works Utility department for inspections of the trenches
before backfilling. Do not include utility disconnects in the street with your
quote, this work has been completed.
6. Asbestos and Other Hazardous Materials
a. The City has contracted with Angstrom Analytical for the completion of
demolition surveys for all properties, and contracted with abatement
contractors for the removal of all hazardous materials. No abatement work is
to be included with your quote, this work has been completed.
b. The house and garage at 230 40th Avenue were burned in a controlled
training exercise by the City's Fire Department. Contractor is responsible for
knowing the laws and regulations that govern the disposal of burned
material and is to dispose of burned debris in a code compliant manner at a
proper dumping location. The City has ordered a toxicity characteristic
leaching procedure (TCLP) test for this site. The test results are attached to
this report.
7. Permits and Inspections
a. Contractor will complete and submit to the City of Columbia Heights a
demolition permit application. Contractor shall have the work inspected prior
to backfilling the primary excavation. The private water and sewer service
trenches will also be inspected by City Public Works staff.
b. If any permits from other governmental agencies are required, contractor
shall, at contractor's own expense, secure such permits, pay any fees and
complete any inspections required by same, and provide a copy of the permit
to the City.
c. Contractor shall submit "Notification of Intent to Perform a Demolition"
Form to the MPCA.
S. Miscellaneous Provisions, and Notices
a. Contractor shall erect and maintain all necessary barricades and warnings to
adequately safeguard workers, adjacent property, and the public.
b. The demolition and clearing of the site shall be carried out in such a manner
to preclude damage to adjacent property or public right-of-way.
c. Contractor is to provide dust control during all demolition activity by
watering.
d. Submission of a proposal will constitute an incontrovertible representation by
contractor that contractor has complied with every requirement of these
specifications and attachments thereto; that without exception the proposal is
premised upon performing and furnishing the work including but not limited
to the specific means, methods, techniques, sequences, procedures or
precautions expressly required by these specifications and attachments
thereto; that contractor has received from City satisfactory written resolution
of any conflicts, errors, ambiguities, and discrepancies; and that these
specifications and attachments thereto are generally sufficient to indicate and
convey understanding of the terms and conditions for performing and
furnishing the work.
Kgstrom
ffl6nalyfical
Inc.
Aaron Chirpich
City of Columbia Heights
590 40" Ave NE
Columbia Heights, MN 55421
October 5, 2021
5001 Cedar Lake Road * St. Louis Park, MN 55416
952-252-0405 fax:952-252-0407
TCLP RCRA 8 metals
230 40t Ave NE
On September 22, 2021 collected Angstrom Analytical, Inc. a sample, for TCLP RCRA 8
metals analysis, sample from the above referenced project. The results of the sample
rendered concentrations of (a result of ND = Analyte Not Detected):
Arsenic
<0.20 mg/L
Barium
<1.00 mg/L
Cadmium
<0.04 mg/L
Chromium
<0.04 mg/L
Lead
0.446 mg/L
Selenium
<0.20 mg/L
Silver
<0.04 mg/L
Mercury
<0.002 mg/L
According to the EPA the allowable waste limits are (ppm=mg/L):
Arcenic (D004)
5.0 ppm
Barium (D005)
100.0 ppm
Cadmium (D006)
1.0 ppm
Chromium (13007)
5.0 ppm
Lead (D008)
5.0 ppm
Mercury (D009)
0.2 ppm
Selenium (13010)
1.0 ppm
Silver (DOI 1)
5.0 ppm
The above results indicate that the sample is within the EPA limits. I hope you find
the above information is useful. If you have any questions, please call me at the number
above. Analysis performed by Eurofins TestAmerica.
SSiincere ,
V
Steve Wallinga
Angstrom Analytical, Inc.
eurofins
Environment Testing
America
ANALYTICAL REPORT
Eurofins TestAmerica, Cedar Falls
tt 3019 Venture Way
"4"t'A Cedar Falls, IA 50613
Tel: (319)277-2401
Laboratory Job ID: 310-215765-1
Client Project/Site: Columbia Heights /40th Ave NE
For:
Angstrom Analytical, Inc
5001 Cedar Lake Road South
Saint Louis Park, Minnesota 55416
Attn: Kevin Hagen
Authorized for release by.
101412021 9:05:39 AM
Zach Bindert, Project Manager 1
(319)277-2401
Zach.Bindert@Eurofinset.com
TotalAccess
This report has been electronically signed and authorized by the signatory. Electronic signature is
intended to be the legally binding equivalent of a traditionally handwritten signature.
Results relate only to the Items tested and the sample(s) as received by the laboratory.
I
n
Visit us at:
Client: Angstrom Analytical, Inc
Project/Site: Columbia Heights /40th Ave NE
Table of Contents
Laboratory Job ID: 310-215765-1
CoverPage .............................................. 1
Table of Contents .........................................
2
Case Narrative ...........................................
3
Sample Summary .........................................
4
Detection Summary ........................................
5
Client Sample Results ......................................
6
Definitions ...............................................
7
QC Sample Results ........................................
8
QC Association ...........................................
9
Chronicle ................................................
10
Certification Summary ..................................... .
11
Method Summary .......... < ...............................
12
Chain of Custody ................... I ..............
13
I........
Receipt Checklists ........:....... I .........................
15
Paae 2 of 15
Eurofins TestAmerIca, Cedar Falls
10/4/2021
Case Narrative
Client: Angstrom Analytical, Inc
ProjecUSite: Columbia Heights /40th Ave NE
Job ID: 310-215766-1
Laboratory: Eurofins TestAmerica, Cedar Falls
Narrative
310-215765-1
Comments
No additional comments.
Job ID:310-215765-1
Receipt
The sample was received on 9/23/2021 2:15 PM. Unless otherwise noted below, the sample arrived In good condition, and where
required, properly preserved and on Ice. The temperature of the cooler at recelpt was 0.10 C.
Metals
Method 601 OD: The following sample was diluted due to the presence of an Interferent. 1 Ash/Debds (310-215765-1). Elevated reporting
limits (RLs) are provided.
No additional analytical or quality Issues'were noted, other than those described above or In the Definitions/Glossary page.
Organic Prep
No analytical or quality Issues were noted, other than those described in the Defnitions/Glossary page.
Eurofins TestAmerica, Cedar Falls
Paae 3 of 15 10/4/2021
Sample Summary
Client: Angstrom Analytical, Inc
Project/Site: Columbia Heights /40th Ave NE
Lab Sample ID Client Sample to Matrix Collected Received
310-215766-1 1 Ash/Debris Solid 09Y22/21 09:10 0923/2114:15
Job ID: 310-215765-1
Eurofins TestAmerica, Cedar Falls
Facie 4 of 15 10/4/2021
Detection Summary
Client: Angstrom Analytical, Inc
Project/Site: Columbia Heights /40th Ave NE
Job ID:310-215765-1
Client Sample ID: 1 Ash/Debris Lab Sample ID: 310-215765-1
Analyte Result Qualifier RL Mot. Unit Dil Fac 0 Method Prep Type
Lead 0.446 0.200 mg/L 2 6010D TCLP
This Detection Summery does not include radlodtemical test results.
Eurofins TestAmerica, Cedar Falls
Pace 5 of 15 10/4/2091
Client Sample Results
Client: Angstrom Analytical, Inc
Project/Site: Columbia Heights /40th Ave NE
Client Sample ID: 1 Ash/Debris
Date Collected: 09/22/21 09:10
Date Received: 09/23/21 14:15
Method: 6010D - Metals (ICP) - TCLP
Analyte
Result Qualifier
Arsenio
<0.200
Barium
-1.00
Cadmium
-0.0400
Chromium
<0.0400
Lead
0.446
Selenium
<0.200
Silver -
<0.0400
7470A- Mercury (CVAA) - TCLP
CMethod:
Anayte
Result Qualifier
Mercury
<0.00200
r
Job ID: 310-215765-1
,r
Lab Sample ID: 310-215766-1
Matrix: Solid
la4
RL
MOL Unit
D Prepared
Analyzed
DII Fac
0.200
mg/L
09/28121 10:30
09/29/21 19:37
2
1.00
mg/L
09/28/2110:30
09/29/2119:37
2
0.0400
mg/L
09/28/21 10:30
10/01/21 12:30
2
_
0.0460
mg/L
0928M 10:30
09129@1 19:37
2
j
0.200
mg/L
092821 10:30
092921 19:37
2
-
0.200
mg/L
09282110:30
09/292119:37
2
0.6460
mg/L
0928/2110:30
0929/2119:37
2
RL
0.00200
MDL Unit D Prepared Analyzed DII Fee -
m94 09282112:67 091292112:55 1 1.
Paae 6 of 15
Eurofins TestAmerica, Cedar Falls
10/4/2021
Definitions/Glossary
Client: Angstrom Analytical, Inc
Project/Site: Columbia Heights /40th Ave NE
Abbreviation These commonly used abbreviations may or may not be present in this report.
a Listed under the "D" column to designate that the result is reported on a dry weight basis
%R Percent Recovery
CFL Contains Free Liquid
CFU Colony Forming Unit
CNF Contains No Free Liquid
DER Duplicate Error Ratio (normalized absolute difference)
DII Fac Dilution Factor
DL Detection Limit (DOD/DOE)
DL, RA, RE, IN Indicates a Dilution, Re -analysis, R"xlrecllon, or additional Initial metals/anlon analysis of the sample
DLC Decision Level Concentration (Radiochemistry)
EDL Estimated Detection Limit (Dioxin)
LOD Limit of Detection (DoD/DOE)
LOD Limit of Quantitatlon (DoD/DOE)
MCL EPA recommended "Maximum Contaminant Level"
MDA Minimum Detectable Activity (Radiochemistry)
MDC Minimum Detectable Concentration (Radiochemistry)
MDL Method Detection Limit
ML Minimum Level (Dioxin)
MPN Most Probable Number
MOL Method Quantltation Limit
NC Not Calculated
NO Not Detected at the reporting limit (or MDL or EDL if shown)
NEG Negative/Absent
POS Positive / Present
PQL Practical Quentitatlon Limit
PRES presumptive
QC Quality Control
RER Retail" Error Ratio (Radiochemistry)
RL Reporting Limit or Requested Limit (Radiochemistry)
RPD Relative Percent Difference, a measure of the relative difference between two points
TEF Toxicity Equivalent Factor (Dioxin)
TEQ Toxicity Equivalent Quotient (Dioxin)
TNTC Too Numerous To Count
Job ID: 310-215765-1
Eurofins TestAmerica, Cedar Falls
Paae 7 of 15 10/4/2021
QC Sample Results
Client: Angstrom Analytical, Inc
Job ID: 310-215765.1
Project/Site: Columbia Heights /40th Ave
NE
Method: 6010D - Metals (ICP)
As
Lab Sample ID: LB 310329730/1-B
Client Sample ID: Method Blank
Matrix: Solid
Prep Type: TCLP
Analysis Batch:329903
Prep Batch:329795
LB
LB
Analyte
Result
Qualifier RL
MDL
Unit
D Prepared
Analyzed DII Fac
Arsenic
<0.100
0.100
mg/L
0912812110:30
09/2812120:56 1
Sedum
<0.500
0.500
mg/L
09/28/2110:30
09128/2120:56 1
Cadmium
<0.0200
0.0200
mg/L
09/28/2110:30
09/2812120:56 1
Chromium
<0.0200
0.0200
mg/L
09/28/2110:30
09128/2120:56 1
-
Selenium
<0.100
0.100
mg/L
0912812110:30
09/28/2120:56 1
Lab Sample ID: LB 310-329730/1-B
Client Sample ID: Method Blank
Matrix: Solid
Prep Type: TCLP
Analysis Batch:330113
Prep Batch:329795
LB
LB
Analyte
Result
Qualifier RL
MDL
Unit
D Prepared
Analyzed DII Fac
Lead
<0.100
0.100
mg/L
09/28/21 10:30
09/29/21 12:50 1
Silver
-0.0200
0.0200
mg/L
09/28/21 10:30
09/29/21 12:50 1
Method: 7470A - Mercury (CVAA)
Y
Lab Sample ID: LB 310-329730/1-C
Client Sample
ID: Method Blank
rirl
Matrix: Solid
Prep Type: TCLP
Analysis Batch: 329979
Prep Batch: 329826
LB
LS
_
Analyte
Result
Qualifier ' RL
MDL
Unit
D Prepared
Analyzed DII Fac
_
<0.00200
0.00200
mg/L
09/28121 12:57
09/29/21 12:38 1
rMercury
Lab Sample ID: LCS 310-329730/2-C
Client Sample ID:
Lab Control Sample
Matrix: Solid
Prep Type: TCLP
Analysis Batch: 329979
Prep Batch: 329826
Spike LCS
LCS
%Rec.
Analyte
Added Result
Qualifier Unit
D %Rec
Limits
Mercury
0.0167 0.01802
mg/L
108
80-120
Eurofins TestAmerica, Cedar Falls
Pane 8 of 15 1014/2091
QC Association Summary
Client: Angstrom Analytical, Inc
Project/Site: Columbia Heights /40th Ave NE
Metals
Job ID: 310-215765-1
Leach Batch: 329730
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
310-216765-1
1 Ash/Debris
TCLP
Solid
1311
LS 310-329730/1-B
Method Blank
TCLP
Solid
1311
LB 310-329730/1-C
Method Blank
TCLP
Solid
1311
LCS 310329730MA
Lab Control Sample
TCLP
Solid
1311
LCS 310-32973012-C
Lab Control Sample
TCLP
Solid
1311
Prep Batch: 329795
Lab Sample 10
Client Sample to
Prep Type
Matrix
Method
Prep Batch
310-216765-1
1Ash/Debris
TCLP
Solid
3010A
329730
LB 310-32973011-B
Method Blank
TCLP
Solid
3010A
329730
Prep Batch: 329826
Lab Sample ID
Client Sample ID
Prep Type
Matrix
Method
Prep Batch
310-215765-1
1 Ash/Debris
i TCLP
Solid
7470A
329730
LB 310-329730/1-0
Method Blank
i TCLP
Solid
7470A
329730
LCS 31032973012-C
-Lab Control Sample
- i TCLP
Solid
7470A
329730
Analysis Batch: 329903
Lab Sample ID
Client Sample 10
7{
Prep Type Matrix Method Prep Batch (qyi
LB 310-329730/1-B
Method Blank
TCLP Solid 60106329795-
LCS 310329730/2-A
Lab Control Sample
: TCLP Solid 6010D 329730
Analysis Batch:329979
Lab Sample ID
Client Sample IDS
Prep Type
Matrix
Method
Prep Batch
310-215766-1
9 Ash/Debris
i TCLP
Solid
7470A
329826
LB 310-329730/1-C
Method Blank
TCLP
Solid
7470A
329826
LCS 310329730/2-C
Lab Control Sample
TCLP
Solid
7470A
329826
Analysis Batch: 330071
Lab Sample ID
Client Sample ID
Prep Type Matrix
Method
Prep Batch
310-216765-1
1 Ash/Debris
TCLP Solid
6010D
329795
Analysis Batch: 330113
Lab Sample ID
Client Sample ID
Prep Type Matrix Method
Prep Berth
LB 310-32973011-8
Method Blank
TCLP Solid 6010D
329795
LCS 310-329730/2-A
Lab Control Sample
TCLP Solid 6010D
329730
Analysis Batch:330286
Lab Sample to
Client Sample to
Prep Type Matrix Method
Prep Batch
310.215765-1
1 AshlDebri6
TCLP S011d 10D
60
329795
Eurofins TestAmerlca, Cedar Falls
Pane 9 of 15 10/4/2091
Client: Angstrom Analytical, Inc
Project/Site: Columbia Heights /40th Ave NE
Lab Chronicle
Job ID:310-215765-1
I`a
I;T
Client Sample ID: 1 Ash/Debris Lab Sample ID: 310-215765-1
Date Collected: 09/22/21 09:10 Matrix: Solid `-
Date Received: 09/23/21 14:16
Prep Type
Batch
Type
Batch
Method Run
TCLP
Leach
1311
TCLP
Prep
3010A
TCLP
Analysis
6010D
TCLP
Leach
1311
TCLP
Prep
3010A
TCLP
Analysis
601 OD
TCLP
Leach
1311
TCLP
Prep
7470A
TCLP
Analysis
7470A
Dilution Batch
Prepared
Factor Number
or Analyzed
Analyst Lab
329730
09127/21 12:60
JTA TAL OF
329795
091262110:30
ACM2 TAL OF i
2 330071
09292119:37
OJT
TAL OF
329730
09/27/21 12:50
JTA
TAL OF
329795
08282110:30
ACM2
TAL OF
2 330286
10/012112:30
CTB
TAL OF
329730
09272112:50
JTA
TAL OF
329826
092=112:57
FAM
TAL OF
1 329979
092921 12:56
EAM
TAL OF
Laboratory References:
TAL OF - Eurofins TastAmerioa, Cedar Falls, 3019 Venture Way, Cedar Fells, IA 50613, TEL (319)277-2401
Euroflns TestAmerloa, Cedar Falls
Pape 10 of 15 10/4/2021
Accreditation/Certification Summary
Client: Angstrom Analytical, Inc
Project/Site: Columbia Heights /40th Ave NE
Laboratory: Eurofins TestAmerica, Cedar Falls
The acoreditatlonskertifications Ilsted below are applicable to this report.
Authority Program Identiflcafion Number Expiration Date
Minnesota NELAP 019-999-319 12-31-21
Job ID:310-215765-1
Euroftns TestAmerica, Cedar Falls
Pace 11 of 15 10/4/2021
Method Summary
Client: Angstrom Analytical, Inc Job ID: 310-215765-1
Project/Slte: Columbia Heights /40th Ave NE
Method
Method Description
Protocol
Laboratory
60101)
Metals(ICP)
SW848
TAL CF
7470A
Meroury(CVAA)
SW846
TAL CF
1311
TCLP Extraction
SW846
TAL CF
3016A
Preparation, Total Metals
- - - - - - SWIMS
TAL CF
7470A
Preparation, Mercury
SW846
TAL CF
Protowl References:
SW846 ='Test Methods For Evaluating Solid Waste, Physical/Chemical Methods", Third Edition, November 1986 And Its Updates.
Laboratory References:
TAL CF - Eurorins TestAmerlca, Cedar Falls, 3019 Venture Way, Cedar Falls, IA 50813, TEL (319)277-2401
Pacae 12 of 15
Eurofins TestAmerice, Cedar Falls
10/4/2021
eurofins
Environment Testing
TestAmerica
111111111111111111111111111
-it 0.215765 Chain of Cuntody
Cooler/Sample Receipt and Temperature Log Form
'-CiI 1nf - atlo
3 ..
A
Client: / , 5 p>^V"
City/State: j env LtpG4r'S
srAl / Project:
/:xVe.,
ee I ri oiiiii Ibn'5;��;grr %:fiA
' -• ..rrfi=,rq _ 't.Np�, 4' .i
DatefTime Received: j °E Z 3 Z (
T11N) yJ Received By: /�
DeliveryType: ❑ UPS ❑ FedEx
�
❑ FedEx Ground ❑ US Mail ❑ Spee-Dee
L'.Kab Courier U Lab Field Services U Client Drop-off ❑ Other:
Samples) received In Cooler?
i� 'es
❑ No
If yes: Cooler ID:
Multiple Coolers? r
❑ Yes
Eiq<o
!f yes: Cooler # of
Cooler Custody Seals Present?
es,
' ❑ No
Ifyes., Cooler custody seals Intact? �s []No
Sample Custody Seals Present?
❑ Yes
[E'No
If yes: Sample custody seals intact?❑ Yes ❑ No
Trip Blank Present?
❑ Yes
o
If yes: Which VOA samples are In cooler? !
rem erature Kecora , -
.: c
'
Coolant: et ice
❑Blue Ice
❑Dry Ice ❑Other:
❑NONE
I_ Thermometer ID:
Al
Correction Factor (°C):
0
Uncorrected Temp (°C):
Container(s) used:
Uncorrected Temp (°C):
Corrected Temp (°C):
Corrected Temp (°C):
1) If temperature exceeds criteria, was sample(s) received same day of sampling? ❑ Yes ❑ No
a) If yes: Is there evidence that the chilling process began? ❑ Yes ❑ No
2) If temperature Is <0°C, are there obvious signs that the Integrity of sample containers is compromised?
(e.g., bulging septa, broken/cracked bottles, frozen solid?) ❑ Yes ❑ No
Document: CF•LG•WI.002
Revision: 25
Date:06/17/2019
Eurotins TestAmerica, Cedar Palls
General temperature criteria Is 0 to GC
Bacteria temperature criteria is 0 to 10°C
Pace 13 of 15
10/4/2021
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021
41
Login Sample Receipt Checklist
Client: Angstrom Analytical, Inc
Login Number: 216765
List Number: 1
Creator: Homolar, Dana J
Question Answer
Radioactivity wasn't checked or Is </= background as measured by a survey
N/A
meter.
The cooler's custody seal, If present, Is Intact.
True
Sample custody seals, it present, are Intact.
N/A
The cooler or samples do not appear to have been compromised or
True
tampered with.
Samples were received on loe.
True
Cooler Temperature Is acceptable.
True
Cooler Temperature Is recorded.
True
COC Is present.
True
COC Is filled out In Ink and legible.
True
COC Is filled out with all pertinent Information.
True
Is the Field Sampler's name present on COC?
True
There are no discrepancies between the containers received and the COC.
True
Samples are received within Holding Time (excluding tests with Immediate
True
HTs)
Sample containers have legible labels.
True
Containers are not broken or leaking.
True
Sample collection date/times are provided.
True
Appropriate sample containers are used.
True
Sample bottles are completely filled.
True
Sample Preservation Verified.
True
There Is sufficient vol. for all requested analyses, Incl. any requested
True
MS/MSDs
Containers requiring zero headspace have no headspace or bubble Is
True
<6mm (114").
Multiphaskc samples are not present.
True
Samples do not require splitting or compositing.
True
Residual Chlorine Checked.
N/A
Job Number: 310-215765-1
List Source: Eurofins TestAmerica, Cedar Falls
Comment
Euroflns TestAmerIca, Cedar Falls
Pape 15 of 15 10/4/2021
DROBCON-01 as ^fil AP
.4 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsemwnttst_
PRODUCER
Foster White Agency, Inc.
114 West 3rd Street STE 200
Monticello, MN 55362
INSURED
Drobnick's Construction & Clean-Uprrom Drobnick
17611 Kettle River Blvd NE
Forest Lake, MN 55025
COVERAGES f`FRTIFIr:ATF NI IMRFD-
__-....._... _ .. _...__... r.w rarvn nsumumrc:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
ADDLSUBR
INA
'A
POLICY NUMBER
POLICY EFF
EXP
M
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR X CPP 108137E
11/3/2021
11/3/2022
EACH OCCURRENCE
11000,000
DAMAGE TORENTEDn
100,000
MED EXP An one arson
$ 5,000
PERSONALSADVINJURY
$ 1,000,000
GENERAL AGGREGATE
2,000,'00
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY JECT LOC
PRODUCTS-COMP/OP AGG
$ 2rBBBrBB6
COMBINED SINGLE LIMIT
$
500,000
A
11 OTHER:
AUTOMOBILE LIABILITY
BODILYINJURY Per erson
ANY AUTO CPP 1081301
OWNED SCHEDULED
AUTOS ONLY X AUTOS
y� p
AUTOS ONLY AUTOS ON V
11/3/2021
11/3/2022
BODILY INJURY Per accident
$
AMAGE
Parr accident
UMBRELLA
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
AGGREGATE
$
EXCESS LIAe
CLAIMS -MADE
DED RETENTION $
$
WORK ERSCOMPENSATION
AND EMPLOYERS• LIABILITY YIN
ANY PROPRIETOR/PARTNERIEXECUTIVE
FF.F.1 t BER EXCLUDED?
If yes describeunderE.L.
N/A
PER 07H_
E.L. EACH ACCIDENT
$
DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES ACORD t01, Additional Remarks Schedule, may be attached If more space is required)
Columbia Heights Economic Development and Ity of Columbia Heights is named as an Additional Insured.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Columbia Heights Economic Development Authority THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
590 40th Avenue NE
ACCORDANCE WITH THE POLICY PROVISIONS.
Columbia Heights, MN 55421
AUTHOR12ED REPRESENTATIVE
i 46W PYw
/rV Vr�V LJ tLV r VIVJ/ cC 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Property Owner: City of Columbia Heights EDA
Property Address: 230,960 and 1002 40th Ave NE
Fora price of $ jAt gS - f , the contractor named below proposes to fully
complete the work in accordance with the attached specifications for demolition, site
grading, and utility work at 230, 960 and 1002 40th Ave NE.
Name of Contractor:`---�-b4-�
License Number:
Address: \1l0 \\
Telephone: �.POtt\fS E-mail Address cg c Qb�,;c c
Contractor Signature:
Title( v_ u.er
y -%S
/ c.s�m