HomeMy WebLinkAboutC2021-030 - 2/9/2021 - ApprovedService Agreement Standard Form – Federal Funding Page 1 of 8
SERVICE AGREEMENT NO. 3133
Demolition of Booker T Washington School
THIS Demolition of Booker T Washington School Agreement ("Agreement") is
entered into by and between the City of Corpus Christi, a Texas home-rule municipal
corporation (“City”) and American Abatement, LLC (“Contractor"), effective upon
execution by the City Manager or the City Manager’s designee (“City Manager”).
WHEREAS, Contractor has bid to provide Demolition of Booker T Washington
School in response to Request for Bid/Proposal No. 3133 (“RFB/RFP”), which RFB/RFP
includes the required scope of work and all specifications and which RFB/RFP and the
Contractor’s bid or proposal response, as applicable, are incorporated by reference
in this Agreement as Exhibits 1 and 2, respectively, as if each were fully set out here in
its entirety.
NOW, THEREFORE, City and Contractor agree as follows:
1. Scope. Contractor will provide Demolition of Booker T Washington School
(“Services”) in accordance with the attached Scope of Work, as shown in
Attachment A, the content of which is incorporated by reference into this
Agreement as if fully set out here in its entirety, and in accordance with Exhibit 2.
2. Term. This Agreement is for two months, with performance commencing upon the
date of issuance of a notice to proceed from the Contract Administrator or the
Contracts and Procurement Department. The parties may mutually extend the
term of this Agreement for up to zero additional zero-month periods (“Option
Period(s)”), provided, the parties do so by written amendment prior to the
expiration of the original term or the then-current Option Period. The City’s
extension authorization must be executed by the City Manager or designee.
3.Compensation and Payment. This Agreement is for an amount not to exceed
$155,995.00, subject to approved extensions and changes. Payment will be made
for Services completed and accepted by the City within 30 days of acceptance,
subject to receipt of an acceptable invoice. Contractor shall invoice no more
frequently than once per month. All pricing must be in accordance with the
attached Bid/Pricing Schedule, as shown in Attachment B, the content of which
is incorporated by reference into this Agreement as if fully set out here in its
entirety. Any amount not expended during the initial term or any option period
may, at the City’s discretion, be allocated for use in the next option period.
Invoices will be mailed to the following address with a copy provided to the
Contract Administrator:
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City of Corpus Christi
Attn: Accounts Payable
P.O. Box 9277
Corpus Christi, Texas 78469-9277
4.Contract Administrator. The Contract Administrator designated by the City is
responsible for approval of all phases of performance and operations under this
Agreement, including deductions for non-performance and authorizations for
payment. The City’s Contract Administrator for this Agreement is as follows:
Name: Max Jones
Department: Asset Management
Phone: 361-826-3389
Email: MaxJ@cctexas.com
5. Insurance; Bonds.
(A) Before performance can begin under this Agreement, the Contractor must
deliver a certificate of insurance (“COI”), as proof of the required insurance
coverages, to the City’s Risk Manager and the Contract Administrator.
Additionally, the COI must state that the City will be given at least 30 days’
advance written notice of cancellation, material change in coverage, or intent
not to renew any of the policies. The City must be named as an additional insured.
The City Attorney must be given copies of all insurance policies within 10 days of
the City Manager's written request. Insurance requirements are as stated in
Attachment C, the content of which is incorporated by reference into this
Agreement as if fully set out here in its entirety.
(B) In the event a payment bond, a performance bond, or both, are required of
the Contractor to be provided to the City under this Agreement before
performance can commence, the terms, conditions, and amounts required in the
bonds and appropriate surety information are as included in the RFB/RFP or as
may be added to Attachment C, and such content is incorporated here in this
Agreement by reference as if each bond’s terms, conditions, and amounts were
fully set out here in its entirety.
6. Purchase Release Order. For multiple-release purchases of Services to be
provided by the Contractor over a period of time, the City will exercise its right to
specify time, place and quantity of Services to be delivered in the following
manner: any City department or division may send to Contractor a purchase
release order signed by an authorized agent of the department or division. The
purchase release order must refer to this Agreement, and Services will not be
rendered until the Contractor receives the signed purchase release order.
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7.Inspection and Acceptance. Any Services that are provided but not accepted by
the City must be corrected or re-worked immediately at no charge to the City. If
immediate correction or re-working at no charge cannot be made by the
Contractor, a replacement service may be procured by the City on the open
market and any costs incurred, including additional costs over the item’s
bid/proposal price, must be paid by the Contractor within 30 days of receipt of
City’s invoice.
8. Warranty.
(A) The Contractor warrants that all products supplied under this Agreement
are new, quality items that are free from defects, fit for their intended purpose,
and of good material and workmanship. The Contractor warrants that it has clear
title to the products and that the products are free of liens or encumbrances.
(B) In addition, the products purchased under this Agreement shall be
warranted by the Contractor or, if indicated in Attachment D by the
manufacturer, for the period stated in Attachment D. Attachment D is attached
to this Agreement and is incorporated by reference into this Agreement as if fully
set out here in its entirety.
(C) Contractor warrants that all Services will be performed in accordance
with the standard of care used by similarly situated contractors performing similar
services.
9. Quality/Quantity Adjustments. Any Service quantities indicated on the Bid/Pricing
Schedule are estimates only and do not obligate the City to order or accept more
than the City’s actual requirements nor do the estimates restrict the City from
ordering less than its actual needs during the term of the Agreement and including
any Option Period. Substitutions and deviations from the City’s product
requirements or specifications are prohibited without the prior written approval of
the Contract Administrator.
10. Non-Appropriation. The continuation of this Agreement after the close of any
fiscal year of the City, which fiscal year ends on September 30th annually, is subject
to appropriations and budget approval specifically covering this Agreement as
an expenditure in said budget, and it is within the sole discretion of the City’s City
Council to determine whether or not to fund this Agreement. The City does not
represent that this budget item will be adopted, as said determination is within the
City Council's sole discretion when adopting each budget.
11. Independent Contractor. Contractor will perform the work required by this
Agreement as an independent contractor and will furnish such Services in its own
manner and method, and under no circumstances or conditions will any agent,
servant or employee of the Contractor be considered an employee of the City.
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12. Subcontractors. Contractor may use subcontractors in connection with the work
performed under this Agreement. When using subcontractors, however, the
Contractor must obtain prior written approval from the Contract Administrator if
the subcontractors were not named at the time of bid or proposal, as applicable.
In using subcontractors, the Contractor is responsible for all their acts and
omissions to the same extent as if the subcontractor and its employees were
employees of the Contractor. All requirements set forth as part of this Agreement,
including the necessity of providing a COI in advance to the City, are applicable
to all subcontractors and their employees to the same extent as if the Contractor
and its employees had performed the work.
13. Amendments and Changes. This Agreement may be amended or modified only
by written change order signed by both parties. Change orders may be used to
modify quantities as deemed necessary by the City. Any changes that alter the
method, price, or schedule of work must be allowable, allocable, within the scope
of any federal grant or cooperative agreement, and reasonable for the
completion of the project scope.
14. Waiver. No waiver by either party of any breach of any term or condition of this
Agreement waives any subsequent breach of the same.
15. Taxes. The Contractor covenants to pay payroll taxes, Medicare taxes, FICA
taxes, unemployment taxes and all other related taxes. Upon request, the City
Manager shall be provided proof of payment of these taxes within 15 days of such
request.
16. Notice. Any notice required under this Agreement must be given by fax, hand
delivery, or certified mail, postage prepaid, and is deemed received on the day
faxed or hand-delivered or on the third day after postmark if sent by certified mail.
Notice must be sent as follows:
IF TO CITY:
City of Corpus Christi
Attn: Max Jones
Title: Facilities Capital Improvement Program Manager
Address: 5352 Ayers, Corpus Christi, Texas 78405
Phone: 361-826-3389
IF TO CONTRACTOR:
American Abatement, LLC
Attn: Benard Gottschalk
Title: Vice-President
Address: 3725 Pitluk Avendue, San Antonio, Texas 78211
Phone: (210) 408-8131
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17.CONTRACTOR SHALL FULLY INDEMNIFY, HOLD HARMLESS AND DEFEND
THE CITY OF CORPUS CHRISTI AND ITS OFFICERS, EMPLOYEES AND
AGENTS (“INDEMNITEES”) FROM AND AGAINST ANY AND ALL LIABILITY,
LOSS, CLAIMS, DEMANDS, SUITS, AND CAUSES OF ACTION OF
WHATEVER NATURE, CHARACTER, OR DESCRIPTION ON ACCOUNT OF
PERSONAL INJURIES, PROPERTY LOSS, OR DAMAGE, OR ANY OTHER KIND
OF INJURY, LOSS, OR DAMAGE, INCLUDING ALL EXPENSES OF
LITIGATION, COURT COSTS, ATTORNEYS’ FEES AND EXPERT WITNESS FEES,
WHICH ARISE OR ARE CLAIMED TO ARISE OUT OF OR IN CONNECTION
WITH A BREACH OF THIS AGREEMENT OR THE PERFORMANCE OF THIS
AGREEMENT BY THE CONTRACTOR OR RESULTS FROM THE NEGLIGENT
ACT, OMISSION, MISCONDUCT, OR FAULT OF THE CONTRACTOR OR ITS
EMPLOYEES OR AGENTS. CONTRACTOR MUST, AT ITS OWN EXPENSE,
INVESTIGATE ALL CLAIMS AND DEMANDS, ATTEND TO THEIR SETTLEMENT
OR OTHER DISPOSITION, DEFEND ALL ACTIONS BASED THEREON WITH
COUNSEL SATISFACTORY TO THE CITY ATTORNEY, AND PAY ALL
CHARGES OF ATTORNEYS AND ALL OTHER COSTS AND EXPENSES OF
ANY KIND ARISING OR RESULTING FROM ANY SAID LIABILITY, DAMAGE,
LOSS, CLAIMS, DEMANDS, SUITS, OR ACTIONS. THE INDEMNIFICATION
OBLIGATIONS OF CONTRACTOR UNDER THIS SECTION SHALL SURVIVE
THE EXPIRATION OR EARLIER TERMINATION OF THIS AGREEMENT.
18. Termination.
(A) Termination for Cause. The City Manager may terminate this Agreement for
Contractor’s failure to comply with any of the terms of this Agreement. The
Contract Administrator must give the Contractor written notice of the breach and
set out a reasonable opportunity to cure. If the Contractor has not cured within
the cure period, the City Manager may terminate this Agreement immediately
thereafter.
(B) Termination for Convenience. Alternatively, the City Manager may terminate
this Agreement for convenience upon 30 days advance written notice to the
Contractor. The City Manager may also terminate this Agreement upon 24 hours
written notice to the Contractor for failure to pay or provide proof of payment of
taxes as set out in this Agreement. In the event of termination for convenience,
the Contractor will be compensated for all Services performed prior to the date
of termination. The City shall have no further obligations to the Contractor.
19.Effect of Breach. In addition to the remedy of termination, if the Contractor violates
or breaches any provision of the Agreement, the City may pursue any other claims
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or causes of action available under the law. No specific sanctions or penalties
apply to this Agreement except those that are otherwise available under the law.
20.Limitation of Liability. The City’s maximum liability under this Agreement is limited
to the total amount of compensation listed in Section 3 of this Agreement. In no
event shall the City be liable for incidental, consequential or special damages.
21. Assignment. No assignment of this Agreement by the Contractor, or of any right
or interest contained herein, is effective unless the City Manager first gives written
consent to such assignment. The performance of this Agreement by the
Contractor is of the essence of this Agreement, and the City Manager's right to
withhold consent to such assignment is within the sole discretion of the City
Manager on any ground whatsoever.
22. Severability. Each provision of this Agreement is considered to be severable and,
if, for any reason, any provision or part of this Agreement is determined to be
invalid and contrary to applicable law, such invalidity shall not impair the
operation of nor affect those portions of this Agreement that are valid, but this
Agreement shall be construed and enforced in all respects as if the invalid or
unenforceable provision or part had been omitted.
23.Order of Precedence. In the event of any conflicts or inconsistencies between this
Agreement, its attachments, and exhibits, such conflicts and inconsistencies will
be resolved by reference to the documents in the following order of priority:
A. this Agreement (excluding attachments and exhibits);
B. its attachments;
C. the bid solicitation document including any addenda (Exhibit 1); then,
D. the Contractor’s bid response (Exhibit 2).
24.Certificate of Interested Parties. Contractor agrees to comply with Texas
Government Code Section 2252.908, as it may be amended, and to complete
Form 1295 “Certificate of Interested Parties” as part of this Agreement.
25.Governing Law. Contractor agrees to comply with all federal, Texas, and City laws
in the performance of this Agreement. The applicable law for any legal disputes
arising out of this Agreement is the law of the State of Texas, and such form and
venue for such disputes is the appropriate district, county, or justice court in and
for Nueces County, Texas.
26.Public Information Act Requirements. This paragraph applies only to agreements
that have a stated expenditure of at least $1,000,000 or that result in the
expenditure of at least $1,000,000 by the City. The requirements of Subchapter J,
Chapter 552, Government Code, may apply to this contract and the Contractor
agrees that the contract can be terminated if the Contractor knowingly or
intentionally fails to comply with a requirement of that subchapter.
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27.Entire Agreement. This Agreement constitutes the entire agreement between the
parties concerning the subject matter of this Agreement and supersedes all prior
negotiations, arrangements, agreements and understandings, either oral or
written, between the parties.
28.Federal Funding Requirements. This project is subject to requirements provided for
the Federal Emergency Management Agency (FEMA), the Federal Aviation
Administration (FAA) and/or other federal agencies. A set of Federal
Requirements has been attached as Attachment E, the content of which is
incorporated by reference into this Agreement as if fully set out here in its entirety.
The Contractor must comply with Attachment E while performing the Services. The
Contractor will insert in any subcontracts all Federal Provisions/Requirements
contained in the Agreement, such other clauses as FEMA, the FAA, or their
designees may by appropriate instructions require and a clause requiring the
subcontractors to include these clauses in any lower tier subcontracts. The prime
Contractor shall be responsible for the compliance by any subcontractor or lower
tier subcontractor with all the contract clauses.
[Signature Page Follows]
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CONTRACTOR
Signature:
Printed Name:
Title:
Date:
CITY OF CORPUS CHRISTI
_____
Josh Chronley
Interim Assistant Director of Contracts and Procurement
Date:
APPROVED AS TO LEGAL FORM
_________________________________________________
Assistant City Attorney Date
Attached and Incorporated by Reference:
Attachment A: Scope of Work
Attachment B: Bid/Pricing Schedule
Attachment C: Insurance and Bond Requirements
Attachment D: Warranty Requirements
Attachment E: Federal Requirements
Incorporated by Reference Only:
Exhibit 1: RFB/RFP No. 3133
Exhibit 2: Contractor’s Bid/Proposal Response
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12/30/2020
VP
benard gottschalk
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1/4/2021
M2021-024
02/09/2021
___________________Authorized By
Council ________________________
2/10/2021
ATTEST:
_____________________________
Rebecca Huerta
City Secretary
Revised 09.04.20
Attachment A- Scope of Work
1.1 General Requirements/Background Information
The Contractor shall provide demolition and asbestos abatement services to
demolish the Booker T Washington School Building located at 1114 San Rankin Street,
Corpus Christi, Texas 78401as outlined in this Scope of Work.
1.2 Scope of Work
The Contractor shall provide all supervision, labor, transportation, tools, materials,
and equipment necessary for the completion of services. All services must be
performed in accordance with federal, state, local building codes and OSHA safety
requirements, including but not limited to IBC 2015, IPC 2015.
A. Contractor shall obtain demolition permit from Development Services. Submit
Discontinuation of City Utilities Form 1017 with permit application. Form 1017 are
provided in Attachment A-1. Lead and Asbestos reports are provided in
Attachment A-2 and Attachment A-3. There are areas of the building with
Asbestos Containing Materials and Lead-Based Paint. For bidding consistency, use
$7,639.50 for the permit fee in your proposal.
This is calculated as follows:
•Demolition Fee - 25,500 SF x 0.027 = $742.50
•Plan Review Fee – 40% x $742.50 = $297.00
•Disposal Fee – 27,500 SF x $0.24 = $6,600.00
B. Contractor shall demolish the entire structure including the foundation and haul
debris to an authorized disposal site. The building is approximately 27,500 SF. See
Attachment A-4 for photo of the building. Implement all necessary controls and
protective measures to protect and preserve surrounding oak trees from
damage.
C. Contractor shall selectively demolish and dispose of Asbestos Containing Material
and Lead Based Paint in accordance with Federal, State, and Local
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Revised 09.04.20
requirements. All removal shall be in accordance with the Texas Asbestos Health
Protection Rules.
D. Contractor shall remove one personnel elevator which includes a hydraulic fluid
reservoir approximately 10 gallons. The elevator and hydraulic fluid shall be
disposed in accordance with all Federal, State, and Local requirements.
E. Grade site as necessary to prevent water ponding and to promote positive
drainage away from the site. Hydroseed and water as needed to establish
vegetation. Contractor will be responsible for hauling water to the site.
F. Contractor shall remove all debris from the job site. There shall be no visible
debris on site upon completion.
G. Contractor shall secure job site with a fence during demolition and cleanup.
H. Note: The portable metal building located on the property is not part of this
project.
I. Demolish Concrete and Fence at the loading dock back to the nearest
expansion joint. See illustration below.
J. Contractor shall provide 500 CY of hauling in and spreading clean fill material
after demolition is complete. Compaction testing is not required.
K. 3rd Party Lead and Asbestos Monitoring will be contracted by the City. The Contractor
shall follow the attached abatement work plan. TCLP lead samples will follow the
attached ASTM Standard (E1908-20).
1.3 Invoicing
The Contractor shall The Contractor shall submit invoice for services to the City.
Invoice shall include:
A. Work description, Purchase Order Number (PO#), Service Agreement Number,
Location and date of Service and labor hours.
B. Invoices shall be sent as follows: Original to Accounts Payable and a copy to
facilitymaintenanceinvoicing@cctexas.com and one to the Contract
Administrator.
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Page 21 of 23
C. The Contractor shall include copies of Work order and Contractor Information
Checklist (CIC) provided by Project Manager or designee. This is used as back-up
for the invoice. Approval for payment shall be authorized by the Contract
Administrator or Project Manager.
D. Progress payments are not authorized. Invoice will be paid in full after completion
and acceptance of the project.
1.4 Contractor Quality Control and Superintendence
The Contractor shall establish and maintain a complete Quality Control Program that
is acceptable to the Contract Administrator to assure that the requirements of the
Contract are provided as specified. The Contractor will also provide supervision of
the work to insure it complies with the contract requirements.
1.5 Special Instructions
A. Contractor shall report to the Project Manager or designee at the location upon
arrival.
B. Any unauthorized changes or services performed by the Contractor, will be at
the responsibility of the Contractor and not Asset Management-Facility
Maintenance.
C. The Contractor shall clean and haul away all debris.
D. The Contractor shall commence work no more than 15 days from date of notice
to proceed.
E. After completion of inspection, Contractor shall report back to the Project
Manager or designee.
1.6 Insurance and Bonds
The Contractor shall provide a payment bond if the estimate of this project exceeds
$50,000 and a performance bond if the estimate of this project exceeds $100,000 for
the full amount of the contract. Insurance and bonds must be maintained
throughout the term of the contract.
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Attachment 1
1. Demolish Concrete and Fence at the loading dock back to the nearest expansion joint.
See illustration below.
Demolish Concrete shaded in red, and up to the expansion joint
Demolish section of fence.
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City of Corpus Christi | Form No: DSD-1017
DATE: ______/______/_______
Check the type of permit that applies:Demolition
Development Services Department
2406 Leopard St. Corpus Christi, TX 78408 | Phone: 361.826.3240 | Fax: 361.826.4375 | PermitRequests@cctexas.com
Rev. 7/16/18 | Page 1 of 1
ATTACHMENT A-1
Discontinuation of City Utility Services
Upon Issuance of a Demolition or House Move Permit
House Move
Upon issuance of a Demolition or House Move permit, work shall not commence for
a period of 72 hours, unless ALL public and private utility line locations have been
identified and the removal of City Gas utility meters and service pipe lines has been
performed. The location of underground utilities requires a 48 hour notification and
the removal of any under / above ground City Gas utilities requires a 24 hour
notification.
With my signature, I acknowledge that I understand and agree to abide by the policy;
________________________________
Contractor Name (Printed)Contractor Signature
____________________________
___________________________________________________________________
Company Name
Company Address
Email
Permit #__________________________
___________________________________________________________________
________________________________________________________________
Telephone Number
________________________________
Telephone Number
________________________________
Contact Name (Printed)
Permit Address:______________________________________________________________
Street City Zip
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Astex Environmental Services
139 Braniff Drive.San Antonio,TX 78216
Phone:(210)828-9800 ·Fax:(210)829-4927
ENVIROMAS
E
SERvICES astex@astexinc.com www.astexinc.com
September 9,2020
Max Jones
Capital Improvements Program Manager
City of Corpus Christi
1201 Leopard Street CB201196
Corpus Christi,TX 78401
(361)826-3389
maxi@cetexas.com
Re:Lead-Based Paint (LBP)Inspection Report
Booker Building Demolition -Two (2)Buildings
1114 Sam Rankin Street
Corpus Christi,Texas 78401
Project No.:CB-20-1196
Mr.Jones:
Pursuant to your request on September 2,2020,Mr.Arthur Vallejo,Texas Department of State Health
Services (TDSHS),Lead Inspector,#2060891,of Astex Environmental Services (Astex),TDSHS
Lead Firm #2110460,inspected the above referenced site located at 1114 Sam Rankin Street,
Corpus Christi,Texas 78401 for the purpose of performing a visual examination as well as
conducting a Lead-Based Paint (LBP)Survey.For this survey,Astex conducted lead-based paint
testing utilizing a Niton X-Ray Fluorescence (XRF)portable paint analyzer.
Summary of Results
Utilizing the XRF,Astex secured a total of one hundred nine (109)individual paint readings
from randomly selected interior &exterior surfaces.In accordance with the Environmental
Protection Agency (EPA),and the Federal Housing and Urban Development (HUD)Guidelines,
all XRF readings with levels at or above 1.0 mg/cm2 are considered to be positive for Lead
content.
?The door components located in the foyer analyzed above 1.0 mg/cm2 and are
identified as positive or lead containing.
?The exterior window casings analyzed above 1.0 mg/cm2 and are identified as
positive or lead containing.
ATTACHMENT A-2
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Lead-Based Paint (LBP)Inspection Report
Booker Building Demolition -Two (2)Buildings
I114 Sam Rankin Street,Corpus Christi,Texas 78401
This XRF testing was conducted in order to pre-determine the potential representative lead
content of the building's components and it is important to note that this limited testing is not
intended to identify all painted components that are or are not lead-containing but rather give an
indication of a potential lead hazard that may be present.
Conclusions
Based on the above OSHA criteria and XRF testing,the following Conclusions are offered:
?A lead dust hazard is present on structural components for the Booker Buildings.
?Since this building is neither categorized as "target housing"nor a "child-occupied
facility,"in accordance with the revised "HUD Guidelines for the Evaluation and
Control of Lead-Based Paint Hazards in Housing"(HUD Guidelines),it is exempt
from the Federal HUD Regulations and the Texas Environmental Lead Reduction
Rules (TELRR);however,the Occupational Safety and Health (OSHA)definition
that ANY lead content identifled in paint could create a hazard of Lead Dust
exposure if paint is deteriorated and/or disturbed.
?See XRF Component Specific Analytical Results attached.
Recommendations
?OSHA Regulation,29 CFR 1926.62(d)(1)indicates employees performing lead-related
tasks (e.g.manual demolition of structures,manual scraping,manual sanding,heat gun
applications,and power tool cleaning with dust collection systems)should be monitored
for exposure to lead particulate.Each contractor performing tasks with personnel on-site
during disturbance of LBP components are solely responsible for the respiratory program
for said company and personnel.
?Each contractor performing tasks with personnel on-site during disturbance of LBP
components are solely responsible for developing and communicating Engineering
Controls to be implemented to reduce employee exposure to lead for said company and
personnel.
?In the United States,the Resource Conservation and Recovery Act (RCRA)of 1976 led
to establishment of federal standards for the disposal of solid waste and hazardous waste.
RCRA requires that industrial wastes and other wastes must be characterized following
testing protocols published by EPA.
~A toxicity characteristic leaching procedure (TCLP)is a soil sample extraction
method for chemical analysis employed as an analytical method to simulate
leaching through a landfill.The testing methodology is used to determine if a
waste is characteristically hazardous,i.e.,classified as one of the "D"listed
wastes by the U.S.Environmental Protection Agency (EPA).The extract is
analyzed for substances appropriate to the protocol (for this application Lead
TCLP).
Project No.:CB-20-1196 2
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Lead-Based Paint (LBP)Inspection Report
Booker Building Demolition -Two (2)Buildings
1114 Sam Rankin Street,Corpus Christi,Texas 78401
~AES recommends at least one (1)TCLP Lead sample be collected and delivered
to a certified and licensed laboratory for the characterization of lead content by
volume for the appropriate waste stream disposal (a list of licensed laboratories
may be provided by and AES representative upon request).
If you have any questions regarding any part of this report,please do not hesitate to call me at
(210)828-9800.
Sincerely,
Astex Environmental Services
TDSHS Lead Finn #2110460
St n Jimenez
TDSHS Lead Risk Assessor #2071040
Project No.:CB-20-1196 3
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Lead-Based Paint (LBP)Inspection Report
Booker Building Demolition -Two (2)Buildings
1114 Sam Rankin Street,Corpus Christi,Texas 78401
XRF ANALYTICAL RESULTS
Project No.:CB-20-1196
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
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DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
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DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Astex Environmental Services
139 Braniff Drive
San Antonio,TX 78216
Index Time Type Duration Units Sequence Room Side Component Feature Substrate Results Action Level PhC
71 2020494214:56 PAINT 1.%mg/an^2 Fmal Infloor B door door wood Negaive 1.00 <LOD:0.46
73 2020494214:57 PAINT 1.%mg/an^2 Fmal Istfloor A door door wood Negaive LOO <LOD:0.03
74 202049.0214:58 PAINT 1.%mg/an^2 Fmal Istfloor B window asing wood Negaive 1.00 <LOD:0.24
75 2020Ã942 14 5 PAINT 1 ny /an ^2 Fmal st floor D built n casing wood Negadve 1.O OD 0.24
7 20204942 lÃ5 PAlÑT 2 mg an ^2 Fm st floor A all I er plæter egáve <LOD :0.03
77 2020.09.021500 PAINT 107 ng/an^2 Fmal 1stfloor B window casing wood Negaive 1.00 <LOD:0.33
78 20204942 15 00 PAINT 1 %mg /an ^2 Final 1st floor D builtdn casing wood Negmive 1.00 <LOD :0.23
79 202049421501 PAINT 1%mg/an^2 Fmal 1stfloor C chalkboard casing wood Negaive LOO <LOD:0.20
80 2020Ã97)2Í5 1 PAIN 06 n an^2 Fm I or D d asing wood egmÑe iÖÖ¯<LOD:0.18
81 202049421502 PAINT 1.07 mg/an^2 Fmal istfloor D door aning wood Negaive 100 <LOD:0.25
82 2020494215:02 PAINT 1.07 mg/an^2 Fmal 1stfloor D door door wood Negaive 1.00 <LOD:0.36
83 2ÖZÖZ942Ï502 PAINT 107 ng/an^2 Fmal 1stfloor D door door wood Negaive 1.00 <LOD:0.18
84 2020494215:03 PAINT 1.07 mg/an^2 Fmal Istfloor D door asing wood Negmive 1.00 <LOD:0.22
85 25ÖZ942Ï 0 PAfN 276 mg an^2 Fmal Istiloor wall o er plaster Neggive .00 L D:3.05
0204942 IlÃ5 PÃIÑT 1.16 mg an 2 linal 1st floor B window asing w I Ñegmive 1.00 <LOD :0.71
87 2020490215:05 PAINT l.07 ng/an^2 Fmal 1stfloor D door aming wood Negaive 1.00 <LOD:0.20
88 202049421506 PAINT l.07 mg/an^2 Fmal Istfloor A door door wood Negaive 100 <LOD:0.59
__.__..............
NeÃve ÎÖ0 LO :.04
020Z9.02 15 07 PÃIN 1 mg7an^Z F lst fioo door asir g wood Ñegaive I 0 <:2
91 202049421507 PAINT 1.06 ng/an^2 Fmal 1stfloor B window asing wood Negaive 1.00 <LOD:0.24
92 202049.0215:08 PAINT 1.07 mg/an^2 Fmal 1stfloor B abina asing wood Negmive 1.00 <LOD:0.14
93 2020494215:10 PAINT LI7 mg/an^2 Fmal esterior sur aming me Negaive 1 0 LOD:060
94 2020494215:10 PAINT l.06 mg/an^2 Final caerior A stair aning maal Negaive 1.00 <LOD:0.32
95 2020494215:11 PAINT 1.07 mg/an^2 Fmal ecterior A stár asing maal Negaive 1.00 <LOD:0.39
%2020-09-0215:12 PAINT 3.08 mg/cm^2 Fmal extaior A windmv casing wood Positive 1.00 2.20 ±l.00
97 2020-09-02 15:12 PA INT 2.55 mg /an ^2 Final extaior A windmv casing wood Positive 1.00 2.90 ±l.90
98 2020494215:15 PAINT 1.07 mg/an^2 Fmal esteier B wdl lower wood Negaive 1.00 <LOD:0.03
99 2020494215:15 PAINT LO7 ng/an^2 Fmal exterior B wdl lower wood Negaive 1.00 <LOD:0.03
ÍÖ 2Ö204ÑÊÏ5 1 PÄÏN mg an ^2 Fm e<taior door sing ood Negmive i 0 <iOÖ 0 36
löl 2Ö20Ä9Êl?:19 PAINT 06 mg/an^2 n I ecterior A staÏr handrail metal Ñcgá¯ve 10 LOD:0.17
102 2020494215:19 PAINT 1.06 mg/an^2 Fmal esteior A stair hædrál nxtal Negmive 1.00 <LOD:0.09
103 2020494215:19 PAINT 1.06 mg/an^2 Fmal esterior A stair handrál maal Negaive 1.00 <LOD:0.35
104 202049421520 PAINT 1.06 mg/an^2 Fmal exterior A star hædrál nrtal Negaive 1.00 <LOD:0.09
105 2020-09421520 PAINT 1.07 mg/an^2 Fmal e<terior A door casing wood Negaive 1.00 <LOD:0.03
106 2020494215.21 PAINT 1.06 ng/an^2 Fmal e<terior A star hædrál maal Negaive 1.00 <LOD:0.98
Page 3 of4 09/10/20 16:40:50
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DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Lead-Based Paint (LBP)Inspection Report
Booker Building Demolition -Two (2)Buildings
1114 Sam Rankin Street,Corpus Christi,Texas 78401
PHOTOS
Project No.:CB-20-1196
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Lead-Based Paint (LBP)Inspection Report
Booker Building Demolition -Two (2)Buildings
1114 Sam Rankin Street,Corpus Christi,Texas 78401
Photo 01 Photo 02
Photo 03 Photo 04
Photo 05 Photo 06
Project No.:CB-20-11%
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Lead-Based Paint (LBP)Inspection Report
Booker Building Demolition -Two (2)Buildings
1114 Sam Rankin Street,Corpus Christi,Texas 78401
LICENSES /CERTIFICATIONS
Project No.:CB-20-1196
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Texas Department of State Health Services
BE IT KNOWN THAT
JEFF ZUNKER SPECIALTY PRODUCTS INC DBA
ASTEX ENVIRONMENTAL SERVICES
is cerdEed to perfonn as a
Lead Firm
in the Sta te o f Texas and is hereby governed by the nghts,påvileges and responsibiÍides
set Eorth in Texas occupadons Code,Chapter 1955 and Title 25,Texas Administradve Code,Chapter 295
reladng to Texas Environmental Lead Reduction,as long as this license is not suspended or revoked.
Cerâßca don Number:2110460 Expira don Date:11/05/2020
John HeUerstedt,MD.,
Contt of Number:7023 Commissioner ofHealth (VoidAker Expira don Date)
VOID IF ALTERED NON-TRANSFERABLE
SEE BACK
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Department of State lIealth Services certifies that
STEPHEN P JIMENEZ
is certified as a .
Lead Risk Assessor e
Certification No;2071040
Control No:7611 John Hellerstedt,M.D.,
Expires:4/26/2021 Commissioner of Health
Texas Department of State Health Services
BE IT KNOWN THA T
STEPHEN P JIMENEZ
is cerüßed to perform as a
Lead Risk Assessor
in the State of Texas and is hereby goVemed Õf the Dghts,pliViieges and responsibiÌides
set forth in Texas Occupadons Code,Chapter 1955 and Title 25,Texas Administrative Code,Chapter 295
reladng to Texas Environtnental Lead Reducdon,as long as this license is not suspended or revoked.
CerdEcadon Number:2071040 Expiadon Date:04/26/2021
John Hellerstedt,MD.,
Control Number:7611 Commissioner ofHealth (VoidAfter Erpiradon Date)
VOID IF ALTERED NON-TRANSFERABLE
SEE BACK
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
E*
*TEXAS
Department rd
State Health Services
LiCense Number:2060891 Current Date:09/10/2020 06:04 PM
Name:VALLEJO,ARTHUR H
License Type:Lead InspeCtor
License Status:Current
Expiry Date:03/31/2021
Effective Rank Date:04/01/2015
Addresses
Mailing Address Address VALLEJO,ARTHUR H
CORPUS CHRISTI ,TX
NUECES
78415
Us
Phone Number:2102546997
Main Address Address CoRPUS CHRISTI ,TX
NUECES
78415
US
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Astex Environmental Services
139 Braniff Drive·San Antonio,TX 78216
Phone:(210)828-9800 ·Fax:(210)829-4927
ENVIRoNMENT SERVIcES astex@astexinC.COM WWW.asteXinc.Com
September 8,2020
Max Jones CB201196
Capital Improvements Program Manager
City of Corpus Christi
1201 Leopard St.
Corpus Christi,TX 78469
(361)826-3389
max j@cetexas.com
Re:Asbestos Survey
Booked Buildings Demolition -Two (2)Buildings
1114 Sam Rankin Street
Corpus Christi,Texas 78401
Project No.:CB-20-1196
Mr.Jones:
The following are the results of the asbestos testing conducted by Mr.Arthur H.Vallejo,Texas
Department of State Health Services (TDSHS)Asbestos Inspector #60-2313,of Astex
Environmental Services (AES)at the above referenced project.On September 3,2020,a total of
sixty-nine (69)samples of suspect asbestos containing building materials were collected.These
samples were sent to Environmental Analytical Services,L.L.C.,Houston,Texas,TDSHS
Laboratory License No.:30-0373,for analysis by Polarized Light Microscopy (PLM)in
accordance with EPA 600/R-93/116 Method.
Asbestos is a naturally occuiTing mineral that is distinguished from other minerals by the fact
that it occurs in long,thin fibers.Its characteristics are that it does not burn,it is strong,it
conducts heat and electricity poorly,and it is impervious to chemical corrosion,therefore,
asbestos was utilized in numerous construction materials.Typically,asbestos containing
materials (ACM)can be found as:fireproofing material on the steel beams of multi-story
buildings;roofing shingles,felts,and tars;floor tiles and mastic,acoustic ceiling and wall
textures;joint compound;and Thermal System Insulation (TSI)for pipes,ducts,and joints.Over
a period of years these asbestos-containing materials may become friable,that is pulverized by
hand pressure,thus releasing fibers into the air.
Limitations:
The results,findings and conclusions documented in this report are based solely on conditions
observed the day(s)of the inspection (Photos Appendix B).AES and its assigns make no
ATTACHMENT A-3
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Asbestos Satruey
Booked Buildings Demolition
1114 Sam Rankin Street,Corpus Christi,TX 78401
representations or assumptions as to past or future conditions of the premises or building material
content.AES representatives executed the enclosed ACBM inspection in areas (as directed by
those authorizing the work to be done)that may be impacted during future maintenance,
renovation or demolition tasks.Unless directed otherwise,inspection methods used were non-
destructive;that is,existing materials were not significantly disturbed or demolished in order to
verify the presence of hidden ACBM.As in all ACBM testing events,bulk samples (small
physical specimens)are required and were collected in the most discrete method possible in
order to maintain the visual appearance of the premises.AES is not responsible for damage or
repair to areas where bulk samples were required to satisfy the authorized work to be completed.
The building owner,tenant,personnel and their authorized contractors are solely responsible for
reviewing and communicating with their personnel the content of the enclosed ACBM's tested
(whether they tested positive for ACM or not).Furthermore,inaccessible materials (i.e.areas
where no access was possible or permitted)were not documented or tested.Additional materials
found that do not appear to match the description of the enclosed sample results must be tested
prior to disturbance.Materials visually identified as non-asbestos were not sampled (i.e.
fiberglass,foam rubber,wood,carpet,glass,etc).
As authorized,this report has been generated to comply with regulatory requirements and assist
in the identification of ACBM at the project site.The enclosed is not intended to be utilized as a
State required asbestos abatement work plan (Design Specification)or as a bidding document for
asbestos abatement.AES licensed and certified personnel are available to assist with said
documentation if it is required for this project.
Sample No.Material Location Results
1196-01 9 x 9 Vinyl Floor Tile with 2"d Floor Floor Tile
associated Black Mastic -Tan Chrysotile 10%
Black Tar Mastic
Chrysotile 5%
1196-02 9 x 9 Vinyl Floor Tile with 2"d Floor Positive Stop
associated Black Mastic -Tan
1196-03 9 x 9 Vinyl Floor Tile with 2"d Floor Positive Stop
associated Black Mastic -Tan
1196-04 12 x 12 Ceiling Tile-Worm Hole 2"d Floor None Detected
1196-05 12 x 12 Ceiling Tile-Worm Hole 2nd Floor None Detected
1196-06 12 x 12 Ceiling Tile-Worm Hole 2"d Floor None Detected
1196-07 Plaster Wall Material 2nd Floor None Detected
1196-08 Plaster Wall Material 2nd Floor None Detected
1196-09 Plaster Wall Material 2nd Floor None Detected
1196-10 Window Glazing 2"d Floor (Exterior)None Detected
1196-11 Window Glazing 2nd Floor (Exterior)None Detected
1196-12 Window Glazing 2"d Floor (Exterior)None Detected
Project No.:CB-20-1196 2
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Asbestos Survey
Booked Buiklings Demolition
1114 Sam Rankin Street,Corpus Christi,TX 78401
Sample No.Material Location Results
1196-13 Transite Pipe 2"d Floor R/R Pipe Chrysotile 40%
Chase
1196-14 Transite Pipe 2"d Floor R/R Pipe Positive Stop
Chase
1196-15 Transite Pipe 2"d Floor R/R Pipe Positive Stop
Chase
1196-16 12 x 12 Floor Tile with 2"d Floor South Floor Tile
associated Black Tar Mastic -End Chrysotile 5%
Tan Black Tar Mastic
Chrysotile 5%
1196-17 12 x 12 Floor Tile with 2"d Floor South Positive Stop
associated Black Tar Mastic --End
Tan
1196-18 12 x 12 Floor Tile with 2"d Floor South Positive Stop
associated Black Tar Mastic -End
Tan
1196-19 12 x 12 Ceiling Tile -Smooth 2"d Floor South End None Detected
Surface
1196-20 12 x 12 Ceiling Tile -Smooth 2"d Floor South End None Detected
Surface
1196-21 12 x 12 Ceiling Tile -Smooth 2"d Floor South End None Detected
Surface
1196-22 12 x 12 Ceiling Tile Glue 2nd Floor None Detected
Throughout
1196-23 12 x 12 Ceiling Tile Glue 2nd Floor None Detected
Throughout
1196-24 12 x 12 Ceiling Tile Glue 2nd Floor None Detected
Throughout
1196-25 9 x 9 Floor Tile with 1"Floor Floor Tile
associated Black Mastic-(Cafeteria)Chrysotile 10%
Cream with Brown Spots Black Tar Mastic
Chrysotile 5%
1196-26 9 x 9 Floor Tile with 1"Floor Positive Stop
associated Black Mastic-(Cafeteria)
Cream with Brown Spots
1196-27 9 x 9 Floor Tile with 1"Floor Positive Stop
associated Black Mastic-(Cafeteria)
Cream with Brown Spots
1196-28 4 x 2 Ceiling Tile -Worm Hole 18'Floor (Cafeteria)None Detected
1196-29 4 x 2 Ceiling Tile -Worm Hole 18'Floor (Cafeteria)None Detected
1196-30 4 x 2 Ceiling Tile -Worm Hole 18'Floor (Cafeteria)None Detected
1196-31 Interior Wall Brick Mortar 1"Floor (Cafeteria)None Detected
1196-32 Interior Wall Brick Moitar 18'Floor (Cafeteria)None Detected
1196-33 Interior Wall Brick Moitar 18'Floor (Cafeteria)None Detected
Project No.:CB-20-11%3
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Asbestos Survey
Booked Buildings Demolition
1114 Sam Rankin Street,Corpus Christi,TX 78401
Sample No.Material Location Results
1196-34 Ceiling Texture l®'Floor (Kitchen)None Detected
1196-35 Ceiling Texture 18l Floor (Kitchen)None Detected
1196-36 Ceiling Texture 18'Floor (Kitchen)_None Detected
1196-37 12 x 12 Floor Tile with Yellow 18'Floor (Kitchen)None Detected
Adhesive -Cream
1196-38 12 x 12 Floor Tile with Yellow 18'Floor (Kitchen)None Detected
Adhesive -Cream
1196-39 12 x 12 Floor Tile with Yellow 18'Floor (Kitchen)None Detected
Adhesive -Cream
1196-40 Transite Kick Panel 18'Floor Chrysotile 40%
(Cafeteria)
1196-41 Transite Kick Panel 18'Floor Positive Stop
(Cafeteria)
1196-42 Transite Kick Panel 18'Floor Positive Stop
(Cafeteria)
1196-43 Sheetrock/Joint Compound 18'Floor Chrysotile 2%
Point Count:(Storage Area)PC:0.25%
1196-44 Sheetrock/Joint Compound 1"Floor Chrysotile 2%
Point Count:(Storage Area)PC:0.50%
1196-45 Sheetrock/Joint Compound 18'Floor Chrysotile 2%
Point Count:(Storage Area)PC:0.25%
1196-46 12 x 12 Floor Tile with Mastic 1"Floor Chrysotile 5%-Yellow (South End)
1196-47 12 x 12 Floor Tile with Mastic 1"Floor Positive Stop-Yellow (Central)
1196-48 12 x 12 Floor Tile with Mastic 1"Floor Positive Stop-Yellow (North End)
1196-49 9 x 9 Floor Tile with 1"Floor Floor Tile
associated Black Mastic -Tan (North End)Chrysotile 10%
Black Tar Mastic
Chrysotile 5%
1196-50 9 x 9 Floor Tile with 18'Floor Positive Stop
associated Black Mastic -Tan (North End)
1196-51 9 x 9 Floor Tile with 18'Floor Positive Stop
associated Black Mastic -Tan (North End)
1196-52 12 x 12 Floor Tile with 1"Floor Black Tar Mastic
associated Black Mastic -Red (North End)Chrysotile 5%
1196-53 12 x 12 Floor Tile with 1"Floor Positive Stop
associated Black Mastic -Red (North End)
1196-54 12 x 12 Floor Tile with 1"Floor Positive Stop
associated Black Mastic -Red (North End)
1196-55 12 x 12 Floor Tile with 1"Floor Black Tar Mastic
associated Black Mastic -(North End)Chrysotile 5%
Green
Project No.:CB-20-11%4
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Asbestos Survey
Booked Buildings Demolition
1114 Sam Rankin Street,Corpus Christi,TX 78401
Sample No.'Material Location Results
1196-56 12 x 12 Floor Tile with 18'Floor Positive Stop
associated Black Mastic -(North End)
Green
1196-57 12 x 12 Floor Tile with 18'Floor Positive Stop
associated Black Mastic -(North End)
Green
1196-58 1 x 1 Ceiling Tile -Smooth 18'Floor None Detected
(North End)
1196-59 1 x 1 Ceiling Tile -Smooth 18'Floor None Detected
(North End)
1196-60 1 x 1 Ceiling Tile -Smooth 18'Floor None Detected
(North End)
1196-61 Exterior Transite Panels Exterior Chrysotile 40%
1196-62 Exterior Transite Panels Exterior Positive Stop
1196-63 Exterior Transite Panels Exterior Positive Stop
1196-64 Interior Wall Mastic Behind Wood None Detected
Paneling
Throughout
1196-65 Interior Wall Mastic Behind Wood None Detected
Paneling
Throughout
1196-66 Interior Wall Mastic Behind Wood None Detected
Paneling
Throughout
1196-67 Roofing Material Rooftop None Detected
1196-68 Roofing Material Rooftop None Detected
1196-69 Roofing Material Rooftop None Detected
CONCLUSIONS AND RECOMMENDATIONS:
Based on the analytical results found in Appendix A,the following conclusions and
recommendations are offered:
1.All the following building materials have been laboratory analyzed to be
asbestos containing and must be removed if the materials are to be disturbed
during renovation/demolition:
?All 9 x 9 Tan floor tile with associated black mastic on 2"d noor and where
found throughout.
?All Transite Pipe on 2"d floor restroom pipe chase and where found
throughout.
?All 12 x 12 Tan floor tile with associated black mastic on 2"4 floor south end
and where found throughout.
Project No.:CB-20-1196 5
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
Asbestos Survey
Booked Buildings Demolition
1114 Sam Rankin Street,Corpus Christi,TX 78401
?All 9 x 9 Cream with Brown Spots floor tile with associated mastic on 1"
floor cafeteria and where found throughout.
?All Transite Kick Panel on 1"floor cafeteria and where found throughout.
?All 12 x 12 Yellow floor tile with associated black mastic on 18'floor and
where found throughout.
?All 9 x 9 Tan floor tile with associated black mastic on 18'floor north end and
where found throughout.
?All 12 x 12 Red floor tile with associated black mastic on 18'floor north end
and where found throughout.
?All 12 x 12 Green floor tile with associated black mastic on 1"floor north end
and where found throughout.
?All Exterior Transite Panels where found throughout.
?Roof access was not available on the date of inspection.The roof parapet
mastic present at the exterior wall flashing is assumed to be asbestos
containing unless otherwise sampled prior to demolition or otherwise
disturbing this material.
2.The asbestos containing material listed above must be removed by a Texas
licensed Asbestos Abatement Contractor under the supervision of a Texas
Consultant prior to demolition (e.g.Astex Environmental Services).
3.The Texas Asbestos Health Protection Rules (TAHPR)require all abatement or
removal projects not under an Operation and Maintenance Program be
designed (specifications and drawings)by a Texas licensed Asbestos Consultant
(TAHPR 295.34 (g),Management in Facilities and Public Buildings).
Additionally,a TDSHS Licensed Project Manager/Air Monitor (daily on-site air
monitoring)must monitor all projects (TAHPR 295.58,General Requirements
for Public Building).Astex Environmental Services is licensed to provide all the
above referenced tasks.
If you or any permitting agencies have questions regarding this report I can be reached at (210)
828-9800.
Sincerely
Arturo De La Torre Date
TDSHS Asbestos Inspector License #60-3795
Stephen Jimenez Date
TDSHS Asbestos Individual Consultant #10-5764
Astex Environmental Services
TDSHS Asbestos Consulting Agency #10-0436
Project No.:CB-20-1196 6
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
APPENDIX A
LABORATORY ANALYTICAL RESULTS
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
60VirontD60ta{13201 Northwest Freeway,Suite 520
Houston,Texas 77040
phone 713-343-4017 |fax 713-934-9942
6tViC6,Lt..4,www.easlabs.com |facebook.com/easlabs I info@easlabs.com
TeSt:EPA 600/R-93/116
Polarized Light MicroScopy
Client Information:Project:Date Analyzed:09/08/2020 10:35 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #.Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected .
Lab ID #Percent Fibers Material
(Yes/No)
Tan
1196-01 Other Non-Fibrous
A Floor Tile YES Chrysotile 10%
20090401.01 90%
Homogeneous
Black
1196-01 Tar
B .YES Chrysotile 5%Bitumen 9S%
20090401.01 Mastic
Homogeneous
1196-02 Not Analyzed Postive Stop20090401.02
1196-03 Not Analyzed Postive Stop20090401.03
Brown/White
1196-04 Fibrous Binders /Paint
A NO None Detected Cellulose 90%
20090401.04 Ceiling Tile 10%
Non-Homogeneous
Brown/White
1196-05 Fibrous Binders /Paint
A NO None Detected Cellulose 90%
20090401.05 Ceiling Tile 10%
Non-Homogeneous
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (fioor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Govemment.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to E AS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
In which the results are used or interpreted.Unless notified in writing to retum the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:MT'Approved Signatory:MT
Terry Brindley Terry Brindley
Page 1 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
60Vironment3{13201 Northwest Freeway,Suite 520
Houston,Texas 77040
phone 713-343-4017 |fax 713-934-9942
,tvices,L.L(.,www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light Microscopy
Client Information:Project:Date Analyzed:09/08/2020 10:02 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #. .Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected .
Lab ID #Percent Fibers Material
(Yes/No)
Brown/White
1196-06 Fibrous Binders /Paint
A NO None Detected Cellulose 90%
20090401.06 Ceiling Tile 10%
Non-Homogeneous
Gray
1196-07 Granular Other Non-Fibrous
A NO None Detected
20090401.07 Plaster 100%
Homogeneous
Gray
1196-08 Granular Other Non-Fibrous
A NO None Detected
20090401.08 Plaster 100%
Homogeneous
Gray
1196-09 Granular Other Non-Fibrous
A NO None Detected
20090401.09 Plaster 100%
Homogeneous
White1196-10 Binders /Paint
A Glazing NO None Detected Cellulose 2%
20090401.10 98%
Non-Homogeneous
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated Visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
in which the results are used or Interpreted.Unless notified In writing to return the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:0 Approved Signatory:MT
Terry Brindley Terry Brindley
Page 2 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
60Vironm¢nta{13201 Northwest Freeway,suite 520
Houston,Texas 77040
phone 713-343-4017 |fax 713-934-9942
rVIC&6,l..l.4 www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light MiCrosCopy
Client Information:Project:Date Analyzed:09/08/2020 10:02 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #..Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected .
Lab ID #Percent Fibers Material
(yes/No)
White
1196-11 Binders /Paint
A Glazing NO None Detected Cellulose 2%
20090401.11 98%
Non-Homogeneous
White
1196-12 Binders /Paint
A Glazing NO None Detected Cellulose 2%
20090401.12 98%
Non-Homogeneous
Gray
1196-13 Fibrous
A YES Chrysotile 40%Binders 60%
20090401.13 Transite
Homogeneous
1196-14 Not Analyzed Postive Stop20090401.14
1196-15 Not Analyzed Postive Stop20090401.15
Tan
1196-16 Other Non-Fibrous
A Floor Tile YES Chrysotile 5%
20090401.16 95%
Homogeneous
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liabiHty is assumed for the manner
in which the results are used or interpreted.Unless notified in writing to return the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:ANf'Approved Signatory:^r'
Terry Brindley Terry Brindley
Page 3 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
60VIF00M60Ì3{13201 Northwest Freeway,suite 520
Houston,Texas 77040
phone 713-343-4017 |fax 713-934-9942
,orVICSS,L.LC www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light Microscopy
Client Information:Project:Date Analyzed:09/08/2020 10:43 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #. .Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected
Lab ID #Percent Fibers Material
(Yes/No)
Black
1196-16 Tar
B .YES Chrysotile 5%Bitumen 95%
20090401.16 Mastic
Homogeneous
1196-17 Not Analyzed Postive Stop20090401.17
1196-18 Not Analyzed Postive Stop20090401.18
Brown/White
1196-19 Fibrous Binders /Paint
A NO None Detected Cellulose 90%
20090401.19 Ceiling Tile 10%
Non-Homogeneous
Brown/White
1196-20 Fibrous Binders /Paint
A NO None Detected Cellulose 90%
20090401.20 Ceiling Tile 10%
Non-Homogeneous
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too smail to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
in which the results are used or Interpreted.Unless notified in writing to return the sampfes covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:A9'Approved Signatory:MT'/t.--
Terry Brindiey Terry Brindley
Page 4 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
60Vironmønt3{13201 Northwest Freeway,Suite 520
Houston,Texas 77040
phone 713-343-4017 |fax 713-934-9942
)StViC66,L.L.C www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light MicrosCopy
Client information:Project:Date Analyzed:09/08/2020 10:02 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #.Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected
Lab ID #Percent Fibers Material
(Yes/No)
Brown/White
1196-21 Fibrous Binders /Paint
A NO None Detected Cellulose 90%
20090401.21 Ceiling Tile 10%
Non-Homogeneous
1196-22
Brown
A Glue NO None Detected Cellulose 2%Adhesive 98%
20090401.22
Homogeneous
1196-23
Brown
A Glue NO None Detected Cellulose 2%Adhesive 98%
20090401.23
Homogeneous
1196-24
Brown
A Glue NO None Detected Cellulose 2%Adhesive 98%
20090401.24
Homogeneous
Tan
1196-25 Other Non-Fibrous
20090401.25 A Floor Tile YES Chrysotile 10%90%
Homogeneous
Black
1196-25 Tar
B .YES Chrysotile 5%Bitumen 95%
20090401.25 Mastic
Homogeneous
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to E AS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
In which the results are used or interpreted.Unless notified in writing to return the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are est1mates and not absolute percent range values.
Analyzed By:£^Approved Signatory:£^
Terry Brindley Terry Brindley
Page 5 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
6nVirontDønta{13201 Northwest Freeway,suite 520
Houston,Texas 77040
phone 713-343-4017 |fax 713-934-9942
ryices,LL(,www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light Microscopy
Client information:Project:Date Analyzed:09/08/2020 10:35 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #..Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected .
Lab ID #Percent Fibers Material
(Yes/No)
1196-26
20090401.26 Not Analyzed Postive Stop
1196-27
20090401.27 Not Analyzed Postive Stop
Pink/White
1196-28 Fibrous Cellulose 40%Binders /Paint
A NO None Detected
20090401.28 Ceiling Tile Fiberglass 40%20%
Non-Homogeneous
Pink/White
1196-29 Fibrous Cellulose 40%Binders /Paint
A NO None Detected
20090401.29 Ceiling Tile Fiberglass 40%20%
Non-Homogeneous
Pink/White
1196-30 Fibrous Cellulose 40%Binders /Paint
A NO None Detected
20090401.30 Ceiling Tile Fiberglass 40%20%
Non-Homogeneous
Gray1196-31 Other Non-Fibrous
A Mortar NO None Detected
20090401.31 100%
Homogeneous
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
In which the results are used or interpreted.Unless notified in writing to return the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:^d'Approved Signatory:d'
Terry Brindley Terry Brindley
Page 6 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
60Vironm¢nt3{13201 Northwest Freeway,Suite 520
Houston,Texas77040
phone 713-343-4017 |fax 713-934-9942
a tvic¢$,Î-Î-É.',www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light Microscopy
Client information:Project:Date Analyzed:09/08/2020 10:43 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #.Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected .
Lab ID #Percent Fibers Material
(Yes/No)
Yellow
1196-37
B Mastic NO None Detected Cellulose 2%Adhesive 98%
20090401.37
Homogeneous
Cream
1196-38 Other Non-Fibrous
A Floor Tile NO None Detected
20090401.38 100%
Homogeneous
Yellow
1196-38
B Mastic NO None Detected Cellulose 2%Adhesive 98%
20090401.38
Homogeneous
Cream
1196-39 Other Non-Fibrous
A Floor Tile NO None Detected
20090401.39 100%
Homogeneous
Yellow
1196-39
B Mastic NO None Detected Cellulose 2%Adhesive 98%
20090401.39
Homogeneous
Gray
1196-40 Fibrous
A YES Chrysotile 40%Binders 60%
20090401.40 Transite
Homogeneous
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
in which the results are used or interpreted.Unless notified In writing to return the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:BT'Approved Signatory:hT
Terry Brindley Terry Brindley
Page 8 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
60Vironmonta{13201 Northwest Freeway,Suite 520
Houston,Texas 77040
phone 713-343-4017 |fax 713-934-9942
a tvicos,l_.L(,,www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light MiCroscopy
Client Information:Project:Date Analyzed:09/08/2020 10:02 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 7841S Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #..Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected
Lab ID #Percent Fibers Material
(Yes/No)
1196-41
20090401.41 Not Analyzed Postive Stop
1196-42
20090401.42 Not Analyzed Postive Stop
White1196-43 A Joint Compound YES Chrysotile 2%Binders 98%
20090401.43
Homogeneous
Brown/White
1196-43 Fibrous
B NO None Detected Cellulose 20%Binders 80%
20090401.43 Drywall
Non-Homogeneous
White1196-44 A Joint Compound YES Chrysotile 2%Binders 98%
20090401.44
Homogeneous
Brown/White
1196-44 Fibrous
B NO None Detected Cellulose 20%Binders 80%
20090401.44 Drywall
Non-Homogeneous
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
in which the results are used or interpreted.Unless notified in writing to return the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding,Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:Approved Signatory:
Terry Brindley Terry Brindley
Page 9 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
60Vironm60ta{13201 Northwest Freeway,Suite 520
Houston,Texas77040
phone 713-343-4017 |fax 713-934-9942
FVIC6,LLC.www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light Microscopy
Client Information:Project:Date Analyzed:09/08/2020 10:02 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #..Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected .
Lab ID #Percent Fibers Material
(Yes/No)
White
1196-45 A Joint Compound YES Chrysotile 2%Binders 98%
20090401.45 Homogeneous
Brown/White
1196-45 Fibrous
B NO None Detected Cellulose 20%Binders 80%
20090401.45 Drywall
Non-Homogeneous
Yellow1196-46 Other Non-Fibrous
A Floor Tile NO None Detected
20090401.46 100%
Homogeneous
Black
1196-46 Tar
B .YES Chrysotile 5%Bitumen 95%
20090401.46 Mastic
Homogeneous
1196-47 Not Analyzed Postive Stop20090401.47
1196-48 Not Analyzed Postive Stop20090401.48
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
in which the results are used or Interpreted.Unless notified in writ1ng to return the sampfes covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:P^(/t-Approved Signatory:M^('
Terry Brindley Terry Brindley
Page 10 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
DVironmont3{13201 Northwest Freeway,Suite 520
Houston,Texas77040
phone 713-343-4017 |fax 713-934-9942
FVIC66,LLC www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light MiCrosCopy
Client Information:Project:Date Analyzed:09/08/2020 10:35 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #.Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected .
Lab ID #Percent Fibers Material
(Yes/No)
Tan1196-49 Other Non-Fibrous
A Floor Tile YES Chrysotile 10%
20090401.49 90%
Homogeneous
Black
1196-49 Tar
B .YES Chrysotile 5%Bitumen 95%
20090401.49 Mastic
Homogeneous
1196-50 Not Analyzed Postive Stop20090401.50
1196-51 Not Analyzed Postive Stop20090401.51
Red1196-52 Other Non-Fibrous
A Floor Tile NO None Detected Cellulose 10%
20090401.52 90%
Homogeneous
Black
1196-52 Tar
B YES Chrysotile 5%Bitumen 95%
20090401.52 Mastic
Homogeneous
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfleld analysis of bulk material is recommended in this case.All asbestos percentages are based on
?calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
in which the results are used or Interpreted.Unless notifled in writing to retum the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:Þ^('Approved Signatory:7'
Terry Brindley Terry Brindley
Page 11 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
60Vironm¢nta{13201 Northwest Freeway,suite 520
Houston,Texas 77040
phone 713-343-4017 |fax 713-934-9942
,orViCM,LL£.www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light Microscopy
Client Information:Project:Date Analyzed:09/08/2020 10:55 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #. .Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected
Lab ID #Percent Fibers Material
(Yes/No)
1196-53 Not Analyzed Postive Stop20090401.53
1196-54 Not Analyzed Postive Stop20090401.54
Green1196-55 Other Non-Fibrous
A Floor Tile NO None Detected Cellulose 5%
20090401.55 95%
Homogeneous
Black
1196-55 Tar
B YES Chrysotile 5%Bitumen 95%
20090401.55 Mastic
Homogeneous
1196-56 Not Analyzed Postive Stop20090401.56
1196-57 Not Analyzed Postive Stop20090401.57
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the Items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
In which the results are used or interpreted.Unless notified in writing to return the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:P1'Approved Signatory:/P7'/
Terry Brindley Terry Brindley
Page 12 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
nVironmenta{13201 Northwest Freeway,Suite 520
Houston,Texas 77040
phone 713-343-4017 |fax 713-934-9942
ryjces,LL(,,www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light Microscopy
Client Information:Project:Date Analyzed:09/08/2020 11:02 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #. .Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected .
Lab ID #Percent Fibers Material
(Yes/No)
Brown/White
1196-58 Fibrous Binders /Paint
A NO None Detected Cellulose 90%
20090401.58 Ceiling Tile 10%
Non-Homogeneous
Brown/White
1196-59 Fibrous Binders /Paint
A NO None Detected Cellulose 90%
20090401.59 Ceiling Tile 10%
Non-Homogeneous
Brown/White
1196-60 Fibrous Binders /Paint
A NO None Detected Cellulose 90%
20090401.60 Ceiling Tile 10%
Non-Homogeneous
Gray
1196-61 Fibrous
A YES Chrysotile 40%Binders 60%
20090401.61 Transite
Homogeneous
1196-62
20090401.62 Not Analyzed Postive Stop
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of safe,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
in which the results are used or Interpreted.Unless notified in writing to return the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:Approved Signatory:
Terry Brindley Terry Brindley
Page 13 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
60Vironmonta{13201 Northwest Freeway,suite 520
Houston,Texas 77040
phone 713-343-4017 |fax 713-934-9942
orVIC¢S,LL(,www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light Microscopy
Client Information:Project:Date Analyzed:09/08/2020 10:02 AM
Asbestos Mold Inspections Coastal Bend Booked Buildings Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #. .Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected .
Lab ID #Percent Fibers Material
(Yes/No)
1196-63
20090401.63 Not Analyzed Postive Stop
1196-64 Brown
A Mastic NO None Detected Cellulose 2%Adhesive 98%
20090401.64
Homogeneous
1196-65 Brown
A Mastic NO None Detected Cellulose 2%Adhesive 98%
20090401.65
Homogeneous
1196-66 Brown
A Mastic NO None Detected Cellulose 2%Adhesive 98%
20090401.66
Homogeneous
Black
1196-67 Tar
A NO None Detected Cellulose 2%Bitumen 98%
20090401.67 Roofing Material
Homogeneous
Black
1196-68 Tar
A NO None Detected Cellulose 2%Bitumen 98%
20090401.68 Roofing Material
Homogeneous
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.A11 asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,dependin6 on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
in which the results are used or interpreted.Unless notified in writing to return the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:MT'Approved Signatory:
Terry Brindley Terry Brindley
Page 14 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
60Vironmenta{13201 Northwest Freeway,Suite 520
Houston,Texas 77040
phone 713-343-4017 |fax 713-934-9942
,$gryjces,LL(,www.easlabs.com |facebook.com/easlabs |info@easlabs.com
Test:EPA 600/R-93/116
Polarized Light Microscopy
Client information:Project:Date Analyzed:09/08/2020 11:02 AM
Asbestos Moid Inspections Coastal Bend Booked Buildlngs Demo
2732 S Padre Island Dr 1114 Sam Ranking St,Corpus Date Received:09/04/2020 11:00 AM
Corpus Christi,TX 78415 Christi,TX
Phone:210-828-9800 CB-20-196 TAT Requested:1 Day
E-Mail:jeffzunker@astexinc.com EAS Job:20090401 Microscope:PLM Olympus BH-2
Attn:Jeff Zunker
Asbestos
Sample #. .Asbestos Mineral Non-Asbestos Non-Fibrous
Layer Sample Description Detected
Lab ID #Percent Fibers Material
(Yes/No)
Black
1196-69 TarA NO None Detected Cellulose 2%Bitumen 98%
20090401.69 Roofing Material
Homogeneous
NVLAP Lab Code:200784-0
TDSHS License No.300373
LDEQ LELAP Certificate No:04161,Agency Interest No.149571
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small to be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.
This test report relates only to the items tested.This report must not be used to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the Federal Government.This report
may not be reproduced except in full without permission from Environmental Analytical Services.
These results are submitted pursuant to EAS'current terms of sale,including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for the manner
in which the results are used or Interpreted.Unless notified in writing to return the samples covered by this report,EAS will store the samples for a period of ninety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed By:AN('/t--Approved Signatory:ANd'/
Terry Brindley Terry Brindley
Page 15 of 18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
llllllllllllllllllllll
-20090401
-
Environme,nta 13201 Northwest Freeway Suite 520,
na ÍC3 Houston Texas 77040
(281)850-4892 .Fax (713)934-9942
E-mail easlabs@aol.com
Lone Star Overnight Account #123757
*Job |D:20090401
6 0""0""0"
llllllllllllllllllllllllllllllllllll
at wJe(:9 S.')m,Asbestos Mold Inspections Coastal Bend
San Antonio,Texas 78216
Project #cg .p o .f 1*)t,.Analysis:'p
Address:cyg Note:25B.fa343
City,State:o ;7 Date:4 ..3 .O o
TURNAROUND TIME:0 2 Hour 0
5 DA (R O OT
(Specify)..
(NOTE:All Turnaround Times are based on the Date /Time the Sample is received by the Laboratory)
Sample Number Location Description
2.g i q
3.)!Q (,---o
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Relinquished By:Accepted By:
(Signa re)Date and Time:(Signature)Date and Time:
Page 16
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
_lllllllllllllllillllll
20090401
nvironmental 13201 Northwest Freeway Suite 520,
naÎj?Ít;3I Houston Texas 77040
SFVi(166,Idl.(281)850-4892 ?Fax (713)934-9942
E-mail easlabs@aol.com
Lone Star Overnight Acconut #123757
CHAIN OF CUSTODY
Ástex Environmental Services Project Name BAS Job #
139 Braniff Drive
San Antonio,Texas 78216
Project #C/$-Do -J m1,Analysis:'Pm .
Address:)s N ¼Q~×.;Gr,Note:2546&5#12
City,State:Ørg gn4g-g .Date:.4 ,·g .n o
TURNAROUND TIME:0 2 Hour O 8 Hou 4d <24_H__OURS__,)(Rush)
0 2 Day 0 5 DAY (ROUTINE)O OTHBR:?o S11"l*-SioP +*
(Specify)..
(NOTE:All Turnaround Times are based on the Date /Time the Sample is received by the Laboratory)
Sample Number Location Description
2.e (,-3.8 |M~p/rz (c.y-srcR yx ð Cs j /wh 7y is -2 //e a è
3.q þ -.
4.,-·bo ..._-.
5.-3|pgyst).j y,irstW L w n//gte etr µeitl A.
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Relinquished By:-P==Accepted By:A.
(Si ture)Date and Time:(Signature)Date and Time
Page 17
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
_llllllllllllllllllllll
20090401
nvironmental
13201 Northwest Freeway Suite 520,
03Ij?Ít..3Í Houston Texas 77040
(281)850-4892 ?Fax (713)934-9942
?E-mail easlabs@aol.com
Lone Star Overnight Account #123757
CHAIN OF CUSTODY
Astex Environmental Services Project Name BAS Job #
139 Braniff Drive
San Antonio,Texas 78216
Project #£9.Do ?;i%Analysis:'p m
Address:11161 So,,,.9.wµù.,¼Note:2.fSggy g
City,State:(g cµs9.g½-m o Date:4 .¿.so
TURNAROUND TIME:0 2 Hour 0 8 H (Rush)
0 2 Day 0 5 DAY (ROUTINE)O OTHER:£?Y'*f 0
(Specify)..
(NOTE:All Turnaround Times are based on the Date /Time the Sample is received by the Laboratory)
Sample Number Location Description
1.9(c G3 |£ott (dyc7%Ed )/f/J Dthbh37/
2.9 (,--5L/._Á....
3.9 ,~9 pi 7 )
5.-
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15.;y q .q-su L
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23.
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26.
Relinquished By;2 O Accepted By:
(Signature)Date arid Time:(Signature)Date and Time:
Page
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
6nVit*0ninental 13201 Northwest Freeway Suite 520
naÎ fiCal Houston,Texas 77040
_.,phone 713-343-4017 ?fax 713-934-9942
SI'VIC66,lÅÚ www.easlabs.com ?facebook.com/easlabs ?lnfo@easlabs.com
Point Count Method by Polarized Light Microscopy Analysis
(EPA 600/R-93/116)
Asbestos Mold Inspections Coastal Bend Project:Date Analyzed:September 8,2020
2732 S Padre Island Dr Booked Bldgs Demo
Corpus Christi,TX 78415 1114 Sam Ranking St
361-384-7776 Corpus Christi,TX Date Received:September 8,2020
info@amicoastalbend.com CB-20-1196
EAS Job #:20090401 Microscope:Olympus-CH-40
Attn:Mr.Jeff Zunker Analysis Time Requested:2 hour
Homo.Asbestos
Geneous Detected?Asbestos Mineral Non-Asbestos Non-Flbrous
Sample#Layer sample Description (Y/N)Yes/No Percent Fibers Material
1196-43 A White Joint Compound YES YES Chrysotile 0.25%
20090401.43
1196-44 A White Joint Compound YES VES Chrysotile 0.50%
20090401.44
1196-45 A White Joint Compound YES YES Chrysotile 0.25%
20090401.45
NVLAP Lab Code:200784-0
TDSHS #300373
Page 1 of 1
Notes:
Some samples (floor tiles,surfacing,etc.)may contain fibers too small too be detectable by PLM.TEM Chatfield analysis of bulk material is recommended in this case.All asbestos percentages are based on
calibrated visual estimates traceable to NIST standards for regulated asbestos types.Analysts'percentages fall within a range of acceptable percentages,depending on the actual concentration of asbestos.This
test reports relates only to the items tested.Neither NVLAP nor EPA accreditation implies endorsement by any (JS Govemment agency.This report may not be reproduced except la full without written permission
from Environmental Analytkal services.
These results are submitted pursuant to EAS current terms and condition of sale,including the company's standard warranty and limitation of liability provlsions and no res ponsibility or liabIlity Is assumed for the
manner in whkh the results are used or interpreted.Unless notified in writing to return the samples covered by this report,EAS will store the samples for a period of nInety (90)days before discarding.Percent
ranges reported are estimates and not absolute percent range values.
Analyzed by:Approved Signatory:
Terry Brindley Arthur Hernandez
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
DVir00Mont3Î 13201 Northwest Freeway Suite 520
H3 ÍC3 Houston,Texas 77040
(713)343-4017?Fax (713)934-9942
E-mail easlabs(alaol.com
Lone Star Overnight Account #123757
CHAIN OF CUSTODY *Job ID:20090401
Asbestos Mold Inspections Coastal Bend Q c N e
Co us Ch ti,s
a
d7 15 o Asbestos Mold Inspections Coastal Bend
Number &Type of S mple:Project Number P.O.Number
3 FTCf C H 1%
TURNAROUND TIME Hour 0 8 Hour 24 Hours
2 Day 0 3 Day 0 5 Day (ROUTINE)0 OTHER:
(Specify)
(NOTE:All Turnaround Times are based on the Date /Time the Sample is received by the Laboratory)
Contact Person:Jeff Zunker Phone:(210)828-9800 E-mail info@amicoastalbend.com
Special Instructions:
SAMPLE NUMBER LOCATION SAMPLE DESCRIPTION
(See attached description)
Relinquished By:U 3 0 O''(Accepted By:4,
(signature)Date and Time:(signature)Date and Time:
Page __of __
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
APPENDIX B
PHOTOGRAPHS
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
East Elevation South Elevation
0 2500W (T)@ 27048'2"N,97024'17"W ±49ft A 30ft
o 3s80N (T)®27048'2"N,97024'17"W ±13ft A 3Oft
!.
1d n 9x9 for tHes t 1114 Sam Rankih ,.
Aste nvronrr.ent,.....02-09-2020,08:44:06 .
Photo 01 Photo 02
East Elevation .South Elevation
O 2760W (T)®27048 2"N,97024'17"W ±45ft A 29fi O 3580N (T)®27048'2"N,97024'17"W ±85ft A 28ft
Photo 03 Photo 04
South West Elevation North East Elevation
0 570NE (T)@ 27048'2"N,97024'17"W ±95ft A 28ft 0 2060SW (T)®27048'2"N,97024'17"W ±19ft A 28ft
Astex ömenmes 02-012020,08.58.58
Photo 05 Photo 06
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
West Elevation West Elevation
0850E (T)®27048'4"N,97024'11"W±10524ft A 2ft 0900E (T)@27048 2"N,97024'17"W±190ft A 28ft
enta .02-09-2020,09 os 53 ta .02-09-2020,09 06 29
Photo07 Photo08
West Elevation South West Elevation
01120E (T)@27048'2"N,97024'17"W±833ft A 2ft 0 400NE (T)@27048'3"N,9702416"W ±14206ft A 2ft
Photo 09 Photo 10
North Elevation North West Elevation
O 184*S (T)<ieb 27*46'18"N,97*2O'34"W 2488845ft A Oft
01430SE (T)@27048'3"N,97024'12"W±213ft A 14ft
t iver s r i I O O .E te.<Envuor»r.enbl -'.02-092020,09:20:22
Photo 11 Photo 12
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
East Elevation West Elevation
0 2680W (T)®27048'3"N,9702417"W±32ft A 30ft 0112 E (T)@27048 3"N,97024'17"W ±462ft A 35ft
A e c r i
e cnme .1
Photo 13 Photo 14
South West Elevation Soutil VVest Elevation
O 650NE (T)®27048'5"N,97024"18"W ±213ft A Oft
0 660NE (T)@ 048'3"N,97024'15"W ±137ft A 40ft .
mpe.rmnsite H N Sam Rankin
Astex Environmental 02-09-2020,09 25:55 ,
Photo 15 Photo 16
North West Elevation North West Elevation
01440SE (T)®27048'5"N,97024'18"W ±285ft A 6ft 01280SE (T)@27048 6"N,97024'18"W±213ft A 6ft
Ave.<cowen=w 02 09-20:30,ocu;«Aste7 ronmenn 02 09-2020,09s2 37
Photo17 Photo18
DocuSign Envelope ID: C0E28E9B-8D33-4AC8-963A-FC7FEEFFF35EDocuSign Envelope ID: FB758778-F8D0-4AC4-968D-EA146C7FB690
East Elevation North West Elevation
O 2480W (T)®27048*6"N,97-24'18"W ±72ft A 27ft
o1330SE (T)@27048'6"N,97024'18"W±213ft A 7ft
Photo 19 Photo 20
West Elevation East Elevation
o 930E (T)@27047'57"N,97024'16"W±236ft A 7ft o 2680W (T)®27047'57"N,97024'18"W±541ft A 4ft
Photo21 Photo22
North Elevation East Elevation
O 1780S (T)®27048'13"N,97-24'14"W *S766ft A 4ft
o2640w (T)@27048'4"N,97024'17"W±164ft A 32ft
»(14 sam nank n
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02 09-2020.t o 29:42
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South Elevation South East Elevation
0 3470N (T)®27048'4"N,97024 16"W ±32ft A 32ft 0 2990NW (T)@ 27048 4"N,97024'16"W ±19ft A 31ft
.,..le .I .
o e3 0 0 E p 03 09 0 1 19
Photo25 Photo26
North West Elevation North West Elevation
01400SE (T)®27048'3"N,97024'18"W±95ft A 27ft 01420SE (T)®27048'3"N,97024'17"W±65ft A 27ft
Roofing Materol 1 14 Sam Ra o Parapot wSi mastic 1114 Sam Rankm
A5teAEnvircomenta 03-09-2020 10 0:12 AstexEnvbcomeow 03-09-2020,1020A3
Photo 27 Photo 28
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1114 Sam Rankin
Corpus Christi, TX. 78401
2-Story ~20,000 SF
1-Story ~7,500 SF
TOTAL ~27,500 SF
Demolish and Haul off debris.
Demolish entire foundation.
2-Story
1-Story
ATTACHMENT A-4
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Attachment B- Bid/Pricing Schedule
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Revised 09.04.20
Attachment A-Insurance Requirements
I.CONTRACTOR’S LIABILITY INSURANCE
A.Contractor must not commence work under this agreement until all insurance
required has been obtained and such insurance has been approved by the City.
Contractor must not allow any subcontractor Agency to commence work until all
similar insurance required of any subcontractor Agency has been obtained.
B.Contractor must furnish to the City’s Risk Manager and Contract Administer one (1)
copy of Certificates of Insurance (COI) with applicable policy endorsements showing
the following minimum coverage by an insurance company(s) acceptable to the
City’s Risk Manager. The City must be listed as an additional insured on the General
liability and Auto Liability policies by endorsement, and a waiver of subrogation is
required on all applicable policies. Endorsements must be provided with COI. Project
name and or number must be listed in Description Box of COI.
TYPE OF INSURANCE MINIMUM INSURANCE COVERAGE
30-written day notice of cancellation,
required on all certificates or by
applicable policy endorsements
Bodily Injury and Property Damage
Per occurrence - aggregate
Commercial General Liability
Including:
1.Commercial Broad Form
2.Premises – Operations
3.Products/Completed Operations
4.Contractual Liability
5.Independent Contractors
6.Personal Injury- Advertising Injury
$1,000,000 Per Occurrence
AUTO LIABILITY (including)
1.Owned
2.Hired and Non-Owned
3.Rented/Leased
$500,000 Combined Single Limit
WORKERS’ COMPENSATION
EMPLOYER’S LIABILITY
Statutory
$500,000 /$500,000 /$500,000
POLLUTION LIABILITY $1,000,000 Per Occurrence
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Revised 09.04.20
C.In the event of accidents of any kind related to this agreement, Contractor must
furnish the Risk Manager with copies of all reports of any accidents within 10 days of
the accident.
II.ADDITIONAL REQUIREMENTS
A.Applicable for paid employees, Contractor must obtain workers’
compensation coverage through a licensed insurance company. The coverage must
be written on a policy and endorsements approved by the Texas Department of
Insurance. The workers’ compensation coverage provided must be in an amount
sufficient to assure that all workers’ compensation obligations incurred by the
Contractor will be promptly met.
B.Contractor shall obtain and maintain in full force and effect for the duration of this
Contract, and any extension hereof, at Contractor's sole expense, insurance coverage
written on an occurrence basis, by companies authorized and admitted to do business
in the State of Texas and with an A.M. Best's rating of no less than A- VII.
C.Contractor shall be required to submit a copy of the replacement certificate of
insurance to City at the address provided below within 10 days of the requested
change. Contractor shall pay any costs incurred resulting from said changes. All
notices under this Article shall be given to City at the following address:
City of Corpus Christi
Attn: Risk Manager
P.O. Box 9277
Corpus Christi, TX 78469-9277
D.Contractor agrees that with respect to the above required insurance, all insurance
policies are to contain or be endorsed to contain the following required provisions:
•List the City and its officers, officials, employees, volunteers, and elected
representatives as additional insured by endorsement, as respects operations,
completed operation and activities of, or on behalf of, the named insured performed
under contract with the City, with the exception of the workers' compensation policy;
•Provide for an endorsement that the "other insurance" clause shall not apply to the
City of Corpus Christi where the City is an additional insured shown on the policy;
•Workers' compensation and employers' liability policies will provide a waiver of
subrogation in favor of the City; and
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Revised 09.04.20
•Provide thirty (30) calendar days advance written notice directly to City of any
suspension, cancellation, non-renewal or material change in coverage, and not less
than ten (10) calendar days advance written notice for nonpayment of premium.
E.Within five (5) calendar days of a suspension, cancellation, or non-renewal of
coverage, Contractor shall provide a replacement Certificate of Insurance and
applicable endorsements to City. City shall have the option to suspend Contractor's
performance should there be a lapse in coverage at any time during this contract.
Failure to provide and to maintain the required insurance shall constitute a material
breach of this contract.
F.In addition to any other remedies the City may have upon Contractor's failure to
provide and maintain any insurance or policy endorsements to the extent and within
the time herein required, the City shall have the right to order Contractor to remove
the exhibit hereunder, and/or withhold any payment(s) if any, which become due to
Contractor hereunder until Contractor demonstrates compliance with the
requirements hereof.
G.Nothing herein contained shall be construed as limiting in any way the extent to
which Contractor may be held responsible for payments of damages to persons or
property resulting from Contractor's or its subcontractor’s performance of the work
covered under this agreement.
H.It is agreed that Contractor's insurance shall be deemed primary and non-
contributory with respect to any insurance or self insurance carried by the City of
Corpus Christi for liability arising out of operations under this agreement.
I.It is understood and agreed that the insurance required is in addition to and
separate from any other obligation contained in this agreement.
2020 Insurance Requirements
Ins. Req. Exhibit 4-C
Contracts for General Services – Services Performed Onsite - Pollution
06/08/2020 Risk Management – Legal Dept.
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Attachment C – Bond Requirements
Bonds will be required as outlined in the Scope of Work, Section 4:
subsection 4.3; Job Order (C)
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ATTACHMENT D: WARRANTY REQUIREMENTS
No product warranty is required therefore, Service Agreement 3302 Section
8, Warranty Requirements subsections 8(A)and (B) are hereby void.
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7
CITY OF CORPUS CHRISTI - DISCLOSURE OF INTERESTS
City of Corpus Christi Ordinance 17112, as amended, requires all persons or firms seeking to do business
with the City to provide the following information. Every question must be answered. If the question is not
applicable, answer with "NA." See the definitions for the Disclosure of Interest in Section II - General
Information.
COMPANY NAME:
P. O. BOX:
STREET ADDRESS: CITY: ZIP:
FIRM IS: 1.Corporation 2.Partnership 3.Sole Owner4.Association 5.Other____________________________________
DISCLOSURE QUESTIONS If additional space is necessary, please use the reverse side of this page or attach separate sheet.
1.State the names of each “employee” of the City of Corpus Christi having an “ownership interest”constituting 3% or more of the ownership in the above named “firm.”
Name Job Title and City Department (if known)
2.State the names of each “official” of the City of Corpus Christi having an “ownership interest” constituting3% or more of the ownership in the above named “firm.”
Name Title
3.State the names of each “board member” of the City of Corpus Christi having an “ownership interest”constituting 3% or more of the ownership in the above named “firm.”
Name Board, Commission or Committee
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Attachment E – Federal Requirements
FEDERAL REQUIREMENTS
TABLE OF CONTENTS
Section No. Title
FR-01 Breach of Contract Terms
FR-02 Termination of Contract
FR-03 Equal Employment Opportunity - 41 CFR Part 60-1.4(b)
FR-04 Standard Federal Equal Employment Opportunity Construction Contract Specifications –
41 CFR Part 60.4.3
FR-05 Copeland Anti-Kickback Act 29 CFR Part 5
FR-06 Davis-Bacon Labor Requirements 29 CFR part 5
FR-07 Contract Work hours and Safety Standards Act Requirements
FR-08 Regulations Pertaining to Reporting
FR-09 Rights to Inventions
FR-10 Access to Records and Record Retention
FR-11 Clean Air and Water Pollution Control
FR-12 Energy Conservation Requirements
FR-13 Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion
FR-14 Lobbying and Influencing Federal Employees
FR-15 Economic Opportunities for Low and Very-Low Income Persons
FR-16 Affirmative Action Regulations and Plan
FR-17 Women and Minority Owned Businesses (M/WBE)
FR-18 Accessibility Section 504 Compliance
FR-19 Texas Architectural Barriers Act
FR-20 Drug-Free Workplace Requirements
FR-21 Field Requirements
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FEDERAL REQUIREMENTS: FR-01
BREACH OF CONTRACT TERMS
Any violation or breach of terms of this contract on the part of the contractor or their
subcontractors may result in the suspension or termination of this contract or such other
action that may be necessary to enforce the rights of the parties of this agreement. The
duties and obligations imposed by the Contract Documents and the rights and remedies
available thereunder shall be in addition to and not a limitation of any duties, obligations,
rights and remedies otherwise imposed or available by law.
A breach of the contract clauses in 29 CFR 5.5 may be grounds for termination of the
contract and for debarment as a contractor as provided in 29 CFR 5.12.
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FEDERAL REQUIREMENTS: FR-02
TERMINATION OF CONTRACT
a. The City may, by written notice, terminate this contract in whole or in part at any time,
either for the CIty's convenience or because of failure to fulfill the contract obligations. Upon
receipt of such notice services shall be immediately discontinued (unless the notice directs
otherwise) and all materials as may have been accumulated in performing this contract,
whether completed or in progress, delivered to the City.
b. If the termination is for the convenience of the City, an equitable adjustment in the
contract price shall be made, but no amount shall be allowed for anticipated profit on
unperformed services.
c. If the termination is due to failure to fulfill the contractor's obligations, the City may take
over the work and prosecute the same to completion by contract or otherwise. In such case,
the contractor shall be liable to the City for any additional cost occasioned to the City
thereby.
d. If, after notice of termination for failure to fulfill contract obligations, it is determined that
the contractor had not so failed, the termination shall be deemed to have been effected for
the convenience of the City. In such event, adjustment in the contract price shall be made
as provided in this clause.
e. The rights and remedies of the City provided in this clause are in addition to any other
rights and remedies provided by law or under this contract.
Reference: 24 CFR 85.36
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FEDERAL REQUIREMENTS: FR-03
EQUAL EMPLOYMENT OPPORTUNITY - Executive Order 11246 as amended, 41 CFR
PART 60-1.4(b)
During the performance of this contract, the contractor agrees as follows:
1. The contractor will not discriminate against any employee or applicant for employment
because of race, color, religion, sex, or national origin. The contractor will take affirmative
action to ensure that applicants are employed, and that employees are treated during
employment without regard to their race, color, religion, sex, or national origin. Such action
shall include, but not be limited to the following: Employment, upgrading, demotion, or
transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection for training, including apprenticeship. The contractor
agrees to post in conspicuous places, available to employees and applicants for
employment, notices to be provided setting forth the provisions of this nondiscrimination
clause.
2. The contractor will, in all solicitations or advertisements for employees placed by or on
behalf of the contractor, state that all qualified applicants will receive considerations for
employment without regard to race, color, religion, sex, or national origin.
3. The contractor will send to each labor union or representative of workers with which
he/she has a collective bargaining agreement or other contract or understanding, a notice
to be provided by the agency contracting officer, advising the labor union or workers'
representatives of the contractor's commitments under Section 202 of Executive Order
11246 of September 24, 1965, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment.
4. The contractor will comply with all provisions of Executive Order 11246 of September 24,
1965, as amended, and of the rules, regulations, and relevant orders of the Secretary of
Labor.
5. The contractor will furnish all information and reports required by Executive Order 11246
of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his/her books, records, and accounts by the
contracting agency and the Secretary of Labor for purposes of investigation to ascertain
compliance with such rules, regulations, and orders.
6. In the event of the contractor's noncompliance with the nondiscrimination clauses of this
contract or with any of the such rules, regulations, or orders, this contract may be cancelled,
terminated or suspended in whole or in part and the contractor may be declared ineligible
for further Government contracts or federally assisted construction contracts in accordance
with procedure authorized in Executive Order 11246 of September 24, 1965, and such
other sanctions may be imposed and remedies invoked as provided in Executive Order
11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or
as otherwise provided by law.
7. The contractor will include the provisions of paragraphs (1) through (7) in every
subcontract or purchase order unless exempted by rules, regulations, or orders of the
Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September
24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The
contractor will take such action with respect to any subcontract or purchase order as may
be directed by the Secretary of Labor as a means of enforcing such provision, including
sanctions for noncompliance: Provided, however, that in the event a contractor becomes
involved in, or is threatened with, litigation with a subcontractor or vendor as a result of
such direction by the administering agency the contractor may request the United States to
enter into such litigation to protect the interests of the United States. [Sec. 202 amended by
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EO 11375 of Oct 13, 1967, 32 FR 14303, 3 CFR, 1966-1970 Comp., p. 684. EO 12086 of
Oct 5, 1978, 43 FR 46501, 3 CFR, 1978 Comp., p. 230]
SEC. 203.Each contractor having a contract containing the provisions prescribed in Section
202 shall file, and shalt cause each of his subcontractors to file, Compliance Reports with
the contracting agency or the Secretary of Labor as may be directed. Compliance Reports
shall be filed within such times and shall contain such information as to the practices,
policies, programs, and employment policies, programs, and employment statistics of the
contractor and each subcontractor, and shall be in such form, as the Secretary of Labor
may prescribe.
Contractors or subcontractors may be required to state whether they have participated in
any previous contract subject to the provisions of this Order, or any preceding similar
Executive order, and in that event to submit, on behalf of themselves and their proposed
subcontractors, Compliance Reports prior to or as an initial part of their bid or negotiation
of a contract.
Whenever the contractor or subcontractor has a collective bargaining agreement or
other contract or understanding with a labor union or an agency referring workers or
providing or supervising apprenticeship or training for such workers, the Compliance
Report shall include such information as to such labor union's or agency's practices and
policies affecting compliance as the Secretary of Labor may prescribe: Provided, That to
the extent such information is within the exclusive possession of a labor union or an
agency referring workers or providing or supervising apprenticeship or training and such
labor union or agency shall refuse to furnish such information to the contractor, the
contractor shall so certify to the Secretary of Labor as part of its Compliance Report and
shall set forth what efforts he has made to obtain such information.
The Secretary of Labor may direct that any contractor or subcontractor shall submit, as part
of his/her Compliance Report, a statement in writing, signed by an authorized officer or
agent on behalf of any labor union or any agency referring workers or providing or
supervising apprenticeship or other training, with which the contractor deals, with
supporting information, to the effect that the signer's practices and policies do not
discriminate on the grounds of race, color, religion, sex or national origin, and that the
signer either will affirmatively cooperate in the implementation of the policy and provisions
of this Order or that it consents and agrees that recruitment, employment, and the terms
and conditions of employment under the proposed contract shall be in accordance with the
purposes and provisions of the order. In the event that the union, or the agency shall refuse
to execute such a statement, the Compliance Report shall so certify and set forth what
efforts have been made to secure such a statement and such additional factual material as
the Secretary of Labor may require.
[Sec. 203 amended by EO 11375 of Oct. 13, 1967, 32 FR 14303, 3 CFR, 1966-1970
Comp., p. 684; EO 12086 of Oct. 5, 1978, 43 FR 46501, 3 CFR, 1978 Comp., p.230
Reference: Executive Order 11246 & Title 41 CFR Part 60 -1.4
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FEDERAL REQUIREMENTS: FR-04
STANDARD FEDERAL EQUAL EMPLOYMENT OPPORTUNITY CONSTRUCTION
CONTRACT SPECIFICATIONS - 41 CFR Part 60.4.3
1. As used in these specifications:
a. "Covered area" means the geographical area described in the solicitation from which this
contract resulted;
b. "Director" means Director, Office of Federal Contract Compliance Programs (OFCCP),
U.S. Department of Labor, or any person to whom the Director delegates authority;
c. "Employer identification number" means the Federal social security number used on the
Employer's Quarterly Federal Tax Return, U.S. Treasury Department Form 941;
d. "Minority" includes:
(1) Black (all) persons having origins in any of the Black African racial groups not of
Hispanic origin);
(2) Hispanic (all persons of Mexican, Puerto Rican, Cuban, Central or South American, or
other Spanish culture or origin regardless of race);
(3) Asian and Pacific Islander (all persons having origins in any of the original peoples of
the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands); and
(4) American Indian or Alaskan native (all persons having origins in any of the original
peoples of North America and maintaining identifiable tribal affiliations through membership
and participation or community identification).
2. Whenever the contractor, or any subcontractor at any tier, subcontracts a portion of the
work involving any construction trade, it shall physically include in each subcontract in
excess of $10,000 the provisions of these specifications and the Notice which contains the
applicable goals for minority and female participation and which is set forth in the
solicitations from which this contract resulted.
3. If the contractor is participating (pursuant to 41 CFR 60-4.5) in a Hometown Plan
approved by the U.S. Department of Labor in the covered area either individually or through
an association, its affirmative action obligations on all work in the Plan area (including goals
and timetables) shall be in accordance with that Plan for those trades which have unions
participating in the Plan. Contractors shall be able to demonstrate their participation in and
compliance with the provisions of any such Hometown Plan. Each contractor or
subcontractor participating in an approved plan is individually required to comply with its
obligations under the EEO clause and to make a good faith effort to achieve each goal
under the Plan in each trade in which it has employees. The overall good faith performance
by other contractors or subcontractors toward a goal in an approved Plan does not excuse
any covered contractor's or subcontractor's failure to take good faith efforts to achieve the
Plan goals and timetables.
4. The contractor shall implement the specific affirmative action standards provided in
paragraphs 18.7a through 18.7p of these specifications. The goals set forth in the
solicitation from which this contract resulted are expressed as percentages of the total
hours of employment and training of minority and female utilization the contractor should
reasonably be able to achieve in each construction trade in which it has employees in the
covered area. Covered construction contractors performing construction work in a
geographical area where they do not have a Federal or federally assisted construction
contract shall apply the minority and female goals established for the geographical area
where the work is being performed. Goals are published periodically in the Federal Register
in notice form, and such notices may be obtained from any Office of Federal Contract
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Compliance Programs office or from Federal procurement contracting officers. The
contractor is expected to make substantially uniform progress in meeting its goals in each
craft during the period specified.
5. Neither the provisions of any collective bargaining agreement nor the failure by a union
with whom the contractor has a collective bargaining agreement to refer either minorities or
women shall excuse the contractor's obligations under these specifications, Executive
Order 11246 or the regulations promulgated pursuant thereto.
6. In order for the non-working training hours of apprentices and trainees to be counted in
meeting the goals, such apprentices and trainees shall be employed by the contractor
during the training period and the contractor shall have made a commitment to employ the
apprentices and trainees at the completion of their training, subject to the availability of
employment opportunities. Trainees shall be trained pursuant to training programs
approved by the U.S. Department of Labor.
7. The contractor shall take specific affirmative actions to ensure equal employment
opportunity. The evaluation of the contractor's compliance with these specifications shall be
based upon its effort to achieve maximum results from its actions. The contractor shall
document these efforts fully and shall implement affirmative action steps at least as
extensive as the following:
a. Ensure and maintain a working environment free of harassment, intimidation, and
coercion at all sites, and in all facilities at which the contractor's employees are assigned to
work. The contractor, where possible, will assign two or more women to each construction
project. The contractor shall specifically ensure that all foremen, superintendents, and other
onsite supervisory personnel are aware of and carry out the contractor's obligation to
maintain such a working environment, with specific attention to minority or female
individuals working at such sites or in such facilities.
b. Establish and maintain a current list of minority and female recruitment sources, provide
written notification to minority and female recruitment sources and to community
organizations when the contractor or its unions have employment opportunities available,
and maintain a record of the organizations' responses.
c. Maintain a current file of the names, addresses, and telephone numbers of each minority
and female off-the-street applicant and minority or female referral from a union, a
recruitment source, or community organization and of what action was taken with respect to
each such individual. If such individual was sent to the union hiring hall for referral and was
not referred back to the contractor by the union or, if referred, not employed by the
contractor, this shall be documented in the file with the reason therefore along with
whatever additional actions the contractor may have taken.
d. Provide immediate written notification to the Director when the union or unions with which
the contractor has a collective bargaining agreement has not referred to the contractor a
minority person or female sent by the contractor, or when the contractor has other
information that the union referral process has impeded the contractor's efforts to meet its
obligations.
e. Develop on-the-job training opportunities and/or participate in training programs for the
area which expressly include minorities and women, including upgrading programs and
apprenticeship and trainee programs relevant to the contractor's employment needs,
especially those programs funded or approved by the Department of Labor. The contractor
shall provide notice of these programs to the sources compiled under 7b above.
f. Disseminate the contractor's EEO policy by providing notice of the policy to unions and
training programs and requesting their cooperation in assisting the contractor in meeting its
EEO obligations; by including it in any policy manual and collective bargaining agreement;
by publicizing it in the company newspaper, annual report, etc.; by specific review of the
policy with all management personnel and with all minority and female employees at least
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once a year; and by posting the company EEO policy on bulletin boards accessible to all
employees at each location where construction work is performed.
g. Review, at least annually, the company's EEO policy and affirmative action obligations
under these specifications with all employees having any responsibility for hiring,
assignment, layoff, termination, or other employment decisions including specific review of
these items with onsite supervisory personnel such a superintendents, general foremen,
etc., prior to the initiation of construction work at any job site. A written record shall be made
and maintained identifying the time and place of these meetings, persons attending, subject
matter discussed, and disposition of the subject matter.
h. Disseminate the contractor's EEO policy externally by including it in any advertising in
the news media, specifically including minority and female news media, and providing
written notification to and discussing the contractor's EEO policy with other contractors and
subcontractors with whom the contractor does or anticipates doing business.
i. Direct its recruitment efforts, both oral and written, to minority, female, and community
organizations, to schools with minority and female students; and to minority and female
recruitment and training organizations serving the contractor's recruitment area and
employment needs. Not later than one month prior to the date for the acceptance of
applications for apprenticeship or other training by any recruitment source, the contractor
shall send written notification to organizations, such as the above, describing the openings,
screening procedures, and tests to be used in the selection process.
j. Encourage present minority and female employees to recruit other minority persons and
women and, where reasonable provide after school, summer, and vacation employment to
minority and female youth both on the site and in other areas of a contractor's workforce.
k. Validate all tests and other selection requirements where there is an obligation to do so
under 41 CFR Part 60-3.
l. Conduct, at least annually, an inventory and evaluation at least of all minority and female
personnel, for promotional opportunities and encourage these employees to seek or to
prepare for, through appropriate training, etc., such opportunities.
m. Ensure that seniority practices, job classifications, work assignments, and other
personnel practices do not have a discriminatory effect by continually monitoring all
personnel and employment related activities to ensure that the EEO policy and the
contractor's obligations under these specifications are being carried out.
n. Ensure that all facilities and company activities are non-segregated except that separate
or single user toilet and necessary changing facilities shall be provided to assure privacy
between the sexes.
o. Document and maintain a record of all solicitations of offers for subcontracts from
minority and female construction contractors and suppliers, including circulation of
solicitations to minority and female contractor associations and other business associations.
p. Conduct a review, at least annually, of all supervisor's adherence to and performance
under the contractor's EEO policies and affirmative action obligations.
8. Contractors are encouraged to participate in voluntary associations, which assist in
fulfilling one or more of their affirmative action obligations (18.7a through 18.7p). The efforts
of a contractor association, joint contractor union, contractor community, or other similar
groups of which the contractor is a member and participant, may be asserted as fulfilling
any one or more of its obligations under 18.7a through 18.7p of these specifications
provided that the contractor actively participates in the group, makes every effort to assure
that the group has a positive impact on the employment of minorities and women in the
industry, ensures that the concrete benefits of the program are reflected in the contractor's
minority and female workforce participation, makes a good faith effort to meet its individual
goals and timetables, and can provide access to documentation which demonstrates the
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effectiveness of actions taken on behalf of the contractor. The obligation to comply,
however, is the contractor's and failure of such a group to fulfill an obligation shall not be a
defense for the contractor's noncompliance.
9.A single goal for minorities and a separate single goal for women have been established.
The contractor, however, is required to provide equal employment opportunity and to take
affirmative action for all minority groups, both male and female, and all women, both
minority and non-minority. Consequently, if the particular group is employed in a
substantially disparate manner (for example, even though the contractor has achieved its
goals for women generally,) the contractor may be in violation of the Executive Order if a
specific minority group of women is underutilized.
10.The contractor shall not use the goals and timetables or affirmative action standards to
discriminate against any person because of race, color, religion, sex, or national origin.
11.The contractor shall not enter into any subcontract with any person or firm debarred
from Government contracts pursuant to Executive Order 11246.
12.The contractor shall carry out such sanctions and penalties for violation of these
specifications and of the Equal Opportunity Clause, including suspension, termination, and
cancellation of existing subcontracts as may be imposed or ordered pursuant to Executive
Order 11246, as amended, and its implementing regulations, by the Office of Federal
Contract Compliance Programs. Any contractor who fails to carry out such sanctions and
penalties shall be in violation of these specifications and Executive Order 11246, as
amended.
13.The contractor, in fulfilling its obligations under these specifications, shall implement
specific affirmative action steps, at least as extensive as those standards prescribed in
paragraph 18.7 of these specifications, so as to achieve maximum results from its efforts to
ensure equal employment opportunity. If the contractor fails to comply with the
requirements of the Executive Order, the implementing regulations, or these specifications,
the Director shall proceed in accordance with 41 CFR 60-4.8.
14.The contractor shall designate a responsible official to monitor all employment related
activity to ensure that the company EEO policy is being carried out, to submit reports
relating to the provisions hereof as may be required by the Government, and to keep
records. Records shall at least include for each employee, the name, address, telephone
number, construction trade, union affiliation if any, employee identification number when
assigned, social security number, race, sex, status (e.g., mechanic, apprentice, trainee,
helper, or laborer), dates of changes in status, hours worked per week in the indicated
trade, rate of pay, and locations at which the work was performed. Records shall be
maintained in an easily understandable and retrievable form; however, to the degree that
existing records satisfy this requirement, contractors shall not be required to maintain
separate records.
15.Nothing herein provided shall be construed as a limitation upon the application of other
laws which establish different standards of compliance or upon the application of
requirements for the hiring of local or other area residents (e.g., those under the Public
Works Employment Act of 1977 and the Community Development Block Grant Program).
Reference: Executive Order 11246 & Title 41 CFR Part 60 – 4.3
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FEDERAL REQUIREMENTS: FR-05
COPELAND “ANTI-KICKBACK” ACT – 18 U.S.C. 874 / 40 U.S.C. 276c / 29 CFR Part 3
Compliance with Copeland Act requirements. The Contractor shall comply with the
requirements of 29 CFR Part 3 which are incorporated by reference in this contract.
TITLE 18, U.S.C.
Sec. 874. Kickbacks from public works employees
"Whoever, by force, intimidation, or threat of procuring dismissal from employment, or by
any other manner whatsoever induces any person employed in the construction,
prosecution, completion or repair of any public building, public work, or building or work
financed in whole or in part by loans or grants from the United States, to give up any part of
the compensation to which he is entitled under his contract of employment, shall be fined
not more than $5,000 or imprisoned not more than five years, or both."
[18 U.S.C. 874 (June 25, 1948, ch. 645, Sec. 1, 62 Stat. 740, eff. Sept. 1, 1948) replaces
the former sec. 1 of the Copeland Act of June 13, 1934 (48 Stat. 948), which was codified
as 40 U.S.C. 276b prior to its repeal by 62 Stat. 862, eff. Sept. 1, 1948.]
TITLE 40, U.S.C. (as amended)
Sec. 276c, Regulations governing contractors and subcontractors
"The Secretary of Labor shall make reasonable regulations for contractors and
subcontractors engaged in the construction, prosecution, completion or repair of public
buildings, public works or buildings or works financed in whole or in part by loans or grants
from the United States, including a provision that each contractor and subcontractor shall
furnish weekly a statement with respect to the wages paid each employee during the
preceding week. Section 1001 of Title 18 of the United States Code (Criminal Code and
Criminal Procedure) shall apply to such statements."
[40 U.S.C. 276c, as amended (48 Stat. 948 as amended by 62 Stat. 862, 63 Stat. 108, and
72 Stat. 967) constitutes the Copeland Act in its present form, which is a revision of section
2 of the original Act of June 13, 1934, section 1 of the original Act was repealed
coincidentally with its replacement by 18 U.S.C. 874, set out above.]
Reorganization Plan No. 14 of 1950 (15 F.R. 3176, 64 Stat. 1267, 5 U.S.C. 133z note):
"In order to assure coordination of administration and consistency of enforcement of the
labor standards provision of each of the [foregoing and other enumerated] Acts by the
Federal agencies responsible for the administration thereof, the Secretary of Labor shall
prescribe appropriate standards, regulations, and procedures, which shall be observed by
these agencies, and cause to be made by the Department of Labor such investigations,
with respect to compliance with and enforcement of such labor standards, as he deems
desirable, ..."
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FEDERAL REQUIREMENTS: FR-06
FEDERAL LABOR STANDARDS PROVISIONS (HUD 4010)
DAVIS - BACON REQUIREMENTS
Compliance with Davis-Bacon and Related Act Requirements: All rulings and
interpretations of the Davis-Bacon and Related Acts Contained in 29 CFR Parts 1,
3 and 5 are herein incorporated by reference. The Contractor further agrees to
comply with Chapter 2258 of the Texas Government Code and pay rates that are not
less than those laid out in the attached wage rates decision.
For additional information regarding Labor Rates, please go to the following United States
Department of Labor website:
http://www.dol.gov/whd/contracts/dbra.htm
Applicability
The Project or Program to which the construction work covered by this contract pertains is
being assisted by the United States of America and the following Federal Labor Standards
Provisions are included in this Contract pursuant to the provisions applicable to such
Federal assistance.
1.(i) Minimum Wages All laborers and mechanics employed or working upon the site of
the work will be paid unconditionally and not less often than once a week, and without
subsequent deduction or rebate on any account (except such payroll deductions as are
permitted by the Secretary of Labor under the Copeland Act (29 CFR Part 3)), the full
amount of wages and bona fide fringe benefits (or cash equivalent thereof) due at time of
payment computed at rates not less than those contained in the wage determination of the
Secretary of Labor which is attached hereto and made a part hereof, regardless of any
contractual relationship which may be alleged to exist between the contractor and such
laborers and mechanics. Contributions made or costs reasonably anticipated for bona fide
fringe benefits under Section 1(b)(2) of the Davis-Bacon Act on behalf of laborers or
mechanics are considered wages paid to such laborers or mechanics, subject to the
provisions of 29 CFR 5.5(a.)(1)(iv); also, regular contributions made or costs incurred for
more than a weekly period (but not less often than quarterly) under plans, funds, or
programs which cover the particular weekly period, are deemed to be constructively made
or incurred during such weekly period.
Such laborers and mechanics shall be paid the appropriate wage rate and fringe benefits
on the wage determination for the classification of work actually performed, without regard
to skill, except as provided in 29 CFR Part 5.5(a)(4). Laborers or mechanics performing
work in more than one classification may be compensated at the rate specified for each
classification for the time actually worked therein: Provided, that the employer's payroll
records accurately set forth the time spent in each classification in which work is performed.
The wage determination (including any additional classification and wage rates conformed
under 29 CFR 5.5(a)(1)(ii) and the Davis-Bacon poster (WH-1321) shall be posted at all
times by the contractor and its subcontractors at the site of the work in a prominent and
accessible place where it can easily be seen by the workers.
(ii) (a) Any class of laborers or mechanics, which is not listed in the wage determination and
which is to be employed under the contract shall be classified in conformance with the
wage determination. HUD shall approve an additional classification and wage rate and
fringe benefits therefore only when the following criteria have been met:
(1) The work to be performed by the classification requested is not performed by a
classification in the wage determination; and
(2) The classification is utilized in the area by the construction industry; and
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(3) The proposed wage rate, including any bona fide fringe benefits, bears a reasonable
relationship to the wage rates contained in the wage determination.
(b) If the contractor and the laborers and mechanics to be employed in the classification (if
known), or their representatives, and HUD or its designee agree on the classification and
wage rate (including the amount designated for fringe benefits where appropriate), a report
of the action taken shall be sent by HUD or its designee to the Administrator of the Wage
and Hour Division, Employment Standards Administration, U.S. Department of Labor,
Washington, D.C. 20210. The Administrator, or an authorized representative, will approve,
modify, or disapprove every additional classification action within 30 days of receipt and so
advise HUD or its designee or will notify HUD or its designee within the 30-day period that
additional time is necessary. (Approved by the Office of Management and Budged under
OMB control number 12150140.)
(c) In the event the contractor, the laborers or mechanics to be employed in the
classification or their representatives, and HUD or its designee do not agree on the
proposed classification and wage rate (including the amount designated for fringe benefits
where appropriate), HUD or its designee shall refer the questions, including the views of all
interested parties and the recommendation of HUD or its designee, to the Administrator for
determination. The Administrator, or an authorized representative, will issue a
determination within 30 days of receipt and so advise HUD or its designee or will notify
HUD or its designee within the 30-day period that additional time is necessary. (Approved
by the Office of Management and Budged under OMB control number 12150140.)
(d) The wage rate (including fringe benefits where appropriate) determined pursuant to
subparagraphs (1)(ii) (b) or (c) of this paragraph, shall be paid to all workers performing
work in the classification under this contract from the first day on which work is performed in
the classification.
(iii) Whenever the minimum wage rate prescribed in the contract for a class of laborers or
mechanics includes a fringe benefit which is not expressed as an hourly rate, the contractor
shall either pay the benefit as stated in the wage determination or shall pay another bona
fide fringe benefit or an hourly cash equivalent thereof.
(iv) If the contractor does not make payments to a trustee or other third person, the
contractor may consider as part of the wages of any laborer or mechanic the amount of any
costs reasonably anticipated in providing bona fide fringe benefits under a plan or program,
Provided, That the Secretary of Labor has found, upon the written request of the contractor,
that the applicable standards of the Davis-Bacon Act have been met. The Secretary of
Labor may require the contractor to set aside in a separate account assets for the meeting
of obligations under the plan or program. (Approved by the Office of Management and
Budged under OMB control number 12150140.)
2.Withholding.
HUD or its designee shall upon its own action or upon written request of an authorized
representative of the Department of Labor withhold or cause to be withheld from the
contractor under this contract or any other Federal contract with the same prime contractor,
or any other Federally-assisted contract subject to David-Bacon prevailing wage
requirements, which is held by the same prime contractor, so much of the accrued
payments or advances as may be considered necessary to pay laborers and mechanics,
including apprentices, trainees, and helpers, employed by the contractor or any
subcontractor the full amount of wages required by the contract. In the event of failure to
pay any laborer or mechanic, including any apprentice, trainee, or helper, employed or
working on the site of work, all or part of the wages required by the contract, the HUD or its
designee may, after written notice to the contractor, sponsor, applicant, or owner, take such
action as may be necessary to cause the suspension of any further payment, advance, or
guarantee of funds until such violations have ceased. HUD or its designee may, after
written notice to the contractor, disburse such amounts withheld for and on account of the
contractor or subcontractor to the respective employees to whom they are due. The
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Comptroller General shall make such disbursements in the case of direct Davis-Bacon Act
contracts.
3. (i) Payrolls and basic records. Payrolls and basic records relating thereto shall be
maintained by the contractor during the course of the work and preserved for a period of
three years thereafter for all laborers and mechanics working at the site of the work. Such
records shall contain the name, address, and social security number of each such worker,
his or her correct classification, hourly rates of wages paid (including rates of contributions
or costs anticipated for bona fide fringe benefits or cash equivalents thereof of the types
described in Section 1(b)(2)(B) of the Davis-Bacon Act), daily and weekly number of hours
worked, deductions made and actual wages paid. Whenever the Secretary of Labor has
found under 29 CFR 5.5(a)(1)(iv) that the wages of any laborer or mechanic include the
amount of any costs reasonably anticipated in providing benefits under a plan or program
described in Section 1(b)(2)(B) of the Davis-Bacon Act, the contractor shall maintain
records which show that the commitment to provide such benefits is enforceable, that the
plan or program is financially responsible, and that the plan or program has been
communicated in writing to the laborers or mechanics affected, and records which show the
costs anticipated or the actual costs incurred in providing such benefits. Contractors
employing apprentices or trainees under approved programs shall maintain written
evidence of the registration of apprenticeship programs and certification of trainee
programs, the registration of the apprentices and trainees, and the ratios and wage rates
prescribed in the applicable programs. (Approved by the Office of Management and Budget
under OMB Control Numbers 1215-0140 and 1215-0017.)
(ii) (a) The contractor shall submit weekly, for each week in which any contract work is
performed, a copy of all payrolls to HUD or its designee if the agency is a party to the
contract, but if the agency is not such a party, the contractor will submit the payrolls to the
applicant sponsor or owner, as the case may be, for transmission to HUD or its designee.
The payrolls submitted shall set out accurately and completely all of the information
required to be maintained under 29 CFR 5.5(a)(3)(i). This information may be submitted in
any form desired. Optional Form WH-347 is available for this purpose and may be
purchased from the Superintendent of Documents (Federal Stock Number 029-005-00014-
1), U.S. Government Printing Office, Washington, D.C. 20402. The prime contractor is
responsible for the submission of copies of payrolls by all subcontractors. (Approved by the
Office of Management and Budget under OMB Control Numbers 1215-0149.)
(b) Each payroll submitted shall be accompanied by a "Statement of Compliance, "signed
by the contractor or subcontractor or his or her agent who pays or supervises the payment
of the persons employed under the contract and shall certify the following:
(1) That the payroll for the payroll period contains the information required to be maintained
under CFR 5.5(a)(3)(i) above and that such information is correct and complete;
(2) That each laborer and mechanic (including each helper, apprentice and trainee)
employed on the contract during the payroll period has been paid the full weekly wages
earned, without rebate, either directly or indirectly, and that no deductions have been made
either directly or indirectly from the full wages earned, other than permissible deductions as
set forth in Regulations 29 CFR Part 3;
(3) That each laborer or mechanic has been paid not less than the applicable wage rates
and fringe benefits or cash equivalents for the classification of work performed, as specified
in the applicable wage determination incorporated into the contract.
(c) The weekly submission of a properly executed certification set forth on the reverse side
of Optional Form WH-347 shall satisfy the requirement for submission of the "Statement of
Compliance" required by paragraph A.3.(ii)(b).
(d) The falsification of any of the above certifications may subject the contractor or
subcontractor to civil or criminal prosecution under Section 1001 of Title 18 and Section 231
of Title 31 of the United States Code.
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(iii) The contractor or subcontractor shall make the records required under paragraph
A.3.(i) available for inspection, copying or transcription by authorized representatives of
HUD or its designee, or the Department of Labor, and shall permit such representatives to
interview employees during working hours on the job. If the contractor or subcontractor fails
to submit the required records or to make them available, HUD or its designee may, after
written notice to the contractor, sponsor, applicant or owner, take such action as may be
necessary to cause the suspension of any further payment, advance, or guarantee of funds.
Furthermore, failure to submit the required records upon request or to make such records
available may be grounds for debarment action pursuant to 29 CFR 5.12.
4.Apprentices and Trainees.
(i) Apprentices. Apprentices will be permitted to work at less than the predetermined rate
for the work they performed when they are employed pursuant to and individually registered
in a bona fide apprenticeship program registered with the U.S. Department of Labor,
Employment and Training Administration, Office of Apprenticeship Training, Employer and
Labor Services or with a State Apprenticeship Agency recognized by the Office, or if a
person is employed in his or her first 90 days of probationary employment as an apprentice
in such an apprenticeship program, who is not individually registered in the program, but
who has been certified by the Office of Apprenticeship Training, Employer and Labor
Services or a State Apprenticeship Agency (where appropriate) to be eligible for
probationary employment as an apprentice. The allowable ratio of apprentices to
journeymen on the job site in any craft classification shall not be greater than the ratio
permitted to the contractor as to the entire work force under the registered program. Any
worker listed on a payroll at an apprentice wage rate, who is not registered or otherwise
employed as stated above, shall be paid not less than the applicable wage rate on the
wage determination for the classification of work actually performed. In addition, any
apprentice performing work on the job site in excess of the ratio permitted under the
registered program shall be paid not less than the applicable wage rate on the wage
determination for the work actually performed. Where a contractor is performing
construction on a project in a locality other than that in which its program is registered, the
ratios and wage rates (expressed in percentages of the journeyman's hourly rate) specified
in the contractor's or subcontractor's registered program shall be observed. Every
apprentice must be paid at not less than the rate specified in the registered program for the
apprentice's level of progress, expressed as a percentage of the journeymen hourly rate
specified in the applicable wage determination. Apprentices shall be paid fringe benefits in
accordance with the provisions of the apprenticeship program. If the apprenticeship
program does not specify fringe benefits, apprentices must be paid the full amount of fringe
benefits listed on the wage determination for the applicable classification. If the
Administrator determines that a different practice prevails for the applicable apprentice
classification, fringes shall be paid in accordance with that determination. In the event the
Office of Apprenticeship Training, Employer and Labor Services, or a State Apprenticeship
Agency recognized by the Office, withdraws approval of an apprenticeship program, the
contractor will no longer be permitted to utilize apprentices at less than the applicable
predetermined rate for the work performed until an acceptable program is approved.
(ii) Trainees. Except as provided in 29 CFR 5.16, trainees will not be permitted to work at
less than the predetermined rate for the work performed unless they are employed pursuant
to and individually registered in a program which has received prior approval, evidenced by
formal certification by the U.S. Department of Labor, Employment and Training
Administration. The ratio of trainees to journeymen on the job site shall not be greater than
permitted under the plan approved by the Employment and Training Administration. Every
trainee must be paid at not less than the rate specified in the approved program for the
trainee's level of progress, expressed as a percentage of the journeyman hourly rate
specified in the applicable wage determination. Trainees shall be paid fringe benefits in
accordance with the provisions of the trainee program. If the trainee program does not
mention fringe benefits, trainees shall be paid the full amount of fringe benefits listed on the
wage determination unless the Administrator of the Wage and Hour Division determines
that there is an apprenticeship program associated with the corresponding journeyman
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wage rate on the wage determination which provides for less than full fringe benefits for
apprentices. Any employee listed on the payroll at a trainee rate who is not registered and
participating in a training plan approved by the Employment and Training Administration
shall be paid not less than the applicable wage rate on the wage determination for the
classification of work actually performed. In addition, any trainee performing work on the job
site in excess of the ratio permitted under the registered program shall be paid not less than
the applicable wage rate on the wage determination for the work actually performed. In the
event the Employment and Training Administration withdraws approval of a training
program, the contractor will no longer be permitted to utilize trainees at less than the
applicable predetermined rate for the work performed until an acceptable program is
approved.
(iii) Equal Employment Opportunity. The utilization of apprentices, trainees and
journeymen under 29 CFR Part 5 shall be in conformity with the equal employment
opportunity requirements of Executive Order 11246, as amended, and 29 CFR Part 30.
5.Compliance with Copeland Act Requirements.
The contractor shall comply with the requirements of 29 CFR Part 3, which are incorporated
by reference in this contract.
6.Subcontracts. The contractor or subcontractor shall insert in any subcontracts the
clauses contained in subparagraphs 1 through 11 of this paragraph A and such other
clauses as HUD or its designee may by appropriate instructions require, and a copy of the
applicable prevailing wage decision, and also a clause requiring the subcontractors to
include these clauses in any lower tier subcontracts. The prime contractor shall be
responsible for the compliance by any subcontractor or lower tier subcontractor with all the
contract clauses in this paragraph.
7.Contract termination: debarment. A breach of the contract clauses in 29 CFR 5.5 may
be grounds for termination of the contract, and for debarment as a contractor and a
subcontractor as provided in 29 CFR 5.12.
8.Compliance with Davis-Bacon and Related Act Requirements. All rulings and
interpretations of the Davis-Bacon and Related Acts contained in 29 CFR Parts 1, 3, and 5
are herein incorporated by reference in this contract.
9.Disputes Concerning Labor Standards. Disputes arising out of the labor standards
provisions of this contract shall not be subject to the general disputes clause of this
contract. Such disputes shall be resolved in accordance with the procedures of the
Department of Labor set forth in 29 CFR Parts 5, 6 and 7. Disputes within the meaning of
this clause include disputes between the contractor (or any of its subcontractors) and HUD,
the U.S. Department of Labor, or the employees or their representatives.
10.(i) Certification of Eligibility. By entering into this contract, the contractor certifies that
neither it (nor he or she) nor any person or firm who has an interest in the contractor's firm
is a person or firm ineligible to be awarded. Government contracts by virtue of section 3(a)
of the Davis- Bacon Act or 29 CFR 5.12(a) (1) or to be awarded HUD contracts or
participate in HUD programs pursuant to 24 CF Part 24.
(ii) No part of this contract shall be subcontracted to any person or firm ineligible for award
of a Government contract by virtue of section 3(a) of the Davis-Bacon Act or 29 CFR 5.12
(a)(1) or to be awarded HUD contracts or participate in HUD programs pursuant to 24 CFR
Part 24.
(iii) The penalty for making false statements is prescribed in the U.S. Criminal Code, 18
U.S. Criminal 1001. Additionally, U.S. Criminal Code Section 1 01 0, Title 18, U.S.C. 1001.
Additionally, U.S. Criminal Code, Section 1 01 0, Title 18, U.S.C, “Federal Housing
Administration transactions”, provides in part: “Whoever, for the purpose of ….. influencing
in any way the action of such Administration….makes, utters or publishes any statement
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knowing the same to be false…..shall be fined not more than $5,000 or imprisoned not
more than two years, or both.”
11.Complaints, Proceedings, or Testimony by Employees. No laborer or mechanic to
whom the wage, salary, or other labor standards provision of this Contract are applicable
shall be discharged or in any other manner discrimination against by the Contractor or any
subcontractor because such employee has filed any complaint or instituted or caused to be
instituted any proceeding or has testified or is about to testify in any proceeding under or
relating to the labor standards applicable under this Contract to his employer.
Reference: Title 29 CFR Part 5.5
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"General Decision Number: TX20200288 09/11/2020
Superseded General Decision Number: TX20190288
State: Texas
Construction Type: Building
Counties: Aransas, Nueces and San Patricio Counties in Texas.
BUILDING CONSTRUCTION PROJECTS (does not include single family
homes or apartments up to and including 4 stories).
Note: Under Executive Order (EO) 13658, an hourly minimum wage
of $10.80 for calendar year 2020 applies to all contracts
subject to the Davis‐Bacon Act for which the contract is
awarded (and any solicitation was issued) on or after January
1, 2015. If this contract is covered by the EO, the contractor
must pay all workers in any classification listed on this wage
determination at least $10.80 per hour (or the applicable wage
rate listed on this wage determination, if it is higher) for
all hours spent performing on the contract in calendar year
2020. If this contract is covered by the EO and a
classification considered necessary for performance of work on
the contract does not appear on this wage determination, the
contractor must pay workers in that classification at least the
wage rate determined through the conformance process set forth
in 29 CFR 5.5(a)(1)(ii) (or the EO minimum wage rate,if it is
higher than the conformed wage rate). The EO minimum wage rate
will be adjusted annually. Please note that this EO applies to
the above‐mentioned types of contracts entered into by the
federal government that are subject to the Davis‐Bacon Act
itself, but it does not apply to contracts subject only to the
Davis‐Bacon Related Acts, including those set forth at 29 CFR
5.1(a)(2)‐(60). Additional information on contractor
requirements and worker protections under the EO is available
at www.dol.gov/whd/govcontracts.
Modification Number Publication Date
0 01/03/2020
1 09/11/2020
BOIL0074‐003 01/01/2017
Rates Fringes
BOILERMAKER......................$ 28.00 22.35
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
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* ELEC0278‐002 03/20/2020
Rates Fringes
ELECTRICIAN......................$ 26.25 8.24
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
* ENGI0178‐005 06/01/2020
Rates Fringes
POWER EQUIPMENT OPERATOR
(1) Tower Crane.............$ 32.85 13.10
(2) Cranes with Pile
Driving or Caisson
Attachment and Hydraulic
Crane 60 tons and above.....$ 28.75 10.60
(3) Hydraulic cranes 59
Tons and under..............$ 32.35 13.10
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
* IRON0084‐011 06/01/2020
Rates Fringes
IRONWORKER, ORNAMENTAL...........$ 25.26 7.13
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
SUTX2014‐068 07/21/2014
Rates Fringes
BRICKLAYER.......................$ 20.04 0.00
CARPENTER........................$ 15.21 0.00
CEMENT MASON/CONCRETE FINISHER...$ 15.33 0.00
INSULATOR ‐ MECHANICAL
(Duct, Pipe & Mechanical
System Insulation)...............$ 19.77 7.13
IRONWORKER, REINFORCING..........$ 12.27 0.00
IRONWORKER, STRUCTURAL...........$ 22.16 5.26
LABORER: Common or General......$ 9.68 0.00
LABORER: Mason Tender ‐ Brick...$ 11.36 0.00
LABORER: Mason Tender ‐
Cement/Concrete..................$ 10.58 0.00
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LABORER: Pipelayer..............$ 12.49 2.13
LABORER: Roof Tearoff...........$ 11.28 0.00
OPERATOR:
Backhoe/Excavator/Trackhoe.......$ 14.25 0.00
OPERATOR: Bobcat/Skid
Steer/Skid Loader................$ 13.93 0.00
OPERATOR: Bulldozer.............$ 18.29 1.31
OPERATOR: Drill.................$ 16.22 0.34
OPERATOR: Forklift..............$ 14.83 0.00
OPERATOR: Grader/Blade..........$ 13.37 0.00
OPERATOR: Loader................$ 13.55 0.94
OPERATOR: Mechanic..............$ 17.52 3.33
OPERATOR: Paver (Asphalt,
Aggregate, and Concrete).........$ 16.03 0.00
OPERATOR: Roller................$ 12.70 0.00
PAINTER (Brush, Roller, and
Spray)...........................$ 14.45 0.00
PIPEFITTER.......................$ 25.80 8.55
PLUMBER..........................$ 25.64 8.16
ROOFER...........................$ 13.75 0.00
SHEET METAL WORKER (HVAC Duct
Installation Only)...............$ 22.73 7.52
SHEET METAL WORKER, Excludes
HVAC Duct Installation...........$ 21.13 6.53
TILE FINISHER....................$ 11.22 0.00
TILE SETTER......................$ 14.74 0.00
TRUCK DRIVER: Dump Truck........$ 12.39 1.18
TRUCK DRIVER: Flatbed Truck.....$ 19.65 8.57
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TRUCK DRIVER: Semi‐Trailer
Truck............................$ 12.50 0.00
TRUCK DRIVER: Water Truck.......$ 12.00 4.11
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
WELDERS ‐ Receive rate prescribed for craft performing
operation to which welding is incidental.
================================================================
Note: Executive Order (EO) 13706, Establishing Paid Sick Leave
for Federal Contractors applies to all contracts subject to the
Davis‐Bacon Act for which the contract is awarded (and any
solicitation was issued) on or after January 1, 2017. If this
contract is covered by the EO, the contractor must provide
employees with 1 hour of paid sick leave for every 30 hours
they work, up to 56 hours of paid sick leave each year.
Employees must be permitted to use paid sick leave for their
own illness, injury or other health‐related needs, including
preventive care; to assist a family member (or person who is
like family to the employee) who is ill, injured, or has other
health‐related needs, including preventive care; or for reasons
resulting from, or to assist a family member (or person who is
like family to the employee) who is a victim of, domestic
violence, sexual assault, or stalking. Additional information
on contractor requirements and worker protections under the EO
is available at www.dol.gov/whd/govcontracts.
Unlisted classifications needed for work not included within
the scope of the classifications listed may be added after
award only as provided in the labor standards contract clauses
(29CFR 5.5 (a) (1) (ii)).
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
The body of each wage determination lists the classification
and wage rates that have been found to be prevailing for the
cited type(s) of construction in the area covered by the wage
determination. The classifications are listed in alphabetical
order of ""identifiers"" that indicate whether the particular
rate is a union rate (current union negotiated rate for local),
a survey rate (weighted average rate) or a union average rate
(weighted union average rate).
Union Rate Identifiers
A four letter classification abbreviation identifier enclosed
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in dotted lines beginning with characters other than ""SU"" or
""UAVG"" denotes that the union classification and rate were
prevailing for that classification in the survey. Example:
PLUM0198‐005 07/01/2014. PLUM is an abbreviation identifier of
the union which prevailed in the survey for this
classification, which in this example would be Plumbers. 0198
indicates the local union number or district council number
where applicable, i.e., Plumbers Local 0198. The next number,
005 in the example, is an internal number used in processing
the wage determination. 07/01/2014 is the effective date of the
most current negotiated rate, which in this example is July 1,
2014.
Union prevailing wage rates are updated to reflect all rate
changes in the collective bargaining agreement (CBA) governing
this classification and rate.
Survey Rate Identifiers
Classifications listed under the ""SU"" identifier indicate that
no one rate prevailed for this classification in the survey and
the published rate is derived by computing a weighted average
rate based on all the rates reported in the survey for that
classification. As this weighted average rate includes all
rates reported in the survey, it may include both union and
non‐union rates. Example: SULA2012‐007 5/13/2014. SU indicates
the rates are survey rates based on a weighted average
calculation of rates and are not majority rates. LA indicates
the State of Louisiana. 2012 is the year of survey on which
these classifications and rates are based. The next number, 007
in the example, is an internal number used in producing the
wage determination. 5/13/2014 indicates the survey completion
date for the classifications and rates under that identifier.
Survey wage rates are not updated and remain in effect until a
new survey is conducted.
Union Average Rate Identifiers
Classification(s) listed under the UAVG identifier indicate
that no single majority rate prevailed for those
classifications; however, 100% of the data reported for the
classifications was union data. EXAMPLE: UAVG‐OH‐0010
08/29/2014. UAVG indicates that the rate is a weighted union
average rate. OH indicates the state. The next number, 0010 in
the example, is an internal number used in producing the wage
determination. 08/29/2014 indicates the survey completion date
for the classifications and rates under that identifier.
A UAVG rate will be updated once a year, usually in January of
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each year, to reflect a weighted average of the current
negotiated/CBA rate of the union locals from which the rate is
based.
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
WAGE DETERMINATION APPEALS PROCESS
1.) Has there been an initial decision in the matter? This can
be:
* an existing published wage determination
* a survey underlying a wage determination
* a Wage and Hour Division letter setting forth a position on
a wage determination matter
* a conformance (additional classification and rate) ruling
On survey related matters, initial contact, including requests
for summaries of surveys, should be with the Wage and Hour
Regional Office for the area in which the survey was conducted
because those Regional Offices have responsibility for the
Davis‐Bacon survey program. If the response from this initial
contact is not satisfactory, then the process described in 2.)
and 3.) should be followed.
With regard to any other matter not yet ripe for the formal
process described here, initial contact should be with the
Branch of Construction Wage Determinations. Write to:
Branch of Construction Wage Determinations
Wage and Hour Division
U.S. Department of Labor
200 Constitution Avenue, N.W.
Washington, DC 20210
2.) If the answer to the question in 1.) is yes, then an
interested party (those affected by the action) can request
review and reconsideration from the Wage and Hour Administrator
(See 29 CFR Part 1.8 and 29 CFR Part 7). Write to:
Wage and Hour Administrator
U.S. Department of Labor
200 Constitution Avenue, N.W.
Washington, DC 20210
The request should be accompanied by a full statement of the
interested party's position and by any information (wage
payment data, project description, area practice material,
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etc.) that the requestor considers relevant to the issue.
3.) If the decision of the Administrator is not favorable, an
interested party may appeal directly to the Administrative
Review Board (formerly the Wage Appeals Board). Write to:
Administrative Review Board
U.S. Department of Labor
200 Constitution Avenue, N.W.
Washington, DC 20210
4.) All decisions by the Administrative Review Board are final.
================================================================
END OF GENERAL DECISION"
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FEDERAL REQUIREMENTS: FR-07
CONTRACT WORK HOURS AND SAFETY STANDARDS ACT REQUIREMENTS
29 CFR PART 5
(1) Overtime requirements. No contractor or subcontractor contracting for any part of the
contract work which may require or involve the employment of laborers or mechanics shall
require or permit any such laborer or mechanic, in any workweek in which he or she is
employed on such work to work in excess of 40 hours in such workweek unless such
laborer or mechanic receives compensation at a rate not less than one and one-half times
the basic rate of pay for all hours worked in excess of forty hours in such workweek.
(2) Violation; Liability for Unpaid Wages; Liquidated Damages. In the event of any
violation of the clause set forth in subparagraph (1) of this paragraph, the contractor and
any subcontractor responsible therefor shall be liable for the unpaid wages. In addition,
such contractor and subcontractor shall be liable to the United States (in the case of work
done under contract for the District of Columbia or a territory, to such District or to such
territory), for liquidated damages. Such liquidated damages shall be computed with respect
to each individual laborer or mechanic, including watchmen and guards, employed in
violation of the clause set forth in subparagraph (1) of this paragraph above, in the sum of
$10 for each calendar day on which such individual was required or permitted to work in
excess of the standard workweek of 40 hours without payment of the overtime wages
required by the clause set forth in subparagraph (1) of this paragraph.
(3) Withholding for unpaid wages and liquidated damages. HUD or its designee shall
upon its own action or upon written request of an authorized representative of the
Department of Labor withhold or cause to be withheld, from any monies payable on account
of work performed by the contractor or subcontractor under any such contract or any other
Federal contract with the same prime contractor, or any other Federally-assisted contract
subject to the Contract Work Hours and Safety Standards Act, which is held by the same
prime contractor, such sums as may be determined to be necessary to satisfy any liabilities
of such contractor or subcontractor for unpaid wages and liquidated damages as provided
in the clause set forth in paragraph (2) of this paragraph.
(4) Subcontractors. The contractor or subcontractor shall insert in any subcontracts the
clauses set forth in paragraphs (1) through (4) of this paragraph and also a clause requiring
the subcontractor to include these clauses in any lower tier subcontracts. The prime
contractor shall be responsible for compliance by any subcontractor or lower tier
subcontractor with the clauses set forth in subparagraphs (1) through (4) of this paragraph.
(5) Health and Safety. No laborer or mechanic shall be required to work in surroundings
or under working conditions which are unsanitary, hazardous, or dangerous to his/her
health and safety as determined under construction safety and health standards
promulgated by the Secretary of Labor by regulation.
The Contractor shall comply with all regulations issued by the Secretary of Labor pursuant
to Title 29 Part1926 and failure to comply may result in imposition of sanctions pursuant to
the Contract Work Hours and Safety Standards Act, 40 USC 3701 et seq.
The Contractor shall include the provisions of this para-graph in every subcontract
so that such provisions will be binding on each subcontractor. The Contractor shall
take such action with respect to any subcontract as the Secretary of Housing and
Urban Development or the Secretary
Reference: 29 CFR Part 5.5 & Advisory Circular 150/5100-6d
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FEDERAL REQUIREMENTS: FR-08
REGULATIONS REGARDING REPORTING
INSTRUCTIONS HUD FORM 2516
This report is to be completed by grantees, developers, sponsors, builders, agencies,
and/or project owners for reporting contract and subcontract activities of $10,000 or more
under the following programs: Community Development Block Grants (entitlement and
small cities); Urban Development Action Grants; Housing Development Grants; Multifamily
Insured and Noninsured; Public and Indian Housing Authorities; and contracts entered into
by recipients of CDBG rehabilitation assistance. Contracts/subcontracts of less than
$10,000 need be reported only if such contracts represent a significant portion of your total
contracting activity. Include only contracts executed during this reporting period.
Section 3
This form has been modified to capture Section 3 contract data in columns 7g and 7i.
Section 3 requires that the employment and other economic opportunities generated by
HUD financial assistance for housing and community development programs shall, to the
greatest extent feasible, be directed toward low- and very low-income persons, particularly
those who are recipients of government assistance for housing. Recipients using this form
to report Section 3 contract data must also use Part I of form HUD- 60002 to report
employment and training opportunities data. Form HUD-2516 is to be may establish income
ceilings higher or lower than 80 per centum of the median for the area on the basis of the
Secretary’s findings that such variations are necessary because of prevailing levels of
construction costs or unusually high or low-income families. Very low-income persons
means low-income families (including single persons) whose incomes do not exceed 50 per
centum of the median family income for the area, as determined by the Secretary with
adjustments for smaller and larger families, except that the Secretary may establish income
ceilings higher or lower than 50 per centum of the median for the area on the basis of the
Secretary’s findings that such variations are necessary because of unusually high or low
family incomes.
Submit two (2) copies of this report to your local HUD Office within ten (10) days after the
end of the reporting period you checked in item 4 on the front.
Community Development Programs
1. Grantee: Enter the name of the unit of government submitting this report.
2. Contact Person: Enter name and phone of person responsible for maintaining and
submitting contract/subcontract data.
3. Contact Person: Enter name and phone of person responsible for maintaining and
submitting contract/subcontract data.
7a. Grant Number: Enter the HUD Community Development Block Grant Identification
Number (with dashes). For example: B-32-MC-25-0034. For Entitlement Programs and
Small City multi-year comprehensive programs, enter the latest approved grant number.
7b. Amount of Contract/Subcontract: Enter the dollar amount rounded to the nearest
dollar. If subcontractor ID number is provided in 7f, the dollar figure would be for the
subcontract only and not for the prime contract.
7c. Type of Trade: Enter the numeric codes which best indicates the
contractor's/subcontractor's service. If subcontractor ID number is provided in 7f., the type
of trade code would be for the subcontractor only and not for the prime contractor. The
"other" category includes supply, professional services and all other activities except
construction and education/training activities.
7d. Business Racial/Ethnic/Gender Code: Enter the numeric code which indicates the
racial/ethnic /gender character of the owner(s) and controller(s) of 51% of the business.
When 51% or more is not owned and controlled by any single racial/ethnic/ gender
category, enter the code which seems most appropriate. If the subcontractor ID number is
provided, the code would apply to the subcontractor and not to the prime contractor.
7e. Woman Owned Business: Enter Yes or No.
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7f. Contractor Identification (ID) Number: Enter the Employer (IRS) Number of the
unique identifier for prime recipient of HUD funds. Note that the Employer (IRS) Number
must be provided for each contract/subcontract awarded.
7g. Section 3 Contractor: Enter Yes or No.
7h. Subcontractor Identification (ID) Number: Enter the Employer (IRS) Number of the
subcontractor as the unique identifier for each subcontract awarded from HUD funds. When
the subcontractor ID Number is provided, the respective Prime
Contractor ID Number must also be provided.
7i. Section 3 Contractor: Enter Yes or No.
7j. Contractor/Subcontractor Name and Address: Enter this information for each A
Section 3 contractor/subcontractor is a business concern that provides economic
opportunities to low-and very low-income residents of the metropolitan area
(nonmetropolitan county), including a business concern that is 51 percent or more owned
by low- or very low-income residents; employs a substantial number of low- or very low-
income residents; or provides subcontracting or business development opportunities to
businesses owned by low- or very low-income residents. Low- and very low-income
residents include participants in Youth build programs established under Subtitle D of Title
IV of the Cranston-Gonzalez National Affordable Housing Act. The terms “low-income
persons” and “very low-income persons” have the same meanings given the terms in
section 3(b) (2) of the United States Housing Act of 1937.
Low-income persons mean families (including single persons) whose incomes do not exceed
80 per centum of the median income for the area, as determined by the Secretary, with
adjustments for smaller and larger families, except that the Secretary may establish Income
ceilings higher or lower than 80 percent of the median for the area on the basis of the
Secretary's findings such that variations are necessary because of prevailing levels of
construction costs or unusually high or low-income families. Very low-income persons mean
low-Income families (including single persons) whose incomes do not exceed 50 percent of the
median family Income area, as determined by the Secretary with adjustments or similar and
larger families, except that the Secretary may establish income ceilings higher or lower than 50
percent of the median for the area on the basis of the Secretary’s findings that such variations
are necessary because of unusually high or low family incomes.
INSTRUCTIONS FOR: FORM HUD-60002, Section 3 Summary Report, Economic
Opportunities for Low- and Very Low-Income Persons.
Instructions: This form is to be used to report annual accomplishments regarding employment
and other economic opportunities provided to low- and very low-income persons under Section
3 of the Housing and Urban Development Act of 1968. The Section 3 regulations apply to any
public and Indian housing programs that receive: (1) development assistance pursuant to
Section 5 of the U.S. Housing Act of 1937; (2) operating assistance pursuant to Section 9 of
the U.S. Housing Act of 1937; or (3) modernization grants pursuant to Section 14 of the U.S.
Housing Act of 1937 and to recipients of housing and community development assistance
in excess of $200,000 expended for: (1) housing rehabilitation (including reduction and
abatement of lead-based paint hazards); (2) housing construction; or (3) other public
construction projects; and to contracts and subcontracts in excess of $100,000 awarded in
connection with the Section-3-covered activity.
Form HUD-60002 has three parts, which are to be completed for all programs covered by
Section 3. Part I relates to employment and training. The recipient has the option to
determine numerical employment/training goals either on the basis of the number of hours
worked by new hires (columns B, D, E and F). Part II of the form relates to contracting, and
Part III summarizes recipients’ efforts to comply with Section 3.
Recipients or contractors subject to Section 3 requirements must maintain appropriate
documentation to establish that HUD financial assistance for housing and community
development programs were directed toward low- and very low-income persons.* A recipient of
Section 3 covered assistance shall submit one copy of this report to HUD Headquarters, Office
of Fair Housing and Equal Opportunity. Where the program providing assistance requires an
annual performance report, this Section 3 report is to be submitted at the same time the
program performance report is submitted. Where an annual performance report is not required,
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Page 24 of 45
this Section 3 report is to be submitted by January 10 and, if the project ends before December
31, within 10 days of project completion. Only Prime Recipients are required to report to
HUD. The report must include accomplishments of all recipients and their Section 3
covered contractors and subcontractors.
HUD Field Office: Enter the Field Office name.
1. Recipient: Enter the name and address of the recipient submitting this report.
2. Federal Identification: Enter the number that appears on the award form (with dashes). The
award may be a grant, cooperative agreement or contract.
3. Dollar Amount of Award: Enter the dollar amount, rounded to the nearest dollar, received by
the recipient.
4 & 5. Contact Person/Phone: Enter the name and telephone number of the person with
knowledge of the award and the recipient’s implementation of Section 3.
6. Reporting Period: Indicate the time period (months and year) this report covers.
7. Date Report Submitted: Enter the appropriate date.
8. Program Code: Enter the appropriate program code as listed at the bottom of the page.
9. Program Name: Enter the name of HUD Program corresponding with the “Program Code” in
number 8.
Part I: Employment and Training Opportunities
Column A: Contains various job categories. Professionals are defined as people who have
special knowledge of an occupation (i.e. supervisors, architects, surveyors, planners, and
computer programmers). For construction positions, list each trade and provide data in
columns B through F for each trade where persons were employed. The category of “Other”
includes occupations such as service workers.
Column B: (Mandatory Field) Enter the number of new hires for each category of workers
identified in Column A in connection with this award. New hire refers to a person who is not on
the contractor’s or recipient’s payroll for employment at the time of selection for the Section 3
covered award or at the time of receipt of Section 3 covered assistance.
Column C: (Mandatory Field) Enter the number of Section 3 new hires for each category of
workers identified in Column A in connection with this award. Section 3 new hire refers to a
Section 3 resident who is not on the contractor’s or recipient’s payroll for employment at the
time of selection for the Section 3 covered award or at the time of receipt of Section 3 covered
assistance.
Column D: Enter the percentage of all the staff hours of new hires (Section 3 residents) in
connection with this award.
Column E: Enter the percentage of the total staff hours worked for Section 3 employees and
trainees (including new hires) connected with this award. Include staff hours for part-time and
full-time positions. Column F: (Mandatory Field) Enter the number of Section 3 residents that were trained in
connection with this award.
Part II: Contract Opportunities Block 1: Construction Contracts
Item A: Enter the total dollar amount of all contracts awarded on the project/program. Item B: Enter the total dollar amount of contracts connected with this project/program that were
awarded to Section 3 businesses. Item C: Enter the percentage of the total dollar amount of contracts connected with this
project/program awarded to Section 3 businesses. Item D: Enter the number of Section 3 businesses receiving awards.
Block 2: Non-Construction Contracts Item A: Enter the total dollar amount of all contracts awarded on the project/program.
Item B: Enter the total dollar amount of contracts connected with this project awarded to
Section 3 businesses.
Item C: Enter the percentage of the total dollar amount of contracts connected with this
project/program awarded to Section 3 businesses.
Item D: Enter the number of Section 3 businesses receiving awards. Part III: Summary of Efforts – Self -explanatory
Submit one (1) copy of this report to the HUD Headquarters Office of Fair Housing and Equal
Opportunity, at the same time the performance report is submitted to the program office. The
Section 3 report is submitted by January 10. Include only contracts executed during the period
specified in item 8. PHAs/IHAs are to report all contracts/subcontracts.
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* The terms “low-income persons” and very low-income persons” have the same meanings
given the terms in section 3 (b) (2) of the United States Housing Act of 1937. Low-income
persons mean families (including single persons) whose incomes do not exceed 80 percent of
the median income for the area, as determined by the Secretary, with adjustments for smaller
and larger families, except that The Secretary may establish income ceilings higher or lower
than 80 percent of the median for the area on the basis of the Secretary’s findings such that
variations are necessary because of prevailing levels of construction costs or unusually high- or
low-income families. Very low-income persons mean low-income families (including single
persons) whose incomes do not exceed 50 percent of the median family income area, as
determined by the Secretary with adjustments or smaller and larger families, except that the
Secretary may establish income ceilings higher or lower than 50 percent of the median for the
area on the basis of the Secretary’s findings that such variations are necessary because of
unusually high or low family incomes.
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Section 3 Summary Report U.S. Department of Housing OMB Approval No: 2529-0043
Economic Opportunities for Low – and Very Low-Income Persons and Urban Development
Office of Fair Housing (exp. 11/30/2010)
And Equal Opportunity
Section back of page for Public Reporting Burden statement
1. Recipient Name & Address: (street, city, state, zip) 2. Federal Identification: (grant no.) 3. Total Amount of Award:
4. Contact Person 5. Phone: (Include area code)
6. Length of Grant: 7. Reporting Period:
8. Date Report Submitted: 9. Program Code: (Use separate sheet
for each program code) 10. Program Name:
Part I: Employment and Training (** Columns B, C and F are mandatory fields. Include New Hires in E &F)
A
Job Category
B
Number of
New Hires
C
Number of New
Hires that are
Sec. 3 Residents
D
% of Aggregate Number
of Staff Hours of New Hires
that are Sec. 3 Residents
E
% of Total Staff Hours
for Section 3 Employees
and Trainees
F
Number of Section 3
Trainees
Professionals
Technicians
Office/Clerical
Construction by Trade (List)
Trade
Trade
Trade
Trade
Trade
Other (List)
Total
* Program Codes 3 = Public/Indian Housing 4 = Homeless Assistance 8 = CDBG State Administered 1 = Flexible Subsidy A = Development, 5 = HOME 9 = Other CD Programs
2 = Section 202/811 B = Operation 6 = HOME State Administered 10 = Other Housing Programs
C = Modernization 7 = CDBG Entitlement
Page 1 of 2 form HUD 60002 (6/2001)
Ref 24 CFR 135
HUD Field Office:
HUD Field Office:
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Part II: Contracts Awarded
1. Construction Contracts:
A. Total dollar amount of all contracts awarded on the project $
B. Total dollar amount of contracts awarded to Section 3 businesses
$
C. Percentage of the total dollar amount that was awarded to Section 3 businesses
%
D. Total number of Section 3 businesses receiving contracts
2. Non-Construction Contracts:
A. Total dollar amount all non-construction contracts awarded on the project/activity $
B. Total dollar amount of non-construction contracts awarded to Section 3 businesses
$
C. Percentage of the total dollar amount that was awarded to Section 3 businesses
%
D. Total number of Section 3 businesses receiving non-construction contracts
Part III: Summary
Indicate the efforts made to direct the employment and other economic opportunities generated by HUD financial assistance for housing and
community development programs, to the greatest extent feasible, toward low-and very low-income persons, particularly those who are
recipients of government assistance for housing. (Check all that apply.)
Attempted to recruit low-income residents through: local advertising media, signs prominently displayed at the project site, contracts
with the community organizations and public or private agencies operating within the metropolitan area (or nonmetropolitan county) in
which the Section 3 covered program or project is located, or similar methods.
Participated in a HUD program or other program which promotes the training or employment of Section 3 residents.
Participated in a HUD program or other program which promotes the award of contracts to business concerns which meet the definition
of Section 3 business concerns.
Coordinated with Youthbuild Programs administered in the metropolitan area in which the Section 3 covered project is located.
Other; describe below.
Public reporting for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This
agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB number.
Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701u, mandates that the Department ensures that
employment and other economic opportunities generated by its housing and community development assistance programs are directed toward
low- and very-low income persons, particularly those who are recipients of government assistance housing. The regulations are found at 24
CFR Part 135. The information will be used by the Department to monitor program recipients’ compliance with Section 3, to assess the results
of the Department’s efforts to meet the statutory objectives of Section 3, to prepare reports to Congress, and by recipients as self-monitoring
tool. The data is entered into a database and will be analyzed and distributed. The collection of information involves recipients receiving
Federal financial assistance for housing and community development programs covered by Section 3. The information will be collected
annually to assist HUD in meeting its reporting requirements under Section 808(e)(6) of the Fair Housing Act and Section 916 of the HCDA of
1992. An assurance of confidentiality is not applicable to this form. The Privacy Act of 1974 and OMB Circular A-108 are not applicable. The
reporting requirements do not contain sensitive questions. Data is cumulative; personal identifying information is not included.
Page 2 of 2 form HUD 60002 (11/2010)
Ref 24 CFR 135
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FEDERAL REQUIREMENTS: FR-9
RIGHTS TO INVENTIONS
All rights to inventions and materials generated under this contract are subject to
regulations issued by HUD or its designee and the Sponsor of the Federal grant under
which this contract is executed.
Reference: 24 CFR 85.36
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FEDERAL REQUIREMENTS: FR-10
ACCESS TO RECORDS AND RECORD RETENTION
The Contractor shall maintain an acceptable cost accounting system. The Contractor
agrees to provide the Sponsor, HUD and the Comptroller General of the United States or
any of their duly authorized representative’s access to any books, documents, papers, and
records of the contractor which are directly pertinent to the specific contract for the purpose
of making audit, examination, excerpts and transcriptions. The Contractor agrees to
maintain all books, records and reports required under this contract for a period of not less
than three years after final payment is made and all pending matters are closed.
Reference: 24 CFR 85.36
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FEDERAL REQUIREMENTS: FR-11
CLEAN AIR AND WATER POLLUTION CONTROL
Contractors and subcontractors agree:
a. That any facility to be used in the performance of the contract or subcontract or to benefit
from the contract is not listed on the Environmental Protection Agency (EPA) List of
Violating Facilities;
b. To comply with all the requirements of Section 114 of the Clean Air Act, as amended, 42
U.S.C. 1857 et seq. and Section 308 of the Federal Water Pollution Control Act, as
amended, 33 U.S.C. 1251 et seq. relating to inspection, monitoring, entry, reports, and
information, as well as all other requirements specified in Section 114 and Section 308 of
the Acts, respectively, and all other regulations and guidelines issued thereunder;
c. That, as a condition for the award of this contract, the contractor or subcontractor will
notify the awarding official of the receipt of any communication from the EPA indicating that
a facility to be used for the performance of or benefit from the contract is under
consideration to be listed on the EPA List of Violating Facilities;
d. To include or cause to be included in any construction contract or subcontract which
exceeds $ 100,000 the aforementioned criteria and requirements.
Reference: Clean Air Act (42 U.S.C. 7401 et seq.), Federal Water Pollution Control Act (33
U.S.C. 1251 et seq.) as amended, (24 CFR 85.36 & Section 306 of the Clean Air Act &
Section 508 of the Clean Water Act
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FEDERAL REQUIREMENTS: FR-12
ENERGY CONSERVATION REQUIREMENTS
The contractor agrees to comply with mandatory standards and policies relating to energy
efficiency that are contained in the state energy conservation plan issued in compliance
with the Energy Policy and Conservation Act (Public Law 94-163).
Reference: Title 24 CFR 85.36 & Public Law 94-163
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FEDERAL REQUIREMENTS: FR-13
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND
VOLUNTARY EXCLUSION
The Contractor certifies, by acceptance of this contract, that neither it nor its principals is
presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or agency. It
further agrees that it will include this clause without modification in all lower tier
transactions, solicitations, proposals, contracts, and subcontracts.
Reference: 24 CFR 85.35
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FEDERAL REQUIREMENTS: FR-14
LOBBYING AND INFLUENCING FEDERAL EMPLOYEES
(1) No Federal appropriated funds shall be paid, by or on behalf of the contractor, to any
person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with the making of any Federal grant and the amendment or
modification of any Federal grant.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with any Federal grant, the contractor shall complete and submit
Standard Form-LLL, “Disclosure of Lobby Activities,” in accordance with its instructions.
Reference: Title 49 CFR Part 20, Appendix A
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FEDERAL REQUIREMENTS: FR-15
ECONOMIC OPPORTUNITIES FOR LOW AND VERY-LOW INCOME PERSONS
Section 3 Clause.
Housing and Urban Development Act of 1968
All section 3 covered contracts shall include the following clause (referred to as the section
3 clause):
A. The work to be performed under this contract is subject to the requirements of section 3
of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701u
(section 3). The purpose of section 3 is to ensure that employment and other economic
opportunities generated by HUD assistance or HUD-assisted projects covered by
section 3, shall, to the greatest extent feasible, be directed to low- and very low-income
persons, particularly persons who are recipients of HUD assistance for housing.
B. The parties to this contract agree to comply with HUD's regulations in 24 CFR part 135,
which implement section 3. As evidenced by their execution of this contract, the parties
to this contract certify that they are under no contractual or other impediment that would
prevent them from complying with the part 135 regulations.
C. The contractor agrees to send to each labor organization or representative of workers
with which the contractor has a collective bargaining agreement or other
understanding, if any, a notice advising the labor organization or workers'
representative of the contractor's commitments under this section 3 clause, and will
post copies of the notice in conspicuous places at the work site where both employees
and applicants for training and employment positions can see the notice. The notice
shall describe the section 3 preference, shall set forth minimum number and job titles
subject to hire, availability of apprenticeship and training positions, the qualifications for
each; and the name and location of the person(s) taking applications for each of the
positions; and the anticipated date the work shall begin.
D. The contractor agrees to include this section 3 clause in every subcontract subject to
compliance with regulations in 24 CFR part 135, and agrees to take appropriate action,
as provided in an applicable provision of the subcontract or in this section 3 clause,
upon a finding that the subcontractor is in violation of the regulations in 24 CFR part
135. The contractor will not subcontract with any subcontractor where the contractor
has notice or knowledge that the subcontractor has been found in violation of the
regulations in 24 CFR part 135.
E. The contractor will certify that any vacant employment positions, including training
positions, that are filled (1) after the contractor is selected but before the contract is
executed, and (2) with persons other than those to whom the regulations of 24 CFR
part 135 require employment opportunities to be directed, were not filled to circumvent
the contractor's obligations under 24 CFR part 135.
F. Noncompliance with HUD's regulations in 24 CFR part 135 may result in sanctions,
termination of this contract for default, and debarment or suspension from future HUD
assisted contracts.
G. With respect to work performed in connection with section 3 covered Indian housing
assistance, section 7(b) of the Indian Self-Determination and Education Assistance Act
(25 U.S.C. 450e) also applies to the work to be performed under this contract. Section
7(b) requires that to the greatest extent feasible (i) preference and opportunities for
training and employment shall be given to Indians, and (ii) preference in the award of
contracts and subcontracts shall be given to Indian organizations and Indian-owned
Economic Enterprises. Parties to this contract that are subject to the provisions of
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section 3 and section 7(b) agree to comply with section 3 to the maximum extent
feasible, but not in derogation of compliance with section 7(b).
§ 135.40 Providing other economic opportunities.
(a) General. In accordance with the findings of the Congress, as stated in section 3,
that other economic opportunities offer an effective means of empowering low-income
persons, a recipient is encouraged to undertake efforts to provide to low-income
persons economic opportunities other than training, employment, and contract awards,
in connection with section 3 covered assistance.
(b) Other training and employment related opportunities. Other economic opportunities
to train and employ section 3 residents include, but need not be limited to, use of
“upward mobility”, “bridge” and trainee positions to fill vacancies; hiring section 3
residents in management and maintenance positions within other housing
developments; and hiring section 3 residents in part-time positions.
(c) Other business related economic opportunities.
(l) A recipient or contractor may provide economic opportunities to establish,
stabilize or expand section 3 business concerns, including micro-enterprises. Such
opportunities include, but are not limited to the formation of section 3 joint ventures,
financial support for affiliating with franchise development, use of labor only
contracts for building trades, purchase of supplies and materials from housing
authority resident-owned businesses, purchase of materials and supplies from PHA
resident-owned businesses and use of procedures under 24 CFR part 963
regarding HA contracts to HA resident-owned businesses. A recipient or contractor
may employ these methods directly or may provide incentives to non-section 3
businesses to utilize such methods to provide other economic opportunities to low-
income persons.
(2) A section 3 joint venture means an association of business concerns, one of
which qualifies as a section 3 business concern, formed by written joint venture
agreement to engage in and carry out a specific business venture for which purpose
the business concerns combine their efforts, resources, and skills for joint profit, but
not necessarily on a continuing or permanent basis for conducting business
generally, and for which the section 3 business concern:
(i) Is responsible for a clearly defined portion of the work to be performed and holds
management responsibilities in the joint venture; and
(ii) Performs at least 25 percent of the work and is contractually entitled to
compensation proportionate to its work.
Subpart C [Reserved]
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FEDERAL REQUIREMENTS: FR-16
AFFIRMATIVE ACTION REGULATIONS AND PLAN
An Affirmative Action Plan (AAP) must be submitted by the prime contractor and all
subcontractors who have subcontracts of $10,000 or more on the project. These must be
displayed on the project bulletin board or posted on site for employee view and must
include the percentage of AAP goals.
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FEDERAL REQUIREMENTS: FR-17
WOMEN AND MINORITY OWNED BUSINESSES (M/WBE)
The Contractor will do the best efforts to afford small business (Section 3 (a) of the Small
Business Act), minority businesses enterprises and women business enterprises (51% +
owned or controlled by minority group members or women) the maximum practicable
opportunity to participate in the performance of this project.
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FEDERAL REQUIREMENTS: FR-18
ACCESSIBILITY SECTION 504 COMPLIANCE
CDBG regulations require adherence to the following regulations: Americans with
Disabilities Act (ADA) removal of architectural and communications barriers. Section 504 of
the Rehabilitation Act of 1973 prohibits discrimination in Federally assisted programs on the
basis of disability.
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FEDERAL REQUIREMENTS: FR-19
TEXAS ARCHITECTURAL BARRIERS ACT
Elimination of Architectural Barriers , Government Code Chapter 469.- The intent of this chapter is to
ensure that each building and facility subject to this chapter is accessible to and functional for persons
with disabilities without causing the loss of function, space, or facilities. A State compliance certificate will
be required at completion of project construction for contracts $50,000 and above; the contractor shall
strictly adhere to the construction approved drawings and specifications to accomplish final Certification
from the Texas Department of Licensing and Regulations (TDLR.)
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FEDERAL REQUIREMENTS: FR-20
DRUG-FREE WORKPLACE REQUIREMENTS
The Drug-Free Workplace Act of 1988 (42 U.S.C. 701) requires grantees (including individuals) of
federal agencies, as a prior condition of being awarded a grant, to certify that they will provide drug-free
workplaces. Each potential recipient must certify that it will comply with drug-free workplace
requirements in accordance with the Act and with HUD's rules at 24 CFR part 24, subpart F.
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FEDERAL REQUIREMENTS: FR-21
FIELD REQUIREMENTS
TO BE POSTED:
All posting documents must be placed in a visible location at the job site on a notice board:
Davis-Bacon Poster: The WH Publication 1321 must be placed in a visible location at the
job site on a notice board with the Contractor's and sub-contractors' Affirmative Action
Plans when applicable.
Davis-Bacon Prevailing Wage Rates: The Contractor shall display in a visible location at
the job site on a notice board for employee viewing the Federal Wage Rates that apply to
each Individual type of project.
HUD Form 4010 Federal Labor Standards Provisions: The Contractor must be place in a
visible location at the job site on a notice board the requirements of Davis- Bacon,
Copeland, and Contract Work Hours and Safety Standards Acts.
Section 3 Notice: The Contractor must inform workers of Economic Opportunities for Low
and Very-Low Income Persons. Information pertaining to this notice must be placed in a
visible location at the job site on a notice board.
Executive Order 112461: The Contractor must place in a visible location at the job site on
a notice board requirements that set forth the anti-discrimination policy for this project. Parts
II & Ill of this Executive Order are applicable along with Executive Order 11375 concerning
employment discrimination on the basis of race, color, sex, religion and national origin.
Affirmative Action Plan: An Affirmative Action Plan must be submitted by the prime
contractor and all sub-contractors who have sub-contracts of $10,000.00 or more on the
project. These plans must be displayed on the project bulletin board for employee view
CDBG Project Sign: Project Sign: Contractors responsible to install in a visible location as
selected by the City, a CDBG Project Sign prior to commencement of construction.
Dimensions and design is attached. The field location will be determined prior to work start.
Compliance Affidavit: The Contractor must sign and return the attached affidavit to the
City prior to beginning work on the project.
Affirmative Action Plan: The Contractor must submit and post this plan at the jobsite.
Affidavit and Waiver of Lien by Contractor: The Contractor must complete, sign and
return this waiver with each request for payment.
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CDBG
PROJECT SIGN
8’
4’
3’6”
Contractor to locate sign where it is most visible to the public and as approved by City
Sign is made from a 4 feet x 8 feet sheet of ¾” plywood.
Sign should be posted at a minimum of than 3’ 6” high from ground level.
Red
Background
White Letters
White
Background
Black
Letters
PROJECT NAME
Project Address
CITY OF CORPUS CHRISTI
Community Development Block Grant (CDBG)
U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
(HUD)
CDBG FUNDS: $ Total Project Cost: $
Contractor:
Address:
Phone Number:
Blue
Background
White Letters
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AFFIRMATIVE ACTION PLAN
____________________________________ in compliance with Executive Order No. 11246 and Section 3 of the
1968 Housing & Urban Development Act regarding Equal Employment Opportunity hereby gives notice
that no person in the United States shall, on the ground of race, color, religion, sex or national origin, be
denied employment, and further assurance is also given that ________________________________ will
immediately take any reasonable measures necessary to effectuate this policy. Notice of the policy will
be placed in plain sight on the job location for the benefit of interested parties, and all subcontractors will
be so notified. All Equal Opportunity posters will be displayed as required.
__________________________________ has been appointed as the Equal Employment Opportunity Officer to
coordinate company efforts, to advise and assist key personnel and staff, and officially serve as focal
point for complaints, inquires, etc. Attachment #2 reflects present employment of the company and
percentage goals for projected hiring of lower-income residents, minorities and women.
AFFIRMATIVE SUBCONTRACTING
In accordance with Paragraph 135.70 of Section 3, Attachment #1 reflects anticipated subcontractor(s)
needed (by craft) and approximate dollar amounts in each category for the duration of this project.
______________________________ will use the HUD Business Registry, as far as possible, in the project area
and inform subcontractors of the need to be on the HUD Registry. Specific efforts will be made to
contact and use minority-owned businesses in the project area to the maximum extent feasible.
Section 3 requirements and language will be in each subcontractor bid and/or proposal for work on this
project. Compliance with Section 3 and Executive Order No. 11246 will be required of all subcontractors
of $10,000 or more.
UTILIZING LOWER INCOME RESIDENTS, MINORITIES AND WOMEN
To the maximum extent feasible, __________________________________ and any subcontractors will use
lower income residents as trainees, apprentices and workers (if qualified) to complete the work on this
project. Special outreach efforts will be made to various public and private recruitment sources such as
the Texas Employment Commission and Manpower. Special efforts will also be made to recruit minorities
and women. _________________________________ and all its subcontractors will determine by craft and/or
position the approximate manpower needs to complete the project. The manpower needs will be
made known to the resources named above. Attachments #2 and #3 shall be completed by
___________________________________ and each subcontractor to assure that reasonable goals and target
dates are a formal part of any contract or subcontract. Attachment #2 indicates current workforce,
and Attachment #3 shows projected workforce needs and goals for lower income residents, minorities
and women.
PROMOTION, DEMOTION, PAY RATES, LAYOFFS, ETC.
All personnel actions of the company shall be made on a nondiscriminatory basis without regard to race
color, religion, sex or national origin. We will inform each subcontractor of these affirmative action
requirements and insure compliance.
RECORDS AND REPORTS
_________________________________ will submit all reports required in a timely fashion. The Company will
also assure that all subcontractors shall submit required reports as needed.
__________________________________ ____________________________ ______________
(print) Name of Executive Officer SIGNATURE DATE
__________________________________ ___________________________________________
(print) Name of EEO Officer SIGNATURE DATE
COMPANY NAME: _________________________________________________________
ADDRESS: ________________________________________________________________
PHONE NO.:________________________________
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END OF FEDERAL REQUIREMENTS
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4.State the names of each employee or officer of a “consultant” for the City of Corpus Christi who worked onany matter related to the subject of this contract and has an “ownership interest” constituting 3% or moreof the ownership in the above named “firm.”
Name Consultant
FILING REQUIREMENTS
If a person who requests official action on a matter knows that the requested action will confer an
economic benefit on any City official or employee that is distinguishable from the effect that the action will
have on members of the public in general or a substantial segment thereof, you shall disclose that fact in a
signed writing official or employee in the matter is apparent. The disclosure shall also be made in a signed
writing filed with the City Secretary. [Ethics Ordinance Section 2-349 (d)]
CERTIFICATION I certify that all information provided is true and correct as of the date of this statement, that I have not knowingly withheld disclosure of any information requested; and that supplemental statements will be promptly submitted to the City of Corpus Christi, Texas as changes occur.
Certifying Person: Title:
(Type or Print)
Signature of Certifying
Person:
Date:
DEFINITIONS
a.“Board member.” A member of any board, commission, or committee appointed by the City
Council of the City of Corpus Christi, Texas.
b.“Economic benefit”. An action that is likely to affect an economic interest if it is likely to have an effect
on that interest that is distinguishable from its effect on members of the public in general or a
substantial segment thereof.
c.“Employee.” Any person employed by the City of Corpus Christi, Texas either on a full or part-time
basis, but not as an independent contractor.
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d. “Firm.” Any entity operated for economic gain, whether professional, industrial or commercial, and
whether established to produce or deal with a product or service, including but not limited to, entities
operated in the form of sole proprietorship, as self-employed person, partnership,
corporation, joint stock company, joint venture, receivership or trust, and entities which for purposes of
taxation are treated as non-profit organizations.
e.“Official.” The Mayor, members of the City Council, City Manager, Deputy City Manager, Assistant City
Managers, Department and Division Heads, and Municipal Court Judges of the City of Corpus Christi, Texas.
f.“Ownership Interest.” Legal or equitable interest, whether actually or constructively held, in a firm,
including when such interest is held through an agent, trust, estate, or holding entity. “Constructively
held” refers to holdings or control established through voting trusts, proxies, or special terms of venture or
partnership agreements.”
g.“Consultant.” Any person or firm, such as engineers and architects, hired by the City of Corpus Christi for
the purpose of professional consultation and recommendation.
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CERTIFICATION REGARDING LOBBYING
CERTIFICATION FOR CONTRACTS, GRANTS, LOANS,
AND COOPERATIVE AGREEMENTS
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person
for influencing or attempting to influence an officer or an employee of any agency, a member of congress, an
officer or employee of congress, or an employee of a member of congress in connection with the awarding of any
federal contract, the making of any federal grant, the making of any federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal
contract, grant, loan, or cooperative agreement.
(2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing
or attempting to influence an officer or employee of any agency, a member of congress, an officer or employee of
congress, or an employee of a member of congress in connection with this federal contract, grant, loan, or
cooperative agreement, the undersigned shall complete and submit with this a Standard Form-11, “Disclosure Form
to Report Lobbying,” in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents for all
subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative
agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction
imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
Signature Date
Print Name of Authorized Individual
Organization Name
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Housing and Community Development Department Community Development Block Grants U.S. Department of Housing and Urban Development
Debarment and Suspension Certification
Title 2: Subtitle A -Chapter 1 -Part 180-
(a) Recipients and Subrecipients shall comply with the government wide no procurement debarment
and suspension requirements in 2 CFR part 180. These government wide requirements restrict sub-
awards and contracts with certain parties that are debarred, suspended, or otherwise excluded from
or ineligible for participation in federal assistance programs or activities.
I certified by signing below, that I am in compliance with Title 2 Housing and Urban Development,
Debarment and Suspension requirements in 2 CFR part 182, and I am not debarred, suspended, or
otherwise excluded from or ineligible for participation in federal assistance programs or activities. I am
also responsible for my subcontractor’s compliance with Debarment & Suspension federal regulations.
___________________________________ ____________
Contractor Signature/ or Authorized Official: Date:
Title: _______________________________
Company: ___________________________
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12
CONTRACTOR/SUBCONTRACTOR SECTION 3
COMPLIANCE PLAN The Housing and Community Development
The undersigned Contractor/Subcontractor for the project identified above hereby agrees to implement, at a
minimum, the following steps directed at increasing the utilization of Section 3 residents and Section 3 business
concerns in accordance with 24 CFR Subpart A Part 135.1.
1. To attempt to recruit from within the project area Section 3 residents through local advertising media
and signs placed at the proposed site for the project, community organizations, and public or private
institutions operating within or serving the project area.
2. To seek the assistance, where necessary, in implementing a Section 3 compliance plan.
3. To maintain a list of all Section 3 area residents who have made application for employment either
on their own or on referral from any source and to employ such persons if eligible and if a vacancy
exists.
4. To maintain and provide the information requested during the closeout report.
5. In the case of a general contractor, to insure that all Section 3 business concerns within the project
area are notified of pending sub-contractual opportunities.
6. To maintain records, including copies of correspondence, memoranda, etc., which document all
the steps taken to recruit Section 3 residents and Section 3 subcontractors from within the project
area.
As officers and representatives of
We, the undersigned, have read and fully agree to this Section 3 Compliance Plan and become party to the full
implementation of this program.
Print Name Title
Signature Date
Name of Contractor/Subcontractor
Name of Project
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