Exhibit B Sample Statement of WorkLCCHP Remediation .pdf

Exhibit B

Exhibit B Sample Statement of WorkLCCHP Remediation .docx

STATEMENT OF WORK

To Original Contract Routing Number ** *** ********

Contract Amendment # (1, 2, 3, etc) Routing Number ** *** ********

I. Project Description:

This project serves to remediate lead from properties identifiedin Lake County Colorado. The Lake County

Community Health Program (LCCHP) currently screens children 1-6 years old and pregnant and nursing women on a voluntary basis for elevated blood lead levels. If a mother or child has an elevated blood lead level at or above ten (10) µg/dL an environmental investigation is conducted and a site plan is created for properties that require lead remediation. This project will use qualified contractors to carry out the activites identified in site plans for properties identified as requiring remediation to lower elevated blood lead levels in children and pregnant and nursing women. The Colorado Department of Public Health and Environment (CDPHE) Project Manager will email site plans for identified properties to qualified contractors to determine the costs and timeline required for each qualified contractor to complete the work as specified in the site plan. The CDPHE Project Manager will then work with the Contractor who had the best proposal in terms of costs, materials, and the timeline to complete the remediation activities identified in the site plan.

II. Definitions:

EPA The United States Environmental Protection Agency

CDPHE Colorado Department of Public Health and Environment

HMWMD Hazardous Materials and Waste Management Division of CDPHE

LCCHP The Lake County Community Health Program

LCM Lead Containing Materials mg/kg milligram per kilogram

Site Plan Remediation Response Action Scope of Work and Site Plan

Work Plan Work Plan for the Lake County Community Health Program Phase 2 µg/ft2 microgram per square foot

III. Work Plan:

Goal #1: To lower elevated blood lead levels in affected children and pregnant and nursing women.

Objective #1: To quickly remediate lead contamination from identified properties.

Primary Activity #1

1. The Contractor shall remediate lead from identified properties as described in each site plan.

Sub-Activities #1

1. The Contractor shall remediate lead from the soil as specified in the site plan.

2. The Contractor shall remediate lead from the dust as specified in the site plan.

3. The Contractor shall remediate lead from the interior paint as specified in the site plan.

4. The Contractor shall remediate lead from the exterior paint as specified in the site plan.

5. The Contractor shall dispose of all household LCM removed from a property at the Lake

County Solid Waste Landfill and obtain documentation of disposed waste.

Primary Activity #2

1. The Contractor shall create and submit a final report.

Standards and

Requirements

1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term. The contractor shall monitor documents and website content for updates and comply with all updates.

Exhibit B Sample Statement of WorkLCCHP Remediation .docx

2. The Contractor shall comply with the requirements stated in the Work Plan for the

Lake County Community Health Program Phase 2. This document is incorporated and made part of this contract by reference and is available on the following website https://www.epa.gov/sites/production/files/documents/LCCHPWorkplanMarch09.pdf

3. The Contractor shall comply with the certification requirements of the LCCHP Work

Plan.

4. The Contractor shall provide clean access to the residence at all times during remediation. Clean access means the resident will not have to walk through soil prior to entering the home and appropriate barrier systems will be erected in the house during dust and interior paint remediation.

5. The Contractor shall coordinate with local utility companies to locate electrical, water, sewer, gas, cable, and phone lines prior to any excavation activities.

6. The Contractor shall remediate soil as specified in the site plan. Soil remediation activities specified in site plans may include any of the following activities, none of these activities, or a combination of the following activities:

a. The removal of soil to the LCCHP soil repository

b. The replacement of lead contimanted soil with lead free soil

c. The containment of soil

d. The construction of diversion structures in order to reduce soil erosion

7. The Contract shall use water applications to minimize the potential of fugitive dust emissions during soil remediation.

8. The Contractor shall excavate by hand all areas susceptible to damage from heavy equipment operations.

9. The Contractor shall remediate dust as specified in the site plan. Dust remediation activities specified in site plans may include any of the following activities, none of these activities, or a combination of the following activities:

e. The abatement of dust

f. The removal of dust

10. The Contractor shall remediate interior/exterior paint as specified in the site plan. Paint remediation activities specified in site plans may include any of the following activities, none of these activities, or a combination of the following activities:

g. The film stabilization of paint

h. The encapsulation of paint

i. The enclosure of paint

j. The friction and impact surface treatments of paint

k. The removal of paint

l. The replacement of lead paint with lead free paint

11. The Contractor shall utilize site controls while performing dust and interior paint remediation as specified in the LCCHP Work Plan to protect the health and safety of residents. Site controls may include, but are not limited to, the use of warning signs, barriers, and ventilation system shutdowns to protect the residents. The Contractor shall be responsible for knowing when a site control is necessary and implemting it during remediation.

12. The Contractor shall submit a final report that summarizes all activities performed during remediation. The final report shall include the following, at a minimum:

a. Information on construction materials used at the site

b. Evidence that LCM was properly remediated https://www.epa.gov/sites/production/files/documents/LCCHPWorkplanMarch09.pdf

Exhibit B Sample Statement of WorkLCCHP Remediation .docx

c. Documentation from the Lake County Solid Waste Landfill of any disposal of household LCM derived during remediation (some site plans will not require disposal of LCM and will not include this documentation)

Expected Results of

Activity(s)

1. Affected residents of properties remediated for lead contamination will have lower blood lead levels.

2. Lead concentrations in the soil, dust, and interior/exterior paint will be below the following standards for each identified property.

a. Soil – 3,500 mg/kg

b. Dust (floor) - <100 µg/ft2

c. Dust (window) - <500 µg/ft2

d. Interior Paint (floor) - <100 µg/ft2

e. Interior Paint (window) - <500 µg/ft2

f. Exterior Paint (surface) - <500 µg/ft2

g. Exterior Paint (window) - <800 µg/ft2

Measurement of Expected

Results

1. CDPHE will have clearance samples collected to verify that lead concentrations in remediated areas have been lowered.

Completion Date

Deliverables

1. The contractor shall submit a final report summarizing all activities performed during remediation.

No later than 30 days upon completion of services.

IV. Monitoring:

CDPHE’s monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the CalGulch Project Manager or Superfund/Brownfields Unit Leader. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports, invoices, 3rd party oversite reports, and other fiscal and programmatic documentation as applicable. The

Contractor’s performance will be evaluated at set intervals and communicated to the contractor. A Final

Contractor Performance Evaluation will be conducted at the end of the life of the contract.

V. Resolution of Non-Compliance:

The Contractor will be notified in writing within ten (10) calendar days of discovery of a compliance issue. Within

20 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and time line for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the time line, the Contractor must email a request to the CalGluch

Project Manager or Superfund/Brownfields Unit Leader and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure time lines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract.