MIMA_EQSH_RFB_Attachment C_Lead-Based Paint Disclosure of Information_final_SIGNED.pdf

Massachusetts Department of Public Health Bureau of Climate and Environmental Health Phone: (800) 532-9571 | (617) 624-5757

CLPPP Form 95-17, Rev. 4/10/26

CHILDHOOD LEAD POISONING PREVENTION PROGRAM (CLPPP)

TENANT LEAD LAW NOTIFICATION

This Tenant Lead Law Notification provides important information for tenants and property owners about the risk of lead exposure and legal rights and responsibilities related to lead paint hazards in homes built before 1978. The document describes the steps property owners must take for tenant safety, including providing lead hazard information and, if needed, deleading the property. If available, lead inspection reports and compliance documents must be given to tenants as part of the Tenant Certification Form at the end of this notification. This form complies with both Massachusetts and federal lead notification laws.

Lead Paint Forms for Rental Units y Property owners/agents and tenants must sign two copies of the Tenant Certification Form before renting a housing unit built before 1978 y The owner/agent must provide the tenant with one signed copy y The document can be copied or digitized, but the type size must not be reduced

Property Owner Obligations y Owners of homes built before 1978 must make a home lead-safe if a child under the age of 6 lives there y Lead-safe means free of lead hazards. The only way to know if a unit has lead hazards is to have a lead inspection done by a licensed lead inspector.

y To comply with the MA Lead Law (https://www.

mass.gov/the-massachusetts-lead-law), lead hazards can be addressed by:

assessment is done for Interim Control. This is only a temporary solution.

y Use only authorized people to do deleading work. High-risk deleading must be done by a licensed deleader. Other deleading work may be done by trained owners or their agents.

y After the deleading work is done and the unit passes a reinspection, a lead inspector will issue a compliance document

What is a Letter of Compliance?

It is a legal letter under state law that says either that there are no lead paint hazards or that the home has been deleaded. The letter is signed and dated by a licensed lead inspector.

What is a Letter of Interim Control?

It is a legal letter under state law that says work needed to make the home temporarily safe from urgent lead hazards has been done. The letter is valid for one year, but can be renewed for another year if the property has been monitored and maintained during that year. The owner must continue to monitor and maintain the dwelling and get a full Letter of Compliance before the end of the second year.

It’s critical to take action to protect children from the dangers of lead poisoning.

https://www.mass.gov/the-massachusetts-lead-law https://www.mass.gov/the-massachusetts-lead-law https://www.mass.gov/the-massachusetts-lead-law

Bureau of Climate and Environmental Health Phone: (800) 532-9571 | (617) 624-5757

CLPPP Form 95-17, Rev. 4/10/26

1 Understanding, Preventing, and Treating Lead Exposure

Understanding Lead Poisoning

What is Lead Poisoning?

There is no safe level of lead in blood. In Massachusetts, children under the age of 6 are considered lead poisoned if their lead exposure reaches a venous blood lead level of 10 micrograms per deciliter (µg/dL) or greater. Levels lower than 10 µg/dL can be harmful and MA and the National Centers for Disease Control (CDC) recommend certain follow-up actions for young children with blood lead levels greater than or equal to 3.5 µg/dL. Lead exposure is caused by swallowing or breathing in lead. Lead exposure is most dangerous for children under the age of 6 and pregnant women. Many homes, including private, federally assisted, and federally owned housing, and childcare facilities built before 1978 have lead-based paint.

Health Effects of Lead Exposure in Children:

Even at low levels, lead exposure can:

y Hurt the brain, kidneys, and nervous system

Who is at Highest Risk?

y Children under the age of 6 are the most vulnerable due to their developing nervous systems and frequent hand-to-mouth behavior y Pregnant women are also at high risk, since lead exposure can cause hypertension, miscarriage, and because lead can cross the placenta and harm the developing fetus

Lead Exposure is a Risk for Everyone Children under the age of 6 are the most vulnerable to the harmful effects of lead poisoning.

Older children and adults exposed to lead through work, home renovations, or hobbies can also suffer serious health consequences. Lead exposure in adults can cause high blood pressure, reproductive issues, nerve disorders, digestive problems, muscle and joint pain, as well as memory and concentration problems. Everyone, regardless of age, should be aware of the dangers of lead and reduce exposure.

NEGATIVE HEALTH IMPACTS OF LEAD POISONING

CHILDREN

Decreased intelligence Behavioral difficulties

Learning problems

ADULTS

Cardiovascular disease Liver/kidney disease

Pregnancy complications

There is no safe level of lead exposure.

Bureau of Climate and Environmental Health Phone: (800) 532-9571 | (617) 624-5757

CLPPP Form 95-17, Rev. 4/10/26

Symptoms of Lead Exposure in Children:

Most children do not show signs or symptoms of lead exposure.

y Some children may have upset stomach, trouble eating or sleeping, headaches, or trouble paying attention y The only way to detect lead exposure is through a blood test

Blood Lead Testing

Massachusetts law requires that all children between 9 months and 3 years old be tested each year for lead, and again at age 4 if they live in a high-risk community. Find a list of high-risk communities at: https://www.mass.

gov/lists/annual-screening-and-blood-lead-level-reports-and-high-risk-community-lists.

Parents should talk with a healthcare provider to have their child tested for lead exposure.

Adults who are concerned about their own lead levels should also talk to their health provider.

Responding to Lead Exposure for Children

Treatment:

y The first step to address lead exposure begins with identifying and safely removing lead hazards from the home y In cases of very high lead levels, chelation (using a medication to remove lead) may be a necessary medical treatment

referred to Early Intervention before starting preschool https://www.mass.gov/lists/annual-screening-and-blood-lead-level-reports-and-high-risk-community-lists https://www.mass.gov/lists/annual-screening-and-blood-lead-level-reports-and-high-risk-community-lists https://www.mass.gov/lists/annual-screening-and-blood-lead-level-reports-and-high-risk-community-lists

Bureau of Climate and Environmental Health Phone: (800) 532-9571 | (617) 624-5757

CLPPP Form 95-17, Rev. 4/10/26

2 Lead in the Home: Hazards, Prevention, and Remediation

Identifying Lead Hazards

Sources of Lead in the Home Homes built before 1978 likely contain lead-based paint, plaster, and coatings. Lead paint is the most common source of lead exposure for Massachusetts children. Lead can be found:

soil contaminated from past use of leaded gasoline and lead paint used on buildings, other structures, and fences y In dust from unsafe renovation work done on surfaces with lead-based paint or from take-home dust on the clothes and shoes of people who are home painters, renovators, or plumbers

Preventing Lead Exposure

Temporary Lead Hazard Prevention Tips

If You Suspect Lead Paint y Ask the owner or agent to get your home inspected by a MA licensed lead inspector to identify lead paint and/or lead paint hazards in the home. Not all lead paint is a hazard, it depends where it is and if the paint is in poor condition.

(https://www.mass.gov/finding-and-removing-lead) y If you have a child under the age of 6, you can request a code enforcement lead determination from your local or state health department y Do not try to remove lead-based paint yourself. Find out the rules for removing lead hazards and for safe renovation activities here:

https://www.mass.gov/deleading-and-lead-safety-program.

Unsafe repair work or renovation in older homes can create lead dust that children and adults can breathe in or swallow.

https://search.mass.gov/?q=licensed+lead+inspectors&_gl=1*yx9m6s*_ga*MTk5MDEyMzUyMi4xNjM1NDMwMjU1*_ga_E2HYQ6TW32*MTczMzg2ODEzMi41ODQuMS4xNzMzODY4MTQ0LjAuMC4w*_ga_SW2TVH2WBY*MTczMzg2NTc3Ni4zMjAuMS4xNzMzODY4MTQ0L https://www.mass.gov/finding-and-removing-lead https://www.mass.gov/deleading-and-lead-safety-program

Bureau of Climate and Environmental Health Phone: (800) 532-9571 | (617) 624-5757

CLPPP Form 95-17, Rev. 4/10/26

Lead Paint Hazard Remediation

In Massachusetts, only licensed lead inspectors and code enforcement lead determinators can identify lead paint hazards for the purpose of compliance with the Massachusetts Lead Law. The first step is to have your home inspected. Lead inspectors primarily use an x-ray fluorescence (XRF) machine to conduct an inspection but may use other approved methods such as a sodium sulfide solution and/or lab tests.

Types of Deleading Methods Work done to remove or cover lead paint to comply with the lead law is called deleading. In Massachusetts all deleading work must be done by an authorized person and is based on the lead inspection report. A deleading contractor’s license must be up to date. Contact the Department of Labor Standards (DLS) to check the license status and work history of contractors. For some lower risk activities, an owner or someone who works for the owner (an agent) can do certain deleading work with training and approval to help save money.

Before starting any deleading work:

and authorized y For work like scraping and component removal that may generate dust inside the home, the occupants will have to stay elsewhere, such as with friends, family or in a hotel y Before deleading work begins, a ten-day notification must be filled out and given to the following

�Occupants of the unit(s) in which the work will be done

�All other occupants if work is being done in common areas

�MA Childhood Lead Poisoning Prevention Program

�MA Department of Labor Standards Lead Program

�Local Board of Health / Code Enforcement Agency

�MA Historical Commission, if the home is on the State Register of Historic Places | mhc-macris.net https://mhc-macris.net/ https://mhc-macris.net/

Bureau of Climate and Environmental Health Phone: (800) 532-9571 | (617) 624-5757

CLPPP Form 95-17, Rev. 4/10/26

3 Rental Property Requirements

Property Owner Responsibilities Under State and Federal Law A lead inspection is recommended prior to the purchase, lease, or renovation of a unit built before 1978. In Massachusetts, pre-1978 units must be inspected and deleaded if a child under the age of 6 lives there.

Notification and Disclosure—Owners and their agents must:

as lead inspections, risk assessment determinations, post compliance assessment determinations (PCADs), letters of compliance (full initial, deleading, maintained, restored, interim control), etc.] y Check the Massachusetts Lead Safe Homes database (https://www.mass.gov/info-details/ find-your-homes-lead-history) and provide tenants with a copy of documents found there, if they are not already provided from the owner’s/agent’s files (documents listed above) y Keep the signed notification and certification form for at least 3 years after the start of the rental

Legal Obligations:

y Address Lead Hazards: Property owners are responsible for deleading rental properties where children under the age of 6 live. Failure to comply can result in significant liability.

y Liability Insurance: Rental property owners are required to maintain liability insurance to cover potential lead poisoning claims y Do Not Discriminate: Landlords cannot refuse to rent to, or renew the lease of, or evict persons or families with children under the age of 6 because of known or suspected lead in the property https://www.mass.gov/info-details/find-your-homes-lead-history

Bureau of Climate and Environmental Health Phone: (800) 532-9571 | (617) 624-5757

CLPPP Form 95-17, Rev. 4/10/26

Requirements for Rental Properties

Rental property owners must make sure pre-1978 rental units where children under the age of 6 live are free from lead paint hazards and in compliance with the Massachusetts Lead Law. In addition to deleading these units, any renovation work in pre-1978 rental housing, with or without children, must be done safely.

EPA Renovation, Repair, and Painting (RRP)/MA Lead Safe Renovators:

y Landlords must ensure that all renovations, repairs, and painting in pre-1978 rental properties are conducted using lead-safe work practices by EPA Lead-Safe Certified firms or state-approved lead safe renovators y A list of licensed lead safe renovators can be found on the Department of Labor Standards website at https://www.mass.gov/doc/find-a-licensed-lead-safe-renovation-contractor

Insurance Requirements for Rental Properties

Liability Insurance for Rental Property Owners Under the Massachusetts Lead Law, owners of rental properties built before 1978, where children under the age of 6 reside, have specific responsibilities to ensure the safety of their tenants from lead exposure. One crucial aspect of these responsibilities is the requirement to maintain adequate liability insurance. For more information on liability requirements, please review https://www.mass.gov/the-massachusetts-lead-law.

Additional Resources In this section, you’ll find helpful tools and information to guide you through the lead safety process.

Whether you’re a property owner, tenant, or buyer, these resources offer valuable insights on lead inspections, deleading services, financial assistance programs, and more. Explore these options to ensure your property complies with lead safety laws and keeps your family safe.

Resources Name & Contact Information Description

Massachusetts Department of Public Health https://www.mass.gov/orgs/childhood-lead-poisoning-prevention-program 800-532-9571 250 Washington St Boston MA 02108

General and state specific information on lead poisoning prevention, Lead Law, lead inspections, deleading, lead and children’s health, blood testing, data reports, etc.

Department of Labor Standards Deleading and Lead Safety https://www.mass.gov/deleading-and-lead-safety-program 617-626-6960 100 Cambridge St Suite 500 Boston MA 02114

Information on hiring and licensing of Deleader Contractors and Moderate Risk Deleaders (Lead Safe Renovators who have taken additional training). Provides overview of deleading requirements. Also licenses Lead Safe Renovators for renovation activities.

https://www.mass.gov/the-massachusetts-lead-law https://www.mass.gov/orgs/childhood-lead-poisoning-prevention-program https://www.mass.gov/orgs/childhood-lead-poisoning-prevention-program

Bureau of Climate and Environmental Health Phone: (800) 532-9571 | (617) 624-5757

CLPPP Form 95-17, Rev. 4/10/26

Additional Resources (continued)

Resources Name & Contact Information Description

Department of Labor Standards https://www.mass.gov/info-details/occupational-lead-poisoning-registry 351-204-2354

The Occupational Lead Poisoning Registry tracks elevated blood lead levels, provides educational counseling and guidance to workers.

Massachusetts Commission Against Discrimination (MCAD) https://www.mass.gov/orgs/massachusetts-commission-against-discrimination 617- 994-6000 1 Ashburton Pl Suite 601 Boston MA 02108

Information on illegal discrimination, occupants rights, and responsibilities.

Allows buyers and occupants to file a discrimination claim.

Office of Consumer Affairs and Business Regulation https://www.mass.gov/orgs/office-of-consumer-affairs-and-business-regulation 617-973-8787 501 Boylston St Suite 5100 Boston MA 02116

Information on tenant and landlord rights and responsibilities.

U.S. Environmental Protection Agency The National Lead Information Center https://www.epa.gov/lead/forms/nlic 1-800-424-5323 422 South Clinton Ave Rochester NY 14620

National hotline that answers general and specific questions about lead, lead hazards and their prevention. Investigates com-plaints regarding failure to use required notification and certification forms for selling and renting homes built before 1978 under Title X sec 1018.

Centers for Disease Control and Prevention Childhood Lead Poisoning Prevention https://www.cdc.gov/lead-prevention/about/ 1-800-232-4636 1600 Clifton Rd Atlanta GA 30329

General information on lead poisoning prevention, sources of lead exposure, blood lead levels in children, health effects, high-risk populations, etc.

U.S. Department of Housing and Urban Development https://www.hud.gov/ 202-402-7698 451 7th St SW Washington DC 20410

General information on lead and steps to take to protect your family from lead poisoning. Includes the federal Lead Disclosure Rule for property sales and rentals.

U.S. Consumer Product Safety Commission https://www.cpsc.gov/ 1-800-638-2772 4330 East West Highway Bethesda MD 20814

General information on federal regulations for lead in consumer products. It lists products including children’s toys that have been recalled for lead.

https://www.mass.gov/orgs/massachusetts-commission-against-discrimination https://www.mass.gov/orgs/massachusetts-commission-against-discrimination https://www.mass.gov/orgs/office-of-consumer-affairs-and-business-regulation https://www.mass.gov/orgs/office-of-consumer-affairs-and-business-regulation https://www.epa.gov/lead/forms/nlic https://www.cdc.gov/lead-prevention/about/ https://www.cdc.gov/lead-prevention/about/ https://www.hud.gov/ https://www.cpsc.gov/ https://www.cpsc.gov/

Bureau of Climate and Environmental Health Phone: (800) 532-9571 | (617) 624-5757

CLPPP Form 95-17, Rev. 4/10/26

CHILDHOOD LEAD POISONING PREVENTION PROGRAM (CLPPP)

TENANT CERTIFICATION FORM

Property Address:

Street Number Street Name Unit Number (if applicable) City/Town Zip

Federal Lead Warning Statement: Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention.

The Massachusetts Tenant Lead Law Notification and Certification Form is for compliance with state and federal lead notification requirements.

Owner/Lessor’s Disclosure (Initial all that apply):

Owner/Lessor has no knowledge of lead-based paint or lead-based paint hazards at the property and did not find lead-related history for this property in Lead Safe Homes (https://www.mass.gov/info-details/find-your-homes-lead-history).

Owner/Lessor acknowledges the presence of lead-based paint at the property.

Owner/Lessor acknowledges the presence of lead-based paint hazards at the property.

Provide any additional information available concerning known lead-based paint or hazards):

Records and Reports (Owner/Lessor Initial all that apply):

Owner/Lessor has provided the tenant with a copy of all records and reports pertaining to lead-based paint and/or lead-based paint hazards in the Owner/Lessor’s possession and/or information that is publicly available and has provided a list of those records (examples below):

y Post Compliance Assessment Determination (PCADs) y Letter of Compliance (Full Initial, Deleading, Maintained, Restored, Interim Control)

List all documents provided:

Owner/Lessor has no records pertaining to lead-based paint or lead-based paint hazards at the property and confirms no records in LeadSafe Homes database.

Form Page 1 of 2 Fill out both pages

Bureau of Climate and Environmental Health Phone: (800) 532-9571 | (617) 624-5757

CLPPP Form 95-17, Rev. 4/10/26

Tenant’s Acknowledgment (Tenants check all applicable):

Prospective tenant has received copies of all documents listed above.

Prospective tenant has received only some of the documents listed above.

Prospective tenant has received none of the documents listed above.

Owner/Managing Agent’s Acknowledgment (Agent check all applicable):

Agent has informed the Owner/Lessor of the Owner/Lessor’s obligations under federal and state law for lead-based paint and lead-based paint hazards disclosure and notification and acknowledges the obligation to ensure the Owner/Lessor’s compliance.

Agent has verbally informed the Owner/Lessor about: (1) Possible presence of dangerous levels of lead in paint, plaster, putty or other structural materials and existence of the LeadSafe Homes database; and (2) Owner/Lessor’s obligation to bring a property into compliance with the Massachusetts Lead Law if built before 1978 and a child under the age of 6 lives or will live in the property (www.mass.gov/the-massachusetts-lead-law).

Tenant/Lessee’s agent has informed the Owner/Lessor’s agent of the Owner/Lessor’s obligations under federal and state law for lead-based paint and lead-based paint hazards disclosure and notification and acknowledges the obligation to ensure the Owner/Lessor’s compliance.2

Certification of Accuracy (All parties must sign) The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate.

Owner/Lessor (Print and Sign) Date

Owner/Lessor (Print and Sign) Date

Owner/Lessor’s Agent (Print and Sign) Date

Tenant/Lessee (Print and Sign) Date

Tenant/Lessee (Print and Sign) Date

Tenant/Lessee’s Agent (Print and Sign)3 Date

The Massachusetts Lead Law prohibits rental discrimination, including refusing to rent to families with children or evicting families with children because of lead paint.

1 In Massachusetts, lead-based paint hazards are defined and documented on a lead determination or inspection report.

2 Only required if the tenant’s agent receives compensation from the owner/lessor or owner/lessor’s agent.

3 Only required if the tenant’s agent receives compensation from the owner/lessor or owner/lessor’s agent.

Form Page 2 of 2 Fill out both pages https://www.mass.gov/the-massachusetts-lead-law https://www.mass.gov/the-massachusetts-lead-law https://www.mass.gov/the-massachusetts-lead-law

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Property Address: 737 Lexington Road, Concord, MA 01742 (East Quarter School House)