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FRIENDS OF L. RON HUBBARD / KINGS HIGHWAY (BETWEEN PALMETTO & PINEBROOK) ADOPT--A-STREET AGREEMENT ,< ADOPT -A-STREET LITTER REMOV AL PROCEDURES 1, Interested sponsoring organizations, groups, or individuals should contact the City of Clearwater Public Services Department Office for copies of the guidelines, procedures, and contract agreement. 2. The following areas may be adopted by a sponsoring organization, group, or individual: City Streets, Right-of-Ways and Parkways Medians are ~ to be included in this program due to safety factors.' 3. In an effort to make the Adopt-A-Street program available to all citizens, a maximum of 5 streets/areas will be issued to anyone organization, group, individual or affiliate, Streets to be adopted are to be arterial or collector streets, Those groups adopting a street shall live or have an organizational office or facility in close proximity to the adopted street. 4. The Public Services Director or designee will screen and select the section of City Streets, Right-of-Ways, and/or parkways to be adopted. Groups adopting a section of City Streets may clean only on the areas outside the paved right-of-ways and shoulders - approximately 12-15 feet from the edge of the outside driving lane, shoulder, or ramp - the grassy areas. No parking will be allowed on the City street shoulders, In the event of two groups wanting to adopt the same street it will be on a first come first serve basis. 5, Three (3) copies of the completed contract agreement package, each copy signed by the group coordinator, shall be returned to the City of Clearwater Public Services Department Office for approval by the Public Services Director or designee, Each contract requires original signatures, 6, One complete fully executed contract agreement package will be forwarded to the following: Sponsoring organization, group, or individual City of Clearwater City Clerk's Office City of Clearwater Public Services Department's Office 7. Upon receipt of the complete executed agreement, the Public Services Department Office will install the permanent Adopt-A-Street signs for the organizations, group, or individual at no cost to the group. 8, Safety workshops for the organization, group, or individual is an option, which can be arranged with the City of Clearwater Public Services Department's safety representatives as his/her schedule permits, 9, The City of Clearwater Public Services Office will coordinate litter clean-up efforts with the group and be responsible for providing 5 safety vests. The group may redeem any recyclables collected and keep the proceeds for the group. The group will be responsible for supplying plastic trash bags, The trash bags shall be left under the Adopt-A-Street signs for collection. The Solid Waste Department (462-6650) will schedule trash bag collection from the streets as soon as practical after completion of the clean-up efforts, 10. Litter clean-up report forms, included in the agreement package(make copies for future use), shall be completed by the group after each litter clean-up event and returned to the Public Services Department, The Public Services Department will maintain files for all Adopt-A-Street activities, 11,An authoritative representative of the group shall sign the Adopt-A-Street Litter Removal Agreement. 12, This program is a requirement of the NPDES (National Pollutant Discharge Elimination System) Compliance Item 13. -A- SAFETY RECOMMENDATIONS ADOPT -A-STREET LITIER REMOVAL PROGRAM The following City of Clearwater Safety Recommendations are provided for groups participating in the Adopt-A-Street litter control program: 1. Prior to any clean up operations, the group leader will notify the Public Services Department. 2, No horseplay of any type will be tolerated. 3, No intoxicating liquid, beverage or illegal drugs will be allowed. 4, Persons participating should wear gloves; a good quality shoes (no open toe shoes or shower clogs) and light or bright colored protective clothing. No clothing will be allowed that hinders the sight of the participant. Safety vest shall be worn, 5. An adequate supply of drinking water should be readily available. 6. A good pair of sunglasses, cap, and sun block should be considered. 7, Carpool to the adopted street section to keep the number of cars on the roadside to a minimum. Park off the roadway as far away from the pavement edge as possible, Keep vehicles on the same side of the street as participants. 8, Participants should work facing oncoming traffic whenever possible and work one side of the street at a time. Do not enter the roadway or shoulder areas at any time, 9, Avoid suspected toxic/hazardous substances, poison ivy, poison oak, noxious weeds, areas where herbicides were applied recently, places where snakes, fire ants or other insects may be located, IN CASE OF EMERGENCY: 1. Every crew should possess an adequate first aid kit. 2, Know the route from the work site to the nearest emergency center or hospital in case of serious injury. 3. Have transportation immediately available. 4. Every crew should posses a cell phone for emergency notification. -8- ADOPT -A-STREET LITTER REMOV AL REPORT FORM (FOUR TIMES A YEAR) Name of Organization, Group, or Individual Name of Adopt-A-Street Coordinator Address Phone No. ( Date of Clean-up City Street Number of Miles Adopted Number of Volunteers Number of Volunteer Hours (This number should be number of volunteers x hours total) Amount of litter collected: Trash Recyclable 1. No. of Bags 2.Weight of Bags * Check one: Actual Wt. Est. Wt. * If scales are not available, please estimate weight. -C- ...l.!' ~ AOOPT-A-STREET LITTER REMOVAL AGREEMENT ,!'HIS AGREEMENT, made and entered into this ;20 ___...day of ~ cJO (City Use) .~ , 1$' tp ,by and between the City of Clearwater, (C~y se) f'h JI'. t.ereinafter called the City and Mr./Ms..J.~JallO p.A.'t(\(Y'1e( of ~Lf P qf mdio g:: U€iaAu n:1:bt -=t( 337\'{ rereinafter called the GROUP. Clearwater WITNESSETH 1/,' 1 Jf~._ ~I~ ~ _ is a part of the City of (Nametj>f Ci Stree street system in Pinellas County, Florida. WHEREAS; W:-iERE:AS; the City has responsibility for operation and maintenance of the S~: reet system. WHEREAS; the City is authorized to contract with the private sector for performance of its duties. WHEREAS; the City Commission has encouraged the implementation of an "Adopt-A Street" program for the participation of local organizations in specific street litter removal projects. WEEREAS; the Group is desirous of adopting a City street to remove litter at , from tc NOW THEREFORE; the parties agree as follows: I. THE GROUP SHALL: A, Adopt a section of right of way adjacent to the City street for litter removal at least four times a year, B. Perform litter removal in strict accordance with the City of Clearwater "Litter Removal Procedures", City of Clearwater "Litter Removal Program" and "Federal Manual on Uniform Traffic Control Devices", (MUTCD). C. Shall conduct and attend safety meetings and pre-task briefings prior to litter removal, in accordance with the City of Clearwater "Litter Removal Program" and "Litter Removal Procedures". D. Remove litter during daylight hours only. E. Remove litter during good weather conditions only. F. Contact the City of Clearwater Solid Waste Office at 462-6650 to arrange an appropriate litter removal schedule which will not conflict with City maintenance schedules. G. Ensure that all participants wear safety vests at all times during the litter removal activity. The City of Clearwater Pubic Services Office should be contacted at 462-6585 to obtain safety vests prior to litter removal activity. H. Not pick up litter at construction or maintenance sites, on bridges or overpasses, or on medians. PAGE TWO T. Only allow such persons to participate as are determined by the Group to be responsible enough to safely participate in the litter removal activities. Participating youths must be at least 12 years of age and the Group shall provide as least one adult supervisor for every 5 youths aged 12-15 who are participating in the litter removal activity. J. Not bring persons to observe the activity if the person is under the age of 16 and is not an official participant. K. Not wear clothing which would hinder the sight of participants. II. THE CITY SHALL: A. Provide permanent Adopt-A-Street signs at the beginning and end of the adopted highway section. B. Provide safety vests for use by the Group. C. Remove large plastic bags from adopted highway section. D. Remove certain litter under unusual circumstances (i.e., large, heavy or hazardous items). The Group covenants and agrees that it will indemnify and hold harmless the City and any maintaining agencies and all their officers, agents and employees from any claim, loss, damage, cost charge or expense arising out of any act, action, neglect or omission by the Group during the performance of the agreement, whether direct or indirect, and whether to any person or property to which the City or said parties may be subject, except that neither Group nor any of its members shall be liable under this provision for damages arising out of injury or damage to persons or property directly caused or resulting from the sole negligence of the City and its member agencies, any maintaining agencies, and all their officers, employees or agents. PAGE THREE III. The agreement shall remain in effect for a two-year period. The City or Group may terminate this agreement for any reason upon 30 days notice. IV. This agreement is nontransferable and nonassignable in whole or in part without written consent of the City. V. This agreement is for litter removal activities only. Any beautification activities must be pursued by another method. VI. The Public Services Director of the City of Clearwater shall screen and select the Streets to be adopted. He shall also decide all questions, difficulties and disputes of any nature whatsoever that may arise under or by reason of this agreement, the prosecution of fulfillment of the services hereunder and the character, quality, amount and value thereof and his decisions upon all claims, questions and disputes shall be final and conclusive upon the parties hereto. IN WITNESS WHEREOF; The parties hereto have caused these present to be executed, the day and year first written above. PAGE FOUR ,! '-. - I CERTiFY that I am familia= with the information c:mtained in this agreeme;~ t and that I possess the autt:;rity to execute this agreement on behalf of the Group, BY: /: ... ~(\eM~ of L. Ron ~b\cxz("d DATE: '< / c / C?G) ry / NAME OF GROOP: TITLE: ATTEST: DATE: (D)~ @, :~OFCC7~// 3~_ 4'bJc ~iC sl;P~irector ATTEST: _ 7l~~. ~C-- ~ DATE: rJ5L/ot:f/~CJ / Secre:ary r::- APPROVED AS TO FORM, (~ C ~ (k;f. f1,,~ a~ .~~'~t:-. CAND"! . i (iLLWEGER l~i'A:":.i MY CO\I\!iS,:j""; II CC 768767 ~'A'~ ,.'!(jri"'~: ,.,-.;,.;,'," ; "Q.M2 . ...f.!)I. 1-800-3-NOTARY Fla, ~"",' _,T''''',"' ^: 'Jonding Co, .... . DATE: ,'thr~ I \DOPT A STREET AGREEHEM'1' - revbed AUGUST '99