THE WAY TO HAPPINESS YOUTH CLUB / LAKEVIEW ROAD ADOPT-A-STREET
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ADOPT -A-STREET .
LITTER REMOVAL REPORT FORM
(FOUR TIMES A YEAR)
Name of Organization, Group, or Individual
The.. ~T()~p(oess ~oJtb Club
Name of Ad~t-A-Street Coordinator
da.r(l-, l.o0fnoJ.e(
Address
Phone No.
\/39 K.efll l Wd71Y\
auJ ~ ~31\(P
?T1) ~.~
(Jr.
Date of Clean-up
City Street lAk-eviW ~ ~. ~.=1t.i;"4',(\W\ Q..u-<. a....-t S. {h\S~U'j'~
Number of Miles Adopted C\.fP/4^ I fr'\l\-l'
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.
-l'-
00 ~ /:;~U -(J I
(3)
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ADOPT-A-STREET
LITTER REMOVAL AGREEMENT
THIS AGREEMENT, made and entered into this day of
(City Use)
I 20_
by and between the City of Clearwater, hereinafter called the City and
Mr. /Ms .CJcMe.. Co~{(\oJV
of The.. ~ l~~(>i r\4f joJ\h Cub
(Group Name)
hereinafter called the GROUP.
WHEREAS; ~e.Ul e.w f<.oa..d
(Name of City Street)
WITNESSETH
is a part of the City of
Clearwater street system in Pinellas County, Florida.
WHEREAS; the City has responsibility for operation and maintenance of the
street 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.
WHEREAS; the Group is desiro~ of adopting a City street to remove litter at
La.'(.eJJ,' ew oa..t:P
(name of street)
~ fI..,
street)
from~01\~(,
(cross
toS,rt~rl~ ~
(cross street)
PAGE ONE
NOW THEREFORE; the parties agree as follows:
1.
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 Department's Office should be
contacted at 462-6585 ext 230 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
~
I. 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
At least two adult supervisors 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 (5) safety vests for use by each Group.
C. Remove large stored trash 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 damage 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.
III.
The agreement shall remain in effect for a two-year p~riod. The City or Group
may terminate this agreement for any reason upon 30 days written 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.
.",
I CERTIFY that I have read and understand the information contained in this agreement
and that I possess the authority to execute this agreement on behalf of the Group.
NAME OF GROUP' T~~ 1D~i~s jtth ~
Pa/~ l ~. DATE: / lfJay{')l1b/
~oup ~~~at~ve
a\" {no
BY:
TITLE:
DATE:
I~dl
,
ATTEST:
~"I!I.
~?lij. ..~
!*: ::1
~ ~:
"'9i.~. .
CANDACE M ZILLWEGER
MY COMMISSION (I CC 768767
EXPIRES: 08/1912002
I -llOO-3-NOT AR Y F1a, Notary Services &: Bonding Co,
CITY OF CLEARWATER
BY:
DATE:
3;)O)dl
/ /
Designee
ATTEST:
DATE:
Executive Secretary
APPROVE~~O~'
Legal~
DATE:
3-~tJ-()1
PAGE FIVE
ADOPT A STREET AGREEMENT - revised August 2000