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PIP'S POOL INC / LITTLER REMOVAL- MONTCLAIR RD (BETWEEN N KEENE RD & N HERCULES AVE)ADOPT-A-STREET LITTER REMOVAL 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. A sponsoring organization, group, or individual may adopt the following areas: City Streets, Right-of-Ways and Parkways Medians are not to be included in this program due to safety factors. In an effort to make the Adopt-A-Street program available to all citizens, a maximum of 5 streets/areas will be issued to any one organization, group, individual or affiliate. An application fee of $10.00 dollars to offset the cost of administering this program will be applied. 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. Sign installation cost shall be $25.00 dollars per sign. 4. The Public Services Director or desiqnee 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 and notarized, 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 Official Records and Legislative Services, City Hall City of Clearwater Public Services Department's Office 7. Upon receipt of the complete executed agreement, application and sign cost fees, the Public Services Department office will issue orders to install the permanent Adopt-A-Street signs for the organization, group, or individual at the appropriate cost to the group. 8. Safety concerns for the organization, group, or individual is of utmost impurLance to the city of Clearwater. Public Services Department's representatives shall provide trash bags, six orange safety vests, and trash tongs to the group coordinator for a first time only participation. 9. The City of Clearwater Public Services Office will coordinate efforts with the group. The group may redeem any recyclables collected and keep the proceeds for the group. The group will be responsible for supplying their own plastic trash bags after the initial bags have been provided. The trash bags shall be left under the Adopt-A-Street signs for collection. The solid waste Department (562-4930) will schedule trash bag collection from participants calling in to have trash removed 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. Failure to comply may result in being dropped from the program without reimbursement of fees. 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 LITTER 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 vests shall be worn at all times. 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 an 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 recently applied, 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 possess a cell phone for emergency notification. -B° ADOPT-A-STREET LITTER REMOVAL REPORT FORM (SIX TIMES A YEAR) Name of organization, Group, or Individual P; p?S yook y \nc- Name of Adopt-A-Street Coordinator Kimberlv Pippin Address 1973 Hastings Dr. Clearwater, FL 33763 Phone No. (727) 444-4441 Date of Clean-up City Street Montclair Road (Between N. Keene Road & N. Hercules Avenue) Number of Miles Adopted .53 Number of Volunteers Number of Volunteer Hours (This number should be number of volunteers x hours = total) Amount of litter collected: Trash Recyclable 1. Number of Bags 2. Weight of Bags check one: Actual Wt. Est. Wt. * If scales are not available, please estimate weight. -C- ADOPT°A-STREET LITTER REMOVAL AGREEMENT THIS AGREEMENT, made and entered into this k?ih day of A 2060, (City use) by and between the City of Clearwater, hereinafter called the City and Mr./Ms. Kimberly Pippin of ` C7 L- \ NAQ_ (Group Name) hereinafter called the GROUP. WITNESSETH WHEREAS; Montclair Road is a part of the City of (Name of City Street) 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 desirous of adopting a City street to remove litter at Montclair Road (name of street) from N. Keene Road to N. Hercules Ave. (cross street) (cross street PAGE ONE 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 six 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 themselves in a safe manner 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 562-4930 to arrange appropriate litter removal schedule that will not conflict with City maintenance schedules. G. Ensure that all participants wear safety vests at all times during the 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 that 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. L. Pay all appropriate fees prior to program start-up. II. THE CITY SHALL: A. Provide for a fee of $25.00 each Adopt-A-Street signs at the beginning and end of the Adopted highway section. B. Provide six (6) safety vests for use by each Group and one (1) trash tong. 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. 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 written notice. IV. This agreement is nontransferable and not assignable 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. The director 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 the director's decisions upon all claims, questions and disputes shall be final and conclusive upon the parties hereto. PAGE FOUR r , y 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: S P004 ?'VC BY: DATE : IO G/rpu'p Re pre entat ve TITLE: (?(/ le . STATE OF F 1)A) COUNTY OF ` pXS ) Th K'i e of rument was acknowledged bef jae this d f "I. I b , ras group representative o beha f of AM 'g In$ ' or He is pers nally known to me or has produce as identification. e.ry taryo PubPATRrAA ANN KLBN MY 00MMI&" 1 DD 851017 a /1 vrr 1 EXPIRES: MOO 4,2013 printed Name onNota B wdW Thru Rotary Pubk UMawrika Notary Stamp CITY OF CLEARWATER w < U (to BY: LA?& DATE : /J? P1 Services Director Designee ATTEST: 1-1 Camilo A. Soto, Assistant City Attorney ADOPT A STREET AGREEMENT - revised February 2002 DATE : Q ( O 10 20K, . She PAGE FIVE