NATURES TABLE / DREW STREET FROM MCMULLEN BOOTH TO FAIRWOOD AVENUE ADOPT-A-STREET AGREEMENT
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ADOPT-A-STREET
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LITTER REMOVAL REPORT FORM
Name of Organization/Group
(I N~~U\ZE::'s \A()lt,
Name of Adopt-A-Street Coordinator
-:r~ff Go~\)ON
Address
13>1
C(eo.n..0{,-+u-
~lrw~od fo~t Dr
FL "33159
t7z.1J12f,9939I
Phone No.
Date of Clean-up \r><2.-Q..K \ ~ 19 '3'J
City Street_D,€.w .5L -f'rtDM ('1\ LMv..~ ~~ ~ t="~l ~oocl Ave.
Number of Miles Adopted
Number of Volunteers ~-
Number of Volunteer Hours
(This number should be numbe
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.
Please attach a copy of map delineating the section of street adopted.
This map need only be attached with the first litter clean up report form.
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ADOPT-A-STREET
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LITTER REMOVAL AGREEMENT
;t1//-R- {'Ii
(City Use)
hereinafter called
, 19~,by and between the
~Zh
(City Use)
City of Clearwater,
day of
THIS AGREEMENT, made and entered into this
the City and Mr./Ms.
~f'F
G.-o R W'kJ
of
-1JAtu.l<GS TA~t.€ .
hereinafter called the GROUP.
WITNESSETH
WHEREAS; ----.b\~ 5t
(Name of City Street)
is a part of the City of
Clearwater street system i~ Pinellas County, Florida.
WHEREAS; the City has responsibility for operation and maintenance of the
street system.
WHEREAS; the City is authc~ized 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
5t
P,ew
(name of street)
~tM. r wooA )roe.
(cross street)
City street to remove litter at
from _M L f\'\" t\ M Bcct~
(cross street)
to
PAGE ONE
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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 Public Services Office to arrange an
appropriate litter removal schedule which will not conflict with City
maintenance schedules.
G. Ensure that all participants wear safety vests at ell times during the
litter removal activity. The City of Clearwater Pubic Services Office should be
contacted to obtain safety vests prior to litter removal activity and return
same when activity is completed.
H. Not pick up litter at construction or maintenance sites, on bridges or
overpasses, or on medians.
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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 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 plas~ic bags from adopted high~ay 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 mainta~ning 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.
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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 Works Administrator 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
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I CERTIFY that I am familiar with the information contained in this agreement
and that I possess the authority to execute this agreement on behalf of the
Group.
NAME OF GROUP:
N .~\\.le.b~ "\ A6L~
BY:
.J Gf~ (;.0\2- \)0
Group Representative
DATE:
2 -28-99
TITLE:
~ r-~&.I'\ \ ~1tJ
":~'"'' Michele Candiloro
~ i:il * My Commission CCB03709 ^ .?
~,.~,:~.'" Expires January 21, 2003 J.i\.\....c~ LV
Notary
~LTI) f\4-,S-43;;-&q -3uQ-O
DATE:
3 r3rqq
ATTEST:
BY:
DATE:
~3 ~t -'I
ks Administrator
ATTEST:
1 /)
'1 ~'.r<L. YlJ. t.u.hW:---
E~-t-i-ve tecreLdry
DATE:
~-?/9/97
APPROVED AS TJ FON~ AND LEGALITY:
r OFFICIAL NOTARY SEAL !
NEVA M PAYNE I
1,\lOTARY PUBLIC STATE OF FLORIDA
I COMMISSION NO, Cc..t;Q5Q4:' I
~('X COMMISSION EXP, NOV,_I,.L, .
'7)~~"./,
FAC .
NEVA MfIV~iPA Y1I.'E
. H. RIDA
()u'~~N NO: CC505946
MY COMMISSION EX? i\OV 15.1999
PAGE FIVE
ADOPT.GAX.doc - revised April '98
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u~ MAR - 5 1993 I U
:J ADOPT-A-STREET
PlJBlI~I~O~fKfiL~.~ ;'i;,\~ATIONL TTER REMOVAL PROCEB~S ~STRH
1. Interested sponsoring organizations/groups sh~~ntact Qe City of
Clearwater Public Services Department office for cod~ o~c the gutaelines and
contract agreement.
Public Works Administration
Copy File
10 GAJ
o KJB
..
MAR 0 4 1999
ADM
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2. The following areas may be adopted by a sponsoring group:
City Streets
City Right-of-Ways
Medians are not to be included in this program due to safety factors.
3. The Public Services designee will screen and select the section of City
Streets and/or Right-of-Ways to be adopted. Groups adopting a section of City
Streets may clean up only on the areas outside the paved right of way and
shoulders approximately 12 feet from the outside edge of the right-hdnd
driving lane or ramp - in the grassy areas. No parking will be allowed on the
City street shoulders.
4. Three (3) copies of the contract
coordinator, should be returned to
Department Office for approval by
contract requires original signatures.
agreement, each copy signed by the group
the City of Clearwater Public Services
the Public Works Administrator. Each
5. C~e fully executed con~ract agreeDent will be forwarded to the following:
Sponsoring organization/group
City of Clearwater City Clerk's Office
City of Clearwater Public Services Department Office
6. Upon receipt of the executed agreement, the Public Services Department
Office will order the Adopt-A-Street permanent sign for the group at no cost to
the group. Costs will be borne by the City of Clearwater.
7. Safety workshops for the group will be arranged with the City of Clearwater
Public Services Department safety representatives as his/her schedule permits.
The Departmen~ls safety procedures will be provided upon request.
8. The City of Clearwater Public Services Office will coordinate litter
clean-up efforts with the group and be responsible for providing safety vests.
The group will sign for the safety vests and will be responsible for the return
of the safety vests to the City of Clearwater Engineering Office. 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 should be
left under the Adopt-A-Street signs for collection. The Solid Waste Department
will schedule trash bag collection from the streets as soon as practical after
completion of the clean-up efforts.
9. Litter clean-up report forms (optional) will be provided to the group by
the Public Services Department when the safety vests are provided. This form
may be completed by the group after each litter clean-up event and returned to
the Engineering Department along with the safety vests. The Engineering
Department will complete the appropriate documentation on the litter clean-up
report forms after each litter collection and maintain files for all
Adopt-A-Street activities.
10. The Adopt-A-Street Litter Removal Agreement
authorized to represent the sponsor group. Proof
the agreement.
must be signed by an adult
of authority must a.cc.ompany. . r v:'Il. 11..:""':
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JAFETY RECOMMENDA TIJNS
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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. No horseplay of any type will be tolerated.
2. No intoxicating liquid, beverage or illegal drugs will be allowed.
3. Persons participating should wear gloves, a good quality shoe (no open toe
s),oes or shower clogs) and light or bright colored protective clothing. No
clothing will be allowed that hinders the sight of the participant.
4. An adequate supply of drinking water should be readily available.
5. A good pair of sunglasses, cap and SUGblock should be considered.
6. 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 pave~ent edge
as possible. Keep vehicles on the same side of the street as participants.
7. Participants should work facing oncoming traffic whenever possible and work
one side of the street at a time. Do not enter the roadway or its shoulder
areas at any time.
8. 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.
Prior to any c~ean up operations, the group leader should coordinate their
efforts with the Public Services Department, who will provide the required
equipment and other special instructions as needed.
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