CANDACE M. ZILLWEGER / LITTER REMOVAL LIME AVENUE
ADOPT -A-STREET
LITTER REMOVAL REPORT FORM
(SIX TIMES A YEAR)
Address
Phone No. (1t1_11w 0)0\
Date of Clean-up
City Street
Lt' (lle ~
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. 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 day of
(City Use)
, 20
by and between the City of Clearwater, hereinafter called the City and
Mr. 1MB. CaffiM> en.~ IlW f.O
hereinafter called the GROUP.
of
Pn~s ~ L.~ ~c1.
( oup Name)
WITNESSETH
WHEREAS;
u (i'e. Au-{()J..Q.
(Name of City Street)
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.
WHEREASj 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.
WHEREASj the Group is
G~-e,
from T~.H ~{ L:f::; .
(cross street)
desirous of adopting
bu..ll..
(name of street)
a City street to remove litter at
to
~cro~eet)
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 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
111 ' . r
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.
~~ L.ea~~~
DATE, T O~
Group
TITLE:
STATE OF FLORIDA)
COUNTY OF 11~\a...S
/Lfh
The foregoin9.. instrument was acknowledged before me this lP day of
by Gr..,..".{tlCJ2 tc\ 7ill\r\(,(', as group representative on behalf of '€.-L L-
or He is ~rsonaRrY known to me or has produced as ident'
. Notary ~
~,~ Ch~
Printed Name of Notary
200;,
. She
Notary Stamp
CITY OF CLEARWATER
BY:
DATE:
IJ oJ /I'!jt; J
t!J7//://~d
/ /
ATTEST:
DATE:
APPROVED AS TO FORM:
ADOPT A STREET AGREEMENT - revised February 2002
PAGE FIVE