Lima/Allen County Community Pride Cleanup Program Guidelines and Procedures

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1 Lima/Allen County Community Pride Cleanup Program Guidelines and Procedures Purpose Offer free haul and disposal to communities and individuals of need in the Lima/Allen County area in an effort to clean up illegal dump sites or other areas that have debris and/or solid waste accumulated. Within the City of Lima, Allen County Refuse will provide containers, hauling and disposal for up to 1,000 tons of municipal solid waste disposal. The program will not exceed 1,000 tons of disposal and will be administered to be used over a three year period ending June 30, Townships using the trailer will be responsible for their own containers, hauling and dumping, as agreed to in their contracts. Program & Restrictions This program covers (at no charge) delivery and pick up of a solid waste container (typically 20 yard or 30 yard roll off) for a period of time not to exceed 10 business days. The cost to dispose of the solid waste will be at no charge to the recipient. The process to physically place solid waste into the container is the responsibility of the recipient. The recipient must have a suitable, safe and approved/permitted (by landowner, jurisdiction, etc.) location in Lima/Allen County for the container. The area for container delivery must be easily accessible and must safely accommodate the size of the container. Lima/Allen County will not be responsible for damage caused by the placement or removal of the container. It is recommended the container be placed in an area that will not promote the use of unauthorized dumping of solid waste. North Central Ohio Solid Waste District/ Allen County Refuse/ Townships will not be responsible for removal or disposal of solid waste from any other source except the recipient. North Central Ohio Solid Waste District/ Allen County Refuse/Townships will not be responsible for removal or disposal of solid waste outside of the container unit. Allen County Refuse/Townships may require the recipient to be present at delivery and pickup to deal with any problems with setting the container. Delivery and pick up of the container unit can be scheduled for Monday through Friday, between the hours of 8:30am and 3:00pm. For an approved project requiring work over the weekend, the trailer will be delivered on Friday and picked up on Monday. Only City/County employees are permitted to use the DCD van to deliver and pick up the trailer. An application must be completed, signed and submitted at least two weeks prior to event. Applications will be reviewed by the project committee on a first in/first out basis. At least three members of the committee will review for appropriateness of the project and the completeness of the application. The City of Lima/Allen County will have the final decision as to eligibility of applicant and the award of services. Emergency application requests will be evaluated by the Lima/Allen County clean-up committee. Exclusions The following are excluded from this program: Tires Hazardous Waste Housing or Building Demolition Debris Standard Bulk Waste from Residential or Commercial Property Any Commercial/Industrial Waste Sole Source Separated Yard Waste

2 Lima/Allen County Community Pride Cleanup Program Eligibility: The services from this program are available on a competitive basis within Allen County (see list of eligible groups below). Eligible groups include (all services provided must be in Allen County): Municipal Jurisdictions within Allen County. Park Districts and Health Districts within Allen County. Political Subdivisions of the State of Ohio located in Allen County. Volunteer groups conducting litter and/or illegal dump cleanups. Hardship cases referred by local municipal jurisdiction or Health Districts. Allen County Non-Profits, must be 501(c)3. Rating Criteria Need Multi agency partnerships. If illegal dump ability to monitor or secure to prevent further dumping. Award Decisions Applicants will be notified by unless otherwise requested and will be requested to verify delivery and pickup information. Services by year Total services for the program will not exceed 1,000 tons per year. Accountability & Reporting Requirements Recipients Submission of the Cleanup Summary Report presently used for Lima/Allen County programs within seven days of completion of project. Before and after pictures must be submitted. Application Application available online at or Mail Application to: City of Lima Department of Community Development 50 Town Square Lima, Oh Attn: Community Cleanup Program Application to: connie.dershem@cityhall.lima.oh.us or Fax to

3 Lima/Allen County Community Cleanup Program Application Feel free to use additional pages. Please be concise when answering questions. Use no more than 200 words per question to answer. 1. What is the overall purpose of your project? Please explain. 2. How will this project benefit the neighborhood/community? Who will benefit? Include before photos of the site. 3. If this project is part of a larger project or plan, please explain the relationship and indicate the expectations for completion of the larger project. 4. Will you have any partners with this project? If yes, describe the collaboration. 5. If applicable, estimate the total number of volunteers and volunteer hours that will go into this project. 6. How will you maintain the area once the initial cleanup is completed? 7. If this service was not offered, would the cleanup proceed? Please explain. 8. Did you receive services from the Community Cleanup Program in the previous year? If so, did you complete your project? 9. Include any other relevant information.

4 Lima/Allen County Community Pride Cleanup Program Application Certification and General Terms and Conditions By signing below, or by electronically submitting this application, you are hereby certifying that the information in your application is true and accurate to the best of your knowledge. You are further certifying and agreeing that any services awarded will be used for the purpose and projects described in your application. Any changes, additions or deletions must be approved in writing by the City of Lima Department of Community Development. You hereby acknowledge that all services are awarded at the sole discretion of the Lima/Allen County Community Clean-up Program. Your Name: Title: Organization/Group: Is your Organization a 501(c)3 Non-Profit: (Please provide documentation from IRS) Organization Address: How is this group eligible? Location of Proposed Project: Container Delivery Location: Municipality or Township: (s) Needed: (Allied Waste can only deliver and pick-up dumpsters Monday-Friday. Dumpsters may be kept through the weekend.) (Townships have their own separate processes) Delivery Time: Pickup Time: Your Address (if different from above): Telephone number (on delivery/pickup days): Best time to call: Address: DO NOT ASSUME that you have permission to place a container on land or roadways you do not own! Applicants must obtain permission from parking lot owners and acquire governmental jurisdictions permits if required. Lima/Allen County will not be responsible for damage caused by the placement or removal of the container. Proof of approval may be requested by the Lima/Allen County Clean-up Program.

5 Application Form Designated Project Coordinator Phone (Daytime) (Evening) (Cell) Coordinator Address Driver s License Number or State ID Card (attach copy) Neighborhood/Project Name Volunteer Organization Name (if applicable) Trailer Drop Off (date/time) If multiple dates, list here: Pick Up (date/time) Trailer can be delivered and picked up Monday thru Friday between 8:30 am and 3:00 pm Cleanup Project Description (include cleanup date): Location and Boundaries of Cleanup Project: Parking Location of the Trailer: Number of households or volunteers involved (minimum of five) Participant List Form and Project Coordinator Waiver must be sent in with this application! I, as the designated Project Coordinator (PC) agree to the following: As PC, I will work with the City of Lima/LACNIP and any local authority to determine a proper parking location for the trailer and will meet with a City/LACNIP member at that location when the trailer is delivered and picked up. I will ensure all participants using the power equipment from the trailer are at least 18 years old and have completed all Waivers. I will confirm the equipment inventory prior to receipt of the trailer and upon return of the trailer with City/LACNIP. I will distribute supplies to participants and ensure all equipment is operated safely. I will retrieve the supplies once participants have completed the project. I will properly secure the trailer and its contents, and will replace any item missing or not returned in the condition they were received (normal wear and tear excluded). I will contact the appropriate waste hauler to have all trash removed. I will ensure the trailer is free of trash and debris upon return. I will complete and submit the Cleanup Summary Report to the City of Lima. Submit Form to: City of Lima, Ohio Department of Community Development 50 Town Square Fax Lima, Ohio Questions? City of Lima DCD, 50 Town Square, Lima Oh

6 Project Coordinator Responsibilities and Waiver Neighborhood/Project Name Project Coordinator s of Project The undersigned participant hereby certifies the following: (please initial each item) 1. I am over the age of 18 and will be using the power equipment in the Community Pride Cleanup Supply Trailer (CPCST) within Lima/Allen County, Ohio. I will require all under the age of 18 to be supervised by an adult, and will not allow them to use any power equipment. 2. I understand I am responsible for obtaining waivers for all participants & they need to be turned in with the application. 3. I understand the written instructions on the proper operation and maintenance of the power equipment in the binder labeled Lima/Allen County Community Pride Cleanup Supply Trailer Operator s Manual stored inside the CPCST. 4. I will operate all equipment as instructed by the manufacturer s safety guidelines and in conformance with the instructions in the Operator s Manual. 5 I will return any borrowed items from the CPCST clean and in working order & will meet with city/county official to complete inventory of equipment.. 6. I understand I am responsible to pay for the replacement of any items from the CPCST not returned in the condition in which they were received (excluding normal wear and tear) 7. I will not use the CPCST or the items in the CPCST for commercial purposes. 8. I understand the use of this equipment may be dangerous and can result in injury or death. I agree to defend, indemnify, hold harmless, and release Lima/Allen County and any of its departments, agencies, offices, officers and employees from all damages claims, liabilities and expenses, including attorney s fees and legal costs, arising or resulting in any way from delivery, placement, presence, servicing and use of the CPCST and the equipment stored within. 9. From the time the CPCST is delivered and placed until such time as it is removed by Lima/Allen County, the Project Coordinator will defend, indemnify, hold harmless and release the county and any of its departments, agencies, offices, officers and employees, from all damages, claims or liabilities and expenses, including attorney s fee and legal costs, arising or resulting in any way from delivery, placement, presence, servicing and use of the CPCST and equipment stored within. (Over) City of Lima DCD, 50 Town Square, Lima Oh

7 Project Coordinator Responsibilities and Waiver Neighborhood/Project Name Project Coordinator s of Project The undersigned participant hereby certifies the following: (Please initial each item) 9. I will ensure the CPCST is secured when not being used and all items will be returned. I will meet Lima/Allen County on at am/pm to inventory the CPCST Equipment List, and return all items identified thereon to Lima/Allen County. 10. I agree to compensate the Lima/Allen County for any and all items identified on the Equipment List, which are not returned to Lima/Allen County for any reason by the date and time identified above. 11. I agree to complete and return the Cleanup Summary Report to Lima/Allen County within seven days of the completion of this project. Project Coordinator Name (please print) Address Phone Organization : Project Coordinator Please return this signed waiver along with the application. All participants waivers can be collected on the day of the event and provided to Lima/Allen County upon the return of the trailer. Lima/Allen County Contact: Secondary Contact City of Lima DCD, 50 Town Square, Lima Oh

8 Participant s Responsibilities and Waiver Neighborhood/Project Name Project Coordinator s of Project The participant hereby certifies the following: 1. I am over the age of 18 (or have parent/guardian signature) and will be using the equipment in the Community Pride Cleanup Supply Trailer (CPCST) within Lima/Allen County, Ohio. If under age 18, I understand I must have parent signature, will be working under the direction of the project coordinator, will be supervised by an adult., and am not eligible to use the power equipment. 2. I understand the written instructions on the proper operation and maintenance of the power equipment in the binder labeled Lima/Allen County Community Pride Cleanup Supply Trailer Operator s Manual stored inside the CPCST. 3. I will operate all equipment as instructed by the manufacturer s safety guidelines and in conformance with the instructions in the Operator s Manual. 4. I will return any borrowed items from the CPCST clean and in working order. 5. I understand I am responsible to pay for the replacement of any items from the CPCST not returned in the condition in which they were received (excluding normal wear and tear) 6. I will not use the CPCST or the items in the CPCST for commercial purposes. 7. I understand the use of this equipment may be dangerous and can result in injury or death. I agree to defend, indemnify, hold harmless, and release Lima/Allen County, LACNIP, and any of its departments, agencies, offices, officers and employees from all damages claims, liabilities and expenses, including attorney s fees and legal costs, arising or result ing in any way from delivery, placement, presence, servicing and use of the CPCST and the equipment stored within. YOU MUST PRINT YOUR NAME, SIGN AND DATE THE OPPOSITE SIDE OF THIS FORM TO PARTICIPATE City of Lima DCD, 50 Town Square, Lima Oh

9 Participant s Responsibilities and Waiver I have read and agree to the participant s responsibilities on the opposite side of the page. Sign below to indicate agreement: City of Lima DCD, 50 Town Square, Lima Oh

10 Participant List This form must be submitted with the Application Form. Please list the names, addresses and phone numbers of each person participating in the Community Pride Cleanup Supply Trailer event: NAME ADDRESS PHONE For more information, call City of Lima DCD, 50 Town Square, Lima Oh

11 Group Equipment List Quant. Item Description Checked Out Checked In Comments 1 Supply Trailer 3 Gas Powered 19 Lawn Mower 2 Gas Powered Line Trimmer 3 Gas Powered Back Pack Leaf Blowers 1 Long Handle Dust Pan 2 Wheelbarrow- Jackson 8 cu. ft. 2 Wheelbarrow- True Temper 6 cu. ft. 5 Upright Broom 4 Push Broom 3 Pitch Fork 1 Shovel- Large Scoop 4 Shovel- Round Nose, long handle 2 Shovel - Round Nose, short handle 5 Shovel- Square Nose 1 Drain Spade 3 Garden Spade 5 Rake- Bow 6 Rake- Leaf 1 Rake- Landscape 25 pair Cloth Gloves 25 Safety Vests 6 Traffic Cone 2 First Aid Kit Latex Gloves Yard Waste bags 25 Protection kits- Goggles, Mask, Earplugs 4 Trash Can (20 gallon) with Lid Page 1 of 3 City of Lima DCD 50 Town Square, Lima, Oh

12 Equipment List Quantity Item Description Checked Out Checked In Comments 2 Water Cooler 25 Litter Grabbers Trash Bag Ringers 3 Anvil Pruner 1 PowerGear Bypass Pruner 3 Bypass Lopper 4 Lopper 2 Hedge Shears 2 21 Bow Saw 1 14 Pole Pruner 1 50 Vinyl Water Hose Vinyl Water Hose 2 Water Hose Nozzle 7 Pattern 1 Maglite Flashlight 1 Set of Rubber Chocks 2 Cable Locks and Instructions Manuals and MSDS Page 2 of 3 City of Lima DCD 50 Town Square, Lima, Oh

13 Equipment List Group I hereby acknowledge that I have received the inventoried equipment on the date stated below. Project Coordinator I hereby acknowledge that I have returned the inventoried equipment on the date stated below. Project Coordinator I wish to note the following condition issues with respect to the following equipment item (s) listed on this Equipment List and inventoried upon delivery: Project Coordinator City/County Authorized Page 3 of 3 City of Lima DCD 50 Town Square, Lima, Oh

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