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HomeMy WebLinkAboutMisc Correspondence 50 Elm Street STATE OF CONNECTICUT-OFFICE OF POLICY AND MANAGEMENT M-35R rev.06/07 sE P10/1f/ t r/; ITT E APPLICATION FOR RENTER'S REBATE OF ELDERLY RENTERS C6 RENTER SEE INS` P I It 11(411,; ,AT ASSESSOR'S (_rental year OR LOCAL. ';()CIA 1. SF.R.VICES OFFICE AND TOTALLY DISABLED PERSONS FILING PERIOD MAY 15 -SEPT, t5 1. NAM I'.(I astl (FirsQ (Middle Initial) YOUR BIRTH DATE(Mo. Day.Yr.) YOUR SOCIAL SECURITY NO. 2. SPt)UHF,, NA1\'11:jl.astj (FirsQ (Middle Initial) SPOUSE's BIRTH DATE(Mo.Day.Yr.) SPOUSE'S SOCIAL SECURITY NO. 3. PRF.SHI T IAAII MA;ADDRESS(No.and Street) CITY OR TOWN(Don't Abbreviate) STATE ZIP CODE Lr /12 CIS r), 4.RENTAL ADDRESS IN CI-IF DIFFERENT THAN ABOVE CITY OR TOWN ° STATE ZIP CODE 5.FILING STATUS: CHECK ONLY ONE: Cl MARRIED a UNMARRIED ❑ SURVIVING SPOUSE(AGE 50 TO 65)PROOF REQUIRED IF SPOUSE IS A RESIDENT OF A HEALTH CARE JIF APPLICANT IS TOTALLY OR A NURSING HOME FACILITY IN CT AND DISABLED CURRENT PROOF REQUIRED: ON TITLE XIX PROOF REQUIRED CHECK HERE: ❑ CHECK HERE: ❑ 6.WHAT%OF RENT AND UTILITIES DO YOU PAY?(Husband and Wife are considered to be one(1)renter) % 7.TOTAL RENT AND UTILITIES YOU ACTUALLY PAID. g 8.DID OR WILL YOU FILE A FEDERAL TAX RETURN FOR LAST YEAR? ❑ -YES(Attach Copy) - NO 9. PUBLIC ASSISTANCE RECIPIENTS PLEASE NOTE: You may receive LESS than the TENTATIVE GRANT on Line 20 below. 10.DID YOU RENT IN CONNECTICUT 11.IF THE ANSWER TO(10) IS"NO", Signing Mo.Yr. Ending FOR THE ENTIRE CALENDAR YEAR? 1t�1'YES ❑ NO ENTER DATES YOU RENTED: 12. INCOME RECEIVED DURING LAST CALENDAR YEAR: A. GROSS INCOME-Includes:Federal Adjusted Gross income or its equivalent.Also includes,but is not limited to, wages,lottery winnings, taxable pensions,IRA's,interest,dividends and net rental income. A. $ B.NON-TAXABLE INTEREST-Example: Interest from Tax Exempt Government Bonds B.$ C.SOCIAL SECURITY OR RAILROAD RETIREMENT INCOME-Add Medicare premiums(Attach SSA 1099) C.$ D. ANY INCOME NOT REFLECTED IN THE ABOVE-Examples:Federal Supplemental Security Income, Veteran's Pensions,Veteran's Disability Payments,and any other income not listed above. D.$ SPECIFY SOURCE OF INCOME: E. TOTAL Add lines 12A through 12D E.$ APPLICANT'S/ The applicant or authorized agent deposes that the above statements are true and complete and claims tax relief under provisions of the Connecticut General AUTHORIZED Statutes.The property for which tax relief is claimed,is the permanent residence/domicile of the applicant.Helshe is not receiving State Elderly tax benefits AGENT'S under section 12-129b,section 12-170aa,in any town.I grant permission to the Department of Social Services to release to the Office of Policy and Management information necessary to help determine my eligibility.The penalty for making a false affidavit is the refund of all grants improperly taken AFFI AV IT and a fine of 1500.00 or imprisonment for one year,or both.Your signature signifies that this affidavit has been read and understood. SIGN E OF APPLICANT HORIZED AGE Datehl8ned(M�o�Day.Yr.) NE NO. AGENT'S RELATIONSHIP STOP!DO OT RITE BELOW THIS LINE-FOFX99T996Ry9 I , ' 13. Amount of rent and utilities paid from Line 7$ X.35 $ 14.CREDIT COMPUTATION:QUALIFYING INCOME ❑FULLYEAR-$ x.05 OR ❑ PART YEAR-$ X(No.of Months/ 12)x.05= $ 15. Subtract Line 14 from Line 13.If zero or negative amount,there is no benefit.Enter-0-on Line 20. $ 16. Indicate table used: ❑Urttnarried ❑Married 17.MAXIMUM CREDIT ALLOWED A.❑FULL YEAR:amount per table OR B.❑ PART YEAR:amount per table X(No.of Months/12)= $ 18.Enter amount from Line 15 or Line 17,whichever is LESS $ 19. Minimum per table $ 20. Enter GREATER of Line 18 or 19 TENTATIVE GRANT(Subject to review by Off. of Policy and Management) ASSESSOR'S —- I am satisfied that the above named applicant meets all the necessary statutory requirements AFFIDAVIT —-This claim is disallowed for the following reason: SIGNATURE OF ASSESSOR OR MEMBER OF ASSESSOR'S STAFF Date signed(Mo.Da;r.Yr.) DISTRIBUTION: Original-Assessor Copy-Applicant Please see the instructions at the Assessor's or local Social Services Office for appeal information. MOLD REMEDIATION QUOTE 100 Pritchard Industries (NE), Inc. $2.0 Connecticut Ave South Windsor, CT 06074 Total Mold Remediation Phone(860)628.6418 Fax(660) 528-6536 January 4, 200$ George Daniels Housing Authority of South Windsor 60 Elm Street {. �.:... South Windsor, CT 06074 L, ` �ynsni�z ibY°J Re: Mold Remediation Claim#: Dear George: Enclosed is the mold/fungi visual inspection report and mold remediation recommendationtproposel you requested. Pritchard Industries(NE), Inc's TOTAL MOLD REMEDIATION division ("TOMR")hereby proposes to perform the following specified mold remediation services,which are in accordance with ACGIH,"-IICRC"and The New York City Department of Health guidelines relating to fungi remediation. TOMR will provide all supplies, equipment, materials,documentation, insurance, labor,supervision and disposal of all waste. TOMB will require the Owner(s)to provide water,drainage, electricity, parking, and rest room facilities. The attached quotation Includes: Subject Properly Description • Owners' Initial Report Summary of Visual Mold Inspection + Causal Corrective Action Methods of Inspection • Associated Health Risks s Guidelines for Lab Report Analysis Lab Report/Consultant Recommendations Work Zones(s) Defined • TOMR's Recommendations Methods of Remediation • Quoted Remediation Services r Estimated Duration of Work Important Notes Pricing Schedule • Terms of Payment • Acceptance Statement Pay authorization(2nd party) • Final air clearance testing waiver Thank you for your consideration, we look forward to working for you soon. Sincerely, David Berthold —•-r--- Registered Mold Inspector(RMI) Member Connecticut Page 1 of 17 PRITCHARD INDUSTRIES(NE), INC. Initial: 300'd I80# 69:60 800UV0/10 9899 8Z9 098 S1181SUI OdVH01Idd:W0AJ i I MOLD REMEDIATION QUOTE Subject Property Description The following "SUBJECT PROPERTY"was inspected on 113/08 by the above signed Registered Mold Inspector to determine the presence of Mold/Fungi growth. A sketch is attached of the areas of the Subject Property where remediation services are recommended/quoted. 50 Elm Street Unit#26 South Windsor, CT 06074 The subject property is an apartment/condo unit. Owners' Initial Report The owner(or owner's agent) reported the following previous to and/or during the time of inspection; 1. Owner's agent reported that the occupant of the apartment unit reported possible mold/fungal growth in the unit that she believed was causing her physiological discomfort. Occupant has subsequently sought medical attention as a result. 2. Owner's agent reported seeing excessive condensation and water pooling on or around one or more windows of the apartment unit upon his initial inspection immediately following the tenant's report of possible mold/fungal growth. Occupant was boiling water at the time of the agent's initial inspection. 3. Occupant reported an intermittent small leak above the stove, possibly the result of seasonal ice heave along eave line of roof: Sumr>rilary of Visual Mold Inspection Based on a physical inspection performed by TOMR, the following is a summary of the mold growth found at the subject property. Descriptions may contain references to property sketch(attached). Where used, the word "interior"describes surfaces closest to the center of a room, "exterior" refers to surfaces farthest from the center of a room for the area specified. AREA A(LIVING ROOM) 1. Visible mold growth was present on INTERIOR WINDOW CASING surfaces where indicated on the property sketch. Growth was at approximately 70 % visible coverage of this surface type in this AREA, Visible condensation and a considerable amount of standing water were present on window glass and casing surfaces at the time of inspection. 2. Visible mold growth was present on INTERIOR SHEETROCK WALL surfaces directly below windows where indicated on the property sketch. Growth was at approximately 1 %visible coverage of this surface type In this AREA. Page 2 of 17 PRITCHARD INDUSTRIES(NE),INC. Initial; S00'd I80# 69:60 80OZ/Vo/t0 9S99 8Z9 098 S3I0naNI 0HOlIdd:wWd MOLD REMEDIATION QUOTE • A MOISTURE CONTENT reading was taken of the WALL SHEETROCK surfaces near areas of visible mold growth using a DolmhorstO brand "AccuscanTM model resistance type wood/reference moisture meter. These surfaces had a qualitative moisture reading of 3-5%greater than that of a baseline reading taken from similar surfaces known to be dry. > Moisture content of surfaces should not exceed the baseline reading AT ANYTIME in order to best inhibit mold growth. 3. Visible mold growth was present on INTERIOR SHEETROCK CEILING surfaces in the corner next to closet where indicated on the property sketch. Growth was limited to one visible colony on this surface type in this AREA. • A MOISTURE CONTENT reading was taken of the WALL SHEETROCK surfaces near areas of visible mold growth using a DelmhorstO brand"AccuscanTM model resistance type wood/reference moisture meter. These surfaces had a qualitative moisture reading of 0% greater than that of a baseline reading taken from similar surfaces known to be dry. 4. Mold type growth pattern discoloration and Visible mold growth were present on INTERIOR FLOOR CARPET surfaces directly under windows (couch normally covers this area). Growth was at approximately 5 % visible coverage of this surface type in this AREA. A MOISTURE CONTENT reading was taken of the FLOOR CARPET surfaces near areas of visible mold growth using a DelmhorstS brand"AccuscanTM model resistance type wood/reference moisture meter. These surfaces had a qualitative moisture reading of 0-3 %greater than that of a baseline reading taken from similar surfaces known to be dry. A Moisture content of surfaces should not exceed the baseline reading AT ANYTIME in order to best inhibit mold growth. S. Sour/musty odor was lightly present throughout select portions of this area indicating possible fungi related VOC (volatile organic compound)emissions at the time of inspection. 6. A HUMIDITY&TEMPERATURE reading taken of this area using a Dry Air Technology(& brand Humidity/Temperature Pen model#445580 indicated a relative air humidity reading of 41.2 % at a temperature of 69.9°. Humidity should not exceed 50.55%o AT ANYTIME In order to best inhibit mold growth. AREA (LIVING ROOM CLOSET] 1. Visible mold growth was present on INTERIOR SHEETROCK WALL surfaces where Indicated on the property sketch. Growth was at approximately 20 % visible coverage of this surface type in this AREA, A MOISTURE CONTENT reading was taken of the WALL SHEETROCK surfaces near areas of visible mold growth using a DelmhorstQD brand "AccuscanTM model resistance type wood/reference moisture meter. These surfaces had a qualitative moisture reading of 5-10 %greater than that of a baseline reading taken from similar surfaces known to be dry. Visible condensation and standing water were present on wall and vinyl baseboard surfaces at the time of inspection. > Moisture content of surfaces should not exceed the baseline reading AT ANY TIME in order to best Inhibit mold growth. Structural decay(softening)was evident for drywall surfaces in this area indicating a chronic water/moisture/mold issue. 2. Sour/musty odor was lightly present throughout select portions of this area indicating possible fungi related VOC (volatile organic compound) emissions at the time of inspection. Page 3 of 17 PRITCHARD INDUSTRIES(NE), INC. Initial: V00'd 180# 69:60 800Z1V0110 9899 8Z9 098 23 I on I 0HOl I dd:WO a d MOLD REMEDIATION QUOTE &W C tBEDROOMI 1. Mold type growth pattern discoloration and Visible mold growth was present on lower portion of ENTRY DOOR where indicated on the property sketch. Growth was at approximately 5 %visible coverage of this surface type in this AREA. AREA D (ALL OTHER AREASI 1. No flourishing visible fungal growth was detected in any other areas of the structure. SOURCE OF WATER FILTRATION Based on THE OWNER'S REPORT AND TOMR'S VISUAL INSPECTION, the source of the water infiltration AND high humidity condition that resulted in the initial & continued mold growth was most likely caused by one or more of the following: 1. Lack of humidity control through the use of dehumidification equipment to keep the ambient air humidity in the affected area(s)at or below 50-56% at all times. 2. Excess humidity causing condensation on or around windows, doors, and walls. 3. Roof failure due to defect, age, improper flashing, ice heave, etc, NOTE: Other than an intermittent small leak reported by the occupant above the stove, no evidence could be found of water/moisture infiltration due to structural failure or defective plumbing. The heavy condensation and water pooling on the windows and walls is normally indicative of a high relative humidity condition inside the structure. However, based on the observation that such condensation was not noticeably present on adjacent apartment unit windows, and based on the low (41.2%) relative humidity at the time of inspection, it is possible that the occupant may be contributing to excess humidity through the use of humidification equipment or the like which was not In use at the time of inspection. Causal Corrective Action Pritchard Total Mold Remediation Services sfrona1v recommends taking the following corrective action to properly address the cause of the subject property's current mold growth and to prevent future growth. PRIOR TO_REMEDIATION SERVICES The following is a list of suggested remedies to conditions that MAY exist to contribute to a water/moisture problem. In all cases the owner should first have a full evaluation performed by a qualified individual to ascertain the need for repairs, replacements, or installations. o Do not touch or move anv potentially contaminated surfaces and/or items as this may increase the risk of greater mold contamination. FOLLOWING REMEDIATION SERVICES n Operate dehumidification equipment in sufficient numbers and capacity to effectively keep the ambient air humidity in the remediated area(s) below 55% at all times. © A summary report will be provided by following the completion of remediation services outlining all other recommended corrective action the owner(s) may need to take in order to best prevent future mold growth. Page 4 of 17 PRITCHARD INDUSTRIES(NE), INC. Initial: 900'd 180# b9:60 80OZ/V0/I0 9699 8Z9 092 SMIGUI OdMildd:w0J� MOLD REMEDIATION QUOTE Methods of Inspection TOMR conducts VISUAL. MOLD INSPECTIONS ONLY. It is recommended by the Centers for Disease Control that any amount of visible mold growth be properly remediated. Spores(the microscopic seed-like structure that mold grows from) and mycotoxins(byproducts given off by mold/fungi growth) cannot be detected visually. These substances can present certain health risks for individuals who are exposed to them. Although the likelihood of high spore and/or mycotoxln concentrations is greater when visible and/or active mold growth is detected, visible and/or active mold growth is not necessary to the presence of high spore concentrations and mycotoxins. High spore concentrations are possible in enclosed living areas that show no visible signs of mold growth where: Mold growth may be present in areas inaccessible to visual inspection. . The mold growth colonies may be below the human visual detection threshold. Recent activity involving the disturbance of mold infested items was conducted in an unsealed/unfiltered/uncontrolled work environment. A Total Bloaerosol lab culture test is required to accurately determine the presence and concentration of indoor spores. The following entities are provided as a courtesy and can provide such testing for a fee. TOMB is not legally or financially related to, or affiliated with the following entities: APPLIED MICROBIOLOGY SERVICES 860-537"-31 9E Associated Health Risks Mold spores are naturally occurring and ubiquitous in the environment. Molds are very common in buildings and homes and will grow anywhere indoors where there Is moisture. The most common indoor molds are: Cladosporium Penicillium Aspergillus Alternaria M Stachybotrys Chartarum (least common) Mold exposure does not always present a health problem indoors. The heath risks associated with mold, mold spores, and the mycotoxins they emit vary from mildly allergenic to virulently toxic depending upon: An Individual's personal susceptibility to mold &fungus(i.e. mold allergies), . General health&function of the immune system. Length, concentration, and route of exposure into the body. The type(s)of mold itself. Some of the most common signs and symptoms of a mold related health issues include: Headache, irritation to eyes nose and throat, asthma, pneumonia, nose bleeds, emphysema, impaired vision, dizziness, impaired coordination, nausea, anemia, malaise, fatigue, dry chapped and irritated skin, liver and kidney damage, rashes, and infections. The manifestation of symptoms during or immediately following exposure to a specific room/area, coupled with the cessation of such symptoms some time after leaving that same room/area can be a strong indicator of high spore/mycotoxin concentrations. WANNNATUMM Page 5 of 17 PRITCHARD INDUSTRIES(NE),INC. Initial: 900'd I80# V9:60 8003/b0/10 9699 8Z9 098 siidisnaNI 08VH01Iad:w0ad MOLD REMEDIATION QUOTE Guidelines for Lab Report Analysis Although there are currently no laws governing acceptable indoor fungal bioaerosol levels (commonly called exposure thresholds), there is considerable agreement on the health risks caused by fungal growth in indoor spaces. Three common measurements used for the detection of fungal bloaerosols or fungal loading levels are as follows. CFU/m3= Colony forming units(CFU) per cubic meter of air sample (m3). CFU is a measure of viable bacterial numbers, NOT an exact measure of numbers of viable cells, as a colony-forming unit may contain more cells. ACCEPTABLE LEVELS: Many organizations (including the ACGIH) agree that 100-200 CFU/m3 Is an acceptable limit for fungal contamination. Count/m3 =Count per cubic meter of air sample (ms). This measure is a count of fungal matter per cubic meter of air sample. ACCEPTABLE LEVELS: Many organizations (including American College of Chest Physicians) agree that 1,000 Count/m3 is an acceptable limit for fungal contamination. M/Qram=Colony forming units (CFU) per gram weight of sample taken. CFU is a measure of viable bacterial numbers, NOT an exact measure of numbers of viable cells, as a colony-forming unit may contain more calls. ACCEPTABLE LEVELS: Many organizations recognize that the guidelines for fungal contamination as measured In CFU/gram are as follows: low= 10,000, medium = 100,000, high = 1,000,000, ADDITIONAL RISKS While the guidelines listed above are commonly accepted levels for total fungal contamination, it is IMPERATIVE to note that fun-gal contamination measuremen s should elways be considered In relation to a comparison of the outside w6hpnment. Additionally, specific types of fungi pose a greater and/or immediate risk in much lower enumerations. For example, according to Guidelines on assessment and remedlation of Stachybotrys New York, 1993, any concentration of Stachybotrys exceeding outdoor levels should be considered positive. Lab Report/Consultant Recommendations No report provided. Page 6 of 17 PRITCHARD INDUSTRIES(NE), INC. Initial: L00'd 180# b9:60 8003/V0/I O 9899 939 098 21 d1S(ION I OdVHOl I dd:w0JJ MOLD REMEDIATION QUOTE Work Zone(s) Defined WORK ZONES The work zones will be comprised of the following sections)of the SUBJECT PROPERTY, NOTE: Descriptions make reference to property sketch (attached). WORK ZONE# 1: Will consist of"AREA A" &"AREA B" &"AREA C"&"AREA D" IMPORTANT NOTES REGARDING WORK ZONES • All work zones include all accessible interior surfaces only. Unless otherwise specified herein, this quote does not include the removal of any wallboard, studs, flooring, etc, and does not extend beyond the wail, floor, and ceiling lines. • Please note that decontamination chamber(s) may be constructed in excess of the work zone(s) as described above, but that such decontamination chamber(s)will NOT be considered a part of the containment work zone, • A sketch of the containment work zone(s)is attached (and on file). SUMMARY-OE NEGATIVE AIR PRESSURE VOLUME Approximate combined cubic feet of containment work zone(): 3,328 Total combined CFM of negative air machines: 1,000 Air changes per hour (minimum of 4): 18.03 TOMR's Recommendations CONTENTS: "Contents"are defined as all surfaces not included in "structural surfaces"section such as furniture, boxes, appliances, electronic goods, mattresses, cookware, books, act. 1. Barring any visible mold growth on any contents'surfaces, AND barring an air sample lab report indicating a fungal count of at least 5%greater than that of the outside baseline reading for each work zone; it is TOMR's recommendation that the contents may be removed pre- remediation without treatment. 2. Barring any visible mold growth on any contents'surfaces, AND where a air sampling lab report Indicates a fungal count 5.0%-25.0%greater than that of the outside baseline reading for each work zone; it is TOMR's recommendation that all contents be treated via "BIOCIDE FOGGING" prior to being removed from the work zone, but only after containment has been established. 3. Where visible mold growth is present on ANY contents items, OR where a air sampling lab report indicates a fungal count 25.1% or greater than that of the outside baseline reading for each work zone; it is TOMR's recommendation that all contents be treated via "CONTENTS DECONTAMINATION" prior to being removed from the work zone, but only after negative air pressure containment has been established. Page 7 of 17 PRITCHARD INDUSTRIES(NE),INC. Initial: 800'd 180# 99:60 800Z/Vo/t0 9699 8Z9 098 od1SnI OdVH01Idd:W0ad MOLD REMEDIATION QUOTE 4. Contents items that have been compromised beyond effective remediation should be disposed of. Paper products such as books, magazines, cardboard, papers, files, etc. with visible mold growth cannot be effectively remediated. STRUCTURAL SURFACES: "Structural Surfaces" are defined as all building materials/surfaces such as ceilings, walls, floors etc., and all permanently attached fixture items such as cabinets, counters, sinks, etc.. 1. Removal of all contents items from WORK ZONE should be performed to ensure complete access to all structural surfaces. 2. AS REQUIRED ONLY--Removal of the following materials should be preformed where visible mold growth has compromised them beyond effective remediation, OR in order to determine the presence of mold growth behind them, OR to gain access to known mold growth behind/adjacent to them. Those materials compromised by mold growth beyond effective remediation should be discarded. Window and door casings, baseboard, chair rail and crown moldings. Cabinets, shelves, and counters. - Sinks, tollets, shower enclosures, and tubs. Ceiling and wall fixtures such as lights, controls, decorative accents etc. Ceiling, wall, and flooring surfaces such as drywall, plaster, paneling, ceramic tile, marble, linoleum, vinyl or carpeting etc. Structural timber such as wood studs, sills,joists, rafters, sheathing, sub floor, etc. 3. The exact extent of required removal of structural surfaces in many cases cannot be known until wall, ceiling, and/or floor surfaces are first removed to allow a thorough visual inspection. 4. AS REQUIRED ONLY---All insulation materials such as fiberglass or cellulose should be removed and discarded in all cases where visible mold growth is present on or adjacent to them. 5. All visible mold growth on surfaces not be discarded should be thoroughly removed using wire brushes and/or electric sanders. 6. All remaining structural surfaces inside the specified WORK ZONE should be thoroughly vacuumed using Hepa filtered vacuums, thoroughly cleaned using an EPA registered biocide, and vacuumed a second time. 7. HEPA filtered air scrubbers should be left in place following all remediation activities to achieve a minimum of 96 complete air changes, 8. All interior surfaces treated for visible mold growth should be coated with an anti-fungal coating to inhibit future fungal growth. 9. An Ozone Generator may be utilized following all remediation services in order to neutralize embedded remaining odors caused by Fungal VOC (volatile organic compound) emissions, MISCELLANEOUS 1. All work should be performed within a HEPA filtered Negative Air Pressure containment environment sufficient in airflow to perform a minimum m of 4 complete air p changes per hour. 8 2. All contaminated items removed from the containment zone shall be completely cleaned (HEPA vac, biocide wet wipe, HEPA vac) before being introduced to "clean zones." 3. All waste removed from containment zone shall be double bagged and cleaned (HEPA vac, biocide wet wipe, HEPA vac) before being introduced to"clean zones," 4. Complete photographic records and documentation of all work should be created and maintained throughout the remediation process, Page 8 of 17 PRITCHARD INDUSTRIES(NE),INC. Initial: 600'd 180# 99:60 800UVO/I 0 9899 KS 098 SI I O laN I OdVH01 I dd:wQ a d MOLD REMEDIATICN QUOTE Methods of Remedietion Below are summaries and detailed description of the various levels of remediation that may be a part of this quotation. All remediation work will be performed in accordance with Pritchard Industries S.O.P. (Standard Operating Procedures)for mold remediation. All work will be performed within a HEPA filtered negative air pressure environment UNLESS OTHERWISE QUOTED. CONTENT( DEQ2NIA (NATION: An intensive treatment of all"contents" items located inside of a containment work zone. SIOGiDE FOGGING: A lesser effective alternative to treating both "contents"and "structural surfaces," always employed where accessibility may be limited. STRUCTURAL SURFACES'-TOTAL'RC E11ONs The most comprehensive remediation procedure available where every surface of all structural surfaces Is treated by means of moving all contents items out of the way. STRUCTURAL SURFACES DECONTAMINATION: A less comprehensive treatment of structural surfaces where contents are not moved for full access. SPOT TREAT DECONTAMINATION: An approach were only areas of visible mold growth are treated, leaving the possibility of spore contamination on surrounding surfaces. DUCTWORK CLEANING (HVAQ A HEPA filtered decontamination of Heating and/or Air Conditioning units, including all duct work. CONTENTS DECONTAMINATION PROGEDURF,_S ■ Establish and construct containment area including"crltical" barriers,worker decontamination chamber, contents decontamination chamber/area, waste load out chamber, and HEPA filtered negative air pressure. All contents will be decontaminated within an established"clean"zone decontamination chamber/area, either indoors or out. • Smaller items will be removed from the containment work zone following decontamination into an approved storage area. ■ Larger items may be sealed in polyethylene plastic and left In place during all other remediation services; these items will be decontaminated last in an established decontamination area. + Hard surfaces will first be HEPA vacuumed, b€ocide wet wiped, and HEPA vacuumed a second time. ■ Soft surfaces (upholstered furniture, mattresses, box springs, area rugs, etc) will first be HEPA vacuumed, brushed, HEPA vacuumed a second time, and have a biocide chemical spray applied. ■ Soft surfaces may, as stipulated in"Quoted Remediation Services" section, be wet extracted with an EPA approved biocide and allowed to air dry after being HEPA vacuumed & brushed. Page 8 of 17 PRITCHARD INDUSTRIES(NE), INC. Initial: OI 0'd 180# 99:60 8003/VO/i 0 9899 8�9 098 0001 OdVH01I dd:Wcad MOLD REMEDIATION QUOTE Some contents may not be cleanable by TOMB and may require being discarded products such as books, magazines, cardboard, papers, files, textiles such as clothes p nens, curtains, and all other fabrics). CONTENTS BIOCIDE FO ING PROCEDURES ° Use cold fogger to apply EPA registered BIOCIDE to all contents in place. • Contents are not physically manipulated during treatment. ■ Fogged areas may NOT be occupied for a period of 6 hours following fogging. ■ Wash all food preparation items and linens before use following treatment. S RUCTIIRAL SURFACES "TOTAL" REMEDIATION PROCEDURES • Identify and regulate work zone. • Establish and construct containment area including critical barriers, worker decontamination chamber, contents decontamination chamber/area, and waste load out chamber as required. ■ Install protective polyethylene plastic barriers over all surfaces not included In remediation. ■ Place containment zone(s) under negative pressure with HEPA filtered negative air machines. • Place HEPA filtered air scrubber(s)and/or dehumidifier(s) inside containment zone (as specified). ■ Ail employees will wear all required PPE Including full body disposable coveralls, gloves, protective goggles, and respirators rated N100 particulate minimum. • Perform all remediation services as specified In quoted services section above. Contents items WILL be removed from containment area prior to treatment, OR sealed in place and manipulated as required during treatment. ° All Waste will be double bagged, sealed, HEPA vacuumed, and blocide wet wiped before it is removed from containment zone to the outside for disposal. ■ After final removal of all waste materials and contents, all remaining surfaces Inside the containment zone will be HEPA vacuumed, biocide wet wiped, and HEPA vacuumed a final time. • Surfaces and mold inside the ceiling and wall cavities will first be HEPA vacuumed, biocide wet wiped, and HEPA vacuumed a second time. ■ All visible mold growth on any surface will be wire brushed and/or belt sanded. ■ Some building materials, surfaces, and structures(such as drywall, paneling, studs, cabinets, counters, insulation, etc) may require being removed and discarded If they are an impediment to proper remediation, or If they area infested with mold beyond the possibility of being effectively remediated. ° A mold growth inhibiting fungicidal encepsulant may be applied to specified surfaces as approved by owner(s). STRUCTURAL SURFACES DECONTAMINATION PROCEDURES ■ Contents Items will NOT be removed from containment area during treatment OR physically manipulated in any way to access structural surfaces. ■ Follow all other components of"TOTAL" REMEDIATION as specified above. SPOT TREAT DECONTAMINATION P_R0CEpUgEj ■ Contents items will NOT be removed from containment area during treatment OR physically manipulated in any way to access structural surfaces. ° Only surfaces with visible mold growth will be wire brushed, HEPA vacuumed, biocide chemical cleaned, and HEPA vacuumed a second time. • No other surfaces will be treated in any way. • Follow all other components of"TOTAL REMEDIATION"as specified. Page 10 of 17 PRITCHARD INDUSTRIES(NE), INC. Initial: IIO'd I80# 99:60 8003/p0/I0 9899 8Z9 098 S3I001 O�bH01I�d:�oa� MOLD REMEDIATION QUOTE DUCTWORK CLEANING (HVAO)PROCEDURg ■ Disconnect power from HVAC system to be cleaned, ■ Apply HEPA filtered negative air pressure machine (2000 cfm rated) to entire air duct system. ■ Remove all supply& return register grills from duct system. 4 Seal all supply& return register openings except the one farthest from the negative air machine. ■ Clean all duct interiors by passing one or both of the following agitation systems through the entire duct supply and return systems one"branch run" at a time, o High pressure pneumatic air whip and air jet nozzle system, o Power Brush agitation system. a Clean accessible coil, motor and blower, and blower compartment of HVAC system, ■ Apply EPA registered biocide solution to all interior duct surfaces, coil, motor&blower, and blower compartment by cold mist fog method. ■ Clean all register grills and replace. ■ IMPORTANT NOTE: access holes may need to be cut Into the duct work system In order to completely access all areas of HVAC duct system. These holes will be sealed after the completion of all work using efficient caplugs (for 1" access holes)and/or insulated spin doors (for 12" access holes). Quoted Remediation Services This QUOTE shall include the following specified services and is based on a combination of the provided lab report(as applicable) and a visual inspection performed by TOMB, This QUOTE does not include nor contemplate mold remediation services whatsoever outside the exact stated containment work zone(s). WORK ZONE 1: CONTENTS DECONTAMINATION ■ All contents will be decontaminated within an established"clean"zone decontamination chamber/area, either indoors or out. ■ Blocide application cleaning &removal of all salvageable hard surface items (non-structural), . Plastics, rubber, wood, metal, leather, vinyl. ■ Bioclde application cleaning &removal of salvageable soft goods. Upholstered furniture, mattresses, box springs, area rugs. ■ The following"soft goods"will additionally be wet extracted using a biocide additive, Upholstered furniture ■ Outside storage container/vehicle provided BY OWNER. ■ Some contents may not be cleanable by TOMR and may require being discarded. W Paper products such as books, magazines, cardboard, papers, files, etc. with visible mold growth cannot be effectively disinfected, These items may, at the owner's request, be sealed in plastic and removed from the containment zone for storage. These items will present a danger of mold growth to all environments they are placed in. Textiles such as clothes, linens, curtains, and all other fabrics cannot be disinfected on site by TOMB. These items will be sealed in plastic and removed from the containment zone. These items must be professionally disinfected by a third party if they are to be kept, Page 11 of 17 PRITCHARD INDUSTRIES(NE),INC. Initial: ZIO'd I80# 99:60 80OZ/V0/IO 9699 8Z9 098 Sld1SAX adVH0lIdd:W0ad MOLD REMEDIATICN QUOTE BIOCIDE FGOING • Use cold fogger to apply EPA registered BIOCIDE to specified surfaces. All contents inside room will be fogged Including all furniture, fixtures, appliances, etc. Fogged areas may NOT be occupied for 6 hours following fogging. Wash all food preparation items and linens before use following treatment, STRUCTURAL JURFACES "TOTAL" REMEDIATION • Construction and Installation of containment area controls including plastic barriers, decontamination chambers & HEPA filtered negative air pressure. • All contents items must be removed from containment area prior to treatment, OR sealed in place and manipulated as required during treatment. • Removal (AS REQUIRED)of structural surfaces as follows: W Removal (as required)of Window and door casings, baseboard, chair rail and crown moldings. Removal of up to 100 % of the total of these surfaces within this work zone is included. Additional removal (if required)will be performed an additional hourly charge, Removal (as required) of WALL SHEETROCK. Removal of up to 10% of the total of these surfaces within this work zone is included. Additional removal (if required)will be performed an additional hourly charge. Removal and disposal of all insulation. Removal of up to 100% of the total of these surfaces within this work zone is included. Additional removal (if required)will be performed an additional hourly charge. ■ Removal of the following is NOT included In this quotation and will be performed as needed at an additional cost, Removal (as required) of Cabinets, shelves, and counters, Removal (as required) of Sinks, toilets, shower enclosures, and tubs Removal (as required)of Ceiling and wall fixtures such as lights, controls, decorative accents etc. Removal (as required) of CEILING. Removal (as required) of WALL. Removal (as required) of FLOOR. Removal (as required) of Structural timber such as wood studs, sills,joists, rafters, sheathing, sub floor, etc. ■ Disposal of all materials removed as required where mold growth has compromised them beyond effective remediation. • Remove visible mold growth from all remaining surfaces using wire brushes and/or machine sanders. ■ HEPA Vacuuming, Biocide chemical cleaning, and a second HEPA vacuuming of all building and structural surfaces inside work zone(s), specifically: All surfaces treated for visible mold growth All accessible exposed foundation surfaces such as stone, brick, and/or concrete. All accessible exposed wood or metal framing surfaces(i.e. studs,joists, rafters, sills). All accessible exposed calling surfaces, wall surfaces, and flooring surfaces. Carpeting not discarded will be extracted with a mold killing biocide. All accessible exposed permanent fixture surfaces such as lights, doors, handles, poles, cabinets, shelves, counters, sinks, toilets, showers. Exterior only of all pipes,vents, duct work, heating elements(e.g. radiators), hot water heaters, furnaces/boilers, oil tanks, washers, dryers, refrigerators and freezers. Leave negative air machines)/scrubber(s) in place following all remediation activities for a duration sufficient to achieve a minimum of 96 complete air changes. ANTI-FUNGAL COATING APPLICATION • Fungicidal encapsulant applied to specified structural surfaces. Coating is rated to prevent future mold growth to UP TO 5 years (actual results vary). Page 12 of 17 PRITCHARD INDUSTRIES(NE), INC. Initial• 8I 0'd 180# L9:60 800UP04 0 9899 8Z9 098 O MA N I adVH01 I dd:w0)J MOLD REMEDIATION QUOTE OTHER SERVICES QgONE ODOR TREATMENT ■ Fungal VOC (volatile organic compound) emissions can often leave a residual and lasting malodor even after proper treatment. Saturating the treated areas'surfaces following remediation with Ozone (3 molecules of oxygen)can neutralize these embedded odors at the source. In very high concentrations, Ozone also has the ability to kill anaerobic organisms such as mold and bacteria. ■ Ozone Odor Treatment involves introducing Ozone(using an Ozone Generator)to the treated areas'surfaces for a period of time sufficient to allow them to become super saturated with ozone for a period of no less than 1 hour. • Areas undergoing Ozone Super Saturation treatment should not be occupied by humans or animals, and should not be re-occupied for a period of one(1) hour following the removal of the Ozone Generator. ■ Ozone has been described as smelling similar to the environmental odor following a lightning storm. This smell Is normal and does not indicate an unsafe condition. DUCTWORK CLEANING Clean all HVAC systems &ductwork as specified. - Attie/Basement air conditioning/HVAC systems. CONTENTS:MI V &STORAGE It 'TOMR will move all contents (including contents, appliances, furniture, boxed goods, etc) to an owner provided storage location up to one hundred (100)feet from containment zone at the listed hourly rate. All other required moving and/or storage services not otherwise included in QUOTE will be billed as indicated on pricing schedule plus any 3rd party charges. Moving &storage services may be arranged directly by Owner(s)at their discretion. FINAL-ALR CLEARANCE ■ Third party final air and surface clearance testing may be performed for all surfaces that undergo "Total Remedlation" services. For work zones that contain contents at the time of testing, and/or for contents themselves that are to undergo testing, both "Total Remedlation" AND "Contents Decontamination" services are required to verify normal spore levels. Owner(s) or their designee may wave final clearance testing insofar as such testing is not required for payment by the Insurance company or other paying entity. ADDITIONAL WORK • All other additional work not included in THIS QUOTE(unless otherwise quoted) will be performed at an hourly rate of$44.36 per individual man hour. MATERIAL REPLACEMENT/RECONSTRUCTION IMPORTANT NOTE: Replacement or reconstruction of any materials removed during this work is not included as a,part of this quote. Estimated Duration of Work The work as quoted should be completed in approximately 3-6 working days, depending on the services ordered, between the hours of 8am and 3pm Monday thru Friday. TOMB cannot be held responsible for delays in work due to failures in electricity, equipment, water, sewer,third party Page 13 of 17 PRITCHARD INDUSTRIES(NE),INC. Initial: VI0'd 180# L9:60 800Z/V0/10 9899 8Z9 098 S1I00I a8VH01Iad:w0ad MOLD REMEDIATION QUOTE contractors, acts of nature or god, or for additional work ordered and/or required after initial work start.. Important Notes SUPERFICIAL& INCIDENTAL PAnIIAGE Due to the nature of this work, some surfaces may become superficially damaged during the course of the remediation process. The most common forms of this damage may include lifted or peeling paint from the removal of adhesive tape, adhesive tape residue, and minor scratches on surfaces due to wiping. Owner(s) agree by accepting this quote to hold TOMB harmless for this type of damage, and release TOMR from any and all liability and obligation to repair this type of damage. ADDITIONAL SERVICE REQUIREMENT It may be discovered after work has commenced that mold infestation has extended beyond the original ordered and approved scope of work. By refusing any and all additional work necessary to properly remediate the subject structure,the owner(s)and/or their designee shall release TOMR from any obligation for successful final air and/or surface clearance testing, and additionally agree not to hold TOMR liable for any re-infestation of the subject structure that may follow remedlation services. wARRANJY O„WORK Pritchard industries (New England), Inc. Total Mold Remediation Division ("TOMR")warranties its work against visible mold re-growth specifically and inclusively: 1. For a period of one(1)year for ALL"STRUCTURAL.SURFACES"within "work zones"that undergo BOTH "TOTAL REMEDIATION"AHD_"CONTENTS DECONTAMINATION" services as specified herein, provided work is done in accordance with "TOMR'S Recommendations" section. 2. For a period of six(6)months for ALL "STRUCTURAL SURFACES" within "work zones"that undergo"TOTAL REMEDIATION"services as specified herein provided work is done in accordance with "TOMR'S Recommendations" section. 3. In all cases this warranty shall be void where the owner(s) CAN NOT sufficiently evidence that: a. the source(s) of water infiltration which led to the initial mold growth have been corrected by a qualified individual prior to remediation services, AND b. all items listed under"CAUSAL CORRECTIVE ACTION"section above were diligently carried out, and initially not more than fourteen (14) days following the completion of the mold remediation services provided. This warranty shall provide the owner(s)with additional mold remediation services as required to treat all specified surfaces for visible mold re-growth for the stated period of time,which shall begin from the initial completion date of service. There will be no additional charge for this work. There will be no extension of warrantee for work provided under the terms of this warrantee. No other warrantees are offered herein, either expressed or implied. This warranty shall be transferable to one(1) new owner during the term of the warranty. Page 14 of 17 PRITCHARD INDUSTRIES(NE),INC. Initial: 9I0'd I80# 89:60 800ZIb01I0 9699 839 098 S1Id1S(IONI a8VH01Idd:w0)J MOLD REMEDIATION QUOTE Pricing Schedule for Quoted Remediation Services(tax Included) SERVICES FOR WORK ZONE#1 (Unit#26 Complete) CONTENTS DECONTAMINATION....................................... $36.78 per man hour EITHER (18-30 hrs estimated) OR CONTENTS BIOCIDE FOGGING.......................................... $210,13 STRUCTURAL SURFACES"TOTAL REMEDIATION.................. $2,547,88 _ ANTI-FUNGAL COATING WATERPROOFING o All Exposed Calling Surfaces clear $686.43 o All Exposed Wall Surfaces(clear or white).............. $1,187.60 QLHER SERVICES _ WASTE REMOVAL RECEPTACLE....................................... $TOMR's cost plus 5% OZONE ODOR TREATMENT............................................... $172.00 per day _ CONTENTS MOVING LABOR............................................. $26.80 per man hour _ ANY OTHER ADDITIONAL WORK(as requested/required)........ $44.36 per man hour FINAL AIR CLEARANCE TESTING(3RD PARTY)..................... $600.00(OPTIONAL) MATERIAL REPLACEMENT/RECONSTRUCTION .................. Not Performed by TOMR Terms of Payment Insurance Payments-Net 10 days. Non Insurance Payments,-76% Due prior to work commencing,26%Due after work is complete. Please submit payment to"Pritchard Industries". Visa, MasterCard&American Express accepted. Acceptance Statement and Work Authorization Ilwe, PRINT NAME(S)OF OWNER(S),MANAGER,OR INSURANCE AGENT representing the following property PRINT ADDRESS OF PROPERTY by signing below warrant and Certify that i/we have read In detail,fully understand,and hereby accept this proposal In Its entirety and AUTHORIZE PR/T'CHARD INDUutR1ES(NEW ENGLAND).INC. TO STARTAND COMPLETE ALL, WORK DE�SC,&fi jQ U00 I/We further agree upon completion of the stated work to pay the quoted amount in full, as well as any additionally requested services, regardless of whether or not the work is covered by any insurance policy, and additionally to pay any costs incurred by Pritchard Industries in the collection of this debt including reasonable attorney's fees. SIGNATURE(OWNER/MANAGER/AGENT) DATE SIGNATURE(OWNEWMANAGER/AGENT) DATE Page 16 of 17 PRITCHARD INDUSTRIES(NE), INC. Initial: 9I0'd I80# 89:60 80OZ/bO/10 9699 8Z9 098 S3Id1sul OddH01Ibd:W0ad I► Pritchard Industries (NE), Inc. TOTAL MOLD REMEDIATION SERVICES 52' 4 Connecticut Ave♦South Windsor,CT 06074 ♦ Phone(860)528-6418 a Fox(660)528-6636 FAX TRANSMITTAL To: MR. GEORGE DANIELS From: David Berthold lrax: 648-9486 Pages: WITH COVER Re: MOLD REMEDIATION oat4: 1/4/2008 0 urgent 0 For Review ❑Please Commont ❑Pleakse Reply a Please Recycle CONFIDENTIALITY NOTICE The document(s)that accompany this facsimile transmission contain confidential and/or legally privileged information that Is only intended to be viewedby the roclplent(s)named above,-if you_have-r+ecolved this_transmission in-error-and-are-not-- ----- - said recipient,please contact Pritchard Industries at the number above to arrange for Its proper disposal at no cost to you. Any disclosure,copying, distribution, or the taking of any action In reiiance on the contents of this information Is striotly prohibited. 100'd I8O# Z9:60 80OZ/V0/I 0 9899 8Z9 098 S3I disnaN I addH01I dd:W0JJ MOLD REMEDIATION QUOTE Pfitchard in LIS S (NE), Inc. eut Ave South Windsolr, CT 06074 Phone(860)528.6418 Fax(860) 52"536 Dear Sir: RE: Insured's Authorization to Pay Account Service Type: Mold remediation/abatement Insured: PRINT NAME(S)OF OWNERS) Address: City/State/Zip: Claim #: Policy#: I, the insured, have authorized the mold remediation work quoted for my property above, is authorized PRINT NAME INSURANCE COMPANYIAGENT to make payment to Pritchard Industries (NE), Inc. on my behalf when work has been completed to my satisfaction. Insured's Signature Date Insured's Signature Date wwwwwwwwwwwwrtvwww,�«**w«w«:a.,r**«,r,ew+r«**w*««we«w*wwwwr«w*w«w*««««w«rtrtw«,rrtrt«eertwwrwwwwrtwwwww«wwawwwwwrtwwwwrewwwwwwwwwwwwwwwwww«www CREDIT CARD PAYMENT AUTHORIZATION Credit Card#: Expiration Date: 3/4 Digit Code: Name on Card: Signature: Billing Address: By signing above the cardholder(s), in accordance with the cardholder's agreement,authorizes Pritchard Industries to charge the entire quoted amount,as well any additional related costs,for Mold Remediation services performed at the cardholders'request. Page 16 of 17 PRITCHARD INDUSTRIES(NE),INC. Initial: LIO'd 180# 89:60 8003/V0/10 9699 Ks 098 SM1S(IONI Offi lIdd:wOAJ WAIVER & RELEASE MOLD REMEDIATION SERVICES OPTIONAL FINAL AIR & SURFACE CLEARANCE TESTING I/we, "THE OWNERS"of the property specified below, having authorized Pritchard Industries (New England), Inc's Total Mold Remediation Division ("TOMR") to perform mold remediation services at such property, hereby waive the option for final air and surface clearance testing ("CLEARANCE TESTING") at the completion of such remedlation services as a condition of full and final payment in order to determine the presence and concentration of mold spores and/or other fungi matter. I/we understand that TOMR recommends Yd party CLEARANCE TESTING for all zones that undergo "TOTAL REMEDIATION" including "CONTENTS DECONTAMINATION" in order to determine the effective remediation of all mold and/or fungi matter, and that by waiving such option, I/we further agree to release TOMR from any and all future liability and/or obligation arising out of any and all situations involving the presence of mold and/or other fungi matter, including but not limited to additional remediation services, medical expenses, legal fees or claims. Owner Sign: Date: Owner Sign: Date: Address: City/State/Zip: By signing below, the undersigned agrees to be additionally bound by, and further swears, contests, and warrants that he/she has the legal authority of the entity specified below to become bound by, the above terms and conditions. Insurance Company: Insurance Agent: Signature: Date: Claim #: Policy#: Page 17 of 17 PRITCHARD INDUSTRIES(NE),INC. Initial: 810'd 180# 69:60 800Z/b0/10 9899 8Z9 092 SlId1S01 0dVH01Idd:w0ad MEDICATION GUIDELINES FOR SURGERY SOME MEDICATIONS SHOULD BE DISCONTINUED SEVERAL DAYS BEFORE SURGERY. FOR YOUR SAFETY—IF YOUR PHYSICIAN ADVISES THAT YOU STOP THESE MEDICATIONS BEFORE SURGERY -AND YOU DO NOT—YOUR SURGERY WILL BE CANCELLED. DISCONTINUE AS DIRECTED BY YOUR SURGEON,PCP OR CARDIOLOGIST • COUMADIN (warfarin) • HEPARIN • LOVENOX • ASPIRIN • PERSANTINE • PLAVIX • TICLID DISCONTINUE 7 DAYS BEFORE SURGERY • vitamin E • iron compounds • Celebrex • Voltaren • Dolobid • Lodine • Nalfon • Ansaid • Ibuprofen(Motrin,Advil,Haltran, • Indocin • Orudis Midrin,Mediprin,Nuprin,Rufm,, • Toradol • Relafen Trendar,and others) • Relafen • Naproxen(Aleve,Naprosyn, • Meclomen • Daypro Napralen) • Oxyphenbutazone(Butazolidin) • Feldene • Vioxx • Clinoril • Tolectin • Tenoxicam,Osoxicam,Meloxicam • Evista • Acetnol • Fosamax DISCONTINUE 14 DAYS BEFORE SURGERY • PRESCRIBED AND OVER-THE-COUNTER DIET SUPPLEMENTS • ALL HERBAL MEDICATIONS AND SUPPLEMENTS(INCLUDING GINGKO BILOBA) PATIENTS TAKING DIABETES MEDICATIONS: DO NOT TAKE GLUCOPHAGE THE NIGHT BEFORE OR THE MORNING OF SURGERY TALK TO YOUR PCP ABOUT ADJUSTING THE DOSE OF YOUR ORAL HYPOGLYCEMICS AND INSULIN THE NIGHT BEFORE AND DAY OF SURGERY. Connecticut Surgical Group Pritchard Industries (ATE) Inc. 52-G Connecticut Ave South Windsor,CT 06074 Phone(860) 528-6418 Total Mold Remediation Fax(860) 528-6636 MOLD REMEDIATION WORK COMPLETION RECORD March 26, 2008 George Daniels Subject Property: Housing Authority of South Windsor 50 Elm Street 50 Elm Street Unit#26 South Windsor, CT 06074 South Windsor, CT 06074 Claim #: Self Pay Dear George: Thank you for choosing Pritchard Industries TOTAL MOLD REMEDIATION division V TOMR"). All work performed by TOMR is in accordance with best industry practices and published guidelines including iICRC (Institute of Inspection, Cleaning and Restoration Certification), EEF (Environmental Education Foundation), and OSHA (Occupational Safety and Health Administration). COMPLETED SERVICES—Mold Remediation services were carried out in accordance with the provided Remediation Proposal (as approved by the owner/agent), for the following areas. Please refer to property sketch and original proposal documents. ■ CONTENTS DECONTAMINATION ■ STRUCTURAL SURFACES"TOTAL REMEDIATION ■ ANTI-FUNGAL COATING WATERPROOFING o All Exposed Ceiling Surfaces(white) o All Exposed Wall Surfaces(clear) o Window casing/molding (white) o Entry door interior surfaces(white) SERVICES NOT COMPLETED—The following services were recommended by TOMB, but not approved by the owner/agent. ■ None WORK DURATION—Work commenced on 1/15/08 and was completed on 1129/08, which included leaving air scrubbers in place for a minimum of 96 complete air changes following remediation. AIR TESTING Air quality testing WAS performed as requested ownerlagent approximately 2 days following remediation services. Initial results indicated that —SPORE-counts-WERE-within acceptable-levels. -See attacheddocumentation.--- Pritchard Industries (New England), Inc. Page I of 300'd I VO# LO:OI 800Z/0I/60 9699 839 098 si misnGN I a8VH01I dd:w0AJ MOLD REMEDIATION WORK COMPLETION RECORD IMPORTANT NOTES 1. Effective mold remediation depends greatly on the extent of treatment as well as the extent of access to surfaces where fungal matter may be present, 2. "Contents Items" were decontaminated as best as possible within the limits of their structural integrity. All linens and porous materials should be thoroughly washed and/or discarded to prevent spore transfer into the subject structure. 3. During remediation services there was a breach in a water supply line located in the attic area directly above the subject structure apartment unit. The result was water infiltration through the ceiling into the subject structure. Immediately upon discovery, which was not more than 15 hours from the event, excess water was removed from floor(tile &carpet) using extraction equipment. Air movers and dehumidification units (90 pint total capacity) were put in place Immediately following extraction to remove all water and moisture from the subject structure. It is with good belief through the use of instrumentation that all moisture was removed from all affected surfaces within the required 24-48 hour period. CASUAL CORRECTIVE ACTION—TOMR.stroMly recommends taking the following corrective action to properly address the cause of the subject property's current mold growth and to prevent future growth. 1. Operate dehumidification equipment in sufficient numbers and capacity to effectively keep the ambient air humidity in the remediated area(s) below 60% at all times. 2. Never attempt to treat mold growth without the proper controls In place. 3. Complete all other"Causal Corrective Action" items as listed in the original quote. Sincerely, „ ;� David Berthold Branch Manager • Registered Mold Inspector(RMI) "' r• ' Certified Mold Worker (CMW) .3en•. .40f• i:`:a. Certified Water Restoration Technician (CWT) '; ` ''?eaw�:►��`%'x`" Pritchard Industries (New England), Inc. Page 2 of 800'd IVO# L0:0I 800Z/0I/60 9699 8Z9 098 SMISA NI adVH01Idd:WOJJ APPLIED MICROBIOLOGY SERVICES, LLC Consulting&Analysis 65 Jolin Lane Colchester,CT 06415 860.537-3118 $60.537.2089 Fax Date of Report: February 5,2008 Report to: Pritchard Industries, Inc. Attn: David Berthold 52 G Connecticut Avenue South Windsor, CT 06074 Project#: 021393 Post-Remediation Mold Assessment .RE: 50 Elm Street, Unit 26 South Windsor, CT 06074 Results of analysis of samples for meld spores. Air samples were taken onto Allergenco D Cassettes (EMS) at 15 L/min for 5 minutes and analyzed microscopically at 1000X. Date &Time Collected: January 31,2008 between 1315 and 1400 hrs, Date & Time Received by Laboratory: January 31,2008 at 1700 hrs. Date & Time of Analysis; February 5, 2008. Mold Spore Data: See attached data sheet for Allergenco D Cassette results. Introduction: A visual assessment with sampling for airborne mold spores was conducted on-1/31/08 by Applied Microbiology Services (AMS)at the above apartment.in response to rem,ediation performed by Pritchard Industries due to surface mold growth on walls. Results: Airborne mold spore levels-were determined in three locations; Laving Rnom, Bedroom, and Outside. Total airborne mold spore Ievels in the Living Roorn (Sample#0131-1 - 1,467 shores/rani). and Bedroom(Sample #01 13 1-2 ••.. 913 sporashn )-were similar to or less than outside (Background -- Sample #0131-3,-• 1,333 spores/rn) indicating normal levels of airborne mold spores in these areas of the home. T.'here was no visible surface-mold-growth-In-any area of the-apariment examined— --- ----- - - - - Page I of 3 VOO'd ibO# tO:Oi 800Z/0I/60 9899 8Z9 098 SIIUSA NI addH0lIdd:W0ad Continued: 50 Elm Street,Unit 26,2/5A)8 Summary and Conclusions Airborne mold spore levels in the home were considered to be at normal background levels. There was no visible surface mold growth in the remediated areas. No further remediation is necessary. All mold related issues have been appropriately addressed. Cle, r1nC &ritorig The following criteria are used to determine the effectiveness of remediation activities: • The total indoor airborne mold spore levels should be less than the total outdoor airborne levels. This indicates that there are no additional sources of mold indoors in addition to the outdoor source. • The individual airborne molds identified indoors should also be observed outdoors, indicating the source of mold contamination is outdoors. • Inside samples should be free of target fungi: Stachybotrys sp,,Fusarltma sp., Trichoderma sp.,Memnoniella sp., and Chaetomium sp. • There should be no visible mold remaining on any surface. Scone of Tns»ectlon/Excluslons The scope of this inspection and remediation plan is limited to readily accessible areas. We do not remove flooring,wall coverings or furniture, open walls, or perform destructive testing. Structural areas considered inaccessible and impractical to access including but not limited to: the interior of walls, areas beneath wood flooring or over concrete, areas concealed by flooring, areas to which there is no access without defacing or tearing out lumber,masonry,roofing or finished workmanship,portions of the attic concealing or made inaccessible by insulation, belongings, equipment or ducting,portions of the attic or roof cavity concealed due to inadequate crawl space. The results are indicative of the presence or absence of mold in areas sampled and does not guarantee that mold does not or will not exist on the subject property. Reface -AIHA. 2004. Assessment,Remediation,and Post-Remediation Verification of Mold in Buildings. K.B.Dotson,gt &. Al HA, Fairfax,VA. 15pp ' ,AIHA. 1906. Field Guide for the Determination of Biological Contaminants in Environmental Samples, H.K. Dillon, P.A.Heinsohn,and J.D. Miller. AIHA, Fairfax,Virginia 174 pp. -Gravesen,S. 1979. Fungi as a cause of allergic disease. Allergy 34:135-154. -ACGIH. 1999. Bioaerosols: Assessment and Control. J.Maeher,Ed, ACG1H,Cincinnati,OH Miliner,P.D.,S.A.Olenchock,E,Epstein, R, Rylander,M.D.,J. Haines,J. Walker,B.L.Ool,E.Horne and M. Maritato. 1994. Bioaerosols Associated with Composting Facilities. Compost Science&Utilization 2: 1:55. -New York City Department of Health&Mental Hygiene.2002. Guidelines on Assessment and Remediation of Fungi in Indoor Environments. NY -Shelton, B.G.,K.H.Kirkland,W.Dana Flanders,and G. K.Morris, 2002, Profiles of Airborne Fungi in Buildings and Outdoor Environments in the United States. Appl.Environ. Microbiol.68:1743-1753. -Smith, E,G. 2000. Sampling and Identifying Allergenic Pollens and Mold. Slewstone Press,San Antonio Texas. 195 pp, -U, S.Environmental Protection Agency. 2001. Mold Remediation in Schools and Commercial Buildings. US EPA Office of Air and Radiation, Indoor Environments Division. 1200 Pennsylvania Avenue,NW,Mailcode:6609J, Washington,DC 20460 Kathleen A. Feldman, Ph.D., CIH Principal Microbiology Consultant Page 2 of 3 900'd i b0# 80:01 80OZ/Ol/GO 9699 8Z9 098 a d1sn l a8VH01 I dd:W0ad c� CD Applied Microbiology Services, LLC Anayst KAF P.O.Box 498,Cokbestw,CT 06415 Date of Report 215108 fl M5373118 Client Pritchard Pmajectll: 021393 RF- 50 Elm Sit,Unil 26 Soulhj Wirrdaar,CT 06074 Total Spore Count Analysis by Light Microscopy 00 Lab# 0131-1 0131 2 0131-3 O SarWe ID1l living Room Bedioorn Outside Date C+u6ected U=20008 11311Z008 113112WO 00 DateRecelved ]BUMS 1131f2009 1f3112006 CD CD Date Analyzed 2151200$ 21512008 215/2008 N Caaection Type Alffgmw D Alleili.1swo D Alleigenco D CD Volume ofAirSampied(L) 75 75 75 olumetric Rdtiplier 0.1 DA 0.1 d7 Limit'of Detection 133 133 133 O Debris Ratio 1; 14- 1+ Fungi Count Sporeafm Count Spwesfne Count spoveaur Count Sparestm Count sperm Count sporeshn nemada, 0 O a Arft-rium 0 0 0 Aswspores 4 533 4 533 4 583 Aspergiusf 3wicOurn 3 4W 1 133 5 667 co Aureobasidium 0 a 0 Lmf) Basiabspores 0 O 0 SipobvisiDreschlera group 0 0 O CD 5at�ytis 0 0 O N Cemospora 0 0 O to Chaetomium 0 0 0 _ E O C Ctedosporium 3 400 2 267 1 1 _ _ ._..... OCR Curvuwda 0 0 Epioocaen 0 0 Fusariun q 0 Geotr chum 6 0 bwospora 6 0 0 - --- OidivabPeFonaspara 0 0 Piihpmyaes 0 Rusts 1; 0 0 0 W Smuts Myxomrates7PeriCania 1 133 0 0 cic., Stachybot ys 0 0 0 I-- Sternphy*Lnn 0 0 0 _ orula 0 0 0 Z UloGadium 0 0 0 �-. ylar® 0 0 0 Total 1,467 833 E,333 oC Debris Rating = 0-t+iod,particles deteefed � Nm,i 1- mal debris particlesdelacted 2_Debris perkks up to 25%of area 3-Detxis particles up to 75%al area 4-Debris parWes up b 90%of area •p 5-Delxis partidas greater than 90%of area L -