Lead Safe Certification Document

LEAD SAFE CERTIFICATION DOCUMENT

Parties and Recitals

This Lead Safe Certification Document is entered into between Contractor/Firm: and Property Owner/Client: (each a "Party" and together the "Parties").

WHEREAS, Owner is undertaking work at the property located at: (the "Property"); and

WHEREAS, Contractor represents that it is licensed, accredited, and trained to perform lead-safe work and will perform the Work in accordance with applicable lead-safe practices and legal requirements; and

WHEREAS, Owner requires written certification from Contractor that the Work will be performed and documented in a manner designed to minimize lead exposure and protect occupants, workers, and the environment.

Scope of Work

Lead-Safe Certification and Work Practices

Contractor certifies, warrants, and agrees as follows:

1. Training and Accreditation: Contractor's lead-based paint activities will be performed by individuals who have completed required lead-safe training and hold current certifications. Certification/License Number:

2. Containment and Controls: Contractor will implement engineering controls, containment, and work-area isolation designed to prevent the spread of lead dust, including but not limited to containment barriers, negative pressure, HEPA-filtered vacuums, and prohibiting dust migration beyond the work area.

3. Notification and Occupant Protection: Contractor will provide required occupant notices and instructions, protect occupants and their belongings, and coordinate temporary relocation when necessary. Proof of occupant notification will be maintained in project records.

4. Waste Management: All waste and debris generated by the Work that contains lead-based paint shall be collected, contained, labeled, transported and disposed of in accordance with applicable hazardous waste and solid waste requirements.

5. Clearance and Verification: Upon completion of the Work, Contractor will perform or arrange for clearance inspection(s) and, if required, sampling to demonstrate that the work area meets applicable lead-dust clearance criteria. Clearance documentation will be delivered to Owner prior to final payment.

Payment Terms

Late Payment: In the event any undisputed payment is not made when due, Contractor may assess interest on the delinquent amount at the rate of % per month, compounded monthly, until paid. Owner shall be responsible for reasonable collection costs and attorney fees for enforcement of payment.

Term and Termination

Effective Date: . Anticipated Start Date: . Anticipated Completion Date:

Either Party may terminate this Agreement for material breach by providing written notice to the other Party. Termination for convenience by Owner requires written notice of days and payment for Work performed to date plus any reasonable demobilization costs.

Recordkeeping and Access

Contractor will retain records of training, notifications, work plans, containment measures, waste manifests, and clearance documentation for a period of from completion of the Work and shall provide copies to Owner upon request within a commercially reasonable timeframe.

Confidentiality

Except as required by law or necessary to perform the Work, each Party shall keep confidential all non-public information received from the other Party and shall not disclose such information without the disclosing Party's prior written consent. Confidential information does not include information that is or becomes public through no fault of the receiving Party.

Indemnification and Remedies

Contractor shall indemnify, defend and hold Owner harmless from and against any losses, liabilities, damages, costs and expenses (including reasonable attorneys' fees) arising from Contractor's failure to perform the Work in accordance with lead-safe practices, applicable law, or this Agreement, except to the extent such losses arise from Owner's negligence or willful misconduct.

Governing Law; Entire Agreement

Governing Law: This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflicts of law principles.

Entire Agreement: This document, together with any attachments and referenced work plans, constitutes the entire agreement between the Parties with respect to the subject matter hereof and supersedes all prior negotiations, representations, warranties and agreements, whether written or oral. Any modification must be in writing and signed by both Parties.

Certifications (select all that apply)

Contractor certifies that personnel performing the Work have completed required lead-safe training and certifications.

Contractor certifies that containment and cleanup procedures consistent with lead-safe practices will be implemented.

Contractor certifies that clearance testing will be performed and documentation provided prior to re-occupancy of the work area.

Contractor certifies that waste will be managed and disposed of in accordance with applicable legal requirements.

Acknowledgment

By signing below, Contractor and Owner acknowledge that they have read and understand this Lead Safe Certification Document, that Contractor certifies to the matters set forth herein, and that each Party has the authority to enter into this Agreement.

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