Allegheny Lead Safe Homes Program Contractor Training Program Application Form

Similar documents
Allegheny Lead Safe Homes Program Contractor Training Program Application Packet

Application and Instructions for Firms

The Nebraska Arborists Association

SUBCONTRACTOR PRE-QUALIFICATION FORM. Company Name: Contact Person: Address: City: State: Zip: Telephone: Fax:

Application for Lead-based Paint Activities Training Program Accreditation

Missouri Housing Development Commission Certified Property Management Agent Program

Certified Trainer Program Guide

Business Instructions

General Requirements and Information for Construction Inspection Agreements Revised 01/03/2008

Chris Christie Governor Kim Guadagno Lt. Governor. Robert M. Czech Chair/Chief Executive Officer

CPM Certification Examination

Pesticide Applicator Certification and Business Licensing Requirements

COSS and COSM Recertification Guide

CSP Certified Service Professional Application

I. Prime Contracts (List the prime contractors for the project.)

DISADVANTAGED BUSINESS ENTERPRISE PROGRAM. Unified Certification Program OKLAHOMA

WIRELESS DEVICES: ACCEPTABLE USE AND GUIDELINES

Contractor Licensing Offered by Brightwood Career Institute, Harrisburg

Certification Requirements and Application Procedures for Persons and Firms.

Request for Qualifications for Audit Services March 25, 2015

Digital Intelligence Systems, LLC PeopleSoft Guide Vendors

WIRELESS DEVICES: ACCEPTABLE USE AND GUIDELINES

NARI. Please initial each page and mail, or FAX your completed application to: Milwaukee NARI W. Dearbourn Ave Wauwatosa, WI 53226

I. CHW Profile.. Page 1 II. Employer Profile Page 12 III. Training Partner/Instructor Profile.. Page 27

Certified Service Centers Application Packet

Registration Now Open for Spring 2019 ODP Quality Management (QM) Certification Classes

Requirements for NCOWCICB certification with Business Succession Exemption Please read and follow carefully.

Choosing the CGFM designation:

SECTION.0900 LEAD-BASED PAINT HAZARD MANAGEMENT PROGRAM FOR RENOVATION, REPAIR AND PAINTING

Certified Safety and Security Officer

SECTION 115 MATERIALS CERTIFICATION SCHOOLS PROGRAM

IV. CBP Certified Building Professional Application

Certified Workforce Professional (CWP) Initial Application Package

2. This Program issues certifications as Certified Steel Erector.

Please initial each page and mail, FAX, or your completed application to: Milwaukee NARI W. Dearbourn Ave Wauwatosa, WI

University Community (faculty and staff)

SCDOT Technician Certification Program at Tri-County Tech. April 27, 2017 Columbia, SC

Architect / Engineer (A/E) Devon Facility Management Pre-Qualification Form Instructions

Certification. What: Who: Where:

'ie BOARD OF AIRPORT COMMISSIONERS REPORT TO THE. aili.,2 T, Q,,,Q (2

Introduction to CPIP

IV-D MEMORANDUM

Water Distribution Level 1 January 8 12, 2018

Applicant Information Please type or print

Medication Assisted Treatment Specialist Application

DATE: JANUARY 24,2008 REAL ESTATE DIVISION

SECTION 10 CONTRACTING FOR PROFESSIONAL SERVICES CONSULTANT COMPETITIVE NEGOTIATION ACT (CCNA)

FORTIFIED Home Evaluator Certification Handbook

COMPLIANT? STAGE TWO Activate a subscription/pay. STAGE ONE Basic corporate information. STAGE THREE Detailed information & documents STAGE FOUR

CBP Certified Building Professional Application

West Virginia Division of Personnel Online Application User's Guide. Jobs Open for Application to Everyone

Introduction to CPIP

Grant Parish School Board 512 Main Street P.O. Box 208 Colfax, LA 71417

The OSCER System. User s Manual and Overview

REQUEST FOR DRI RECERTIFICATION BY CONTINUING EDUCATION UNITS

Trowel of Excellence Application

SALARY $ $72.54 Hourly $3, $5, Biweekly $8, $12, Monthly $103, $150, Annually

How IIBA Certifications are being utilized at Deloitte?

Employee Online Open Enrollment Quick Reference Guide

ODP Announcement. Provider Qualification Process for New Providers. ODP Communication Number: Communication

PARTNERBYTES PARTNERBYTES PROGRAM GUIDE: APAC. Santa Clara, CA malwarebytes.com/partners 1

Student handbook. SchoolS Program Success For Every Student. Seckman High School 2800 Seckman Road Imperial, MO 63052

ODP Announcement Upcoming Certified Employment Support Professional (CESP) Credential Examinations

PARALEGAL CERTIFICATIONS. National Professional Standard for Paralegals

PARALEGAL CERTIFICATIONS. National Professional Standard for Paralegals

National Fitness Professionals Association. Certification Renewal Packet

CANDIDATE HANDBOOK EXAMPLE OF THE TITLE OF A DOCUMENT OR REPORT. January Prepared For HERE]] DATE

Wednesday, September 26, 2018, 1:00 p.m. - 3:00 p.m MARKET STREET, ST LOUIS MO 1ST FLOOR CONFERENCE ROOM #109

CompTIA Continuing Education (CE) User Guide V13

on behalf of the National Electrical Contractors Association (NECA)

Certified Recovery Peer Advocate-Provisional Application

Prime Contractor DBE Solicitation Effort Help Guide

National Crime Prevention Specialist

Participant Reference Guide

Louisiana Firefighter and Emergency Responder Certification System

WYDOT Traffic Control Supervisor Certification Program

Submitting an Employee Referral Quick Reference Guide

Certified Hospitality Supervisor

CAM: Certifying the Future of Business Aviation

**The Florida Lottery is not a State Personnel System Employer** TECHNICAL ANALYST II - POSITION NUMBER

Exterior Lead Paint Removal Certification - The Time is Now

THE ALBERTA CONSTRUCTION SAFETY ASSOCIATION S HEALTH & SAFETY ADMINISTRATOR DESIGNATION

Candidate Handbook Certified Commissioning Firm (CCF) Program

Certified Commissioning Technician (CxT) Application

Why Should I Earn the Certification of CACFP Professional?

WIRELESS NETWORK: BID Montville Public Schools High School

OSHA Training Institute Education Centers Program OSHA Outreach Trainer Course PREREQUISITE VERIFICATION FORM

Certified Recovery Peer Advocate Application

ECA EDUCATIONAL SERVICES 1960 W. WEST MAPLE WALLED LAKE, MICHIGAN PH: / FAX:

Wireless Network (Neutral Host) Request for Proposals Update

CAM: Certifying the Future of Business Aviation

Water Smart Irrigation Professional Certification Program Pilot Program Application

Community College of Beaver County. Request for Proposal. April 15, 2019

National Crime Prevention Specialist

OFFICE OF THE MEMBERSHIP SECRETARY

INSTRUCTOR HIRING CRITERIA

ANRC II. Eligibility requirements Authority Requirements for accreditation Review of application...

Candidate Manual Certified Commissioning Firm (CCF) Program

National Recreation and Park Association Certified Playground Safety Inspector Course & Exam

Instructions for Applying for Consultants Competitive Negotiation Act (CCNA) Certification with Palm Beach County (PBC)

Transcription:

Allegheny Lead Safe Homes Program Contractor Training Program Application Form Please carefully review the Program Guidelines prior to completing this application. Questions? Contact Jennifer Saks at 412-350-1032 or jennifer.saks@alleghenycounty.us. Please return the application and all required materials to: Jennifer Saks, Program Manager Redevelopment Authority of Allegheny County One Chatham Center, Suite 900 112 Washington Place Pittsburgh, PA 15219 Company Name Business Address Tax ID# HIC # Contact Person Phone Email Fax 1) Experience: How many years of experience does your company have in residential renovation and remodeling? Please describe your experience below. 2) Statement of Interest: Please describe your interest in receiving lead training and whether you are interested in becoming a Lead Hazard Control Contractor for the Allegheny Lead Safe Homes Program.

3) Firm Location: Is your firm located in Allegheny County? (yes/no). If no, please provide a statement explaining how you would plan to perform work in Allegheny County and whether you currently perform work in Allegheny County. 4) Company Size: Please provide the information below regarding the number of employees in your firm Employees Number Renovation Supervisors Renovation Workers Administrative Staff Other Employees Total Number of Employees 5) Minority/Women/Disadvantaged Business Enterprise (M/W/DBE) and Veteran-Owned Small Business (VOSB): Is your firm a certified MBE/ WBE/ DBE/ VOSB? Please submit copies of any certifications. Minority Business Enterprise Check All That Apply Certification # Expiration Date Woman Business Enterprise Disadvantaged Business Enterprise Veteran Owned Small Business 6) Requested Firm Certification(s): Please indicate which firm certification(s) you are requesting. PA DLI Lead Firm Certification EPA RRP Firm Certification

7) Requested Employee Training(s): Please list the employee(s)that you would like to complete training and their years of experience with your company. Name of Employee Years Employed by Firm PA DLI Lead Worker (Maximum 6 Workers) Check to Indicate Training Requested PA DLI Lead Supervisor (Maximum 2 Supervisors) EPA RRP Certified Renovator (Maximum 2 Employees) 8) Three References Contact Business Name Phone 9) Supplemental Attachments Current Lead Certifications: Please attach copies of any current PA DLI lead certifications or EPA RRP certifications that you or your employees maintain. Insurance: Please attach certificates of insurance that meet the minimum standards per the Program Guidelines. Minority/Women/Disadvantaged Business Enterprise (M/W/DBE) and Veteran-Owned Small Business (VOSB) Certifications: Please attach copies of any certifications.

Allegheny Lead Safe Homes Program Contractor Training Program Application Packet This application packet includes the following materials: Program Guidelines Reimbursement Schedule List of Accredited Training Providers Application Form Applicants should carefully review all materials in this packet prior to applying. Please contact Jennifer Saks at 412-350-1032 or jennifer.saks@alleghenycounty.us with any questions. PURPOSE Program Guidelines Allegheny County is preparing to launch the Allegheny Lead Safe Homes Program, which will identify and control lead-based paint hazards in approximately 175 eligible units throughout the County. The Redevelopment Authority of Allegheny County (RAAC) will contract with residential renovation and remodeling companies to perform the lead hazard control work. Contractors must meet all training and certification requirements set by the PA Department of Labor and Industry (PA DLI) and the U.S. Environmental Protection Agency (EPA), which include having the following valid certifications: Requirement Applies to: PA DLI Worker Certification All workers working on the unit Supervisor Certification The on-site supervisor Firm Certification The contractor/firm EPA Renovation, Repair and Painting Program Renovator Certification At least one Certified Renovator must be assigned to the job. All other employees on the job must be Certified Renovators or be trained on the job by a Certified Renovator. Firm Certification The contractor/firm In order to build our pool of qualified contractors, RAAC is offering the Allegheny Lead Safe Homes Contractor Training Program, which will reimburse contractors for the costs associated with obtaining the necessary certifications.

ELIGIBILITY To be eligible, firms must meet the following requirements: Be a licensed contractor with at least 2 years of experience in residential renovation/remodeling. Be registered with the Bureau of Consumer Protection of the PA Attorney General. Hold requisite insurance per the Program application. Must not be on HUD s debarred list or have a poor rating from the Better Business Bureau. Maintain the following insurance coverage. Please note that the Allegheny Lead Safe Homes Program may set stricter insurance requirements for firms performing lead hazard control work and may require payment bonding or no lien agreements. Type of Insurance CONTRACTOR INSURANCE Auto Liability Aggregate Bodily Injury and Property Damage COMPREHENSIVE GENERAL LIABILITY Aggregate Bodily Injury and Property Damage Products Liability and Completed Operations Explosion, Collapse and Underground Damage WORKER S COMPENSATION INSURANCE Insurance Limits Minimum Limit $500,000 Minimum Limit $500,000 Minimum Aggregate Limit $1,000,000 Coverage A Statutory Limit Coverage B Employer s Liability Minimum Limit $500,00.00 BENEFITS Participating firms will be reimbursed for applicable course costs, testing, and/or certification fees for: o PA DLI Lead Worker Certification (up to 6 workers) o PA DLI Lead Supervisor Certification (up to 2 supervisors) o PA DLI Firm Certification (Annual Certification, limit 1 per firm) o EPA Renovation, Repair and Painting (RRP) Renovator Certification (up to 2 employees) o EPA RRP Firm Certification (5-Year Certification, limit 1 per firm) Contractors that successfully obtain all required certifications will have the opportunity to be hired as a lead hazard control contractor for two units for our Program. All jobs will pay competitively. Upon successfully completing two units, contractors may be eligible to be added to our permanent contractor pool. See the attached Reimbursement Schedule for full details and requirements of reimbursement. Some reimbursements will be dependent upon the firm completing lead hazard control work for the Allegheny Lead Safe Homes Program.

APPLICATION INSTRUCTIONS Applicants are encouraged to apply as soon as possible because funding is limited! To be considered complete, submissions must include: o Completed and signed Application Form, included in this packet; o Documentation of insurance that meets limits outlined in the Application; o Documentation of any current PA DLI lead occupation certifications or EPA RRP certifications that your firm or its employees have, if applicable; and o Documentation of any Minority/Women/Disadvantaged Business Enterprise and Veteran-Owned Small Business certifications, if applicable. Applications and all required supplemental materials must be mailed to: Jennifer Saks, Program Manager Redevelopment Authority of Allegheny County One Chatham Center, Suite 900 112 Washington Place Pittsburgh, PA 15219 SELECTION AND ENROLLMENT PROCESS RAAC will review all applications for eligibility on a rolling basis. Firms are encouraged to apply no later than April 15, 2017 to have the best chance of consideration. Only eligible firms will be considered for selection. RAAC will select firms for the program based upon: o Application completeness o Firm s experience o Firm s capacity and willingness to work under the Allegheny Lead Safe Homes Program o Minority/Women/Disadvantaged Business Enterprise (M/W/DBE) and Veteran- Owned Small Business (VOSB) Participation Goals. RAAC has established a goal of having thirteen percent (13%) MBE participation, two percent (2%) WBE participation, and five percent (5%) participation by VOSBs in all contracts for goods and services which utilize funds provided by or through ACED. o Willingness and capacity to perform work for the Allegheny Lead Safe Homes Program Firms will be notified of their selection in writing. The selection letter will specifically outline which trainings and costs will be reimbursed. Depending upon the number of applications received and available funding, RAAC may limit reimbursements per firm. Costs incurred prior to this notification will not be eligible for reimbursement. SCHEDULING TRAINING AND REIMBURSEMENT Firms will be responsible for scheduling and attending training. To be eligible for reimbursement, the courses MUST be provided by an accredited training provider.

Training providers accredited as of March 1, 2017 are included in this packet. RAAC will provide firms with an up-to-date list of accredited providers in the selection letter. All payments to firms will be on a reimbursement basis according to the enclosed Reimbursement Schedule. Firms that successfully obtain all required certifications will be eligible to work on up to 2 units in the Allegheny Lead Safe Homes Program on a probationary basis. Firms will be reimbursed according to the Program s fixed reimbursement schedule. Firms that successfully complete two units will be eligible to join Program s contractor pool. QUESTIONS Contact Jennifer Saks at 412-350-1032 or jennifer.saks@alleghenycounty.us.

PA DLI ACCREDITED TRAINING PROVIDERS According to PA DLI, the following training providers are located in Allegheny County and accredited to provide PA DLI lead abatement worker and supervisor training as of March 1, 2017. This information is subject to change. RAAC will provide selected firms with an up-to-date list of accredited training providers in the selection letter. COMMUNITY COLLEGE OF ALLEGHENY COUNTY WEST HILLS CAMPUS 1000 MCKEE ROAD OAKDALE, PA 15071 (412) 788-7382 GST CO. 357 NORTHGATE DRIVE WARRENDALE, PA 15086 724-831-9724 PROFESSIONAL TRAINING ASSOCIATES 46 S LINDEN ST STE C STORES DUQUESNE, PA 15110 412-460-0266 EPA RENOVATION, REPAIR, AND PAINTING TRAINING PROVIDERS According to the EPA, the following training providers have training locations within 20 miles of Pittsburgh, PA, and are certified to provide EPA RRP renovator training as of March 1, 2017. This information is subject to change. RAAC will provide selected firms with an up-to-date list of accredited providers in the selection letter. COMMUNITY COLLEGE OF ALLEGHENY COUNTY WEST HILLS CAMPUS 1000 MCKEE ROAD OAKDALE, PENNSYLVANIA 15071 (412) 788-7382 ECS MID-ATLANTIC, LLC 14026 THUNDERBOLT PLACE, SUITE 100 CHANTILLY, VIRGINIA 20151 540-362-2000 List of Accredited Training Providers

ENVIRONMENTAL AND SAFETY TRAINING, INC. 1493 BUTLER PLANK ROAD, SUITE 7 GLENSHAW, PENNSYLVANIA 15116-2354 412-486-8971 GOT THE LEAD OUT, LLC 3375 MERRIAM ST. SUITE 205-A MUSKEGON HEIGHTS, MICHIGAN 49444 616-890-6822 GUNTON CORPORATION 26150 RICHMOND ROAD BEDFORD HEIGHTS, OHIO 44146 216-831-2420 PERFORMANCE ENVIRONMENTAL SERVICES, INC 30553 WIXOM ROAD, SUITE 500 WIXOM, MICHIGAN 48393 (248) 926-3800 PITTSBURGH JOB CORPS CENTER 7175 HIGHLAND DRIVE PITTSBURGH, PENNSYLVANIA 15206 412-441-8700 X4419 PROFESSIONAL TRAINING ASSOCIATES, INC. 46 SOUTH LINDEN STREET, SUITE C DUQUESNE, PENNSYLVANIA 15110 (412) 460-0266

Allegheny Lead Safe Homes Contractor Training Program Reimbursement Schedule Type of Certification Eligible for Reimbursement PA Department of Labor and Industry Lead Worker Certification Length of Training 2 days # Eligible for Reimbursement Up to 6 workers per firm Reimbursements Available Training Course Fees for Initial Worker Training 1-Year Certification Fee Requirements/Timeline for Reimbursement Upon submitting training certificate from a PA DLIaccredited training provider Upon firm's completion of 1 unit under the Program PA Department of Labor and Industry Lead Supervisor Certification PA Department of Labor and Industry Lead Firm Certification U.S. Environmental Protection Agency Renovation, Repair & Painting (RRP) Renovator Certification U.S. Environmental Protection Agency Renovation, Repair & Painting (RRP) Firm Certification 4 days n/a 1 day n/a Up to 2 supervisors per firm 1 per firm Up to 2 employees per firm 1 per firm Training Course Fees for Initial Supervisor Training Supervisor Testing Fees 1-Year Certification Fee 1-Year Certification Fee Training Course Fees for Initial Renovator Training 5-Year Certification Fee Upon submitting training certificate from a PA DLIaccredited training provider Upon firm's completion of 1 unit under the Program Upon firm's completion of 1 unit under the Program Upon firm's completion of 2 units under the Program Upon submitting course completion certificate from an EPA-accredited training provider Upon firm's completion of 2 units under the Program