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Trash for Cash Application

Steps

1. Application Instructions This section is complete This section is incomplete
2. Organization Information This section is complete This section is incomplete
3. Preference Information This section is complete This section is incomplete
4. Litter Pickup Agreement: General Terms This section is complete This section is incomplete
5. Litter Pickup Agreement: Safety Requirements & Procedures This section is complete This section is incomplete
6. Litter Pickup Agreement: Post Event Requirements This section is complete This section is incomplete
7. Final Agreement This section is complete This section is incomplete

Application Instructions

Thank you for your interest in Kenton County’s Trash for Cash program! Below you will find steps to follow in order to apply for a Trash for Cash Program. If you have questions concerning the program, please contact the Kenton County Solid Waste Coordinator, Melissa Grandstaff at (859) 392-1919 or Melissa.Grandstaff@KentonCounty.org
Your group must meet the following criteria in order to be eligible:
1. Your group is a not-for-profit agency.
2. Your group is located/based in Kenton County.
3. Volunteers must be age 12 or older.
4. You must establish a group leader who is responsible for all contact with the Kenton County Solid Waste Coordinator.
5. You must complete the Application, Litter Pickup Agreement, and Preference Sheet sections of this form. Organizations must also submit their most recent W-9 tax form via mail or fax to the Kenton County Solid Waste Coordinator.
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Organization Information

Organization Name*
Contact First Name*
Contact Last Name*
Contact Email Address
Contact Phone Number*
Organization Address*
City*
State*
Zip Code*
Miles Requested (up to 10 lane miles at $100/mile)*
Please enter a numerical amount.
Briefly describe how your funds will be used:*
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Preference Information

Please select your top five preferred dates between April 1st – October 31st. Dates are subject to change.
Date Preference 1:*
Date Preference 1:
Date Preference 2:*
Date Preference 2:
Date Preference 3:*
Date Preference 3:
Do not plan your event until you have received confirmation of your assigned date from the Kenton County Solid Waste Coordinator.
Do you have any preferred roadways? Is there a specific area of Kenton County that you would like to be assigned? Due to safety and funding regulations, we may not be able to place you in your preferred city.
Kenton County Roadway Map
Roadway Link
PDS of Kenton County created a Kenton County map that has each roadway in the County if you need to view or search roads.
Volunteers must be age 12 or older. Approximately how many volunteers will you have?
Please enter numerical value.
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Litter Pickup Agreement: General Terms

Kenton County Solid Waste and Kenton County, hereinafter called the “County” and
Organization Name*
hereinafter called the “Group”, recognizing the need and the desirability of litter-free roads are entering into this Agreement to permit the Group to contribute toward the effort of maintaining litter-free roads within Kenton County. The Kenton County Solid Waste Coordinator shall hereinafter be referred to as Kenton County SWC.
A. General Terms
Please read and initial each section of the agreement.
1. By signature of the Agreement, the Group agrees to retain all liability for, including but not limited to accidents, injuries, and damage caused by the Trash for Cash cleanup, and to indemnify and hold harmless the County. The Group will be represented by an individual over the age of Twenty-one (21).*
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2. The Group will submit a completed W-9 tax form along with the signed Litter Agreement and confirms they are an organization based in Kenton County.*
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3. The Group agrees to obtain and return required supplies and materials from the Kenton County SWC during the hours of 7:30 a.m. to 4:00 p.m. These items must be returned to the Kenton County SWC the next business day after the litter pickup event.*
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4. Participants must be at least eleven (12) years of age. When participants are under the age of eighteen (18), the Group must furnish adult supervision with at least one (1) adult for every four (4) minors on each side of the road. However, under no circumstance shall anyone younger than twelve (12) years of age participate in the event.*
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5. The Group leader must meet with the Kenton SWC prior to the cleanup event to collect materials supplied by the County. The group leader will be informed of safety information to be passed on to the entire group prior to work starting. The Agreement, W-9, and Preference Sheet must be completed and turned in to obtain a date for a cleanup. All Release of Liability (signed by all participants) waivers must be signed and turned in before the event takes place.*
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6. Included in the Safety information given to the Group leader are images of drug equipment and other items to avoid during the cleanup. The Group leader will show all Group participants these photographs and information; the group leader will inform them that if they see anything they feel could be related to illegal activity they must immediately notify the Group leader who will get in contact with the Kenton County SWC to report the location of the materials. The leader must instruct the Group not to touch anything that appears to be dangerous or related to drug paraphernalia.*
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7. The parents/guardians of all participants under the age of 18 must sign a release of liability waiver form before the Group will allow them to participate in the cleanup event.*
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8. Terms of Program: The County is only responsible for allowing each non-profit organization to participate in Trash for Cash one (1) time per Fiscal Year (July 1-June 30). The County can only guarantee (1) mile to each group based on the fiscal factors, but is willing to work with the Group to meet its fundraising goals, up to ten (10) miles and $1,000. The Kenton County SWC reserves the right to halt the program at any time. If a non-profit organization is notified by the Kenton County SWC that their road cleanup is approved, then the project will be funded.*
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9. If, in the sole judgment of the County and the Kenton SWC, it is found that the adopting Group is not meeting the terms and conditions of this Agreement, the County may terminate the planned event.*
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10. In years where there is more demand for Clean Up events than possible, a lottery will be performed by the SWC to randomize and make fair group participation. Once a group is chosen, they will be contacted in order of the drawing to schedule an event.*
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I have read and understand these General Term requirements:*
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Litter Pickup Agreement: Safety Requirements & Procedures

B. Safety Requirements & Procedures
Please read and initial each section of the agreement.
1. The Group will retain all liability for accidents, injuries, including but not limited to, damage caused and related to the Trash for Cash cleanup. Each participant of the Group must attend a safety meeting given by the Group leader prior to participating in the event and adhere to the safety measures discussed at the meeting. The following safety requirements, at a minimum, must be discussed by the Group leader.*
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a) The Group will carpool to the cleanup site as much as possible and park all vehicles clearly off the road surface, preferably in a business parking lot or a driveway if available.*
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b) The Group will remove trash from both sides of the selected roadway designated by the County. This designation is known as cleaning “centerline miles”. Payment will be calculated per side.*
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c) The Group will stay out of the roadway and work exclusively from the shoulder of the road up to twenty (20) feet off the side of the road. If the road must be crossed or traveled on to get to the next section of road, do so with an adult leading the way, directing traffic. Watch for narrow roadways and sharp blind corners.*
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d) Each Group participant will work closely with at least one other person and won’t cross roadways during pickups. The Group will concentrate on cleaning one side of the road at a time or have separate teams working both sides of the roadway at the same time. If the latter method is used, the ratio between minors to adults (4:1) must be held for each team.*
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e) The Group will face oncoming traffic while working and be prepared to move out of the way of vehicles in emergency situations.*
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f) The Group will avoid overexertion and drink plenty of water, especially if the weather is warm and muggy.*
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g) Each Group participant will make the Group aware of any special health needs and the Group will have a first aid kit available for emergencies.*
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h) The Group will be aware of surroundings, watching out for snakes, bees, poison ivy and oak, noxious weeds, etc.*
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i) The Group will not open or remove lids from any containers.*
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j) The Group will fill bags one half to three quarters full and knot the bags for closure. The Group will not overfill the bags or squeeze/compact the bags, as injuries can occur with glass, sharp or other objects in the bags.*
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k) The Group will leave the filled bags several feet from the road way in a designated location, if a county employee is not present at the event.*
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l) The Group will not pick up hazardous items including but not limited to hypodermic needles/syringes, broken glass, dead animals, items that resemble a “meth lab”, items described in the Group leader safety packet and large, heavy items such as appliances or barrels which are to be left and reported to the Kenton County SWC.*
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2. Recommended Clothing
a) Each Group participant must wear the safety vest (or other safety gear) and gloves supplied by the County. The failure of any member of the Groups to wear the safety vest and gloves will result in a termination of this Agreement*
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b) Each Group participant will dress appropriately for the weather, wear a hat, long sleeves or sunscreens to avoid sunburn in the summer time and wear leather shoes or boots with ankle support to avoid foot injuries.*
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c) Each Group participant will not wear headphones or costumes while working the cleanup.*
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I have read and understand these Safety requirements 1 & 2:*
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Litter Pickup Agreement: Post Event Requirements

C. Post Event Requirements
Before funds are released to the group, all the following must be completed. Please read and initial each section of the agreement.
1. The Group will return ALL supplies and materials that were assigned to the group for the cleanup (includes washing and folding vests and gloves). Please Return to: Kenton County Public Works, 420 Independence Station Road, between the hours of 7:30 am and 4:00 pm the following business day (excluding holidays) or at Kenton County SWC’s discretion.*
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2. The Group agrees to write and forward one (1) Litter Letter to the Editor- Kenton County Community Recorder and a copy to the SWC, within two weeks of the cleanup. A Letter to the Editor Guidelines handout will be given to the Group before the cleanup.*
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3. The Group understands that the Kenton County SWC will perform an inspection of the roadside after the event to verify the quality of the cleanup. If there are areas that need additional cleaning, they must be completed before funds will be released. Trash bags are to be left along the roadside in the cleanup location; the Kenton County Public Works Dept. will pick up.*
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4. Failure of the Group to conduct a thorough and complete cleanup of the designated areas may result in dissolution of the Agreement, in which case no funds will be released.*
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5. Group member agrees to complete and submit the Completion Trash for Cash Survey and Release of Payment Checklist and Invoice to the Kenton County SWC no later than one week after the litter cleanup.*
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I have read and understand these Post Event Requirements:*
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Final Agreement

By submitting this form, the Group agrees to the preceding terms and conditions.
By entering your name below as the representative for your Group, you have read and fully understand the Division of Solid Waste Management Trash for Cash Litter Pickup Agreement and agree to adhere to the conditions and terms of this Agreement.
First Name*
Last Name*
Organization Name*
By checking the "I agree" box below, you agree and acknowledge that: 1) your application will be submitted and considered without your handwritten signature; 2) that you are consenting to an electronic signature, which is the same as your handwritten signature for the purposes of validity, enforceability and admissibility; 3) that in lieu of an electronic signature, you may contact Kenton County Public Works for a printable version of the application and submit it using your handwritten signature using either USPS or another delivery or courier service; 4), that your submitted application will be made available to you upon written request subject to applicable record retention guidelines.*
1. I agree

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Search Forms:

Trash for Cash Application

Steps

Application Instructions

Organization Information

Preference Information

Litter Pickup Agreement: General Terms

Litter Pickup Agreement: Safety Requirements & Procedures

Litter Pickup Agreement: Post Event Requirements

Final Agreement

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