10-Recycle_Content_Certification.pdf

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Attached to
S25650009
Solicitation number
0000038825
Issued by
Shasta County, Shasta CDP, Shasta Lake City, Mount Shasta City, California

About this file

This is a Recycled Content Certification form issued by the California Department of Water Resources, a state agency under the California Natural Resources Agency. The form serves as a standardized certification document that vendors, bidders, and contractors must complete and submit to certify the postconsumer recycled material content in products, materials, goods, or supplies offered to the state. Vendors are required to provide the minimum percentage, or exact percentage if available, of postconsumer material in their products regardless of whether the products meet state-specified minimum content requirements. The certification must be completed under penalty of perjury and submitted to the Department of Water Resources Recycling Coordinator at the Purchasing Services Office in Sacramento. The form requires vendors to identify specific products by name, brand, and product number, classify them into designated product categories, and declare the percentage of postconsumer recycled material contained in each item.

The form establishes minimum content requirements that vary by product category, ranging from 10 percent postconsumer content for metals and plastic to 80 percent recovered materials for compost and mulch products. Paper products, printing and writing materials, and glass products must contain 30 percent postconsumer fiber by weight, while paint products must contain 50 percent postconsumer paint (or 10 percent if higher percentages are unavailable due to air quality restrictions). The certification must comply with Federal Trade Commission Environmental Marketing Guidelines and California Public Contract Code Sections 12200-12217 and 12153-12156. State agencies may waive certification requirements if postconsumer material percentages can be verified through written advertisements, product labels, catalogs, or manufacturer or vendor websites. Reused or refurbished products are exempt from minimum content requirements.

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State of California DEPARTMENT OF WATER RESOURCES

RECYCLED CONTENT CERTIFICATION

California Natural Resources Agency

Contract # Exhibit , Attachment

To be completed by the vendor/bidder/contractor and returned to:

DEPARTMENT OF WATER RESOURCES

Recycling Coordinator Purchasing Services Office 715 P Street, 7th Floor, Sacramento, CA 95814

FAX: (916) 654-5506

COMPANY:

PERSON COMPLETING FORM:

DATE:

DESCRIPTION

Please include item name, brand, and product number

% POSTCONSUMER RECYCLED MATERIAL

TYPE

All businesses shall certify in writing to the contracting officer or his or her representative the minimum percentage, if not exact percentage, of postconsumer material in the productions, materials, goods, or supplies offered or sold to the state regardless of whether the product meets the minimum content requirements specified in law (see page 2 for minimum content requirements). The certification shall be furnished under penalty of perjury. The certification shall be provided regardless of content, even if the product contains no recycled material. A state agency may waive the certification requirements if the percentage of postconsumer material in the products, materials, good or supplies can be verified in a written advertisement, including, but not limited to, a product label, a catalog, or manufacturer or vendor internet website.

Public Contract Code Sections 12200-12217, et seq. and 12153-12156, et seq.

I certify that the above information is true. I further certify that these environmental claims for recycled content regarding these products are consistent with the Federal Trade Commission’s Environmental Marketing Guidelines in accordance with PCC 12404.

NAME OF PERSON COMPLETING FORM TITLE AGENCY/COMPANY

SIGNATURE OF PERSON COMPLETING FORM DATE

DWR 9557 (Rev. 03/22) DWR Version of CalRecycle 74 Page 1 of 2

Contract # Exhibit , Attachment

1. Postconsumer material comes from products that were bought by consumers, used, then recycled. For example: a newspaper that has been purchased and read, next recycled, and then used to make another product would be postconsumer material.

If the product does not fit into any of the product categories, enter “N/A”. Common N/A products include wood products, natural textiles, aggregate, concrete, electronics such as computers, TV, software on a disk or CD, telephone.

2. Product category refers to one of the product categories listed below, into which the reportable purchase falls. For products made from multiple materials, choose the category that comprises most of the product by weight, or volume.

Note: For reuse or refurbished products, there are no minimum content requirements.

For additional information visit State Agency Buy Recycled Campaign

Description Product Categories

Paper Products – Recycled

Printing and Writing – Recycled

Compost, Co-compost, and Mulch – Recycled

Glass – Recycled

Re-refined Lubricating Oil – Recycled

Plastic – Recycled

Printer or duplication cartridges

Paint – Recycled

Antifreeze – Recycled

Retreated Tires – Recycled

Tire – Derived – Recycled

Metals – Recycled

Minimum Content Requirement

30 percent postconsumer fiber, by fiber weight

30 percent postconsumer fiber, by fiber weight

80 percent recovered materials i.e., material that would otherwise be normally disposed of in a landfill

10 percent postconsumer, by weight

70 percent re-refined base oil

10 percent postconsumer, by weight

a. Have 10 percent postconsumer material, or

b. Are purchased as remanufactured, or

c. Are backed by a vendor-offered program that will take back the printer cartridges after their useful life and ensure that the cartridges are recycled and comply with the definition of recycled as set forth in Sections 12200-12217, et seq. and 12153-12156, et seq. of the Public Contract Code.

50 percent postconsumer paint (exceptions when 50 percent postconsumer content is not available or is restricted by a local air quality management district, then 10 percent postconsumer content may be substituted)

70 percent postconsumer material

Use existing casing that has undergone retreading or recapping process in accordance with Public Resource Code (commencing with section 42400).

50 percent post consumer tires

10 percent postconsumer, by weight

DWR 9557 (Rev. 03/22) DWR Version of CalRecycle 74 Page 2 of 2 https://www.calrecycle.ca.gov/BuyRecycled/StateAgency/

Contract #
RECYCLED CONTENT CERTIFICATION

Contract #

COMPANY:
PERSON COMPLETING FORM:
DATE:
DESCRIPTION Please include item name brand and product numberRow1:
POSTCONSUMERRow1:
RECYCLED MATERIAL TYPERow1:
DESCRIPTION Please include item name brand and product numberRow2:
POSTCONSUMERRow2:
RECYCLED MATERIAL TYPERow2:
DESCRIPTION Please include item name brand and product numberRow3:
POSTCONSUMERRow3:
RECYCLED MATERIAL TYPERow3:
NAME OF PERSON COMPLETING FORM:
TITLE:
AGENCYCOMPANY:
Exhibit Letter:
Contract Number:
attachment:

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