Attachment_5_GovtProvidedTechnicalProposalForms.docx

PAST PERFORMANCE & EXPERIENCE ON SIMILAR PROJECTS form List projects completed over the past 3 years that are similar to the solicited requirements.

Title and Location of Project

Year Completed

Project Owner (agency or firm that work was done for)

Project Owner Point of Contact Name and Phone Number

Brief Description of Project and relevance to this contract. Indicate scope, size, cost, principle elements, special features, & whether you were the prime or sub on this project.

OFFEROR'S NAME:___________________________________________ DATE: ________________________________________________

TECHNICAL APPROACH:

available Qualified PERSONNEL form List personnel assigned to the project.

NAME

POSITION

OFFEROR'S NAME:___________________________________________ DATE: ________________________________________________

TECHNICAL APPROACH:

available equipment form List all equipment that will be used to complete the project requirements.

MAKE

OFFEROR'S NAME:___________________________________________ DATE: ________________________________________________

SUSTAINABLE ACQUISITION/BIO-PREFERRED/GREEN PLAN FORM

List all uses of bio-preferred products required by the contract with appropriate percentages of bio-preferred products, See Section C and M.

Attach List of Biobased products listed in Section M. Circle all products that are used in your business.

List below the types of things you do in your business that support EO 13423 and 13221 below by checking the boxes and or listing the products you are using:

Non Ozone Deplelting Substances www.epa.gov/ozone/snap/index.html

Alternative Fuel Vehicles and Alternative Fuels

Water Efficient Products www.epa.gov/watersense

Electronic Products Environmental Assessment Tool (EPEAT) Products www.epeat.net

Energy Efficient Products ie Energy Star, FEMP Designated, and Low Standby Power www.energystar.gov/products

Environmentaly Preferable Products

(EPP)

www.epa.gov/epp

Recycle

Reuse

Reduce

Other information:

Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

Please reference FAR provision 52.223-1 and FAR clause 52.223-2 for information about this requirement and the categories/products that are available at http://www.biopreferred.gov.

Do you have any supplies that will be used in the performance of this contract that falls within these categories?

If you are not planning on using biobased products, why not?

The Contractor must comply with the Farm Security and Rural Investment Act of 2002 (FSRIA), 7 U.S.C. 8102; the Food, Conservation and Energy Act of 2008 (FCEA), 7 U.S.C. 8102; the Federal Acquisition Regulation; Executive Order (EO) 13514, “Federal Leadership in Environmental, Energy and Economic Performance,” dated October 5, 2009; EO 13423, “Strengthening Federal Environmental, Energy, and Transportation Management,” dated January 24, 2007; and Presidential Memorandum, “Driving Innovation and Creating Jobs in Rural America through Biobased and Sustainable Product Procurement,” dated February, 2012 to provide biobased products.

52.223-1 -- Biobased Product Certification (May 2012) As required by the Farm Security and Rural Investment Act of 2002 and the Energy Policy Act of 2005 (7 U.S.C. 8102(c)(3)), the offeror certifies, by signing this offer, that biobased products (within categories of products listed by the United States Department of Agriculture in 7 CFR part 3201, subpart B) to be used or delivered in the performance of the contract, other than biobased products that are not purchased by the offeror as a direct result of this contract, will comply with the applicable specifications or other contractual requirements.

(End of provision)

52.223-2 -- Affirmative Procurement of Biobased Products Under Service and Construction Contracts (Sep 2013)

(a) In the performance of this contract, the contractor shall make maximum use of biobased products that are United States Department of Agriculture (USDA)-designated items unless—

(1) The product cannot be acquired—

(i) Competitively within a time frame providing for compliance with the contract performance schedule;

(ii) Meeting contract performance requirements; or

(iii) At a reasonable price.

(2) The product is to be used in an application covered by a USDA categorical exemption (see 7 CFR 3201.3(e)). For example, all USDA-designated items are exempt from the preferred procurement requirement for the following:

(i) Spacecraft system and launch support equipment.

(ii) Military equipment, i.e., a product or system designed or procured for combat or combat-related missions.

(b) Information about this requirement and these products is available at http://www.biopreferred.gov .

(c) In the performance of this contract, the Contractor shall—

(1) Report to http://www.sam.gov , with a copy to the Contracting Officer, on the product types and dollar value of any USDA-designated biobased products purchased by the Contractor during the previous Government fiscal year, between October 1 and September 30; and

(2) Submit this report not later than—

(i) October 31 of each year during contract performance; and

(ii) At the end of contract performance.

End of clause)

Bio-Preferred/Green Catagories.

The following are categories of biopreferred products. This list may be used in your green plan to identify what products you are using in your business.

Please circle any that you are currently using on this contract.

· Bedding, Bed Linens, and Towels

(1) Bedding is that group of woven cloth products used as coverings on a bed. Bedding includes products such as blankets, bedspreads, comforters, and quilts.

(2) Bed linens are woven cloth sheets and pillowcases used in bedding.

(3) Towels are woven cloth products used primarily for drying and wiping.

12% - Minimum Biobased Content

· Diesel Fuel Additives

(1) Any substance, other than one composed solely of carbon and/or hydrogen, that is intentionally added to diesel fuel (including any added to a motor vehicle's fuel system) and that is not intentionally removed prior to sale or use.

(2) Neat biodiesel, also referred to as B100, when used as an additive. Diesel fuel additive does not mean neat biodiesel when used as a fuel or blended biodiesel fuel (e.g., B20).

(1) Any substance, other than one composed solely of carbon and/or hydrogen, that is intentionally added to diesel fuel (including any added to a motor vehicle's fuel system) and that is not intentionally removed prior to sale or use.

(2) Neat biodiesel, also referred to as B100, when used as an additive. Diesel fuel additive does not mean neat biodiesel when used as a fuel or blended biodiesel fuel (e.g., B20).

(1) Any substance, other than one composed solely of carbon and/or hydrogen, that is intentionally added to diesel fuel (including any added to a

90% - Minimum Biobased Content

· Hydraulic Fluids - Mobile Equipment Hydraulic fluids formulated for general use in nonstationary equipment, such as tractors, end loaders, or backhoes.

44% - Minimum Biobased Content

· Penetrating Lubricants Products formulated to provide light lubrication and corrosion resistance in close tolerant internal and external applications including frozen nuts and bolts, power tools, gears, valves, chains, and cables.

68% - Minimum Biobased Content

· Roof Coatings Coatings formulated for use in commercial roof deck systems to provide a single-coat monolith coating system.

20% - Minimum Biobased Content

· Water Tank Coatings

· Adhesive and Mastic Removers Solvent products formulated for use in removing asbestos, carpet, and tile mastics as well as adhesive materials, including glue, tape, and gum, from various surface types.

58% - Minimum Biobased Content

· Composite Panels - Acoustical Engineered products designed for use as structural and sound deadening material suitable for office partitions and doors.

37% - Minimum Biobased Content

· Composite Panels - Interior Panels Engineered products designed specifically for interior applications and providing a surface that is impact-, scratch-, and wear-resistant and that does not absorb or retain moisture.

55% - Minimum Biobased Content

· Composite Panels - Plastic Lumber Engineered products suitable for non-structural outdoor needs such as exterior signs, trash can holders, and dimensional letters.

23% - Minimum Biobased Content

· Composite Panels - Structural Interior Panels Engineered products designed for use in structural construction applications, including cabinetry, casework, paneling, and decorative panels.

89% - Minimum Biobased Content

· Composite Panels - Structural Wall Panels Engineered products designed for use in structural walls, curtain walls, floors and flat roofs in commercial buildings.

94% - Minimum Biobased Content

· Disposable Containers Products designed to be used for temporary storage or transportation of materials including, but not limited to, food items.

72% - Minimum Biobased Content

· Fertilizers Products formulated or processed to provide nutrients for plant growth and/or beneficial bacteria to convert nutrients into plant usable forms. Biobased fertilizers, which are likely to consist mostly of biobased components, may include both biobased and chemical components.

71% - Minimum Biobased Content

· Fluid-Filled Transformers - Synthetic Ester-Based Electric power transformers that are designed to utilize a synthetic ester-based dielectric (non-conducting) fluid to provide insulating and cooling properties.

66% - Minimum Biobased Content

· Fluid-Filled Transformers - Vegetable Oil-Based Electric power transformers that are designed to utilize a vegetable oil-based dielectric (nonconducting) fluid to provide insulating and cooling properties.

95% - Minimum Biobased Content

· Graffiti and Grease Removers Industrial solvent products formulated to remove automotive, industrial, or kitchen soils and oils, including grease, paint, and other coatings, from hard surfaces.

34% - Minimum Biobased Content

· Hand Cleaners and Sanitizers - Hand Cleaners Products formulated for personal care use in removing a variety of different soils, greases, and similar substances from human hands with or without the use of water.

64% - Minimum Biobased Content

· Hand Cleaners and Sanitizers - Hand Sanitizers Products formulated for personal care use in removing bacteria from human hands with or without the use of water. Personal care products that are formulated for use in removing a variety of different soils, greases and similar substances and bacteria from human hands with or without the use of water are classified as hand sanitizers for the purposes of this rule.

73% - Minimum Biobased Content

· Plastic Insulating Foam for Residential and Commercial Construction Spray-in-place plastic foam products designed to provide a sealed thermal barrier for residential or commercial construction applications.

7% - Minimum Biobased Content

· Sorbents

· 2-Cycle Engine Oils Lubricants designed for use in 2-cycle engines to provide lubrication, decreased spark plug fouling, reduced deposit formation, and/or reduced engine wear.

34% - Minimum Biobased Content

· Carpet and Upholstery Cleaners - General Purpose Cleaning products formulated specifically for use in cleaning carpets and upholstery, through a dry or wet process, found in locations such as houses, cars, and workplaces. Carpet and upholstery cleaners formulated for use in cleaning large areas such as the carpet in an entire room or the upholstery on an entire piece of furniture.

54% - Minimum Biobased Content

· Carpet and Upholstery Cleaners - Spot Removers Cleaning products formulated specifically for use in cleaning carpets and upholstery, through a dry or wet process, found in locations such as houses, cars, and workplaces. Carpet and upholstery cleaners formulated for use in removing spots or stains in a small confined area.

7% - Minimum Biobased Content

· Carpets Floor coverings composed of woven, tufted, or knitted fiber and a backing system.

7% - Minimum Biobased Content

· Disposable Cutlery Hand-held, disposable utensils designed for one-time use in eating food.

48% - Minimum Biobased Content

· Dust Suppressants Products formulated to reduce or eliminate the spread of dust associated with gravel roads, dirt parking lots, or similar sources of dust, including products used in equivalent indoor applications.

85% - Minimum Biobased Content

· Films - Non-Durable Products that are used in packaging, wrappings, linings, and other similar applications. Films that are intended for single use for short-term storage or protection before being discarded. Non-durable films that are designed to have longer lives when used are included in this item.

85% - Minimum Biobased Content

· Films - Semi-Durable Products that are used in packaging, wrappings, linings, and other similar applications. Films that are designed to resist water, ammonia, and other compounds, to be re-used, and to not readily biodegrade. Products in this item are typically used in the production of bags and packaging materials.

45% - Minimum Biobased Content

· Glass Cleaners Cleaning products designed specifically for use in cleaning glass surfaces, such as windows, mirrors, car windows, and computer monitors.

49% - Minimum Biobased Content

· Greases Lubricants composed of oils thickened to a semisolid or solid consistency using soaps, polymers or other solids, or other thickeners. Greases that are not otherwise covered by the other grease subcategories.

75% - Minimum Biobased Content

· Greases - Food Grade Lubricants composed of oils thickened to a semisolid or solid consistency using soaps, polymers or other solids, or other thickeners. Lubricants that are designed for use on food-processing equipment as a protective anti-rust film, as a release agent on gaskets or seals of tank closures, or on machine parts and equipment in locations in which there is exposure of the lubricated part to food.

42% - Minimum Biobased Content

· Greases - Multipurpose Lubricants composed of oils thickened to a semisolid or solid consistency using soaps, polymers or other solids, or other thickeners. Lubricants that are designed for general use.

72% - Minimum Biobased Content

· Greases - Rail Track Lubricants that are designed for use on food-processing equipment as a protective anti-rust film, as a release agent on gaskets or seals of tank closures, or on machine parts and equipment in locations in which there is exposure of the lubricated part to food. Lubricants that are designed for use on railroad tracks or heavy crane tracks.

30% - Minimum Biobased Content

· Greases - Truck Lubricants composed of oils thickened to a semisolid or solid consistency using soaps, polymers or other solids, or other thickeners. Lubricants that are designed for use on the fifth wheel of tractor trailer trucks onto which the semi-trailer rests and pivots.

71% - Minimum Biobased Content

· Hydraulic Fluids - Stationary Equipment Fluids formulated for use in stationary hydraulic equipment systems that have various mechanical parts, such as cylinders, pumps, valves, pistons, and gears, that are used for the transmission of power (and also for lubrication and/or wear, rust, and oxidation protection).

44% - Minimum Biobased Content

· Lip Care Products

· Bathroom and Spa Cleaners Products that are designed to clean and/or prevent deposits on surfaces found in bathrooms and spas including, but not necessarily limited to, bath tubs and spas, shower stalls, shower doors, shower curtains, and bathroom walls, floors, doors, and counter and sink tops. Products in this item may be designed to be applied to a specific type of surface or to multiple surface types. They are available both in concentrated and ready-to-use forms.

74% - Minimum Biobased Content

· Concrete and Asphalt Release Fluids Products that are designed to provide a lubricating barrier between the composite surface materials (e.g., concrete or asphalt) and the container (e.g., wood or metal forms, truck beds, roller surfaces).

87% - Minimum Biobased Content

· De-Icers - General Purpose Chemical products (e.g., salt, fluids) that are designed to aid in the removal of snow and/or ice, and/or in the prevention of the buildup of snow and/or ice, in general use applications by lowering the freezing point of water. Specialized de-icer products, such as those used to de-ice aircraft and airport runways, are not included.

93% - Minimum Biobased Content

· Firearm Lubricants Lubricants that are designed for use in firearms to reduce the friction and wear between the moving parts of a firearm, and to keep the weapon clean and prevent the formation of deposits that could cause the weapon to jam.

49% - Minimum Biobased Content

· Floor Strippers Products that are formulated to loosen waxes, resins, or varnishes from floor surfaces. They can be in either liquid or gel form, and may also be used with or without mechanical assistance.

78% - Minimum Biobased Content

· Laundry Products - General Purpose Products that are designed to clean, condition, or otherwise affect the quality of the laundered material. Such products include but are not limited to laundry detergents, bleach, stain removers, and fabric softeners. These are laundry products used for regular cleaning activities.

34% - Minimum Biobased Content

· Laundry Products - Pretreatment/Spot Removers Products that are designed to clean, condition, or otherwise affect the quality of the laundered material. Such products include but are not limited to laundry detergents, bleach, stain removers, and fabric softeners. These are laundry products specifically used to pretreat laundry to assist in the removal of spots and stains during laundering.

46% - Minimum Biobased Content

· Metalworking Fluids - General Purpose Soluble, Semi-Synthetic, and Synthetic Oils Fluids that are designed to provide cooling, lubrication, corrosion prevention, and reduced wear on the contact parts of machinery used for metalworking operations such as cutting, drilling, grinding, machining, and tapping. Metalworking fluids formulated for use in a re-circulating fluid system to provide cooling, lubrication, and corrosion prevention when applied to metal feedstock during normal grinding and machining operations.

57% - Minimum Biobased Content

· Metalworking Fluids - High Performance Soluble, Semisynthetic, and Synthetic Oils Fluids that are designed to provide cooling, lubrication, corrosion prevention, and reduced wear on the contact parts of machinery used for metalworking operations such as cutting, drilling, grinding, machining, and tapping. Metalworking fluids formulated for use in a re-circulating fluid system to provide cooling, lubrication, and corrosion prevention when applied to metal feedstock during grinding and machining operations involving unusually high temperatures or corrosion potential.

40% - Minimum Biobased Content

· Metalworking Fluids - Straight Oils Fluids that are designed to provide cooling, lubrication, corrosion prevention, and reduced wear on the contact parts of machinery used for metalworking operations such as cutting, drilling, grinding, machining, and tapping. Metalworking fluids that are not diluted with water prior to use and are generally used for metalworking processes that require lubrication rather than cooling.

66% - Minimum Biobased Content

· Wood and Concrete Sealers - Membrane Concrete Sealers

· Wood and Concrete Sealers - Penetrating Liquids Products that are penetrating liquids formulated to protect wood and/or concrete, including masonry and fiber cement siding, from damage caused by insects, moisture, and decaying fungi and to make surfaces water resistant. Concrete sealers that are formulated to form a protective layer on the surface of the substrate.

11% - Minimum Biobased Content

· air fresheners and deodorizers;

· asphalt and tar removers;

· asphalt restorers; blast media;

· candles and wax melts;

· electronic components cleaners;

· floor coverings (non-carpet);

· foot care products;

· furniture cleaners and protectors;

· inks;

· packaging and insulating materials;

· pneumatic equipment lubricants; and

· wood and concrete stain image1.png