42-20 Exhibit 20 Summary of Solid Waste Diversion and Disposal Form.pdf
PDF 168 KB Posted
- Attached to
- Miscellaneous Construction Via Job Order Contracting for Los Angeles World Airports (Personal Services)
- Solicitation number
- 0051-2024-07-RFP-228194
- Issued by
- Los Angeles County, California
About this file
This is a Solid Waste Diversion and Disposal reporting form utilized by the City of Los Angeles Board of Public Works and Los Angeles World Airports (LAWA) for construction projects executed through Job Order Contracting (JOC). The form serves as a summary documentation tool for tracking waste management outcomes on miscellaneous construction projects at LAX and Van Nuys Airport (VNY). Contractors are required to report the diversion and disposal of various material types including asphalt, concrete, metal, other segregated materials, and miscellaneous construction waste, categorized by disposal method. The form captures reporting period dates, project details including title and task order number, contractor company information, and the signature of the person completing the report. Material quantities are recorded in both tons and cubic yards across four disposal categories: Class III Landfill disposal, diversion from Class III Landfills through recycling or acceptance as daily cover, disposal in inert fills, and transport to inert backfill sites.
This reporting form is a supporting exhibit within LAWA's broader RFP for miscellaneous construction services via JOC with an estimated combined contract value of up to $6,000,000 and a three-year term. The form functions as an accountability and environmental compliance mechanism to document waste diversion rates and disposal practices for individual task orders issued under the JOC framework. Contractors must complete and submit this exhibit to demonstrate adherence to solid waste management requirements and sustainability goals established by the City of Los Angeles and LAWA for construction activities at the two airport facilities.
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Text version
Type of Material
Tons CY Tons CY Tons CY Tons CY
ASPHALT
Name of
Facility/Site
Where Taken:
CONCRETE
Name of
Facility/Site
Where Taken:
METAL
Name of
Facility/Site
Where Taken:
OTHER
SEGREGATED
MATERIALS
(Describe):
Name of
Facility/Site
Where Taken:
MISCELLANEOUS
CONSTRUCTION
WASTE
Name of
Facility/Site
Where Taken:
Total
TITLE:_________________________________________
DAYTIME PHONE: (___) __________________________
COMPANY NAME________________________________DATE OF REPORT:_____________________
NAME OF PERSON COMPLETING FORM: (Please Print)
SIGNATURE:____________________________________
PERIOD COVERED IN THIS REPORT: FROM_________________________ TO___________________
REQUEST FOR PROPOSAL
MISC CONSTRUCTION VIA JOC
Los Angeles World Airports
EXHIBIT 20
CITY OF LOS ANGELES/BOARD OF PUBLIC WORKS
SUMMARY OF SOLID WASTE DISPOSAL AND DIVERSION
PROJECT TITLE:____________________________________________________ T.O. #_____________PROGRESS PMT #________________
ADDRESS:__________________________________________________________________________________________________________
(a)
Disposed in Class III
Landfills
(b)
(Circle One)
Diverted from Class III
Landfills by Recycling or Accepted at CLIII Landfill as Daily Cover
(c)
Disposed in Inert
Fills
(d)
Taken to
Inert Backfill
Site
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