A2 GovtProvidedTechnicalProposalForms.docx

PAST PERFORMANCE & RELEVENT EXPERIENCE ON SIMILAR PROJECTSform 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: ________________________________________________ available equipment form List all equipment that will be used to complete the project requirements.

MAKE

OFFEROR'S NAME:___________________________________________ DATE: ________________________________________________ available PERSONNEL form List personnel assigned to the project.

NAME

POSITION

OFFEROR'S NAME:___________________________________________ DATE: ________________________________________________

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)

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:

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.

· 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

· 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

· 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

· 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.

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 - 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 - 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

· 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