AgencyAffirmativeProcurementStatement.pdf

Agency Affirmative Procurement Statement (Formerly Green Procurement Program Statement)

Requirement Number:

The requirements document provided in this PR package requires delivery or use of USDA‐ Designated items at http://www.biopreferred.gov or 7 CFR Part 3201.

If “Checked” Contracting Officers should consider adding 52.223‐1 & 52.223‐2 to solicitations and contracts.

The requirements document provided in this PR package requires delivery of hazardous materials as defined in FAR 23.301.

If “Checked” Contracting Officers should consider adding 52.223‐3 & 252.223‐7001 to solicitations and contracts.

The requirements document provided in this contract requires or specifies use of EPA‐designated items.

If “Checked” Contracting Officers should consider adding 52.223‐4, 52.223‐9, 52.223‐17 to solicitations and contracts.

Performance of this contract will occur on a federal facility or will require the contractor to operate or perform services on a Government‐owned or -leased facility.

If “Checked” Contracting Officers should consider adding 52.223‐5, 52.223‐10, 52.223‐19, 252.223‐7006, 5352.223-9001 to solicitations and contracts.

The requirements of this contract are for or contain radioactive materials.

If “Checked” Contracting Officers should consider adding 52.223‐7 to solicitations and contracts.

Contract requirements include manufactured end products that may contain or be manufactured with ozone‐depleting substances.

If “Checked” Contracting Officers should consider adding 52.223‐11 to solicitations and contracts.

Contract requires delivery or use of Energy‐Consuming Products listed in the Energy Star program or FEMP.

If “Checked” Contracting Officers should consider adding 52.223‐15 to solicitations and contracts.

Contract requirements require delivery or use of products that may contain high global warming potential hydrofluorocarbons as a propellant, or as a solvent, or involve maintenance or repair of electronic or mechanical devices.

If “Checked” Contracting Officers should consider adding 52.223‐20 to solicitations and contracts.

Equipment Specialist/Engineer Date

None of the above apply.