Attach_5_Green_Procurement_Form.pdf
PDF 186 KB Posted
- Attached to
- KSCC 16-1601 REPAIR LIGHTNING PROTECTION SYSTEM - TEL-IV Federal contract opportunity
- Solicitation number
- FA252120B0019
About this file
This document contains a Recovered Materials Determination Form and information on a federal contract opportunity for repair of a lightning protection system. The Determination Form is to be completed by the requiring activity when EPA-designated recycled content items are applicable. It requires identifying any such items included in the procurement and certifying the recycled material content upon delivery.
The federal contract opportunity is an Invitation for Bid from the Department of the Air Force to repair the lightning protection system at the Kennedy Space Center. The scope of work involves demolishing three guyed wire towers and installing a new air terminal based system over identified facilities. The pre-bid site visit will take place on August 18th, 2020 at 9:00am EST, and bids are due by September 9th, 2020 at 10:00am EST.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SJRWMD exemption.pdf | ||
| Attach_6_DB_WD_FL20200001_14Aug2020.pdf | ||
| Solicitation Amendment FA252120B00190002 SF 30.pdf | ||
| Solicitation Amendment FA252120B00190001 SF 30.pdf | ||
| Attach_2_Drawings_KSCC 16-1601.pdf | ||
| Attach_7_45_SFS_Badge_Request_Form.pdf | ||
| Attach_1_Technical Specs_KSCC 16-1601.pdf | ||
| Attach_6_DB_WD_FL2020001_03JUL2020.pdf | ||
| Solicitation - FA252120B0019 (1).pdf | ||
| Attach_3__Question_Template.docx | DOCX document | |
| Attach_4_ CECC_Form_3052.xls | XLS spreadsheet |
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Text version
RECOVERED MATERIALS DETERMINATION FORM
INSTRUCTIONS
This form is to be completed by the requiring activity when EPA-designated items are applicable to the requirement. For questions on whether the product counts as “EPA-designated” or what the required recycled content is, refer to product descriptions on EPA’s website at www.epa.gov/cpg/products. This form is not required for construction item purchases less than $2,000, or for other purchases less than $2,500. The completed form becomes part of the contracting office contract file.
If no EPA designated items were checked on page 1, than check box A:
If any EPA designated items are checked on page 1, than mark box B or C:
If Box C is checked, list each designated item and the corresponding justification number from the list below for each exemption being claimed. Attach the supporting documentation for each waiver.
Designated Item Justification #
WALLACE.BRIAN.K.1222107055 Digitally signed by WALLACE.BRIAN.K.1222107055 Date: 2020.05.11 06:06:49 -04'00'
WALLACE.BRIAN.K.1222107055 Digitally signed by WALLACE.BRIAN.K.1222107055 Date: 2020.05.11 06:11:29 -04'00'
Part 2 of this certification is to be completed upon receipt of the purchase goods and services. If EPA designated items were specified in this procurement action, the contractor/supplying agent shall complete Part 2 of this certification upon delivery of the products or services. Attach supporting documentation identifying percentage of recovered material content used in each designated item. NOTE: A designated item is specified if no exemptions were prepared and identified in Part 1.C of this form during the development of this procurement action.
If Box B is checked, list each designated item and the corresponding justification number from the list below for each exemption being claimed. Attach the supporting documentation for each waiver.
Designated Item Justification #
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