Attachment_3_-_NONACM___NONLBP.docx
DOCX document 19 KB Posted
- Attached to
- Ft Berthold Agency Quarters Roof Replacement
- Solicitation number
- 140A1626Q0081
About this file
This file is a certification template document containing two distinct certification forms required for federal construction projects under the Bureau of Indian Affairs (BIA) Office of Facilities Management and Construction (OFMC) - Great Plains division, located in Aberdeen, South Dakota.
The Non-Asbestos Containing Materials (NON-ACM) Certification form requires both the prime contractor and project architect to certify that only non-asbestos containing materials (with zero asbestos content) have been or will be used in project construction. The document explicitly prohibits "asbestos-free" materials, which may contain up to 1% asbestos. The Non-Lead-Based Paint (NON-LBP) Certification form similarly requires the prime contractor and project architect to certify that only non-lead-based paint materials have been or will be used. Both forms must be executed with original signatures and distributed in five minimum copies to specified recipients: the school's AHERA Management Plan, the local education agency (LEA), the BIA OFMC - Great Plains office (Attention: Leland D. Baade), the architect, and the contractor. These certifications are mandatory compliance documents for the Ft Berthold Agency Quarters Roof Replacement project (Solicitation Number 140A1626Q0081) and serve to document material safety compliance throughout the construction process.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sol_140A1626Q0081_Amd_0002.pdf | ||
| Sol_140A1626Q0081_Amd_0001.pdf | ||
| Sol_140A1626Q0081.pdf | ||
| Attachment_8_IEE_Reps.pdf | ||
| Attachment_4_-_Service_Life_and_Replacement_Cycles_4-15-2016.docx | DOCX document | |
| Attachment_5_-_Site_and_Vicinity_Maps.docx | DOCX document | |
| Attachment_6_-_WD_ND20260025_28Jul2026.pdf | ||
| Attachment_1_-_SOW_Roof_Replacement_FT_Berthold_Quarters_Project.docx | DOCX document | |
| Attachment_2_-_Construction_Inspector_Qualifications.docx | DOCX document |
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Text version
NON-ASBESTOS CONTAINING MATERIALS (NON-ACM) CERTIFICATION
PROJECT NAME: ___________________Project No.: ____________________________
PROJECT LOCATION: __________________
BUILDING OWNER AND ADDRESS:
CONTRACTORS NAME: _____________________________________________________________
Address: ________________________________________________________________________ Telephone No. ___________________________________________________________________
ARCHITECT: _________________________________________________________________________ Address: ___________________________________________________________________________ Telephone No. _______________________________________________________________________
CONTRACTOR CERTIFICATION
The single prime contractor hereby certifies that he/she, his/her subcontractors, and his/her suppliers have used only non‑asbestos containing materials (NON-ACM) in the construction of this project.
By: (Signature) __________________________________________________Date________________
(Print Name) ______________________________________________ (Print Title) _________________
PROJECT ARCHITECT CERTIFICATION
This Project Architect hereby certifies to the best of his/her knowledge that he/she has specified only non‑asbestos containing materials (NON-ACM) to be used by the contractor in the construction of this project.
By: (Signature) ___________________________________________________ Date_________________
(Print Name) _______________________________________________ (Print Title) _________________
Note: "Asbestos‑Free" materials are not allowed on this project as the definition of "asbestos‑free" materials allows asbestos content up to 1%. Only non‑asbestos containing materials (which have no asbestos) are allowed.
Please provide five original copies (minimum) of this form with original signatures. Place one copy in the AHERA Management Plan at the school, one copy in the AHERA Management Plan at the local education agency (LEA), one copy to Attn: Leland D. Baade at BIA OFMC – Great Plains in Aberdeen, one copy to the Architect, and one copy to the Contractor.
U.S. Department of the Interior Bureau of Indian Affairs, OFMC – Great Plains OFMC – Great Plains, 220 South Main Street, Aberdeen, South Dakota 57401
| Telephone: 605-226-0877 | Facsimile: 605-226-0881 | |
| NON-LEAD-BASED PAINT (NON-LBP) CERTIFICATION |
PROJECT NAME: ___________________Project No.: _____________________________
PROJECT LOCATION:_________________
BUILDING OWNER AND ADDRESS:________________
CONTRACTOR: _______________________________________________________________________ Address: ___________________________________________________________________________ Telephone No. _______________________________________________________________________
ARCHITECT: _________________________________________________________________________ Address: ___________________________________________________________________________ Telephone No. _______________________________________________________________________
CONTRACTOR CERTIFICATION
The single prime contractor hereby certifies that he/she, his/her subcontractors, and his/her suppliers have used only non‑lead-based paint (NON-LBP) containing materials in the construction of this project.
By: (Signature) _____________________________________________________ Date: _____________
(Print Name) ______________________________________________ (Print Title) _________________
PROJECT ARCHITECT CERTIFICATION
The Project Architect hereby certifies to the best of his/her knowledge that he/she has specified only non-lead-based paint (NON-LBP) containing materials to be used by the contractor in the construction of this project.
By: (Signature) _____________________________________________ Date: ___________________
(Print Name) ______________________________________________ (Print Title) _________________
Please provide five original copies (minimum) of this form with original signatures. Provide one copy to the school, one copy to the local education agency (LEA), one copy to Attn: Leland D. Baade at BIA OFMC – Great Plains in Aberdeen, one copy to the Architect, and one copy to the Contractor.
File details come from the government source that posted it. Updated .