Attachment 5 - Fill In Biobased Statement Letter.pdf

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Attached to
Well #2 Water Repair Federal contract opportunity
Solicitation number
12805B23Q0529
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area

About this file

This document is a biobased and sustainable products statement letter template required as part of solicitation number 12805B23Q0529 for well repair services issued by the Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area. The letter requires the contractor to certify its understanding that the government requires the use of biobased products to the extent reasonably available in performing the contract. The contractor must provide an updated form listing any biobased products used and certifying compliance with applicable laws. Alternatively, the contractor may propose using non-designated products but must justify such use. Spaces are provided to list specific biobased and sustainable products to be utilized along with representative signature and date.

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BIOBASED / SUSTAINABLE PRODUCTS STATEMENT

Solicitation No.: 12805B23Q0529

Title: Well #2 Repair El Reno, OK

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)), this solicitation/contract requires the use of Biobased products to the extent that such products are reasonably available, meet agency or relevant industry performance standards are reasonably priced.

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. Any 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. Information about this requirement and these products are available at http://sftool.gov/green-products/1/construction-materials.

Sustainable Products Statement of Intent (Check Only One)

☐ There are no expectations or intent of utilizing biobased products for this requirement at this time. The contractor certifies that it understands that the government requires the use of Biobased products to the extent reasonably available. Should any product be required throughout the duration of this contract, the Contractor will provide the government an updated form listing the products used that are in compliance with the Farm Security and Rural Investment Act of 2002 and the Energy Policy Act of 2005. The contractor also certifies that failure to comply with the requirements should product be required may result in penalties.

☐ The Contractor proposes utilizing non-designated products. The following justification is provided for use of those items identified as non-designated products.

Type Here http://uscode.house.gov/ http://uscode.house.gov/ http://sftool.gov/green-products/1/construction-materials

BIOBASED / SUSTAINABLE PRODUCTS STATEMENT

☐ The following biobased products will be utilized for this requirement. The listing below contains all recycled-content products, biobased products, environmentally preferable products and services, and non-ozone depleting substances to be acquired, used, and installed in the performance of this contract.

1. 6.

2. 7.

3. 8.

4. 9.

5. 10.

By signing this letter, I certify to best of my knowledge that the information provided above is true.

Company Name: _______________________________

Representative’s Name: _________________________________

Representative’s Signature: _______________________________

Date: ________________

contractor certifies that it understands that the government requires the use of Biobased products to the: Off
of those items identified as nondesignated products: Off
recycledcontent products biobased products environmentally preferable products and services and non: Off
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6:
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7:
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10:
Text1:
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Date5_af_date:

File details come from the government source that posted it. Updated .