Attachment 7 - MAHG201158 - Appendix F - CandD Disp Form.pdf
PDF 172 KB Posted
- Attached to
- Replace AHU FCU Weather Bldg Federal contract opportunity
- Solicitation number
- FA301024R0015
About this file
This document is a Construction & Demolition Debris Disposal Form related to a federal contract opportunity for the Replace AHU_FCU Weather Bldg project at Keesler AFB, with Solicitation Number FA301024R0015. The project has an estimated value between $500,000 - $1,000,000 and is set aside for HUBZone certified small businesses. The form is to be completed and submitted at 50% and 100% construction completion, tracking material disposal to landfills, incineration, etc. as well as material diversion through reuse and recycling. The target diversion rate is 60%. This form is an appendix to the solicitation and does not outline the overall products, services, or requirements of the contract opportunity.
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Text version
Keesler AFB CONSTRUCTION & DEMOLITION DEBRIS
DISPOSAL FORM
Project Title:___________________________________________
Project MAHG #:_________________________________________
This form is to be completed and submitted at 50% and 100% construction completion.
Material Disposal (landfill, incineration, etc.)
Data
Period Amount (tons)*
Cost
Disposal Facility/Location(s)
Jan-Mar Year____ Apr-Jun
Year____ Jul-Sep
Year____ Oct-Dec
Year____ Total
Material Diversion (reuse, recycling, etc.)
Data
Period Amount (tons)*
Cost
Selling Price (if any)
Recycling Facility/Location(s)
Jan-Mar Year____ Apr-Jun
Year____ Jul-Sep
Year____ Oct-Dec
Year____ Total
* Please convert all weights to tons before filling out this form.
Your project’s diversion rate
Target diversion rate
60 %
Please retain copies of weight tickets to support data reported on this form.
For questions/info, contact BOS/CEV
377-5563
Attachment 7
FA301024R0015
1285560558E Typewritten Text
1285560558E Typewritten Text "NaN" will disappear when values are entered into the electronic version of this form
| Project Title: Replace AHU_FCU Weather Bldg |
| Project NVZR: MAHG201158 |
| Year: |
| Amount tonsJanMar Year: |
| Cost JanMar Year: |
| Disposal FacilityLocationsJanMar Year: |
| Year_2: |
| Amount tonsAprJun Year: |
| Cost AprJun Year: |
| Disposal FacilityLocationsAprJun Year: |
| Year_3: |
| Amount tonsJulSep Year: |
| Cost JulSep Year: |
| Disposal FacilityLocationsJulSep Year: |
| Year_4: |
| Amount tonsOctDec Year: |
| Cost OctDec Year: |
| Disposal FacilityLocationsOctDec Year: |
| Cost Total: 0 |
| Year_5: |
| Amount tonsJanMar Year_2: |
| Cost JanMar Year_2: |
| Selling Price if anyJanMar Year: |
| Recycling FacilityLocationsJanMar Year: |
| Year_6: |
| Amount tonsAprJun Year_2: |
| Cost AprJun Year_2: |
| Selling Price if anyAprJun Year: |
| Recycling FacilityLocationsAprJun Year: |
| Year_7: |
| Amount tonsJulSep Year_2: |
| Cost JulSep Year_2: |
| Selling Price if anyJulSep Year: |
| Recycling FacilityLocationsJulSep Year: |
| Year_8: |
| Amount tonsOctDec Year_2: |
| Cost OctDec Year_2: |
| Selling Price if anyOctDec Year: |
| Recycling FacilityLocationsOctDec Year: |
| Cost Total_2: 0 |
| Selling Price if anyTotal: 0 |
| div_rate: NaN |
| total1: 0 |
| total2: 0 |
File details come from the government source that posted it. Updated .