Attachment 8 - MAHG211009 - Appendix G - CD Disp Form .pdf

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Attached to
FA301024R0008 Replace AHUs & VAVs in NPS Dorms Ph1
Solicitation number
MAHG211009
Issued by

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This document appears to be the Keesler AFB Construction & Demolition Debris Disposal Form, which is required to be completed and submitted at 50% and 100% construction completion for the FA301024R0008 Replace AHUs & VAVs in NPS Dorms Ph1 project at Keesler AFB, Mississippi. The form captures data on the amount, cost, and disposal/recycling locations for construction and demolition debris generated during the project. The target diversion rate for the project is 60%. The federal contract opportunity is a HUBZone set-aside solicitation with an estimated magnitude between $5,000,000 and $10,000,000. An organized site visit is scheduled for August 1, 2024 at 2:00pm CDT, and instructions for accessing the base are provided. Proposal preparation and evaluation factors for award are detailed in Sections L and M of the solicitation.

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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

1285560558E Typewritten Text

1285560558E Typewritten Text "NaN" will disappear when values are entered into the electronic version of this form

1068877365C Typewritten Text Attachment 8

FA301024R0008

Project Title:
Project NVZR:
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

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