Attach_4_-_DBEH151571_Rpr_Cable_Splices_GPP_Form.pdf

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Repair Cable Splices in Manholes on Phillips Parkway, CCAFS, FL
Solicitation number
FA252119BA020
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Attachment 4 GPP Form

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UNCLASSIFIED

Green Procurement Waiver Statement for Projects at Patrick AFB

PROCUREMENT TITLE: Repair Cable Splices in Manholes on Phillips Parkway

PROCUREMENT REQUEST NO. DBEH 15-1571

None of the products that I am specifying for procurement are listed on a mandatory environmental purchasing list, including:

1. U.S. EPA Comprehensive Procurement Guidelines (formally APP items) published at www.epa.gov/cpg/products.htm.

2. USDA Biobased product listings published at www.biobased.oce.usda.gov/public/categories.cfm.

3. Energy Star® product listings published at www.energystar.gov/products.

4. FEMP Low Standby Power product listings published at http://oahu.lbl.gov/

Therefore, I am not required to include a Recovered Materials Determination Form (RMDF) with this procurement package.

In addition, I have sought to reduce the environmental damages associated with this procurement by considering the specification of environmentally preferable products and services to the extent feasible, consistent with price, performance, availability, and safety considerations. I have considered products with recycled or biobased content as well as other environmentally preferable attributes, such as:

• Reduced packaging

• Durability and reparability

• Reduced toxicity

• Conservation of natural resources

• Water conservation

• Low Volatile Organic Compound (VOC) Content

• Asbestos alternative

Design/Specifying Agent Signature Date

Requiring Organization’s Technical Representative Signature Date http://www.epa.gov/cpg/products.htm http://www.biobased.oce.usda.gov/public/categories.cfm http://www.energystar.gov/products http://oahu.lbl.gov/

RECOVERED MATERIALS DETERMINATION FORM
INSTRUCTIONS
7.1 PROCUREMENT REQUEST NO. DBEH 15-1571
Designated Item Justification #
7.2 PROCUREMENT REQUEST NO. DBEH 15-1571
7.3
7.4 PART 2: RECOVERED MATERIALS CERTIFICATION
Designated Item Justification #
7.5 PROCUREMENT REQUEST NO. DBEH 15-1571
7.6
Item Purchased GPP-Compliant? (Y/N)
EPP Considered? (Y/N)
Item Purchased
Project Name
Date
Item Purchased GPP-Compliant? (Y/N)
EPP Considered? (Y/N)
Item Purchased
Project Name
Date
2019-07-12T15:20:12-0400
COOPER.COREY.J.1281566683
2019-07-12T15:20:42-0400
COOPER.COREY.J.1281566683

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