Attach_08_RMDF.pdf

Recovered Material Determination Form (RMDF) – Instructions

The procurement originator shall complete this checklist when EPA-designated recycled-content products are being procured (except for procurements below the micro purchase threshold). This checklist will assist the Contractor or Vendor with identification of the products to be procured.

Information about the products listed below can be found at the EPA website, http://www.epa.gov/cpg/products.htm. This completed checklist shall become part of the contract file.

Procurement Request: Project: XUMU 18-1115B. Title: RPR/RPL Door Closures and Hardware at Facility #8500.

_X_ No materials identified at this time.

The EPA-designated items being procured are:

Construction Products Non-Landscaping Products Non-Paper Office Products __ Building insulation products __ Compost made from yard trimmings __ Binders, clipboards, file folders, __ Carpet (polyester) or food waste clip portfolios, and presentation __ Carpet cushion __ Garden and soaker hoses folders __ Cement and concrete __ Hydraulic mulch __ Office furniture Containing: __ Lawn and garden edging __ Office recycling containers __ Coal fly ash __ Plastic lumber landscaping timber __ Office waster receptacles __ Ground granulated blast and posts __ Plastic desktop accessories Furnace slag __ Plastic envelopes __ Cenospheres or Silica fume Paper and Paper Products __ Plastic trash bags __ Consolidated and reprocessed __ Commercial and Industrial sanitary tissue __ Printer ribbons Latex paint products __ Toner cartridges __ Floor tiles __ Misc. papers (tray liners) … __ Flowable fill __ Newsprint Park & Recreation Products __ Laminated paperboard __ Paper board and packaging products __ Park benches and picnic tables __ Modular threshold ramps __ Printing and writing papers __ Plastic fencing __ Nonpressure pipe __ Playground equipment __ Patio blocks Transportation Products __ Playground surfaces __ Railroad grade crossings __ Channelizes __ Running tracks Surfaces __ Delineators __ Roofing materials __ Flexible delineators Vehicular Products __ Shower and restroom divider __ Parking stops __ Engine coolants & partitions __ Traffic barricades __ Rebuilt vehicular parts __ Structural fiberboard __ Traffic cones __ Re-refined lubricating oils __ Retread tires Miscellaneous Products __ Awards and plaques __ Bike racks __ Blasting grit __ Industrial drums __ Manual-grade strapping __ Mats __ Pallets __ Signage __ Sorbents

I hereby certify the “Statement of Work/Specifications” for the requisition of products listed above complies with preference standards for recycled-content materials enforced at VAFB.

MILTON O JOHNSON JR, GS-11, 30CES/CENMP

Procurement Originator / Project Manager http://www.epa.gov/cpg/products.htm

Note: Page 2 of the RMDF is required if item(s) are subject to the EPA-Designated Recycled Content Products, but are not procured.

Procurement Request / Project:

The Contracting Officer must place a written justification in the contract file, if an acquisition of EPA-designated products above the micro-purchase threshold does not recovered material. The procurement originator and/or Contracting Officer must check the appropriate justification(s) listed below, provide a written explanation, sign and date the form.

EPA Designated Recycled Content Item NOT being procured: _____________________________

__ Designated item is not competitively available within a reasonable period of time.

(If contract is greater than $25,000 on DD Form 350, line B12F, chose “B”)

Need Date: _______________________ Date Available: _______________________

__ Designated item is at an unreasonable price (recycled item cost more).

(If contract is greater than $25,000 on DD Form 350, line B12F, chose “C”)

Price of Designated Item: ________________________________ Price of Non-Recycled Item: ______________________________

__ Designated items does not meet Vandenberg’s performance standards.

(If contract is greater than $25,000 on DD Form 350, line B12F, chose “D”)

Describe the performance need, document and section number and explain briefly why a recycled-content product will not meet that need.

This written determination is made in accordance with FAR 23.405c.

TYPE NAME, GRADE & DEPT. TYPE NAME, GRADE & DEPT.

Procurement Originator / Project Manager Contracting Officer

1. PURPOSE OF STATEMENT. This “Recovered Materials Determination Form” (RMDF) issued to clearly identify items listed in the Comprehensive Procurement Guidelines (CPG) that are included in a procurement action, require the consideration of energy efficiency and Environmental Preferable Purchasing (EPP) for the procurement action, and document the use of applicable exemptions taken for the CPG items identified.

2. OPR. Civil Engineering/Environmental Management, Civil Engineering/Operations Shops and other organizations making non-Government wide Purchase Card (GPC) procurement.

3. OCR. Contracting, Civil Engineering/Operations, Civil Engineering/Construction, Civil

Engineering/SABER and Civil Engineering/Material Acquisition.

4. APPLICABILITY. This RMDF applies to all procurement actions (other than GPC purchases) that include items that are listed in the CPG bio based, Energy Start®, or FEMP Low Standby Power programs.

5. INTENT FOR USE.

a. GPC cardholders will not complete this form and will use the “GPC Green Procurement Purchasing Log” instead.

b. Environmental Management will incorporate this RMDF into the VAFB Environmental Requirements Specification documentation. This specifications will be included in all service and construction contracts as well as all in-house work orders greater than $2,500.

c. Contractors and CE Operations shop personnel (for in-house job and work orders) regardless of project cost) will be responsible for completing an RMDF if any of the mandatory EPP items are required. For CPG items where exemptions are identified during project/contract performance, an amended RMDF must be completed documenting the exemption. The OCR organizations listed above will be responsible for verifying the completed RMDFs.

d. If the procurement action does not include any CPG, bio based, Energy Star ®, or FEMP

Low Standby Power items, complete the “GPC Green Procurement Purchasing Log” instead.

6. FILING PROCEDURE. The completed RMDF (and any amended RMDFs) must be included in the purchasing or contracting file. Contracting is responsible for ensuring that either a “Green Procurement Waiver Statement” or RMDF (and any amended RMDFs) is included in contracting files. A similar memo or email statement can be used in lieu of this statement.