01 36 00-A2.doc

LF SURFACE DRAINAGE

FA4626-11-R-0014

Section 01 36 00-A Page 2

Attachment 2 FA4626-10-R-0017

RECOVERED MATERIALS WRITTEN DETERMINATION FORM

This form is needed only if item(s) being procured are subject to the installation’s Affirmative Procurement Program for EPA-Designated Recycled Content Products.

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

Procurement Request / Project No.__________________________________________________

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, choose “B.”)

Need Date: ______________ Date Available: ______________

___ Designated Item is at an unreasonable price (recycled item costs more).

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

Price of Designated Item: __________________

Price of Non-Recycled Item: ________________

___ Designated Item does not meet the installation’s performance standards.

(If contract greater than $25,000, on DD Form 350, line B12F, choose “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 23.405(c).

Procurement Originator Signature Date Contracting Officer Signature Date

1360-B