SOW_Attachment_8_-_Beale_Green_Procurement_Tracking_or_Exemption_Form.pdf

BAFB Green Procurement Tracking Form

Instructions:

1. Check for item being purchased in the list below and, if item is listed, continue to step 2.

2. Go to http://www.epa.gov/epawaste/conserve/tools/cpg/products/index.htm and find item

3. The EPA website will list required recycled content percentages for your product and suggest vendors to help your research.

4. After the purchase, fill out Page 1 of this form and submit to:

Project Contracting Officer 9 CES/CEP, Project Manager 9 CES/CEAN, Green Procurement Program Manager: Nolan Swick, 530-634-3176, nolan.swick@beale.af.mil

5. If claiming an exemption from the GP Program, fill out Page 2 of this form (must meet one of the conditions listed).

EPA-Designated Items

___ Building insulation

___ Polyester carpet

___ Binders (paper, solid plastic or plastic covered)

___ Playground surfaces

___ Park and recreational furniture

Cement & concrete containing:

___ Coal fly ash

___ Ground granulated blast furnace slag

___ Cenospheres

___ Silica fume

___ Plastic presentation folders

___ Plastic file folders

___ Plastic clip portfolios

___ Plastic clipboards

___ Running tracks

___ Playground equipment

___ Traffic barricades

___ Traffic cones

___ Parking stops

___ Flowable fill

___ Latex paint

___ Floor tiles

___ Laminated paperboard

___ Office furniture

___ Office recycling containers

___ Office waste receptacles

___ Plastic desktop accessories

___ Plastic fencing (snow or erosion control, safety barriers)

___ Channelizers (traffic markers)

___ Patio blocks ___ Plastic envelopes ___ Delineators(traffic markers)

___ Shower & restroom dividers/partitions

___ Plastic trash bags

___ Flexible delineators

(traffic markers)

___ Rebuilt vehicular parts

___ Structural fiberboard ___ Printer Ribbons

___ Engine coolants

___ Railroad grade crossing surfaces

___ Toner cartridges

___ Newsprint ___ Re-refined lubricating oils

___ Retread tires

___ Garden and soaker hoses

___ Lawn and garden edging

___ Commercial/industrial sanitary tissue products

___ Sorbents

___ Awards and plaques

___ Landscaping timbers and posts (plastic lumber)

___ Printing and writing papers

___ Paperboard and packaging ___ Mats

___ Signage

___ Hydraulic mulch ___ Tray liners ___ Strapping

___ Compost from yard trimmings or food waste

___ Industrial drums ___ Pallets

___ Modular threshold ramps

___ Non-pressure pipe

___ Bike racks

___ Roofing materials

___ Blasting grit

Item:

Vendor:

Recycled Content (%):

Quantity:

Total Purchase Amount:

Item:

Vendor:

Recycled Content (%):

Quantity:

Total Purchase Amount:

Item:

Vendor:

Recycled Content (%):

Quantity:

Total Purchase Amount:

Company Name:

POC:

Phone:

E-mail:

Project Number:

BAEY __________

Project Title:

BAFB Green Procurement Exemption Form

I have determined that the EPA guidelines were considered and determined inapplicable, based on the following:

Item: ____________________________________

_____ Item is not available within a reasonable period of time.

(Need date: _________________ Date available: __________________)

Item fails to meet a performance standard in the specifications.

Explanation: ______________

_____ Item is not available from 2 or more sources.

Market research was performed by calling ____________________(insert number) vendors, but only ________________________________________ (enter name) was able to supply the item.

_____ Item was only available at an unreasonable price (i.e., recycled item cost more than non-recycled item).

Price of recycled item: ___________________

Price of non-recycled item: ________________

This determination is made in accordance with FAR 23.404(b).

Procurement Originator Date

9 CES/CEAN Date

Company Name:

POC:

Phone:

E-mail:

Project Number:

BAEY __________

Project Title: