Atch_20d_RMD_KTR_to_Complete.pdf

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Ellsworth AFB Recovered Materials Determination Form For Construction Contracts Only

PAPER AND PAPER PRODUCTS

PARK AND RECREATION PRODUCTS

VEHICULAR PRODUCTS

LANDSCAPING PRODUCTS

CONSTRUCTION PRODUCTS

NONPAPER OFFICE PRODUCTS

TRANSPORTATION PRODUCTS

MISCELLANEOUS PRODUCTS

This form is to be completed by the Contractor for documentation of exemption for the use if EPA-designated items included in the Green Procurement Program. For questions on whether the product counts as "EPA-designated" or what the required recycled content is, refer to product descriptions on EPA's website at www.epa.gov/osw/conserve/tools/cpg/products. The completed form becomes part of the contracting office contract file. The Contracting Officer will forward a copy of the completed form to 28 CES/CEIE, Attn: Green Procurement Program The EPA-designated items being procured are: (mark below all that apply) Recovered Materials Determination Form

Green Procurement Determination

PROJECT NUMBER:

The following EPA-designated guideline item is included in the specifications for the project number listed above. However, compliance with EPA standard is not attainable.

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

Market Research was performed by calling vendors, but only was able to supply the product.

(insert # of vendors contacted) (enter VENDOR name) This determination is made in accordance with FAR 23.405(b)(2).

Civil Engineering Recommendation 9.0.0.2.20120627.2.874785