Exhibit_D _E _F.docx

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Plastic Blast Media Services
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FA4877-14-Q-0001
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Exhibits D E F

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EXHIBIT D

FORMAT FOR COMPREHENSIVE RECYCLING PLAN

The Contractor must submit a Comprehensive Recycling Plan (CRP) that provides a listing of the facilities that will be used to process the recyclable materials and any by-products that are generated from the recycling process. A Recycling Facility Questionnaire must be submitted for each facility used to process the recyclable materials. The CRP must also identify the primary process that will be used at each facility which handles the recyclable materials or by-products. Flow charts should be used to describe the functional relationships between the facilities, if possible. An example Recycling Plan is provided below:

PLAN DETAILS

Facility Name/Location
Raw Materials
Process Description
Products
By Products
ABC Recyclers, Anywhere USA
Used Plastic Blast Media
Thermal Bonding
Parking Chocks
None
XYZ Country STP
Cooling Water
Discharge IAW State Permit
N/A
N/A
ACME Drum and Salvage
Empty Drums
Reconditioning
Reconditioned Drums
Wastewater Discharged IAW State Permit

EXHIBIT E

RECYCLING FACILITY QUSTIONNAIRE

A copy of this form and attachments must be completed and included as part of your proposal for each recycling facility you intend to use to provide the required services.

FACILITY NAME: ________________________________________________

ADDRESS: _____________________________________________________

CITY: _______________________ STATE: _________ ZIP: __________

PHONE: ______________________________

1. Has the facility notified EPA and obtained an EPA ID numbr as a result of RCRA-regulated activities?

☐ YES, EPA ID NO. __________; ☐ N/A

2. Has the facility registered and / or obtained a permit from an appropriate Sate environmental regulatory agency pursuant to compliance with State recycling regulations?

☐ YES, Identify State identification number ___________________________;

And /or State Permit Number _____________________________________ ☐ N/A

3. Is the facility subject to periodic inspections from the EPA or a State environmental regulatory agency?

☐ YES, Date of last inspection __________________________

☐ NO

4. Provide a brief description of recycling process(s). Attach flow charts, if available.

5. Provide a listing of products generated from recycling process:

a.

b.

c.

d.

6. Do Recycling Processes:

a. Turnover 75% of the feedstock into the process during the calendar year, and maintain such documentation?

☐YES ☐NO

b. Separate the feedstock into distinct components, some of which are not used in the recycling process?

☐YES ☐NO

c. Transform the raw materials by chemical reaction so as to make hazardous constituents physically inseparable?

☐YES ☐NO

7. If this facility is not an end user, provide a list of facilities which will be utilized for further recycling activities and attach separate “Information for Evaluation of Recycling Capabilities” form for each.

Facility NameLocation
_______________________________________________________
_______________________________________________________

8. Is a representative sample and/or written description of each waste stream required prior to picking up wastes?

☐YES – Attach an “Example Copy of Required Forms ☐NO

9. Do any existing permits/agreements place specific operating conditions/limitations on the types or constituents or wastes that can be handled at this facility? If so describe (for example, halogen content, dissolved oil and grease, etc.). If none, enter “None”.

10. Has the facility ever been cited, fined, or closed for non-compliance with State or Federal environmental regulations?

☐ YES – Attach explanation ☐ NO

11. Has the facility ever been denied a permit to store or recycle wastes?

☐ YES – Attach explanation ☐ NO

12. Has the facility ever been the subject of a civil suit, court injunction, or other judicial proceeding?

☐ YES – Attach explanation ☐ NO

13. Has the facility ever experienced a release to the environment?

☐ YES – Attach explanation ☐ NO

EXHIBIT F

CERTIFICATE OF ENVIRONMENTAL COMPLIANCE

Please check the appropriate blocks, and submit the signed, completed certification with your proposal.

(a) The Offeror certifies [ ] does not certify [ ], that: (i) the operations, resources, and facilities proposed for performance under this Contract, including those to be fulfilled by contractors and subtiers are currently in compliance with Federal, State and Local laws and regulations. The Offeror shall provide immediate written notice to the Government if, at any time prior to the Contract award or during the Contract performance, the Offeror learns that its certification was erroneous when submitted.

(b) Should the Offeror be awarded the Contract, the Offeror agrees that it shall provide immediate written notice to the Government, if at any time during the performance of the Contract, the Offeror becomes award that the operations, resources, or facilities utilized in the performance of the Contract are not in compliance with all applicable Federal, State and Local laws and regulations.

(c) The Offeror agrees that any false, fictitious, or fraudulent representations, or failures to provide information or notices as required by this Certification shall be considered a material breach of contract and in addition to any other remedies of the Contract, the Government shall have no obligation to pay for services rendered in a fraudulent or nonconforming manner.

THIS CERTIFICATION CONCERNS A MATTER WITHIN THE JURISDICTION OF AN AGENY OF THE UNITED STATES AND THE MAKING OF A FALSE, FICTITIOUS, OR FRAUDULENT CERTIFICATION MAY RENDER THE MAKER SUBJECT TO PROSECUTION UNDER SECTION 1001, TITLE 18, UNITED STATES CODE.

Failure to execute the certification in paragraph (a) of ths clause or to contact the Contracting Officer as required in paragraph (b) and (c) of this clause may render the proposal non-responsive.

Firm: _______________________________Name: ____________________________
Date Signed: _________________________Signature: _________________________
Title: _____________________________

ABC Recyclers

Recycled Plastic Products

XYZ County STP

Used Plastic Blast Media

ACME Drum and Salvage

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