SOW Att 17 - 01 81 30a green procurement reporting form apendx.docx

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Renovate B320, Supply Federal contract opportunity
Solicitation number
FA6712-18-R-0001
Issued by
Department of the Air Force Reserve Command

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Text version

Construction Bid Set

SECTION 01 81 30A

GREEN PROCUREMENT REPORTING FORM - APPENDIX A

RECYCLED CONTENT MATERIALS & BIOBASED CONTENT MATERIALS

Project Name:__________________Project Number: ____________________
Contractor Name: ________________License Number: ____________________

Contractor Address: ______________

Product
Total $ value provided
Total $ value w/ recycled content

Pre-consumer Total $ value w/ recycled content Post-consumer

Total $ value w/ biobased content
Exempted indicate 1,2,3,4
Comments

Concrete with fly ash

Sheathing

Thermal Insulation

Joint Sealants

Metal Doors & Frames

Wood Doors

Overhead Coiling Counter Door

Aluminum Storefront

Gypsum Drywall

Metal Studs

Ceramic Tile

Ceramic Tile Grout

Acoustical Panel Ceilings

Resilient Floor - VCT

Resilient Base

Resilient Products Adhesive

Carpet Face Fiber

Carpet Backing

Carpet Adhesive

Paint

Reprocessed Latex Paint White & Light Colors

Reprocessed Latex Dark Colors

Consolidated Latex Paint

Signage

Casework

Countertops

Other:

CERTIFICATION

I hereby certify the information provided herein is accurate and that the requisition/procurement of all materials listed on this form comply with current EPA standards for recycled/recovered materials content.

The following exemptions may apply to the non-procurement of recycled/recovered content materials:

1)The product does not meet appropriate performance standards.
2)The product is not available within a reasonable time frame.
3)The product is not available competitively (from two or more sources).
4)The product is only available at an unreasonable price (compared with a comparable non-recycledcontent product).

Signature: _____________________________________ Date: ___________________________

END OF SECTION

911th Airlift Wing – Renovate Supply B320Green Procurement Reporting Form -
JLSS-17-0003SOW Attachment 17Appendix A
01 81 30a - 1

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