Recovered Materials Determination Form.pdf

Recovered Materials Determination Form (RMDF) User’s Guide

1. PURPOSE OF FORM. The “Recovered Materials Determination Form” (RMDF) is used to clearly identify items listed in the Comprehensive Procurement Guidelines (CPG) that are included in a procurement action, require the consideration of energy efficiency and environmentally preferable purchasing (EPP) for the procurement action, and document the use of applicable exemptions taken for the CPG items identified.

2. APPLICABILITY. The RMDF applies to all procurement actions (other than GPC purchases) that include items that are listed in the CPG, biobased, Energy Star®, or FEMP Low Standby Power programs.

3. INTENT FOR USE.

a. Contractors and CE Operations shop personnel (for in-house job and work orders regardless of project cost) will be responsible for completing an RMDF if any of the mandatory EPP items are required. For CPG items where exemptions are identified during project/contract performance, an amended RMDF must be completed documenting the exemption.

b. If the procurement action does not include any CPG, biobased, Energy Star®, or FEMP

Low Standby Power items, complete the GPP Statement instead.

4. FILING PROCEDURE. If applicable, the RMDF and any amended RMDFs will be included in the purchasing or contracting file. Contracting is responsible for ensuring that either a Green Procurement Statement or RMDF (and any amended RMDFs) is included in contracting files.

5. SIGNER. The Recovered Materials Determination Form can be signed by any person who has technical knowledge of the products or services being purchased. For service and construction contracts, the signer should have general knowledge of the products that will be purchased by the contractor to complete the job. It is the signer’s responsibility to check the mandatory purchase lists and determine if any of those products will be purchased.

6. INSTRUCTIONS. This form is to be completed when EPA-designated items included in the Green Procurement Program for Recovered Materials are being procured from outside vendors.

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/cpg/products. For USDA designated items, refer to the website at http://www.biopreferred.gov/?SMSESSION=NO. For Energy Star items, refer to the website at www.energystar.gov/products . For FEMP items, refer to the website at http://oahu.lbl.gov. The completed form becomes part of the contracting office contract file.

Recovered Materials Determination Form

Project No._______________________________________________________________

The EPA-designated items being procured are:

Construction Products Paper and Paper Products

Building insulation products Commercial/industrial sanitary tissue products

Polyester carpet Miscellaneous papers

Carpet cushion Newsprint

Cement and concrete containing: Paperboard and packaging products

Coal fly ash Printing and writing papers

Ground granulated blast furnace slag

Cenospheres Park and Recreation Products

Silica fume Park benches and picnic tables

Consolidated and reprocessed latex paint Plastic fencing

Floor tiles Playground equipment

Flowable fill Playground surfaces

Laminated paperboard Running tracks

Modular threshold ramps Nonpressure pipe Transportation Products

Patio blocks Channelizers

Railroad grade crossing surfaces Delineators

Roofing materials Flexible delineators

Shower and restroom dividers/partitions Parking stops

Structural fiberboard Traffic barricades

Traffic cones

Landscaping Products Compost and fertilizer made from recovered organic materials

Vehicular Products

Engine coolants

Garden and soaker hoses Rebuilt vehicular parts

Hydraulic mulch Re-refined lubricating oils

Lawn and garden edging Retread tires

Plastic lumber landscaping timbers and posts

Miscellaneous Products

Nonpaper Office Products Awards and plaques

Binders, clipboards, file folders, clip portfolios, and presentation folders

Bike racks

Blasting grit

Office furniture Industrial drums

Office recycling containers Manual-grade strapping

Office waste receptacles Mats

Plastic desktop accessories Pallets

Plastic envelopes Signage

Plastic trash bags Sorbents

Printer ribbons Toner cartridges

The USDA-designated biobased items being procured are:

Construction and Industrial Facility Operations and Maintenance

Carpets 2-Cycle engine oils

Chain and cable lubricants Corrosion preventatives

Composite panels: Diesel fuel additives

Acoustical Dust suppressants

Interior panels Fertilizers

Plastic lumber Gear lubricants

Structural interior panels General purpose de-icers

Structural wall panels Greases:

Concrete and asphalt release fluids Food grade

Expanded polystyrene foam recycling products Multipurpose

Forming lubricants Other

Fluid-Filled transformers: Rail truck

Synthetic ester-based Track

Vegetable oil-based Heat transfer fluids

Hydraulic fluids: Ink removers and cleaners

Mobile equipment Mulch and compost materials

Stationary equipment Multipurpose lubricants

Industrial cleaners Penetrating lubricants

Metalworking fluids: Sorbents

General purpose soluble, semi-synthetic, and synthetic oils

Turbine drip oils

High performance soluble, semi-synthetic, and synthetic oils

Janitorial

Adhesive and mastic removers

Straight oils Bathroom and spa cleaners

Parts wash solution Carpet and upholstery cleaners:

Plastic insulating foam for residential and commercial construction

General purpose

Spot removers

Roof coatings Floor strippers

Water tank coatings General purpose household cleaners

Wood and concrete sealers: Glass cleaners

Membrane concrete sealers Graffiti and grease removers

Penetrating liquids Laundry products:

General purpose

Miscellaneous Pretreatment/spot removers

Bedding, bed linens, and towels Multipurpose cleaners

Firearm lubricants Trash bags/can liners (films):

Hand cleaners Non-durable

Hand sanitizers Semi-durable

Lip care products

Topical pain relief products Food Service

Disposable containers

Disposable cutlery

Disposable tableware

Food Cleaners

The Energy Star products being procured are:

Building Products Heating and Cooling

Seal and insulate Air conditioning, central

Roof products Boilers

Windows, doors, and skylights Fans, ventilating

Heat pumps, geothermal

Commercial Appliances Light commercial heating and cooling

Commercial clothes washers

Vending machines Lighting

Water coolers Commercial LED lighting

Light bulbs (CFLs)

Commercial Food Service Equipment Light Fixtures

Commercial kitchen package LED light bulbs

Commercial dishwashers Commercial fryers Plumbing

Commercial griddles Water heater, gas condensing

Commercial hot food holding cabinets Water heater, heat pump

Commercial ice machines Water heater, high efficiency gas storage

Commercial ovens Water heater, solar

Commercial refrigerators and freezers Water heater, whole home gas tankless

Commercial steam cookers

Computers and Electronics

Audio/Video Battery chargers Computers Displays Enterprise servers External power adapters Imaging equipment Televisions

The Federal Energy Management Program Low Standby Power products being procured are:

Audio products Microwave

Cell phone Multifunction device

Computer monitor Multimedia projectors

Copier FPDA holder and charger

Cordless phone Printer

Desktop computer Room air conditioner

Docking station Scanner

DVD player Telephone answering machine

External disk drive TV

Fax TV/VCR/DVD combinations

Laptop computer

Recovered Materials Procurement Determination

EPA recycled-content requirements have been met for this procurement action.

**** OR *****

The following EPA designated guideline item is included in the specifications for project number , however, compliance with EPA standards is not attainable.

Item(s):

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

Item is not available within a reasonable period of time.

Need date: Date available:

Item fails to meet a performance standard in the specifications.

Describe the standard and why it is needed:

Describe how the guideline item fails to meet the standard:

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 is more expensive).

Price of recycled item:

Price of non-recycled item:

This determination is made in accordance with FAR 23.405(c).

Approve Disapprove Civil Engineering Recommendation

Signature of Contracting Officer Date