Form_74_-_Postconsumer-Content_Certification_Form_(01-2023).pdf
PDF 538 KB Posted
- Attached to
- RFQ 2024-IDR6-005, Laser Leveling System
- Solicitation number
- 0000031058
- Issued by
- California
About this file
This document is a Postconsumer Recycled-Content Certification Form from the California Department of Resources Recycling and Recovery (CalRecycle) related to the State Agency Buy Recycled Campaign (SABRC). The form requires state agencies to verify the recycled-content of products purchased within 16 specified product categories. Contractors must certify the percentage of postconsumer recycled-content material in the products, materials, goods, or supplies offered or sold to the State. The minimum postconsumer recycled-content requirements are specified for each product category.
The related state and local contract opportunity is an RFQ for a laser leveling system to be outfitted to a John Deere 8520 tractor and John Deere 1312 C scraper unit for the San Jacinto Wildlife Area in California. The laser leveling system is needed to aid with water conveyance throughout the wetlands. The document does not provide details on response dates, award dates, contract term, or pricing.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
STATE OF CALIFORNIA
Department of Resources Recycling and Recovery (CalRecycle) CalRecycle 74 (Revised 01/23)
Postconsumer Recycled-Content Certification
To be completed by the State agency
State Agency:
Purchasing Agent: PO #:
Phone: E-mail:
The State Agency Buy Recycled Campaign (SABRC) is a state mandated program that requires the reporting of all purchases made within 16 specified product categories. All state agencies are required to verify the recycled-content of all products purchased within each of these categories.
All businesses shall certify the minimum percentage in writing to the contracting officer or his or her representative, if not the exact percentage, of postconsumer recycled-content (PCRC) material in the products, materials, goods, or supplies offered or sold to the State regardless of whether the product meets the minimum content requirements specified in law (see reverse side). The certification shall be furnished under penalty of perjury. The certification shall be provided regardless of content, even if the product contains no recycled material. A State agency may waive the certification requirement if the percentage of postconsumer material in the products, materials, goods, or supplies can be verified in a written advertisement, including, but not limited to, a product label, a catalog, or a manufacturer or vendor Internet website.
Public Contract Code sections 12205(a)(1), (2), (3) and (b)(1), (2), and (3)
Contractor/Company Name_________________________________________________________________________________
Address_____________________________________________________________________Phone_____________________
Purchase Order #
RFQ #
RFP #
IFB #
Cal Card Order #
Item # Product or Services Description 1Percent Postconsumer Recycled- Content Material
2SABRC
Product Category Code
M eets SA
B R
C
Pursuant to Public Contract Code 12205(b)(1), I certify under penalty of perjury under the laws of the State of California that the above information is true and correct.
Print Name Signature Title Date
FOOTNOTES:
1. “Postconsumer recycled-content material” is defined as products that were bought, used, and recycled by consumers. For example, a newspaper that has been purchased, recycled, and used to make another product would be considered postconsumer material.
2. “Product category” refers to one of the categories listed below, into which the reportable purchase is best placed.
3. If the product does not belong in any of the product categories, enter “N/A.” Common “N/A” products include wood products, aggregate, concrete, and electronics such as computers, TV, software on a disk or CD, and telephones.
4. For reused or refurbished products, there is no minimum content requirement. (PCC 12209(l))
Purchase Order #
RFQ #
RFP #
IFB #
Cal Card Order #
Item #
Product or Services Description 1Percent
Postconsumer
Recycled-
Content
Material
2SABRC
Product
Category
Code
M e e ts S
A B
Purchase Order #
RFQ #
RFP #
IFB #
Cal Card Order #
Item #
Product or Services Description 1Percent
Postconsumer
Recycled-
Content
Material
2SABRC
Product
Category
Code
M e e ts S
A B
California Department of Resources Recycling and Recovery (CalRecycle)
State Agency Buy Recycled Campaign (SABRC) - SABRC@CalRecycle.ca.gov
Code* Product Categories Product Subcategories Product Examples in each SABRC Category (PCC 12207 ) Examples include, but are not limited to, these individual products/materials.
Minimum Post-Consumer Content Requirement per Statute (PCC 12209 )
1A Paper Products Toilet Paper Toilet paper. 45 percent by fiber weight post-consumer fiber.
1B Paper Products Paper Towels Paper towels. 40 percent by fiber weight post-consumer fiber.
1C Paper Products Facial Tissues Facial tissue. 10 percent by fiber weight post-consumer fiber.
1D Paper Products Toilet Seat Covers Toilet seat covers. 20 percent by fiber weight post-consumer fiber.
1E Paper Products General Purpose Paper Wipes General purpose paper wipes. 40 percent by fiber weight post-consumer fiber.
1F Paper Products Food Serviceware Napkins, plates, bowls, food trays, takeout boxes, and placemats. 40 percent by fiber weight post-consumer fiber.
1G Paper Products Miscellaneous Paper Products Cartons, wrapping, packaging, file folders, hanging folders, building insulation and panels, corrugated boxes.
30 percent by fiber weight post-consumer fiber.
2 Printing and Writing Papers
Printing and Writing Papers Copy, xerographic, watermark, cotton fiber, offset, forms, computer printout paper, white wove envelopes, manila envelopes, book paper, note pads, writing tablets, newsprint, and other uncoated writing papers, posters, index cards, calendars, brochures, reports, magazines, and publications.
30 percent by fiber weight post-consumer fiber.
3A Soil Amendments and Toppings
Compost Soil amendments, soil conditioner for potting or plant mix, organic materials used for water conservation; organic materials such as biosolids or other comparable substitutes such as livestock, horse, or other animal manure, food residues or fish processing byproducts; mechanical breakdown of materials.
80 percent recovered material that would otherwise be normally disposed of in a landfill.
3B Soil Amendments and Toppings
Mulch Ground covers, weed suppressants. 80 percent recovered material that would otherwise be normally disposed of in a landfill.
4A Glass Products Glass Products Windows, test tubes, beakers, laboratory or hospital supplies, reflective beads, tiles, construction blocks, desktop accessories, flat glass sheets, loose- grain abrasives, deburring media, liquid filter media, and containers.
25 percent post-consumer, by weight.
4B Glass Products Fiberglass Fiberglass (insulation), 30 percent post-consumer, by weight.
5 Lubricating Oils Intended for use in a crankcase, transmission, engine, power steering, gearbox, differential chainsaw, transformer dielectric, fluid, cutting, hydraulic, industrial, or automobile, bus, truck, vessel, plane, train, heavy equipment, or machinery powered by an internal combustion engine.
70 percent re-refined base oil.
6 Plastic Products Printer or duplication cartridges, diskette, carpet, office products, plastic lumber, buckets, wastebaskets, containers, benches, tables, fencing, clothing, mats, packaging, signs, posts, binders, sheet, buckets, building products, garden hose, and trays.
20 percent postconsumer, by weight, is remanufactured or has a take back program.
7A Paint: Low-VOC: < 50 grams/liter Water-based paint, graffiti abatement, interior and exterior, and maintenance. 50 percent post-consumer paint.
7B Paint: Other VOC: > 50 grams/liter
Water-based paint, graffiti abatement, interior and exterior, and maintenance. 50 percent post-consumer paint.
8 Antifreeze Recycled antifreeze, and antifreeze containing a bittering agent or made from polypropylene or other similar non-toxic substance.
70 percent post-consumer material.
9 Tires (Retreaded tires)
Truck and bus tires, and those used on fleet vehicles (and passenger cars where available).
Retreaded: Must use an existing casing that has undergone retreading or recapping process in accordance with Public Resource Code (commencing with section 42400).
10 Tire- Derived Products
Flooring, mats, wheelchair ramps, playground surfacing, sports surfacing, parking bumpers, bullet traps, hoses, bumpers, truck bedliners, pads, walkways, tree ties, wheel chocks, rollers, traffic-related products, mudflaps, accessibility ramps, paths and sidewalks, animal care products, including, but not limited to, horse arena surfacing, stall mats, cow mats, and equestrian barn and breezeway flooring, artificial turf, landscaping and rubber mulch, outdoor surfacing, pavers and tiles, and posts.
50 percent recycled used tires.
11A Metal Products Metal Products Staplers, paper clips, steel furniture, desks, pedestals, scissors, jacks, rebar, pipe, plumbing fixtures, chairs, ladders, file cabinets, shelving, containers, lockers, sheet metal, girders, building and construction products, bridges, braces, nails, and screws.
10 percent post-consumer material, by weight.
11B Metal Products Vehicles Vehicles. 10 percent post-consumer material, by weight.
12 Building Finishes
Open Office Panel Systems
Open office panel systems. Middle range of state contracts.
13 Carpet Carpet Determined by DGS and Posted in SCM.
14A Erosion Control Products
Compost Filter Socks Compost filter sock. 100 percent post-consumer material.
14B Erosion Control Products
Compost Blanket Compost blanket, layer of compost protecting bare soil surfaces. 100 percent post-consumer material.
14C Erosion Control Products
Hydraulic Mulch Hydraulic mulch or erosion control process that uses fiber slurry and tackifier. 100 percent post-consumer material.
15A Textiles Textiles 0 percent post-consumer material.
15B Textiles General Textile Wipes General purpose wipes. 100 percent post-consumer material.
16A Pavement
Surfacing Rubberized Pavement Surfaces
Rubberized asphalt concrete and chip seal. 15 percent post-consumer material.
16B Pavement Surfacing
Recycled Asphalt Pavement
Recycled Asphalt Pavement 25 percent post-consumer material.
*It is each agency’s prerogative to assign internal codes/object codes for post-consumer recycled content products based on their internal paper or computer tracking systems.
For additional information, please visit www.CalRecycle.ca.gov/BuyRecycled/StateAgency/ mailto:SABRC@CalRecycle.ca.gov http://www.calrecycle.ca.gov/BuyRecycled/StateAgency/
Postconsumer Recycled-Content Certification
| To be completed by the State agency: |
| State Agency: |
| Purchasing Agent: |
| PO: |
| Phone: |
| Email: |
| ContractorCompany Name: |
| Address: |
| Phone_2: |
| Purchase Order RFQ RFP IFB Cal Card Order Row1: |
| Item Row1: |
| Product or Services DescriptionRow1: |
| 1Percent Postconsumer Recycled Content MaterialRow1: |
| 2SABRC Product Category CodeRow1: |
| Purchase Order RFQ RFP IFB Cal Card Order Row2: |
| Item Row2: |
| Product or Services DescriptionRow2: |
| 1Percent Postconsumer Recycled Content MaterialRow2: |
| 2SABRC Product Category CodeRow2: |
| Purchase Order RFQ RFP IFB Cal Card Order Row3: |
| Item Row3: |
| Product or Services DescriptionRow3: |
| 1Percent Postconsumer Recycled Content MaterialRow3: |
| 2SABRC Product Category CodeRow3: |
| Purchase Order RFQ RFP IFB Cal Card Order Row4: |
| Item Row4: |
| Product or Services DescriptionRow4: |
| 1Percent Postconsumer Recycled Content MaterialRow4: |
| 2SABRC Product Category CodeRow4: |
| Purchase Order RFQ RFP IFB Cal Card Order Row5: |
| Item Row5: |
| Product or Services DescriptionRow5: |
| 1Percent Postconsumer Recycled Content MaterialRow5: |
| 2SABRC Product Category CodeRow5: |
| Purchase Order RFQ RFP IFB Cal Card Order Row6: |
| Item Row6: |
| Product or Services DescriptionRow6: |
| 1Percent Postconsumer Recycled Content MaterialRow6: |
| 2SABRC Product Category CodeRow6: |
| Print Name: |
| Signature: |
| Title: |
| Date: |
| SABRC compliant1: Off |
| SABRC compliant3: Off |
| SABRC compliant2: Off |
| SABRC compliant4: Off |
| SABRC compliant5: Off |
| SABRC compliant6: Off |
| Code: |
| Product Categories: |
| Product Subcategories: |
| Product Examples in each SABRC Category PCC 12207 Examples include but are not limited to these individual productsmaterials: |
| Minimum PostConsumer Content Requirement per Statute PCC 12209: |
| 1A: |
| Paper Products: |
| Toilet Paper: |
| Toilet paper: |
| 45 percent by fiber weight postconsumer fiber: |
| 1B: |
| Paper Products_2: |
| Paper Towels: |
| Paper towels: |
| 40 percent by fiber weight postconsumer fiber: |
| 1C: |
| Paper Products_3: |
| Facial Tissues: |
| Facial tissue: |
| 10 percent by fiber weight postconsumer fiber: |
| 1D: |
| Paper Products_4: |
| Toilet Seat Covers: |
| Toilet seat covers: |
| 20 percent by fiber weight postconsumer fiber: |
| 1E: |
| Paper Products_5: |
| General Purpose Paper Wipes: |
| General purpose paper wipes: |
| 40 percent by fiber weight postconsumer fiber_2: |
| 1F: |
| Paper Products_6: |
| Food Serviceware: |
| Napkins plates bowls food trays takeout boxes and placemats: |
| 40 percent by fiber weight postconsumer fiber_3: |
| 1G: |
| Paper Products_7: |
| Miscellaneous Paper Products: |
| 30 percent by fiber weight postconsumer fiber: |
| 2: |
| Printing and Writing Papers: |
| Printing and Writing Papers_2: |
| 30 percent by fiber weight postconsumer fiber_2: |
| 3A: |
| Soil Amendments and Toppings: |
| Compost: |
| 80 percent recovered material that would otherwise be normally disposed of in a landfill: |
| 3B: |
| Mulch: |
| Ground covers weed suppressants: |
| 4A: |
| Glass Products: |
| Glass Products_2: |
| 25 percent postconsumer by weight: |
| 4B: |
| Glass Products_3: |
| Fiberglass insulation: |
| 30 percent postconsumer by weight: |
| 5: |
| FiberglassLubricating Oils: |
| 70 percent rerefined base oil: |
| 6: |
| FiberglassPlastic Products: |
| 20 percent postconsumer by weight: |
| 7A: |
| Paint: |
| LowVOC 50 gramsliter: |
| Waterbased paint graffiti abatement interior and exterior and maintenance: |
| 50 percent postconsumer paint: |
| 7B: |
| Paint_2: |
| Waterbased paint graffiti abatement interior and exterior and maintenance_2: |
| 50 percent postconsumer paint_2: |
| 8: |
| Other VOC 50 gramsliterAntifreeze: |
| 70 percent postconsumer material: |
| 9: |
| Other VOC 50 gramsliterTires Retreaded tires: |
| Truck and bus tires and those used on fleet vehicles and passenger cars where available: |
| 10: |
| Other VOC 50 gramsliterTireDerived Products: |
| 50 percent recycled used tires: |
| 11A: |
| Metal Products: |
| Metal Products_2: |
| 10 percent postconsumer material by weight: |
| 11B: |
| Metal Products_3: |
| Vehicles: |
| Vehicles_2: |
| 10 percent postconsumer material by weight_2: |
| 12: |
| Building Finishes: |
| Open office panel systems: |
| Middle range of state contracts: |
| 13: |
| Open Office Panel SystemsCarpet: |
| Carpet: |
| Determined by DGS and Posted in SCM: |
| 14A: |
| Erosion Control Products: |
| Compost Filter Socks: |
| Compost filter sock: |
| 100 percent postconsumer material: |
| 14B: |
| Erosion Control Products_2: |
| Compost Blanket: |
| Compost blanket layer of compost protecting bare soil surfaces: |
| 100 percent postconsumer material_2: |
| 14C: |
| Erosion Control Products_3: |
| Hydraulic Mulch: |
| 100 percent postconsumer material_3: |
| Textiles: |
| Hydraulic mulch or erosion control process that uses fiber slurry and tackifierTextiles: |
| 0 percent postconsumer material: |
| Textiles_2: |
| General purpose wipes: |
| 16A: |
| Pavement Surfacing: |
| Rubberized asphalt concrete and chip seal: |
| 15 percent postconsumer material: |
| 16B: |
| Pavement Surfacing_2: |
| Recycled Asphalt Pavement: |
| Recycled Asphalt Pavement_2: |
| 25 percent postconsumer material: |
| Text Field0: |
| Text Field1: |
| Text Field2: |
| Text Field3: |
| Text Field4: |
| Text Field5: |
| Text Field6: |
| Text Field7: |
| Text Field8: |
| Text Field9: |
| Text Field10: |
| Text Field11: � |
| Text Field12: |
| Text Field13: |
| Text Field14: |
| Text Field15: |
| Text Field16: |
| Text Field17: |
| Text Field18: |
| Text Field19: |
| Text Field20: |
| Text Field21: |
| Text Field22: |
| Text Field23: |
| Text Field24: |
| Text Field25: |
| Text Field26: |
| Text Field27: |
| Text Field28: |
| Text Field29: |
| Text Field30: |
| Text Field31: |
| Text Field32: |
| Text Field33: |
| Text Field34: |
| Text Field35: |
| Text Field36: |
| Text Field37: |
| Text Field38: |
| Text Field39: |
| Text Field40: |
| Text Field41: |
| Text Field42: |
| Text Field43: |
| Text Field44: |
| Text Field45: |
| Text Field46: |
| Text Field47: |
| Text Field48: |
| Text Field49: |
| Text Field50: |
| Text Field51: |
| Text Field52: |
| Text Field53: |
| Text Field54: |
| Text Field55: |
| Text Field56: |
| Text Field57: |
| Text Field58: |
| Text Field59: |
| Text Field60: |
| Text Field61: |
| Text Field62: |
| Text Field63: |
| Text Field64: |
| Text Field65: |
| Text Field66: |
| Text Field67: |
| Text Field68: |
| Text Field69: |
| Text Field70: |
| Text Field71: |
| Text Field72: |
| Text Field73: |
| Text Field74: |
| Text Field75: |
| Text Field76: |
| Text Field77: |
| Text Field78: |
| Text Field79: |
| Text Field80: |
| Text Field81: |
| Text Field82: |
| Text Field83: |
| Text Field84: |
| Text Field85: |
| Text Field86: |
| Text Field87: |
| Text Field88: |
| Text Field89: |
| Text Field90: |
| Text Field91: |
| Text Field92: |
| Text Field93: |
| Text Field94: |
| Text Field95: |
| Text Field96: |
| Text Field97: |
| Text Field98: |
| Text Field99: |
| Text Field100: |
| Text Field101: |
| Text Field102: |
| Text Field103: |
| Text Field104: |
| Text Field105: |
| Text Field106: |
| Text Field107: |
| Text Field108: |
| Text Field109: |
| Check Box0: Off |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
| Check Box9: Off |
| Check Box10: Off |
| Check Box11: Off |
| Check Box12: Off |
| Check Box13: Off |
| Check Box14: Off |
| Check Box15: Off |
| Check Box16: Off |
| Check Box17: Off |
| Check Box18: Off |
| Check Box19: Off |
| Check Box20: Off |
| Check Box21: Off |
| Text Field0520: |
| Text Field1521: |
| Text Field2522: |
| Text Field3523: |
| Text Field4524: |
| Text Field5525: |
| Text Field6526: |
| Text Field7527: |
| Text Field8528: |
| Text Field9529: |
| Text Field10530: |
| Text Field11531: � |
| Text Field12532: |
| Text Field13533: |
| Text Field14534: |
| Text Field15535: |
| Text Field16536: |
| Text Field17537: |
| Text Field18538: |
| Text Field19539: |
| Text Field20540: |
| Text Field21541: |
| Text Field22542: |
| Text Field23543: |
| Text Field24544: |
| Text Field25545: |
| Text Field26546: |
| Text Field27547: |
| Text Field28548: |
| Text Field29549: |
| Text Field30550: |
| Text Field31551: |
| Text Field32552: |
| Text Field33553: |
| Text Field34554: |
| Text Field35555: |
| Text Field36556: |
| Text Field37557: |
| Text Field38558: |
| Text Field39559: |
| Text Field40560: |
| Text Field41561: |
| Text Field42562: |
| Text Field43563: |
| Text Field44564: |
| Text Field45565: |
| Text Field46566: |
| Text Field47567: |
| Text Field48568: |
| Text Field49569: |
| Text Field50570: |
| Text Field51571: |
| Text Field52572: |
| Text Field53573: |
| Text Field54574: |
| Text Field55575: |
| Text Field56576: |
| Text Field57577: |
| Text Field58578: |
| Text Field59579: |
| Text Field60580: |
| Text Field61581: |
| Text Field62582: |
| Text Field63583: |
| Text Field64584: |
| Text Field65585: |
| Text Field66586: |
| Text Field67587: |
| Text Field68588: |
| Text Field69589: |
| Text Field70590: |
| Text Field71591: |
| Text Field72592: |
| Text Field73593: |
| Text Field74594: |
| Text Field75595: |
| Text Field76596: |
| Text Field77597: |
| Text Field78598: |
| Text Field79599: |
| Text Field80600: |
| Text Field81601: |
| Text Field82602: |
| Text Field83603: |
| Text Field84604: |
| Text Field85605: |
| Text Field86606: |
| Text Field87607: |
| Text Field88608: |
| Text Field89609: |
| Text Field90610: |
| Text Field91611: |
| Text Field92612: |
| Text Field93613: |
| Text Field94614: |
| Text Field95615: |
| Text Field96616: |
| Text Field97617: |
| Text Field98618: |
| Text Field99619: |
| Text Field100620: |
| Text Field101621: |
| Text Field102622: |
| Text Field103623: |
| Text Field104624: |
| Text Field105625: |
| Text Field106626: |
| Text Field107627: |
| Text Field108628: |
| Text Field109629: |
| Check Box0630: Off |
| Check Box1631: Off |
| Check Box2632: Off |
| Check Box3633: Off |
| Check Box4634: Off |
| Check Box5635: Off |
| Check Box6636: Off |
| Check Box7637: Off |
| Check Box8638: Off |
| Check Box9639: Off |
| Check Box10640: Off |
| Check Box11641: Off |
| Check Box12642: Off |
| Check Box13643: Off |
| Check Box14644: Off |
| Check Box15645: Off |
| Check Box16646: Off |
| Check Box17647: Off |
| Check Box18648: Off |
| Check Box19649: Off |
| Check Box20650: Off |
| Check Box21651: Off |
File details come from the government source that posted it. Updated .