GREEN.pdf

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Attached to
Repair of NSN: 4120-01-560-9122
Solicitation number
FA825025Q0474
Issued by

About this file

This is an Agency Affirmative Procurement Statement form for requirement number 4120-01-560-9122, documenting environmental and safety considerations for a federal contract. The form indicates that the only applicable requirement for this procurement is that the contract requirements involve products that may contain high global warming potential hydrofluorocarbons as a propellant or solvent, or involve maintenance/repair of electronic/mechanical devices, which requires the contracting officer to consider adding FAR clause 52.223-20 to the solicitation and contract.

The form is signed by an Equipment Specialist/Engineer on February 12, 2025 and relates to a solicitation (FA825025Q0474) for repair services of equipment with NSN 4120-01-560-9122. The scope involves test, teardown, and evaluation (TT&E) services, with potential repair work if needed, to restore items to serviceable condition for the Department of the Air Force Materiel Command Air Force Sustainment Center.

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Text version

Agency Affirmative Procurement Statement (Formerly Green Procurement Program Statement)

Equipment Specialist/Engineer Date

Rqmt # (NSN/NIIN):

The requirements document provided in this PR package requires delivery or use of USDA‐ Designated items at http://www.biopreferred.gov or 7 CFR Part 3201.

If “Checked” Contracting Officers should consider adding 52.223‐1 & 52.223‐2 to solicitations and contracts.

The requirements document provided in this PR package requires delivery of hazardous materials as defined in FAR 23.301.

If “Checked” Contracting Officers should consider adding 52.223‐3 & 252.223‐7001 to solicitations and contracts.

The requirements document provided in this contract requires or specifies use of EPA‐designated items.

If “Checked” Contracting Officers should consider adding 52.223‐4, 52.223‐9, 52.223‐17 to solicitations and contracts.

Performance of this contract will occur on a federal facility or will require the contractor to operate or perform services on a Government‐owned or -leased facility.

If “Checked” Contracting Officers should consider adding 52.223‐5, 52.223‐10, 52.223‐19, 252.223‐7006, 5352.223-9001 to solicitations and contracts.

The requirements of this contract are for or contain radioactive materials.

If “Checked” Contracting Officers should consider adding 52.223‐7 to solicitations and contracts.

Contract requirements include manufactured end products that may contain or be manufactured with ozone‐depleting substances.

If “Checked” Contracting Officers should consider adding 52.223‐11 to solicitations and contracts.

Contract requires delivery or use of Energy‐Consuming Products listed in the Energy Star program or FEMP.

If “Checked” Contracting Officers should consider adding 52.223‐15 to solicitations and contracts.

Contract requirements require delivery or use of products that may contain high global warming potential hydrofluorocarbons as a propellant, or as a solvent, or involve maintenance or repair of electronic or mechanical devices.

If “Checked” Contracting Officers should consider adding 52.223‐20 to solicitations and contracts.

None of the above apply.

2025-02-12T10:11:26-0700
DAM.NGHIA.TRUNG.1466333596
Text10: 12-Feb-2025
Text1: 4120-01-560-9122
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: Yes

File details come from the government source that posted it. Updated .