SOW.docx

U.S. General Services Administration

JFB Trash Compactor Replacement Design Build

STATEMENT OF WORK

2/9/2015 DESCRIPTION: Work includes the complete replacement of the building’s trash compactor system, and the removal of existing system components, as necessary.

PROJECT NUMBER: RWA00683

LOCATION: WA0101ZZ, Jackson Federal Building, 915 Second Ave., Seattle, WA 98174.

1. STATEMENT OF WORK

1.1 CONSTRUCTION SCOPE:

A. Demo existing trash compactor system and recycle as required.

B. Provide new complete trash compactor system in accordance with industry practices and standards. The type of trash compactor shall be proposed by the contractor, and shall be based on existing site conditions. The contractor shall provide justification for the type of proposed system.

C. The new trash compactor system shall meet all applicable ANSI and OSHA requirements and standards.

D. If possible, the new trash compactor system shall reduce the frequency of container dumping calls. The existing 25 CY container is currently emptied weekly (every Tuesday), and is assumed to be mostly full. Disposed of waste typically weighs 2-tons.

E. The new compactor system must be compatible with the existing trash-chute. Furnish and install chute transition/hopper as appropriate. The new compactor system shall also have a side feed door(s).

F. The new compactor system shall include an automatic cycling control system.

G. Provide new waste container as required. New container sizing shall be as large as possible, while accounting for existing site conditions and container removal/hookup.

H. If possible new system should be able to be cycled on a timer during off hours or sensor controlled if full.

I. After installation is complete, the contractor shall provide one training session for GSA personnel and appropriate GSA subcontractors.

J. Option Price #1: Provide container fullness monitoring system. Monitoring system to be proposed by the contractor.

End Scope

1.2 SCHEDULE OF DESIGN REQUIREMENTS AND REVIEWS

A. 30 Days after notice to proceed provide detail plan of equipment proposed, reason for selection and installation plan.

1.3 PERIOD OF PERFORMANCE

A. Period of performance is 90 days after Notice to Proceed.

1.4 GENERAL

A. PARKING AND VEHICLE ACCESS

1. Contractor parking and vehicle access to the building will be as directed by the Property Manager. No contractor parking is authorized in federal building parking lots or loading docks unless approved by the property manager.

2. Access to the loading dock for drop off and pick up of tools, material and debris, as well as extenuating circumstances will be authorized at the discretion of the property manager. Immediately after drop off/pick up, vehicles are required to leave the loading dock.

B. WORK HOURS

1. Work may be done during normal working hours (0700 – 1730). Noisy operations must be done after working hours as arranged with COR.

C. OCCUPANCY

1. The premises will be occupied during daytime hours, Monday through Friday, for the duration of this contract.

1.5 JFB SPECIFIC INFORMATION

A. LEED REQUIREMENTS

1. Before starting any renovation or construction project the contractor must submit a “Construction/Renovation Green Building Materials Form”, see Attachment A. This form requires the following information: all building products that will be used in selected categories, the green criteria they meet, their associated MSDS sheets or product spec sheet, VOC concentration, the policy’s VOC limit for the product, as well as the building product’s monetary cost. Monetary spending of green vs. conventional products in the above categories is required for the LEED EBOM certification documentation. 50% of the project total purchases (by cost) must meet the green building requirements of this policy. The Construction/Renovation Green Building Materials Form” must be approved before beginning work. Failure to submit this information prior to conducting work onsite shall render the project incomplete and can delay payment. Any request for a building product exception must be approved prior to the use of the product at the JFB. Submit exception request to PM/COR in writing with supporting justification. The form is provided as an attachment.

2. Before beginning work submit the “Construction Waste Management Form”, Attachment C, to the GSA Project Manager. Complete all aspects of the form except for tonnage amount. At project completion, add the tonnage amount to the Waste Management Form. Turn in to the GSA Project Manager this Form with a copy of the Recycling Receipt or Weight Tags from the Hauler, Recycling or Trash Facility.

3. SUBMITTALS

2.1 DESIGN DEVELOPMENT

A. Approved equipment configuration and installation plan before starting installation.

2.2 SUBMITTALS FOR APPROVAL

A. PRODUCT DATA

1. Provide manufacturer’s product data, including material testing, installation instructions, cleaning/maintenance instructions, and operation instructions for each proposed material. (list specific items as necessary)

B. SHOP DRAWINGS

1. Provide shop drawings as appropriate. (list quantities and specifics as necessary)

C. SAMPLES

1. Provide samples as appropriate. (list quantities and specifics as necessary)

D. MSDS

1. Provide material safety data sheets (MSDS) for all equipment and materials to be used on site.

2.3 OPERATIONS AND MAINTENANCE

A. OPERATIONS AND MAINTENANCE DOCUMENTATION

1. Provide three copies of O&M documentation

2.4 PROOF OF CONTRACTOR’S LICENSE

A. SPECIALTY CONTRACTOR LICENSES

1. Within 10 calendar days after contract award, the General Contractor shall show proof of a valid Washington State Specialty Contractor’s License held by all specialty subcontractor(s) who will perform work during this project, e.g. electrical, mechanical, asbestos subcontractors, or by the general contractor if such work is to be done by persons within its company.

2. Provide Low Voltage Wiring License for personnel performing low voltage wiring work.

2.5 WORK SCHEDULE

A. CONSTRUCTION SCHEDULE

1. Submit a Construction Schedule for the contract period within seven (7) calendar days of contract award. Indicate lead time for submittals and materials.

B. COMPATIBILITY

1. The schedule shall be in Microsoft Project, 2007 or earlier.

C. SCHEDULE FORMAT

1. The schedule shall provide project start and completion dates that will be used to coordinate the work of all project trades, and shall identify time required prior to construction for ordering/obtaining materials if necessary.

D. SCHEDULE DEPTH

1. The schedule shall be in sufficient detail for GSA to understand the intended work planned and to track progress.

E. SCHEDULE MODIFICATIONS

1. Any known deviations or delays shall be pointed out as soon as practical to facilitate coordination with the follow-on activities.

2. Contractor shall provide a revised Project Schedule when schedule changes are deemed as being significant by the COR.

2.6 INSPECTIONS

A. GSA WALK THROUGH

1. At least two (2) work days prior to completion of construction, the contractor representative shall submit a request for walk through inspection with the COR to identify any "punch list" items, items requiring repairs, or alterations necessary to meet the quality required under the contract. The on-site contractor representative will inspect quality of work and identify discrepancies prior to requesting an inspection with the COR.

B. PUNCH LIST COMPLETION

1. If any "punch list" items are identified, the contractor shall submit a plan and schedule of corrections to the COR.

2.7 WARRANTIES

A. COPIES OF WARRANTY

1. The contractor shall be responsible installing all material and equipment in accordance with original manufacturer specifications and requirements. Three copies of all warranty documents shall be provided to the COR.

2.8 TESTING AND TRAINING

A. Vendor shall provide detailed training on equipment operation and maintenance to JFB O/M personal.

3. GOVERNMENT FURNISHED PROPERTY

3.1 GOVERNMENT FURNISHED PROPERTY – None.

3.2 GOVERNMENT UTILITY USAGE

A. GOVERNMENT PROVIDED UTILITIES

1. The Contractor may use building utilities and bathroom facilities subject to the approval of the Property Manager.

B. UTILITIES REQUEST

1. The General Contractor shall arrange area lighting or power for construction activities in advance. In the Jackson Federal Building the contractor is to fill out a Service Request Worksheet and give to the project manager at least a 3 working days in advance. The Worksheet is available from the project manager.

2. Existing utility systems must remain operational throughout the duration of construction. Any disruptions in service must be coordinated in advance.

C. PROHIBITED USES

1. The Contractor shall prohibit his/her employees from entering spaces not pertinent to the work to be performed hereunder, from using telephones (except public, pay phones), and from disturbing furniture, papers, etc. belonging to tenants or to the US Government.

D. EMPLOYEE COMPLIANCE

1. The Contractor shall require his/her employees to comply with instructions pertaining to building regulations and conduct issued by duly appointed officials, such as the Property Manager, guards, or inspectors.

4. PERSONNEL SECURITY AND ACCESS

4.1 SECURITY CHECK AND ACCESS

A. OBTAINING CLEARANCE

1. Every contractor working on government property must have a security clearance and be properly badged. The process of adjudication starts upon the receipt of a completed personnel security package by FPS, an adjudication determination is normally made within 5 business days. Contractors cannot start work until a favorable initial adjudication is given. On contract award, the Prime Vendor will submit a CIW (Contractor Information Worksheet) completing sections one and two, for every contract employee, including their sub-contractor employees, to the GSA Project COR/PM. The CIW form will be completed by the GSA Project COR/CM with the appropriate contract information. All forms must be typed and printed. Actual signatures are required (not printed). Finger Print cards, FD-258 are required and may be obtained when finger prints are taken at an authorized facility.

2. Depending on the contract requirements, a short term clearance may be deemed appropriate by the GSA Requesting Official. Short term is defined as less than a 6 month requirement. See paragraph 3 below if a short term clearance is appropriate. The CIW form will be submitted to the Department of Homeland Security, Federal Protective Service (FPS) who will initiate an invitation to each contract employee to complete and submit their security clearance paperwork (SF85P) via the OPM (Office of Personnel Management) electronic system called e-QIP. This invitation will be submitted via email. Upon completion of the SF85P, the contract employee will print out the appropriate signature pages, sign them, and submit them in a sealed envelope along with Finger Print Cards FD-258 (1 set if electronic, 2 if manual ink) to the address below:

3. Complete Questions 1-6; Sign and date 17a of the OF 306. Questions 16B, 16D (if applicable), 16F (if applicable) and 16G (if applicable) on the OF 306 Addendum. Only the sections noted are required to be completed. Obtain Fingerprints on the FD-258 (1 set if electronic, 2 if manual ink). Mail package to address below:

General Services Administration Security Office 400 15th Street SW Auburn, WA 98001 253-931-7050

4.2 NOTICE OF INITIAL ADJUDICATION

A. ACTION BY FPS

1. The FPS will submit a Notice of Initial Adjudication (NIA) to the contract employee, and the GSA Security Office via email. Upon a favorable NIA, the contract employee may begin to work on the awarded government contract. A Final Notice of Adjudication (FNA) will be received once the entire security investigation is complete.

5. DEBRIS, DEMOLITION, SALVAGE AND CLEAN UP – FAR 52.246-13 Inspection -- Dismantling, Demolition, or Removal of Improvements (Aug. 1996) DEBRIS AND CLEAN UP 52.236-12 -- Cleaning Up

A. DEBRIS AND CLEAN UP

The Contractor shall at all times keep the work area, including storage areas, free from accumulations of waste materials. Before completing the work, the Contractor shall remove from the work and premises any rubbish, tools, scaffolding, equipment, and materials that are not the property of the Government. Upon completing the work, the contractor shall leave the work area in a clean, neat, and orderly condition satisfactory to the Contracting Officer.

6. MATERIAL AND WORKMANSHIP - FAR 52.236-5 -- Material and Workmanship

6.1 EQUIPMENT, MATERIALS, AND ARTICLES

A. USE OF EQUIPMENT, MATERIALS, AND ARTICLES

1. All equipment, material, and articles incorporated into the work covered by this contract shall be new and of the most suitable grade for the purpose intended.

2. When required by this contract or by the Contracting Officer, the Contractor shall also obtain the Contracting Officer’s approval of the material or articles which the Contractor contemplates incorporating into the work. When requesting approval, the Contractor shall provide full information concerning the material or articles. When directed to do so, the Contractor shall submit samples for approval at the Contractor’s expense, with all shipping charges prepaid. Machinery, equipment, material, and articles that do not have the required approval shall be installed or used at the risk of subsequent rejection.

3. All work under this contract shall be performed in a skillful and workmanlike manner. The Contracting Officer may require, in writing, that the Contractor remove from the work any employee the Contracting Officer deems incompetent, careless, or otherwise objectionable.

7. DRAWINGS, SPECIFICATIONS AND SITE VISITS – FAR 52.236-3 – Site Investigation and Conditions Affecting the Work

7.1 DRAWINGS AND SPECIFICATIONS

A. FIELD VERIFICATION

The Contractor acknowledges that it has taken steps reasonably necessary to ascertain the nature and location of the work, and that it has investigated and satisfied itself as to the general and local conditions which can affect the work or its cost, including but not limited to (1) conditions bearing upon transportation, disposal, handling, and storage of materials; (2) the availability of labor, water, electric power, and roads; (3) uncertainties of weather, river stages, tides, or similar physical conditions at the site; (4) the conformation and conditions of the ground; and (5) the character of equipment and facilities needed preliminary to and during work performance.

B. SITE VISITS

The Contractor also acknowledges that it has satisfied itself as to the character, quality, and quantity of surface and subsurface materials or obstacles to be encountered insofar as this information is reasonably ascertainable from an inspection of the site, including all exploratory work done by the Government, as well as from the drawings and specifications made a part of this contract.

8. DIFFERING SITE CONDITIONS – FAR 36.502 -- Differing Site Conditions

8.1 DIFFERING SITE CONDITIONS

A. NOTIFICATION OF DIFFERING SITE CONDITIONS

The Contractor shall promptly, and before the conditions are disturbed, give a written notice to the Contracting Officer of— (1) Subsurface or latent physical conditions at the site which differ materially from those indicated in this contract; or (2) Unknown physical conditions at the site, of an unusual nature, which differ materially from those ordinarily encountered and generally recognized as inhering in work of the character provided for in the contract.

9. ACCIDENT PREVENTION - FAR 52.236-13 -- Accident Prevention

9.1 WORK ENVIRONMENTS

A. SAFEGUARDING WORK ENVIRONMENTS

The Contractor shall provide and maintain work environments and procedures which will—(1) Safeguard the public and Government personnel, property, materials, supplies, and equipment exposed to Contractor operations and activities; (2) Avoid interruptions of Government operations and delays in project completion dates; and (3) Control costs in the performance of this contract.

B. TRAFFIC AND PEDESTRIAN PROTECTION

For these purposes on contracts for construction or dismantling, demolition, or removal of improvements, the Contractor shall— (1) Provide appropriate safety barricades, signs, and signal lights; (2) Comply with the standards issued by the Secretary of Labor at 29 CFR Part 1926 and 29 CFR Part 1910; and (3) Ensure that any additional measures the Contracting Officer determines to be reasonably necessary for the purposes are taken.

10. FIRE HAZARDS

10.1 FIRE PREVENTION

A. PREVENTION, STORAGE, AND DISPOSAL

1. The Contractor shall take every precaution to prevent fires during the performance of this contract. The Contractor shall provide a covered metal receptacle, placed away from combustibles for storage of oily rags, waste, etc. used in the performance of the work. All such receptacles shall be emptied at the end of each shift and properly disposed of outside federal property. Paint product containers are to be kept sealed when not in use. The contractor shall provide certified portable fire extinguishers suitable for the potential hazards involved, shall have them available at all times, and shall assure that all work personnel are trained in their use.

11. PROTECTION

11.1 PROTECTION OF PROPERTY

A. CONTRACTOR PROVIDED PROTECTION

1. The Contractor shall provide adequate protection for all parts of the building, its contents, and occupants wherever work under this contract is performed. Damage caused by the Contractor shall be repaired to the government’s satisfaction at Contractor’s expense.

12. CODES AND REGULATIONS - FAR 52.236-7 -- Permits and Responsibilities

12.1 COMPLIANCE

A. REGULATIONS AND CODES

The Contractor shall, without additional expense to the Government, be responsible for obtaining any necessary licenses and permits, and for complying with any Federal, State, and municipal laws, codes, and regulations applicable to the performance of the work.

A. STANDARDS AND GUIDELINES

1. The latest editions or versions of the following technical standards and guidelines are incorporated and made a part of this contract:

a) Facility Standards for the Public Buildings Service PBS-P100 http://www.gsa.gov/portal/content/104821

b) Uniform Federal Accessibility Standards http://www.access-board.gov/guidelines-and-standards

c) Americans with Disabilities Act Accessibility Guide http://www.access-board.gov/guidelines-and-standards

d) PBS CAD Standards http://www.gsa.gov/portal/content/104697

e) Project Estimating Requirements, PBS P120 http://www.gsa.gov/portal/content/102462

f) The Secretary of the Interior's Standards for the Treatment of Historic Properties http://www.nps.gov/history/hps/tps/standguide/

g) Jackson Federal Building Standards are available for common and the tenant areas. These standards can be requested from the Project Manager.

13. CORRESPONDENCE

13.1 POINTS OF CONTACT

A. CONTRACTING OFFICER

Doug Everley GSA/ Western Service Center Jackson Federal Building 915 2nd Avenue, Suite 514 Seattle, WA 98174 E-mail: doug.everley@gsa.gov Phone: (206) 220-5054

B. COR (Contracting Officer’s Representative) Steve Wilt GSA/ Western Service Center Jackson Federal Building 915 2nd Avenue, Suite 514 Seattle, WA 98174 E-mail: steve.wilt@gsa.gov Phone: (206) 220-4994; Fax: (253) 876-7125

C. PROPERTY MANAGER

Jeff Truax GSA/ Western Service Center Jackson Federal Building 915 2nd Avenue, Suite 566 Seattle, WA 98174 E-mail: jeff.truax@gsa.gov Phone: (206) 224-5902

14. ATTACHMENTS

Attachment A: Federal Buildings Construction/Renovation Green Building Materials Form Attachment B: Construction/Renovation Green Building Materials Policy Attachment C: Federal Buildings Construction Waste Management Form

Attachment A Federal Buildings Construction/Renovation Green Building Materials Form All GSA or outside vendors must record all building materials purchased for any renovation, minor repair or construction project conducted. 50% (by cost) of all of building materials must meet the below green criteria. For additional information see the Construction/Renovation Green Building Materials Policy.

Before starting a minor touch up, renovation or construction project, the outside contractor or government employee must submit this completed form for approval. Include each building products MSDS sheet and or product spec with the completed Form.

50% (by cost) of all Building Materials and Products listed below must meet one of the following green criteria:

(A) Building materials (1) 10% postconsumer and /or 20% postindustrial material, (2) 70% of the product was previously used, either through an internal reuse program or through an external off-site source. (3) Contain at least 50% rapidly renewable material, (4) wood is (FSC) Certified,

(B) Adhesives and Sealants VOC concentration will meet the South Coast Air Quality Management District (SCAQMD) Rule #1168. http://www.aqmd.gov/rules/reg/reg11/r1168.pdf.

Sealants used as fillers will meet o the requirements of the Bay Area Air Quality Management District Regulation 8, Rule 51. http://www.baaqmd.gov/dst/regulations/rg0851.pdf Waterproofing sealers must have a VOC concentration below 250g/L

(C) Paints, Paint Primers and Coatings VOC concentration will meet Green Seal’s Standard GS-11 requirements. http://www.greenseal.org/ .

(D) Carpet and Carpet Pads/Cushions will be certified Green Label Plus by the Carpet and Rug Institute (CRI) Green Label Program. www.carpet-rug.com.

(E) Engineered Wood Products (plywood, particle board, MDF, OSB etc) will have no added urea-formaldehyde.

Description, and Category (A, B, C, D, E, F or G) If Building Materials (A, D, E) List green criteria meet (1,2,3,4) CRI Green Label Plus or no added urea formaldehyde

VOC

g/L VOC g/L limit in Policy

Vendor Representative’s Name and Company (please print):

Vendor Representative’s Signature:

GSA Project Managers Signature

Attachment B

Construction/Renovation Green Building Materials Policy

This policy covers any and all materials, products or chemicals used for any renovation, construction or minor modification. Specifically this policy covers: (A) Building Materials (i.e. concrete, steel, gypsum board, ceiling tile, wood paneling etc, (B) adhesives, sealants, sealant primers and weatherproofing sealants, (C) paints and coatings, (D) carpet, carpet cushions/pads, (E) composite panels and engineered wood products. Mechanical, electrical and plumbing components are excluded from the policy requirements.

Before starting a minor touch up, renovation or construction project, the outside contractor or in-house GSA employee must submit the following Form “Construction/Renovation Green Building Materials Form”. The “Construction/Renovation Green Building Materials Form” requires the following information- all building products that will be used in the above categories, the green criteria they meet, their associated MSDS sheets or product spec sheet, VOC concentration, the policy’s VOC limit for the product, as well as the building product’s monetary cost. Monetary spending of green vs. conventional products in the above categories is required for the LEED EBOM certification documentation. 50% of your total purchases (by cost) must meet the green building requirements of this policy. The “Renovation Green Building Materials Form” must be approved before beginning work. Failure to submit this information prior to conducting work onsite shall render the project incomplete and can delay payment.

Any request for a building product exception must be approved prior to the use of the product. Submit exception request in writing (letter or email) with supporting justification to the GSA Project Manager. Exception request will be approved in written communication (letter or e-mail) prior to the building material being used onsite.

(A) Building Materials

50% (by costs) of all Building Products must meet at least one of the below criteria (i.e. concrete, steel, gypsum board, ceiling tile, paneling etc). Electrical, mechanical and plumbing components are excluded from this policy.

1. Building Materials contain at least 10% postconsumer and /or 20% postindustrial material.

2. Building Materials contain at least 70% material salvaged from off-site or outside the organization, or contains at least 70% material salvaged from on-site, through an internal organization materials and equipment reuse program.

3. Building Materials contain at least 50% rapidly renewable material.

4. Building buildings contain wood; at least 50% of the wood is Forest Stewardship Council (FSC) Certified.

(B) Adhesives and Sealants and Weatherproofing Products:

Adhesives and sealants VOC content must comply with the South Coast Air Quality Management District (SCAQMD) Rule #1168. http://www.aqmd.gov/rules/reg/reg11/r1168.pdf.

Sealants used as fillers will meet or exceed the requirements of the Bay Area Air Quality Management District Regulation 8, Rule 51. http://www.baaqmd.gov/dst/regulations/rg0851.pdf Adhesives and sealants include Adhesives, adhesive bonding primers, adhesive primers, sealants, sealant primers or other primers and sealants used as fillers.

The tables below summarize the VOC limits.

Table 1: Architectural Adhesives SCAQMD Rule #1168 VOC Limits : http://www.aqmd.gov/rules/reg/reg11/r1168.pdf

(g/L)

(g/L)

Table 2: Specialty Applications Adhesive SCAQMD Rule #1168 VOC limits –http://www.aqmd.gov/rules/reg/reg11/r1168.pdf

(g/L)

(g/L)

Table 3: Substrate-Specific Applications* SCAQMD Rule #1168 VOC limits –http://www.aqmd.gov/rules/reg/reg11/r1168.pdf

(g/L)

(g/L)

* If an adhesive is used to bond dissimilar substrates together, the adhesive with the highest VOC content must fall within the policy guidelines.

Table 4: Sealant, Sealant Primers and Bay Area Air Quality Management District (BAAQMD) regulation 8, rule 51:

http://www.baaqmd.gov/dst/regulations/rg0851.pdf

(g/L)

(g/L)

C. Paints and Coatings:

Paints and Coatings VOC content will not exceed the VOC and chemical component limits of Green Seal’s Standard GS-11 requirements. http://www.greenseal.org/ . Paint used outside the building must comply with the Green Seal exterior paint standards.

Table 5: Green Seal GS-11 VOC limits

D. Carpet and Carpet Pads/ Cushions All carpet will be certified Green Label Plus by the Carpet and Rug Institute (CRI) Green Label Program. All carpet cushions/pads will be certified Green Label by CRI. CRI is a trade organization that established the Green Label Testing program to identify low VOC emitting carpet for consumers. www.carpet-rug.com.

E. Engineered wood (Panels and agrifiber products including plywood, particle board, MDF, etc) All Composite panels and agrifibers products used at the Jackson Federal Building will contain no added urea-formaldehyde resins.

According to the US Environmental Protection Agency “Formaldehyde, a colorless, pungent-smelling gas, can cause watery eyes, burning sensations in the eyes and throat, nausea, and difficulty in breathing in some humans exposed at elevated levels (above 0.1 parts per million). High concentrations may trigger attacks in people with asthma. There is evidence that some people can develop sensitivity to formaldehyde. It has also been shown to cause cancer in animals and may cause cancer in humans. Health effects include eye, nose, and throat irritation; wheezing and coughing; fatigue; skin rash; severe allergic reactions. May cause cancer” (http://www.epa.gov/iaq/formalde.html).

Attachment C

Federal Buildings Construction Waste Management Form

You must recycle, re-use or donate 70% (by volume) of all construction waste!

1. Before beginning work submit the Construction Waste Management Form to GSA Project Manager. Complete all aspects of the form except for tonnage amount.

2. At project completion, add the tonnage amount to the Waste Management Form. Turn in to the GSA Project Manager this Form with a copy of the Recycling Receipt or Weight Tags from the Hauler, Recycling or Trash Facility.

3. Failure to submit this information shall render the project incomplete and may delay payment.

Minimum products that must be recycled, reused or salvaged Asphalt, Beverage Containers, Carpet, Clean Dimensional Wood, Concrete Bricks, Corrugated Cardboard, Glass, Gypsum Board, Land Clearing Debris, Metals and Plastic

Tonnage Recycled (weight in volume) Tonnage Land filled (weight in volume)

Total Waste Sent to Landfill (volume)

Total Waste Diverted (volume)

Vendor Company Name:

Vendor Representative’s Name (please print)

Vendor Representative’s Signature:

GSA Project Manager Signature:

image1.png oleObject1.bin