PostConsumerForm.pdf
PDF 377 KB Posted
- Attached to
- Interpretive Panels
- Solicitation number
- 0000037849
- Issued by
- California
About this file
PostConsumer Recycled-Content Certification
This document is a certification form issued by the California Department of Resources Recycling and Recovery (CalRecycle) as part of the State Agency Buy Recycled Campaign (SABRC), a mandatory state program requiring all California state agencies to report purchases within 16 specified product categories and verify recycled content. Contractors and vendors are required to certify in writing the minimum percentage of postconsumer recycled-content (PCRC) material in products, materials, goods, or supplies offered to the State, regardless of whether the product meets statutory minimum requirements. The certification must be provided under penalty of perjury for all purchases within the SABRC product categories, including paper products, printing and writing papers, soil amendments, glass products, lubricating oils, plastic products, paint, antifreeze, tires, tire-derived products, metal products, vehicles, building finishes, carpet, erosion control products, textiles, and pavement surfacing. For the interpretive panels contract requesting 69 high-pressure laminate (HPL) panels measuring 36 inches in height by 48 inches in width, vendors must declare the postconsumer recycled content percentage and identify the applicable SABRC product category code.
The certification form requires contractors to complete fields identifying the state agency, purchasing agent, purchase order number, contractor/company name, address, and specific product or service descriptions with corresponding PCRC percentages and SABRC category codes. Minimum postconsumer content requirements vary by product category, ranging from zero percent for certain textiles to 100 percent for compost filter socks, compost blankets, and hydraulic mulch products. The form permits certification based on written product verification sources such as labels, catalogs, manufacturer websites, or vendor advertisements, eliminating the need for formal written certification if content can be verified through these means. Agencies may waive certification requirements if postconsumer content is verifiable through such documentation. Contractors sign and submit the form certifying under penalty of perjury that all information provided is true and correct.
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Other files
| File | Type | Posted |
|---|---|---|
| Bidder_Declaration_-_DFW_1082.pdf | ||
| STD_204_-_Payee_Data_Record.pdf | ||
| DFW1080ext.pdf | ||
| RFQ-SHIP_panels.docx | DOCX document |
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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))
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: |
File details come from the government source that posted it. Updated .