Recycled_Material_Content_Questionnaire_and_Affidavit.pdf
PDF 76 KB Posted
- Attached to
- Culverts, Bands, Drop Structures
- Solicitation number
- 2025-178
- Issued by
- Los Angeles County, Texas
About this file
The document is a Recycled Material Content Questionnaire and Affidavit issued by Collin County, designed to capture suppliers' information about recycled and post-consumer material content in their products. The form requires suppliers to reference the latest Consolidated Recovered Materials Advisory Notice (RMAN) from the EPA's Comprehensive Procurement Guideline (CPG) and complete a detailed table documenting the recycled material composition of their products. Suppliers must specify which RMAN section includes their product, the percentage of recovered and post-consumer materials, and whether the product meets specific procurement recommendations. The form also requires suppliers to provide documentation verifying material content and includes a sworn affirmation of the information's accuracy.
The questionnaire includes a commitment from suppliers to maintain the reported recycled material content throughout the contract term and allows Collin County to audit compliance. Suppliers must notify the county within 30 days of any changes in material recyclable content. While the document is part of a broader procurement process, the specific contract details are not fully elaborated in this form. The emphasis is on transparency and verification of recycled material usage, aligning with Collin County's preference for environmentally responsible procurement practices. The form provides space for multiple product entries and requires an authorized signature, printed name, title, and date to validate the supplier's declarations.
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Other files
| File | Type | Posted |
|---|---|---|
| Culverts,_Bands,_Drop_Structures.pdf | ||
| Legal_Notice.doc | DOC document | |
| CIQ_Form.pdf | ||
| W9_.pdf |
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Text version
SUPPLIER NAME:
Line Item #
1. Which Section of
RMAN
includes this product?
(Write in
Section #)
2. How much recovered material does your product contain
(% of total)?
3. How much post-consumer material does your product contain (% of total)?
4. Does your product meet the Specific
Recommendations for Procurement of
Designated Item in the
RMAN?
(Write YES OR NO) If yes to #4, list the documentation you are providing to verify the content
AUTHORIZED SIGNATURE:
PRINTED NAME: DATE:
TITLE:
RECYCLED MATERIAL CONTENT QUESTIONNAIRE AND AFFIDAVIT
Refer to the latest version of Consolidated Recovered Materials Advisory Notice (RMAN) for the Comprehensive Procurement Guideline (CPG) available at the EPA website (https://www.epa.gov/smm/consolidated-recovered-materials-advisory-notices-rmans-comprehensive-procurement-guidelines) then complete the following table (you may add additional rows as necessary):
The undersigned swears/affirms that the foregoing information and statements are true and correct, and that the supplier shall maintain the above through the term of the contract in order to satisfy the requirements of Collin County's preference for recycled products. Furthermore, the undersigned agrees that Collin County may audit my files to confirm compliance with the foregoing; and I further agree to notify Collin County within 30 days after any change in materials related to the recyclable content cited in this affidavit.
Description of Product(s)
Sheet1
File details come from the government source that posted it. Updated .