Recycled_Material_Content_Questionnaire_and_Affidavit_(if_applicable).pdf
PDF 76 KB Posted
- Attached to
- Road Materials, Liquid Asphalts
- Solicitation number
- 2026-277
- Issued by
- Collin County, Texas
About this file
This is a Recycled Material Content Questionnaire and Affidavit form related to Collin County's Road Materials and Liquid Asphalts procurement in Texas. The document serves as a certification mechanism for bidders supplying liquid asphalts to verify compliance with recycled material content requirements established by the Texas Department of Transportation (TxDOT). All materials submitted must meet the standards outlined in Item #300, Asphalt, Oils, and Emulsions, as specified in the Standard Specifications for Construction and Maintenance of Highways, Streets and Bridges, 2024 Edition. The form requires bidders to disclose the percentage of recycled content incorporated into their asphalt products and to affirm under oath the accuracy of their submissions, ensuring transparency and accountability in the material sourcing process.
The affidavit component of this document mandates that respondents provide detailed information regarding the recycled material composition of their proposed products, with particular emphasis on compliance with environmental and sustainability standards. Bidders must certify their claims regarding recycled content percentages, and any false statements or misrepresentations are subject to legal penalties. This requirement reflects Collin County's commitment to sustainable procurement practices and supports the state's environmental initiatives by promoting the use of recycled materials in infrastructure projects. The form functions as both an informational document and a legally binding attestation that protects the county's interests while incentivizing suppliers to incorporate environmentally responsible materials into their products.
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Other files
| File | Type | Posted |
|---|---|---|
| Road_Materials,_Liquid_Asphalts_(Addendum_#2_Revision).pdf | ||
| Road_Materials,_Liquid_Asphalts.pdf | ||
| Legal_notice_2026-277.doc | DOC document | |
| W9_.pdf | ||
| CIQ_Form.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
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