SOWAtchM-SustainableProcurementStmnt.pdf

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Sustainable Procurement Statement Fairchild Air Force Base

Project Number: OPP 1134574

Project Title/Description: ADD (RM) Kitchenette; B1204

The items checked below indicate whether or not product(s) that I am specifying for procurement are listed on a mandatory environmental purchasing list:

YES NO

X

X X X

1. U.S. EPA Comprehensive Procurement Guidelines published at:

https://www.epa.gov/smm/comprehensive-procurement-guideline-cpg-program.

2. USDA Biobased product listings published at: http://www.biopreferred.gov/

3. Energy Star® product listings published at: www.energystar.gov/products.

4. FEMP Low Standby Power product listings published at:

http://energy.gov/eere/femp/federal-energy-management-program

If item # 1 is checked as �yes� above, I am required to include the Fairchild AFB Recovered Material Determination Form (RMDF) and if applicable, the Recovered Materials Exemption Determination Form in the procurement package. For all other items checked as �yes� above, I have ensured that specifications include associated requirements and clauses to ensure the purchase of these items.

In addition, I have sought to reduce the environmental damages associated with this procurement by considering the specification of environmentally preferable products and services to the extent feasible, consistent with price, performance, availability, and safety considerations. I have considered products with recycled or bio-based content as well as other environmentally preferable attributes (as further described on the FedCenter website published at:

https://www.fedcenter.gov/programs/buygreen/, such as:

� Sustainable Products � Environmentally Preferable Products � Reduced packaging � Durability and repair ability � Reduced toxicity � Conservation of natural resources � Water conservation � Low Volatile Organic Compound (VOC) Content

Signature: Date: 1 February 2023

Printed Name: Brian S. Page

Title/Role: Project Manager

Organization: 92 CES/CENM

FA462023R0002

SOW Attachment M - Sustainable Procurement Statement (From FAFB BDG)

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RECOVERED MATERIALS DETERMINATION FORM (RMDF)

USER�S GUIDE FOR CONSTRUCTION CONTRACTS

1. PURPOSE OF FORM. The �Recovered Materials Determination Form� (RMDF) is used to clearly identify items listed in the Comprehensive Procurement Guidelines (CPG) that are included in a procurement action and document the use of applicable exemptions taken for the CPG items identified.

2. OPR. Contracting and Civil Engineer/Environmental

3. OCR. Civil Engineer/Engineering/Construction and Civil Engineer/Operations

4. APPLICABILITY. The RMDF applies to all procurement actions (other than GPC purchases) that include items that are listed in the CPG program.

5. INTENT FOR USE.

a. The RMDF is included in the Fairchild AFB Environmental Protection specification or the Product Requirements Section. This requirement will be included in all construction contracts.

b. The requiring organization will be responsible for completing an RMDF if any of the mandatory CPG items are required. For CPG items where exemptions are identified during project/contract performance, an amended RMDF must be completed documenting the exemption. The OCR organizations listed above will be responsible for verifying the completed RMDFs.

6. FILING PROCEDURE. If applicable, the RMDF and any amended RMDFs will be included in the contracting file. Contracting is responsible for ensuring that a GPP Statement and, if applicable, the RMDF (and any amended RMDFs) is included in contracting files.

FA462023R0002

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RECOVERED MATERIALS DETERMINATION FORM

Instructions

This form is to be completed by the procurement originator when EPA-designated items included in the Sustainable Procurement Program for Recovered Materials are being procured from outside vendors. For questions on whether the product counts as �EPA-designated� or what the required recycled content is, refer to product descriptions on EPA�s website at: https://www.epa.gov/smm/comprehensive-procurement-guideline-cpg-program. The procurement originator checks off which item(s) apply to the procurement request, signs, and dates the bottom of the form. The completed form becomes part of the contracting office contract file.

Procurement Request / Project No. OPP 1134574

The EPA-designated items being procured are:

PAPER AND PAPER PRODUCTS PARKS AND RECREATIONAL PRODUCTS

Commercial/Industry Sanitary tissue Park benches and picnic tables Miscellaneous papers Plastic fencing Newsprint Playground equipment Paperboard and packaging Playground surfaces Printing and writing papers Running tracks

VEHICULAR PRODUCTS

Re-refined Lubricating Oils

LANDSCAPING PRODUCTS

Compost and Fertilizer from recovered organic material

Engine coolants Garden and soaker hoses Retread Tires Hydraulic mulch

Lawn and garden edging CONSTRUCTION PRODUCTS Plastic lumber landscaping timbers and posts Building Insulation

Carpet NON-PAPER OFFICE PRODUCTS Binders, clipboards, file folders, clip portfolios, and Carpet cushion presentation folders

Cement and Concrete Containing Fly Ash or

Ground Granulated Blast Furnace Slag Office recycling containers X Consolidated and reprocessed latex paint Office waste receptacles X Floor tiles Plastic desktop accessories Flowable fill Plastic envelopes Laminated Paperboard Plastic trash bags Modular threshold ramps Office Furniture

Non-pressure Pipe Printer ribbons Patio blocks Toner cartridges

Railroad grade crossing surfaces Roofing Materials MISCELLANEOUS PRODUCTS

Shower and restroom dividers/partitions Awards and plaques Structural fiberboard Bike racks TRANSPORTATION PRODUCTS Blasting grit Channelizers Industrial drums Delineators Manual-grade strapping Flexible delineators Mats

Parking Stops Pallets Traffic barricades Signage Traffic cones Sorbents

3. No recovered materials listed above or on EPA�s website will be procured under this contract.

I hereby certify the Statement of Work/Specifications for the requisition of materials/services listed above complies with applicable FAFB preference standards for recycled/recovered materials.

1 February 2023

Procurement Originator�s Signature Date

FA462023R0002

Recovered Materials Exemption Form

Project/Purchase Request Number: OPP 1134574

EPA recycled-content requirements have been met for this procurement action.

**** OR *****

The following EPA designated guideline item is included in the specifications; however, compliance with EPA standards is not attainable.

Item:

I have determined that the EPA guidelines were considered and determined inapplicable, based on the following:

Item is not available within a reasonable period of time.

Need date: Date available:

Item fails to meet a performance standard in the specifications.

Describe the standard and why it is needed:

Describe how the guideline item fails to meet the standard:

Item is not available from 2 or more sources.

Market research was performed by calling (insert number) vendors, but only (enter name) was able to supply the item.

Item only available at an unreasonable price (i.e., recycled item is more expensive).

Price of recycled item:

Price of non-recycled item:

This determination is made in accordance with FAR 23.405(c).

Brian S. Page, 92 CES/CENM 1 February 2023

Technical OPR - Signature and Office Symbol Date

Concurrence - Contracting Officer Date

FA462023R0002