SOWAtchN-KTRRcvrdMtrlsCert.pdf

CONTRACTOR’S RECOVERED MATERIALS CERTIFICATION

USER’S GUIDE

1. PURPOSE OF FORM. Upon completion of a project, contractors will be required to complete this form identifying the actual types and value of EPA-designated recycled content items used on the project.

2. OPR. Contracting and Civil Engineer/Environmental

3. OCR. Civil Engineer/Construction, Civil Engineer/MATOC, and Civil Engineer/Operations.

4. APPLICABILITY. Contractor’s Recovered Materials Certification Form is used for noncommercial projects exceeding $150,000 in value and where FAR 52.223-9 is included, and completed by the contractor upon contract completion. If Alt 1 of the clause is used, the contractor shall certify at contract start, that the percentages of recovered materials for any EPA designated items shall meet the applicable contract specs or other contractual requirements.

5. INTENT FOR USE. Contractors will be responsible for completing an RMDF if any of the mandatory CPG items are required. The OCR organizations listed above will be responsible for verifying the completed certification.

6. FILING PROCEDURE. If applicable, the Recovered Materials Certification will be included in the purchasing or contracting file. Contracting is responsible for ensuring that the certification is included in contracting files.

FA462023R0002

SOW Attachment N - Contractor’s Recovered Materials Certification (From FAFB BDG)

CONTRACTOR’S RECOVERED MATERIALS CERTIFICATION

Project No. /Contract No.

Project Description:

The Contractor shall list which item(s) apply to the requirement, the required recycled content, and shall sign and date.

The Contractor shall complete the following matrix of EPA designated recycled content items by placing the information in the boxes beside each applicable item.

Comprehensive Procurement Guidelines (CPG) Categories and Designated Items

Fill in all appropriate boxes

Specification Section No.

Percent Recycled Content

Manufacturer’s Name &

Address

Approx.

Value of

Item for This Contract Required Actual

CONSTRUCTION PRODUCTS

Building insulation products

Carpet (polyester)

Carpet cushion

Cement and concrete (containing coal fly ash, ground granulated blast furnace slag, cenospheres, and silica fumes

Consolidated and reprocessed latex paint

Floor tiles

Flowable fill

Laminated paperboard

Modular threshold ramps

Non-pressure pipe

Patio blocks

Railroad grade crossings/ surfaces

Roofing materials

Shower and restroom dividers/partitions

Structural fiberboard

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LANDSCAPING PRODUCTS

Compost and fertilizer made from recovered organic materials

Garden and soaker hoses

Hydraulic mulch

Lawn and garden edging

Plastic lumber, landscaping timbers and posts

NON-PAPER OFFICE PRODUCTS

Binders, clipboards, file folders, clip portfolios, and presentation folders

Office furniture

Office recycling containers & waste receptacles

Plastic desktop accessories

Plastic envelopes

Plastic trash bags

Printer ribbons

Toner cartridges

PAPER AND PAPER PRODUCTS

Printing and writing papers

Newsprint

Commercial/industrial sanitary tissue products

Paperboard and packaging products

Miscellaneous papers

PARK and RECREATION PRODUCTS

Park benches and picnic tables

Plastic fencing

Playground equipment

Playground surfaces

Running tracks

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TRANSPORTATION PRODUCTS

Channelizers, delineators, and flexible delineators

Parking stops

Traffic barricades

Traffic cones

VEHICULAR PRODUCTS

Engine coolants

Rebuilt vehicular parts

Re-refined lubricating oils

Retread tires

MISCELLANEOUS PRODUCTS

Awards and plaques

Bike racks

Blasting grit

Industrial drums

Manual-grade strapping

Mats

Pallets

Signage

Sorbents

OTHER ITEMS

I hereby certify the Contract Specifications for the requisition of all materials listed on this form complies with EPA standards for recycled/recovered materials content.

Contractor’s Signature

Contractor’s Title and Company

Date

FA462023R0002