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PROGRAM DESCRIPTION APPROVED:
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

EMCBC Director

ISSUED BY: Office of the Director

1.  [Purpose]{.underline}

> The purpose of this program description is to establish
> responsibilities and provide a comprehensive EMCBC-wide approach for
> implementing an effective Green Purchasing Program. In accordance with
> Executive Order (EO) 13423, acquisition of goods and services requires
> (1) use of sustainable environmental practices, including acquisition
> of biobased, environmentally preferable, energy-efficient,
> water-efficient, and recycled-content products, and (2) use of paper
> of at least 30 percent post-consumer fiber content. Green purchasing
> expands markets for green products and services, reduces the amount of
> solid waste generated, and reduces consumption of energy and natural
> resources.

2.  [Scope]{.underline}

> The Green Purchasing Program applies to all acquisitions from
> simplified acquisitions accomplished via a government-issued purchase
> card to major contract awards.

3.  [Applicability]{.underline}

> All EMCBC employees shall comply with this program description.
> Service Level Agreement (SLA) sites have the option of choosing to
> adopt this program or develop their own.

4.  [Requirements]{.underline}

    1.  Resource Conservation and Recovery Act of 1976, Section 6002

    2.  Pollution Prevention Act of 1990

    3.  Clean Air Act, as amended in 1990 (Title VI)

    4.  Farm Security and Rural Investment Act of 2002, Section 9002

    5.  Energy Policy Act of 2005

    6.  Energy Independence and Security Act of 2007

    7.  Executive Order 13423- Strengthening Federal Environmental,
        Energy, and Transportation Management, January 26, 2007

    8.  40 Code of Federal Regulations (CFR) Part 247- Comprehensive
        Procurement Guideline for Products Containing Recovered
        Materials

    9.  7 CFR Part 2902- Guidelines for Designating Biobased Products
        for Federal Procurement

    10. FAR Part 23- Environment, Energy and Water Efficiency, Renewable
        Energy Technologies, Occupational Safety, and Drug-Free
        Workplace

    11. FAR Part 52- Solicitation Provisions and Contract Clauses:
        52.204-4, 52.223-1, 52.223-2, 52.223-4, 52.223-9,
        52.223-20,52.223-10, 52.223-15, 52.223-16, 52.223-17

    12. DEAR Part 923 -- Environment, Conservation, Occupational Safety,
        and Drug-Free Workplace

    13. DOE Acquisition Guide Chapter 23, Strengthening Federal
        Environmental, Energy and Transportation Management

    14. DOE Order 430.2B- Departmental Energy, Renewable Energy and
        Transportation Management, February 27, 2008

    15. DOE Order 450.1A- Environmental Protection Program, June 4, 2008

    16. FAR Case 2006-030, Electronic Products Environmental Assessment
        Tool, Federal Register (FR) Vol. 72, No. 246, pp. 73215-73218,
        December 26, 2007

    17. FAR Case 2006-008, Implementation of Section 104 of the Energy
        Policy Act of 2005, FR Vol. 72, No. 225, pp. 65868-65873,
        November 23, 2007

    18. FAR Case 2004-032, Biobased Products Preference Program, FR Vol.
        72, No. 215, pp. 63040-63045, November 7, 2007

    19. Acquisition Letter 2007-12 regarding EO 13423, September 20,
        2007

    20. Acquisition Letter 2007-08 Environmentally Preferable Purchasing
        Through the Use of the Electronic Product Environmental
        Assessment Tool (EPEAT) dated April 27, 2007

    21. Acquisition Letter 2008-05 to implement Section 3(e) of
        Executive Order 13423 which states that contractor operation of
        Government-owned facilities or vehicles requires the contractors
        to comply with the provisions of the EO, dated April 3, 2008

    22. Office of the Federal Environmental Executive (OFEE)
        Instructions for Implementing Executive Order 13423
        "Strengthening Federal Environmental, Energy, and Transportation
        Management" dated March 29, 2007

    23. EMCBC Purchase Card Operating Procedure (IP-412-01)

    24. EPA "Final Guidance on Environmentally Preferable Purchasing for
        Executive Agencies" FR dated August 20, 1999

5.  [Definitions]{.underline}

    1.  [Acquisition]{.underline}- acquiring by contract using
        appropriated funds for supplies or services by and for the
        Federal Government through purchase or lease, whether the
        supplies or services are already in existence or must be
        created, developed, or demonstrated and evaluated. Acquisition
        begins when agency needs are established and includes the
        description of requirements to satisfy agency needs,
        solicitation, selection of sources, contract award and financing
        details, contract performance and administration and those
        technical and management functions directly related to the
        process of fulfilling agency needs by contract.

    2.  [Biobased Product]{.underline}- (a.k.a. BioPreferred Product) a
        commercial or industrial product (other than food or feed) that
        utilizes biological products or renewable domestic agriculture
        or forestry materials.

    3.  [Case-by Case Procurement]{.underline}- open competition for
        contract awards among products made of virgin and recovered
        material with preference being given to the latter (minimum
        content standards required).

    4.  [Certification]{.underline}- provided by
        offerors/bidders/vendors, it is written documentation certifying
        the percentage of recovered materials contained in products or
        to be used in the performance of the contracts is at least the
        amount required by applicable specifications or other
        contractual requirements. Certification on multi-component or
        multi-material products should verify the percentage of
        postconsumer waste and recycled material contained in the major
        constituents of the product.

    5.  [Energy-Efficient Product]{.underline}- a product in the upper
        25 percent of efficiency for all similar products or, if there
        are applicable Federal appliance or equipment efficiency
        standards, a product that is at least 10 percent more efficient
        than the minimum Federal standard.

    6.  [Environmentally Preferable]{.underline}- products or services
        that have a lesser or reduced effect on human health and the
        environment when compared with competing products or services
        serving the same purpose. The comparison may consider raw
        materials acquisition, production, manufacturing, packaging,
        distribution, reuse, operation, maintenance, or product or
        service disposal.

    7.  [Environmental Protection Agency (EPA)-Designated
        Item]{.underline}- an available EPA Comprehensive Procurement
        Guide (CPG) item or category of items made with recovered
        material, advancing the purpose of RCRA when purchased.

    8.  [EPEAT]{.underline}- acronym for "Electronic Products
        Environmental Assessment Tool" which must be used when acquiring
        personal computer products such as desktops, notebooks, and
        monitors.

    9.  [Estimation]{.underline}- quantitative determination made by
        vendors of the total percentage of recovered material contained
        in offered products. Estimations should be based on historical
        or actual percentages of recovered materials in products sold in
        substantial quantities to the general public or on other factual
        basis. EPA recommends procuring agencies maintain records of
        these documents for 3 years by product type, quantity purchased
        and price paid.

    10. [Federal Supply Source]{.underline}- any supply source managed
        by a Federal agency such as the General Services Administration
        (GSA) or Government Printing Office.

    11. [Green Acquisition Advocate]{.underline}- Green Purchasing
        Coordinator.

    12. [Green Procurement]{.underline}- (a.k.a. Affirmative
        Procurement) is the purchase of environmentally preferable
        products and services in accordance with one or more of the
        established Federal green procurement preference programs.

    13. [Life Cycle Cost]{.underline}- the amortized cost of a product,
        including capitol costs, installation costs, operating costs,
        maintenance costs, and disposal costs discounted over the
        lifetime of the product.

    14. [Minimum Content Standard]{.underline}- the minimum recovered
        material content specifications set to assure the recovered
        material content required is the maximum available without
        jeopardizing the intended item use or violating the limitations
        of the minimum content standards set forth by EPA's guidelines.

    15. [Pollution Prevention]{.underline}- "source reduction" as
        defined in the Pollution Prevention Act of 1990, and other
        practices that reduce or eliminate the creation of pollutants
        through (a) increased efficiency in the use of raw materials,
        energy, water, or other resources or (b) protection of natural
        resources by conservation.

    16. [Postconsumer Material]{.underline}- a material or finished
        product whose life as a consumer item has concluded, after
        having served its intended use and being discarded for disposal
        or recovery. Postconsumer material is part of the broader
        category of "recovered materials."

    17. [Preference]{.underline}- when two products or services are
        equal in performance characteristics and price, the Government,
        in making purchasing decisions will favor the more
        environmentally-sound or energy efficient product.

    18. [Procurement Guidelines]{.underline}- regulations issued by EPA
        pursuant to Section 6002 of RCRA: (1) identifying items produced
        with recovered materials and where procurement of such items
        will advance the objectives of RCRA; and (2) providing
        recommended practices for the procurement of such items.

    19. [Procurement Request Originator]{.underline}- the individual or
        organization responsible for defining the requirements for a
        purchase or acquisition program. A Procurement Request
        Originator may be a purchase cardholder or any other individual
        who requests supplies or services.

    20. [Procuring Organization]{.underline}- Office of Contracting,
        EMCBC.

    21. [Recovered Material]{.underline} -- waste materials and
        by-products recovered or diverted from solid waste, excluding
        those materials and by-products generated from, and commonly
        reused within an original manufacturing process.

    22. [Recyclability]{.underline} -- degree to which a product or
        material may be recovered or otherwise diverted from the solid
        waste stream for the purpose of recycling.

    23. [Recycled material]{.underline} -- a material utilized in place
        or raw or virgin material in product manufacturing consisting of
        materials derived from postconsumer waste, industrial scrap
        material derived from agriculture wastes and other items, all of
        which can be used in new product manufacture.

    24. [Recycling]{.underline}- the series of activities, including
        collection, separation, and processing by which materials are
        recovered from the solid waste stream for use as raw materials
        in the manufacture of new products.

    25. [Unreasonable Price]{.underline}- when recycled product cost is
        greater compared to virgin material cost (unreasonable price is
        not a factor when minimum content standards are specified in the
        statement of work/procurement request, because price estimates
        will only be obtained from vendors who can supply products
        meeting recovered material content requirements.)

    26. [United States Department of Agriculture (USDA)-Designated
        Item]{.underline}- a biobased product designated by the U.S
        Department of Agriculture.

    27. [Verification]{.underline} -- procedures used by procuring
        agencies to confirm both vendor estimates and certifications of
        the percentages of recovered material contained in the products
        supplied to them or to be used in the performance of a contract.

6.  [RESPONSIBILITIES]{.underline}

    1.  Procurement Request Originators will:

        1.  Identify and document whether green products and services
            are available and can satisfy local requirements for price,
            availability and performance.

        2.  Ensure that relevant green procurement requirements are
            identified, prior to submission to the Contracting Officer
            so that final/approved purchase requests properly address
            all applicable green procurement requirements.

        3.  Consult with Office of Contracting and Office of Logistics
            Management in order to improve and enhance procurement plans
            and for preparing statements of work or specifications that
            incorporate relevant green procurement requirements of
            Federal laws, regulations, Executive Orders and DOE
            directives.

        4.  Thoroughly document in writing if green procurement items
            cannot be procured competitively within a reasonable
            timeframe, meeting reasonable performance standards, or at a
            reasonable price.

        5.  Apply life-cycle cost concepts to determine cost
            effectiveness or green alternatives for use in acquisition
            and procurement decisions.

        6.  Provide oversight of contract execution to ensure green
            procurement requirements are addressed in accordance with
            the terms and conditions of the contract.

    2.  Contracting Officers will:

        1.  Review all procurement requests to ascertain and validate
            whether green products or services are involved in the
            procurement action.

        2.  Provide guidance to procurement request originators with
            respect to green products and services.

        3.  Incorporate appropriate green procurement language and FAR
            clauses in contracts consistent with specification provided
            by the Procurement Request Originator.

        4.  Gather and report procurement data for the purpose of
            management evaluation of green procurement performance when
            such data is maintained in the Federal Procurement Data
            System or other databases operated by the Office of
            Contracting.

        5.  Ensure all contract actions from development through award,
            execution, and close-out meet applicable FAR requirement for
            green procurement.

        6.  Specifically, as required by FAR 23.405, place a written
            justification in the contract file for acquisitions that
            describes why an EPA-designated item meeting the recovered
            material content guidelines was not acquired.

        7.  Maintain required documents in the contract file to include
            estimates, certifications and written justification for
            exceptions.

        8.  Include environmental considerations (reuse, recycling,
            waste reduction, and green purchasing) as a selection
            criterion.

    3.  Green Purchasing Coordinator will:

        1.  Coordinate training on green procurement to all personnel
            involved with acquisitions.

        2.  Advise the Procurement Request Generators and Contracting
            Officers on acquisition strategies for green products and
            services.

        3.  Provide Procurement Request Generators and Contracting
            Officials with current Federal listings of green products.

        4.  Provide green procurement consultation support for all
            personnel and organizations involved in the purchasing
            process, including personnel and organizations that define
            requirements, write specifications, order, purchase, or
            contract for products or services.

        5.  Provide recommendations to management personnel across all
            organizations involved in the purchasing process regarding
            green purchasing.

        6.  Update annually DOE's Environmentally Preferable Purchasing
            database for the EMCBC.

    4.  Assistant Director of Office of Contracting will:

        1.  Designate a Green Purchasing Coordinator.

        2.  Ensure that all Office of Contracting personnel are trained
            in green procurement such that all personnel involved in the
            procurement process are aware of, and accountable for
            complying with green procurement requirements relevant to
            their position.

        3.  Establish EMCBC targets and objectives for green procurement
            in consultation with the Director, Assistant Directors, and
            Federal Project Directors.

6.5 Director Environmental Management Consolidated Business Center will:

> 6.5.1 Ensure that all EMCBC are trained in green procurement to ensure
> that all personnel involved in the procurement process are aware of,
> and accountable for complying with green procurement requirements
> relevant to their procurement activity.
>
> 6.5.2 Promote the EMCBC's Green Purchasing Program.
>
> 6.5.3 Establish EMCBC targets and objectives for green procurement.

7.  [GENERAL INFORMATION]{.underline}

> Green products or services must be considered as the first choice in
> ALL procurements. There are some green procurement rules that mandate
> the specific procurement of supplies/services and there are some rules
> that only emphasize that procuring green products/services is highly
> preferred/recommended. For example, procurement rules require the
> agency to purchase green products when you are planning to purchase
> products and services in the following categories (note that this is a
> partial list):
>
> Office products (including electronic equipment and furniture)
>
> Printing services
>
> Fleet vehicles and fleet maintenance products
>
> Building construction, renovation and maintenance (including
> janitorial and landscape services)
>
> Traffic Control
>
> Park and recreation
>
> Lighting
>
> Appliances
>
> It should be noted that green procurement requirements apply to both
> supply and service acquisitions. In every procurement action, the
> procurement request originator must justify a decision not to procure
> a green alternative in accordance with the requirements of Federal
> green procurement preference programs. As an example, for recovered
> material content and biobased purchases, the justification must be
> based upon the inability to acquire the product in a timely manner, at
> a reasonable price, or to satisfy the technical/performance
> requirements.

8.  [RECORDS MAINTENANCE]{.underline}

> The written justification for not procuring an item that meets the
> Federal green procurement requirements must be maintained in the
> contract files or purchase card files (for micropurchases).

9.  [FORMS USED]{.underline}

> Attachment A, Exemption Justification Form

10. [LINKS]{.underline}

> 10.1 OFEE Federal Green Purchasing Program:
> <http://www.ofee.gov/gp/gp.asp>
>
> 10.2 EPA "Final Guidance on Environmentally Preferable Purchasing for
> Executive Agencies"
> <http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=1999_register&docid=fr20au99-148.pdf>
>
> 10.3 EPA green programs and products:
> <http://www.epa.gov/epp/database.htm>
>
> 10.4 EPA Region 8 Pollution Prevention Resource Information Links:
> [www.epa.gov/region8/conservation_recycling/links](http://www.epa.gov/region8/conservation_recycling/links)
>
> 10.5 EPA-designated items: <http://www.epa.gov/cpg>
>
> 10.6 USDA-designated items: <http://www.usda.gov/biopreferred>
>
> 10.7 DOE Environmentally Preferable Purchasing:
> <http://www.hss.doe.gov/pp/epp/>
>
> 10.8 DOE Complex-Wide Sustainable Design Program:
> <http://www.pnl.gov/doesustainabledesign/tools/reference>

11. [ATTACHMENTS]{.underline}

> 11.1 Attachment A, Exemption Justification Form
>
> 11.2 Attachment B, Sample Biobased Contract Language for Minor
> Construction

11.3 Attachment C, Template for Vendors: Biobased Product Specifications

11.4 Attachment D, EMCBC Record of Revision

**Attachment A**

**Exemption Justification** **Form**

**for Biobased and Recycled Content Designated Products**

**NOTE: This form or a site-specific version must be completed for all
purchases of products designated for purchase with recycled or biobased
content where the required content was not obtained.**

**Site:**

**Requisition/Purchase Order Number:**

**Product Category:**

\_\_\_ Construction \_\_\_ Landscaping \_\_\_ Nonpaper office \_\_\_
Paper & Paper Products

\_\_\_ Park and Recreation \_\_\_Transportation \_\_\_Vehicular
\_\_\_Miscellaneous

**Product Name:** **Quantity:** **Quantity Unit:**

**Purchase Price (unit):** **Purchase Price (total):**

**Product with recycled/biobased content was not procured because**
(select all that apply)**:**

**\_\_\_** Product is not available competitively within a reasonable
period of time

\_\_\_ Product is not available at a reasonable price

**\_\_\_** Product is not available within the performance requirements

**Written justification and supporting documentation for not procuring
product with recycled/biobased content** (furnish succinct details
regarding the unavailability, untimely availability, unacceptable
performance, or unreasonable price justifying purchase of a product
without the recommended content)**:**

**Name of person preparing justification:**

**Title of person preparing justification:**

**Signature of person preparing justification:** **Date:**

**Signature of Approving Official (GAA, etc.):** **Date:**

**Name of Approving Official: Title:**

**Procedure for Preparing and Submitting the**

**Exemption Justification Form Via the Web Site**

**This form should be completed for all purchases of designated products
where the required content was not obtained.**

When completing the form, provide both the quantity of the product and
the quantity unit, if appropriate. For example, if 20 boxes of paper
were purchased, enter "20\" for the quantity and "boxes" for the
quantity unit. Cost information should be provided for the unit purchase
price (such as, price per box of paper) and for the total price of the
purchase.

After completing the form, obtain the required signatures and maintain
the completed form at the site. Copies of all these forms for a given
Fiscal Year would be submitted once a year, coinciding with the annual
reporting period.

**Attachment B**

**SAMPLE BIOBASED CONTRACT LANGUAGE FOR MINOR CONSTRUCTION**

To assist you in meeting your BioPreferred^SM^ requirements and
including biobased products in your contracts, USDA's has created sample
contract language that can be used throughout the Minor Construction
contract. 

The document includes the BioPreferred program requirements that have
been added to the Federal Acquisition Regulation (FAR) and should be
revised to reflect additional or unique tasks peculiar to an activity\'s
operation.

You can find more information about the BioPreferred program, how to
find biobased products, and how other Federal agencies are purchasing
biobased products by visiting
[**www.usda.gov/biopreferred**](http://www.usda.gov/biopreferred).

**Section C -- Performance Work Statement/Descriptions/Specifications\
**

The Contractor must comply with Section 9002 of the Farm Security and
Rural Investment Act of 2002 (FSRIA), Executive Order (EO) 13423,
"*Strengthening Federal Environmental, Energy, and Transportation
Management,*" and the Federal Acquisition Regulation to provide biobased
products.

The Contractor shall utilize products and material made from biobased
materials (e.g., insulating foam, composite panels, and concrete and
asphalt release fluids) to the maximum extent possible without
jeopardizing the intended end use or detracting from the overall quality
delivered to the end user. All supplies and materials shall be of a type
and quality that conform to applicable Federal specifications and
standards. All supplies and materials to be used in the performance of
work described herein are subject to the approval of the Contracting
Officer Representative (COR).

The following is an example list of products that may be used in this
contract for minor construction for which biobased products are
available. The list is not all inclusive. It is desirable that vendors
be able to supply the greatest number of biobased products listed
meeting the health and environmental specifications.

> Graffiti and grease removers Insulating foams
>
> Concrete and asphalt release fluids Fluid-filled transformers
>
> Wood and concrete sealers Composite panels

Adhesive and mastic removers Carpets

Roof coatings Hydraulic fluid Water tank coatings

Biobased products that are designated for preferred procurement under
USDA's BioPreferred program must meet the required minimum biobased
content as stated in the USDA Final Rule available at
<http://www.usda.gov/biopreferred>. The Contractor should provide data
for their biobased products such as biobased content and source of
biobased material (i.e. particular crop or livestock).

In addition to the biobased products designated by the U.S. Department
of Agriculture in the BioPreferred Program, the Contractor is encouraged
to use other commercially available biobased products for minor
construction such as: paints, paint removers, corrosion preventatives,
and blast media.

The Contractor shall submit with the initial proposal a complete list of
biobased products, indicating the name of the manufacturer, cost of each
material, and the intended use of each of the materials that are to be
used in carrying out the requirements of the contract. Additionally, the
winning Contractor on each anniversary date of the contract shall
compile a complete list of biobased products, including the information
above, purchased to carry out the contract requirements. The Contractor
shall list volume to be used and total cost for each individual product.
This information will be used for reporting purposes.

The Contractor shall comply with the provision at FAR 52.223-1, Biobased
Product Certification.

The Contractor shall comply with the clause at FAR 52.223-2, Affirmative
Procurement of Biobased Products Under Service and Construction
Contracts.

Within thirty (30) days of contract award, the Contractor shall submit a
Minor Construction Plan. This submittal shall be approved by the COR in
writing. The Contractor shall not commence work until this submittal is
approved by the COR in writing.

The Plan must be reviewed and updated annually, and as required by the
COR. The Plan must contain and define the following elements:

> The Contractor's written policy stating its commitment to the use of
> biobased products, employee health and safety, and sound environmental
> management practices.
>
> Detail on how the Contractor intends to keep abreast of the
> development and increasing availability of designated and
> non-designated biobased products and how any new or improved products
> will be incorporated on an ongoing basis into contract performance.
>
> Proposed biobased construction products which must be selected in
> accordance with the criteria included above. At a minimum, the Plan
> must identify products by brand name for each of the product types.
>
> NOTE: A Contractor may propose more than one product within a product
> category and/or propose a product or products addressing more than one
> product category.
>
> The product guides which define standard operating procedures for
> instructing staff in the proper use, storage, and disposal of biobased
> products; proper maintenance of equipment; and other
> procedures/instructions to accomplish work under this contract.

The Contractor shall provide data on the quantity and dollar values of
biobased products used in this contract. The data will be submitted to
the COR quarterly.

USDA believes that a demonstration of how to use the products, an
effective training program for the products selected, and technical
assistance are central to the selection and eventual success of
purchasing and using biobased products. USDA will look for a Contractor
who will 1) demonstrate products, and 2) when selected, offer effective
training to all of the construction staff and be available with
technical assistance to trouble shoot problems.

**Performance Requirements Summary**

Add the following service, task number, performance indicator,
performance standard, surveillance methodology, Acceptable Quality Level
(AQL) and deduction to the present Performance Requirements Summary for
Operations and Maintenance:

Required Service - Ensure the mandatory purchasing of biobased products.

Task Paragraph Number - XXX

Performance Indicator -- Quantitative Factor

Performance Standard - Contractor compliance with FSIRA, EO 13423, and
FAR

Surveillance Methodology -- 100% Inspection

AQL -- 100%

Deduction -- Dollar Amount deduction for noncompliance

**Section I -- Contract Clauses**

I.1 52.223-2, **Affirmative Procurement of Biobased Products Under
Service and Construction Contracts**

\(a\) In the performance of this contract, the Contractor shall make
maximum use of biobased products that are USDA-designated items, unless
the product cannot be acquired-

\(1\) Competitively within a time frame providing for compliance with
the contract performance schedule;

\(2\) Meeting contract performance requirements; or

\(3\) At a reasonable price.

\(b\) Information about this requirement and these products is available
at [http://www.usda.gov/biopreferred](http://www.biobased.oce.usda.gov/)

**Section K -- Representations, Certifications, And Other Statements of
Bidders**

K.1 52.223-1, **Biobased Product Certification**

The Contractor shall execute the following certification required by the
Farm Security and Rural Investment Act of 2002 (7 U.S.C. 8102(c) (3)):

I, \_\_\_\_\_\_\_\_\_\_\_\_(name of certifier), am an offeror or
employee responsible for the performance of this contract and I hereby
certify that biobased products (within categories of items listed by the
United States Department of Agriculture in 7 CFR part 2902, subpart B)
to be used or delivered in the performance of the contract will comply
with the applicable specifications of other contractual requirements.

\_\_\_\_\_\_\_\_\_

{Signature of the Officer or Employee}

\_\_\_\_\_\_\_\_\_

{Typed Name of the Officer or Employee}

\_\_\_\_\_\_\_\_\_

{Title}

\_\_\_\_\_\_\_\_\_

{Name of Company, Firm, or Organization}

\_\_\_\_\_\_\_\_\_

{Date}

**Section L -- Instructions to Offerors**

In the technical proposal, the offeror shall identify the biobased
products to be purchased and used under this minor construction
contract. For each biobased product, the offeror shall specify the
percentage of biobased content, and for the USDA-designated biobased
content products, the offeror shall demonstrate that the products to be
used under this contract will contain the percentage specified in the
USDA recommendations or the highest level of biobased material
practicable, consistent with USDA's recommended percentages of biobased
content.

The offeror shall document prior experience in specifying, purchasing,
using, and installing biobased products. The offeror shall provide a
list for all relevant contracts over the past two years involving the
specification, purchase, and/or use of biobased products. The offeror
shall include a list of the biobased products specified, purchased,
used, and installed.

**Sample Section M -- Evaluation Factors for Award**

**M.1 Technical Evaluation Factor**

Criterion X -- Designated BioPreferred Items

\(a\) Identification of all biobased products to be acquired, used, and
installed in the performance of minor construction;

\(b\) Proposed past performance experience with the use of biobased
products in minor construction; and

\(c\) Identification of past biobased project management experience in
the following areas: contracts performed using biobased products and
dollar amount.

**M.2 Cost Evaluation**

In an effort to provide a fair evaluation to the respondents, USDA
recommends adding the following Cost Evaluation Criterion to allow the
contracting officer to evaluate the proposals based on the use of
products requiring preferred procurement through BioPreferred and
non-designated products.

Criterion X -- Designated BioPreferred Products

To receive full credit/consideration as it relates to the Technical
criteria above for qualifying BioPreferred products, the Contractor
should provide information such as life cycle costing data or other
relevant data.

Criterion Y -- Non-Designated Products

If the Contractor proposes to use non-designated products, the
Contractor should provide information such as life cycle costing data or
other relevant data.

**Attachment C**

**Template for Vendors**

**Biobased Product Specifications**

**U.S. Department of Energy -- June 2008**

Contact: Procurement - Richard Langston, Tel. 202-287-1339

Contact: Environmentally Preferable Purchasing -- Don Lentzen, Tel.
202-586-7428

Because of the U.S. Department's commitment to the environment, safety,
and health, we purchase environmentally preferable products with special
emphasis on the preferred products acts of Congress direct us to
purchase: those with biobased and recycled content, energy and water
efficient, alternative fuels/vehicles, non-ozone depleting substances,
and other environmentally preferable products. We are required to report
our purchases of all products designated for purchase with biobased and
recycled content.

**Biobased Products.** Suppliers of products also need to be aware of
the requirement effective March 2007 for U.S. Department of Energy staff
and their contractors to purchase biobased products that have been
designated by the U.S. Department of Agriculture. Once USDA designates
an item, the Farm Security and Rural Investment Act Section 9002
requires that any procuring agency, when using appropriated federal
funds to procure that item, shall purchase it with at least the
specified percentage of biobased materials. The requirement is that 100
percent of the purchases of the designated products shall meet or exceed
the USDA standards unless written justification is provided that a
product is 1) not available competitively within a reasonable time
frame, 2) does not meet appropriate performance standards, or 3) is only
available at an unreasonable price. For details on the specifications
for recycled products, see the U.S. Department of Agriculture's website
at <http://www.biopreferred.gov/DesignationItems.aspx>.

The Biobased content product categories and required content are.:

\* = May overlap with recycled content requirements. Recycled content
requirements have precedence.

Bold = Begin Purchasing and Collecting Purchasing Data by March 16, 2007

*Italics* = Begin Purchasing and Collecting Purchasing Data by May 14,
2009

+---------------------+-----------------------+-----------------------+
| **Product**         | ## Required           | **Percent Content and |
|                     |                       | Prices Available from |
|                     |                       | Your Company**        |
+=====================+=======================+=======================+
| **                  |                       |                       |
| Cleaners/Solvents** |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *Adhesives        | *58%*                 |                       |
|  & Mastic Removers* |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *B                | *74%*                 |                       |
| ath & Spa Cleaners* |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *Carpet & U       | *54%*                 |                       |
| pholstery Cleaners* |                       |                       |
|                     | *7%*                  |                       |
| > *General Purpose  |                       |                       |
| > Cleaners*         |                       |                       |
| >                   |                       |                       |
| > *Spot Removers*   |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *Floor Strippers* | *78%*                 |                       |
+---------------------+-----------------------+-----------------------+
| # *Glass Cleaners*  | *49%*                 |                       |
+---------------------+-----------------------+-----------------------+
| # *Graffiti a       | *34%*                 |                       |
| nd Grease Removers* |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *Hand Clean       | *64%*                 |                       |
| ers and Sanitizers* |                       |                       |
|                     | *73%*                 |                       |
| > *Hand Cleaners*   |                       |                       |
| >                   |                       |                       |
| > *Sanitizers*      |                       |                       |
+---------------------+-----------------------+-----------------------+
| #                   | *34%*                 |                       |
|  *Laundry Products* |                       |                       |
|                     | *46%*                 |                       |
| > *General Purpose  |                       |                       |
| > Laundry*          |                       |                       |
| >                   |                       |                       |
| >                   |                       |                       |
|  *Pretreatment/Spot |                       |                       |
| > Removers*         |                       |                       |
+---------------------+-----------------------+-----------------------+
| # Cons              |                       |                       |
| truction Materials  |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *\*Carpets*       | *7%*                  |                       |
+---------------------+-----------------------+-----------------------+
| # *\*Insulatin      | *7%*                  |                       |
| g Foam -- Residenti |                       |                       |
| al and Commercial*  |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *\*P              | *37%*                 |                       |
| anels -- Composite* |                       |                       |
|                     | *55%*                 |                       |
| > *Acoustical*      |                       |                       |
| >                   | *23%*                 |                       |
| > *Interior*        |                       |                       |
| >                   | *89%*                 |                       |
| > *Plastic Lumber*  |                       |                       |
| >                   | *94%*                 |                       |
| > *Structural       |                       |                       |
| > Interior*         |                       |                       |
| >                   |                       |                       |
| > *Structural Wall* |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *R                | *87%*                 |                       |
| elease Fluids -- Co |                       |                       |
| ncrete and Asphalt* |                       |                       |
+---------------------+-----------------------+-----------------------+
| # Sealant - Ur      | **20%**               |                       |
| ethane Roof Coating |                       |                       |
+---------------------+-----------------------+-----------------------+
| # Sealant --        | **59%**               |                       |
|  Water Tank Coating |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *Sealant --       | *11%*                 |                       |
|  Wood and Concrete* |                       |                       |
|                     | *79%*                 |                       |
| > *Membrane         |                       |                       |
| > Concrete*         |                       |                       |
| >                   |                       |                       |
| > *Penetrating      |                       |                       |
| > Liquid*           |                       |                       |
+---------------------+-----------------------+-----------------------+
| # Water Tanks       |                       |                       |
+---------------------+-----------------------+-----------------------+
| # Dishware          |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *Cu               | *48%*                 |                       |
| tlery - Disposable* |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *\*Dis            | *72%*                 |                       |
| posable Containers* |                       |                       |
+---------------------+-----------------------+-----------------------+
| # Lubricants        |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *                 | *34%*                 |                       |
| 2-Cycle Engine Oil* |                       |                       |
+---------------------+-----------------------+-----------------------+
| #                   | *49%*                 |                       |
| *Firearm Lubricant* |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *Greases*         | *42%*                 |                       |
|                     |                       |                       |
| > *Food Grade*      | *72%*                 |                       |
| >                   |                       |                       |
| > *Multi-Purpose*   | *30%*                 |                       |
| >                   |                       |                       |
| > *Rail Track*      | *71%*                 |                       |
| >                   |                       |                       |
| > *Truck*           | *75%*                 |                       |
| >                   |                       |                       |
| > *Unspecified*     |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *M                | *66%*                 |                       |
| etalworking Fluids* |                       |                       |
|                     | *57%*                 |                       |
| > *Straight Oils*   |                       |                       |
| >                   | *40% **(Delayed       |                       |
| > *General Purpose  | Compliance Date)***   |                       |
| > Soluble,          |                       |                       |
| > Semi-Synthetic,   |                       |                       |
| > Synthetic*        |                       |                       |
| >                   |                       |                       |
| > *High Performance |                       |                       |
| > Soluble,          |                       |                       |
| > Semi-Synthetic,   |                       |                       |
| > Synthetic*        |                       |                       |
+---------------------+-----------------------+-----------------------+
| # Penetrating       | **68%**               |                       |
+---------------------+-----------------------+-----------------------+
| # Other             |                       |                       |
+---------------------+-----------------------+-----------------------+
| # Bedding,          | **12%**               |                       |
|  Bed Linens, Towels |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *De-Icers         | *93%*                 |                       |
| -- General Purpose* |                       |                       |
+---------------------+-----------------------+-----------------------+
| #                   | *85%*                 |                       |
| *Dust Suppressants* |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *\*Fertilizers*   | *71%*                 |                       |
+---------------------+-----------------------+-----------------------+
| # *Films*           | *85%*                 |                       |
|                     |                       |                       |
| > *Non-Durable*     | *45%*                 |                       |
| >                   |                       |                       |
| > *\*Semi-Durable   |                       |                       |
| > (Plastic Bags)*   |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *Fluid F          | *66% **(Delayed       |                       |
| illed Transformers* | Compliance Date)***   |                       |
|                     |                       |                       |
| > *Synthetic        | *95%*                 |                       |
| > Esterbased*       |                       |                       |
| >                   |                       |                       |
| > *Vegetable        |                       |                       |
| > Oilbased*         |                       |                       |
+---------------------+-----------------------+-----------------------+
| # Fuel              | **90%**               |                       |
|  Additives - Diesel |                       |                       |
+---------------------+-----------------------+-----------------------+
| # Hydraulic Fluids  | **44%**               |                       |
| -- Mobile Equipment |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *Hyd              | *44%*                 |                       |
| raulic Fluids -- St |                       |                       |
| ationary Equipment* |                       |                       |
+---------------------+-----------------------+-----------------------+
| #                   | *82%*                 |                       |
| *Lip Care Products* |                       |                       |
+---------------------+-----------------------+-----------------------+
| # *Sorbents*        | *89%*                 |                       |
+---------------------+-----------------------+-----------------------+

Resources

*Farm Security and Rural Investment Act*. May 1, 2002. 16 USC 1671 et
seq. (as amended), Title 9 - Energy Biomass/Renewable Energy,
Section 9002, "Federal Procurement of Biobased Products." Public Law
107-171.

7 CFR 2902. March 16, 2006. ""Designation of Biobased Items for Federal
Procurement; Final Rule." *U.S. Code of Federal Regulations.*

7 CFR 2902. May 14, 2008. "Designation of Biobased Items for Federal
Procurement: Final Rule." *U.S. Code of Federal Regulations*

**Attachment D**

**[EMCBC RECORD OF REVISION]{.underline}**

[DOCUMENT]{.underline}

If there are changes to the controlled document, the revision number
increases by one. Indicate changes by one of the following:

**l** Placing a vertical black line in the margin adjacent to sentence
or paragraph that was revised.

**l** Placing the words GENERAL REVISION at the beginning of the text.

**[Rev. No. Description of Changes Revision on Pages Date]{.underline}**

1 Original Development All

**Attachment E**

+-----------------------------------------------------------------------+
| PROCEDURE CHANGE REQUEST                                              |
+-----------------------------------------------------------------------+
| DATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                            |
|                                                                       |
| INITIATOR: \_\_[R.                                                    |
| Holland]{.underline}\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_              |
|                                                                       |
| INITIATOR PHONE NUMBER:                                               |
| \_\_[60550]{.underline}\_\_\_\_\_\_\_\_\_\_\_\_\_\_                   |
|                                                                       |
| DOCUMENT AFFECTED: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| SECTION: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ PARAGRAPH #:\_\_\_\_\_\_  |
|                                                                       |
| IP NUMBER : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ PARAGRAPH #:\_\_\_\_\_\_\_ |
|                                                                       |
| NEW IP:                                                               |
| \_[IP-540-17]{.underli                                                |
| ne}\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| PROPOSED                                                              |
|                                                                       |
| REVISION: \_\_\_[Development of new                                   |
| procedure]{.underline                                                 |
| }\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| \_\_\_\_                                                              |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| \_\_\_\_                                                              |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| JUSTIFICATION:                                                        |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\                         |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| \_\_\_\_                                                              |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| \_\_\_\_                                                              |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| \_\_\_\_                                                              |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Requested by:                                                         |
|                                                                       |
| \_\_[R. Holland]{.underline}\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ DATE:  |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                              |
|                                                                       |
| Approval:                                                             |
|                                                                       |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ DATE:          |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                              |
|                                                                       |
| Associate Director                                                    |
|                                                                       |
| Assigned to: \_\_[P. Brechlin]{.underline}\_\_\_\_\_\_\_\_ DUE DATE:  |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                              |
+-----------------------------------------------------------------------+

**Attachment F**

+-------------+-------------+-------------+-------------+-------------+
| **Document  |             |             |             |             |
| Review      |             |             |             |             |
| Record      |             |             |             |             |
| Sheet**     |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| Document    | **Purchase  |             |             |             |
| Title       | Card        |             |             |             |
|             | Operating   |             |             |             |
|             | Procedure** |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| IP Number   | Revision    | Date Issued |             |             |
|             | No.         | for Review  |             |             |
| IP-540-17   |             |             |             |             |
|             | 1           |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| The subject |             |             |             |             |
| document is |             |             |             |             |
| being       |             |             |             |             |
| submitted   |             |             |             |             |
| for your    |             |             |             |             |
| review,     |             |             |             |             |
| approval or |             |             |             |             |
| comments.   |             |             |             |             |
| Since this  |             |             |             |             |
| review is   |             |             |             |             |
| controlled, |             |             |             |             |
| a response  |             |             |             |             |
| is required |             |             |             |             |
| from all    |             |             |             |             |
| reviewers.  |             |             |             |             |
| Therefore,  |             |             |             |             |
| please      |             |             |             |             |
| return the  |             |             |             |             |
| review      |             |             |             |             |
| sheet with  |             |             |             |             |
| or without  |             |             |             |             |
| comments    |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| To:         | Extension:  | By:         |             |             |
|             |             |             |             |             |
| L. Chafin   | 60461       |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| Additional  |             |             |             |             |
| In          |             |             |             |             |
| structions: |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| Reviewer    | Approve     | Approve     | Do Not      | Signature   |
|             |             | w/Comments  | Approve     | of Reviewer |
+-------------+-------------+-------------+-------------+-------------+
| B. Fain     |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| M. Roy      |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| W. Best     |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| Acting FM   |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| H. Taylor   |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| R. Holland  |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| T. Brennan  |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| R. Everson  |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| T. J.       |             |             |             |             |
| Jackson     |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| J. Craig    |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| Comments    |             |             |             |             |
| may be      |             |             |             |             |
| attached to |             |             |             |             |
| a separate  |             |             |             |             |
| sheet of    |             |             |             |             |
| paper       |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| *           |             |             |             |             |
| *APPROVE:** |             |             |             |             |
| Signifies   |             |             |             |             |
| the         |             |             |             |             |
| reviewer's  |             |             |             |             |
| acceptance  |             |             |             |             |
| of the      |             |             |             |             |
| document    |             |             |             |             |
| issued for  |             |             |             |             |
| review.     |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| **APPROVE   |             |             |             |             |
| w/          |             |             |             |             |
| comments**: |             |             |             |             |
| Signifies   |             |             |             |             |
| the         |             |             |             |             |
| reviewer's  |             |             |             |             |
| overall     |             |             |             |             |
| acceptance  |             |             |             |             |
| of the      |             |             |             |             |
| document    |             |             |             |             |
| regarding   |             |             |             |             |
| concept,    |             |             |             |             |
| practice,   |             |             |             |             |
| impl        |             |             |             |             |
| ementation, |             |             |             |             |
| provisions  |             |             |             |             |
| and         |             |             |             |             |
| assigned    |             |             |             |             |
| respon      |             |             |             |             |
| sibilities. |             |             |             |             |
| However,    |             |             |             |             |
| the         |             |             |             |             |
| reviewer    |             |             |             |             |
| has         |             |             |             |             |
| suggestions |             |             |             |             |
| as to the   |             |             |             |             |
| o           |             |             |             |             |
| rganization |             |             |             |             |
| of its      |             |             |             |             |
| contents or |             |             |             |             |
| helpful     |             |             |             |             |
| additions   |             |             |             |             |
| and/or      |             |             |             |             |
| deletions.  |             |             |             |             |
| These       |             |             |             |             |
| comments    |             |             |             |             |
| are termed  |             |             |             |             |
| "no         |             |             |             |             |
| n-mandatory |             |             |             |             |
| comments"   |             |             |             |             |
| and do not  |             |             |             |             |
| require     |             |             |             |             |
| formal      |             |             |             |             |
| resolution  |             |             |             |             |
| between the |             |             |             |             |
| reviewer    |             |             |             |             |
| and         |             |             |             |             |
| preparer.   |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| **DO NOT    |             |             |             |             |
| APPROVE**:  |             |             |             |             |
| Signifies   |             |             |             |             |
| that the    |             |             |             |             |
| reviewer    |             |             |             |             |
| has         |             |             |             |             |
| identified  |             |             |             |             |
| significant |             |             |             |             |
| problems    |             |             |             |             |
| regarding   |             |             |             |             |
| concept,    |             |             |             |             |
| practice,   |             |             |             |             |
| imp         |             |             |             |             |
| lementation |             |             |             |             |
| or          |             |             |             |             |
| respo       |             |             |             |             |
| nsibilities |             |             |             |             |
| that render |             |             |             |             |
| the         |             |             |             |             |
| document    |             |             |             |             |
| u           |             |             |             |             |
| nacceptable |             |             |             |             |
| and/or not  |             |             |             |             |
| in          |             |             |             |             |
| conformance |             |             |             |             |
| with stated |             |             |             |             |
| re          |             |             |             |             |
| quirements. |             |             |             |             |
| Such        |             |             |             |             |
| problem     |             |             |             |             |
| areas must  |             |             |             |             |
| be clearly  |             |             |             |             |
| identified  |             |             |             |             |
| by the      |             |             |             |             |
| reviewer.   |             |             |             |             |
| It is       |             |             |             |             |
| mandatory   |             |             |             |             |
| for the     |             |             |             |             |
| preparer to |             |             |             |             |
| resolve     |             |             |             |             |
| these       |             |             |             |             |
| comments    |             |             |             |             |
| with the    |             |             |             |             |
| reviewer    |             |             |             |             |
| document    |             |             |             |             |
| the         |             |             |             |             |
| resolution  |             |             |             |             |
| and obtain  |             |             |             |             |
| the         |             |             |             |             |
| reviewers   |             |             |             |             |
| concurrence |             |             |             |             |
| for the     |             |             |             |             |
| resolution. |             |             |             |             |
| The         |             |             |             |             |
| reviewer's  |             |             |             |             |
| written     |             |             |             |             |
| concurrence |             |             |             |             |
| with the    |             |             |             |             |
| resultant   |             |             |             |             |
| change in   |             |             |             |             |
| disposition |             |             |             |             |
| shall be    |             |             |             |             |
| documented  |             |             |             |             |
| on this     |             |             |             |             |
| form.       |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| General     |             |             |             |             |
| Review      |             |             |             |             |
| Comments:   |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| When review |             |             |             |             |
| is          |             |             |             |             |
| delegated,  |             |             |             |             |
| the         |             |             |             |             |
| designated  |             |             |             |             |
| reviewer    |             |             |             |             |
| shall       |             |             |             |             |
| review and  |             |             |             |             |
| indicate    |             |             |             |             |
| concurrence |             |             |             |             |
| with the    |             |             |             |             |
| designee's  |             |             |             |             |
| review      |             |             |             |             |
| comments    |             |             |             |             |
| and         |             |             |             |             |
| recommend   |             |             |             |             |
| d           |             |             |             |             |
| isposition: |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| Designated  | Concur      | Do Not      | Signature   | Date        |
| Reviewer    |             | Concur      |             |             |
+-------------+-------------+-------------+-------------+-------------+
|             |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
|             |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
|             |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+