Marmoleum Modular
by Forbo Flooring Systems

Health ProductDeclaration v2.2

created via: HPDC Online Builder

HPD UNIQUE IDENTIFIER: 26218
CLASSIFICATION: 09 65 19 Resilient Tile Flooring
PRODUCT DESCRIPTION: Marmoleum Modular is a homogeneous floor covering made from natural ingredients including linseed oil, rosinbinders, wood flour, limestone and dry pigments. They are mixed and then calendared onto a polyester backing to ensure optimum dimensional
stability. Marmoleum features Topshield2, which is a high performance, double UV cured factory applied finish that makes the product “occupancy
ready” after installation. The double UV cured layer technology delivers color clarity and vibrancy, along with extraordinary wear performance by
providing a surface that can be repaired after accidents or restored after years of intensive use. The thickness of Marmoleum Modular varies bycollection. The standard thickness of MCT is 2.0mm (0.08”), is available in 13.11” x 13.11” (33.3 cm x 33.3 cm) tiles. The standard thickness ofMarmoleum Modular is 2.5mm (1/10”) and is available in three different tile sizes: 9.8” x 9.8” (25 cm x 25 cm), 9.8” x 19.69” (25 cm x 50 cm), and19.69” x 19.69” (50 cm x 50 cm). The standard The standard thickness of Marmoleum Modular Striato is 2.5mm (1/10") and is available in 9.8” x
19.69” (25 cm x 50 cm), 9.8” x 39.37” (25 cm x 100 cm), and 19.69” x 19.69” (50 cm x 50 cm) tiles.

Section 1: Summary

Basic Method / Product Threshold

CONTENT INVENTORY
Inventory Reporting Format

Threshold Level

Residuals/Impurities

Nested Materials Method
Basic Method

100 ppm
1,000 ppm
Per GHS SDS
Other
Other

Considered
Partially Considered
Not ConsideredThreshold Disclosed Per
Material
Product

All Substances Above the Threshold Indicated Are:
Characterized% weight and role provided for all substances.
Screened

Explanation(s) provided
for Residuals/Impurities?
Yes NoNumber of Greenscreen BM-4/BM3 contents ... 0Contents highest concern GreenScreen
Benchmark or List translator Score ... BM-1

VOLATILE ORGANIC COMPOUND (VOC) CONTENTVOC Content data is not applicable for this product category.

No

Yes Ex/SC

Yes

No

All substances disclosed by Name (Specific or Generic) and Identifier.

Summary of product contents and results from screening individual chemical substances against
HPD Priority Hazard Lists and the GreenScreen for Safer Chemicals®. The HPD does not assess
whether using or handling this product will expose individuals to its chemical substances or any
health risk. Refer to Section 2 for further details.

MARMOLEUM MODULAR [ LIMESTONE BM-3dg CELLULOSE PULP (CELLULOSE PULP (SC:WOOD FLOUR)) NoGS LINSEED OIL NoGS TALL OIL LT-P1 | SKI | RES | MUL POLYETHYLENE
TEREPHTHALATE (PET) LT-UNK GUM ROSIN LT-P1 | SKI FERRIC OXIDE YELLOW LT-UNK
IRON OXIDE BM-1 | CAN FERRIC OXIDE BM-1 | CAN POLYURETHANE FOAMS LT-UNK 2PROPENOIC ACID, 2-METHYL-, POLYMER WITH ETHYL 2-PROPENOATE AND METHYL 2METHYL-2-PROPENOATE LT-UNK TITANIUM DIOXIDE LT-1 | CAN | END ]YesAll substances screened using Priority Hazard Lists with results disclosed.
Identified
Yes Ex/SC Yes No

CONTENT IN DESCENDING ORDER OF QUANTITY

MATERIAL | SUBSTANCE | RESIDUAL OR IMPURITY
GREENSCREEN SCORE | HAZARD TYPE

Yes Ex/SC

Nanomaterial ... No
INVENTORY AND SCREENING NOTES:Percentage (%) ranges for ingredients are used as a means of keeping the exact formulations
proprietary.

CERTIFICATIONS AND COMPLIANCE See Section 3 for additional listings.
VOC emissions: CDPH Standard Method V1.2 (Section 01350/CHPS) - Classroom & Office scenario
LCA: Environmental Product Declaration (EPD) by UL - Industry Generic
CONSISTENCY WITH OTHER PROGRAMS
Pre-checked for LEED v4 Material Ingredients Option 1

Third Party Verified?
Yes
No

Marmoleum Modular
hpdrepository.hpd-collaborative.org

PREPARER: Self-Prepared
VERIFIER:
VERIFICATION #:SCREENING DATE: 2021-10-08
PUBLISHED DATE: 2021-10-08
EXPIRY DATE: 2024-10-08

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Section 2: Content in Descending Order of Quantity
This section lists contents in a product based on specific threshold(s) and reports detailed health information including hazards. This HPD uses the inventory method indicated above, which is one ofthree possible methods:
Basic Inventory method with Product-level threshold.
Nested Material Inventory method with Product-level threshold
Nested Material Inventory method with individual Material-level thresholds
Definitions and requirements for the three inventory methods and requirements for each data field can be found in the HPD Open Standard version 2.2, available on the HPDC website at: www.hpdcollaborative.org/hpd-2-2-standard

MARMOLEUM MODULARPRODUCT THRESHOLD: 1000 ppm

RESIDUALS AND IMPURITIES CONSIDERED: No

RESIDUALS AND IMPURITIES NOTES: No residuals or impurities are expected to be present in the product at or above the reporting threshold.
OTHER PRODUCT NOTES: N/A
ID: 1317-65-3

LIMESTONE
HAZARD SCREENING METHOD: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2021-10-08 15:20:43%: 24.7800 - 25.7800

RC: NoneHAZARD TYPE

GS: BM-3dg
AGENCY AND LIST TITLES

NANO: NoSUBSTANCE ROLE: Filler

WARNINGS

None foundNo warnings found on HPD Priority Hazard Lists

SUBSTANCE NOTES:

ID: 65996-61-4

CELLULOSE PULP (CELLULOSE PULP (SC: WOOD FLOUR))HAZARD SCREENING METHOD: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2021-10-08 15:20:43%: 24.2800 - 25.2800

GS: NoGS

RC: PreC

HAZARD TYPEAGENCY AND LIST TITLES

NANO: NoSUBSTANCE ROLE: Filler

WARNINGS

None foundNo warnings found on HPD Priority Hazard Lists

SUBSTANCE NOTES: Category = Tree-based materials – wood planks/strips/pieces, bark, wood chips, and other wood products. This
disclosure does not provide information on allergens, hyper-accumulation of metals, production of any toxic substances during normal
metabolic activities, pesticides, and other potential hazards or sources of hazards which may be found in certain biological materials.
Cellulose is mix of different species of wood. The specific brand name that Forbo Flooring Systems uses in Marmoleum is Lignocel C
120. LIGNOCEL® C 120 is not classified as dangerous according to directive 67/548/EEC, directive 1999/45/EC and regulation
1272/2008 (CLP). Information pertaining to special dangers for human and environment: Adverse physiochemical effects: Capable ofcausing dust explosions. Adverse human health effects and symptoms: N/A Adverse environmental effects: N/A Other adverse hazards:
Substance is combustible. Substance related information: EC-No: N/A INDEX-NO: N/A REACH Registration No: N/A Purity: 100 %Synonyms: N/A Stabilizers: N/A Hazardous Impurities: N/A

ID: 8001-26-1

LINSEED OIL
HAZARD SCREENING METHOD: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2021-10-08 15:20:44%: 23.1000 - 24.1000

GS: NoGS

RC: NoneHAZARD TYPEAGENCY AND LIST TITLES

NANO: NoSUBSTANCE ROLE: Binder

WARNINGS

None foundNo warnings found on HPD Priority Hazard Lists

SUBSTANCE NOTES:

ID: 8002-26-4

TALL OIL
HAZARD SCREENING METHOD: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2021-10-08 15:20:44%: 7.7600 - 8.7600

RC: PreC

GS: LT-P1

NANO: NoSUBSTANCE ROLE: Binder

HAZARD TYPEAGENCY AND LIST TITLESWARNINGSSKI

MAK

Sensitizing Substance Sh - Danger of skin sensitizationRES

AOEC - Asthmagens

Asthmagen (Rs) - sensitizer-induced

MUL

German FEA - Substances Hazardous to Waters

Class 2 - Hazard to Waters

SUBSTANCE NOTES:POLYETHYLENE TEREPHTHALATE (PET)

Marmoleum Modular
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ID: 25038-59-9

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HAZARD SCREENING METHOD: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2021-10-08 15:20:45%: 7.0000 - 8.0000

RC: None

GS: LT-UNK

HAZARD TYPEAGENCY AND LIST TITLES

NANO: NoSUBSTANCE ROLE: Structure component

WARNINGS

None foundNo warnings found on HPD Priority Hazard Lists

SUBSTANCE NOTES:

ID: 8050-09-7

GUM ROSIN
HAZARD SCREENING METHOD: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2021-10-08 15:20:45%: 4.0400

RC: None

GS: LT-P1

NANO: NoSUBSTANCE ROLE: Binder

HAZARD TYPEAGENCY AND LIST TITLESWARNINGSSKI

MAK

Sensitizing Substance Sh - Danger of skin sensitization

SKI

EU - GHS (H-Statements)

H317 - May cause an allergic skin reaction [Skin sensitization - Category 1]

SUBSTANCE NOTES:

ID: 51274-00-1

FERRIC OXIDE YELLOWHAZARD SCREENING METHOD: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2021-10-08 15:20:46%: 0.1000 - 4.0400

RC: NoneHAZARD TYPE

GS: LT-UNK
AGENCY AND LIST TITLES

NANO: NoSUBSTANCE ROLE: Pigment

WARNINGS

None foundNo warnings found on HPD Priority Hazard Lists

SUBSTANCE NOTES:

ID: 1317-61-9

IRON OXIDEHAZARD SCREENING METHOD: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2021-10-08 15:20:46%: 0.1000 - 4.0400

GS: BM-1

RC: NoneHAZARD TYPEAGENCY AND LIST TITLESWARNINGSCAN

MAK

Carcinogen Group 3B - Evidence of carcinogenic effects but not sufficient forclassification

NANO: NoSUBSTANCE ROLE: Pigment

SUBSTANCE NOTES:

ID: 1309-37-1

FERRIC OXIDEHAZARD SCREENING METHOD: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2021-10-08 15:20:47%: 0.1000 - 4.0400

GS: BM-1

RC: NoneHAZARD TYPEAGENCY AND LIST TITLESWARNINGSCAN

MAK

Carcinogen Group 3B - Evidence of carcinogenic effects but not sufficient forclassification

NANO: NoSUBSTANCE ROLE: Pigment

SUBSTANCE NOTES:

ID: 9009-54-5

POLYURETHANE FOAMSHAZARD SCREENING METHOD: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2021-10-08 15:20:47%: 0.1000 - 0.3000

RC: NoneHAZARD TYPE

GS: LT-UNK
AGENCY AND LIST TITLES

NANO: NoSUBSTANCE ROLE: Coating

WARNINGS

None foundNo warnings found on HPD Priority Hazard Lists

SUBSTANCE NOTES: Finish contains no Isocyanates.

ID: 25133-97-5

2-PROPENOIC ACID, 2-METHYL-, POLYMER WITH ETHYL 2PROPENOATE AND METHYL 2-METHYL-2-PROPENOATEHAZARD SCREENING METHOD: Pharos Chemical and Materials Library

Marmoleum Modular
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HAZARD SCREENING DATE: 2021-10-08 15:20:48

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%: 0.1000 - 0.3000
HAZARD TYPE

GS: LT-UNK

RC: None

AGENCY AND LIST TITLES

NANO: NoSUBSTANCE ROLE: Coating

WARNINGS

None foundNo warnings found on HPD Priority Hazard Lists

SUBSTANCE NOTES: Finish contains no Isocyanates.

ID: 13463-67-7

TITANIUM DIOXIDEHAZARD SCREENING METHOD: Pharos Chemical and Materials Library

HAZARD SCREENING DATE: 2021-10-08 15:20:48%: 0.1000 - 4.0400

GS: LT-1

RC: NoneHAZARD TYPEAGENCY AND LIST TITLESWARNINGSCANUS CDC - Occupational Carcinogens

Occupational Carcinogen

CAN

CA EPA - Prop 65

Carcinogen - specific to chemical form or exposure route

CAN

IARC

Group 2B - Possibly carcinogenic to humans - inhaled from occupationalsourcesCAN

MAK

Carcinogen Group 3A - Evidence of carcinogenic effects but not sufficient toestablish MAK/BAT value

END

TEDX - Potential Endocrine Disruptors

Potential Endocrine Disruptor

CAN

MAK

Carcinogen Group 4 - Non-genotoxic carcinogen with low risk under MAK/BAT
levelsCAN

EU - GHS (H-Statements)

H351 - Suspected of causing cancer [Carcinogenicity - Category 2]

NANO: NoSUBSTANCE ROLE: Pigment

SUBSTANCE NOTES: The titanium dioxide (TiO2) is bound within the product, requiring no further labeling. Identified on the US EPA Safer Chemical Ingredient List. Form-specific hazards:
airborne particles of respirable size – occupational setting. Specific guidelines are being created to address known issues related to transparency and disclosure for several materials (“Special
Conditions”), including those with Form-Specific Hazards such as Titanium Dioxide. This HPD will be updated as appropriate when these guidelines become available. The Material HealthHarmonization Task Group convened by the USGBC states that pigmentary titanium dioxide was "determined to be Benchmark 2 using the full GS (GreenScreen) method” hpdrepository.hpdcollaborative.org HPD v2.1 created via HPDC Builder Page 2 of 12 (http://ow.ly/Z5ken).

Marmoleum Modular
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Section 3: Certifications and ComplianceThis section lists applicable certification and standards compliance information for VOC emissions and VOC content. Other types of health or environmental performance testing or certifications
completed for the product may be provided.

VOC EMISSIONSCDPH Standard Method V1.2 (Section 01350/CHPS) - Classroom & Office scenario

CERTIFYING PARTY: Third Party
APPLICABLE FACILITIES: All
CERTIFICATE URL:

ISSUE DATE: 2014-11-14

EXPIRY DATE:CERTIFIER OR LAB: Berkeley Analytical

CERTIFICATION AND COMPLIANCE NOTES:LCA

Environmental ProductDeclaration (EPD) by UL Industry Generic

CERTIFYING PARTY: Third Party
APPLICABLE FACILITIES: All
CERTIFICATE URL: chromeextension://oemmndcbldboiebfnladdacbdfmadadm/https://forbo.blob.core.windows.net/forbodocuments/124851/EPD%20Marmoleum%20Modular%202018.01.05.pdf

ISSUE
DATE:
201801-05

EXPIRY
DATE:
202301-05

CERTIFIER
OR LAB: UL
Environment,
Inc.

CERTIFICATION AND COMPLIANCE NOTES:

Section 4: Accessories
This section lists related products or materials that the manufacturer requires or recommends for installation (such as adhesives or fasteners), maintenance, cleaning, or operations. For information
relating to the contents of these related products, refer to their applicable Health Product Declarations, if available.

FORBO T 940 ADHESIVE (VOC 0.00 G/L)

HPD URL: No HPD available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:Standard recommended adhesive for installation.

FORBO EZ-ON 100 ADHESIVE (VOC 0.00 G/L)

HPD URL: No HPD Available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:
Alternative adhesive that can be used for installation.

FORBO SUSTAIN 1195 ADHESIVE (VOC 0.00 G/L)

HPD URL: No HPD Available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:
Alternative adhesive that can be used for installation.

FORBO SUSTAIN 1299 ADHESIVE (VOC 0.00 G/L)

HPD URL: No HPD available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:
Alternative adhesive that can be used with installation.

FORBO 660 ADHESIVE (VOC 12.00 G/L)

HPD URL: http://www.forboflooringna.com

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:
Alternative adhesive that can be used for installation.

FORBO ADHESIVE REMOVER

HPD URL: No HPD available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:Can be used for adhesive residue removal post installation.

NEUTRAL PH CLEANER

HPD URL: No HPD available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:Can be used for routine cleaning.

READY TO USE NEUTRAL PH CLEANER

HPD URL: No HPD available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:Can be used for routine cleaning.

HEAVY DUTY CLEANER

HPD URL: No HPD available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:Can be used for interim maintenance.

FORBO MOP ON RESTORERHPD URL: No HPD available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:Can be used for interim maintenance.

Marmoleum Modular
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FORBO SPRAY BUFFHPD URL: No HPD available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:Can be used for interim maintenance.

FORBO MATTE FINISH

HPD URL: No HPD available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:Can be used for interim maintenance.

FORBO GLOSS FINISH

HPD URL: No HPD available

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:Can be used for interim maintenance.

FORBO WALL BASE

HPD URL: http://www.forboflooringna.com

CONDITION WHEN RECOMMENDED OR REQUIRED AND/OR OTHER NOTES:Can be used with Marmoleum Modular installation using the recommended adhesive.

Section 5: General Notes
Marmoleum Modular lines include the following:
Marmoleum Modular, Modular Striato, MCT (Marmoleum Composition Tile).
Marmoleum Modular contains no Isocyanates.

Marmoleum Modular
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Section 6: References
MANUFACTURER INFORMATIONMANUFACTURER: Forbo Flooring Systems
ADDRESS: 8 Maplewood Drive
Hazle Township PA 18202, United States
WEBSITE: www.forboflooringna.com

CONTACT NAME: Shannon Wolski-Konecnik
TITLE: Product Support and Education Services Administrator
PHONE: 5704500319
EMAIL: shannon.wolski@forbo.com

The listed contact is responsible for the validity of this HPD and attests that it is accurate and complete to the best of his or her knowledge.
KEY
Hazard Types
AQU Aquatic toxicity
CAN Cancer
DEV Developmental toxicity
END Endocrine activity
EYE Eye irritation/corrosivity
GEN Gene mutation
GLO Global warming

LAN Land toxicity
MAM Mammalian/systemic/organ toxicity
MUL Multiple
NEU Neurotoxicity
NF Not found on Priority Hazard Lists
OZO Ozone depletionPBT Persistent, bioaccumulative, and toxic

PHY Physical hazard (flammable or reactive)
REP Reproductive
RES Respiratory sensitization
SKI Skin sensitization/irritation/corrosivity
UNK Unknown

GreenScreen (GS)BM-4 Benchmark 4 (prefer-safer chemical)
BM-3 Benchmark 3 (use but still opportunity for improvement)
BM-2 Benchmark 2 (use but search for safer substitutes)
BM-1 Benchmark 1 (avoid - chemical of high concern)
BM-U Benchmark Unspecified (due to insufficient data)
LT-P1 List Translator Possible 1 (Possible Benchmark-1)

LT-1 List Translator 1 (Likely Benchmark-1)
LT-UNK List Translator Benchmark Unknown (the chemical ispresent on at least one GreenScreen Specified List, but the
information contained within the list did not result in a clear mapping
to a LT-1 or LTP1 score.)
NoGS No GreenScreen.

Recycled Types
PreC Pre-consumer recycled content
PostC Post-consumer recycled content
UNK Inclusion of recycled content is unknown
None Does not include recycled content
Other Terms:
GHS SDS Globally Harmonized System of Classification and Labeling of Chemicals Safety Data Sheet
Inventory Methods:
Nested Method / Material Threshold Substances listed within each material per threshold indicated per material
Nested Method / Product Threshold Substances listed within each material per threshold indicated per productBasic Method / Product Threshold Substances listed individually per threshold indicated per productNano Composed of nano scale particles or nanotechnology
Third Party Verified Verification by independent certifier approved by HPDC
Preparer Third party preparer, if not self-prepared by manufacturer
Applicable facilities Manufacturing sites to which testing applies

The Health Product Declaration (HPD) Open Standard provides for the disclosure of product contents and potential associated human and environmental health hazards. Hazard associations are basedon the HPD Priority Hazard Lists, the GreenScreen List Translator™, and when available, full GreenScreen® assessments. The HPD Open Standard v2.1 is not:a method for the assessment of exposure or risk associated with product handling or use,a method for assessing potential health impacts of: (i) substances used or created during the manufacturing process or (ii) substances created after the product is delivered for end use.
Information about life cycle, exposure and/or risk assessments performed on the product may be reported by the manufacturer in appropriate Notes sections, and/or, where applicable, in theCertifications section.
The HPD Open Standard was created and is supported by the Health Product Declaration Collaborative (the HPD Collaborative), a customer-led organization composed of stakeholders throughout thebuilding industry that is committed to the continuous improvement of building products through transparency, openness, and innovation throughout the product supply chain.
The product manufacturer and any applicable independent verifier are solely responsible for the accuracy of statements and claims made in this HPD and for compliance with the HPD standard noted.

Marmoleum Modular
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