Flushing Library Contract eBook

.:-, .1 ~

,-~

, J ......

YORK CC()~~;:UCTION

_..

--~EW

DESIGN+

ENVIRONMENTAL BUILDING MATERIALS CERTIFICATION FORM

Project Name: ______________

_

Contractor Name:

Contractor Contact: _______________ Telephone Number: _____________

_

Project I.D.:

_

RapidlyRenewable 7 voe contents Flooring 9 Wood

RecycledContent

Regional 4

·voe ·voe *Green *Addedurea FSC contentcontentLabelor formaldehydeCertified 11

Total%Location& Location& Extracted

Pre-

Post-

Material ConsumerConsumer(½ Pre Distanceto Distanceto & Manuf.

Cost 1 (%bywt) 2 (%bywt) 3 +Post)Extraction 5 Manufacture 6 ;-%bywt) Material %bywt listed allowedFloorScore(Yes/No) 10 (%bywt)

Product/Manufacturer

1 MateriaCl ost: Asit appearsonthemanufacturero'srdistributor'isnvoicetothecontractoorrsubcontractoDr.oesnotincludelabororequipmenctostsassociatewdithinstallation. 2 Pre-ConsumRerecycledContent: Industrial/manufactuwrinagstemateria(le.g.,fly-ashandsyntheticgypsumb,othwasteproductfsromcoalburningelectricityplantsd) ivertedfromlandfilal ndincorporateidntoa finishedproductS. craprawmaterialtshatcanbereusedinthesamemanufacturinpgrocessfromwhichtheyarerecovereadrenotconsiderePdre-ConsumRerecycledContent. 3 Post-ConsumReer cycledContent: Materiaol rproductthathasserveditsintendedconsumeurse(e.g.,anemptyplasticbottle)andhasbeendivertedfromlandfilal ndincorporateindtoafinishedproduct. 4 Regional: Referstoamaterial/produthctatisBOTHextractedANDmanufacturewdithin500milesoftheProjecst ite.RecordthisinformatioOnNLYformaterials/producmtseetingBOTHofthesecriteria. 5 Extraction: Referstothelocationfromwhichtherawresourceussedinabuildingproducat reextractedh,arvestedo,r recovered. 6 Manufacture: ReferstothelocationofthefinalassembloyfcomponentisntoabuildingproducthatisfurnishedandinstalledbytheContractor. 7 RapidlyRenewable: Referstomaterials/produdctesrivedfromagriculturaplroducttshataretypicallyharvestewd ithinaten-yeaor rshortecr ycle. 8 VOCContent: Thequantityofvolatileorganicompoundcsontainedinadhesives,ealantsp.aintsandarchitecturacol atingsR. eportedingrams/liteorr lbs/gallonle, sswater. 9 Flooring: Forcarpeti,ndicateCarpeat ndRugInstitute(CRI)GreenLabelPluscertificationF.orcarpect ushioni,ndicateCRIGreenLabecl ertificationF.orallflooringexceput nfinished/untreawteododandmineral-based flooring(tile,masonryte, rrazzoc,utstone)withouot rganic-basecdoatingsorsealantsi,ndicateResilienFt loorCoveringInstituteFloorScorreating.VOClimitsforadhesives,ealantse,tc.stillapply. 10 AddedUreaFormaldehyde: Appliestocompositweoodandagrifibepr roductsonly(plywoodp,articleboarMd,DF,OSB,wheatboardst,rawboardR).esinsorbinderswithaddedureaformaldehydaereprohibited. 11 FSCCertified: CertificatiofnromtheForesSt tewardshCipouncilT. hiscolumnisonlyapplicablteowoodproducts. • Appliesonlytomaterials/producintstalledwithintheweatbebr arrier. (the Contractor) hereby certify that the material information contained herein is an accurate representation of the material qualifications to be provided by the Contractor as components of the final building construction. Furthermore, I understand that any change in such qualifications during the purchasing period will require prior written approval from the Commissioner. Signature of Authorized Representative: ----~-------------------- Date: ____ _ Contractor Certification: I, ___________ a duly authorized representative of_____________