2009v2.2NC Doc Materials Submittal Cover Sheet

7/24/2019 2009v2.2NC Doc Materials Submittal Cover Sheet

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MATERIALS DOCUMENTATION SUBMITTAL COVER SHEETUSGBC LEED NC v.2.2 RATING SYSTEM

Instructions to Contractor/Installer: For each material !lea"e com!lete the #ollo$i%& i%#ormatio% i% all a!!lica'lecate&orie". U"e a((itio%al ")'mittal "heet" a" %ee(e(. Attach c)t "heet" letter" #rom ma%)#act)rer" a%(*or other")!!orti%& i%#ormatio% a%( ")'mit #or revie$. The Co%tractor "ho)l( )"e thi" "heet i% co%+)%ctio% $ith the Material"Trac,i%& E-cel "!rea("heet to (oc)me%t the material" a%( !ro()ct" "electe( a%( i%"talle( i% the !ro+ect.

ro+ect Name: /////////////////////////// Com!a%0: //////// /////////////////////////////////////

Si&%e( '0 1!ri%t: ///////////////////////// Si&%at)re: //////////////////////////// Date: ///////////

LEED Materials Credits (Divisions 2 10)

Please list the material cost charged to the client excluding any equipment rental or installation.

ro()ct * Material Ma%)#act)rer*3e%(or Material Co"t

LEED MR c3: Resource Reuse (Div 2 - 10)

Has the material/product been salvaged, refurbished or reused?

Material Origin of material Salva&e( Re#)r'i"he( or Re)"e(4

I confirm that appropriate backup documentation has been provided

LEED MR c4: Recycled Content (Div 2 !"#

Does the material/product contain post-consumer or post-industrial content? Yes / No

ro()ct * Material erce%t !o"t5i%()"trial erce%t !o"t5co%")mer

If only select components of a product contain recycled content see !""D NC #.$.$ %eference &uide forinstructions to calculate total product recycled content '(ased on relati#e material )eights*.

New Construction Program, Harvard Green Campus Initiative

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I confirm that appropriate backup documentation has been provided.

LEED MR c$: Loc%lly H%&ve'tedE)t&%cted M%te&i%l' (Div 2 !"#

+ere the ra) materials extracted/har#ested and the final product manufactured )ithin , miles?

ro()ct * Material Locatio% o# harve"t Di"ta%ce 1mi Locatio% o# ma%)#act)re Di"ta%ce 1mi

sehttp//indo.com/distance/to confirm linear distance 'as-a-cro) flies* from site.


LEED MR c*: Rapidly Renea!le Materials(Div 2 !"#

Does the product/material contain rapidly rene)a(le materials?

Raw Materials % of Rapidly Renewable Co"t


LEED MR c+: "#C Certi$ed %ood (Div 2 !"#

Does the material/product contain Forest Stewardship Council (FSC) certified wood?

Component % of Material Chain-of-Custody Certificate #: Co"t


LEED E& c'1: Lo-Eittin* Materials+ ,desives and #ealants (,nyere .in oisture!arrier)

Do the adhesives and sealants comply with the LEED NC v.2.2 VOC limits?

Product Name Ma%)#act)rer VOC Content (grams / liter)


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VOC limits can be found athttps://www.usgbc.org/ShowFile.aspx?DocumentID=1095pages 67 & 68.


LEED E& c'2: Lo-Eittin* Materials+ /aints and Coatin*s (,nyere .in oisture!arrier)

Do the paints and coatings comply with the LEED NC v.2.2 VOC limits?

Product Name Ma%)#act)rer VOC Content (grams / liter)

VOC limits can be found athttps://www.usgbc.org/ShowFile.aspx?DocumentID=1095pages 69.


LEED E& c'3: Lo-Eittin* Materials+ Carpet

Does the carpet meet the Carpet and Rug Institutes Green Label Plus IAQ testing requirements?

Does the cushion meet the Green Label IAQ testing requirements?

Product Name Ma%)#act)rer


LEED E& c'': Lo-Eittin* Materials+ Coposite %ood and ,*ri$!er

Does the material/product contain any added urea-formaldehyde resins?

Product/Manufacturer Yes or No?


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2009v2.2NC Doc Materials Submittal Cover Sheet