Yes Yes Yes No No No Yes Yes Yes No No No Yes Yes Yes No No No Yes Yes Yes No No No Yes Yes Yes No No No Yes Yes Yes No No No Yes Yes Yes No No No Yes Yes Yes No No No Yes Yes Yes No No No Yes Yes Yes No No No Yes Yes Yes No No No Yes Yes Yes No No No Yes Yes Yes No No No Product Cost (Sum): Materials & Products Calculations Total value ($) of Georgia-based Materials & Products harvested, extracted, or manufactured: Georgia-based Materials & Products as a percentage of total materials cost: I have complied with the Energy Efficiency and Sustainable Construction Standards for State Buildings requirements for Georgia-based Materials & Products. Signed (Responsible Team Member): ______________________________________ Date: ______________ Printed Name: _________________________________ Organization: ______________________________________________
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Product Cost (Sum): Materials & Products Calculations Total value ($) of Georgia-based Materials & Products harvested, extracted, or manufactured: Georgia-based Materials & Products as a percentage of total materials cost: I have complied with the Energy Efficiency and Sustainable Construction Standards for State Buildings requirements for Georgia-based Materials & Products. Signed (Responsible Team Member): ______________________________________ Date: ______________ Printed Name: _________________________________ Organization: ______________________________________________
DBB%20Forms%20Packet%20%284-10-17%29.docx