LEED-NC Version 2.2
Material Certification Data Sheet
To be completed by Subcontractor/Installer
Must be included in each product/material submittal
Materials will not be approved without complete LEED documentation
Complete one Material Certification Data Sheet for each product material.
Attach supporting Manufacturer Product Information or Manufacturer Letter of Certification.
Material or Product: ______
Material Cost (excluding Field Labor and Equipment): ______
Manufacturer: ______
Manufacturer Address: ______
______
Subcontractor/Installer: ______
Subcontractor/Installer Address: ______
______
Subcontractor/Installer Project Manager Signature: ______
Fill out only the sections that apply below
MRc3 Materials Reuse
Has the material/product been salvaged, refurbished, or reused?
Source of material: ______
______
MRc4 Recycled Content: Post-Consumer + 1/2 Pre-Consumer
Does the material/product contain post-consumer or pre-consumer recycled content?
Percentage post-consumer recycled content: ______
Percentage pre-consumer recycled content: ______
If only some components of material/product contain recycled content, please fill out below:
Component %Weight of Product ___%Post-Consumer_____%Pre-Consumer
______
______
______
______
MRc5.1 Regional Materials – Manufacturer Regionally
Was the material/product manufactured within a 500 miles radius of the project?
Location of Manufacture: ______
Miles from jobsite (as the crow flies): ______
MRc5.2 Regional Materials – Extracted and Manufactured Regionally
Was the material/product manufactured and extracted, harvested, recovered within a 500 miles radius of the project?
Component%Weight of Product Location (City/State) _____ Distance from Project
______
______
______
MRc6 Rapidly Renewable Materials
Does the material/product contain rapidly renewable material?
Component ____ %Weight of Product
______
______
______
MRc7 Certified Wood
Does the material product contain new wood (FSC and non-FSC)?
Please note, recycled wood is not considered “new wood”
Component ______%Weight of Product that is New Wood % of New Wood that is FSC
______
______
______
EQc4.1 Low-Emitting Materials: Adhesives & Sealants
Does the adhesive, sealant, or sealant primer meet the VOC limits of South Coast Air Quality Management District Rule #1168 (1/1/2003) and addendum (10/3/2003)?
Does the aerosol adhesive meet the VOC limits of Green Seal Standard GC-36 (10/19/2000)?
Component ______VOC content (g/L)
______
______
______
EQc4.2 Low-Emitting Materials: Paints & Coatings
Do the architectural paints, coatings and primers meet the VOC limits of Green Seal Standard GS-11 (5/20/1993)?
Does the anti-corrosive and anti-rust paint meet the VOC limits of Green Seal Standard GC-03 (1/7/1997)?
Do the clear wood finishes, floor coatings, stains, sealers, and shellacs meet the VOC limits of South Coast Air Quality Management District Rule 1113, Architectural Coatings (1/1/2004)?
Component ______VOC content (g/L)
______
______
______
EQc4.3 Low-Emitting Materials: Carpet Systems
Does the carpet meet the VOC limits of Carpet & Rug Institute’s Green Label Plus program?
Does the carpet cushion meet the VOC limits of Carpet & Rug Institute’s Green Label program?
Does the carpet adhesive meet the requirements of EQc4.1 – VOC limit 50g/L?
Component ______Backing Type CRI Identification#
______
______
______
EQc4.4 Low-Emitting Materials: Composite Wood & Agrifiber Products
Does the material contain added urea-formaldehyde resins?
Component ______Binder Type
______
______
______