APPENDIX 01: SAMPLE PRODUCT SUBMITTAL FORM (3 pages) URBAN ARTS ARCHITECTURE Abbott St, Vancouver, BC V6B 2K4 (604)

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1 APPENDIX 01: SAMPLE PRODUCT SUBMITTAL FORM (3 pages)

2 LEED-NC 2009 Material Submittal Form 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 MRc4 Recycled Content 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

3 MRc5 Regional Materials Regional Materials (Part I) Was the material/product manufactured within an 800 km radius of the project? Location of Manufacture: Kilometers from jobsite (as the crow flies): Method of Transportation MRc5 Regional Materials Regional Materials (Part II) Was the material/product extracted, harvested, recovered within an 800 km radius of the project? %Weight of Product Harvest/Extraction Site Distance from Site of Manufacture Method of Transportation MRc7 Certified Wood Does the material product contain new wood (FSC and/or 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 Ensure that copies of vendor invoices for FSC certified wood are submitted with this form

4 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? Does the aerosol adhesive meet the VOC limits of Green Seal Standard GC-36? 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? Does the anti-corrosive and anti-rust paint meet the VOC limits of Green Seal Standard GC-03? 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? VOC content (g/l) EQc4.3 Low-Emitting Materials: Flooring Systems Do the carpet and carpet underlay meet the VOC limits of Carpet & Rug Institute s Green Label Plus program? Does the carpet adhesive meet the requirements of EQc4.1 (VOC limit 50g/L)? Is the hard surface flooring covered by the FloorScore standard? Are all components of the hard surface flooring systems compliant with IEQc4.1? EQc4.4 Low-Emitting Materials: Composite Wood & Agrifiber Products Does the material contain added urea-formaldehyde resins? Binder Type

5 APPENDIX 02: LEED SCORECARD (2 pages)

6 LEED Canada-NC 2009 Anticipated Project Scorecard Queensborough Community Centre 08-Sep-11 YES NO Responsibility Project Totals (pre-certification estimates) 110 Possible Points CERTIFIED POINTS, SILVER POINTS, GOLD POINTS, PLATINUM 80 + POINTS RESPONSIBILITY O = Owner A = Architect E = Electrical M = Mechanical S = Structural L = Landscape CV = Civil CX = Commissioning Agent C = Construction Manager/Contractor Sustainable Sites 26 Points CV Prereq 1 Construction Activity Pollution Prevention Required 1 O Credit 1 Site Selection A Credit 2 Development Density and Community Connectivity 3, Credit 3 Brownfield Redevelopment 1 6 A Credit 4.1 Alternative Transportation: Public Transportation Access 3, 6 1 A Credit 4.2 Alternative Transportation: Bicycle Storage & Changing Rooms Credit 4.3 Alternative Transportation: Low-Emitting & Fuel-Efficient Vehicles 3 2 A Credit 4.4 Alternative Transportation: Parking Capacity Credit 5.1 Site Development: Protect and Restore habitat 1 1 L/A/O Credit 5.2 Site Development: Maximize Open Space Credit 6.1 Stormwater Design: Quantity Control Credit 6.2 Stormwater Design: Quality Control Credit 7.1 Heat Island Effect: Non-Roof 1 1 A Credit 7.2 Heat Island Effect: Roof 1 1 E Credit 8 Light Pollution Reduction Water Efficiency 10 Points M Prereq 1 Water Use Reduction Required 4 O/L Credit 1 Water Efficient Landscaping 2, Credit 2 Innovative Wastewater Technologies M Credit 3 Water Use Reduction Energy & Atmosphere 35 Points CX Prereq 1 Fundamental Commissioning of Building Energy Systems Required M/E Prereq 2 Minimum Energy Performance Required M Prereq 3 Fundamental Refrigerant Management Required 8 11 M/E Credit 1 Optimize Energy Performance Credit 2 On-Site Renewable Energy CX Credit 3 Enhanced Commissioning 2 2 M Credit 4 Enhanced Refrigerant Management Credit 5 Measurement and Verification 3 2 O/E Credit 6 Green Power 2

7 7 7 Materials & Resources 14 Points A Prereq 1 Storage and Collection of Recyclables Required 3 - Credit 1.1 Building Reuse: Maintain Existing Walls, Floors, and Roof Credit 1.2 Building Reuse: Maintain Interior Non-Structural Elements 1 2 C/A Credit 2 Construction Waste Management Credit 3 Materials Reuse C/A Credit 4 Recycled Content C/A Credit 5 Regional Materials Credit 6 Rapidly Renewable Materials 1 1 S/A/C Credit 7 Certified Wood Indoor Environmental Quality 15 Points M Prereq 1 Minimum Indoor Air Quality Performance Required A/O Prereq 2 Environmental Tobacco Smoke (ETS) Control Required 1 M Credit 1 Outdoor Air Delivery Monitoring Credit 2 Increased Ventilation 1 1 C/M Credit 3.1 Construction IAQ Management Plan: During Construction 1 1 C/M Credit 3.2 Construction IAQ Management Plan: Before Occupancy 1 1 C/A Credit 4.1 Low-Emitting Materials: Adhesives and Sealants 1 1 C/A Credit 4.2 Low-Emitting Materials: Paints and Coatings 1 1 C/A Credit 4.3 Low-Emitting Materials: Flooring Systems 1 1 C/A Credit 4.4 Low-Emitting Materials: Composite Wood and Agrifibre Products 1 1 M/A Credit 5 Indoor Chemical and Pollutant Source Control 1 1 E Credit 6.1 Controllability of System: Lighting 1 1 A/M Credit 6.2 Controllability of System: Thermal Comfort 1 1 M Credit 7.1 Thermal Comfort: Design 1 1 M/O/A Credit 7.2 Thermal Comfort: Verification 1 1 A Credit 8.1 Daylight and Views: Daylight 1 1 A Credit 8.2 Daylight and Views: Views Innovation in Design 6 Points 1 O/A Credit 1.1 Innovation in Design - Green Housekeeping 1 1 O/A Credit 1.2 Innovation in Design - Education Plan 1 1 O/A Credit 1.3 Innovation in Design - Green Furniture 1 1 AE Credit 1.4 Innovation in Design - Low Mercury Lighting Credit 1.5 Innovation in Design 1 1 A Credit 2 LEED Accredited Professional Regional Priority 4 Points 1 - Credit 1 Durable Building 1 1 A Credit 2.1 Regional Priority Credit: SSc A Credit 2.2 Regional Priority Credit: SSc A Credit 2.3 Regional Priority Credit: MRc7 1

8 APPENDIX 3: WASTE MANAGEMENT PLAN SAMPLE SUBMITTAL FORM (1 page)

9 Project Site/Location Contact Person Telephone No. Name of Company Building Construction Combustible Noncombustible Combination (specify) Project Type Complete Deconstruction Partial Deconstruction Building Type Residential Commercial/Industrial Estimated Time for Completion Total Area (m2) Pre-Demolition Audit Project Summary Material Estimated Generation For Period: to Salvaged Recycled Disposed Facility Remarks/ Comments Signature Title Date Explanatory note: Column 1 - Material enter materials targeted for salvage, recycling, and/or disposal Column 2 - Estimated Generation enter the estimated volumes, quantities, or number of salvageable, recyclable, and waste materials generated (consistently in cu. m. or metric tonnes). Column 3 - Salvaged enter the volumes, quantities, or number of materials salvaged (consistently as cu. m. or tonnes) Column 4 - Recycled enter the volumes or quantities of materials recycled (consistenly as cu. m. or tonnes) Column 5 - Disposed enter the volumes or quantities of materials disposed (consistently as cu. m. or tonnes) Column 6 - Facility enter the end-destination of salvaged, recycled, and disposed materials Column 7 - Remarks/Comments enter any additional comments or details as required