Form 920 -- Attachment 1
- Subject: Statement of Exclusion from requirements of 10 CFR 707
- Reference: Subcontract No. ______________
- 10 CFR 707 is inapplicable to _______(Company Name)___________ because:
- The value of the subcontract does not exceed $25,000
- The value of the subcontract exceeds $25,000 but does not involve:
- Access to or handling of classified information;
- Access to or handling of special nuclear materials;
- Transportation of hazardous materials to or from a DOE site.
- The value of the subcontract exceeds $25,000 but does not involve risk of danger to life, the environment, public health and safety, or national security. (Do not check this box if your subcontract scope of work includes any of the following: decontamination and decommissioning; demolition; asbestos removal; waste sorting, packaging, treatment or any type of waste handling; or if you have been determined to be subject to Pollution Liability Insurance coverage.)
- Signed: __________________________
- Name: __________________________
- Title: __________________________
- Date: __________________________BJC PROJECT ENGINEER CONCURRENCE
- I concur in this subcontractor’s assessment of the inapplicability of 10 CFR 707 to their subcontracted scope of work.
- Signed: __________________________
- Name: __________________________
- Project: __________________________
- Date: __________________________