Attachment B_ EHS_75D-07.0-04_Contractor Requirements.pdf

Version 12-11-2025

BUREAU OF ENGRAVING AND PRINTING

ENVIRONMENTAL HEALTH & SAFETY (EHS)

ACQUISITION REVIEW FORM

Instructions:

This form is required for all requisitions at or above $15,000.00 and must be submitted with the requisition.

This form is to be completed by the Requiring Activity / Contracting Officer Representative (COR) and submitted to the respective currency facility Office of Environmental and Health Safety (OEHS) representative (see list below) with a copy of an SOW/PWS/SOO and applicable Safety Data Sheets (SDS) sheets.

Every action at or above $15,000.00 shall be submitted to the OEHS for review as part of the acquisition planning package. As mandated by the Affirmative Action Plan (PM No. 2014-03), the OEHS must conduct a pre-award review of the action to ensure correction of any issues and compliance with applicable health and safety regulations.

Once OEHS review has been completed, the Requiring Activity/ COR is to provide this completed and approved form to the Requisitioner, who is responsible for generating the requisition within CLM. As part of the submission process, the Requisitioner is to scan and upload this document into CLM and submit it with the requisition.

The OEHS reserves the right to request a secondary review at the Solicitation stage, to ensure that appropriate health and safety terms have been incorporated prior to a solicitation prior to its publication. It shall be the responsibility of the OEHS representative to determine whether the requirement contains conditions which will necessitate a Solicitation review. If a Solicitation review is necessary, the designated Contract Specialist/Contracting Officer will submit the solicitation to the OEHS prior to publicizing it.

BUREAU OF ENGRAVING AND PRINTING

ENVIRONMENTAL HEALTH & SAFETY (EHS)

ACQUISITION REVIEW FORM

BEP’s ECF EHS Representatives:

Prime: Ricardo Lopez-Merced, 202-874-4358, ricardo.lopez-merced@bep.gov Secondary: Terry Barrett, 202-874-2326, terrence.barrett@bep.gov

BEP’s WCF EHS Representatives:

Prime: Larry Boyd, 817-231-4263, larry.boyd@bep.gov Secondary: Lauren Lee, 817-847-3965, Lauren.Lee@bep.gov

To Be Completed by the Requiring Activity/ Contracting Officer Representative

☐ New Acquisition/Delivery Order/Task Order (Complete sections below)

☐ Contract Modification (Complete sections below)

Project Title: D2 Tool Steel Bar BPA Administrative Change? ☐ Yes ☐ No

Contract/BPA/IDV No.: - Contract/BPA/IDV No.:

Requisition Number (if known): 165004

Contract Total Dollar Value (inclusive of all options):

Independent Government Cost Estimate: $ 225,000.00 Current Modification Value: $

To Be Completed by the EHS Representative

Should the requirements document (e.g. SOW, PWS, SOO) be edited to include EHS data? ☐ Yes ☒ No

Will a solicitation EHS review be required? ☐ Yes ☒ No

EHS Pre-Solicitation Review and Recommendations:

No comment.

EHS Representative Pre-Solicitation Approval: ☒ Approved As Submitted ☐ Approved with Comments

Name: Ricardo Lopez-Merced Signature: Date: March 30, 2026 To Be Completed by the Contracting Officer I have reviewed and acknowledged the pre-solicitation comments or recommendations made by the EHS Representative.

mailto:ricardo.lpez-merced@bep.gov mailto:terrence.barrett@bep.gov mailto:larry.boyd@bep.gov

State if continuation page is used

Name: Signature: Date:

EHS Representative Comments Continuation Page EHS Solicitation Review and Recommendations:

EHS Recommendations Continuation (state if pre-solicitation or solicitation):

EHS Representative Solicitation Approval: ☐ Approved As Submitted ☐ Approved with Comments

Name: Signature: Date:

To Be Completed by the Contracting Officer I have reviewed and acknowledged the solicitation comments or recommendations made by the EHS Representative.

Name: Signature: Date: