DCR 002 EPP Form.pdf

Environmental Practices Form [Contract #]

The primary purpose of this form is to encourage bidders to communicate existing business practices that foster a sustainable approach to conducting their operations. This may include one that has a reduced impact on the environment or public health, such as, but not limited to, creating less waste by using less packaging;

eliminating the use substances and/or materials that are considered toxic; using alternative fuel vehicles in the delivery fleet for the purpose of reducing air pollution and greenhouse gas emissions, or setting environmental policies and measuring progress.

The Commonwealth considers such initiatives part of the “best value” of procurement. Bidders have an opportunity to receive additional points in the evaluation phase of the RFR for the environmental initiatives they have identified. However, bidders must provide documentation to substantiate answers. If reference is made to an attached bid document or URL, list reference in far-right column.

BIDDER NAME:

Bidder Questions To be responsive, bidder must provide answers to questions below. If no answer, indicate “none.” If not applicable, indicate “N/A.”

List reference link or bid file name:

Bidder Sustainability Program/Environmental Business Practices Indicate what types of corporate sustainability policies/plans your company has AND attach (or provide link) to policies/plans:

» Corporate Wide Sustainability Policy

» Climate Action Plan

» Zero Waste Policy

» Toxics Reduction Strategy

» Green Fleet Policy

» Sustainable Procurement Policy or Environmentally Preferable Purchasing Policy

» Anti-Idling Policy

» Waste Prevention and/or recycling policy/program

» Other (Please Describe):

Briefly describe and list sustainable procurement practices and achievements as a result of the policies checked above:

Does your company publish an annual Sustainability Report? The sustainability report may include reference to policies but should include specific and measurable accomplishments over the last year. If yes, you must also provide a link to your latest report (or attach document to bid if no link available) and briefly describe key elements and accomplishments:

Do you have specific targets for reducing your use of energy, water and chemicals? Describe targets:

Do you report to EcoVadis, or another similar environmental rating system? If so, attach your scorecard.

Decarbonization What commitments and efforts has the company made to cut its carbon footprint? Please describe:

Company reports Greenhouse Gas emissions and climate change strategy to the Carbon Disclosure Project (CDP) or publicly disclose an equivalent amount and type of information on an annual basis.

Please describe:

Bidder Facility Sustainability Practices: List individual steps not indicated above that your firm has taken to improve the sustainability at your own operations:

Uses at least 50% remanufactured toner cartridges in printers. Provide total annual spend on remanufactured and Original Equipment Manufacturer (OEM) cartridges:

Implemented a green cleaning program at our own facilities. Describe program and provide a list of third-party certified products used:

Purchases appliances and equipment (printers, copiers, microwaves, etc.), that are Energy Star or EPEAT certified models. Provide a list certified products:

Incorporates green building design elements into all construction and renovation projects. List green design elements and provide supporting documentation to substantiate:

Owns or leases buildings certified to LEED or other green building standard. Describe any data collected and provide link to any published reports:

Purchases or creates renewable electricity onsite (through solar or wind systems, for example). Describe and indicate the % of energy that is derived from renewable sources:

Has a recycling program. List all materials included in the program:

Has a composting program. List name of compost vendor:

Has received a 3rd party energy audit (usually through a utility) and implemented recommendations. Attach audit recommendations and what has been completed:

Has received a 3d party waste audit and implemented recommendations. Attach audit or recommendations and what has been completed:

List other sustainable initiatives not listed above and provide any data to substantiate claim:

Packaging: Has your company implemented any environmental packaging initiatives?

Are there packaging reduction, reuse, and recycling initiatives place? Describe all practices that apply:

Shipping/Transportation: Has your company implemented any of the following environmentally sound shipping and transportation practices?

Are there any environmentally sound shipping and transportation practices? (e.g., being an EPA SmartWays Partner, using alternative fuel vehicles, purchasing environmentally preferable fleet products (e.g., retread tires, re-refined motor oil, low-VOC solvents, etc.)?

Provide a description of the practices, products or fuels used:

Training & Education Describe how your company trains staff on the products or services that involve environmentally preferable components? Provide a description of the practices:

Describe how your company educates customers on the environmentally preferable products or services?

Provide a description of the practices:

Certifications: Bidders should familiarize themselves with the various certifications and standards for their industry in which they operate, with particular attention to those concerning environmental issues. Has your company or any of its manufacturers and/or subcontractors obtained any of the following product/industry certifications?

Is LEED Certified. List to what standard:

Has adopted an environmental management system that is geared to continuous improvement (e.g., ISO 14000).

Attach proof of an EMS audit.

Certified as a Massachusetts Sustainable Business Leader through the Sustainable Business Leader Program. Attach certification.

Other industry environmental standards where applicable. Examples include, but are not limited to:

CERES principles, C2C Protocol, Responsible Care Codes of Practice or other similar standards. List standard(s) and attach proof of certification:

Is a certified B Corporation (Please describe):

Other (Please describe):

Other Environmental Criteria:

Bidders may provide additional information about environmentally preferable products or practices that are not indicated and explained above. Attach appropriate documentation to substantiate claims: