DMH Environmental Preferable Products Checklist~15.docx

DEPARTMENT OF MENTAL HEALTH

BIDDER CURRENT ENVIRONMENTALLY PREFERABLE PRODUCTS / PRACTICES FORM

Bidder Company Name: _________________________________________ Date: _______________ RFR Name and COMMBUYS Number:___________________________________________________________

The purpose of this form is for Bidders to communicate existing business practices that they have adopted 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; or using alternative fuel vehicles in the delivery fleet for the purpose of reducing air pollution and greenhouse gas emissions.

The Commonwealth considers such initiatives part of the “best value” of procurement. Bidders need to meet at a minimum one of the business practices below, preference will be given to those that meet more than one of the business practices. Bidders must substantiate their answers in the space provided below or in an attachment. If reference is made to an attached document, or a website, list the specific page and line to which information is referenced.

Sustainability Program/Environmental Business Practices Please check the applicable boxes to indicate the steps that your firm has taken to improve the sustainability at your own operations:

☐ Uses at least 50% remanufactured toner cartridges in printers (attach total annual spend on remanufactured and Original Equipment Manufacturer cartridges) Click here to enter text.

☐ Uses Green Cleaning products (certified by UL Ecologo, GreenSeal or SaferChoice) in all cleaning or janitorial services (attach copy of scope of work with cleaning services provider and types of green products used) ☐ Purchase appliances and equipment (printers, copiers, microwaves, etc.), that are Energy Star or EPEAT certified models. (list certified products) Click here to enter text.

☐ Incorporates green building design elements into all construction and renovation projects (list green design elements and provide documentation). Click here to enter text.

☐ Owns or leases buildings certified to LEED or another green building standard? (describe) Click here to enter text.

☐ 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: Click here to enter text.

☐ Has received a third party energy audit (usually through the utility) and implemented recommendations (attach audit recommendations and identify what has been completed). Click here to enter text.

☐ Has received a third party waste audit and implemented recommendations (attach audit recommendations and identify what has been completed). Click here to enter text.

☐ Other sustainable initiatives (e.g., waste reduction programs, green building management programs, other energy efficiency programs, etc.) and provide any measurable data: Click here to enter text.

Bidder Current Environmentally Preferable Products and Practices Form