Environmental Practices Form~2.xlsx
XLSX spreadsheet 29 KB Posted
- Attached to
- RFR-27-05773 Work Authorization Counsel Support
- Solicitation number
- BD-27-1060-ITD00-ITD00-134455
- Issued by
- Massachusetts
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DIRECTIONS
| NOTE TO RFR DEVELOPERS – DELETE THIS TAB and EVALUTION CRITERIA TAB PRIOR TO POSTING WITH BID: |
| Environmental Practices Form: |
The Environmental Practices Form (and should be referred to in the RFR as such) tab is provided here as a guidance template for RFR developers, and requires editing prior to including in an RFR or RFQ. All Statewide Contract bids should include this form, and departments are also encouraged to do so.
Each sourcing team should edit the form as applicable for the products/services bid. If entries in the template are not applicable, bid developers should remove and only keep those entries that make sense for the specific bid (e.g., packaging may not apply to some bids). In addition, bid developers should add new applicable entries as needed (e.g., if there is a specific certification for the industry or a particular environmental practice to add).
Evaluation CRITERIA:
The Evaluation Criteria tab is a sample evaluation criteria template to use for the bid evaluation criteria document for the Environmental Practices Form, and should be updated to match what the sourcing team includes in the form. The Sourcing Team should identify how many evaluation points to provide this form in addition to the specific points allocation (e.g., if 10 points are allocated to the form, how will the points allocation be evaluated for each answer).
Environmental Practices Form
| [contract #] Environmental Proactices Form |
| 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 Column C.
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.
| (box will expand as you add text) | ||
| Bidder Sustainability Program/Environmental Business Practices | List reference link or bid file name | |
| 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: | ||
| 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 3d 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 and Education | ||
| Describe how your company trains staff on the products or service that involves an environmentally preferable component? Provide a description of the practices: | ||
| Describe how your company educates customers on the environmentally preferable products or service? Prorovide 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: | ||
| [List here if there are any other environmental criteria that you would like to score] |
Evaluation CRITERIA
| NOTE: MUST REMOVE THIS TAB PRIOR TO POSTING | ||
| Directions: This is the Environmental Practices Form evaluation point allocation form and should be included with the evaluation criteria document for this RFR. It determines points provided for this form, and how those points are allocated. | ||
| [CONTRACT # AND NAME] | ||
| Evaluator may copy and paste columns B & C into bidder form for easier score compilation) | ||
| Total allotted evaluation points for this form: [X] points | Total Points (will sum from score provided in Column C) | 0 |
| Bidder Questions | To be responsive, bidder must provide answers to questions below. If no answer, indicate none. If not applicable, indicate N/A. | For Scoring - insert points below which will sum above: |
| (box will expand as you add text) | ||
| 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: | Up to x point each | |
| 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: | ||
| Briefly describe and list sustainable procurement practices and achievements as a result of the policies checked above: | x for each practice | |
| 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: | up to x point | |
| Do you have specific targets for reducing your use of energy, water and chemicals? Describe targets: | x point per target | |
| Do you report to EcoVadis, or another similar environmental rating system? If so, attach your scorecard. | x if report to a rating system and attach scorecard | |
| Decarbonization | ||
| What commitments and efforts has the company made to cut its carbon footprint? Please describe: | x points for each effort | |
| 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: | x point per reporting scheme | |
| 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: | x points | |
| Implemented a green cleaning program at our own facilities. Describe program and provide a list of third-party certified products used: | x points | |
| Purchases appliances and equipment (printers, copiers, microwaves, etc.), that are Energy Star or EPEAT certified models. Provide a list certified products: | x points | |
| Incorporates green building design elements into all construction and renovation projects. List green design elements and provide supporting documentation to substantiate: | x points | |
| Owns or leases buildings certified to LEED or other green building standard. Describe any data collected and provide link to any published reports: | x points | |
| 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: | x points | |
| Has a recycling program. List all materials included in the program: | x points | |
| Has a composting program. List name of compost vendor: | x points | |
| Has received a 3d party energy audit (usually through a utility) and implemented recommendations. Attach audit recommendations and what has been completed: | x points | |
| Has received a 3d party waste audit and implemented recommendations. Attach audit or recommendations and what has been completed: | x points | |
| List other sustainable initiatives not listed above and provide any data to substantiate claim: | x points per initiative | |
| Packaging: Has your company implemented any environmental packaging initiatives? | ||
| Are there packaging reduction, reuse, and recycling initiatives place? Describe all practices that apply: | x points per initiative | |
| 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: | x point per practice | |
| Training and Education | ||
| Describe how your company trains staff on the products or service that involves an environmentally preferable component? Provide a description of the practices: | x points per practice | |
| Describe how your company educates customers on the environmentally preferable products or service? Prorovide a description of the practices: | x points per practice | |
| 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: | x points per standard | |
| Has adopted an environmental management system that is geared to continuous improvement (e.g., ISO 14000). Attach proof of an EMS audit. | x points per system | |
| Certified as a Massachusetts Sustainable Business Leader through the Sustainable Business Leader Program. Attach certification. | x points | |
| 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: | x points per standard | |
| Is a certified B Corporation. Please describe: | x points | |
| Other. Please describe: | X points per each | |
| 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: | x points per practice | |
| [List here if there are any other environmental criteria that you would like to score] | x points each |
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