eppform.doc

Additional Environmentally Preferable Products / Practices

Bidder Company Name: ___________________________________________________ Date: _______________ In line with the Commonwealth’s efforts to promote products and practices which reduce our impact on the environment and human health, Bidders are encouraged provide information regarding their environmentally preferable/sustainable business practices as they relate to this contract wherever possible.

Bidders who can demonstrate such initiatives in their RFR submission (referencing, but not limited to, the items listed below) will be eligible to receive evaluation points.

In order to receive evaluation points, Bidders must complete this form and submit it with their RFR Response.

Bidders must submit appropriate documentation to support the items for which the Bidder indicated a “Yes” and present this documentation in the proper sequence of this Attachment.

1. Packaging

Has the Bidder implemented any of the following environmental initiatives?

(A checkmark indicates “Yes”) Use of corrugated materials that exceeds the required minimum of 35% post-consumer recycled content

Use of other packaging materials that contain recycled content and are recyclable in most local programs

Promotes waste prevention and source reduction by reducing the extent of the packaging and/or offering packaging take-back services, or shipping carton return

Reduces or eliminates materials which have been bleached with chlorine or chlorine derivatives

Eliminates any packaging that may contain polyvinyl chloride (PVC), or polystyrene or heavy metals

If yes, a description of the practices being followed must be included with the RFR submission.

2. Business Practices / Operations / Manufacturing

Does the bidder engage in practices that serve to reduce or minimize an impact to the environment, including, but not necessarily limited to, the following items?

(A checkmark indicates “Yes”)

Recycles materials in the warehouse or other operations

Use of alternative fuel vehicles or vehicles equipped with diesel emission control devices for delivery or transportation purposes

Use of energy efficient office equipment or signage or the incorporation of green building design elements

Use of recycled paper (that meets federal specifications) in their marketing and/or resource materials

Other sustainable initiative

If yes, a description of the practices being followed must be included with the RFR submission.

3. Training and Education

Does the bidder conduct/offer a program to train or inform customers of the environmental benefits of the products to be offered under this contract, and/or does the bidder conduct environmental training of its own staff?

FORMCHECKBOX

Yes

FORMCHECKBOX

No

If yes, bidders must attach a description of the training offered and the specific criteria targeted by the training.

4. Certifications

Has the bidder or any of its manufacturers and/or subcontractors obtained any of the following product / industry certifications?

(A checkmark indicates “Yes”)

ISO 14000 or adopted some other equivalent environmental management system

Other industry environmental standards (where applicable), such as the CERES principles, LEED

Certification, C2C Protocol, Responsible Care Codes of Practice or other similar standards

Third Party product certifications such as Green Seal, Scientific Certification Systems, Smartwood, etc.

If yes, bidders must attach copies of the certificates obtained.

5. Other Environmental Criteria

Bidders are encouraged to respond to criteria specifically indicated in this RFR as “desirable environmental criteria” (and attach the appropriate documentation) to receive consideration in the evaluation.

Updated 1/19/06