eppform.docx

BIDDER ENVIRONMENTALLY PREFERABLE PRODUCTS / PRACTICES FORM

Bidder Company Name: _________________________________________ Date: _______________

The purpose of this form is to encourage Bidders to identify steps they have taken to introduce sustainable practices into their business operations. Generally these are practices that reduce impacts on the environment or public health, such as creating less waste by using less packaging, eliminating the use of substances or materials that are considered toxic, or using alternative fuel vehicles in the delivery fleet to reduce air pollution and greenhouse gas emissions.

The Commonwealth considers such initiatives part of the “best value” of procurement, and Bidders who have adopted them may receive additional points in the evaluation of their Quote. However, bidders must substantiate all answers in the spaces provided below (or in an attachment) in order to receive credit. If reference is made to an attached document or a website, please identify it by the specific page and line.

1. Sustainability Program/Environmental Business Practices

a) Does your firm have a sustainability policy in place? If yes, please attach it (or link to it) AND summarize what actions the policy directs your company to take. Click here to enter text.

b) If your firm has any of these policies in place, please check the box and attach (or link to) the policy.

☐ Climate Action Plan ☐ Zero Waste Policy ☐ Toxics Reduction Strategy ☐ Green Fleet Policy ☐ Sustainable Procurement Policy or Environmentally Preferable Purchasing Policy ☐ Waste Prevention and/or recycling policy or program (identify the types of materials you recycle)

If a policy checked above has produced specific practices or achievements, please identify them. Click here to enter text.

c) Does your firm publish an annual Sustainability Report listing accomplishments and future goals? If yes, please attach (or link to) the latest such report. Click here to enter text.

d) Please check the box if your firm has taken any of the following steps to improve the sustainability of its 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) Click here to enter text.

☐ Purchases 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.

☐ Please list 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.

2. Packaging:

Has your company implemented any of the following sustainable packaging initiatives?

☐ Packaging materials do not contain chemicals or materials of concern such as PVC (vinyl), BPA, etc. Please describe. Click here to enter text.

3. Shipping/Transportation:

Has your company adopted any of the following sustainable shipping or transportation practices?

☐ Firm uses electric, hybrid-electric, bicycles or other alternative fuel vehicles to transport products to retail stores or other locations. (Describe program) Click here to enter text.

☐ Is a US EPA SmartWay Partner. Attach partnership agreement. Click here to enter text.

☐ Has an anti-idling policy. Attach policy.

☐ Its diesel vehicles are equipped with emission control devices. List device(s) here: Click here to enter text.

☐ Uses biodiesel in its vehicles. List estimated amount used in the last year: Click here to enter text.

☐ Uses environmentally preferable products in its fleet program (e.g., retread tires, re-refined motor oil, low-VOC solvents, etc.). List products here: Click here to enter text.

☐ Encourages the use of public/green transit. Please identify program(s): Click here to enter text.

☐ Minimizes shipping energy and environmental impacts in other ways. Describe: Click here to enter text.

4. Training and Education If your firm trains staff or educates customers on products or services that involve an environmentally preferable component, please describe. Click here to enter text.

5. Certifications Bidders should familiarize themselves with the various certifications for products and processes that are available within the 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? In order to receive credit, please attach a copy certifications listed below:

6. Other Environmental Criteria Bidders may provide additional information about environmentally preferable practices that are not indicated and explained above (attach any appropriate documentation to substantiate claim).

Click here to enter text.

Bidder Current Environmentally Preferable Products and Practices Form