FAC114 Current Environmental Practices Form Final.docx

FAC114 BIDDER CURRENT ENVIRONMENTALLY PREFERABLE PRODUCTS AND PRACTICES FORM

Bidder Company Name: _________________________________________ Date: _______________ The primary purpose of this form is to encourage potential 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; 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 have an opportunity to receive additional points in the evaluation phase of the RFR for the environmental initiatives they have identified. However, bidders must substantiate all answers in the space provided below or in an attachment in order to receive any additional points. If reference is made to an attached document, or a website, list the specific page and line to which information is referenced.

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Certifications Bidders should familiarize themselves with the various certifications and standards 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:

☐Holds an International Sanitary Supply Association (ISSA) certification (list certification type and attach proof of certification).

☐Holds an Global Biorisk Advisory Council (GBAC) STAR certification (list certification type and attach proof of certification).

☐Holds a Green Seal-42 certification for Commercial and Institutional Cleaning (attach proof of certification).

☐Is a reporting member of the WasteWise Program (EPA and Massachusetts) (attach proof of most recent reporting).

☐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 CERES principles, LEED Certification, C2C Protocol, Responsible Care Codes of Practice or other similar standards (list standard(s)):

☐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 (describe):

☐ Is a certified B Corporation (describe):

☐Other (describe):

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 ☐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 listing accomplishments and future goals? If yes, attach (or provide a link) to your latest report and describe key elements and accomplishments:

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 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 internal recycling and composting programs (list all materials included in the program):

☐ 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 proof of audit, recommendations, and what has been completed):

☐ List other sustainable initiatives not listed above and provide any measurable data:

Packaging: Has your company implemented any environmental packaging initiatives?

☐ Incorporates packaging reduction, reuse, and recycling in its purchasing practices (describe):

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

☐ Uses electric, hybrid-electric, or other alternative fuel vehicles in business (describe program):

☐ Has an anti-idling policy (attach a copy of the policy).

☐ Uses biodiesel in vehicles (list estimated amount in gallons that was used in the last year):

☐ Use environmentally preferable fleet products (e.g., retread tires, re-refined motor oil, low-VOC solvents, etc.) (list products):

☐ Encourages the use of public/green transit (provide name and description of program(s)):

☐ Other. Please describe:

Training and Education

Describe how your company trains staff on the products or service that involves an environmentally preferable component:

Other Environmental Criteria

Bidders may provide additional information about environmentally preferable products or practices that are not indicated and explained above (attach any appropriate documentation to substantiate claim):

Bidder Current Environmentally Preferable Products and Practices Form