FAC116 EPP Plan Form.docx

BIDDER CURRENT ENVIRONMENTALLY PREFERABLE PRODUCTS / 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. In other words, it applies to the operations of the Bidder, not the operations of a manufacturer of other companies the bidder works with. This includes 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 bid evaluation phase for the environmental initiatives they have identified. 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, bidder must list the specific page and line to which information is referenced in order to properly evaluate information provided.

Bidder Sustainability Program/Environmental Business Practices

Does your company have a corporate-wide sustainability policy? If yes, attach or provide a link to sustainability policy AND summarize what policy directs your company to do:

Indicate any other types of corporate sustainability policies not listed above AND attach policy in order to receive credit.

☐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 (describe and list types of materials you recycle) ☐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. Describe key elements and accomplishments (such as receiving sustainability awards).

Online: Does your company have web-based materials available documenting your sustainability initiatives?

☐ No ☐ Yes. Please describe and include link to webpage.

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. Must provide total annual spend on remanufactured and Original Equipment Manufacturer cartridges:

☐ Uses environmentally preferable cleaning products in all cleaning or janitorial services. Products must be certified by UL Ecologo, GreenSeal or SaferChoice. Must provide proof of using certified products by attaching a copy of scope of work with cleaning services provider or receipts purchases of certified products:

☐ Purchases appliances and equipment (printers, copiers, microwaves, etc.), that are Energy Star or EPEAT certified models. Must provide a list certified products:

☐ Owns or leases buildings certified to LEED or other green building standard. Must provide address of buildings and LEED or green building standard achieved:

☐ Purchases or creates renewable electricity onsite (through solar or wind systems, for example). Must describe and indicate the % of energy that is derived from renewable sources:

☐ Has internal recycling and composting programs. Must list all materials:

☐ Has received a 3d party energy audit and implemented recommendations. Must attach audit recommendations and what has been completed:

☐ Has received a 3d party waste audit and implemented recommendations. Must attach proof of audit, recommendations, and what has been completed:

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

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

☐ Uses electric, hybrid-electric, bicycles or other alternative fuel vehicles to transport products to your retail stores or other locations. Describe program:

☐ Your company is a US EPA SmartWay Partner. Must attach the partnership agreement.

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

☐ Diesel vehicles are equipped with emission control devices. Must list type of device(s) here:

☐ Uses biodiesel in vehicles. Must 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.). Must list products:

☐ Minimizes shipping energy and environmental impacts in other ways? Please describe:

☐ Other. Please describe:

Training and Education

Describe how your company trains staff and educates customers on the products or service that involves an environmentally preferable component.

Recycling Programs

Does your company collect and recycle the products it offers at the end of their useful life? Please describe the program, and product, and provide a reference:

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:

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

☐Has adopted an environmental management system that is geared to continuous improvement (e.g., ISO 14000) Must 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? Please describe:

☐ Is a certified B Corporation. Please describe:

☐Other. Please describe:

Has your company ever been cited for non-compliance of an environmental or safety issue?

☐ No, my company HAS NOT been cited for non-compliance of an environmental or safety issue

☐ Yes, my company HAS been cited for non-compliance of an environmental or safety issue. State the reason, date and outcome of the citation:

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)

Bidder Current Environmentally Preferable Products and Practices Form