VEH113 Current Environmental Practices Form.docx

VEH113 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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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 ☐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, provide a link to your latest report (or attach if no link available) and briefly describe key elements and accomplishments:

☐Do you have targets for reducing your use of energy, water and chemicals? Describe:

Decarbonization

What commitments and efforts has the company made to cut its carbon footprint? Describe:

Bidder Facility Sustainability Practices: List individual steps not indicated above that your firm has taken to improve the sustainability at your own operations:

☐ 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:

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

Has your company implemented any environmentally sound shipping and transportation practices? Examples include, but are not limited to: using alternative fuel vehicles (provide description of type), using biodiesel fuel in vehicles, purchasing environmentally preferable fleet products (e.g., retread tires, re-refined motor oil, low-VOC solvents, etc)? Provide a description of the practices:

☐ Is an EPA Smartways member. Provide proof of membership.

☐ 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:

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):

Environmental Product Offering

Bidders providing environmentally preferable options in the price sheet should also provide additional information about those options here. Please include a description of the product, how the product is environmentally preferable, how pricing compares to the conventional product counterpart, links to additional information, or if attaching product information, please reference names of files, and any additional information that would be helpful for reviewer:

Bidder Current Environmentally Preferable Products and Practices Form