[Note to RFR OR RFQ Developers: The following form requires editing if included in and RFR or RFQ. This form is to be used for evaluation purposes only. Depending on the products/service bid, some of the entries below may not be applicable. Bid developers should keep those entries that make sense for the product/service bid (e.g., packaging may not apply to some bids). In addition, bid developers may add entries that are applicable (e.g., if there is a specific certification for the industry or a particular environmental practice to add)]

Bidder Current Environmentally Preferable Products / Practices Form

Bidder Company Name: _________________________________________ Date: _______________

This form is a standard evaluation tool and applies to the operations of the Bidder (not the operations of a manufacturer or other company the bidder works with).

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. It may provide Bidders an opportunity to receive additional points in the evaluation phase of the RFR for the environmental initiatives they have instituted.

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.

Packaging:

Has the Bidder implemented any of the following environmental packaging initiatives?

☐	Use of corrugated materials that exceeds the required minimum of 35% post-consumer recycled content (list minimum post-consumer recycled content used)

☐	Use of other packaging materials that contain recycled content and are recyclable in most local programs (list other packaging type)

☐	Reduces or eliminates materials which have been bleached with chlorine or chlorine derivatives (list materials)

☐	Eliminates any packaging that may contain polyvinyl chloride (PVC), or polystyrene or heavy metals (provide details of program)

If yes, describe the practices being followed below in order to receive any additional points:

Click here to enter text.

Business Practices / Operations

This section refers to what the Bidder does within their own operations to create a smaller “environmental footprint” in the marketplace, e.g., reducing the impact of their operations through energy conservation, waste and toxics reduction and other sustainable practices.

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?

☐	Encourages environmental initiatives at a corporate level for the purpose of reducing the impact on the environment (attach a copy of the corporate environmental policy).

☐	Has an Environmentally Preferable Purchasing Policy (attach a copy of the Policy)

☐	Uses at least 50% remanufactured toner cartridges in printers (attach total annual spend on remanufactured and Original Equipment Manufacturer cartridges)

☐	Uses Green Cleaning products in all cleaning or janitorial services (attach copy of scope of work with cleaning services provider and types of green products used)

☐	Introduce use of recycled and/or environmentally preferable products into other operational areas, such as vehicle maintenance products such as re-refined oil and antifreeze, retread tires (list products)

☐	Purchase appliances and equipment (printers, copiers, microwaves, etc.), that are Energy Star or EPEAT certified models. (list products)

☐	Incorporates green building design elements into all construction and renovation projects (list green design elements)

☐	Use of alternative fuel vehicles or vehicles equipped with diesel emission control devices for delivery or transportation purposes and provides guidance in those vehicles on the state’s anti-idling initiatives (list vehicles)

☐	Recycles other materials besides paper, bottles and cans (list materials)

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

☐	Please list other sustainable initiatives (e.g., waste reduction programs, green building management programs, other energy efficiency programs, etc.) and provide any measurable data.

If yes, describe the practices below and submit additional documentation with your RFR submission.

Click here to enter text.

Training and Education

If Bidders offer a product or service that involves an environmentally preferable component and they train their staff to inform customers of these features, such training should be outlined below to receive credit. If Bidders provide materials (brochures, info on websites, etc.) on the environmental attributes of their products/services, they can also receive credit in the evaluation process provided a brief explanation is included with this form.

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?

☐ Yes	☐ No	If yes, describe the practices below:

Click here to enter text.

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. In order to receive credit, please attach a copy of the actual certificate:

☐	Has the bidder or any of its manufacturers and/or subcontractors obtained any of the following product / industry certifications? (attach copies of the certificates obtained).

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

☐	Has adopted an environmental management system that is geared to continuous improvement (e.g., ISO 14000) (attach copy of summary EMS audit).

☐	Has received a third party energy audit (usually through the utility) and implemented recommendations (attach audit recommendations and identify which have been completed).

☐	Has received a third party waste audit and implemented recommendations (attach audit recommendations and identify which have been completed).

☐	Certified as a Massachusetts Sustainable Business Leader through the Sustainable Business Leader Program (attach certification).

☐	Other industry environmental standards (where applicable), such as the CERES principles, LEED Certification, C2C Protocol, Responsible Care Codes of Practice or other similar standards (list standard)

☐	Other. Please describe below:

Click here to enter text.

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.