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# Safer Choice **Third Party Profiler Application** Instructions for Application Form **Background:** Sa

fe r Choice is a voluntary partnership program that is grounded in more than 40 yea rs of EPA experience in evaluating the human health and environmental characteristics of chemicals. The Sa

fe r Choice label represents leadership in sa fe r product f

ormul ation. Every chemical used in a Sa fe r Choice
- labeled product , regardless of

percentage, is evaluated against stringent toxicological cri teria . A product is on ly a llowed to carry the Sa fe r Choice label if

each ingredient is among the sa fe st in its ingredient class. EPA wo rks with certif ied **third party profilers** to revie w applications f rom product manuf ac turers interested in qual if ying their products f

or the Sa

f er Choice label . The third party prof iler compiles all hazard inf ormation available on each chemical, including detailed structure, physical
- chemical properties, human health and environmental toxicology, and regulatory/administrative status. This compilation o f data is kno wn

as a pro

file. Qualif

ied third pa rt y prof ilers have the expertise and objectivity needed to ensure a quality revie w, with high conf idence in its accuracy and reliability. Sa fe r Choice has set stringent requirements, as outlined in Section 7 of EPA’s Sa

fe r Choice Standard, f

or parties applying to become qualif ied third party prof

ilers. Bef

ore f illing out the application in Section 2B, please revie w and consider the roles and responsibilities you will be asked to undertake as a third party prof iler (TPP): A. **Supporting the Safer Choice Program** . Sa feguard and uphold the integrity, quality, and trustworthiness of the Sa fe r Choice product and chemical evaluation processes, program, and label, including development of strong and eff

ective working relationships wi th Sa fe r Choice sta

ff. B. **Meeting and Maintaining the TPP Provisions in the Safer Choice Standard**  . Satisf

y the provisions of

the Sa fe r Choice Standard, section 7
— “Prof iler Requirements,” which include technical competence in chemical hazard and fate revie ws; sta ffi ng wi th experts in the various prof iling disciplines; f

acility wi th toxicological models and estimation tools; program managerial skills; credibility and good standing; and success at a pilot revie w that simulates an actual p roduct evaluation. (See Sa fe r Choice Standard at http:// www2.epa.gov/sa fe rchoice/sa

fe r - choice
- standard .) C. **Following the Procedures in the TPP Handbook** . Use the Third Party Pro filer Handb ook/Guidance Manual to inf orm its prof

iling activities, including, f or example, sea rching the approved set of data sources; digesting the key, distinguishing hazard data; and preparing a dossier on each chemical ingredient in a candidate product. Beyond r

egular oversight, the TPP will conduct annual partner surveillance, including triennial on
- site audits, to ensure compliance wi th program requirements. D. **Submitting to Performance Review** . I n addition to regular f eedback and recommendations f

rom Sa fe r Choice sta

ff, engage in annual perf ormance revie ws

and, once every f

ive years, a f

ull per fo rmance evaluation. E. **Adopting and Using the Salesforce Data System** . Use the Sa fe r Choice Salesf

orce data system to manage all Sa fe r Choice product revie w and partnership activities, including purchase and maintenance of the necessary computer hardware and system licenses.Page 2 of 5

F. **Performing Supplemental Duties** . Fulf ill other requests and f unctions related to it

s TPP duties that may arise, if Sa fe r Choice deems it necessary to the successf ul operation of the program. G. **Adhering to Good Business Practices** . Demonstrate and f ollo w good business practices in dealing with companies working wi th Sa fe r Choice. Good busi ness practices include: off

ering open access to your services to legitimate potential clients in the TPP’s sole discretion; adopting and implementing customer service standards; and avoiding potential conf

licts of interest. **Application Process :**  To apply to serve as a Safer Choice third party profiler , a candidate should complete this application and have it signed by an authorized company or organization official . EPA may request additional information in support of your application. Failure to provide the information may result in a delay or suspension of your application review . The application is availab le online and may be filled out, scanned and emailed (preferred), or submitted in hard copy by mail or fax . Online applications must be electronically signed and sent to SaferChoice_Support@abtassoc. com . As part of the application process, an applicant who meet s the basic TPP qualifications will be asked to perform a trial review (i.e., a simulated or mock product review) to demonstrate technical competence and will be screened for their history of civil or criminal enforcement actions. Safer Choice will reach out to schedule a pilot review after the paper application has been received. If you choose to send a hard copy, the application may be mailed to the fo llowing address maintained by our contractor (EPA Contract No. EP
- W
- 08
- 010): Safer Choice TPP Application c/o Abt Associates Inc. Attn: Klara Zimmerman 4550 Montgomery Avenue, Suite 800 North Bethesda, MD 20814
- 5341 P: 301
- 634
- 1722 F: 617
- 386
- 8882 **Confirmation of Receipt:** You will receive an email within one week confirming any materials you submit. It will be sent to the contact provided in the application. If you do not receive confirmation within one week, please contac t Klara Zimmerman. **Questions:** Questions about eligibility, application procedures, or the Safer Choice Program should be directed to David Difiore at difiore.david@epa.gov.Page 3 of 5 Safer Choice Partner of the Year Awards 2016


### SECTION 1 **: Contact**  **information.** Enter requested information for the authorized representative . **Organization Name Contact Name**  **Address City, State, Zip**  **Phone Fax**  **Email Website**  

### SECTION 2 **:** 

### Technical Competence and Credibility Please describe your company or organization ’s abilities and experience as a third party profiler , using the sections below to guide your response . Your narrative should be no more than **five pages** , not including any additional documentation referenced in section 2.1 and 2 .7. **2.1 Staff**  ____/10 A prof iler shall have the appropriate personnel to perf orm hazard assessments. Staff

shall include chemists, biologists, toxicologists, or others wi th science/technical backgrounds.
 Please l ist and attach resumes of personnel qualified to s upport the Safer Choice program. **2.2 Assessment and**  **interpretation abilities** 
____/10 A prof iler shall have the ability to assess and interpret diverse toxico logical and other health and envi ronmental inf ormation. This include s maintenance o f appropriate sta

ffi ng; a track record as a data revie we r; experience as a standards developer or certif ier to standards or criteria .  D escribe your organization’s experience and expertise with assessing and interpreting chemical hazard and fate information.  Identify whether your organization currently meets all ISO 65 criteria. 1

1 ISO 65/ISO 17065 provides a standard for organizations that certify products to ensure that certifications are objective and consistent with international standards: http://www.iso.org/iso/home/store/catalogue_ics/catalogue_detail_ics.htm?csnumber=46568Page 4 of 5

**2.3 Access and management of**  **hazard information** ____/10 A prof iler shall have the ability to access and manage chemical, health and environmental hazard inf ormation, including f

luency wi th chemicals at the structural level.
 Describe your information technology expertise; protocol and equipment for data search ing, storage and retrieval; and relevant experience and work products. **2.4 Use of estimation models and software**  ____/10 A prof iler shall demonstrate skill at using EPA and other physical
- chemical and environmental estimation models and sof tware.
 D escribe e xperience with EPA’s Sustainable Futures Program and/ or other relevant hazard modeling software and work products. **2.5 Secure handling of proprietary**  **business information** ____/10 A prof iler shall have the appropriate systems and procedures in place to ensure the protection of all proprietary business information obtained through the revie w process f

or this program.
 D escribe protocols and procedures in place for handling proprietary business information. **2.6 Safer Choice training and**  **interaction** ____/10 The prof iler shall have the skills, experience, and training necessary to uphold the integrity, quality, and trustworthiness of the Sa fe r Choice product and chemical evaluation processes, program, and label.
 Describe any previous interaction or training with Safer Choice or companies interested in Safer Choice recognition .  Demonstrate your adoption of good business practices
– e.g., your policy on how to avoid conflict of interest. **2.7 Additional information**   You may include testimonials, sample case studies, or other materials as attachments. **2.8 Pilot Review** ____/40 Safer Choice will reach out to schedule a pilot review that simulates an actual product evaluation after the paper application has been received.
**Total** ____/100Page 5 of 5



### SECTION **3 :**  Certification of Application Please have the appropriate company or organization official (e.g., CEO, vice president for government al affairs, division head, or other authorized signatory) sign here to verify the accuracy of the application. **Signature of Authorizing Official**  **Date Printed Name and Title**  **Date** I hereby affirm that the contents of this application are true and accurate to the best of my knowledge, and that I am a representative of the company or organization named above and am duly authorized to sign on its behalf.