Form 6100-07 Partnership Agreement for Certified Professionals

OMB Control Number 2040-XXXX
Approval Expires xx/xx/xxxx

Partnership Agreement:

Certified Professionals
Section I: EPA WaterSenseSM Program Goals
The EPA WaterSense program goals are to use water resources more efficiently to preserve them for future generations
and reduce water and wastewater infrastructure costs by reducing unnecessary water consumption. Through this program, EPA will provide reliable information on high-performing, water-efficient products and practices, raise awareness
about the importance of water efficiency, ensure water-efficient product performance, help consumers differentiate
among products and programs that use less water, promote innovation in product development, and support state
and local water efficiency efforts.

Section II: Partnership Pledge
As an EPA WaterSense program partner, _________________________________ (name of certified professional) shares
EPA’s goals as outlined above and is proud to commit to the following activities to further these goals:
1. Submit proof of certification received from an EPA WaterSense labeled Professional Certification Program with this
Partnership Agreement.1
2. Apply water-efficient practices in accordance with the specifications for the EPA WaterSense labeled Professional
Certification Programs, and promote the value of water-efficient practices and WaterSense labeled products and
programs on an ongoing basis.
3. Adhere to WaterSense partner logo guidelines and help EPA maintain program integrity by alerting EPA to possible
misuse(s) of the WaterSense partner logo or label.
4. Update EPA annually on certification status by submitting proof of certification renewal from an EPA WaterSense
labeled Professional Certification Program.
5. Grant the EPA WaterSense program permission to include name of certified professional on a list of participating
partners on the EPA WaterSense Web site, program materials, and announcements. The certified professional
understands that from time to time, EPA will be interested in profiling partner accomplishments in case studies
and articles. If selected for such promotion, the certified professional will have the opportunity to provide input
and review the final product prior to release to the public in EPA printed or Web documents. Further, the certified
professional understands that EPA might refer media contacts interested in publicizing water efficiency to partners
for information about services and accomplishments.

Section III: EPA WaterSense Program’s Commitments to Partners
1. Develop national specifications for water-efficient products and programs through an open, public process.
2. Increase awareness of the EPA WaterSense brand by distributing key messages on the benefits of labeled products
and programs, as well as the importance of water efficiency.
3. Provide current EPA WaterSense program news, information, and reference documents (via the program Web site,
helpline, e-mail, or other means), including a listing of labeled products and programs on the Web site.
4. Provide WaterSense program partners with public recognition for their involvement in the program and role in
protecting the environment through online listing of partners, special awards, and other efforts. This recognition
includes but is not limited to listing partners and labeled products and programs on the EPA WaterSense Web site.
5. Respond swiftly to partner requests for information or clarification on EPA WaterSense program policies.
6. Review prepress promotional items, draft Web sites, packaging or other materials that use the WaterSense label,
upon request.
1
If certified prior to the effective date (the date the certification program received the label), please submit this Partnership Agreement upon renewal of
certification

EPA Form Number 6100-07

Section IV: General Terms and Disclaimers
1. The partner will not construe, claim, or imply that its participation in the EPA WaterSense program constitutes federal government (EPA) approval, acceptance, or endorsement of anything other than the partner’s commitment to
the program.
2. The partner understands that the activities it undertakes in connection with the program are voluntary and not
intended to provide services to the federal government. As such, the partner will not submit a claim for compensation to any federal agency.
3. The partner and the EPA WaterSense program will assume good faith as a general principle for resolving conflict
and will seek to resolve all matters informally, so as to preserve maximum public confidence in the program.
4. Failure to comply with any of the terms of this partnership agreement can result in its termination and cessation of
access to the benefits of the program, including use of the partner logo.
5. The EPA WaterSense program will actively pursue resolution of noncompliance related to the use of the program
marks.
6. Both parties concur that this agreement is wholly voluntary and may be terminated by either party at any time,
and for any reason, with no penalty. Termination will begin effective immediately upon written notice to or from
the EPA WaterSense program. Upon termination of this agreement, partners agree to remove program marks in a
timely manner, consistent with the WaterSense partner logo and label guidelines.
To be completed by EPA

Authorized EPA Representative (printed name): ______________________________________________________
Title: __________________________________________________ E-mail: __________________________________
Signature: ______________________________________________ Date: __________________________________
To be completed by partner

Certified Professional (printed name): ______________________________________________________________
Title: __________________________________________________ E-mail: __________________________________
Company of Employment (if applicable): ______________________________________________________________
Address: _____________________________________________City/State/ZIP: ______________________________
County: ________________________________________________ Web site: ________________________________
Telephone: __________________ Fax: ___________________ Alternate Telephone: __________________________
Current Certification(s) and Certifying Organization(s): __________________________________________________
________________________________________________________________________________________________
How did you find out about this program? ❑ Web site ❑ Referral, Name: __________________________________
❑ Periodical __________________________ ❑ Certification Program: ____________________________________
❑ Mailing______________________________________________ ❑ Other: ________________________________
Signature: ______________________________________________ Date: ____________________________________

EPA Form Number 6100-07

Submit the Partnership Agreement (rewriteable PDF) to WaterSense via:
Fax: (703) 841-1440
Mail: WaterSense, c/o ERG, 2200 Wilson Blvd, Suite 400, Arlington, VA 22201
If you have Adobe Acrobat Standard or Professional, you can fill out the form electronically and e-mail it to:
[email protected].
Please contact the WaterSense Helpline at (866) WTR-SENSE (987-7367) if you have any questions about eligibility,
partnership, or for general program inquiries.

The public reporting and recordkeeping burden for this collection of information is estimated to average 8 hours per response. Send comments on the Agency's need
for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C.
20460. Include the OMB control number in any correspondence. Do not send the completed Partnership Agreement to this address.

EPA Form Number 6100-07