6100-06 Partnership Agreement for Promotional Partners

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

Partnership Agreement:

Promotional Partners
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
WaterSense, 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 organization) shares EPA’s
goals as outlined above and is proud to commit to the following activities to further these goals:
1. Promote the value of water efficiency and WaterSense labeled products and programs on an ongoing basis as an
easy and desirable option for water users in our purview, such as customers, residents, businesses, and institutions,
to reduce water usage. Promotional partners must also complete the promotional plan checklist, which will be
sent to the partner organization upon completion of this agreement.
2. As appropriate, encourage eligible constituents, members, or affiliates to participate as partners in the EPA
WaterSense program.
3. Promote the value of water efficiency and WaterSense labeled products on an ongoing basis as an easy and desirable option for residents and businesses to reduce water usage. Where feasible, sponsor rebate programs or other
public events to promote WaterSense labeled products and the benefits of water efficiency.
4. For utilities and governments: Provide EPA with data for utility/government region or service area on gallons of
water sold per year (or other time period partner specifies), price per gallon, gallons of wastewater treated per year
(or other time period partner specifies) and data on any rebates offered for WaterSense labeled products and programs. For applicable trade associations: Provide aggregate data to EPA on market share of WaterSense labeled
products and programs in relevant industry. Compile data submitted by members who are also WaterSense partners into a summary report to assist EPA in evaluating market trends and the success of the WaterSense program,
without disclosing any proprietary information from members.
5. Adhere to WaterSense logo, partner logo, and label guidelines and ensure that authorized representatives, such as
advertising agencies, distributors, and subcontractors, also comply. Help EPA maintain program integrity by alerting EPA to possible misuse(s) of the WaterSense logo or label.
6. Feature the WaterSense logo on Web site and in other promotional materials.
7. Grant the EPA WaterSense program permission to include partner’s name on a list of participating partners on the
WaterSense Web site, program materials, and announcements. Partners understand that from time to time, EPA
will be interested in profiling partner accomplishments in case studies and articles. If selected for such promotion,
partners 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 partner understands that EPA might refer media contacts interested in
publicizing water efficiency to partners for information about products 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 WaterSense brand by distributing key messages on the benefits of labeled products and
programs, and 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.
EPA Form Number 6100-06

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 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. Provide materials, templates, and logo for promotional use, consistent with the WaterSense program guidelines.
7. Review prepress promotional items, draft Web sites, packaging or other materials that use the WaterSense logo
and/or label, upon request.

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 program marks.
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 logo, 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

Authorized Partner Representative1 (printed name): __________________________________________________
Title: __________________________________________________ E-mail: __________________________________
Signature: ______________________________________________ Date: ____________________________________
Organization Name:_________________________________________________ Number of employees: __________
Industry/SIC/NAICS code: __________________________________________________________________________
Primary Contact: Dr./Mr./Mrs./Ms._________________________________________________ Suffix: ____________
Title: ______________________________ Dept: __________________ E-mail: ______________________________
Address: _____________________________________________City/State/ZIP: ______________________________
County: ________________________________________________ Web site: ________________________________
Telephone: __________________ Fax: ___________________ Alternate Telephone: __________________________
Primary function: ❑ Communications/Public Affairs ❑ Technical ❑ Other:

______________________________

How did you find out about this program? ❑ Web site ❑ Referral, Name: __________________________________
❑ Periodical __________________________ ❑ Workshop, Sponsor: ______________________________________
❑ Mailing______________________________________________ ❑ Other: ________________________________
The Authorized Partner Representative should be a person in the organization with signing authority (e.g., vice president).

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EPA Form Number 6100-06

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 6100-06