Reporting Requirements Under EPA's Climate Leaders Partnership (Renewal)

OMB Control No. 2060-0532

Approval Expires 10/31/2008

Partnership Agreement
The EPA’s Climate Leaders Partnership is a voluntary program that challenges companies to set an aggressive, corporate-wide
greenhouse gas (GHG) emissions reduction goal. Partners also perform an annual inventory of their GHG emissions to track progress
towards their reduction goal.
With this agreement,

joins EPA’s Climate Leaders Partnership and commits to:

Name of Company

ƒ
ƒ
ƒ
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Complete a company-wide inventory of GHG emissions annually as outlined by the Climate Leaders emissions protocol.
Report corporate GHG inventory data annually.
Develop and document for EPA an inventory management plan consistent with the Climate Leaders Inventory Management Plan Checklist.
Enter into discussions with EPA to develop an aggressive corporate-wide GHG reduction goal to be achieved over 5 to 10 years.

In return, EPA commits to:
ƒ Provide partners with the technical assistance necessary to complete a high quality GHG inventory.
ƒ Provide partners with a GHG protocol to inventory their GHG emissions.
ƒ Publicize Partner’s GHG inventory data and/or accomplishments only with express permission of the company, except as otherwise required
by law.
General Terms:
ƒ Either party can terminate this agreement at any time without prior notification or penalties and no further obligation. EPA agrees not to
comment publicly regarding the withdrawal of partners.
ƒ Partner agrees that the activities it undertakes connected with this agreement are not intended to provide services to the federal government
and that the partner will not seek compensation from a federal agency.
ƒ Partner agrees that it will not claim or imply that its participation in the Climate Leaders program constitutes EPA approval or endorsement of
anything other than its commitment to this program and will not make statements or imply that EPA endorses the purchase or sale of the
Partner’s products and services or the views of the Partner’s organization.

Authorized Corporate Official:
, the undersigned understands and agrees to the terms of EPA’s Climate Leaders Partnership.

On behalf of
Name of Company

Signature:

Title:

Print Name:

Date:

Designated Company Representative:
Name:

Title:

Address:
City:
Phone:

State:
Fax:

Zip:

E-mail:

The government estimates the average time needed to fill out this form is 9.67 hours and welcomes suggestions for reducing this level of effort. Send comments
(referencing OMB control number) to the Director, Collection Strategies Division, U.S. EPA (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.

PLEASE FAX THE PARTNERSHIP AGREEMENT TO 202 343-2208

Office of Air and
Radiation (6202J)

EPA430-R-06-010
www.epa.gov/climateleaders
September 2006