Reporting Requirements Under EPA's Climate Leaders Partnership

Revised Agreement Pending OMB Approval

Partnership Agreement

The EPA’s Climate Leaders Partnership is a voluntary program that challenges companies to set aggressive, corporate-wide greenhouse gas (GHG) emissions reduction goals. 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

• 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.

• Develop an aggressive absolute corporate-wide GHG reduction goal consistent with EPA guidance.

• Allow EPA to publicize its aggregate corporate-wide GHG inventory data.

In return, EPA commits to:

• Provide partners with technical assistance.

• Provide Partners with networking opportunities to share best practices in reducing GHG emissions.

• Publicize Partner’s aggregate, corporate-wide GHG inventory data and accomplishments.

General Terms:

• 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.

• 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.

• 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:

On behalf of , the undersigned understands and agrees to the terms of EPA’s Climate Leaders Partnership.

Name of Company

Signature: Title:

Print Name: Date:

Designated Company Representative:

Name: Title:

Address:

City: State: Zip:

Phone: Fax: E-mail:

The public reporting and recordkeeping burden for this collection of information is estimated to average 9.67 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 form to this address.

PLEASE FAX THE PARTNERSHIP AGREEMENT TO 202 343-2208

Office of Air and EPA430-R-06-010

Radiation (6202J) www.epa.gov/climateleaders

November 2009