6100-13 Partnership Agreement Manufacturer

OMB Control Number 2040-0272
Approval Expires 01/31/2010

Partnership Agreement:

Manufacturers
Section I: EPA WaterSense® 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 pro­
gram, 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 manufacturer) shares EPA’s
goals as outlined above and is proud to commit to the following activities to further these goals:
1. Have at least one product certified to conform to a WaterSense specification within 12 months of execution of this
partnership agreement. Note: A draft or final specification for a product the partner manufactures must be
available before signing this agreement.
2. Have products certified to conform to the relevant WaterSense specification by a Product Certification Body either
accredited by American National Standards Institute (ANSI) in accordance with the WaterSense certification
scheme, or otherwise approved for that purpose by EPA, to obtain the use of the WaterSense label on those prod­
ucts.
3. Notify EPA when new products are certified to WaterSense specifications by providing brand name, model name,
model number(s), manufacturer URL, and name of Product Certification Body and associated file number.
4. Promote the value of water efficiency and WaterSense labeled products as an easy and desirable option for cus­
tomers to reduce water use.
5. Make available to EPA annual data on WaterSense labeled products in categories where the EPA WaterSense pro­
gram has established specifications, including unit shipment data, total unit shipments for each model in the prod­
uct line, and percent of total unit shipments that are WaterSense labeled. This data may be provided directly to EPA
or to a third-party organization with the understanding that this organization will not release individual manufac­
turer data, but rather aggregate industry-wide data on the relative market share of labeled vs. non-labeled prod­
ucts.
6. Adhere to WaterSense 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 alert­
ing EPA or relevant Product Certification Bodies to possible misuse(s) of the WaterSense partner logo or label.
7. Update EPA annually on the availability of labeled products and inform EPA in a timely manner if labeled products
are discontinued and/or no longer meet applicable criteria, so EPA can maintain an up-to-date list of labeled prod­
ucts on the program Web site and in other materials.
8. Grant the EPA WaterSense program permission to include company name on a list of participating partners on the
EPA WaterSense Web site, program materials, and announcements. Also grant permission to the program to pro­
vide information (such as brand name, make, model, Web link, and product features) for labeled products on the
Web listing and program materials. 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 oppor­
tunity to provide input and review the final product prior to release to the public in EPA printed or Web docu­
ments. Further, partners understand that EPA might refer media contacts interested in publicizing water efficiency
to them 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 EPA WaterSense brand by distributing key messages on the benefits of labeled products
and programs, as well as the importance of water efficiency.
EPA Form Number 6100-13

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 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 WaterSense labeled products on the program Web site.
5. Respond swiftly to partner requests for information or clarification on EPA WaterSense program policies.
6. Review pre-press promotional items, draft Web sites, packaging or other materials that use the WaterSense 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 fed­
eral 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 compensa­
tion 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 the 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

Sheila E. Frace
Authorized EPA Representative (printed name): ______________________________________________________
Director, Municipal Support Division
[email protected]
Title: __________________________________________________
E-mail: __________________________________

Signature: ______________________________________________ Date: __________________________________
To be completed by partner

Authorized Partner Representative1 (printed name): __________________________________________________
Title: __________________________________________________ E-mail: __________________________________
Signature: ______________________________________________ Date: ____________________________________
Company 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: ❑ Marketing & Sales ❑ Design ❑ Technical ❑ Government Affiars ❑ 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 company with signing authority (e.g., vice president).

1

EPA Form Number 6100-13

Submit the Partnership Agreement (rewriteable PDF) to WaterSense via:
Fax: (703) 841-1440
Mail: WaterSense, c/o ERG, 2300 Wilson Blvd, Suite 350, Arlington, VA 22201
Electronically: If you have Adobe Acrobat Standard or Professional, you can fill out the form electronically and e-mail
it to: [email protected]. Acrobat Reader users must print forms after filling them out and fax or mail them in.
Please contact the WaterSense Helpline at (866) WTR-SENSE (987-7367) if you have any questions about eligibility,
partnership, or for general program inquiries.
After signing, EPA will send partners an executed copy of this agreement.

The public reporting and record keeping 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 auto­
mated 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 6100-13