6100-XX1 Partnership Agreement Builder

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

Partnership Agreement:

Builders
Section I: EPA WaterSense® Program Goals
The 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 provides reliable information on high-performing, water-efficient new homes, raises awareness about the importance of water efficiency, helps consumers differentiate among new homes that use less water, promotes innovation in
residential construction, and supports state and local water-efficiency efforts.

Section II: Partnership Pledge
As a 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 homes as a desirable option for customers to
reduce water use.
2. Certify at least one single-family home or townhome to conform to EPA’s WaterSense criteria within 12 months of
execution of this partnership agreement and at least one single-family home or townhome every year thereafter.
3. Make arrangements with the licensed certification provider for inspections of new homes to occur. All homes must be
inspected unless subject to the sampling protocol defined in the WaterSense New Home Certification System V.B.ii.
4. Provide data to EPA on the number of new homes labeled, promotional activities, and marketing of WaterSense on
an annual basis. The data will be used by EPA for program development purposes.
5. Adhere to WaterSense partner logo guidelines and ensure that authorized representatives, such as advertising
agencies or subcontractors, also comply. Help EPA maintain program integrity by alerting EPA to possible misuse(s)
of the WaterSense partner logo.
6. Feature the WaterSense partner logo on Web site and in other promotional materials as applicaple.
7. Grant EPA WaterSense permission to include partner’s name on a list of participating partners on the WaterSense
Web site, program materials, and announcements. Also grant WaterSense permission to provide non-confidential
information on labeled new homes on the program Web site and in 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 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 WaterSense to partners for information about products and accomplishments.

Section III: EPA WaterSense Program’s Commitments to Partners
1. Develop national specifications for water-efficient homes, products, and programs through an open, public
process.
2. Increase awareness of the WaterSense brand by distributing key messages on the benefits of labeled new homes,
as well as the importance of water efficiency.
3. Provide current WaterSense program news, information, and reference documents (via the program Web site,
Helpline, e-mail, or other means), including a listing of areas with labeled new homes on the Web site.
4. Provide WaterSense partners with public recognition for their involvement in the program and role in protecting
the environment through an 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 WaterSense policies.
6. Provide materials, templates, and logo for promotional use, consistent with the WaterSense program guidelines.
7. Review pre-press promotional items, draft Web sites, or other materials that use the WaterSense label, upon
request.

EPA Form Number 6100-XX

Section IV: General Terms and Disclaimers
1. The partner will not construe, claim, or imply that its participation in the 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 WaterSense 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. WaterSense 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 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

Authorized EPA Representative (printed name): ______________________________________________________
Sheila E. Frace
Title: __________________________________________________
E-mail: __________________________________
[email protected]
Director, Municipal Support Division
Signature: ______________________________________________ Date: __________________________________
To be completed by partner

Authorized Company 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: ❑ Marketing & Sales ❑ 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-XX

Submit the Partnership Agreement (rewriteable PDF) to WaterSense via:
Fax: (703) 841-1440
Mail: WaterSense, c/o ERG, 2300 Wilson Boulevard, 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-SENS (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 eight 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 Avenue, 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-XX