6100-06 Parthership Agreement - Promotional

OMB Control Number 2040-0272
Approval Expires 06/30/2013

Partnership Agreement:

Promotional Partners

Section I: EPA WaterSense® Program Goals
EPA’s WaterSense program aims to use water resources more efficiently to preserve them for future generations and to
reduce water and wastewater infrastructure costs by reducing unnecessary water consumption. Through this program, EPA
provides reliable information on high-performing, water-efficient products and practices, raises awareness about the
importance of water efficiency, ensures water-efficient product performance, helps consumers identify products and servic­
es that use less water, promotes innovation in product development, and supports state and local water-efficiency efforts.

Section II: Partnership Pledge
As an EPA WaterSense promotional 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. Educate consumers, residents, businesses, and institutions located in the United States and Canada on the value of
water efficiency, the importance of saving water, and the meaning of the WaterSense label. Where feasible, under­
take activities and events to achieve mutual WaterSense goals.
2. As appropriate, encourage eligible constituents, members, or affiliates to participate as partners in EPA’s
WaterSense program.
3. For utilities and governments: On an annual basis, provide data to EPA on promotional activities and incentive
programs to assist in determining the impact of the program in promoting labeled products.
4. For applicable trade associations: If asked, 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 part­
ners 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 all policies and procedures contained in the Program Guidelines.
6. Feature the WaterSense promotional label and partner logo on website and in other promotional materials.
7. Adhere to WaterSense program mark 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 program marks.
8. Grant EPA’s WaterSense program permission to include partner’s name on a list of participating partners on the
WaterSense website, 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 print or Web document before EPA releas­
es it to the public. 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 new 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 products and
programs, and the importance of water efficiency.
3. Provide current EPA WaterSense program news, information, and reference documents (via the program website,
WaterSense Helpline, email, or other means), including a listing of labeled products and programs on the website.
4. Provide WaterSense partners with public recognition for their involvement in the program and role in protecting
the environment through online listing of partners, special awards, publications, and other efforts.
5. Respond swiftly to partner requests for information or clarification on EPA WaterSense program policies.
6. Provide materials, templates, and program marks for promotional use, consistent with the WaterSense Program
Guidelines.
7. Review pre-press promotional items, draft websites, packaging, or other materials that use the WaterSense marks
upon request.
EPA Form Number 6100-06

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 gov­
ernment (EPA) approval, acceptance, or endorsement of anything other than the partner’s commitment to the program.
2. Nothing in this agreement, in and of itself, obligates the EPA to expend appropriations or to enter into any con­
tract, assistance agreement, interagency agreement, or incur other financial obligations that would be inconsistent
with Agency budget priorities. The partner agrees not to submit a claim for compensation for services rendered to
EPA or any federal agency in connection with any activities it carries out in furtherance of this agreement.
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. No building, facility, or structure will be WaterSense labeled as a result of this agreement. If additional WaterSense part­
ner categories become available, affected organizations will be asked to reapply for partnership in the new category.
5. 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.
6. The EPA WaterSense program will actively pursue resolution of noncompliance related to the use of the program marks.
7. 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 program mark guidelines.
To be completed by partner

Authorized Partner Representative1 (printed name):______________________________________________________
Title: __________________________________________________ Email: ______________________________________
Signature: ______________________________________________ Date: ______________________________________
Organization Name:_________________________________________________ Number of employees: ______________
Organization Type (choose one): ❑ Nongovernmental Organization ❑ Utility ❑ Local Government
❑ State Government ❑ Trade Association ❑ Home Builders Association
Industry/SIC/NAICS code: ________________________________ Population served2: __________________________
Water District, if applicable: ____________________________________________________________________________
Primary Contact: Dr./Mr./Mrs./Ms. __________________________________________________________________________

Title: _______________________________________ Dept.: ________________________________________________
Email: ______________________________________________________________________________________________
Address: _____________________________________________ City/State/ZIP:__________________________________
Website: ____________________________________________________________________________________________
Telephone: _____________________________ Alternate Telephone:__________________________________________
How did you find out about this program? ❑ Website ❑ Referral, Name: ______________________________________
❑ Periodical: __________________________ ❑ Workshop, Sponsor:__________________________________________
❑ Mailing:________________________________ ❑ EPA Region: ________ ❑ Other: ____________________________
To be completed by EPA

Sheila E. Frace
Authorized EPA Representative (printed name): __________________________________________________________
[email protected]
Director, Municipal Support Division
Title: __________________________________________________
Email: ______________________________________

Signature: ______________________________________________ Date: ______________________________________

1 The

authorized partner representative should be a person in the organization with signing authority (e.g., vice president).

indicate the total residential population served rather than the number of hookups.

2 Please

EPA Form Number 6100-06

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, you can complete the form electronically and email it to: [email protected].

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 two 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 6100-06