Form 5900-584 Combined Heat and Power Partnership: Partnership Ag

OMB Control #: 2060-0578
Exp. Date: 05/31/2022

Partnership Agreement
EPA CHP Partnership
Through the CHP Partnership, EPA works with a network of CHP stakeholders to promote CHP’s role as an
affordable, reliable, and low-emission energy solution. The Partnership serves as a credible resource of CHP
technologies and markets and provides a platform to engage the CHP industry on market barriers and
opportunities to achieve this solution. Partners represent the CHP industry at large and by joining the CHP
Partnership, EPA is not endorsing a Partner’s products, services, or systems.
With this letter
(organization name) joins EPA’s Combined Heat and
Power (CHP) Partnership, recognizes the benefits of CHP, and supports maintaining and developing CHP
projects.

The Partner Agrees to:
1.

Assign and maintain an organizational representative as the primary point of contact to EPA’s CHP
Partnership and update EPA when that contact changes.

2.

Provide and maintain an organizational website URL (if no website URL exists, the primary point of contact
may provide a LinkedIn profile URL for use as the organization’s URL in the Partner List).
Receive EPA approval prior to using the CHPP logo, per EPA's CHP Partnership Logo Review Policy.
Partners may use the logo on materials that promote the CHP Partnership or CHP technologies. The logo may
not be used in a manner that implies EPA endorsement of Partner products, services, or systems.
Be involved in the CHP industry either by supporting development and operation of CHP projects or by
implementing or advocating for beneficial CHP policies.

3.

4.

EPA will:
1.
2.
3.

Provide the Partner with tools, resources, and services intended to support the development of CHP projects.
Assist the Partner in using EPA’s tools and resources, including review of results, as requested.
Provide Partners with recognition for their involvement in the Partnership by highlighting their organization in
the Partner List and their accomplishments through GHG certificates and CHP Partnership outreach activities
(e.g., webinars, newsletters), when appropriate.

General Terms:
1.

This agreement can be terminated by either party, at any time, without prior notification, penalties, or further
obligation.

2.

The Partner agrees that the activities it undertakes connected with this voluntary agreement are not intended
to provide services to the federal government and that the Partner will not seek compensation from a federal
agency.
The Partner agrees that it will not claim or imply that its participation in the Partnership constitutes EPA
approval or endorsement of anything other than its commitment to the Partnership.
All Partners are expected to comply with applicable federal and state environmental laws.
Every five years EPA will perform a Partner integrity check in which we will ensure that the Partner’s primary
contact information is still active. If the information cannot be verified, the Partner will be removed from the
Partnership.
Partners understand that from time to time, in an effort to raise awareness of CHP, reduce barriers, and
promote opportunities, EPA will be interested in profiling Partner accomplishments (e.g., project successes)
and activities (e.g., events) in case studies, newsletters, articles, etc. If selected for such promotion, Partners
will have the opportunity to provide input and review the final print or Web document before EPA releases it to
the public.

3.
4.
5.

6.

Learn more at epa.gov/chp
1

Organization Information (Required):
Partners are listed on the EPA CHP Partnership website at: https://www.epa.gov/chp/chp-partnership-partners.
The Partner listing contains the Partner’s organization name, city/state, website, and Partner services.
Address (main office or corporate headquarters):
City/State/Zip (including 4 digit extension):
Website:
Organization type (Select the one that best describes your organization. Organization type descriptions are
provided at the end of this agreement)
☐ Attorney

☐

Government Agency

☐ Consultant

☐

Manufacturer/Distributor

☐ End User

☐

Non-Governmental Organization (NGO)

☐ Energy Service Company (ESCO)

☐

Project Developer

☐ Engineering/Construction

☐

Utility

☐ Financier
Please provide a brief description of your organization’s involvement with CHP and what services you provide:

Primary Contact Information (Required):
Name:

Title:

Address:
Telephone:

City/State/Zip:
Email:

Alternate Contact Information (Optional):
Contact 1
Name:

Title:

Address:
Telephone:

City/State/Zip:
Email:

Primary Contact Signature (Required):
Signature:

Date:

Learn more at epa.gov/chp
2

Organization Type Descriptions
Organization Type

Description

Attorney
Consultant

A firm that provides legal services related to CHP project development.
A business enterprise that provides CHP advisory services. These services can
include feasibility assessment/analysis, system design, equipment selection, financial
analysis, sustainability analysis, regulatory analysis, and 3rd party reviews.
A business enterprise or an organization that has installed and utilizes CHP system
outputs (i.e., electricity and thermal energy) at its location. They can own and operate
the CHP system or purchase the energy outputs from another entity.
A company that develops, designs, builds, and arranges financing for projects (in this
case CHP) that save energy, reduce energy costs, and decrease operations and
maintenance costs at their customers' facilities. ESCO’s utilize a performance-based
contracting methodology under which their compensation is directly linked to the
actual energy cost savings associated with CHP use. In general, they act as project
developers for a comprehensive range of energy conservation measures (ECMs) and
assume the technical and performance risks associated with a project.
A company that provides CHP engineering services such as design, documentation,
and modeling/analysis. Can involve a variety of disciplines such as mechanical,
electrical, plumbing (M/E/P); structural; civil; energy services; building protection &
controls; commissioning; architecture; sustainability; and life safety. It can also be a
company that constructs and installs CHP systems including obtaining necessary
permits.
A private company, bank or business enterprise that provides or secures financing for
CHP projects.
A local, tribal, state, regional and federal agency through which a political unit
exercises authority and performs functions (in this case related to CHP).
A company that designs, manufactures, and sells or distributes CHP system
equipment. Equipment can be stand-alone, complete CHP systems or CHP system
components. The manufacturer/distributor either sells their equipment directly to
customers or through a licensed distributor/third party. They may also provide
advisory services to help customers select their products.
An organization that operates independent of government that addresses political,
social, environmental, energy, or economic issues (in this case related to CHP).
A company involved in CHP project development through design, build, commission,
or operation. They can also help arrange financing for CHP projects.
A municipal or private business that provides electricity, natural gas, water, or
sewerage services to the public. The utility can own or operate CHP systems or work
with their customers to install CHP projects.

End-user

Energy Service Company
(ESCO)

Engineering/Construction

Financier
Government Agency
Manufacturer/Distributor

Non-Governmental
Organization (NGO)
Project Developer
Utility

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control
No. 2060-0578). Responses to this collection of information are voluntary. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The
public reporting and recordkeeping burden for this collection of information is estimated to be 28 minutes 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 to the Regulatory Support Division Director, U.S. Environmental Protection
Agency (2821T), 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.
EPA Form # 5900-584

Learn more at epa.gov/chp
3