xvEPA
United States
Environmental Protection
Agency
OMB Control No. 2060-0532
Approval Expires 10/31/2008
Partnership Agreement
CLI MATE
LEADERS
ental Protection Agency
The EPA's Climate Leaders Partnership is a voluntary program that challenges companies to set an aggressive, corporate-wide
greenhouse gas (GHG) emissions reduction goal. 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.
• Enter into discussions with EPA to develop an aggressive corporate-wide GHG reduction goal to be achieved over 5 to 10 years.
In return, EPA commits to:
• Provide partners with the technical assistance necessary to complete a high quality GHG inventory.
• Provide partners with a GHG protocol to inventory their GHG emissions.
• Publicize Partner's GHG inventory data and/or accomplishments only with express permission of the company, except as otherwise required
by law.
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
Signature:
Print Name:
Name of Company
_, the undersigned understands and agrees to the terms of EPA's Climate Leaders Partnership.
Title:
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
&EPA
United States
Environmental Protection
Agency
Office of Air and
Radiation (6202J)
EPA430-R-06-010
www.epa.gov/climateleaders
September 2006
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