OMB Control Number 2040-0272
Approval Expires 01/31/2010
_, Partnership Agreement:
WaterSense Professional Certifying Organizations
Section 1: EPA WaterSenseŽ 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 this program,
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 designed to use less water, promote innovation in product development, and support state
and local water-efficiency efforts.
Section 11: 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. Maintain at least one WaterSense labeled professional certification program.
2. Promote the value of water efficiency and WaterSense and inform certification candidates about WaterSense as an
easy and desirable option for customers to reduce water use and save money.
3. Make WaterSense partner materials available to those professionals who earn or renew a certification through a
WaterSense labeled program.
4. Make available to EPA annual data on WaterSense labeled professional certification programs including the num-
ber of individuals who obtain these certifications.
5. Adhere to the 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 to possible misuse(s) of the WaterSense partner logo or label.
6. Update EPA annually on the availability of professional certification programs and inform EPA in a timely manner if
labeled certification programs are discontinued and/or no longer meet applicable criteria, so that EPA can main-
tain an up-to-date list of labeled programs on the Web site and in other materials.
7. Grant WaterSense permission to include the partner organization's name on a list of participating partners on the
WaterSense Web site, program materials, and announcements. The partner organization understands that from
time to time, EPA will be interested in profiling partner accomplishments in case studies and articles. If selected for
such promotion, the partner organization 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 organization understands that
EPA might refer media contacts interested in publicizing water efficiency to the partner organization for informa-
tion about certification programs and accomplishments.
Section 111: 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 WaterSense brand by distributing key messages on the benefits of labeled products and
programs, 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 labeled products and programs 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 and programs on the WaterSense Web site.
5. Respond swiftly to partner requests for information or clarification on WaterSense program policies.
EPA Form Number 6100-08
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6. Review prepress 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 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 compensa-
tion 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 termination of this agreement, partners agree to remove program marks in a time-
ly manner, consistent with the WaterSense partner logo and label guidelines.
To be completed by EPA
Authorized EPA Representative (printed name): Sheila E. Frace
Title: Director, Municipal Support Division E-mail: watersense@epa.gov
Signature: Date:
To be completed by partner
Authorized Partner Representative1 (printed name):
Title:
Signature:
E-mail:
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: Website:
Telephone: Fax: Alternate Telephone:
How did you find out about this program? Q Website Q Referral, Name:
Q Periodical Q Workshop, Sponsor:
Mailing a Other:
The Authorized Partner Representative should be a person in the organization with signing authority (e.g., vice president).
EPA Form Number 6100-08
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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: watersensetaepa.gov. 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 6100-08
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