OMB Control No. 2060-0528
Approval expires 03/31/11
Instructions For Partnering With ENERGY STAR®
As A Manufacturer Of ENERGY STAR
Qualified Products
Organizations interested in partnering with ENERGY STAR as a Manufacturer of ENERGY
STAR Qualified Products should take the following steps:
1. Review the Manufacturer Definition on page 2 below.
2. Review the Product Specifications, Eligibility Criteria, and Partner Commitments
documents on www,eneravstar.gov. Go to the Partner Resources page and select
'Product Specifications' where you will find a detailed list of all eligible products with the
corresponding documents.
3. Select the area of interest for a new partnership and indicate your product on the
enclosed Commitment Form. Please ONLY select the relevant product you manufacture
in Section 7 under Manufacturer of ENERGY STAR Qualified Products.
4. Review, complete and sign the Partnership Agreement.
5. Return the Partnership Agreement and Commitment Form to ENERGY STAR at:
join@energv w
or
ENERGY STAR
c/o ICF International
1725 Eye Street NW, Suite 1000
Washington, DC 20006
If you are a manufacturer of CFLs, clothes washers, dishwashers, refrigerators and/or
freezers, room air conditioners, windows/doors/skylights, or residential water heaters please
return your materials to:
partnership® /star, gov
or
ENERGY STAR
c/o D&R International
1300 Spring Street, Suite 500
Silver Spring, MD 20910
ENERGY STAR will accept hard or electronic copies of the Partnership Agreement. A copy of
the signed Partnership Agreement will be returned to you for your records.
Change For the Better With ENERGY STAR
EPA Form No, 5900-33
ENERGY STAR Partnership Agreement
1
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OMB Control No. 2060-0528
Approval expires 03/31/11
Program Definitions and Eligible Organizations
Section 1. Energy Efficiency Program Sponsors
Eligible organizations: A regulated utility, publicly owned utility or energy delivery company; a national, regional,
state, or local government entity; an organization involved in coordinating and/or administering energy efficiency
or environmental education programs that promote ENERGY STAR. See Program Requirements for Energy
Efficiency Program Sponsors for the Commercial & Industrial Sectors and/or the Program Requirements for
Energy Efficiency Program Sponsors (residential sector).
Section 2. Commercial and Industrial Service and Product Providers
Eligible organizations: An organization that offers energy-efficient products and/or services that agrees to
promote and communicate ENERGY STAR to improve the energy performance of commercial buildings.
Eligible organizations include: architects, and A/E firms, banks and commercial financial lenders, contractors,
distributors, energy management service companies/consultants, energy service companies (ESCOs),
engineers, equipment manufacturers, and unregulated energy retailers and marketers. See the ENERGY STAR
Partnership Partner Requirements for Commercial & Industrial Service and Product Providers.
Section 3. Financing Partners
Eligible organizations for Mortgages for Energy-Efficient Homes: A mortgage lender offering special financing
for ENERGY STAR qualified new homes. See Program Requirements for Lenders, Mortgages for Energy
Efficient Homes.
Section 4. Home Builders/Developers and Home Energy Raters
Eligible organizations: A site-built home builder constructing traditional homes on site; a manufactured home
builder providing factory-built, HUD code-based homes; a home energy rater verifying the performance of
ENERGY STAR qualified new homes. See the ENERGY STAR Partnership Agreement for Home Builders and
Verification Organizations.
Section 5. Retailers/E-tailers and Buying Groups
Eligible organizations for Retailers/E-tailers: A retail organization selling, marketing, and promoting ENERGY
STAR qualified products. Retail organizations can include independent retailers, national chains, buying
groups, and online merchants. See Program Requirements for Retailers/E-tailers.
Eligible organizations for Buying Groups: A retail organization selling ENERGY STAR qualified products. See
Program Requirements for Buying Groups.
Section 6. Business Improvement
Eligible organizations: Any public or private organization can partner to improve its facilities by committing to
continuous improvement of its energy efficiency. For Program Requirements see the Partnership Letter in the
Business Improvement section ofwww.eneravstar.gov.
Section 7: Manufacturers
Eligible Organizations: A company that manufactures or private labels any product(s) that meets the current
ENERGY STAR qualification criteria.
EPA Form No. 5900-33
ENERGY STAR Partnership Agreement
2
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OMB Control No. 2060-0528
Approval expires 03/31/11
ENERGY STAR
PARTNER
Partnership agreement between
ENERGY STAR® and
(ENTER PARTNER NAME HERE)
Through this agreement,
("ENERGY STAR Partner") joins
in partnership with the US Environmental Protection Agency (EPA) and the Department of Energy (DOE) in one
or more areas. ENERGY STAR Partner recognizes ENERGY STAR as a broad partnership designed to promote
buildings, products, homes, and industrial facilities that use less energy while providing the same or better
performance than conventional designs. ENERGY STAR Partner wishes to use the ENERGY STAR name and/
or mark in association with qualified products or homes. ENERGY STAR Partner agrees to use the partnership
and the ENERGY STAR mark to promote energy efficiency as an easy and desirable option for organizations and
consumers to prevent pollution, protect the global environment, and save on energy bills. ENERGY STAR Partner
agrees that it is important to build and maintain the meaning of the ENERGY STAR mark as a trustworthy symbol
that makes it easy to make a change for the better.
Partner Commitments
ENERGY STAR Partner is committed to taking action in the area(s) indicated on the ENERGY STAR Commitment
Form. For the designated program area(s), ENERGY STAR Partner agrees to fulfill all requirements as outlined in
the following supporting documents:
• ENERGY STAR Program Requirements, defining requirements for being recognized as a partner in
each program area, such as manufacturing, selling, or promoting ENERGY STAR qualified products
to consumers or organizations. Specific requirements include identifying a responsible party for each
area of participation and updating EPA/DOE on the efforts undertaken through the partnership. Where
applicable, these include ENERGY STAR eligibility criteria defining the energy and other performance
specifications that must be met for use of the ENERGY STAR mark on and/or in association with
buildings, homes, and products; and
• ENERGY STAR Identity Guidelines, describing how the ENERGY STAR name and mark may be
used. Partner will adhere to these guidelines and ensure that its authorized representatives, such as
advertising agencies, dealers, and distributors, are also in compliance.
EPA/DOE will undertake a variety of efforts to build awareness of the ENERGY STAR name and mark, maintain
the credibility of the ENERGY STAR name and mark, and promote the benefits of energy-efficient homes, build-
ings, products, services, and industrial facilities. EPA/DOE will strive to:
• increase awareness of the ENERGY STAR name and mark across the residential, commercial, and
industrial sectors by distributing key messages on the benefits of ENERGY STAR qualified buildings,
homes, and products;
• make current versions of the ENERGY STAR Identity Guidelines and ENERGY STAR Program
Requirements easily accessible through the Internet and other means;
• maintain a Web site where ENERGY STAR Partner can furnish information on its program efforts and
responsible key contacts as outlined in the ENERGY STAR Program Requirements; and
• provide ENERGY STAR Partner with public recognition through the Internet and other mechanisms for
its efforts in the ENERGY STAR Partnership and its role in protecting the environment.
EPA Form No. 5900-33 ENERGY STAR Partnership Agreement 3
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OMB Control No. 2060-0528
Approval expires 03/31/11
Disclaimers
Partner will not construe, claim, or imply that its participation in the ENERGY STAR program constitutes federal
government approval, acceptance, or endorsement of anything other than Partner's commitment to the program.
Partner understands its participation in the ENERGY STAR program does not constitute federal government
endorsement of Partner or its buildings, homes, products, services, or industrial facilities. Partner understands
that the activities it undertakes in connection with the ENERGY STAR program are voluntary and not intended
to provide services to the federal government. As such, Partner will not submit a claim for compensation to any
federal agency.
Dispute Resolution
Partner and EPA/DOE will assume good faith as a general principle for resolving conflicts under the ENERGY
STAR program. Both parties will endeavor to resolve all matters informally, so as to preserve maximum public
confidence in ENERGY STAR.
In the event informal channels do not produce a mutually agreeable resolution to a matter in dispute, either party
to this agreement shall notify the other in writing as to the nature of the dispute, the specific corrective action
sought, and their intent to terminate the Partnership Agreement, either as a whole or in part, unless specific
corrective actions sought are undertaken:
• within 20 days of receiving formal notification from EPA/DOE indicating intent to terminate the
Partnership Agreement, either as a whole or in part, Partner will reply, agreeing to either (1) undertake
in a timely and effective manner the corrective actions sought by EPA/DOE, or (2) terminate the
Partnership Agreement, either as a whole or in part;
• within 20 days of receiving formal notification from Partner indicating its intent to terminate the
Partnership Agreement, either as a whole or in part, EPA/DOE will reply, either (1) agreeing to
undertake in a timely and effective manner the corrective actions sought by Partner, or (2) explaining
why such corrective actions cannot be undertaken;
• if Partner fails to respond within 20 days of receiving formal notification of EPA/DOE's intent to
terminate the Partnership Agreement, either as a whole or in part, or if Partner responds but does not
agree to undertake corrective actions sought by EPA/DOE, or if Partner agrees but does not initiate the
corrective actions in a timely manner, then this agreement is terminated, either as a whole or in part.
Entry into Force and Duration of Agreement
Both parties concur that this agreement and the terms outlined in the supporting documents will become effective
when signed by both parties. This agreement may be updated at any time to add new areas for which ENERGY
STAR Partner wants to be recognized as a partner. 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. Failure to comply with
this Partnership Agreement, applicable Program Requirements, and Identity Guidelines can result in termination
of this agreement and authorization to use the ENERGY STAR mark. EPA/DOE will actively pursue actions for
resolving issues of noncompliance.
The undersigned hereby execute this Partnership Agreement on behalf of their party. The signatories of this
agreement affirm that they have the authority to execute this agreement on behalf of ENERGY STAR Partner
and EPA/DOE.
EPA Form No, 5900-33
ENERGY STAR Partnership Agreement
4
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OMB Control No. 2060-0528
Approval expires 03/31/11
Partnership Agreement Signatory for ENERGY STAR:
Signature(s):
Name(s):
Title (s):
Date(s)
Jerome P. Dion, Manager
Kathleen Hogan, Director
Building Technologies Program,
U.S. Department of Energy
Climate Protection Partnerships Division,
U.S. Environmental Protection Agency
Partnership Agreement Signatory for
(Enter Partner Name Here)
~ By checking this box I affirm that I have read and understand the terms of this Partnership Agreement and am
authorized to bind this organization to the terms of the Partnership Agreement.
Name:
Title:
Address:
City:
State:
Zip:
Country:
Phone:
Fax:
E-mail:
Web site:
The public reporting and recordkeeping burden for this collection of information is estimated to average 4.2 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,
V\foshington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.
EPA Form No. 5900-33
ENERGY STAR Partnership Agreement
5
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OMB Control No. 2060-0528
Approval expires 03/31/11
ENERGY STAR
PARTNER
ENERGY STAR Commitment Form:
Program Area(s) Where ENERGY STAR Partner
Commits to Fulfill Program Requirements
Partner Name:
Date:
Partner agrees to fulfill the Program Requirements
Promote ENERGY STAR as an ENERGY
Efficiency Program Sponsor in the:
~ Consumer Product Market
~ Residential New Construction Market
~ Existing Commercial Buildings Market
~ New Commercial Buildings Market
~ Industrial Market
*Such as states, utilities, or regional program
coordinators.
Help Clients Improve Their Energy Performance
Commercial and Industrial Service and Product Providers,
supporting the:
~ Existing Commercial Buildings Market
~ New Commercial Buildings Market
~ Industrial Market
Offer Commercial Financing
~ Mortgages for Energy-Efficient Homes
* Please refer to the ENERGY STAR Partnership
Agreement for Lenders.
Label and Promote ENERGY STAR Qualified Homes
~ Home Builders/Developers
~ Home Energy Raters
* Please refer to the ENERGY STAR Partnership
Agreement for Home Builders and Verification
Organizations.
Promote ENERGY STAR Qualified Products
~ Retailers/E-tailers
~ Buying Groups
Deploy ENERGY STAR Qualified Set-top Boxes
~ Cable, Satellite, and Telecom Service Providers
Label and Promote ENERGY STAR Qualified Products
Appliances
~ Clothes Washers
~ Dishwashers
~ Refrigerators and/or Freezers
~ Room Air Conditioners
Commercial Food Service Equipment
~ Commercial Dishwashers
~ Commercial Fryers
~ Commercial Hot Food Holding Cabinets
~ Commercial Ice Machines
~ Commercial Solid Door Refrigerators/Freezers
~ Commercial Steamers
each program area checked below.
Home Electronics
~ Audio Equipment and DVD Products
~ Digital-to-Analog Converter Boxes (DTAs)
~ Set-top Boxes
~ Telephony
~ Televisions and VCRs
Heating, Ventilation, and AC Products
~ Boilers
~ Central ACs and Air-Source Heat Pumps
~ Furnaces
~ Geothermal Heat Pumps
~ Light Commercial HVAC
~ Programmable Thermostats
~ Residential Ceiling Fans
~ Residential Ventilating Fans
Home and Building Envelope Products
~ Residential Insulation Products
~ Roof Products
~ Windows, Doors and Skylights
~ Window Components
Lighting Products
~ Decorative Light Strings
~ Residential Light Fixtures
~ Screw-Based Compact Fluorescent Lamps (CFL)
Office Equipment
~ Computers
~ Imaging Equipment
~ Monitors
Other Products
~ Battery Charging Systems (BCSs)
~ End-Use Products with Qualified EPSs
~ External Power Supplies (EPSs)
~ New Refrigerated Beverage Vending Machines
~ Rebuilt Refrigerated Beverage Vending Machines
~ Residential Dehumidifiers
~ Room Air Cleaners
~ Water Coolers
~ Residential Water Heaters
~ Through our partnership with ENERGY STAR, we
also commit to improve the energy performance of our
own facilities.
EPA Form No. 5900-33
ENERGY STAR Commitment Form
6
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OMB Control No. 2060-0528
Approval expires 03/31/11
Partner Name:
Date:
Please provide contact information for each program area selected on the previous page.
(Make extra copies of this page when joining multiple program areas.)
ENERGY STAR Program Area:
Responsible Agent of Company: Primary Contact (if different):
Contact Name:
Title:
Company:
Address:
City:
State:
Zip:
Country:
Phone:
Fax:
E-mail:
Additional Contact (marketing, etc.): Additional Contact (if appropriate):
Contact Name:
Title:
Company:
Address:
City:
State:
Zip:
Country:
Phone:
Fax:
E-mail:
Please return to the attention of:
ioin@eneravstar.aov
or
ENERGY STAR
c/o ICF International
1725 Eye Street NW, Suite 1000
Washington, DC 20006
Fax: (202) 862-1144
If you are a manufacturer of CFLs, clothes washers,
dishwashers, refrigerators and/or freezers, room air
conditioners, windows/doors/skylights, or residential water
heaters, please return your materials to:
DartnershiD@eneravstar.aov
or
ENERGY STAR
c/o D&R International
1300 Spring Street, Suite 500
Silver Spring, MD 20910
Fax: (301)588-0854
The public reporting and recordkeeping burden for this collection of information is estimated to average 4.2 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.
EPA Form No. 5900-33 ENERGY STAR Commitment Form 7
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