V

&EPA	To help you collect the information necessary to complete the Green Power Partner

GREEN Partnership Agreement, you will need the following information on hand. You may
need to verify that your purchase meets additional eligibility requirements outlined in
the Green Power Partnership Program Requirements document.

PARTNERSHIP

Type of Information

Notes

1. Measured or estimated annual purchased electricity use data
across all U.S. facilities joining the partnership. (Base load
Kilowatt-hours)

*leased space can estimate electricity use based on square footage



2. Amount of eligible green power purchased across all U.S. facilities
joining the partnership. (Kilowatt-hours)

**Must be for the same facilities as identified under No. 2 above



3. Your organization's desired reporting period (e.g., calendar year,
fiscal year, or other 12-month period)



4. Name of your green power supplier.



5. Name of the supplier's green power product, (for REC or utility
supplier offerings)



6. Resource mix of the green power product, (percentage by

resource type - biogas, biomass, geothermal, small hydro, solar,
wind)



7. Whether your purchase is third party certified and verified, (not
required, but highly recommended)



8. The amount of delivered generation under contract, for owned or
Power Purchase Agreements with eligible onsite or offsite green
power projects, (kilowatt-hours)



9. Identify a person who can bind your organization in partnership
with EPA and sign the partnership agreement for prior to
submission.



10. Contact information for your organization's Primary and Public
Relations points of contact.



11. Partner profile statement, describing your organization and its
green power goals, activities and successes

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