OMB Control Number 2040-0272 

Approval Expires 06/30/2013 

Partnership Agreement: 

Builders 

Section I: EPA WaterSense® Program Goals 

EPA’s WaterSense program aims to use water resources more efficiently to preserve them for future generations and to 

reduce water and wastewater infrastructure costs by reducing unnecessary water consumption. Through this program, 

EPA provides reliable information on high-performing, water-efficient new homes, raises awareness about the importance of water efficiency, helps consumers identify new homes that use less water, promotes innovation in residential 

construction, and supports state and local water-efficiency efforts. 

Section II: 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. 	 Educate consumers on the value of water efficiency, the importance of saving water, and the meaning of the 

WaterSense label. Where feasible, undertake activities and events to achieve mutual WaterSense goals. 

2. 	 Build at least one single-family home or townhome in the United States or its territories certified to EPA’s 

WaterSense criteria within 12 months of execution of this partnership agreement and at least one single-family 

home or townhome every year thereafter. 

3. 	 Make arrangements with a licensed certification provider for inspections of new homes to occur. All homes must be 

inspected unless subject to the sampling protocol defined in the WaterSense New Home Certification System Section V.B.ii. 

4. 	 Provide data to EPA on the number of new homes built, number of new homes labeled, promotional activities, and 

marketing of WaterSense on an annual basis. The data will be used by EPA for program evaluation purposes. 

5. 	 Adhere to all policies and procedures contained in the Program Guidelines. 

6. 	 Adhere to WaterSense program mark guidelines and ensure that authorized representatives, such as advertising 

agencies or subcontractors, also comply. Help EPA maintain program integrity by alerting EPA to possible misuse(s) 

of WaterSense program marks. 

7. 	 Feature the WaterSense partner logo and promotional labels on website and in other marketing materials as 

applicable. 

8. 	 Grant EPA’s WaterSense program permission to include partner’s name on a list of participating partners on the 

WaterSense website, program materials, and announcements. Also, grant WaterSense permission to provide non-confidential information on labeled new homes on the program website and in program materials. Partners understand 

that from time to time, EPA will be interested in profiling partner accomplishments in case studies and articles. 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. Further, the partner understands that EPA might refer media contacts 

interested in publicizing WaterSense to partners for information about labeled new homes and accomplishments. 

Section III: EPA WaterSense Program’s Commitments to Partners 

1. 	 Develop national specifications for water-efficient new homes, products, and programs through an open, public process. 

2. 	 Increase awareness of EPA’s WaterSense brand by distributing key messages on the benefits of labeled new homes, 

as well as the importance of water efficiency. 

3. 	 Provide current WaterSense program news, information, and reference documents (via the program website, 

Helpline, email, or other means), including a listing of areas with labeled new homes on the website. 

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 new homes on the program website. 

5. 	 Respond swiftly to partner requests for information or clarification on EPA’s WaterSense program policies. 

6. 	 Provide materials, templates, and logo for promotional use, consistent with the WaterSense Program Guidelines. 

7. 	 Review pre-press promotional items, draft websites, or other materials that use the WaterSense program marks, 

upon request. 

EPA Form Number 6100-19 
 

________________________________________________________________________________________________________ 

Section IV: General Terms and Disclaimers 


1. 	 The partner will not construe, claim, or imply that its participation in the EPA WaterSense program constitutes federal government (EPA) approval, acceptance, or endorsement of anything other than the partner’s commitment to 

the program. 

2. 	 Nothing in this agreement, in and of itself, obligates the EPA to expend appropriations or to enter into any contract, assistance agreement, interagency agreement, or incur other financial obligations that would be inconsistent 

with Agency budget priorities. The partner agrees not to submit a claim for compensation for services rendered to 

EPA or any federal agency in connection with any activities it carries out in furtherance of this agreement. 

3. 	 The partner and the EPA WaterSense program 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. 	 No building, home, facility, or structure will be WaterSense labeled as a result of this agreement. If additional 

WaterSense partner categories become available, affected organizations will be asked to reapply for partnership in the 

new category. 

5. 	 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. 

6. 	 The EPA WaterSense program will actively pursue resolution of noncompliance related to the use of the program marks. 

7. 	 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 the termination of this agreement, partners agree to remove program marks in a 

timely manner, consistent with the WaterSense program mark guidelines. 

To be completed by partner 

Authorized Partner Representative1 (printed name): ______________________________________________________ 

Title: __________________________________________ Email: ______________________________________________ 

Signature: ______________________________________________ Date: ______________________________________ 

Organization Name:_________________________________________________ Number of employees: ______________ 

Industry/SIC/NAICS code: __________________________ Website: __________________________________________ 

Please identify where you build homes by state or metro area: ____________________________________________________ 

Primary Contact: Dr./Mr./Mrs./Ms. ______________________________________________________________________ 

Title:_____________________________________________ Dept.: ________________________________________________ 

Email: __________________________________________________________________________________________________ 

Address: _____________________________________________ City/State/ZIP:__________________________________ 

Telephone: __________________________________ Alternate Telephone: ____________________________________ 

Primary function: � Marketing & Sales � Government Affairs � Other: ____________________________________ 

How did you find out about this program? � Website � Referral, Name: ____________________________________ 

� Periodical: __________________________ � Workshop, Sponsor: ________________________________________ 

� Mailing: __________________________ � EPA Region: ________________ � Other:________________________ 

To be completed by EPA 

Authorized EPA Representative Sheila E. Frace (printed name): __________________________________________________________ 

Title: __________________________________________________ Email: ______________________________________ Director, Municipal Support Division watersense@epa.gov 

Signature: ______________________________________________ Date: ______________________________________ 

1The authorized partner representative should be a person in the company with signing authority (e.g., vice president). 

EPA Form Number 6100-19 
Submit the Partnership Agreement (rewriteable PDF) to WaterSense via: 

Fax: (703) 841-1440 


Mail: WaterSense, c/o ERG, 2300 Wilson Boulevard, Suite 350, Arlington, VA 22201 


Electronically: If you have Adobe Acrobat, you can complete the form electronically and email it to: watersense@epa.gov. 


Please contact the WaterSense Helpline at (866) WTR-SENS (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 eight 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 Avenue, 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 6100-19