**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 Wat erS ense cr iter ia within 12 months of execution of this partnership agreement and at least one single-family home or townhome every year thereafter. 3. M ake 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 mar keting of Wat erS ense 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 WaterS ense 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-confiden tial information on labeled new homes on the program website and in program materials. Partners understand tha t 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 in t erested 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 en vir onment 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. Pro vide mat er ials, 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 r equest. 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.

T o b e completed by partner Authorized Partner Representative 1 (printed name): ______________________________________________________ Title: __________________________________________ Email: ______________________________________________ Signature: ______________________________________________ Date: ______________________________________ Organiza tion Name:_________________________________________________ Number of employees: ______________ Industr y/SIC/NAICS c ode: __________________________ 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: ____________________________________ Ho w did you find out about this program? � Websit e � Ref erral, Name: ____________________________________ � Periodical: __________________________ � Workshop, Sponsor: ________________________________________ � Mailing: __________________________ � EPA Region: ________________ � Other:________________________

T o b e completed by EPA Sheila E. Frace Authorized EPA Representative (printed name): __________________________________________________________ T itle: __________________________________________________ Email: ______________________________________ Director, Municip al Support Division watersense@epa.gov Signature: ______________________________________________ Date: ______________________________________

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

A F or m 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