OMB Control Number 2040-0272 

Approval Expires 06/30/2013 

Partnership Agreement: 

Certification Providers
 

Section I: EPA WaterSense® Program Goals 

The 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 WaterSense, 

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.	 Meet the responsibilities outlined in the WaterSense new home certification system, including, but not limited to, 

certification of new homes and oversight of water-efficiency home inspectors in the United States. 

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

3.	 Sign and issue the WaterSense label certificate sticker to builders of certified new homes and supply the builder 

partner with guidance on proper use of the label and advertisement of WaterSense labeled new homes. 

4.	 Notify EPA quarterly of any new homes that have been certified and labeled using a form provided by WaterSense. 

5.	 Help EPA maintain program integrity by alerting EPA of possible misrepresentation(s) of the certification or program marks. Adhere to WaterSense program mark guidelines and ensure that authorized representatives, such as 

advertising agencies or subcontractors, also comply. 

6.	 Grant WaterSense permission to include partner’s name, including contact information, on a list of participating 

partners on the WaterSense website, program materials, and announcements. 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 certified new homes and accomplishments. 

Section III: EPA WaterSense Program’s Commitments to Partners 

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

process. Supply materials related to the inspection and certification of new homes. 

2.	 Increase awareness of the 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, e-mail, or other means), including training materials, inspection checklists, and guidance. 

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. 

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

6.	 Provide materials, templates, and program marks for promotional use, consistent with WaterSense program 

guidelines. 

7.	 Provide guidelines on appropriate use of the WaterSense label and advertisement of WaterSense labeled new 

homes. 

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

request. 

EPA Form Number 6100-20
 
__________________________________________________________________________________________________ 

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.	 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 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 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): ______________________________________________________ 

By signing this agreement, I certify that I have been approved by an EPA-approved program administrator and that at 

least one quality assurance designee within my organization has attended the required training for certification providers
 

about WaterSense.
 

Title: __________________________________________ E-mail: ______________________________________________
 

Signature: ______________________________________________ Date: ______________________________________ 

Organization Name:_______________________________________ Website: ____________________________________ 

Program Administrator: ________________________________________________ Approval Date: ____________________ 

Primary Contact: Dr./Mr./Mrs./Ms._________________________________________________ Suffix: ________________ 

Title:_____________________________________________ Dept.: ________________________________________________ 

E-mail: __________________________________________________________________________________________________ 

Address: _____________________________________________ City/State/ZIP:__________________________________ 

Telephone: __________________________________ Alternate Telephone: ____________________________________ 

Quality Assurance Designee: ______________________________________________________________________________ 

Telephone: __________________________________ E-mail: ________________________________________________ 

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

� Periodical: __________________________ � Workshop, Sponsor: ________________________________________ 

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

Please identify where you provide services by county, metro area, or state. ____________________________________ 

To be completed by EPA 

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

Title: __________________________________________________ Director, Municipal Support Division E-mail:______________________________________
 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 6100-20
 
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 e-mail 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 6100-20