## Section I: EP**A WaterSen se**  **®** 

## Pr**ogr am Goal**  **s** T he EP A Wa t erS ense pr og ram goals ar e t o use wat er r esour c es mor e efficiently t o pr eser v e them f or futur e generations and r educ e wat er and wast ewat er infrastruc tur e c osts b y r educing unnec essar y wat er c onsumption. T hr ough this pr og r am, EP A will pr o vide r eliable inf ormation on high-per f orming , wat er- efficient pr oduc ts and prac tic es , raise a w ar eness about the impor tanc e of wat er efficienc y , ensur e wat er- efficient pr oduc t per f ormanc e , help c onsumers diff er entiat e among pr oduc ts and pr og rams that use less wat er , pr omot e inno vation in pr oduc t dev elopment, and sup por t stat e and local wat er efficienc y eff or ts . 

## Section II: P**artner s** **hip Pledge** A s an EP A Wa t erS ense pr og ram par tner , _________________________________ (name of manufac tur er) shar es EP A’

s goals as outlined abo v e and is pr oud t o c ommit t o the f ollo wing ac tivities t o fur ther these goals: 1. Ha ve at least one pr oduc t c er tified t o c onf orm t o a Wa t erS ense specification within 12 months of execution of this par tnership ag r eement. Note: A draft or final specifica tion for a pr oduc t the par tner manufac tur es must be a vailable befor e signing this agr eemen t . 2. Ha ve pr oduc ts c er tified t o c onf orm t o the r elevant Wa t erS ense specification b y a P r oduc t C er tification Body either ac cr edit ed b y American National Standar ds I nstitut e (ANSI) in ac c or danc e with the Wa t erS ense c er tification scheme , or other wise ap pr o v ed f or that purpose b y EP A, t o obtain the use of the Wa t erS ense label on those pr oduc ts . 3. Notify EP A when new pr oduc ts ar e c er tified t o Wa t erS ense specifications b y pr o viding brand name , model name , model number(s), manufac tur er URL, and name of P r oduc t C er tification Body and associat ed file number
. 4. P r omot e the value of wat er efficienc y and Wa t erS ense labeled pr oduc ts as an easy and desirable option for cust omers t o r educ e wat er use . 5. M ake a v ailable t o EP A annual data on Wa t erS ense labeled pr oduc ts in cat egories wher e the EP A Wa t erS ense pr og r am has established specifications , including unit shipment data, t otal unit shipments f or each model in the pr oduc t line , and per c ent of t otal unit shipments that ar e Wa t erS ense labeled
. T his data ma y be pr o vided dir ec tly t o EP A or t o a thir d-par t y or ganization with the understanding that this or ganization will not r elease individual manufactur er data, but rather agg r egat eindustr y-wide data on the r elativ e market shar e of labeled v s . non-labeled pr oduc ts . 6. A dher e t o Wa t erS ense par tner logo and label guidelines and ensur e that authoriz ed r epr esentativ es , such as adv er tising agencies , distribut ors , and subc ontrac t ors , also c omply. Help EP A maintain pr og ram int eg r it y b y aler ting EP A or r elevant P r oduc t C er tification Bodies t o possible misuse(s) of the Wa t erS ense par tner logo or label
. 7. Updat e EP A annually on the a v ailabilit y of labeled pr oduc ts and inf orm EP A in a timely manner if labeled pr oduc ts ar e disc ontinued and/or no longer meet ap plicable crit eria, so EP A can maintain an up -t o - dat e list of labeled pr oduc ts on the pr og ram Web sit e and in other mat erials
. 8. Grant the EP A Wa t erS ense pr og ram permission t o include c ompan y name on a list of par ticipating par tners on the EP

A Wa t erS ense Web sit e , pr og ram mat erials , and announc ements . Also g r ant permission t o the pr og ram t o pr ovide inf ormation (such as brand name , make , model , Web link, and pr oduc t f eatur es) f or labeled pr oduc ts on the Web listing and pr og ram mat erials . P ar tners understand that fr om time t o time , EP A will be int er est ed in pr ofiling par tner ac c omplishments in case studies and ar ticles . I f selec t ed f or such pr omotion, par tners will ha v e the op portunit y t o pr o vide input and r eview the final pr oduc t prior t o r elease t o the public in EP A print ed or Web documents . F ur ther , par tners understand that EP A might r ef er media c ontac ts int er est ed in publicizing wat er efficienc y t o them f or inf ormation about pr oduc ts and ac c omplishments
. 

## Section III: EP**A WaterSen se Pr** **ogr am’**  **s Commitment s to P** **artner s**  1. Dev elop national specifications f or wat er- efficient pr oduc ts and pr og rams thr ough an open, public pr oc ess . 2. I ncr ease a w ar eness of the EP A Wa t erS ense brand b y distributing key messages on the benefits of labeled pr oduc ts and pr og rams , as w ell as the impor tanc e of wat er efficienc y. 

# Manufactur**er s**  **OMB Contr** **ol Number 2040-0272 Appr** **o v** **al Expir es 0**  **1/3 1/20**  **1 0**  

# P**artner s** **hip Agr eement:** 

EP

A F orm Number 6100-133. P r o vide curr ent EP A Wa t erS ense pr og ram new s , inf ormation, and r ef er enc e documents (via the pr og ram Web sit e , helpline , e -mail , or other means), including a listing of labeled pr oduc ts on the Web sit e . 4. P r o vide Wa t erS ense pr og ram par tners with public r ec og nition f or their in volvement in the pr og ram and r ole in pr ot ec ting the en vir onment thr ough online listing of par tners , special a w ar ds , and other eff or ts . T his r ec og nition includes , but is not limit ed t o listing par tners and Wa t erS ense labeled pr oduc ts on the pr og ram Web sit e . 5. Respond swif tly t o par tner r equests f or inf ormation or clarification on EP A Wa t erS ense pr og ram policies
. 6. Review pr e -pr ess pr omotional it ems , draf t Web sit es , pack ag ing or other mat erials that use the Wa t erS ense label , upon r equest. 

## Section IV: Gener**al T erm**  **s and Di sclaimer**  **s** 1. T he par tner will not c onstrue , claim, or imply that its par ticipation in the EP A Wa t erS ense pr og ram c onstitut es federal go vernment (EP A) ap pr o v al , ac c eptanc e , or endorsement of an ything other than the par tner ’ s c ommitment t o the pr og ram. 2. T he par tner understands that the ac tivities it under takes in c onnec tion with the pr og ram ar e voluntar y and not int ended t o pr o vide ser vic es t o the f ederal go v ernment. A s such, the par tner will not submit a claim f or c ompensation t o an y f ederal agenc y. 3. T he par tner and the EP A Wa t erS ense pr og ram will assume good faith as a general principle f or r esolving c onflic t and will seek t o r esolv e all matt ers inf ormally , so as t o pr eser ve maximum public c onfidenc e in the pr og ram. 4. F ailur e t o c omply with an y of the t erms of this par tnership ag r eement can r esult in its t ermination and c essation of ac c ess t o the benefits of the pr og ram, including use of the pr og ram marks
. 5. T he EP A Wa t erS ense pr og ram will ac tively pursue r esolution of nonc omplianc e r elat ed t o the use of the pr og ram marks
. 6. Both par ties c oncur that this ag r eement is wholly v oluntar y and ma y be t erminat ed b y either par t y at an y time , and f or an y r eason, with no penalt y. T ermination will beg in eff ec tiv e immediat ely upon writt en notic e t o or fr om the EP A Wa t erS ense pr og ram. Upon the t ermination of this ag r eement, par tners ag r ee t o r emo ve pr og ram marks in a timely manner , c onsist ent with the Wa t erS ense par tner logo and label guidelines
. To be completed by EPA Authorized EPA Representative (printed name): ______________________________________________________ Title: __________________________________________________ E-mail: __________________________________ Sig natur e: ______________________________________________ Dat e: __________________________________ To be completed by partner A uthoriz ed P ar tner Repr esen ta tive 1 (print ed name):

__________________________________________________ T itle:

__________________________________________________ E-mail:

__________________________________ Sig natur e: ______________________________________________ Dat e: ____________________________________ C ompan y Name:_________________________________________________ Number of emplo yees: ____________ I ndustr y/SIC/NAICS c ode:

__________________________________________________________________________ P r imar y C ontac t: Dr./M r./M rs ./Ms ._________________________________________________ Suffix:

____________ T itle:

______________________________ Dept: __________________ E-mail:

______________________________ A ddr ess: _____________________________________________Cit y/Stat e/ZIP : ______________________________ C ount y : ________________________________________________ Web sit e: ________________________________ T

elephone: __________________ F ax: ___________________ Alt ernat e T elephone:

__________________________ P r imar y func tion: ❑ M arketing & Sales ❑ Desig n ❑ T echnical ❑ Go v e rnment Affiars ❑ O ther : ____________ Ho w did you find out about this pr og ram? ❑ Web sit e ❑ Ref erral , Name:

__________________________________ ❑ P eriodical __________________________ ❑ Workshop, Sponsor : ______________________________________ ❑ M ailing

______________________________________________ ❑ O ther : ________________________________

1 T he A uthoriz ed P ar tner Repr esentativ e should be a person in the c ompan y with sig ning authorit y (e .g ., vic e pr esident). EP

A F orm Number 6100-13 Director, Municipal Support Division watersense@epa.gov Sheila E. Frace

## Submit the P**artner s** **hip Agr eement (r** **e writeable PDF) to WaterSen**  **se via:** F ax: (703) 841-1440 Mail: WaterSense, c/o ERG, 2 3 00 Wilson Blvd, Suite 35 0, Arlington, VA 22201 Electronically: If you have Adobe Acrobat Standard or Professional, you can fill out the form electronically and e-mail it to: w a t ersense@e pa . g o v . Acrobat Reader users must print forms after filling them out and fax or mail them in. Please c ontac t the Wa t erS ense Helpline at (866) W TR-SENSE (987-7367) if you ha ve an y questions about elig ibilit y , par tnership, or f or general pr og ram inquiries
. Af

t er sig ning , EP A will send par tners an execut ed c op y of this ag r eement.

EP

A F orm Number 6100-13 T he public r epor ting and r ec or d keeping bur den f or this c ollec tion of inf ormation is estimat ed t o a v erage 8 hours per r esponse . S end c omments on the A genc y's need f or this inf ormation, the ac curac y of the pr o vided bur den estimat es , and an y suggest ed methods f or minimizing r espondent bur den , including thr ough the use of aut omat ed c ollec tion t echniques t o the Dir ec t or , C ollec tion Strat eg ies Division, U .S. En vir onmental P r ot ec tion A genc y (2822T ), 1200 P ennsylvania Ave ., NW , Washingt on, D .C. 20460. I nclude the OMB c ontr ol number in an y c orr espondenc e . Do not send the c omplet ed P ar tnership A g r eement t o this addr ess .