## The Par tner Agr ees to: 1. Designate a liaison for EP A's CHP Partnership. 2. Pr ovide data on existing CHP pr ojects and new pr oject development to help EP A determine climate benefits. 3. Pr ovide input to EP A-developed CHP Partnership tools and services. 4. Employ CHP Partnership tools and services, as appr opr iate, to r ecognize and pr omote CHP development. 

## EP A W ill: 1. Pr omote understanding and r ecognition of the envir onmental, ener gy , and economic benefits of CHP
. 2. Support the Partner with tools and services intended to accelerate the development of CHP pr ojects, including r ecognition of Partner's CHP accomplishments and associated benefits. 3. Designate a Pr ogram Manager as Partner liaison. 

# Par tner’ s Letter of Intent for Companies and Institutions

With this letter ____________________________________________________________ (company/institution) joins EP A's Combined Heat and Power (CHP) Partnership and agr ees to work with EP A to pr omote the benefits of CHP and support development of new CHP pr ojects. Sincer ely , __________________________________________________________________________________ Author ized Company Repr esentative Signatur e Name: _____________________________________________________________________________________ Title: ___________________________________________________________ Date: ______________________ 

### Please fax the completed Letter of Intent (2 p ages) to 617/482-1320 (contractor in support of EP A) OMB Contr ol No. 2060-0578 Appr oval Expir es 04/30/2009



## General T e r ms: 1. This agr eement can be terminated by either party , at any time, without pr ior notification, penalties, or further obligation. 2. EP A will honor r equests to keep r eported data or activities confidential. 3. The Partner agr ees that the activities it undertakes connected with this voluntary agr eement ar e not intended to pr ovide services to the federal gover nment and that the Partner will not seek compensation fr om a federal agency . 4. The Partner agr ees that it will not claim or imply that its participation in the Partnership constitutes EP A appr oval or endorsement of anything other than its commitment to the Partnership. 

### Please complete the information on page 2. Page 1________________________________________________________________________________________________ Please pr ovide a br ief pr ofile of your or ganization’ s involvement with CHP and what services you pr ovide, if appr opr iate. (If the space below is not adequate, please mail or fax this information to us on separate pages, along with your signed

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### Par tner's Liaison: Name: __________________________________________________________________________________________ Title: ____________________________________________________________________________________________ Addr ess: _________________________________________________________________________________________ City: _________________________________________________________ State:_______ Zip: __________________ T

elephone: __________________________________________ Fax: ________________________________________ E-mail: __________________________________________________________________________________________ 

### Additional Par tner Infor mation: Please check the box below that best descr ibes your company’ s CHP-r elated service or activity
. CHP Pr oject Developer Construction Consultant/Engineer ing ESCO End-user Equipment Manufactur er Financier Non-gover nmental Or ganization (NGO) Utility
Y

our or ganization’ s W eb site addr ess: _________________________________________________________________ Does your or ganization have a CHP-r elated W eb page? If so, please list her e: May we pr ovide a link to your CHP-r elated W eb page? Ye s No
Letter of Intent.):

The gover nment estimates the average time needed to fill out this form is 4.9 hours and welcomes suggestions for r educing this level of ef fort. Send comments (r efer encing OMB contr ol number) to the Dir ector , Collection Strategies Division, U.S. EP A (2822T), 1200 Pennsylvania A ve., NW , W ashington, D.C. 20460. PLEASE F AX THE COMPLETED LETTER OF INTENT T O 617/482-1320 (contractor in support of EP A)
Of

fice of Air and Radiation EP A-430-F-05-034 (6202J) www .epa.gov/chp October 2005 Page 2