## Section I: EPA WaterSense **®** 

## Program Goals 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 c er tified pr of essional) 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. Submit pr oof of c er tification r ec eiv ed fr om an EP A Wa t erS ense labeled P r of essional C er tification P r og ram with this P ar tnership A g r eement. 1 2. Ap ply wat er- efficient prac tic es in ac c or danc e with the specifications f or the EP A Wa t erS ense labeled P r of essional C er tification P r og rams , and pr omot e the value of wat e r- efficient prac tic es and Wa t erS ense labeled pr oduc ts and pr og rams on an ongoing basis
. 3. A dher e t o Wa t erS ense par tner logo guidelines and help EP A maintain pr og ram int eg r it y b y aler ting EP A t o possible misuse(s) of the Wa t erS ense par tner logo or label
. 4. Updat e EP A annually on c er tification status b y submitting pr oof of c er tification r enewal fr om an EP A Wa t erS ense labeled P r of essional C er tification P r og ram. 5. Grant the EP A Wa t erS ense pr og ram permission t o include name of c er tified pr of essional 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 . T he c er tified pr of essional understands 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, the c er tified pr of essional will ha v e the op por tunit 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 , the c er tified pr of essional understands that EP A might r ef er media c ontac ts int er est ed in publicizing wat er efficienc y t o par tners f or inf ormation about ser vic es 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. 3. 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 and pr og rams 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 v olv ement 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 labeled pr oduc ts and pr og rams on the EP A Wa t erS ense 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 epr 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. 

# Certified Pr**ofess ional**  **s**

1 I f c er tified prior t o the eff ec tiv e dat e (the dat e the c er tification pr og ram r ec eiv ed the label), please submit this P ar tnershi p A g r eement upon r enewal of c er tification **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 6100-07________________________________________________________________________________________________

________________________________________________________________________________________________ 

## 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. The partner understands that the activities it undertakes in connection with the program are voluntary and notintended to provide services to the federal government. As such, the partner will not submit a claim for compensation to any federal agency. 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. 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 partner logo. 5. The EPA WaterSense program 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 EPA WaterSense program. Upon termination of this agreement, partners agree to remove program marks in a timely manner, consistent with the WaterSense partner logo and label guidelines. To be completed by EPA Authorized EPA Representative (printed name): ______________________________________________________ Title: __________________________________________________ E-mail: __________________________________ Signature: ______________________________________________ Date: __________________________________ To be completed by partner Certified Professional (printed name): ______________________________________________________________ Title: __________________________________________________ E-mail: __________________________________ Company of Employment (if applicable): ______________________________________________________________ Address: _____________________________________________City/State/ZIP: ______________________________
Telephone: __________________ Fax: ___________________ Alternate Telephone: __________________________ County: ________________________________________________ Web site: ________________________________ Current Certification(s) and Certifying Organization(s): __________________________________________________
Type of customers served (select all that apply) ❑ Commercial ❑ Residential ❑ Golf Course Please identify where you pr ovide ser vices by county, metro area, state or indicate “national” if you serve customers across the country. ________________________________________________________________________________
How did you find out about this program? ❑ Web site ❑ Referral, Name: __________________________________ ❑ P eriodical __________________________ ❑ Certification Program:

____________________________________ ❑ Mailing ______________________________________________ ❑ Other: ________________________________ Signature: ______________________________________________ Date: ____________________________________

EPA Form Number 6100-07 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: Wa t erS ense , c/o ERG, 2300 W ilson Blvd , Suit e 350, Ar lingt on, V A 22201 Elec tr onically: I f you ha v e A dobe A cr obat Standar d or P r of essional , you can fill out the f orm elec tr onically and e -mail it t o: w a t ersense@epa.go v . A cr obat Reader users must print f orms af t er 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 v e 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.

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 ), 1200P ennsylvania Av e ., 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 .

EP

A F orm Number 6100-07