Section I: EPA WaterSense® Program Goals 

The EPA WaterSense program goals are to use water resources more efficiently to preserve them for future generations 

and reduce water and wastewater infrastructure costs by reducing unnecessary water consumption. Through this program, EPA will provide reliable information on high-performing, water-efficient products and practices, raise awareness 

about the importance of water efficiency, ensure water-efficient product performance, help consumers differentiate 

among products and programs that use less water, promote innovation in product development, and support state 

and local water efficiency efforts. 

Section II: Partnership Pledge 

As an EPA WaterSense program partner, _________________________________ (name of certified professional) shares 

EPA’s goals as outlined above and is proud to commit to the following activities to further these goals: 

1. Submit proof of certification received from an EPA WaterSense labeled Professional Certification Program with this 

Partnership Agreement.1 

2. Apply water-efficient practices in accordance with the specifications for the EPA WaterSense labeled Professional 

Certification Programs, and promote the value of water-efficient practices and WaterSense labeled products and 

programs on an ongoing basis. 

3. Adhere to WaterSense partner logo guidelines and help EPA maintain program integrity by alerting EPA to possible 

misuse(s) of the WaterSense partner logo or label. 

4. Update EPA annually on certification status by submitting proof of certification renewal from an EPA WaterSense 

labeled Professional Certification Program. 

5. Grant the EPA WaterSense program permission to include name of certified professional on a list of participating 

partners on the EPA WaterSense Web site, program materials, and announcements. The certified professional 

understands that from time to time, EPA will be interested in profiling partner accomplishments in case studies 

and articles. If selected for such promotion, the certified professional will have the opportunity to provide input 

and review the final product prior to release to the public in EPA printed or Web documents. Further, the certified 

professional understands that EPA might refer media contacts interested in publicizing water efficiency to partners 

for information about services and accomplishments. 

Section III: EPA WaterSense Program’s Commitments to Partners 

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

2. Increase awareness of the EPA WaterSense brand by distributing key messages on the benefits of labeled products 

and programs, as well as the importance of water efficiency. 

3. Provide current EPA WaterSense program news, information, and reference documents (via the program Web site, 

helpline, e-mail, or other means), including a listing of labeled products and programs on the Web site. 

4. Provide WaterSense program partners with public recognition for their involvement in the program and role in 

protecting the environment through online listing of partners, special awards, and other efforts. This recognition 

includes but is not limited to listing partners and labeled products and programs on the EPA WaterSense Web site. 

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

6. Review prepress promotional items, draft Web sites, packaging or other materials that use the WaterSense label, 

upon request. 

Certified Professionals 

1 If certified prior to the effective date (the date the certification program received the label), please submit this Partnership Agreement upon renewal of 

certification 

OMB Control Number 2040-0272 

Approval Expires 01/31/2010 

Partnership Agreement: 

EPA Form 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 not 

intended 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 provide services 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: __________________________________ 

❑ Periodical __________________________ ❑ Certification Program: ____________________________________ 

❑ Mailing ______________________________________________ ❑ Other: ________________________________ 

Signature: ______________________________________________ Date: ____________________________________ 

EPA Form Number 6100-07 

Director, Municipal Support Division watersense@epa.gov

Sheila E. Frace
Submit the Partnership Agreement (rewriteable PDF) to WaterSense via: 

Fax: (703) 841-1440 

Mail: WaterSense, c/o ERG, 2300 Wilson Blvd, Suite 350, Arlington, VA 22201 

Electronically: If you have Adobe Acrobat Standard or Professional, you can fill out the form electronically and e-mail 

it to: watersense@epa.gov. Acrobat Reader users must print forms after filling them out and fax or mail them in. 

Please contact the WaterSense Helpline at (866) WTR-SENSE (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 8 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 Ave., 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 6100-07