O M B C on t ro l No
. 206 0 - 0528

1 E P A F o rm N o . 590 0 - 33 E N E R GY S TA R P ar t ne r s h ip Agree m e n t 

# I **n s**  **t r**  **u c**  **t i**  **o n**  **s fo**  **r P**  **a r** **tn e**  **r i**  **n g**  **w i**  **t h**  **E N**  **E R**  **G Y**  **S T**  **A R**  **®** 

# A **s an**  **E n**  **e r** **g y**  **E f** 

**f icie**  **n c**  **y Pr**  **og r** **a m**  **S p**  **o n**  **s or** 

O rg an i z a t i ons in t e res t ed i n pa rt n e r i ng w i t h E NER G Y S T A R as an E n e rg y Eff i c i ency Pro g ra m S ponsor s hou l d t a k e t he fo ll o wi ng s t eps: 1. R e v i e w t he E ne rg y E ff i c i ency Prog ram S ponso rs P rog ram D ef i n i t i ons and P rog ram R e q u i re m en t s do c u m en t s. 2. S e l ect t he a r e a ( s) o f in t e rest fo r a new pa rt n e rsh i p on t he Participation F o r m . P l ease se l ect **o n**  **l**

**y** t he i t e m s in the f i rs t sect i on u nder E ne rg y E f f i c i ency Pro g ra m S ponso r . 3. R e v i e w , c o m p l e t e and s i g n t he P a r t ne rsh i p Ag re e m ent by c he c k i n g t he a u t ho r i z a t i on bo x , en t e r i n g t he da t e o f s i g na t u re, and en t e r i ng the c on t a ct i n fo r m a t i on o f t he s i g n a t o ry . 4. S a ve y our chan g es t o t h e c o m p l e t ed do c u m e n t a nd s end it t o t he e m a i l a dd ress belo w . I f y ou a r e unable t o s end t he do c u m e n t by e m a il , p l ease s end a ha r d c opy t o t he add ress l i s t ed belo w . j o i n @ ene rg ys t a r . g ov Or ENER G Y S T AR c/ o I C F In t e r na t i onal 1725 E ye Stre e t , N W , S u i t e 1000 W a s h i ng t on, DC 20006 A c opy o f t he s i g ned P a r t ne rsh i p Ag ree m e n t w il l be r e t u r ned t o y ou for y our reco rd s .



### Ch **a nge**  **f**

**or t**  **he B**  **e tt**  **e r**  **wi t**  **h E**  **N E**  **RGY S**  **TAR**O M B C on t ro l No
. 206 0 - 0528

2 E P A F o rm N o . 590 0 - 33 E N E R GY S TA R P ar t ne r s h ip Agree m e n t 

## P **r og**  **r am**  **D ef**  **i n**  **i t**  **i o**  **n s**  **a n**  **d E l**  **i g**  **i b**  **l e**  **O rg**  **a n**  **iz a**  **t i**  **ons S**  **ec ti**  **o n 1.**  **E n**  **e r** **g y**  **E ffi**  **c i**  **e n**  **cy P**  **r og**  **r am**  **S p**  **o n**  **s o**  **r s**  E l i g i b l e o rg a n i z a t i o ns: A r eg u l a ted u t i l i ty , publ i c l y o w ned u t i li ty , or ene rgy del i ve r y co m p an y ; a na t i o na l , re g i o na l , s ta t e, o r loc a l go ve r n m ent e n t i ty ; an o rg a n i z a t i o n in vo l ved i n c o o rd i na t i ng a nd /or a d m i n i s t e r i n g ene rgy e f f i c i ency or en v i ro n m en tal e d uca t i o n p rog ra m s t hat p ro m o t e E N E R G Y S TA R
. S ee P rog ra m R e qu i re m e n t s for E ne r gy Ef fi c i e ncy Prog ra m S po n so rs for t he C o mm e rc i al & I ndus tri al S ect o rs a nd /or t he Pro g ra m R e q u i re m en t s f or E n e rgy E f

f i c i e n cy Prog ra m S p onso rs (re s i d en t i a l s e cto r)
. **S ec**  **ti o**  **n 2. C**  **o mm**  **e r** **c i**  **al a**  **n d**  **I n**  **du s**  **tri al**  **S e**  **r vi**  **ce a**  **n d**  **P r** **o d**  **u ct**  **P r** **o v**  **i d**  **e r**  **s** E l i g i b l e o rg a n i z a t i o ns: A n o rga n i z a t i on t hat of fe rs e n e rg y- e f

f i c i ent p ro duct s a n d /or s er v i ces t hat ag rees t o p ro m o t e a n d c o mm un i ca te E N E R G Y S TA R to i m p ro ve t he e n e rgy pe r fo rm ance of c o m m e rc i a l b u il d i n gs. E li g i b l e o rg a n i z a t i ons i n c l u d e: a rch i t ect s, a n d A/ E fi rm s, ba n k s a n d c o m m e rc i a l fi n a nc i al l e nd e rs, c o n tract o rs, dis t r i bu t o rs, ene rgy ma n ag e m ent s e r v i ce c o m p a n i es/ co n s u l tan t s, e ne rgy s er v i ce c o m p a n i es ( E S C O s ) , en g i n ee rs, e q u i p m e nt m an u fa ct u re rs, and un r eg u l a t ed e ne rgy re t a i l e rs a n d m a rk e t e rs. S e e t he E N E R G Y S TA R P a r t ne rsh i p P a rt n er R e q u i r e m en t s for C o m m e rc i a l & I ndus t r i al S e r v i ce a nd Pro duct Pro v i d e rs. **S ec**  **ti o**  **n 3. F**  **i n**  **a n**  **c i**  **n g**  **P a**  **r t**  **n e**  **r s**  E l i g i b l e o rg a n i z a t i o ns f

or M o rt gag e s f

or E ne rg y- E f

fi c i ent H o m e s: A m o rt ga g e le n der o f f e r i n g s p e c i a l f i nan c i n g for E N E R G Y S T A R q u a l i fi ed n ew h o m es. S ee P rog ra m R e qu i re m e n t s for Le n de rs, M o rtgag e s for E ne rgy E f fi c i ent H o m e s. **S ec**  **ti o**  **n 4. H**  **o m**  **e Bu**  **il d**  **e r**  **s /**  **D e**  **v e**  **l o**  **p e**  **r s**  **a n**  **d H**  **o m**  **e E**  **n e**  **r g**  **y R**  **a t**  **e r**  **s** E l i g i b l e o rg a n i z a t i o n s : A s i t e - bu i l t h o m e b u i l der c o n s tr uct i ng t rad i t i o n al h o m es on si t e; a m a n u f act u r ed h o m e b u i l d er p ro v i d i n g fa ct o r y- bu il t , H U D code - bas e d h o m es; a h o m e e n e rgy ra t er ve r if y i ng t he p e r

fo rm an ce of E N E R G Y S TA R q u a l ifi ed new h o m es. S e e t he E N E R G Y S TA R P a rt ne rs h i p A g ree m ent fo r H o m e B u i l d e rs and V e rifi ca t i on O rg a n i z a t i ons. **S ec**  **ti o**  **n 5. R**  **e t** **a il**  **e r** 

**s /**  **E -** **t a**  **i l**  **e r** **s a n**  **d Bu**  **y i**  **n g**  **Gr o**  **u ps**  E l i g i b l e o rg a n i z a t i o ns f

or Re t a i l e rs / E - t a i l e rs: A re t a i l o rgan i z a ti on s e l l i n g, ma rke t i ng, a n d p ro m o t i ng E N E R G Y S TA R qu a l i f i ed p roduct s. R e ta i l o rg an i z a ti ons c a n in c l u de i n de p en d ent re t a i l e rs, na t i o n a l cha i ns, bu y i n g g rou p s, a n d on l i ne m e rch a n t s. S ee P rog ra m R e q u i re m en t s fo r R e t a i l e rs / E - t a i l e rs. E l i g i b l e o rg a n i z a t i o ns f

or B u y i ng G ro ups: A re t a i l o r ga n i z a t i on s e l l i n g E N E R GY S TA R q u a l i f i e d p roduct s. S ee P rog ra m R eq u i re m e n ts for B u y i ng G roups. **S ec**  **ti o**  **n 6. B**  **u s**  **i n**  **ess Im**  **p r** **o v** **e m**  **e n**  **t** E l i g i b l e o rg a n i z a t i o ns: A n y publ i c or p ri va t e o rga n i z a t i on can pa r t ner to i m p rove i t s fac i li t i es by c o m m i tti ng to c o n t i n u ous i m p ro ve m ent of i t s ene rgy e f fi c i e ncy . F or Prog ra m R eq u i re m e n ts see t he P a rt ne rs h i p Le tt er in t he B us i n ess I m p ro ve m e nt s e ct i on of www. ene rg ys t a r. go v . **S ec**  **ti o**  **n 7**  **: M**  **a n**  **u f** **a c** **t u**  **r e**  **r s**  E l i g i b l e O rga n i z a t i o n s: A co m pany t hat m an u f act u r e s or p r i va t e lab e l s a ny p roduct( s) t hat m e e t (s) t he cu rrent E N E R G Y S TA R q ua l i f i c a t i o n c r i t e ri a.O M B C on t ro l No
. 206 0 - 0528

3 E P A F o rm N o . 590 0 - 33 E N E R GY S TA R P ar t ne r s h ip Agree m e n t 

## Pa **r t**  **n e**  **r s**  **h i**  **p A** 

**g r** **e e**  **me n**  **t b**  **e t** 

**w een**  **E N**  **E R**  **GY S**  **T A** **R ®**  

## a **nd** ( EN T E R PA RT NE R N A M E H ERE)
T h ro u gh t h i s ag re e m en t , (“ E N E RG Y S TA R P a rt ne r") j o i ns i n pa r

t ne rs h i p w i t h t he US E n v i ro n m en t a l Pro t e ct i on Age n cy ( EPA ) a nd t he D e pa rt m ent of E ne rgy ( D O E ) in o n e or m o re a reas. E N E R G Y S TA R P a rt n er reco g n i z es E N ER G Y S TA R a s a b road p a rt ne rs h i p d e s i gn e d to p ro m o t e b u i l d i n gs, p r oducts, h o m es, and i n d us tr i al fa c i l i ti es t hat use l ess e ne rgy w h i l e p ro v i d i n g t he s a m e or be tt er pe r fo r m a nce t h a n c o n ven ti on a l desi g ns. E N ER G Y S TA R P a rt ner w i sh e s t o use t he E N E R G Y S TA R n a m e a nd /or m a rk i n as s oc i a t i on w i t h q u a l i fi ed p roduct s or h o m es. E N E RG Y S TA R P a rt ner ag re e s t o use t he pa r t ne rs h i p and t he EN E R G Y S TA R m a rk to p ro m o t e e n e rgy ef f i c i e n cy as an easy and d es i ra b l e op t i o n f or o rga n i z a t i ons and c o ns u m e rs t o p re vent po ll u t i o n, p ro t ect t he glo b al en v i ron m e n t , and s a ve on e n e rgy bi l l s. EN E R G Y S TA R P a rt ner ag r

ees t hat it is im po rt ant to bu i l d a n d m a i n ta i n t he m e a n i ng of t he E N ER G Y S TA R m a rk as a t r us tw o rt hy s y m b o l t hat m a kes i t easy to m a k e a c han g e for t he b e tt e r . 

### Pa **r t**  **n e**  **r Commi**  **t m**  **e n**  **t s**  E N E R G Y S TA R P a rt n er i s c o m m i tt ed to ta k i ng act i on in t he a re a ( s) i n d i ca t ed on t he E N E R G Y S TA R Participation F o r m . F or t he de s i g n a t ed p ro g ram a r ea ( s ) , E N E R G Y S TA R P a rt ner a g rees to f u l f i l l a l l re q u i re m en t s as o u t li n ed i n t he fo l l o wi ng s u ppo rt i n g d o cu m en ts:  E N E R G Y S TA R Pro g ra m R e q u i r e m en t s , de fi n i ng re qu i re m en t s for b e i ng re co gn i z ed as a pa rt ner in e ach p ro g ra m a rea, s u ch as m a n u fact u r i n g, s e l l i n g, or p ro m o t i n g E N E R G Y S TA R qu a l i fi ed p ro ducts t o c o ns u m e rs or o rg a n i z a t i o ns. S pec if i c re q u i re m en ts i nc l u de i d en ti f y i ng a respo n s i b l e p a rty for each a rea of p a rt i c i pa ti on a n d upda t i ng E P A/ D O E on t he ef fo rts unde rt a ken t h ro u gh t he p a rt ne rs h i p. W h e re ap p l i c a b l e, t he s e in c l u de E N ER G Y S TA R e l i g i b i li ty c r i t e r i a d e f i n i n g t he ene r gy and o t her pe r

fo r m a nce s p e c i f i ca t io n s t hat must be m et for use of t he E N E R G Y S TA R m a rk o n and /or i n a s soc i a t i o n w i t h b u i l d i n gs, h o m es, and p roduct s; a n d  E N E R G Y S TA R I den t i ty G u i d e l i n es , desc r i b i ng h ow t he EN ER G Y S TA R n a m e a nd m a rk m ay be u s ed. P a rt n er w i l l adhe r e to t hese g u i d e l i n e s and e n su re t hat i t s au t h o r i z ed rep res e n t a t i ves, s u ch a s a d ve rt i s i ng ag e nc i es, de a l e rs, and d i s tri bu to rs, a re a l so in c o m p li a n c e . E P A/ D O E w i l l u n de rt a ke a va r i e ty of ef fo rt s t o b u i l d a wa ren e ss of t he E N E R G Y S TA R n a m e and m a rk , m a i n t a i n t he c re d i b il i ty of t he EN E R G Y S TA R n a m e a n d m a rk , and p r o m o t e th e be n e fi t s of ene rg y- e ff i c i ent h o m es, bui l d i ngs, p ro d uct s, s er v i c e s, and i n dus tri al f

a c i l i t i e s. E P A/ D O E w i l l s t r i ve to:  i nc re ase a wa ren e ss of th e EN E R G Y S TA R n a m e a n d ma rk ac ro s s t he res i de n t i a l , c o m m e rc i a l , and i nd u s tr i a l s e cto rs by dis tr i b u t i ng k e y mess a ges on th e be n e f i ts of E N E R G Y S TA R qu a l if i ed b u i l d i n g s, h o m es, a n d p ro d uct s;  m a ke c urre nt ve rs i ons of t he E N E R G Y S TA R I den t i ty G u i de l i nes a nd E N E R G Y S TA R P rog ra m R e q u i re m en t s e as i l y acc e s s i b l e t h ro u gh t he I n t e r net and o t h er m e a ns;  m a i n t a i n a W e b s i t e w he r e EN E R G Y S TA R P a rt n er c a n fu r n i s h i n fo rm a t i on o n i t s p rog ra m e f fo rts a n d resp o ns i b l e k e y c o n t act s as ou t l i ned i n t he E N E R G Y S TA R P r og r am R e q u i r e m en t s; a n d  p ro v i de E N E R G Y S TA R P a rt ner w i t h pu b l i c reco g n i ti on t h rou g h t he I n t e r net a n d o t her m e ch a n i s m s for i ts e f

f o rt s i n t he E N ER G Y S TA R P a rt ne rsh i p and it s ro l e i n p r o t ect i n g t he en v i ro n m e n t
.O M B C on t ro l No
. 206 0 - 0528

4 E P A F o rm N o . 590 0 - 33 E N E R GY S TA R P ar t ne r s h ip Agree m e n t 

### Di **sc l**  **a im**  **e rs**  P a rt ner w i l l n ot c o ns tr ue, c l a i m , or i m p l y t hat i t s pa rt i c i pa ti on i n t he E N E R G Y S TA R p rog ra m cons t i t u t e s fe de ra l go ve r n m e nt app ro va l , a ccep ta n ce, or endo rs e m ent of an y t h i n g o t her t han P a rt ne r’ s c o mm i t m ent to t he p rog ra m . P a rt ner u n d e rs t ands i t s p a rt i c i pa ti on i n t he EN E R G Y S TA R p rog ra m d oes not c o ns t i t u t e fede ral go ve r n m ent en d o rs e m e nt of P a rt ner or i t s bu i l d i n g s, h o m es, p roduct s, s er

v i c es, or in du s tr i al fa c i l i t i e s. P a rt ner u n de rs t an d s t hat t he act i v i t i e s i t unde r t a kes i n con n ect i o n w i t h t he E N E RG Y S TA R p rog ra m a re vo l un t a r y and not in t e n ded to p ro v i de s er v i ces t o t he fe d e ral g o ve r n m en t
. As such, P a rt n er w i l l not s u b m i t a c l a i m for c o m p en sa t i on to any fe d e ral age n cy . 

### Di **s pu**  **t e**  **R es**  **olu t**  **ion** P a rt ner a n d E PA/ D O E w il l ass u m e g ood fa i t h as a g ene ra l p ri nc i p l e for re s o l v i ng c o n f li ct s u nder t he E N E R G Y S TA R p rog ra m . B o t h pa r t i e s w i l l e n dea vo r to reso l ve all m a tte rs i n f o rm a l l y , so as t o p rese r ve m ax im u m p u b l i c co n fi d en c e in E N E R G Y S TA R
. I n t he e vent in fo rm al c h a n ne l s d o not p ro d uce a m u t ua l l y ag ree a b l e re so l u t i o n to a m a tt er in d i s p u te, e i t her pa r

ty to t h i s ag re e m ent s h a l l no t if y t he o t her in w r i t i ng as t o t he na t u re of t he dis p u te, t he spe c i f i c co r rect i ve act i o n s ough t , and t h e i r in t e nt to t e rm i n a t e t he P a rt ne r sh i p A g re e m en t , ei t h er as a w ho l e or i n pa r

t , un l ess s p ec i fi c co rrect i ve act i ons so ught a re u n de rta k e n:  w i t h i n 2 0 da ys of re c e i v i n g fo rm a l no t ifi ca t i on f ro m E P A/ D O E i nd i ca ti ng i n t ent to te r m i n a t e t he P a rt ne rs h i p A g ree m en t , ei t her as a w ho l e or in p a rt , P a rt ner w il l re p l y , ag re e i n g to ei t her ( 1) unde r t a ke in a t im e l y and e f

fe ct i ve m an n er t he c orrect i ve act i o ns so u ght b y E PA/ D O E , or ( 2) te r m i na t e t he P a rt ne rs h i p A g re e m en t , ei t her a s a w ho l e or i n pa r t ;  w i t h i n 2 0 da ys of re c e i v i n g fo rm a l no t ifi ca t i on f ro m P a rt ner i n d i ca ti ng i t s i n te n t to te r m i na t e t he P a rt ne rs h i p A g ree m en t , ei t her as a w ho l e or in p a rt , E PA/ D O E w i l l re p l y , e i t her ( 1) ag re e i ng to u n de rt a ke in a t i m e l y and ef fect i ve m an n er t he c orrect i ve act i o ns s ought by P a rt ne r , or ( 2) ex p l a i n i ng w hy s u ch c orrect i ve act i o ns ca n not be u n de rt a k e n;  i f P a rt ner f

a i l s t o res p ond w i t h i n 2 0 da ys of re c e i v i n g fo rm a l no t ifi ca t i on of E P A / D O E ’ s i n tent t o te r m i na t e t he P a rt ne rs h i p Ag re e m en t , ei t her a s a w ho l e or i n pa r t , or if P a rt ner resp o nds but does n ot ag ree to u n d e rt ake c orrect i ve act i o n s s ought by E P A/ D O E , or if P a rt ner ag r ees but does n ot in i t i a t e t he c o rrect i ve act i o n s i n a t im e l y ma n ne r , t hen t h i s ag re e m ent is t e rm i na t e d, ei t her as a w h o l e or i n pa r t
. 

### E **n t**  **r y**  **i n**  **t o For** **c e**  **a nd**  **Dur a**  **t ion of**  **A gr** **ee m**  **e nt**  B o t h pa r ti es c o ncur t hat th i s ag ree m ent a n d t he te r m s ou t l i ned i n t he s u ppo rti n g doc u m en t s wi l l bec o m e e f

fe ct i ve w hen s i gned by bo t h pa r ti es. T h i s ag re e m e nt may be u p da ted at any t i m e to a d d new a reas for w h i c h E N E R G Y S TA R P a rt n er wan t s to be recog n i z ed as a pa r t ne r . B o t h pa r

t i e s concur t hat t h i s ag re e m e n t is w ho ll y vo l un t a r y and m ay be te r m i na t ed by ei t h er pa r ty at any t i m e, and f or any reason, w i t h n o pen a l ty . F a i l u re to c o m p l y w i t h t h i s P a rt ne rs h i p Ag re e m en t , ap p l i ca b l e P rog ra m R e q u i re m en t s, a nd I den t i ty G u i d e l i nes c an resu l t in te r m i na ti on of t h i s ag re e m ent and au t ho r i z a ti on to use t he E N E R G Y S TA R m a rk
. E PA / D O E w i l l act i ve l y pu rsue act i o n s for re s o l v i n g i ss u es o f n o nc o m p l i an c e. T he u nde rs i g ned h e reby execu te t h i s P a rt n e rs h i p Ag re e m ent on b eh a l f of t h e i r pa r ty . T he s i g n a t o ri es o f t h i s ag re e m ent a f

fi rm t hat t hey ha ve t he au t ho r i ty to ex e cu t e t h i s ag re e m ent on b e h a l f of E N E R G Y S T

A R P a rt n e r and E PA/ D O E
.O M B C on t ro l No
. 206 0 - 0528

5 E P A F o rm N o . 590 0 - 33 E N E R GY S TA R P ar t ne r s h ip Agree m e n t 

### Pa **r t**  **n e**  **r s**  **hip A** 

**gr ee**  **m e**  **nt S**  **ign a**  **t o**  **r y**  **f or**  **E N**  **E RGY**  **S T**  **A R:** 

Si g na t u re: EPA Use Only
Na m e: T i t l e: Date: Elizabeth Craig, D i rect or C li m a t e P ro tecti on P a rt n e rsh i p s D i v i s i on, U
. S
. E n v i ron m e n tal P ro t e ct i on Age n cy



### Pa **r t**  **n e**  **r s**  **hip A** 

**gr ee**  **m e**  **nt S**  **ign a**  **t o**  **r y**  **f or**  B y c he c k i ng t h i s b ox I a f fir m t hat I ha ve read and u nde rs ta n d t he te r m s of th i s P a rt ne rs h i p A g re e m ent a n d a m au t ho ri z ed to bind th i s o rg a n i z a ti on to t he te r m s of t he P a rt ne rs h i p Ag re e m en t
.

( Da t e ) Na m e: T i t l e: Add re ss : C i t y: S ta t e: Z ip Count r y : P h o ne: F a x : E - m a il: W e b s i te: T h e pub l ic repor

t i n g an d re c ord k e ep i n g bu rde n fo r t h i s c o l l ec t i o n o f i n fo rm a t i o n is e s t i m a t e d t o averag e 4
. 2 hour s pe r re s po n s e. S en d c o mm e n ts o n t h e A ge n c y ’s nee d fo r t h i s i n fo rm a t i on , t h e ac c u ra c y o f t h e p rov i de d burde n e s t im a t e s , an d an y s ugges t ed m e t hod s fo r mi n i mi z i n g re s ponde n t bu rden , i n c l ud i n g t hroug h t h e u se o f au t o m a t e d c o l l ec t i o n t e c hn i q u e s t o t h e D i rec t or , C o ll e c t i on St ra t eg i e s D i v i s i on , U. S
. E nv i ro n m en t a l P ro t ec t i o n A gen c y ( 2822 T ) , 120 0 P enn s y l van ia Ave . , NW , W a s h i ng t on , D. C
. 20460
. I n c l ud e t h e O M B c on t ro l nu m be r i n an y c o rre s ponden c e . D o no t s en d t h e c o m p l e t e d fo rm to t h i s addres s .O M B Co n t rol No. 2 0 6 0 - 0 5 28 A p pro v al e x pi res 0 3 /31/11

EP A F o r m No. 59 0 0 - 33 E N E RGY S TA R P a r ticipation F o r m 6 

### E **N E**  **R GY**  **S T** 

**A R** **®** 

### P **ar t**  **i c**  **i p**  **a t**  **io n**  **Fo r**  **m P**  **a r** **tn er**  **Na m**  **e: Da**  **t e:** 

**P a**  **r tn**  **er will**  **p a**  **r**

**t ici**  **p a**  **t e**  **in th**  **e p**  **r**

**og r**  **a m**  **s c** **h e**  **c k** 

**e d**  **b el** **o w.**  **Pr o**  **m ot**  **e E**  **N E**  **RGY S**  **T A** **R as**  **an E**  **n e**  **r g**  **y E**  **ff icie**  **n cy**  **Pr og**  **r am**  **S pon**  **s o**  **r******* **in th**  **e:** Ho m e E lect ro n ics Consu m er P ro d uct M a r ket A u d io/ V ideo E q u ip m e n t Resid e ntial New Co n st r uction M a r ket S et - top B o xes E x isting Co mm e rcial B uildings M a r ket T elep h o n y New Co mm e rcial B uildings M a r ket T ele v isions Ind u st r ial M a r ket * S uch as sta tes, u tilities, o r r e gional pr

o gr am coo r dinato r s Heatin g , Ventilation, and A C P ro d ucts

B oile rs **Help Cli**  **ent s**  **I m**  **p r** **o v** **e T**  **h eir**  **E n**  **e r** **g y**  **P e**  **r fo**  **rm a**  **n ce**  Cent ral A C s and A ir S o urce Heat Pu m ps Co mme r cial and In du st

r ial S e r vice a nd Pr

o duct Pr ovide r s F u r n a ces su pp or ting t h e: Geoth erm al Heat P u m ps E x isting Co mm e rcial B uildings M a r ket Light Co mm e rcial H VA C New Co mm e rcial B uildings M a r ket Resid e ntial Ceiling F a n s Ind u st r ial M a r ket Resid e ntial V e n tilating F a n s **O ff**  **er C**  **on s**  **u m**  **er F**  **i n**  **a n**  **ci ng**  ***** Ho m e a n d B uilding E n v elope P ro d ucts M o r tga g es for E n erg y- E fficie n t Ho m es Resid e ntial I n sulation P ro d ucts *P lease r efer to t h e EN ERGY S T

A R Pa r tne r ship Roof Pro d u cts A gr e e me n t for Le n der

s. W indo w s, Doo rs and S ky lights W indow Co m p o n e nts **L a**  **b el**  **a n**  **d Pr** **o m**  **ot e**  **E N**  **E RGY**  **S T**  **A R**  **Q u**  **ali f**  **ied H**  **o m**  **e s**  ***** Ho m e B uild ers/De v elop ers Lighting P ro d ucts Ho m e E n ergy Rate rs Deco rati v e Light S t r ings *P lease r efer to t h e EN ERGY S T

A R Pa r tne r ship Integ ral L E D L am ps A gr e e me n t for Ho m e B uilder s and V e r ification L um inaires O r g a ni z ations. S c re w- B as e d Co m p a ct F luo resc e nt La m ps ( C F Ls) **Pr o**  **m ot**  **e E**  **N E**  **RGY S**  **T A** **R Q**  **u ali**  **f ied**  **Pr odu**  **c t**  **s** Office Equip m e n t Ret a ile rs/ E - taile rs Co m p u te rs B u y ing G ro u ps I m a g ing E q u ip m e n t Displa ys **De p**  **l o**  **y E**  **N E**  **RGY S**  **T**

**A R**  **Q u**  **ali f**  **ied S**  **e t**  **- to**  **p B**  **o x**  **e s**  Cable, S atellite, and T elecom S e r v ice Pro v ide rs Ot h er P ro d ucts B atte r y Ch arging S yste m s **L a**  **b el**  **a n**  **d Pr** **o m**  **ot e**  **E N**  **E RGY**  **S T**  **A R**  **Q u**  **ali f**  **ied Pr** **odu c**  **t s**  Co m p u ter S e r v e rs Resid e ntial A p p lianc e s New Ref r ige rated B e v e ra g e V e n ding M ac h ines Clothes W as h e rs Rebuilt Ref r ige rated B e v e ra g e V e n ding M ac h ines Dish w as h e rs Resid e ntial De h u m idifie rs Ref r ige rato rs an d /or Fre e ze rs Room A ir Clean ers Room A ir Co n dition ers Uninterruptible Power Supplies Wa ter Coolers Co mm e rcial F o o d S e r

v ice Equip m e n t Co mm e rcial Dish w

as h e rs Co mm e rcial Fr

ye rs Co mm e rcial G r iddles **Th r**  **oug h**  **ou r**  **p a**  **r**

**tn e** **r s**  **h ip**  **wi t**  **h E**  **N E**  **RGY S**  **T AR,**  Co mm e rcial Hot F o o d Holding Cabinets **we also**  **c o**  **mm it**  **t o**  **i m** **p r**  **o ve**  **th e**  **e n**  **e r** 

**g y**  Co mm e rcial Ice M ac h ines **p e** **r fo**  **rm a**  **n ce**  **o f**  **ou r**  **o wn**  **f a**  **c ili**  **t ies.**  Co mm e rcial O v e n s Co mm e rcial Ref r ige rato rs and Fre e ze rs Co mm e rcial S tea m e rsO M B Co n t rol No. 2 0 6 0 - 0 5 28 A p pro v al e x pi res 0 3 /31/11

EP A F o r m No. 59 0 0 - 33 E N E RGY S TA R P a r ticipation F o r m 7 **P a**  **r tn**  **er Na**  **m e:**  **Da t**  **e: I**  **f y**  **ou r**  **o r**  **g a**  **n iza**  **t i** **o n**  **h as**  **d**

**i ff**  **e r**  **e n**  **t c**  **ont a**  **ct s**  **fo r**  **m u**  **l t** 

**i p**  **le p**  **r odu**  **c t**  **s o**  **r p**  **r og** **r am**  **a r**  **e a**  **s (fo**  **r ex** 

**a m** **p le:**  **a pp**  **li an**  **c e** **s a**  **n d**  **ho m**  **e ele**  **ct r**  **on ics,**  **o r**  **m a**  **nuf**

**a ctu** **r i**  **n g**  **a n**  **d r** 

**e t**  **ail s**  **ale s**  **) ,**  **p lea**  **s e**  **f**

**ill ou**  **t a**  **se p**  **a r** 

**a t** **e P** **a r**  **t ici**  **p a**  **t i** **o n**  **Fo r**  **m fo**  **r ea**  **c h**  **set o**  **f c**  **ont a**  **ct s.**  **Th e**  **s t** 

**a nd**  **- al** **on e**  **P a**  **r**

**t ici**  **p a**  **t i** **o n**  **Fo r**  **m can**  **b e**  **foun d**  **at www.e**  **n e** **r**

**g y**  **st a**  **r .**  **go v/j** **o i**  **n .**  **E N**  **E RGY**  **S T** **A R**  **Pr og**  **r am**  **A r** **e a**  **: C**  **ont a**  **c t**  **Na m**  **e: T**  **i t**  **le: C**  **o m**  **p a**  **n y**  **: A**  **dd r**  **e s**  **s: Ci**  **t y**  **: S**  **t a**  **t e:**  **Z i**  **p :**  **C ount**  **r y**  **: P**  **hon e:**  **F a**  **x :**  **E -**  **m ail:** 
**C ont**  **a c**  **t Na**  **m e:**  **T i**  **t le:**  **C o**  **m p**  **a n**  **y :**  **A dd**  **r e**  **s s:**  **Ci t**  **y :**  **S t**  **a t**  **e: Z**  **i p**  **: C**  **ount r** **y :**  **P hon**  **e: F**  **a x**  **: E**  **- m**  **ail: Res**  **pon si**  **b le**  **A g**  **e n**  **t o**  **f C**  **o m**  **p a**  **n y**  **: Pr**  **i m**  **a r** **y C**  **ont a**  **c t**  **( if**  **d i**  **ff e**  **r e**  **nt) :** 

**A dd**  **i t**  **i on**  **al C**  **ont a**  **c t**  **( m**  **a r**  **k et**  **i ng**  **, et**  **c. )**  **: A**  **dd i**  **t i**  **on al**  **C ont**  **a c**  **t (**  **if a**  **pp r**  **op r**  **ia t**  **e )**  **:**

Ret ur n co m pleted P a r

ticipation F o r m t o : P ro d uct T y pe E - m ail Ad dress M ailing Ad dress CFLs , c l o t he s w ashe rs , d i sh washe rs , i n t eg ra l LE D l a m ps , free z e rs , re fr i ge ra t o rs , res i den t i a l wa t e r hea t e rs , roo m a i r cond i t i one rs , w i ndo w s / doo rs / sky li gh t s pa rt n e r sh i p @ ene r g y s t a r. go v ENER GY S T A R c/ o D& R I n t e r na t i ona l 130 0 Sp r i n g S tree t , Su i t e 50 0 S il v e r Sp r i ng , M D 2091 0
A l l o t he r ENER GY S TA R qua li fi e d p roduc t s j o i n @ ene r g y s t a r. go v ENER GY S T A R c/ o I C F I n t e r na t i ona l 172 5 E y e S tree t , N W , Su i t e 100 0 W ash i ng t on , D C 2000 6 T he pu b lic re p o r

ting and rec ordk e e p ing bu rd e n for t h is collection of info rm ation is esti m ated to a v e ra g e 0
. 2 5 h o u rs per res p o n se. S e n d co mm e n ts o n the A g e nc y 's ne e d for t h is inform ation, the accu racy of the p ro v ided b urd e n estimates, and any sug g ested m eth o ds for m ini m izing res p o n d e nt bu rd e n, including th ro u gh t h e use of a uto m ated collection t e ch n iques to t h e Dire cto r , Collection S t rate g ies Di v ision, U. S
. En v iro nm e n tal P rotection A g e ncy ( 2 8 2 2 T ) , 1 2 0 0 P e n ns y l v a n ia Av e., N W , W as h ington, D.C. 2 0 4 6 0. I n clude the O M B cont rol n u m b e r in a n y co rres p o n d e nc e . Do not send t h e co m pleted fo r m to t h is a d d ress.