OMB Control No. 2060-0528

1

EPA Form No. 5900-33 ENERGY STAR Partnership Agreement

Instructions for Partnering with ENERGY STAR

®

As an Energy Efficiency Program Sponsor

Organizations interested in partnering with ENERGY STAR as an Energy Efficiency Program

Sponsor should take the following steps:

1. Review the Energy Efficiency Program Sponsors Program Definitions and Program

Requirements documents.

2. Select the area(s) of interest for a new partnership on the Participation Form. Please 

select only the items in the first section under Energy Efficiency Program Sponsor.

3. Review, complete and sign the Partnership Agreement by checking the authorization 

box, entering the date of signature, and entering the contact information of the signatory.

4. Save your changes to the completed document and send it to the email address below.

If you are unable to send the document by email, please send a hard copy to the 

address listed below.

join@energystar.gov

Or

ENERGY STAR

c/o ICF International

1725 Eye Street, NW, Suite 1000

Washington, DC 20006

A copy of the signed Partnership Agreement will be returned to you for your records.

Change for the Better with ENERGY STAR
OMB Control No. 2060-0528

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EPA Form No. 5900-33 ENERGY STAR Partnership Agreement

Program Definitions and Eligible Organizations

Section 1. Energy Efficiency Program Sponsors

Eligible organizations: A regulated utility, publicly owned utility, or energy delivery company; a 

national, regional, state, or local government entity; an organization involved in coordinating and/or

administering energy efficiency or environmental education programs that promote ENERGY STAR. 

See Program Requirements for Energy Efficiency Program Sponsors for the Commercial & Industrial

Sectors and/or the Program Requirements for Energy Efficiency Program Sponsors (residential

sector).

Section 2. Commercial and Industrial Service and Product Providers

Eligible organizations: An organization that offers energy-efficient products and/or services that 

agrees to promote and communicate ENERGY STAR to improve the energy performance of 

commercial buildings. Eligible organizations include: architects, and A/E firms, banks and 

commercial financial lenders, contractors, distributors, energy management service 

companies/consultants, energy service companies (ESCOs), engineers, equipment manufacturers, 

and unregulated energy retailers and marketers. See the ENERGY STAR Partnership Partner 

Requirements for Commercial & Industrial Service and Product Providers.

Section 3. Financing Partners

Eligible organizations for Mortgages for Energy-Efficient Homes: A mortgage lender offering special 

financing for ENERGY STAR qualified new homes. See Program Requirements for Lenders, 

Mortgages for Energy Efficient Homes.

Section 4. Home Builders/Developers and Home Energy Raters

Eligible organizations: A site-built home builder constructing traditional homes on site; a 

manufactured home builder providing factory-built, HUD code-based homes; a home energy rater

verifying the performance of ENERGY STAR qualified new homes. See the ENERGY STAR

Partnership Agreement for Home Builders and Verification Organizations.

Section 5. Retailers/E-tailers and Buying Groups

Eligible organizations for Retailers/E-tailers: A retail organization selling, marketing, and promoting

ENERGY STAR qualified products. Retail organizations can include independent retailers, national 

chains, buying groups, and online merchants. See Program Requirements for Retailers/E-tailers.

Eligible organizations for Buying Groups: A retail organization selling ENERGY STAR qualified 

products. See Program Requirements for Buying Groups.

Section 6. Business Improvement

Eligible organizations: Any public or private organization can partner to improve its facilities by 

committing to continuous improvement of its energy efficiency. For Program Requirements see the 

Partnership Letter in the Business Improvement section of www.energystar.gov.

Section 7: Manufacturers

Eligible Organizations: A company that manufactures or private labels any product(s) that meet(s) the

current ENERGY STAR qualification criteria.
OMB Control No. 2060-0528

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EPA Form No. 5900-33 ENERGY STAR Partnership Agreement

Partnership Agreement between

ENERGY STAR

®

and

(ENTER PARTNER NAME HERE)

Through this agreement, (“ENERGY STAR Partner") 

joins in partnership with the US Environmental Protection Agency (EPA) and the Department of 

Energy (DOE) in one or more areas. ENERGY STAR Partner recognizes ENERGY STAR as a 

broad partnership designed to promote buildings, products, homes, and industrial facilities that use 

less energy while providing the same or better performance than conventional designs. ENERGY 

STAR Partner wishes to use the ENERGY STAR name and/or mark in association with qualified 

products or homes. ENERGY STAR Partner agrees to use the partnership and the ENERGY STAR

mark to promote energy efficiency as an easy and desirable option for organizations and consumers 

to prevent pollution, protect the global environment, and save on energy bills. ENERGY STAR 

Partner agrees that it is important to build and maintain the meaning of the ENERGY STAR mark as 

a trustworthy symbol that makes it easy to make a change for the better.

Partner Commitments

ENERGY STAR Partner is committed to taking action in the area(s) indicated on the ENERGY

STAR Participation Form. For the designated program area(s), ENERGY STAR Partner agrees to 

fulfill all requirements as outlined in the following supporting documents:

 ENERGY STAR Program Requirements, defining requirements for being recognized as a 

partner in each program area, such as manufacturing, selling, or promoting ENERGY STAR 

qualified products to consumers or organizations. Specific requirements include identifying a 

responsible party for each area of participation and updating EPA/DOE on the efforts 

undertaken through the partnership. Where applicable, these include ENERGY STAR 

eligibility criteria defining the energy and other performance specifications that must be met 

for use of the ENERGY STAR mark on and/or in association with buildings, homes, and 

products; and

 ENERGY STAR Identity Guidelines, describing how the ENERGY STAR name and mark 

may be used. Partner will adhere to these guidelines and ensure that its authorized 

representatives, such as advertising agencies, dealers, and distributors, are also in 

compliance.

EPA/DOE will undertake a variety of efforts to build awareness of the ENERGY STAR name and 

mark, maintain the credibility of the ENERGY STAR name and mark, and promote the benefits of 

energy-efficient homes, buildings, products, services, and industrial facilities. EPA/DOE will strive to:

 increase awareness of the ENERGY STAR name and mark across the residential, 

commercial, and industrial sectors by distributing key messages on the benefits of ENERGY 

STAR qualified buildings, homes, and products;

 make current versions of the ENERGY STAR Identity Guidelines and ENERGY STAR 

Program Requirements easily accessible through the Internet and other means;

 maintain a Web site where ENERGY STAR Partner can furnish information on its program 

efforts and responsible key contacts as outlined in the ENERGY STAR Program 

Requirements; and

 provide ENERGY STAR Partner with public recognition through the Internet and other 

mechanisms for its efforts in the ENERGY STAR Partnership and its role in protecting the 

environment.
OMB Control No. 2060-0528

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EPA Form No. 5900-33 ENERGY STAR Partnership Agreement

Disclaimers

Partner will not construe, claim, or imply that its participation in the ENERGY STAR program 

constitutes federal government approval, acceptance, or endorsement of anything other than 

Partner’s commitment to the program. Partner understands its participation in the ENERGY STAR 

program does not constitute federal government endorsement of Partner or its buildings, homes, 

products, services, or industrial facilities. Partner understands that the activities it undertakes in 

connection with the ENERGY STAR program are voluntary and not intended to provide services to 

the federal government. As such, Partner will not submit a claim for compensation to any federal 

agency.

Dispute Resolution

Partner and EPA/DOE will assume good faith as a general principle for resolving conflicts under the 

ENERGY STAR program. Both parties will endeavor to resolve all matters informally, so as to 

preserve maximum public confidence in ENERGY STAR.

In the event informal channels do not produce a mutually agreeable resolution to a matter in dispute, 

either party to this agreement shall notify the other in writing as to the nature of the dispute, the 

specific corrective action sought, and their intent to terminate the Partnership Agreement, either as a 

whole or in part, unless specific corrective actions sought are undertaken:

 within 20 days of receiving formal notification from EPA/DOE indicating intent to terminate the

Partnership Agreement, either as a whole or in part, Partner will reply, agreeing to either (1) 

undertake in a timely and effective manner the corrective actions sought by EPA/DOE, or (2) 

terminate the Partnership Agreement, either as a whole or in part;

 within 20 days of receiving formal notification from Partner indicating its intent to terminate 

the Partnership Agreement, either as a whole or in part, EPA/DOE will reply, either (1) 

agreeing to undertake in a timely and effective manner the corrective actions sought by 

Partner, or (2) explaining why such corrective actions cannot be undertaken;

 if Partner fails to respond within 20 days of receiving formal notification of EPA/DOE’s intent 

to terminate the Partnership Agreement, either as a whole or in part, or if Partner responds 

but does not agree to undertake corrective actions sought by EPA/DOE, or if Partner agrees 

but does not initiate the corrective actions in a timely manner, then this agreement is 

terminated, either as a whole or in part.

Entry into Force and Duration of Agreement

Both parties concur that this agreement and the terms outlined in the supporting documents will 

become effective when signed by both parties. This agreement may be updated at any time to add 

new areas for which ENERGY STAR Partner wants to be recognized as a partner. 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. Failure to comply with this Partnership Agreement, applicable 

Program Requirements, and Identity Guidelines can result in termination of this agreement and 

authorization to use the ENERGY STAR mark. EPA/DOE will actively pursue actions for resolving 

issues of noncompliance.

The undersigned hereby execute this Partnership Agreement on behalf of their party. The signatories

of this agreement affirm that they have the authority to execute this agreement on behalf of

ENERGY STAR Partner and EPA/DOE.
OMB Control No. 2060-0528

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EPA Form No. 5900-33 ENERGY STAR Partnership Agreement

Partnership Agreement Signatory for ENERGY STAR:

Signature:

EPA Use Only

Name: 

Title:

Date:

Elizabeth Craig, Director

Climate Protection Partnerships Division, 

U.S. Environmental Protection Agency

Partnership Agreement Signatory for

By checking this box I affirm that I have read and understand the terms of this Partnership

Agreement and am authorized to bind this organization to the terms of the Partnership Agreement.

(Date)

Name:

Title:

Address:

City:

State:

Zip

Country:

Phone:

Fax:

E-mail:

Web site:

The public reporting and recordkeeping burden for this collection of information is estimated to average 4.2 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 form to this address.
OMB Control No. 2060-0528

Approval expires 03/31/11

EPA Form No. 5900-33 ENERGY STAR Participation Form 6

ENERGY STAR

®

Participation Form

Partner Name:

Date: 

Partner will participate in the programs checked below.

Promote ENERGY STAR as an Energy

Efficiency Program Sponsor* in the: Home Electronics

Consumer Product Market Audio/Video Equipment

Residential New Construction Market Set-top Boxes 

Existing Commercial Buildings Market Telephony 

New Commercial Buildings Market Televisions 

Industrial Market

* Such as states, utilities, or regional program coordinators Heating, Ventilation, and AC Products

Boilers

Help Clients Improve Their Energy Performance Central ACs and Air Source Heat Pumps

Commercial and Industrial Service and Product Providers Furnaces

supporting the: Geothermal Heat Pumps 

Existing Commercial Buildings Market Light Commercial HVAC 

New Commercial Buildings Market Residential Ceiling Fans 

Industrial Market Residential Ventilating Fans

Offer Consumer Financing* Home and Building Envelope Products

Mortgages for Energy-Efficient Homes Residential Insulation Products

*Please refer to the ENERGY STAR Partnership Roof Products

Agreement for Lenders. Windows, Doors and Skylights

Window Components

Label and Promote ENERGY STAR Qualified Homes*

Home Builders/Developers Lighting Products

Home Energy Raters Decorative Light Strings

*Please refer to the ENERGY STAR Partnership Integral LED Lamps

Agreement for Home Builders and Verification Luminaires

Organizations. Screw-Based Compact Fluorescent Lamps (CFLs)

Promote ENERGY STAR Qualified Products Office Equipment

Retailers/E-tailers Computers

Buying Groups Imaging Equipment

Displays

Deploy ENERGY STAR Qualified Set-top Boxes

Cable, Satellite, and Telecom Service Providers Other Products

Battery Charging Systems

Label and Promote ENERGY STAR Qualified Products Computer Servers

Residential Appliances New Refrigerated Beverage Vending Machines 

Clothes Washers Rebuilt Refrigerated Beverage Vending Machines 

Dishwashers Residential Dehumidifiers

Refrigerators and/or Freezers Room Air Cleaners

Room Air Conditioners Uninterruptible Power Supplies

Water Coolers

Commercial Food Service Equipment 

Commercial Dishwashers 

Commercial Fryers

Commercial Griddles Through our partnership with ENERGY STAR, 

Commercial Hot Food Holding Cabinets we also commit to improve the energy 

Commercial Ice Machines performance of our own facilities.

Commercial Ovens

Commercial Refrigerators and Freezers

Commercial Steamers
OMB Control No. 2060-0528

Approval expires 03/31/11

EPA Form No. 5900-33 ENERGY STAR Participation Form 7

Partner Name:

Date:

If your organization has different contacts for multiple products or program areas (for example: 

appliances and home electronics, or manufacturing and retail sales), please fill out a separate 

Participation Form for each set of contacts. The stand-alone Participation Form can be found at

www.energystar.gov/join.

ENERGY STAR Program Area:

Contact Name: 

Title: 

Company: 

Address:

City: 

State: 

Zip: 

Country: 

Phone: 

Fax:

E-mail:

Contact Name: 

Title: 

Company: 

Address:

City: 

State: 

Zip: 

Country: 

Phone: 

Fax:

E-mail:

Responsible Agent of Company: Primary Contact (if different):

Additional Contact (marketing, etc.): Additional Contact (if appropriate):

Return completed Participation Form to:

Product Type E-mail Address Mailing Address

CFLs, clothes washers, dishwashers, integral 

LED lamps, freezers, refrigerators, residential 

water heaters, room air conditioners, 

windows/doors/skylights

partnership@energystar.gov

ENERGY STAR

c/o D&R International

1300 Spring Street, Suite 500

Silver Spring, MD 20910

All other ENERGY STAR qualified products join@energystar.gov

ENERGY STAR

c/o ICF International

1725 Eye Street, NW, Suite 1000

Washington, DC 20006

The public reporting and recordkeeping burden for this collection of information is estimated to average 0.25 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 form to this address.