# Partnership Agreement 

# T he EPA Green Power Partnership encourages the voluntary use of green power to reduce the risk of climate change. Partners benefit from the use of green power, while supporting the development of new, renewable energy in the United States. By joining EPA’s Green Power Partnership, Partners commit to:

• Use green power that meets or exceeds Partnership require
ments within six months of signing this Partnership Agreement. • Report on green power use annually. • Use the Green Power Partner mark in a manner that is consis
tent with Partner mark use guidelines, available at www.epa. gov/greenpower/documents/gpp_guidedoc_mark.pdf. 

## In return, EPA commits to:

• Provide public recognition. • Provide procurement and communications assistance, as re
quested by Partner. • Provide a brief description of the Partner’s green power commit
ment on the Green Power Partnership Web site. 

## General Terms:

• Either party can terminate this agreement at any time without prior notification or penalties and with no further obligation. EPA will not comment publicly regarding the withdrawal of Partners. • Partner agrees that the activities it undertakes connected with this voluntary agreement are not intended to provide services to the federal government and that the Partner will not seek compensation from a federal agency. • Partner agrees that it will not claim or imply that its participa
tion in the Green Power Partnership constitutes EPA approval or endorsement of anything other than its participation in the pro
gram and will not make statements or imply that EPA endorses the purchase or sale of the Partner’s products and services or the views of the Partner organization. • EPA may post information about the Partner’s green power use publicly, but will honor all requests to keep the Partner’s green power data and/or electricity use confidential. • EPA may periodically revise program benchmark levels or other eligibility requirements. 

### OMB Control Number 2060-0578



## Your Organization’s Baseload If your annual electricity use is... 

## Green Power Partner Requirements You must, at a minimum, use this much green power within six months of joining 

## Green Power Leadership Club Requirements You must, at a minimum, use this much green power for your entire organization ≥ 100,000,001 kWh 2% of your use 20% of your use 10,000,001 - 100,000,000 kWh 3% of your use 30% of your use 1,000,001 - 10,000,000 kWh 6% of your use 60% of your use ≤ 1,000,000 kWh 10% of your use Not Applicable 

## Key Green Power Partnership Requirements

• Eligible green power includes electricity generated from solar, wind, geothermal, biogas, and certain forms of biomass and hydropower. • Green power must be sourced from eligible U.S.-based generation facilities. • Requirement can be met with any combination of green power products (i.e., utility product, RECs, or on-site generation). • Partner purchases must be voluntary and incremental to the renewable electricity included in the standard electricity service. • Requirements must be entirely met with power from “new” renewable facilities (i.e., installed after 1/1/1997). • Partners may join organization-wide (U.S. operations only), at the facility-level, or a logical aggregation of facilities less than organization-wide.
More details are available in the Partnership Requirements Document, http://www.epa.gov/greenpower/documents/gpp_partnership_reqs.pdf PLEASE FAX PAGE 2 OF PARTNERSHIP AGREEMENT TO (202) 343-2208 OR E-MAIL TO collison.blaine@epa.gov (must be signed and scanned).

## Authorizing Official: On behalf of , the undersigned understands and agrees to the terms of the Partnership.



## Electricity and Green Power Information Annual electricity use of participating entity: kWh / year Already using green power? o Yes o No (Name of organization or entity)


## Primary Contact: Name: Title: Address: City: State: Zip: Phone: E-mail:



## On-site Users of Green Power Green power generation: kWh /year* Resource type: o biogas o biomass o geothermal o small hydro o solar o wind Year installed: Installed capacity : kW Location of on-site generation (ZIP code): Installation ownership: o self o other If other, by whom? * EPA will only count as green power kWh generated from on-site instal
lations for which the participating entity owns the rights to the renew
able energy credits (RECs). 

## Public Relations Contact (optional): Name: Title: Address: City: State: Zip: Phone: E-mail: Title: Date: Signature: _________________________________________________ Print Name:

PLEASE FAX PAGE 2 OF PARTNERSHIP AGREEMENT TO (202) 343-2208 OR E-MAIL TO collison.blaine@epa.gov (must be signed and scanned). 

## Purchasers of Green Power Green power purchase: kWh /year Contract details Start date: End date (if applicable): Green power resource mix % biogas % biomass % geothermal % small hydro % solar % wind Product certification (third party): o Green-e o Not certified o Other If other, by whom? Name of green power provider(s): Green power product name(s): If yes, please provide the following information:



## Motivating factors behind your green power use (optional) (check all that apply) o support renewable energy development o reduce carbon footprint o demonstrate environmental leadership and improve image o other o EPA recognition & EPA procurement assistance o cost stability o LEED certification

The government estimates the average time needed to fill out this form is 4.9 hours and welcomes suggestions for reducing this level of effort. Send comments (referencing OMB control number) to the Director, Collection Strategies Division, U.S. EPA (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.

EPA-430-K-05-013 www.epa.gov/greenpower April 2010