## 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 WaterSense, EPA will provide reliable information on high-performing, water-efficient products and practices, raiseawareness about the importance of water efficiency, ensure water-efficient product performance, help consumers differentiate among products and programs that use less wa ter, promote innovation in product development, and support state and local water efficiency efforts. 

## Section II: Partnership Pledge As an EPA WaterSense promotional partner, _________________________________ (name of organization), shares EPA’s goals as outlined above and is proud to commit to the following activities to further these goals: 1. Promote the value of water efficiency and encourage the purchase of WaterSense labeled products as an easy anddesirable option to reduce water use both in our internal operations and for water users in our purview, such as customers, residents, businesses, and institutions. We will also promote services performed by WaterSense professional partners (e.g., irrigation partners). Complete the promotional plan checklist to identify your anticipated activities. 2. As appropriate, encourage eligible constituents, members, or affiliates to participate as partners in the EPA WaterSense program. 3. Where feasible, sponsor incentive programs or other public events to promote WaterSense labeled products and the benefits of water efficiency.
4. For utilities and governments: On an annual basis, provide data to EPA on promotional activities, incentive programs, and water use to assist in determining the impact of the program in promoting labeled products.
5. For applicable trade associations: Provide aggregate data to EPA on market share of WaterSense labeled products and programs in relevant industry. Compile data submitted by members who are also WaterSense partnersinto a summary report to assist EPA in evaluating market trends and the success of the WaterSense program, without disclosing any proprietary information from members. 6. Feature the WaterSense promotional label and partner logo on Web site and in other promotional materials.7. Adhere to WaterSense promotional label, partner logo, and program logo use guidelines and ensure that authorized representatives, such as advertising agencies, distributors, and subcontractors, also comply. Help EPA maintain program integrity by alerting EPA to possible misuse(s) of the WaterSense marks. 8. Grant the EPA WaterSense program permission to include partner’s name on a list of participating partners on the WaterSense Web site, program materials, and announcements. Partners understand that from time to time, EPA will be interested in profiling partner accomplishments in case studies and articles. If selected for such promotion, partners 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 partner understands tha t EPA might refer media contacts interested in publicizing water efficiency to partners for information about products 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 WaterSense brand by distributing key messages on the benefits of labeled products and programs, and the importance of water efficiency. 3. Provide current EPA WaterSense program news, information, and reference documents (via the program Web site, WaterSense Helpline, e-mail, or other means), including a listing of labeled products and programs on the Web site. 

# Promotional Partners **OMB Control Number 2040-0272 Approval Expires 01/31/2010**  

# Partnership Agreement:

EPA Form Number 6100-064. Provide WaterSense partners with public recognition for their involvement in the program and role in protecting the environment through online listing of partners, special awards, publications, and other efforts. 5. Respond swiftly to partner requests for information or clarification on EPA WaterSense program policies. 6. Provide materials, templates, and marks for promotional use, consistent with the WaterSense program guidelines. 7. Review pre-press promotional items, draft Web sites, packaging, or other materials that use the WaterSense marks upon request. 

## Section IV: General Terms and Disclaimers1. 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 program marks. 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 promotional label, partner logo, and program logo use guidelines.

To be completed by EPA Authorized EPA Representative (printed name): ______________________________________________________ Title: __________________________________________________ E-mail: __________________________________ Signature: ______________________________________________ Date: __________________________________ To be completed by partner Authorized Partner Representative 1 (printed name): __________________________________________________ Title: __________________________________________________ E-mail: __________________________________ Signature: ______________________________________________ Date: ____________________________________ Organization Name:_________________________________________________ Number of employees: __________ Industry/SIC/NAICS code: __________________________________________________________________________ Primary Contact: Dr./Mr./Mrs./Ms._________________________________________________ Suffix: ____________ Title: ______________________________ Dept: __________________ E-mail: ______________________________ Address: _____________________________________________City/State/ZIP: ______________________________ County: ________________________________________________ Web site: ________________________________ Telephone: __________________ Fax: ___________________ Alternate Telephone: __________________________ Primary function: ❑ Communications/Public Affairs ❑ Technical ❑ Other: ______________________________ How did you find out about this program? ❑ Web site ❑ Referral, Name: __________________________________ ❑ Periodical __________________________ ❑ Workshop, Sponsor: ______________________________________
❑ Mailing ______________________________________________ ❑ Other: ________________________________
❑ EPA Region __________________________________________

1 The Authorized Partner Representative should be a person in the organization with signing authority (e.g., vice president). EPA Form Number 6100-06 Sheila Frace Director, Office of Water, Municipal Support Division watersense@epa.gov

## 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: w a t ersense@epa.go v . 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.

EPA Form Number 6100-06 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.