


                        Instructions for Partnering with ENERGY STAR(R)
                             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
                                       


              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.



                                    Partnership Agreement between
                                             ENERGY STAR(R) 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.



 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.



 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.





                                ENERGY STAR(R) 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






     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 1.5 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.
