5900-185 Home Performance Partnership Agreement for Contractors

OMB Control No. xxxx-xxxx

Home Performance with ENERGY STAR® Contractor Partnership Agreement
Return this form to ENERGY STAR: HomePerformance@EnergyStar.gov US EPA (Mail Code 6202J) 1200 Pennsylvania Ave, NW Washington, DC 20460 FAX: 202-343-2200
ENERGY STAR Background Information ENERGY STAR helps consumers, businesses, and public organizations protect the environment through superior energy efficiency. Home Performance with ENERGY STAR promotes a process of improving the energy efficiency of homes. The process is facilitated by a home performance professional that completes a whole-house energy audit, recommends improvements that will save at least 20% on total energy use, proposes a scope of work to complete the improvements and completes a test-out inspection after improvements have been installed. Energy savings are typically achieved through a combination of envelope upgrades, controlled air infiltration, upgraded heating and air conditioning systems, tight duct systems, upgraded water-heating equipment, high performance windows, and efficient lighting and appliances. Installed measures must be supervised by a home performance professional that is knowledgeable of applicable building codes and consensus-based building science standards. All participating contractors must be enrolled in a quality assurance program that meets Home Performance with ENERGY STAR criteria.
Organization Name: __________________________________________________________________________________ Contact Name: ______________________________________ E-mail: __________________________________________ Address: ___________________________________________City/State/Zip: ____________________________________ Telephone: _________________ Fax: ___________________ Web Site: ______________________________________ Major Metro Area Served: _Northern Virginia_(City of Alexandria, Arlington County, Fairfax County, Loudon County and Prince William County)______________________________________________________________________________________
To be eligible for partnership an organizations must be: A residential home improvement contractor accredited by an independent third-party approved by EPA and DOE; or A Certified Home Energy Rater
Authorized Company Representative (printed name): ______________________________________________ Title: ___________________________ E-mail: ________________________________Phone _____________ Signature: ______________________________________________ Date: ____________________________
To be completed by ENERGY STAR Representative: Kathleen Hogan, U.S. EPA Signature: ______________________________________________ Date: ____________________________ David E. Rodgers, U.S. DOE Signature: ______________________________________________ Date: ____________________________
General Commitments for Home Performance with ENERGY STAR Contractor Partners Provide homeowners with a Home Performance Assessment (HPA) summary report that meets Home Performance with ENERGY STAR guidelines. The summary report includes findings from the HPA and fuel-neutral recommended improvements (i.e. scope of work) that will save at least 20% on total energy use. (A Home Energy Rating or audit procedures approved for use by DOE’s Weatherization Assistance Program can be used to estimate 20% reduction in total energy use.) All home improvements must meet applicable state or local building codes and consensus-based building science standards. Complete at least 20 HPAs and test-out inspections (requires that energy efficiency improvements were completed to homes) annually that meet Home Performance with ENERGY STAR guidelines during the pilot. Report information about all home improvement projects completed to EPA through a designated third-party quality assurance provider for the purpose of quality assurance review. Use the Home Performance with ENERGY STAR marketing graphic to promote a comprehensive, whole-house process for improving the energy efficiency of homes to prevent pollution, protect the environment, and save money on energy bills. Follow the Home Performance with ENERGY STAR Marketing Graphic Guidelines (available at www.energystar.gov/marks) and ensure that authorized representatives, such as advertising agencies also follow them.
ENERGY STAR Commitments to Partners Increase awareness of Home Performance with ENERGY STAR by distributing key messages on the benefits of a whole-house approach to improving energy efficiency. Provide current Home Performance with ENERGY STAR news, information, and reference documents (via the ENERGY STAR Web site, e-mail or other means). Respond swiftly to requests for information or clarification on Home Performance with ENERGY STAR policies.
General Terms and Disclaimers The partner will not construe, claim or imply that its participation in Home Performance with ENERGY STAR constitutes federal government approval, acceptance, or endorsement of anything other than the partner’s commitment to Home Performance with ENERGY STAR. Partnership does not constitute federal government endorsement of the partner or its services. The partner understands that the activities it undertakes in connection with Home Performance with ENERGY STAR are voluntary and not intended to provide services to the federal government. As such, the partner will not submit a claim for compensation to any federal agency. The partner and ENERGY STAR 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 ENERGY STAR. This agreement is voluntary and can be terminated by either party at any time or any reason, with no penalty. 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 Home Performance with ENERGY STAR, including use of the marketing graphic. ENERGY STAR will actively pursue resolution of noncompliance related to the use of the Home Performance with ENERGY STAR marketing graphic. For pilot testing purposes this agreement will terminate on September 30, 2011 and is limited to the metro area served that is designated in this agreement.

EPA Form 5900-185

The government estimates the average time needed to fill out this form is 1.50 hours and welcomes suggestions for reducing this 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.

2