Web-based Green Power Community Partnership Agreement

GPC Online agreement_2010.06.29.doc

EPA's Green Power Partnership and Combined Heat and Power Partnership (Change)

Web-based Green Power Community Partnership Agreement

OMB: 2060-0578

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Green Power Community Partnership Agreement

EPA’s Green Power Community (GPC) initiative recognizes communities that collectively procure green power. GPCs are towns, villages, cities, counties, or Native American tribes in which the local government, businesses, and residents collectively buy green power in amounts that meet or exceed EPA's Green Power Community green power procurement requirements. Communities benefit from the use of green power, while supporting the development of new, renewable energy generation in the United States.

Yes, I would like to join!

 I understand and agree to the following requirements to become a EPA Green Power Community:

By joining EPA’s Green Power Community initiative, my community commits to:



  • Have the community’s local government purchase green power and join the EPA Green Power Partnership as an organization-wide partner. The local government meets all requirements outlined in the standard Partnership Agreement.

  • Have the community’s local government initiate and support a GPC campaign to increase the use of green power among residents, businesses and non-profit organizations.

  • Designate a local campaign leader to work with EPA. This person is responsible for coordinating and supporting the Green Power Campaign. A campaign leader can be a municipal employee, NGO representative, utility employee, and/or local resident.

  • Provide EPA necessary community-wide electricity use and green power use data.

  • Certify that the community’s collective green power purchase meets GPC program requirements at the time of signing this Partnership Agreement.

  • Report community-wide green power purchase activities annually to EPA.

  • Use the GPC road sign in a manner that is consistent with road sign use guidelines.


In return, EPA commits to:

  • Provide framework and goals for a GPC campaign.

  • Provide public recognition.

  • Provide procurement and communications assistance.

  • Provide a listing of the community’s participation on the EPA Green Power Community Web page.

  • Provide two GPC road signs to the community as well as annual stickers signifying compliance with program requirements.


General Terms:

  • Either party can terminate this agreement at any time without prior notification or penalties and with no further obligation. EPA will not proactively comment publicly regarding the withdrawal of a GPC.

  • Should either party terminate this agreement, the GPC Partner agrees to remove any public display of GPC signage.

  • Community agrees that the activities it undertakes connected with this voluntary agreement are not intended to provide services to the federal government and that the Community will not seek compensation from a federal agency.

  • Community agrees that it will not claim or imply that its participation in the Green Power Partnership constitutes EPA approval or endorsement of anything other than its participation in the program and will not make statements or imply that EPA endorses the purchase or sale of the Community’s products and services or the views of the Community’s organization.

  • EPA may post information about the Community’s purchase publicly, but will honor all requests by a Community to keep purchase data and/or electricity use confidential.

  • EPA may use the Community’s seal or logo in selected marketing materials.

  • EPA reserves the right to periodically revise purchase or other eligibility requirements.


Community Name:

Authorizing Official: First Name: Last Name:

Title:

Address:

City:

State:

Zip:

Phone:

Email:


Primary Contact: First Name: Last Name:

Title:

Address:

City:

State:

Zip:

Phone:

Email:


Public Relations Contact (Optional): First Name: Last Name:

Title:

Address:

City:

State:

Zip:

Phone:

Email:


Aggregate community-wide annual electricity use: ________________kWh/year


Community’s collective green power use: __________________kWh/year


Community green power participation rate (optional): _________________%


Web page on community’s green power use:________________________________________


Has the community’s municipal government met EPA’s purchase requirements and joined as a Green Power Partner? Yes No


Green power retailer(s) or provider(s):______________________


Does a portion of the community’s collective green power use include on-site generation*? Yes/No. If yes, how much? _____________kWh/year


Community’s collective green power resource mix:

___%biogas ___ %biomass ____%geothermal

___% small hydro ____%solar ___%wind


Type the keyword “green” below, to help stop spam. (Required)

__________________


Submit


File Typeapplication/msword
File Titlewww
AuthorAAmato
Last Modified ByCourtney Kerwin
File Modified2010-08-11
File Created2010-08-11

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