Green Power Community Partnership Agreement

Yes, I would like to join!

I understand and agree to the following requirements to become an 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 (PDF) (2 pp, 194K, About PDF).
• Provide EPA necessary community-wide electricity use and green power use data.
• Certify that the community’s collective voluntary green power purchase meets GPC program requirements at the time of submitting 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 (PDF) (2 pp, 303K).

In return, EPA commits to:

• 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.

Has the community’s municipal government met EPA’s purchase requirements and joined as a Green Power Partner?
Yes    No
(Note: The municipal government must join the Partnership prior to the community joining as a GPC. The municipal government must meet all requirements outlined in the standard Partnership Agreement (PDF) (2 pp, 194K, About PDF) and submit the Agreement to EPA).

Authorizing Official:

First Name:

Last Name: 

Title:

Address:

City:

State:

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:

Phone:

Email Address:

Primary Contact:

First Name:

Last Name: 

Title:

Address:

City:

State:

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:

Phone:

Email Address:

Public Relations Contact (Optional):

First Name:

Last Name: 

Title:

Address:

City:

State:

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:

Phone:

Email Address:

Aggregate community-wide annual electricity use: kWh/year

Community’s collective voluntary green power use: kWh/year

Community green power participation rate (optional): %

Web page on community’s green power use:

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

Does a portion of the community’s collective green power use include on-site generation* for which the associated RECs have not been sold*?   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