HomeMy WebLinkAboutEnergy Star partnership letter< Organization Letterhead>
<Date>
Ms. Jean Lupinacci
Director, ENERGY STAR Commercial & Industrial Branch
U.S. Environmental Protection Agency
1200 Pennsylvania Avenue, NW (6202J)
Washington, DC 20460
Dear Ms. Lupinacci:
With this letter, < Organization Name> joins ENERGY STAR as a Partner, and makes a
fundamental commitment to protect the environment through the continuous improvement of our
energy performance. We believe that an organization -wide energy management approach will help
us enhance our financial health and aid in preserving the environment for future generations. In
partnership with ENERGY STAR, we will:
• Measure and track the energy performance of our organization's facilities where possible
by using tools such as those offered through ENERGY STAR
• Develop and implement a plan consistent with the ENERGY STAR Energy Management
Guidelines to achieve energy savings
• Help spread the word about the importance of energy efficiency to our staff and
community
• Support the ENERGY STAR Challenge, a national call-to- action to help improve the
energy efficiency of America's commercial and industrial buildings by 10 percent or more
• Highlight our achievements with recognition offered through ENERGY STAR.
We understand that our commitment to measure, track, and improve the energy performance
of our organization is supported by the resources and tools offered through ENERGY STAR. In
addition, we understand that we will be recognized on the ENERGY STAR web site as a Partner
and as a supporter of the ENERGY STAR Challenge. To be eligible for additional recognition,
we will share with EPA our progress and milestone achievements. As a Partner, we agree to
follow all applicable terms and conditions governing the use of the ENERGY STAR logos, which
are registered trade and service marks.
< Organization name> looks forward to our partnership with ENERGY STAR.
Sincerely,
<Name of Organization's Chief Executive>
<Title>
< Organization Name>
Attachment
Attachment to Partnership Letter
Organization Information
Chief Executive
Name & Title:
Mailing Address:
E -mail Address:
Phone Number:
Facsimile:
Communications Contact
Name & Title:
Mailing Address:
E -mail Address:
Phone Number:
Facsimile:
OMB Control No. 2060 -0347
Energy Manager
Name & Title:
Mailing Address:
E -mail Address:
Phone Number:
Facsimile:
Organization's Primary Business or Function (check one):
❑ Commercial Real Estate
❑ Corporate Real Estate
❑ Multifamily Housing, include:
Number of units owned /managed
❑ K -12 Education
❑ Higher Education
❑ State Government
❑ Local Government
❑ Federal Government
❑ Healthcare & Senior Care Facilities
❑ Hospitality & Entertainment
❑ Manufacturing/Industrial, include:
NAICS code
Number of Manufacturing Plants Operated in the United States
Number of Employees in the United States
❑ Religious (Congregations)
❑ Retail
❑ Drinking Water Treatment and Distribution, include:
Total Capacity (mgd)
❑ Wastewater Treatment, include:
Total Capacity (mgd)
❑ Other. Describe:
Organization's total building /facility square footage (required):
Owns
Leases
Manages
How did you learn about ENERGY STAR?
The government estimates the average time needed to fill out this form is 30 minutes and welcomes suggestions for reducing this level of 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.
EPA Form 5900 -19