Cohesion Policy 2007 – 2013 Operational Programme I Investing in Competitiveness for a Better Quality of Life European Regional Development Fund Application Form Title of the Project: (max 10 words) Name of Applicant Organisation: [For office use only - Ref No.20/2014] Operational Programme I – EU Cohesion Policy 2007-2013 Investing in Competitiveness for a Better Quality of Life Part-financed by the European Union European Regional Development Fund (ERDF) Investing in your future Executive Summary Project Title (not more than 10 words) The Applicant – Name of Organisation Non-Technical Short Summary of the Project/Project Phase In the box below, give a short description of the Project to be used for the Structural Funds Database including the addresses of the sites of the proposed interventions. Project Time Frame Start date: Quarter ___ of 20_____ Closure date: Quarter____ of 20____ Budget Total eligible cost: € ________________________ Total non-eligible costs: € ________________________ Total project costs1: € ________________________ Grant Requested2: € ________________________ 1 2 The summation of eligible and non-eligible costs The Grant Requested is the Public Eligible Amount made up of the EU Share (85%) and the National Share (15%). i Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Table of Contents Executive Summary ............................................................................................... i Section 1 – Information on the Applicant .............................................................. 1 1.1 Organisation’s Details ................................................................................. 1 1.2 Type of Organisation ................................................................................... 1 1.3 Legal Status ................................................................................................ 2 1.4 VAT Status .................................................................................................. 2 1.5 Involvement of any Other Local Organisation.............................................. 3 1.6 Institutional Framework ............................................................................... 4 1.7 Experience in EU Funded Projects .............................................................. 4 1.8 Coordinating Body/Line Ministry .................................................................. 5 Section 2 – State Aid ............................................................................................ 6 Section 3 – Added value ....................................................................................... 7 Section 4 – Operational Programme ..................................................................... 8 4.1 Priority Axis ................................................................................................. 8 4.2 Operational Objectives ................................................................................ 8 4.3 Focus Area of Intervention .......................................................................... 8 4.4 Links with the Priority Axis, Operational Objective/s and Focus Area selected ............................................................................................................. 9 Section 5 – Project Details .................................................................................. 10 5.1 Project Title ............................................................................................... 10 5.2 Nomenclature of Units for Territorial Statistics (NUTS Code) .................... 10 5.3 Project Intervention Code .......................................................................... 10 5.4 Technical Description of the Investment .................................................... 12 5.5 Project Objectives ..................................................................................... 13 5.6 Background and justification...................................................................... 14 5.7 Results ...................................................................................................... 15 5.8 Activities .................................................................................................... 16 5.9 Project Time Frame ................................................................................... 16 5.10 Target groups .......................................................................................... 16 5.11 Other Related Activities ........................................................................... 17 ii Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 6 –Performance Indicators ..................................................................... 18 6.1 Output and Result Indicators ..................................................................... 18 6.2 Verification of Output/Result Indicators ..................................................... 18 6.3 Impact indicators ....................................................................................... 19 6.4 Verification of Impact Indicators ................................................................ 20 6.5 Other Indicators ......................................................................................... 20 6.6 Other Targets ............................................................................................ 20 Section 7 – National Priorities ............................................................................. 21 Section 8 – Links to the Community Strategic Guidelines and the National Reform Programme ............................................................................................ 22 8.1 Community Strategic Guidelines ............................................................... 22 8.2 National Reform Programme ..................................................................... 23 Section 9 – Horizontal Priorities .......................................................................... 24 9.1 Equal opportunities .................................................................................... 24 9.2 Sustainable Development ......................................................................... 24 Section 10 – Financial Details ............................................................................. 25 10.1 Estimated Budget Breakdown ................................................................ 25 10.2 Revenue generation (all figures must be quoted in EUR) ....................... 25 10.3 Other Community financing sources ....................................................... 27 Section 11 – Contracting and Implementation .................................................... 29 11.1 Public Procurement Table ....................................................................... 29 11.2 Employment Contracts ............................................................................ 29 11.3 Current Level of Implementation of Project ............................................. 29 11.4 Implementation schedule......................................................................... 30 11.5 Contracting and Disbursement Schedule ................................................ 31 Section 12 - Planning and Environmental Permits .............................................. 32 Section 13 – Publicity.......................................................................................... 34 Section 14 – Readiness ...................................................................................... 36 Section 15 – Sustainability of the project ............................................................ 37 Section 16 – Data Protection .............................................................................. 37 Section 17 – Conditionality and risks .................................................................. 38 iii Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 18 – Additional Information .................................................................... 39 Section 19 – Declaration ..................................................................................... 40 Section 20 - Checklist of Attachments ................................................................ 41 iv Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 1 – Information on the Applicant 1.1 Organisation’s Details Name of Organisation Name of Head of Organisation (if applicable) Postal Address Post Code Project Leader Position within organisation Phone number Fax number Email address VAT number (if any) Contact Person3 Position within organisation Phone number Fax number Email address 1.2 Type of Organisation Choose from the list below: - 3 Government Ministry or Department Government Entity Cannot be the same as Project Leader 1 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 1.3 Legal Status Choose from the list below: - Public organization - Public equivalent body In case of a public equivalent body kindly provide the equivalent Legal Act by which the entity is constituted. 1.4 VAT Status 1.4.1 Does the organisation have any sales on which VAT is charged or any zero rated sales (exempt with credit)? Yes No If No, the organisation does not have a right to recoup VAT from the VAT Department. If Yes, please provide a short description of the Sales on which VAT is charged: 1.4.2 Please identify whether the project is: Yes either related to the sales on which VAT is charged or sales which are zero rated (exempt with credit) No Partial If Yes to either option, the organization cannot charge VAT to the project but can recoup VAT from the VAT Department. If No to both options, the organization can charge VAT as a cost to the project but does not recoup VAT from the VAT Department. If Partial to either option, the organization cannot charge VAT to the project but can recoup VAT from the VAT Department. . 2 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 1.5 Involvement of any Other Local Organisation Will any organization other than the applicant be involved in the implementation of the project? – Yes No If yes, fill in the details below: Name of Organisation Contact person Position within organisation Phone number Fax number Email address Legal status - Public organisation - Public equivalent - Other (please specify) _______________________ In the box below, (1) describe the role of the Partners in the project, (2) indicate whether the partner/s will be receiving any ERDF funds (if this is the case, the exact amount and a brief description of the activities to be carried out by the partner/s should be provided); and (3) the exact amount being financed by the partner/s, and the source of co-financing (e.g. own funds, bank loan, guarantees, etc.) NB: If other partners are involved please replicate this section for each of the partners. 3 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 1.6 Institutional Framework In the box below, clearly describe the institutional framework within which the project will have to operate. Also please indicate who/which unit will be responsible to carry out the different roles (procurement, payments, financial control, etc). Furthermore, kindly provide details of the tasks to be assigned to the project manager/ administrator and/or other service provider/s to be contracted (e.g. Engineer) (if one is to be contemplated for the project) and the source of funds to be used. Applicants must also describe the measures of control they intend to adopt in order to verify the performance of external project management (given that responsibility remains in the hands of the Beneficiary). Please provide Project Organisational Framework 1.7 Experience in EU Funded Projects In the table below identify and summarise any experience in EU funded projects. Name of Programme 4 Details of awarding body Name of Project Reference Number Funds Received (€) Year of Award Status of Project4 State if project is ongoing or complete 4 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 1.8 Coordinating Body/Line Ministry Ministry Director5 Phone number Fax number Email address EU Fund Manager/ EU Officers (and/or equivalent position) Phone number Fax number Email address 5 Programme Implementation, if applicable 5 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 2 – State Aid The Applicant should ideally include the State Aid Monitoring Board (SAMB) position on the project with the Application Form. If this is not the case, the Applicant must submit the State Aid position from SAMB within one month of the closing date of the call. 2.1 Does the project involve State Aid?6 Yes No 2.2 Have discussions with the State Aid Monitoring Board (SAMB) been held? Yes No 2.3 In the box below, please outline the outcome of the discussions held with SAMB and any reference to correspondence with SAMB: 2.4 If you have answered ‘No’ to both questions 2.1 and 2.2, please explain how the Applicant reached the conclusions that the project does not involve State Aid. 6 If the project has State Aid considerations, State Aid rules will apply. 6 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 3 – Added value 3.1 Will the project take place without ERDF support? 3.2 Will the project fund more activities, better or earlier provision? - more activities - better provision - earlier provision 7 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 4 – Operational Programme The Project must contribute towards the following Priority Axis. Please specify. 4.1 Priority Axis Priority Axis 2 – Promoting Sustainable Tourism 4.2 Operational Objectives The Project must contribute towards the operational objective within the Priority Axis indicated hereunder. P.A. 2 – Promoting Sustainable Tourism To support the upgrading of the tourism product, particularly its cultural assets To promote the Maltese Islands as a prime and diverse tourist destination beyond sun and sea niche segments 4.3 Focus Area of Intervention Project must fit under the Focus Area indicated hereunder. P.A. 2 – Promoting Sustainable Tourism Product Development Niche Market Development 8 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 4.4 Links with the Priority Axis, Operational Objective/s and Focus Area selected In the box below, give a brief description of how the Project fits within the Priority Axis, its overall objective, and operational objective and focus area of intervention indicated under sections 4.2 and 4.3. 4.4.1 Will the project contribute to Gozo’s socio-economic development? Yes No If yes, briefly explain how the Project Activities will contribute to Gozo’s socio-economic development and which actions will be taken in this respect. This information must be supported by statistical data and research on Gozo and Malta. 9 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 5 – Project Details 5.1 Project Title7 maximum of 10 words 5.2 Nomenclature of Units for Territorial Statistics (NUTS Code) Malta Gozo 5.3 Project Intervention Code 5.3.1. Code by Priority Theme Please identify the code by Priority Theme that is most relevant for the proposed project. The code by priority theme chosen should reflect project expenditure. If a project is relevant to more than one intervention code, provide a percentage allocation of the project cost towards each intervention code selected. Categorisation of Intervention by Priority Theme Code Priority Theme Research and Technological Development (RTD), innovation and Entrepreneurship 1 2 3 4 5 6 7 8 9 Information Society 13 15 7 RTD activities in research centres RTD infrastructure (incl. physical plant, instrumentation and high speed computer networks linking research centres) and centres for competence in a specific technology Technology transfer and improvement of cooperation networks between small businesses (SMEs), between these and other businesses and universities, post-secondary education establishments of all kinds, regional authorities, research centres and scientific and technological poles (scientific and technological parks, technopolis, etc.) Assistance to RTD, particularly in SMEs (incl. access to RTD services in research centres) Advanced support services for firms and groups of firms Assistance to SMEs for the promotion of environmentally-friendly products and production processes (introduction of effective environment managing system, adoption and use of pollution prevention technologies, integration of clean technologies into firm production) Investment in firms directly linked to research and innovation (innovative technologies, establishment of new firms by universities, existing R&TD centres and firms, etc.) Other investments in firms Other measures to stimulate R&I and entrepreneurship in SMEs Services and applications for the citizen (e-health, e-government, e-learning, e-inclusion, etc.) Other measures for improving access to and efficient use of ICT by SMEs Insert project phase (if applicable) 10 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Transport 21 22 23 24 26 28 30 Motorways (TEN-T) National Roads Regional/local roads Cycle Tracks Multimodal transport Intelligent transport systems Ports (TEN-T) Energy 39 40 43 Renewable energy: wind Renewable energy: solar Energy efficiency, co-generation, energy management Environmental Protection and Risk Prevention 44 45 46 50 53 54 Management of household and industrial waste Management and distribution of water (drinking water) Water Treatment (waste water) Rehabilitation of industrial sites and contaminated land Risk prevention (including the drafting and implementation of plans and measures to prevent and manage natural and technological risks) Other measures to preserve the environment and prevent risks Tourism 55 56 57 Promotion of natural assets Protection and development of natural heritage Other assistance to improve tourist services Culture 58 59 60 Protection and preservation of cultural heritage Development of cultural infrastructure Other assistance to improve cultural services Urban and Rural Regeneration 61 Integrated projects for urban and rural regeneration Investment in Social Infrastructure 75 76 77 78 79 Education infrastructure Health infrastructure Childcare infrastructure Housing infrastructure Other social infrastructure Strengthening Institutional Capacity at National, Regional and Local Level 81 Mechanisms for improving good policy and programme design, monitoring and evaluation at national, regional and local level, capacity-building in the delivery of policies and programmes Technical Assistance 85 86 Preparation, implementation, monitoring and inspection Evaluation and studies; information and communication In the box below, provide a clarification as to which part of the project relates to the relevant intervention code and also how the percentage allocation of each intervention code selected has been calculated. 11 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 5.3.2. Code by Economic Activity The project must contribute towards the Economic Activity Code 03 04 05 06 08 09 10 11 12 Economic Activity 13 14 15 17 18 19 20 21 22 Manufacture of food products and beverages Manufacture of textiles and textile products Manufacture of transport equipment Unspecified manufacturing industries Electricity, gas, steam and hot water supply Collection, purification and distribution of water Post and telecommunications Transport Construction Wholesale and retail trade Hotels and restaurants Financial intermediation Public administration Education Human health activities Social work, community, social and personal services Activities linked to the environment Other unspecified services In the box below, provide a clarification as to which part of the project will contribute to the relevant intervention code and also how the percentage allocation of the intervention code has been calculated. 5.4 Technical Description of the Investment Full address where the proposed intervention will take place: Describe the proposed infrastructure and the work for which assistance is being proposed specifying its main characteristics and components8. 8 This description should be a concise and comprehensive description of the actual project, neither its goals and objectives, nor the reason for implementing the project. The latter are catered for in other sections of the application. 12 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 5.4.1 Project Phases Where the project is a phase of an overall project, provide a description of the proposed stages of implementation (explaining whether they are technically and financially independent & where possible, please provide a Gantt chart). 5.5 Project Objectives In the box below, state clearly what the Project is intended to achieve. Indicate the extent to which the country will be endowed through the acquisition of the infrastructure covered by this application; indicate the foreseeable contribution of the project to the strategy/plan objectives. Specify potential bottlenecks or other problems to be resolved. 13 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 5.6 Background and justification Within each of the sub-sections below, provide information relating to the project being proposed: A. Problem Identification B. Demand Analysis C. Gap Analysis D. Options Analysis E. Baseline ( Research and Quantitative Assessment): F. Selection of Option 14 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 5.7 Results In the box below, state clearly the direct benefits that will be achieved by the end of the project. This section should not list outputs (what the project will buy) but the results expected to be achieved on the ground following the procurement of the outputs. Results are to be expressed in bullet format and quantified with baselines. NB: Results are binding and contribute to the selection of the project. If they are not met, there may be the case for full or partial recovery of funds. 15 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 5.8 Activities In the box below, give a breakdown and description of the activities/work packages to be carried out and the means to achieve them. Any activities carried out in Gozo are to be listed under the relevant heading. If the activity incurs a cost to the project, provide the estimated amount. Activities carried out in Malta Activities carried out in Gozo 5.9 Project Time Frame In the box below please indicate the expected start and closure quarter of the Project, as reflected in table 11.4. The start date is considered to be the launch of the first tender Start Date: Quarter___ of 20__ Closure Date: Quarter ___ of 20__ 5.10 Target groups In the box below, state clearly who the expected target groups are (e.g. visitors to the upgraded area) and the direct benefit of the project for the target groups 16 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 5.11 Other Related Activities Identify and summarise any related activities being undertaken and/or that have already been undertaken by the applicant organisation and/or other parties in connection or in support of the same project or policy. Please also identify which funds have been utilised for related activities. 17 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 6 –Performance Indicators 6.1 Output and Result Indicators Applicants are to identify the output and result indicators towards which the project will contribute. The table below provides the indicators relevant to the Priority Axis open under this call. Applicants can select more than one indicator for the project under the same Priority Axis and must provide the quantification for each indicator. Type of Indicators Indicator Target Target Target Malta Gozo Total Target Target Target Malta Gozo Total No. of assisted tourism and cultural projects (core indicator) Surface area of rampant elevation plan restored (m 2) OUTPUT No. of marketing measures to penetrate/develop new/established niche markets No. of projects implemented by enterprises Indicators % overall increase in the number of paying visitors at upgraded sites RESULT % of total tourists visiting upgraded cultural sites % average increase in tourist departures for the established niche segments No. of enterprises adopting new products and processes In the box below, please provide an explanation of how the proposed targets for ‘outputs’ and ‘results’ have been calculated. 6.2 Verification of Output/Result Indicators In the box below, please provide an explanation on how the data for the indicators will be collected / monitored and how it will be verified. Please also include whether this or similar data is already available (indicating whether it is available for free or at a cost including the amount if 18 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) data needs to be procured). If data is unavailable, please indicate how Applicant intends to generate the required data and how this will be financed. 6.3 Impact indicators From the following options, please tick towards which impact indicator/s the project shall contribute. % increase in R&D expenditure as a percentage of GDP __ % increase of earnings from tourism % increase of manufactured export earnings No. of direct jobs created (core indicator) __ __ __ Environmental attractiveness indicator (based on a weighted average of variables) Transport attractiveness indicator (based on a weighted average of variables) Quality of Life (based on a weighted average of variables) CO2 equivalent emissions __ __ __ __ Note: Refer to the components making up the indicators above in section 4.8 of OPI 19 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) In the box below, please provide an explanation of how the proposed target/s for the ‘impact indicator/s’ has been calculated. 6.4 Verification of Impact Indicators In the box below, please provide an explanation on how the data for the indicators will be collected / monitored and how it will be verified. Please also include whether this or similar data is already available (indicating whether it is available for free or at a cost, including the amount). If data is unavailable, please indicate how Applicant intends to generate the required data and how this will be financed. 6.5 Other Indicators Please identify other indicators of the Programme that will be achieved by this project by referring to Operational Programme I, Table 4.9, page 153, available on: http://eufunds.gov.mt In the box below, please provide an explanation of how the proposed targets have been calculated. NB: Indicators are binding and contribute to the selection of the project. If they are not met, there may be the case for full or partial recovery of funds. 6.6 Other Targets Please identify other targets that will be achieved by this project. 20 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 7 – National Priorities In the box below, please indicate whether the Project will be contributing towards National Priorities for Malta. It is important for the Applicant to refer to documents such as Pre-Budget documents and budget speeches as well as sectoral strategies. When referring to a document, please provide direct citation (title, year, chapter and page numbers). A. Pre – Budget and Budget Documents B. Sectoral Strategies 21 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 8 – Links to the Community Strategic Guidelines and the National Reform Programme Article 9 (5) of Regulation (EC) No 1083/2006 states that “Operations financed by the Funds shall comply with the provisions of the Treaty and of acts adopted under it.” 8.1 Community Strategic Guidelines9 Please indicate the Community Strategic Guidelines towards which the project will contribute. Please select from the following (Applicants may choose more than one): 1. Making Europe and its regions more attractive places to invest and work Expand and improve transport infrastructures Strengthen the synergies between environmental protection and growth Address Europe’s intensive use of traditional energy sources 2. Improving knowledge and innovation for growth Increase and improve investment in RTD Facilitate innovation and promote entrepreneurship Promote the information society for all Improve access to finance 3. More and better jobs Attract and retain more people in employment and modernise social protection systems Improve adaptability of workers and enterprises and the flexibility of the labour markets Increase investment in human capital through better education and skills Administrative Capacity Help maintain a healthy labour force 9 CSGs: http://ec.europa.eu/regional_policy/sources/docoffic/2007/osc/050706osc_en.pdf 22 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) In the box below, please indicate how the Project will contribute towards the CSGs selected. 8.2 National Reform Programme10 Please indicate towards which of the NRP Strategic Themes the project will contribute. Please select from the following (Applicants may choose more than one): Target 1 – Employment Target 2 - R&D Target 3 - Energy Target 4 – Education Target 5 – Poverty In the box below, please indicate how the Project will contribute towards the NRP Strategic Themes selected. When referring to a document, please provide direct citation (title, year, chapter and page numbers). 10 Malta’s NRP Under the Europe 2020 Strategy (April 2011) : http://ec.europa.eu/europe2020/pdf/nrp/nrp_malta_en.pdf 23 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 9 – Horizontal Priorities 9.1 Equal opportunities Projects should make a positive contribution to equality for all. Outline how equal opportunities have been integrated into the Project’s design and implementation. Please mention any specific components and explain how the applicant will ensure that equal opportunity will be integrated in the project. The Applicant should not limit the effort to the legal obligations. 9.2 Sustainable Development How will the project sustain feasible development in terms of: 9.2.1. Project addressing sustainable development Describe how the project has been structured to ensure that sustainable development will be mainstreamed throughout the project’s aims and operation. This should go further than just a statement of intent and be backed by a solid implementation plan towards the attainment of the sustainable development dimensions and a system in place to monitor the results. 9.2.2 Project Impact on Carbon Neutrality Describe how the project positively addresses Carbon Neutrality and environmental resource efficiency, through inter alia, effective use of water, energy, raw materials; minimization and management of waste, production of green products and services, other measures to ensure that infrastructural developments are in line with adaptation strategies and plans with regard to the possible effects of climate change. 24 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) Section 10 – Financial Details 10.1 Estimated Budget Breakdown 11 Use the excel sheet provided, launched together with this Application Form and Guidance Notes on the PPCD website 10.1.1 Please provide further details with regard to Budget Breakdown (section 10.1) in the box hereunder. Please indicate below what percentage of the above budget will be allocated to the Gozo commitment and explain the methodology used to calculate this percentage. 10.2 Revenue generation (all figures must be quoted in EUR) 10.2.1 Is the project expected to generate revenue? Yes No If yes, please specify how revenue will be generated: 11 This must include the Total Investment Cost Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 25 Charges to Users Entrance fees Rent Feed in Tariff/ Cost Savings Other ________________________ Indicate the revenue estimated amount below: If Yes, please fill in the following sections (in €): Discounted values (€) Undiscounted values (€) Total investment cost of which eligible cost (EC) Discounted investment cost (DIC) Discounted net revenue (DNR)12 Determine the EU Grant in the box below (Please refer to the relevant section of the Guidance Notes) 12 Revenue + Residual value – Operating Costs Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 26 10.2.2 Financial Feasibility study/ Cost-Benefit Analysis In the box below indicate whether the project needs a Financial Feasibility study or a Cost Benefit Analysis. 10.3 Other Community financing sources 10.3.1 Has an application been made for assistance from any other Community source (including ERDF, ESF, Cohesion Fund, TEN-T Budget, EAFRD, EFF, LIFE+…) for this project, any part thereof or for any earlier phase of this project (including feasibility and preparatory phases)? Yes No If yes, please give details (financial instrument concerned, reference number/s, dates, amounts requested, amounts granted, etc.): 10.3.2 Is this project complementary to any project already financed or to be financed by the ERDF, ESF, Cohesion Fund, TEN-T Budget, other source of Community finance? Yes No If yes, give details (provide precise details, reference number/s, dates, amounts requested, amounts granted, etc.): Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 27 10.3.3 Has an Application been made for loan or equity support from EIB / EIF or any other banks or financial institutions for this project? Yes No If yes, please give details (financial instrument concerned, reference number/s, dates, amounts requested, amounts granted, etc.): Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 28 Section 11 – Contracting and Implementation 11.1 Public Procurement Table State the expected number of tenders and total value of each tender in €. VAT should be quoted separately. Use the excel sheet provided together with this Application Form and Guidance Notes on the PPCD website 11.2 Employment Contracts State the expected calls for employment costs and its total value for each call in €. Social Security contributions should be quoted separately. Use the excel sheet provided together with this Application Form and Guidance Notes on the PPCD website 11.3 Current Level of Implementation of Project In the box below, please indicate whether any work has been carried out so far on the project or parts of it (apart from the submission of the proposal). Please also specify the status of this work and indicate whether any further preparation/implementation work will continue regardless of the grant decision or whether further progress is dependent on the outcome of the Grant Decision. Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 29 11.4 Implementation schedule In the table below, indicate the stage of the tender per quarter. Please use the following acronyms: D = Design13 V= Tender being vetted by DoC 20…. Year Quarters P = Tender Published 1st 2nd 3rd E = Evaluation 20…. 4th 1st 2nd 3rd I = Implementation C = Closure 20… 4th 1st 2nd 3rd 20…. 4th 1st 2nd 3rd 4th Tender/Call 1 (please specify) Tender/Call 2 (please specify) Tender/Call 3 (please specify) Tender/Call 4 (please specify) Note: The Public Contracts Regulations 2005 (and any subsequent amendments) should be consulted in order to establish realistic timeframes. Applicants should consult the expected end date of the evaluation process (of the specific focus area) as stated under section 3.4 of the Guidance Notes if the schedule or any part of it is dependent on a positive decision of the ERDF grant. 13 Design refers to whole period prior to the launch of the Tender on the market Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 30 11.5 Contracting and Disbursement Schedule 14 (a) If the tender(s) has/have been advertised, please indicate: i. Advertisement number _____________________ ii. Date (please supply a copy of the advert) _____________________ (b) If no, please provide reasons and details of the tendering arrangements anticipated. Use the excel sheet provided launched together with this Application Form and Guidance Notes on the PPCD website NB: Applicant must include all contracts (works/supply/services as well as employment contracts). The total in this section must tally with the total in Section 10, excluding contingency 14 Financial Progress will be assessed against the commitment undertaken by the Beneficiary when the project application is originally submitted to the Managing Authority. Should Malta incur any deduction to it falling short of its N+3 commitments, the project will be assessed accordingly and necessary corrections will be applied to the project budget. Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 31 Section 12 - Planning and Environmental Permits 12.1 Do any of the activities or purchases envisaged within the project require a planning or an environmental permit? Yes No If YES, please specify below: If Yes, has MEPA already been contacted at this stage? Yes No If Yes, what was the outcome of discussions with MEPA? Please also indicate reference to any official correspondence with MEPA, including permit numbers. If you have answered ‘No’ to both questions, please indicate how the Applicant reached its conclusion that no components of the project require MEPA approval. 12.2 Application of Council Directive 85/337/EEC on Environmental Impact Assessment (EIA)15 Does the project or parts thereof require an EIA? Yes No If no, please provide MEPA confirmation: 15 On the assessment of the effects of certain public & private projects on the environment Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 32 If yes, please provide details of current status (ToRs published, public consultation, etc.) and expected date for conclusion of the EIA process. 12.3 Application of the Strategic Environment Assessment Directive 2001/42/EC (SEADirective) Does the project result from a plan or programme falling within the scope of the SEA Directive? 12.4 Assessment of effects on NATURA 2000 sites Is the project likely to have significant effects on sites included or intended to be included in the NATURA 2000 network? Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 33 Section 13 – Publicity 13.1 Obligatory Publicity measures as per Regulation16 Describe how the applicant will publicise that the project is part-financed by the ERDF, and how the target group and the general public will be informed about the ERDF contribution to the project. The Applicant must be guided by the principle of proportionality when completing this section. Tool/Action Print Media Access Points Newspapers18 Audience Budget in €17 Stickers Signage Plaques19 Billboards20 Total 13.2 Other Publicity measures The project should be promoted as much as possible in particular through free publicity (see section 10 of the Manual of Procedures). Applicants should bear in mind that in principle, when requesting for additional publicity funds which go beyond the obligatory publicity requirements, said measures should directly contribute towards the project objectives and yield quantifiable results. Tool/Action Access Points Print Media Newspapers Broadcast Media Events Presentation Mode Audience Budget in €21 Industry/ Business/ Organisation Journals and Magazines International Publications TV Radio Domestic Events Conferences Exhibitions Internet and Websites Local Websites Seminars, Sectoral business groups Mailshots/Online newspapers 16 It is a condition of the grant that the ERDF/CF contribution is publicised in accordance with EC Regulation 1828/2006. The forms of publicity identified in this section are indicative and may not be appropriate to all types of projects. Please indicate those that will be used for this project. 17 The total budget must correspond with the allocation proposed under Section 10 above 18 Adverts for the Publishing of Tenders/ Quotations/ Calls for Employment 19 Compulsory for projects including the purchasing of equipment/infrastructure 20 Compulsory for projects including an infrastructure component 21 The total budget must correspond with the allocation proposed under Section 10 above Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 34 Conferences or Workshops Promotional Material Direct Mail Actions Posters Press release – Launch Event Participation during trade exhibitions, fairs, national events, etc Supplied during national events or events focused at different target groups (ex: pens, note pads, etc) Distribution to households on a national or regional basis Sectoral, business groups or interests On site Total 13.3 Justification Please provide justification for the publicity measures proposed in Section 13.2. Indicate how the publicity measures chosen are needed for the effective implementation of the project and are also proportionate to the operation (project). The Applicant should also indicate who will bear the cost of the different publicity actions identified. Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 35 Section 14 – Readiness Indicate below the timetable for the development of the overall project. Start date Completion date (dd/mm/yyyy) (dd/mm/yyyy) Feasibility study; (if applicable) Cost-benefit analysis (incl. financial analysis); (if applicable) Environmental Impact Assessment; (if applicable) Design Studies; (if applicable) Land acquisition; (if applicable) In the table22 below, please indicate at which stage the project is in the design and tendering process.23 Tender Name Status (Please tick one of the boxes reflecting the current status for each Tender/Call. Please repeat for each Tender) Tender Name 1 / Call Name 1 Tender Name 2 / Call Name 2 1. Design 2. Drafted 3. Launched 4. Evaluated 5. Contracted 6. Appeals 1. Design 2. Drafted 3. Launched 4. Evaluated 5. Contracted 6. Appeals Furthermore, in the table below, please outline the relevant MEPA permits to this project and indicate their status. Permit Number Description24 Status 22 The list of Tenders/Call for Employment should tally with table 11.1 and 11.2 A copy of the draft of the tender or a copy of the newspaper cutting should be annexed together with the application. 24 Please indicate the extent of the works covered by these permits 23 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 36 Section 15 – Sustainability of the project Describe how the benefits of the project will continue to be delivered after grant support comes to an end. Kindly attach estimate of annual recurrent costs (for at least the first five years after completion of the project) and indicate source of funding. In cases where the Government is not financing the project, applicants are expected to provide proof and guarantees as to how the project will be sustained. In order to demonstrate the sustainability/viability of the project in total cost, the Applicant should present a feasibility study/CBA with the application. This condition applies to ALL projects falling within the thresholds as indicated under Section 1.5 of the Guidance Notes. Section 16 – Data Protection Personal data transmitted to PPCD within the scope of implementation of projects being co-financed by Cohesion Policy funds are processed in accordance with the Data Protection Act, 2001 by PPCD and by other stakeholders and competent authorities mandated to implement, monitor, execute payments, control and audit the project / contract. For any data protection queries email on datapro-ppcd.opm@gov.mt. Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 37 Section 17 – Conditionality and risks Conditionality and risks are issues pertaining to the project which could jeopardise its timely and effective implementation. These should be indicated clearly highlighting what could be done, by when and by whom. Conditionality/ies not within the control of the project is/are deemed to be risks and should also be included. If the Applicant fails to identify risks or the extent of the risks, projects which receive approval may have the grant agreement withdrawn by the Managing Authority at a later stage when the risks become apparent. Risk Description Consequence Probability (High, Medium, Low) Impact (High, Medium, Low) Response Strategy Technical Risks Financial Risks Legal Risks Capacity Risks Public Procurement Risks MEPA Permits Risks Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 38 Section 18 – Additional Information Please use this section to supply any additional information relating to previous sections which you feel is relevant. Please head your information using the numbers and heading within this form. Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 39 Section 19 – Declaration I declare that the entries and the details in the Application Form and any other annexes enclosed are, to the best of my knowledge and belief, correct. I also confirm that the EU Funds applied for is the minimum required for the project to proceed as described. I can also confirm that I am not aware of any reason why the project may not proceed or be delayed other than those reasons declared and the commitment can be made within the timescales indicated in the Operational Programme to which this project relates. I acknowledge that the application will be subject to regular monitoring/auditing and undertake to keep adequate records for this purpose, in line with the instructions received from the Managing Authority and according to the Manual of Procedures. I declare to abide to the durability clause enshrined in Council Regulation (EC) 1083/2006 which states that, an operation retains the contribution of the funds, only if that operation does not, within five years from the completion of the operation, undergo a substantial modification in line with said article. I also declare that if equipment is damaged, stolen or becomes obsolete during these five years, it will be replaced through the funds of the organization implementing the project to be able to sustain the financing. I also declare that this project or parts of the project is not being supported through other public/Community Funding and I will abide by the principle of good governance on matters related to procurement. I also declare that I will use fair, transparent and competitive procedures in any employment contracts. I understand that if the information included in the Application Form is found to be not factually correct, the project application may be rejected. I understand that if the application is not complete in all relevant detail and every aspect, including this section, it may also be rejected. Project Leader (Name in Block Letters) Signature and stamp CEO/Head of Applicant Organisation Legal Representative of the Organisation (Name in Block Letters) Signature and stamp Permanent Secretary (Name in Block Capitals) (only in case of Public Sector Organisation) Signature and stamp Date Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 40 Section 20 - Checklist of Attachments The following is the list of possible supporting documents mentioned elsewhere in this form or in the guidance notes. It is the responsibility of the Applicant to ensure that all the documents that apply to this application are enclosed. It is also the responsibility of the Applicant to ensure that all documentation presented are properly bound. The Managing Authority will not be held responsible for the misplacement of any unbound documents. Original signed and stamped Application Form (including supporting documentation) (obligatory) Seven copies in electronic format (in both Word AND PDF) (including supporting documentation & annexes) (obligatory)25 Proof of Co-financing – Joint declaration by executive/head and treasurer/financial controller (obligatory in cases where Government is not co-financing the project from the national budget) Proof of co-financing – a note from the organization’s auditor stating that the organization is likely to be able to meet the co-financing obligations and cover any ineligible costs (obligatory in cases where Government is not co-financing the project from the national budget) Proof of co-financing and sustainability check – Audited accounts of the last 2 financial years26 (obligatory in cases where Government is not co-financing the project from the national budget) Financial Assessment/Financial Feasibility Study/Cost Benefit Analysis, including a soft copy of the financial calculations, where applicable. Applicants must also submit a completed and signed checklist for project appraisal (a copy signed by the project proponent and another copy signed by the consultant). Legal Act constituting the organisation, where necessary and in case of non – Government entities Letter/s of intent (in case of partnership) Organigram / Organisation Chart27 Calculations of the annual (operational) costs involved in sustaining the project following the termination of the grant (obligatory). Where Government is not co-financing the project from the national budget, applicants must also provide a bank guarantee providing evidence that such costs can be supported following the termination of the grant Site plans of area of intervention, including technical designs, maps, diagrams and drawings, in case of physical works Bill of Quantities, where available Copy of official correspondence with MEPA Copy of official correspondence with SAMB28 If applicable, relevant organizational procedure for recruiting Project Management/Administrator Other supporting documents - please specify below All Annexes should be duly filed with a cover page detailing the contents of the documents provided. 25 In addition to the application form. In cases where the organisation has been set up for only one year, the audited accounts of the year would suffice. 27 Sections/roles related to project only 28 The Applicant should ideally include the SAMB position with the application. In any case the Applicant must submit the state aid position within one month of the closing date of this Call for proposals. 26 Cohesion Policy 2007-2013 ERDF Application Form (20/2014) 41