Holton Road Commercial Renewal Area Grant
APPLICATION FORM FOR FUNDING SUPPORT
Vale of Glamorgan Council
Notes to applicants
 Answer all questions as fully as possible and delete answers as
appropriate.
 Please ensure all required information listed is included with your
application, only complete applications will be considered.
 Applicants are advised to retain a copy of their completed application
form.
 An electronic version of this form can be obtained by e-mailing
dcwilliams@valeofglamorgan.gov.uk
 Completion of this application form will NOT necessarily result in a
offer of grant assistance and the Council will not be liable for any
costs incurred as a result of unsuccessful applications
 Completed applications should be returned to:Vale of Glamorgan Council
Development Services
Economic Development Unit
Dock Office
Barry CF63 4RT
Tel: 01446 704753
Please refer to the applicant guide and indicate which grant you are
applying for? (Please Tick)
Commercial Improvement Grant
Town Centre Living Grant
1.0 APPLICANT & BUSINESS DETAILS
1.1
Applicant Contact Details
Name
Address
Telephone
Mobile
Fax
Postcode
1.2
E-mail
Do you have a trading name? (Delete)
YES
NO
If Yes, what is the trading name of your business?
1.3
What is the status of your business? (Please Tick)
Sole Trader
Partnership
Limited Company
Trust
Other (Please Specify)
1.4
1.5
Is your business a SME? (Small &
Medium Sized Enterprise, i.e. has less
than 250 employees)
YES
If your business is a Charity please provide your registration
number with the Charity Commission.
NO
1.6
If your business is a limited company please provide the
following:
Date of Registration
Registration Number
1.7
Are you in partnership with anyone,
whether or not in connection with
this grant application?
YES
NO
1.8
Have you ever been adjudged bankrupt,
YES
entered into a voluntary arrangement with
your creditors (formally or informally) or
been involved in any failed business previously?
NO
1.9
Have you ever been convicted of fraud or any YES
other offence involving dishonesty?
NO
1.10 Are you sourcing any other public sector
funding in relation to this proposed project?
YES
NO
1.11 Do you currently have any outstanding debts
with the Vale of Glamorgan Council?
YES
NO
If you answered “Yes” to any of the above questions, please provide
details. Processing of your application may be delayed as a result of any
discrepancies identified between the information provided on the
application and any checks undertaken by Vale of Glamorgan Council.
2.0 PROJECT DETAILS
2.1
Please provide details of the property for which grant aid is
being sought?
Address
Post Code
2.2
Is the building currently vacant?
YES
NO
If Yes, how long has the building been vacant and what is the
proposed use?
If No, what is the existing use and what is the proposed use?
2.3
Are you the freeholder of
the building?
Is the site leased?
YES
NO
YES
NO
If Yes, please provide the following
information and attach a copy of the
lease agreement together with
landowners consent.
Date Lease
Commenced
Term Of Lease
2.4
2.5
Please provide contact details of the person managing the
project e.g. architect.
Name
Address
Postcode
Tel.
Email
Contact
2.6
Please provide a detailed description of the project including
what works the grant will be used for?
2.7 When do you anticipate the project will start and finish?
Anticipated Start Date
Anticipated Finish Date
2.8
Are any statutory consents
required for the project?
YES
NO
If Yes, please detail below and supply copies of the relevant consents?
If No, please detail below and provide proof that the consents are not
required?
2.9
How many buildings will be improved
as part of the project?
2.10 What will the total internal
area of the project be? (sq/m)
2.11 How many new jobs will be created or safeguarded from the project?
Created
Full Time
Safeguarded
Part Time
3.0 PROJECT FUNDING & COSTS
3.1 Has the business received any
type of grant aid from the Vale of
Glamorgan Council in the last 5
years?
YES
NO
YES
NO
If Yes, please specify:
3.2 Has the business received in the
last 3 years, or is in the process of
applying for any type of grant aid from
another public source?
If Yes, please specify:
3.3 Has the business received De
Minimus aid in the last 3 years and if
so how much was this aid? (Please
refer to Section 3.6 of the Standard
Terms and Conditions).
YES
NO
If yes, please specify:
3.4 If the Vale of Glamorgan Council is unable to fund your project, what
will the effect be? (please tick)
The project will be delayed
The project will be reduced in scale
The project will not go ahead
Please give details:
Tender details
3.5 Applicants are required to submit at least three separate tenders,
based on the same specification, for the proposed works. Please list the
names of the firms who were issued with a tender and costs received
below. These costs should be supported with copies of itemised quotes.
Tender 1
Tender 2
Tender 3
Name of
Firm
Tender
Price
NET
VAT
GROSS
Please indicate below which tender you propose to accept and justify your
preferred choice of tenderer, taking into consideration the terms and
conditions of the tender invitation.
Costing
3.6 Total project costs
Please provide the following costs for the whole project:
NET
VAT
GROSS
Contract
Cost
Design/
Supervision
Other
(specify
below)*
TOTAL
PROJECT
COST
* Other (see above)
3.7 Eligible works
Please provide the following costs for the eligible works under the
project (please refer to the applicant guide)
NET
Contract
Cost
VAT
GROSS
Design/
supervision
Other
(specify
below)*
TOTAL
ELIGIBLE
COSTS
*other (see above)
3.8 Funding Breakdown
NET
VAT
GROSS
Funding
Sought*
*Please refer to the applicant guide
Match
Funding**
**Total project costs less (subtract) funding sought
3.9 Match Funding Sources
Applicants are required to provide proof of match funding e.g. bank
statement, audited accounts, confirmation letter from lender.
1
2
3
Funding
Source
Funding
amount
Status
Timetable
3.10 Have you received, or are you
applying for, financial assistance
for works not shown in the tenders
provided, but which are associated
with this project?
YES
NO
If Yes, please give full details.
DECLARATION
I declare that, to the best of my knowledge and belief, the information
given on this application form, and in any supporting material, is correct.
By signing this declaration I confirm:
 That the information I have given is accurate and true;
 That I understand that if I have made misleading statements or
withhold information at any point, my application will be invalid and
I will be liable to repay any money that I have received;
 That I have read, understood and confirm that I will be able to meet
the standard Terms and Conditions of the Grant;
 That I agree for the Vale of Glamorgan Council to contact Council
Tax, NNDR, and Company Records in order to undertake an
assessment of my financial circumstances;
 That I agree to the Vale of Glamorgan Council using and sharing
my information in the following ways. The Vale of Glamorgan
Council will use my information in the administration of the grant,
including providing it to third party’s working with the Council in
respect of the provision of grants. The Vale of Glamorgan Council
may disclose my information: where it is required to do so by law. I
understand that I have a right to receive details of certain
information held about me by applying to the Vale of Glamorgan
Council in writing; and,
 That I accept that the Vale of Glamorgan Council is subject to
access to information legislation which includes the Freedom of
Information Act and The Environmental Information Regulations
which provides a right to request information held by the Council. It
is the Councils decision as to whether information is released and
the legislation sets out a number of exemptions from the right. If
information is requested the Vale of Glamorgan Council may
consult with you on the issue.
I understand that acceptance of this application by the Vale of
Glamorgan Council does not in any way signify that the Council has
agreed that the project is eligible or will receive grant aid.
I am applying for a grant of
Which represents
%
Of the total cost shown in question 3.6.
I confirm that, from the start of any construction works, the property that
is the subject of this application will be insured against all normal risks. I
also confirm that this insurance will remain in place for a period of five (5)
years from the date that the project is completed.
Signed
Position
Date
APPLICANT CHECKLIST
Prior to submitting the application form please ensure that you have answered ALL
the questions and enclosed the following (if applicable)
An A4 size or OS map extract of sufficient scale to clearly
identify the exact location of the property concerned
YES
NO
A current schedule of condition/ structural survey of the
property prepared by a professionally qualified surveyor or
architect may be required depending on the nature of the
project. Applicants are requested to clarify with the Council
whether they fit into this category
YES
NO
Annotated drawings showing the existing building and the
proposed works together with a detailed specification of the
works. These should be prepared by a professionally qualified
architect or chartered surveyor or other person approved in
advance by the Council
YES
NO
Where applicable, copies of all relevant statutory consents, or
proof that consents are not required
YES
NO
Three itemised tenders which shall be based on the same
drawings and specification and which shall be broken down into
parts to show the cost of all works. It is important that all
tenders should be itemised in a similar manner to enable
comparison of prices
YES
NO
A Statement showing the proportion of the fees that are
attributed to the works and the name and qualifications of any
professional consultant employed by the applicant
YES
NO
Proof of land ownership or copy of lease together with
landowner consent. Please seek further advice from the
Council if you hold the original title proofs.
YES
NO
Proof of match funding
YES
NO
The Standard Terms and Conditions of the Grant have been
read and understood
YES
NO
Section 3.6 of the Standard Terms and Conditions of the Grant
which refers to State Aid have been read and understood
YES
NO