Repair & Renew Grant Application Form For households and

advertisement
Repair & Renew Grant Application Form
For households and businesses affected by flooding
between 1st April 2013 – 31st March 2014
1. Applicant Information
Name of Applicant:
Business Name:
(if applicable)
Address
Postcode:
Contact Telephone Number:
Mobile Telephone Number:
Website:
E-mail:
VAT Registration Number
(Businesses only if VAT
registered)
Any approved payments will be made by BACS payment, please provide bank details of payee:
Bank Name:
Account Name:
Account Number:
Sort Code:
2.
Address of property affected (if
different from above), including
postcode
Is the building residential or
commercial?
Is the building listed or in a
conservation area? Please
provide details
Are you the property owner or
tenant?
Property Flooded
Property Owner/Tenant/Lessee
Please note a tenant/lessee can only apply when they have
received and submitted written approval from the property owner
agreeing to the changes/grant aided works
Date property was initially flooded
3. Do you know the cause of the flooding
Tidal surge
Other (please specify)
4. Please briefly describe the primary damage that was caused by the flooding –
how has your property been affected by the flooding – please provide any
supporting evidence such as photographs
5. Please outline your insurance position
Not Insured
If the property wasn’t insured
has any work been done to
remediate since? Provide
details of any work
undertaken.
Insured
If yes provide details below
Type of Cover
Has a claim been made
What is the current status of
the claim
If the claim has been settled
please provide evidence of
how much and what was
claimed for.
6. What is the current status of the premises?
Empty
Partially Occupied
Fully Occupied
7. What Is your grant application for?
Resilience/ resistance measures
that you will install in the future
should your
grant be approved?
For resilience/ resistance
measures that you have already
purchased and
installed following the flooding
(retrospective application).
8. Is your application being submitted as a collaborative application?
Yes/No
If yes please outline the benefits and provide more information
9. Please indicate which of the available resilience/ resistance measures you intend
to or have installed (if a retrospective application), and cost (including VAT).
Two like for like quotes should be provided with your application to support the identified cost. Please
also supply either technical literature or a technical description of the proposed measures. If you have
not selected the cheapest available quote, please briefly explain why. Alternatively, retrospective
applications should answer question 11.
Please note that the maximum grant that can be applied for is £5,000 (including VAT costs if
unrecoverable). Any costs incurred above £5,000 will need to be met from your own funds.
When selecting which measures you intend to install, please read the application guidance note and we
strongly advise that you consider information available on reference websites such as
www.nationalfloodforum.org.uk/property-level-protection-community-tool/. The guidance will help you
select the appropriate resilience/ resistance measures for the nature of flooding in your area – not all of
the identified measures may be appropriate, and may make limited difference to protecting or
minimising the damage to your premises. Should you choose to seek professional advice such as from
a surveyor, builder or engineer accredited by a professional organisation such as RICS, the Institute of
Civil Engineers or the Chartered Institute of Builders, prior to making an application, you can
retrospectively claim up to £500 of the cost as part of your application. Please note that should your
application be successful, Redcar & Cleveland Borough Council and or Defra do not have any liability in
terms of the effectiveness of the grant aided measures.
An indicative list of flood resilience measures is provided at appendix 1.
If you identify a measure that is not on the standard list, you should provide full details in the table
below.
9. (cont) Please indicate which of the available resilience/ resistance measures you intend
to or have installed (if a retrospective application), and cost (including VAT).
Details of goods / services
being claimed
Date of
invoice
Copy of
invoice
attached (tick
& state
invoice no)
Value of Claim (excluding
recoverable VAT)
10. Two like for like quotes for the purchase and installation of the identified
measures should be included with your application together with either technical
literature or a technical description of the proposed measure. If you have not
selected the cheapest available quote, please briefly explain why.
11. FOR RETROSPECTIVE APPLICATIONS ONLY – If you are applying for works that
have already been undertaken, please briefly describe how you ensured value for
money i.e. utilised insurance company contractor, or sought quotes from a range of
providers. Evidence of quotes and invoices should please be included with your
application.
12. Have you received any alternative funding (such as previous grant
funding or insurance claim payment) for any of the equipment you are
applying for grant funding for?
If yes, please specify and state why also seeking Repair and Renew Grant support.
Yes/ No
13. FOR APPLICATIONS BUSINESS PREMISES ONLY – Have you received any other
public grant funding during the last three years? If so please specify awarding
body, detail of assistance received, date of assistance and amount.
10. Sign off
Your claim may be subject to audit at a later date. If, following payment, it is found that information
contained within the claim is incorrect or the protection measures have been removed from the property;
Redcar & Cleveland Borough Council may seek to recover the grant.
Please note that as this investment will involve expenditure of public resources, there is naturally public
interest in how funds are spent. Details of your claim may be published alongside others supported
through the flood funding. Details disclosed will include the name of business/organisation, the amount of
funding received and the locality (usually at Parish level).
Declaration and Undertaking
I confirm that, to the best of my knowledge and belief, all the information in this application is true and
correct. I understand that the details in this application may be shared between agencies involved in
issuing of flood funding; and that it is subject to publicity and procurement requirements should the
application be successful.
I agree to any disclosure or exchange of information about this application (including the content of any
declaration or undertaking) which the department considers appropriate for the administration, evaluation,
monitoring and publicising of the flood funding programme.
Signed
Print name
Position
Date
11. Submission checklist
Before submitting this application, please complete the following checklist to ensure
that you have completed all of the data required.
Yes
No
N/A
Does your business meet the SME criteria?
Are all questions answered fully?
Have you completed the required state aid declaration and De
Minimis Disclosure form?
Have you completed the Bank Account Details payment form?
Have you checked that the goods / services claimed for are not
recoverable by other assistance i.e. insurance, VAT recovery
etc.?
Have you included invoices for all items being claimed for?
Appendix 1
Indicative list of possible measures1 (Repair and Renew Grant)
Property level-measures Indicative cost range
£s2
Airbrick Cover
Sewerage Bung
Toilet Pan Seal
Self-closing airbrick
20-40
30-50
60-80
50-90
Non-return valves 12mm overflow pipe
Silicone gel around openings for cables
Repair mortar
Non-return valves 40mm utility waste pipe
Re-pointing external walls with water resistant mortar
Waterproof external walls
Sump Pump
Non-return valves 110mm soil waste pipe
Demountable Door Guards
Demountable Window Guards
Replace sand-cement screeds on solid concrete slabs
(with dense screed)
Replace ovens with raised, built-under type
Replace mineral insulation within walls with closed cell
insulation
Move electrics well above likely flood level
Replace chipboard flooring with treated timber floorboards
Mount boilers on wall
Automatic Door Guards
Move service meters above likely flood level
Garage/Driveway Barrier
Replace floor including joists with treated timber to make it
water resilient
Replace gypsum plaster with water resistant material, such
as lime
Replace chipboard kitchen/bathroom units with plastic
units
Install chemical damp-proof course below joist level
Replace timber floor with solid concrete
70-110
80-120
80-120
80-120
150-250
200-400
400-600
550-650
500-900
500-900
670-740
700-780
720-800
760-840
920-1020
1080-1200
1000-2000
1620-1800
2000-3000
3490-3850
4280-4740
5000-5520
6250-6910
8210-9070
Supplied by HM Government: Flood Support Schemes, Guidance Note: Updated 24th
February 2014
1
Download