Flood Mitigation Projects
Application form 2013–14
Joint application package for Queensland disaster mitigation and resilience funding under the:
– Royalties for the Regions (R4R) flood mitigation projects
(Queensland Government funded)
– Local Government Floods Response Subsidy (LGFRS)
(Queensland Government funded)
– Natural Disaster Relief Program (NDRP)
(joint Queensland and Australian Government funded).
Instructions
To apply for funding for all hazards projects (excluding floods), complete one certification form and one all hazards
projects application form.
Please refer to the joint application package – information pack Queensland Disaster Mitigation and Resilience when
preparing your application.
Each application will be considered for funding under the three programs:
–
Royalties for the Regions (R4R) flood mitigation projects (Queensland Government funded)
–
Local Government Floods Response Subsidy (LGFRS) (Queensland Government funded)
–
Natural Disaster Relief Program (NDRP) (joint Queensland and Australian Government funded).
.
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
2
Section 1—Application snapshot and applicant details
To be completed and submitted for each application for funding.
1. Organisation name for joint applications, this should be the lead organisation
2. Project title brief title - maximum 10 words
3. Project description Summarise what you will be doing - maximum 60 words
4. Which best describes the proposed disaster mitigation or resilience project?
Studies and mapping
Infrastructure
Flood mapping
Flood mitigation – e.g. levees, detention basins,
floodgates
Flood management study
Flood mitigation to manage overland water flow – e.g.
backflow devices
Bushfire management study
Flood mitigation to protect essential infrastructure –
e.g. relocating electrical components of treatment
plants
Hazard risk map
Other disaster related infrastructure: provide details
Other: provide details
5. Project location e.g. town, region, catchment area– provide more details in Section 2
6. Total estimated project cost (ex GST)
$
7. Total funding sought in this application (ex GST)
$
8. Total other funding contributions to project (excluding 7 above) (ex GST)
$
9. Project priority—Are you submitting more than one application in this round? If so, enter the priority for
this application below (e.g. Priority 1 of 3 applications)
Yes – Priority
of
applications
No
10. Principal contact person This person will be contacted about the application.
Title:
Given name:
Position:
Surname:
Phone:
Mobile:
Email:
Fax:
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
11. Organisation details For joint applications, the should be the lead organisation
Organisation ABN
Local government - continue from Q12.
Organisation type
()
Other – specify:
Provide address details below:
Physical Address:
Street number
Town / suburb
Postal Address:
Number
Town / suburb
Street name
Postcode
QLD
Postcode
QLD
Street/post office
12. Is this a joint funding application? ()
Yes
Use the table below to list all partner organisations involved in the project
No
Details of partner organisations: joint applications only
1 Partner organisation name
Local government
Other – specify:
Position:
Organisation type ()
Contact title:
Given name:
Phone:
Surname:
Mobile:
Email:
Fax:
2 Partner organisation name:
Local government
Other – specify:
Position:
Organisation type ()
Contact title:
Given name:
Phone:
Email:
Surname:
Mobile:
Fax:
S
3 Partner organisation name:
Organisation type ()
Contact title:
Given name:
Phone:
Email:
Local government
Other – specify:
Position:
Surname:
Mobile:
Fax:
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
Section 2—Flood mitigation projects
To be completed for flood mitigation projects only. For example, flood management studies and mapping, or flood
mitigation infrastructure such as levees and detention basins.
1. Project title Brief title - maximum 10 words
2. Project description Summarise the main features, activities and outputs - maximum 60 words
3. Summarise the nature and history of the flood issue and the identified need being addressed by this
project. Include identified need (quantify scale of need), incidence and severity of past events (damages and
losses incurred), likelihood of recurrence and source (e.g. catchment, storm surge, overland flow or flash
flooding.)
4. Outline how the proposed project will build resilience and help to reduce the impact of future flooding,
and benefit the community? Include how the proposed project will assist; if the project is an element of a larger
mitigation activity; details of complementary measures planned and for studies and research projects, proposed
methodology and outputs. For example, the flood study will include products to meet future land use planning
and disaster management needs.
5. Details of catchment-wide considerations incorporated into the proposed project. Include details of
catchment-wide consultation undertaken and the resulting considerations, strategies and evidence of support
from catchment partners.
6. Details of other options that were considered when developing this project proposal and why this
particular option was chosen.
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
7. Details of any existing works, measures or related activities that address the flood risk. For example,
research activities, planning measures and controls or existing mitigation structures. Please include comments
on their effectiveness taking into account issues such as capacity and limitations, age, state or repair. Please
also provide information about existing emergency management measures (e.g. evacuation routes, refuge areas,
evacuation / emergency management plans).
8. Previous studies undertaken Use the table below to provide details of studies or research previously undertaken into
the flood risk / proposed project.
Title
Author
Year
Attached
()
Explain how the study supports the proposed
project
9. Project evaluation – details of the indicators and quantitative measures you will use to assess and report
on the effectiveness of the completed project?
10. Proposed project delivery timeframe
What stage has the project reached? ()
detailed design
contractual stage
tender stage
ready to commence
Proposed commencement date:
Proposed completion date:
11. Are there any issues to be addressed that may impact on the commencement and completion of this
project? e.g. licences, project site, road reserve, native title, cultural heritage or strategic cropping land issues
Yes
Detail issues and how they are being addressed
or resolved. Please attach supporting documents.
No
12. Project plan completed and attached (refer to the project plan outline at Appendix 3)
Yes, documents are attached
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
13. Is this application for an infrastructure project? (e.g. levee, detention basin, backflow devices)
Yes - continue below
No - Section 2 is completed
14. Is the proposed mitigation infrastructure supported by a flood management study?
Yes – attached
No – please outline the reason for this:
15. Project type
new infrastructure
upgrade to existing infrastructure
replacement of existing infrastructure
other – please specify:
16. Project location actual site address
Street number/location
Street name
Town/suburb
For GIS spatial mapping purposes, please attach one of the following:
ESRI Shape file attached - reference number
or
MapInfo TAB file attached - reference number
Postcode
QLD
or
real property description of the project site details are provided below:
Lot number
Parish
Registered plan
County
Title reference
Longitude start
Finish
Latitude start
Finish
17. Who owns the land where the project will be located?
applicant
Queensland Government – please specify the agency responsible for the land or the type of land (e.g. Crown,
road reserve):
Please attach supporting documentation.
Other – details:
If applicant does not own the land: Provide details (e.g. land acquisition by purchase, land use through lease or
deed, or permission from owner/s etc):
Please attach supporting documentation.
18. What impact will this project have on the economy? For example, job generation, new industry opportunities
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
19. Provide details of community and or regional support for the project. Include results of community/regional
consultation. Please attach evidence, or for on-line evidence, provide relevant hyperlinks.
If yes, provide details, including title and relevant reference
page number/s.
20. Does this project link to:
Community infrastructure mitigation
strategy from a major project
environmental study?
Planning processes or regional plans?
Yes
Details:
No
Yes
Details:
No
21. Details of approvals and/or licences required for this project
List approvals and/or licences required to deliver this project and indicate current status.
Current status
Regulatory
Licence/approval required
Comments
Approved
Not yet
agency
approved
22. Confirmation of commitment to the ongoing operation and maintenance of the proposed infrastructure
project, post completion.
Will the completed infrastructure project be included in the organisation’s asset management
plan where relevant?
Will recurrent operation and maintenance costs for the completed project be included in annual
budgets?
Yes
Not applicable
Yes
23. Local industry participation Provide details of how local participation policy expectations have been met, for
example, consideration during procurement process of local contractors or workforce.
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
Section 3—Proposed project budget
To be completed and submitted for each application for funding.
1. Proposed project budget – funding contributions to the proposed project (all figures to be GST exclusive)
Total funding sought in this application (ex GST)
A
$
B
$
Other funding contributions (if applicable)
Source
Program title
Approved
Y/N
Amount
(ex GST)
$
$
$
$
Total other contributions (GST exclusive)
Applicant’s own contributions (for joint applications list lead organisation followed by each partner organisation)
$
$
$
$
Total own contributions (ex GST)
C
$
Total project costs A+B+C = D
D
$
Eligible project costs (D – B = E)
E
$
Subsidy Percentage sought (A/E%)
2. Project cost breakdown completed and attached (complete section 4)
Yes - attached
3. How have you determined costs for this project and in what way is this project good value for money?
4. Has the Queensland Government previously funded any component of this project?
Yes – provide details (the department/agency the funding was provided by, program, amount, date approved,
purpose etc.
No
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
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Section 4—Breakdown of project costs
To be completed and submitted for each application for funding.
Project items
Funding
sought
Own source
contribution
Other
contributions
Total item
cost
Project implementation
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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$
$
$
$
$
$
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$
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$
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$
$
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$
$
$
Project management
Wages (project personnel only)
Construction
Building escalation (if not included in quotes)
Professional fees
Statutory fees and charges
Other (please specify)
Contingency (allow maximum 15%)
Total project cost
Flood Mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
10
Section 5—Supporting documents
List all supporting documents attached to this application. To be completed and submitted for each application for
funding.
Number and name of each supporting document.
1. Project cost breakdown (section 4)
2. Project plan (use outline at Appendix 1)
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
Attached
()
Appendix 1—Project plan outline
Applicant’s detailed project plan is to include the following:





project title
executive summary
list of technical terms and acronyms
project scope of works including:
- outputs (list items that will be produced by the project)
- outcomes (what the project aims to achieve)
project management, including:
- key project personnel
- project manager, including their expertise, skills and contact details
- specialist expertise
- project constraints
- key performance indicators
- project deliverables and expenditure milestones provided in a table similar to below:
Project stage or major task




Start
date
End
date
Estimated
expenditure
Milestone
required project budget (including assumptions) for construction period and initial operating period
required project cash flows
project risk management plan – identify and describe how project risks will be mitigated or managed (sample
provided over page)
a completed cost benefit analysis (CBA)* involving a comprehensive economic evaluation of all the costs and
benefits associated with the project, including:
- cost-effectiveness (where benefits cannot be identified and quantified)
- social benefits/impacts
- environmental benefits/impacts
- assessment
* In relation to the CBA, please ensure compliance with Queensland Government guidelines as per the Project Assurance Framework –
Cost Benefit Analysis guidelines is available from Queensland Treasury.



reference materials, where relevant, such as site designs, maps and photos
flood management study for infrastructure projects only
key project personnel for infrastructure projects only
The key project personnel must have the capabilities, skills and expertise to successfully deliver the project.
Please provide relevant details of key personnel below. Please note, this information is being requested for
due diligence purposes also.
Full name
Date of
birth
Role
Key skills
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
Likelihood
Risk
Risk level
Sample risk register
Risk identification – identify major factors which could significantly influence the timing, cost or scope of the work,
and assign each a rick level and likelihood rating. Identify strategies to mitigate these risks.
Risk level: high (H), medium (M), low (L)
Likelihood: likely (L), possible (P), unlikely (U)
Mitigation strategy
Example risks are as follows:
Commencement of project
Capability to deliver within timeframes
Site risk
Construction delays
Construction damages and other risks
Contractor/sponsor risks
Operational risks
Market/demand risks
Force majeure
Timing
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14
Appendix 2—Applicant checklist
Certification form
Certification completed and signed in the space provided by delegated officer

For local governments – mayor and chief executive officer

For a regional organisation of councils – chair and chief executive
officer

For other applicants – the delegated officer
Scanned signed certification page attached to completed application email
Section 1
Application project snapshot complete
Project prioritised
Principal applicant details provided
Partner organisations listed and attached - joint applications only
Section 2
All Flood mitigation projects details provided and all questions answered
Flood
mitigation
projects
Evidence off support from catchment partners attached
Issues to be addressed – supporting documents attached
Project plan completed (refer outline sample Appendix 1)
Project plan attached
Flood mitigation infrastructure projects only:
Flood management study attached
Land ownership supporting documents attached
Evidence of support for the proposed project - attached
Section 3
Funding contributions provided
Value for money information provided
Section 4
Project cost breakdown completed (use Appendix 2)
Project cost breakdown attached
Section 5
All supporting documents listed
All supporting documents attached to application
Email the following to lgfundingunit@dlgcrr.qld.gov.au by the closing date

electronic copy of the application form and

scanned signed certification form and

named and numbered supporting documents for the application.
Flood mitigation projects application form
Joint application package for Queensland disaster mitigation and resilience funding 2013–14