External Infrastructure Subsidy Scheme (EIS) 2015 ROUND APPLICATIONS *Indicate the External Infrastructure Subsidy Scheme round the school is submitting the application in: Round Title 2015 Due Date Corresponding Timeframe for any Ministerial Approval 27th Feb, 2015 April/May 2015 July 2015 (JUL15) 3rd July, 2015 Aug/Sept 2015 September 2015 (SEPT15) 21st Aug, 2015 Nov/Dec 2015 December 2015 (DEC15) 30th Oct, 2015 Jan/Feb 2016 March 2015 (MAR15) Round for Application Submission () SCHOOL INFORMATION School Name: School ABN: School Postal Address: School Telephone: Project Site, Campus Address: School Fax: Principal: Year School Commenced: Contact Person for Application: Position: School Authority: Authority ABN: DECLARATION I declare that the details in this application form are correct and I acknowledge that, should the school receive a grant and it be proved that the details supplied in this application are incorrect; the grant may be forfeited at QIS BGA’s and/or the Queensland State Government’s discretion. --------------------------------Principal signature ---------------------- ---------------------------------Date ---------------------------------School Authority(as required) ----------------- --------------------------------- --------------------------------- Principal name School Authority signatory name ---------------------------------Date Important Information on the External Infrastructure Subsidy Scheme (EIS) An EIS subsidy on an approved project for EI project work or trunk charges cannot be paid if commencement of, or payment for, the work PRECEDES any announcement of Ministerial approval. Project Eligibility Subject to the number and value of applications in any round, a subsidy of up to 50% may be approved for: Trunk charges such as, water supply, sewerage, storm water drainage, environmental spaces, local parks ; and/or External infrastructure project work costs (examples below); and/or The cost of INTERNAL pick-up and set-down areas for DEVELOPING schools , where circumstances dictate that the areas should be internal to the school site, and: o Where the developing school has been operating for a period of less than 10 years, and/or o Where inclusion of a new type of education results in that part of the school being classified as a ‘developing’. Applications may be submitted to QIS BGA when: Trunk charges required by the local authority have been calculated and finalised, as resulting from development application approval, and External infrastructure project work required by the local authority, external to the school’s boundary, has been fully costed with a schedule of costs prepared by professional consultants, such as an architect and/or engineer. A local authority requirement to site a pick-up and set down area inside the boundary of a developing school will be accepted, as per the above. **Other infrastructure projects, i.e. those INTERNAL to the school site, even if a requirement of the EI project works documented in this application, may be eligible for grants under a SCAS or CGP funding application which closes in March/April of each year. External Infrastructure Project Work- Examples External infrastructure project works required by local government authorities generally fall into one of the following categories: Services, Transport or Streetscape. Services - Include: water supply stormwater drainage fire service mains sewerage (consists of major trunk sewers, rising mains and pumping stations, treatment works and disposal after treatment) passenger pick-up and set-down areas (including private vehicles, buses and taxis) external to the school site busway stations (major facilities located on Regional Busway Network) bus stops, bus lay-bys and bus shelters footpath and footpath widening pedestrian crossing facilities bicycle paths noise attenuation structures external to the site (e.g. timber fences Transport - Includes: car parking external to the school site bicycle storage areas (more likely to be internal) acceleration/deceleration lanes road widening intersection channelisation roundabouts traffic signals signing line marking and lighting Streetscape - Includes: trees and other planting mounding and planting beds irrigation systems disability access signage street furniture (seats and shelters) features enhancing personal safety lighting street furniture (seats and shelters) footpath treatments (walkways/cycleway and turf) 2|Page 1. ELIGIBILITY Please respond to each question to establish that your school’s application meets the minimum requirements for funding eligibility under the External Infrastructure Subsidy Scheme. ) as relevant Tick ( Yes (a) No Has the Approved Authority executed a QIS BGA Participating Schools Agreement, nominating QIS BGA as the relevant Capital Assistance Authority for State Government funding purposes? If No, contact QIS BGA Executive Officer for EIS on (07) 3839 2142 before proceeding further. (b) Has the school’s Approved Authority received NSSAB accreditation for the site on which the EIS project will occur? If No, what date is the Approved Authority expecting accreditation to be finalised: (c) ..... / ….. / ….. Is evidence of the local government authority requirements, triggered by a school-based capital works project, available? If No, contact QIS BGA Executive Officer for EIS on (07) 3839 2142 before proceeding further. Additional information (for QIS BGA reference only) Has the capital works project been approved for capital assistance by QIS BGA? Year / Round for construction of the Approved Project: ........................................ Approved Project Description for the capital works: ........................................................................................................................................................ ........................................................................................................................................................ Projected cost of the Approved Project: (d) $ ....................................... Do the plans to be submitted with the application show that the proposed project works are entirely EXTERNAL to the school boundary? If No, contact QIS BGA Executive Officer for EIS on (07) 3839 2142 before proceeding further. (e) If the plans to be submitted indicate a pick-up and set down area INTERNAL to the school boundary, is evidence of this local government authority requirement available? If No, contact QIS BGA Executive Officer for EIS on (07) 3839 2142 before proceeding further. If Yes: Is the school a developing school, i.e. been in operation for less than 10 years? Has the school been accredited for the addition of a new type of education? Date of Accreditation: ..... / ….. / ….. 3|Page 2. PROPOSED PROJECT DETAILS *Please note that applications involving both trunk charges and external infrastructure project works will be treated as two (2) projects for the purposes of administering any future approved grants. A. Trunk Charges- details and request for subsidy The following documentation must be submitted with this application for a trunk charges subsidy: A copy of the directive from the local government authority, requiring the school authority to pay the trunk charges, such as an Adopted Infrastructure Charges Notice on local government authority letterhead. Describe the trunk charges, as required by the local government authority: ....................................................................................................................................................................................... Local authority Development Application Reference Number: Local authority notification of trunk charges cost: ........................................ $........................................ B. External Infrastructure Project Work- details and request for subsidy The following documentation must be submitted with this application for an external infrastructure project works subsidy: Evidence of the local government authority requirements, such as any conditions attached to a development application approval. Plans for the full extent of the project scope of works, inclusive of scale, dimensions etc. (NOTE- Drawings for an internal pick-up and set down area in a developing school should be marked up to exclude any car parks and roads NOT ESSENTIAL for the purposes of pick-up and set down.) Documentation detailing costs associated with each element of the project works prepared by an architect and/or engineer, such as a formal schedule of costs. Where applicable, at least three (3) quotes on any external infrastructure works, if deemed to be minor works. (NOTE- QIS BGA requires that approved project works over $100,000 will be subject to tender processes as per Australian Standard AS4120 – Australian Standard Code of Tendering) Description of the external infrastructure project works included in the drawings and schedule of costs, including professional fees: ....................................................................................................................................................................................... ....................................................................................................................................................................................... Local authority Development Application Reference Number: Proposed project cost of external infrastructure works: (Quotes for minor works must be attached) ........................................ $........................................ Construction of EI project will commence: ..... / ….. / ….. Construction of the EI project will be completed: ..... / ….. / ….. *For submission of application, e-mail completed application with required supporting documentation to QIS BGA Executive Officer for EIS: kburnett@isq.qld.edu.au 4|Page