· Web viewAid will not be given for works commenced before application has been formally processed, deemed eligible, letter of offer of grant aid & contractual agreement has been

Avondhu BlackwaterPartnership CLGRural Development Programme 2014 – 2020Application

Programme: Rural Development Programme 2014 – 2020

Project Reference No. Click here to enter text.

FOR OFFICE USE ONLY

ACKNOWLEDGED BY:__________________________________

Date: _____/_____/_____

DATE STAMPED ON RECEIPT

Please read this before completing and submittingthe Application Form

This form does not constitute an offer of financial assistance and no staff member or representative of this company is in a position to make any commitment to any applicant for funding.

Avondhu Blackwater require where appropriate, throughout the Application, “N/A” may be used; however, it is a REQUIREMENT that a short narrative is added to justify the “N/A” response where appropriate. Where there is not sufficient space for an answer, please attach a separate sheet with full information. Where boxes are provided please mark the respective box with a √ or X.

If, for the purpose of obtaining aid under the Rural Development Programme, a person makes a false or misleading statement or withholds essential information, any grant which may be given will be recouped or withheld.

This application must be accompanied by supporting documentations as per Application Checklist attached. (Please tick each item which is included with your application).

GRANT AID CANNOT BE GIVEN RETROSPECTIVELY

Aid will not be given for works commenced before application has been formally processed, deemed eligible, letter of offer of grant aid & contractual agreement has been sent to the promoter and the promoter has formally accepted this offer. Eligible expenditure of the project is deemed to be from the date the “Acceptance Slip” of the Letter of Offer is signed and dated by the project promoter and is stamped by Avondhu Blackwater Partnership as RECEIVED.

Projects must be situated in the Avondhu Blackwater Partnership area of operation.

You may download a WORD version of the Application form to complete from www.avondhublackwater.com

Once you have completed the Application Form, please print and Sign and Date the form where necessary.

Return this form to: By Post:

Avondhu Blackwater Partnership CLG,The Mill, Castletownroche, Co. Cork P51 F9PX

By Email:[email protected]

1. Applicant DetailsName of Community/ Business/ Group/ etc: Click here to enter text.

Contact Name: Click here to enter text.

Position: Click here to enter text.

Tel No. Click here to enter text. Mobile No.Click here to enter text.

Email: Click here to enter text.

Have you received funding under the previous LEADER programmes? Yes ☐ No☐

Classification of Promoter: (Cross appropriate box and include copies of supporting governing documents with this application.)

☐ Sole Trader☐ Community Council☐ Farmer☐ Trust☐ Formalised Community/Voluntary group☐ Partnership☐ Companies Limited by Guarantee☐ Limited Company☐ Designated Activity Company limited by shares☐ Private Individual☐ Registered Charity☐ Cooperative society registered under the Industrial & Provident Societies Act☐ Other

If applying as a farmer, please confirm the following:

Provide a copy of your most recent SPS application form/SPS Statement as confirmation

DAFM Identifier Type: Click here to enter text. Identifier No.: Click here to enter text. (ie Herd no./Flock no./Cereal no.)

Have you had any penalties applied under any DAFM Scheme Yes ☐ No☐

If applying as a Community Organisation, please confirm the following:

Registration Details (Provide details of your organisations registration details. If registered as a charity, please provide details also.)

Company Registration Number: Click here to enter text.

Charity Number: Click here to enter text.

eTax Clearance Details (Provide your eTax details for verification if applicable.)

Tax Reference Number: Click here to enter text.

Tax Clearance Access Number: Click here to enter text.

**Please confirm that the group give authorisation to confirm Tax Clearance status

Yes ☐ No☐

VAT Details

Are you, your group or your company VAT registered? Yes ☐ No☐

If Yes, please give the VAT registration number: Click here to enter text.

If No, please attach letter of confirmation from Revenue.

Outline previous project experience

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Outline the relevant Education/ Qualifications/ Skills to implement the project (This may include previous project experience including LEADER etc)


2. Project DetailsProject Title: Click here to enter text.

Project Location: Click here to enter text.

Describe your idea, activity, product or service IN DETAIL. Enclose sketches, Sq Feet of idea or samples if available.


For all Projects, please state the intended: Start date:Click here to enter a date. End Date: Click here to enter a date.

To assist with project cash-flow you may request phase payments of grant aid should you be successful. This is subject to LAG approval.

Please tick the box if you wish to be considered for phase payments for your project. Yes ☐ No ☐

Do you own the premises/ site where the project is proposed?

Yes ☐ No ☐ N/a ☐

If not, please give details of the lease/ rental details if relevant:


If relevant, have all necessary permissions and consents been obtained for the development?


If No, what is the current situation with the Planning Application? Please attach confirmation from Cork County Council that planning is not required.


Is an Appropriate or Environmental Impact Assessment required for your project? If Yes, please attach.

Yes ☐ No ☐

Is this a Heritage Project? If Yes, please see additional guidelines.

Yes ☐ No ☐

3. MarketingPlease provide details of any research undertaken by you, or on your behalf, to estimate the potential demand for your product or service. Also state how this research was undertaken.


Describe who your customers for the product/ service are. (Where possible, specify market size, location, percentage share of the market you hope to achieve and seasonal variations in demand.)


Who are your main competitors and where are they located?


Will your product divert from existing products/ services?


Will your project generate a new demand?


Is the proposed project likely to compete with a similar local facility? State how it is established that displacement will not occur.


How do you propose to promote the Product/ Service and how much do you propose to spend on promotional activities?


Please provide details of prices you propose to charge for the Product/ Service.


How do you intend to ensure the sustainability of your Service/ Product in the future?


4. Benefits of the ProjectOutline the benefits of your project in terms of the following: Your business/ community/ the local economy/ environment/ sustainability.

For all projects, please comment on the environmental impact of your project


Outline what specific needs/ requirements the proposed project will meet.


Provide details of the primary beneficiaries of the proposed project:


Please outline any aspects of the project you consider to be novel or innovative:


5. EmploymentPlease specify the number of persons currently employed:

Full Time No. Part Time No. Seasonal No.Male Female Male Female Male Female

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TOTAL Click here to enter text. Click here to enter text. Click here to enter text.

Will this Project help sustain existing employment? If yes, please outline how.


Future Employment Levels:

Please indicate future employment levels in relation to your project receiving funding.

Full Time No. Part Time No. Seasonal No.Male Female Male Female Male Female

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TOTAL Click here to enter text. Click here to enter text. Click here to enter text.

State any other ways in which this project may contribute to employment creation:


6. Project CostsPlease include quotations for each item of expenditure. Please list all of the purchases required to undertake this project.

NOTE: If the Least Expensive quotation has not been chosen, a letter outlining the reason must be supplied. Please attach all relevant documentation with this application in relation to the relevant amount of quotations needed.

What is the nature of the assistance sought?

☐ Capital Expenditure ☐ Marketing☐ Training ☐ Technical Assistance (A&D)☐ Animation☐ Other (please specify) _______________________________________________

Please select the appropriate Rural Development Theme

Economic Development, Enterprise Development and Job Creation☐ Rural Tourism☐ Enterprise Development☐ Rural Towns☐ Broadband

Social Inclusion☐ Basic Services Targeted at hard to Reach Communities☐ Rural Youth

Rural Environment☐ Protection and Sustainable use of Water Resources ☐ Protections and Improvement of Local Biodiversity☐ Development of Renewable Energy

To determine the appropriate procurement procedure, you are required to indicate whether you are a Contracting Authority or Non-Contracting Authority. A Contracting Authority would have 50% or more of their operating costs funded from public sources.

☐ Contracting Authority☐ Non-Contracting Authority

* Please provide evidence supporting your decision if a Non-Contracting Authority

Please list and enter all Project Costs below of which funding is sought

Item Total Cost (ex VAT) Total Cost (inc. VAT)

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text.

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Total Cost of Project (ex VAT) € Click here to enter text.Total Cost of Project (inc. VAT) € Click here to enter text.

* Please use another sheet if necessary.

7. MoneyAmount

Total Cost of Project € Click here to enter text. Own Funds/ Revenue € Click here to enter text.Loan from Financial Institution € Click here to enter text.Other Grant Aid € Click here to enter text.Sponsorship € Click here to enter text.Voluntary Labour € Click here to enter text.Other (please specify) € Click here to enter text.Total Amount funding requested € Click here to enter text.

What will be the effects to your project of not receiving RDP assistance? ☐ It will not proceed at all☐ It will proceed as planned☐ It proceed on a smaller scale☐ It will take longer to complete (Specify how long) Click here to enter text.

Outline reasons why you consider the project has the capacity to be successful.


Have you applied to any Funding Agency* in respect of this project or any other? *(e.g County Enterprise Board, Enterprise Ireland, Fáilte Ireland, Regional Tourism Organisation, National Lottery, Bord Bia, FÁS, VEC, Teagasc, other Semi-State Agencies or Government Departments)

Yes ☐ No ☐

If Yes, give details. (Please NOTE: Rural Development Programme 2014-2020 funding is subject to the de-minimis rule (commission regulations (EC) No. 1998/2006). The overall limit of the de-minimis shall not exceed €200,000 over any 3 year period. You are required to inform the group, if you have received funding for this project in the past 3 years.)


If No, why not?


Annex 1. Rates of Aid

Summary of Current Funding Ceilings and Support Rates

Type of Project Applicant Maximum Rate of Aid Maximum Funding

Investment & other supports (including animation undertaken as part of the implementation of a project)

Private Up to a maximum of 50%

€200,000 Community Up to a maximum of

75%

Community under basic services targeted at hard to reach communities sub-theme

Up to a maximum of 90%

Analysis and Development

Private Up to a maximum of 75%

€30,000

Community Up to a maximum of 90%

Training Private or Community Up to a maximum of 100%

€200,000

Annex 2. Declaration of State Aid/ De Minimis

Declaration of State Aid/ De Minimis

The aid being sought is provided under the European Commission Regulation on De Minimis

Aid. Small amounts of State aid, up to 200,000 Euros in any three-year period to any one

enterprise, are regarded as too small to significantly affect trade or competition in the

common market. Such amounts are regarded as falling outside the category of State aid that

is banned by the EC Treaty and can be awarded without notification to or clearance by the

European Commission. A Member State is required to have a mechanism to track such aid

(called 'De Minimis aid') and to ensure that the combined amount of De Minimis aid

payments from all sources to one enterprise in any three-year period respects the 200,000

Euro ceiling. Please provide details of all other De Minimis aid which has been granted to

your company within the past three years. It should be noted that a false declaration by a

company resulting in the threshold of 200,000 Euro being exceeded could later give rise to

the aid being recovered with interest.

I wish to apply for LEADER funding under the De Minimis Regulation (EC) 1407/2013 of 18

December 2013. I confirm that Click here to enter text. has been granted only the following de

minimis aid within the past three years (details to be supplied)

Name of Aid Amount Awarded Date Awarded

Click here to enter text. € Click here to enter text. Click here to enter a

date.

Click here to enter text.€ Click here to enter text. Click here to enter a

date.


date.


date.

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date.*Please use a separate sheet if necessary

Signed for Promoter: _______________________________________________________Date: ____________________________________________________________________

Annex 3. Declaration

I hereby confirm that I have read the Rural Development Programme Objectives and Rules and declare that the particulars supplied in this application are true and correct. I request that assistance be given in support of the project as outlined and certify that, if made, the grant will be solely for the purpose for which it is approved.

I understand that if I am found to have made a false declaration, I shall be excluded from support by the EAFRD, and any amounts already paid for that operation must be recovered. In addition, I will be excluded from receiving support under the same measure for the EAFRD year in question and for the following EAFRD year.

Signature of Applicant _________________________________________________

Date ________________________________________________________________

Please return this form and relevant documentation to us at the following address:

Avondhu/ Blackwater Partnership Limited, “The Mill”, Castletownroche, Co. Cork.

Fax: 022 46580

PROJECT DETAILS WILL BE TREATED IN THE STRICTEST OF CONFIDENCE

For Office Use Only

Signature of Staff Member:__________________________________________________ Date:_____________________________________________________________________

Annex 4. Data Protection

Information that we record, including information that you give us, is added to our records. The data supplied will be processed in accordance with the Data Protection Acts 1988 and 2003

You have the right, given by the Data Protection Acts of 1988 and 2003 to obtain a print out of your computer record at any time. You can get this by contacting us. The information we record is used only for the following purposes:

Processing applications. Compiling statistical information to help us plan and improve our services. Analysing information about applicants for other bodies such as Government,

Departments, and producing our own statistics for publication.

Once the grant has been issued, under Article 111 of Commission Regulation (EC) No. 1306/2013, it is a requirement that details of CAP beneficiaries are published on the Department of Agriculture, Food and Marine’s website, the Department and/or the LAG website.

The CAP beneficiaries’ details will include the name of the project promoter/beneficiary, the town where the beneficiary resides or is registered (including postal code if available) and the total amount of public funding received by the beneficiary for the particular year.

Successful project data will be made public and that the data may be processed by auditing and investigating bodies of the European Union and the Member States for the purpose of safeguarding the Union’s financial interests.

Personal information about you will be disclosed only in accordance with Avondhu Blackwater Parnership’s registration under the Data Protection Act. The purpose for which we hold information and the people and bodies to whom we may disclose it are listed in the Register of Data Controllers.

This is a public register kept by the Office of the Data Commissioner and you may inspect it free of charge

Office of the Data Protection Commissioner. Canal House, Station Road, Portarlington, Co. Laois, R32 AP23, Ireland. LoCall 1890 25 22 | Phone +353 57 868 4800 | Fax +353 57 868 4757 email: [email protected].

I have read and understand the above statement and consent to the use and disclosure of data and information as outlined above.

Name: ____________________________________________________________________

Date: _____________________________________________________________________

*Witness: _________________________________________________________________

*Staff Member Avondhu Blackwater Partnership

mailto:[email protected]

☐ Please send me useful information on Funding Updates, News and other related items to Avondhu Blackwater Partnership.

Annex 5. Application ChecklistApplication Stage

Description Check1 Completed Application Form Signed and Dated. 2 De Minimis Declaration has been signed and dated. 3 Data Protection Form has been signed and dated.4 Constitution in the case of a Community/ Voluntary Group,

Memorandum & Articles of Association and Certificate of Incorporation in the case of a company.

5 Business Plan/ Strategic Plan where applicable, signed and dated.6 Audited Accounts for the past three years, signed and dated.

Accounts/ Financial Statements signed & dated in the case of a community/ voluntary group.

7 Bank Statements for the past three months.8 Evidence of Matching Funding (Evidence that the promoter can

provide the requisite portion of project costs – Bank balance/ loan)Evidence of Bridging Finance (Evidence that the promoter can provide 100% of project costs – Bank balance/ loan)

9 Up to date Tax Clearance Cert/ Information to verify.10 Letter of VAT Status from Revenue Commissioners.11 Promoters Reliability Declaration12 Letter from Revenue Commissioner if claiming Charitable Status. 13 Signed & Dated Quotations/ Tenders with a completed Schedule of

Quotations.14 Is the Tender Audit Trail attached – RFT, Evidence of Publication,

Tender Responses, Score sheets and Evidence of selection procedure, Notification of intention to award, Letters of Success/ Unsuccessful.

15 Evidence supporting if the promoter is a Non-Contracting Authority16 Information to verify Tax Clearance Certs of Contractors/ Suppliers17 Insurance of Contractors18 Copy of Promoters Insurance19 Evidence of Ownership with Folio and map/ Stamped Deed Certified

by a solicitor.In the case of a Lease Agreement, the lease agreement Certified by a solicitor signed by both lessee and lessor. The leased land shall be identified by area and map. The lease shall stipulate the term, and shall be for a period of not less than 5 years from the date of final RDP payment to the promoter.

20 A letter of confirmation of Planning Permission/ Fire Certificate. If Planning Permission is not required, confirmation from the local authority is required.

21 For Heritage Projects, consents and approvals as per guidance, and complete checklist for projects affecting heritage.

22 Where the project involves Benefit in Kind/ Voluntary Labour, the value must be certified by an appropriately qualified third party. Voluntary timesheets must be submitted signed and dated.

23 Confirmation that a Business Promoter is an SME with <250

employees, having an annual turnover of less that €50million and an annual balance sheet total not exceeding €43million.

24 In the event of purchasing 2nd hand equipment the promoter must submit the requisite documentation.

Documents

· Web viewAid will not be given for works commenced before application has been formally processed, deemed eligible, letter of offer of grant aid & contractual agreement has been