Applications Under 500K -Phil Edwards on 01952 384022

Brownfield Landand Property Development Fund – Unlocking Housing
Application for Funding (Grant or Loan)

This form is to be completed when applying for WMCA BLPDFTWC funding. Please fill in all appropriate answers, giving as much correct detail as possible. The text entry areas within this form are of a fixed size and therefore please ensure that your answers are contained within the set boundaries as shown in print view.For further information or advice on filling out this form contact:

Applications under £500k -Phil Edwards on 01952 384022

Applications over £500k - Gerald Gannaway on 0121 233 4903

1.Applicant Details
Applicant name
Company name / Registered company number
Project name
SPV entity or Borrowing entity (if any)
Company contact address
Email address
Telephone number / Mobile number
Amount of Funding requested (£)
Type of Funding Requested ( e.g Grant or Loan)
☐ Grant
☐ Loan
Total project costs (£)
2.Site Details
Site address (including postcode)
Area size of site (km2)
Historic occupiers and uses of the site
Is the site occupied at present
If yes, please answer, else leave blank:
Will the occupier vacate / Has suitable alternative accommodation been found
Who are the adjacent occupiers and uses (e.g Industrial, Commercial or Residential)
Who currently owns the land
Please answer appropriate column:
Land needs to be acquired / Landowner already
Has purchase price been agreed / Date of acquisition
Is the offer conditional / Cost of acquisition
Any other bidders or has applicant got exclusivity / Current estimated value
Basis of valuation
What is the current planning status
If a new application is being made, please answer, else leave blank:
What is the site use applied for / Current status of the new application
Are planners supportive of new proposal
If yes please provide contact details
What are the likely sectional costs/agreements (e.g s106, s278, CIL etc)
3.Project Details
Please provide a description and information on the intended development (e.g. industrial units, office, commercial, leisure or residential)
Please attach a copy of your detailed development appraisal, with assumptions on costs and sales revenues, when submitting your application.
4.Project Timescales
Anticipated start on site
Anticipated completion date
Anticipated sale or repayment date
Please attach a copy of your forecast development programme, when submitting your application.
5.Economic & Social Impact / Outputs
Please provide details of the wider economic growth and social impact of the proposed development, community regeneration etc.
Please indicate which of the WMCA SEP and Fund Objectives the project will contribute to:-
New Jobs
Houses
Commercial floorspace
Significant Private Sector Funding Leveraged
6.Tangible Outputs/Outcomes to be realised
What are the expected tangible outputs/outcomes to be realised:-
Apprenticeships started/completed if any
Jobs created/safeguarded. Please specify direct and indirect, full time part time and those that are short term within the development programme, and permanent long term
Houses to be provided
Land regenerated (hectares)
Employment floorspace (meters)
Private sector leverage (equity and debt)
How will the outputs be measured
7.Financial Appraisal
Total costs
Amount of equity contribution and source
Gross development value (and assumptions)
Proposed funding structure (e.g Equity, Mezzanine, Debt)
Other lenders involved (please provide details of agreed terms and security required)
Amount of grant/viability gap and security available
Please outline the key project risks and how they will be managed
-E.g Financials, Construction, Timescales
-Sales/ letting
Please outline any key assumptions
8.Land Remediation/ Viability Gap
Please describe the type of remediation required or viability gap
Have site investigation and geotechnical investigations been undertaken
If yes, please attach copies of these reports, when submitting your application
Have costings been obtained on remediation required
If yes, please attach copies of these (generally three quotes should be obtained), when submitting your application
9.Developer Details
Please provide details on preferred contractors (name, contact details etc), their capabilities and track record of delivery on similar projects
Please provide details of your management and development team (internal and external)
Please attach copies of your management and development team’s CVs, when submitting your application
Please attach a copy of your financial track record, providing a minimum of 2 years of audited accounts and management, when submitting your application
Please provide details of ownership shareholding of applicant entity, and all key stakeholders/ beneficiaries.
If a plc, leave blank
Please provide details of your professional team and advisors to be engaged
What is your sales and marketing strategy (if applicable)
Please attach evidence of market demand and independent advisors used
10. State Aid Rules
It is the obligation of the applicant to ensure compliance with State Aid Rules
Applicants are required to obtain their own legal advice in this regard
Please attach a copy of your legal advice
11. Prosper Declaration
I/we confirm that I/we are authorised by my organisation to make applications for funding and to make legally binding commitments on its behalf, and that the information contained in this proposal is correct to the best of my/our knowledge
I/we also confirm that I/we understand the conditions of grant for site investigations/development studies, including the obligation to repay the Grant if we do not deliver a scheme on the site following development/investigation, or , in such other circumstances as the final grant conditions require
I/we confirm that I/we understand my/our obligations to procures services and goods in line with EU Procurement Rules (applicable to Public Bodies)
I/we confirm that I/we have checked and been advised and are able to accept this grant without being in contravention of State Aid rules
I/we consent to the West Midlands Combined Authority or its appointed representative processing any personal data associated with this proposal for the purpose of processing the proposal and managing the proposal process
Signed ……………………………………………………… / Signed ………………………………………………………
Name ………………………………………………………. / Name ……………………………………………………….
Position …………………………………………………….. / Position ……………………………………………………..
End of Questions

Submitting final applications:

Once all questions have been answered and checked, please save and email over to:

Applications under £500k - Phil Edwards on 01952 384022
Applications over £500k - Gerald Gannaway on 0121 233 4903

Please also ensure that the following is also attached to the message.

A copy of your detailed project appraisal
A copy of your forecast development programme
If appropriate, copies of site investigation/geotechnical reports
If appropriate, copies of the remediation costing quotes (generally 3)
A copy of your management and development team CVs
A copy of your financial track record, providing a minimum of 2 years of audited accounts and management accounts for the developer
Evidence of market demand and independent advisors used
A completed state aid assessment form (see website)
Copy legal opinion in respect of State Aid