Cross Border Cooperation Programme 2014-2020

Annex I

Latvia – Russia

Cross Border Cooperation Programme 2014-2020

Project Summary Form

For Direct Award Projects

Title of the Project
Project Applicant / Fill in the name of the Applicant submitting the project summary form in the national language of the Applicant / Fill in the name of the Applicant in English
Project Partners / Fill in the names of the partners in their national languages / Fill in the names of the partners in English
Location of the Project / Please specify the regions in which the project activities will be implemented
Total Project budget / State the total budget of the project
Programme co-financing / State the Programme co-financing
Partner’s contribution / State the contribution by project partners
Expected project implementation period
Project number / Filled in by the JTS
Date of receipt / Filled in by the JTS

Contact details of the Applicant for the purpose of this project:

Fill in the requested information on the person who will be in charge of the Project Summary Form throughout its submission and verification process. Please note that only this person will be contacted by the Programme implementation bodies, i.e. he/she will receive the letters addressed to the Applicant

Postal address:
Telephone number: Country code + city code + number
Contact person for this project:
Contact person’s email address:
Website of the Organisation

NOTE!

Any change in the addresses, phone numbers and in particular e-mail, must be notified in writing to the Managing Authority. The Managing Authority will not be held responsible in case it cannot contact theApplicant.

Guidance FOR filling in THE PROJECT summary form

The Applicant has to ensure that the project description part of the Project Summary Form:

does not exceed 20 full pages (A4 size) of Verdana 9 characters;
it is expected that the size of each section will reflect the relative importance of each heading. The applicant may provide any additional information that is deemed useful, but which might not have been specifically requested (e.g. added value and/or synergy with other similar interventions - past, present, or planned - activities, multiplier or spill-over effects, why the applicant is the best placed for the implementation of the project etc).
is drafted as clearly as possible

description of the project

Objectives

Describe the overall objective to which the project aims to contribute towards and the specific objective(s) that the project aims to achieve.
Take into account Programme objectives. Mark in the table below in which TO your project contributes
TO1 Businessand SME development
TO6 Environmentalprotection, climatechangemitigationandadaptation
TO10 Promotionofbordermanagementandbordersecurity, mobilityandmigrationmanagement

Problems to be solved/ situation to be improved

Provide an analysis of the problems and needs justifying the project, taking into account the programme strategy and its expected contribution to address the corresponding priority.

Target groups and final beneficiaries

Include a brief description of the target groups and final beneficiaries
Demonstrate the relevance of the proposal to the needs of the target region and to the target groups/final beneficiary groups in particular.

Cross-border impact

The importance of the cross-border cooperation to the project implementation should be clearly demonstrated:

Geographic coverage of the project

Specify the target region of the project. Please add map showing where the project activities will take place.
Demonstrate that your project is in line with the national, regional and local policy planning documents. Describe the relevance of your project for the programme area in terms of common challenges and opportunities addressed.

Planned project activities

List the activities which will be implemented in order to achieve results of the project. Provide quantification of the proposed activities.

Expected project results

List the results which are intended to be achieved by the proposed activities. Provide quantification of the proposed results and define their impact on the proposed target groups/beneficiaries.

Assessment of sustainability of expected project results

Explain how sustainability will be secured after completion of the project. This can include aspects of necessary measures and strategies built into the project, follow-up activities, ownership by target groups etc.

Contribution to Programme Indicators

Provide a list of objectively verifiable indicators planned to achieve by the project.
Demonstrate the relevance of the proposed indicators planned to achieve by the project to the Programme objectively verifiable indicators.
Please indicate in the table below those programme indicators to achievement of which your project will contribute (N.B. The table comprises selection of Priorities relevant for projects to be selected through direct award)
Programme Priority / Indicator / Number of indicators / Short description
Priority 1.2.
Development and promotion of new products and services based on local resources / New cross-border products and services based on local resources
Development of local services and products for attraction of tourists in region
Number of improved cultural and historical sitesas a direct consequence of programme support for the purpose of development of local entrepreneurship
Number of organisations using programme support for promoting local culture and preserving historical heritage
Priority 2.3.
Support to sustainable waste and waste water management systems / Capacity of relevant
stakeholders for sustainable
use of waste and waste water management systems
Number of institutions using
Programme funding for capacity building actions
Priority 3.1.
Improvement of border crossing efficiency and security / Improved competence level and skills of land border crossing personnel
Number of border crossingpoints with increasedthroughput capacity

Analysis of the effect of the project on the cross-cutting issues

Describe how the project will contribute to the development of cross-border territories in terms of raising awareness in environmental protection, in the use of energy efficient production methods, and in lessening the risk of environmental disasters occurring.

Risk analysis

Provide an initial risk analysis and possible contingency plans. This should include at least a list of risks associated with each main activity proposed accompanied by relevant corrective measures to mitigate such risks. A good risk analysis would include a range of risk types including physical, environmental, political, economic and social risks.
Give the main preconditions and assumptions during and after the implementation phase.

Partnership

Describe the composition of partnership. Explain why particular partners have been selected: their competencies, experiences, specific know-how of each partner in the field of proposed project and need for it in the achievement of project objectives. Explain each partner’s role and responsibility within the project and their proposed benefit from the project.
Please also explain the role of the proposed Associates in the preparation and implementation of the proposed project (if applicable)

Management and financial capacity

Describe the management (number of employees, physical infrastructure, and experience in project implementation) of the Applicant and project partner organizations and financial capacity (availability of the financial resources) for timely implementation of the project.

Involvement of other stakeholders

State the other possible stakeholders (national, local government, private sector, etc.), their anticipated role and/or potential attitudes towards the project.

Readiness for the project implementation

Describe what is the stage of readiness of the documents needed for implementation of the project (technical documents, Feasibility Study, EIA, etc. according to the specifics of the activities foreseen in the project).

Definition of exclusive competence of the Applicant(as required in the Article 41.1.[1]of the Implementing Rules[2])

Describe that/ how you organisation enjoys ade jureorde factomonopoly in the field of activity and/ or geographical area to which the grant relates;
Justify that the project relates to actions with specific characteristics that require a particular type of body based on its technical competence, high degree of specialisation or administrative power.

Description of the capacity building component of the project

Describe how the investments made by the projects are supported by the capacity building component (i.e. how equipment bought is supported by trainings to the staff on how to use new equipment and technologies).

Description of the retroactive costs

Please provide list ofactivities which will be implemented before submission of the full Application and costs connected with mentioned activities.

Indicative project budget

1Division of project costs per partner

Indicative budget table has to be filled for each project partner listing costs which will be covered by their own contribution and the requested grant. All the costs have to be expressed in Euro.

Partner / Total budget / Programme co-financing / Partner’s contribution
Applicant (Partner 1)
Partner 2
Partner 3
Partner 4
Partner 5
Total

2Division of project costs per cost categories

Budget table has to reflect the indicative division of the total eligible project budget per cost categories:

Cost category / Total budget / Total budget of the Applicant / Total budget of the Partner 1 / Total budget of the Partner 2 / Extend table if needed
Staff costs
Travel and accommodation costs
External expertise and services costs
Equipment expenditure
Infrastructure and works
Retroactive costs
Office and administrative expenditure
Total

3Description of Infrastructure Investments

Please provide a description of the infrastructure investment and its location.

confirmation by the applicant

Name and position of the signatory
Date of signature
Signature and stamp

declaration by the applicant

The applicant, <insert the title of the Applicant organization>represented by the undersigned, being the authorised signatory of the applicant, representing any partners in the proposed project <insert the title of the project>, hereby declares that within this Project:

⁭the applicant has the sources of financing and professional competence and qualifications necessary for implementation of the proposed project;
⁭the applicant undertakes to comply with the obligations foreseen in the partnership statement of the project summary form and with the principles of good partnership practice;
the applicant acknowledges all the requirements that are regulating the project activities and is committed to fulfil them. All the information presented in the Summary Form and the added documents is correct and can be proven.
⁭the applicant is directly responsible for the preparation, management and implementation of the project with its partners;
⁭the applicant and each partner have provided the requested supporting documents;
⁭the applicant and each partner are eligible in accordance with the set criteria;
⁭the applicant and its partners are aware that, for the purposes of safeguarding the financial interests of the European Union, their personal data may be transferred to internal audit services, to the European Court of Auditors, to the Financial Irregularities Panel or to the European Anti-Fraud Office (applicable if consistent/coherent with Financial Agreement[3]);
the applicant and each partner are not receiving nor applying for any State aid or the de minimis aid to finance the same costs and activities supported by the Programme;
The applicant confirms that the project activities are not financed from other sources

The applicant is fully aware of the obligation to inform without delay the Managing Authority to which this application is submitted if the same application for funding made to other European Commission departments or European Union institutions has been approved by them after the submission of this application.

Signed on behalf of the applicant

Name
Signature
Position
Date

To be filled on the official letterhead of the organisation

Delete the grey highlighted lines after filling!

Partnership statement

Title of the project
Name of the legal entity applying for funding as a partner in national and English languages

A partnership is a relationship of substance between two or more organisations involving shared responsibilities in undertaking the above indicated project funded by the Programme of the Latvia-Russia Cross Border Cooperation Programme 2014-2020 (hereinafter referred to as the “Programme”).

By signing this Partnership Statement, the above named legal entity applying for funding from the Programmeas a partner (hereinafter referred to as the “organisation”) by agreeing to the principles of good partnership practice set out below hereby declares:

Our organisation has read the Project Summary Form and understood our role in the project before the Project Summary Form was submitted to the Managing Authority.
Our organisation got acquainted with the Programmeand we understand and accept it. We authorise the Applicant[4] to sign the contract with the Managing Authority and represent us in all dealings with the Managing Authority in the context of the implementation of the project.
Our organisation has sufficient human and administrative capacity to implement activities of the project that have been assigned to our organisation. If partner’s co-financing is foreseen in the Project Summary Form, our organisation declares it will be able to maintain sufficient financial liquidity to implement the activities of the project. In particular our organisation will be able to maintain sufficient financial liquidity to finance activities of the project until receipt of the balance payment.
The project will be co-financed by the Lead Beneficiary and partners from their resources or from sources other than the European Union budget or Programme budget and other international financial instruments.
The activities that our organisation will carry out in the project are in line with the applicable European Union and/or national legislation and policies and with the rules of the Programme.
We are aware of the Applicant obligation to consult our organisation and other partners regularly and keep us fully informed of the progress of the project.
We are aware that the proposals for substantial changes to the project idea and Project Summary Form should be agreed within the partnership before being submitted to the Managing Authority. Where no such agreement can be reached, the Applicant must clearly indicate this when submitting changes for approval to the Managing Authority.
The total indicative budget of our organisation within the project amounts to EUR <...>., in the event the mentioned project is granted funding from the Programme, we hereby declare to participate in the project and to provide minimum EUR<...> as total partner co-financing to the budget of the project. In case of change of total costs of the project, it shall be agreed within the partnership taking into account that total minimum of requested contribution (in percentage) shall be ensured.

Please tick, if relevant:

our organisation is not entitled to recover any paid Value Added Tax (VAT) by whatever means, and therefore all the expenditure related to the project to be reported will include VAT.

I have read and approved the contents of the Project Summary Form submitted to the Managing Authority. I undertake to comply with the principles of good partnership practice listed above.

Name and position of the signatory
Date of signature
Signature and stamp

Delete the grey highlighted lines after filling!

EVIDENCE OF OWNERSHIP OR ACCESS TO THE LAND

Title of the project
Name of the legal entity applying for funding as a partner in national and English languages

The applicant/ partner, <insert the title of the Applicant/partner organization>represented by the undersigned, being the authorised signatory of the applicant/partner, hereby provides following evidence (s) of ownership or access to the land there the project <name of the project> infrastructure component will take place:

Name and position of the signatory
Date of signature
Signature and stamp

[1]Projectsmaybeawardedwithout a callforproposalsonlyinthefollowingcasesandprovidedthisisdulysubstantiatedintheawarddecision:

(a) / thebody to which a projectisawardedenjoys a dejureordefactomonopoly;
(b) / theprojectrelates to actionswithspecificcharacteristicsthatrequire a particulartypeofbodybasedonitstechnicalcompetence, highdegreeofspecialisationoradministrativepower.

[2]Commission Implementing Regulation (EU) No 897/2014 of 18 August 2014 laying down specific provisions for the implementation of cross-border cooperation programmes financed under Regulation (EU) No 232/2014 of the European Parliament and the Council establishing a European Neighbourhood Instrument

[3]FinancingAgreementbetweentheEuropeanUnionandtheRussianFederation, co-signedby Latvia onFinancingandimplementingthe Latvia-Russia CrossBorderCooperation Programme 2014-2020