APPLICATION FORM
Call reference: GP/EFSA/DATA/2018/01
Call title: Identifying organisations that can be entrusted by EFSA “Provision of end user scientific support to EFSA on FoodEx2”
Restricted to the list of competent organisations established by the Authority’s Management Board in application of article 2 the Commission Regulation (EC) No 2230/2004 laying down detailed rules for the implementation of European Parliament and Council Regulation (EC) No 178/2002 with regard to the network of organisations operating in the fields within the Authority’s.

Before completing this Application form, please read carefully the related Call for proposals and guide for applicants with all the annexes.

Please note that this Application form has to be completed in all parts following these instructions:
Text in blue background: only advice for applicants
Text in yellow background: text to be completed by the applicants
Text in white background must be kept in the final version of this Application form

The Application form has to be supported by the documents indicated in the final completeness checklist. Incomplete application forms will not be accepted.

1.INFORMATION ON THE APPLICANT

1.1APPLICANT

Official name in full: XX

Short name or acronym: XX

Legal form: XX

Address:

  • Street: XX
  • Number: XX
  • Post code: XX
  • City: XX
  • Country: XX

Organisation`s contact details:

  • Telephone: XX
  • Fax: XX
  • E-mail address: XX
  • Internet site: XX

Legal representative of the applicant (he/she will sign the grant agreement in case of award): XX

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Administrative contact point for project implementation in the case of grant award: XX

  • Position: XX
  • Telephone: XX
  • Fax: XX
  • E-mail address: XX

Contact person responsible for this application (if different from the above):

  • Position: XX
  • Telephone: XX
  • Fax: XX
  • E-mail address: XX

2.AWARD CRITERIA REQUIREMENTS

FOR THE ASSESSMENT OF THE PROPOSALS UNDER AWARD CRITERIA THE APPLICANT MUST PROVIDE A SHORT REPORT (recommended max. 20 pages) describing:

  1. Experience of the organisationin FoodEx2, including list of projects where FoodEx2 was implemented and through which experience on the use of its basic food lists and facet descriptors was acquired;
  2. List of publications related to the development, implementation and maintenance of the FoodEx2 system;
  3. The CV of the FoodEx2 expert proposed for the assignment.

This report will be assessed by EFSA along these award criteria:

  1. Years of professional experience after the acquisition of the post-graduate level university degree in any of the areas of chemistry, food technology, nutrition, public health, veterinary medicine or similar areas (Max 10 points);
  2. Years of experience in working with a food classification system other than the FoodEx2 beyond the minimum requirements of the selection criteria(Max 10 points);
  3. Year of experience in working with the FoodEx2 tools; browser and excel interpreting and checking tool and on developing/implementing the FoodEx2 classification system beyond the minimum requirements of the selection criteria(Max 15 points);
  4. Number and relevance of scientific publications related to the development and/or implementation of FoodEx2 (Max 15 points);
  5. Experience of the proposed FoodEx2 expert, beyond the minimum requirements of selection criteria (Max 50 points); Under this award sub-criteria, this will be seen as assets:
  6. Experience in data analyses,
  7. Experience in working with SAS Enterprise,
  8. Experience in literature review,
  9. Experience in the maintenance process of FoodEx2.

In order for an application to be awarded the grant, the proposal must score a minimum of 70 points out of maximum possible 100 points;

Proposals which have satisfied these quality thresholds will be ranked in a reserve list.

See more information in the Call for proposals.

3.APPLICATION SUBMISSION COMPLETENESS CHECKLIST

  • The below checklist is designed to help the applicant to ensure that all requested documentation is provided to EFSA.
  • The application must be submitted in line with guidelines described in the Call for proposals and guide for applicants.
  • This checklist should be signed and included in the submitted application.
  • Please tick  in the boxes provided if the document is attached to the application.

The application submissionmust contain one original unbound paper version and one electronic version (CD Rom or USB key)of all the following documents:

 / THIS CHECKLIST, completed.
 / THIS APPLICATION FORM, completed and signed
 / LEGAL ENTITY FORM (including requested supporting documents)
 / FINANCIAL IDENTIFICATION FORM
 / EXCLUSION CRITERIA: THE DECLARATION OF HONOUR ON EXCLUSION CRITERIA(Annex 7 of the Call for proposals)
 / SELECTION CRITERIA: THE DECLARATION ON HONOUR ON SELECTION CRITERIA (Annex 8 of the Call for proposals)
SIMPLIFIED FINANCIAL STATEMENT (Annex 9 of the Call for proposals, applicable only if an applicant is a private body).
 / SELECTION CRITERIA: list with evidence of 3 years’ experience of the organisation in FoodEx2 and CV of the FoodEx2 expert proposed to this assignment.
 / AWARD CRITERIA: see above award criteria requirements.

The legal representative of the applicant confirms that it currently does not receive from the European Union budget an operating grant in line with EU Financial Regulation Article 121 1b (grant for the functioning of a body which pursues an aim of general Union interest or has an objective forming part of, and supporting, a Union policy). The applicant is aware that should it already receive an operating grant from the EU budget, indirect costs are not eligible under the present call.

Name of the legal representative of the applicant: ………………………………

Signature: ………………………

Place: ………………….………….

Date: ………………………………

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