Application Measure 4.3 – ‘Support for investments in infrastructure related to development, modernisation or adaptation of agriculture and forestry’
Version 1.1 14th February 2017
MANAGING AUTHORITY (EAFRD)
Funds and Programmes Division, Triq il-Kukkanja,
Santa Venera (Malta)
Telephone: (+)356 2200 1142
The Managing Authority reserves the right, in particular on the basis of approval or direction by the European Commission, to amend from time to time certain provisions established by the respective guidance document and their application form.Such amendments may become applicable and enforced retrospectively.
In case of any conflicts between guidelines and the text of the Rural Development Programme (RDP) 2014-2020 and other legislative text, the interpretation given by the RDP and relevant legislation will be given priority.
The English version will be the legally binding text.
The Managing Authority also reserves the right to request additional information not included in this application form.
Instructions
Applicants are reminded to check that they have referred to the latest guidance notes as available on the website, and that they have filled in the latest available version of the application form that is available for download from the website. Only the latest version available at the time of application will be accepted.
Please read the accompanying guidance notes for Measure 4.3 ‘Support for investments in infrastructure related to development, modernisation or adaptation of agriculture and forestry’ before filling the application.
· The information you provide in your application form will be used to check the eligibility of your project.
· The information in your application will also be used to grade your application according to the selection.
· Applicants are to check that all necessary supporting documents are submitted together with this form.
· All declarations and references will need to be backed by supporting documentation (Refer to section 6 of the application)
· The Managing Authority may request additional material following submission of the application.
· If there is insufficient space to answer any question, please continue on a separate sheet and attach this to your application form.
Please complete this document in block letters or in electronic format. Once completed, filled applications will need to be delivered BY HAND to the MA at the following address:
Director General
Funds and Programmes Division
Parliamentary Secretariat for the EU Presidency 2017 and EU Funds
Ministry for European Affairs and Implementation of the Electoral Manifesto (MEAIM)
Triq il-Kukkanja, Santa Venera
For further information regarding the Rural Development Programme 2014-2020, you can also visit the website of the Managing Authority at: www.eufunds.gov.mt
Section 1 – Details of the Applicant
Name of OrganisationPostal Address
Post Code
Project Leader[1]
Position within organisation
I.D. Card No.
Phone number
Fax number
E-mail address
VAT number (if any)
Person authorised to sign on behalf of the organisation
Position within organisation
I.D. Card No.
Phone number
Fax number
E-mail address
Q1.1 Type of Organisation
Choose from the list below:
- Government Ministry or Department ñ
- Government Entity/Authority/ /etc ñ
- Local Council ñ
- Administrative Committee ñ
Q1.2 Legal Status
Public sector organisation ñ Public equivalent body ñ
In case of a public equivalent body kindly, provide the equivalent Legal Act by which the entity is constituted.
1.3 Partner organisation (local or transnational)
1.3.1 Specify whether the operation entails the involvement of any other organisation/s
Yes[2] No
If Yes, provide the details of the organisation/s
Name of OrganisationLegal Status / - Public sector organisation
- Public equivalent body
- Others (please specify)
______
Contact Person
Position within organisation
Phone number
E-mail address
1.3.2 Explain the role of the partner organisation/s within the operation and its added value in reaching the expected results
1.3.3 Explain how the envisaged activities are in the partner organisation/s’ remit
1.3.4 Please specify if the partner organisation/s will provide co-financing
Yes No
If Yes, please indicate the specific activity and the amount as well as the source of funding:
Activity / Amount (€) / Source of funding claimed (€)Q1.4 Organisational capacity (max marks 20)
Applicant must describe below how well the project demonstrates long term sustainability. Consideration will be made of how the project will continue to benefit the business/sector/rural area after RDP funding comes to an end. Application should also demonstrate his financial viability and the administrative capacity, competence and technical resources available to him.
Q1.4.1 Describe how the benefits of the project will continue to be delivered after grant support comes to an end.
Q1.4.2 Retention of Documents
Kindly describe procedures already in place or yet to be set up by the Applicant to ensure that all documents regarding expenditure and audits [required to ensure an adequate audit trail].
Q1.4.3 Institutional Framework
In the box below, clearly describe the institutional framework within which the project will have to operate.[3] [Up to 100 words]
Kindly provide details below of the tasks to be assigned to the project manager / administrator [Up to 100 words]
Please provide Project Organisational Framework
Q1.5 Coordinating Body/Line Ministry[4]
MinistryDirector (Programme Implementation)[5]
Phone number
Fax number
E-mail address
EU Fund Manager/ EU Officers (and/or equivalent position)
Phone number
Fax number
E-mail address
Section 2 – Details of the Project
Q2.1 Project Title
Please provide a title for the proposed project (not more than 10 words)
Q2.2 Project Overview
Please provide a description of the proposed project describing in detail why the project is needed, and the type of interventions that will be made.
Q2.3 Please describe how the objectives of your proposed investment are linked to the objectives of this Measure.
Q2.4 Please describe how the result of your proposal investment contribute towards the needs, cross-cutting objective and focus areas of this Measure[6].
Q2.5 Technical Description of the Investment
Provide a short summary of the proposed infrastructure and the work for which assistance is being proposed specifying its main characteristics and components. [up to 150 words]
Note that a detailed report prepared by an architect/quantity surveyor appointed by the applicant is required as additional supporting documentation. See checklist for documents required.
2.6 Project duration
Project Timetable
Please provide the project duration, in months, in the space below:
(c) Duration (in months): ______
Kindly note that project must be completed and the final request for payments submitted by June 2018 or as determined by the MA in the grant agreement.
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2.7 Indicative Implementation schedule[7]
The applicant is to complete the below indicative implementation timetable (per quarter) by providing the envisaged schedule for each call for tenders/quotations/employment. The five stages of implementation are identified hereunder.
D = Design[8] P = Call Published[9] E = Evaluation[10] I = Implementation[11] C = Closure[12]
Year / Nth Year* / N+1(please specify the Nth year) / 20… / 20…
Quarters / 1st / 2nd / 3rd / 4th / 1st / 2nd / 3rd / 4th
Call 1
(please specify)
Call 2
(please specify)
Call 3
(please specify)
Call 4
(please specify)
If necessary, additional rows may be added.
* N represents the starting year of the project.
Note: The Public Procurement Regulations 2016 of 28/10/2016, Legal Notice 352/2016 (and any subsequent amendments) should be consulted in order to establish realistic timeframes.
It is important to note that beneficiaries may only claim reimbursement for eligible expenses incurred as from the date of signing of the contract (Grant
Agreement) with the Managing Authority.
The MA reserves the right to cancel the agreement (and/or apply penalties) if the project is not implemented according to schedule. The MA will not be responsible for any losses sustained by the beneficiary.
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Section 3- Key Investment Plan
Q3.1 Project Cost
In the tables below provide a list of the key components of the proposed project to be co-financed through this Measure along with the VAT value as indicated. Please refer to Guidance Notes for assistance on eligibility (use additional sheets if necessary).
Activity / Value excluding VAT (€) / VAT Amount (€) / Final Cost including VAT (€) / Eligible cost excluding VAT (€) / Applicant’s contribution excluding VAT (€) / Applicant’s contribution including VAT (€)Resurfacing or construction Works (including Traffic Management & ancillaries)
Road Markings
Professional fees[13]
Publicity and Dissemination
Other works
Total Costs
42
Q3.2 Envisaged Contracting and Disbursement Schedule
The applicant is to complete the below indicative disbursement schedule (per quarter) by providing the envisaged scheduled of disbursement and contracting for each component of the proposed project.
Year / Nth Year* / N+1 / TOTAL/ (please specify the Nth year) / 20… / 20…
Quarter / 1st / 2nd / 3rd / 4th / 1st / 2nd / 3rd / 4th
Call 1 (please specify)
(Eligible costs excl VAT) (€)
/ ContractingDisbursement
Call 2 (please specify)
(Eligible costs excl VAT) (€)
/ ContractingDisbursement
Call 3 (please specify)
(Eligible costs excl VAT) (€)
/ ContractingDisbursement
Publicity
(Eligible costs excl VAT)
(€)
/ ContractingDisbursement
Employment Call[14] (Eligible costs excl VAT) (€)
/ ContractingDisbursement
Total eligible costs (Excl VAT) (€)
Total non-eligible costs (Excl VAT) (€)Eligible VAT (€)
Non-Eligible VAT (€)
Grand Total (€)
If necessary, additional rows may be added.
NB: Applicant must include all envisaged contracts.
* N represents the start year of the project.
The MA reserves the right to cancel the agreement if the disbursement is not implemented according to schedule. The MA will not be responsible for any losses sustained by the beneficiary.
42
Q3.3 Risks and Conditionality
Conditionality and risks are issues pertaining to the operation which could jeopardise its timely and effective implementation. These should be indicated clearly highlighting what could be done, by when and by whom. Conditionality/ies not within the control of the operation is/are deemed to be risks and should also be included. If the Applicant fails to identify risks or the extent of the risks, operations which receive approval may have the grant agreement withdrawn by the Managing Authority at a later stage when the risk becomes apparent.
Risk Types / Description / Consequence / Probability(High, Medium, Low, N/A) / Impact
(High, Medium, Low, N/A) / Response Strategy
Technical Risks
Financial Risks
Legal Risks
Capacity Risks
Public Procurement Risks
Implementation Risks
Other Risks
If necessary, additional rows may be added.
42
Q3.4 Revenue generation (all figures must be quoted in EUR)
Is the project expected to generate net revenue[15]?
Yes
No
If ‘YES’, please specify how revenue will be generated:
§ Charges to Users§ Entrance fees
§ Rent
§ Feed in Tariff/ Cost Savings
§ Other ______
Indicate the revenue estimated amount below:
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Q3.5 Information and Publicity[16]
Describe how the applicant will publicise that the project is part-financed by the EAFRD and how the target group and the general public will be informed about the EAFRD contribution to the project. The Applicant must be guided by the principle of proportionality[17] when completing this section. Beneficiaries are required to adhere to the applicable publicity requirements laid down in Annex III of Commission Implementing Regulation (EU) No 808/2014[18].
The applicant is to provide an indicative budget for each of the communication activities proposed above and to specify the target audience of these activities.
Tool / Action / Access Points / Presentation[19] Mode / Audience / Budget (€)Print Media / Newspapers
Stickers
Industry/ Business/ Organisation Journals and Magazines
International Publications
Signage / Plaques
Billboards
Broadcast Media / TV
Radio
Events / Domestic Events
Conferences
Exhibitions
Internet and Websites / Local Websites
Mailshots/Online newspapers
Seminars, Conferences or Workshops / Sectoral business groups
Press release – Launch Event
Participation during trade exhibitions, fairs, national events, etc.
Promotional Material / Supplied during national events or events focused at different target groups (e.g.: pens, note pads, etc.)
Direct Mail Actions / Distribution to households on a national or regional basis
Posters / Sectoral, business groups or interests
On site
Other (please specify)
Sub Total
If necessary, additional rows may be added.
Total Publicity Budget[20] - €______
The Beneficiary should note that points will be awarded according to the adequateness and strategy for result dissemination, including a strategy for promotion of EU funding which goes over and above the minimum obligation laid down in Annex III of Commission Implementing Regulation (EU) No 808/2014, as may be amended[21].
Section 4 Selection Criteria
Q4.1.1 Project must target at least one or more of the following focus areas and cross cutting objectives. Please tick the focus areas and cross cutting objectives targeted by the project[22]. (Q4.1.1 + Q4.1.2 max marks 20)
Focus Area 3A: Improving competitiveness of primary producers
Focus Area 4B: Investment water management
Focus Area 5A: Increasing efficiency in water use by agriculture
Focus Area 5B: Increase efficiency in energy use in agriculture and food processing
Focus Area 5C: Facilitating the supply and use of renewable sources of energy, of by-products, wastes, residues and other non-food raw materials for purpose of the bio-economy.
Focus Area 5D: Reducing nitrous oxide and methane emissions from agriculture
Contribution to Cross-Cutting Objectives
Environment
Climate
Please provide a description of how the project will target the focus areas and cross cutting objectives ticked above.
Q4.1.2 Malta needs as identified in the Rural Development Programme 2014-2020[23] (Q4.1.1 + Q4.1.2 max marks 20)
Applications for support will be considered on the basis of their contribution to the needs identified in Malta’s Rural Development Programme 2014-2020.