Bradford Property Level Resilience Grant Application Form
Please note that the flood resilience scheme is closing –
all applications must be received no later than 31 January 2017.
- Applicant Information
Name of Applicant: (individual or business)
Capacity of applicant
(e.g. Owner-occupier, Landlord, Lease-holder)
FOR BUSINESSES ONLY Contact Name and position
Address:
Postcode:
Telephone Number
Mobile:
e-mail:
- Property Flooded
Address of property applying for (if different from above), including postcode
FOR BUSINESSES ONLY Business Rates reference number
Date property was initially flooded
- Do you know the cause of the flooding?
Blocked/ overwhelmed river
Blocked drainage
Extreme rainfall
Surface runoff
Other (please specify)
- Please briefly describe the primary damage that was caused.
- Grants are intended only to fund measures which improve the property’s resilience or resistance to flooding, over and above repairs that would normally be covered by insurance. More information on flood resilience or resistance measures is available at National Flood Forum
Is your grant application for? / Circle as appropriate
Planned application - resilience/ resistance measures that you plan to install in the future as a result of flooding/damage caused by Storm Eva (26/27th Dec 2015). / Yes/ No
Retrospective application - for resilience/ resistance measures that you have already purchased and installed following the flooding caused by Storm Eva (26/27th Dec 2015). / Yes/ No
Do you have Building Insurance?
We may need to contact your Insurance company, which could speed up the grant approval and payment process.
Do you agree that we can contact them?
If you agree to us contacting your insurance company please provide their name, contact details and your policy number.
Name of Insurer…………………………………………………
Policy number…………………………………………………..
Contact telephone number…………………………………… / Yes/ No
Yes/ No
- Please indicate which of the available resilience/ resistance measures you intend to or have installed (if a retrospective application) and costs (as listed in surveyors report and/or Annex 1)
ARE YOU VAT REGISTERED? YES / NO (delete as appropriate)
Please include evidence of requirement of measures (e.g. surveyors report, Insurance Company Loss Adjustor reports etc)
Resilience / Resistance Measure / Amount £ / ( circle as appropriate)
Retro / planned
Retro / planned
Retro / planned
Retro / planned
Retro / planned
Total amount of grant applying for (maximum £5,000)
- Please briefly describe how you have ensured value for money i.e. utilised insurance company contractor, or sought quotes from a range of providers. Evidence of quotes, invoices (for retrospective applications) and payment (for retrospective applications) should be included with your application.
- Have you received any alternative funding (such as previous grant funding or insurance claim payment) for any of the works you are applying for grant funding for?
If yes, please specify the nature of works undertaken and state why you are also seeking Property Level Resilience Grant support.
- BUSINESSES ONLY - Have you received any other public grant funding during the last three years? If so please specify what the funding was for, when it was received and the amount awarded.
Please note funding is limited and will be issued on a first come, first serve basis.
Grant claims can only be paid once the installation has been fully completed and relevant contractors have submitted invoices.
Payments will be made direct to contractors and only in exceptional circumstances will payment be made direct to applicants.
Declaration
To the best of my knowledge, the information in this form and all other information given in support of this application is correct. I confirm that that I understand the purpose of this form and the reasons for the collection of my/ our personal data (to the extent that this form contains information which is personal data for the purposes to the Data Protection Act 1998) and that I agree to my/ our personal data being used as stated.Furthermore I confirm that I agree to the attached terms and conditions.
If any information changes I will inform the City of Bradford Metropolitan District Council immediately.
Public funds must be protected therefore the information you have provided on this form may be used to prevent and detect fraud. The information may also be shared, for the same purposes, with other organisations that handle public funds.
Freedom of Information Act 2000: under the Act public funded bodies have to disclose details of businesses that have received grant funding to anybody who requests them.
Warning – if you knowingly or recklessly make a false statement to obtain grant for yourself or anyone else you risk prosecution, and the recovery of all grant payments.
By signing this form you are agreeing that you have read and agree with the above declaration.
Signed:
Date:
Submitting your application
Please note that the flood resilience scheme is closing – all applications must be received no later than 31 January 2017.
To reduce delays in processing of your application, you can email your completed application form, together with any relevant evidence of damage or expenses incurred to date to:. A signed hard copy of this application form is also required before payment is released. You can post the signed application to the address below.
Alternatively, you can post your signed application together with any relevant evidence of damage or expenses incurred to:
Flood Relief Team
2ndFloor
Britannia House
Bradford
BD1 1HX
Document Checklist
Completed Application Form
Copy of surveyor’s report / recommendations
Copy of land registry report, property deeds
or mortgage statement
Copy of quotation for the works or supplies
FAILURE TO PROVIDE THESE DOCUMENTS WILL DELAY YOUR APPLICATION AND MAY MEAN THAT WE ARE UNABLE TO PROCESS YOUR APPLICATIONAnnex 1
Resilient Repair Checklist for Surveyors (Expand as necessary)
Completed by (insert name)……………………………………………………………………
Name of registered business…………………………………………………………………
Details of relevant professional registration/Qualifications………………………………………………..
Contact telephone number…………………………………………………………………….
Contact email…………………………………………………………………………………….
Date of survey……………………………………………………………………………………
Area of Property / Current repair material choice / Like for Like material Cost / Resilient repair material choice / Resilient repairMaterial Cost
Total Like for Like
Total Resilient repair
Additional Cost for Grant Funding
Resistance Measures (Expand as necessary)
Measure / Supplier / Cost£s
Professional Survey of Premises to Identify Flood Risks (can be undertaken prior to application to identify most appropriate measures and up to £500 of costs applied for retrospectively) and complete Flood Risk Report
Total
Declaration – to be completed by person named in Annex 1
To the best of my professional knowledge and judgement, the information in this form, and all other information given in support of this application, is correct.
I confirm that that I understand the purpose of this form, the reasons for the collection of the information required and am appropriately qualified and experienced to offer professional recommendations on appropriate flood resilience and resistant measures.
If any information changes I will inform the City of Bradford Metropolitan District Councilimmediately.
Warning – if you knowingly or recklessly make a false statement to obtain grant for yourself or anyone else you risk prosecution, and the recovery of all grant payments.
By signing this form you are agreeing that you have read and agree with the above declaration.
Signed:
Date:
Terms and Conditions of funding
1)Funding is provided at the discretion of City of Bradford Metropolitan District Council (City of Bradford MDC). City of Bradford MDC reserves the right to determine which items are eligible for grant funding on a case by case basis.
2)The maximum grant is £5,000 per applicant.
3)BUSINESS APPLICANTS ONLY - The scheme is administered under State Aid De Minimus rules so any grant amount must not take the applicant over the relevant De Minimis limit. By accepting these terms and conditions of grant funding, you are confirming that your business has not received in excess of £148,000 (200,000 Euros) of public funding over the past three years. State aid includes, for example, European Funding, rate relief, deferral of VAT and income tax or other Government support.
4)The grant shall only cover resilience measures required as a direct result of Storms Desmond (5th and 6th Dec 2015) and Eva (25th/26th December 2015).
5)Funding is limited and provided on a first come, first serve basis. Applications should be submitted as soon as possible.
6)You are responsible for correctly evidencing incurred costs. This includes retaining relevant receipts or related payment information, ensuring appropriately qualified and registered professionals undertake required works and provide accurate invoices. If it is discovered that the amounts claimed do not reasonably represent expenditure incurred, then City of Bradford MDC reserves the right to take action to recover the whole or part of the grant.
7)City of Bradford MDC will request evidence of completion of worksto ensure that the grant is paid in accordance with these Terms and Conditions. You must respond to requests for evidence of expenditure within 28 days of the date of request.
8)If you are able to reclaim the VAT the grant offer will be based on the net cost. If you are unable to reclaim the VAT the grant offer will be based on the total cost including VAT.
9)No grant will be paid to a business which is in debt to City of Bradford MDC.
10)Approval of a property level resilience grant does not imply approval under any other legislation. It is your responsibility to comply with all relevant legislation including, for example, building regulations, environmental health etc.
11)Grants should be used for items which have not, and will not, be covered by insurance.
12)All applicants must agree to maintain the resilience / resistance measures undertaken in accordance with the manufacturers’ instructions
13)Due to audit regulations applicants may be subject to monitoring for up to 3 years following the final grant payment.
14)Any publicity received by the applicant in relation to grant assisted works must acknowledge the assistance received from The City of Bradford MBC.
15)Any offer of grant may be subject to specific conditions. If applicable, these will be specifically set out in the grant offer letter.
16)A breach of any of the above conditions, or those set out in the grant offer letter may result in refusal of an application, withdrawal of a grant offer, or render the applicant liable to repayment of any grant monies already received.