Municipal Coal Transition Program Grant Application Form

South Saskatchewan Ready - Municipal Coal Transition Program

South Saskatchewan Ready

Municipal Coal Transition Program
Grant Application Form

Important:

Please use the Save & Resume feature regularly as you work through the form. Each time you save, a unique resume link will be generated. Be sure to copy, save and email this link to yourself, as it is required to return to your application later.

NOTICE TO APPLICANTS

Please confirm the following before starting your application.

Submission of a Project Application does not guarantee approval or funding. Funding is subject to approval by both the Board of Directors and the Funding Agency. All Project Applications are subject to review, assessment and approval in accordance with the Funding Guidelines.

Eligible expenses are outlined in the Funding Guidelines and should be reviewed prior to submitting a Project Application. Project work commenced and costs incurred prior to the approval date are not eligible for funding.

The Applicant is responsible for ensuring that all information and documentation submitted is complete, accurate, current and not misleading. The Applicant must promptly disclose any material change to information provided in the Project Application that may affect the assessment of the application or the eligibility of the project.

Applicants are required to provide financial information as part of the Project Application to assess the financial viability of the proposed project. Applicants must provide the most recent year-end financial statements, current financial information where required and a project budget outlining proposed project costs and sources of funding. Additional financial information or documentation may be requested as necessary. For funding requests exceeding $100,000, a business plan must be submitted in addition to the Project Application and required financial information.

Information submitted with a Project Application will be reviewed by Program Administration and the Board of Directors to assess the proposed project and may be reviewed by the Funding Agency for the purpose of determining eligibility for funding. Personal information will be handled in accordance with applicable privacy legislation and the organization’s privacy policies and practices.

As a condition of submitting a Project Application, applicants acknowledge and agree that, if funding is approved, the project may be promoted through public announcements. Public disclosure may include the applicant’s name, project overview, project location, funding amount, and other project-related information.

APPLICANT ACKNOWLEDGMENT AND AUTHORIZATION

By checking the boxes below, I confirm that:

have read and understood this Notice to Applicants and acknowledge the requirements set out herein;

I understand that submission of a Project Application does not constitute approval, a commitment of funding, or an entitlement to funding;

I understand that no project activities may commence and no project expenditures may be incurred prior to the Board approval date;

I understand that funding is subject to approval by both the Board of Directors and the Funding Agency and execution of a Funding Agreement;

I acknowledge the requirements relating to the submission, use, disclosure and public disclosure of information described in this Notice; and

I confirm that I have the authority to submit this Project Application on behalf of the Applicant Business or Organization and to make the representations contained in the Project Application.

Applicant Signature (By typing your full name, you are providing your electronic signature)

Date

Time

ELIGIBILITY

Please confirm the following before starting your application.

1. Is your project located in one of the following South Sask Ready communities: Bengough, Coronach, Rockglen, Willow Bunch, RM of Happy Valley, RM of Bengough, RM of Hart Butte, RM of Poplar Valley or RM of Willow Bunch?

Yes

Funding is only available for projects located in the South Saskatchewan Ready region.

2. Have you reviewed the Municipal Coal Transition Program funding guidelines?

Yes

You must review the funding guidelines before applying.
Click here for South Saskatchewan Ready Municipal Coal Transition Program funding guidelines.

3. Do you understand that, if awarded funding, you will be required to report on the progress of your project?

Yes

If your application is successful, reporting on the progress of your project (e.g., updates, number of jobs created, etc) is a requirement.

4. Is your business home-based?

Yes

Your project is not eligible at this time.

Please review the South Saskatchewan Ready funding guidelines. Click here for South Saskatchewan Ready Municipal Coal Transition Program funding guidelines.

5. Does your project fall under one of our priority sectors? if so, which sector?

Natural Resources Value-Added Processing

Value-Added Agriculture

Manufacturing

Resource Development

Innovative Technology

Digital Industries

Health/Bio-sciences

Tourism

No, it does not fall under a priority sector.

APPLICANT INFORMATION

Please provide your contact and business information as it appears on your project documentation.

6. Registered Business Name

Operating Business Name

7. Applicants First Name

Applicants Last Name

8. Location of Business

Physical Address / Land Location

Mailing Address

City/Town

Province

Postal Code

9. Applicant Phone (This phone number will be used for all correspondence related to this application)

10. Applicant Email (This email address will be used for all correspondence related to this application)

BUSINESS INFORMATION

Please provide a clear overview of your business or organization.

11. Type of Structure

Corporation

General Partnership

Limited Partnership

Proprietorship

Co-operative

Non-Profit Corporation

Municipality

Other

12. Name and Position of Representative Responsible for the Project

13. Name(s) and Positions of Principal Members (if applicable):

14. How many years has your business been established?

15. How many people are currently employed by your business?

Employment Type	Number of Employees

16. How many additional jobs will this project create within the next 2 years?

Employment Type	Number of Employees

17. I understand that funding recipients will be required to report on job creation following the award and distribution of funding.

Yes

PROJECT INFORMATION

Please provide a clear overview of your project.

18. Will this project increase the municipal tax base?

Yes

19. Will your project negatively impact other businesses in the region?

Yes

If yes, please describe the potential negative impact.

20. What is the total cost of your project? (Please note: The total project cost must equal combined total of SSR funding requested and all other funding sources.)

21. How much funding are you requesting from South Saskatchewan Ready (SSR) for this project? (Please note: All amounts entered should be before tax. Funds distributed do not include tax.)

22. What portion of the project costs will be covered by other sources (e.g., personal funds, private investors, bank loans or other funding programs)?

Personal Investment

Private Investment

Bank Loans

Other Funding Sources

No Other Funding Sources

Total Amount of Personal Investment:

Total Amount of Private Investment:

Total Amount of Bank Loans:

Total Amount of Other Funding Programs:

PROJECT INFORMATION CONTINUED

Please provide a clear overview of your project.

23. Provide an overview of your project. Please include as much detail as possible to clearly describe your project.

24. Describe the key activities involved in the project.

25. How will the funding contribute to the start-up or expansion of your business?

26. What impact will the project have on the region as a whole?

27. What is the expected project completion date?

28. Project Expenses: Please list each expense separately in order of priority (most important to least important). (Please note: All amounts entered should be before tax. Funds distributed do not include tax. Quotes are required for each expense.)

Expense Item:	Expense Amount:	Expense Purpose:

29. File Upload: Please upload all quotes related to this project expenses listed above. (Please note: Estimates are not accepted. All submissions must include formal, itemized quotes from suppliers.)

Choose File

30. Have you attached all required quotes necessary for this application? (Please note: Estimates are not accepted. All submissions must include formal, itemized quotes from suppliers.)

Yes

Applications will not be reviewed until all required quotes are attached..

DECLARATION

Please check that the information provided in this application is accurate and complete.

31. Is this part of a multi-staged project?

Yes

Describe future plans or subsequent phases.

32. Do you intend to proceed with the project if you do not receive SSR funding?

Yes

33. Is all of the information in this application accurate and complete to the best of your knowledge?

Yes

Please confirm the information is accurate before submitting this application.

34. I understand that incomplete applications will not be sent to the Board for adjudication. I understand that this includes submitting quotes for all expenses listed on my application.

Yes

35. Applicant Signature (By typing your full name, you are providing your electronic signature)

36. Date

I certify that the information provided in this application is accurate and complete.