Application form - ska.gov.au Progr… · Web viewSKA Preconstruction Grants Program Round 2 - Application form. 19 of 20. SKA Preconstruction Grants Program Round 2 - Application

Square Kilometre Array (SKA) Preconstruction Grants Program – Round 2

Instructions

About the SKA Preconstruction Grants Program – Round 2

The SKA Preconstruction Grants Program – Round 2 will provide $7.6 million in co-investment grants to support the Australian Government’s commitment to:

Enable Australian organisations to develop the relevant resources and capabilities to significantly contribute to the design and technical process being conducted by the SKA Office in the Preconstruction Stage; and

Enhance and develop Australia's overall capability to participate in, contribute to and benefit from the SKA project across the extended project timeline.

Completing this form

This application form contains the following:

Part A – Eligibility

Part B – Applicant information

Part C – Project details and funding

Part D – Merit criteria

Part E – Supporting documentation

Part F – Contact details

Part G – Applicant declaration

Disclosure of information

The Commonwealth’s use and disclosure of your information (provided in this application or otherwise) is set out in the SKA Preconstruction Grants Program – Round 2 Program Guidelines.

Getting help

If you require assistance completing this application form please contact the Australian SKA Office on (02) 6276 1120 or at [email protected].

You should also read and understand the Round 2 Program Guidelines and general funding agreement terms and conditions before completing an application. View these documents at www.ska.gov.au/industry.

Submitting your application

Please refer to the opening and closing dates for application under the Program at: www.ska.gov.au/industry.

Please lodge your completed application on this form with attached supporting evidence:

by email to [email protected], or

by post to:

SKA Preconstruction Grants Program Round 2 - Application form. 2 of 21

mailto:[email protected]

http://www.ska.gov.au/industry



General Manager

Australian SKA Office

Science and Commercialisation Policy Division

Department of Industry, Innovation and Science

GPO Box 9839

Canberra, ACT, 2601


A. Eligibility

A.1. Eligible entities

This section will help you determine whether you are an entity eligible for the Program. All entities must have an Australian Business Number (ABN).

You are required to answer all questions in this section.

Is your organisation an entity registered under the Corporations Act 2001 (Cth)?

yes no

Is your organisation an institution listed as a Table A, Table B or Table C provider under the Higher Education Support Act 2003?

yes no

Is your organisation a publicly-funded research agency established by a Commonwealth Act of Parliament?

yes no

If you have answered ‘yes’ to any of the questions above you are eligible to apply for this Program.

A.2. Eligibility criteria

This section will help you determine whether you comply with additional eligibility criteria for the Program.

You are required to answer all questions in this section.

Does your organisation have an Australian Business Number (ABN)? yes no

Is your organisation operating in Australia? yes no

Is your organisation a member of a preconstruction consortium involved in delivering SKA work packages with the necessary expertise and institutional capability to carry out the work - including employing suitably qualified personnel and having access to suitably equipped premises?

yes no

Is your organisation intending to, and able to commit to, undertaking the 75 per cent of the work specified in the application within Australia?

yes no

Are you able to provide evidence from your governing or managing Board (or support from the owner or Chief Executive Officer if there is no Board) that the project is supported, and that you can complete the project and meet the costs of the project not covered by grant funding, including commitment to providing identified levels of co-investment?

yes no

Will your project include eligible expenditure? yes no

If you answered ‘yes’ to all of the questions above you are eligible to apply for this Program.


For further information regarding eligibility requirements for this Program refer to the SKA Preconstruction Grants Program– Round 2 Program Guidelines at www.ska.gov.au/industry.

B. Applicant information

B.1. Joint applications

Joint applications by one or more entities are acceptable, provided you have a lead applicant who is the main driver of the project and is eligible as per the list above.

Is this a joint application? yes no

If you answered ‘yes’ to this question the lead applicant must complete this form. If you are unsure of the status of your application as a joint application please contact us on (02) 6276 1120 or at [email protected].

B.2. Type of applicant

In this section you must indicate what type of entity you operate under.

All entities must have an ABN

Select which type of entity your organisation is

an entity registered under the Corporations Act 2001 (Cth)

an institution listed as Table A, Table B or Table C providers under the Higher Education Support Act 2003

a publicly-funded research agency established by a Commonwealth Act of Parliament

other eligible entity

If you selected other eligible entity please specify.

B.3. Applicant details

Australian Company Number (ACN)

If applicable

Australian Business Number (ABN)

Legal/ registered entity name

Business/ trading name

Your business may have registered one or more business names. If you operate under a business or trading name enter alternate names here.




GST registered? yes no

B.4. Address details

Provide your Business Street Address (Australian Head Office).

Address

Suburb/ town

State/ territory

Postcode

Provide your Business Postal Address.

Same as your business street address, go to next section.

Different to your business street address, provide details below.

Address

Suburb/ town

State/ territory

Postcode

Country Australia

B.5. Website address

Provide your business’ website address.

B.6. Project site address

Will your project’s activities occur solely at the above listed head office address?

yes no

If you answered ‘yes’ go the next question. If you answered ‘no’ complete the following table.

Project site address must be a street address not postal.

Site address 1Address

Suburb/ town

State/ territory

Postcode


Country Australia


Suburb/ town

State/ territory

Postcode

Country Australia


Suburb/ town

State/ territory

Postcode

Country Australia

B.7. Project partner organisation details

If in the first question of this section you answered ‘yes’ to the question relating to joint applications you are required to provide details of the joint project partner organisations in the following table.

For an explanation of entity types refer to the second question. You may be required to provide further financial details about your collaborative project partners if your application is successful.

No Australian Business Number

Australian Company Number

Organisation name Entity type

1

2

3

You must attach a letter of support from each of the other organisations involved in the proposal.

Refer to section 7.2 of the Program guidelines for what is required in the letter of support.


C. Project details and funding

C.1. Project title and description

If your application is successful, the details you provide below will be published on the departmental website. Published project details will include:

name of the applicant

title of the project

a description of the project and its intended outcomes

amount of funding awarded.

Provide a project title.

If the application is successful, this project title may be used by the Australian Government in published material.

25 word limit

Provide a brief project description for publication on our website.

Ensure your project description focuses on your project’s key activities and outcomes. Explain what it is you are going to do and how it will benefit your business. If the application is successful this project description will be used by the Australian Government in published material.

125 word limit

C.2. Summary of activities and outcomes

Provide a summary of your project, including the key activities and project outcomes.

225 word limit

C.3. Project duration

In most cases, the project start date will be the date the funding agreement is executed (i.e. please nominate an estimated date). The latest allowable project end date is 30 June 2019.

Project start date Project end date


C.4. Project plan

You must provide a plan of the project activities you will conduct including timetable and budget for all significant activities.

You should include this as an attachment when submitting your application. Please note the project plan should not exceed 20 pages.

C.5. Project milestones and key activities.

Provide details on the activities occurring at each milestone.

The start date of milestone 1 is the expected project start date. The end date of your last milestone activity will be the project end date. You might consider providing a milestone for each 3-6 months of the project. The milestones should relate to the schedule of work agreed with your consortium and the SKA Office. Please add more milestones if needed. Estimated cost for each milestone should be the full cost (i.e. regardless of whether the cost will be funded by the grant or co-investment. It should total across all the milestones to both the project budget at C6 and co-investment contribution at C7).

Milestone 1Milestone title

Milestone description

Milestone start date Milestone end date

Estimated milestone cost ($A) (ex GST)



















C.6. Project budget

Please indicate the level of co-investment (i.e. grant funding) in Australian dollars that your organisation is seeking from the Program against the following eligible expenditure categories.


Amounts must be GST exclusive.

Cost item FY

2016-17 (1 April 17 to 30June 17

only)

FY

2017-18

FY

2018-19

Total

Salaries $ $ $ $

Salary on-costs $ $ $ $

Project administration $ $ $ $

Use of existing plant and equipment

$ $ $

$

Consumables $ $ $ $

Contract expenditure $ $ $ $

IP and proprietary processes $ $ $ $

Other (please specify) $ $ $ $

Total $ $ $ $

C.7. Letter of support and co-investment contribution

Estimate the at-cost value of your contribution to the work package (refer to Program Guidelines for definition of at-cost value). You should append a similar table for each consortium member covered by the application. If a contractor(s) you intend to use in the project are also making a co-investment contribution you may append a table for each contractor setting out their co-investment contribution. This information may be taken into account in assessing merit criterion 3 (see Section D3).


Cost item FY

2016-17

FY

2017-18

FY

2018-19

Total

Salaries $ $ $ $

Salary on-costs $ $ $ $

Project administration $ $ $ $

Use of existing plant and equipment

$ $ $

$

Consumables $ $ $ $

Contract expenditure $ $ $ $

IP and proprietary processes $ $ $ $

Other (please specify) $ $ $ $


Cost item FY

2016-17

FY

2017-18

FY

2018-19

Total

Total $ $ $ $

You must also attach the following:

Evidence of conditional support from your Board (or if there is no Board, support from the owner or chief executive officer) that the business can complete the project and meet the project costs not covered by grant funding, including commitment of co-investment funds indicated above.

C.8. Source of funding

Complete the table below to show how you will fund the eligible project costs.


a. Applicant's contribution (including cash and in-kind) ($A)

$

b. Program grant amount ($A) $

c. Other non-Commonwealth government funding ($A) $

Total eligible project costs ($A) $

If you are receiving other non-Commonwealth government funding as indicated in the table above, provide details of the other government grant funding.

Program name Funding amount

$

$

Total $

C.9. Supportive documents

It is a requirement of the Program that the applicant is participating in an SKA preconstruction work package consortium. Please provide suitable evidence of your organisation’s involvement in relevant consortium activities as an attachment to this application, which could include a letter from your CEO, a letter from the consortium’s lead agency or a copy of the consortium agreement with the SKA Office.

You can find more details in the Round 2 Program Guidelines.


D. Merit criteria

To be competitive you will need to score highly against each merit criterion. [Your application will be assessed against the indicators listed beneath each merit criterion. The merit criteria are weighted as indicated by the points]. The amount of detail and supporting evidence you provide should be commensurate with the project size, complexity and grant amount requested.

You may attach any other documents that support your application and/or claims made in relation to the merit criteria.

D.1. Merit criterion one (30%)

Importance of contribution to the SKA preconstruction stage

Please describe the importance of your contribution to the SKA Preconstruction Stage, taking into account:

the degree of specialisation of the proposed work;

the availability of other potential partners with the same specialisation in the global SKA partnership;

ability to effectively contribute to the design and technical path for the work package; and

the contribution the consortium makes to developing collaborative relationships (including between sectors) that enhance the likelihood of SKA project success.

500 word limit

D.2. Merit criterion two (20%)

Your capacity, capability and resources to undertake the project

Please describe your capacity to undertake the work, taking into account

the domain expertise of the applicant;

the expertise and qualifications of nominated personnel;

quality of the facilities and equipment available to the applicant;

level of institutional support; and

experience in undertaking similar work.

500 word limit


D.3. Merit Criterion three (20%)

Your contribution to the project

Please describe your level of co-investment for the project. Although there is no specific matching level requirement, consideration will be given to the capacity of the applicant to commit its own resources.

500 word limit

D.4. Merit Criterion Four (20%)

The strength of your project in contributing to one or more priority areas

Please describe the degree that your project addresses a priority area for Australia’s involvement in the SKA Preconstruction Stage. The priority areas are:

significant technology developments that Australia may contribute to the SKA Project.

development of technology and system designs for SKA components expected to be deployed in Australia.

development and design of aspects of the SKA that relate specifically to hosting in Australia – such as support infrastructure.

500 word limit

D.5. Merit Criterion Five (10%)

The degree to which you engage with Australian industry

Please describe the degree that the applicant is engaged with Australian industry and is helping to provide opportunity for Australian industry within the SKA project.

500 word limit


E. Supporting documents

You should note any supporting documentation that you attach to the application here. The following restrictions apply to attachments:

total size of all attachments and this application form should not exceed 20MB

file size of each attachment cannot exceed 2MB

only files with the following file type extension can be uploaded (.pdf, .rdtf, .doc, .docx, .xls, .xlsx)

For assistance with any technical issues experienced while completing this application form or attaching documents please contact the Australian SKA Office at [email protected] or on (02) 6276 1120.

E.1. Attachment 1 – letters of support from project partner organisations

This is only for joint applications, but is mandatory for those applications.

Part of application form Type of attachments Attached?

Part B8 – joint project partners

For joint applications, provide letters of support from project partner organisations as outlined in section 7.2 of the Program Guidelines.

yes

E.2. Attachment 2 – project plan including timetable and budget


Part C4 – project plan A plan of the project activities you will conduct including timetable and budget for all significant activities.

yes

E.3. Attachment 3 – letter of support and co-investment contribution


Part C7 – letter of support and co-investment contribution

Evidence to support the commitment of your organisation to the proposed project, including agreement to provide levels of co-investment funding you have identified in the application.

yes

E.4. Attachment 4 – evidence of your organisation’s involvement in relevant consortium activities


Part C9 – supportive documents

Evidence to support your organisations involvement in the relevant SKA preconstruction work package consortium.

yes




E.5. Attachment 5 – merit criteria (optional)


Part D – merit criteria Additional information that you may wish to provide that is relevant to support your claims against the merit criteria.

yes

F. Contact details

F.1. Details of primary contact

Person authorised to act on behalf of the applicant. Please note that the nominated primary contact person should be available during business hours, have the authority to answer questions if required and be able to negotiate with the department regarding the amount of conditional grant funding that may be offered.

(Note: You must provide at least one phone or mobile number. Other than title, all the remaining fields below are mandatory unless stated otherwise.)

Provide details of the primary contact.

Title

Given name

Family name

Position title

Phone number

Mobile number

Email address

Provide the postal address of the primary contact

Address

Suburb/ town

State/ territory

Postcode

Country Australia

F.2. Contact’s relationship to applicant

Is the applicant the primary contact’s employer? yes no

If you answered ‘yes’ go the next question. If you answered ‘no’ complete the following table.


What is the relationship of the primary contact to the applicant?

Name of primary contact’s employer

Australian Business Number (ABN) of primary contact’s employer

Provide a contact for the applicant organisation

Title

Given name

Family name

Position title

Phone number

Mobile number

Email address


G. Applicant declaration

G.1. Privacy and confidentiality provisions

I acknowledge that this is an Australian Government Program and that the department will use the information I provide in accordance with the following:

Australian Government Public Data Policy Statement , Commonwealth Grants Rules and Guidelines , SKA Preconstruction Program Round 2 Program Guidelines Applicable Australian laws.

Accordingly, I understand that the department may:

a. share information in this application with other government agencies for any purposes, including government administration, research or service delivery; and

b. publish non – sensitive information in this application in the public domain, including on the department’s website;

unless otherwise prohibited by law.

I confirm that I have read and understood the privacy, confidentiality and disclosure provisions outlined in the Program Guidelines

By checking this box I agree to all of the above declarations and confirm all of the above statements to be true


http://www.finance.gov.au/resource-management/grants/

https://www.dpmc.gov.au/sites/default/files/publications/aust_govt_public_data_policy_statement_1.pdf

G.2. Applicant declaration

I declare that I have read and understood the SKA Preconstruction Round 2 Program Guidelines.

I declare that the proposed project outlined in this application and any associated expenditure has been endorsed by the applicant’s Board or person with authority to commit the applicant to this project.

I declare that the information contained in this application together with any statement provided is, to the best of my knowledge, true, accurate and complete. I also understand that giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).

I declare that the applicant will comply with, and require that its subcontractors and independent contractors comply with, all applicable laws.

I understand that I may be requested to provide further clarification or documentation to verify the information supplied in this form and that the Department of Industry, Innovation and Science (the department) may, during the application process, consult with other government agencies, including state and territory government agencies, about the applicant’s claims and may also engage external technical or financial advisors to advise on information provided in the application.

I acknowledge that if the department is satisfied that any statement made in an application is incorrect, incomplete, false or misleading the department may, at its absolute discretion, take appropriate action. I note such action may include excluding an application from further consideration; withdrawing an offer of funding; using the information contained in the application for a fraud investigation that would be consistent with the Australian Government’s Investigations Standard and Fraud Control Guidelines and for management purposes and/or terminating any grant agreement between the Commonwealth and the recipient including recovering funds already paid.

I agree to participate in the periodic evaluation of the services undertaken by the department.

I declare that I am authorised to complete this form and to sign and submit this declaration on behalf of the applicant.

I approve of the information in this application being communicated to the department in electronic form.

By checking this box I agree to all of the above declarations and confirm all of the above statements to be true

By including my name in this application it is deemed to be my signature for the purpose of this application

G.3. Signature

Name of signatory

Email address of signatory

Date


Signature


Documents

Application form - ska.gov.au Progr… · Web viewSKA Preconstruction Grants Program Round 2 - Application form. 19 of 20. SKA Preconstruction Grants Program Round 2 - Application