B.C. AGRI-BUSINESS PLANNING PROGRAM

GROUP APPLICATIONInstructions:1. Identify and approach a Qualified Business Consultant (“Consultant”) to work on your project. Consultants

not on this list may apply to the program to be considered for approval as a Qualified Business Consultant.

2. Complete this application in collaboration with your Consultant: Section 1: Applicant Eligibility and information, to be completed by Applicants. Section 2: Project Proposal, to be completed by Consultant and Applicants. Section 3: Declaration and Consent, to be completed by the Consultant and Applicants.

3. Consultant submits application to agribusiness@gov.bc.ca . Incomplete applications or applications not submitted in the format provided (Microsoft Word) will not be accepted.

If you have any questions regarding the process OR selecting a consultant, please contact program staff at agribusiness@gov.bc.ca or 1-888-221-7141.

SECTION 1: APPLICANT ELIGIBILITY AND INFORMATIONWhat program stream are you applying for? Choose an item.

SECTION 1.1: COVID-19 BUSINESS RECOVERY PLANNING CONFIRMATION OF ELIGIBILITY1

To be eligible for COVID-19 Business Recovery Planning you must confirm on behalf of all members of the group of applicants:1) Each applicant is either a sole proprietor, partnership, corporation or other association of persons (including cooperatives) who meet the following eligibility criteria:

(a) A group of Primary Agriculture2 and/or Seafood Producers (aquaculture and commercial fisheries).

Each producing fresh food, beverage, or agricultural and seafood products which are 100% grown, caught, or raised in B.C. AND

Who each reported total annual gross revenues greater than $30,000/year in the previous year to Canada Revenue Agency.

(b) A group of Agriculture, Food and Beverage, and/or Seafood Processors Each processing food, beverage, or agricultural and seafood products which

are processed and packaged in B.C. with 51% or more of the direct cost of producing the product in its final form (i.e. the sum of raw materials, direct labour, variable processing, and packaging) originating in B.C. When the main raw materials are available in sufficient quantities from B.C. producers, they must be used AND

Who each reported total annual gross revenues greater than $30,000/year in the previous year to Canada Revenue Agency.

Confirm eligibility

2) Each applicant, as the owner(s) of the business, is a resident(s) of British Columbia. Confirm eligibility3) Neither you nor any common proprietors, partners or shareholders will exceed program funding of $10,000 from April 2020 to March 2021.

Confirm eligibility

4) Each member must have been impacted by an external event such as COVID-19 which reduces their revenue by at least 30%. Confirm eligibility

1 Additional documentation may be required to demonstrate eligibility.2 For primary producers engaged in commercial agriculture production annual gross farm income is defined as income from sales of farm commodities including production insurance, crop and livestock sales, and value-added farm products; but does not include income from custom work, riding lessons, boarding horses, land and facilities rent, aquaculture, raising of pets, agri-tourism income, sales of forestry products and some agro-forestry products, government program payments, or any other non-commodity income.

SECTION 1.2: SPECIALIZED BUSINESS PLANNING CONFIRMATION OF ELIGIBILITY1

To be eligible for Specialized Business Planning you must confirm on behalf of all members of the group of applicants:1) Each applicant is either a sole proprietor, partnership, corporation or other association of persons (including cooperatives) who meet the following eligibility criteria:

(a) A group of Primary Agriculture2 Producers Each producing fresh food or agricultural products which are 100% grown or

raised in B.C. AND Who each reported total annual gross revenues greater than $30,000/year in

the previous year to Canada Revenue Agency.

(b) A group of Agriculture, Food and Beverage Processors Each processing food, beverage, or agricultural products which are processed

and packaged in B.C. with 51% or more of the direct cost of producing the product in its final form (i.e. the sum of raw materials, direct labour, variable processing, and packaging) originating in B.C. When the main raw materials are available in sufficient quantities from B.C. producers, they must be used AND

Who each reported total annual gross revenues greater than $30,000/year in the previous year to Canada Revenue Agency.

Confirm eligibility

2) Each applicant, as the owner(s) of the business, is a resident(s) of British Columbia. Confirm eligibility3) Neither you nor any common proprietors, partners or shareholders will exceed program funding of $10,000 from April 2020 to March 2021.

Confirm eligibility

SECTION 1.3 PREVIOUS PROJECTS1.3.1 Has any member of the applicant group or any of their proprietors, partners or shareholders received support through the B.C. Agri-Business Planning Program during the Canadian Agricultural Partnership Agreement (CAP), which is in effect from October 1, 2018 to March 31, 2023. You cannot receive support for the same eligible activities under this program more than once during CAP.

Choose an item

1.3.2 List which eligible activities they received support for:Click here to enter text.

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SECTION 1.4: BUSINESS AND CONTACT INFORMATION

APPLICANT 1 (PRIMARY CONTACT AND APPOINTED REPRESENTATIVE FOR THE GROUP)Applicant InformationGST Registrant Name Click here to enter text. GST Number Click here to enter text.

Applicant type Choose an item. Premises ID Number (required for livestock) Click here to enter text.

Name of business Click here to enter text.

Main Business LocationStreet or PO Box Click here to enter text.City/Province Click here to enter text.Postal Code Click here to enter text.

Phone Number Click here to enter text. E-mail Address Click here to enter text.Please provide the names of all proprietors, partners or shareholders (Last Name, First Name):Click here to enter text.Business OverviewPlease provide a brief description of your business (e.g., year business established, size of operation, etc.)(Maximum 100 words): Click here to enter text.# of Full-Time Employee Click here to enter

text.# of Part-Time Employees Click here to enter text.

Previous Year’s Estimated Total Gross Income Click here to enter text.What is the primary seafood you harvest, crop you grow, and/or the primary livestock you raise, and/or the primary product you process? (Primary is defined as category that provides the majority, or more than 51%, of gross revenues.)Primary seafood: Choose an item.Primary crop: Choose an item. Other crops: Click here to enter text.Primary livestock/poultry: Choose an item Other livestock/poultry: Click here to enter text.Primary processed product: Choose an item. Other processed products: Click here to enter text.Demographic OverviewThe B.C. Ministry of Agriculture supports inclusiveness and increased representation of target and underrepresented groups, such as new entrants, youth, women, persons with disabilities and Indigenous Peoples. This information will not be used to assess your eligibility for this program and will only be disclosed outside of the B.C. Ministry of Agriculture and Agriculture and Agri-Food Canada in aggregate form. Select all that apply to any of the proprietors, partners, or shareholders:New entrants (less than 5 years of agricultural or agrifood management experience) Choose an itemYouth (under 35 years of age) Choose an itemIndigenous Peoples [including First Nations (status or non-status), Métis or Inuit] Choose an itemWomen Choose an itemPersons with disabilities Choose an item

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APPLICANT 2Applicant InformationGST Registrant Name Click here to enter text. GST Number Click here to enter text.

Applicant type Choose an item. Premises ID Number (required for livestock) Click here to enter text.

Name of business Click here to enter text.

Main Business LocationStreet or PO Box Click here to enter text.City/Province Click here to enter text.Postal Code Click here to enter text.

Phone Number Click here to enter text. E-mail Address Click here to enter text.Please provide the names of all proprietors, partners or shareholders (Last Name, First Name):Click here to enter text.Business OverviewPlease provide a brief description of your business (e.g., year business established, size of operation, etc.)(Maximum 100 words): Click here to enter text.# of Full-Time Employee Click here to enter

text.# of Part-Time Employees Click here to enter text.

Previous Year’s Estimated Total Gross Income Click here to enter text.What is the primary seafood you harvest, crop you grow, and/or the primary livestock you raise, and/or the primary product you process? (Primary is defined as category that provides the majority, or more than 51%, of gross revenues.)Primary seafood: Choose an item.Primary crop: Choose an item. Other crops: Click here to enter text.Primary livestock/poultry: Choose an item Other livestock/poultry: Click here to enter text.Primary processed product: Choose an item. Other processed products: Click here to enter text.Demographic OverviewThe B.C. Ministry of Agriculture supports inclusiveness and increased representation of target and underrepresented groups, such as new entrants, youth, women, persons with disabilities and Indigenous Peoples. This information will not be used to assess your eligibility for this program and will only be disclosed outside of the B.C. Ministry of Agriculture and Agriculture and Agri-Food Canada in aggregate form. Check all that apply to any of the proprietors, partners, or shareholders:New entrants (less than 5 years of agricultural or agrifood management experience) Choose an itemYouth (under 35 years of age) Choose an itemIndigenous Peoples [including First Nations (status or non-status), Métis or Inuit] Choose an itemWomen Choose an itemPersons with disabilities Choose an item

APPLICANT 3Applicant InformationGST Registrant Name Click here to enter text. GST Number Click here to enter text.

Applicant type Choose an item. Premises ID Number (required for livestock) Click here to enter text.

Name of business Click here to enter text.

Main Business LocationStreet or PO Box Click here to enter text.City/Province Click here to enter text.Postal Code Click here to enter text.

Phone Number Click here to enter text. E-mail Address Click here to enter text.Please provide the names of all proprietors, partners or shareholders (Last Name, First Name):Click here to enter text.Business OverviewPlease provide a brief description of your business (e.g., year business established, size of operation, etc.)(Maximum 100 words): Click here to enter text.# of Full-Time Employee Click here to enter

text.# of Part-Time Employees Click here to enter text.

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Previous Year’s Estimated Total Gross Income Click here to enter text.

APPLICANT 3 CONTINUEDWhat is the primary seafood you harvest, crop you grow, and/or the primary livestock you raise, and/or the primary product you process? (Primary is defined as category that provides the majority, or more than 51%, of gross revenues.)Primary seafood: Choose an item.Primary crop: Choose an item. Other crops: Click here to enter text.Primary livestock/poultry: Choose an item Other livestock/poultry: Click here to enter text.Primary processed product: Choose an item. Other processed products: Click here to enter text.Demographic OverviewThe B.C. Ministry of Agriculture supports inclusiveness and increased representation of target and underrepresented groups, such as new entrants, youth, women, persons with disabilities and Indigenous Peoples. This information will not be used to assess your eligibility for this program and will only be disclosed outside of the B.C. Ministry of Agriculture and Agriculture and Agri-Food Canada in aggregate form. Check all that apply to any of the proprietors, partners, or shareholders:New entrants (less than 5 years of agricultural or agrifood management experience) Choose an itemYouth (under 35 years of age) Choose an itemIndigenous Peoples [including First Nations (status or non-status), Métis or Inuit] Choose an itemWomen Choose an itemPersons with disabilities Choose an item

APPLICANT 4Applicant InformationGST Registrant Name Click here to enter text. GST Number Click here to enter text.

Applicant type Choose an item. Premises ID Number (required for livestock) Click here to enter text.

Name of business Click here to enter text.

Main Business LocationStreet or PO Box Click here to enter text.City/Province Click here to enter text.Postal Code Click here to enter text.

Phone Number Click here to enter text. E-mail Address Click here to enter text.Please provide the names of all proprietors, partners or shareholders (Last Name, First Name):Click here to enter text.Business OverviewPlease provide a brief description of your business (e.g., year business established, size of operation, etc.)(Maximum 100 words): Click here to enter text.# of Full-Time Employee Click here to enter

text.# of Part-Time Employees Click here to enter text.

Previous Year’s Estimated Total Gross Income Click here to enter text.What is the primary seafood you harvest, crop you grow, and/or the primary livestock you raise, and/or the primary product you process? (Primary is defined as category that provides the majority, or more than 51%, of gross revenues.)Primary seafood: Choose an item.Primary crop: Choose an item. Other crops: Click here to enter text.Primary livestock/poultry: Choose an item Other livestock/poultry: Click here to enter text.Primary processed product: Choose an item. Other processed products: Click here to enter text.Demographic OverviewThe B.C. Ministry of Agriculture supports inclusiveness and increased representation of target and underrepresented groups, such as new entrants, youth, women, persons with disabilities and Indigenous Peoples. This information will not be used to assess your eligibility for this program and will only be disclosed outside of the B.C. Ministry of Agriculture and Agriculture and Agri-Food Canada in aggregate form. Check all that apply to any of the proprietors, partners, or shareholders:New entrants (less than 5 years of agricultural or agrifood management experience) Choose an item

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Youth (under 35 years of age) Choose an itemIndigenous Peoples [including First Nations (status or non-status), Métis or Inuit] Choose an itemWomen Choose an itemPersons with disabilities Choose an item

SECTION 2: PROJECT PROPOSAL

SECTION 2.1: CONSULTANT INFORMATION(Note: If more than one consulting company is involved, please provide information for each and clearly identify in Section 2.4 which company is responsible for providing which deliverables.)Company name Click here to enter text.Lead Consultant Full name Click here to enter text.

Position/Title Click here to enter text.Telephone number Click here to enter text.E-mail address Click here to enter text.Supporting Consultant information (if applicable)Company name Click here to enter text.Consultant name Full name Click here to enter text.

Position/Title Click here to enter text.Is the Supporting Consultant a Qualified Business Consultant for the Agri-Business Planning Program?

Choose an item.

SECTION 2.2: USE OF A SUPPORTING CONSULTANTIf the Supporting Consultant is not a Qualified Business Consultant for the B.C. Agri-Business Planning Program and are completing more than 10% of the proposed project, complete the following section.Will the Supporting Consultant complete more than 10% of the proposed project? Choose an item.

If they will complete between 10-40% of the proposed project:

1) Provide a rationale for their inclusion, including why it was not possible to hire a B.C. Agri-Business Planning Program Qualified Business Consultant: Click here to enter text.

2) Submit a copy of the Supporting Consultant’s resume with this application.

SECTION 2.3: PROJECT SUMMARYProject summary (Describe what problem or issue you would like to address? Maximum 75 words)

Click here to enter text.Start Date: End Date (90 days after Start Date) *Click or tap to enter a date. Click or tap to enter a date.Select Program Stream: Choose an item.Specialized Business Area Choose an item.If multiple business areas: Click here to enter text.

* Consultants must submit the project report to the Applicants for review and feedback at least two weeks prior to the project end date. Revisions requested by the Applicant must be completed by the Consultant and approved by the Applicants prior to the final submission to the program.

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SECTION 2.4: DELIVERABLES AND BUDGETTotal proposed budget: Click here to enter text.Describe deliverables as outlined in the program guide and provide detail on how each deliverable will be accomplished. If a supporting consultant is part of the project indicate what deliverables for which they are responsible.

Proposals that do not include these deliverables will be returned for clarification.

DESCRIPTION* # of HOURS/DAYS UNIT PRICE TOTAL

Click here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter textClick here to enter text. Enter text Enter text Enter text* No work on a project in a proposal started prior to receiving approval from the B.C. Ministry of Agriculture will be eligible for support under this program. No travel outside of B.C. will be reimbursed. Travel costs should be reasonable and in general no greater than 20% of the project cost.

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SECTION 3: DECLARATION AND CONSENTSECTION 3.1: APPLICANT DECLARATION AND CONSENT

By selecting “I Agree” below, I: represent that I am an applicant or the duly authorized representative of an applicant; declare that I have not knowingly submitted any false or misleading information and that the

information provided in this application is true and correct in every respect to the best of my knowledge;

understand that failing to comply with all application requirements may delay the processing of this application or may make me/ the applicant ineligible for receiving assistance under the Program;

acknowledge that the British Columbia Ministry of Agriculture (the “Ministry”) reserves the right to require further documentation to demonstrate that I/ the applicant meet(s) the eligibility requirements for the Program;

acknowledge that completion and submission of this application form does not oblige the Ministry, its agents or employees to provide funding for the services herein;

acknowledge that work started on Program projects prior to receiving approval from the Ministry is not eligible for funding under the Program;

agree to participate in an evaluation and/or audit of the Program; understand that personal information on this form is collected by the Ministry (or its

employees) under Section 26(c) and (e) of the Freedom of Information and Protection of Privacy Act for the purpose of facilitating my/ the applicant’s participation in the Program and for the purpose of planning and evaluating the Program and the Canadian Agricultural Partnership;

understand that should I/ the applicant have any questions about the collection, use and disclosure of this information, I/ the applicant can contact: Program Manager, Partnerships and Outreach, B.C. Ministry of Agriculture, Ph. 1-888-221-7141, or PO Box 9409 Stn Prov Govt Victoria, B.C. V8W 9V1; and,

have read, understand and agree to the terms and conditions of the Program as set out in this application and in the Program Guide.

I Agree I DO NOT Agree DateApplicant 1: Click here to enter text. ☐ ☐ Click here to enter text.Applicant 2: Click here to enter text. ☐ ☐ Click here to enter text.Applicant 3: Click here to enter text. ☐ ☐ Click here to enter text.Applicant 4: Click here to enter text. ☐ ☐ Click here to enter text.

By selecting “I Confirm” below, I/we confirm that I/we have reviewed and accept the project proposal above.I Confirm I DO NOT Confirm Date

Applicant 1: Click here to enter text. ☐ ☐ Click here to enter text.Applicant 2: Click here to enter text. ☐ ☐ Click here to enter text.Applicant 3: Click here to enter text. ☐ ☐ Click here to enter text.Applicant 4: Click here to enter text. ☐ ☐ Click here to enter text.

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SECTION 3.2: CONSULTANT CONFIRMATION AND DECLARATIONS

1) By selecting “I Agree” below, I declare that in my opinion the project proposal meets the minimum deliverables described in the B.C. Agri-Business Planning Program’s Program Guide.

I Agree I DO NOT Agree☐ ☐

2) Conflict of Interest - please select one of the following statements:☐ No, I have no conflict of interest to declare.☐ Yes, I have a conflict of interest to declare.

If yes, please describe the conflict of interest:Click here to enter text.

3) By selecting “I Agree below, I confirm that the proposed work, as outlined in the project proposal, is within my areas of professional expertise and that, if during the course of the project, it is discovered that all or part of the project is outside my areas of professional expertise that I will take appropriate measures, including contacting the program manager and hiring a supporting Consultant, necessary to ensure the quality and integrity of the project. I understand that failure to do so may result in a warning or in my removal from the B.C. Ministry of Agriculture’s Qualified Business Consultant list for the Business Development Programs.

I Agree I DO NOT Agree☐ ☐

Consultant Name Click here to enter text.Date: Click here to enter text.

Disclaimer: Under no circumstances will the Government of British Columbia, the British Columbia Ministry of Agriculture, or Agriculture and Agri-Food Canada, their officers, servants or agents be liable to any person or business entity for any direct, indirect, special, incidental, consequential, or other damages arising out of any participation in the Agri-Business Planning Program or arising from any advice, operation or any other activity related to the Agri-Business Planning Program, including, without limitation, any lost profits, business interruption, or loss of programs or information, even if the Government of British Columbia, the British Columbia Ministry of Agriculture, or Agriculture and Agri-Food Canada has been specifically advised of the possibility of such damages.

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