LOI Template - DOC
Document Sample


Atlantic Innovation Fund – Round IX
Letter of Intent
Date:
To: Atlantic Canada Opportunities Agency
From: (Name of Proponent):
Address:
With this letter of intent, our organization wishes to advise ACOA of its intention to
submit a formal project proposal for consideration under the current round of the
Atlantic Innovation Fund.
A- Proponent Information
Business Number:
The Business Number (BN) is a 9-digit federal numbering system which is assigned to a
business (one business, one number) to deal with the Canada Revenue Agency.
Organization Type (check only one):
Non-profit: Private Sector:
University Incorporated Company
College Sole Proprietorship
Other Post-Secondary Limited Partnership
Research Centre Cooperative
Industry Association
Other Non-Profit
B- Project Information
Project Name or Title:
Contact Name:
Title:
Telephone Number:
Principal Project Location:
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1. Applicable Sector (check only the most prevalent one) - Note: normally, ACOA will
assign projects to the sector in which the technology is being applied (e.g., an innovative
application of computer software for environmental monitoring would be assigned to the
environment sector and cross-referenced to the software sector.)
Aquaculture
Energy
Environment
Information Technology:
E-commerce
Software
Wireless
Geomatics
Life Sciences:
Biotechnology
Genomics
Health/Medical
Manufacturing/Processing
Natural Resources
Ocean Industries
Defence and Aerospace
Physical Sciences (Physics, Chemistry, Engineering)
Other, specify ___________________________
2. General Description of the Research Proposal - include the project objectives, anticipated
deliverables and challenges. (approximately 1 ½ page)
3. Project Financing - demonstrate progress toward having a realistic financing plan in place
to undertake the project in its entirety, without interruptions due to lack of or delays in
securing appropriate financing. Identify confirmed financing by inserting a checkmark
where appropriate in the “Confirmed?” column of the budget table.
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Estimated Project Costs and Financing
Estimated Project Costs Estimated Project Financing
Total Amount Contributor Total Amount Confirmed?
Building / Renovations
Other Capital Costs
Wages and Salaries
Other Operating Expenses
Requested AIF
Contribution
Total Project Costs: Total Project Financing:
4. Key Project Collaborators ( ½ - 1 page)
a. Research Team - list the team members, identified as key to the project’s success,
and demonstrate progress toward having their participation confirmed or indicate the
likelihood that their participation will be confirmed.
b. Key Collaborators - identify key project collaborators and demonstrate progress
towards having partnership details sufficiently discussed to reasonably expect that
partnership agreements could be executed within six months of project approval.
5. Commercialization Potential of the Research - identify the proposed resulting product,
process or service and associated market potential. ( ½ - 1 page)
6. Project Governance - demonstrate progress toward the development of a governance model
for the project, which outlines team members’ roles and responsibilities, including the
project management function. (ACOA strongly recommends that project management be
held by someone other than the lead researcher.) ( ½ - 1 page)
7. Regulatory Approval – if applicable, proponents must demonstrate progress toward
receiving regulatory approval, or that a strategy has been developed to obtain this, for any
phase (e.g., R&D, production, commercialization) of the proposed project.
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I hereby consent to ACOA sharing the information contained in this letter with other federal
departments or agencies that may be called upon to help in the assessment of AIF project
proposals. This information will be treated in accordance with the Access to Information Act and
the Privacy Act.
Name of Signing Authority for Proponent:
(Please Print)
Signature of Signing Authority for Proponent:
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