LOI Template - DOC by 9Rxo4Q2

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									                         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.




                                                                                                   2
                                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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