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Equity Funding Application

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					First Nation Clean Energy Business Fund (FNCEBF)
Equity Funding - Project Proposal
FIRST NATION APPLICATION
Applicant Name:                                    [Recipient Organisation for Treaty Organisation ]
Organization Mailing Address:                      [Recipient Business Mailing Address]

Organization Contact Person:                       [Name]

PROJECT TIMELINE
Estimated start date [yyyy-mm-dd]

Estimated end date [yyyy-mm-dd]

Project Proponent                                  [If different from FN Contact Person]

Project Type

Name                                               Enter your name for the FNCEBF project here


Answer the following questions (yes/no):
Are you looking at developing your own
community project ?


Are you buying into a project?


Is this a joint project?


Is this project grid fed or remote?

                                 Briefly explain




Project
Terms of Reference                                 See worksheets Project Purpose and Objectives , Project Activities and Project Deliverables
Project Budget                                     See project worksheet Budget
Project Cash Flow                                  See project worksheet Cash Flow and Deliverables.
Other Sources                                      See project worksheet Other Funding.
of Funding
Terms and Conditions
                                             1. I have read, acknowledge and accept the terms of a FNCEBF Equity Funding
                                                program from the Guidelines as provided with this proposal form.
                                             2. I have enclosed documentation (e.g., a Band Council Resolution, Tribal Council
                                                Resolution or Directors' Resolution) that confirms that this proposal meets the
                                                eligibility requirement. (See FNCEBFGuidelines)
                                             3. I have attached details regarding other organisations which are participating in
                                                funding this work, as in attached worksheet Other Funding.
                                             4. I have attached the feasibility study documents, a CEP, and any other supporting
                                                material demonstrating the viability of the project.

I Agree to the above terms and conditions on behalf of
                                                        [organisation requesting the funding].

_________________
Date                                                  Signature of person authorized by the Band, Tribal Council, or Organization
After signing, please e-mail to Lindsay.wood@gov.bc.ca or fax to 250.387.6073,
                       Attention: Climate Change Project Advisor
Land and Resource Planning and Management
Governance
Economic Development
Preparing for Effective Date[must have signed FA]
Studies and Research                                 Studies and Research         Studies and Research Transition to Treaty Settlement Lands & Tr
First Nation Participation in Management Processes   Cultural Artefacts           Transition Activitiies [must have signed AiP]
Transition Activities [must have signed AiP]         Constitution Development
                                                     Community Planning
                                                     Transition Activities[must have signed AiP]
nds & Transition to Effective Date
                                  Project Objectives
Purpose
                                  Go to the top left of this sheet to enter
[Objective 1]
                                  data.
                                  Enter your project purpose, then your
                                  objective(s).
                                  (e.g., a possible expected outcomes of
[Objective 2]   [If applicable]   FNCEBF initiative is to develop a
                                  feasibility study to provide tangible
                                  economic benefits for the First Nation.)
                                     Project Activities
[Activity one]                                            Project Activities

                                                          Go to the top left of this sheet to enter
                                                          information.

[Activity two]     [If applicable]
                                                          Provide a description of the FNCEBF project
                                                          activities, starting with a work plan.
                                                          The work plan and activity/activities should be a
                                                          general chronological description of the key
                                                          tasks, timing and methodology.
[Activity three]   [If applicable]
                                                          If there are any key federal and/or provincial
                                                          ministries and agencies involved in the project,
                                                          their role should also be identified and described
                                                          here.
                                        Project Risk and Risk Mitigation
                                                                                            Minimal
                                                                                            Moderate
           Risk                Issue/Concern                Recommended Action/Mitigation    High

Energy Purchase
Agreement (EPA) and
interconnect requirements
Project Financing
Design and construction
Financial Criteria
Long term certainty of clean
energy supply (e.ge
hydrology, biomass
resource, wind profile.)
Regulatory and land use
requirements
Exit strategy options
Community Support
                                                                                                                                                                            Budget
                                                                                                                                                                            Go to the top left of this sheet to enter information.
                                                                                                                                                                            Many cells will fill automatically when you enter data in another
                                               Budget - use this to itemize your budget                                                                                     column.
Note: you can use this form as a template for your expenditure reports as well. Simply save to another document, and fill in the"Actual Expenditure" column.
                                                                                                                                                                            Eligible expenditures for FNCEBF Initiative include:

                                                                                                                                                                                   Expense                    Includes
                                                                                                                              Actual Expenditure    Variance from
                                                                                                                              [use this column to   original Total Budget          Professional and           Professional fees, and other
                                                                                                                                                                                   technical services         expenses, depending on the nature of
                                                                                                                              do the                [Use this column to                                       the contract with the service provider
                                                                                                                              Expenditure           do the Expenditure
Item [entries are samples only]                                     No. of Days Rate/day              Total Budget            Report]               Report]                        Travel                     transportation, accommodation, meals
professional & technical fees [person 1, describe title ]                                                                                                                                                     and allowances
professional expenses [person 1 ]                                                                                                                                                  Project salaries
professional and technical fees [person 2, describe title ]                                                                                                                        and wages
professional expenses [person 2 ]                                                                                                                                                  Communications
Honoraria [number times amount ]
Community meetings [number times rate ]                                                                                                                                            Administration             overhead, office supplies and printing
                                                                                                                                                                                   costs                      not to exceed 10% of the total
Travel expenses - transportation                                                                                                                                                                              FNCEBF Initiative cost
Travel expenses - accommodation
                                                                                                                                                                                   Community                  hospitality expenses, facilities
Travel expenses - meals - No. of Days and Rate/day                                                                                                                                 consultation
Other expenses                                                                                                                                                                     initiatives

                                                                                                                                                                                   Conferences,
                                                                                                                                                                                   workshops and
                                                                                                                                                                                   meetings

                                                                                                                                                                                   Systems                    Design, implementation and
                                                                                                                                                                                                              maintenance

                                                                                                                                                                                   Land surveys

                                                                                                                                                                                   Environmental
Administration [up to 10% of total budget]                                                                                                                                         assessments
Totals                                                                                                   $                -     $               -     $                 -


                                                                                                                                                                               At the end of your project, we will require a final project
                                                                                                                                                                               expenditure report. You may also need to submit interim
                                                                                                                                                                               expenditure reports. You can copy your completed Budget sheet
                                                                                                                                                                               and use that for your expenditure reports by completing the
                                                                                                                                                                               Actual Expenditure column.
                                  Other Sources of Funding                                               Other Sources of Funding

    Funding Source   Contact Information               Item [insert rows as required]       Amount       Go to the top left of this sheet to enter information

DIAND [example]                                                                                          A First Nation may choose to seek other sources than BC to
                                                                                                         fund part of the cost of a FNCEBF initiative.

                                             Total Funding from other Sources           $            -   Please use this sheet to describe other sources of funding
                                                                                                         than FNCEBF Initiative funds.

                                                                                                         FNCEBF initiatives may complement other projects funded
                                                                                                         under various programs or initiatives, if they contribute to the
                                                                                                         purpose and objectives of the FNCEBF initiative. Please
                                                                                                         note that there must be no duplicate funding from other
                                                                                                         provincial sources for portions of the project funded by the
                                                                                                         FNCEBF initiative. First Nations organizations will identify
                                                                                                         any and all complementary funding that they are seeking for
                                                                                                         a FNCEBF initiative.

				
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