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Document Sample
The URBACT II Operational Programme
(2007 – 2013)
Declaration of Interest for Working groups
To be completed by Lead Partner (LP):
Short title of working group or acro-
nym
Full title
Lead Partner (institution and country)
To be completed by the URBACT Secretariat (US):
Project number (serial number/code)
Received by URBACT Secretariat (date)
Eligibility check (date)
Submitted to External Assessment
Panel (date)
Approved by Monitoring Committee
(date)
Form to be submitted to the URBACT Secretariat by 15 February 2008:
- in an electronic format (only if applicants have an electronic signature)
to the following address: project.application@urbact.eu;
- or by regular mail (documents must be postmarked no later than 15
February 2008) to the following address:
URBACT Secretariat
194, Avenue du Président Wilson
93217 St Denis La Plaine – France
List of documents to be attached:
- 4 Letters of commitment
- Excel Financial tables
- CV of appointed coordinator at Lead partner‟s
- CV of planned appointed Lead expert
Contents
1 PROJECT SYNTHESIS ........................................................... 3
1.1 PROJECT IDENTITY ................................................................................ 3
1.2 SUMMARISED DESCRIPTION OF THE PROJECT (MAX. 100 WORDS) ......................... 3
1.3 PARTNERSHIP (4 PUBLIC AUTHORITIES FROM AT LEAST 3 DIFFERENT MEMBER STATES) 3
1.4 RELATION TO URBACT THEMATIC COVERAGE ................................................ 4
1.5 PROJECT COST (IN €) ............................................................................ 4
2 PROJECT PRESENTATION ..................................................... 5
2.1 DESCRIBE THE STARTING SITUATION AND THE MAIN CHALLENGES THAT PARTNERS FACE
IN RELATION WITH THE THEME OF THE PROJECT .............................................. 5
2.2 SYNTHETIC PRESENTATION OF THE WHOLE PROJECT ......................................... 6
2.3 SUMMARY FRAMEWORK FOR THE PROJECT DEVELOPMENT PHASE (FIRST 4 MONTHS) ... 7
2.4 SCHEDULE FOR THE DEVELOPMENT PHASE (FIRST 4 MONTHS) ............................. 8
2.5 FIRST ATTEMPT AT AN ESTIMATE OF THE CARBON FOOTPRINT AND RESOURCE
CONSUMPTION ..................................................................................... 9
3 INITIAL PARTNERS INVOLVED IN THE PROJECT................ 10
3.1 LEAD PARTNER’S EXPERIENCE .................................................................. 10
3.2 LEAD PARTNER’S POLITICAL INVOLVEMENT ................................................... 10
3.3 EXPERIENCE AND EXPECTATIONS OF EACH PARTNER ........................................ 11
3.4 APPOINTED LEAD EXPERT ....................................................................... 13
3.5 PARTICIPATION OF MANAGING AUTHORITIES OF OPERATIONAL PROGRAMMES .......... 13
4 PROJECT FINANCE ............................................................. 14
5 BANK INFORMATION ......................................................... 14
6 DETAILED INFORMATION ON THE LEAD AND PROJECT
PARTNERS ......................................................................... 15
7. CERTIFYING BODIES ......................................................... 18
8 CERTIFICATION ................................................................. 19
OUTLINE TEXT FOR A LETTER OF COMMITMENT BY A LEAD PARTNER................................. 20
OUTLINE TEXT FOR A LETTER OF COMMITMENT BY A CITY PARTNER.................................. 21
1 PROJECT SYNTHESIS
1.1 Project identity
Short title or acronym
(max. 20 characters)
Full title
Lead Partner (institu-
tion and country)
1.2 Summarised description of the project (max. 100 words)
1.3 Partnership (4 public authorities from at least 3 different
Member States)
Name of Type of insti- Convergence/ Member/ Region in
partner insti- tution Competitive- Partner State which partner
tution ness is situated (if
relevant)
LP
PP 1
PP 2
PP 3
3
1.4 Relation to URBACT thematic coverage
Which of the seven URBACT II themes do you see your project relat-
ing to most strongly? (Please select one theme only, writing „X‟ in the
right hand column)
Priority Axe 1 – Cities, Engines for growth and jobs
1.1. Promoting Entrepreneurship
1.2. Improving Innovation & Knowledge Economy
1.3. Employment & Human Capital
Priority Axe 2 – Attractive and cohesive cities
2.1. Integrated development of deprived areas and areas at risk
of deprivation
2.2. Social integration
2.3. Environmental issues
2.4. Governance & Urban Planning
1.5 Project cost (in €)
ERDF funding
Public co-financing (EU PP)
Private co-financing (EU PP)
Public co-financing (Non EU PP)
Private co-financing (Non EU PP)
TOTAL
4
2 PROJECT PRESENTATION
2.1 Describe the starting situation and the main challenges that
partners face in relation with the theme of the project
(You may use problem tree if possible - 1 page max.)
5
2.2 Synthetic presentation of the whole project
(Please present here the main objective, issue and expected outputs relating to the
implementation of the project over its entire duration – 1 page maximum)
Main objective (please focus on one objective)
Main issue to be addressed in relation with the selected theme
(please focus on the core issue)
Main expected outputs (Local Action Plans, good practices,
policy recommendations, recommendations, etc.)
6
2.3 Summary framework for the Project Development Phase (first
4 months) 1
Objectives Actions to be implemented in rela- Related outputs
tion with the objective
Objec- (e.g. Finalising 1.1. (e.g. Searching for potential part- (e.g. 1 partner-
tive n°1 partnership) ners and contacting them by phone, ship)
etc.)
1.2. (e.g. Meeting with all partners to
agree on project objectives, issues, etc.)
1.3.
etc.
Objec- (e.g. Comple- 2.1. (e.g. Visiting all partners to com- (e.g. 1 baseline
tive n°2 tion of baseline plete local enquiries) study)
study)
2.2. (e.g. Realising the “State of the
art” of existing knowledge at EU level)
2.3.
etc.
Objec- (e.g. Comple- 3.1. (e.g. Completing Final Application (e.g. Final Appli-
tive n°3 tion of Final Form) cation Form, 4
application) letters of Com-
3.2. (e.g. Collecting letters of commit- mitment, etc.)
ment from all partners)
3.3.
etc.
Etc.
(add
rows if
needed)
1
The excel spreadsheet n° 1.5 of the annexed financial tables shall indicate the
budget per action. This must be coherent both with paragraph 2.3 of the Declara-
tion of Interest and with table 1.4 of the budget.
7
2.4 Schedule for the Development phase (first 4 months)
Please define the schedule for the implementation of the actions listed in section 2.3.
Use reference number and short title of the actions listed above.
For each action, fill in the boxes corresponding to the period during which the action will be undertaken.
Month 1 Month 2 Month 3 Month 4
(e.g.) 1.1.
Searching part-
ners
(e.g. 1.2. Meeting X
with partners)
Etc.
Add rows as needed
8
2.5 First attempt2 at an estimate of the carbon footprint and re-
source consumption
Activity Estimation of Total carbon Actions to mitigate
carbon per to be con- carbon (e.g. virtual
unit of travel sumed meetings, video con-
ference, sustainable
meetings)
Flight dis-
tances for
European
meetings
Train dis-
tances for
European
meetings
(km)
Car distances
for Local
meetings km
Public trans-
port distances
for local
meetings km
Virtual meet- 0
ings
Other
Total
GUIDANCE TO FILL THIS TABLE WILL BE MADE AVAILABLE IN THE
APPLICANTS PACK
2
Face to face meetings are important but scores will be awarded for efforts to mitigate impact. In the
final application waste minimisation (e.g. of paper) will also be evaluated.
9
3 INITIAL PARTNERS INVOLVED IN THE PROJECT
3.1 Lead Partner’s experience
LP’s experience of the
problem to be ad-
dressed by the network
LP’s experience in
European networks
Experience of the LP’s
named officer in charge
of leading the network
(Please attach CV)
3.2 Lead Partner’s political involvement
If an elected representative has been nominated, within the LP’s institution,
to follow the project, please indicate his/ her name and responsibilities/ pol-
icy field he/ she is entrusted with.
Name of elected representative/
official in charge of the project
Responsibilities/ Policy field
10
3.3 Experience and expectations of each partner
(1 table per partner, including LP – ½ page max. per partner)
Lead Partner
Local problem and chal-
lenge regarding this
problematic
Policies and concrete ac-
tions developed regarding
this problematic
Willingness to define and
adopt a local action plan
Willingness to set up an
URBACT Local Support
Group (Give first ideas of
the ULSG composition)
Experience of working in
related fields through
transnational exchange
Expected learning from
the network
Partner 1
Local problem and chal-
lenge regarding this
problematic
Policies and concrete ac-
tions developed regarding
this problematic
Willingness to define and
adopt a local action plan
Willingness to set up an
URBACT Local Support
Group (Give first ideas of
the ULSG composition)
Experience of working in
related fields through
transnational exchange
Expected learning from
the project
11
Partner 2
Local problem and chal-
lenge regarding this
problematic
Policies and concrete ac-
tions developed regarding
this problematic
Willingness to define and
adopt a local action plan
Willingness to set up an
URBACT Local Support
Group (Give first ideas of
the ULSG composition)
Experience of working in
related fields through
transnational exchange
Expected learning from
the project
Partner 3
Local problem and chal-
lenge regarding this
problematic
Policies and concrete ac-
tions developed regarding
this problematic
Willingness to define and
adopt a local action plan
Willingness to set up an
URBACT Local Support
Group (Give first ideas of
the ULSG composition)
Experience of working in
related fields through
transnational exchange
Expected learning from
the project
12
3.4 Appointed Lead expert
Please designate the Thematic expert you intend to appoint as Lead expert
if the project is approved for Development phase (the designated expert
should be selected from the URBACT II pool of approved Thematic experts
available on the URBACT website).
Name of Lead expert
Brief description of ex-
perience relevant to the
project’s theme (Please
attach CV)
3.5 Participation of Managing Authorities of Operational Pro-
grammes
If you intend to associate Managing authorities to the network’s activities,
please present briefly how you plan to do so.
Please list Managing Authorities to be involved in network’s activities if
available:
PARTNER MANAGING AUTHORITY INSTITUTION
13
4 PROJECT FINANCE
Please complete separate Excel financial tables.
5 BANK INFORMATION
Name and address of Lead Partner’s bank
Bank account number
IBAN (International Bank Account Number) and SWIFT/BIC
Internal reference
If relevant
14
6 DETAILED INFORMATION ON THE LEAD AND PROJECT PARTNERS
LEAD PARTNER
Institution
Department
Use the most appropriate 3-character code from the list in the Guide
Legal status
for Applicants
Contact per-
son
Address
Postal code
Town
Region
Country
Phone
Mobile phone
Fax
E-mail
Person responsible for Project Coordination at the Lead partner
Name
Institution
Function
Address
Country
Phone (of-
fice)
Mobile phone
Fax
E-mail
Person responsible for Financial management at the lead partner
Name
Phone
Mobile phone
15
Fax
E-mail
Person responsible for Communication at the lead partner
Name
Phone
Mobile phone
Fax
E-mail
Financial Contribution
Source Legal basis for decision of funding Amount (in €)
PARTNER 1
Organisation
Department
Use the most appropriate 3-character code from the list in the Guide
Legal status
for Applicants
Address
Postal code
Town
Region
Country
Contact per-
son
Phone (of-
fice)
Mobile phone
Fax
E-mail
Financial Contribution
Source Legal basis for decision of funding Amount (in €)
16
PARTNER 2
Organisation
Department
Use the most appropriate 3-character code from the list in the Guide
Legal status
for Applicants
Address
Postal code
Town
Region
Country
Contact per-
son
Phone
Mobile phone
Fax
E-mail
Financial Contribution
Source Legal basis for decision of funding Amount (in €)
PARTNER 3
Organisation
Department
Use the most appropriate 3-character code from the list in the Guide
Legal status
for Applicants
Address
Postal code
Town
Region
Country
Contact per-
son
Phone (of-
fice)
Mobile phone
17
Fax
E-mail
Financial Contribution
Source Legal basis for decision of funding Amount (in €)
7. CERTIFYING BODIES3
Please indicate in this table the certifying bodies proposed for each partner.4
Partners Certifying bodies5
(Name, Surname, Institution, Function, ad-
LP dress, telephone number, fax number, email
address, additional info if necessary)
(Name, Surname, Institution, Function, ad-
PP1 dress, telephone number, fax number, email
address, additional info if necessary)
(Name, Surname, Institution, Function, ad-
PP2 dress, telephone number, fax number, email
address, additional info if necessary)
(Name, Surname, Institution, Function, ad-
PP3 dress, telephone number, fax number, email
address, additional info if necessary)
3
According to Article 16 of Regulation (EC) 1080/2006.
4
Before the expenditure can be claimed to the Commission, every partner has to
fill in and sign a checklist indicating the proposed certifying body (a model of check-
list shall be provided by the URBACT Secretariat). The filled in and signed checklist
must be sent to the national authority concerned. Evidence of the approval has to
be sent by the national authority to the URBACT Secretariat in order to provide the
certifying body with a personal login and password to access PRESAGE-CTE.
5
In the case of a centralised financial management system, only the certifying body
at LP level needs to be indicated. In the case of a decentralised or mixed financial
management system, the certifying bodies of the partners spending, accounting
and claiming a part or the totality of their contributions need to be indicated.
18
8 CERTIFICATION
I hereby certify that the information stated in this application is to the best of my
knowledge accurate and true.
Signature (elected Member):
Name (capital letters):
Position:
Date:
Signature (Lead Partner Fi-
nancial Responsible:
Name (capital letters):
Position:
Date:
Official stamp
Official stamp
19
Outline text for a letter of commitment by a Lead partner
(On Lead partner‟s institution headed paper)
URBACT Managing Authority
194, avenue du Pdt Wilson
F-93217 Saint Denis la Plaine Cedex
Date
Dear Sir,
The public Authority XXX wishes to be the Lead Partner in the activities of
the URBACT Working group named YYY. Our working group project builds
on an initial partnership of 4 partners in total that belong to ZZZ Member or
Partner States and we consider that we have achieved a good balance be-
tween convergence and competitiveness Objective regions by having WWW
partners from convergence regions.
The specific challenge we wish to address in this working group as a partner
is … AAAAA.
We are convinced that by working through this URBACT project, we will be
able to better address these challenges. In this context, if successful with
our proposal, we commit to put in place a URBACT local support group
made up of key local stakeholders relevant to the theme of our project. This
local support group will work to define and implement a Local Action Plan
using the knowledge and expertise generated by our joint working.
To this end we also formally commit to engaging the funds needed to co fi-
nance ERDF. In the first phase, this is estimated to amount to BBB €
Yours sincerely6 Official stamp
_________________________________
Name in capital letters:
_________________________________
Function:
_________________________________
6
The signatory person has to be an elected representative with authority to sign for
the Lead Partner city
20
Outline text for a letter of commitment by a project partner
(On partner’s institution headed paper)
URBACT Managing Authority
194, avenue du Pdt Wilson
F-93217 Saint Denis la Plaine Cedex
Date
Dear Sir,
The Public authority of XXX wishes to join in the activities of the URBACT
working group named YYY led by the Public authority of WWW.
The specific challenge we wish to address in this project as a partner is
AAAAA.
We are convinced that by working through this URBACT project, we will be
able better address these challenges. In this context if successful with our
proposal, we commit to put in place a URBACT local support group made up
of key local stakeholders relevant to the theme of our project. This local
support group will work to define and implement a Local Action Plan using
the knowledge and expertise generated by our joint working.
To this end we also formally commit to engaging the funds needed to cofi-
nance ERDF. In the first phase this is estimated to amount to ZZZZ €
Yours sincerely7
_________________________________ Official stamp
Name in capital letters:
_________________________________
Function:
_________________________________
7
The signatory person has to be an elected representative with authority to sign for
the Partner city.
21
