E-waste Infrastructure Grants

INFRASTRUCTURE GRANTSE-waste

GUIDELINES & PROPOSAL FORM MAY 2018

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Funding overviewSustainability Victoria’s E-waste Infrastructure Grants package will fund fixed collection and storage infrastructure at primary and secondary sites (see Definitions, pg. 3) identified in the Victorian E-waste Infrastructure Network Assessment Report (VEINAR). This state-wide assessment of e-waste infrastructure has identified an essential Victorian e-waste collection network (VECN) required to support the upcoming e-waste landfill ban in Victoria. All infrastructure upgrades delivered through this grants package will help to provide reasonable access for the Victorian community to safe e-waste disposal points of an agreed standard and enable compliance with new regulatory requirements specifying how e-waste must be managed.

Primary and Secondary sites identified in the VECN can apply for funding up to $100,000 in accordance with funding criteria. Grant proposals close 3pm, Friday 14 September 2018.

The amount of funding allocated for each VECN site is outlined in the ‘Infrastructure Capital Cost Estimate’, found in Table 40 ‘E-waste collection network’ in the VEINAR (available for download on the E-waste Infrastructure Support Program web page). All proposals and funding requests will be reviewed in conjunction with the infrastructure cost estimates outlined in Table 40 in the VEINAR.

The amount of funding allocated may be negotiated with the successful applicants based on the site and specifications of the e-waste infrastructure to be constructed.

Local governments and state government entities with multiple eligible sites will receive one grant per site. Tertiary sites and other infrastructure options are not eligible to receive funding in this initial grants round. Upon finalisation of the initial grants round, remaining funding will be opened to tertiary sites, privately owned sites and alternative infrastructure options.

Approved infrastructure upgrades that can be completed by 30 June 2019 will be fast tracked.

Why is the Victorian Government providing this funding?The Victorian Government has committed to banning the disposal of e-waste to landfill, with the ban to commence from 1 July 2019. E-waste is growing three times faster than general municipal waste in Australia, and it contains both valuable and hazardous materials that can be recovered when they reach the end of their working life. The ban seeks to improve outcomes for e-waste recovery and recycling and to reduce the risk of negative impacts on public health and the environment.

Sustainability Victoria (SV), on behalf of the Victorian Government, will implement the $15 million grants that aims to:

› increase community access to best practice e-waste disposal points

› improve the capacity and capability of Victoria’s collection network to receive and safely manage rising volumes of e-waste.

Funding Grants of up to $100,000 are available for local governments and state government entities to construct fixed e-waste infrastructure upgrades at primary and/or secondary sites identified within the VECN. The amount of funding allocated for each Primary and Secondary site is outlined in the ‘Infrastructure Capital Cost Estimate’, found in Table 40 ‘E-waste collection network’ in the VEINAR the final funding allocation for sites will be determined during the contracting process. The VEINAR & VECN are available for download on the on the E-waste Infrastructure Support Program web page.

3.1 Criteria: who and what will be funded?

Who:

Recipient proposals should meet the following criteria:

› be a local government organisation or state government entity

› implement the e-waste infrastructure upgrade at a primary or secondary site identified within the Victorian E-waste Collection Network

› agree to comply with SV’s Terms and Conditions

› agree to comply with SV's Terms of Participation in Grant Program.

What:

E-waste infrastructure upgrades should meet the following criteria:

› be fixed or semi-permanent e-waste infrastructure (including signage) upgrades for compliant collection and storage of e-waste

› be designed and constructed in line with:

– Key requirements1 of the AS/NZS 5377: 2013

– All relevant building codes

– All OH&S requirements including Section 28

– All relevant EPA requirements

– Relevant Planning and / or building permits

– Infrastructure solutions in the VEINAR

– SV’s Signage Guide and Signage Fact Sheet

– SV’s Better Practice Resource Recovery Centre Guide

– This guideline and proposal form

Be completed by 1 December 2019 unless the applicant is seeking an extension to the project completion date.

SV will work with funding recipients to align infrastructure upgrades with this set of criteria.

3.2 What will not be funded?Funding will not be provided for:

› infrastructure upgrade projects that do not meet the above criteria

› applicants that have failed to adequately address an environmental or safety breach or cannot demonstrate they are working effectively to resolve the breach

› infrastructure upgrades at sites not identified within the VECN

› non-permanent infrastructure or e-waste collection units (see definitions, page 3)

› project management costs (including internal resourcing)

› proposals submitted after the closing date and time 3pm, Friday 14 September 2018

› requests for retrospective funding, where projects are completed or have commenced prior to signing a funding agreement with SV

› feasibility studies

› temporary fencing

› architecture or engineering costs for design work; or

› costs to obtain works approvals or permits

1 Key requirements of AS/NZS 5377:2013 include: storing e-waste to avoid breakage; protecting e-waste from the elements/weather; storing e-waste on an impermeable and easily bunded surface; providing clear signage in e-waste collection and storage areas.

http://E-waste Infrastructure Support Program web pagehttp://www.sustainability.vic.gov.au/ewastegrantshttp://www.sustainability.vic.gov.au/-/media/SV/Publications/Government/Waste-and-resource-recovery/Best-practice-guidelines/Transfer-Station-Signage.pdfhttp://www.sustainability.vic.gov.au/-/media/SV/Publications/Government/Waste-and-resource-recovery/Best-practice-guidelines/Signage-Fact-Sheet.pdfhttp://www.sustainability.vic.gov.au/-/media/SV/Publications/Government/Waste-and-resource-recovery/Best-practice-guidelines/Better-practice-resource-recovery-centres.pdf

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Definitions for this programE-waste

Electrical or electronic equipment with a power cord or battery and its parts that have been discarded by the owner as waste without the intention of re-use.

Specified Electronic Waste

Under Regulation 5 of the Environment Protection (Scheduled Premises) Regulations 2017, ‘specified electronic waste’ means waste rechargeable batteries, cathode ray tube monitors and televisions, flat panel monitors and televisions, information technology and telecommunications equipment, lighting and photovoltaic panels.

Victorian E-waste Collection Network

The VECN was established in 2018 by Sustainability Victoria in partnership with local government and waste and resource recovery groups to identify priority infrastructure sites for upgrade to support the upcoming e-waste to landfill ban. The network of infrastructure is for collection and storage of e-waste that will provide Victorians with reasonable access to sites to dispose of their e-waste, of an agreed standard.

Victorian E-waste Infrastructure Network Assessment Report (VEINAR)

Provides a detailed assessment of Victoria’s current e-waste collection and storage sites and identifies the VECN that will provide Victorians with reasonable access to e-waste sites of an agreed standard.

The report provides details of:

1 The assessment of the “current state” of Victoria’s e-waste collection network, including mapping of all sites currently accepting various e-waste categories across key infrastructure types, including council facilities, privately owned and operated facilities, sites that service existing product stewardship arrangements, and end-of-life product takeback programs for electrical and electronic waste.

2 Develop a detailed database of sites from which to draw information and for SV to use throughout the implementation of the ban and any related infrastructure funding.

3 Develop a site assessment tool, based on a set of agreed criteria, and use that tool to group sites in order of their local and state significance to establish the VECN.

4 Develop infrastructure options for site upgrades across the ECN that would enable compliance with the key requirements of AS/NZS 5377: 2013 Australian and New Zealand Standard, Collection, storage, transport and treatment of end-of-life electrical and electronic equipment (AS5377)1.

5 Develop an initial set of costings for VECN sites (including a high and low set of costing scenarios).

Primary and secondary sites

Primary and secondary sites are the most significant sites in terms of the populations serviced and the amount of e-wastes that need to be collected and stored before processing. These are the sites that will receive funding from this grant.

Sites where there are no significant barriers to expansion or upgrade are expected to be upgraded with fully enclosed shedding of a size that would facilitate the compliant storage of different types of e-waste. Fully enclosed shedding provides the best means of enabling compliance with the key requirements of AS53771 and should be the default position for site upgrades. In these instances, the Primary (High Cost) and Secondary (Low Cost) shedding shown in Figure 1

below would represent an example of the infrastructure upgrades that would enable AS5377 compliance:

Constrained sites

Sites identified as Constrained in the VECN; refers to sites where there are barriers that restrict expansion or upgrades, such as sites where the status of landfill rehabilitation restricts construction of permanent infrastructure or sites constrained for space. Permanent shedding may not be appropriate for these sites and as such ‘semi-permanent’ (see definitions, pg 4) would be deemed appropriate.

Tertiary sites

Sites that are not included in the PECN, which are mostly small regional sites accepting small quantities of waste. For completeness. Some sites have been included in the primary and secondary list, which will only require tertiary level upgrades. This is due to their significance they play in the regional e-waste collection network.

Fixed e-waste infrastructure

Fixed e-waste infrastructure refers to infrastructure that is not designed for regular movements, including:

› sheds

› covered areas

› temporary shelters, such as shipping container covers that may be moved, but require significant disassembly and reassembly

› signage

Semi-permanent e-waste infrastructure

Semi-permanent e-waste infrastructure refers to temporary infrastructure that is not designed for regular movements on and off RRC sites but which may be moved with significant disassembly and reassembly, including:

› sheds

› marquee styled covered areas

› temporary shelters

› shipping container shelters

Non-permanent e-waste infrastructure or e-waste collection units

Non-permanent e-waste infrastructure or e-waste collection units refers to any infrastructure that is transportable or can be deconstructed, including and not limited to:

› stillages

› skips

› shipping containers

Local government

An administrative body (also known as local councils) which handle community needs like waste collection, public recreation facilities and town planning.

State government entities

Alpine resorts that are permanent Crown land reserves, each managed by an Alpine Resort Management Board appointed by, and responsible to, the Minister for Energy, Environment and Climate Change - The Hon Lily D Ambrosio. The Boards are established under the Alpine Resorts (Management) Act 1997 and are responsible for the development, promotion, management and use of each Alpine Resort. They also provide or arrange required basic services and utilities including water and energy supply, and sewerage and garbage disposal. The Boards are required to carry out their functions in an environmentally sound way and in accordance with an approved strategic management plan.

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Environmental or Safety Breach

An environmental or safety breach is any past or current prosecution, reportable incident, investigation, notice, penalty, warning, regulatory intervention or enforcement action from the Environment Protection Authority (EPA) or Victorian WorkCover Authority (WorkSafe) or failure to comply any environmental and safety laws.

Environmental and Safety Laws

Environmental and safety laws are the Occupational Health and Safety Act 2004, Environment Protection Act 1970 or any other legislation, regulation order, statute, by-law, ordinance or any other legislative or regulatory measure, code, standard or requirement relating to the protection and safety of persons or property or which regulate the environment including laws relating to land use planning, pollution of air or water, soil or groundwater contamination, chemicals, waste, the use, handling, storage or transport of dangerous goods or substances, greenhouse gas emissions, carbon trading, or any other aspect of protection of the environment.

Example of infrastructure that meets the requirements outlined in this guide

The level/type of infrastructure required for each site has been identified as part of the VECN. The report includes the list of primary, secondary, constrained and tertiary sites and should be used for guidance on the most appropriate level of infrastructure for your site.

Below are examples of infrastructure solutions that would meet the required standards and specifications of the e-waste infrastructure to be constructed. Examples are guidance only and do not consider any site-specific circumstances.

FIGURE 1: EXAMPLE INFRASTRUCTURE SOLUTIONS

Primary and secondary sites

High cost solution Low cost solution

Four-bay industrial Skillion Three-bay storage strip shed

Length – 20m Length – 12m

Width – 9m Width – 9m

Height – 3.3m Height – 3.3m

Fully installed total cost – $57,804 Fully installed total cost – $57,804

Cost per m2 – $535 Cost per m2 – $535

Constrained sites (see definition, pg 3)

High cost solution Low cost solution

Shipping container shelter Temporary marquee shelter

Length – 12m Length – 9.1m

Width – 8m Width – 7.9m

Height – 4.6m Height – 4.2m

Fully installed total cost – $38,728 Fully installed total cost – $21,188

Cost per m2 – $403 Cost per m2 – $281

Tertiary sites, or primary and secondary sites with tertiary level upgrades specified

High cost solution Low cost solution

Three-bay residential strip shed Single-bay residential

Length – 9m Length – 7m

Width – 6m Width – 3.5m

Height – 2.5m Height – 2.5m

Fully installed total cost – $25,095 Fully installed total cost – $12,590

Cost per m2 – $465 Cost per m2 – $514

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Eligible e-waste infrastructure upgrade projects will be assessed on a pass/fail basis against the following criteria:

1 The site is listed in the Victorian E-waste Collection Network

2 The e-waste infrastructure upgrade site (primary or secondary) meets the criteria set out in the VEINAR

The e-waste infrastructure upgrade is to be designed and constructed in line with:

› Key requirements1 of the AS/NZS 5377: 2013

› All relevant building codes

› All OH&S requirements including Section 28

› All relevant EPA requirements

› Relevant Planning and / or building permits

› Infrastructure solutions in the VEINAR

› SV’s Signage Guide and Signage Fact Sheet

› SV’s Better Practice Resource Recovery Centre Guide

› This guideline and proposal form

3 The e-waste infrastructure project cost is reasonable for the size and specifications of the e-waste infrastructure proposed by the applicant to be constructed.

Environmental and safety performance

Applicant’s compliance with environmental or safety laws (see Section 4 Definitions) will be assessed using a risk based approach.Applicants must:

› have had no environmental or safety breaches in the last five years, or:

– the breach was not serious;

– the breach has been satisfactorily resolved, or the applicant can demonstrate they are working effectively to resolve the breach;

– the applicant has made appropriate efforts, including implementing management systems, to ensure the breach is not repeated, and/or;

– since the breach, the applicant has had a satisfactory level of compliance with environmental and safety laws.

6 Successful applicantsSuccessful applicants will be required to:

› Agree to and sign the funding agreement between successful applicant and SV

› Meet milestone requirements outlined in the funding agreement

› Provide regular progress updates for the duration of the funding agreement in an agreed format (reports, emails, phone, site visits)

› Provide evidence that satisfies the delivery of milestones outlined in funding agreement

› Provide data on collected e-waste (six months and 12 months post completion of infrastructure upgrade)

› Participation in E-waste Infrastructure Grants evaluation

Grant funding milestone payments* and evidence required for approval of milestone payments will be made as follows:

Milestone 1 – 30% of agreed funding amount (up to $100,000 per site) will be paid upon

› Signing of funding agreement

› Copy of purchase order for infrastructure

Milestone 2 – 50% of agreed funding amount (up to $100,000 per site) will be paid upon

› Copies of any planning approvals or building permits required

› Completion of infrastructure upgrade

› Submission of invoices paid to contractor

› Completion of SV site visit and / or submission of photos of installed infrastructure

Milestone 3 – 20% of agreed funding amount (up to $100,000 per site) will be paid upon

› Submission of standard project evaluation report (template to be provided by Sustainability Victoria)

*Exceptions to the milestone payment structure will only be considered the applicant can demonstrate genuine hardship.

http://www.sustainability.vic.gov.au/-/media/SV/Publications/Government/Waste-and-resource-recovery/Best-practice-guidelines/Transfer-Station-Signage.pdfhttp://www.sustainability.vic.gov.au/-/media/SV/Publications/Government/Waste-and-resource-recovery/Best-practice-guidelines/Signage-Fact-Sheet.pdfhttp://www.sustainability.vic.gov.au/-/media/SV/Publications/Government/Waste-and-resource-recovery/Best-practice-guidelines/Better-practice-resource-recovery-centres.pdf

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7 Proposal process Applicants should review and complete the following steps:

Step 1 – SV will contact your organisation if you have been identified in the VECN to receivie funding (refer to ‘Who will be funded?’)

Step 2 – Check the eligibility of your project (refer to ‘What will be funded?’).

Step 3 – Read the Terms and Conditions of the funding agreement to ensure you are able to meet them. Acceptance of SV’s Terms and Conditions for funding is a requirement of grant funding.

Step 4 – Read and understand the Terms of Participation in Grant Programs

Step 5 – Complete the proposal form attached to these guidelines

The proposal form is an interactive PDF document, which allows you to enter text in the relevant fields.

All sections of the proposal form must be completed in full and all requested attachments provided.

The Declaration Form must be printed and signed by a person with delegated authority to apply, and a scanned, signed copy attached to the proposal.

Remember to:

Save the proposal form to your computer before you start entering any information.

Check that you are able to add and save your information into the PDF document.

Save the document frequently to avoid losing any information.

Step 6 – Email your proposal to SV by 3pm, Friday 14 September 2018

Proposals can only be submitted by email unless previously discussed with SV

Email your proposal form and supporting attachments to grants.applications@sustainability.vic.gov.au

The email subject line should read “E-waste Infrastructure Grants”.

The proposal form is a PDF document but any other supporting documentation may be submitted in Word, PDF or Excel format. You may attach the Declaration Form as a PDF.

Emails must not be greater than 25MB in size or they will not be accepted by the email server

SV will acknowledge receipt of all proposals by return email within 48 hours.

If you experience difficulties emailing your proposal, please contact SV. Phone 1300 363 744 and ask to speak to a grants support representative.

8. Key dates

Activity Date

Proposals open Thursday 17 May 2018

Proposals close 3pm, Friday 14 September 2018

Notification of outcome

We aim to inform the applicant of the outcome within 30 days of submission

SV will provide applicants with updates about the progress of their proposal as much as possible, but is unable to provide a definite approval date.

We thank you for your co-operation and understanding on this and will endeavour to advise you if we experience any unforeseen delays.

9 For more information Information sessions will be scheduled to support applicants in completing proposal forms. Three sessions will be held and advertised on the E-waste Infrastructure Support Program. These 2 hour sessions will be via Skype. Representatives from DELWP, EPA and SV will be available at these scheduled times to answer questions about the grants.

If you have any queries regarding the grants, contact us.

Email: grants.enquiries@sustainability.vic.gov.au and quote “E-waste Infrastructure Grants” in the subject line.

Phone: 1300 363 744 and ask to speak to a grants support representative.

mailto:grants.applications%40sustainability.vic.gov.au?subject=E-waste%20Infrastructure%20Grantshttp://www.sustainability.vic.gov.au/ewastegrantsmailto:grants.enquiries%40sustainability.vic.gov.au?subject=E-waste%20Infrastructure%20Grants

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E-waste Infrastructure Grants

PROPOSAL FORM

Section 1: Contact information All sections must be completed.

Part A: Recipient (Organisation) details

Name of Legal Entity:

Trading/Business name (if different to legal entity name):

Main Street Address:

Town / Suburb:

Postcode: State:

Postal Address (if different from above):

Town / Suburb:

Postcode: State:

Authorised person

(This is the person who is authorised to make the application on

behalf of the Applicant)

Title: First name:

Last name:

Position:

Telephone: Mobile:

Email

Type of Recipient

1 Type of legal entity: Government

2 Type of business:

Local Government Other Government

3 Applicant’s Australian Business Number (ABN)

ABN (for companies):

Part B: Contact details for Project Manager

Title: First name:

Last name:

Postal Address:

Town / Suburb:

Postcode: State:

Telephone: Mobile:

Email:

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Guidelines and Proposal Form E-waste Infrastructure Grants

Section 2: Project Overview

Project name

We will use this name on all correspondence. Please use 10 words or less.

Which site is this proposal for?

Please provide the name of the facility and the address of where the planned activity will take place including town/suburb and postcode.

Please note, only include one site per proposal

Is this site ready to commence infrastructure upgrade?

Yes No

Do you have appropriate permits for the project on this site?

Yes No

Please supply copies of permits.

What are your project timelines?

All projects must be completed by 1 December 2019 unless the

applicant is seeking an extension to the project completion date.

Project time lines must be completed, if seeking an extension to

the project completion date a detailed explanation for the request

must be provided.

Seeking project completion extension Yes No

If yes, provide details:

(Please detail the schedule of activities and key milestones)

Anticipated project start date:

Anticipated key milestone and date:

Anticipated key milestone and date:

Anticipated key milestone and date:

Anticipated key milestone and date:

Anticipated key milestone and date:

Anticipated project completion date:

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Section 3: Project details

What

What are you planning to do?

Describe the infrastructure upgrade project – what are you going to do? (1500 word limit):

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Guidelines and Proposal Form E-waste Infrastructure Grants

In the VECN is your site identified as

a primary a secondary

a secondary site with tertiary level upgrade

Is your infrastructure design and construction in line with:

Key requirements1 of the AS/NZS 5377: 2013 Yes No

All relevant building codes Yes No

All OH&S requirements including Yes No

All relevant EPA requirements Yes No

Relevant planning and / or building permits Yes No

Infrastructure solutions in the VEINAR Yes No

SV’s Signage Guide and Signage Fact Sheet Yes No

SV’s Better Practice Resource Recovery Centre Guide Yes No

Grant guidelines and proposal form Yes No

If you answered no to any of the above, please provide details as to why not:

Please provide the specifications of the proposed infrastructure you intend to construct. Refer to definitions for examples:

http://www.sustainability.vic.gov.au/-/media/SV/Publications/Government/Waste-and-resource-recovery/Best-practice-guidelines/Transfer-Station-Signage.pdfhttp://www.sustainability.vic.gov.au/-/media/SV/Publications/Government/Waste-and-resource-recovery/Best-practice-guidelines/Signage-Fact-Sheet.pdfhttp://www.sustainability.vic.gov.au/-/media/SV/Publications/Government/Waste-and-resource-recovery/Best-practice-guidelines/Better-practice-resource-recovery-centres.pdf

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Section 4: Project BudgetPlease provide details of funding income and expenditure for your e-waste infrastructure upgrade project, excluding GST. Note that the total income must equal total expenditure.

Provide quote/s for infrastructure works to be undertaken, and complete table below with expenditure details e.g. site preparation, concrete etc.

Project Income

Amount from SV (up to $100,000) $

$

$

$

$

$

$

TOTAL INCOME (must equal total expenditure)

$

Project Expenditure

Item 1 $

Item 2 $

Item 3 $

Item 4 $

Item 5 $

Subtotal (cash contribution) $

TOTAL EXPENDITURE (must equal total income)

$

Section 5: Compliance and legalApplicants are required to declare any environmental or safety breaches within the last five years (see Section 4. Definitions of the Guidelines).

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Guidelines and Proposal Form E-waste Infrastructure Grants

Please declare and provide required details to show compliance with environmental and safety laws.

Has your organisation had a reportable incident or received a penalty, notice, prosecution, warning, enforcement action or regulatory intervention from the EPA, WorkSafe or been in breach of any other environmental and safety laws in the last five years? Yes No

If yes, please provide details, attach relevant notice/s and evidence that the penalty, notice, prosecution, enforcement action or regulatory intervention has been satisfactorily resolved and that the level of compliance since the breach is satisfactory

If the breach was not resolved satisfactorily, why? (300 words)

Does your organisation have any current reportable incidents or investigations, penalties, notices, prosecutions, warnings, regulatory intervention or enforcement action or been in breach of any other environmental or safety laws? Yes No

If yes, please provide details, attach relevant notice/s and evidence that the penalty, notice, prosecution or regulatory intervention has been satisfactorily resolved and that the level of compliance since the breach is satisfactory.

If the breach was not resolved satisfactorily, why? (300 words)

Do you acknowledge that SV may undertake checks with EPA, WorkSafe or other regulators about your organisation’s compliance with environmental and safety laws? Yes No

Do you acknowledge that the project delivery partners (including sub-contractors) agree to provide information to SV should EPA, WorkSafe or other compliance checks be required about their compliance with environmental and safety laws? Yes No

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Conflict of InterestConflict of Interest means any matter, circumstance, interest or activity affecting the applicant or its Related Persons which may or may appear to impair the ability of the applicant to undertake the Project diligently and independently, or perform its obligations under any funding agreement with SV in relation to the Project.

No current or potential conflict of interest exists

We disclose the following conflict/s of interest and indicate below how we propose to manage it/them.

Details:

ChecklistPlease ensure all boxes are checked and relevant information is attached before sending your proposal.

My organisation is eligible to submit an Proposal.

I have read the guidelines carefully and my project addresses the priorities established in the guidelines.

I have read, understand and agree to the Funding Terms and Conditions relating to this grant.

I have read, understand and agree to the Terms of Participation in Grant Programs.

I have completed all questions and addressed all criteria set out in the questions.

I have completed all questions and addressed all criteria set out in the questions.

I have attached all relevant documents for example quotes, EPA and/or WorkSafe notices, evidence that any EPA and/or WorkSafe breach has been satisfactorily resolved and the level of compliance since the breach is satisfactory.

I have advised the project delivery partners (including sub-contractors) that EPA, WorkSafe or other regulators compliance checks may be required and if so will provide information to SV on request.

I warrant that I have authority to sign this proposal on behalf of the applicant.

The Declaration is signed by an authorised person with delegated authority to make this proposal on behalf of my organisation and execute the Declaration (i.e. Chairperson, Chief Executive Officer, Secretary, Public Officer, Treasurer or Chief Financial Officer).

Guidelines and Proposal Form E-waste Infrastructure Grants

Sustainability Victoria Level 28, Urban Workshop, 50 Lonsdale Street, Melbourne VIC 3000 Phone (03) 8626 8700 sustainability.vic.gov.au

Published by Sustainability Victoria. Guidelines and Proposal form – E-waste Infrastructure Grants © Sustainability Victoria, May 2018 RRE014

DeclarationThis page is to be printed, signed, scanned and returned with the email submission.

I state that:

The information in this proposal and attachments is to the best of my knowledge true and correct. I will notify SV of any changes to this information and any circumstances that may affect this proposal.

I acknowledge that I have read, understand and agree to the Terms of Participation in Grant Programs and Funding Terms and Conditions.

I acknowledge that SV may refer this proposal to external experts or other Government Departments for assessment, reporting, advice, comment or for discussions.

I understand that SV is subject to the Freedom of Information Act 1982 and that if a Freedom of Information request is made, SV will consult with the applicant before any decision is made to release the proposal or supporting documentation.

I agree to provide SV all such information as reasonably required to assess our financial viability and also agree to undertake an independent third party financial viability check if deemed necessary by SV.

I declare that my organisation currently holds Public Liability Insurance of $20,000,000 and Professional Indemnity Insurance of $5,000,000.

Signature:

Print name:

Date:

Position:

To be signed by a person with delegated authority to make the proposal on behalf of the organisation and execute the Declaration – i.e. Chairperson, Chief Executive Officer, Secretary, Public Officer, Treasurer or Chief Financial Officer.

Privacy StatementSustainability Victoria collects uses and discloses your personal information for the purposes of this grants program and in accordance with our Privacy Statement and Terms of Participation. SV’s Privacy Statement is available from www.sustainability.vic.gov.au/privacy

If you wish to be removed from our mailing list, have any questions relating to the Privacy Statement or wish to seek access to the personal information which SV holds about you, please contact us in writing addressed to: privacy@sustainability.vic.gov.au

Disclaimer

Information in this document is current as at April 2018. While all professional care has been taken in preparing this document, SV accepts no liability for loss or damages incurred as a result of reliance placed upon its content.

http://www.sustainability.vic.gov.au/privacymailto:mailto:privacy%40sustainability.vic.gov.au?subject=

Check10_GoBack_Hlk511940171

Text Field 209: Southern Grampians Shire CouncilText Field 2033: Text Field 208: 111 Brown StText Field 207: HAMILTONText Field 206: 3300Text Field 205: VictoriaText Field 204: Locked Bag 685Text Field 203: HAMILTONText Field 202: 3300Text Field 201: VictoriaText Field 200: MrText Field 199: MichaelText Field 198: TudballText Field 197: Chief Executive OfficerText Field 196: 55730400Text Field 195: 0419 519859Text Field 194: mtudball@sthgrampians.vic.gov.auCheck Box 155: OffCheck Box 189: YesCheck Box 188: OffText Field 262: 55 135 536 448Text Field 189: MrText Field 188: StJohnText Field 187: LeesText Field 185: Locked Bag 685Text Field 184: HAMILTONText Field 183: 3300Text Field 182: VictoriaText Field 181: 55730365Text Field 180: 0437 264 158Text Field 179: slees@sthgrampians.vic.gov.auText Field 336: Hamilton E-waste storage shedText Field 335: Hamilton Transfer Station68 Elijah StHAMILTON Vic 3300Text Field 2037: Text Field 2021: 22 October 2018Text Field 2023: 29/10 Sign funding agreementText Field 2024: 12/11/18 Finalise designText Field 2025: 4/2/19 Advertise tenderText Field 2027: 4/3/19 Appoint builderText Field 2026: 1/4/19 Start constructionText Field 2020: 31/5/19 Finish constructionText Field 350: A new shed will be constructed at the Hamilton Transfer Station for collection and storage of e-waste to meet AS/NZS 5377:2013.It is expected that the shed will be a four-bay industrial skillion shed with dimensions:

Length – 20m Width – 9m Height – 4.9m

It will be fully enclosed with 4 Roller doors and a personal access door to secure the items, prevent exposure to the elements and to prevent theft and vandalism.

The floor will be concrete and designed to meet the requirements of AS/NZS 5377:2013 in relation to preventing harmful substances entering stormwater drainage.

The area will be easily accessible to the public during transfer station opening hours which are:

Monday-Friday 8.00 am - 4.15 pmSat & Sun 9.30 am - 4.14 pm.

The shed and the collection area within the shed will be clearly signed, using signage design provided by Sustainability Victoria.

Check Box 213: YesCheck Box 214: OffCheck Box 215: OffText Field 351: Text Field 352: Exact specifications have not yet been finalised but it is expected that the structure will be a four-bay industrial skillion shed with dimensions:

Length – 20m Width – 9m Height – 4.9m

It will be fully enclosed with 4 Roller doors and a personal access door.

The floor will be concrete and designed to meet the requirements of AS/NZS 5377:2013 in relation to preventing harmful substances entering stormwater drainage.Text Field 10178: 100000Text Field 10177: Text Field 10176: Text Field 10180: Text Field 10179: Text Field 10182: Text Field 10181: Text Field 10174: 100000Text Field 10172: 100000Text Field 10171: Text Field 10169: Text Field 10183: Text Field 10175: Text Field 10173: Text Field 10159: 100000Text Field 353: Text Field 354: Text Field 357: Text Field 356: Check Box 107: YesCheck Box 106: OffText Field 234: Check Box 37: YesCheck Box 38: YesCheck Box 39: YesCheck Box 182: YesCheck Box 206: YesCheck Box 207: YesCheck Box 208: YesCheck Box 234: YesCheck Box 183: YesCheck Box 184: YesText Field 348: Michael TudballText Field 347: Text Field 346: Chief Executive OfficerCheck Box 242: YesCheck Box 240: YesCheck Box 238: NoCheck Box 236: NoCheck Box 227: YesCheck Box 229: YesCheck Box 231: YesCheck Box 233: YesCheck Box 223: YesCheck Box 221: YesCheck Box 219: YesCheck Box 217: YesCheck Box 193: YesCheck Box 210: NoCheck Box 197: YesCheck Box 212: No