HTP STAGE 2 Application Form · Web viewOrganisations that cannot reclaim VAT on capital ... I...

Hydrogen Transport Programme (HTP) Grants Scheme

Application form

To be read in conjunction with the Guidance Notes

www.ee.ricardo.com/HTPGrants

SECTION 1 – Administrative Details

SECTION 2 – The Project

SECTION 3 - Calculating the Grant

SECTION 4 – Declarations

4.1 Declaration of Honour

4.2 Declaration from Applicant

4.3 Data Protection

SECTION 5 – Submitting Your Application

THE DEADLINE FOR RECEIPT IS 09:00 BST Monday 05 November 2018

There is a maximum word count for most questions. A shorter response may be adequate.

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http://www.ee.ricardo.com/HTPGrants

SECTION 1 – Administrative Details

1.1 Project titleThe title of the project will be used throughout the award process and any subsequent grant.

1.1.1 Details of Lead Applicanta Registered Name

b Company/charity or other registration no.

c Please indicate if you are UK registered.

d VAT Registration Number e Legal status Commercial organisation (large enterprise)

Commercial organisation (SME)

Academic institute

Other e.g. Consortia, please specify:

f Establishment date

1.1.2 Address of registered officeAddress line 1

Address line 2

Address line 3

Local authority

Postcode

1.1.3 Contact details for correspondence Name of contact person

Address

Phone

E-mail Please ensure that the email address is entered correctly and remains active.

Alternative contact and email address

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1.2 The lead applicanta Is your organisation able to

reclaim VAT?Yes ………………………………………………………….....

No ……………………………………………..………………

Organisations that cannot reclaim VAT on capital equipment through normal channels are allowed to count VAT in their total project costs.

b Please describe your organisation’s aims, business and activities.

(max 100 words)

Give a short description of your aims in one or two sentences.

c Please describe how this project will help deliver your aims.

(max 250 words)

Please be specific and quantify.

d Please describe all experience that you have that will benefit the project, including technical, operational, planning etc.

(max 250 words)

Describe any experience you have of similar projects or activities that would support a decision to award a grant. This could be project management of similar projects or other renewable energy activities that would increase the public profile of the project.

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1.3 Partners (if applicable)Organisation Legal Status (plc, charity,

etc)Registration number

1.

2.

3.

4.

5.

Add additional rows as necessary

1.4 Partner details (if applicable)Please describe any partner's business or activities

(max 100 words)

Give a short description of the partner’s activities in one or two sentences.

Please describe any experience that the partner has that will benefit the project

(max 150 words)

Describe any experience the partner has of similar projects or activities that would support a decision to award a grant. This could be project management of similar projects or other activities that would increase the public profile of the project.

Please copy table 1.4 as many times as necessary to cover all partners

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SECTION 2 – The Project

2.1 Summary project information and eligibility screeninga Describe clearly the

objectives of the proposed project, their relevance to the competition, and its additionality or reinforcing potential with respect to the current refuelling network. (Max 750 words)

State here the aims of your project and give clear, measurable objectives. Bear in mind that, should your application be successful, this description may be made public, for example in press releases.

b How many HRS are covered by this application?

(max 100 words)

State clearly here the type of HRS; New, Upgrade, Mobile, etc

c How many vehicles (of what type) are directly covered by this application?

(max 100 words)

d Location of planned HRS (including grid reference), and captive fleet.

(max 500 words)

Please provide details about the site/ location for the project. Please include details of ownership and any lease agreement etc. If you are bidding for multiple HRS, please give the location of all installations planned.

If site identified, please provide the location, expressed as Eastings and Northings (eg 326765 677095):

e Location of captive fleet.

(max 500 words)

Please provide details about the site/ location for associated fleets. Please include details of ownership and any lease agreement etc. If you are bidding for multiple locations, please give the location of all vehicles planned.

f Confirm the planned TRL level of each HRS once fully

All HRS must reach TRL 7 or above upon completion

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commissioned

(max 50 words)

g Confirm the planned TRL level of vehicle(s) in the proposed fleet.

(max 50 words)

All vehicles must be TRL 7 or above and comply with UK vehicle type approval standards when deployed onto UK roads

h Confirm each HRS will be accessible to all relevant hydrogen fuel cell vehicles.

I confirm the HRS will be open to all appropriate users and will not be restricted to a single fleet or company (please tick)

i Confirm each HRS will comply with all relevant safety and security regulations.

I confirm the HRS will comply with all relevant safety and security regulations (please tick)

Please provide any supporting evidence as Appendix 1.

j Confirm each HRS and dispenser will comply with fuelling protocols and requirements.

I confirm the HRS and dispenser will meet SAE Technical Information Report (TIR) J2601: 2010 Fuelling protocols for Light Duty Gaseous Hydrogen Surface Vehicles (until a new ISO or CEN regulation supersedes the SAE protocol) (please tick)

Please provide any supporting evidence as Appendix 2.

k Confirm the pressure that each HRS will dispense fuel. (max 100 words)

Stations must dispense fuel at 350 and/or 700 bar pressure.

l What is the refuelling capacity of the HRS? (max 100 words)

Stations must have a refuelling capacity of no less than 80kg/day, though quantities of around 200kg/day are preferred. Please state your response in kg capacity per station per day.

m Where and how will the hydrogen be generated?

Clearly state the source of the hydrogen (e.g. on-site, off-site, electrolyser, renewable source) and provide details of fuel transportation methods.

n Confirm the expected completion date for the project

(max 100 words)

Projects should be complete by March 2020

o Outline your plans to collect and share data with OLEV.

This must include: number of fills, availability, amount of hydrogen delivered, frequency of use.

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(max 500 words)

p What is the total eligible project cost?

Please enter this information directly from Section 3

q What is the total grant requested in this application?

(max 50 words)

Please enter this information directly from Section 3

r What is the funding level that has been requested?

(max 50 words)

Please note that this will draw on Q3.2) the maximum grant and Q3.3) the minimum grant required.

%

2.2 Project relevance and impacts

a Describe clearly the objectives of the proposed project, their relevance to the competition, and its additionality or reinforcing potential with respect to the current refuelling network.

(max1,000 words)

b How will this project contribute to the future development and increased utilisation of a UK hydrogen refuelling network? (max 500 words)

c What are the potential non-technical barriers being addressed?

(max 200 words)

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d

What is the potential economic impact of the project to the UK?

Include future opportunities that could arise from a successful project.

(max 1,000 words)

Describe the benefits to the UK, including:

i) Involvement of UK SMEs and supply chain companies

ii) Development of UK IP

iii) Anticipated UK revenues and expected future production. Complete Template A (3-year cash flow) and attach to your application as Appendix 3

iv) Anticipated profits and UK corporate tax payments per year (if relevant)

v) Potential commercial advantage

vi) Any other benefits (e.g. net jobs created (FTE), skills development, inward investment etc.)

e Describe the fit and rationale for the geographic location(s) and how they link to the proposed, and/or existing fleets and existing HRS network as well as to a broader anticipated roll-out of FCEVs. Explain how this will benefit the development of the refuelling network overall.

(max 1,000 words)

Attach any supporting evidence for the selection of the project location as Appendix 4. Such evidence should include letters of support from hydrogen fuel cell vehicle manufacturers, or prospective customers, evidence of customer demand etc. The fit of the proposed site location with hydrogen fuel cell vehicle fleet is critical to the selection process.

f Please provide justification and evidence of support for the fuelling pressure(s) you have chosen.

(max 500 words)

g MOBILE STATIONS ONLY: If mobile HRS are proposed,

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describe how they will be used and how the mobility of the station will be linked to fleets and benefit the early roll-out of FCEVs.

(max 250 words)

2.3 Technical concept

a Describe and provide evidence of the current status of the HRS and vehicle technology.

(max 500 words)

Attach any supporting evidence as Appendix 5

b Describe how the project demonstrates the likelihood of reliable hydrogen supply that matches associated demand (including station availability, peak re-fuelling capacity, and any back-up measures in place) and reliable vehicle operation with good availability. (max 500 words)

c Confirm the expected hydrogen fuel purity at the dispenser.

(max 500 words)

Describe the methodology you will use to measure fuel purity and the Quality Assurance approach that will be taken during the operation of the station. Attach any supporting evidence as Appendix 6

d Describe the expected accuracy of metering of hydrogen at the dispenser, and how the customer will be

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billed.

(max 250 words)

e Describe technical challenges and how they will be addressed (max 500 words)

2.4 Making the case: Commercial

a What commercial advances will the project lead to?

(max 1,000 words)

Describe and quantify the specific commercial advances that this project will lead to (for example greater customer satisfaction, additional services, reduced delivery costs, etc).

b Support is aimed at projects that require additional financial assistance. Why is grant support required for the project to continue? Would the project be able to progress without grant funding?

(max 1,000 words)

Explain clearly the need and role for grant funding. Justify the percentage of funding sought. Explain any other support that is being sought.

c What engagement with other sources of finance has already been undertaken, and are all sources of finance expected to be finalised (or nearly finalised) by January 2019?

(max 750 words)

Applicants will need to provide strong evidence of support from all the project’s financiers, whether that be banks, investors or internal fund support or grants that have been applied for or awarded.

If other grants (e.g. EU monies) have been requested, please explain in detail the percentage funding requested from each granting authority and the source of the matching funding, in addition to measures in place should other grant applications be unsuccessful.

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2.5 Hydrogen supply chain: economic and environmental aspects

a What assessment have you made around the availability of components and the capacity of supply chains to deliver within your stated timescales?

(max 250 words)

b What is the delivered hydrogen cost?

(max 500 words)

Demonstrate the anticipated delivered hydrogen cost and any potential for lowering this cost.

c Confirm the carbon footprint of the hydrogen

(max 500 words)

Demonstrate the anticipated carbon footprint of the hydrogen and any potential for lowering the carbon footprint of hydrogen.

2.6 Project implementation

a Does the project team have the appropriate skills and experience to deliver the project?

(max 500 words)

Explain how the project team has the appropriate skills and experience to deliver the project with clearly defined roles and responsibilities and time committed to the project.

b What is the current status of the project, and where would DfT funding be supportive?

(max 500 words)

Describe the current status of the project (e.g. consortium formed, planning permission in place, continuation of a previous project).

OLEV is looking for evidence that once the grant is approved everything is ready for the project to proceed. Give details of progress to date, rather than actions that still need to be completed. In particular if planning permission has not been approved, please provide a clear and realistic plan to secure planning permission by the end of 2017 to demonstrate that the station will be in operation by the end of 2019.

c Provide an overview Attach detailed information as Appendix 7. This may include anticipated of 22

of the work plan, including the technical approaches and milestones as the grant is drawn.

(max 250 words)

additional stations / commercialisation steps (and related timescales) once the project has been delivered.

d What are the major risks associated with this project and how will these risks be managed, especially with respect to timing?

(max 250 words)

Provide a detailed risk register as Appendix 8, with mitigation measures (including alternative plans for meeting project objectives).

e In the early phase of your proposed project, how will you limit the risk related to the timing of planning and other permissions?

(max 250 words)

f Specify a communication and knowledge sharing strategy showing how the results of the demonstration project will be disseminated, how the knowledge gained and lessons learned will be shared with appropriate bodies to enhance both public and expert understanding.

(max 250 words)

Describe the steps for developing and implementing a strategy for disseminating information on the infrastructure project during and after the grant duration.

g Monitoring output I agree to measure and provide to the Department of Transport the monitoring information as described in the Guidance Notes (please tick)

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SECTION 3 - Calculating the Grant

3.1 Project budgetActivities to be covered by funding

(please tick all that apply)

Site preparation and design development Excavation and foundations Engineering and pipework Building works Hydrogen storage tanks Dispensing equipment Monitoring equipment Data analysis software Electronic payment equipment Signage Purchase of captive fleets Lease of captive fleets Other (please specify):

Detail the project budget using a Microsoft Excel spreadsheet and attach as Appendix 9, giving key budget lines (such as concept, engineering design, construction, commissioning, and operation) and making clear the level of contribution from any project participants. The budget must be accompanied by a budget narrative explaining and justifying the costs and timing.

Summarise these cost lines below.

Costs must be shown in pounds sterling and exclusive of Value Added Tax (VAT). Add the figures together to give total A.

Provide a breakdown of budgets using the UK financial year (1st April to 31st March). Applicants should state the forecast cost of actual goods and services delivered, as a

proportion of total project costs. Applicants should include any co-financing/cost-sharing arrangements with other donors so

that OLEV’s contribution can be seen by line. Applicants should outline and disaggregate any intermediary transaction costs where your

organisation is sub-contracting to partners. Please also provide a separate budget breakdown for each individual partner.

Against each budget line (or at least for the total project cost) provide evidence of the numbers, e.g. from actual quotes etc. Where relevant these quotes can be attached as Appendix 10.

The eligible costs are the capital costs for construction and commissioning of the HRS, plus those associated with purchasing or leasing the vehicles. Any costs not directly linked to these capital costs (such as operating costs and marketing) are not eligible costs.

Budget line Completed by (date)

Who is responsible for delivery?

Cost to complete (£)

£ £

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£ £ £ £ £ £

Total Overall HRS Eligible Project Costs (A) £

Total Overall HTP Project Costs (B) including operating costs, marketing etc. £

3.2 Calculate the maximum grantThe eligible costs are the capital costs for construction and commissioning of the HRS, plus those associated with purchasing or leasing the vehicles. Any costs not directly linked to these capital costs (such as operating costs and marketing) are not eligible costs. Maximum Grant = Total (A) = £

3.3 State the grant (G) you feel is the minimum necessary to allow the project to proceed and is not in excess of the maximum in 3.2The competition is competitive and one of the criteria for selecting projects for support is Value for Money. You must decide the minimum amount of grant that is necessary to enable your project to succeed.

G = £

3.4 Calculate the grant percentage (P) This is the actual grant percentage of eligible costs for use in comparing projects and, should you be successful, the grant offer.

Grant percentage (P) = G divided by Total (A) x 100 P = %

3.5 Sources of other funding Evidence is required to demonstrate that subject to securing the grant, you have adequate finance to invest in the project. In this section explain the monies that will come from each source and attach any evidence explaining the level of engagement to date. Some examples of evidence you may provide could include:

• For projects that will use some of the entities’ own resources a Board or Steering Committee approval letter or memorandum,

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• For equity investors letters of support,

• For bank finance strong letters of support,

• For other grants you have applied for evidence this grant is ready to be drawn.

Actual amount

Evidence

Own resources

£ You should provide evidence that the board or steering committee has approved the expenditure, subject only to the grant. This is not necessary for sole traders and partnerships.

We may carry out a credit, or other financial check, on your organisation and may request accounts or other information.

Equity investors

£ Attach any letters of support from equity investors

Loans £ Attach any letters of support from bank

Other £ Enter any other sources of finance. Donations, grants etc.

Attach the letter from the organisation(s) concerned.

Total £ Add up the figures above

3.6 Possible grant payment scheduleGrant payments will be made against milestones. Please link your anticipated project milestones from your work plan to indicate how the grant monies are expected to be dispensed.

Payment number Estimated payment date Estimated payment amount (£)

1

2

3

Please add additional rows as necessary

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SECTION 4 – Declarations

4.1 Declaration of HonourI, the undersigned, on behalf of [ ] the Applicant in this application form.

declares that the Applicant is not in one of the following situations:

a) is bankrupt or being wound up, is having its affairs administered by the courts, has entered into an arrangement with creditors, has suspended business activities, is the subject of proceedings concerning those matters, or is in any analogous situation arising from a similar procedure provided for in national legislation or regulations;

b) has been convicted of an offence concerning professional conduct by a judgment of a competent authority of a Member State which has the force of res judicata;

c) has been guilty of grave professional misconduct proven by any means which the contracting authorities can justify including by decisions of the European Investment Bank and international organisations;

d) is not in compliance with all its obligations relating to the payment of social security contributions and the payment of taxes in accordance with the legal provisions of the country in which it is established, with those of the country of the contracting authority and those of the country where the contract is to be performed;

e) has been the subject of a judgement which has the force of res judicata for fraud, corruption, involvement in a criminal organisation, money laundering or any other illegal activity

f) is a subject of an administrative penalty for being guilty of misrepresentation in supplying the information required by the contracting authority as a condition of participation in a procurement procedure or failing to supply this information, or having been declared to be in serious breach of its obligations under contracts covered by the DfT's budget.

An officer of the relevant organisation possessing the authority to enter into agreements on its behalf should sign the hard copy of this declaration.

It must be a different person to the main contact given in Section 1.

Signed:

Title: First name: Surname:

Position in organisation:

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4.2 Declaration from ApplicantI declare that:

To the best of my knowledge this application requests grant support only for eligible costs and complies with the rules on public funding as described in the Guidance Notes.

The information given on this application form and in any other documentation that supports this application is accurate.

I understand that, where any materially misleading statements (whether deliberate or accidental) are given at any stage during the application process, or where any material information is knowingly withheld, this could (at the discretion of the Department for Transport) render my grant application invalid and any grant funds received by us may be liable for repayment.

The grant scheme falls within my organisation’s governing document (e.g. constitution, set of rules, trust deed, or memorandum and articles of association).

My organisation has the power to accept a grant subject to conditions, and to repay the grant in the event of the grant conditions not being met (in the opinion of the Department for Transport).

The original wording and structure of this application form is as it was originally provided and has not been altered, deleted or added to in any way.

My organisation will take all reasonable precautions to ensure that grant funds received will not be misused or misappropriated in any way. In the event of fraud, I understand that the Department for Transport will take legal action to recover any misappropriated funds.

My organisation has access to sufficient funds to meet the requirement of match funding and to complete the proposal which is the subject of this bid.

An officer of the relevant organisation possessing the authority to enter into agreements on its behalf should sign the hard copy of this declaration.

It must be a different person to the main contact given in Section 1.

Signed:

Title: First name: Surname:

Position in organisation:

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4.3 Data Protection Data Protection Act 1998 Fair Processing Notice

The purpose of this Fair Processing Notice is to inform you of the use that will be made of your personal data, as required by the Data Protection Act 1998.

The Department for Transport is the data controller in respect of any personal data that you provide when you complete the Hydrogen Transport Programme application form. Ricardo Energy & Environment are the Department for Transport’s appointed agents for the purposes of administering the scheme, and they will process the data on the Department for Transport’s behalf.

The Department for Transport and its appointed agents will use your personal data for the purposes of administering and analysing applications and grant awards and subsequent monitoring, including site visits, of successful projects under the Hydrogen Transport Programme. Some information will be shared with other Government Departments, their agencies and appointed agents to enable the detection of fraudulent applications to the Hydrogen Transport Programme and other grant schemes.

The Department for Transport may be required to release information, including personal data and commercial information, on request under the Environmental Information Regulations 2004 or the Freedom of Information Act 2000. However, the Department for Transport will not permit any unwarranted breach of confidentiality nor will we act in contravention of our obligations under the Data Protection Act 1998.

The Department for Transport or its appointed agents may use the name, address and other details on your application form to contact you in connection with occasional customer research aimed at improving the services that the Department for Transport provides to you.

What non-personal information will the Department for Transport make publicly available?

Details of applications

During the assessment stage, the number of applications received will be disclosed on request.

Details of grant-funded projects

It is important to the aims of the scheme that the grant-funded projects should act as encouragement for others. Once the applications have been determined, summary details of the projects will be published and disseminated widely, including being published on the Department for Transport’s website and in press releases. Summary details may include:

The name of the project;

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The names of the organisations, companies etc who are members of the project;

Location of the project; Expected carbon saved; Estimated investment cost; Grant allocated to the projects under the Hydrogen Transport

Programme; Total public support from all sources; Proposed commissioning date; Brief description of the project, including any key technical features (as

supplied by applicants).

Section 3 of the guidance document explains the progress reports that projects are required to submit during the life of the grant agreement. The final report which describes the benefits and performance of the project, the difficulties encountered and lessons learned, may be published in full. Interim reports may also be published.

I confirm that I have read and agree to the above data protection statement.

SIGNATURE: NAME:

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SECTION 5 – Submitting Your Application

Submission:

Please send a Microsoft Word electronic version of your application and all necessary appendices to [email protected]. An identical signed original should be submitted to Ricardo Energy & Environment within 5 working days of the deadline to:

HTP GrantsRicardo Energy & EnvironmentGemini BuildingFermi AvenueHarwell International Business ParkOxfordshireOX11 0QR

THE DEADLINE FOR RECEIPT IS 09:00 BST MONDAY 05 November 2018.

Receipt will be acknowledged.

It is not possible to accept late entries.

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mailto:[email protected]

APPENDICESPlease ensure all appendices are provided as supporting information. Ricardo Energy & Environment templates must be used (where provided) and if any additional appendices are being provided this must be listed below.

Appendix 1 – Compliance evidence for safety and security regulations

Appendix 2 – Compliance evidence for fuelling protocols

Appendix 3 – Cash flow (Excel sheet)

Appendix 4 – Evidence to support the location of the project

Appendix 5 – Technology specifications

Appendix 6 – Evidence to support fuel purity methodology

Appendix 7 – Work plan

Appendix 8 – Detailed risk register

Appendix 9 – Detailed Project Budget

Appendix 10 - Quotes

Please list any additional appendices. Use sequential numbers, note the number on the form and mark each page of the appendix with the number and the name of the project.

No. Description

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