Research and Development program

for recovered glass fines and flexible plastics

Guidelines and application form

cover graphic

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Guidelines

1. Funding overview

The Research and Development (R&D) program will provide grants of up to $100,000 (1:1 matched funding) excluding GST, to Research Institutes in partnership with Industry to undertake research projects that lead to an increase in the use of recovered glass fines and/or, flexible plastics in new or existing products or processing approaches.

The objective of the program is to publish the research findings to inform broader manufacturing industries of opportunities to incorporate recovered glass fines and/or flexible plastics into product and process design, development, specifications and commercialisation activities. Intellectual Property (IP) developed from the program will be made publicly available and licensed.

The grant program involves a competitive, merit-based application process. Approved research projects must be contracted by mid-June 2016 and completed by 30 May 2017. Retrospective research projects that have already commenced or are completed prior to signing a funding agreement will not be funded. However, a defined component or next stage of a current, longer term research project would be eligible.

2. Why is the Victorian Government providing this funding?

Despite the Victorian community’s strong desire to support recycling, recovering valuable resources for manufacturing also relies on establishing suitable market demand for these recovered resources.

Frequently, resources are being recovered by a “push” from the supply side (e.g. kerbside recycling) rather than a “pull” for their demand as materials for manufacturing. This push from the supply side without market pull can cause economic, community, environment and public health impacts.

The Statewide Waste and Resource Recovery Infrastructure Plan (SWRRIP) provides the context and long term vision for improving Victoria’s waste and resource recovery infrastructure system and stimulating and supporting markets for products made from recovered resources is critical to this.

Common market development barriers include variable quality and quantity of recovered resources; high transport and processing costs, often low value materials compete with cheap virgin materials and imports, fluctuations in the market price and limited information on the quality and performance of products with recycled content.

To address these barriers Sustainability Victoria (SV) has developed a Draft Victorian Market Development Strategy for Recovered Resources (draft Strategy) to:

meet community expectations for resource recovery activities that improve the environment, community amenity and public health, while stimulating markets for the use of recovered resources for positive economic return

support conditions for the resource recovery and manufacturing sectors to grow and create jobs, by maximising the value of recovered resources and developing quality products for end markets

increase investment in and the purchase of products made from recovered resources by promoting their qualities and functionality.

Investment in Research and Development (R&D) for recovered glass fines and flexible plastics has been identified in the draft Strategy as a mechanism for state government to stimulate these markets. Definitions of recovered glass fines and flexible plastics are provided in Section 3.1 of the guidelines and below is a summary of the market priorities. Further information is available in the market analysis factsheets on the SV website.

Recovered glass fines:

An estimated 257,000 tonnes of glass waste is generated each year in Victoria, of which 195,000 tonnes is recovered for recycling.

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52% of the glass recovered for recycling is glass fines or stockpiled without an immediate future use.

The stockpiles of recovered glass in Victoria are estimated at over 300,000 tonnes and are largely contaminated with ceramic, stoneware, Pyrex and plastic.

Product development is supporting new markets for glass fines particularly in civil construction applications such as sand replacement in asphalt, sand/abrasive grit blasting, construction and road aggregates, sports turf/drainage, brickmaking, and water filtration.

Source: Sustainability Victoria Market summary – recycled glass 2014.

Recovered flexible plastics:

There is no specific data on the generation or recovery of flexible plastics. However, the volume disposed to landfill in Victoria is thought to be in the range of 74,000 to 108,000 tonnes in 2011-12.

Anecdotal evidence suggests the flexible plastics waste stream is growing as new packaging and logistics solutions come online.

Recovered flexible plastics are currently used in Victoria as a substitute for virgin plastic or timber in a range of products including bollards, fence posts, speed humps and outdoor furniture.However, a significant proportion of flexible plastics being recovered are exported.

Source: Sustainability Victoria Market summary – flexible plastics 2014.

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3. Who can apply?

Only a Research Institute in partnership with Industry is eligible to apply. Refer to the definition of Research Institute and Industry in section 3.1 of the guidelines below.

3.1 Definitions for the purposes of this programResearch Institute: A research Institute is defined as a Victorian based organisation that can undertake research and development activities in the manner defined in the Research and Development (R&D) definition below. A Research Institute could be a tertiary education institution, a government agency established for the purpose of research, a Cooperative Research Centre (CRC), or an Institute or Centre for Research. Consultancies are not considered to be Research Institutes for the purposes of this program.

Industry: Industry is any business entity and/or peak association operating in or representing manufacturers using or seeking to use recovered resources in a product. The business must be operating in Victoria and have been in operation for at least three years. (The lead Industry Partner for the research project must comply with the insurance and risk requirements in section 5 of the application form and sign the funding application).

Research and Development (R&D):Research and Development (R&D) includes the following activities related to recovered glass fines and flexible plastics: product design and development, laboratory testing, in situ testing and altering existing processing approaches. R&D activity more generally is considered to be characterised by originality. It has investigation as a primary objective, the outcome of which is new knowledge, with a specific practical application, or new or improved materials, products or devices. R&D ends when work is no longer primarily investigative.

Processing approaches:Processing approaches include a series of operations or steps in order to change the recovered resource or reprocessing system. It does not include collection, sorting or processing equipment or infrastructure.

Glass fines:Glass fines are glass which has been recovered from the waste stream but is considered unsuitable for use in glass manufacture due to the particles being too small and/or mixed with other material streams.

Flexible plastic:Flexible plastic includes packaging (such as bags, pouches, sachets, wraps) and flexible polymer wraps used in logistics (such as pallet wrap, silage wrap, or wheat storage bags). These products are typically made of a range of polymer types including low density polyethylene (LDPE), linear low density polyethylene (LLDPE), high density polyethylene (HDPE) and polypropylene (PP).

Financial contribution: Financial contributions can include cash and salaries paid by the Research Institute(s) and Industry Partner(s) for employee’s time allocated to delivering the research project.

In-kind contribution:

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In-kind is an activity other than financial support that is contributed towards a project. An In-kind contribution could be voluntary labour such as unpaid research students time or donated goods or services such as recovered resources for laboratory testing or sites for in-situ testing.

Calculating Full-Time Equivalent Employees (FTE):

Example: You have three employees and they work 40 hours, 40 hours, and 20 hours per week totaling 100 hours. Assuming a full-time employee works 40 hours per week, your full time equivalent calculation is 100 hours divided by 40 hours which equals 2.5 FTE.

The Victorian Industry Participation Policy (VIPP):The Victorian Industry Participation Policy (VIPP) seeks to maximise opportunities for Australian, New Zealand and Victorian suppliers to compete for government business on the basis of best value for money over the life of the goods or services. The VIPP is implemented by Victorian Government departments and agencies to help drive local industry development.

When does the VIPP Apply?

The Victorian Industry Participation Policy (VIPP) will apply if the total cost of the project meets or exceeds either:

- $1 million in regional Victoria/statewide; or

- $3 million in metropolitan Melbourne.

What if VIPP does apply?

SV will register the grant with ICN (Industry Capability Network). The grant recipient will then be required to prepare a VIPP Plan and provide annual project reports.

3.2 What is the eligibility criteria for Research Institutes?To be eligible for funding, the Research Institute must:

meet the definition of Research Institute as outlined in section 3.1 of the guidelines

have been in operation in Victoria for at least three years

have a partnership with Industry (as per definition in section 3.1 of the guidelines)

not have received funding from any other funding body for the application research project

meet the minimum 1:1 financial contribution (excluding GST) in partnership with the Industry Partner(s)

not have any Environment Protection Authority (EPA) or Victorian WorkCover violations in the past five years, or if the Research Institute has any violations:

- the violations were not serious;

- the violations have been satisfactorily resolved;

- the Research Institute has made appropriate efforts, including implementing management systems, to ensure the violation is not repeated; and

- since the violation, the Research Institute has had a satisfactory level of compliance with environmental and WorkCover Authority legislation.

be based in Victoria

undertake the research project in Victoria

if shortlisted as part of the assessment process, attend a pitch at SV with the Industry Partner(s)

agree to comply with the Terms and Conditions of SV’s Funding Agreement located at www.sustainability.vic.gov.au/RDgrants

3.3 What is the eligibility criteria for the Industry Partner(s)?

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The Industry Partner(s) must:

meet the definition of Industry as outlined in section 3.1 of the guidelines

have been in operation in Victoria for at least three years

not have received funding from any other funding body for the application research project

meet the minimum 1:1 financial contribution (excluding GST) in partnership with the Research Institute(s)

not have any Environment Protection Authority (EPA) or Victorian WorkCover violations in the past five years, or if the applicant has any violations:

- the violations were not serious;

- the violations have been satisfactorily resolved;

- the Industry Partner has made appropriate efforts, including implementing management systems, to ensure the violation is not repeated; and

- since the violation, the Industry Partner has had a satisfactory level of compliance with environmental and WorkCover Authority legislation.

be based in Victoria

if shortlisted as part of the assessment process, attend a pitch at SV with the Research Institute

agree to comply with the Terms and Conditions of SV’s Funding Agreement located at www.sustainability.vic.gov.au/RDgrants

3.4 What will be required of Research Institutes who receive funding from this program?Successfully funded Research Institutes must:

submit a detailed project plan for approval by SV for the first milestone of the funding agreement

deliver the project as determined in the agreed project plan

undertake the project within the required timeframes (mid-June 2016 - 30 May 2017)

meet the minimum 1:1 financial contribution (excluding GST)

participate in activities with SV to distribute the research findings to broader industries during and after the funding agreement period

if applicable, fulfil requirements as set out under the Victorian Industry Participation Policy.

4. What will be funded?Up to $100,000 (1:1 matched funding) excluding GST is available for Research Institutes in partnership with Industry to undertake a Research and Development (R&D) project.

Approved research projects must be contracted by mid-June 2016 and completed by 30 May 2017. Retrospective research projects that have already commenced or are completed prior to signing a funding agreement will not be funded. However, a defined component or next stage of a current, longer term research project would be eligible.

The Research Institute(s) and Industry Partner(s) must meet the minimum 1:1 financial contribution.

4.1 What will be considered for matched funding? salaries directly related to:

- the design and development of processing approaches or products that use recovered glass fines or flexible plastics including quality and performance assessments of recovered glass fines or flexible plastics in new or existing product or processing approaches

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- product development to increase the percentage of recovered glass fines or flexible plastics. in existing products or processing approaches

cost of laboratory or in situ testing for new products incorporating recovered glass fines or flexible plastics.

4.2 What won’t be considered for matched funding? desktop research including opportunity identification, concept screening, concept testing,

marketing concept development and feasibility studies

promotional materials and marketing activities

the purchase of infrastructure or equipment

retrospective research

vehicles

travel, conferences and other educational activities

salaries that are not directly related to the research

in-kind contribution

first generation energy recovery technologies or bioenergy technologies

any application where the lead Industry Partner does not submit to the same probity checks as required of the Research Institute

any application where the Research Institute and Industry Partner(s) do not agree to the IP conditions outlined in the Funding terms and conditions relating to this grant at www.sustainability.vic.gov.au/RDgrants

applications from Consultancies (as per the Research Institute definition in section 3.1 of the guidelines).

5. Assessment criteria

How will applications be assessed?This program involves a competitive, merit-based application process. Applications from eligible Research Institutes in partnership with Industry will be assessed on their ability to demonstrate:

the market development problem for the specified priority recovered resource

a valid methodology to address this market development problem

how the output of the research will address this market development problem

the potential for this output to contribute to wider market development outcomes as outlined in section 2 of the guidelines

how the research output will be delivered within the 12 month timeframe, by 30 May 2017

the level of commitment of the Industry Partner(s) to participate in the project and utilise the research outputs

a capable and skills based team to undertake the research.

Shortlisted applicants (both the Research Institute and the Industry Partner(s)) will be invited to pitch their research project to the assessment panel. The pitch will provide the assessment panel the opportunity to clarify any information provided in the application. It is not an opportunity for the Research Institute or Industry Partner(s) to present new information.

6. Application process

Research Institutes should review and complete the following steps:

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Step1: Check if your Research Institute is eligible to apply (refer to section 3 of the guidelines ‘Who can apply?’)Step 2: Check the eligibility of your project (refer to section 4 of the guidelines ‘What will be funded?’)Step 3: Read the Terms and Conditions of the funding agreement available at www.sustainability.vic.gov.au/RDgrantsto 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 available at www.sustainability.vic.gov.au/RDgrantsStep 5: Complete the application form attached to these guidelines.

The application form is an editable PDF document which allows you to enter text in the relevant fields.

All sections of the PDF application 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 (for both the lead Research Institute & Lead Industry Partner), and a scanned, signed copy attached to the application.

Remember to:

save the PDF application 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 PDF document frequently to avoid losing any information.

Step 6: Submit your application to SV:

applications can only be submitted by email

email your application to grants.applications@sustainabilty.vic.gov.au

the subject line for the email should read ‘R&D program funding application’

the application form is a PDF document but any other supporting documents may be submitted in Word or Excel. You may attach the Declaration signature page as a scanned PDF

email size must not exceed 10MB or it will not be accepted by our email server

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

if you experience difficulties emailing your application, please contact SV. Phone 1300 363 744 Monday – Friday between 9 am – 4 pm and ask to speak to a grants support representative.

7. Key dates Activity Date

Applications open 26 November 2015

Information session 15 December 2015

Applications close 3 pm, Monday 29 February 2016

Research Institutes notified of shortlisting Mid-March 2016*

Shortlisted Research Institutes and Industry Partner(s) pitch to assessment panel

Late March 2016*

Funding agreements established April-May 2016*

Research project commenced by Mid-June 2016

Research project completed by 30 May 2017

*Please note: These timelines are indicative only and are subject to change.

8. More information Refer to the Frequently Asked Questions on the SV website: www.sustainability.vic.gov.au/RDgrants

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Register to attend an information session. For session details visit www.sustainability.vic.gov.au/RDgrants

Or contact SV by:Email: grants.enquiries@sustainability.vic.gov.au and include ‘R&D program’ in the subject line.

Phone: 1300 363 744 between 9 am and 4 pm Monday – Friday and ask to speak to a grants support representative.

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Research and Development program for recovered glass fines and flexible plastics

Application form

Section 1: Research Institute contact information Fields marked (*) are mandatory

Part A: Research Institute details

Complete the details for the lead Research Institute. If there are other Research Institutes involved in your research team you can provide their details in Section 3, Question 4 ‘Who will undertake the research?’

* Name of lead Research Institute:      

* Main Street Address:      

* Town / Suburb:       * Postcode:       * State:      

Postal Address (if different from above):

Postal Address:      

Town / Suburb:       Postcode:      State:      

Authorised person (This is the person who is authorised to make the application on behalf of the lead Research Institute)

* Title:       * First name:      

* Last name:       Position:      

* Telephone:       Mobile:      

* Email:      

*Type of Research Institute

Tertiary education institution Government agency established for the purpose of research

Cooperative Research Centre (CRC) Institute or Centre for Research

Other (please specify)      

Applicant’s Australian Business Number (ABN) and Australian Company Number (ACN)

*ABN:        ACN:     

Please note that where an applicant is not a registered company, only an ABN is required

Applicant’s Incorporation Number, if you have one:      

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Part B: Project manager contact details

* Title:       * First name:      

* Last name:       *Position:      

* Postal address:      

*Town / Suburb:       *Postcode:       *State:      

* Telephone:       Mobile:      

* Email:      

Section 2: Industry Partner contact information Fields marked (*) are mandatory

Part A: Industry Partner details

Complete the details for the lead Industry Partner. If there are other Industry Partners involved in the research project you can provide their details in Section 3, Question 4 ‘Who will undertake the research?’.

* Name of Organisation:      

* Main Street Address:      

* Town / Suburb:       * Postcode:       * State:      

Postal Address (if different from above):

Postal Address:      

Town / Suburb:       Postcode:      State:      

Authorised person (This is the person who has authorised the Industry to partner with the Research Institute such as the Director or CEO).

* Title:       * First name:      

* Last name:       Position:      

* Telephone:       Mobile:      

* Email:      

* Type of Industry organisation

Commercial/for profit business Industry Association Not for profit organisation

Other __________________

* Applicant’s Australian Business Number (ABN) and Australian Company Number (ACN)

ABN:        ACN:     

Please note that where an applicant is not a registered company, only an ABN is required

Applicant’s Incorporation Number, if you have one:      

* Date operations commenced      

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(You must have been in operation in Victoria for at least three years as per the Industry definition in section 2 of the guidelines)

Part B: Project manager contact details (if different to authorised person in Part A)Title:       First name:      

Last name:       Position:      

Postal address:      

Town / Suburb:       Postcode:       State:      

Telephone:       Mobile:      

Email:      

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Section 3: Project details There are four key components to this section:

1. What are you going to do? (25 %) 2. How will the research be conducted? (20 %) 3. Why is this research of benefit to the recovered resources market? (40 %) 4. Who will undertake the research? (15%)Please review and consider all questions before starting this section.

1. What are you going to do? (25 %)

* Research project name      

*Research project description (100 words or less)      

This information will be used in communications about the research project. Please be concise.

* 1.1 What priority recovered resource(s) will this research focus on?

Glass fines Flexible plastics

*1.2 Explain the market development problem that you are going to investigate. (Maximum 300 words)

*1.3 What is the intended outcome and output of this research? (Maximum 300 words)

*1.4 What knowledge/research is already available in this area and how are you leveraging from it? (Maximum 300 words)

*1.5 Will the project provide new ongoing employment opportunities?

YES NO

If yes, please provide estimates of the full-time equivalent employment (FTE) generated as a result of the project.

* An FTE of 1.0 is equivalent to a full-time worker of approximately 40 hours per week.

*1.6 Will the project provide training and development opportunities for employees and/or the local community?

YES NO

If yes, provide details:

*1.7 Explain your commitment to corporate social responsibility, including creating social benefit for local communities and disadvantaged community members

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2. How will the research be conducted? (20 %)

*2.1 Outline the methodology for this research project. (Maximum 500 words)

*2.2 Use the table below to outline each stage of the research project and the timeframes involved. (Ensure that you consider approvals that may be required from regulatory authorities such as the EPA).

Activity Start date

End date

Output or Outcome Budget

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3. Why is this research of benefit to the recovered resources market? (40 %)

*3.1 What benefit will this research have for the Industry Partner and how will this research assist it to increase its use of the specified priority recovered resource(s)? (maximum 300 words)

*3.2 What impact will this research have on wider markets for the specified priority recovered resource(s)? (maximum 300 words)

*3.3 What economic benefits will be generated from the intended research outcomes? (maximum 300 words)

*3.4 What environmental benefits will be generated from the intended research outcomes? (maximum 300 words)

*3.5 What activities do you think will be helpful to distribute the final research outcomes to broader manufacturing industries? (maximum 300 words)

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4. Who will undertake the research? (15%)Use the table below to outline both your research team’s and your Industry Partner’s capability (skills) and capacity (time available to the project).

Name Position Organisation Capability Capacity

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Section 4: Project budget

What is the total budget for this research? Use the budget table below to detail project income and expenditure, excluding GST.

Instructions

The amount requested from SV can be up to $100,000 excluding GST.

The project partners (Research Institute(s) and Industry Partner(s)) must match the amount requested from SV 1:1 with financial contributions. An acquittal statement will need to be provided by successfully funded Research Institutes before financial project milestones will be approved for payment.

In-kind contributions should be detailed in the budget table below but do not contribute to the 1:1 financial contribution.

Refer to the definitions of Financial contribution and In-kind contribution in section in 3.1 of the guidelines.

Activity Amount requested from SV(exc. GST)

Project partners Financial contribution(exc. GST)

Project partners In-Kind contribution(exc. GST)

TOTAL(exc. GST)

Total (exc. GST)

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* Section 5: Insurance and riskPlease enter the details of insurances held by both the lead Research Institute (Part A) and the lead Industry Partner (Part B). Certificates of Currency will need to be provided if your grant application is successful.

Part A: Lead Research Institute

5.1 Insurance

Name of insurance company

Insurance type Public Liability

Policy number/s

Expiry dates

Policy amount

Name of insurance company

Insurance type Professional Indemnity

Policy number/s

Expiry dates

Policy amount

5.2 Victorian WorkCover Authority and EPA Compliance

Have you:

1 Received a penalty, notice, prosecution or regulatory intervention from the Environment Protection Authority or Victorian WorkCover Authority or been in breach of any other environmental, OH&S, safety or other legislation or regulations in the last 5 years?

YES NO

Details:      

2 Any current investigations, notices, prosecutions, regulatory intervention or enforcement action against it arising out of a possible breach of any environmental, OH&S, safety or other legislation or regulations?

YES NO

Details:     

3 Do you acknowledge that Sustainability Victoria may undertake checks with EPA, Victorian WorkCover Authority or other regulators about your organisation’s environmental, OH&S, safety or other regulatory performance?

YES NO

5.3 Conflict of Interest(Conflict of Interest means any matter, circumstance, interest or activity affecting the applicant or it’s 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 Sustainability Victoria 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.

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Details:       

Part B: Lead Industry partner

5.4 Insurance

Name of insurance company

Insurance type Public Liability

Policy number/s

Expiry dates

Policy amount

Name of insurance company

Insurance type Professional Indemnity

Policy number/s

Expiry dates

Policy amount

5.5 Victorian WorkCover Authority and EPA Compliance

Have you:

1 Received a penalty, notice, prosecution or regulatory intervention from the Environment Protection Authority or Victorian WorkCover Authority or been in breach of any other environmental, OH&S, safety or other legislation or regulations in the last 5 years?

YES NO

Details:      

2 Any current investigations, notices, prosecutions, regulatory intervention or enforcement action against it arising out of a possible breach of any environmental, OH&S, safety or other legislation or regulations?

YES NO

Details:     

3 Do you agree to provide information to the Victorian Recycling Industry Annual Survey (mandatory requirement)

YES NO

4 Do you acknowledge that Sustainability Victoria may undertake checks with EPA, Victorian WorkCover Authority or other regulators about your organisation’s environmental, OH&S, safety or other regulatory performance?

YES NO

5.6 Conflict of Interest(Conflict of Interest means any matter, circumstance, interest or activity affecting the applicant or it’s 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 Sustainability Victoria 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:       

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Section 6: Checklist

Please ensure all boxes are checked and relevant information is attached before sending your application.

My Research Institute is eligible to submit an application.

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

I have read and understood the funding terms and conditions relating to this grant at www.sustainability.vic.gov.au/RDgrants

I have read and understood clause 19 relating to Intellectual Property (IP) in the Funding terms and conditions relating to this grants at www.sustainability.vic.gov.au/RDgrants

I have read and understood the Terms of Participation in Grant Programs at www.sustainability.vic.gov.au/RDgrants

I have read and understand the conditions of the Victorian Industry Participation Policy (VIPP)

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

The authorised person(s) to approve this application on behalf of the lead Research Institute has signed the declaration (section 7).

The authorised person(s) to approve this application on behalf of the lead Industry Partner has signed the declaration (section 7).

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Section 7: DeclarationBoth the lead Research Institute and the lead Industry Partner must sign the declaration.(This page is to be printed, signed, scanned and returned with the email submission)

I state that:

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

I acknowledge that I have read and understood the Terms of Participation in Grant Programs and Funding Terms and Conditions on the SV website. (Insert hyperlinks to both of these documents).I acknowledge that SV may refer this application 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 application 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 have read and confirm to the terms and conditions of the proposed funding agreement.

I declare that my organisation currently holds Public Liability Insurance of $10,000,000 and Professional Indemnity Insurance of $5,000,000.

Lead Research Institute

* Signature: * Date:

* Print name: * Position:

(To be signed by a person with delegated authority to apply - i.e. Chairperson, Secretary, Public Officer or Treasurer)

Lead Industry Partner

* Signature: * Date:

* Print name: * Position:

(To be signed by a person with delegated authority to apply - i.e. Chairperson, Secretary, Public Officer or Treasurer)

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