FishMPABlue2 PROJECT

CALL FOR TENDERS for the SERVICES of implementINGfishmpablue2 pilot PROJECTs in CROATIANAND SLOVENIAN mARINE PROTECTED AREAS

Application Form

Procurement number: 19/06/2017

Deadline for submissions: July20th, 2017at 16:00 (Zagreb time)

© Reticula – - +33(0)6 62 32 11 13

DestiMED project – Application form

1SUMMARY

1. CANDIDATE

Country
Name of the organization
Name of the MPA
Legal status of the MPA
Date of establishment of the MPA
Full postal address
OIB
IBAN
Service provider is VAT payer
Phone number (with the country code)
Website (if any)
Name and e-mail address of the person representing the organization
Name, job title and e-mail address of the person responsible for the Pilot Action

2. OFFER

Procurement Group Bidder is applying
Offer in HRK VAT excluded
VAT
Offer in HRK VAT included

3. OFFER VALIDITY

Offer is valid until:

2. PILOT PROJECT

Title
Main activities to be implemented
Foreseen Associated partner(s)

2PRESENTATION of the pilot PROJECT

  1. Name and Status of the Marine Protected Area Concerned by the Pilot Action
  • Name of the MPA:
  • Legal status of the MPA (e.g. National Park, Nature Reserve, etc.):
  • Operational management body (yes/no):
  • Management framework document (e.g. charter, document defining objectives, management plan, etc.):

Please provide in attachment to the application:

  • Official document proving its establishment (please attach a copy)
  • Surface area (land and marine):
  • Please provide a map of the MPA (location and zoning if possible)
  1. Context of the Pilot Project

2.1.The aim is to present the overall context of fisheries in the MPA. Describe,in particular, the problems and challenges that the Pilot Project can address (please provide precise figures).

2.2.Indicate if the document regulating the management of the MPA includes aspects on the management of fisheries (if so, provide an extract as appendices).

2.3.Indicate if the MPA has already implemented fishery management measures.

2.4.Indicate if the MPA is currently carrying out initiatives that could be linked to the Pilot Project.

2.5.Indicate if the MPA is using systems/tools/actions to monitor fisheries impacts/benefits (please explain in detail and provide the related documents as appendices).

2.6.Indicate if the MPA has already set up a participatory planning mechanism to ensure the involvement of the main actors in the planning/management of fisheries (if yes, provide details).

2.7.Indicate the number of fishermen that engage in fishery activity within the MPA and the methodology used to assess the number.

  1. Description of Activities
  • List and describe the Governance tools you find appropriate to be included in the Pilot Project Implementation Plan for your MPA
  1. Added value of the Pilot Project
  • Indicate the added value of the Pilot Project for your MPA, for the local population, for the local area.
  1. Human Resources

Describe the actors involved in the implementation of the Pilot Project (internal staff, consultants, experts, etc.). The responsibilities of the various actors must be clearly defined.

ACTORS / ROLES AND RESPONSIBILITIES
  1. Expected Challenges

List, or explain in a few sentences, what the obstacles might be to the smooth running of the Pilot Project (contextual problems related to management, social or political issues, etc.).

  1. Budget

In the table below, present the total provisional budget. The amounts must be indicated in HRK. Total amount must refer to the offered price.

Expense items / Total cost (in HRK)
Salary
Operation
Equipment
Travel
Communication
Other (to be specified)
TOTAL

Information note

Salary:Salaries (or part of the salaries) of people working on the Pilot Projectand charged to the budget.

Operation: Expenses necessary for the operation of the structure responsible for the Pilot Project and for the proper implementation of the Pilot Project(communication expenses - phone, Internet -, office supplies, banking fees, fees to the third parties etc.); as well as costs of travel to the pilot action area.Expenses related to contracts signed with an external body (consultant, consultancy firm, university, etc.) for specific tasks related to the Pilot Project.

Equipment: Expenses related to the purchase of equipment and to the renovation/improvement of existing infrastructure.

Travel: Expenses related to travels outside the Pilot Projectarea (participation in exchange visits, meetings, etc.): flight tickets, accommodation, taxi, visa, per diem, etc.

Communication: Expenses related to communication: modelling, printing, films, etc.

Other: Other expenses not corresponding to any other category.

3statement by the RESPONSible for the pilot action

Before sending your application, please read carefully the list of eligibility criteria below and check the relevant box.

ELIGIBILITY CRITERIA / To be filled in by the candidate
YES / NO
The MPA is officially and legally established, has an operational management body and has formally established its conservation objectives
The MPA is located in a region eligible to the Interreg MED Programme[1]
The MPA has marine area under its jurisdiction and commercial fishing activity is legally allowed in that area
A staff member has been or will be appointed to manage the Pilot Action (at the local level and at the level of the Project Partnership[2])
You are an MPA manager or an organization that is responsible or involved in the MPA management
Evidence of non-existence of the grounds for exclusion from public procurement (through a signed statement of person authorized for representation of the MPA) is provided as annex to this application
List of the documents provided in the Appendix
  1. …

  1. …

  1. …

I, the undersigned, as the responsible person within the applicant organization for this action, certify that the information provided in Terms of Reference of this call was studied and understood and that information provided in this application is correct and truthful.

Name:

Job title:

Date and place:

Signature and stamp:

1

[1]Eligible regions:

[2]Local level: management of the proper implementation of the Pilot Project. Partnership level: attending trainings/meetings, providing information, replying to e-mails, etc.