Applicants Should Read the EXEED Grant Scheme Guidelines Before Completing This Form

Applicants should read the EXEED Grant Scheme Guidelines before completing this form.

To accommodate the purpose of the efficient design management process, the EXEED project funding is split into two stages – Stage-1 EXEED Project Proposal and Stage-2 EXEED Final Project Funding.

Only EXEED Stage-2 form should be submitted at Stage-2Applications forms should be submitted electronically to .

Once the EXEED Project Evaluation Platform is developed applications should be submitted via the SEAI PEP systems ( )

STAGE - 2 EXEED Project Proposal.

2.1 Applicant details

Project Title
Lead Applicant Company Name
Principal Business Activity
Company No. / VAT No.
Can VAT be reclaimed? / Choose an item. /
Tax Clearance Advisory No. (TCAN) / Tax Registration
No.
Contact Details / Title / First Name / Surname
Address
Telephone / Mobile
Email / Website
Financial Controllers Name / Email
Company information / Employees / Turnover / Balance Sheet

Stage - 2 EXEED Final project funding

2.2 EXEED Project development – Progress of Project

Please provide a summary of progress of EXEED Project, using the following headings;
- EXEED project progress, impact and schedule.
- Impact or additionality experienced.
- Baseline design and baseline energy consumption
- Issues encountered.
- Investment decisions, within and planned outside the current grant
- Approaches to measurement and verification of opportunities identified.
- Return on Investment appraisal.
- Statement of Incentive effect of grant.

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2.3 Opportunities falling within grant window

In the challenge and analyse stage of EXEED the significant energy uses shall be challenged in sequence following the Energy Venn Diagram principle of energy efficient design. All ideas and opportunities together with decisions on Acceptance or Rejection for implementation shall be documented in the Energy Savings Register (ESR).
From the Energy Saving Register, list below the energy efficiency opportunities that will be implemented within the current grant window. Include details of the estimated energy savings, the Energy Venn Diagram level in which the opportunity applies and the M&V method that will be used to verify the savings.
Note: In the opportunity field, outline the extent to which an energy performance improvement opportunity will be implemented as they relate to the requested grant support within 2017.
Opportunity/project / Basis of additionality or rational for incremental cost (see note 1 below) / Incremental Cost Ex. VAT (€) (see note 2 below) / Category of opportunity c.f. Energy Venn Diagram / Savings / kWh / M&V method
Choose an item. /
Choose an item. /
Choose an item. /
Choose an item. /
Choose an item. /
Choose an item. /
Total: / Total:

Note 1: In the ‘Basis of additionality’ field describe outline how the opportunity is additional above a baseline alternative.

Note 2: The incremental expenditure relates to expenditure that falls within the grant window. The eligible costs that can be grant aided when investing in energy performance are identified by reference to a similar, lower performing investment that would have been credibly carried out without aid. The difference between the costs of both investments identifies the energy performance-related costs and constitutes the eligible costs.

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2.4 Summary of Final Proposed Funding

The following Tables are specifically for additional expenditure to implement EXEED Certified processes and only additional capital incurred as outcomes of the Design for Energy Performance and Design of Energy Management processes. Eligible capital expenditure is the incremental expenditure over the Baseline Design case (Counterfactual investment). Other project capital is not eligible for grant support and should not be included.
Please enter details of other funding sources, public, private, in-kind contributions (including details of the provider of funding)
Project Funding Sources / Contribution of Funding (€)
Excluding VAT / Contribution of
Funding (€)
Including VAT where applicable / Contribution of Funding
(% of total)
SEAI – grant support requested / (€)
Other Funding Source / Funding secured (Yes / No) / Choose an item. /
Own resources / (€)
Other public bodies / (€)
EU Commission / (€)
Other ______/ (€)
Total Project Funding* / (€) / 100%

2.5 Breakdown of project funding

Project expenditure by category / Incremental Project Costs
Excluding VAT (€) / VAT
(where applicable) (€) / Totals
Including VAT (€)
Materials/equipment/installation (From Table 2.5.1)
EXEED Professional Services (pre-investment) (From Table 2.5.2)
Investment Professional Services (From Table 2.5.3)
Total Project Costs

Table 2.5.1 Itemised expenditure – Capital (equipment, materials, installations)

Materials/equipment/installation
Insert additional lines as necessary / Incremental Project Costs
Excluding VAT (€) / VAT
(where applicable) (€) / Totals
Including VAT (€)
Specify
Specify
Specify
Specify
Specify
Total Project Costs

Table 2.5.2 Itemised expenditure – EXEED Professional Services (pre-investment)

EXEED Professional Services
(pre-investment) / Incremental Project Costs
Excluding VAT (€) / VAT
(where applicable) (€) / Totals
Including VAT (€)
Specify
Specify
Specify
Specify
Specify
Total Project Costs

Table 2.5.3 Itemised expenditure – Investment Professional Services

Investment Professional Services / Incremental Project Costs
Excluding VAT (€) / VAT
(where applicable) (€) / Totals
Including VAT (€)
Specify
Specify
Specify
Specify
Specify
Total Project Costs

2.6 Permissions / Permits / Licences/ Consents / Authorisations

List any permission, permits, licences or other authorisations necessary for the project. Identify those which have been obtained and provide an estimated approval date for those which are still outstanding. Note the cost of obtaining these are not eligible costs
Permissions, Permits & Licences / Applicable (Yes/No) / Applicable Date / Comments
Planning permission
EPA licence
Waste permit
CER licence
IPPC licence
Other (identify)

2.7 Grant Milestone Payments

Each project must identify milestone payments over the course of the project schedule. There is a maximum of 4 milestones per project. Final milestone must be no later than the annual published deadline date.
Project Payment Milestones / Date / Amount of Grant Requested €
1
2
3
4

2.8 EXEED Certified Milestones

EXEED Milestones / Date
1 / Application to Certified Body (Before Grant drawdown)
2 / EXEED Certification

2.9 Top Management Assurance

Commitment to EXEED Certification is a condition of grant support.
Top Management is accountable for the EXEED project and has a role in the EXEED Project Organisation structure.
Please name Top Management accountable / Position

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