NSW Heritage Grants Project compliance certification
Works compliance certification is included as a standard condition of a NSW Heritage Grants project funding agreement.
Complete this form for all progress reports and final reports
This form must be completed and submitted as part of each progress report and final report for the project.
Who can certify?
The local government heritage advisor, the local government heritage planner/officer or nominated project supervisor who must be a heritage specialist consultant.
How to complete this form
The certifier must cite and review ALL relevant project scope and approval/consent documents set out below and certify that the works completed are in accordance with these documents and approvals. You MUST complete ALL of the following sections.
PLEASE NOTE:This project certification satisfies the NSW Heritage Grants funding agreement requirements ONLY –it does not replace any local council development/building certification requirements.
Please type directly into hi-lighted areas of this form
Project nameProject no.
Project address
Applicant name
I certify that the works completed as part of the project funded by NSW Heritage Grantsare in accordance with the following:
Project Scope
The project scope provided as part of the NSW Heritage Grants project funding agreement, or a variation/s to the project scope that has been agreed to by the Office of Environment and Heritage as part of the project funding agreement. / Yes or No
Project funding agreement, standard and special conditions
The NSW Heritage Grants project funding agreement standard conditions and special conditions dated (insert date here) / Yes or No
Heritage Act exemption or s60 approval
Exemption or S60 approval (where applicable) for the project granted by the NSW Heritage Council dated (insert date here) under the Heritage Act, 1977. / Heritage Act Exemption
Yes or No or N/a
Heritage Act S60
Yes or No or N/a
Local council development consent
Development consent(where applicable) for the project granted by the Council (insert date here)under the EP & A Act / Yes or No or N/a
Project cost and works completed
The project cost is commensurate with the works undertaken. / Yes or No or N/a
Certifier’s name / Signature
Type your name OR print, sign and re-scan
Position title / Date
Email / Phone
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