BUSHFIRE MITIGATION GRANTS PROGRAMME 2016-17
PROJECT COMPLETION REPORT
PROJECT TITLE:______
AGENCY:______
DATE OF REPORT:______
- Expected key outcomes of project
Section 6 of your original Application (which was also incorporated into the Scheduleto the Agreement) states what you planned to achieve. You can use this section and amend the application as necessary due to project variations and other factors not mentioned in the Application, Schedule or the Inception Report.
- Description of methodology
Brief description of major elements on the project including linkages between them.
- Evaluation of project and its outcomes and outputs (in accordance with methodology proposed)
Compare final outcomes and outputs of project with that given in the Schedule to the Agreement. If there are differences, explain why more or less work was undertaken.
- Community consultation and/or project advertising undertaken
List activities undertaken, eg. information on notice boards or in Council offices, ads or articles in newspapers or on web-site, public meetings, surveys, presentations. If relevant or of interest, describe public response (or lack of). You may wish to provide photos or examples of any evidence of compliance as set in the Schedule to the Agreement.
- Future actions to be taken based on project outputs
Describe major alternative structural and non-structural options considered during project, including any conditions that must be met before they can be implemented.
PROJECT OFFICER:______
SIGNATURE: ______
BUSHFIRE MITIGATION GRANTS PROGRAMME 2016-17
CERTIFIED STATEMENT OF REVENUE EXPENDITURE AT COMPLETION OF PROJECT
PROJECT TITLE:______
AGENCY:______
Total Revenue (Commonwealth/State & third party) for the project
Date / Source / Invoice Ref. / Amount$(excl. GST)
Commonwealth
State
Other (not your agency)
Total
Total Expenditure for the project
Item / Commonwealth $ / State$ / Agency
$ / Other
$ / Amount
$(excl. GST)
Total
Total unspent fundsplus any accrued interest / $I …………………………(name) certify that the above details are correct and that the funds received have been expended solely for the purposes of the Project.
Signed for and on behalf of:
Name:______
Agency:______
Signature:______
Position (Qualified Auditor):______
Dated:………/………./……….
BUSHFIRE MITIGATION GRANTS PROGRAMME 2016-17
STATEMENT OF COMPLIANCE
To be completed by the Chief Executive Officer or his or her authorised representative.
I hereby certify that Australian Government funds under the Bushfire MitigationGrants Program, as per clause 4.4 of the Agreement between the <insert name of your organisation> and the State of Victoria:
- have been expended solely for the purposes of the scheme; and
- the terms and conditions included in the Agreement have been complied with, or, where the terms and conditions have not been complied with, the reasons for non-compliance are attached.
Name:______
Position:______
Signature:______
Dated:………/………./……….
COMPLETION REPORT-BUSHFIRE MITIGATION GRANTS PROGRAMME (CD/16/60444)Page 1 of 5