Development Programme Group / APPLICATION AND APPROVAL OF
HOUSING ASSOCIATION GRANT FOR MISCELLANEOUS WORKS / Form MW1
(Issued 1 October 2012)
NIHE (DPG) Date Stamp

Part A

/ Association details
Procurement Group
Association Name / DSD Registration No
Address / Contact Name
Contact Tel No
Postcode
Agent Association Name / DSD Registration No
Address / Contact Name
Contact Tel No
Postcode
Part B / Works Details and Costs
Scheme Name/Address:
CCTV / OTHER / Specify:
Start on Site date / Practical Completion date
(N.B. WORKS COMPLETED MORE THAN 6 MONTHS BEFORE DATE OF COMPLETE & VALID CLAIM IN DPG ARE NOT ELIGIBLE FOR GRANT)
Miscellaneous Works Costs
/ A
Qualifying Costs / B
Non Qualifying Costs / C
DPG Use only
1 / Works costs
2 / VAT
3 / On-costs
4 / Total Qualifying Works Costs (Column A, Lines 1 to 3)
5 / Other Public Subsidy
TOTAL GRANT PAYABLE (Column A, Line 4 – Line 5)
Part C / Documents enclosed (if not already provided for advance approval, where applicable)
/ Response to annex (conditions placed on advance approval), where applicable.
/ Copy of PSNI Crime Prevention Officer (CPO) CCTV recommendation report.
/ Drawing showing scheme/entrance layout and relative position of camera & equipment
/ Receipted invoices with itemised works costs and non-qualifying costs clearly identified (or equivalent documentation, e.g., Certificate of Practical Completion and Consultant’s breakdown of works costs).
/ Justification for high costs, if relevant.
/ Evidence stipulated as condition of advance approval, where applicable.
Part D / CERTIFICATIONS – TO BE COMPLETED BY AUTHORISED SIGNATORY
(Tick if applicable, or enter N/A if not applicable- all statements to be answered. Use covering letter to provide any necessary explanation)
We certify that:
  1. The works costs claimed relate only to that necessary to comply with the requirements for HAG as set out in the Maintenance Guide and other relevant guidance;

  1. The association’s grant claim excludes the cost of any work funded (in whole or in part) by other HAG, Public Subsidy or any other Government body;

  1. Where submitted invoices include costs for any non-qualifying, enhancements or maintenance items, full costs, including reasonable apportionment of associated product/installation/labour costs have been identified by the Association and clearly deducted from the grant amount claimed;

  1. On-costs claimed are in accordance with DSD requirements at the rate specified in the Adaptation Guide;

  1. Practical completion for works included in this claim occurred less than six months of the submission date of this claim;

  1. Procurement has been undertaken in accordance with Procurement Guide and other relevant requirements;

  1. All necessary statutory approvals have been obtained;

  1. This is the first time CCTV has been installed at this property and the association has not previously claimed for these works costs;

  1. DPG Advance approval has been obtained where required AND works started on site before approval expiry date;

  1. The Association is satisfied that the work has reached practical completion and has undertaken a final ‘snagging’ inspection/verification check on the works;;

  1. The specific completed works are clearly recommended in the PSNI Crime Prevention Officer’s report;

  1. No committee member, employee, agent or consultant of the Association has any interest in the proposed contractor or the occupants or the property concerned. The declaration extends to any business trading for profit in which they or their close relatives have a personal interest (Article 31 of the Housing (Northern Ireland) Order 1992 refers). If such a declaration cannot be made without reservation a statement should be appended giving a full disclosure of the interest of the people concerned.);

  1. To the best of our knowledge and belief, the details given in this document are complete and accurate.

Signature ______Date ______
Officer or member of Association authorised by the Management Committee
Part E / NIHE (DPG) use only
APPROVAL FOR PAYMENT OF HOUSING ASSOCIATION GRANT FOR MISC. WORKS
This project is approved subject to the Association:
  • Conforming to the DSD’s published procedures and conditions for Grant;
  • Notifying NIHE (DPG) of any material changes from the details submitted in its application;
  • Fulfilling the certifications made on AA3 & MW1 forms.
Recommended:
Signed: / Date:
(Copy approved MW1 to HA for records)
Approved:
Signed: / Date: