To:

Project Contract/Case number:2013/xxxxxx

or

2014/xxxxxx

INTERIM REPORT (IR) N°…..

Green Industry Innovation ProgrammeBulgaria

Project Title:pls write in the title as it appears in the Project Contract

Project Promoter:as per Project Contract

Partner (s):pls insertas per partnership agreement and Project Contract

Project region:relevant region in compliance to EU division

Project Contract date:

Total project duration: … months – from … to …

Total eligible expenses: EUR …

Total grant approved: EUR … (...%)

Co-financing: EUR … (...%)

Advance paid: EUR …

Total amount disbursed from Innovation Norwayto date – advance included: EUR …

Amount requested for disbursement with this IR: EUR …

Signature and stamp:(the person signing should be the same as the one who signed the Project Contractplus the project accountant)

Date:

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Section 1: Overview of Project Progress

(from:startingdate…until report cut-off-date...)

The general principle is that the report should be short, clear and to the point. This section of the report is meant to give a clear, history-tracking overview of what was effectively achieved (‘touchable’ results on the ground) during the reporting period and overall since the beginning of the project. Documents (e.g. relevant reports about quantity of waste processed,research conclusions, training reports etc.) whereby the promoter can prove that proposed indicators have been monitored and estimated results have been achieved shall NOT be sent with the report. Instead, all such documentary evidence shall be kept on separate project files ready for inspection in case of monitoring visits. Innovation Norway may nevertheless ask that some evidence be sent by e-mail. The documentary evidence project file shall be based on any organising principle the grantee may deem suitable as long as it allows quick document retrieval and reconciliation thereof with the relevant result and expenditure items.

1.1Activities and results achieved

Please describe briefly the activities performed during the reported period, what are the results achieved and give a qualitative assessment of the effect of your project up to date.

Please fill in the Annex 1 presenting the Outputs/Indicatorsfor the reported period.

1.2Deviationin the Project ImplementationPlan– and remedial action

This section is meant to include reasons for deviation, and plan for the way ahead in case of differences between planned achievement and actual achievement.

Activity no. / Description of challenges at activity level / Reasons for deviation / Identified solutions
(please present the remedial actions to the identified deviation and mention if theyhave already been developed in the reported period, or it will be developed in the next reporting period)
Ex. Activity 3 Installation of the new equipment for production line / Delays in installation / Delays in delivering the new equipment by the supplier / maintain a good communication with the supplier and monitor the delivery
activate the contract clause negotiating with the supplier as regards penalties for delays in delivering the equipment

1.3Implementation of Publicity Plan

Comment on activities as per the approved Publicity Plan. All publicity materials produced during the implementation of the project shall be kept on a separate project file.

1.4Risk management

Comment on risk management/new risks etc. as against risks mentioned in the Application and possible remedial actions.

1.5Bilateral Relations

Comment on cooperation with your Norwegian partner and any other bilateral activities/contacts during the reporting period.

1.5Other issues

Comments on any other issues the promoter may deem relevant should be included here.

Section 2: Special Conditions and Legal Issues

2.1Special conditions and other legal issues

Please comment (and provide documentary evidence if applicable) on any special condition mentioned under item 4. of the Project Contractwith a due date during the reporting period.

2.2Public Procurement process and results

This chapter must comment on the relevant tender procedures/or good economic practice and their results (choice of procedure as per the relevant threshold, award criteria, winners, complaints, supervision by observers (Innovation Norway or representatives appointed by them). Promoters shall keep separate procurement files for ease of reference in case of controls.

Section 3: Cross Cutting Issues

3.1.Project level/impact:

Comment on aspects relating to work with specific relevance to cross-cutting issues as per your project application. Please make the content as measurable as possible by referring to:

-Principles of good governance

-Sustainable development (environmental – economic – social dimension). Inclusion of workers from disadvantaged groups, especially Roma, must be reported on.

-Gender equality

-Roma issues (if relevant)

3.2Corporate Social Responsibility (CSR)(if relevant)

Comment on aspects relating to the CSR: present the relevant actions taken in the reporting period.

Please report on enterprise (project promoter) level/impact:

Section 4: Financial Progress

This section shall give a detailed account of all expenditure during the reporting period. It shall consist of:

A)AnExcel sheet to be attached to the report as a separate document in compliance to the approved project budget

B)A copy of the relevant audit certificate - as applicable in line with the audit arrangements agreed upon in the Project Contract

C)Latest bank statement corresponding to the separate project account – with separate illustration of generated interest, if any

D)Updated Disbursement Plan

E)Power of Attorney (if relevant – for payment directly to the Norwegian partner)

All expenditure shall be cross-referenced against an invoice number or time sheet the number of which will be clearly indicated together with reference as to the file number where the respective invoice/timesheet/other legally acceptable documentary evidence is kept. Timesheets (not to be included in the report) shall be properly numbered and shall include at least the following info: name of person working on the project (including ‘own staff’ or ‘hired assistance’ specification), name of hours worked during the reporting period cross-referenced against the relevant activity and indication of hourly rate calculated in line with the Art. 5.1.3. Detailed eligibility provisions of the programme’s „Rules and Procedures“. Timesheets shall be signed or otherwise confirmed by the project manager on behalf of the grantee.

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Annex 1

OUTPUTS – INDICATORS

OUTPUTS[1] / INDICATORS / INDICATOR value
Baseline / Target / Achieved in the reported period
Example: functional waste to energy plant / Annual renewable electricity produced by the system (MWh) / 0 / 4000 / 2000
……

1

[1]According to information included in the approved project