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Traceability
Foundations Initiative (TFI):
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| Name | Location |
|---|---|
| 1. | |
| 2. | |
| 3. |
When completing this section refer to the Guidebook Part A: Glossary of Terms and Part B: Completing an Application Form - Section 1 for further details.
1. Co-applicant's Company Name (Full legal name) _______________________________________
Name of Preferred Contact (Please print) _______________________________________________
Job Title of Contact: _______________________________________________
Business Type: _______________________________________________
Mailing Address (Street): _______________________________________________
P.O. Box: _______________________________________________
City/Town: _______________________________________________
Region/County: _______________________________________________
Province: ONTARIO
Postal Code: __________________
Tel: __________________
Fax: __________________
Email: _______________________________________________
Premises
Identification Number (PID)
ON _ _ _ _ _ _ _
2. Co-applicant's Company Name (Full legal name) _______________________________________
Name of Preferred Contact (Please print) _______________________________________________
Job Title of Contact: _______________________________________________
Business Type: _______________________________________________
Mailing Address (Street): _______________________________________________
P.O. Box: _______________________________________________
City/Town: _______________________________________________
Region/County: _______________________________________________
Province: ONTARIO
Postal Code: __________________
Tel: __________________
Fax: __________________
Email: _______________________________________________
Premises
Identification Number (PID)
ON _ _ _ _ _ _ _
List additional co-applicants on a separate sheet of paper if necessary.
When completing this section refer to the Guidebook Part B: Completing an Application Form - Section 2, Part E: Selection Process, Schedule 1: Project Plan Examples and Schedule 2: Mock Traceability Exercise for further details.
Title
of proposed project:
Provide a summary and description of the proposed project (maximum five pages):
Attach additional pages if necessary.
When completing this section refer to the Guidebook Part B: Completing an Application Form - Section 3 for further details.
Number of members in your Sector Organization: __________
Number of members anticipated to participate in the proposed project over the course of the entire project: ____________________
Describe how your organization will encourage or influence member participation in the proposed project.
How will you measure member participation?
When completing this section refer to the Guidebook Part B: Completing an Application Form - Section 4 for further details.
Describe the Value Chain (existing or proposed), including the identities, roles and responsibilities of each of the partners.
How long have individual partners been working together in a Value Chain?
0 - 2 years
3 - 5 years
6 - 10 years
longer than 10 years
What are the total estimated yearly product sales of the Value Chain?
$0-$500,000
$500,001-$1,000,000
$1,000,001-$5,000,000
greater than $5,000,000
Indicate the total number of employees working at all facilities. (Include full-time, part-time, seasonal and temporary employees.)
less than 10
11 - 100
101 - 500
more than 500
When completing this section refer to the Guidebook Part B: Completing an Application Form - Section 5 for further details.
Describe your project team and the resources (current or proposed) that will allow you to successfully complete and sustain the proposed project (maximum two pages).
Attach additional pages if necessary.
Describe how you will communicate with your members or Value Chain partners and encourage their participation.
All individual businesses participating in the project will need to have a validated premises identification number in the province of Ontario. (When completing this question refer to the Guidebook Part A: Glossary of Terms, Part B: Completing an Application Form- Section 5 and Schedule 4: Provincial Premises Registry for further details)
How will you know that all premises have been registered? How will you measure the number of registered premises associated with this project?
By the end of the proposed project you will need to conduct a mock traceability exercise to demonstrate your ability to trace, identify and contain 100% of infected or unsafe animals, plants, or products within a 48 hour period (When completing this question refer to the Guidebook Part A: Glossary of Terms, Part B: Completing an Application Form- Section 7 and Schedule 2: Mock Traceability Exercise for further details).
How do you intend to accomplish this and how will you measure the success of this exercise?
When completing this section refer to the Guidebook Part B: Completing an Application Form - Section 6 for further details.
Describe your existing information or traceability system/capacity.
When completing this section refer to the Guidebook Part B: Completing an Application Form- Section 7 and Part E: Selection Process for further details.
List 3 major objectives of the proposed project
1.
2.
3.
Describe the anticipated short-term and long-term benefits of the proposed project.
Short-Term Benefits:
Long-Term Benefits:
Describe the anticipated economic benefits of the proposed project (i.e. increased incremental sales, cost savings, new market access).
Describe how you will measure economic benefits.
Describe how this project will benefit the Province of Ontario.
It is important to carefully consider challenges or risks to any project and develop strategies to minimize their impact. Please provide this information with reference to your proposed project. When completing this section refer to the Guidebook Part B: Completing an Application Form- Section 8 for further details.
| Challenges
or Risks | Likelihood
of Occurrence | Impact
on project | Response |
|---|---|---|---|
| List challenges or risks
that pose threats to the proposed project | Indicate
as Low, Moderate, or High | Indicate
as Low, Moderate, or High | Explain
what will be done to eliminate, reduce or accept the risk |
|
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|
| |||
|
|
Attach additional pages of necessary.
When completing this section refer to the Guidebook Part A: Program Information, Part B: Completing an Application Form - Section 9, Schedule 1: Project Plan Examples and Schedule 2: Mock Traceability Exercise for further details.
|
Proposed project start date (month/year):
|
Proposed project start date (month/year):
| |||
| Project Work Plan | ||||
| Activity Item |
Provide a brief description of each activity |
Start Date (Month/Year) | End
Date (Month/Year) | Result |
| A | ||||
| B | ||||
| C | ||||
| D | ||||
| E | ||||
Attach additional pages of necessary.
List all eligible and ineligible expenditures directly related to the proposed project. When completing this section refer to the guidebook Part A: Program Information "Glossary of Terms" and "Funding" for a list of Eligible and Ineligible Expenditures and Activities and Part B: Completing an Application Form - Section 10 for further details.
| Projected
Budget | ||||
| Related
Activity Item | Description
of Proposed Expenditures | Eligible Expenditures and Activities ($) |
Ineligible Expenditures and Activities ($) | Total Expenditures and Activities ($) |
| 1. | ||||
| 2. | ||||
| 3. | ||||
| 4. | ||||
| 5. | ||||
| 6. | ||||
| 7. | ||||
| 8. | ||||
| 9. | ||||
| 10. | ||||
| Total Estimated Costs | ||||
| Cost Share at 75% | ||||
| Total Funding Requested (max. $5m) | ||||
Attach additional pages of necessary.
Complete the following table. Estimated Expenditures must be in the quarter in which they are anticipated to be incurred.
| Quarterly Projected
Expenditures by Fiscal Year | |||||
|---|---|---|---|---|---|
| Fiscal
Year | Quarter 1 (Apr - Jun) | Quarter 2 (Jul - Sep) | Quarter 3 (Oct-Dec) |
Quarter 4 (Jan-Mar) |
Annual Total |
| 2011/2012 | |||||
| 2012/2013 | |||||
| 2013 | XXX | ||||
Disclose all other federal and/or provincial funding being received or that may or will be received that relates to the proposed project (To complete this question refer to the Guidebook Part: A: Program Information and Part B: Completing an Application Form - Section 10 for further details.)
When completing this section refer to the Guidebook Part A: Program Information and Part B: Completing an Application Form - Section 11 for further details.
| Sources of Funding |
Cash Contribution ($) |
In-Kind Contributions ($) |
Total Contributions ($) |
|---|---|---|---|
| Applicants | |||
| 1. | |||
| 2. | |||
| 3. | |||
| 4. | |||
| Other private sources | |||
| 1. | |||
| 2. | |||
| 3. | |||
| Other public (government) sources (if applicable) | |||
| 1. | |||
| 2. | |||
| 3. | |||
| Requested from the Traceability Foundations Initiative | |||
| TOTAL |
When completing this section refer to Part A: Program Information, Part B: Completing an Application Form and Part C: Submitting an Application in the Guidebook for further details.
All boxes must be checked
I/we have read and understood the information provided in the Application Guidebook
for the Traceability Foundations Initiative and hereby agree to its criteria,
terms and conditions.
I have completed all of the sections required in the application and if applicable,
attached all additional necessary information.
I/we understand and accept that OMAFRA reserves the right to obtain, use and disclose
information for the purposes of assessment, evaluating, verifying, auditing and
enforcing the application and payments made under the Traceability Foundations
Initiative.
I/we understand, represent and warrant that all work on the proposed project shall
be carried out in compliance with all federal, provincial or municipal laws or
regulations, or any orders, rules or by-laws related to any aspect of the proposed
project.
I/we have given copies of the application to all the Co-applicants and obtained
their approvals and completed General Company
I/we understand that if selected the Lead Applicant will be required to sign a
Contribution Agreement with the Province of Ontario which will specify the terms
and conditions of funding under the Traceability Foundations Initiative.
I/we understand and accept that subject to operational exigencies, it may take
up to 45 working days after the intake closes to review this application prior
to the approvals process, which may require additional time, under the Traceability
Foundations Initiative.
I/we understand and accept that OMAFRA has the soel right and discretion to reject
or refuse any application and that applicants, jointly or severally, shall not
be eligible for funding under the Traceability Foundations Initiative solely by
reason of making this application or have any claim or demand or action against
Her Majesty the Queen in Right of Ontario, Her Ministers, directors, officers,
employees, servants, appointees or agents in this regard.
I/we certify that the information given on this application and supporting documentation
is true and correct to the best of my/our knowledge, information and belief.
I/we understand that OMAFRA will assess the eligibility of our application and
i/we may be contacted with any questions.
Partnership
Requirements
Upon approval of the project, the Lead Applicant will
be required to sign a Contribution Agreement with the Province of Ontario on bebehalf
of itself and the Co-applicants. Each applicant may be jointly and severally liable
to the Crown in the event of a default under the Contribution Agreement.
Confidentiality
Application forms and supporting material submitted to the Province of Ontario
are be subject to the Freedom of Information and Protection of Privacy Act. Any
information submitted in confidence should be clearly marked "CONFIDENTIAL"
by an applicant. Inquiries about confidentiality should be directed to the Traceability
Foundations Initiative.
Consent
All applicants
hereby consent to inspection of their premises and/or documents that pertain to
this project as described in the Contribution Agreement by the Province of Ontario
or its designate. Successful applicants further consent to having their names,
funding amounts and short summaries of their projects and results made available
to the public.
Certification
I hereby
certify to the Province of Ontario that the application and supporting documentation
are true and complete in all respects.
I/we have given copies of this application to all of my/our Co-applicants and obtained all necessary approvals and consents to proceed with this application. I/we am/are duly authorized to make binding statements, consents, declarations, representations and warranties on behalf of the Lead Applicant and on behalf of each Co-applicant.
Name
(print): _________________________
Title: _________________________
Organization: __________________________________
Signature: _________________________ Date: _________________________
Applications must be submitted to:
Traceability
Foundations Initiative
Ontario Ministry of Agriculture, Food and Rural Affairs
1 Stone Road West, 5th Floor
Guelph, ON N1G 4Y2
Tel: 1-866-877-1300
Fax: (519) 826-4332
Email : TFI.omafra@ontario.ca
Website: www.ontario.ca/traceability
For more information:
Toll Free: 1-877-424-1300
E-mail: TFI.omafra@ontario.ca
| Author: | OMAFRA Staff |
|---|---|
| Creation Date: | 24 May 2011 |
| Last Reviewed: | 19 July 2011 |