Project proposal for the potential project icon

Project proposal for the potential project




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APPROVED

Ministry1)

_________ _________


___________ 2009


PROJECT PROPOSAL

FOR THE POTENTIAL PROJECT

UNDER THE GREEN INVESTMENT SCHEME


___________________________________________________________________________________

(title of the project)



From: ___________________________________________________________________

(Project applicant’s name)


 

______________________________

(executive’s position, name and initials)

________________

(signature)

________________

(data)

 


P. S.

 


From: ___________________________________________________________________

(Installation owner’s name or Project manager’s name)


 

______________________________

(executive’s position, name and initials)

________________

(signature)

________________

(data)

 


P. S.

 


From: ___________________________________________________________________

(Project developer’s name)


 

______________________________

(executive’s position, name and initials)

________________

(signature)

________________

(data)

 


P. S.

 



City, month, year




1

Title of the project




2

Type of activity under the project

(tick the appropriate)
















Energy conservation
















Fuel switching for low environment







burden
















Utilization of coal bed methane
















Renewable energy
















Activities for emission reductions of







greenhouse gases other than СО2
















Activities for environmental protection







(e.g. pollution reduction activity)













3

Project category

(tick the appropriate)
















Modernization of existing capacities
















Expansion of existing capacities
















Construction of new capacities
















Other:__________________













4

Objectives of the project




5

Project background




6

Technical and ecological (climatic) description of the project




7

Project applicant2):







  • name







  • address







  • executive’s name and initials, position







  • project curator’s (coordinator’s) name and initials, position







  • project curator’s (coordinator’s) phone/fax







  • project curator’s (coordinator’s) e-mail




8

Budgetary funding recipient:




8.1

Installation owner3):







  • name







  • form of ownership







  • address







  • identification code







  • data of state registration







  • primary activity







  • executive’s name and initials, position







  • project manager’s name and initials, position







  • project manager’s phone/fax







  • project manager’s e-mail




8.2

Project manager4):







  • name







  • form of ownership







  • address







  • identification code







  • data of state registration







  • primary activity







  • executive’s name and initials, position







  • project manager’s name and initials, position







  • project manager’s phone/fax







  • project manager’s e-mail




9

Project developer:







  • name







  • form of ownership







  • address







  • primary activity







  • general experience in relevant activity







  • executive’s name and initials, position







  • project chief designer’s name and initials, position







  • project chief designer’s phone/fax







  • project chief designer’s e-mail




10

Description of the project location including GPS of the installation




11

Project status

(tick the appropriate)
















Project proposal
















Pre-feasibility study5) as part of business







plan
















Business plan6)
















Feasibility study7) as part of detailed







project design documentation
















Detailed project design documentation8)
















Implementation9)













12

Project implementation schedule:







  • selection of independent expert entity

From: month/year to: month/year




  • developing of pre-feasibility study

From: month/year to: month/year




  • developing of business plan

From: month/year to: month/year




  • approval of business plan by the NEIA and signing of project financing agreement

From: month/year to: month/year




  • developing of feasibility study

From: month/year to: month/year




  • developing of detailed project design documentation

From: month/year to: month/year




  • environmental impact assessment

From: month/year to: month/year




  • completion of State expertise and receipt of necessary permits for construction and assembly works

From: month/year to: month/year




  • holding tenders and selection of construction and assembly organization

From: month/year to: month/year




  • conclusion of the agreement for construction and assembly works

From: month/year to: month/year




  • construction and assembly works execution

From: month/year to: month/year




  • holding tenders and selection of equipment supplier

From: month/year to: month/year




  • conclusion of the agreement for supply of equipment

From: month/year to: month/year




  • equipment supply

From: month/year to: month/year




  • equipment installation and commissioning works

From: month/year to: month/year




  • handover of equipment in operation

From: month/year to: month/year

13

Scheduled date of project commissioning

Month/year

14

Term of project

(term of capital equipment commissioning)

____________ years

15

Capital equipment information:







  • name and brief technical specification







  • prospective producers







  • potential suppliers







  • cost estimate

_______________ Euro




  • payment conditions (prepayment, letter of credit etc)




16

Data on similar projects implemented in Ukraine




17

Data on further demonstration potential at scale in Ukraine




18

Greenhouse gases aimed to be reduced under the project (tick the appropriate)







CO2




CH4




N2O




HFCs




PFCs




SF6




















































19

Annual emissions of greenhouse gases before the project

____________ tones CO2 equivalent/year

20

Estimated annual emissions of greenhouse gases after the project commissioning10)

____________ tones CO2 equivalent/year

21

Estimated annual emission reductions of greenhouse gases after the project commissioning

____________ tones CO2 equivalent/year

22

General information about the methodology of greenhouse gases emission reductions calculation




23

Other polluting gases and agents aimed to be reduced under the project

Polluting gas/agent: ______________

24

Annual emissions of polluting gases and agents before the project

____________ tones/year

25

Estimated annual emissions of polluting gases and agents after the project commissioning

____________ tones/year

26

Estimated annual emission reductions of polluting gases and agents after the project commissioning

____________ tones/year

27

General information about the methodology of polluting gases and agents emission reductions calculation




28

Annual consumption of electricity and fossil fuel (natural gas, coal, etc.) before the project (if applicable)

Electricity: ____________ kWh/year

Fossil fuel (type): ______________

____________ tones/year

or _____________ m3/year

29

Estimated annual consumption of electricity and fossil fuel (natural gas, coal, etc.) after the project commissioning (if applicable)

Electricity: ____________ kWh/year

Fossil fuel (type): ______________

____________ tones/year

or _____________ m3/year

30

Estimated annual reductions of electricity and fossil fuel (natural gas, coal, etc.) consumption after the project commissioning (if applicable)

Electricity: ____________ kWh/year

Fossil fuel (type): ______________

____________ tones/year

or _____________ m3/year

31

Project activities description in relation to impact on environment and local residents




32

Project investment cost estimate (total investments), including:


_______________ Euro




  • project design documentation


_______________ Euro




  • equipment with installation


_______________ Euro




  • construction and assembly works


_______________ Euro




  • other investments

_______________ Euro


33

Estimated annual operational costs after the project commissioning

_______________ Euro/year

34

Estimated annual revenues from the project

_______________ Euro/year

35

Funding sources of the project (other than Green Investment Scheme):







  • own source

_______ Euro ( ___% of the total investments)




  • budgetary source

_______ Euro ( ___% of the total investments)




  • credit source

_______ Euro ( ___% of the total investments)




  • grant

_______ Euro ( ___% of the total investments)

36

Current status of project funding from the State budget (local budget), credit and grant sources (other than Green Investment Scheme):







  • application filed to attract funding from ______ (name of the entity)


_______ Euro ( ___% of the total investments)




  • funding received from ___________ (name of the entity)


_______ Euro ( ___% of the total investments)




  • funds disbursed to the project


_______ Euro ( ___% of the total investments)

37

Estimated share of Green Investment Scheme funding in total investments to the project



_______ Euro ( ___% of the total investments)

38

Whether the project activities are the part of joint implementation mechanism activity? If so, please, provide brief description on this relevant joint implementation project




39

Explain the necessity of attracting funding under Green Investment Scheme




40

Main obstacles and risks of the project implementation




41

Other relevant information, which can assist in assessing reasonability of implementing the project under Green Investment Scheme





Notes:


1) In case the project is aimed at heating system modernization in the housing and communal services or household waste utilization the project proposal should be approved by the Ministry of Housing and Communal Services of Ukraine.

In case the project is aimed at environmental protection without greenhouse gas reductions the project proposal should be approved by the Ministry of Environmental Protection of Ukraine.


2) Project applicant” shall mean state executive body, Council of Ministers of the AR Crimea, regional/city state administration.


3) “Installation owner” shall mean private entrepreneur or a legal person, the activity of which is not terminated due to liquidation, being in the process of financial rehabilitation or bankruptcy, which possesses or legally uses on the territory of Ukraine for the period of implementation of the project a workshop, assembly unit, apparatus or any other installation, operation of which causes greenhouse gases anthropogenic emissions and/or their reduction. The set of documents, accompanying this project proposal include: а) notary certified copy of the Statute of the Installation owner; b) notary certified copy of State Registration of the Installation owner; c) notary certified copy of tax registration certificate of the Installation owner; d) notary certified copy of certificate of incorporation into the Uniform State Register of Enterprises and Entrepreneurs of Ukraine of the Installation owner; e) certified by the executive or chief accountant copies of the balance-sheet and profit and loss statement of the Installation owner for the last accounting year; f) certified by the executive copies of the documents proving ownership right or title for legal use of the installation for the period of implementation of the project, g) certificates of opening bank accounts as well as the accounts in the State Treasury.

4) “Project manager” shall mean state or public utility entity, empowered or established by the Project applicant to develop, implement and administer the projects, which include in their respective frames similar-type installations and these installation are possessed by public sector entities and/or by other Installation owners. The set of documents, accompanying this project proposal include: а) notary certified copy of the Statute of the Project manager; b) notary certified copy of State Registration of the Project manager; c) notary certified copy of tax registration certificate of the Project manager; d) notary certified copy of certificate of incorporation into the Uniform State Register of Enterprises and Entrepreneurs of Ukraine of the Project manager; e) certified by the executive or chief accountant copies of the balance-sheet and profit and loss statement of the Project manager for the last accounting year (not needed for newly established Project manager); f) certificates of opening bank accounts as well as the accounts in the State Treasury; g) list of public sector entities and/or Installation owners included in the project.


5) Copy of pre-feasibility study is submitted with the project proposal.


6) Copy of business-plan is submitted with the project proposal. Business-plan shall include pre-feasibility study, project implementation schedule, procurement plan, financing plan, estimation of greenhouse gases emission reductions and/or other polluting gases/agents, assessment of other benefits (ecological, social, etc) of the project.


7) Copy of feasibility study and business-plan are submitted with the project proposal.


8) Certificate proving that detailed project design documentation is in place, copy of feasibility study and business-plan are submitted with the project proposal.


9) Certificate of the status of project implementation, copy of feasibility study and business-plan are submitted with the project proposal.


10) Calculations of greenhouse gases emission reductions shall be made up to 2020.



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