Illawarra Region Innovation and Investment Fund. Progress Report

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1 Illawarra Region Innovation and Investment Fund Progress Report For the period: to Customer: Project Title: IRIIF Reference: IRIIF-x-0xx

2 Reporting Obligations Sample Progress Report Template The IRIIF Funding Agreement (Agreement) outlines your reporting obligations and, at Schedule 3, specifies the format and due dates of reports. Before completing your report, it is recommended that you review the Agreement to again familiarise yourself with the reporting obligations, milestones and the payment schedule. The Quarterly Progress report requires you to report progress towards the completion of Performance Milestones as specified in Schedule 2 of your Agreement and progress towards the agreed additional FTE jobs target. Subject to the report being satisfactory, payments for the IRIIF will be made on a reimbursement basis in accordance with the Payment Table at Schedule 2 of your Agreement. Submission of Report The report and attachments may be submitted electronically, faxed or sent by post. A signed, completed report, must be at the NSW office of AusIndustry no later that the due date. Document Checklist : Progress Report Expenditure Summary Evidence for Approved Capital Items N/A Submission : By IRIIF@innovation.gov.au By Facsimile: By Post: AusIndustry IRIIF Program Manager GPO Box 9839 SYDNEY NSW 2001 Need Help? If you have any questions about completing this report, please contact AusIndustry on or IRIIF@innovation.gov.au. IRIIF Progress Report September 2012 Page 2 of 5

3 Sample Progress Report Template 1. Progress against performance milestones With reference to the agreed milestones please describe the activities undertaken in the period of the project since the last report. Please provide copies of any published reports, promotional material, media publicity, pamphlets or other documentation regarding the project. 2. Activities in addition to the grant (as applicable) If applicable, describe any significant project related activities undertaken during the report period, such as indirect jobs, not covered by the grant. 3. Full Time Equivalent (FTE) Jobs Provide a summary of the full time equivalent jobs created during the reporting period and from the date of the Agreement. FTE Jobs Created Total additional FTE During the reporting period Since project commencement Target FTEs on completion of project (as per Agreement) Note: Please refer to Guide to Managing Your Grant for the definition of full time equivalent (FTE) jobs. Comments on progress towards target FTEs: IRIIF Progress Report October 2012 Page 3 of 5

4 Sample Progress Report Template 4. Milestones Please fill in the table below and comment on each performance milestone. 2 Agreed Milestone % complete 1 Expected 3 Actual 4 Actual Outcome / Reasons for Delay / Impact on Project 5 1 Percentage complete at the end of the review period for this report. 2 Planned achievement date as per Funding Agreement or agreed variance. 3 Latest expected achievement date (if not already achieved). 4 when the milestone was achieved (if already achieved). 5 For each milestone that will not be achieved by the agreed date, please describe; The proposal to ensure that the planned outcomes will be achieved; and The expected effect the delay will have on the project. IRIIF Progress Report October

5 5. Major Contractors Please provide details of major contractors used throughout the reporting period. Name of Contractor Duration of engagement and services provided DECLARATION I declare that the information submitted in this progress report is, to the best of my knowledge, true and complete and confirm that the funding has been expended for the purposes agreed in the IRIIF Funding Agreement. Signature:. Name (please print):.. Title:.. : The declaration must be signed by the Authorised Representative as stated in the Agreement IRIIF Progress Report October

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