Small Business Development Loan - Project Name and Budget

Transcription

1 Small Business Development Loan (Cumbria Infrastructure Fund) Application Form Project Name: Project Number: Section 1 Applicant Details Applicant Organisation Name: Applicant Organisation Address: Applicant Contact Details: How many people does the company currently employ (FTE): Tel: Project Details Give a brief description of the project, which clearly identifies the main activities and specify what the Small Business Development Loan will contribute to: (a) Expected Start Date: (b) Expected End Date: Please explain the key aims and objectives of the project. What evidential demand has been identified for the project?

2 Full Project Costs Please complete the attached spreadsheet detailing the cost of the project. For each sources of funding identified in the attached spreadsheet please confirm the current level of commitment and identify any specific conditions attached to this funding. Please provide evidence. Project Viability Please provide a business plan Please demonstrate how the project will help to increase productivity and income so that it can create jobs and provide a sufficient return to repay the amount provided. Project Outputs Job creation - Please complete the attached spreadsheet If there is a genuine threat of job losses, please explain how the loan will help to safeguard them. Please identify any other benefits to the local economy that the project will provide. e.g training Options Set out the alternative options that have been considered to deliver the project aims. If the Small Business Development Loan was not available what impact would this have on the delivery of the project? What is the preferred option and why?

3 Risk Assessment Please identify and detail the main risks to the project. Explain how you will deal with these risks. Project Management and Deliverability Set out the project management (incl key personnel) and procurement arrangements you will use to ensure the project is delivered. Please identify who will be responsible for any liabilities associated with the project e.g cost overrun or shortfalls in receipt. Set out the key milestones of the project and the forecast date of achievement Milestone Date Achieved Planning Please detail in full the planning status for the project and provide information with regard to the achievement of any necessary planning consents. If the project does not require planning permission please provide confirmation of this. Legal

4 Please provide details of land ownership and demonstrate you have a legal interest in the site. What other legal issues have been identified/considered? How will these be addressed? State Aid Please outline if you have received any other public funding in the past three financial years, the amount and funding source. Company Accounts Please provide details of company accounts Security of Repayment Please clarify what security is being provided for the Small Business Development Loan investment? Attachments Please list the documents attached to the application

5 Declaration Signed on behalf of: Signature Date Name: Organisation: Please return application form to: LEP Small Business Development Loan Cumbria Local Enterprise Partnership C/O Regeneration Support Team Cumbria County Council Unit 5a Lakeland Business Park Cockermouth Cumbria CA13 0QT