Royalties for the Regions Floodplain Security Scheme Business Case Version 3 October 2012 The Royalties for the Regions program is delivered through the Department of State Development, Infrastructure and Planning (the department). The Floodplain Security Scheme will help build new and improved floodplain security infrastructure such as levees, flood bypasses, flood mitigation dams, flood retention basins and other key projects to protect and increase Queensland s resilience from flooding in resource communities. Applications can be made by local governments with communities that are experiencing growth pressures arising from large-scale resource developments, or from their role as service centres and hosts of major infrastructure projects linked to resource developments. The Queensland Government s 2012-13 commitment of 10 million is available to: Banana Shire Council Maranoa Regional Council Barcaldine Regional Council Mount Isa City Council Central Highlands Regional Council Rockhampton Regional Council Cloncurry Shire Council Toowoomba Regional Council Gladstone Regional Council Townsville City Council Isaac Regional Council Western Downs Regional Council Mackay Regional Council Whitsunday Regional Council Business cases will only be considered for projects with an approved Expression of Interest. Submitting the business case All business cases must be received by the department in full by 5pm, 17 December 2012. Please refer to the Floodplain Security Scheme Program Guidelines when completing this form. We recommended you complete this business case form electronically. The completed form can then be attached to an email or printed. Please ensure all sections of this form are completed. Business cases may be submitted electronically by emailing a completed copy of this form to royalties@dsdip.qld.gov.au along with a completed certification form and any supporting documents. Due to size restrictions, you may wish to zip supporting documents. Alternatively, supporting documents may be posted separately as a hard copy or on CD to: Royalties for the Regions Regional Economic Programs Department of State Development, Infrastructure and Planning PO Box 15009 CITY EAST QLD 4002 Note: Please state in your email if additional documents have been sent via post. All documents, including any sent by post, must also be received by the due date. As this form does not require a signature, it does not need to be printed and scanned once the form has been completed electronically, it can be attached to an email. A certification form must be printed, signed and scanned before being attached to your email. Electronic signatures will not be accepted. Receipt of business cases will be sent via email within two business days of submission. Following the assessment process, applicants will be notified in writing of the outcome of their business case. Office use application #
Part A: Applicant details Council Application contact Please provide a contact person from the council for correspondence regarding this business case. In most cases, this will be the CEO. Title First name Surname Position Phone Mobile Fax Email Postal address (correspondence to be mailed to this address) Part B: Project details Project title (maximum 10 words) Project description (maximum 100 words) Does this project involve bringing forward a priority infrastructure project? Yes (provide details) No Project cost (excl. GST) Funding sought (excl. GST) Estimated project timeframe Commencement date Completion date 2
Project contact Please provide a contact person from council for this project. The details provided will be used for future correspondence regarding the project (e.g. acquittal of funds). Note: Do not complete this section if the project contact is the same person as the application contact. Title First name Surname Position Phone Mobile Fax Email Project prioritisation If submitting more than one business case for the Floodplain Security Scheme please rank the projects below, with one representing the project with the highest priority and five representing the project with the lowest priority. This section should be identical on all business cases submitted by the council for this fund. 1 2 3 4 5 I have submitted more than five business cases for this scheme and will attach the council s list of priorities separately. Part C: Project plan Attach a current project plan which will be used by the department to assess this application. At a minimum, the following information is required: site location cash flow forecasts land tenure and council s strategy to obtain the final approval timelines required land key performance indicators proposed scope of works risk analysis. Ensure the necessary licences and approvals required from regulatory agencies are factored into timeframes. Financial statements Local governments must supply a minimum of three years full audited financial statements (balance sheet, profit and loss, statement of cash flow). These statements only need to be supplied once per council per funding round, regardless of the number of applications submitted. Regulatory requirements Local governments are responsible for complying with relevant legislative requirements and securing the necessary licences and development approvals with the relevant regulatory agencies. If successful in obtaining funding through this scheme, all required approvals and licences are required to be in place at the time of signing a funding agreement. Detail specific licences and development approvals relevant to the project and the status of the applications. Licence/approval Regulatory agency Status I have more than six licences and/or development approvals and will attach a list separately. Royalties for the Regions Floodplain Security Scheme Business Case 3
Risk management What are the key risks associated with the project and what mitigation strategies are in place? Part D: Response to assessment criteria 1. Outline any previous flood investigation and/or flood study assessments that have been undertaken that support the project s objectives. 2. Describe how the funding sought will help deliver improved resilience to the community in the event of future flood events. 3. In what way is this project good value for money? 4. Does council have a plan to manage and fund the ongoing operation, maintenance and replacement costs? 4
5. Have you applied for, or previously received funding for the ultimate delivery objectives of this project through Queensland or Australian government funding programs? Natural Disaster Resilience Program Local Government Grants and Subsidies Program South West Queensland Mitigation Fund Other please describe below Additional information if required: 6. The project s identified key personnel must have the capabilities, skills and expertise to successfully deliver the project. Please provide relevant details for the project s key personnel. Information is required for due diligence. Full name Date of birth Role 7. What stage has the project reached? conceptual design of preferred option detailed design of preferred option contractual documentation tender ready to proceed to construction If the project is not ready to proceed to construction, state when the project is expected to be ready. Royalties for the Regions Floodplain Security Scheme Business Case 5
8. Complete the following table, providing project costs to be funded by the Floodplain Security Scheme. Attach separately a detailed project budget (excl. GST) including a breakdown of all project costs. Cost element to be funded by the Floodplain Security Scheme (Include description of work and name of preferred supplier) Construction costs Building escalation (if not included in quote) Professional fees Statutory fees and charges Other (please specify) Contingency (allow 15%) Total funds sought Project cost (excl. GST) 9. Has your estimated project cost been assessed by a quantity surveyor? Yes attach relevant reports No 10. Identify suggested milestone delivery dates Deliverable/supply to be provided Estimated due date Milestone number Requested amount GST Amount Total Payment (inc. GST) Total payments 6
11. Please describe the community/regional support for the project. 12. Detail any proposed or confirmed financial support that will be provided by council and/or other organisations (in-kind contributions are not to be included in this table). Please attach evidence of support from contributing organisations. Approval under this fund may be conditional on financial support being confirmed. Funding source Description Amount Status/details 13. Please detail any proposed or confirmed in-kind support that will be provided by other organisations Royalties for the Regions Floodplain Security Scheme Business Case 7
Application checklist All sections of this form have been completed. I have attached: a project plan a detailed project budget (including project cash flows (incl. assumptions) for construction period and initial operating period) a minimum of three years full audited financial statements a signed certification form evidence of council support for the project (such as council minutes) all other relevant supporting documents Confidentiality The Department of State Development, Infrastructure and Planning is collecting the information on this form for the purpose of evaluating applications for the Royalties for the Regions Program. By agreeing to the conditions on this form, the information that you supply may be shared with program stakeholders (including the Local Government Association of Queensland, Queensland Resources Council, the Australian Petroleum Production and Exploration Association and others) for the purpose of ensuring the emerging package of projects is consistent with the overall direction and development of industry and communities. The department may also disclose information to promote the incentive through the release of the recipient s name, the amount of financial assistance and general details of the project. The Queensland Government is committed to maintaining the confidentiality of information of a commercially sensitive nature. Privacy statement Information collected is also subject to the Right to Information Act 2009 and the Information Privacy Act 2009. The information provided may be publicly released and or provided to third parties (including the Local Government Association of Queensland, Queensland Resources Council, the Australian Petroleum Production and Exploration Association and others) and other government agencies but only for the purposes for which the information is being collected. The applicant's personal information will be stored on departmental files and may be disclosed for purposes relating to the Royalties for the Regions program or as authorised or required by law. Contact For general enquiries regarding the Royalties for the Regions program, eligibility and other assistance, please contact the Department of State Development, Infrastructure and Planning on (07) 3404 3670 or email royalties@dsdip.qld.gov.au Department centre Date application received Signed certification form received? Grant ID number Office use only DSDIP contact officer DSDIP regional contact officer Departmental file number Grant administration team database entry only Data entry date 8