04.10.2014 Views

Stream 2: Proposal template - Canada Foundation for Innovation

Stream 2: Proposal template - Canada Foundation for Innovation

Stream 2: Proposal template - Canada Foundation for Innovation

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

College-Industry <strong>Innovation</strong> Fund - Funding <strong>for</strong> research infrastructure<br />

associated with a Five-Year CCI-IE grant application (Tri-Agency program)<br />

Date submitted:<br />

Project title:<br />

Language of proposal:<br />

Applicant institution:<br />

Project number:<br />

Project leader<br />

Name:<br />

Title/position:<br />

Project funding<br />

Total project cost:<br />

Amount requested from the CFI:<br />

Percentage of the total project<br />

cost requested from the CFI:<br />

Disciplines<br />

Primary discipline:<br />

Primary sub-discipline:<br />

Secondary discipline:<br />

Secondary sub-discipline:<br />

Tertiary discipline:<br />

Tertiary sub-discipline:<br />

Areas of application<br />

Primary:<br />

Secondary:<br />

Keywords<br />

Signature of president (or authorized signatory)<br />

The applicant institution hereby agrees to follow the conditions governing the use of CFI funds as outlined in the Institutional<br />

agreement and the CFI Policy and program guide.<br />

Name (please print): data Signature: data Date: data<br />

CIIF - <strong>Stream</strong> 2 project module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Need <strong>for</strong> the infrastructure<br />

The requested infrastructure will maximize the potential of the described partnerships and will boost the college's capacity<br />

<strong>for</strong> <strong>for</strong>ging future partnerships through applied research and technology development activities.<br />

The applicant institution was instructed to address all of the following:<br />

1. Briefly describe the requested infrastructure and indicate its location.<br />

2. Explain how the increased capacity will benefit the described partnerships and help the college <strong>for</strong>m new partnerships.<br />

3. Describe how the new infrastructure complements existing infrastructure at the college and in the region (at public and<br />

private sector organizations). Address potential duplications at the regional and provincial levels.<br />

CIIF - <strong>Stream</strong> 2 project module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Sustainability of the infrastructure - finances<br />

These tables outline annual costs and sources of support committed to ensuring effective operation and maintenance of<br />

the infrastructure <strong>for</strong> the first five years after it becomes operational. They do not include costs related to research and/<br />

or technology. When applicable, funding from CFI's Infrastructure Operating fund (IOF) is included in the institutional<br />

contributions category.<br />

Operation and maintenance budget summary<br />

Personnel<br />

Supplies<br />

Maintenance<br />

and repairs<br />

Services<br />

Other (specify)<br />

Total<br />

Year 1 Year 2 Year 3 Year 4 Year 5 Total<br />

Funding sources<br />

Institutional<br />

contributions<br />

Other<br />

organizations<br />

User fees<br />

Other (specify)<br />

Total<br />

Year 1 Year 2 Year 3 Year 4 Year 5 Total<br />

CIIF - <strong>Stream</strong> 2 project module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Sustainability of the infrastructure<br />

The college has developed a suitable plan <strong>for</strong> maximizing the impact of the infrastructure and <strong>for</strong> ensuring its long-term<br />

sustainability.<br />

The applicant institution was instructed to address all of the following:<br />

1. Describe the implementation phases, including key milestones, required to bring the proposed infrastructure to a fully<br />

operational state.<br />

2. Provide in<strong>for</strong>mation about the day-to-day operation of the infrastructure, including the personnel to be involved.<br />

3. Provide additional details on the costs associated with operating and maintaining the infrastructure and the associated<br />

sources of funding as per the tables in the 'Sustainability of the infrastructure - finances' section. Describe the contingency<br />

plan should any of the sources of funding be unavailable.<br />

4. Explain how the college will manage access between internal and external users.<br />

5. Describe the plan <strong>for</strong> ensuring long-term relevance of the infrastructure to the private sector and future institutional<br />

commitments to the area of strategic priority (e.g., recruitment plan <strong>for</strong> new professors or professionals, contribution to the<br />

costs associated with operating the infrastructure).<br />

CIIF - <strong>Stream</strong> 2 project module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Key Participants<br />

Key participants included in the CCI-IE proposal.<br />

Participant<br />

Affiliation<br />

CIIF - <strong>Stream</strong> 2 project module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

The team<br />

The team has the required expertise to carry out the proposed activities with the requested infrastructure.<br />

The applicant institution was instructed to address all of the following:<br />

1. Describe the team's (key participants') overall expertise regarding the operation of the infrastructure requested, including<br />

previous experience with similar equipment.<br />

2. Describe how the team proposes to keep current in the field (e.g., through workshops, conferences, technical groups,<br />

collaboration with other groups).<br />

CIIF - <strong>Stream</strong> 2 project module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Benefits to <strong>Canada</strong><br />

The proposed activities will lead to socio-economic benefits <strong>for</strong> the region and <strong>for</strong> <strong>Canada</strong>.<br />

The applicant institution was instructed to address all of the following:<br />

1. Describe the longer-term impacts of the proposed activities on economic activity (regionally and nationally) and on the<br />

competitiveness of the industry sector.<br />

2. Describe likely longer-term impacts of the proposed activities on society, health, the environment, quality of life and/or<br />

public policy.<br />

CIIF - <strong>Stream</strong> 2 project module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Per<strong>for</strong>mance indicators<br />

In this table, the applicant institution was instructed to provide projected values <strong>for</strong> each indicator <strong>for</strong> the indicated<br />

timeframe.<br />

Projected<br />

Per<strong>for</strong>mance indicator Year 1 Year 2 Year 3 Year 4 Year 5<br />

Additional technology transfer<br />

per<strong>for</strong>mance measures relevant to the<br />

proposal and identified by the applicant<br />

(e.g., patents, IP rights, spin-offs etc.):<br />

Patents<br />

IP rights<br />

Spin-offs<br />

Other<br />

Additional knowledge transfer<br />

per<strong>for</strong>mance measures identified by the<br />

applicant as being relevant to the proposal<br />

(e.g., on protocols, public policies,<br />

environmental benefits):<br />

Impact on protocols<br />

Public policies<br />

Environmental benefits<br />

Other<br />

CIIF - <strong>Stream</strong> 2 project module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Collaborating institutions<br />

The following institutions agree that the general conditions governing the partner contributions and the use of CFI funds, as<br />

outlined in the Institutional agreement and the CFI Policy and program guide, apply to the project outlined in this application<br />

and are hereby accepted by each institution.<br />

CIIF - <strong>Stream</strong> 2 project module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Infrastructure project funding<br />

This table provides a summary of total contributions and eligible costs <strong>for</strong> the project.<br />

Year 1 Year 2 Year 3 Year 4+ Total<br />

Contributions from eligible partners<br />

Amount requested from the CFI<br />

Total eligible costs<br />

Amount requested from the CFI (% of<br />

total eligible costs per year)<br />

Amount requested from the CFI<br />

(cumulative % of total eligible costs)<br />

Summary of eligible costs per year<br />

This table provides total eligible costs <strong>for</strong> each type of expenditure.<br />

Individual item costs are detailed in the "Cost of individual items" section.<br />

Type Expenditure type Year 1 Year 2 Year 3 Year 4+ Total<br />

13 Purchase of equipment or facility<br />

(including shipping, taxes and<br />

installation)<br />

14 Lease of equipment or facility<br />

15 Personnel (<strong>for</strong> infrastructure<br />

acquisition & development)<br />

16 Components<br />

17 Travel (infrastructure related)<br />

18 Software<br />

19 Extended warranties / Service<br />

contracts<br />

20 Construction or renovation costs<br />

(essential to house and use the<br />

infrastructure)<br />

CIIF - <strong>Stream</strong> 2 finance module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Summary of eligible costs per year<br />

Type Expenditure type Year 1 Year 2 Year 3 Year 4+ Total<br />

21 Initial training of infrastructure<br />

personnel<br />

22 Other<br />

Total eligible costs<br />

CIIF - <strong>Stream</strong> 2 finance module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Cost of individual items<br />

This table provides the details of eligible infrastructure acquisition and development costs. It shows the full costs of each<br />

item, including taxes (net of credits received), shipping and installation. For infrastructure that will be used <strong>for</strong> multiple<br />

purposes, the table includes pro-rated research (or technology development) costs only.<br />

The institution was instructed to follow its existing institutional policies and procedures <strong>for</strong> the preparation of budget<br />

estimates. The CFI expects that costs included in this budget are close estimates of fair market value.<br />

Item<br />

#<br />

Type<br />

Item description<br />

Quantity<br />

Cash<br />

($)<br />

Eligible Costs<br />

In-kind<br />

($)<br />

Total<br />

($)<br />

Name of<br />

contributing<br />

partner<br />

Date acquired<br />

(YYYY/<br />

MM) or to<br />

be acquired<br />

(YYYY)<br />

Total eligible costs<br />

CIIF - <strong>Stream</strong> 2 finance module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Budget justification<br />

This section provides a justification <strong>for</strong> each infrastructure item requested. The institution was instructed to include, <strong>for</strong><br />

each significant in-kind contribution, the method used <strong>for</strong> assigning value. If the institution submitted a separate budget<br />

justification document, it will be included at the end of the finance module.<br />

CIIF - <strong>Stream</strong> 2 finance module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Details of funding from eligible partners<br />

The following table provides the details of funding from eligible partners. It does not include the amount requested from the<br />

CFI<br />

Partner name Partner type Total cash Total in-kind Total Secured or<br />

expected<br />

data data data data data data<br />

Total contributions from eligible partners<br />

CIIF - <strong>Stream</strong> 2 finance module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Partner contributions yet to be secured<br />

The institution was instructed to outline partner contributions that are expected but not yet secured, and to indicate plans <strong>for</strong><br />

securing these funds.<br />

CIIF - <strong>Stream</strong> 2 finance module<br />

2011-09-07


Project title:<br />

Project number:<br />

Applicant institution:<br />

Infrastructure utilization<br />

This table outlines the percentage utilization of the requested infrastructure by category.<br />

Category<br />

Research/technology development and associated training<br />

Education, excluding research/technology development training<br />

Administration<br />

Clinical or other service function<br />

Other (specify)<br />

Total<br />

Percentage<br />

This section provides a breakdown of eligible costs included in each of the above categories. Should the infrastructure<br />

be used <strong>for</strong> non CFI-eligible purposes, the institution was instructed to explain the methodology used to estimate the<br />

percentage of utilization <strong>for</strong> each category and how the budget was pro-rated.<br />

CIIF - <strong>Stream</strong> 2 finance module<br />

2011-09-07

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!