Schedule A non-fillable form (PDF)

MEAP APPLICATION FOR ASSISTANCEPART 3. SCHEDULE A - ESTIMATED EXPENDITURESCompany:Project Name:Project Identification Number:(for office use)Please provide a breakdown of estimated expenditures (which should fall within industry standards) by indicating:- the type of work to be conducted and the estimated cost, and- the opportunities for Manitoba-based services and suppliers to compete for work.For additional information refer to: http://www.manitoba.ca/iem/mrd/busdev/incentives/meap-toc.htmlIf this project was previously approved by MEAP & no work was conducted, indicate:Last MEAP offering(s) submitted (& no work was completed):Reason Cancelled:ESTIMATED TOTAL COST1) LINE CUTTING: (without GST)Details Cost per km Total Distance Costs$ per km, km $$ per km, km $Total Line Cutting: $Name of Contractor (if applicable)2) GEOPHYSICAL SURVEYS:TYPEAirborne surveys $ per km, km $$ per km, km $Ground surveys $ per km, km $$ per km, km $Borehole surveys $ per km, km $Other $Total Geophysical Surveys: $Name of Contractor (s) (if known)MEAP Schedule A April 2014

3) SALARIES for Personnel or Third Party / Consulting Services:Salaries / costs claimed in this section are for company employees &/or for third party or consulting services. Personnellisted may also be eligible for Daily Living Allowance while conducting field work. Detailed time logs / sheets forcompany employees & detailed invoices for third party services will be mandatory when claiming for payment.3a) SALARIES for Personnel:Enter number of Personnel for each category & Enter number of days estimated to work on project = Estimated costs for SalariesProject Geologist: $450.00 (Fixed Cost) per day day(s) $(Proof of Professional Registration required)Project Leader: $325.00 (Fixed Cost) per day day(s) $Geologist / G.I.T.: $325.00 (Fixed Cost) per day day(s) $(Proof of Professional Registration required)Technicians: $150.00 (Fixed Cost) per day day(s) $3b) SALARIES for Third Party / Consulting Services:List Third Party or Consulting Services below – enter the name of the company, purpose hired & estimated costs._________________________________________________________ $__________________________________________________________ $__________________________________________________________ $4) DAILY LIVING ALLOWANCE:- of $100 (fixed cost) per day is eligible for personnel conducting field work and listed under Section 3),- covers all commercial accommodations, food, camp costs etc. and includes items such as meals,groceries, food service flights, hotels, house rentals, camp supplies, clothing and safety gear.Project Geologist: $100.00/per day day(s) worked in field $Project Leader: $100.00/per day day(s) worked in field $Geologist / G.I.T.: $100.00/per day day(s) worked in field $Technician: $100.00/per day day(s) worked in field $Total Daily Living Allowance: $MEAP Schedule A April 2014

5) TRANSPORTATION:Only transportation within the province is eligible and includes:- initial mobilization and final demobilization of personnel and supplies (exclusive of any fee forservice contracts which includes mobilization and demobilization expenses), &- trips of reasonable distance to and from the area of exploration (i.e. field transportation).Air Travel: Specify type of transportation: i.e. helicopter, fixed wing, commercial aircraft, other,and / or indicate supplier if known.Type of transportation & / or SupplierEstimated amounts$$Ground Travel:Rental Vehicle: Indicate supplier if known.SupplierEstimated amounts& km @ $0.10/km $Claim $0.10 per km (fuel allowance) in addition to rental costUse of Personal Vehicle:km @ $0.40/km $Claim $0.40 per km when vehicle is applicant / operator owned.Boat and Motor:days @ $100.00 / day $Claim $100.00 per day for either third party rentals or applicant / operator owned.Power Toboggan / All Terrain Vehicles:$days @ $150.00 / day $Claim $150.00 per day for either third party rentals or applicant / operator owned.Total Transportation: $6) GEOCHEMICAL ACTIVITIES:Geochemical analysis: samples @ $ per sample $Geochemical Surveys (please list the type of activity and the estimated cost):Type of ActivityEstimated Cost$$$Total Geochemical Activities:$ ___________________Name of Contractor(s) (if known)MEAP Schedule A April 2014

7) SURFACE DRILLING:Type: @ $ per metre metres $Type: @ $ per metre metres $Assays/analysis: samples @ $ per sample $Shipping: $Name of Contractor (if known)Total:$ _________________8) BULK SAMPLING & ANALYSES:(for quarry minerals as defined in the Mines and Minerals Act excluding construction aggregate)Type of ActivityEstimated Cost$$Total Bulk Sampling & Analyses: $ ________________Name of Contractor(s) (if known)SUB TOTAL: $9) 5% ADMINISTRATION FEE: of estimated eligible expenditures above (i.e. Sub Total) $(covers camp and office overhead including communication costssuch as phone, fax, courier, etc. and third party administrative charges.)5% of Sub TotalGRAND TOTAL(Total of Estimated Eligible Expenditures i.e. Sub Total& 5% Administration Fee)$Transfer Amount to Form 1AMOUNT OF ASSISTANCE REQUESTED□□40% or50% of Grand Total depending on location$Transfer Amount to Form 110) Indicate the opportunities for Manitoba-based services and suppliers to complete work.(“Manitoba Mining & Exploration Directory” is available upon request.)MEAP Schedule A April 2014