csrff small grants application form wa · project coordinator.. csrff small grants application form...

Department ofLocal Government, Sport

SVA-- and Cultural IndustriesGOVERNMENT OF

WESTERN AUSTRALIA

Office Use Only

TRIM:

Grant No:

Project Coordinator..

CSRFF Small Grants Application Form

For projects up to $200,000 to be acquitted by 15 June 2019

You MUST discuss your project with an officer from your nearestDepartment of Local Government, Sportand Cultural Industries office before completing and submitting your application. Failure to do so will

I j-ender your project ineligibleî All applications MUST be submitted to your local government. Contact your local government to determineI the cut-off date for the submission of applications.

! DLGSC Contact: Simon Barras

Applicant's Details:

Date: 7 February 2018 | Office: Mid-West & Gascoyne

Organisation Name:

Postal Address:

Suburb:

Street Address:

Suburb:

Wonthella Bowling

PO BOX 489

Wonthella i

I 258 Eighth Street

Wonthella

Club

State:

State:

WA

WA

Preferred Contact Person:Alâpplication correspondence will beîrectec[to_th]s person

Name:

Position Held:

Business Phone:

Mobile Phone:

Kevin Exten

President

99212970 (Club)

0428 471 370

Organisation Business Details:

Does your organisation have an ABN?

Is your organisation



registered for GST?

not-for-profit?

incorporated?

Bank details:

Local Government Authority Details:

LGA:

Contact:

Position Held:

Business Phone:

Mobile Phone:

I Yes S

Yes

Yes S

Yes

I Postcode: I 6530

Postcode: I 6531

I Title: I Dr DMr ^|MrsD MsD

Facsimile: I N/A

I Email:

No D

No D

No Q !

No D II

Bank: NAB II

City of Greater Geraldton

David Emery

Manager, Sport &

08 9956 6906

0430361 143

Leisure

; Facsimile:

Email:

Kevinexten@)biaDond.com

ABN:

Note, in order to be eligible for funding you mustattach a copy of the Incorporation Certificate. LGA'sexempt

Incorporation #: A0650055X

BSB: 086-643 | A/c: 30031953

Title: | Dr DMr IX]MrsD MsD

N/A

I dayide@)caa.wa.gov.au

Our wholeCommunity wins

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PROJECT DETAILSProject Title (brief and specific): Installation of a synthetic green

Project Description:

To replace existing turf green with synthetic grass, including laser grade sub base levelling, blue metal cementstabilised free draining base, limestone ditch with galvanised steel plinth walls and engineered sub soil drainage.

How did you establish a need for your project?

The Club has been working on this for two and a half years and completed its study earlier this year. All membershave been involved in the process through questionnaires, meetings and open forums. A subcommittee/workinggroup was appointed to manage the study. Apart from the internal investigations they also contacted and visitedsome 20 West Australian clubs to obtain first-hand knowledge of the advantages, difficulties and pitfalls experiencewith installation, maintenance and general management of their synthetic greens.

The club reached the stage where it was becoming increasingly difficult to meet the costs of maintaining the turfgreens and also maintain greens to an acceptable standard. To increase and even retain membership at the currentlevel required a change in how we played and managed bowls going forward.

As highlighted above the Board of Management, through its working group visited 20 others clubs throughout WA,inspecting their facilities, investigating the feasibility of synthetic greens, detailing the advantages, costs, lifespan,effects on membership, players comfort and so on. The information was compiled, surveys sent out to all membersand meetings conducted to gauge support. The process identified that here was positive support to the tune of 91%in favor of members that returned surveys.

What alternatives were considered and why were they rejected?

The option of leaving the greens as is was considered but was seen as a short-term arrangement with maintenanceand management costs escalating annually and greens deteriorating. An alternative of providing 2 new syntheticgreens was also investigated, but this would stretch the clubs finances, was not supported by the City of GreaterGeraldton recommending a staged approach which the club agreed with.

This particular installation of one synthetic green would be stage one of a 4 staged project. Further stages wouldinclude a 2 further synthetic greens, improved lighting and as a final stage a covered green.

Project location: | 258 Eighth Street Wonthella Geraldton WA

Who owns the land on which your facility will be located? Leased from the City of GreaterGerraldton

Land ownership:Lease Expiry (if applicable): 2020 - This is a 21-year lease, renewed on an ongoing basis. Itwas last renewed in 1999 and will be renewed for a further 21 years in 2020.

Planning approvals | | If no, provide the date it will be applied for:

Where applicable, has planning permission been granted? (LGA)

Department of Aboriginal Affairs?

Yes S No D I / /

Yes D No

Yes D NoDepartment of Parks and Wildlife? (Environmental, Swan River)

Native Vegetation Clearing Permit? Yes Q No S

Please list any other approvals that are required?' Yes D No D

/ /

/ /

/ /

/ /

How will your project increase physical activity? We anticipate an increase in membership due to the provisionof an all-weather facility with a reliable surface.

We will also be able to offer more opportunities to the community to play, due to being able to accommodateadditional games and not being hindered by current maintenance issues where there is a need to 'rest' greens on a

weekly basis.

We have discussed the opportunity for the local Croquet Club to utilise the facility which could also see more playing ]Croquet. Their current lease may not be renewed.

The ability to host and show-case high level tournaments could see a flow on effect of new members. We also

investigated the feasibility of organising a school competition over the last 12 months and commenced this inOctober 2017 with 3 primary and 3 high schools involved. There is already much interest from other schools for nextyear and we anticipate this expanding at the commencement of the 2018 school year. Bowls WA is assisting withthis program and a meeting in October 2017 in Geraldton with them, coaches, the media and school representatives

mapped out the program. The new synthetic green wHj^allowjjsJo ho mgre schppls with a view to havmg


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additional young people playing bowls. This will offer young people who do not fit into mainstream sports analternative physical activity option.

We already have school aged players in the region playing pennant bowls. With accredited coaches available at theclub this could boost membership in this age group. Bowls WA will be assisting with accrediting additional coaches,helping with competition structure and the provision on equipment, including bowls.

Do you share your facility with other groups? Yes ^] No D If so, who: The Chapman Valley FootballClub commenced utilising our facilities in April 2017 as their headquarters and potentially the Geraldton CroquetClub, with their lease expiring could become a co-tenant.

! We are also discussing opportunities with a local dance club and we host weekly training and competitions for thei Geraldton Regional Aboriginal Medical Service clientele, including people with disabilities.

We conduct 2 annual corporate cups for local community and business groups and envisage this being extended to4 times per year given the opportunity to accommodate more games on the synthetic surface.

As highlighted above we are also working closely with a number of senior and primary schools to utilise all ourfacilities for a school competition, which commenced in October 201 7 and will be expended in 2018.

List the main sport and recreation activities (maximum of 3) which will benefit from your proposal. Please indicate theapproximate % usage of the facility (or part of the facility relating to this proposal).

Sport/community organisation I % use of the facility Hours per week

Indigenous and disability groups through50,3 hrs the Geraldton Regional Aboriginal ! 5% 3 hrsMedical.

Corporate bowls and schools events. 15% 9 hrs

Geraldton Croquet Club (Medium term). | 10% 6 hrs

Activity/sport membership numbers over the past three years relevant to your project. For example, if a bowls project,golf members not relevant; social membership numbers not applicable.

Note: if membership is not applicable, ie recreation facility pr aquatic centre, enter the number of users of the facility.

2015/16 310 2016/17 316 2017/18 318 I

State Sporting Associations are involved in the assessment of applications and may be able to provide valuableinformation when planning you project, particularly in relation to technical design issues. They should be consulted aspart of the application process. A complete list of State Sporting Associations and their contact details are is available onthe department's website: http://www.DLGSC.wa.aov.au/contact-us/find-a-SDort-or-recreation-association

What is the name of the State Sporting Association for your activity/sport? !

Bowls Western Australia

Have you discussed your project with your State Sporting Association? Yes S No

; Contact Name: Ken Pride - Bowis WA Date of contact: 21 June 2017


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PROJECT DELIVERYPlease indicate key milestones of your project. The key milestones need to be realistic and

I demonstrate that the project can be delivered in the timeframe.

Task I Bate jI .... ^ . ^

Attainment of Council approvals ' 1 March 2018

Preparation of tender/quotes for themajor works contract

Issuing of tender for major works | 31March2018 j

Signing of major works contract | 7 April 2018 I

Site works commence | 21 April 2018

Construction of project starts

Project 50% complete

Project Completed

Project hand over and acquittal

28 April 2018

15 May 2018

31 May 2018

1 July 2018

Are there any operational constraints that would impact on the construction phase of yourproject? (such as your sporting season, major annual event or indement weather) - provide details.Projects that are delayed due to undeclared known constraints are not eligible for a deferral.

The installation cannot take place during the winter months as any rain will damage the foundations forthe synthetic surface. The ideal timing for installation according to the suppliers is between February andMay. This means construction will be completed prior to CSRFF funding being available which shouldnot pose any problems as payment will be made on a progressive payment arrangement. Theinstallation companies are aware of the fact government funding, if granted, will not be available until the1 Jul/2018. _ _ ;

GSTGrant payments are payable to the applicant/grantee only. This may have taxation implications for grantees.If grantees wish specific advice relating to their grant, this can be obtained from the Australian TaxationOffice (ATO). Please note depending upon the value of the project and/or grant, the ATO may require anorganisation be registered for GST. If the applicant is registered for GST, the grant is grossed up with theGST amount.

PRIVACY STATEMENT AND STATEMENT OF DISCLOSUREThe Organisation acknowledges and agrees that this Application and information regarding it is subject tothe Freedom of Information Act 1992 and that the Grantor may publicly disclose information in relation to thisApplication, including its terms and the details of the Organisation.

Any information provided by you to DLGSC can be accessed by you during standard office hours andupdated by writing to DLGSC or calling (08) 9492 9700. All information provided on this form and gatheredthroughout the assessment process will be stored on a database that will only be accessed by authoriseddepartmental personnel and is subject to privacy restrictions.

DLGSC may wish to provide certain information to the media for promotional purposes. The information willonly include the applicant's club name, sport, location, grant purpose and grant amount.


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APPLICANT'S CERTIFICATION

I certify that the information supplied is to the best of my knowledge, true and correct.

Name: -^/W 4 /tT^ A.^^&'^/^ ^XT^^

Position Held: _FK ^ <S ( r> ^N / /

Date:

Signature: <^/s;y^\. z^z'-^-^

"7^ 4^ ^G/S.


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LODGEMENT OF YOUR APPLICATION

• Applications are to be received in hard copy and should be clipped at the top left-hand corner, pleasedo not bind. In addition to the hard copy an electronic copy is encouraged to be provided.

• It is recommended that you photocopy your completed application form, including attachments foryour own records and future audit purposes.

• All attachments and supporting documentation (see next section) should be clearly identified andsecurely attached to the application form.

• Applications must be submitted to your Local Government Authority by the Local Government'sadvertised cut-off date to ensure inclusion at the relevant Council Meeting.

The following documentation must be included with your application. Applicants may wish to supplyadditional RELEVANT information.

Grants up to $66,666:

Application form. I

Incorporation Certificate.

Two written quotes.

If your project involves the upgrade of an existing facility, include photograph/s of this facility.

Locality map, site map and building plans (in relevant constructions projects), including wherethe proposed facility is located in relation to other sport and recreation infrastructure.

Income and expenditure statements for the current and next financial years. (LGAs exempted). |

Written confirmation of financial commitments from other sources including copies of council |minutes. (If a club is contributing financially then evidence of their cash at hand must be pr&vided). !

For resurfacing projects, a written guarantee from the supplier of the product that clearly identifies Ithe product's life expectancy. !Itemised project cost for components and identified on the relevant quote for each (including

cost escalation)., _____ ;

Forfloodlighting projects, a lighting plan must be supplied showing lux, configuration andsufficient ^ower supply

Your application will be considered not eligible if:

• You have not discussed your project with theDepartment of Local Government, Sport and CulturalIndustries and your State Sporting Association.

• You do not meet the eligibility criteria for the grant category to which you are applying.

• You have not included with your application all the relevant required supporting documentation. There isno onus on Department staff to pursue missing documentation.

• Applicants/projects that have received a CSRFF grant in the past and have not satisfactorily acquittedthat grant. In some cases this may apply to localities where other significant projects have not beenprogressed or have not completed a previous project in accordance with the conditions of the grantprovided. An assessment will be made in November and if no physical progress has occurred, newapplications may not be recommended.

• It is not on the correct application form.

• The project for which application is made is specifically excluded from receiving CSRFF support.


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DEVELOPMENT BONUS APPLICANTS ONLY

If you applied for a CSRFF grant for more than one third of the cost of the project, please provide evidenceof meeting at least one of the following criteria.

You MUST contact your local DLGSC office to determine eligibility before applying.

Category Details

Geographical location

Co-location

Sustainability initiative

Increased participation

Regional/remote location

Growth local government

D NewExisting

Water saving

Energy reduction

Other

New participants

Existing participants -higher level

Special interest

D Other


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PROJECT BUDGETESTIMATED EXPENDITURE

Please itemise the components of your project in the table below, indicating their cost and which quote or part of quote was used to estimate this. Quantity Surveyorcosts will be accepted however the responsibility lies with the applicant to ensure the validity of the information. A contingency allowance is considered an acceptablecomponent. PLEASE ITEMISE BY COMPONENT (e.g changerooms, storage, kitchen) rather than materials (electrician, plumber, finishings).

Project Description(detailed breakdown of project to be supplied

Establish equipment and personnel on site

Test and classify site in accordance with AS2870

Laser grade and compact base

Supply and install ditch walls

Supply and install sub soil drainage

Supply and install plinths

Supply and install 100mm blue metal and cement base

Supply and install 12mm Evergreen synthetic surface

Supply and install apron grass to all sides

Donated materials (Please provide cost breakdown)

Volunteer labour (Please provide cost breakdown)

Sub Total

Cost escalation

a) Total project expenditure

$ Cost ex GST

1,590.00

3,000.00

1,409.00

14,335.50

9,200.00

8,455.00

60,540.00

96,130.00

4,900.00

199,559.50

199,559.50

$ Cost inc GST

1,749.00

3,300.00

1,550.00

15,769.00

10,120.00

9,300.45

66,594.00

105,743.00

5,390.00

219,515.45

219,515.45

Quote Used(list company name and quote no)

Please explain amount used

• At least two written quotes are required for each component.

• If your project is a floodlighting installation or upgrades, please ensure that the power supply is sufficient and no upgrade will be required. If upgrade is requiredand not budgeted for, the grant will immediately be withdrawn. A lighting plan must be supplied showing lux and configuration.

• Projects that do not meet Australian Standards are ineligible for funding.


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PROJECT FUNDING

Source of funding

Local government

Applicant cash

Volunteer labour

Donated materials

Other State Government funding

Federal Government funding

Other funding - to be listed

CSRFF requested

Development Bonus

b) Total project funding

$ AmountexGST

66,520.00

66,520.50

66,519.00

199,559.50

$ Amountinc GST

73,172.00

73,172.55

73,171.90

219,515.45

LGA cash and in-kind

Organisation's cash

Cannot exceed applicant cashand LGA contribution combined

Loans, sponsorship etc

up to 1/3 project cost

Up to Y2 project cost

Funding confirmedY/N

N

N

Comments to support claim(please attach relevant support)

*Note: If the funding approved is less than funding requested for this project, or the project is more expensive than indicated in this budget, where would the extrafunds be sourced from? Is this funding confirmed? If the project scope would be reduced, which components would be revisited?

GSTGrant payments are payable to the applicant/grantee only. This may have taxation implications for grantees. If grantees wish specific advice relating to their grant,this can be obtained from the Australian Taxation Office (ATO). Please note depending upon the value of the project and/or grant, the ATO may require anorganisation be registered for GST. If the applicant is registered for GST, the grant is grossed up with the GST amount.

FINANCIAL SUMMARY

a) Total project expenditure (ex GST)

b) Total project funding

c) Project variance*

199,559.50

199,559.50

*Balance between a) and b) should be $0


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PROJECT ASSESSMENT SHEETThis page is for the use of the relevant Local Government Authority to be used for both community and LGA

projects. Please attach copies of council minutes relevant to the project approval.

Name of Local Government Authority: City of Greater Geraldton

Name of Applicant: Wonthella Bowling Club

Note: The applicant's name cannot be changed once the application is lodged at DLGSC.

Section AThe CSRFF principles have been considered and the following assessment is provided:(Please include below your assessment of how the applicant has addressed the following criteria)

All applications

Satisfactory Unsatisfactory Not relevant

Project justification DPlanned approach

Community input DManagement planning D DAccess and opportunity

Design D DFinancial viability D DCo-ordination DPotential to increase Physical activity

Sustainability D

Development applications only

Satisfactory Unsatisfactory Not relevant

Location DSustainability D DCo-Location DSpecial Interest Group D a

Section B

LGA - priority ranking of this project

Priority ranking of no of applicationsreceived

Is this project consistent with the

Have all planning and building approvalsbeen given for this project?If no, what approvals are still outstanding?

of applications received

Local Plan D Regional Plan D State Plan

D Yes No

Project Rating (Please tick the most appropriate box to describe the project)A Well planned and needed by municipality

B Well planned and needed by applicant

C Needed by municipality, more planning required

D Needed by applicant, more planning required

E Idea has merit, more planning work needed

F Not recommended

D

DD

D


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LGA comments (Required):

Signed Position Date

Applications for CSRFF funding must be submitted to yourDepartment of Local Government, Sport andCultural Industries office by 4pm on the last working day in March. Late applications cannot be acceptedin any circumstances.

DLGSC OFFICES

PERTH OFFICE246 Vincent StreetLeederville WA 6007PO Box 329Leederville WA 6903Tel: (08) 9492 9700Fax: (08)94929711

PEELSuite 9416 Dolphin DrivePO Box 1445Mandurah WA 6210Tel: (08)95503100Fax: (08)95503199

PILBARAKarratha Leisureplex

Dampier HwyPO Box 941Karratha WA 6714Tel: (08)91822100Fax: (08)91822199

SOUTH WEST80A Blair StreetPO Box 2662Bunbury WA 6230Tel: (08)97926900Fax: (08)97926999


GREAT SOUTHERN22 Collie StreetAlbany WA 6330Tel: (08)98920100Fax: (08)98920199

GASCOYNE4 Francis StreetPO Box 140Carnarvon WA 6701Tel: (08) 9941 0900Fax: (08) 9941 0999

GOLDFIELDS106 Hannan StreetPO Box 1036Kalgoorlie WA 6430Tel: (08)90225800Fax: (08)90225899

KIMBERLEY-BroomeUnit 2, 23 Coghlan StreetPO Box 1476Broome WA 6725Telephone (08) 9195 5750Facsimile (08) 9166 4999Mobile 0427 357 774

WHEATBELT -NORTHAM298 Fitzgerald StreetPO Box 55Northam WA 6401Tel: (08)96902400Fax: (08)96902499

WHEATBELT - NARROGINGovernment OfficesLevel 2, 11-13 Park StreetNarroginWA6312Telephone 0429 881 369Facsimile (08) 9881 3363

MID-WESTLeveM, 268-270Foreshore DrivePO Box 135Geraldton WA 6531Tel: (08)99562100Fax: (08)99562199

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csrff small grants application form wa · project coordinator.. csrff small grants application form...

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