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LIFE Environment and Resource Efficiency
TECHNICAL APPLICATION FORMS
Part A – administrative information
Printed out on : 12/05/2016 05:03Page 1 of 32
LIFE15 ENV/IT/000007
LIFE Environment and Resource Efficiency project application
Language of the proposal:
LIFE EASME ENV TEST 2
Project acronym:
LIFE EASME ENV TEST 2
The project will be implemented in the following Member State(s) and Region(s) or othercountries:Italy Toscana
Expected start date: 03/10/2016 Expected end date: 31/12/2017
LIST OF BENEFICIARIES
Name of the coordinating beneficiary: vv
LIST OF CO-FINANCERS
PROJECT BUDGET AND REQUESTED EU FUNDING
Total project budget:
Total eligible project budget:
EU financial contribution requested:
3,000 Euro
3,000 Euro
1,000 Euro (= 33.33% of total eligible budget)
FOR ADMINISTRATION USE ONLY
LIFE15 ENV/IT/000007
SECTOR
Water
Project title:
Italiano (it)
LIFE 2015
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LIFE15 ENV/IT/000007 - A2
Coordinating Beneficiary Profile Information
Legal Name vv
Short Name qq Legal Status
VAT No Public body
Legal Registration Private commercial
Registration Date Private non- commercial XPic Number
Legal entity is SME
Employee number
Legal address of the Coordinating Beneficiary
Street Name and No v
Post Code 444 PO Box
Town / City v
Member State Italy
Coordinating Beneficiary contact person informationTitle Mr. Function rr
Surname rr
First Name rr
E-mail address [email protected]%
Department /
Street Name and No rr
Post Code 444 PO Box
Town / City rr
Member State Austria
Telephone No 555 Fax No
Website of the Coordinating Beneficiary
Website http://
Brief description of the Coordinating Beneficiary's activities and experience in the area of the
rrr
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LIFE15 ENV/IT/000007 - A3
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LIFE15 ENV/IT/000007 - A7
OTHER PROPOSALS SUBMITTED FOR EUROPEAN UNION FUNDING
Please answer each of the following questions:
• Have you or any of your associated beneficiaries already benefited from previous LIFE cofinancing?(please cite LIFE project reference number, title, year, amount of the co-financing, duration, name(s) ofcoordinating beneficiary and/or partners involved):
gg
• Have you or any of the associated beneficiaries submitted any actions related directly or indirectly tothis project to other European Union funding programmes? To whom? When and with what results?
gg
• For those actions which fall within the eligibility criteria for financing through other European Unionfunding programmes, please explain in full detail why you consider that those actions are bettersuited to financing through LIFE and are therefore included in the current project:
ggg
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TECHNICAL APPLICATION FORMS
Part B - technical summary and overallcontext of the project
LIFE15 ENV/IT/000007
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LIFE15 ENV/IT/000007 - B1
SUMMARY DESCRIPTION OF THE PROJECT (Max. 3 pages; to be completed in English)
Project title:
LIFE EASME ENV TEST 2
Project objectives:
gg
Actions and means involved:
gg
Expected results (outputs and quantified achievements):
ggg
Is your project significantly climate-related? XYes No
ggg
Is your project significantly biodiversity-related? Yes No X
gg
The proposal addresses the following project topic(s):
• Planning and establishment in urban and rural areas of natural water retention measures thatincrease infiltration, storage of water and remove pollutants through natural, or "natural-like"processes and thereby contribute to the achievement of the WFD and the Floods Directive (FD)objectives and to drought management in water scarce regions.
Reasons why the proposal falls under the selected project topic(s):
ggg
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LIFE15 ENV/IT/000007 - B2
ENVIRONMENTAL PROBLEM TARGETED
gg
PROJECT PILOT / DEMONSTRATION CHARACTER OF THE PROJECT
gg
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LIFE15 ENV/IT/000007 - B3
SOCIO-ECONOMIC EFFECTS OF THE PROJECT
gg
EFFORTS FOR REDUCING THE PROJECT'S "CARBON FOOTPRINT"
ggg
gg
EU ADDED VALUE OF THE PROJECT AND ITS ACTIONS
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LIFE15 ENV/IT/000007 - B4
STAKEHOLDERS INVOLVED AND MAIN TARGET AUDIENCE OF THE PROJECT (OTHER THAN PROJECTPARTICIPANTS)
ggg
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LIFE15 ENV/IT/000007 - B5
EXPECTED CONSTRAINTS AND RISKS RELATED TO THE PROJECT IMPLEMENTATION AND MITIGATIONSTRATEGY
gg
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LIFE15 ENV/IT/000007 - B6
CONTINUATION / VALORISATION AND LONG TERM SUSTAINABILITY OF THE PROJECT'S RESULTS AFTERTHE END OF THE PROJECT
Which actions will have to be carried out or continued after the end of the project?
gg
How will this be achieved? What resources will be necessary to carry out these actions?
gg
To what extent will the results and lessons of the project be actively disseminated after the end of the project tothose persons and/or organisations that could best make use of them (please identify thesepersons/organisations)?
gg
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TECHNICAL APPLICATION FORMS
Part C – detailed technical description of theproposed actions
LIFE15 ENV/IT/000007
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LIFE15 ENV/IT/000007 - C0
LIST OF ALL PROPOSED ACTIONS
A. Preparatory actions (if needed)
B. Implementation actions (obligatory)
B1 IMP
C. Monitoring of the impact of the project actions (obligatory)
C1 MON
D. Public awareness and dissemination of results (obligatory)
D1 PUB
E. Project management (obligatory)
E1 MAN
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LIFE15 ENV/IT/000007 - C1b
DETAILS OF PROPOSED ACTIONS
B. Implementation actions (obligatory)ACTION B.1: IMP
Description and methods employed (what, how, where, when and why):ggg
Beneficiary responsible for implementation:qq
Assumptions related to major costs of the action:gg
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LIFE15 ENV/IT/000007 - C1b
B1's PROJECT DELIVERABLE PRODUCTS
Deliverable name Deadline
B1's PROJECT MILESTONES
Milestone name Deadline
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LIFE15 ENV/IT/000007 - C1c
C. Monitoring of the impact of the project actions (obligatory)ACTION C.1: MON
Description and methods employed (what, how, where, when and why):gg
Beneficiary responsible for implementation:qq
Assumptions related to major costs of the action:hh
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LIFE15 ENV/IT/000007 - C1c
C1's PROJECT DELIVERABLE PRODUCTS
Deliverable name Deadline
C1's PROJECT MILESTONES
Milestone name Deadline
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LIFE15 ENV/IT/000007 - C1d
D. Public awareness and dissemination of results (obligatory)ACTION D.1: PUB
Description and methods employed (what, how, where, when and why):gg
Beneficiary responsible for implementation:qq
Assumptions related to major costs of the action:ggg
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LIFE15 ENV/IT/000007 - C1d
D1's PROJECT DELIVERABLE PRODUCTS
Deliverable name Deadline
D1's PROJECT MILESTONES
Milestone name Deadline
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LIFE15 ENV/IT/000007 - C1e
E. Project management (obligatory)ACTION E.1: MAN
Description and methods employed (what, how, where, when and why):gg
Beneficiary responsible for implementation:qq
Assumptions related to major costs of the action:gggnb
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LIFE15 ENV/IT/000007 - C1e
E1's PROJECT DELIVERABLE PRODUCTS
Deliverable name Deadline
E1's PROJECT MILESTONES
Milestone name Deadline
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LIFE15 ENV/IT/000007 - C2
DELIVERABLE PRODUCTS OF THE PROJECT
Name of the Deliverable Number of theassociated action Deadline
MILESTONES OF THE PROJECT
DeadlineName of the Milestone Number of theassociated action
ACTIVITY REPORTS FORESEEN
Please indicate the deadlines for the following reports:
• Progress Reports n�1, n�2 etc. (if any; to ensure that the delay between consecutivereports does not exceed 18 months)• Mid term report payment request (for project longer than 24 months or with Eu contibutionof more than EUR300,000)• Final Report with payment request (to be delivered within 3 months after the end of theproject)
Type of report Deadline
Progress report 17/11/2016
Midterm report 13/07/2017
Final report 04/01/2018
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LIFE15 ENV/IT/000007 - C3
TIMETABLE
Action
Actionnumbe Name of the action
2016
I II III IV
2017
I II III IV
2018
I II III IV
2019
I II III IV
2020
I II III IV
2021
I II III IV
A. Preparatory actions (if needed)B. Implementation actions (obligatory)
B.1 IMPC. Monitoring of the impact of the project actions (obligatory)
C.1 MOND. Public awareness and dissemination of results (obligatory)
D.1 PUBE. Project management (obligatory)
E.1 MAN
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FINANCIAL APPLICATION FORMS
Part F – financial information
LIFE15 ENV/IT/000007
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LIFE15 ENV/IT/000007 R1 - Budget
Budget breakdown cost categories Total cost in € Eligible Cost in € % of total eligiblecosts
1. Personnel 1,000 1,000 33.33%
2. Travel and subsistence 0 0 0.00%
3. External assistance 0 0 0.00%
4. Durable goods
Infrastructure 0 0 0.00%
Equipment 0 0 0.00%
Prototype 0 0 0.00%
5. Land Not applicable
6. Consumables 0 0 0.00%
7. Other costs 2,000 2,000 66.67%
8. Overheads 0 0 0.00%
Total 3,000 3,000 100.00%
Contribution breakdown In € % of total % of total eligiblecosts
EU contribution requested 1,000 33.33% 33.33%
Coordinating Beneficiary's contribution 2,000 66.67%
Associated Beneficiaries' contribution 0 0.00%
Co-financers contribution 0 0.00%
Total 3,000 100.00%
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LIFE15 ENV/IT/000007 - R2 - Costs per Action
Cost category in Euro
Project action
Pers
onne
l(D
ays)
Trav
el
Exte
rnal
assi
stan
ce
Infr
astr
uctu
re
Equi
pmen
t
Prot
otyp
e
Cons
umab
les
Oth
er
Total
B1 IMP 1,000
(10)
0 0 0 0 0 0 2,000 3,000
Overheads
Total1,000
(10)
0 0 0 0 0 0 2,000
0
3,000
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LIFE15 ENV/IT/000007 - R2a
Costs per Beneficiary
Short name
Pers
onne
l(D
ays)
Trav
el
Exte
rnal
assi
stan
ce
Infr
astr
uctu
re
Equi
pmen
t
Prot
otyp
e
Cons
umab
les
Oth
er
Ove
rhea
ds
EU c
ontr
ib.
Tota
l elig
ible
cost
s
% o
f tot
alel
igib
le c
osts
qq 1,000
(10)
0 0 0 0 0 0 2,000 0 1,000 3,000 100.00%
Total
Share of totaleligible costs
1,000
(10)
33.33%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
2,000
66.67%
0
0.00%
1,000
33.33%
3,000
100.00%
100.00%
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LIFE15 ENV/IT/000007 - FC
Coordinating Beneficiary's contributionCountry code Beneficiary short name Total costs of the
actions in €(includingoverheads)
Beneficiary's owncontribution in €
Amount of EUcontribution
requested in €
Associated Beneficiaries' contributionCountry code Beneficiary short name Total costs of the
actions in €(includingoverheads)
Associatedbeneficiary's owncontribution in €
Amount of EUcontribution
requested in €
TOTAL Associated Beneficiaries
TOTAL All Beneficiaries
Co-financers contributionAmount of co-financing in €Co-financer's name
TOTAL
IT qq 2,000 1,0003,000
0
0 0
2,000 1,0003,000
0
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LIFE15 ENV/IT/000007 - F1
Direct Personnel costs
Calculation => A B A x B
Beneficiaryshort name
Actionnumber Type of contract Category/Role in the project
Daily rate(rounded tothe nearest
Number ofperson-days Direct personnel
costs (€)qq B 1 Permanent staff or
civil servantff 100 10 1,000
TOTAL => 10 1,000
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LIFE15 ENV/IT/000007 - F7
Other costs
Beneficiaryshort name
Actionnumbe Procedure Description Costs (€)
qq B 1 vvv vv 2,000
TOTAL => 2,000
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LIFE15 ENV/IT/000007 - Attachments
Proposal attachments
Included?
Attachment title Attachment type Yes Nosimplified financial statement (Excel file)Simplified financial statement
public body declarationPublic body declaration
project performance indicatorsProject performance indicators
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