GREEN INFRASTRUCTURE PHASE II – NEXT GENERATION CLEAN ENERGY INFRASTRUCTURE

Expression of Interest (EOI)

Notes:

Natural Resources Canada (NRCan) strongly recommends that applicants familiarize themselves with material in the accompanying document “Green Infrastructure Phase II – Next Generation Clean Energy Infrastructure Expression of Interest Applicants’ Guide (“the EOI Applicants’ Guide”) before completing this EOI form.

If any part of this EOI contains confidential or proprietary information, please write it in red font.

Word limit maximums must be respected.

Incomplete EOIs will not be reviewed.

The completed EOI and any accompanying documents must be submitted by e-mail, courier or registered mail by 23:59 EDT, September 25 2017. Submissions sent after that time will not be accepted.

Email address for submission: nrcan.innovation.rncan@canada.ca

GREEN INFRASTRUCTURE PHASE II – NEXT GENERATION CLEAN ENERGY INFRASTRUCTURE

Expression of Interest (EOI)

1. Applicant Information:
Applicant (legal name of organization):
Primary Contact:	Name:	Phone:
E-mail:
Mailing Address:
Secondary Contact:	Name:	Phone:
E-mail:
2. Project Information:
Technology Area:	Select Technology Area From List (click/tap here) Note: Select the area that best corresponds to your project based on Section 7 of the Applicant’s guide, “Scope for EOIs”. Your EOI may be redirected to a different targeted area upon review by NRCan.
Project Type:	Select Project Type From List (click/tap here) Where applicable, respond only to the questions that correspond to your Project Type(s).
Project Title:
Project Location:	Identify primary location, city (nearest), province/territory.
Project Province/Territory (select all that apply):
☐BC ☐AB ☐SK ☐MB ☐ON ☐QC ☐NB ☐NS ☐PE ☐NL ☐NT ☐YT ☐NU
Project Timeline:	Expected start date: YYYY-MM
Expected end date: YYYY-MM
Technology Readiness Level: Refer to Appendix 2 of the Applicants’ Guide for TRL descriptions
At start of project: Select TRL	At end of project: Select TRL
Anticipated Funding Partner(s) (Insert rows as required):
Name of Organization: Role:
Anticipated Stakeholder(s)/Collaborator(s) (Insert rows as required):
Name of Stakeholder/Collaborator: Role:
3. Project Summary:
3.1 Project Overview (non-confidential)
Provide a brief, high-level summary of this project. (150 words maximum)
3.2 Alignment with Program and Scope
Provide a clear statement of how the project aligns with the Program objective and Technology Area scope. (300 words maximum)
3.3 Project Description
3.3.1 Addressing Barriers Provide a clear statement of the technical and/or non-technical barrier(s) that the project will address, and state how it/they will be addressed by this project. (300 words maximum)
3.3.2 Methodology: Describe how the project will be carried out including a high-level description of the tasks and methodology. (300 words maximum)
3.3.3 Innovativeness: Describe how the proposed project is innovative or novel. Provide context on similar projects already being undertaken and describe how this project is different. (300 words maximum)
3.3.4 Key Results and Uptake Potential: Describe the anticipated key results (e.g. codes and standards, intellectual property, prototypes, business case or feasibility of a technology), the anticipated receptors of the results, and the replicability or uptake potential. (300 words maximum)

4. Project Financials:

5. Declarations:

By submitting this EOI, the Applicant:

Attests that it is legally registered or incorporated in Canada.

Attests that the information provided is true and accurate to the best of their knowledge.

Understands that NRCan may use the information provided in the Letter of Expression of Interest (EOI) as a first-step project screening, which, if screened in, can lead to an invitation to a project applicant to submit a full project proposal.

Understands that any costs incurred for the submission of the EOI or the full project proposals are at the applicants’ own risk.

NRCan reserves the right to alter the currently envisaged process, funding amounts, and deadlines, or to cancel the entire application process at its sole discretion.

Understands that project funding decisions will only be made following receipt, review, and selection of full project proposals.

Understands and acknowledges that no liability and no commitment or obligation exists on the part of NRCan to make a financial contribution to the project until a written contribution agreement is signed by both parties.

Attests that it is the owner of all information - proprietary, confidential or otherwise - provided as part of the submission, or, if the information belongs to another party, that it has obtained written consent to disclose the information to NRCan.

Understands that federal reviewers are bound by the requirements of the Access to Information Act and the Privacy Act regarding the treatment of confidential information.

Agrees, by checking below, that NRCan may share this EOI, and any other information provided as supplemental material as part of this EOI submission with other funding entities of:

The Government of Canada;

The provincial, territorial or municipal governments;

The not-for-profit sector such as the Sustainable Development Technology Canada and the Green Municipal Fund.

☐ No, do not share;

☐ Yes, share only with other federal, provincial, territorial, and municipal funding programs;

☐ Yes, share with other federal, provincial, territorial, municipal, and not-for-profit funding entities.

Sign below to confirm having read and understood the statements above:

Applicant’s Signature	Date