Clean Energy Future Fund – Application form

For detailed information, refer toClean Energy Future Fund – Applicant guidelines

If you have remaining questions, you can contact the CEFF team on ceff@dwer.wa.gov.au

or 08 6364 6988

2

Clean Energy Future Fund – Application form

1 APPLICANT DETAILS

Name of organisation

Postal address

Street Suburb

Postcode State

Website

Organisation’s ABN and ACN

Registered for GST?

Brief description of the organisation

1.1 Contact person

Name

Position

Email Phone

1.2 Alternative contact person

Name

Position

Email Phone

The contact person and alternative contact person provided above may be contacted by the Assessment Panel for more information during the application process.

3

Clean Energy Future Fund – Application form

1.3 Management team members

Complete for all members of the executive/management team and add more rows if required.

Name Position

Include a short description of role and responsibilities in relation to this project.

Relevant experience

Include a short description of financial, technical and project management roles/responsibilities for similar projects.

1.4 Declarations for fit and proper persons test

Have any of the executive or management team:

Yes? If yes, provide details.

been convicted for any offences from any court, or are currently the subject of any charge pending before any court, or court proceeding?

been declared bankrupt, either voluntarily or through a creditor’s petition?

been in a position of responsibility (management, financial, executive or otherwise) for a company that has experienced insolvency?

4

Clean Energy Future Fund – Application form

1.5 Terms and confidentiality

Yes? Provide details.

Do you consent to the General conditions of the Funding Agreement (available on CEFF website)?

If not, indicate which conditions you object to and why.

Apart from the application summary below, is your application or parts of it commercial-in-confidence?

If so, you can use the space on the right to provide additional information.

5

Clean Energy Future Fund – Application form

2 APPLICATION SUMMARYInformation from this summary may be used to promote your project on the department’s website and in media releases if your application is successful. You should not put commercial-in-confidence information in this application summary.

Project title

Key objectives and brief description

Will the project take place primarily in Western Australia?

Indicate the main location(s) of the project

When will you be ready to start the project and how long do you expect implementation to take?

Ready date

Duration

Project operational life (in years)

Provide the project costs and request amount as requested below.

Total project cost $ Requested funding $

Eligible project cost $ Request as percentage of eligible costs %

3 PROJECT DESCRIPTIONThe project description should align with the financial model as described in section 5.1, with descriptions and explanations here and numerical information in the model.

6

Clean Energy Future Fund – Application form

Describe your proposed project. Include any background information you think would be useful to the assessors such as previous projects, similar projects and research that feeds into your proposal.

Include the equipment your project will use. What is its sizing or rating, and what is the rationale behind this sizing?

Describe any operational inputs it takes, e.g. biomass, water, etc. How much of each input will be required each year? Where will you get it from?

What outputs does it make, e.g. electricity, hydrogen, heat, biogas, biochar, etc.? How much of each output will be produced each year? Who will purchase and utilise these outputs?

Where will your project be located (e.g. at a mine site) and what makes it a good fit to the situation?

4 ELIGIBILITY CRITERIA Additional information is available in section 3.3 of the Applicant guidelines.

4.1 Applicant eligibility

Criteria Yes? Comments or evidence

At the time of entering a Funding Agreement, the applicant must be an Australian entity incorporated under the Corporations Act 2001 (Commonwealth) or a local government entity.

Confirm applicant falls in one of these categories (or will at the time of entering a funding agreement) and provide supporting evidence (e.g. copy of certificate of incorporation).

Are the members of the management team fit and proper persons?

If you answered yes to any of the questions in section 1.4 above explain how this impacts your answer.

7

Clean Energy Future Fund – Application form

4.2 Project eligibility

Criteria Yes? Comments or evidence

Is the project a clean energy project?

The project must be a project that deploys or applies a technology that reduces greenhouse gas emissions from the production or use of stationary energy. This could include energy control or management systems, renewable energy, energy storage and/or energy efficiency.

Is the amount of funding requested between $250,000 and $4 million?

The maximum funding level available for individual projects is $4 million. Applications requesting more than $4 million will be considered on merit and will not be excluded on this basis; however government may offer less funding than the amount sought by an applicant and may attach conditions or requirements to any funding offer.

Is the grant amount requested of the Clean Energy Future Fund equal to or less than 25% of the total eligible costs?

The maximum proportion of eligible costs for the project that can be contributed by the Fund in a competitive round is 25%.

Information on which costs are eligible is available in the Applicant guidelines available on the CEFF website.

Will the project take place primarily in Western Australia?

Identify significant project elements that do not take place within Western Australia.

5 MERIT CRITERIA Value for money is a key underlying principle in the expenditure of public funds. This means gaining the best possible outcome for every dollar spent, by assessing the overall costs and benefits to Western Australia. The Assessment Panel will consider cost and non-cost factors (as identified below), to assess the merit of each application.

8

Clean Energy Future Fund – Application form

5.1 Financial model template

The Department of Water and Environmental Regulation (DWER) has developed a financial model template spreadsheet and a worked example. It is recommended that you look at the worked example and complete the template for your project. This will provide much of the information required for the reducing emissions and business case sections and may identify some risks that need to be managed. It contains a validation section with various eligibility and consistency checks. If you choose not to use this template, you should ensure that the financial modelling you submit provides the same information. Please submit any modelling you provide as a spreadsheet, not page images or PDF files.

The information you provide in this application form should match your financial modelling.

5.2 Fund objectives

The fund objective is given below. You should bear this in mind as you answer the merit criteria questions in this section.

The objective of the Clean Energy Future Fund is to provide a source of funding to support the implementation of innovative clean energy projects in Western Australia that offer high public value by contributing to one or more of the outcomes listed below:

significant, cost-effective reduction in greenhouse gas emissions below projected (or baseline) emissions as a direct result of the clean energy project.

design, deployment, testing or demonstration of innovative clean energy projects likely to deliver community benefits or lead to broad adoption and significant reductions in greenhouse gas emissions.

9

Clean Energy Future Fund – Application form

5.3 Reducing emissions (30%)

Show the quantifiable direct and indirect greenhouse gas emissions reductions expected to be achieved by the project. This should include the number of tonnes of carbon dioxide equivalent saved each year and the number of years the project is designed to operate. If your project offsets emissions from fuels or the electricity grid, you can use the national greenhouse accounts factors (https://www.industry.gov.au/sites/default/files/2020-07/national-greenhouse-accounts-factors-august-2019.pdf) to calculate the emissions reductions. If you use different factors, give your reasons.It is recommended that you use the financial model template spreadsheet (see section 5.1) to capture this information.If other elements of the process either create or avoid emissions, account for these too.

Tonnes reduced per year

Tonnes reduced over project life

10

Clean Energy Future Fund – Application form

Indicate how the project aligns with the Government of Western Australia’s aspiration to achieve net zero greenhouse gas emissions across the Western Australian economy by 2050.

11

Clean Energy Future Fund – Application form

5.4 Business case (20%)

Financial model

This section requests a range of information regarding the financial model of the project. The CEFF financial model template and worked example spreadsheets are provided as an option to capture this information and perform any necessary calculations. Both are available on the CEFF website. You can also use your own modelling provided all the requested information is provided. If you use your own format, please indicate which sections of your document relate to the categories [5.4.1-5.4.7] below. If you do use the provided spreadsheet template or your own spreadsheet, please submit your information as a spreadsheet rather than in PDF format.

5.4.1 The project’s implementation costs

The total cost of the project showing major components and identifying which costs are eligible as indicated in section 5 of the applicant guidelines.

5.4.2 Sources of funding

Breakdown of funding by type such as WA government grants, other grants, debt, your equity and others’ equity. For debt, indicate the interest rate, and for equity indicate the threshold return on investment required. Provide your overall weighted average cost of capital and your discount rate.

5.4.3 The project timing

The expected start date and operational life of the project.

5.4.4 The milestones

A description of each milestone and which costs relate to it. The number of months from project start for each milestone to complete.

5.4.5 The project’s operational outputs and inputs

Any energy generation, emissions saving, or cost or revenue stream linked to a milestone completion. The project’s lifetime energy generation and emissions saving.

Operational costs potentially including land or equipment rental, labour, materials, maintenance and intellectual property costs. Exclude financing costs such as interest and dividend payments as these are covered in the weighted average cost of capital.

All revenues potentially including sale of energy and other products. Do not include depreciation. If you have included tax as a cost, you can include the tax shield of depreciation.

5.4.6 The project’s financial viability

You should calculate the internal rate of return, the net present value and the payback period for the project both with and without CEFF funding.

5.4.7 Justification for assumptions

Provide the status of agreements with funders, suppliers and customers and level of confidence in prices. If you intend to supply electricity to a network operator, indicate what engagement you have had with the operator.

12

Clean Energy Future Fund – Application form

Provide information on expected sources of the funding identified and the status of these sources (signed agreement, memorandum of understanding, early discussions, shortlisted for grant, etc.). For the funding you will contribute, provide evidence of your ability to provide these funds.

For costs and revenues, indicate what is included and what assumptions are used to get the value provided in the financial model.

5.4.8 Justification of the need for government assistance

Has the project started?

How likely is it to proceed without funding?

Why does it need support?

If the project proceeds with support, how will it improve viability for similar projects in future?

Any other comments

5.4.9 Technical viability

Provide information on the technical viability of the project in sufficient detail to support a funding decision. What are the technical aspects that impact the project’s likelihood of success? Has this technology been proven elsewhere, or in a pilot-scale project? If you need more space, you can submit a separate document.

13

Clean Energy Future Fund – Application form

5.4.10 Project readiness

Do you have: Yes? Comments or evidence or plan to obtain

ownership or the right to access the land on which the project is proposed to take place?

ownership of, access to, or the beneficial use of, any intellectual property necessary to carry out the project?

secured or can secure the required regulatory approvals to carry out the project?

adequate insurance to cover potential liability that may result from conducting activities to carry out the project?

Provide details of planning, environmental and/or other approvals that are required for the project.

Mark N/A if not required.

If required approvals have not yet been granted, what strategies are in place to obtain approval and when is approval anticipated?

Mark N/A if not required.

5.5 Organisational capacity (10%)

Provide evidence of the applicant’s capacity and capability to implement the project and readiness to commence project delivery, including those listed below. Please ensure you have completed the list of management team members requested in section 1.3.

5.5.1 Technical and management capability and expertise of the applicant

14

Clean Energy Future Fund – Application form

5.5.2 Track record of the applicant in undertaking similar projects, including delivering projects on time and on budget

5.5.3 Governance structure for delivery of the project

5.5.4 Roles of project partners and the status of any relevant agreements between project partners

Partner Contribution and status of agreement(s)

5.5.5 Roles of project stakeholders

Stakeholder Role and status of agreement(s)

5.5.6 Outline the key performance indicators for the project

How will you measure the project’s achievement of its objectives? How will its success be measured? What information will be collected to evaluate the project?

15

Clean Energy Future Fund – Application form

5.6 Risk Management (10%)

5.6.1 Risk management plan

How will risks be managed and monitored during the life of the project so that any material change in their impact or likelihood will be reported to DWER?

What process will you follow to manage risks over the life of the project?

5.6.2 Risk register

Provide a risk register outlining details of the risks associated with the project. Such risks include but are not limited to compliance, health, safety, environment and quality considerations, conflicts of interest, technical, planning, delivery, counter-party and financial. A risk register template is provided on the CEFF website. If you use the financial model template provided, you should review the “Justification of assumptions” tab for risks.

5.6.3 Insurances

It is a condition of your grant that you have adequate insurance to cover potential liability in conducting activities in relation to the project, including those funded by the Clean Energy Future Fund.

Provide details of insurance held (type of insurance/s, provider, value insured and expiry date) or planned, along with quotes and attach relevant documents.

(Relevant insurances may include: workers’ compensation; director’s and officer’s liability, public liability; personal accident insurance for volunteers; contents/mobile plant & equipment).

16

Clean Energy Future Fund – Application form

5.7 Potential for wider adoption (20%)

5.7.1 Not common practice

Criteria Yes? Comments or evidence

Is the project an activity that is a requirement under Commonwealth or state law?

Detail the degree of innovation and/or the extension of the project beyond common practice in Western Australia for the relevant sector or subsector.

5.7.2 Potential for other implementations

Detail the likelihood that the project will result in similar projects being implemented by the applicant or by others, multiplying the emissions reduction potential. This could include the potential for cost reductions for future projects by demonstration of new technology.

5.7.3 Ongoing commitment

The applicant’s on-going commitment to the project and the role it would play in the applicant’s strategy and objectives for reducing greenhouse gas emissions and improving energy management.

17

Clean Energy Future Fund – Application form

5.8 Public good (10%)

Detail how the project will contribute to:

5.8.1 Knowledge sharing

Outline the quality and extent of the knowledge sharing information about, and resulting from, the project that the applicant proposes to make publicly available to build capacity amongst others, support learning-by-doing and/or demonstrate the feasibility of new technologies or processes.

5.8.2 Economic development

Detail how the project is anticipated to deliver economic benefits to the state. For example, outline the number of jobs expected to be created by the project and/or the extent to which the project represents a new industry or business practice in the state. Include any identified economic, environmental and/or social benefit, such as greenhouse gas emissions reduction, estimated jobs created (part-time, full-time, volunteer positions) and flow-on benefits to the WA community.

5.8.3 Other benefits

6 MINISTERIAL STATEMENT OF PRIORITIESPreference will be given to projects that align with Ministerial priorities. Outline how your project aligns with the current Ministerial priorities.

Ministerial priority Yes? Comments or evidence

Innovative clean energy projects in regional and remote Western Australia.

18

Clean Energy Future Fund – Application form

Regional and remote Western Australia means projects that are at the fringe of, or are not connected to, the South West Interconnected System or the North West Interconnected System.

Clean energy projects that improve the security and resilience of networked electricity supply in line with the Distributed Energy Resources Roadmap.

Clean energy projects that support decarbonisation of existing industry and the development of new, low emissions industries in Western Australia.

‘Shovel ready’ clean energy projects that will reduce emissions and create jobs in Western Australia.

Projects which enhance energy efficiency and materially reduce emissions from the built environment or manufacturing.

Clean energy projects that support the replacement of diesel with renewable energy.

7 CONFLICT OF INTEREST

Declare any actual, potential or perceived conflict of interest that you may be aware of in relation to this project or this application process. If there are none, indicate “None”.

19

Clean Energy Future Fund – Application form

8 DECLARATION

I, , of

Name Position Organisation

declare that the information given in this Clean Energy Future Fund application and all accompanying documents is complete and correct to the best of my knowledge, information and belief.

Authorised officer

Signature

Name/Position

Date

Witnessed by

Signature

Name/Position

Date

20

Clean Energy Future Fund – Application form

Clean Energy Future Fund

APPLICATIONS CLOSE at 23:59 AWST, Thursday 22 April 2021.

Late applications will not be accepted.

Applications must be electronic and lodged via email to ceff@dwer.wa.gov.au.

Applicants will be notified that their applications have been received by email.

APPLICATION CHECKLIST

Before you send your application, please ensure you have completed all the information and attached relevant supporting documentation, including:

I have read and understand the Applicant guidelines

All relevant fields of the form have been completed.

My application includes all details of project finances. I have attached either a completed version of the CEFF financial model template, or my own financial model containing the relevant information. All CEFF amounts are GST exclusive.

A risk register has been completed and attached, either using the CEFF risk register template or my own risk register.

This application has been signed by the authorised officer.

All supporting documents are ready to be attached to or submitted with the submission as applicable (e.g. certificate of incorporation, financial statement, certificates of insurance, project approvals support/partnership letters, etc.)

Applications that are incomplete or inadequate may not be assessed.

21