Community Facility Fund

Introduction

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Organisation Details

Is your group/organisation registered for GST?*This field is required.
Does your group/organisation hold current public liability insurance?*This field is required.

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Is your group/organisation incorporated?*This field is required.

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Does your group/organisation have a strategic plan?*This field is required.

How many participants does your group/organisation have?


Project Details


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Construction Details


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Insurance Details Contractor

Does the contractor have Workers Compensation Insurance?*This field is required.

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Does the Contractor have Public Liability Insurance to the value of $20m?

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Does the contractor have Income Protection or Personal Accident and illness Insurance?

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Does the Contractor have Professional Indemnity Insurance? Applicable if advice is being provided.

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Does the Contractor have Motor Vehicle Insurance?

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Does the Contractor have a handbook and or safety agreement?

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Insurance Details - Volunteers

If ‘skilled’ or ‘professional’ volunteers are carrying out works, do they have Public Liability Insurance to the value of $20m?*This field is required.

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If ‘skilled’ or ‘professional’ volunteers are carrying out works, have they provided copies of their qualifications/tickets or certificates?*This field is required.

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Insurance Details - Product and Equipment

Does the product come with Product Liability Insurance or warranty information?*This field is required.

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Project Justification


Community Benefit

Are you partnering with any other groups to deliver the project?*This field is required.

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Project Budget

Bank account details for electronic transfer of grant monies (if successful).

Expenditure (ex GST)

Expenditure (ex GST)

Please note expenditure and income should be equal


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Volunteer Labour Type

Volunteer Labour Type

Unskilled - Up to $25 per hour

Skilled - Up to $40 per hour

Professional - Up to $60 per hour

Income (ex GST)

Income (ex GST)

Please note expenditure and income should be equal

Other income examples

Other income considerations:

  • Organisation's cash contribution
  • Other grant providers
  • Donations
  • Sponsors
  • Voluntary Labour

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Payment Details

Bank account details for electronic transfer of grant monies


Application Declaration

This section must be completed by the incorporated body applying for the grant. If you are not incorporated you must have the auspice organisation complete this section.

I hereby declare that I am authorised on behalf of the organisation to sign this declaration and that the information supplied is, to the best of my knowledge, accurate and complete.

I confirm that I have read and understood the Community Facility Fund Guidelines.

I confirm that the Shire of Murray will be notified of any change to the information supplied and any other information or circumstances arising that may affect this application.


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