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Wednesday, 01 September 2010 05:30

Download Application Form for Project Information Format

Download forms for state: Assam
Form Details
StateAssam
DepartmentPlanning and Development
TitleApplication Form for Project Information Format
LanguageEnglish
Document Size31.6 KB
Text of the PDF document(for quick reference)
Project Information Format (Scheme for financial support to PPPs in infrastructure) 1. General Remarks 1.1 Name of the Project 1.2 Type of PPP (BOT, BOOT, BOLT etc). Explain the structure in reasonable detail 1.3 Location (District/Town) 1.4 State Ministry / Statutory Authority as the project sponsor 1.5 Name of the ministry / statutory entity which will sign the concession agreement 1.6 Whether the contract/ concession is to be awarded to a private sector company 1.7 Will the private sector company be responsible for financing, construction, maintenance and operation of the project 2. Project Description 2.1 Brief description of the project 2.2 Justification for the project 2.3 Possible alternatives, if any 2.4 Estimated total project cost with break-up under major heads of expenditure. Also indicate the basis of cost estimation 2.5 Phasing of investment 2.6 Project Implementation Schedule (PIS) 3. Financing Arrangements 3.1 Sources of financing (equity, debt, mezzanine capital etc.) 3.2 Indicate the revenue streams of the Project (annual flows over project life). Also indicate the underlying assumptions. 3.3 Indicate the NPV of revenue streams with 12% discounting 3.4 Who will fix the tariff/ user charges? Please specify the process in detail. 3.5 Will the project have predetermined user charges/ tariffs 3.6 Can the user charges/ tariffs be increased for reducing the viability gap? If no, please detail the reasons 3.7 Can the concession period be increased for reducing the viability gap? If no, please detail the reasons 3.8 Can the total project costs be restricted or phased out for reducing the viability gap? If no, please detail the reasons 3.9 Have any FIs been approached for funding the project? If yes, there response may be indicated 4. IRR 4.1 Economic IRR (if computed) 4.2 Financial IRR, indicating various assumptions (attach separate sheet if necessary) 5. Clearances 5.1 Detail out the clearances, statutory or otherwise required for the project 5.2 Status of environmental clearances 5.3 Clearance required from the State Government and other local bodies 5.4 Other support required from the State Government 6. GoI Support 6.1 Likely amount of VGF required for the project 6.2 Will the VGF be used as a capital grant at the stage of project construction? If no, please furnish details of the alternative proposal 6.3 Will the sponsoring State Government Ministry/ statutory entity provide any assistance in addition to the VGF under this scheme? If yes, please furnish details 6.4 Is there any other scheme of the Central Government under which this project is eligible for financial assistance? If yes, indicate the details thereof 7. Concession Agreement 7.1 Is the Concession Agreement based on a duly approved model concession agreement? If yes, indicate the details thereof (in a note to be attached) along with a copy of the MCA 7.2 Have any variations in the MCA been proposed? If yes, please provide a detailed note (to be attached) 7.3 Details of the Concession Agreement (Attach a copy) (Appendix A) 8. Bid Process 8.1 Is selection of the investor to be in one stage or two stages? 8.2 Indicate the criteria for short-listing (attach separate sheet if necessary) 9. Criteria for Bidding 9.1 Will the bidding parameter be the minimum VGF required? If no, please indicate the bidding parameter(s) 9.2 Have all other conditions, specifications and project agreements been frozen prior to inviting financial bids? If no, please furnish the details with justification thereof 10. Others 10.1 Remarks, if any Appendix-A Brief particulars of the Concession Agreement A. Sponsoring Ministry: C. Legal Consultant: B. Name and location of the project: D. Financial Consultant: S. No. Item Clause No. Description I General 1.1 Scope of the project (please state in about-200 words) 1.2 Nature of Concession to be granted 1.3 Period of Concession and justification for fixing the period 1.4 Estimated capital cost 1.5 Likely construction period 1.6 Conditions precedent, if any, for the concession to be effective 1.7 Status of land acquisition II Construction and O&M 2.1 Monitoring of construction; whether an independent agency/ engineer is stipulated 2.2 Minimum standards of Operation and Maintenance/ Performance standards 2.3 Penalties for violation of prescribed O&M standards/ Performance standards 2.4 Safety provisions relating to structures, users and construction works 2.5 Penalties for violation of safety related provisions Environment related provisions III Financial 3.1 Maximum period for achieving financial close 3.2 Nature and extent of capital grant/ subsidy stipulated 3.3 Bidding parameter (capital subsidy or other parameter) 3.4 Provisions for change of scope and the financial burden thereof 3.5 Concession fee, if any, payable by the Concessionaire 3.6 User charges/ fee to be collected by the Concessionaire 3.7 Indicate how the user fee has been determined; the legal provisions in support of user fee (attach the relevant rules/ notification); and the extent and nature of indexation for inflation 3.8 Provisions, if any, for mitigating the risk of lower revenue collection 3.9 Provisions relating to escrow account, if any 3.10 Provisions relating to insurance 3.11 Provisions relating to audit and certification of claims 3.12 Provisions relating to assignment/ substitution rights relating to lenders 3.13 Provisions relating to change in law 3.14 Provisions, if any for compulsory buy-back of assets upon termination/ expiry 3.15 Contingent liabilities of the government (a) Maximum Termination Payment for Government/ Authority Default (b) Maximum Termination Payment for Concessionaire Default (c) Specify any other penalty, compensation or payment contemplated under the agreement IV Others 4.1 Provisions relating to competing facilities, if any 4.2 Specify the Dispute Resolution Mechanism 4.3 Specify the governing law and jurisdiction 4.4 Other remarks, if any
Last Updated on Friday, 17 December 2010 05:30
 

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