Application for financing a budgetary institution sample. On the approval of the forms of budget applications for financing costs. Funding Application Form

MINISTRY OF FINANCE OF THE REPUBLIC OF MORDOVIA

ORDER

ON APPROVAL OF BUDGET APPLICATION FORMS FOR FINANCING OF EXPENSES

In order to properly organize the budgetary process in the Republic of Mordovia, I order:

1. To approve:

the form of a budget application for financing expenses provided by the main administrators of budgetary funds to the Ministry of Finance of the Republic of Mordovia in order to include them in the register of expenses for subsequent amendments to the law of the Republic of Mordovia on the republican budget of the Republic of Mordovia for the current financial year and for the planning period, in accordance with Appendix 1 to this order;

a budget request form for financing interbudgetary transfer expenditures provided by the authorities local government municipalities of the Republic of Mordovia to the main managers of budget funds in order to include them in the register of expenses for subsequent amendments to the law of the Republic of Mordovia on the republican budget of the Republic of Mordovia for the current financial year and for the planning period, in accordance with Appendix 2 to this order.

2. The main administrators of budgetary funds and local self-government bodies of municipalities of the Republic of Mordovia shall ensure the provision of applications for financing expenditures in the forms, in accordance with Appendices 1 and 2 to this order.

3. This order comes into force from the date of its signing.

Vice-chairman
Governments - Minister of Finance
Republic of Mordovia
A.YU.SIMONOV

Appendix 1. Budget Application for Financing Expenditures

Annex 1

Republic of Mordovia
from 05.06.2014 N 74

(name of the main manager of budgetary funds)

Details of the regulatory legal act of the Republic of Mordovia, establish its expenditure obligation of the Republic of Mordovia

Details of the regulatory legal act of the Republic of Mordovia implementing the budgetary obligation

The amount of funds provided for by the law of the Republic of Mordovia on the republican budget of the Republic of Mordovia for the current financial year and for the planning period (thousand rubles)

Note<*>

This year

Planned period

This year

Planned period

GRBS name

Chief executive

public authority

Republic of Mordovia ____________ / __________________________ /

signature (decryption of signature)

Chief Accountant ___________/___________________________/

signature (decryption of signature)

________________

Appendix 2. Budget Application for Financing Interbudgetary Transfer Expenditures<*>

Appendix 2
to the order of the Ministry of Finance
Republic of Mordovia
from 05.06.2014 N 74

from _____________________________________________
(Name municipality Republic of Mordovia)

Name (direction) of expenses

Details of the regulatory legal act of the Republic of Mordovia, establishing the expenditure obligation of the Republic of Mordovia to provide interbudgetary transfers

Details of the regulatory legal act of the Republic of Mordovia implementing the budgetary obligation to provide interbudgetary transfers

The volume of interbudgetary transfers provided for by the law of the Republic of Mordovia on the republican budget of the Republic of Mordovia for the current financial year and for the planning period (thousand rubles)

The amount of funds required in addition to the amount of funds provided for by the law of the Republic of Mordovia on the republican budget of the Republic of Mordovia for the current financial year and for the planning period (thousand rubles)

The amount of funds provided for by the decision on the budget of the municipal formation of the Republic of Mordovia (thousand rubles)

The amount of funds transferred from the republican budget of the Republic of Mordovia as of 20__ (thousand rubles)

The amount of funds transferred from the budget of the municipal formation of the Republic of Mordovia as of 20__ (thousand rubles)

Indicators of the budget classification of the Russian Federation

Note<**>

This year

Planned period

This year

Planned period

This year

Planned period

GRBS name

Head of the municipal

Formation of the Republic of Mordovia ____________ / _________________________ /

signature (decryption of signature)

Boss financial management ____________/_________________________/

signature (decryption of signature)

________________

<*>Provided to the main manager of budgetary funds indicated in column 16 of the budget request, after agreement with the relevant sectoral government authority.

<**>In a note, it is necessary to indicate the justification for the allocation of additional Money from the republican budget of the Republic of Mordovia.

______________________________________ (name of the regional branch of the International Finance Corporation) address: _______________________________ from ___________________________________ (name or full name of the applicant) address: ______________________________, telephone: __________, fax: __________, address Email: _____________ Application for funding Applicant _____________________________________________________________ ___________________________________________________________________________ (name, address of location, OGRN, document data, confirming the fact of entering information about a legal entity in the Unified State Register of Legal Entities, indicating the address of the location of the body that carried out state registration/FULL NAME. individual entrepreneur, address of his place of residence, data of his identity document, OGRNIP, data of a document confirming the fact of entering information about an individual entrepreneur in the Unified State Register individual entrepreneurs, indicating the address of the location of the body that carried out the state registration, TIN, data of the document on the applicant's registration with the tax authority) is the initiator (or: the representative of the initiator, etc.) investment project ___________________________________________________ (name reflecting the essence of the project) (hereinafter - "investment project"). one. Short description investment project: __________________________ __________________________________________________________________________. (essence of the project, place of implementation, contractual scheme, main technical and financial parameters and characteristics, including a brief description of the industry, distribution of risks and economic efficiency, environmental and social effects) (If available: 2. List of co-investors - ______________________________ _________________________________________________________________________.) (name, full name, address, type of activity of each, description of their assets, financial condition, experience in implementing similar projects, roles in the project, estimated investment period and conditions for exiting the project) (If available: 3. List of partners - _________________________________ _________________________________________________________________________.) (names, full names, addresses, type of activity of each, description of owned assets, financial condition, experience in implementing similar projects, roles in the project) 4. Project management - _______________________________________ __________________________________________________________________________. (Full name, positions, experience in the implementation of similar projects, education, scientific degrees, completing additional training courses - MBA, CFA, etc., diplomas and certificates and a brief description of the main achievements in professional activity) (If available: 5. List of contractors for external, including technical, assistance - __________________________________________________________________ _________________________________________________________________________.) (Names, full names, addresses, type of activity of each, financial condition, experience in implementing similar projects, roles in the project, conditions for exiting the project) 6. Project management structure - ____________________________________ __________________________________________________________________________. (description of the management structure, divisions, distribution of levels of responsibility, heads of departments and the number of employees in them, the main provisions of the personnel policy; for outsourcing certain functions - the names of contractors, as well as the main details and the deadline for the implementation of relevant contracts) 7. Marketing and sales, commercial strategy a project for the sale of manufactured goods or for the provision of services - ______________________________ __________________________________________________________________________. (main sales markets for goods produced within the framework of the project, services provided within the framework of the project: local, domestic, regional, export; unit prices, sales objectives and estimated market share, potential consumers products and distribution channels; dynamics of development of demand and prices, as well as competition over the past 3 - 5 years; forecast of market development for the duration of the project, taking into account the possibility that the market will be saturated with substitute goods and with other factors that determine the market potential; regardless of the volume of the concluded contracts, detailed conclusions of specialized consulting companies on the analysis of these market segments and their forecasts are presented) 8. Commercial strategy for the procurement of basic raw materials and materials necessary for the implementation of the project - ______________________________________ __________________________________________________________________________. (strategy for the acquisition of the main components of the production of goods, raw materials, materials, services, indicating volumes and prices, other basic conditions of long-term contracts for the purchase and sale of goods and services planned to be concluded, a description of the planned main suppliers of raw materials and materials, an analysis of the risks of monopoly behavior of such suppliers , ways to reduce the project's dependence on suppliers, the risks associated with non-fulfillment of their supply obligations, and ways to reduce them; history of the implementation of supply contracts in the past for each supplier; regardless of the volume of contracts concluded, detailed forecasts of the development of prices for the main supplied materials are provided, raw materials, services performed by specialized experts in the field of project implementation; tariff barriers or import restrictions affecting the project) 9. Technical aspects investment project and proposed technical solution - ____________________________________________________ __________________________________________________________________________. (the main aspects of a technical solution, justification for the choice of a technical solution, its advantages over other potentially possible solutions, examples of other projects where such a solution was successfully used, all the technical risks of the project at each stage and ways to neutralize or reduce them) Detailed technical documentation is attached to the business plan of the investment project. 10. Technical feasibility, labor availability, raw materials and environmental issues: _______________________________________________________ __________________________________________________________________________. (short description production process; the need for know-how and special qualifications; availability of labor and infrastructure facilities - transport and communications, electricity and water supply, etc .; the distribution of estimated operating expenses by major expense items; sources, price and quality of raw materials and relations with subcontractors; import restrictions on required raw materials; the proposed location of the enterprise in relation to suppliers of components, sales markets, infrastructure facilities and settlements- sources of labor; the estimated size of the enterprise in comparison with other such enterprises; potential environmental problems and ways to solve them) 11. Analysis of operating costs, a description of contractors for the operation, maintenance and repair of facilities, the main conditions of the planned contracts for operation and repair - ________________________ __________________________________________________________________________. (the main conditions of the planned contracts for the operation of facilities, a summary of information about the counterparties for the operation, maintenance and repair of facilities, including a description of their previous experience, the main risks associated with the operation of the project, and how to reduce them; forecast of the cost of equipment maintenance for term not less than the maturity of the requested investment, including the agreed prices and conditions of operation and repair, confirmed by technical experts) 12. Requirements for investments, project financing and profitability: 12.1. An estimate of the total project costs, broken down by the lease / purchase of a land plot, construction, installation of equipment, the need for working capital with an indication of the currency component - ___________________ __________________________________________________________________________. (detailed calculation of capital costs and sources of their financing, revenue, operating expenses, payments on repayment of attracted loans, loans, as well as interest on them, payments to co-investors, projections of the initiator's financial statements - income and expense reports, balance sheet, cash flow; all parameters characterizing the project are brought together in a detailed financial model in * .xls format, including related forecast reporting forms - profit and loss statement, balance sheet and cash flow statement performed for the duration of the project; all risks are taken into account in financial model; all baseline forecasts are based on the terms of the concluded contracts and on the reports of consultants on forecasts of price developments) 12.2. The estimated financial structure enterprises indicating the alleged sources and conditions of equity and debt financing - ___________________________________________________________________________ __________________________________________________________________________. (name, full name, address, type of activity of each; name, currency and amount of funds by sources of financing; terms and schedules of repayment of loans and (or) loans; cost, terms and other basic conditions for securing obligations) In confirmation of the specified information attached to the application are documents of intent to conclude loan agreements, draft decisions on the issue of securities and draft prospectuses of securities, documents confirming the availability of the necessary internal permits and resolutions approving the investment in the project. The sum of all confirmed sources of financing for the project is equal to the sum of the costs of the project, and all funds will be available to the initiator at the time of financial closure of the project. 12.3. The logic of the financial model and the assumptions used - _____________ __________________________________________________________________________. (a guide to using the financial model, which includes an overview of the model, a description of the logic of complex calculations, macro calculations with links to technical documentation, documents on the terms of financing) 12.4. Type of financing under the IFC (IFC) - _________________________ ______________________________________________________________, including (loan, participation in share capital, quasi-equity financing, combination of several financial products, etc.) loan - _____ (_______________) _______________ for a period of ___________________, participation in equity capital - ______ (________________) ________________ for a period of __________________, quasi-equity financing - _______ (_________________) _________________ for a period of __________________ , other forms - ______ (________________) ___________ for a period of _______________. 12.5. Financial forecast, information on profitability and the amount of return on invested capital - _____________________________________________. 12.6. The most important factors on which profitability depends are _________ __________________________________________________________________________. (priorities, sources of financing and refinancing for cases where funds are insufficient to fully repay the project debt) 12.7. Currency and interest rate risks - ___________________________________ __________________________________________________________________________. (the initiator's strategies for hedging currency and interest rate risks at all stages of the project, including risks in relation to the main concluded credit agreements, sales and purchase agreements, construction contracts, maintenance and repair contracts) 12.8. Analysis of situations when the proposed financing will not be available in the planned volume or its conditions will differ, and the consequences of this for the financial and economic characteristics of the project - _____ __________________________________________________________________________. (description of each situation according to the scheme "circumstances - pessimistic, optimal, optimistic response scenarios") 13. Methods for controlling the project's environmental impact, project compliance with legislation Russian Federation about protection environment- ________________________________________________________ __________________________________________________________________________. (technical aspects of the project related to the impact on the environment and meeting the requirements of local, regional, federal legislation on environmental protection; improvement of the environmental situation in the region as a result of the project; environmental benefits of the project implementation and environmental risks of the project, indicating activities aimed at managing such risks and their reduction; conclusion of an organization with experience in environmental research; a brief description of the results of all studies previously conducted at the request of international financial institutions or additional requirements to the procedure for assessing the environmental impact of the project) 14. Assessment social significance project, including the creation of new jobs, etc. - ____________________________________________________ __________________________________________________________________________. (substantiation of the positive social effect associated with the implementation of the project - the creation of new jobs both at the stage of implementation and during the operation of the project, both within the framework of the project itself and in related areas, for example, at the initiator's counterparties, the introduction of new modern and more economical technologies, improving the quality of life, etc.) 15. Information on the main licenses and permits required by the initiator to implement the project, including both construction and subsequent operation - _______________________________________________ __________________________________________________________________________. (indicating the duration of licenses and permits related to the state of their renewal processes, as well as risks and mitigating factors associated with situations where such licenses and permits either will not be obtained or will not be renewed as expected) 16. Government support and current legislation: 16.1. Compliance of the project concept with state programs of economic development and state investment programs - _____ __________________________________________________________________________. (program details) 16.2. Benefits and other governmental support the project or its individual parts - __________________________________________________________________ __________________________________________________________________________. (references to normative legal acts) 16.3. The expected contribution of the project to the development of the economy is __________________ __________________________________________________________________________. 16.4. a brief description of current legislation in the field of currency control, conditions for the import and export of capital - _____________________ __________________________________________________________________________. (references to regulatory legal acts) 17. The available material base for the implementation of the investment project - _________________________________________________________________ __________________________________________________________________________. (availability on the right of ownership or otherwise legal basis necessary for the implementation of the project of real estate objects, verified control and measuring equipment, production and test equipment with supporting documents) 18. Computer programs, technical and technological documentation, methodological documents required for the implementation of the project - ______________ __________________________________________________________________________. (list and details of supporting documents) 19. The estimated schedule for the preparation and implementation of the project - ___________ __________________________________________________________________________. Business plan of an investment project with a detailed justification of the economic feasibility, volume and timing of investments, including the necessary project and working documentation, a description of practical actions for the implementation of investments will be developed and presented in the event of a fundamental interest in the project within ______ days. Based on the above, the applicant asks to consider the possibility of providing investments for the implementation of the project "_________________" in the amount of ______ (________________) ___________ with a payback period of _______ months on the terms agreed by the parties. (If the applicant wishes: I ask you to send information on investment issues in electronic form.) Attachments: 1. Copies constituent documents legal entity(or a copy of the certificate of registration of an individual entrepreneur). 2. Copies of documents confirming the presence of specialists in the staff of the applicant or the initiator of the project and their qualifications (orders of appointment or extracts from work books, diplomas, certificates, certificates). 3. Copies of title documents for premises intended for the implementation of the project, the rights to which are not registered in the Unified State Register of Rights to Real Estate and Transactions with It (if such rights are registered in the specified register - information about these premises). 4. Copies of documents confirming the right of the applicant or project initiator to computer programs and databases to be used in the implementation of the project. 5. Documents containing information on the availability of production, testing and control and measuring equipment, information security means, and other means necessary for the implementation of the project, with copies of documents on verification and marking of control and measuring equipment, as well as documents confirming the right of the applicant or initiator project for the use of the specified equipment and funds. 6. Documents containing information about the available technical documentation, national standards and methodological documents required for the implementation of the project. 7. Copies of documents confirming the existence of a production control system, including a quality management system. 8. Power of attorney of the representative from "__" ___________ ____, N ______ (if the application is signed by the representative). 9. Copies of documents confirming the powers of the sole executive bodies (authorized persons) of the initiator to conclude transactions on behalf of the initiator, the chief accountant of the initiator (decision on election, order of appointment, order to take office, employment contract, power of attorney, etc.), and certified samples of the signatures of the indicated persons and the seal of the initiator. 10. Certificate of the initiator that no insolvency (bankruptcy) case has been initiated against him in accordance with the procedure established by the legislation of the Russian Federation on insolvency (bankruptcy). (If available: 11. Documents characterizing the credit history of the initiator.) 12. Inventory of attached documents. "__" ___________ ____ Applicant (representative): __________________________ (signature)

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Funding Application Form

under the "Program of Support for the Development of Municipal Formations on the Territory of the Russian Federation with the Use of Information and Communication Technologies,

biennium "

(RMO-ICT Program)

2nd round

"Implementation best practices energy saving at the municipal level "

The deadline for submission of Applications for the competition is March 2012.

The program is funded by the United States Agency for International Development
within the framework of the Cooperation Agreement with the Foundation for Sustainable Development (FSD)

Attention: The application is drawn up in accordance with the "Guidelines for drawing up an application for funding under the" Program for Supporting the Development of Municipal Formations in the Russian Federation with the Use of Information and Communication Technologies, years. "

(RMO-ICT Program), 2nd round.

An incorrectly composed Application or the absence of any information may lead to its rejection.

2. Brief description of the region of work

2. Involvement of the population in the process of solving energy saving problems;

3. Improving the efficiency of informing the residents of the settlement about the possibilities of using energy-saving technologies and the work of the dispatching information center;

4. Reduction of expenses for fuel and energy resources and budget expenditures of the settlement for heating and maintenance of social buildings by 30% (240,000 rubles per year or 120,000 kWh);

5. Documenting savings for reinvestment in social development programs;

6. Based on the results of the project implementation, it will be possible to replicate successful experience and results to other settlements in the region to ensure a sustainable impact on improving the life of the local community.

5. Explain what ICT will be used in the project and what effect it will have

1. On the basis of the created dispatch center, a specialized website will be developed to inform the residents of the settlement about the costs and possibilities of saving energy and resources, and regular content of the website and its further development will be ensured.

2. A public information terminal with an interactive portal and a base for applying energy-saving technologies and improving energy efficiency will be installed in the dispatch center. All social institutions and residents of the settlement will have the opportunity to access the information base on the use of energy-saving technologies and energy efficiency.

3. The project provides for the distribution of information on the implementation of energy saving measures in social institutions, organizations of housing and communal services.

That is, industrial and social ICT will be created that will be able to solve urgent problems of residents, institutions and organizations on the territory of the Khomutovsky municipal formation of the Irkutsk region.

6. Justify why your project

cannot harm

the state of the environment

The project is not dangerous for the environment, as it does not use technologies that could harm it

7. Distribution areas

Khomutovsky municipality of Irkutsk district of Irkutsk region

8. Duration of the project (number of months, but not more than 12)

10 months

9. Project start date
(must be the first day

01.04.2012

9. End date of the project
(must be the last day of the month, but no later than March 31, 2013)

31.01.2013

Energy audit

Purchase of an information terminal with an anti-vandal screen

11. Applicant's Contribution (USD)

– the salary of the project executors, including contributions to the Funds, costs for the production of printed materials;

Purchase of energy-saving appliances

Carrying out measures based on the conclusion of the audit to improve the energy-saving class of buildings (wall insulation, elimination of air leaks, correct placement of energy devices).

12. Funds from other sources (in USD)

6 600 (see list of support letters)

MUP "Agrobytservice" - installation of an information terminal, delivery and materials (720 dollars).

MUK Cultural and Sports Complex - installation and configuration of interactive, information center premises, utility bills, communication services, etc.

13. Total costs of the proposed project (in USD)

BRIEF INFORMATION ABOUT THE APPLICANT

A. Organization Information

1. Organization (full legal name according to registration documents)	Administration of the Khomutovsky municipal formation Administration of the rural settlement of the Irkutsk region
2. Organization status (government, non-profit or commercial)
3. Direction of the organization (goals or nature of the work most related to the topic of this project, no more than 30 words)	Municipal government, the body of municipal authority in the territory
4. Responsible executive organization (full surname, name, patronymic, position)	Deputy Head of the Settlement Administration
5. Project accountant (full surname, name, patronymic)
6. Work phone of the Project Accountant
7. City (location of the organization)	with. Khomutovo
8. Full mailing address of the organization (postal code, region, city, street, office number)
9. Actual address of the organization	Irkutsk region, with. Khomutovo, st. Kirov, 7 / a
	Executor

Purchase of equipment - information terminal with anti-vandal screen	April May	1 terminal	Settlement administration
	April May	Terminal and dispatch center software	Settlement administration
Terminal installation	May June	1 terminal	MUP Agrobytservice
3. Execution of works on energy inspection (energy audit)	April June	Library buildings, sports complex building, recreation center
3. Development of the site	April June		Settlement administration

Creation and equipment of a dispatch information center (hereinafter - the dispatch center)	July - September	Dispatch center
Conducting training seminars for employees involved in the project	July - September	2 seminars	Settlement administration
Conducting gatherings of citizens informing about the project, placing information in the media	July - September	At least 1 exit	Settlement administration
Preparation of energy certificates of buildings, development of recommendations	Aug. Sept	3 passports	Settlement administration (involved specialized organization)
6.Making and printing a brochure	July August	400 copies of 10 pages
5.Filling the site	July - September		Settlement administration

Commissioning of the dispatch center		Dispatch center
Development of a settlement program to improve energy efficiency		Energy efficiency program	Settlement administration
Purchase and installation of energy-saving equipment	October November
	October November		Settlement administration, MUK KSK
8.Distribution of the brochure	October December	1 brochure	MUK KSK, dispatch center
5.Filling the site	October December	Work on entering data, updating information	Settlement administration, dispatch center

7.Conducting energy saving measures in buildings			Settlement administration, MUK KSK
8.Distribution of the brochure		1 brochure	MUK KSK, dispatch center
Duplication of project results - articles in the media, posting data on the Internet		2 publications in the media, publication in electronic journal FUR, data on the website	Settlement administration, MUK KSK, dispatch center
9.Preparation of the final report		Final report	Settlement administration

4. Partnerships