ANNEX IVSupplementary provisions
ANNEX IV Format of the model for the joint action plan (JAP) Proposal for a JAP under Articles 104 to 109 of Regulation (EU) No 1303/2013 Title of the JAP <type='S' maxlength='255' input='M'> ( 1 ) Commission reference (CCI) <type='S' maxlength='15' input='S'> A. GENERAL CHARACTERISTICS A.1. Brief JAP description <type='S' maxlength='1750' input='M'> A.2. CCI of operational programme(s) <type='S' input='S'> A.3. Region(s)(NUTS) <type='S' input='S'> A.4. Member State(s) <type='S' input='G'> A.5. Fund(s) <type='S' input='S'> A.6. Total eligible cost <type='N' input='M'> A.7. Public support ( 2 ) <type='N' input='M'> A.8. Type of JAP ( ) Normal ( ) Pilot ( ) YEI [one possibility only]; <type='C' input='M'> A.9. Categorisation of operation activity Code Amount Percentage of the total cost of the operation/per dimension A.9.1. Intervention field (more than one could be used, on a pro rata calculation, where relevant) <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> A.9.2. Form of finance (more than one could be used, on a pro rata calculation, where relevant) <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> A.9.3. Territorial dimension (more than one could be used, on a pro rata calculation, where relevant) <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> A.9.4. Territorial delivery mechanism <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> A.9.5. Thematic objective ERDF/Cohesion Fund (more than one could be used, on a pro rata calculation, where relevant) <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> A.9.6. ESF Secondary Theme <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> A.9.7. Economic activity dimension (more than one could be used, on a pro rata calculation, where relevant) <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> A.9.8. Location dimension (more than one could be used, on a pro rata calculation, where relevant) <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> <type='N' input='S'> <type='N' input='M'> <type='P' input='G'> B. CONTACT DETAILS: Authority responsible for the JAP application [to be completed by the authority submitting the application] B.1. Name <type='S' maxlength='200' input='M'> B.2. Type of authority ( ) managing authority ( ) intermediate body ( ) Other designated public law body <type='C' input='M'> B.3. Address <type='S' maxlength='400' input='M'> B4. Name of contact person <type='S' maxlength='200' input='M'> B.5. Position of contact person <type='S' maxlength='200' input='M'> B.6. Telephone <type='S' input='M'> B.7. Email <type='S' maxlength='100' input='M'> Where more than one operational programme is planned to provide support to a JAP or where the JAP proposal is not submitted by a managing authority, please attach the approval of the relevant managing authority(s). C. ANALYSIS OF THE DEVELOPMENT NEEDS AND OBJECTIVES C.1. Please describe the overall problem/situation that the JAP should contribute to solve, and the needs that the JAP should contribute to fulfil, taking into account, where applicable, relevant country-specific recommendations adopted in accordance with Article 121(2) of the Treaty and Article 148(4) of the Treaty. Where relevant, use statistical data. Please explain what alternatives to the JAP were considered to address the problems identified/the needs to be fulfilled, and why they were not selected. <type='S' maxlength='17500' input='M'> C.2. On the basis of the information provided in C.1, please set out the JAP general objective and any JAP specific objectives. Type Code Objective JAP general objective <type='S' input='S'> <type='N' input='M'> <type='S' maxlength='500' input='M'> JAP specific objective JAP specific objective … C.3. Please describe the relationship between the JAP general objective and the JAP specific objectives and specify how they will contribute to solve the problems identified and the needs to be fulfilled. <type='S' maxlength='10500' input='M'> C.4. Please identify the relevant investment priorities and specific objectives of the operational programmes, to which the JAP will contribute, and describe how the JAP will contribute to achieving them. OP Priority axis Fund Investment priority Specific objective of OP <type='S' input='S'> <type='S' input='S'> <type='S' input='S'> <type='S' input='S'> <type='S' input='S'> JAP contribution to the specific objective(s) identified: <type='S' maxlength='7000' input='M'> D. FRAMEWORK OF THE JAP D.1. Please describe the intervention logic of the JAP through answering the questions below. D.1.1. What projects are envisaged to be implemented? Please describe the planned projects or types of projects (sets of similar activities with the same indicators) and the indicative timetable by using the table below. A project may be supported by more than one OP, priority axis and/or Fund and may cover more than one category of region. Where applicable, indicate whether the completion of a (type of) project is required for the start of another (type of) project within the JAP and indicate for which (type of) project(s). (Type of) project Synthetic description JAP specific objective(s) to which it contributes Planned starting date Planned end date Indicate (‘Yes’ or ‘No’) whether the completion of this (type of) project is necessary for the start of other JAP (type of) projects and if so, indicate for which (type of) projects. (Type of) Project 1 <type=N' input='M'> <type='S' maxlength='255' input='M'> <type='N' input='S'> <type='D' input='M'> <type='D' input='M'> <type='S' maxlength='255' input='M'> (Type of) Project 2 (Type of) Project 3 Information regarding the (types of) projects planned: <type='S' maxlength='7000' input='M'> D.1.2. How will the projects contribute to achieving the JAP general and specific objectives? Please justify. <type='S' maxlength='10500' input='M'> D.1.3. What are the milestones and targets for outputs and results of these projects? Several indicators are possible for one (type of) project (one line for each indicator). Please include all indicators, including those that are not used for the financial management of the JAP. Where relevant, split the indicators by priority axis, Fund, and category of region. Where a milestone has been set for an output or a result indicator, please specify it in the table. (Type of) project Indicator OP Priority axis Fund Category of region Type Used for financial management of the JAP Baseline Milestone (if any) Milestone Year Target Target Year Measurement Unit Source of data (Type of) Project 1 <type='N' input='S'> JAP-specific Indicator <type='S' maxlength='255' input='M'> Indicator from OP <type='S' input='S'> <type='S' input='S'> <type='S' input='S'> <type='S' input='S'> <type='S' input='S'> Output or result Y or N <type='N' input='M'> <type='N' input='M'> <type='N' input='M'> <type='N' input='M'> <type='N' input='M'> type='S' input='M'> <type='S' maxlength='200' input='M'> (Type of) Project 2 (Type of) Project 3 D.2. Please describe external factors, which could have a possible negative impact on the implementation of the JAP. Where relevant, describe what mitigating measures have been foreseen. External factor Possible impact on JAP Mitigating measure(s) foreseen <type='S' maxlength='255' input='M'> <type='S' maxlength='500' input='M'> <type='S' maxlength='500' input='M'> Additional information, if necessary: <type='S' maxlength='7000' input='M'> D.3. Please attach a representation of the intervention logic of the JAP. It should clarify the causal links between the needs/problems to be solved, the objectives of the JAP, the intended results, the set of projects to be supported and their outputs (optional). < Representation > E. GEOGRAPHIC COVERAGE AND TARGET GROUP(S) E.1. Geographic coverage of the JAP. Where relevant, please justify why the JAP is concentrated in a specific area <type='S' maxlength='1750' input='M'> E.2. Target group(s) of the JAP E.2.1. Target group(s) & its definition E2.2. Total population of the target group(s) in the geographic area covered by the JAP <type='S' maxlength='1750' input='M'> <type='S' maxlength='200' input='M'> E.2.3. Comments about the target group(s), including problems faced to be addressed by this JAP, where not covered in C.1. <type='S' maxlength='3500' input='M'> F. EXPECTED IMPLEMENTATION PERIOD OF THE JAP Please note that the standard scales of unit costs (unit costs) and lump sums of the JAP may be reimbursed only if the relevant outputs and results were attained after the date of the decision of the Commission approving the JAP and before the end of the implementation period. F.1. Starting date of implementation (Please specify if it will be aligned with the date of the decision or if it will start later) <type='D' input='M'> F.2. Final date of implementation of projects (End date of projects) <type='D' input='M'> F.3. End of the implementation period of the JAP (Date of transmission of final payment claim and final report from the beneficiary to the managing authority. If some results are delayed in time and generate some payments later on, include them in this period) <type='D' input='M'> G. ANALYSIS OF THE EXPECTED EFFECTS OF THE JAP G.1. On the promotion of equality between men and women <type='S' maxlength='3500' input='M'> G.2. On the prevention of discrimination <type='S' maxlength='3500' input='M'> G.3. On the promotion of sustainable development, where appropriate <type='S' maxlength='3500' input='M'> H. IMPLEMENTING PROVISIONS FOR THE JAP H.1. Beneficiary of the JAP. H.1.1 Contact Details H.1.1.1. Name <type='S' maxlength='200' input='M'> H.1.1.2. Address <type='S' maxlength='400' input='M'> H.1.1.3. Name of the contact person <type='S' maxlength='200' input='M'> H.1.1.4. Position of contact person <type='S' maxlength='200' input='M'> H.1.1.5. Telephone <type='S' maxlength='50' input='M'> H.1.1.6. Email <type='S' maxlength='100' input='M'> H.1.2. Please justify the capacities of the beneficiary in terms of: H.1.2.1. Competence in the domain of the JAP. Please give an overview of the beneficiary's expertise in the domain of the JAP and indicate the number of staff with such expertise available within the beneficiary and allocated to the JAP). Where appropriate, provide some information on the other key partners involved and their competencies. <type='S' maxlength='3500' input='M'> H.1.2.2. Administrative and financial management capacity of the beneficiary. Please indicate EU-funded and/or comparable projects carried out by the beneficiary, which demonstrate its administrative and financial capacity in project management. In the absence of such examples, please outline the support envisaged for capacity building (training, recruitment, etc.). Please refer to institutional arrangements such as the existence of a unit capable to implement the JAP and if possible, include the proposed organisational chart for the JAP implementation (in an annex). If the JAP includes activities to be implemented by public procurement procedures, please describe the capacity of the beneficiary in this field. In case of financial corrections of EUR 10 000 or above, pertaining to support from EU Funds, in the last 10 years, please specify the corrective measures taken. <type='S' maxlength='7000' input='M'> H.2. Arrangements for steering the JAP H.2.1. Steering Committee: Please describe the planned composition of the steering committee, including through an overview of its rules of procedures and how it will carry out its tasks, and the relevance of partners, which are to take part in the committee. Please also explain whether the steering committee or its planned members played a role in the preparation of the JAP. <type='S' maxlength='7000' input='M'> H.3. Arrangements for monitoring and evaluating the JAP H.3.1. Arrangements to ensure the quality, collection and storage of data on the level of achievement of the outputs and results. Please specify the body(ies) responsible for these three arrangements, how they will ensure the quality of data collected (guidance, trainings, etc.), the frequency of collection of data, how the data will be verified, where the data will be stored, etc. Please also describe how you will ensure reporting with regard to the common indicators set out in the Fund-specific regulations at the level of investment priority or where appropriate, specific objective. <type='S' maxlength='7000' input='M'> H.3.2. Evaluation activities planned and their justification. Please specify only activities specific to the JAP. If no specific activities are planned, please justify. <type='S' maxlength='3500' input='M'> H.4. Arrangements ensuring the dissemination of information and communication in relation to the JAP and to the Funds supporting the JAP <type='S' maxlength='3500' input='M'> I. FINANCIAL ARRANGEMENTS OF THE JAP I.1. Costs of achieving milestones, outputs and results (please also complete the appendix on indicators) Please fill out the following tables with the indicators to be used for the financial management of the JAP, where relevant broken down by priority axis, Fund and category of region. I.1.1. Output indicators Indicator (from D.1.3) OP Priority axis Fund Category of region Milestone (if any) Target Unit cost or Lump sum amount (national currency) Resulting amount (national currency) Additional amount from update method (if any) ( 3 ) (national currency) Maximum amount = Total eligible expenditure (national currency) Maximum amount = Total eligible expenditure (EUR) (a) (b) (c) = (a) × (b) (d) (e) = (c) + (d) (f) = (e) * exchange rate <type='S' input='G'> <type='S' input='G'> <type='S' input='G'> <type='S' input='G'> <type='S' input='G'> <type='N' input='G'> <type='N' input='G'> <type='N' input='M'> <type='N' input='G'> <type='N' input='M'> <type='N' input='G'> <type='N' input='M'> Total <type='N' input='G'> <type='N' input='G'> I.1.2 Result indicators Indicator (from D.1.3) OP Priority axis Fund Category of region Baseline Milestone (if any) Target Unit cost or Lump sum amount (national currency) Resulting amount (national currency) Additional amount from update method (if any) ( 4 ) (national currency) Maximum amount = Total eligible expenditure (national currency) Maximum amount = Total eligible expenditure (EUR) (a) (b) (c) = (a) × (b) (d) (e) = (c) + (d) (f) = (e) * exchange rate <type='S' input='G'> <type='S' input='G'> <type='S' input='G'> <type='S' input='G'> <type='S' input='G'> <type='N' input='G'> <type='N' input='G'> <type='N' input='G'> <type='N' input='M'> <type='N' input='G'> <type='N' input='M'> <type='N' input='G'> <type='N' input='M'> Total <type='N' input='G'> <type='N' input='G'> I.1.3. Financial flexibility ( 5 ) : please explain if financial flexibility is required and how it will be applied <type='S' maxlength='3500' input='M'> I.2. Indicative schedule of payments to the beneficiary, linked to the milestones and targets: please provide an indicative overview of the expected payments to every JAP (type of) project (in EUR), based on the information provided in table D.1.3 and section I.1 Year 1 Year 2 Year … Total: (Type of) Project 1 <type='N' input='M'> <type='N' input='M'> <type='N' input='M'> <type='N' input='G'> (Type of) Project 2 <type='N' input='M'> <type='N' input='M'> <type='N' input='M'> <type='N' input='G'> (Type of) Project 3 <type='N' input='M'> <type='N' input='M'> <type='N' input='M'> <type='N' input='G'> Total: <type='N' input='G'> <type='N' input='G'> <type='N' input='G'> <type='N' input='G'> I.3. Financing plan by operational programme and priority axis (and Fund and category of region where relevant) OP Priority axis Fund Category of region Total eligible expenditure (national currency) Public expenditure (national currency) Total eligible expenditure (EUR) Public expenditure (EUR) (Type of) Project 1 <type='S' input='G'> <type='S' input='G'> <type='S' input='G'> <type='S' input='G'> <type='S' input='G'> <type='N' input='M'> <type='N' input='M'> <type='N' input='M'> <type='N' input='M'> (Type of) Project 2 (Type of) Project 3 Total <type='N' input='G'> <type='N' input='G'> <type='N' input='G'> <type='N' input='G'> The total of ‘total eligible expenditure’ shall be equal to the sum of ‘total eligible expenditure’ from tables I.1.1 and I.1.2. Where applicable, the difference between total eligible expenditure and public expenditure corresponds to the private contribution to the JAP. ( 1 ) Legend for the characteristics of fields: type: N = Number, D = Date, S = String, C = Checkbox, P = Percentage input: M = Manual, S = Selection, G = Generated by system maxlength = Maximum number of characters including spaces ( 2 ) Including the public contribution provided by the beneficiary or other entities participating in the JAP. ( 3 ) Value indicated in section A.1.10 of the Appendix. ( 4 ) Value indicated in section A.1.10 of the Appendix. ( 5 ) Financial flexibility may be applied to up to 10 % of the total allocations to outputs or to results. An indicator may be reimbursed up to 10 % in addition to its indicative maximum amount. There may be full flexibility between indicators capturing different levels of achievement of the same output or result.