ANNEX IISupplementary provisions
ANNEX II A. ERADICATION Text of image REQUEST FOR PAYMENT To be addressed to: SANTE-G5-EMERGENCY-PLANT-HEALTH@ec.europa.eu First submission For the period from DD/MM/YY to DD/MM/YY Outbreak reference MS/Pest/Year Region EUROPHYT Notification Contact person for this budget: Telephone: E-mail address Text of image Direct costs Total amount (In euro, VAT excluded) Eligible Measures Type Costs (labour costs, treatments, traps etc.) Eligible costs (Article 18(1) of Regulation (EU) No 652/2014) A. Operational cost occurring for the actions related to: 1. Cost of Personnel 2. Cost of Renting Equipment 3. Cost of Consumables 4. Cost of Materials 5. Treatment Products 6. Sampling 7. Laboratory Tests B. Cost of service contracts to execute part of the measures: 1. Service Contracts with third parties C. Costs of compensating the owners concerning the type of treatment: 1. Treatment 2. Destruction of Plants/Trees 3. Plant Products 4. Cleaning and Disinfection D. Other type of measures (please justify the type and cost) Sub-total: EUR — Overheads on direct costs, other than compensation (7 %) Sub-total: EUR — TOTAL Text of image Statement by the beneficiary This expenditure was actually incurred, accurately accounted for the above costs correspond to the resources employed for the work and those resources were reasonable and necessary for the work; 1. the costs were incurred and fall within the definition of eligible costs; 2. all supporting documents relating to the expenditure are available for inspection; 3. no other Union contribution was requested for this action and all revenue accruing from operations for this action is declared to the Commission; 4 control procedures apply, in particular to verify the accuracy of the amounts declared, to prevent, detect and correct irregularities. Date: Signature: Name of responsible: B. CONTAINMENT Text of image REQUEST FOR PAYMENT To be addressed to: SANTE-G5-EMERGENCY-PLANT-HEALTH@ec.europa.eu First submission For the period from DD/MM/YY to DD/MM/YY Outbreak reference MS/Pest/Year Region EUROPHYT Notification Contact person for this budget: Telephone: E-mail address Text of image Direct costs Total amount (In euro, VAT excluded) Eligible Measures Type Costs (labour costs, treatments, traps etc.) Eligible costs (Article 18(1) of Regulation (EU) No 652/2014) A. Operational cost occurring for the actions related to: 1. Cost of Personnel 2. Cost of Renting Equipment 3. Cost of Consumables 4. Cost of Materials 5. Treatment Products 6. Sampling 7. Laboratory Tests B. Cost of service contracts to execute part of the measures: 1. Service Contracts with third parties C. Costs of compensating the owners concerning the type of treatment: 1. Treatment 2. Destruction of Plants/Trees 3. Plant Products 4. Cleaning and Disinfection D. Other type of measures (please justify the type and cost) Sub-total: EUR — Overheads on direct costs, other than compensation (7 %) Sub-total: EUR — TOTAL Text of image Statement by the beneficiary This expenditure was actually incurred, accurately accounted for the above costs correspond to the resources employed for the work and those resources were reasonable and necessary for the work; 1. the costs were incurred and fall within the definition of eligible costs; 2. all supporting documents relating to the expenditure are available for inspection; 3. no other Union contribution was requested for this action and all revenue accruing from operations for this action is declared to the Commission; 4 control procedures apply, in particular to verify the accuracy of the amounts declared, to prevent, detect and correct irregularities. Date: Signature: Name of responsible: C. OTHER MEASURES Text of image REQUEST FOR PAYMENT To be addressed to: SANTE-G5-EMERGENCY-PLANT-HEALTH@ec.europa.eu First submission For the period from DD/MM/YY to DD/MM/YY Outbreak reference MS/Pest/Year Region EUROPHYT Notification Contact person for this budget: Telephone: E-mail address Text of image Direct costs Total amount (In euro, VAT excluded) Eligible Measures Type Costs (labour costs, treatments, traps etc.) Eligible costs (Article 18(1) of Regulation (EU) No 652/2014) A. Operational cost occurring for the actions related to: 1. Cost of Personnel 2. Cost of Renting Equipment 3. Cost of Consumables 4. Cost of Materials 5. Treatment Products 6. Sampling 7. Laboratory Tests B. Cost of service contracts to execute part of the measures: 1. Service Contracts with third parties C. Costs of compensating the owners concerning the type of treatment: 1. Treatment 2. Destruction of Plants/Trees 3. Plant Products 4. Cleaning and Disinfection D. Other type of measures (please justify the type and cost) Sub-total: EUR — Overheads on direct costs, other than compensation (7 %) Sub-total: EUR — TOTAL Text of image Statement by the beneficiary This expenditure was actually incurred, accurately accounted for the above costs correspond to the resources employed for the work and those resources were reasonable and necessary for the work; 1. the costs were incurred and fall within the definition of eligible costs; 2. all supporting documents relating to the expenditure are available for inspection; 3. no other Union contribution was requested for this action and all revenue accruing from operations for this action is declared to the Commission; 4 control procedures apply, in particular to verify the accuracy of the amounts declared, to prevent, detect and correct irregularities. Date: Signature: Name of responsible: