COSME Programme Proposal template European Strategic Cluster Partnerships for smart specialisation investments Administrative forms (Part A) Description of the Action (Part B) Detailed Budget template Version 1. 12 December 217 Disclaimer This document is aimed at informing potential applicants for EU funding. It serves only as an example. The actual Web forms and templates, provided in the online proposal submission system on the Participant Portal, might differ from this example. Proposals must be prepared and submitted via the Electronic Submission System under the Participant Portal.
HISTORY OF CHANGES Version Publication Date 1. 12.12.217 Initial version Change Page 2
EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises COSME Programme COSME Table of contents Section Title Action 1 General information 2 Participants & contacts 3 Budget 4 Call-specific questions Topic: Type of action: () Proposal number: Proposal acronym: Deadline Id: How to fill in the forms The administrative forms must be filled in for each proposal using the templates available in the submission system. Some data fields in the administrative forms are pre-filled based on the previous steps in the submission wizard. COSME-217.pdf-Ver 1. 217315 Page 1 of 9 Last saved 26/4/217 13:39:28
EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises COSME Programme Proposal ID Acronym Go to 1 - General information Topic Call Identifier Type of Action Deadline Id Acronym Proposal title* Duration in months Abstract Free keywords Max 2 characters (with spaces). Must be understandable for non-specialists in your field. Note that for technical reasons, the following characters are not accepted in the Proposal Title and will be removed: < > " & Estimated duration of the project in full months. Enter any words you think give extra detail of the scope of your proposal (max 2 characters with spaces). Short summary (max. 2, characters, with spaces) to clearly explain: the objectives of the proposal how they will be achieved their relevance to the work programme. Will be used as the short description of the proposal in the evaluation process and in communications with the programme management committees and other interested parties. Do not include any confidential information. Use plain typed text, avoiding formulae and other special characters. Remaining characters 2 COSME-217.pdf-Ver 1. 217315 Page 2 of 9 Last saved 26/4/217 13:39:28
EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises COSME Programme Proposal ID Declarations Acronym Go to 1) The coordinator declares that the information contained in this proposal is correct and complete. 2) The coordinator confirms: - to have carried out the self-check of the financial capacity of each organisation (when applicable)* on https://ec.europa.eu/research/participants/portal/desktop/en/organisations/lfv.html Where the result was weak or insufficient, the coordinator confirms that the applicants are aware of the measures that may be imposed in accordance with the Call for proposals' documents; and - to have explicit consent of all partners - including the coordination organisation - on their participation and the content of this proposal. 3) The coordinator confirms that: - all partners in the proposal are fully eligible in accordance with the exclusion and eligibility criteria set out in the specific call for proposals; and - that no partners are in one of the situations reffered to Article 16(1) and Art 17, 18, 19 of the Regulation (EU,Euratom) NO 966/212 of the European Parliament and of the Council of 25 October 212 on financial rules applicable to the general budget of the Union**. - all have the financial and operational capacity to carry out the proposed action; and in particular: - have the professional resources, competences and qualifications required to complete the proposed action. If the proposal is to be retained for EU funding, the applicant organisation(s) will be required to present a formal declaration in this respect. According to Article 131 of the Financial Regulation of 25 October 212 on the financial rules applicable to the general budget of the Union (Official Journal L 298 of 26.1.212, p. 1) and Article 145 of its Rules of Application (Official Journal L 362, 31.12.212, p.1) applicants found guilty of misrepresentation may be subject to administrative and financial penalties under certain conditions. Personal data protection The assessment of your grant application will involve the collection and processing of personal data (such as your name, address and CV), which will be performed pursuant to Regulation (EC) No 45/21 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies and on the free movement of such data. Unless indicated otherwise, your replies to the questions in this form and any personal data requested are required to assess your grant application in accordance with the specifications of the call for proposals and will be processed solely for that purpose. Details concerning the purposes and means of the processing of your personal data as well as information on how to exercise your rights are available in the privacy statement. Applicants may lodge a complaint about the processing of their personal data with the European Data Protection Supervisor at any time. Your personal data may be registered in the Early Detection and Exclusion system of the European Commission (EDES), the new system established by the Commission to reinforce the protection of the Union's financial interests and to ensure sound financial management, in accordance with the provisions of articles 15a and 18 of the revised EU Financial Regulation (FR) (Regulation (EU, EURATOM) 215/1929 of the European Parliament and of the Council of 28 October 215 amending Regulation (EU, EURATOM) No 966/212) and articles 143-144 of the corresponding Rules of Application (RAP) (COMMISSION DELEGATED REGULATION (EU) 215/2462 of 3 October 215 amending Delegated Regulation (EU) No 1268/212) for more information see the Privacy statement for the EDES Database). COSME-217.pdf-Ver 1. 217315 Page 3 of 9 Last saved 26/4/217 13:39:28
EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises COSME Programme Proposal ID Acronym Go to 2 - Administrative data of participating organisations PIC Legal name Short name: Address of the organisation Street Town Postcode Country Webpage Legal Status of your organisation Research and Innovation legal statuses Public body...unknown Legal person... unknown Non-profit...unknown International organisation...unknown International organisation of European interest...unknown Secondary or Higher education establishment...unknown Research organisation...unknown Enterprise Data SME self-declared status... unknown SME self-assessment... unknown SME validation sme... unknown Based on the above details of the Beneficiary Registry the organisation is not an SME (small- and medium-sized enterprise) for the call. COSME-217.pdf-Ver 1. 217315 Page 4 of 9 Last saved 26/4/217 13:39:28
EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises COSME Programme Proposal ID Acronym Go to Department(s) carrying out the proposed work Department 1 Department name not applicable Same as organisation address Street Please enter street name and number. Town Postcode Country Dependencies with other proposal participants Character of dependence Participant COSME-217.pdf-Ver 1. 217315 Page 5 of 9 Last saved 26/4/217 13:39:28
EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises COSME Programme Proposal ID Person in charge of the proposal Acronym Go to The name and e-mail of contact persons are read-only in the administrative form, only additional details can be edited here. To give access rights and basic contact details of contact persons, please go back to Step 4 of the submission wizard and save the changes. Title First name Sex Male Female Last name E-Mail Position in org. Please indicate the position of the Contact Point above in the organisation. Department Please indicate the department of the Contact Point above in the organisation Same as organisation Same as organisation address Street Town Post code Country Website Phone 1 +xxx xxxxxxxxx Phone 2 +xxx xxxxxxxxx Fax +xxx xxxxxxxxx COSME-217.pdf-Ver 1. 217315 Page 6 of 9 Last saved 26/4/217 13:39:28
EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises COSME Programme Proposal ID Acronym 3 - Budget for the proposal Go to Participant (A) Direct personnel costs/ (B) Other direct costs/ (C) Direct costs of sub-contracting/ (D) Indirect Costs / (=.7 * (A+B+C)) (E) Total estimated eligible costs (=A+B+C+D) (F) Maximum Reimbursement rate (%) (G) Maximum Grant =(E*F) (H) Requested grant / 1,, Total 1,, COSME-217.pdf-Ver 1. 217315 Page 7 of 9 Last saved 26/4/217 13:39:28
EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises COSME Programme Proposal ID 4 - Call specific questions Acronym Go to Applicant organisations participating in the proposal are established in EU Member States Countries participating in the COSME programme under art.6 of the COSME regulation (Up to date information regarding the countries that participate in COSME can be found at http://ec.europa.eu/enterprise/initiatives/cosme/index_en.htm) The coordinator confirms that The application is submitted by a fully or partly public or private body; if private body, it is properly constituted and registered under national law. Partners' organisations are corresponding to the following definition: cluster and business network organizations which can demonstrate that can provide or channel cluster and network support services to businesses in compliance with the definition given in the section 1.3 (s) on 'innovation clusters' and the description of eligible costs in Annex I of the new EU Framework for State Aid for Research and Development and Innovation" Legal entities having a legal or capital link with applicants, which is neither limited to the action nor established for the sole purpose of its implementation, may take part in the action as affiliated entities, and may declare eligible costs as specified in section 11.2 If other organisations are participating in the proposals as affiliated entities (cf section 6.1 of the call), these organisations have been mentioned as such in the part B (cf. Guide for applicant art.2.2.2) The minimum number of entities forming the consortium is equal/superior to 3 (i.e. cluster organizations or/and business networks) The cluster organisations or business networks come from at least 3 COSME participating countries (http://ec.europa.eu/enterprise/initiatives/cosme/index_en.htm) The cluster organizations and business networks should be registered on the European Cluster Collaboration Platform (http://www.clustercollaborationplatform.eu) Applicant consortia shall verify that their members are not part of another application under the same strand and not part of more than one application under the other strand COSME-217.pdf-Ver 1. 217315 Page 8 of 9 Last saved 26/4/217 13:39:28
EUROPEAN COMMISSION Executive Agency for Small and Medium-sized Enterprises COSME Programme Proposal ID Validation result Show Error Show Warning Acronym The red 'Show Error' button indicates an error due to a missing or incorrect value related to the call eligibility criteria. The submission of the proposal will be blocked unless that specific field is corrected! The yellow 'Show Warning' button indicates a warning due to a missing or incorrect value related to the call eligibility criteria. The submission of the proposal will not be blocked (proposal will be submitted with the missing or incorrect value). Go to Section Description The form has not yet been validated, click "Validate Form" to do so! COSME-217.pdf-Ver 1. 217315 Page 9 of 9 Last saved 26/4/217 13:39:28
Description of the Action (Technical annex 1) COSME Call for proposals: European Strategic Cluster Partnerships for smart specialisation investments COS-CLUSTPARTNS-217-3-2 Project acronym: Project duration (months): Start date: Coordinating organisation: Number of partners: Page 1 of 22
Structure All pages should be numbered. Each page should be headed with the project acronym and drafting date. Page 2 of 22
Section A: Project summary A.1 List of beneficiaries A.1.1 List of Participants Number Name Short name Country and region (i.e. NUTS 2 level) 1 (Coordinator) 2 Project entry month Project exit month 3 4 5 Add lines if necessary Page 3 of 22
A.2 Work Plan tables Detailed implementation A.2.1 List of Work Packages 1 WP Number WP Title Lead beneficiary Start month End month 1 2 3 Add lines if necessary A.2.2 List of Deliverables 2 Deliverable Number 1 2 Add lines if necessary Deliverable Title WP number Lead beneficiary Type 3 Dissemination level 4 Due date (in months) 1 Work package means a major sub-division of the proposed project 2 Deliverable means a distinct output of the project, meaningful in terms of the project s overall objectives, and constituted by a report, a document, a technical diagram, a software etc. 3 Please input R for reports and other documents, DEC for websites and videos and Other for other deliverables 4 Please input PU if public and CO if confidential (only for members of the consortium and Commission Services) Page 4 of 22
A.2.3 List of Milestones 5 Number Title Lead beneficiary Due date (in months) Description Work Package number 1 2 Add lines if necessary A.2.4 Critical Risks 6 Describe the critical risks and mitigating measures envisaged in the implementation of the action Number Brief Description Mitigation measures Work Package number 1 2 Add lines if necessary 5 Milestones means control points in the project that help to chart progress. Milestones may correspond to the completion of a key deliverable, allowing the next phase of the work to begin. They may also be needed at intermediary points so that, if problems have arisen, corrective measures can be taken. A milestone may be a critical decision point in the project where, for example, the consortium must decide which of several technologies to adopt for further development. 6 Critical risks are externalities which may affect the implementation of the action Page 5 of 22
Section B: Action: objectives, management structures and work plan B.1 Objectives of the Action B.1.1 Specific objective(s) of the Action Indicate how your proposal addresses the specific challenge and scope of the topic, as set out in the COSME work programme, notably how your proposed partnership would facilitate cluster cooperation in your proposed thematic area related to regional smart specialisation strategies or similar support and increase the involvement of industry in the context of the Smart Specialisation Platform for Industrial Modernisation. Describe the specific objectives for the project, which should be clear, measurable, realistic and achievable within the duration of the project. Objectives should be consistent with the expected exploitation and impact of the project. B.1.2. Target group/audience This section should describe to which target group(s) the activities are dedicated i.e. SMEs in general, SMEs in specific sector, regional authorities, sectoral organisations, etc. by making the link with the COSME work programme. B.1.3 Description of work methodology and tools Describe and explain the overall concept underpinning the project. Describe the main ideas, models or assumptions involved. Describe the methodology, tools and quality control criteria needed for the implementation of the proposed action by making the link with the different work packages. B.1.4 Performance Indicators Describe the indicators used to measure the implementation of the action, building upon those indicated in section 2.4 of the call for proposals (copied below) and adding further information and indicators for self-defined project-specific indicators, if necessary, related to the specific activities of your project. Title Brief Description Target (quantity) Number of resulting collaboration and innovation projects Impact of the joint activities of the partnership, to be measured by the number of resulting collaboration and innovation projects and the total amount of investments generated, including those Page 6 of 22
and the total amount of investments generated, including those mobilised in the context of the implementation of cluster policies and smart specialisation strategies Number of SMEs having directly and indirectly benefitted from the supported actions Number of cluster organisations, other business networks, technology centres and science parks from different COSME participating countries having benefitted directly and indirectly from the support actions Number of partnership agreements resulting from the supported actions Number of regions involved in the identification, preparation and testing of joint activities towards improving clusterspecific framework conditions as well as the number of firms from which mobilised in the context of the implementation of cluster policies and smart specialisation strategies Quality and impact of joint activities to strengthen interregional cluster cooperation, to be measured by the number of regions involved in the identification, preparation and testing of joint activities towards improving cluster-specific framework conditions as well as the number of firms from which concrete industry feed-back was gathered for this purpose Page 7 of 22
concrete industry feed-back was gathered for this purpose Number of bilateral meetings, joint events and deliverables that were either prepared in consultation with or directly feed input into other initiatives and key networks Number of stakeholders involved in peerreview meetings, workshops and related events Add further indicators for selfdefined projectspecific indicators, if necessary related to the specific activities of your project Quality and impact of synergies created with other relevant European, national or regional initiatives and key networks, notably the Smart Specialisation Platform for Industrial Modernisation, to be measured by the number of bilateral meetings, joint events and deliverables that were either prepared in consultation with or directly feed input into other initiatives and key networks Page 8 of 22
B.2. Management structure and procedures B.2.1 Organisational structure Explain how the profile of the proposed participant(s) is aligned with the objectives of the Action. For each partner list the documents providing a clear reference (e.g. title and page number with annexed extract of reference document and/or web link) to the official documents that demonstrate a relevant regional or national smart specialisation prioritisation or similar support from the regional or national authorities. Such official document can be the regional or national smart specialisation strategy submitted to the Commission or an extract of the regional list under the Eye@RIS tool of the Smart Specialisation Platform at http://s3platform.jrc.ec.europa.eu/map, in which the partnership member organisations are based in or, alternatively, a letter or similar document that clearly demonstrates the support from the national or regional authorities managing European Structural and Investment Funds to thematic area and/or the organisation participating in the consortium. Describe the organisational structure and the decision-making process within the consortium. Explain why the organisational structure and decision-making mechanisms are appropriate to the complexity and scale of the project. B.2.2 Operational/Technical Capacity: Skills, expertise and role of key staff involved in the project Participant No 1. 2. 3. Add further lines if necessary Name of the staff member Summary of relevant skills and experience Role in the project Allocation to the project (%) Page 9 of 22
B.2.3 Operational/Technical Capacity: previous projects and activities performed in the cluster area and connected to the policy field of this Call for Proposals Participant No 1 2. 3. Add lines if necessary The projects and activities listed should demonstrate the capacity of each partner to support the enhancement of collaboration, networking and learning in innovation clusters by providing or channelling specialised and customised businesses support services and/or by promoting sharing of facilities and exchange of knowledge and expertise to stimulate innovation activities, especially in SMEs, in compliance with the coverage of innovation clusters given in the sections 1.2, 1.3 and Annex I in the EU Framework for State Aid for Research and Development and Innovation. The projects and activities listed should relate to industrial modernisation and to the specific thematic area of your proposed partnership that were or are aimed at facilitating cluster cooperation within Europe, or to projects and activities supported under COSME and its predecessor CIP, the EU's Research and Innovation Framework Programme (Horizon22, FP7, FP6) or the European Structural and Investment Funds, notably cross-border, transnational and interregional cluster collaboration projects funded under INTERREG. Name of the project/activity Role of the partner in the project and description of the project Project duration Area of activity in the project Page 1 of 22
B.3 Work Plan 7 Work Package 1. Title WP. 1.1 Objectives of the Work Package Describe the specific objectives of the action that will be achieved through this Work Package WP.1.2 Description of the Work Package Describe the specific tasks comprised in this work package WP.1.3 Participants Involved in the Work Package Participant No 8 Role Main tasks WP Effort (persons/month) 9 Add lines if needed WP Leader 7 Should you have more than 2 Work Packages, please copy/paste a Work Package s structure as many times as necessary. 8 Applicants shall include one line per Consortium partner involved in the WP. 9 Person-months factors help to determinate the effort which is necessary to make a certain action done (Work Packages). To calculate it, multiply the total number of hours allocated to the relevant WP by 12 and divide the result by 172. For instance, if 35 working hours are allocated to member of the staff X and 51 working hours are allocated to member of the Staff Y, the person-months of that work package is 6. ((35+51)*12)/172 Page 11 of 22
WP.1.4 Subcontracting Describe whether any of the tasks in the Work Package would be subcontracted and explain how the subcontractor will be selected WP.1.5 Performance Indicators List the indicators used to measure the implementation of this work package by making the link with section B. 1.4 Title Brief Description Target (quantity) Add lines if necessary WP.1.6 Planned effort Proposals must include an aggregated overview on planned efforts (person-months). To facilitate the reading of the table, it is important to break-down the project. Please follow the structure below: Start month: End month : Participant No 1 Role in the project Total person-months WP Coordinator (e.g. Communications Officer) (e.g. Expert) Add lines if necessary 1 Applicants shall include one line per category of staff involved in the project (e.g. coordinator, communication officer, expert, etc.). Consequently, more than one line may be necessary for each Consortium partner involved in the WP. Page 12 of 22
Work Package 2. Title WP.2.1 Objectives of the Work Package Describe the specific objectives of the action that will be achieved through this Work Package WP.2.2 Description of the Work Package Describe the specific tasks comprised in this work package WP.2.3 Participants Involved in the Work Package Participant No Role Main tasks WP Effort (persons/month) Add lines if needed WP.2.4 Subcontracting WP Leader Describe whether any of the tasks in the Work Package would be subcontracted and explain how the subcontractor will be selected WP.2.5 Performance Indicators List the indicators used to measure the implementation of this work package by making the link with section 1.4 Title Brief Description Target (quantity) Add lines if necessary Page 13 of 22
WP.2.6 Planned effort Proposals must include an aggregated overview on planned efforts (person-months). To facilitate the reading of the table, it is important to break-down the project. Please follow the structure below: Start month: End month : Participant No Role Total person-months WP Coordinator (e.g. Communications Officer) (e.g. Expert) Add lines if necessary CONTENT OF ANNEXED SHEETS TO DESCRIPTION OF THE ACTION Annex 1: Form to be completed by cluster organisations or business network organisations registered on the ECCP Annex 2: Declaration on honour and descriptive form for cluster organisations or business network organisation with a pending ECCP registration Annex 3: Declaration on honour for technology centres or science parks Annex 4: Eligibility Sheet Annex 5: Information Sheet Page 14 of 22
Annex 1: Form to be completed by cluster organisations or business network organisations registered on the ECCP Descriptive fiche to be completed by each cluster organisation or business network organisation already registered on the European Cluster Collaboration Platform (ECCP). Name of cluster organisation or business network organisation: ECCP profile link: Please copy/paste below the information concerning the sectoral and industrial focus of your organisation from your cluster profile at the ECCP website. SECTORAL AND INDUSTRAL FOCUS Sectoral industries represented by the cluster: Technological fields S3 EU priority areas Emerging industries: Areas of specialisation of the cluster not covered above (optional) Page 15 of 22
Annex 2: Declaration on honour and descriptive form for cluster organisations or business network organisation with a pending ECCP registration To be completed by each cluster organisation or business network organisation not yet registered on the European Cluster Collaboration Platform (ECCP). Are you a cluster organisation or business network organisation that supports the enhancement of collaboration, networking and learning in innovation clusters by providing or channelling specialised and customised business support services to stimulate innovation activities, especially in SMEs, in line with the coverage of innovation clusters under sections 1.2 and 1.3 and Annex I in the "EU Framework for State Aid for Research and Development and Innovation"? 11 Yes No Have you submitted a request for registration of your cluster profile on the ECCP? Yes, it is pending Yes, but it was rejected No Name of cluster organisation or business network organisation: 11 According to point 15(s) of this Commission Communication (214/C 198/1), an innovation cluster means structures or organised groups of independent parties (such as innovative start-ups, small, medium and large enterprises, as well as research and knowledge dissemination organisations, non-for-profit organisations and other related economic actors) designed to stimulate innovative activity by promoting sharing of facilities and exchange of knowledge and expertise and by contributing effectively to knowledge transfer, networking, information dissemination and collaboration among the undertakings and other organisations in the cluster. Point 12(e) also identified aid for innovation clusters as a State aid measure that may, under specific conditions, be compatible with the internal market. This includes supporting the investment in open and shared infrastructures for innovation clusters, and supporting, for no longer than 1 years, the operation of clusters for the enhancement of collaboration, networking and learning. Its annex I on eligible costs further clarifies that operating aid to this effect covers personnel and administrative costs relating to the (a) animation of the cluster to facilitate collaboration, information sharing and the provision or channelling of specialised and customised business support services; (b) marketing of the cluster; (c) management of the cluster s facilities; and (d) knowledge sharing and networking and transnational cooperation. See: http://eurlex.europa.eu/legal-content/en/txt/pdf/?uri=celex:5214xc627(1)&from=en Page 16 of 22
Year of establishment : Number of employees in the cluster organisation : Cluster Excellence Label : Legal form of organisation: Membership to European Strategic Cluster Partnership (ESCP-4i): Membership to other networks/partnerships: SECTORAL AND INDUSTRAL FOCUS Sectoral industries represented by the cluster: Technological fields S3 EU priority areas Page 17 of 22
Emerging industries: Areas of specialisation of the cluster not covered above (optional) COMPOSITION OF THE CLUSTER Total Number of members of the cluster: Number of SME members of the cluster: CLUSTER STRATEGY Mission/Objectives: Do you have formalized a strategy? Yes No N/A Page 18 of 22
Do you have specific strategy focus that addresses internationalisation? Yes No N/A TRANS-NATIONAL COOPERATION Main countries addressed by the cluster organisation through trans-national activities, (maximum 5 European/COSME countries): Page 19 of 22
Annex 3: Declaration on honour for technology centres or science parks To be completed by each technology centre or science park. Are you a technology centre or science park that supports the enhancement of collaboration, networking and learning in innovation clusters by providing or channellings specialised and customised business support services to stimulate innovation activities, especially in SMEs, and/or by promoting sharing of facilities and exchange of knowledge and expertise, in line with the coverage of innovation clusters in sections 1.2 and 1.3 and Annex I in the "EU Framework for State Aid for Research and Development and Innovation"? 12 Yes No Name of organisation: www-address: 12 According to point 15(s) of this Commission Communication (214/C 198/1), an innovation cluster means structures or organised groups of independent parties (such as innovative start-ups, small, medium and large enterprises, as well as research and knowledge dissemination organisations, non-for-profit organisations and other related economic actors) designed to stimulate innovative activity by promoting sharing of facilities and exchange of knowledge and expertise and by contributing effectively to knowledge transfer, networking, information dissemination and collaboration among the undertakings and other organisations in the cluster. Point 12(e) also identified aid for innovation clusters as a State aid measure that may, under specific conditions, be compatible with the internal market. This includes supporting the investment in open and shared infrastructures for innovation clusters, and supporting, for no longer than 1 years, the operation of clusters for the enhancement of collaboration, networking and learning. Its annex I on eligible costs further clarifies that operating aid to this effect covers personnel and administrative costs relating to the (a) animation of the cluster to facilitate collaboration, information sharing and the provision or channelling of specialised and customised business support services; (b) marketing of the cluster; (c) management of the cluster s facilities; and (d) knowledge sharing and networking and transnational cooperation. See: http://eurlex.europa.eu/legal-content/en/txt/pdf/?uri=celex:5214xc627(1)&from=en Page 2 of 22
Annex 4: Eligibility Sheet Compliance with the specific criteria for eligible consortia as outlined in section 6.2 of the Call for Proposals A. minimum number of entities forming the consortium: at least three different organisations: 1. 2. 3. B. minimum geographical coverage: three different EU Member States or countries participating in the COSME programme: 1. 2. 3. C. minimum one cluster organisation or business network organisation for each represented region Region 1: Region 2: Region 3: Expand according to the number of regions represented D. minimum one organisation established in a region classified as 'less developed' or 'in transition', according to the mapping proposed for Structural Funds eligibility for the period 214-22 13 1. E. each partner has completed one of the three annexes (1, 2 and 3) in the Description of the Action that applies to them. Yes/No 13 http://ec.europa.eu/regional_policy/sources/what/future/img/eligibility21422.pdf Page 21 of 22
Annex 5: Information Sheet Declaration as to submission of one proposal 14 I, coordinator of proposal (please insert number of proposal and acronym) am fully aware and declare to have understood point 6.2 of the call according to which: One applicant organisation can participate in one application only. Applicant consortia must verify that their members are not part of another application. 15 Nevertheless, if this would happen, the concerned organisation will be excluded from all the proposals it applied. The respective consortia affected by the exclusion of (a) partner(s) must still fulfil the eligibility criteria as stipulated in sections 6.1 and 6.2 in order to be considered eligible. I agree to take steps to ensure that all partners of my consortium are aware of and adhere to this condition. Full name Date Signature 14 To be signed by the consortium co-ordinator. 15 Consortium coordinators are requested to take appropriate measures to ensure that no partner in their proposal participates in more than one proposal under this call. Page 22 of 22
Proposal identification number (to be inserted by the Executive Agency for Small and Medium-sized Enterprises - EASME) Full title of the proposed action Call for proposals - COSME Template for detailed budget (Technical Annex 2) European Strategic Cluster Partnerships for smart specialisaiton investments - COS-CLUSPARTNS-217-3-2 Acronym of the proposed action Proposal Cover Sheet Instructions on how to fill in this budget form can be found in the sheet "Reference Numbers" (at the end of this file). Please, read also carefully the Call for Proposals for further details on costs eligibility. PartB_Technical_Annex_2_detailed_budget.xlsx Page 1 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) Table 1: Cost summary in EUR European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Participant No. 1 Participant Organisation short name 2 (A) Direct personnel costs 3 A1- Employees or equivalent A2- Natural persons under direct contract and seconded persons (B) Direct costs of subcontracting 4 Eligible Direct Costs (C) Direct costs of financial support (not applicable) D1- Travel costs and subsistence allowances for personnel 5 (D) Other direct costs D2- Depreciation cost of equipment 6 D3- Costs of other goods and services 7 Eligible Indirect Costs (E) Indirect costs 8 Total Eligible Costs (F) Total estimated eligible costs (A+B+C+D+E) (G) Reimbursement rate (%) 9 EU Contribution (H) Maximum EU contribution 1 1 75 2 75 3 75 4 75 5 75 6 75 7 75 8 75 9 75 1 75 11 75 12 75 13 75 14 75 15 75 16 75 17 75 18 75 19 75 2 75 (I) Requested grant 11 TOTAL 75
Executive Agency for Small and Medium-sized Enterprises (EASME) Table 2: Revenue summary in EUR European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Participant No. Organisation short name (I) Requested Grant (J) Applicants contribution (K) Financial contribution by third parties 12 (L) Income generated by the action 13 (M) Total revenue (I+J+K+L) 1 2 3 4 5 6 7 8 9 1 11 12 13 14 15 16 17 18 19 2 TOTAL
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Coordinator Organisation short name Direct staff costs Employee or equivalent Participant No 1 Participant Role 14 CC Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner, etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs International travels National travels Depreciation cost of equipment Total [EUR] Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 4 of 82
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Organisation short name Data Coordinator Participant No 1 Participant Role CC Costs of other goods and services Description Work package no. Total [EUR] Subcontracting Name of sub-contractor Country Description Work package no. Total [EUR] Total eligible direct costs: Page 6 of 82
Total eligible costs: Page 7 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Partner 2 Organisation short name Participant No 2 Participant Role 14 CP Direct staff costs Employee or equivalent Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Depreciation cost of equipment Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs Total [EUR] International travels National travels Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 8 of 82
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Data Partner 2 Organisation short name Participant No 2 Participant Role CP Costs of other goods and services Description Work package no. Total [EUR] Subcontracting Name of sub-contractor Country Description Work package no. Total [EUR] Total eligible direct costs: Page 1 of 82
Total eligible costs: Page 11 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Partner 3 Organisation short name Participant No 3 Participant Role 14 CP Direct staff costs Employee or equivalent Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner, etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Depreciation cost of equipment Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs Total [EUR] International travels National travels Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 12 of 82
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Data Partner 3 Organisation short name Participant No 3 Participant Role CP Costs of other goods and services Description Work package no. Total [EUR] Subcontracting Name of sub-contractor Country Description Work package no. Total [EUR] Total eligible direct costs: Page 14 of 82
Total eligible costs: Page 15 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Partner 4 Organisation short name Participant No 4 Participant Role 14 CP Direct staff costs Employee or equivalent Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner, etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Depreciation cost of equipment Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs Total [EUR] International travels National travels Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 16 of 82
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Data Partner 4 Organisation short name Participant No 4 Participant Role CP Costs of other goods and services Description Work package no. Total [EUR] Subcontracting Name of sub-contractor Country Description Work package no. Total [EUR] Total eligible direct costs: Page 18 of 82
Total eligible costs: Page 19 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Partner 5 Organisation short name Participant No 5 Participant Role 14 CP Direct staff costs Employee or equivalent Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner, etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Depreciation cost of equipment Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs Total [EUR] International travels National travels Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 2 of 82
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Data Partner 5 Organisation short name Participant No 5 Participant Role CP Costs of other goods and services Description Work package no. Total [EUR] Subcontracting Name of sub-contractor Country Description Work package no. Total [EUR] Total eligible direct costs: Page 22 of 82
Total eligible costs: Page 23 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Partner 6 Organisation short name Participant No 6 Participant Role 14 CP Direct staff costs Employee or equivalent Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner, etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Depreciation cost of equipment Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs Total [EUR] International travels National travels Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 24 of 82
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Data Partner 6 Organisation short name Participant No 6 Participant Role CP Costs of other goods and services Description Work package no. Total [EUR] Subcontracting Name of sub-contractor Country Description Work package no. Total [EUR] Total eligible direct costs: Page 26 of 82
Total eligible costs: Page 27 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Partner 7 Organisation short name Participant No 7 Participant Role 14 CP Direct staff costs Employee or equivalent Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner, etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Depreciation cost of equipment Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs Total [EUR] International travels National travels Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 28 of 82
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Data Partner 7 Organisation short name Participant No 7 Participant Role CP Costs of other goods and services Description Work package no. Total [EUR] Subcontracting Name of sub-contractor Country Description Work package no. Total [EUR] Total eligible direct costs: Page 3 of 82
Total eligible costs: Page 31 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Partner 8 Organisation short name Participant No 8 Participant Role 14 CP Direct staff costs Employee or equivalent Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner, etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Depreciation cost of equipment Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs Total [EUR] International travels National travels Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 32 of 82
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Data Partner 8 Organisation short name Participant No 8 Participant Role CP Costs of other goods and services Description Work package no. Total [EUR] Subcontracting Name of sub-contractor Country Description Work package no. Total [EUR] Total eligible direct costs: Page 34 of 82
Total eligible costs: Page 35 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Partner 9 Organisation short name Participant No 9 Participant Role 14 CP Direct staff costs Employee or equivalent Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner, etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Depreciation cost of equipment Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs Total [EUR] International travels National travels Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 36 of 82
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Data Partner 9 Organisation short name Participant No 9 Participant Role CP Costs of other goods and services Description Work package no. Total [EUR] Subcontracting Name of sub-contractor Country Description Work package no. Total [EUR] Total eligible direct costs: Page 38 of 82
Total eligible costs: Page 39 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Partner 1 Organisation short name Participant No 1 Participant Role 14 CP Direct staff costs Employee or equivalent Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner, etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Depreciation cost of equipment Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs Total [EUR] International travels National travels Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 4 of 82
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Data Partner 1 Organisation short name Participant No 1 Participant Role CP Costs of other goods and services Description Work package no. Total [EUR] Subcontracting Name of sub-contractor Country Description Work package no. Total [EUR] Total eligible direct costs: Page 42 of 82
Total eligible costs: Page 43 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Partner 11 Organisation short name Participant No 11 Participant Role 14 CP Direct staff costs Employee or equivalent Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner, etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Depreciation cost of equipment Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs Total [EUR] International travels National travels Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 44 of 82
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Data Partner 11 Organisation short name Participant No 11 Participant Role CP Costs of other goods and services Description Work package no. Total [EUR] Subcontracting Name of sub-contractor Country Description Work package no. Total [EUR] Total eligible direct costs: Page 46 of 82
Total eligible costs: Page 47 of 82
Executive Agency for Small and Medium-sized Enterprises (EASME) European Strategic Cluster Partnerships for smart specialisaiton investments COS-CLUSPARTNS-217-3-2 Data Partner 12 Organisation short name Participant No 12 Participant Role 14 CP Direct staff costs Employee or equivalent Name of the staff and category (e.g. senior expert, expert, junior expert, SME owner, etc.) 15 Hours on Project 16 (A) Hourly Rate 17 (B) Direct Staff costs (AxB) Natural persons under direct contract and seconded persons Depreciation cost of equipment Total direct staff costs Travel costs and subsistence allowances for personnel Number of travels Average travel and subsistence costs Total [EUR] International travels National travels Period of Description Work Package no. Cost/value months Depreciati % Allocation to the used for on months project Total [EUR] project C A B D (A/B)xCxD Page 48 of 82