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Typewritten Text

18 August 2015 - Attachment 8.2.1

Government of Western AustraliaDepartment of Sport and Recreation

Office Use Only

TRIM:

Grant No:

Project Coordinator.

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You MUST discuss your project with an officer from your nearest Department of Sport and Recreation officebefore completing and submitting your application. Failure to do so will render your project ineligible.

All applications MUST be submitted to your local government. Contact your local government to determinethe cut off date for the submission of applications.

DSR Contact: BRENT SHERIDAN (REGIONAL OFFICER) Date: 3 MARCH 2015 Office: ALBANY

Applicant's Details:

Organisation Name:

Postal Address:

Suburb: DENMARK

Street Address:

Suburb: DENMARK

DENMARK COUNTRY CLUB

PO BOX 61

State: WA Postcode:

951 SOUTH COAST HIGHWAY

State: WA Postcode:

6333

6333

Preferred Contact Person:All applk:ation correspondence will be directed to this person

Name: HEATHER FALCONER

Position Hetd:

Business Phone;

Mobile Phone:

Title: Dr DMr DMrsD MsQ

TREASURER, DENMARK COUNTRY CLUB, TENNIS SECTION

08 9848 1344 Facsimile:

Email; heathernpip@westnet.com. au

Organisation Business Details:

Does your organisation have an ABN?

Is your organisation registered for GST?

Is your organisation not-for-profft?

is your organisation incorporated?

Bank details;

Yes

Yes

Yes

Yes

No D

No a

No D

No D

Bank: NAB

ABN: 79171 9461413

^

Note, in order to be eligifaie for funding you mustattach a copy of e Incorporation Certificate. LGAsExempt

Incorporation #: A05400421*

BSB: 086595 A/c: 50831 5310

Local Government Authority Details;

LGA: SHIRE OF DENMARK

Contad:

Position Held:

Business Phone;

Mobile Phone:

DAMIAN SCHWARZBACH

MANAGER RECREATION & YOUTH SERVICES

08 9848 2044 Facsimile:

Emai):

Title: Dr DMr v MrsD MsQ

08 9848 2736

d en rec@ denm ark.wa. g ov. a u

Curwho'le

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Project Ctescription:

CONSTRUCT DOUBLE SIDED TENNIS PRACTICE WALL WHICH ALLOWS SEVERAL PLAYERS ACCESS ATTHE SAME TIME.

PRACTICE WALL WILL BE LOCATED ADJACENT TO THE EXISTING TENNIS COURTS, OUTSIDE THEFENCED AREA SO IT IS ACCESSIBLE AT ALL TIMES.

How did you establish a need for your project?

THE DENMARK COUNTRY CLUB - TENNIS SECTION HAS D(PERIENCED AN INCREASING MEMBERSHIPOVER THE PAST FIVE YEARS, INCLUDING AN INCREASE IN JUNIOR MEMBERS FROM 40 IN 2012 TO 75 IN2015.

ESTABLISHING THE TENNIS HOTSHOT PROGRAM HAS DRAMATICALLY INCREASED JUNIORPARTICIPATION. CLOSE LIAISON WITH LOCAL SCHOOLS SHOULD ENSURE CONTINUED EXPANSION ASWELL AS HAVING SCHOOLS USE THESE FACILITIES FOR SCHOOL SPORTS PROGRAMS.

A CORPORATE COMPETITION IN SUMMER HAS ENGAGED WORKERS AFTER HOURS. A NUMBER HAVESINCE JOINED THE CLUB. THIS HAS PROVED POPULAR AND HAS BECOME A FIXTURE IN THE TENNISCALENDAR.

THE EXISTING COURT SPACE CONSISTS OF 8 COURTS IN A FENCED AREA. DURING A NORMAL CLUBEVENT, ALL EIGHT COURTS ARE FULLY SUBSCRIBED AND THERE IS NO ACCESS TO WARM UP SPACEOR AREAS FOR COACHING AND TRAINING.

THE CLUB OFFERS COACHING CLINICS FOR JUNIOR MEMBERS. COACHING CLINICS OFTEN UTILISE ALLOF THE COURT SPACE, WITH NO ADDITIONAL SPACE FOR JUNIORS TO PRACTICE. OFTEN JUNIORSWILL PRACTICE THEIR SKILLS ON THE LAWN SURROUNDING THE COURTS. CREATING SAFETY ISSUESWITH THE ADJOINING GOLF COURSE. JUNIORS DON'T HAVE ACCESS TO SUITABLE FACILITIES OUTSIDEOF STRUCTURED LESSONS TO PRACTICE THEIR SKILLS.

THERE ARE NO TENNIS PRACTICE FACILITIES ACCESSIBLE TO THE DENMARK COMMUNITY. UNLESSPARTICIPANTS ARE MEMBERS OF A CLUB OR PAY HIRE FEES TO ACCESS A COURT. THERE IS NOABILIT/ FOR THEM TO PRACTICE THEIR SKILLS. A PRACTICE WALL WHICH IS FREE AND OPEN TO THECOMMUNITY DURING DAY LIGHT HOURS WILL PROVIDE A FLEXIBLE SOLUTION TO A GROWINGCOMMUNirr NEED.

Project location: DENMARK COUNTRY CLUB, ADJACENT TO EXISTING TENNIS COURTS

Land ownership:Who owns the land on which your facility will be located? DENMARK SHIRE

Lease Expiry (if applicable):

Planning approvals APPLICATION CURRENTLY WITH SHIRE If no, provide the date it will be applied for:

Where applicable, has planning permission been granted?(LGA) Yes >< No

Department of Aboriginal Affairs? Yes QNo

Departmentof Parks and Wildlife? (Environmental, SwanRiver) Yes DNo

Native yegetatipn Clearing Permit? Yes QNo

Please list any other approvals that are required?

D

a

/ /

/ /

_/__/

/ /

/ /LETTER OF SUPPORT FROM DENMARK COUNTRY CLUB Yss ./ No(ATTACHED)

How will your project increase physical activity?

THE CONSTRUCTION OF A PRACTICE WALL WILL PROVIDE ALL PIAYERS WITH A SPACE TO PRACTICEAND IMPROVE THEIR SKILLS. THIS IS AN IMPORTANT STRATEGY TO KEEP JUNIOR PLAYERSDEVELOPING AND ENGAGED WITH THE SPORT.

THE CLUB AIMS TO USE THE WALL TO HELP DEVELOP JUNIOR PLAYER SKILLS AND TO GIVE THEMSPACE TO PRACTICE WHEN THE COURTS ARE FULL. THE WALL WILL ALSO ENABLE PLAYERS A SPACETO WARM UP PRIOR TO COMPETING IN TOURNAMENTS, HELPING REDUCE THE RISK OF INJURY.

THE WALL WILL BE SITUATED OUTSIDE THE FENCED COURT SPACE, PROVIDING FREE, OPEN ACCESSFOR THE COMMUNITY AT ALL TIMES. THIS WILL ENCOURAGE PEOPLE INTO THE COUNTRY CLUB SPACEAND HELP TO DRAW NEW MEMBERS TO THE CLUB. IT ALSO GIVES PEOPLE AN OPPORTUNITY TOPARTICIPATE IN THE SPORT WITHOUT A PLAYING PARTNER AND WILL SUIT PEOPLE WHO CANNOTATTEND CLUB EVENTS DUE TO OTHER COMMITMENTS.

Our whole

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THE PRACTICE SPACE WILL BE THE ONLY OPENLY ACCESSIBLE TENNIS FACILITf OF ITS TYPE INDENMARK.

PROMOTE USE OF DENMARK COUNTRY CLUB FACILITIES WHICH OFFER A CONVIVIAL SOCIAL ANDPHYSICAL ENVIRONMENT FOR THE COMMUNITY.

INCREASED MEMBERSHIP STRENGTHENS THE ABILITY OF THIS CLUB TO PROVIDE SPORT & SOCIALAMENITIES FOR THE WHOLE DISTRICT

Do you share your facility with other groups? Yes ^DENMARK COUNTRY CLUB GOLF SECTION

No D If so, who:

List the main sport and recreation activities (maximum of 3) which will benefit from your proposal. Please indicate theapproximate % usage of the facility (or part of the facility relating to this proposal).

Sport/community organisation

LOCAL SCHOOLS

JUNIOR TENNIS HOTSHOTS COACHING

JUNIOR & SENIOR REGIONAL TOURNAMENTS

% use of the facility Hours per week

20

20

60

1'W I ST6HR, 4'" & 1s' TERMS (projected)

3HR, 4m & 1ST TERMS

22HR

Actjvity/sport membership numbers over the past three years relevant to your project. For example, if a bowls project,golf members not relevant; social membership numbers not applicable.

Note: if membership is not applicable, ie recreation facility or aquatic centre, enter the number of users of the facility.2012/13 190 (inct 40 juniors) 2013f14 200 (incl 68 juniors) 2014/15 230 (incl 75 juniors)

State Sporting Assodations are involved in the assessment of applications and may be able to provide valuableinfbmnation when planning you project, particularly in relation to technical design issues. They should be consulted aspart of the application process. A complete list of State Sporting Associations and their contact details are is available onthe department's website: http://www. dsr. wa. aov. au/contact-us/find-a-soort-or-recreation-associaSpn

What is the name of the State Sporting Association for your activity/sport?

TENNIS WEST

Have you discussed your project with your State Sporting Association? Yes >^ No D

Contact Name: Alex Gerachty Date of contact: May 2015

IQI@

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Please indicate key milestones of your project. The key milestones need to be realistic anddemonstrate that the project can be delivered in the timeframe.

Task

Attainment of Council approvals

Preparation of tender/quotes for themajor works contract

Issuing of tender for major works

Signing of major works contract

Site works commence

Construction of project starts

Project 50% complete

Project Completed

Project hand over and acquittal

Date

JULY 2015

OCT 2015 (WITH DSR FUNDING)

NOV 2015

NOV 2015

NOV 2015

DEC 2015

DEC 2015

DEC 2015

JAN 2016.

Are there any operational constraints that would impact on the construction phase of yourproject? (such as your sporting season, major annual event or inclement weather) - provide details.ONLY SHORT DELAYS FOR INCLEMENT WEATHER DURING WINTER. (ANTICIPATED THATFUNDING APPROVAL FINALISES IN SPRING, SO UNLIKELY TO BE A PROBLEM)

Grant payments are payable to the applicanVgrantee only. This may have taxation implications for grantees.If grantees wish specific advice relating to their grant, this can be obtained from the Australian TaxationOffice (ATO). Please note depending upon the value of the project and/or grant, the ATO may require anorganisation be registered for GST. If the applicant is registered for GST, the grant is grossed up with theGST amount.

v 'AT liT ^.E'^'

TheOrganisation acknowledges and agrees that this Application and information regarding it is subject tothe Freedom of Information Act 1992 and that the Grantor may publicly disclose information in relation to thisApplication, including its terms and the details of the Organisation.

Any information provided by you to DSR can be accessed by you during standard office hours and updatedby writing to DSR or calling (08) 9492 9700, All information provided on this form and gathered throughoutthe assessment process will be stored on a database that will only be accessed by authorised departmentalpersonnel and is subject to privacy restrictions.

DSR may wish to provide certain information to the media for promotional purposes. The information will onlyinclude the applicant's club name, sport, location, grant purpose and grant amount.

APPLICANT'S CERTIFICATION

I certify that the information supplied is to the best of my knowledge, true and correct.

Name: HEATHER FALCONER

PositionHeld:

Signature:

Date:

Ovr who-Ee

DENMARK COUNTRY CLUB, TENNIS SECTION TREASURER

-^ o... -^. C-^' (V..a.

29T July 2015

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» Applications are to be received in hard copy and should be clipped at the top left-hand corner, pleasedo not bind. ln addition to the hard copy anelectronic copy is encouraged to be provided.

« It is recommended that you photocopy your completed application form, including attachments foryour own records and future audit purposes.

. All attachments and supporting documentation (see next section) should be clearly identified andsecurely attached to the application form.

« Applications must be submitted to your Loca! Government Authority by the Local Government'sadvertised cut-off date to ensure inclusion at the relevant Council Meeting.

The following documentation must be induded with your application. Applicants may wish toadditional RELEVANT information.

^ Application form.

>/ Incorporation Certificate.

^ Two written quotes.

»' If your project involves the upgrade of an existing facility, include photograph/s of this facility.^ Locality map, site map and building plans (in relevant constructions projects), including where

the proposed facility is located in relation to other sport and recreation infrastructure.1/ ncome a"dexPenditure statements for the current and next financial years. (LGAs exempted).^ Written confirmation of financial commitments from other sources including copies of council

minutes (If a club is contributingfinancially then evidence of their cash at hand must be provided)For resurfacing projects, a written guarantee from the supplier of the product that cleariy identifiesthe product's life expectancy.

^ Itemised project cost for components and identified on the relevant quote for each (includingcost escalation).Forfloodlighting projects, a lighting plan must be supplied showing lux, configuration andsufficient power supply

Your application will be considered not eligible if:

. You have not discussed your project with the Department of Sport and Recreation and your StateSporting Association.

» You do not meet the eligibility criteria for the grant category to which you are applying.» You have not included with your application all the relevant required supporting documentation. There is

no onus on department staff to pursue missing documentation.

° ^lic:.a"t.s/l?r°je':;ts that haye received a CSRFF grant in the past and have not satisfactorily acquittedthat grant. In some cases this may apply to localities where other significant projects have not beenPro9rsssed or have not completed a previous project in accordance with the conditions of the grantprovided. An assessment will be made and if no physical progress has occurred, new applications maynot be recommended.

» It is not on the correct application form.

« The project for which application is made is specifically excluded from receiving CSRFF support.

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If you applied for a CSRFF grant for more than one third of the cost of the project, please provide evidenceof meeting at least one of the following criteria.

You MUST contact your local DSR office to determine eligibility before applying.

DetailsCategory

Geographical iocation

Co-location

i-)

j_jRegional/remote iocation[Growth local government

[_]New[_JExisting

Sustainability initiative QEnergy reductionQother

|New partldpantsQExisting participants -

Increased participation higher levelQspecial interestQOther

ife

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ase i?.mtse the COmPorlente of your project in the table below, indicating their cost and which quote or part of quote was used to estimate this. Quantity Surveyorcosts will be accepted however the responsibility lies with the applicant to ensure the validity of the information. A contingency allowance is considered an acceptablecomponent.

Project Description(detailed breakdown of project to be supplied

$CostexGST $ Cost inc GST Quote Uswl(list company name and quote no)

DOUBLE SIDED TENNIS PRACTICE WALL

NEWMAN'S CONCRETE 12, 727. 00 14,000.00 NEWMAN'S CONCRETE, DENMARK TENNIS CLUB

Donated materials(P!ease provide cost breakdown) 700.00 700. 00 SAND FOR BASE & SAFETY NETTING

Volunteer labour(Please provide cost breakdown) 800.00 800. 00 LEVEL & COMPACT SAND, INSTALL NETTING

Sub Total

Cost escalation 455.00 500.00 VARIANCE FROM ORIGINAL ESTIMATES

a) Total project expenditure 14, 682. 00 16,000.00

At least two written quotes are required for each component.If your project is a floodlighting installation or upgrades, please ensure that the power supply is sufficient and no upgrade will be required. If upgrade is requiredand not budgeted for, the grant will immediately be withdrawn. A lighting plan must be supplied showing lux and configuration.Projects that do not meet Australian Standards are ineligible for funding.

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Source of funding$ AmountexGST

$ AmQuntInc GST

Fundingconfimied Y

/N

Comments tosupport claim(please attachrelevant support)

Local government 4, 545. 50 5, 000. 00LGA cash and in-kind

Applicant cash 4, 091.00 4, 500. 00 Organisation'scash

Y

ATTTACHEDLETTER FROMDENMARKCOUNTRY CLUB,PLUS FUNDSRAISED FORPROJECT

Volunteer labour 1,000.00 1, 000. 00

Cannot exceedapplicant cash andtGA contribution -max $50, 000

Y

ATTTACHEDLETTER FROMDENMARKCOUNTRY CLUB

Donated materials 500.00 500. 00Cannot exceedapplicant cash andLGA contribution

Y

ATTTACHEDLETTER FROMDENMARKCOUNTRY CLUB

Other StateGovernment fundingFederal GovernmentfundingOther funding -to belisted

Loans,

sponsorship etc

CSRFF requested 4, 545. 50 5, 000. 00 up to 1f3 projectcost

Development Bonus Up to % projectcost

b) Totalproject

funding14,682.00 16, 000. 00

"Note: Ifthehjnding approved is le» than funding^rejqiu tedfpr, thisproject, orthe project is moreexpensive than indicated in this budget, where^wouldthefflctra hinds be s6urcedfr6m7r

CURRENT TENNIS FUND RESERVES UP TO $2, 000. IF THE PROJECT HAS A LARGER COST BLOW OUT.IT WILL BE SHELVED AND RE-EVALUATED. ~ --- ~- '

iT

Grant payments are payable to the applicant/grantee only. This may have taxation implications forgrantees. If grantees wish specific advice relating to their grant, this can be obtained from theAustralian Taxation Office (ATO). Please note depending upon the value of the project and/or grant, theATO may require an organisation be registered for GST, If the applicant is registered for GST, 'the grantis grossed up with the GST amount.

a) Total project expenditure (ex GST)

b) Total project funding

c) Project Variance* - INCLUDED ABOVE

14,682. 00

14, 682. 00

0

'Balance between a) and b) should be

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This page is for the use of the relevant Local Government Authority to be used for both community and LGAprojects. Please attach copies of council minutes relevant to the project approval.

Name of Local Government Authority:Name of Applicant;

Note: The applicant's name cannot be changed once the application is lodged at DSR.

The CSRFF principles have been considered and the following assessment is provided:(Please include below your assessment of how the applicant has addressed the following criteria)

All applications

Satisfactory Unsatisfactory Not relevant

Project justification D D DPlanned approach D D DCommunity input D D DManagement planning D D DAccess and opportunity D D DDesign D D DFinancial viability D D aCo-ordination D D DPotential to increase Physical activity D D DSustainability D D D

Development applications only

Location

Sustainabiltty

Co-Location

Special Interest Group

Satisfactory

D

D

D

D

Unsatisfactory

D

D

D

D

Not relevant

a

D

D

D

LGA - priority ranking of this project

Priority ranking of no of applicationsreceived

Is this project consistent with the

Have all planning and building approvalsbeen given for this project?If no, what approvals are still outstanding?

of applications received

D Local Plan D Regional Plan D State Plan

D Yes D No

Project Rating (Please tick the most appropriate box to describe the proiectlA Well planned and needed by municipalityB Well planned and needed by applicantC Needed by municipality, more planning required

D Needed by applicant, more planning requiredE Idea has merit, more planning work neededF Not recommended

D

D

D

D

D

D

)ur whole

^ommynEty v^ms

Page | 9

Signed Position Date

Applications for CSRFF funding must be submitted to your Department of Sport and Recreation office by4pm on the last working day in August, Late applications cannot be accepted in any circumstances.

O'F'FICE^

PERTH OFFICE246 Vincent StreetLeedervilleWA 6007PO Box 329LeedervilleWA 6903Tel: (08) 9492 9700Fax: (08)94929711

PEELSuite 9416 Dolphin DrivePO Box 1445MandurahWA 6210Tel: (08)95503100Fax: (08)95503199

PILBARAKarratha LeisureplexDampier Hwy, KarrathaPO Box 941KarrathaWA 6714Tel: (08) 9182 2100Fax: (08)91822199

SOUTH WESTBOA Blair StreetPO Box 2662BunburyWA 6230Tel: (08) 9792 6900Fax: (08) 9792 6999

GREAT SOUTHERN22 Collie StreetAlbanyWA 6330Tel: (08)98920100Fax: (08)98920199

GASCOYNE4 Francis StreetPO Box 140CarnarvonWA 6701Tel: (08) 9941 0900Fax: (08) 9941 0999

GOLDFIELDS106 Hannan StreetPO Box 1036KalgoorlieWA 6430Tel: (08) 9022 5800Fax: (08)90225899

KIMBERLEY-KununurraGovernment OfficesCnr Konkerberry Drive andMessmate DrivePO Box 1127Kununurra WA 6743Tel: (08)91664900Fax: (08) 9166 4999

WHEATBELT - NORTHAM298 Fitzgerald StreetPO Box 55NorthamWA 6401Tel: (08) 9690 2400Fax: (08) 9690 2499

WHEATBELT - NARROGINGovernment Offices

Level 2, 11-13 Park Street NarroginWA 6312Telephone 0429 881 369Facsimile (08) 9881 3363

MID-WESTLevel 1, 268-270Foreshore DrivePO Box 135Geraldton WA 6530Tel: (08) 9956 2100Fax: (08)99562199

KIMBERLEY - BroomeUnit 2, 23 Coghlan StreetPO Box 1476Broome WA 6725Telephone (08) 9195 5750Facsimile (08) 9166 4999Mobile 0438 916 185

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