Fillable Community Partnership Major Capital Program Preliminary Partnership Proposal (City of Ottawa)

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Community Partnership Major Capital Program Preliminary Partnership Proposal (City of Ottawa)

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Community Partnership Major Capital Program
Preliminary Partnership Proposal
Instructions
Mail, fax, email or deliver the completed proposal to:
City of Ottawa
Recreation, Cultural and Facility Services Department
Parks and Facilities Planning Services
100 Constellation Crescent, 8
th
Floor West
Ottawa, ON K2G 6J8 Mail Code - 26-51
FAX: 613-580-9612
Attention: Donna Williams or Renée Proteau
Donna.Williams@ottawa.ca or
Renee.Proteau@ottawa.ca
Information
Refer to the Community Partnership Major Capital Program Guidelines and Principles for more detailed
information. The initial evaluation process will qualify projects based on eligibility and criteria as outlined in the
Guidelines and Principles. The selected project applicants will be contacted to further detail their business case.
The recommended projects will be submitted to Committee and Council for final approval.
Application deadline is March 1, 3:00 p.m. Late applications will not be considered.
If you require assistance completing the proposal or you would like to discuss the program, please contact:
Donna Williams, 613-580-2424, ext. 23169, Donna.Williams@ottawa.ca
or
Renée Proteau, 613,580-2424, ext. 26967, Renee.Proteau@ottawa.ca
Applicant Information:
Name of Organization:
Contact Persons(s):
Role in Organization:
Phone Number:
Fax Number:
Email Address:
Mailing Address:
City:
Province:
Postal Code:
Date Received (Office use only):
How will the project meet your organization's mandate?
Provide a brief project description and attach a high level business plan.
Project Description:
Project Information
Project Title:
Project Location Address / Council Ward:
Mailing Address:
City:
Province:
Postal Code:
Project Type:
Sports Field Recreation Facility Park Facility
Project Rationale:
Describe how the community will benefit?
Council Ward:
Please select your ward
Project Target Focus:
Who are the anticipated users?
children 0-5
families
children 6-11
adults
youth 12-18
seniors
If the project is sports related, identify estimated percentage for recreation and competitive use.
Recreational use
%
Competitive use
%
Project Operating Impacts:
Will the project increase the City's operating costs?
NoYes
If yes, list anticipated operating impact, i.e. hydro etc.
Will your organization contribute?
Yes No
If yes, to what degree:
Project Implementation:
Anticipated project start date (month /year)
Anticipated project completion date (month/year)
Is this a phased project?
Yes No
Begin
End
Capital Asset Ownership:
Who will own the resulting capital asset?
If applicable, when will the next phase begin/finish?
Other Information:
Has your organization received City funding within the last 24 months?
Yes No
If yes, specify
City Contribution:
The city's contribution may be provided in one or more of the following forms: grant paid in cash, land or
other services in kind or waiver of applicable municipal fees. What is the expected City contribution?
Community Contribution:
What is the expected community contribution?
Authorization:
As an authorized representative of
, I attest that all information
contained in this proposal is accurate to the best of my knowledge.
Signature: Date:
Municipal freedom of information and protection of privacy act:
Personal information provided by the applicant on the proposal is collected for the purposes of the City of
Ottawa's Community Partnership Major Capital Program approved by Council on an annual basis. The
information will be used internally within the city to administer your proposal.
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Community Partnership Major Capital Program Preliminary Partnership Proposal (City of Ottawa)

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Completed 4 September 2021

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