Ghana WASH Window-FDW call 2, 2014 – Model form Annex 3b MODEL ANNUAL PROGRESS REPORT GWW project number: GWW…/…/… Title of the project: ………. Name applicant: ………. Reporting period ………. ………. Filing date progress report ………. Instructions: - This annual progress report presents a summary of the progress of the project and the result(s) achieved so far, and may concern multiple project results as defined in Annex 1 of the Administrative Decision (‘beschikking’). - This report and attached documents must be in English. - Send one (1) hard copy by postal mail to RVO.nl, and one (1) copy by e-mail to the PPP project officer. - RVO.nl should receive the Annual Progress Report according to the dates included in the Administrative Decision. - The Annual Progress Report has to be signed by the Applicant. - Please focus on the news and events that occurred in this reporting period. - Blue text can be deleted from this format A. General Contact information - Were there changes in contact information of the applicant or project partners during the reporting period? Yes No If there are any changes, please list them below, otherwise proceed with section B. Name of applicant/partner: Correspondence address: Visiting address: Name contact person: Email-address: IBAN: Other: Phone: BIC: B. Progress of project and result(s) achieved Summary - Please summarise (max 500 words) the general progress of the project so far. This includes achievements that are direct and indirectly linked to the project implementation. Also pay attention to the cooperation between the project partners and relevant external stakeholders. - In the next paragraphs specific progress at the level of the Results and Sub-results as included in the Administrative Decision is requested. Progress achieved under Result 2 - Provide information on the progress of the Results and Sub-results as specified in Annex 1 of the Administrative Decision. - Were activities for result 2 carried out in the reporting period? Yes No If yes, please describe the specific activities carried out. - Are any sub-results of result 2 completed during the reporting period? Yes No If yes, please specify the sub-results and submit all the corresponding Means of Verification (MoVs) for the completed sub-results with reference and numbering in accordance to Annex 1 of the Administrative Decision. E.g. if sub-result 3 of result 2 is completed, please specify so with reference to sub-result 2.3 - Is result 2 fully completed? Yes No. All MoVs have been provided together with this, or earlier progress reports. Progress achieved under Result 3 - Were activities for result 3 carried out in the reporting period? If yes, please describe the specific activities carried out. Yes No - Are any sub-results of result 2 completed during the reporting period? Yes No If yes, please specify the sub-results and submit all the corresponding Means of Verification (MoVs) for the completed sub-results with reference and numbering in accordance to Annex 1 of the Administrative Decision. E.g. if sub-result 3 of result 3 is completed, please specify so with reference to sub-result 3.3 - Is result 3 fully completed? Yes No. All MoVs have been provided together with this, or earlier progress reports. In case of more than 3 results please add these manually. Bottlenecks and risks - Please describe if there are any bottlenecks or risks identified or foreseen that could hinder the progress of the project. If any new bottlenecks or risks are foreseen, describe what measures the partnership will take to mitigate the bottlenecks and risks. - Please note that substantial changes of the project in relation to the original project plan and Administrative decision have to be approved by RVO.nl. Substantial changes are defined as changes resulting in a different project results (output / outcome, reflected in MoVs), partnership, planning or budget. Approval for these substantial changes can be done under section E ‘Project modifications’. Sustainability and cross-cutting themes ICSR - Is one of the first essential suppliers or one of the project partners possibly using child labour or forced labour? Yes No If yes, please identify the partner and elaborate on the situation. - With regard to the implementation of the project according to ILO Conventions 138 and 182 against child labour and ILO Conventions 29 and 105 against forced labour, you must establish that no use is made of child labour or forced labour at the partners involved in the partnership, or at the first essential supplier to the project. You are legally bound to GWW-FDW Tender 2 (2014) Annex 3b- page 2 170728 provide RVO.nl with any information you may have about the possible use of child labour or forced labour by such partners or suppliers. If one of the aforementioned partners or suppliers is found to be using child labour or forced labour, or if you fail to pass on information you have received on this subject to RVO.nl, the subsidy may be withdrawn. - Please provide an update on the status of the identified ICSR risks in the project plan and as part of Result 1 and how these risks are minimized or mitigated. If concrete activities related to these ICSR risks are implemented, please elaborate on this. Sustainability and cross cutting themes. - Provide an update on the sustainability of the project. Sustainability is defined as Financial, Institutional. Environmental, Technical and Social sustainability (FIETS) with a special focus to the cross cutting themes ‘Environment’, ‘Climate’, ‘Gender’ and ‘Good governance’. More information can be found in annex 3h FIETS-checklist. - In reference to Financial sustainability: Did the project generated revenues e.g. from project products or services during the reporting period? If so, please specify and quantify. - In reference to Technical sustainability: please provide annual updates on: - The percentage of durable hardware purchased by the project that is still fully in use and is properly maintained and functioning? If this percentage is less then 100%, please clarify. - The method used for establishing the above mentioned percentage (e.g. sample size of methodology used) C. Monitoring and Evaluation - In the progress report on Result 1 and subsequent annual report project indicators were provided using the table ‘Project Indicators’. Provide an updated version of the table ‘Project Indicators’ to report on the situation at the end of this reporting period. A sample of (a part of) this table is given below. Replace this sample with the updated version of your project. Additionally, evaluate this data on the project progress and the need to adjust the project implementation plan or monitoring plan. Project modifications should be included in section ‘E. Project modifications’. Table 1 Project Indicators Indicator – Replace this sample table with Unit the updated table of your project (report R1) Sanitation (liquid waste) and institutional WASH compliance Number of schools which are WASH compliant Volume of faecal sludge adequately treated (i.e. at faecal sludge treatment plant) # Litre Number of people that gained access to and make # Current situation Target use of an improved water source. Number of people that gained access to and make # use of improved sanitation facilities Sanitation – solid waste and drainage Number of households with access to solid waste # management … GWW-FDW Tender 2 (2014) … Annex 3b- page 3 170728 D. Financial report - Please report on the financial and labour realisation as well as the realisation on hardware purchases. Please use the mandatory Annex 3d (MS Excel) for this. If relevant, a textual clarification on the financial report can be given here. Modifications in budget or foreseen liquidity requirements must be requested under section ‘E Project modifications’ of this report. Please note that at the end of the project, the final financial report project has to be audited according to the Audit protocol, Annex 4 of the Administrative decision. E. Project modifications Substantial changes in the project in relation to the Administrative Decision and original project plan have to be approved by RVO.nl. Substantial changes are defined as changes resulting in a different project results (output/outcome, reflected in MoVs), changes in partnership, changes in the project duration, changes in staff at project management and senior level and changes in budget allocation >10% of result budget. Update work plan - Please indicate whether the project work plan needs to be adjusted and its effect on reaching the project results (and MoVs). In case of an adjustment, please give a detailed description and motivation. - . Project duration and planning - Please indicate if the project planning and/or completion date has to be changed. In case of a request for a change, please give a detailed motivation. Project budget - Please indicate if a substantial budget modification is requested. If so, specify and motivate this request. - Please indicate if modification of the liquidity requirement for the remaining project results is requested. If so, please specify and motivate this request. Substantial changes need to be approved for by RVO.nl. - Please indicate and motivate all changes in the hardware budget, as compared to the originally approved budget, in Table 2 below. Changes in hardware already reported to RVO.nl in earlier progress reports or through a Request for Market Conformity Check (RMCC) can be excluded from this progress report. Substantial changes in hardware (>10% of hardware budget) have to be approved by RVO.nl. Table 2 Changes in hardware items compared to the hardware list provided with the progress report on result 1 (Annex 3d). Please, only include hardware that will be modified. Item1 Description and Quantity Price in € New/ Original Motivation of proposed Adjusted approved change2 amount amount in € in € 1 Please use item order as in the approved Hardware List and label new HW with ‘NEW-’ e.g. ‘NEW- Description item 3’ 2 e.g. new HW replaces old item, budget left over, etc GWW-FDW Tender 2 (2014) Annex 3b- page 4 170728 Add more lines manually TOTAL F. List of annexes Please make sure all Annexes mentioned below are adhered to this report Annex 3d, Financial report Hardware (mandatory) - Copy of all hardware invoices adding up to the full reported amount of € ……. - Copy of all Market Conformity checks Certificates (for more information, refer to Annex 3f) on hardware, received during the reporting period. - For all purchased hardware worth € 25.000,- or more: Annex 3g Protocol of Receipt. Means of verification (MoVs) - As specified under section B, ‘Progress of project and result(s) achieved. Please mark the MoVs with the corresponding number (e.g. Result 2.3.1) Other annexes - Other relevant annexes provided, please specify here. G. Declaration and signature By signing this progress report the applicant declares on behalf of the partnership that the information in this progress report is accurate and complete: Applicant Organisation: Name: Position: Date: Signature: GWW-FDW Tender 2 (2014) Annex 3b- page 5 170728
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