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Project Questionnaire

"*" indicates required fields

Our project relates to at least one of following sectors:

Affordable housing, climate & environment, digital, education, energy, green & open public space, healthcare, informal settlements upgrading, roads & bridges, transport & mobility, urban regeneration, waste management, water & sanitation, and food security

Yes

Our project is aligned with the associated city’s or region’s master plan(s).

Yes

Our project supports one or more of the following 17 United Nations (UN) Sustainable Development Goals (SDGs)

List SDGs

Yes

We are applying to the CIF because we recognise that we require support with both the funding and the expertise to properly develop our project into a bankable format in order to attract private capital funding for construction/operation.

Yes

If necessary, we are willing to approach and work with national levels of government to pursue the provision of financial guarantees, which can include sovereign guarantees and/or other risk mitigation instruments, so that investors are comfortable with any political and payment risks.

Yes

We are applying to the CIF because we recognise that we require private capital to construct our project and are willing to provide an appropriate return to the investor(s).

Yes

Should the project require any tax/regulatory incentives or any other general waivers to reduce construction and operating costs as a way to achieve economic viability, we are ready, willing, and committed to work regionally and nationally to ensure that they are implemented for the benefit of the project.

Yes

We recognize that political risk exists during development. If we walk away from the project (or frustrate the process) during active development, we commit to repaying any individual CIV investors’ capital contributions up to the point where development is terminated, on a dollar-for-dollar basis.

Yes

Official representative of the project

Please state the name of the official contact person for this project. Note that we will be contacting and addressing all project-related inquiries with this individual)

Title

Name

First

Role

(e.g., Consultant, Secretariat, Project Manager, etc.)

Enter Email Confirm Email

Organisation Name

Project Title*

Address*

Country

Region / City*

Region / City

Note: The words 'applicant' or 'promoter' or 'sponsor' refer to the project's promoting entity rather than the individual responding to the questions. If the applicant is a government entity, that entity is the 'promoter' for the purposes of these questions, and uses of the term 'government' within them refer to other levels of government not associated with the promoter.

The following questions relate to the characteristics and current development status of your project. Your answers will help us to confirm its appropriateness for CIF and to determine how far you have progressed with development to date as well as what assistance you require from CIF. Please answer as many questions as possible to the best of your ability and (at the end) provide any documentation from work that has been completed to date that supports your answers.

To provide context to the questions, the following graphic describes the stages generally associated with the project creation process and shows when each of the two CIF funding mechanisms are applicable.

General Description of Proponent and Project

1. Project Location: ,

2. Project Title:

Project Brief Description*

Please provide a general project description, including the technologies to be employed and the intended user/customer type. You will be asked to describe the objectives and business model in subsequent questions.

3. Please describe the specific problems the project will address and its objectives.*

4. Please identify the sectors that apply to your project.

1 main (minimum) + 2 sub-sectors (optional)

Affordable Housing

Climate & Environment

Digital

Education

Energy

Green & open public space

Healthcare

Informal Settlements Upgrading

Roads & Bridges

Transport & Mobility

Urban Regeneration

Waste Management

Water & Sanitation

Others

Please Specify

5. Please describe how your project aligns with/supports the objectives of the associated city’s or region’s master plan(s)*

6. Please select any of the following vulnerable groups that could also benefit from this project:*

Children and youth

Women

Persons with Disabilities/Differently Abled

Small and medium-sized enterprises, micro-enterprises

Tribes, indigenous groups

Low-income communities

Others

Please Specify

7. Besides any financial assistance sought from CIF, what areas of project development support/expertise do you require help with?*

Business case/Feasibility study

Environmental/Social impact studies

Architectural services (architecture and landscape)

Small and medium-sized enterprises, micro-enterprises

Project management systems

Engineering support

Urban Intelligence (Strategy)

Digital technology support

Market Research and demographic profile

Capacity building

Others

Please Specify

8. Has your organisation carried out a Public Private Partnership (PPP) project before?

Yes

Details and nature of the PPP project*

(Max. 250 words)

Project implementation & success*

(Max. 250 words)

Attachment

Drop files here or

Max. file size: 300 MB.

SDG Alignment

9. Please identify which United Nations (UN) Sustainable Development Goals (SDGs) your project supports and describe how it does so (Maximum 5).

Select SDG

Select Targets

How does your project align with the SDG targets

List relevant metrics that are applicable for the selected SDG targets

Budgeted Costs, Financing, and Revenue

10. Please provide a full and complete budget total, which includes any overhead amounts needed to get the work done as well as an appropriate contingency amount.:*

Typical values can range from USD$200,000 for smaller/simpler projects to USD$2,000,000 to larger/complex projects, representing a 1 to 3% of a project’s construction budget. If available, please provide a reasonable breakdown of the values provided here in a supporting document and ensure that the values provided here match those totals.

Note: Please consider all items that are needed to de-risk your project to the point that commercial and institutional construction investors are willing to commit to the project (i.e, it is “bankable”). This generally means that the project is ready to build (i.e., “shovel-ready”). Some of these items/costs (for example, the actual purchase of land for the project) may be left for the post-financial close construction budget, however this adds to the development risk seen by construction investors and may make this financing more difficult and/or expensive. The CIF CIVs are here to take such risks and to provide financing for them.

a. Please provide the following information about the estimated/planned budget for the project feasibility and development phases, up to and including financial close.

All the legal fees, technical and financial consultancy fees, application/service fees, agreement consideration, and overhead costs that have been and/or will be incurred to take the project from concept/ideation to financial close. In general, the development activities that can drive these costs include below (but are not limited to)

Feasibility studies

What is the total estimated development budget (spent and forecast, in USD)?

How much has been spent to date (in USD)?

Who has funded the project to date (if applicable)?

Environmental and social impact studies

What is the total estimated development budget (spent and forecast, in USD)?

How much has been spent to date (in USD)?

Who has funded the project to date (if applicable)?

Acquiring permits and approvals

What is the total estimated development budget (spent and forecast, in USD)?

How much has been spent to date (in USD)?

Who has funded the project to date (if applicable)?

Securing the rights to land (not necessarily buying)

What is the total estimated development budget (spent and forecast, in USD)?

How much has been spent to date (in USD)?

Who has funded the project to date (if applicable)?

Negotiating legal agreements with other stakeholders

What is the total estimated development budget (spent and forecast, in USD)?

How much has been spent to date (in USD)?

Who has funded the project to date (if applicable)?

Other: please specify.

What is the total estimated development budget (spent and forecast, in USD)?

How much has been spent to date (in USD)?

Who has funded the project to date (if applicable)?

Of the total feasibility/development phase budget, how much are you looking to receive from the CIF Feasibility Fund (for feasibility stage and early development stage work) (in USD)?

Please refer Donor Feasibility Fund to find out more details on the CIF Feasibility Fund.

Of the total feasibility/development phase budget, how much are you looking to finance using the CI Vehicles’ Funds (for mid-development stage to financial close work) (in USD)?

- TBA -

11. Please provide the following information about the estimated/planned budget for the project construction phase.

All the costs that will be incurred to take the project from financial close to the first day of operation. The actual physical construction (I.e., EPC contractor) cost typically makes up the vast majority of this phase's budget, but it may include some other costs required before it can be built.

a. What is the total estimated construction phase budget (in USD)?

If available, please provide a reasonable breakdown of the values provided here in a supporting document and ensure that the values provided here match those totals.

b. What sources do you anticipate will be used to finance the construction phase

This can consist of approximate values if not known/planned now and can change at a later date.

Select source

Please indicate % of each source

Select source

Please indicate % of each source

Select source

Please indicate % of each source

12. Please provide the following information about the estimated/planned budget for annual project operation, maintenance, and asset management.

The “typical” costs that will be incurred per year to operate the project, which should include personnel and staff, mechanical maintenance, as well as back-office accounting and management.

a. What is the total estimated average annual operating budget (i.e., the average cost for one full year of operations) (in USD)?

If available, please provide a reasonable breakdown of the values provided here in a supporting document and ensure that the values provided here match those totals.
Do not include “occasional” operating-stage costs, such as mid-life equipment replacement or project decommissioning/termination costs associated with the end of the project’s life.

b. For project financing purposes, what is the expected term/operating lifetime for the project?

I.e., although the project infrastructure may last/operate for longer, how many years will the initial operating contract be for (in years)?

Note: This question aims to capture the basic financial performance metrics of the project. Do not worry if you are unable to answer some of these questions with certainty. It is more important that we understand where you are in the process.

13. Please provide the following information about the estimated annual revenue the project will generate.

Here, the term “revenue” means either the fees/fares collected directly from users by an operator (i.e., user-pays model) or payments made by government to an operator for providing/maintaining a service (i.e., government-pays model).

a. Please describe the mechanism/business model by which the project will generate a financial return for private investors, including whether it is a government-pays or user-pays model, or a combination of the two (e.g., user fees with government-guaranteed minimum revenue).*

#1 - A public entity engages a private operator to construct, operate, and maintain a toll road. The operator revenue is derived by the collection of toll fees (user-pays), however the public entity sets the prices and guarantees a minimum level of revenue (government-pays if needed). The annual revenue is therefore determined as the toll fee per user times the number of users per year, subject to a minimum.
#2 - A public entity engages a private operator to construct and maintain a public park. The operator revenue is derived solely by a flat fee paid by the public entity (government-pays), perhaps contingent on meeting certain levels of service. While the annual revenue is therefore a set value, there is an expected number of park users per year, and the cost per user can be determined.

Note: Questions 12b-d are based on the relationship:
Total annual revenue = (cost per user) (# of users per year) OR
Total annual revenue = (cost per unit of good) (# of units of good produced per year)
or some variation of either depending on your particular business model.

b. What is the expected fee/fare/cost per user/customer OR the expected cost per unit of good being produced (in USD per user/unit)?

Please specify the units

c. How many users/customers OR units of good produced do you expect per year?

Please specify the units

d. What is the estimated total annual revenue (coming from either government payments or user fees) (in USD)?

e. What is the estimated resulting internal rate of return (IRR) for the project as a whole (%)? If this has not been calculated in a financial model, what do you think it will be/is reasonable?

f. What is the estimated resulting IRR for equity investors (%)? If this has not been calculated in a financial model, what do you think it will be/is reasonable?

Provide study/financial model to justify fair return (IRR) to the equity investor (mention input from eligibility form)

Max. file size: 300 MB.

Project Schedule

14. Please provide the following information for each major project development task listed.

Note: Do not worry if you have not started many of the items listed. It is more important that we understand what is needed and how long it will take to attain the items.

Feasibility studies/business case

Technical and financial studies justifying that the project makes sense

Start date (estimated future or actual past)

DD slash MM slash YYYY

% Completion (Nearest 25%)

End date (estimated future or actual past if completion is 100%)

DD slash MM slash YYYY

Describe the status OR the reason why the item is not needed, or anything else that is pertinent

Development plan

The work plan, scope, budget, and schedule for developing the project

Start date (estimated future or actual past)

DD slash MM slash YYYY

% Completion (Nearest 25%)

End date (estimated future or actual past if completion is 100%)

DD slash MM slash YYYY

Describe the status OR the reason why the item is not needed, or anything else that is pertinent

Identification and securing of rights to all needed lands

Lands to be purchased or leased for the project.

Start date (estimated future or actual past)

DD slash MM slash YYYY

% Completion (Nearest 25%)

End date (estimated future or actual past if completion is 100%)

DD slash MM slash YYYY

Describe the status OR the reason why the item is not needed, or anything else that is pertinent

Environmental and social impact assessment/study (ESIA)

Work/study generally needed to obtain environment-related permits and approvals.

Start date (estimated future or actual past)

DD slash MM slash YYYY

% Completion (Nearest 25%)

End date (estimated future or actual past if completion is 100%)

DD slash MM slash YYYY

Describe the status OR the reason why the item is not needed, or anything else that is pertinent

Local community consultation and impact mitigation plan/agreement

Following from ESIA, agreements to mitigate social impacts and improve local project acceptance

Start date (estimated future or actual past)

DD slash MM slash YYYY

% Completion (Nearest 25%)

End date (estimated future or actual past if completion is 100%)

DD slash MM slash YYYY

Describe the status OR the reason why the item is not needed, or anything else that is pertinent

Regulatory permits and approvals

As needed by authorities to allow construction and operation to begin

Start date (estimated future or actual past)

DD slash MM slash YYYY

% Completion (Nearest 25%)

End date (estimated future or actual past if completion is 100%)

DD slash MM slash YYYY

Describe the status OR the reason why the item is not needed, or anything else that is pertinent

Government support agreement(s)

Related to financial/sovereign guarantees, tax relief, equipment importation waivers, etc.

Start date (estimated future or actual past)

DD slash MM slash YYYY

% Completion (Nearest 25%)

End date (estimated future or actual past if completion is 100%)

DD slash MM slash YYYY

Describe the status OR the reason why the item is not needed, or anything else that is pertinent

Design/engineering plans and equipment list

Related to financial/sovereign guarantees, tax relief, equipment importation waivers, etc.

Start date (estimated future or actual past)

DD slash MM slash YYYY

% Completion (Nearest 25%)

End date (estimated future or actual past if completion is 100%)

DD slash MM slash YYYY

Describe the status OR the reason why the item is not needed, or anything else that is pertinent

Business agreements.

Concession/PPP/off-taker agreement
EPC/construction contractor agreement
Operational/O&M provider agreement

Depending on the project promoter type and business model, these agreements (and counterparties) may be independent or combined in a variety of ways. Regardless of the approach, each will need to be in place in a form approved by the project financing/lending syndicate prior to financial close.

Start date (estimated future or actual past)

DD slash MM slash YYYY

% Completion (Nearest 25%)

End date (estimated future or actual past if completion is 100%)

DD slash MM slash YYYY

Describe the status OR the reason why the item is not needed, or anything else that is pertinent

Other

Concession/PPP/off-taker agreement
EPC/construction contractor agreement
Operational/O&M provider agreement

Please describe any other major project development task

Start date (estimated future or actual past)

DD slash MM slash YYYY

% Completion (Nearest 25%)

End date (estimated future or actual past if completion is 100%)

DD slash MM slash YYYY

Describe the status OR the reason why the item is not needed, or anything else that is pertinent

15. Please list all known regulatory permits and approvals required from local, state, and national bodies that are required prior to authorities allowing construction to begin.

Generally, this includes any document that provides the project the right to use the land, air, or water associated with or impacted by the project. Examples: Typical examples include environmental impact approvals or the right to use lands or water controlled/regulated by other government entities. Please consider and include items even if they are directly within your/the promoter’s control, such as, for example, a municipal government promoter requiring approval from its own municipal council. Note: Most infrastructure projects require at least a few permits and approvals from different government regulating entities or Authorities Having Jurisdiction.

Select government

Name of permit/approval

Description/comments

Select government

Name of permit/approval

Description/comments

16. Please provide the expected construction start date

DD slash MM slash YYYY

17. Please provide the expected commercial operation date/start date of operation.

DD slash MM slash YYYY

Project Risks

18. Please describe all risks that are reasonably potentially applicable to your project.

All projects bear at least a few different types of risk throughout their development, construction, and operation phases. These may include technical, financial, cost, legal, regulatory, political, operational, social, market, or other types of risk.

Government Support

19. Other than any direct project funding from government sources that you identified in Questions #10 or #11, has your project been officially recognized/supported/endorsed in a positive light at the municipal, state, and/or national levels?

Examples include inclusion/recognition of the project in official plans, general promotion/advertising of the project, and indirect financial support such as tax/regulatory incentives and/or credit support guarantees. Please describe. Note: If you are a government entity, we are particularly interested in support by levels of government other than your own.

20. Whether identified in Question #19 as having been already provided or not, how would you rate the project's need for the following government-sponsored support mechanisms in order to be successful?

Tax incentives*

Essential

Welcome

Not Necessary

Justification

Regulatory incentives*

Essential

Welcome

Not Necessary

Justification

Financial/payment guarantees*

Essential

Welcome

Not Necessary

Justification

Equipment importation waivers*

Essential

Welcome

Not Necessary

Justification

21. Are you aware of any precedence within the project’s country to date that has established the framework required to implement a sovereign guarantee or other similar types of government-sponsored financial risk mitigation for private investors?

Yes

Brief description

22. Please attach any project documents that support the answers provided above. In the earlier stages of project development, these typically include:

Project development plan (the work plan, scope, budget, and schedule for developing the project)
Feasibility studies/business case (technical and financial studies justifying that the project makes sense, including risk assessments)
Financial model
Construction and operations budget (if separate from/not included with above items)
Construction and operations schedule (if separate from/not included with above items)
Evidence of government support (any type)

Drop files here or

Max. file size: 300 MB.

Where available, please also attach any other documentation that you are willing to share that shows more advanced project development.