Project Close-Out Report Guide

*PSI-SIF Project Number

Indicate PSI-SIF Project Number

Identify the PSI-SIF Project Number as indicated in the PSI-SIF Ultimate Recipient Agreement with the lead Provincial/Territorial Ministry. This should be a 5 digit number.

*PSI-SIF Project Title

Indicate PSI-SIF Project Title

Identify the PSI-SIF Project Title as indicated in the PSI-SIF Ultimate Recipient Agreement with the lead Provincial/Territorial Ministry. Maximum 150 characters.

*Scheduled project start date

Indicate the scheduled project start date

Indicate the project's scheduled start date, as indicated in the PSI-SIF Ultimate Recipient Agreement with the lead Provincial/Territorial Ministry. For projects that were underway prior to the PSI-SIF start date (projects with multiple phases), indicate the phase that is funded through the PSI-SIF. The date provided cannot be before May 9, 2016.

*Actual project start date

Indicate actual

project start date

Indicate the actual start date, which may be different from the scheduled start date.

The start date for the project should reflect the date the project began incurring eligible PSI-SIF expenditures, which could be related to planning, design and procurement or an RFP process that was launched to secure a project manager. Therefore, the actual start date will not necessarily reflect the construction start date or project announcement date.

The start date will be used to assess the eligibility of costs claimed for reimbursement. An exception would be costs related to a project announcement, which is eligible and may occur prior to the actual project start date. Eligible expenditures for all PSI-SIF projects across Canada are those incurred between May 9, 2016 and program end.

*Scheduled date of substantial completion

Indicate scheduled substantial completion date

Identify the original scheduled substantial completion date, as per the initial PSI-SIF Ultimate Recipient Agreement with the lead Provincial/Territorial Ministry.

This date should be taken from original contribution agreement and should not reflect any subsequent amendment agreements.

*Date of actual substantial completion

Indicate the actual date of substantial completion

Indicate the date on the Solemn Declaration of Substantial Completion. The date of actual substantial completion cannot be after April 30, 2018 or November 30, 2018 for projects authorized for an extension.

"Substantial Completion" for the PSI-SIF program is understood to be the point at which the project's construction is completed other than in respect to minor deficiencies and for which a declaration is made.

*Short summary of completed project

Short Summary of Completed Project

Ultimate Recipients are to briefly describe the final work. Note, this summary may be used for publications on the PSI-SIF website or program success stories and should be prepared accordingly. If necessary, below the summary provided detail any information regarding high-level changes to the project which would impact the project summary provided within the original application.

Attach a maximum of three high resolution digital photographs to substantiate and document the progress and project work completed; these photos may be posted on the PSI-SIF website.

Maximum 1,000 characters.

*Total amount of PSI- SIF expenditures incurred by the Ultimate Recipient from actual project start date to substantial completion

Provide total spending for the project between May 9, 2016 to the PSI-SIF program substantial completion of April 30, 2018 or November 30, 2018 for projects authorized for an extension.

Some projects may achieve substantial completion before program end date.

Include all expenditures incurred for the duration of the project, including ineligible PSI- SIF expenditures.

PSI-SIF eligible expenditures need to have been incurred.

Incurred expenditures are understood to include expenses that have been incurred but for which payment might not have been issued. See additional clarifications in Annex C.

Total Expenditures should relate only to PSI-SIF Total Project Costs (including ineligible) as identified against PSI-SIF approved funding.

PSI-SIF eligible expenditures are those incurred between May 9, 2016 and program end. This would include any eligible costs incurred for the project after substantial completion and before April 30, 2018 or November 30, 2018 for projects authorized for an extension. (See section on eligible expenditures at the end of this Guide).

Eligible categories are the same as identified in the PSI-SIF application form.

Include a breakdown of expenditures including both eligible and ineligible costs according to the following costs categories:

• Capital Costs ($)
• Engineering & Environmental Planning & Reviews ($)
• Audit & Project Evaluation ($)
• Sub-Total Eligible Costs ($)
• Ineligible Costs (Specify) ($)
• Total Costs (Eligible & Ineligible) ($)

When indicating the costs use whole numbers only; no decimals.

*Total percentage of PSI-SIF funding spent on new construction or expansion versus

renovations and/or

Indicate the percentages of PSI-SIF funding spent on new construction or expansion versus renovations and/or repairs.

What percentage of the project is for:

• New construction or expansion (%)
• Renovations and/or repairs (%)
• Total Percentage (%) = 100%

These numbers can be an estimate and percentages identified should total 100%.

*Total funding provided to the Ultimate Recipient from project start date to substantial completion of the project

List all funding received for this project by source of funds, including from the Ultimate Recipient institution, according to the following categories:

1. PSI-SIF Federal Funding ($)
2. Provincial/Territorial Funding ($)
3. Ultimate Recipient Funding ($)
4. Other Federal Funding ($)
5. Other Funding (Specify)

Total Funding (from all sources) for the project ($)

All amounts indicated should be for the duration of the project.

For 1 and 2: report the amounts separately. If uncertain, confirm the split between Federal and P/T funding with the P/T contact.

For 3: Ultimate Recipients are to report their net financial contributions to the project excluding expenditures they have paid for but expect to have reimbursed under PSI-SIF.

For 4: Other Federal Funding includes any funding that may have come from other departments and /or federal agencies of the Government of Canada.

For 5: Other Funding include any municipal/ private sector or other funding partner(s) and specify accordingly.

All contributions should include full amounts including any hold back amounts to be released as received or expected to be received throughout the PSI-SIF project cycle.

Funding (contributions) identified in this section should relate only to PSI-SIF Total Project Costs (including ineligible costs) as identified in PSI-SIF approved funding. If the project consists of multiple phases or extends beyond the program, only provide information for the phase funded by PSI-SIF.

The Total Funding must be equal to the Total Costs.

*Summary of final communication activities undertaken or upcoming

Ensure the institution informs the P/T Ministry lead about all communication activities.

Provide details, including dates and links to any related public announcements and press releases (complete or upcoming).

Maximum 3,000 characters.

*Infrastructure Capacity

The funding received:

Supported a project that would not have otherwise happened;

Accelerated the project by X months (indicate the number of months the project was accelerated by)

Expanded the scope of an existing project by adding additional work. Describe how the funding expanded the project scope.

Select all of the options that apply to your institution.

If "accelerated the project" is selected, it is mandatory that the number of months the project was accelerated by is indicated.

Maximum 1,000 characters for describing how the funding expanded the project scope.

*Faculty/Department

List of faculties/departments

• Agriculture
• Architecture
• Arts/Humanities/Social Sciences
• Commerce/Management/Business Administration
• Education
• Fine & Applied Arts
• Forestry
• Household Science
• Journalism
• Math
• Medicine
• Music
• Nursing
• Pharmacy
• Social Work
• Veterinary Medicine
• Science
• Engineering
• Artificial Intelligence
• Computing
• Other faculty/department (specify)
• Campus wide

Select all faculties/departments that benefitted from the PSI-SIF Project.

Specify ‘Other" – maximum 200 characters.

*Employment Capacity

Provide, where applicable, a short description of how the result of the funded project will augment the institution's ability to attract and retain highly qualified researchers and highly qualified personnel.

Provide an estimate of the increase in the number of spaces available for permanent employees at the institution, before and after the project.

Ultimate Recipients are asked to estimate the number of incremental and type of jobs the project is expected to support, once completed. For example, if the project consists of building a new science lab, we would expect that the employment of additional researchers, lab technicians and /or others would increase once the facility is fully functional. Maximum 3,000 characters.

Complete the table to provide an estimate of the increase in the number of spaces available for permanent employees: researchers, professors, technical staff, maintenance/facilities staff and administrative/support staff - before and after the PSI-SIF project. A maximum of five characters is permitted for each response; no decimals.

*Educational Capacity

Provide an estimate of the increase in the number of spaces available for both new and existing students (part-time and full-time) before and after the PSI-SIF project.

Complete the table to provide an estimate of the increase in the number of spaces available for both new and existing students (part-time and full-time) before and after the PSI-SIF project.

Maximum six characters for each response; no decimals.

*Project Categories

Select all applicable PSI-SIF project categories. The selections should match the information in the application form. If not, provide an explanation for the change.

Check all that apply.

*Project Benefits

Provide a description of benefits that this project may have generated. Based on the information provided in the application describe any changes to the identified project benefits.

Confirm that the project benefits described in the original application were achieved.

Indicate and explain if specific benefits were not achieved or if additional benefits not originally identified were realized.

For example, has the project increased the number of programs offered in both official languages and the capacity of such programs in minority communities?

Maximum 3,000 characters for this section.

Aboriginal Benefits

Where applicable, provide a description of how the PSI-SIF project will benefit Aboriginal peoples.

Examples of benefits could include, as applicable:

• Will the project benefit Aboriginal peoples through specific programs or increased outreach?
• Will the programs offered as a result of the project help improve the livelihood of Aboriginal communities (i.e. environmental management programs that will develop solutions to facilitate clean drinking water on reserves)?
• Will the project help implement calls to action from the Truth and Reconciliation Commission?
• Will the project help increase enrollment rates among Aboriginal students? (I.e. making courses and programs more accessible to Aboriginal students living up north and or in remote areas, via online classes)?

Maximum 3,000 characters for this section.

Section I: Construction of new research and innovation spaces

1. For each of the applicable categories listed below, provide the number of spaces, estimated total net square meters of new construction and a short description of the new research and innovation spaces constructed including how the space meets the criteria identified.
2. Provide a percentage of the total project cost spent on each new space created including square footage (if available):

• Research laboratory
• Teaching laboratory
• Classroom
• Research Centre
• Library & study facilities
• Business incubation & acceleration facilities
• Technology transfer offices
• Facilities that support prototype development as proof of principle assessment
• Other research and innovation or commercialization space
• Plant maintenance
• Recreation/athletic space
• Animal space
• Central administrative office & other space

Enter all requested information into the provided text boxes.

Ultimate Recipients can quantify new construction built by number of spaces.

"Spaces" refer to the number of offices, labs, work cubicles, etc. that have been added as a result of this project. Provide a breakdown for each component (e.g. 2 research laboratories and 1 research library).

Provide the estimated total net square meters of new construction. Net refers to total usable space. If multiple of same spaces were constructed, provide the total of all combined spaces.

Total project cost consists of both PSI-SIF eligible and ineligible costs. Calculate the percentage of the total project cost spent on each new space created. Estimates are acceptable. Totals do not need to equal 100%.

In the short description, describe if the project addresses:

• Enhancements to the institution's capacity to support research, training and/or knowledge translation by:
  • Extending space for conference rooms or meeting rooms
  • Extending space for new equipment or integrated facilities
  • Development of incubator/accelerator facilities for industry and research
  • Laboratory renewals and upgrades
  • Research library renewal and/or expansion, etc.)
  • Improvements to the scale or thequality or functionality of a research space, making possible the performance of research or innovation activities that were previously not feasible
  • Improvements to accessibility or durability of research spaces (e.g. new roof on a research lab)
  • Investments that build on areas of recognized research strength at the institution (as evidenced by funding or other awards)

• Investments that support key research areas, such as:
  • ICT/digital - including quantum computing and artificial intelligence (AI)
  • Health and life sciences – including brain/neuro/genomics/stem cell
  • Environment – including clean technology and agriculture
  • Natural resources and energy- related
  • Advanced manufacturing and materials – including nanotechnology

Section II: Improvements in the use and functionality of existing research and innovation spaces (renovations and/or repairs)

For the applicable categories listed below, provide the number of spaces, estimated total net square metres of renovations and/or repairs and a short description of the research and innovation spaces improved or constructed through renovation including how the space meets the criteria identified.

Provide a percentage of the total project cost spent on each renovated space including square footage (if available):

• Research laboratory
• Teaching laboratory
• Classroom
• Research centre
• Library & study facilities
• Business incubation & acceleration facilities
• Technology transfer offices
• Facilities that support prototype development as proof of principle assessment
• Other research & innovation or commercialization space
• Plant maintenance
• Recreation/athletic space
• Animal space
• Central administrative office & other space

Enter all the requested information into the space provided.

Ultimate Recipients can quantify renovations and/or repairs by number of spaces.

"Spaces" refer to the number of offices, labs, work cubicles, etc. that have been added as a result of this project. Provide a breakdown for each component (e.g. two research laboratories and one research library).

Provide the estimated total net square metres of renovation and repairs. Net refers to total usable space. If multiple of the same spaces were renovated, provide the total of all combined spaces.

Total project cost consists of both PSI-SIF eligible and ineligible costs. Calculate the percentage of the total project cost spent on each new space created. Estimates are acceptable. Totals do not need to equal 100%.

In the short description, describe if the project addresses (same as previous section):

o ICT/digital - including quantum computing and artificial intelligence (AI),

• Enhancements to the institution's capacity to support research, training and/or knowledge translation:
  • Extended space for conference rooms or meeting rooms,
  • Extended space for new equipment or integrated facilities,
  • Development of incubator/accelerator facilities for industry and research,
  • Laboratory renewals and upgrades,
  • Research library renewal and/or expansion, etc.)

• Improvements to the scale or the quality or functionality of a research space, making possible the performance of research or innovation activities that were previously not feasible
• Improvements to accessibility or durability of research spaces (e.g. new roof on a research lab).
• Investments that build on areas of recognized research strength at the institution (as evidenced by funding or other awards)
• Investments that support key research areas, such as:
• Health and life sciences – including brain/neuro/genomics/stem cell,
• Environment – including clean technology and agriculture,
• Natural resources and energy- related,
• Advanced manufacturing and materials – including nanotechnology.

1. For each of the applicable categories listed below, provide the number of spaces, estimated total net square metres of new construction units (square metres) and a short description of new training spaces constructed, including the industry it applies to and how it meets the criteria identified.
2. Provide a percentage of the total project cost spent on each new space including square footage (if available):
   • Teaching laboratory
   • Classroom
   • Library & study facilities
   • Business incubation & acceleration facilities
   • Other research & innovation or commercialization space
   • Plant maintenance
   • Recreation/athletic space
   • Animal space
   • Central administrative office & other space
   • Common use & student activity space
   • Food service
   • Collaboration/maker space
   • Training facilities for advanced areas such as Red Seal trades
   • Other spaces (offices, meeting spaces, etc.)

Enter all requested information into the provided text boxes.

Ultimate Recipients can also quantify new training construction built by number of spaces.

"Spaces" refer to the number of offices, labs, work cubicles, etc. that have been added as a result of this project. Provide a breakdown for each component (e.g. 2 classrooms and 1 office).

Provide the estimated total net square metres of renovation and repairs. Net refers to total usable space. If multiple of same spaces were constructed, provide the total of all combined spaces.

Total project cost consists of both PSI-SIF eligible and ineligible costs.

Calculate the percentage of the total project cost spent on each new training space created. Estimates are acceptable. Totals do not need to equal 100%.

In the short description, describe if the project addresses:

• Improvements in quality
• Improvements to accessibility or durability of training spaces
• Improved capacity to deliver training curriculum, including distance learning programs
• Enhancement of training space may also include equipment (eligible or ineligible) to meet current industrial standards

1. For the applicable categories listed below, provide the number of spaces, estimated total net square metres of renovations and/or repairs and a short description of the training spaces and how they are improved.
2. Provide a percentage of the total project cost spent on each type of space including square footage (if available):
   • Teaching laboratory
   • Classroom
   • Library & study facilities
   • Business incubation & acceleration facilities
   • Other research & innovation or commercialization space
   • Plant maintenance
   • Recreation/athletic space
   • Animal space
   • Central administrative office & other space
   • Common use & student activity space
   • Food service
   • Collaboration/maker space
   • Converting space into an industry or sector specific specialized training space
   • Training facilities for advanced areas such as Red Seal trades
   • Other spaces (offices, meeting spaces, etc.)

Enter all requested information into the provided text boxes.

Ultimate Recipients can quantify renovations and repairs by the number of units.

"Units" refer to the number of offices, labs, work cubicles, etc. that have been added as a result of this project. Provide a breakdown for each component (e.g. 2 classrooms and 1 office).

Provide the estimated total net square metres of renovation and repairs. Net refers to total usable space. If multiple of same spaces were renovated, provide the total of all combined spaces.

Total project cost consists of both PSI-SIF eligible and ineligible costs.

Calculate the percentage of the total project cost spent on each renovated training space. Estimates are acceptable. Totals do not need to equal 100%.

In the short description, describe if the project addresses (same as above):

• Improvements in quality
• Improvements to accessibility or durability of training spaces
• Improved capacity to deliver training curriculum, including distance learning programs
• Enhancement of training space may also include equipment (eligible or ineligible) to meet current industrial standards

Indicate the green certification that is applicable as well as the level attained or expected to be certified. If available, submit and attach a copy of the certification.

• LEED Certified
• LEED Silver
• LEED Gold
• LEED Platinum
• BOMA Certified
• BOMA Bronze
• BOMA Silver
• BOMA Gold
• BOMA Platinum
• 1 Globe
• 2 Globes
• 3 Globes
• 4 Globes
• 5 Globes
• Other (specify)

If ‘Other' is selected, specify and describe. Maximum 1,000 characters. This is mandatory if Other is selected.

If no formal certification has been sought, provide documentation or detailed information to substantiate measurable and/or demonstrable environmental benefits resulting from the project. Maximum 3,000 characters. This is mandatory if no designation is selected.

Examples/indications to determine measurable and/or demonstrable environmental benefits:

• Program/Action plan in waste management (e.g. on recycling, compost, waste and shipment to the dump site and/or to the recycling centre, etc.; in tons, pounds or other unit of measure)
• Program/Action plan in water management (e.g. installation of water meters, installation of low-flush toilets, etc.; in litres, cubic meters or other unit of measure)
• Program/Action plan on environmental awareness/sustainable development for employees and/or students. This item may contain elements related to waste management, water management, energy management, etc
• Other measurable and/or demonstrable environmental benefits

Note that the examples provided above may expand beyond the scope of the project. Indeed, a program/action plan may apply to an entire institution and not necessarily to the single phase of the project.

Estimate the expenditures ($ amount from total project cost) incurred to do the work related to energy efficiency (EE).

Provide estimates of energy savings for the following:

• Projected total annual energy costs ($)
• Projected annual energy savings in Gigajoules (GJ)
• If available, projected reductions in natural Energy Use Intensity (EUI)

EE refers to using energy more effectively and is often a technological change. EE measures differences in how much energy is used to provide the same level of comfort, performance or convenience by the same type of product, building or vehicle (Key concepts: energy efficiency https://www.nrcan.gc.ca/energy/efficiency/buildings/eeb/key/3967)

EUI can be tracked through ENERGY STAR Portfolio Manager, a free online tool to help measure and track energy and water consumption, as well as GHG emissions. It is used to benchmark the energy performance of a building or a whole portfolio of buildings, in a secure online environment. It also allows the user to set energy savings targets.

Ultimate Recipients need to input energy consumption data in the online tool. It is preferable to have a minimum of at least 12 consecutive months of energy consumption to be able to obtain energy indicators such as GHG emissions (direct and indirect), energy use intensity (EUI) source/site, GJ/m2, medians, etc. Amount ($) saved/spent can also be included and tracked with the help of the tool.

If the Ultimate Recipient does not have 12 consecutive months of energy consumption, they can use temporary values available in the tool and then populate them with the right values once they get them.

To determine estimated energy savings, the user will have to create a baseline/reference year and set energy performance targets. The balance between the two will indicate the estimated energy savings.

Reference Links:

1. Why energy efficiency? http://www.nrcan.gc.ca/energy/efficiency/buildings/eeb/3697
   
2. ENERGY STAR Portfolio Manager Access Page: http://www.nrcan.gc.ca/energy/efficiency/buildings/energy-benchmarking/3693
   
3. Energy efficiency in buildings: http://www.nrcan.gc.ca/energy/efficiency/eefb/buildings/13556
   
4. http://www.nrcan.gc.ca/energy/efficiency/buildings/4261
   
5. Energy efficiency for existing buildings: http://www.nrcan.gc.ca/energy/efficiency/buildings/eeeb/3703
   
6. Energy efficiency for new buildings: http://www.nrcan.gc.ca/energy/efficiency/buildings/eenb/3701
   
7. ENERGY STAR certification for commercial and institutional buildings in Canada! (Winter 2018) http://www.nrcan.gc.ca/energy/efficiency/buildings/energy-benchmarking/building/20258
   
8. Buildings – What's New? http://www.nrcan.gc.ca/energy/efficiency/buildings/capacity-building-resources/19504
   
9. ENERGY STAR benchmarking for commercial and institutional buildings: http://www.nrcan.gc.ca/energy/efficiency/buildings/energy-benchmarking/3691
   

Should the Ultimate Recipient decide not to use ENERGY STAR Portfolio Manager, other tools or methods may be used. In which case, provide the calculation methods and/or evidence supporting the estimated energy savings.

Describe the work done to reduce total greenhouse gas emissions (GHGs)

Estimate the expenditures ($ amount from total project cost) incurred to do the work related to the reduction of GHG

If available, provide an estimate of total GHG reductions (in Tonnes of Equivalent carbon dioxide/year that will be achieved, including a breakdown according to the following. If actual figures are available, provide them and indicate that these are actual savings.

• Direct emissions – reductions from equipment upgrade (e.g. from reduced gas consumption) Tonnes/year
  
• Indirect emissions – reductions calculated based on electricity savings. Tonnes/year
  
• Total emissions

GHG emissions are the carbon dioxide (CO2), methane (CH4) and nitrous oxide (N2O) gases released into the atmosphere as a result of energy consumption at the property. GHG emissions are expressed in carbon dioxide equivalent (CO2e), a universal unit of measure that combines the quantity and global warming potential of each GHG.

We ask that emissions be reported in three categories for a period of 12 months, as a total amount in metric tons (Metric Tons CO2e) or as an intensity value in kilograms per square meter or square foot (kgCO2e/m2 or kgCO2e/ft2):

• Direct Emissions are associated with onsite fuel combustion (e.g. combustion of natural gas or fuel oil).
  
• Indirect Emissions are associated with purchases of electricity, district steam, district hot water, or district chilled water. These emissions occur at the Ultimate Recipient's utility's plant, but they are a result of the property's energy consumption and therefore contribute to the overall GHG footprint.
  
• Total Emissions is the sum of Direct Emissions and Indirect Emissions. (https://portfoliomanager.energystar.gov/pm/glossary)
  
• Total project costs consists of both PSI-SIF eligible and ineligible costs.
  

In order to determine estimated GHG reductions, Ultimate Recipients may need to establish a baseline/reference year for each building/facility being tracked. Once the baseline/reference year specified, the Ultimate Recipients will be able to set GHG emissions reductions targets. The balance between the two will determine the estimated reductions in GHG emissions.

To help calculate GHG reductions, the following options are available :

• Use the ENERGY STAR Portfolio Manager to calculate GHG emissions from facilities. For more information, refer to the Technical Reference guide – Greenhouse Gas Emissions: https://portfoliomanager.energystar.gov/pdf/reference/Emissions.pdf
  
• WRI GHG Accounting and Reporting Protocol: http://www.ghgprotocol.org/standards/corporate-standard

Should the Ultimate Recipient decide not to use ENERGY STAR Portfolio Manager, other tools or methods may be used. In which case, provide the calculation methods and/or evidence supporting the estimated reductions in GHG emissions.

Ultimate Recipients are responsible to submit an audit report, as per their PSI-SIF Ultimate Recipient Agreement with their lead Provincial/Territorial Ministry.

This audit is initiated and completed by the Ultimate Recipient within 90 days after the project has been substantially completed.

The report must be conducted in accordance with the requirements outlined in Annex F: PSI-SIF Project Close-Out Audit Requirements.

Attach a copy of the audit report. The audit report is only for the PSI-SIF funded phase of the project, in the event of a multi-phase project.

Note that the final audit is separate from an interim audit that may have been conducted by the PSI-SIF program during the program cycle.

Indicate if an independent audit has been conducted within 90 days following project substantial completion.

If ‘No, an audit has been scheduled and the report will be submitted at a later date' is selected, provide the estimated date as to when the report will be submitted. The final payment holdback will apply until Canada has issued a final payment recommendation based on the review of the close-out report, final close-out project audit and solemn declaration of substantial completion. Recipient should work with their P/T contacts to ensure the independent audit report is issued within 90 days of substantial completion.

If necessary, describe and explain any differences between the audit details and the PCR. If the total project or eligible costs values of the audit is different from the values in this report, describe and explain the difference. For example, if the audit values did not include the value of the audit itself use this section to indicate.

The audit report has to accompany the PCR because the Government of Canada requires that the audit report be received 90 days after the substantial completion of the project.

Ultimate Recipients are responsible to submit a Declaration of Substantial completion as per their PSI-SIF Ultimate Recipient Agreement with their lead Provincial/Territorial Ministry.

A copy of the Declaration of Substantial completion is available in Annex D: PSI-SIF Solemn Declaration of Substantial Completion Template or from the Provincial/Territorial contact.

Additional clarification is available in Annex E: Clarification on PSI-SIF Solemn Declaration of Substantial Completion.

Attach a copy of the Declaration of Substantial Completion signed by a licensed professional in the jurisdiction of the project or an acceptable equivalent approved by Canada, including the president or legal head of the ultimate recipient.

Indicate if the Declaration of Substantial Completion is attached.

If the Declaration has been completed and will be submitted at a later date, indicate an estimate date as to when it will be provided.

If the Declaration has been scheduled, indicate an estimated date when the Declaration will be submitted. Final payment holdbacks will apply until Canada has issued a final payment recommendation based on the review of the project close-out report, final close-out project audit, and solemn declaration of substantial completion. Recipients should work with their lead P/T contacts to ensure the Declaration of Substantial Completion is issued within 90 days of substantial completion.

If necessary, describe and explain any differences between the declaration details and this PCR. If dates or values do not agree between the declaration and this document explain. For example, if the certificate of substantial completion was issued prior to the completion of all eligible costs use this section to describe and explain the reasons for the differences.

*Prepared by

Indicate name of authorized official

This form should be signed by an authorized official designated in the PSI-SIF Ultimate Recipient Agreement with the lead Provincial/Territorial Ministry.

Contact details are provided in the sections below.

*Title

Indicate the title of the authorized representative.

*Name of Institution

*Telephone

*Email

*Signature

Print the completed form, sign, scan and provide the signed copy with the online submission.

*Date (yyyy-mm-dd)

Name of Province/Territory Contact

Provide the name of the Provincial/Territorial contact who has reviewed the submission.

Email of Province/Territory Contact

Provide the email of the Provincial/Territorial contact who has reviewed the submission. A copy of the submission confirmation email will be shared.