EEPR09 - Interconnections
Ref. Ares(2018)1186229 - 02/03/2018
Ref. Ares(2018)5389783 - 19/10/2018
Template for FINAL TECHNICAL IMPLEMENTATION REPORT and FINANCIAL STATEMENT (FTIR)
The Final Technical Implementation Report and Financial Statement shall include at least the
following information1:
The FTIR is meant as the supporting document attached to the request for balance payment which
shall be made in a separate cover letter. In this cover letter (duly dated and signed), the
beneficiaries or co-ordinator shall clearly specify the amount(s) requested to be paid to each
beneficiary and confirm the bank account(s) to which the payment should be made by the
Commission. Each beneficiary should indicate in the cover letter that “
the beneficiary certifies that
the information provided in the request for payment is full, reliable and true. In particular, you
should certify that the costs incurred can be considered eligible in accordance with the decision
granting financial aid, that all receipts have been declared, and that the request for payment is
substantiated by adequate supporting documents that can be checked”.
In addition, the list of annexes attached to the request for payment should be included in the cover
letter. In particular, the request for balance payment shall be accompanied by:
- A certificate2 on financial statement by an external auditor;
- A certification by the Member State(s) concerned of the reality and the conformity of the
Action related expenditure incurred (Article 11(1) of Regulation No 663/2009); AND
- A validation of the technical report by the Member State(s) concerned.
PART A - GENERAL INFORMATION
Commission Decision Ref.:
C(2010)xxx of xxx
Reporting period:
dd/mm/yyyy – dd/mm/yyyy
Project3
EEPR project title4 :
xxx
Project start/end dates :
xxx
(as specified in the Commission
Decision)
Project summary description: (if changes have been made compared to the description specified
in the Commission Decision)
(Max. 15 lines)
xxx
Action
Action acronym
EEPR-2009-INTx-xxx
Max. amount of EEPR
xxx.xxx.xxx €
financial aid (€) allocated:
Action start/end dates:
dd/mm/yyyy – dd/mm/yyyy
(as specified in the Commission
Decision)
Action summary description: (including the Sub-Actions where relevant)
1 For further guidelines, see Section I.3.4 of the above-mentioned Commission Decision
2 See Section I.3.3 point 2 (c) of Annex I to the above-mentioned Commission Decision
3 As specified in Section II.4.3 of the above-mentioned Commission Decision
4 As specified in Annex A of the EEPR Regulation (No 663/2009)
EEPR09 - Interconnections
Template for FINAL TECHNICAL IMPLEMENTATION REPORT and FINANCIAL STATEMENT (FTIR)
(Max. 15 lines)
xxx
Contact persons
Beneficiary(ies) contact
Official name – Address / Tel/Fax / Email
details:
Coordinator contact details:
Official name – Address / Tel/Fax / Email (if applicable)
Contact person for reports,
Name/Function – Address / Tel/Fax / Email
technical and/or financial
issues
Member State(s) concerned:
Member State(s) official name
Contact person in charge of
Name/Function – Address / Tel/Fax / Email
the project:
PART B - TECHNICAL REPORT
Action executive summary:
Activities (and Sub-Actions) implementation status:
Sub-Action 1
xx %
Activity 1
xx %
Activity N
xx %
Date of the completion of the Action: xxx
Milestones reached
Sub-Action 1
Date of
completed
milestones
Milestone 1
xx %
Milestone N
xx %
Sub-Action N
Milestone 1
xx %
Milestone N
xx %
List of all technical reports related to the Action implementation:
xxx
Detailed description of the activities performed and completion dates of the milestones (including
the related means of verification) within the complete duration of the Action:
[
In particular, any deviation from or change in the activities description as specified in the
Commission Decision should be reported]
xxx
EEPR09 - Interconnections
Template for FINAL TECHNICAL IMPLEMENTATION REPORT and FINANCIAL STATEMENT (FTIR)
Delays and problems encountered:
xxx
Solutions undertaken:
xxx
Description of measures taken regarding the publicity on EU co-financing:
xxx
Project progress:
Brief description of works performed within the reporting period as specified in Part A:
xxx
Work to be undertaken in the next coming years:
xxx
EEPR09 - Interconnections
Template for FINAL TECHNICAL IMPLEMENTATION REPORT and FINANCIAL STATEMENT (FTIR)
Risk assessment:
[
Description of potential problems, delays, deviations from the original targets and short
description of the potential solutions].
Xxx
Financial implementation follow-up
(Updated) estimated Project budget
9.999.999.999,00 €
Rate of consumption of estimated
Xx %
Project budget up to date
PART C – FINANCIAL STATEMENT
All amounts as specified in this report shall be in euro. Any conversion into euro shall be made at
the monthly accounting rate applicable for the month following the end of the reporting period as
established by the European Commission and published on its website (see link below).
http://ec.europa.eu/budget/inforeuro/index.cfm?Language=en
Action
Were the public procurement procedures applicable to new contracts that have
YES
NO
been signed during the reporting period?
If not, explanations and supporting documents shall be attached to this report
If yes, please provide preferably in a table format:
1)
Type of contracts concluded linked with the costs claimed in this request of payment
(furniture/services/works)
2)
Amount of each contract
3)
Type of applied procedure (open, restricted, negotiated with or without prior publication)
Breakdown of balance payment requested per Beneficiary and/or Sub-Action
Beneficiary No 1 Beneficiary No 2
Total amount of
payment requested
Sub-Action No 1
999.999.999,00 €
999.999.999,00 €
999.999.999,00 €
Sub-Action No 2
999.999.999,00 €
999.999.999,00 €
999.999.999,00 €
Sub-Action No N
999.999.999,00 €
999.999.999,00 €
999.999.999,00 €
Total amount of
999.999.999,00 €
999.999.999,00 €
999.999.999,00 €
payment requested
Interests yielded by the pre-financing
Amount (in EURO) paid by the Commission:
xxx.xxx.xxx €
Date of payment of the pre-financing by the Commission:
DD/MM/YYYY
Amount (in EURO) of interests yielded by the pre-
xxx.xxx.xxx €
financing over the reporting period covered by this
EEPR09 - Interconnections
Template for FINAL TECHNICAL IMPLEMENTATION REPORT and FINANCIAL STATEMENT (FTIR)
Financial Statement:
EEPR09 - Interconnections
Template for FINAL TECHNICAL IMPLEMENTATION REPORT and FINANCIAL STATEMENT (FTIR)
Table C1.N5: Final financial statement of the eligible costs actually incurred – Sub-Action No N
Eligible costs related to
Beneficiary No 1
Beneficiary No 2
the Action6 (€)
Planned
Actual
Planned
Actual
DIRECT COSTS
999.999.999,00 999.999.999,00 999.999.999,00 999.999.999,00
Activity No 1
Activity No 2
Activity No 3
Activity No N
TOTAL DIRECT
COSTS
INDIRECT COSTS
Flat-rate funding (rate
in % and amount)
TOTAL ELIGIBLE
COSTS
Table C2: Consolidated final financial statement for the Action
Total eligible
costs related to
Beneficiary No 1
Beneficiary No N
TOTAL per Sub-Action
the Action7 (€)
Planned
Actual
Planned
Actual
Planned
Actual
Sub-Action No 1
999.999.999,00
999.999.999,00
999.999.999,00
999.999.999,00
999.999.999,00
999.999.999,00
Sub-Action No 2
Sub-Action No 3
Sub-Action No 4
Sub-Action No 5
TOTAL for the
Action
Table C3: Actual receipts and final expenditures related to the Action implementation
Beneficiary No 1
Beneficiary No 2
RECEIPTS:
EU support (EEPR)
999.999.999,00
999.999.999,00
Other income sources:
- xxx
- xxx
TOTAL RECEIPTS
TOTAL ELIGIBLE COSTS
999.999.999,00
999.999.999,00
5 Table C2.N shall be duplicated for each Sub-Action
6 For the reporting period of this report
7 For the reporting period of this report