Fight Food Waste SME Solutions Centre: SME Expression of Interest

This form is to be completed by the Applicant in collaboration with the Fight Food Waste SME Solutions Centre Coordinator with early consultation recommended. Applicants should be aware that there is a total of $200K available from the Fund, and the program will end when funds are exhausted. Amounts are in Australian dollars and exclude GST.

This SME Expression of Interest is to be read in conjunction with the Fund Overview and other documentation available on the Fight Food Waste Cooperative Research Centre (FFW CRC) website at https://fightfoodwastecrc.com.au/project/sme/

Applicant Details SME’s legal name & trading name (if different)

Primary contact NameTitleEmailPhone

ABN/ACNBusiness AddressAustralian headquartersProduction locations

Ideal region/s to conduct this project

Have you worked with a FFW CRC research participant organisation previously?If yes, which one(s)?

YesNo

Primary Industries & Regions South Australia / The South Australian Research and Development Institute

Central Queensland University Curtin University Queensland Department of Agriculture and Fisheries Queensland University of Technology RMIT University Swinburne University of Technology The University of Adelaide The University of Queensland University of Southern Queensland.

Project Details Proposed project name

Describe the agri-food problem identified and why it needs to be solved?(< 200 words)

Fight Food Waste SME Solutions Centre: SME Expression of Interest

What is your motivation to solve this problem?(select one or more as needed)

I feel this opportunity could be commercialised by my business I feel this opportunity could be commercialised by another business This is cost to my business that I would like to negate or reduce Food waste is a problem that we must begin to address.

Describe the predicted impacts or key benefits that a solution to this problem could deliver: To impact on food waste reduction

(in quantified volumes); and To provide commercial benefit (in $

value returns where possible)(< 200 words)

Do you have any suggestion how to address this problem?If so, could you please briefly outline the suggestion here.(< 150 words)

Have you undertaken previous research in this area? If yes, what works were completed or partly completed?(< 150 words)

Was this completed with an FFW CRC research participant organisation?If yes, which one(s) and when?

What do you hope to achieve from the solution to your opportunity?(select one or more)

Reduce the operating costs of my business Create something new Sell my waste to another business for processing Up-cycle or value-add to low grade materials Ethical, or piece of mind, that I am being sustainable to the environment. A commercial proposal that will supplement my existing revenue. A commercial proposal that will become a profit driver. Other, please describe briefly below:

_____________________________________________________________

Is the project scope flexible?If required, can your project proceed with a narrower scope and a smaller allocation of funding? (< 50 words)What will you do if the cost to commercialise this proposal including business modelling, equipment, training, marketing and sales initiatives costs:

Then we would likely commercialise within:If commercialisation costs: 12 months 24 months

Unlikely to commercialise

Less than $100K $100K- $250K$250K-$500K$500K-$750K$750-$1M$1M or Greater

For the scenario where the new product is different from your

Fight Food Waste SME Solutions Centre: SME Expression of Interest

existing business.Do you have access to the supply chain and market knowledge to commercialise your product solution?(< 150 words)(leave blank if unknown)Do you have the budget to commercialise the solution?If not, would you need to seek additional funds to develop the new product or services to the level of production, marketing, and sales? ( < 100 words)

How does the solution fit within the long-term objectives of your business plan?(< 100 words)

Background Intellectual PropertyDoes the Applicant have existing or shared Intellectual Property (IP) which will be used in respect of the project? If so, please advise the (1) nature of that IP, (2) who owns the IP, and (3) the conditions of use.

Firm willingness to share or sub-licence IP from project

The Applicant(s) do not grant Food Innovation Australia Ltd (FIAL) any IP permission rights over the IP arising out of the project. Granting FIAL rights over the IP is desirable but not required.

[OR]

The Applicant(s) grant FIAL a world-wide, royalty free, non-exclusive license (including the right to sublicense) to use, reproduce, adapt, modify and communicate Project IP (collectively referred to as “IP Permissions”)

If IP Permissions are being granted, please select ONE of the following:

The outcomes of the project do not include any pre-existing and/or background IP.

The outcomes of the project include pre-existing IP, and/or third-party IP; that the Applicant(s) do not agree to grant IP Permissions to FIAL.

The outcomes of the project include pre-existing IP, and/or third-party IP, that the Applicant(s) agree to grant IP Permissions to FIAL and the Applicant has or will obtain that third party’s consent to grant FIAL relevant third-party IP permissions.

Details of what the Applicant will provide other than its cash

Raw Materials:

Fight Food Waste SME Solutions Centre: SME Expression of Interest

contribution Equipment:

Staffing:

Facilities:

Maximum potential cash contribution provided by Applicant Applicant cash contribution may be

matched by the Fund up to $50K. Applicant may contribute > $50K,

but excess over $50K will not be matched.

Applicant’s contribution may be eligible for R&D tax incentive (seek professional advice)

Additional information you would like to add?

Conditions: I understand that solutions and results from this project may not be available to my business for a period of

up to 12 months from contract signed date. I understand that the Fund Selection Panel will determine, at their absolute discretion, whether or not to

offer me grant funding If grant funding is ultimately awarded to me, I consent to having my business name and level of funding

awarded published on the FIAL and FFW CRC websites for the purpose of public disclosure.

I understand and agree

By signing, the Applicant consents and warrants that all information in this form is true and correct and not misleading in any particular; and they have obtained any necessary consents.

Signed for and on behalf of the Applicant by a person duly authorised to act in that behalf

_____________________________________

Witness Signature

_____________________________________

Witness Name (in full)

________________________________Signature

_______________________________Name & Position

_______________________________Date

The Applicant must email the completed signed form to the Fight Food Waste SME Solutions Centre Coordinator Ross Naidoo Ross.Naidoo@daf.qld.gov.au

Fight Food Waste SME Solutions Centre: SME Expression of Interest

Privacy StatementFFW CRC is collecting the information on this form to assess your application for funding under the Fund. The information collected will be used by the FFW CRC Head Office and its research organisation participants, FIAL, and the State of Queensland through the Queensland Department of Agriculture and Fisheries (QDAF) for the purpose of assessing your application and proposed project.

The detail included on this form and the outcomes of your project and all reports submitted to FFW CRC as part of the project may also be given to the Minister responsible for QDAF and local members of Queensland Parliament, and the Commonwealth Department of Industry Innovation and Science and its Minister and members of Commonwealth Parliament for the purpose of program reporting, evaluation and further program and policy development. Your information will not otherwise be disclosed to any other third parties without your consent, unless authorised or required by law.

Your contact details may also be included in a database for future mail outs and emails about FFW CRC, FIAL or QDAF services. Please advise FFW CRC, FIAL and QDAF if you do not want your details to be added to the database for this purpose by emailing Ross.Naidoo@daf.qld.gov.au or james.krahe@fial.com.au.

Fight Food Waste SME Solutions Centre: SME Expression of Interest