9
Housing and Technical Resources ECO Flex - Declaration of Eligibility (Solid Wall In-Fill Projects) You can complete this ECO Flex declaration request form in Adobe Acrobat and print it out, or print it and complete it by hand, using block capital letters. Return the form to ECO Flex, Housing and Technical Resources, Floor 11, Council Office, Almada Street, Hamilton, ML3 0AA. If you need this information in another language or format, please contact us to discuss how we can best meet your needs. Phone 0303 123 1015 or email [email protected] The table below requests Local Authority (LA) declaration of eligibility for all unique properties listed as part of projects that include in-fill premises, based on the following criteria: Fuel poverty (FP) criteria After housing income is equal to or less than the thresholds determined for the occupying household composition; and The home has an Energy Performance Certificate (EPC) with a rating of E-G or scores 4 or above in responses to questions set out in South Lanarkshire Council’s ECO Flex Statement of Intent. Low income vulnerable to cold (LIVC) criteria After housing income is equal to or less than the thresholds determined for the occupying household composition; and The households has one or more members with at least one of the following identified vulnerability factors: o A disability; o limiting long term or terminal illness; o are aged 70 or over; o are a dependent child aged 16 or younger. In-Fill criteria Property type Eligibility requirements Property consisting of a pair of semi-detached houses or bungalows, or a building containing no more than two domestic premises. At least one of the two properties must be declared by the Council as fuel poor (FP) or low income and vulnerable to cold (LIVC) - that is 50% of the properties are FP or LIVC Project consisting of any premises that are contained in the same building (for example flats), immediately adjacent buildings 9for example neighbouring properties) or in the same terrace. All properties that are receiving a ECO Flex measure must be covered by a declaration. This applies to LIVC, FP and in-fill properties. Up to 50% of total FP or LIVC combined properties within the project can receive a measure.

ECO Flex - Declaration of Eligibility (Sold Wall In-Fill Projects)...receiving a ECO Flex measure must be covered by a declaration. This applies to LIVC, FP and in-fill properties

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

Housing and Technical Resources

ECO Flex - Declaration of Eligibility

(Solid Wall In-Fill Projects)

You can complete this ECO Flex declaration request form in Adobe Acrobat and print it out, or print it and complete it by hand, using block capital letters. Return the form to ECO Flex, Housing and Technical Resources, Floor 11, Council Office, Almada Street, Hamilton, ML3 0AA. If you need this information in another language or format, please contact us to discuss how we can best meet your needs. Phone 0303 123 1015 or email [email protected]

The table below requests Local Authority (LA) declaration of eligibility for all unique properties listed as part of projects that include in-fill premises, based on the following criteria:

Fuel poverty (FP) criteria • After housing income is equal to or less than the thresholds determined for the occupying

household composition; and• The home has an Energy Performance Certificate (EPC) with a rating of E-G or scores 4 or

above in responses to questions set out in South Lanarkshire Council’s ECO Flex Statement ofIntent.

Low income vulnerable to cold (LIVC) criteria• After housing income is equal to or less than the thresholds determined for the occupying

household composition; and• The households has one or more members with at least one of the following identified

vulnerability factors:o A disability;o limiting long term or terminal illness;o are aged 70 or over;o are a dependent child aged 16 or younger.

In-Fill criteria Property type Eligibility requirements Property consisting of a pair of semi-detached houses or bungalows, or a building containing no more than two domestic premises.

At least one of the two properties must be declared by the Council as fuel poor (FP) or low income and vulnerable to cold (LIVC) - that is 50% of the properties are FP or LIVC

Project consisting of any premises that are contained in the same building (for example flats), immediately adjacent buildings 9for example neighbouring properties) or in the same terrace.

All properties that are receiving a ECO Flex measure must be covered by a declaration. This applies to LIVC, FP and in-fill properties. Up to 50% of total FP or LIVC combined properties within the project can receive a measure.

Declaration Unique Reference Number

S12000029-

Statement of Intent publication date and version number

April 2019 SOI version 2

Statement of Intent internet link

www.southlanarkshire.gov.uk

Installer / Supplier Validity The declaration of eligibility is valid for 18 months from the date

signed. Declarations made from 1 October 2020 are valid until March 2022.

Unique Project Name SOI Criteria for eligibility:

Unique property addresses In-fill

property FP LIVC Building / House No Street Name Town Postcode

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

Percentage (%) of households listed that are either living in fuel poverty or are low income and vulnerable to the effects of living in a cold home …%

(If you have more entries than available on this form, please use a new form.)

Unique property address

Please tick to verify that you are consulting with South Lanarkshire Council prior to the installation of any measure(“heat qualifying action”) at this premise

Please tick to verify that the property and household meet the criteria

Building / House No

Street Name Town Postcode FP LIVC

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

Unique property address

Please tick to verify that you are consulting with South Lanarkshire Council prior to the installation of any measure(“heat qualifying action”) at this premise

Please tick to verify that the property and household meet the criteria

Building / House No

Street Name Town Postcode FP LIVC

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

☐ ☐ ☐

Local authority declaration (for office use only)

I declare that:

☐ The Statement of Intent (SOI) for South Lanarkshire Council was published on or before the date this declaration was made and is currently available to view at the above location

☐ South Lanarkshire Council has been consulted on the installation of a measure (“heating qualifying action”) at the properties listed above and this consultation to place prior to the installation of measures.

☐ Based on the supplier/installer verification, in the opinion of South Lanarkshire Council the premises listed above are occupied by a household(s) that are either living on a low income in a home which cannot be kept warm at a reasonable cost (FP) or living on a low income and vulnerable to the effects of living in a cold home (LIVC).

Designated officer name:

Signature: Date: Job Title: Address: SLC Headquarters, 11th Floor, Almada Street, Hamilton, ML3 0AA Telephone: (01698) 455649 / 455647

The table below requests LA declaration of eligibility for all properties within the Solid Wall In-fill (SWI) project(s) that are listed below based on the following criteria:

Solid Wall In-fill (SWI) criteria

Property type Eligibility requirements SWI available Property consisting of a pair of semi-detached houses or bungalows, or a building containing no more than two domestic premises.

At least one of the two properties must be declared by the Council as fuel poor (FP) or low income and vulnerable to cold (LIVC) - that is 50% of the properties are FP or LIVC

The other private property which it directly adjoined is eligible for solid wall insulation. This is known as the in-fill property.

Project consisting of any premises that are contained in the same building (for example flats), immediately adjacent buildings 9for example neighbouring properties) or in the same terrace.

All properties that are receiving a ECO Flex measure must be covered by a declaration. This applies to LIVC, FP and in-fill properties. Up to 50% of total FP or LIVC combined properties within the project can receive a measure.

The in-fill properties in the project are eligible for solid wall insulation, provided they are either in the same building, and immediately adjacent building or in the same terrace as the ones identified as FP or LIVC.

(If you have more entries than available on this form, please use a new form.)

Unique property address, including postcode:

Please list the unique project name/number: For example ‘Project 1’; or ‘Hamilton’

Please tick to verify that you are consulting with South Lanarkshire Council prior to the installation of any measure(“heat qualifying action”) at this property

Please tick to verify that the property and household meet the defined SOI

Criteria:

In-fill property FP LIVC

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

Unique property address, including postcode:

Please list the unique project name/number: For example ‘Project 1’; or ‘Hamilton’

Please tick to verify that you are consulting with South Lanarkshire Council prior to the installation of any measure(“heat qualifying action”) at this property

Please tick to verify that the property and household meet the defined SOI

Criteria:

In-fill property FP LIVC

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

Unique property address, including postcode:

Please list the unique project name/number: For example ‘Project 1’; or ‘Hamilton’

Please tick to verify that you are consulting with South Lanarkshire Council prior to the installation of any measure(“heat qualifying action”) at this property

Please tick to verify that the property and household meet the defined SOI

Criteria:

In-fill property FP LIVC

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

☐ ☐ ☐ ☐

Contractor declaration – COVID-19 outbreak

The contractor must sign to confirm that they will comply with the Scottish Government’s Coronavirus (Covid-19) guidance for all works proposed.

Name Date

ECO supplier details

Organisation ‘Buy with Confidence’ registered (tick to confirm) ☐

Address Email

Contact name Phone

Supplier declaration I verify the information supplied within this request form is true and accurate. I understand any information that is found to be false or misleading will result in the LA Declaration of Eligibility related to properties and households for which false or misleading information was supplied being rescinded and may also result in my organisation being suspended from applying to South Lanarkshire’s ECO Flexibility Eligibility scheme.

Name Date

Signature (on behalf of the ECO supplier named above)

If you are submitting this by email, you must tick this box to confirm you have read and agree the declaration above.

Email to: [email protected]