Call for Interest

Assistance for Preparing Innovation Procurement in the Water Sector

Application Form

Application form to be completed in English and sent by email to the following address: call@waterpipp.eu Deadline for applications (electronic submission only): 31 August 2015

Date of application: Click here to enter a date

Name of applicant: Enter name of applicant here

Position of applicant: Enter position of applicant here

Name of institution: Enter name of institution here

Type of institution: Enter type of institution here

City: Enter city here

Country: Enter country here

Role and responsibilities of the applying institution (in relation to the procurement relevant for the WaterPiPP application)

Please tick – multiple choices are possible:

Please specify here

Does your institution have any previous experience in the procurement of Research and Development services or of innovative solutions?

Please tick:

Name and details of contact person:

Name: Enter name of contact person here

Mailing address (street with number, postal code, city, country):

Enter mailing address here

E-mail: Enter e-mail address here

Telephone: Enter telephone number here incl. country prefix

Problem description

Describe below the challenge faced, as well as the need which has yet to be met, that is the motivation behind your institution’s wish to launch an innovation procurement. If information is available, the answer can also refer to any cost/benefit analysis, quality and/or efficiency improvements in the area of public interest, and/or regulatory requirements that require your institution to look for an innovative solution (max. 2,000 characters).

State-of-the-art description (on the demand side)

Describe the shortcomings of the solutions currently used or available on the market and the context that determines the framework conditions for the proposed innovation procurement (max. 2,000 characters).

Desired progress beyond state of the art description

Describe briefly how your proposed pilot would be an advance in comparison to the current state-of-the-art. Furthermore, what is the degree of ambition your institution has as regards any envisaged quality and/or efficiency improvements compared to the current state-of-the-art (max. 2,000 characters)?

Please select level of innovation desired:

Objectives pursued

Describe clear, measurable and realistic objectives for the procurement that are achievable within the duration of the Water PiPP project until December 2016 (max. 2,000 characters).

Envisaged timing of launch of procurement procedure

Please select envisaged timing of launch:

Linkages with other relevant activities and initiatives

Describe any national or international activities or initiatives (e.g. other on-going or planned PCP or PPI projects, other innovation, standardisation or policy activities) that are planned to be linked with the action, notably cases where inputs / outputs from these other initiatives will feed into the action or outcomes from this action will be used (max. 2,000 characters).