Format for project completion report (investment projects).

SECTION 1: PROJECT OVERVIEW

1.1	Country:
1.2	Project number (as per Inventory):	Project number
1.3	Project title
1.4	Address(es) of enterprise and project site(s):
1.5	Date of approval of the project (as per Inventory):
		Approved	Actual
1.6	Date of completion:	Original:
1.6	Date of completion:	Latest revised:
1.7	Conversion/alternative technology used1:	From: To: other	To:
		From: To: other	To:
		From (other): To (other)	To (other):
1.8	ODP phase-out:	0.00	0.00
1.9	Total MLF funding:	$ 0	$ 0
1.10	Total counterpart funding (as per project document):	$ 0	$ 0
1.11	Total project cost:	$ 0	$ 0
1.12	Cost-effectiveness:
1.13	Percentage of Article 5 country ownership:	0.0 %	0.0 %
1.14	Percentage of exports to non-Article 5 countries:	0.0 %	0.0 %
	Discussion held with:	Agency	Name/date
1.15	Implementing agency:
1.16	Executing agency/financial intermediary:
1.17	National coordinating agency/NOU:
1.18	Beneficiary company
If the actual technology used is different from the approved one, indicate procedures followed with regard to informing the executive committee and seeking approval in accordance with the guidelines established by decision 22/70: Other explanations, if needed:

*Indicate whether this report is provisional FORMCHECKBOX FFFFFFFF6500000014000000000000000000000000000000000000000000000000000000 mso-bidi-font-size:10.0pt;mso-no-proof:no'> or final FORMCHECKBOX FFFFFFFF6500000014000000000000000000000000000000000000000000000000000000 mso-bidi-font-size:10.0pt;mso-no-proof:no'>.

SECTION 2: Criteria and Rating Scheme for Overall assessment

Part A: Assessment of Quantitative Project Performance Data
	Criteria	Rating
Pre-conditions for completion*	ODS phase-out as approved Conversion completed (no more CFC in use, ODS-free production has started). Certified equipment destruction	20 20 20
Delays	On time 6 to 12 months delay More than 12 months delay	15 0 -15
Cost effectiveness of MLF funding	Cost effectiveness more than 5% better than approved Cost effectiveness as approved or less than 5% better Cost effectiveness less than approved	5 0 -5
Sub-total A
Part B: Qualitative Rating of Project Performance**
Project Preparation	Quality of project design	5,3or1
Technology choice	Conversion technology Type of equipment Supplier	5,3or1 5,3or1 5,3or1
Management of risks	Safety / health protection Maintenance of equipment Maintaining product quality Preventing return to ODS use	5,3or1 5,3or1 5,3or1 5,3or1
Sub-total B
Total score	Highly satisfactory: 100 to 120 Satisfactory: 75 to 99 Less satisfactory: 48 to 74

*The overall rating will be calculated only if the pre-conditions for completion as defined by the Executive Committee in Decision 28/2 are met and documented (applicable for projects completed after July 1999).

**Please rate the project performance with regard to quality/appropriateness using the following scale for each category: Highly satisfactory: (5); Satisfactory: (3); Less satisfactory: (1).

SECTION 3: DESCRIPTIVE ASSESSMENT OF PROJECT PERFORMANCE

The following questions are to summarize actual performance as compared to what was approved in the project document.

3.1 Comments on ODS phase-out approved and achieved (explain differences, report on remaining consumption of ODS and the risk of the beneficiary returning to the use of ODS):

3.2 Explain reasons if conversion technology was changed after approval (in cases other than approved by the Executive Committee):

3.3 Describe any major (technical, financial, political or other) problems encountered in project preparation, causes of delays and actions taken to overcome them:

3.4 Describe main post-conversion safety and environmental risks and measures taken to cope with them; attach copies of appropriate certificates:

3.5 Report on implementation of Executive Committee approval conditions (in cases of approval with specified conditions):

3.6 Comments on differences between approved and actual figures for capital, operational and contingency costs and actions taken to cope with cost overruns :

3.7 Report on reasons for changes in counterpart funding for eligible incremental costs:

3.8 Categorize and describe causes of implementation delays and actions taken to overcome them:

Categories	Causes of Delay	Actions taken to Overcome Delay(s)
a) due to Implementing Agency delays
b) due to enterprise delays
c) due to equipment / chemical supplier delays
d) due to Governmental delays
e) due to external (regional/global) factors
f) due to delays in funding following project approval

3.9 Provide an overall assessment of the fate of the baseline equipment (refer to Section 7):

3.10 Lessons learned for future action:

3.11 Comments of the beneficiary enterprise:

3.12 Government's / NOU's comments:

SECTION 4: ODS PHASE-OUT

Pre-conversion (as reported in project document).

4.1 Products manufactured/services provided:

4.2 Annual level of production / services:

4.3 ODS consumed in baseline year:

Substance	Amount in tonnes	ODP of the substance	Total ODP tonnes
ODS (1)	0.00	0.00	0.00
ODS (2)	0.00	0.00	0.00
ODS (3)	0.00	0.00	0.00
ODS (4)	0.00	0.00	0.00
Total:	0.00		0.00
Explanations, if needed:

4.4 Project Preparation

Budget Approved:	$ 0
Actual Expenditures:	$ 0
Describe briefly the role of the enterprise in project preparation:
In what way was the NOU involved in project preparation:
Were any changes made as a consequence of the external technical review? If yes, please specify:
Did the ExCom approve the project in its original version? If not, please specify:
Explanations, if needed:

Transition from ODS-based to non-ODS-based production/services

4.5 Evolution of the amount of ODS consumed

Schedule	Actual Year	Units produced/ serviced using ODS	Amount of ODS consumed (Tonnes)
Schedule	Actual Year	Units produced/ serviced using ODS	ODS(1)	ODS(2)	ODS(3)	ODS(4)
199X*
199X**
199X+1
199X+2
199X+3
199Y***
200Y+1****
Explanations, if needed:

4.6 Evolution of the amount of substitutes consumed

Schedule	Actual Year	Units produced/ serviced using substitutes	Amount of substitutes consumed (Tonnes)
Schedule	Actual Year	Units produced/ serviced using substitutes	SUB(1)	SUB(2)	SUB(3)	SUB(4)
199X*
199X**
199X+1
199X+2
199X+3
199Y***
200Y+1****
Explanations, if needed:

*Baseline year (per project document).

**Year of project approval. Please adjust accordingly if baseline year = approval year

***Year of successful commencement of new projection.

****Most recent year.

Post-conversion

4.7 Amount of substitutes consumed in final year of report, and remaining Ozone Depleting Potential

Substitute	Amount in Tonnes	ODP of the Substitute	Total ODP Tonnes
SUB (1)	0.00	0.00	0.00
SUB (2)	0.00	0.00	0.00
SUB (3)	0.00	0.00	0.00
SUB (4)	0.00	0.00	0.00
Total:	0.00		0.00
Explanations, if needed:

SECTION 5: BUDGET AND EXPENDITURES

In case this PCR is still provisional (as indicated in Section 1), this may serve as a status report on project expenditures at the time of preparing the Project Completion Report with the understanding that a full financial completion report will be prepared as a supplement once the accounts of the project are closed.

5.1 Total budget and expenditure on incremental cost:

Project budget	Approved costs	Actual total costs	Actual total funding disbursed
			Grant funds	Counterpart funds
Incremental capital costs	$ 0	$ 0	$ 0	$ 0
Contingency	$ 0		$ 0
IOC*	$ 0	$ 0	$ 0	$ 0
Total	$ 0	$ 0	$ 0	$ 0
Total MLF grant**	$ 0
Total MLF grant not utilized	$ 0
Indicate date(s) and amount(s) of IOC disbursement(s) by Implementing Agency: Other explanations, if needed:

*If IOC funds were used to finance incremental capital costs, in accordance with ExCom Decision 20/6, the amount should be specified in Section 3.6 above.

**Differences between total approved costs and total MLF grant may be due to non-Art. 5 country ownership and/or exports to Art. 2 countries (see Sections 1.11 and 1.12 above).

5.2 Detailed list of incremental capital cost and contingency by item:

Project budget	Approved costs	Actual costs	Actual funding
			Grant funds	Counterpart funds
Incremental capital costs*


Subtotal
Contingency
Explanations, if needed:

*List of equipment capital cost, including cost for international consultants by item as approved in project document (additional equipment should be indicated). If the company insists on purchasing equipment for more than the limits established through international bidding please provide detailed explanation in Section 3.6.

5.3 Incremental Operating Costs by Item and Disbursement(s)

	As per project document approved		Based on information from company
Cost Items	Before	After	Actual
CFC/ODS prices US$/kg (per substance)	$ 0.00
Substitute prices US$/kg (per substance)		$ 0.00	$ 0.00
Compressor prices US$/unit*	$ 0.00	$ 0.00	$ 0.00
Average foam density kg/m3*	0.00	0.00	0.00
Other (please specify)
Explanations, if needed:

*Where applicable

5.4 Approved and actual incremental operating costs: (To be filled only upon specific request by the Multilateral Fund Secretariat)

	As per project document approved		Based on information from company
Item	Before	After	Actual
Number of units produced (annually)	0.00		0.00
Incremental unit costs US$/unit*	$ 0.00	$ 0.00	$ 0.00
IOC/Year	$ 0	$ 0	$ 0
Duration (years)	0		0
Total IOC, NPV	$ 0	$ 0	$ 0
Explanations, if needed:

*Present the calculation of the actual incremental unit cost in the box below or attach it.

5.5 Counterpart funding of additional items not included in the project document (based on information provided by the company/beneficiary):

	Items	Actual expenditures
1.
2.
3.
Total
Explanations, if needed:

SECTION 6: IMPLEMENTATION EFFICIENCY

Project milestones	Planned dates	Planned duration in months**	Actual date	Actual duration in months**	Delay in months
ExCom approval date
Start-up of project activities at country level as stated by Article 5 Party concerned
Grant agreement submitted to beneficiary
Grant agreement signature
Bids prepared and requested
Contracts awarded
Equipment delivered
Commissioning and trial runs
Start of ODS-free production
Decommissioning and/or destruction of redundant baseline equipment
Total duration until project completion*
Submission of project completion report
Explanations, if needed:

*Completion of project refers to when ODS-free production starts and equipment has been destroyed per ExCom Decision 28/2(a).

**The number of months taken to complete item by item

SECTION 7: FATE OF ODS-BASED PRODUCTION EQUIPMENT

List of equipment rendered unusable (the baseline)*		Implemented
Type of equipment	Description/ specification**	Disposal type***	Date of disposal	Implemented by:	Certified by****:




Explanations, if needed, particularly in case funds approved for retrofitting have subsequently been used to replace equipment rather than to retrofit it:

*List of equipment to be rendered unusable or to be modified according to the project document

**Description/specification should include model and serial numbers

***Type of equipment disposal

****Attach copy of certificate

(UNEP/OzL.Pro/ExCom/30/41, Decision 30/8 , para. 25).

(UNEP/OzL.Pro/ExCom/32/44, Decision 32/18 , para. 29).

(Supporting document: UNEP/OzL.Pro/ExCom/30/7).

(Supporting document: UNEP/OzL.Pro/ExCom/32/19, Corr.1 and Add.1).