<p> LITHUANIA-POLAND CBC PROGRAMME</p><p>REPORT ON SUSTAINABILITY (DURABILITY) OF PROJECT RESULTS AFTER PROJECT COMPLETION</p><p>TO BE SENT TO THE MANAGING AUTHORITY OF THE LITHUANIA-POLAND CBC PROGRAMME VIA THE JTS</p><p>Project Index No. Project title Lead Partner/country Partner 2/country Partner 3/country Partner …/country Priority under which funding was Sub-priority under which funding granted was granted End date of the project Contact person responsible for the monitoring of the sustainability (durability) of project results in Lead partner’s institution after the end of the project: name, surname, phone, e-mail</p><p>Reporting period after the end of the project:</p><p>1 year 4 year 2 year 5 year 3 year Final</p><p>INFORMATION ABOUT PROJECT SUSTANABILITY </p><p>Yes/No/ No. Object of reporting NA (not Remarks applicable) 1. Does beneficiary ensure that all documents Should be explained how the related to the Project implementation are stored documents are being kept in in a safe and orderly manner until the 30 June the institution and who is 2021? (Subsidy Contract, point 5.1.14) responsible 1.1. Lead Partner 1.2 Partner 2 1.3 Partner … 2. Does beneficiary ensure availability of Should be explained how and documents to be checked by representatives of who is responsible responsible bodies? (Article 90 of General Regulation No 1083/2006, Subsidy Contract point 5.1.17) 2.1. Lead Partner 2.2 Partner 2 2.3 Partner …</p><p>Annex 1 to the Procedure of Monitoring project durability LITHUANIA-POLAND CBC PROGRAMME Yes/No/ No. Object of reporting NA (not Remarks applicable) 3. Was the ownership of the property which was If „Yes“, it should be financed by the Programme transfered, sold, described: mortgaged, etc.? - what kind of the property, - the date when the ownership was changed; - the type of the ownership change (as indicated in the question – transfer, sell, mortgage, etc.?) - was the written permit issued by the responsible Programme institutions. 3.1. Lead Partner 3.2 Partner 2 3.3 Partner … 4. Was the character of the activities financed by If „Yes“, it should be the Programme changed or were the activities described: financed by the Programme terminated? - which activities, - the date when the activity was changed/terminated; - was the written permit issued by the responsible Programme institutions. 4.1. Lead Partner 4.2 Partner 2 4.3 Partner … 5. Is beneficiary under reorganization? Did If „Yes“, it should be beneficiary stop its activity? described: - when reorganization was started/when beneficiary will stop it‘s activity, - what kind of changes will be implemented under reorganization; what are the reasons for termination of its activity. - what institution will take responsibility for project sustainability and documentation storage after the change/termination of activity; - were responsible Programme institutions informed about it and when. 5.1. Lead Partner 5.2 Partner 2</p><p>Annex 1 to the Procedure of Monitoring project durability LITHUANIA-POLAND CBC PROGRAMME Yes/No/ No. Object of reporting NA (not Remarks applicable) 5.3 Partner … 6. Was the legal status of the beneficiary changed? If „Yes“, it should be described: - when changed; - what is new status; - how legal status changes will affect the sustainability of the project. 6.1. Lead Partner 6.2 Partner 2 6.3 Partner … 7. Is a free use and accesibility of the project results If „Yes“, it should be (studies, training material, public infrastructure, described: etc) ensured? - where projects results are stored/situated; - description on use of investment object and/or productive activity after implementation of investment project. 7.1. Lead Partner 7.2 Partner 2 7.3 Partner … 8. Are publicity requirements kept? If „Yes“, it should be explained how the publicity elements (EU logo (flag), Objective 3: European Territorial Cooperation Cross- Border Cooperation Programme “Lithuania- Poland” logo, inscription: European Union, inscription: European Regional Development Fund, slogan of the Programme) are use for visibility; -where permanent plaques (if applicable) are situated, etc. 8.1. Lead Partner 8.2 Partner 2 8.3 Partner …</p><p>In addition, on behalf of all project partners the Lead Partner should submit: 1. Ownership documents of object where investments were made in case if investments in infrastructure were supported by the Programme; ownership documents should be accompanied by confirmation that it is not planned to change ownership of object for the rest of period (that is - within 5 years after completion of investment project);</p><p>Annex 1 to the Procedure of Monitoring project durability LITHUANIA-POLAND CBC PROGRAMME 2. Confirmation that no cessation was made for the productive activity in case if productive investments were supported by the Programme; confirmation should be accompanied by the statement that it is not planned to implement any cessation for the productive activity for the rest of period (that is - within 5 years after completion of investment project).</p><p>Report after project completion was prepared by:</p><p>______(Representative of the (signature) (name, surname) Lead partner, responsible for the project after its implementation)</p><p>______date</p><p>Report after project completion was approved by:</p><p>______(Authorised person of the (signature) (name, surname) Lead partner)</p><p>______date</p><p>Remarks and conclusions of the JTS: (should be filled in by JTS)</p><p>No remarks Remarks/proposed actions by JTS: ______</p><p>______(Position of the responsible person (signature) (name, surname) in the JTS)</p><p>______date</p><p>______(Director of JTS or her/his authorized person (signature) (name, surname) </p><p>______date</p><p>Annex 1 to the Procedure of Monitoring project durability</p>