Model Contract — Annex C

Detailed IRB Transaction Sheet

1. IRB Transaction #:
2. IRB Transaction Title (a brief title identifying the nature of the transaction):
3a) Indirect, Direct or Unallocated IRB Transaction:

Type of activity:
3b) Banked IRB Transaction

Yes / No
4. Transaction Value:

Total Transaction Value:
% of Canadian Content Value:
Total Canadian Content Value:
5. Sourcing Region:

Region:
City, Province:
6. Small and Medium Business — is the Recipient a Small and Medium Business:

Yes/No:
7. Company providing IRB (Donor):

Company:
Address:
Contact:
Tel:
Fax:
Email:
8. Company Receiving IRB (Recipient):

Company:
Address:
Contact:
Tel:
Fax:
Email:
9. Industrial Sector and Expertise of the IRB Recipient:

Industrial Sector:

Federal Supply Code (FSC) — if known:

Description of the expertise of the IRB Recipient:
10. Description of the IRB Transaction and Canadian Recipient for the IRB Transaction:
11. Quality of IRB:

Provide description of the quality of the individual Transaction. For example, increases in employment, increased marketability of recipient company, international exposure, experience with new technology, etc.
12. Provide and show justification for eligibility as a valid IRB Transaction (Causality, Timing, Incrementality, Eligible Party and Canadian Content Value):
13. Canadian Government Assistance:
Does this apply? If so, provide a description of other Canadian Government assistance:

14. Time Phasing of IRB Transaction:
Total Contract Value of the Transaction $		Total CCV $		CCV %		Liquidated Damages: 10%
Period Region	Pre- Contract	1	2	3	4	5	6	7	Total
Atlantic
Quebec
Ontario
N. Ontario
Western
Unallocated
Total CCV
Foreign
Total