licence transfer application form step 1: guidance · licence transfer application report -...
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Licence Transfer Application Form
Step 1: Guidance
Current Licensee
Contact Name Jason Brogan
Contact Position Regulatory Affairs Officer
Date 08/05/2015
Proposed Transferee
Contact Name Jason Brogan
Contact Position Regulatory Affairs Officer
Date 12/05/2015
Licence Transfer Application Report - P0072-03 Page 1 of 12
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Step 2: Current Licensee
Licence Reg No P0072-03
Licensee Devcon Limited
Licence County Clare
Site Location Bay 150, Shannon Industrial Estate, Shannon, Clare
ELRA / CRAMP Review
Provide additional information on ELRA / CRAMPBoth an ELRA and DMP have been submitted to the agency in recent weeks and approval has been given on these respective reports.
Request ELRA / CRAMP Status? ELRA/CRAMP Approved
Contact Information
Proposed Transferee Organisation ITW Ireland (ITW Engineered Polymers, A Division of ITW Ireland)
Proposed Transferee Contact Email [email protected]
Reason for licence transfer request
Devcon Ltd has ceased trading for a number of years now and all ITW sites in Ireland trade as ITW Ireland. There are a number of ITW companies in Ireland and the Shannon facility known as ITW Engineered Polymers is one such division of ITW Ireland. As ITW Ireland is the registered company, our IEA license must be redirected to ITW Ireland as the company. Devcon Ltd was purchased by ITW in the 90's. I have set a desired date for this change to take effect of the 19th June 2015 next but obviously sooner would be better.
Desired date for proposed transfer to take effect 19/06/2015
Confirm Enforcement Charges Paid Yes
Specify Outstanding Enforcement Charges €0.00
Additional Information
Additional Information
Licence Transfer Application Report - P0072-03 Page 2 of 12
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Step 3: Proposed Transferee
Name ITW Ireland (ITW Engineered Polymers, A Division of ITW Ireland)
Address Bay 150, Shannon Industrial Estate, Shannon, Clare
Transfer Contact Jason Brogan
Additional Transfer Contacts
Name Position Home Phone Mobile Phone Email
Brian Rainsford Operations Manager 061771506 [email protected]
Frederik Sommer Gleerup QHSE Manager +45
21682789 [email protected]
General Background
Business Activity
ITW Engineered Polymers, A Division of ITW Ireland are manufacturers of adhesives, coatings, sealants and chocking agents at the Shannon, Co. Clare facility.
In addition, we can-down products similar to what we manufacture in Shannon, that are imported from ITW Divisions in the US for sale in continental Europe.
Date Established 14/08/1996
Total Assets Value €137,500,000
Turnover €44,600,000
Profit €8,100,000
State whether your organisation is a Holding Company No
Fit and Proper Person Checks
Environmental Protection Agency Act 1992 as amended? No
Waste Management Act 1996 as amended? No
Local Government Acts 1977 and 1990 or Air Pollution Act 1987? No
Licence Transfer Application Report - P0072-03 Page 3 of 12
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Management and Supervisory Details
Name Details of Relevant Education, Training and Experience Responsibilities
Brian Rainsford
EducationBSc Business.Diploma in Applied Chemistry.
Training Diploma in Quality Management ISO 9000 & Quality Auditor Training Certificate in Health, Safety & Welfare at Work.
ExperienceOperations Manager with over 20 years experience at various levels in multiple manufacturing company’s.
Operations Manager for 6 sites in Europe and USA in the Engineered Polymers Division of ITW
Frederik Sommer Gleerup
Relevant Education: - Master’s Degree in Civil Engineering and Environmental Management. - ISO 14001 iema Lead Auditor
Experience: - 11 year’s proven experience in Environmental Management.
QHSE manager for 3 European sites in the Engineered Polymers Division of ITW
Jason BroganBSc. Industrial ChemistryGrad. Dip. Chemical EngineeringISO14001 Auditor Training
Regulatory Affairs Officer comprising EH&S at ITW Engineered Polymers site in Shannon, Co. Clare
Licence Application History
Has the Proposed Transferee, their parent company or any relevant person had an application for a licence...
Granted? No
Rejected? No
Revoked? No
Transfer Refused? No
Licence Transfer Application Report - P0072-03 Page 4 of 12
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Additional Information
Financial Provision in place? No
Additional Information
Licence Transfer Application Report - P0072-03 Page 5 of 12
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Step 4: Fees, Declaration and Submit
Payment Amount €2,000
Payment Method Cheque
Payment Date 11/05/2015
Application Submission Date 17/05/2015
Licence Transfer Application Report - P0072-03 Page 6 of 12
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Licence Transfer Application Report - P0072-03 Page 7 of 12
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Licence Transfer Application Report - P0072-03 Page 8 of 12
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The registered office of ITW Ireland is at the following address:
6th Floor
2 Grand Canal Square
Dublin 2
Ireland
Company registration number 58156
Licence Transfer Application Report - P0072-03 Page 9 of 12
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ITW Inc.USA
ITW Ireland
ITW Engineered Polymers (Shannon)
ITW Filtertek (Newcastlewest)
ITW Crop Packaging (Wexford)
ITW Graphics (Kinsale)
ITW MIMA (Waterford)
ITW Ireland Organisational Structure
Licence Transfer Application Report - P0072-03 Page 10 of 12
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Licence Transfer Application Report - P0072-03 Page 11 of 12
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Licence Transfer Application Report - P0072-03 Page 12 of 12
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