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Customer Services Department - Kahramaa

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<strong>Customer</strong> <strong>Services</strong> <strong>Department</strong><br />

Application for Supply of Power & Water<br />

Non Industrial Bulk <strong>Customer</strong>s<br />

Application No: ___________ <strong>Customer</strong> No: _____________________<br />

Date Received by CSD: ___/_____/______ Electricity Meter No<br />

1- Applied by:<br />

Project Owner<br />

Project Developer<br />

2- Project developer/Owner Name: __________________________________________________<br />

3- Contractor's Name: ________________________________________________________<br />

4- Project Consultant: _______________________________________ __________________<br />

5- Development Class:<br />

Government Residential Commercial<br />

(As stipulated in the Qatari license held in respect of which this form is being made).<br />

6- Percentage Utilization of Potable Water<br />

Drinking % Irrigation %<br />

Cooling % Fire Protection % Others %<br />

7- Project Title: _________________________________________________________________<br />

8- Project Location:<br />

City_________ Municipality___________ Geographical Zone No.__________ PIN No._______________<br />

QID/Establishment No: ______________<br />

9- Type of Supply:<br />

New<br />

Temporary (Construction)<br />

Building Permit No: ______________ BP Approval Date: ___________<br />

Additional/Backup<br />

Others , _______________________<br />

Important: If the Type of Supply is Temporary, Temporary Connection Forms and Metering Forms must be filled in<br />

when applying for supply. The form is available at Installation Section, <strong>Customer</strong> <strong>Services</strong> <strong>Department</strong> (Contact Head<br />

Installation Section at Telephone No. 4462-8266).<br />

10- Project Brief of Scope: ____________________________________________________________<br />

______________________________________________________________<br />

____________________________________________________________ _<br />

____________________________________________________________<br />

11- Project Ownership Status:<br />

Single Owner Joint venture Not Finalized<br />

If Joint Venture, Indicate agreement status :<br />

Letter of Intent MOU S igned JVA Signed DPSA Signed *<br />

12- Project Early Start: QTR.___________ Year.___________________<br />

13- Project Early Finish: QTR.___________ Year.___________________<br />

14- Current Project Execution Status:<br />

Water Meter No<br />

Planning Feasibility Design<br />

Tendering Under Construction In Operation<br />

*<br />

Development and Production Sharing Agreement


15 – Yearly Maximum Demand & Quantity (Provide matching yearly demand curves as well)<br />

Year<br />

2007A<br />

2008A<br />

2009A<br />

2010<br />

2011<br />

2012<br />

2013<br />

2014<br />

2015<br />

2016<br />

2017<br />

2018<br />

2019<br />

2020<br />

2021<br />

2022<br />

2023<br />

2024<br />

2025-<br />

2035<br />

Population Project<br />

.Exec<br />

Incremental<br />

Cumu Phase<br />

lative<br />

Incremental<br />

(i.e.Extra<br />

Demand over<br />

Prior Year)<br />

MW<br />

MWh/<br />

Year<br />

Power Potable Water Distillate<br />

Cumulative<br />

(i.e.Total<br />

Demand in<br />

the Year)<br />

Incremental<br />

(i.e. Extra<br />

Demand over<br />

Prior Year)<br />

Cumulative<br />

(i.e. Total<br />

Demand in<br />

the Year)<br />

Incremental<br />

(i.e. Extra<br />

Demand over<br />

Prior Year)<br />

MW MWh MIGD MIG/Year MIGD MIG MIGD MIG/<br />

Year<br />

Cumulative<br />

(i.e.Total<br />

Demand<br />

in the<br />

Year)<br />

MIGD MIG<br />

Notes:<br />

The information shall be provided for a period not less than 15 years from the start of the planning phase. For the<br />

previous years with reference to the current year, please provide actual (A) figures for projects in operation.<br />

Applicable to Newly Established Commercial Projects. Please state the number of people expected to be served.<br />

Please fill-in the project execution phase column using the appropriate letter for each phase or a combination of<br />

the same (for parallel phase) as appropriate against each year with P=Planning, F=Feasibility, D=Design,<br />

T=Tendering, C=Construction, O=Operation.<br />

16 – Monthly Maximum Demand & Quantity<br />

a) 1 st Year: ______<br />

Month **Population Proj.Exec.<br />

Phase<br />

Incremental<br />

Cumuulative<br />

Elect.Power<br />

MW<br />

Elect. Energy<br />

MWHr/Month<br />

Pot. Water<br />

MIGD<br />

Pot. Water<br />

MIG/Month<br />

Distillate<br />

MIGD<br />

Distillate<br />

MIG/Month<br />

Jan<br />

Feb<br />

Mar<br />

Apr<br />

May<br />

Jun<br />

Jul<br />

Aug<br />

Sep<br />

Oct<br />

Nov<br />

Dec


) 2 nd Year: _____________<br />

Month Population Proect.<br />

Exec.<br />

Phase<br />

Incremental<br />

Cumu<br />

-lative<br />

Elect.Power<br />

MW<br />

Elect. Energy<br />

MWHr/Month<br />

Pot. Water<br />

MIGD<br />

Pot. Water<br />

MIG/Month<br />

Distillate<br />

MIGD<br />

Distillate<br />

MIG/<br />

Month<br />

Jan<br />

Feb<br />

Mar<br />

Apr<br />

May<br />

Jun<br />

Jul<br />

Aug<br />

Sep<br />

Oct<br />

Nov<br />

Dec<br />

c) 3 rd Year: ____________<br />

Month Population Proj<br />

Incremental<br />

Cumulative<br />

Exec.<br />

Phase<br />

Elect.Power<br />

MW<br />

Elect. Energy<br />

MWHr/Month<br />

Pot. Water<br />

MIGD<br />

Pot.Water<br />

MIG/Month<br />

Distillate<br />

MIGD<br />

Distillate<br />

MIG/Month<br />

Jan<br />

Feb<br />

Mar<br />

Apr<br />

May<br />

Jun<br />

Jul<br />

Aug<br />

Sep<br />

Oct<br />

Nov<br />

Dec<br />

d) 4 th Year: _________<br />

Month Population Proj.<br />

Incremental.<br />

Cumulative<br />

Exec.<br />

Phase<br />

Elect.Power<br />

MW<br />

Elect. Energy<br />

MWHr/Month<br />

Pot. Water<br />

MIGD<br />

Pot. Water<br />

MIG/Month<br />

Distillate<br />

MIGD<br />

Distillate<br />

MIG/Month<br />

Jan<br />

Feb<br />

Mar<br />

Apr<br />

May<br />

Jun<br />

Jul<br />

Aug<br />

Sep<br />

Oct<br />

Nov<br />

Dec


e) 5 th Year: ______________<br />

Month Population Proj.<br />

Incremental<br />

Cumulative<br />

Exec.<br />

Phase<br />

Elect.Power<br />

MW<br />

Elect. Energy<br />

MWHr/Month<br />

Pot. Water<br />

MIGD<br />

Pot. Water<br />

MIG/Month<br />

Distillate<br />

MIGD<br />

Distillate<br />

MIG/Month<br />

Jan<br />

Feb<br />

Mar<br />

Apr<br />

May<br />

Jun<br />

Jul<br />

Aug<br />

Sep<br />

Oct<br />

Nov<br />

Dec<br />

17- Ground Reservoir Proposed:<br />

(a) Location, (Drawing in Soft & Hard Copies)<br />

(b) Capacity (Must be 2 Days Storage Capacity based on Daily Average Demand in MIGD)<br />

(c) Elevation & Height of the Ground Reservoir (Should be under ground or at Ground Level with a Height not exceeding 3Meters<br />

Above Ground Level) with map_____________________<br />

____________________________________________________________________________________<br />

18- Do you wish to apply to KAHRAMAA for services for your internal Network, If Yes Please Identify?<br />

Operations and Maintenance<br />

19- Captive Generation:<br />

Project Management<br />

Agreement to share cost of construction<br />

Do you want to exchange power and/or water with KAHRAMAA? If yes, please fill in the tables shown in items 15 &16<br />

above twice. Once with your demand as part of this application and The 2 nd time your proposed supply to <strong>Kahramaa</strong> and<br />

indicate modes , prices & any terms for each mode of supply and attach to a separate covering letter addressed to<br />

M/CSD and enclose with this form/ Application.<br />

Please provide in the following space information for internal or private generation capabilities if any. Minimum<br />

Information required is:<br />

- Number of generating units.<br />

- Generating unit ratings.<br />

- Type of generation technology (ST-GT-CC etc......).<br />

- Generation voltage/step up voltage.<br />

________________________________________________________________________________________________<br />

________________________________________________________________________________________________<br />

20- Attachments:<br />

Project Location Map (Hard & Electronic digital Auto Cad file Yes NO<br />

Copies) including proposed sub-station location with co-ordinates<br />

For Power. .<br />

Project Master Schedule Yes NO<br />

Annual Maintenance schedule Yes NO<br />

Proposed Location Map of the Ground Reservoir Yes NO<br />

(Hard & Electronic digital Auto Cad file copies)<br />

including proposed internal Reservoirs with Co-ordinates for Water<br />

Yearly Load Demand Curves Yes NO<br />

Building Permit Approval


Instructions:<br />

Building Permit Application, Metering Forms, and Permanent Connection Forms must be filled in.<br />

If the type of supply is temporary, Temporary Connection Forms and Metering Forms must be filled in.<br />

If there are individual meters to be provided for each unit in the project, developer shall arrange to procure,<br />

test and install the Electricity and Water meters for each unit as per <strong>Kahramaa</strong> technical standards and<br />

specifications and install under <strong>Kahramaa</strong> supervision.<br />

Please refer <strong>Kahramaa</strong> web site www.km.com.qa for Electricity and Water supply guidelines.<br />

Application for Supply<br />

By signing this application form the Applicant applies to KAHRAMAA for the supply of power, water or other services<br />

as indicated in the information provided above.<br />

(Terms of Supply)<br />

All power and water provided to the Applicant by KAHRAMAA will be subject to the standard terms and conditions<br />

established by KAHRAMAA from time to time.<br />

KAHRAMAA has no obligation to supply power, water or other services to the Applicant, or assumes any obligation in<br />

relation to the same until such time as the Applicant enters into a supply agreement with KAHRAMAA. The Applicant<br />

will execute a supply agreement on terms to be agreed with KAHRAMAA as soon as practicable after it receives<br />

confirmation from KAHRAMAA that this application has been accepted and in any event within a period of three (3)<br />

months from that date, failing which KAHRAMAA may require the Applicant to lodge a new application for supply.<br />

If an applicant suspends or terminates his project after securing commitment to supply from KAHRAMAA through his<br />

application, then the applicant must notify KAHRAMAA immediately in writing of the suspension / cancellation. In this<br />

case the applicant is obliged to pay KAHRAMAA for any non recoverable costs and to take the responsibility for any<br />

commitments results from his suspension / cancellation decision”.<br />

(Other <strong>Services</strong>) All other services will be provided on separate terms to be agreed between KAHRAMAA and the<br />

Applicant.<br />

(Acknowledgments) The Applicant acknowledges that :<br />

it has or will in a timely manner obtain all necessary licenses and authorizations to enable it to undertake the<br />

Project;<br />

the application and information included in the application will be used by KAHRAMAA to operate and manage<br />

its product acquisition and delivery activities;<br />

supply will be subject to payment of tariffs, deposits, bonds and fees as determined by KAHRAMAA and that<br />

these are subject to change from time to time by KAHRAMAA at its sole discretion;<br />

KAHRAMAA may accept or reject any application in its absolute discretion and without providing reasons;<br />

should KAHRAMAA accept this application, it must execute a supply agreement with KAHRAMAA not less than<br />

three (3) years prior to the date of proposed first supply;<br />

it will within a period of thirty (30) days from the date that it receives confirmation from KAHRAMAA that this<br />

application has been accepted provide KAHRAMAA with an unconditional and irrevocable bank guarantee in the<br />

format set out in the attachment to this application in the amount required by KAHRAMAA;<br />

rules and regulations administered by KAHRAMAA shall govern the design, construction and, operation &<br />

maintenance of the Connection Equipment and that the Applicant shall abide by KAHRAMAA's wiring<br />

regulations, applicable KAHRAMAA Codes & regulations and rules related to design, construction, operation &<br />

maintenance of its internal network and that this shall be carried out under the supervision of a professional<br />

engineering consultant;<br />

non-payment of amounts due for the supply of power or water may result in KAHRAMAA issuing a notice of<br />

disconnection and failing payment of the overdue amounts within thirty (30) days suspension of supply; and


The Applicant may be required by KAHRAMAA to provide additional information and access to persons and<br />

facilities as part of KAHRAMAA’s consideration of this application.<br />

Name: _____________________________________________________________________<br />

Designation: ________________________________________________________________<br />

Address: _____________________________________________________________________<br />

Telephone: ______________ Mobile: ___________________ Fax: ____________________<br />

E-mail:_____________________________________________________________________<br />

Signature: __________________________ Date (dd/mm/yy): ______________<br />

[Who confirms that they are authorized to sign and provide this Bulk Application form to KAHRAMAA on behalf of the<br />

Applicant]<br />

Note: If Joint Venture Project then Joint Venture Leader shall sign.

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