Customer Services Department

Application for Supply of Power & Water

(For Customers of more than 5 MW of Power & 25 m³/hour (0.132MIGD)of water)
Application No: ___________

Date Received by CSD: ___/_____/______

1- Application Type:
Investigation for Supply ¹ Supply Request

2- Applied by:
Project Owner Project Developer

3- Project developer/Owner Name: __________________________________________________

4- Contractor's Name: ____________________________________________________________
5- Project Consultant: ____________________________________________________________
6- Development Class:
Governmental Commercial
Industrial Residential
(Heavy_____/ Medium_____/Light_____)
Classification as per Government License
Percentage Utilization of Potable Water:
Drinking % Irrigation %
Cooling % Fire Protection % Others %
7- Project Title: _________________________________________________________________
8- Project Location:
City_________ Municipality___________ Geographical Zone No.__________ PIN No._______________
QID/Establishment No: ________________________________________________________________

9- Type of Supply:
New Additional

Temporary (Construction) Others, _______________________

10- Project Brief of Scope: ____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
11- Project Ownership Status:

Single Owner Joint venture Not Finalized

If Joint Venture, Indicate agreement status :
Letter of Intent MOU Signed JVA Signed DPSA Signed ²

12- Project Early Start: QTR.___________ Year.___________________

13- Project Early Finish: QTR.___________ Year.___________________

14- Current Project Execution Status:

Planning Feasibility Design

Tendering Under Construction In Operation

15- Project Financial Status:

Not Budgeted Budget Approved Finance Secured

16-Developer/Owner Commitment Status:

Committed Partially Committed Not Committed

1
See Condition 4
² Development and Production Sharing Agreement
1
17 – Yearly Maximum Demand & Quantity (Provide matching yearly demand curves as well)
Year * ** Project Power Potable Water Distillate
.Exec
Population Phase
(1) Cumulative
* (2) Incremental Cumulative Incremental Cumulative Incremental
(i.e.Total
Incre- Cumu (i.e.Extra (i.e.Total (i.e. Extra (i.e. Total (i.e. Extra
mental Demand
lative Demand over Demand in Demand over Demand in Demand over in the
Prior Year) the Year) Prior Year) the Year) Prior Year) Year)
MWh/ MW MWh MIGD MIG/Year MIGD MIG MIGD MIG/ MIGD MIG
MW Year Year
2005A
2006A
2007A
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020-
2030

• See Notes (1), (2)

For the Previous Years with reference to the current year, please provide Actual (A) Figures for Projects in Operation.
For the Next 3Years “No Supply Guarantee for Power>5MW and or 25 Cubic M/Hr (0.132MIGD)” in line with Condition 8 in
page 5 of this Application.

** Applicable to Newly Established Commercial Projects. Please state the number of people expected to be served.

18 – Monthly Maximum Demand & Quantity

st
a) 1 Year: ______
Month **Population Proj.Exec. Elect.Power Elect. Energy Pot. Water Pot. Water Distillate Distillate
* Phase* MW MWHr/Month MIGD MIG/Month MIGD MIG/Month
Incre- Cumu- (2)
(1) mental ulative
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec

*See Notes (1), (2)

2
 nd
b) 2 Year: _____________
Month* **Population Proect. Elect.Power Elect. Energy Pot. Water Pot. Water Distillate Distillate
(1) Exec. MW MWHr/Month MIGD MIG/Month MIGD MIG/
Incre- Cumu Phase* Month
mental -lative (2)

Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
* See Notes (1), (2)
rd
c) 3 Year: ____________
Month* **Population Proj Elect.Power Elect. Energy Pot. Water Pot.Water Distillate Distillate
Exec. MW MWHr/Month MIGD MIG/Month MIGD MIG/Month
(1) Incre- Cumu- Phase*
mental lative (2)

Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
* See Notes (1), (2)
th
d) 4 Year: _________

Month* **Population Proj. Elect.Power Elect. Energy Pot. Water Pot. Water Distillate Distillate
Exec. MW MWHr/Month MIGD MIG/Month MIGD MIG/Month
(1) Incre- Cum- Phase*
mental. ulative (2)

Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
* See Notes (1), (2)

3
 th
e) 5 Year: ______________

Month* **Population Proj. Elect.Power Elect. Energy Pot. Water Pot. Water Distillate Distillate
Exec. MW MWHr/Month MIGD MIG/Month MIGD MIG/Month
(1) Incre- Cumu- Phase
mental lative *
(2)
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
* See Notes (1), (2)

19- Ground Reservoir Proposed:

(a) Location, (Drawing in Soft & Hard Copies)

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

(c) Elevation & Height of the Ground Reservoir (Should be under ground or at Ground Level with a Height not exceeding 3Meters
Above Ground Level) with map_____________________
____________________________________________________________________________________

20- Does the Project require individual Meters or one Bulk Meter? ________________________________

21- Industrial Project Details (21-24 Applicable to heavy industrial projects only)

21.1- Brief description of final project product: ___________________________________________________

____________________________________________________
____________________________________________________
21.2- Average electrical energy consumption (MW/hr) per unit of production: ___________________________

21.3- Bulk Customer’s proposed Design Power Factor (KM’s required PF range is 0.9 Lagging to 0.95 Leading):_____

21.4- Average water consumption (cubic meter) per unit of production: ________________________________

21.5- Total annual production level plan ____________________________________________________

(Commencing from the first year of production to the year when maximum design capacity is reached)

21.6- Water for recycling System Adopted: yes No.

22- Do you require KAHRAMAA Services for your internal Network, If Yes Please Identify?
Planning / Design Operation Billing

Project Execution Project Supervision Maintenance

23- Does your Project Require Annual Maintenance?

Yes NO Others, _______

If Yes, Please states the Year & the Month__________________________

4
24- Captive Generation:

Do you want to exchange power and/or water with KAHRAMAA? If yes, please fill in the tables shown in items 17 &18
nd
above twice. Once with your demand as part of this application and The 2 time your proposed supply to Kahramaa and
indicate modes , prices & any terms for each mode of supply and attach to a separate covering letter addressed to
M/CSD and enclose with this form/ Application.

Please provide in the following space information for internal or private generation capabilities if any. Minimum
Information required is:

- Number of generating units.

- Generating unit ratings.
- Type of generation technology (ST-GT-CC etc......).
- Generation voltage/step up voltage.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
25- Attachments:

Project Location Map (Hard & Electronic digital Auto Cad file Yes NO
Copies) including proposed sub-station location with co-ordinates
For Power. .
Project Master Schedule Yes NO
Annual Maintenance schedule Yes NO
Proposed Location Map of the Ground Reservoir Yes NO
(Hard & Electronic digital Auto Cad file copies)
including proposed internal Reservoirs with Co-ordinates for Water

Yearly Load Demand Curves Yes NO

26- Warranty and Acceptance:

By signing this application form, the applicant warrants that it has or will in a timely manner obtain all
necessary licenses and authorizations to enable it to undertake the project.
The applicant further warrants that it has informed itself fully of all matters related to the submission of this
application and, without limiting the generality of the foregoing, that it is aware of all rules and regulations
and all technical, legal and financial requirements related to this application.
The applicant hereby accepts KAHRAMAA Standard terms (including the Conditions as stated in this
Application form), current Tariffs, deposit, bonds, and fees which are subject to change from time to time by
KAHRAMAA at its sole discretion.
The applicant further agrees that KAHRAMAA's rules and regulations shall govern the design, construction
and, operation & maintenance of the Connection Equipment (as defined in KAHRAMAA's standard PWSA)
and that the applicant shall abide by KAHRAMAA's wiring regulations, applicable KAHRAMAA Codes &
Regulations and rules related to design, construction, Operation & Maintenance of its internal network.

Conditions:

1. No customer is allowed to generate its own demand or export to third party without prior permission from
KAHRAMAA.
2. KAHRAMAA does not provide any warranty, express or implied as to the reliability, quantity and quality of supply
arising out of customer’s or third party’s defects and in all cases KM is not responsible for any damage or losses.
3. All designs and implementation of Customers project & connection schemes to KM system must be carried out
under supervision and responsibility of a professional engineering consultant and shall at all time be in
conformance with KAHRAMAA's specifications, rules and regulations.
4. KAHRAMAA, at its sole discretion, may conduct investigations for proposed supply of more than 5 MW of power
and/or 25 m³/hour (0.132MIGD) of water.
5. KAHRAMAA has the right to reject applications for temporary supply of power and/or water during construction
work. KAHRAMAA also has the right to reject applications for supply of Irrigation, Cooling, Fire Protection & Other
(excluding Potable Water) water during construction work.
6. If a customer suspends or terminates his project after securing commitment to supply from KAHRAMAA through
this application, then the customer must notify KAHRAMAA immediately in writing of the suspension / cancellation.
In this case the customer is obliged to pay KAHRAMAA for any non recoverable costs and to take the
responsibility for any commitments results from his suspension / cancellation decision.

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 7. In case of conflict between customer's project sites &/ routes and KAHRAMAA existing and/or future sites and/or
routes, the customer shall be responsible for the cost of any relocation of KAHRAMAA existing installations and
obtaining the alternative sites and/or routes for future and/or relocated installations which are in conflict with his
project sites and/or routes.
8. Customer/s with Heavy industrial developments, whose maximum demand exceeds 5 MW of power and/or 25
m³/hour (0.132MIGD) of water , is/are required to (i) deliver a signed PWSA (Power and/or Water Supply
Agreement) using KAHRAMAA standard terms to KAHRAMAA's 3 years prior to the proposed date of supply (this
is condition which must be met prior to any supply commitment being given by KAHRAMMA) (ii) enter into a
Power and/or Water Supply Agreement (P{W)SA) with KAHRAMAA, using KAHRAMAA standard terms, 18
months prior to the proposed commissioning date and the connection equipments will be subjected to the following
conditions:
a) If the heavy industrial customer elects (subject to Kahramaa’s prior written approval), to provide the
Connection Equipment (as defined in standard PWSA, then the Connection Equipment shall comply with
KAHRAMAA's standard specifications and technical requirements. On completion of construction and
warranty period, ownership of the Connection Equipment shall be transferred to KAHRAMAA at no cost to
KAHRAMAA but subject to payment by customer of applicable fees less any verifiable & justified actual cost
of Connection equipment paid by the customer.
b) KAHRAMAA shall be responsible for the operation and maintenance of the Connection Equipment (as
defined in standard PWSA).
9. Disconnection: In the event of a Purchaser Default in making payments for product above, KAHRAMAA may serve a notice
of disconnection to the Purchaser advising the Purchaser that, if payment in full is not received within Thirty (30) days of the date
of delivery of this notice, supply of Product will be stopped on expiry of the Thirty (30) day period. If the Purchaser has failed to
make payment in full before the expiry of the thirty (30) days period, then KAHRAMAA may, at any time thereafter and without
further notice to the Purchaser, stop supply of Product until payment of all outstanding monies is made, without any right of
compensation by KAHRAMAA to the Purchaser.
Name: _____________________________________________________________________
Designation: ________________________________________________________________
Address: _____________________________________________________________________
Telephone: ______________ Mobile: ___________________ Fax: ____________________
E-mail:_____________________________________________________________________
*Signature: __________________________ Date: ___________________________________
Notes:
1- The information shall be provided for a period not less than 15 years from the start of the planning phase.
2- Please fill-in the project execution phase column using the appropriate letter for each phase or a combination of the
same (for parallel phase) as appropriate against each year with P=Planning, F=Feasibility, D=Design, T=Tendering,
C=Construction, O=Operation.
3- If the application type is supply request, Building Permit Application, Metering Forms, and Permanent Connection
Forms must be filled in.
4- If the type of supply is temporary, Temporary Connection Forms and Metering Forms Must be filled in.
* 5- If Joint Venture Project then Joint Venture Leader shall sign.
For Official Use Only:

Department Comments Signature Date

CBPD

ENA

WNA

TA/E

TA/W

CSD