Customer Services Department

& Water Powerof Application for Supply

Industrial Bulk Customers

)of water)(0.132MIGDm³/hour 25& of Power5 MW nmore thaof Customers For(

Application No: ___________ Customer No: _____________________ Date Received by CSD: ___/_____/______ Electricity Meter No: _____________________

Water Meter No: ________________________ 1- Applied by: Project Owner Project Developer

2- Project developer/Owner Name: __________________________________________________ 3- Contractor's Name: ____________________________________________________________ 4- Project Consultant: ____________________________________________________________ 5- Development: (Heavy_____/ Medium_____/Light_____)* * As stipulated in the Qatari Industrial Project license is held in respect of which this form is being made.

6- Percentage Utilization of Potable Water

Drinking % Irrigation % Cooling % Fire Protection % Others % 7- Project Title: _________________________________________________________________ 8- Project Location: City_________ Municipality___________ Geographical Zone No.__________ PIN No._______________

__________ Approval Date ___________ Building Permit No ________________ :QID/Establishment No 9- Type of Supply: New Additional / Backup Alternative Temporary Supply Others, _______________________

Important: If the Type of Supply is Temporary, Temporary Connection Forms and Metering Forms must be filled in when applying for supply. The form is available at Installation Section, Customer Services Department (Contact Head Installation Section at Telephone No. 4462-8266).

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*

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

* Development and Production Sharing Agreement

١

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

Year

Project .Exec Phase

Power Potable Water Distillate

Incremental (i.e.Extra Demand over Prior Year)

Cumulative (i.e.Total Demand in the Year)

Incremental (i.e. Extra Demand over Prior Year)

Cumulative (i.e. Total Demand in the Year)

Incremental (i.e. Extra Demand over Prior Year)

Cumulative

(i.e.Total Demand in the Year)

MW

MWh/ Year

MW MWh

MIGD MIG/Year MIGD MIG

MIGD MIG/

Year

MIGD MIG

2011A

2012A

2013A

2014

2015

2016

2017

2018

2019

2020

2021

2022

2023

2024

2025

2026

2027

2028

2029-2039

Notes:

1- The information shall be provided for a period not less than 25 years from the start of the planning phase. For the previous years with reference to the current year, please provide actual (A) figures for projects in operation.

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.

16 – Monthly Maximum Demand & Quantity

a) 1

st Year: ______

2

Month

Proj.Exec. Phase

Elect.Power MW

Elect. Energy MWHr/Month

Pot. Water MIGD

Pot. Water MIG/Month

Distillate MIGD

Distillate MIG/Month

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

b) 2nd

Year: ___________

c) 3rd

Year: ____________

d) 4th Year: _________

3

Month

Proect. Exec. Phase

Elect.Power MW

Elect. Energy MWHr/Month

Pot. Water MIGD

Pot. Water MIG/Month

Distillate MIGD

Distillate MIG/Month

Jan

Feb Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Month*

Proect. Exec. Phase

Elect.Power MW

Elect. Energy MWHr/Month

Pot. Water MIGD

Pot.Water MIG/Month

Distillate MIGD

Distillate MIG/Month

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Month

Proj. Exec. Phase

Elect.Power MW

Elect. Energy MWHr/Month

Pot. Water MIGD

Pot. Water MIG/Month

Distillate MIGD

Distillate MIG/Month

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

e) 5

th Year: ______________

17- 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_____________________ ____________________________________________________________________________________

18- Industrial Project Details:

18.1- Brief description of final project product: ___________________________________________________ ____________________________________________________ ____________________________________________________ 18.2- Average electrical energy consumption (MW/hr) per unit of production: ___________________________

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

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

18.5- Total annual production level plan ___________________________________________________ (Commencing from the first year of production to the year when maximum design capacity is reached)

18.6- Water for recycling System Adopted: yes No.

19- Do you wish to apply to KAHRAMAA for services for your internal Network, If Yes Please Identify?

Operations and Maintenance

Project Management Agreement to share cost of construction 20- Captive Generation: Do you want to exchange power and/or water with KAHRAMAA? If yes, please fill in the tables shown in items 15 &16 above twice. Once with your demand as part of this application and The 2

nd 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.

4

Month

Proj. Exec. Phase

Elect.Power MW

Elect. Energy MWHr/Month

Pot. Water MIGD

Pot. Water MIG/Month

Distillate

MIGD

Distillate MIG/Month

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

21- 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 Building Permit

Instructions

• If there is a Water demand for Irrigation and Cooling purpose, please approach Drainage Department under

ASHGHAL requesting a letter confirming TSE availability at site.

• Attach AutoCAD drawing showing Water reservoir capacity & height which must match with QND and must shows the

Bulk Flow Meter & Flow Control Valve which has to be installed as per attached Drawing NDS-SD-138.

• Building Permit Application, Metering Forms, and Permanent Connection Forms must be filled in.

• If the type of supply is temporary, Temporary Connection Forms and Metering Forms must be filled in.

• The Purchaser must at all times under these Terms and Conditions where Power is being supplied to the Purchaser

ensure that the Project has a power load factor (being the ratio of the Maximum Demand, expressed in MW, to the

maximum volt-amps, expressed in MVA, to be made available at the Delivery Point) of between 0.90 lagging and 0.95

leading in order to economically achieve required power transfer levels.

• Developer shall arrange to procure, test and install the Electricity and Water Bulk meter as per Kahramaa technical

standards and specifications and install under Kahramaa supervision.

• Kahramaa requirements for Advanced Metering Infrastructure (AMI) shall be implemented for all installed water and electricity meters. Customer shall submit AMI proposal for Kahramaa’s review and approval before any supply, installation, or commissioning is made for any of the AMI components.

Application for Supply

By signing this application form the Applicant applies to KAHRAMAA for the supply of power, water or other services as indicated in the information provided above. (Terms of Supply) All power and water provided to the Applicant by KAHRAMAA will be subject to applying minimum 3 years before the expected First Supply Date and the standard terms and conditions established by KAHRAMAA from time to time. KAHRAMAA has no obligation to supply power, water or other services to the Applicant, or assumes any obligation in relation to the same until such time as the Applicant enters into a Memorandum of Understanding (MOU) for share cost and / or supply agreement with KAHRAMAA. The Applicant will execute a Memorandum of Understanding (MOU) for share cost, on terms to be agreed with KAHRAMAA as soon as practicable after it receives confirmation from KAHRAMAA that this application has been accepted and in any event within a period of three (3) months from that date, failing which KAHRAMAA may require the Applicant to lodge a new application for supply and may not proceed for tendering of new Primary substation to be required to meet the commitment as per this application requirement.. The Applicant will execute a Bulk Supply Agreement (BSA), on terms to be agreed with KAHRAMAA as soon as practicable and in any event before 1 year of Project Early Finish Date mentioned in Item 14, failing which KAHRAMAA has no obligation to commission the Power and/or Water Supply. If an applicant suspends or terminates his project after securing commitment to supply from KAHRAMAA through his application, then the applicant must notify KAHRAMAA immediately in writing of the suspension / cancellation. In this case the applicant is obliged to pay KAHRAMAA for any non recoverable costs and to take the responsibility for any commitments results from his suspension / cancellation decision”. 5

(Other Services) All other services will be provided on separate terms to be agreed between KAHRAMAA and the Applicant. (Acknowledgments) The Applicant acknowledges that:

• it has or will in a timely manner obtain all necessary licenses and authorizations to enable it to undertake the Project;

• the application and information included in the application will be used by KAHRAMAA to operate and manage its product acquisition and delivery activities;

• supply will be subject to payment of tariffs, deposits, bonds and fees as determined by KAHRAMAA and that these are subject to change from time to time by KAHRAMAA at its sole discretion;

• KAHRAMAA may accept or reject any application in its absolute discretion and without providing reasons;

• should KAHRAMAA accept this application, it must execute a supply agreement with KAHRAMAA not less than one (1) year prior to the date of proposed first supply;

• it will within a period of thirty (30) days from the date that it receives confirmation from KAHRAMAA that this application has been accepted provide KAHRAMAA with an unconditional and irrevocable bank guarantee for the amount required by KAHRAMAA;

• rules and regulations administered by KAHRAMAA shall govern the design, construction and, operation & maintenance of the Connection Equipment 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 and that this shall be carried out under the supervision of a professional engineering consultant;

• non-payment of amounts due for the supply of power or water may result in KAHRAMAA issuing a notice of 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 facilities as part of KAHRAMAA’s consideration of this application.

By signing this application, the undersigned:

1. acknowledges and agrees to comply with all the terms and conditions set forth in this application; and

2. confirms that he/she has the authority to sign and file this application to KAHRAMAA on behalf of the Applicant.

Name: _________________________________________________________ Designation: ____________________________________________________ Address: _______________________________________________________ Tel.: ______________ Mobile: ________________ Fax: _______________ E-mail:___________________________ _________________________ Company Stamp Signature: __________________________ Date (dd/mm/yy): ____________

Note: If Joint Venture Project then Joint Venture Leader shall sign. Company stamp to be provided on the space

indicated above. Version 26-10-2014

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