W. J. Nisbeth Road #35 - PDF document

1 W. J. Nisbeth Road #35 P. O. Box 123
W. J. Nisbeth Road #35 P. O. Box 123 Philipsburg, St. Maarten Netherlands Antilles (T) 721 - 542 - 2213 721 - 546 - 1100 (F) 721 - 542 - 4810 gebesxm@nvgebe.com www.nvgebe.com N. V. GEMEENSCHAPPELIJK ELECTRICITEITSBEDRIJF BOVENWINDSE EILANDEN The Power to Serve COMMERCIAL APPLICATION FORM ORGANIZATION INFORMATION: (PLEASE PRINT) Organization Name: Doing Business As: Chamber of Commerce # : Business License #: Street: No.: P. O. Box: Area: Telephone: Fax : Cell : E - mail: Preferred Billing Method : E - Mail P. O. Box Hand Delivered Industry: The undersigned declares to submit to the regulations and conditions concerning installations and conditions as stipulated and approved by the Governor of the Netherlands Antilles, the Island Territory of St. Maarten, and/or t he management of NV GEBE. T he customer commits to pay the total amount due to NV GEBE no later than the due dat e as indicated on the invoice . The undersigned also agrees to report to NV GEBE in writing within 72 hours of the connection, repair, or installation of the devi ce, any malfunction of said device . The undersigned permits access to the premise(s), at the abovementioned address, by individuals authorized by the management of NV GEBE as may be deemed necessary in order to perform maintenance, etc. of the devices inst alled. Signature Organization Representative : _____ ____________ _________ ______ Date: _____________ ___ OWNER INFORMATION : (PLEASE PRINT) First Name: Initial: Last Name: Street: No.: P. O. Box: Area: Telephone Home: Cell: Work: E - mail: The und ersigned, owner or owner’s agent of the premises located at the abovementioned address, hereby authorizes NV GEBE to install, repair, change and/or partially or entirely remove the electricity or water connection; also to excavate as required, trim trees a nd plants on the premises which could jeopardize or obstruct the electricity or water connections. The undersigned also declares to submit to the regulation and conditions concerning installations as stipulated and approved by the Governor of the Netherla nds Antilles, the Island Territory of St. Maarten and/or the management of NV GEBE. Signature Landlord : _____________________________ ___________ Date: ___________________ _____ ACCOUNT INFORMATION: Business Partner Number: Contract Account Number: Cost of Connection: Naf Deposit: Naf Type of Connection:  Existing Connection  New Connection  Electricity  Water

2 SD________________ SD______________
SD________________ SD________________ Note: Water distribution is managed by NV GEBE on behalf of the Island Territory of St. Maarten. FOR INTERNAL USE ONLY N. V. GEMEENSCHAPPELIJK ELECTRICITEITSBEDRIJF BOVENWINDSE EILANDEN The Power to Serve New COMMERCIAL Connection Application: To apply for a new commercial connection, please bring along the following information to enable us to serve you in a most efficient manner : Information for existing building connections:  Local I.D. Card. / Local or International Drivers License / Passport (Tenant & Owner)  M eter num ber(s) or previous tenant name  Registration at Chamber of Commerce.  Copy of Business License.  Title Search (Proof of ownership of property) Additiona l New Buildings:  Inspection from the Public Works Department. Security Deposit: GEBE requires a cash deposit and signing of the contract before the service is connected. The purpose of the deposit is to secure payment to GEBE for electricity consumed. GEBE reserves the right to amend the deposit amounts. GEBE will assess usage based on electrical appliances installed (or to be installed) and will charge a deposit based on the monthly estimated usage. All deposits are refundable, less any balance due for electricity and water consumed, when the related account is closed. Additional Information for New Properties: New non - residential properties are subject to the kVA fee. This is a one - time non - refundable charge for connecting the new non - residential property to the distribution network. This amount is based on the electrical demand (kVA) mentioned on the inspection form. Estimated kVA Amount 3.2 kVA NAf. 350 7.7 kVA NAf. 800 13.3 kVA NAf. 2500 13.3 - 53.3 kVA NAf. 2500 + NAf. 1000 / 5 kVA  With an estimated maximum demand higher than 13.3 kVa but not exceeding 53.3 kVa, Naf. 2.500 plus Naf . 1.000 for each block of 5 kVa exceeding a demand of 13.3 kVa.  With an estimated maximum demand higher than 53.3 kVa but not exceeding 100 kVa, Naf. 10.500 plus Naf. 500 for each block of 5 kVa exceeding a demand of 53.3 kVa.  With an estimated maximum dem and higher than 100 kVa but not exceeding 300 kVa, Naf. 15.000 plus Naf. 1.875 for each block of 25 kVa exceeding a demand of 100 kVa.  With an estimated maximum demand exceeding 300 kVa, Naf. 30.000 plus Naf. 3.000 for each block of 50 kVa exceeding a dem and of 300 kVa. The estimate will be based on the data supplied with the installation card or drawing. If after the connection has been completed, the actual maximum demand exceeds the estimate, the fee concerned can be adapted. The connection fee entit les the owner of the property to the corresponding maximum