Investment club partnership agreement

1. GENERAL INFORMATION
Name of Farm:
Location of Farm:
Size of farm under cultivation:
Total number of staff:
Primary crops:
2. CONTACT INFORMATION
Name of primary contact:
Position title:
Email address:
Phone number:
Are you a member of the Kenya Flower Council?
YES
NO
YES
NO
3. ENERGY AUDIT INFORMATION
Has your farm had an energy audit completed in the last year?
Was it investment grade?
Was it ERC approved?
Please provide details of the audit conducted in the space below.
Have you completed an environmental assessment? Has it been approved
by NEMA?
Have you already had systems design done for your farm? Please explain.
Have you undertaken energy efficiency measures? Please explain.
Please provide details of the energy system design completed (if any).
NB: ARIYA LEASING will keep all questionnaire information confidential and will not disclose without
expressed client permission related to the undertaking of energy system plan.
Ariya Capital: [email protected] | ASD: [email protected]
4. ENERGY COSTS AND SOURCES
What is your average Kenya Power bill each
month?
KShs
What is your maximum power demand?
kVA
What percent of your operation cost is
related to energy?
Are electricity outages or fluctuations a
major problem at your site? Please explain.
Existing power and fuel sources
Kenya Power
No of connections
Generators/Back-Up
No and type
Power
1.
2.
3.
LPG
Solar energy systems
Biogas
Biomass (Ag waste/
Other
Explain any energy systems not covered above.
Size of transformer(s)
Customer category
Size
Hours run per month
NB: ARIYA LEASING will keep all questionnaire information confidential and will not disclose without
expressed client permission related to the undertaking of energy system plan.
Ariya Capital: [email protected] | ASD: [email protected]
5. RENEWABLE ENERGY PLANS AND RESOURCES
Do you intend to install a renewable energy power source on your farm?
YES
NO
Wind. Do you think wind resources at your site are good?
YES
NO
Have you taken any wind measurements?
YES
NO
YES
NO
If so when do you want to do this?
Explain
Biomass energy.
Do you produce crops useful for biomass/biogas production?
How much per month?
Is your biomass waste used now?
Tonnes
YES
NO
Would you also like to look at how it can be used to produce power and if it will be economically viable?
Explain
6. FINANCIAL
Is your business rated by any banks
YES
NO
Have you taken loans for energy equipment or do you have plans to do so
YES
NO
Thank you for completing this questionnaire. Our team will get back to you as soon as we have had
a chance to assess this information. Please do not hesitate to contact us if you have questions.
NB: ARIYA LEASING will keep all questionnaire information confidential and will not disclose without
expressed client permission related to the undertaking of energy system plan.
Ariya Capital: [email protected] | ASD: [email protected]