Coal Supply Pre-Qualified Document
Coal Supply Pre-Qualified Document
Coal Supply Pre-Qualified Document
PROXIMATE ANALYSIS (Air Dried Basis) UNITS BASIS TYPICAL MIN MAX
Calorific Value Kcal/kg ADB
Moisture % ADB
Ash % ADB
Volatile Matter % ADB
Fixed Carbon % ADB
Total Sulfur % ADB
ULTIMATE ANALYSIS (Dry Ash Free) UNITS BASIS TYPICAL MIN MAX
Carbon % DAF
Hydrogen % DAF
Nitrogen % DAF
Sulfur % DAF
Oxygen % DAF
Name: Signature:
ULTIMATE ANALYSIS (Air Dried Basis) UNITS BASIS TYPICAL MIN MAX
Carbon % ADB
Hydrogen % ADB
Nitrogen % ADB
Sulfur % ADB
Oxygen % ADB
Ash % ADB
Inherent Moisture % ADB
Name: Signature:
ASH ANALYSIS PROPERTY (Dry Basis) UNITS BASIS TYPICAL MIN MAX
SiO2 % DB
Al2O3 % DB
Fe2O3 % DB
CaO % DB
MgO % DB
Na2O % DB
K2O % DB
TiO2 % DB
Mn2O3 % DB
Mn3O4 % DB
SO3 % DB
P2O5 % DB
Name: Signature:
Trace Elements in Coal (Dry Basis) UNITS BASIS TYPICAL MIN MAX
Arsenic ppm DB
Boron ppm DB
Barium ppm DB
Beryllium ppm DB
Cadmium ppm DB
Cobalt ppm DB
Chromium ppm DB
Chlorine ppm DB
Copper ppm DB
Fluorine ppm DB
Mercury ppm DB
Lithium ppm DB
Manganese ppm DB
Molybdenum ppm DB
Nickel ppm DB
Lead ppm DB
Phosphorus % DB
Silver ppm DB
Selenium ppm DB
Tin ppm DB
Strontium ppm DB
Uranium ppm DB
Vanadium ppm DB
Zinc ppm DB
Name: Signature:
1. Applicant Name:
2. Address:
3. Mine Name:
4. Mine Owner:
5. Mine Address:
_________________________________________________
Name: Signature:
*Please furnish copy of undertaking letter by Mine Owner or Mine Producer defining the
relationship with the Applicant, agreements, contracts, details of company structure, ownership
details, audited annual reports, company brochures and other information deemed relevant. This
information to be attached as Schedule E (a)
Name:
Designation:
Phone Number:
Fax Number:
Email Address:
Name:
Designation:
Phone Number:
Fax Number:
Email Address:
Name:
Designation:
Phone Number:
Fax Number:
Email Address:
Name:
Designation:
Phone Number:
Fax Number:
Email Address:
Name: Signature:
Name: Signature:
*Please furnish a letter on your company letterhead affirming that you hold the rights
granted by the relevant Authorities to produce, blend, trade, sell and export coal from
mine(s) as stated in this document. This information to be attached as Schedule E (b)
Please specify the top 5 customers for 2017, 2016 and 2015 (with reference to the
tonnage sold)
Name: Signature:
13. Bill of Ladings for Handymax, Panamax and Capesize shipments, Certificate of
Sampling and Analysis, Certificate of Origin and its Relevant Laporan Surveyor
Ekspor (For Indonesian Shipment).
Laporan
Mother COSA COO
Surveyor
No. Vessel BL Date Customer (Please (Please
Ekspor
Name tick) tick)
(Please tick)
*Please attach copies of 3 latest Bill of Ladings, its 3 respective Certificate of Sampling and
Analysis, its 3 respective Certificate Of Origin and its 3 respective Laporan Surveyor for the
Coal Blend / Coal Brand offered in Schedule A. This information to be attached as
Schedule E (c).
Name: Signature:
Measured Tonnage
Indicated Tonnage
Inferred Tonnage
Estimated Remaining Mine Life
*Please furnish the Coal Mine concession/geological survey on the coal resources, reserve,
quality etc. based on International Standards report i.e. Joint Ore Reserves Committee
Code (JORC Code), South African Code for the Reporting of Mineral Resources and
Mineral Reserves (SAMREC), Standard National Indonesia (SNI) or equivalent. This
information to be attached as Schedule E (d)
2. Mine Details
Name: Signature:
*Please furnish details on the washing facilities and other information deemed
relevant. This information to be attached as Schedule E (e)
5. Production Details
Export Sales
Year Total Production (mt) Domestic Sales (mt)
(mt)
2015
2016
2017
Export Sales
Year Total Production (mt) Domestic Sales (mt)
(mt)
2018
2019
2020
2021
*Please furnish details on the mine expansion programs and other information deemed
relevant. This information to be attached as Schedule E (i)
Name: Signature:
*Please furnish details on the transportation facilities from mine to port and other
information deemed relevant. This information to be attached as Schedule E (g)
8. Laboratory
*Please furnish details of the sampling done at each of the key logistic points from
the mine to the load port, sampling equipment (manual / automatic) used by the
above quality inspection companies and other information deemed relevant. This
information to be attached as Schedule E (h)
Name: Signature:
Facility
Drafts at low water (m)
Entrance Channel
Approach Channel
Berth
SWAD (Salt Water Arrival Draft)
Tidal Range
MWHS (Mean High Water Spring)
MWHN (Mean High Water Neap)
Vessel Restrictions
Length Overall
Beam
Airdraft
Max. Vessel Size (Fully laden in DWT)
Loading Facilities suitable for (vessel Geared Gearless Both
type)
Loading Equipment/Type
Stockpile Capacity Available to Shipper
Annual Capacity of Load Port
Name of Independent Surveyor operating
at port (for weight and quality verification)
Loading Rate
Vessel Size (dwt) or Cargo Loaded Loading Rate (tonne) per 24 hrs
50,001 - 79,999
80,000 – 100,000
above 100,000
*Please furnish details on the future port expansion and infrastructure improvements programs
(if any) and other information deemed relevant. This information to be attached as Schedule E
(i)
Name: Signature:
Jetty 1
2. Location:
Name: Signature: