This case study presents the case of Tanker Service Supply as an alternative supply mechanism to the urban poor who are poorly or not at all served by the utility network. It presents the case of the Tanker Service Operations project implemented by Aqua Vitens Rand Limited (AVRL) in parts of Accra in the beginning of the year 2008 as response to an acute water crisis in those parts of Accra. AVRL is private company which has a five year (2006-2010) management contract with the national utility, Ghana Water Company Limited.