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Vendor/Contractor Registration Questionnaire Page 1 of 8 Rev. 19-Aug-2011 P.O. Box 12800, Phone: (709) 737-1833 500 Columbus Drive Fax: (709) 754-0787 St. John’s, NL A1B 0C9 Company Name Corporate Address Mailing Address Delivery Address Street/PO Street/PO City City Province Province Postal Code Postal Code Country Country Telephone Facsimile Email Website Address Servicing Project Project Contact Title Telephone Facsimile Email Mailing Address Delivery Address Street/PO Street/PO City City Province Province Postal Code Postal Code Country Country Other Newfoundland and Labrador Locations General Information Please check all the box(s) which best describe or apply to your company. Engineering Services Environmental Services Fabricator Structural Construction Contractor Service Contractor Consulting Fabricator Piping Distributor or Agent OEM Supplier Sole Owner Partnership Corporation Joint Venture Alliance Date Business Founded Under Present Management Since Registration Date Newfoundland and Labrador Registration No.

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Page 1: Vendor/Contractor Registration Questionnairemuskratfalls.nalcorenergy.com/wp-content/uploads/2013/04/VRQ19Aug... · Flowmeter, Electromagnetic ... Orifice Plate Photography ... Vendor/Contractor

Vendor/Contractor Registration Questionnaire

Page 1 of 8

Rev. 19-Aug-2011

P.O. Box 12800, Phone: (709) 737-1833 500 Columbus Drive Fax: (709) 754-0787 St. John’s, NL A1B 0C9

Company Name

Corporate Address Mailing Address Delivery Address Street/PO Street/PO City City Province Province Postal Code Postal Code Country Country Telephone Facsimile Email Website

Address Servicing Project Project Contact Title Telephone Facsimile Email Mailing Address Delivery Address Street/PO Street/PO City City Province Province Postal Code Postal Code Country Country

Other Newfoundland and Labrador Locations

General Information Please check all the box(s) which best describe or apply to your company.

Engineering Services

Environmental Services

Fabricator Structural

Construction Contractor

Service Contractor

Consulting

Fabricator Piping

Distributor or Agent

OEM

Supplier

Sole Owner Partnership Corporation Joint Venture Alliance Date Business Founded

Under Present Management Since

Registration Date Newfoundland and Labrador Registration No.

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Vendor/Contractor Registration Questionnaire

Page 2 of 8

Rev. 19-Aug-2011

P.O. Box 12800, Phone: (709) 737-1833 500 Columbus Drive Fax: (709) 754-0787 St. John’s, NL A1B 0C9

Gross Revenue Past 3 Years

Year 1 Year 2 Year 3

Year Reporting Gross Revenue Dollar Value Largest Contract / Order Past Three Years Number Full Time Employees Number Part Time Employees Parent Company, Subsidiaries, Affiliates

Union Affiliations (List all that apply).

Indicate the dollar value range of packages for which you are prepared to bid.

Minimum

Maximum

Is your company registered as an Aboriginal Business? If so, please state which Aboriginal group. Yes No Percentage Aboriginal Ownership

Percentage NL Ownership (Other than Aboriginal)

Percentage Other Ownership

Is your company currently involved in any Joint Ventures Alliances or other cooperative arrangements for the purpose of business with the Lower Churchill Project? Yes No

Define All Partner’s Names (if applicable) in Joint Venture Alliance or Cooperative Arrangement.

Quality Management System Registration Do you have a formalized QMS program? Yes No

3rd Party Registration, Date of Last Audit: Date of Expiry:

If no formal QMS, are there written procedures for core processes and quality processes? Yes No

ISO9001:2000 Other ____________________

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Vendor/Contractor Registration Questionnaire

Page 3 of 8

Rev. 19-Aug-2011

P.O. Box 12800, Phone: (709) 737-1833 500 Columbus Drive Fax: (709) 754-0787 St. John’s, NL A1B 0C9

Products & Services Please check () the products/services your company provides and provide the manufacturer name. If you provide Repair-Maintenance Service on Product please check column headed “S”.

Description S Manufacturer

Air Cleaning Equipment

Analyzer, Conductivity

Analyzer, On-Stream

Analyzer, pH

Analyzer, Turbidity

Anchor Rod Hardware

Anchor Rods

Barge

Batteries

Battery Charger

Bearings

Belts

Blower, Intake Heating Air

Boiler, Hot Water

Building Supplies

Building Supplies, Cladding Steel/Alum

Building, Accommodations / Camps

Building, Metal Pre-Engineered

Building, Pre-fabricated

Building, Tension Membrane

Bus Surge Arrestors

Bus Surge Capacitors

Bus Taps

Bushing

Cable, Electrical

Cable, Steel

Cable Termination Kits

Capacitors, Power Factor Correction

Cars / Light Trucks

Catering, Service

Catering, Supplies

CCTV System

Cement

Description S Manufacturer

Chemical, Water Treatment

Chlorination Equipment

Circuit Breaker

Circuit Breaker (Switchyard)

Cleaning Supplies

Clothing, Chemical Resistant

Clothing, Flame Resistant

Clothing, Promotional

Clothing, Workwear

Coatings, Buildings

Coatings, Industrial

Communication, Equip., Site

Compressor, Rotary Screw Air

Computer / Network Hardware

Computer / Network Software

Concrete

Concrete Forming Products

Conductor, AC & HVDC

Conductor Hardware, AC & HVDC

Consultant, Customs

Consultant, Engineer, Various

Consultant, Environmental

Consultant, Geological

Consultant, Geophysical

Consultant, Geotechnical

Consultant, Human Resources

Consultant, Immigration

Consultant, Legal

Consultant, Logistics

Consultant, Safety

Contractor, Carpentry

Contractor, Civil

Contractor, Electrical

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Vendor/Contractor Registration Questionnaire

Page 4 of 8

Rev. 19-Aug-2011

P.O. Box 12800, Phone: (709) 737-1833 500 Columbus Drive Fax: (709) 754-0787 St. John’s, NL A1B 0C9

Description S Manufacturer

Contractor, Engineering, Various

Contractor, General

Contractor, Geological

Contractor, Geophysical

Contractor, Geotechnical

Contractor, Legal

Contractor, Mechanical

Contractor, Piping

Contractor, Plumbing

Contractor, Siding

Contractor, String AC and HVDC Conductor

Contractor, Structural / Erector

Contractor, Transmission Tower Erection

Converter Station

Conveyor, Belt

Conveyor, Belting

Counterpoise Wire

Counterpoise Wire Accessories Kit

Crane, Overhead

Crusher, Jaw

Culvert

Deadend String

Detailing, Structural CAD

Disconnect Switch Bus Side

Distributed Control System (DCS)

Diving Services

Drafting, CAD

Drill, Rock

Drilling, Core

Drives, Variable Frequency

Electrical Supplies

Engineering, Architectural

Engineering, Civil

Engineering, Electrical

Engineering, Environmental

Engineering, Geological

Engineering, Mechanical

Description S Manufacturer

Engineering, Piping

Equipment, Maintenance Shop

Excitation System

Expediting

Explosives

Fabrication, Electrical / Instrumentation

Fabrication, Marine

Fabrication, Multi-Discipline

Fabrication, Piping

Fabrication, Structural

Fan, Centrifugal

Fasteners, Nuts, Bolts, Etc.

Filters

Fire Fighting Equipment & Supplies

Fire Protection, Sprinkler System

Fitting, HDPE

Fitting, Instrumentation

Fitting, Pipe

Fitting, Pipe Grooved Coupling

Fitting, Pipe Rubber Lined

Flow Elements

Flow Switches

Flowmeter, Electromagnetic

Flowmeter, Positive Displacement

Flowmeter, Rotameter

Fuel, Aircraft

Fuel, Diesel

Fuel, Gasoline

Fuel, Load / Unload Equip

Fuel, Meter / Dispensing Equip

Furniture, Accommodations

Furniture, Office

Gases, Compressed

Gate and Gate Guides

Gate Hoists

Gate, Bulkhead and Guides

Gate, Draft Tube Bulkhead

Gate, Intake Service & Guides

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Vendor/Contractor Registration Questionnaire

Page 5 of 8

Rev. 19-Aug-2011

P.O. Box 12800, Phone: (709) 737-1833 500 Columbus Drive Fax: (709) 754-0787 St. John’s, NL A1B 0C9

Description S Manufacturer

Gauge, Pressure

Gauge, Temperature

Generator

Generator Breaker

Generator Bus

Generator Protection

Generator, Diesel

Generator, Isolated Bus

Generator, Synchronous

Geosynthetics / Geotextiles

Gloves

Governor Control System

GPS

Guy Hardware

Guy String Hardware (Heavy Loads)

Guy Wire

Hoist, Electric

Hoist, Manlifting

Hoist, Manual

Hoist, Pneumatic

Hose, Hydraulic

Hose, Rubber

Hotel / Motel / Inn

HVAC, Equipment

HVAC, Installation

Incinerator

Information Services

Insulation, Architectural

Insulation, Blankets Removable

Insulation, Fire Protection

Insulation, Pipe

Insulators

Insulators Overhead Ground Wire

Insulators, Strain

Intake Heating Air Blower

“I”- String

Janitorial / Cleaning Service

Jumper Assembly

Description S Manufacturer

Jumper String

Kitchen Equipment & Supplies

Laboratory Supplies

Laboratory Equipment

Land Cable

Leak Detectors

Level Switch

Level Switch, Capacitance

Level Switch, Conductivity

Level Switch, Microwave

Level Switch, Resistance

Level Switch, Tilt

Level Transmitter, Nuclear Density

Level Transmitter, Ultrasonic

Lightning Arrestor

Lighting Plant, Portable

Lighting, Exterior Area

Lighting, Flourescent

Lighting, High Bay

Linens

Lining, Impervious Membrane

Load Cells

Local Control Panel

Logistics, Barge Rental/Lease

Logistics, Busing Service

Logistics, Courier Service

Logistics, Customs Brokerage

Logistics, Freight Consolidation / Warehousing

Logistics, Freight Forwarding

Logistics, Ice Breaking

Logistics, Laydown Yard

Logistics, Marine Surveyor

Logistics, Marine Towing

Logistics, Seafreight - Bulk Cargo

Logistics, Seafreight - General

Logistics, Seafreight - Heavy Haul

Logistics, Shipping Containers (Supply)

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Vendor/Contractor Registration Questionnaire

Page 6 of 8

Rev. 19-Aug-2011

P.O. Box 12800, Phone: (709) 737-1833 500 Columbus Drive Fax: (709) 754-0787 St. John’s, NL A1B 0C9

Description S Manufacturer

Logistics, Transport - Freight (general)

Logistics, Transport - Heavy Haul

Logistics, Transportation - Float/Bush Plane

Logistics, Transportation - Helicopter

Logistics, Transportation - Passenger Plane

Lubricants

Lumber

Maintenance / Wear Parts, Mobile Equipment

Maintenance Supplies Buildings

Maintenance, Road

Marketing & Communications

Materials Handling, Slings, Shackles, Etc

Medical Services

Medical Supplies

Mobile Equipment, Construction

Mobile Equipment, Maintenance

Mobile Equipment, Personnel Transport

Mobile Equipment, Recreational (Skidoo, ATV, etc.)

Mobile Equipment, Site Service

Mobile Equipment, Site Service, Forklift

Mobile Equipment, Site Service, Tractor Trailer

Mobile Equipment, Site Service, Trailer

Mobile Equipment, Site Service, Vacuum Trucks

Motor Control Cabinet (MCC)

Motor Starter

Motor, Diesel

Motor, Electric

Navigational Aids

Office Equipment

Office Supplies

Overhead Ground Wire (OHGW)

OHGW Accessories Kit

Optical Ground Wire (OPGW)

OPGW Accessories Kit

Description S Manufacturer

Orifice Plate

Photography

Piling, Sheet Dock

Pipe, Fiberglass

Pipe, Grooved Coupling

Pipe, HDPE

Pipe, Lining Rubber

Pipe, Pressure

Pipe, Rubber Lined

Pipe, Steel

Pipe, Underground

PLC System, Materials Handling

Pole, Electrical

Power Generation System

Pressure Filters

Printing

Programmed Logic Controls (PLC)

Promotional Products

Protection and Local Control, Station Bus

Protection and Local Control, Transmission Line

Pulleys

Pump, Hydraulic Diaphragm Metering

Pump, Metering

Pump, Progressing Cavity

Pump, Solution

Pump, Submersible Water

Pump, Sump

Pump, Vertical Tank

Pump, Vertical Water

Quadruple Deadend String

Quality Control, Monitoring / Surveillance

Rebar

Recruitment - Staffing

Relay Protection Panel

Rental/Lease, Cars/Light Trucks

Rental/Lease, Construction Equipment

Rental/Lease, Containers (Shipping)

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Vendor/Contractor Registration Questionnaire

Page 7 of 8

Rev. 19-Aug-2011

P.O. Box 12800, Phone: (709) 737-1833 500 Columbus Drive Fax: (709) 754-0787 St. John’s, NL A1B 0C9

Description S Manufacturer

Rental/Lease, Cranes

Rental/Lease, Mobile Equipment

Rental/Lease, Office Space

Rental/Lease, Tools

Rock Breaker

Rope

Safety Equipment

Salt

Sandblasting / Painting Consumables

Sandblasting / Painting Equipment

Scaffolding

Screen, Vibrating

Security, Services

Security Systems

Semi-gantry Crane

Sewage Treatment Equipment

Shunt Reactor

Snow Clearing

Spacer Damper

Steel, Misc.

Steel, Plate

Steel, Structural

Stoplogs & Guides

Strain Strings

Submarine Cable, HVDC

Substation, Unit

Survey Equipment

Surveyor

Suspension Clamps, Jumper & Conductor

Suspension Strings

Suspension Yoke Plate

Switch, Disconnect

Switch, Pressure

Switch, Reactor Disconnect

Switch, Temperature

Switch, Transformer Disconnect

Switches, Line Disconnect

Switchgear

Description S Manufacturer

Switchgear, DC

Switchgear, LV

Synchronous Condensers

Tank, Bulk Storage

Tank, Fiberglass

Tank, Fuel Storage (Transportable)

Telecommunications

Temperature Sensor, Infrared

Temporary Hoist

Testing, Non-Destructive Examination

Thermocouples

Tires

Tools, Consumables

Tools, Electrical

Tools, Hand

Tools, Machine

Tools, Maintenance Shop

Tools, Pneumatic

Training, Plant Operations

Transformer

Transformer, Auto

Transformer, Bus

Transformer, Capacitive Voltage

Transformer, Current

Transformer, Generator

Transformer, Generator Current

Transformer, Potential

Transformer, Power

Transformer, Station Service

Transformer, Unit Service

Transformers, Bus Current

Transformers, Bus Potential

Translation - Interpretation, Innu Aimun

Transmission Tower, Foundation Steel

Transmission Tower, Steel

Transmitter, Electronic

Transmitter, Flow

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Vendor/Contractor Registration Questionnaire

Page 8 of 8

Rev. 19-Aug-2011

P.O. Box 12800, Phone: (709) 737-1833 500 Columbus Drive Fax: (709) 754-0787 St. John’s, NL A1B 0C9

Description S Manufacturer

Transmitter, Pressure

Transmitter, Temperature

Trash Racks and Guides

Turbines, Francis Type

Turbines, Kaplan Type

Turbines, Propellor Type

Tubing, Instrumentation

Un-interruptable Power Supply

Valve, Actuator

Valve, Ball

Valve, Butterfly

Valve, Check

Valve, Control

Valve, Flow Accumulator

Valve, Gate

Valve, Globe

Description S Manufacturer

Valve, Instrumentation

Valve, Knife Gate

Valve, Motor Operated

Valve, Pressure Regulating

Valve, Safety Relief

Valve, Solenoid

“V” String

“V” String, Jumper

Warehouse Supplies

Water Treatment Equipment

Weather, Forecasting

Welding, Equipment & Supplies

Winch, Electric

Winch, Pneumatic Xfmr Protection and Local Control

Comments: (or attach separate pages) Please send all other relevant information with this questionnaire.

The Vendor acknowledges that they shall not be reimbursed for any costs, expenses or charges which may be incurred or required to expend in its preparation or presentation of Vendor/Contractor Registration Questionnaire and the Lower Churchill Project shall have no liability whatsoever for, or in respect to, the payment of any of said costs, expenses or charges.

Submittal by Vendor of documentation/information requested for purposes of the vendor questionnaire shall not convey any right to Vendor to be included on the final Bidder List and it will be the Lower Churchill Project’s or its Contractor’s sole right to determine the final list of qualified vendors to be included on said Bidder List.

Completed By Name Date

Signature Title