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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.
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 ____________________
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
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
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)
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)
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
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