Vendor/Contractor Registration Questionnaire

Company Name
GALBRAITH SEISMIC SERVICES LTD

Corporate Address Mailing Address 495 La Cote Street/PO Grande-Digue City New Brunswick Province Postal Code E4R-4B7 Canada Country 506-576-1779 Telephone gss13@rogers.com Email Address Servicing Project
Project Contact
Michael Galbraith
506-875-5132 gssltd@rogers.com

Delivery Address Street/PO City Province Postal Code Country Facsimile Website Title Facsimile Delivery Address Street/PO City Province Postal Code Country

Telephone Email Mailing Address Street/PO City Province Postal Code Country

Goose-Bay

NFLD

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
2009

Alliance

Date Business 2009 Founded Registration Date Newfoundland and Labrador

Under Present Management Since Registration No.

P.O. Box 12800, 500 Columbus Drive St. Johns, NL A1B 0C9

Phone: Fax:

(709) 737-1833 (709) 754-0787

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Vendor/Contractor Registration Questionnaire

Gross Revenue Past 3 Years Year 1 Year 2
300,000

Year 3

125,000 250,000 Year Reporting Gross Revenue 125,000 Dollar Value Largest Contract / Order Past Three Years 6 Number Full Time Employees Number Part Time Employees Parent Company, Subsidiaries, Affiliates Union Affiliations (List all that apply). Indicate the dollar value range of Minimum 50,000 packages for which you are prepared Maximum 500,000 to bid.

12

Is your company registered as an Aboriginal Business? If so, please state which Aboriginal group. Yes No Percentage Percentage NL Aboriginal Ownership (Other than Aboriginal) 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 Percentage Other Ownership Define All Partners Names (if applicable) in Joint Venture Alliance or Cooperative Arrangement.

Quality Management System Registration Do you have a formalized QMS 3rd Party Registration, Date of Last Audit: program? Yes No Date of Expiry: If no formal QMS, are there written procedures for core processes and quality processes? Yes No ISO9001:2000 Other ____________________

P.O. Box 12800, 500 Columbus Drive St. Johns, NL A1B 0C9

Phone: Fax:

(709) 737-1833 (709) 754-0787

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Vendor/Contractor Registration Questionnaire

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
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 S Manufacturer

Description
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

Manufacturer

P.O. Box 12800, 500 Columbus Drive St. Johns, NL A1B 0C9

Phone: Fax:

(709) 737-1833 (709) 754-0787

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 Description
Contractor, General Contractor, Geological Contractor, Geophysical Contractor, Geotechnical Contractor, Legal Contractor, Mechanical Contractor, Piping Contractor, Plumbing Contractor, Siding

Vendor/Contractor Registration Questionnaire

S Manufacturer

Description

Manufacturer

Contractor, Engineering, Various

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

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

P.O. Box 12800, 500 Columbus Drive St. Johns, NL A1B 0C9

Phone: Fax:

(709) 737-1833 (709) 754-0787

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 Description
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

Vendor/Contractor Registration Questionnaire

S Manufacturer

Description

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)

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

P.O. Box 12800, 500 Columbus Drive St. Johns, NL A1B 0C9

Phone: Fax:

(709) 737-1833 (709) 754-0787

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 Description

Vendor/Contractor Registration Questionnaire

S Manufacturer

Description

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

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)

P.O. Box 12800, 500 Columbus Drive St. Johns, NL A1B 0C9

Phone: Fax:

(709) 737-1833 (709) 754-0787

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 Description
Rental/Lease, Cranes

Vendor/Contractor Registration Questionnaire

S Manufacturer

Description

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

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

P.O. Box 12800, 500 Columbus Drive St. Johns, NL A1B 0C9

Phone: Fax:

(709) 737-1833 (709) 754-0787

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 Description
Transmitter, Pressure Transmitter, Temperature Trash Racks and Guides Turbines, Francis Type Turbines, Kaplan Type Turbines, Propellor Type Tubing, Instrumentation

Vendor/Contractor Registration Questionnaire

S Manufacturer

Description

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

Un-interruptable Power Supply Valve, Actuator Valve, Ball Valve, Butterfly Valve, Check Valve, Control Valve, Flow Accumulator Valve, Gate Valve, Globe

Providing Traffic Control , Flagmen , Convoy Escort , Highway Safety Signs , Security Personal and Vehicles.

Comments: (or attach separate pages)

We would be pleased to quote NFLD requirements and set up to provide same

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 Projects or its Contractors sole right to determine the final list of qualified vendors to be included on said Bidder List.

Completed By Name Michael Galbraith Signature

Date Title

March 24 , 2012

President

P.O. Box 12800, 500 Columbus Drive St. Johns, NL A1B 0C9

Phone: Fax:

(709) 737-1833 (709) 754-0787

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