INTRODUCTION - Harvest Operations



SUPPLIER Pre-Qualification QUESTIONNAIRE This pre-qualification, does not commit Harvest Operations Corp. (“Harvest”) to include company in any bid or proposal, award any work, pay any costs incurred in this preparation or contract for any goods and/or services.INTRODUCTIONHarvest and its affiliates are committed to maintaining the highest of business standards recognizing the importance of credibility, integrity, and trust to our success. We promote competitive procurement to the maximum extent practical and evaluate supplier’s products and services on quality, technical application, price and other relevant objective factors. To remain competitive within the oil and gas industry Harvest requires materials and services at the best possible value.Should you require further information about Harvest values, locations or structure please access our web site at harvestenergy.caINSTRUCTIONS FOR COMPLETIONAnswers given shall apply specifically to the company named and must be exclusive of the activities of parent, associated or subsidiary companies, except where specified otherwise. Activities, carried out on by parent, associated or subsidiary companies, shall be considered as “sub-contracted”.Information other than specifically asked for in this questionnaire may be taken into consideration at Harvest’s discretion. The information provided shall be considered “Confidential”, for use by Harvest Operations and its agents.Questions that do not pertain to your company’s services should be designated “n/a”.1. Company InformationName of Company: FORMTEXT ?????Type of Company : FORMTEXT ?????(Limited, Private, Subsidiary, Partnership, etc.)Country of Registration: FORMTEXT ?????Address: FORMTEXT ?????City, Province/State: FORMTEXT ?????Postal Code: FORMTEXT ?????Country: FORMTEXT ?????Telephone #: FORMTEXT ?????Fax: FORMTEXT ?????Email: FORMTEXT ?????Website: FORMTEXT ?????GST # FORMTEXT ?????What is the gross annual revenue of your company? $ FORMTEXT ?????Financial Establishment: FORMTEXT ?????Address: FORMTEXT ?????City, Province/State: FORMTEXT ?????2. Key PersonnelPlease list the names and contact information for applicable personnel in your company.PositionNameEmailYrs. of ServicePresident FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Vice President FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????General Manager FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Sales FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Engineering FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????QA/QC FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Operations FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????What is the number of staff? Employees: FORMTEXT ????? Other: FORMTEXT ?????Does your company have First Nations content? FORMCHECKBOX Yes FORMCHECKBOX NoProvide details: FORMTEXT ?????Please indicate who will coordinate communication between Harvest Operations Corp. Name: FORMTEXT ?????Function: FORMTEXT ?????Telephone #: FORMTEXT ?????Email: FORMTEXT ?????3. ReferencesPlease provide references from three companies that you are currently doing business panyContact NamePhone #Email: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????4. AffiliatesPlease provide the names of parent, associated and subsidiary companies (if applicable).NameKind% of ParticipationCity/Country FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????5. StandardsPlease provide your company’s acceptance to Harvest’s standards for the following:Payment terms: Net 60 days FORMCHECKBOX Yes FORMCHECKBOX NoInvoices: all invoices must be submitted through OpenInvoice FORMCHECKBOX Yes FORMCHECKBOX NoSubcontractors: contractor has full responsibility for the coordination of all subcontractor’s work and compliance with federal, provincial and local regulations and ordinances FORMCHECKBOX Yes FORMCHECKBOX NoSERVICESServices (in italics) refer to both products & services. 1. Service TypePlease identify the types of services your company provides. Drilling Services FORMCHECKBOX Daywork FORMCHECKBOX Rig Moves FORMCHECKBOX Tools FORMCHECKBOX Float Equipment FORMCHECKBOX Mud FORMCHECKBOX Bits FORMCHECKBOX Logging FORMCHECKBOX Transport FORMCHECKBOX Wellhead FORMCHECKBOX Mats FORMCHECKBOX Survey FORMCHECKBOX Directional FORMCHECKBOX Cementing FORMCHECKBOX ConstructionOther: FORMTEXT ?????Completion Services FORMCHECKBOX Frac FORMCHECKBOX Pumping FORMCHECKBOX Packers FORMCHECKBOX Well Testing FORMCHECKBOX Cementing FORMCHECKBOX Logging FORMCHECKBOX Transport FORMCHECKBOX Coil FORMCHECKBOX Wireline FORMCHECKBOX Snubbing FORMCHECKBOX Downhole ToolsOther: FORMTEXT ?????Pipeline Services FORMCHECKBOX Install FORMCHECKBOX Boring FORMCHECKBOX Transport FORMCHECKBOX Downhole ToolsOther: FORMTEXT ?????Tubular Services FORMCHECKBOX Coatings FORMCHECKBOX InspectionOther: FORMTEXT ?????Production ServicesArtificial Lift: FORMCHECKBOX Pumpjack FORMCHECKBOX BHP FORMCHECKBOX ESP FORMCHECKBOX Chemicals FORMCHECKBOX Sucker RodsOther: FORMTEXT ?????Maintenance, Repair & Operations: FORMCHECKBOX Valves FORMCHECKBOX Fittings FORMCHECKBOX Consumables FORMCHECKBOX Process Pipe FORMCHECKBOX AllOther: FORMTEXT ?????Facilities ServicesRotating Equipment: FORMCHECKBOX Pumps FORMCHECKBOX Compressors FORMCHECKBOX EPCM FORMCHECKBOX Pipeline Construction FORMCHECKBOX Facility Construction FORMCHECKBOX Inspection FORMCHECKBOX Non-Destructive Testing FORMCHECKBOX Piledriving FORMCHECKBOX Electrical & InstrumentationOther: FORMTEXT ?????Miscellaneous Services FORMCHECKBOX Environment FORMCHECKBOX Remediation FORMCHECKBOX Fluid Hauling FORMCHECKBOX Testing FORMCHECKBOX Maintenance FORMCHECKBOX Supervision FORMCHECKBOX Fuel FORMCHECKBOX Contract Labour FORMCHECKBOX Engineering FORMCHECKBOX Rentals FORMCHECKBOX Lubricants FORMCHECKBOX Communications FORMCHECKBOX Vehicles FORMCHECKBOX Safety FORMCHECKBOX IT FORMCHECKBOX OfficeOther: FORMTEXT ?????2. Areas of Service FORMCHECKBOX Northeast BC FORMCHECKBOX Conklin FORMCHECKBOX Northern Alberta FORMCHECKBOX NWT FORMCHECKBOX Central Alberta FORMCHECKBOX Southeast Saskatchewan FORMCHECKBOX Southern AlbertaOther: FORMTEXT ?????3. Health, Safety & EnvironmentHarvest uses ComplyWorks to assist with its Contractor Engagement Program and to manage contract and supplier compliance, information and safety data. Harvest requires all suppliers to be registered with an “approved” status on ComplyWorks before providing any services. Is your company registered with ComplyWorks? FORMCHECKBOX Yes FORMCHECKBOX NoGOODS & MATERIALS1. Goods and MaterialsPlease identify the types of goods your company manufactures or supplies FORMCHECKBOX Artificial Lift FORMCHECKBOX Buildings / Structural Skids FORMCHECKBOX Chemicals FORMCHECKBOX Communication Equipment FORMCHECKBOX Compressors, Air FORMCHECKBOX Compressors, Gas FORMCHECKBOX Containment FORMCHECKBOX Drivers (motors, engines, turbines) FORMCHECKBOX Electrical FORMCHECKBOX Exchangers FORMCHECKBOX Filtration & Separation Equipment FORMCHECKBOX Flare / Incinerator / Burner Equipment FORMCHECKBOX General Fabrication / Welding Equipment FORMCHECKBOX Generators FORMCHECKBOX Heaters FORMCHECKBOX Health, Safety & Environmental FORMCHECKBOX Instrumentation, Measurement & Control Systems FORMCHECKBOX Insulation & Refractory Materials FORMCHECKBOX Mechanical Repair Equipment & Accessories FORMCHECKBOX OCTG & Linepipe FORMCHECKBOX Office Equipment FORMCHECKBOX Office Furniture FORMCHECKBOX Office Supplies FORMCHECKBOX Oilfield Supplies FORMCHECKBOX Oils & Lubricants FORMCHECKBOX Pipe & Fittings FORMCHECKBOX Pressure Piping FORMCHECKBOX Pressure Vessels FORMCHECKBOX Process Equipment FORMCHECKBOX Pumps FORMCHECKBOX Wellhead Equipment FORMCHECKBOX Valves FORMCHECKBOX Vehicles / Tractors (on & off-road) FORMCHECKBOX Vessels FORMCHECKBOX Welding Equipment & Accessories FORMCHECKBOX Other (please list)2. Areas of Service FORMCHECKBOX Northeast BC FORMCHECKBOX Conklin FORMCHECKBOX Northern Alberta FORMCHECKBOX NWT FORMCHECKBOX Central Alberta FORMCHECKBOX Southeast Saskatchewan FORMCHECKBOX Southern AlbertaOther: FORMTEXT ?????3. Quality ManagementDoes your company have a quality management system? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please describe: FORMTEXT ?????. ................
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