Prequalification questionnaire



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dw1 woodgroupmustang_stacked



Mustang Canada Inc.

PREQUALIFICATION QUESTIONNAIRE




EOI No.:




Package Title:










THIS QUESTIONNAIRE IS TO BE COMPLETED BY VENDORS WHO ARE INTERESTED IN SUPPLYING EQUIPMENT, MATERIALS AND/OR SERVICES TO HUSKY ENERGY WHITE ROSE EXTENSION PROJECT (WREP) WELLHEAD PLATFORM (WHP).

THE INFORMATION PROVIDED IS STRICTLY CONFIDENTIAL.







COMPLETED QUESTIONNAIRE MUST BE SENT TO:




Mustang Canada, Inc.

17 Duffy Place

St. John's, NL Canada

A1B 4M7


Attention: Ms. Jaime Howard, P.Eng, Procurement Lead

Email: Jaime.Howard@Mustangeng.com







Company Name:

     













The signatory of this Questionnaire guarantees the trust and accuracy of all responses given herein, and is an authorized officer or agent of the company.

Information submitted and completed by:













     













Name (Please Print)













     













Title













     













Signature













     













Date










To be completed by Mustang Canada, Inc.:

Date Received:

     

Procurement Rep:

     



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