Geographical & Contact Info

States of Service:
(To select multiple states, hold down your Ctrl button while you click)
Company Name:
* Contact Person (Your Name):
*Your E-Mail Address:
Manager:
Company President:
Counties of Service:

*Main Office Address:

*Phone:
Fax:
F.E.I.N
Additional Office Mailing Address:
Additional Office Phone Number:
Additional Office Fax: Number:
Additional Office Manager/Contact:
More Offices or Comments:
 Company Philosophies

Brief Background on Company President
(i.e., experience, years in industry, etc.):
Company Principals:
 Taxation & Financial Information
Company Taxes Files as:
If other, please specify:
Company Organizational Structure:
If other, please specify:
:Dun & Bradstreet number & rating (if applicable):
Assess your credit rating:
What is your limit on Commerical Liability Insurance?
Number of billable hours currently servicing:
hours
Do you engage a Factoring Company?
Please provide the name and number of your largest vendor:
 Security License Information
State Security License Number:
State:
Expiration Date: (mm/dd/yyyy)
/ /
If additional states, please describe licenses.
Be sure to include License Number, State, and Expiration Date:
 Client References & Credibility
Please provide three (3) Client References, including Name, Company, and Telephone Number.
Name: Company
Telephone  
Name: Company:
Telephone:  
Name: Company
Telephone: :
Are there any violations on your business License (past, present, or pending)?
If yes, please explain:
Are there any judgements against company (past, present, or pending)?
If yes, please explain:
 Company Protocals
Explain your recruiting, screening, hiring, and training protocols for Security Guards:
Describe supervisory training & coverage in operations (i.e. 24/7)
As a company what are your procedures to staff acounts in the event of an emergency or "no-show"?
Off Hours (Emergency) Telephone Number:
 
Hourly Rate Guards Paid:
$ /hr  

By clicking the submit button you hereby agree that the provided information to NESCTC Security Agency LLC is presented as truthful and accurate. It is understood that NESCTC Security Agency will maintain this information as confidential.

 
 
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