CONTRACTING OPPORTUNITY

* Indicates required field

GENERAL INFORMATION

*Contact Person

*DBA

*Company

*Main Office Address

*City

*State

*Zip

*Office Phone

*Email

*Website

*States where service is required

*Counties where service is required

*Brief company background

*Brief description of president

Services that you provide (check all that apply)

ArmedArmed

UnarmedUnarmed

Vehicle PatrolVehicle Patrol

Other Services

Organization structure (Corp., LLC, Sub S. Sole Proprietor, etc)

F.E.I.N

LICENSE AND INSURANCE INFORMATION

State Security License # and expiration date

Insurance Carrier

Insurance agent name

Insurance agent phone

*Your commercial liability insurance $ limit

REFERRALS

Contact and name of your largest vendor

Vendor Name

CREDIT HISTORY

Assess your credit

PoorFairGoodExcellent

BUSINESS PRACTICES

*Have there been any violations on your business license? If yes, explain

*Have there been any judgments against your company? If yes, explain

*Describe your recruiting, screening, hiring, and training protocols for guards and supervisors

*Hourly rate for Armed Guards

*Hourly rate for Unarmed Guards

*Expected rate from VSF - Armed

*Expected rate from VSF - Unarmed

*Managers names/phone numbers

ADDITIONAL COMMENTS

Additional Comments

* Security Check

…

•The Information provided to Virginia Surveillance Force is presented as truthful and accurate.
•It is Understood that Virginia Surveillance Force will service after receiving a signed contract.
•It is Understood that Virginia Surveillance Force will maintain this information confidential.