Vendor Profile Pre-Qualification Application Form

Thank you for your interest in Get A Security Quote lead generation service. We are most interested in submitting your company for our client consideration.

We designed this straightforward questionnaire to tailor our clients’ request for information/proposal specific needs. To best address our clients needs regarding their request, we need a solid “yes” response to all questions listed below. Your answers will assist us in submitting the most experienced and qualified service provider for our clients’ specific security-related needs and concerns. Our policy requires that each interested vendor complete and return to us an electronic signed copy of this questionnaire before we can proceed with the quote/proposal process. The following information will be used to help our GASQ Team verify and validate your qualifications before adding it to the pre-approved list. Note: All questions must be answered.

Response to Invitation or RFQ #*
Use the Save and Continue Later link below
if you need more time to complete form.
Company Information
COMPANY NAME*
Decision Maker Name
First Middle Last
Physical Address*
Street Address City State Zip
Mailing Address
Street Address City State Zip
Type of business activity or service
(check all that apply)
- Security Guard & Patrol Services
- Private Investigation
- Training/Seminar Consultant
- Security Consultation
- Risk Assessment Consultation
Insurance Information
WORKERS' COMPENSATION INSURANCE CARRIER INFORMATION:
Insurance Carrier Name
Policy Number
Policy Effective From
Policy Effective To
Insurance Carrier Agent to Contact
Insurance Carrier Phone Number
GENERAL LIABILITY INSURANCE CARRIER INFORMATION:
Insurance Carrier Name
Policy Number
Policy Effective From
Policy Effective To
Insurance Carrier Agent to Contact
Insurance Carrier Phone Number
Current Limit of General Liability Insurance Coverage
- $100,000/$100,000
- $300,000/$300,000
- $500,000/$500,000
- $1,000,000/$1,000,000
- $1,000,000/$3,000,000
- $1,000,000/$5,000,000
Business Information
Business Phone
Fax
Decision Maker Email
Website
Date Business Established
Federal ID Number
Business Entity Type
- Corporation
- Partnership
- Individual
- Other
Guard/Investigtion/Training/Consultant License Number
State of Issuance
Total Gross Annual Revenue
Total Weekly Billable Hours
Do you operate in any other states?
- Yes
- No

Provide list of states lecensed to perform:

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if you need more time to complete form.

List five (5) of your past/present customers/clients of 336 per week or more. Provide company name, point of contact, phone number. This information will be held in strict confidence and will be used for background check purposes and will not be shared with any third party.*

Company Name	Contact Person	Phone Number

Are you prepared to quote on security services?
(check all that apply)
- Local Services Only
- Regional/Statewide Services
- Nationwide Services
What is your billing rate and proposed security officer wages?
a. Proposed Unarmed Guard Wages:*
b. Proposed Unarmed Guard Billing Rate:*
c. Proposed Armed Guard Wages:*
d. Proposed Armed Guard Billing Rate:*
e. Proposed Patrol & Inspection Services Wage Rate:*
f. Proposed Guard Response Billing Rate:*
g. Proposed Supervisor Wage Rate:*
h. Proposed Supervisor Billing Rate:*
How many full-time and part-time security officers do you employ?
a. Full-time*
b. Part-time*
Are you prepared to offer armed guards if necessary?
- Yes
- No
Does your company currently have any pending legal actions?
- Yes
- No
Has a court order or winding up proceedings has been passed against your company?
- Yes
- No
Has your company ever had a contract terminated under the terms of a contract?
- Yes
- No
Does your company use sub-contractors?
- Yes
- No
Have you had any liability claims or losses that have exceeded the underlying policy limits in the past 5 years?
- Yes
- No
Do you offer Employee Benefits, including medical & dental provided to full-time security officers (check one)
- a. No benefits offered
- b. Partial benefits offered to full-time security officers
- c. Full benefits offered at no cost to full-time security officers
Are you an ASIS member?
- Yes
- No
Are you a Veteran-owned Business?
- Yes
- No
Are you a member of BOMA?
- Yes
- No
Use the Save and Continue Later link below
if you need more time to complete form.
Operational Status
If invited to bid, do you agree to provide the prospective buyer of your services the following:
Note: This information is required to verify and validate business operational status.
1. A copy of your most recent tax returns for the last 3 years.
- Yes
- No
2. A statement of your cash flow forecast for the current year and a bank letter outlining your current cash and credit position.
- Yes
- No
3. Provide documentation describing in detail the wages & benefits paid to your Security Officers?
- Yes
- No
4. Provide your total billable man-hours per week?
- Yes
- No
5. Provide a break down of your quote rates by actual cost, variable and fixed expenses, management fees, and profits.
- Yes
- No
6. Provide detail documentation of General Liability & Workman’s Comp Insurance?
- Yes
- No
7. Provide a copy of the State Private Security/Guard License/Certification you are authorized to provide services?
- Yes
- No
8. Provide a list of (5) references in the State/Industry with accounts in excess of 336 hours per week?
- Yes
- No
9. Describe in detail the pre-Assignment Professional Training that will be given to each security officer assigned?
- Yes
- No
10. Provide documentation detailing the complete Bill Rate Breakdown listing Buyers actual costs plus management fees and profits?
- Yes
- No
11. Provide documentation describing in detail how you as the service provider plans to provide the Site-Specific Training to each Security Officer?
- Yes
- No
12. Conduct a Physical Security Survey of facility?
- Yes
- No
13. Provide a list of your top five (5) accounts in the industry/state as a reference?
- Yes
- No
14. Provide a list of how many accounts you lost during the last calendar year?
- Yes
- No
15. Provide documentation that your security officers are licensed & bonded?
- Yes
- No
16. Do you pay your security officers cost for vacation holidays, sick leave, and personal leave?
- Yes
- No
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if you need more time to complete form.
17. Do you pay your security officers insurance benefits (life, health, and disability insurance?)
- Yes
- No
18. Do you agree to pay your security officers prevailing state or federal wages or geographical area wages?
- Yes
- No
19. Can you provide remote video monitoring services if needed?*
- Yes
- No
20. Can you provide body cameras for your security officers if needed?*
- Yes
- No
21. Can you provide K-9 support if needed?
- Yes
- No
22. Can you provide investigations support if needed?
- Yes
- No
23. Can you provide Body Guard/Executive Protection if needed?
- Yes
- No
24. Can you provide security training if needed?
- Yes
- No
25. Can you provide background investigations if needed?
- Yes
- No
26. Can you provide litigation support if needed?
- Yes
- No
27. Can you provide risk assessments/security surveys if needed?
- Yes
- No
28. Can you provide security policies and procedures if needed?
- Yes
- No
29. Can you provide physical security devices and systems if needed?
- Yes
- No
30. Can you provide armed bodyguards if needed?
- Yes
- No
31. Can you provide canine guards if needed?
- Yes
- No
32. Can you provide security for Class A office building if needed?
- Yes
- No
Declaration, Signature and Submit:*
(Check the box below to continue. Then sign and submit your form).
- DECLARATION: I/We declare that to the best of my knowledge the answers submitted in this Pre-Qualification Questionnaire are correct. I understand that the information will be used in the evaluation process to assess my company’s suitability for GASQ lead services requirements.
Signature*
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Comments
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Company Information

Insurance Information

Business Information

Operational Status