Security Vendor Onboarding - Deltcorp Industries

VENDOR ONBOARDING

Please fill out the form below and we will get back to you within 36 hours.

Agency Name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Fax

Website / URL *

Owner *

First

Last

Representative *

First

Last

Representative's Title *

Agency License # *

States *

# of active armed officers currently employed with your agency: *

# of active unarmed officers currently employed with your agency: *

# of active field supervisors currently employed with your agency: *

# of active marked patrol vehicles servicing your agency: *

How long has your agency been in business? *

How many states does your agency currently operate in? *

Please list the states and cities below: *

Hourly bill rate for long term/permanent armed assignment: *

Hourly bill rate for temporary armed assignment: *

Hourly bill rate for ongoing/permanent unarmed assignment: *

Hourly bill rate for temporary unarmed assignment: *

Proof of Insurance - Liability (required), Worker's Comp (required), W9 (required), EFT Form (required), State Agency Lic. (If required by state), Auto (preferred), Umbrella (preferred) *

Click or drag files to this area to upload. You can upload up to 10 files.

One Company

One Partnership

Endless Possibilities

VENDOR ONBOARDING

Contact

Eduardo Rosell Diaz

President

VENDOR ONBOARDING

Contact

Eduardo Rosell DiazPresident

Eduardo Rosell Diaz

President