ReplyForm

$Reply Form Complete this form and mail or fax it back to us promptly TO: Steve Keller, CPP Architect’s Security Group, Inc. 555 Granada Blvd. Suite G-4 Ormond Beach, FL 32174 (386) 673-5034 FAX: (386) 673-5208 steve@stevekeller.com FROM: (print) Your Name:_______________________________________ Your Title:_________________________________________ Your Company:____________________________________ Your Address______________________________________ City:________________ State:_________ZIP:____________ Phone:___________________ FAX:_____________________ I acknowledge receipt of the document “Important Information For The Security Contractor” with regard to the project involving the security systems at: _______________________________________________________________ project name Are you a sub-contractor to someone else (general contractor, electrical contractor, etc.)? _______________ Who?:_______________________________________ Name of your contact at this firm:___________________________________ Phone of this person:____________________ FAX:_______________________ email:_______________________________ Name of the person at YOUR company who is in charge (general manager as opposed to project manager)______________________________ phone:___________________ email:__________________________________ Your Project Manager for this project:__________________________ phone:____________________ email:_____________________ Mobile:___________________ Person doing the engineering of this job:________________________________ phone:_____________________ email:_________________________________________________ Person doing your shop drawings/as built drawings on this project: ___________________________________________ phone:_____________________ email:_________________________________________________ Are you sub-contracting any of your work? If so, name of sub-contractor(s): Name:__________________________________ Company:______________________________ Address________________________________ City:_____________________ State:______________ ZIP:_____________ Phone:_______________________ email:______________________________________ Task: Other sub-contractor: Name:__________________________________ Company:______________________________ Address________________________________ City:_____________________ State:______________ ZIP:_____________ Phone:_______________________ \ email:______________________________________ Task: In YOUR company, who is the ON SITE SUPERVISOR OR INSTALLER FOREMAN for this project? Name:_______________________________ Title:_________________________________ Company:____________________________ Address:______________________________ City:__________________ State:_____________ZIP:_____________ Phone:___________________ email:________________________________________ Cellular:_____________________ I certify that on __________ (enter the date) he was given the following (check all that apply): ______His own set of drawings to keep on the worksite (in a secure location) ______Specifications for reference ______Device Schedules for reference ______A copy of this document for reference I have instructed him to secure the drawings and specifications as they involve a security system design that is not being shared with others. ____________initial I certify that on ________(enter date) all sub-contractor foremen were given all necessary documents needed to do their jobs. I have instructed him/them to secure the materials provided to them as they involve a security system design that is not being shared with others. ____________initial Who is your point of contact on this job, the person you want us to call first: _______________________________________________________ Name of Person Preparing This Form:________________________________________ Date:____________________________ Download This Form$ shapeimage_2_link_0

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