Become A Vendor

"*" indicates required fields

1Company Info

2Insurance Info

3Confirmation

STEP 1 OF 4

How did you find us?*

How is your company structured?*

Sole Proprietorship

Limited Liability Company

Incorporated (S or C Corp)

We are sorry to inform you that you chose Sole Proprietorship, unfortunately we will not be able to work with your company. If you feel you made this choice by error, please select another choice.

Your Email*

Full name of person filling out this form*

First Last

Your Title with your company.*

Owner of The Company's Full Name*

First Last

Owner's Cell Phone*

Company Office Phone*

Company Full Legal Name*

Company Alias Name / DBA*

What state is your main office located in ?*

Company's Main Office Address*

Street Address Address Line 2 City State ZIP Code

Federal EIN #*

Security License #*

Do You Have a Website ?*

Please Provide Your Website Address

Do You Operate in Multiple States ?*

Please select all the States you do business in.*

Do you provide armed and unarmed service?*

Only Unarmed

Only Armed

Both Armed and Unarmed

Do you provide marked patrol vehicles ?*

Yes

What is your average unarmed rate?*

What is your average armed rate?*

What is your average patrol vehicle rate?

Operations Director's Name*

First Last

Operations Director's Cell Phone*

Operations Director's Email*

Field Supervisor's Name*

First Last

Field Supervisor's Phone*

Field Supervisor's Email*

Accounting / Payables Contact*

First Last

Title*

Accounting Phone*

Accounting Email*

Company Logo

Drop files here or

Accepted file types: jpg, gif, png, jpeg, pdf, Max. file size: 5 MB, Max. files: 2.

Please upload your company logo (400x400 preferred)

Can you provide and image of your company's guard uniform ?*

Please provide an image of your company's guard uniform ?*

Drop files here or

Accepted file types: jpg, gif, png, jpeg, pdf, Max. file size: 100 MB.

Are you Fully Licensed to operate a security company in your state(s)?*

Yes

We are sorry to inform you that you chose No, you are not fully licensed to operate in your state(s) , unfortunately we will not be able to work with your company. If you feel you made this choice by error, please select another choice.

Are you/your insurance carrier able to name our company as ADDITIONAL INSURED with a WAIVER OF SUBROGATION in effect for your General Liability and Auto policies and present this on an official Certificate of Insurance?*

Yes

Only named additional insured, no waiver of subrogation.

We are sorry to inform you that you chose No, your insurance carrier is not able to name our company as ADDITIONAL INSURED with a WAIVER OF SUBROGATION in effect for your General Liability and Auto policies and present this on an official Certificate of Insurance , unfortunately we will not be able to work with your company. If you feel you made this choice by error, please select another choice.

Are you/your insurance carrier able to apply a WAIVER OF SUBROGATION to your Workers Compensation policy in favor of our company per written contract?*

Yes

Our company operates in MO,WA,NJ, MS, or KY and this is not permitted by law

We are sorry to inform you that you chose No, your insurance carrier can not apply a WAIVER OF SUBROGATION to your Workers Compensation policy in favor of our company per written contract , unfortunately we will not be able to work with your company. If you feel you made this choice by error, please select another choice.

What are your limits for General Liability Insurance?*

Less than $1,000,000.

at least: $1,000,000 per occurrence, $2,000,000 aggregate.

more than: $2,000,000 per occurrence, $4,000,000 aggregate

Under General Liability, your policy aggregate limits apply per.*

Per Policy

Per Project

Per Location

What is the coverage amount of your Umbrella/Excess Liability policy?*

No coverage

$1M - $2M

$3M - $4M

$5M or more

Please select the type of vehicles your auto insurance policy covers:*

All Autos

Only Owned Autos

We do not own vehicles, but our guards use their own personal vehicle and we DO carry Auto insurance for HIRED AUTOS.

We do not own vehicles, our guards use their own personal vehicle, and we DO NOT carry Auto insurance for HIRED AUTOS.

We do not own vehicles and our guards do not use vehicles.

Do You Have a Sample Completed COI Ready to Upload ?*

If you do not have a current sample completed COI ready at the time your are filling out this application, you will have another opportunity later in the onboarding process.

You chose No, you chose no, you do not have a current COI ready to upload at this time. You will have another opportunity to do so later in this on boarding process. A Nationwide Compliance Manger will follow up with you to go over all COI requirements. If you feel you made this choice by error, please select another choice.

New Vendors upload a sample COI - Current Vendors upload Nationwide Security Service Inc COI - PDF Format Only*

Drop files here or

Accepted file types: pdf, Max. file size: 64 MB.

Please provide a sample COI for proof of insurance.

Please upload your Home State Security Business License in PDF Format Only*

Drop files here or

Accepted file types: pdf, Max. file size: 64 MB, Max. files: 100.

Please Upload Your Current W9 in a PDF Format Only*

Drop files here or

Accepted file types: pdf, Max. file size: 64 MB.

How many Employees do you have?*

1 -10

11-25

26-50

Over 51

How long has your company been in business?*

Less than 1 Year

1-2 Years

3-5 Years

Over 6 Years

Do you have a 24/7 Dispatch line or After Hours Line?*

Yes

Please provide your 24/7 Dispatch Number*

Is your company able to provide copies of your officers firearm certifications if requested?*

Yes

We do not provide Armed Service

If assigned a job, is your company able to conduct site checks/inspections to ensure your officers are following the directives, procedures, and protocols we’ve provided to you?*

Yes

Please provide a brief explanation.*

Does your company use a Timekeeping Software to monitor your officers?*

Yes

Please provide the name of the software.*

If contracted, is your company willing and able to adhere to our timekeeping methods using TrackTik, as well as keep accurate logs, reports, and records of incidents?*

Yes

I hereby certify that the information submitted on this form is true and accurate to the best of my knowledge.*

Yes

I understand that providing false, misleading or partial information will result in a termination of Nationwide Security Service's affiliates team program.*

Yes

I understand that subcontracting is strictly prohibited and will result in a non payment of any service rendered.*

Yes

Consent*

I agree to the following:

I agree to have all required compliant documents COI, Worker's Comp, Business Licence, W9, Signed Mater Agreement , Vendor Registration and Mobile App amendment signed and sent back to Nationwide Security Service within 3 business days or less or before the assignment begins.

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Become a Nationwide Security Service Preferred Vendor

Foster Lasting Connections for Sustainable Growth: Connect with a national network committed to excellence and reliability. By joining us, you’ll engage in partnerships built to last, facilitating shared success and continuous improvement in service delivery.
Enhance Operational Efficiency with Our Vendor Portal: Simplify your workflow with our advanced vendor payment portal and guard management software. These tools are tailored to make job management a breeze, allowing for seamless check-ins and check-outs, thus saving you time and reducing overhead. Getting you paid faster!
Grow Your Business: As a member of our vendor network, you’ll have access to new markets and clients nationwide, leveraging our expertise to expand your business and enhance your reputation.

Tips for Faster Form Execution

Have your business license ready
Have your Security License ready
Have your federal EIN # ready
Have an image of your company logo (.jpg or .png )
Use Our COI upload link here
Read about vendor compliance standards here.

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Head Office

208 Broadway, Malden, MA. 02148

Phone

1-888-980-9118