Incident Guard Response Form

Incident Guard Response Form

Security Company Name:     Client Name:

WHEREAS

WHEREAS, Security Company agrees to provide trained security personnel to respond to incidents occurring at Client premises in accordance with the terms and conditions set forth in this Incident Guard Response Form and any attached Scope of Work; and

WHEREAS, Client engages Security Company for incident response services at the locations and during the hours specified herein, and acknowledges that Security Company will document all incidents, actions taken, and follow-up recommendations in a written report; and

WHEREAS, the parties intend for this document to memorialize the immediate response actions, reporting obligations, payment terms, and other material provisions governing responses to incidents at Client sites.

AGREEMENT

The parties agree that Security Company shall dispatch a guard to respond to incidents as reported by Client or discovered by Security Company personnel. Security Company shall document the incident in this form, implement reasonable de-escalation and preservation measures, and notify emergency services as required by law or by Client instruction.

SCOPE OF WORK

INCIDENT DETAILS

Report Number:     Date of Incident:     Time of Incident:

Location / Site Address:

Guard Name:     Badge/ID #:     Supervisor on Duty:

Theft    Vandalism    Trespassing    Medical Emergency    Fire    Alarm Activation    Suspicious Activity   

Other incident type:

Property damage estimated value: $     Injuries reported:

Police Notified: Yes    No     If yes, Police Report #:

Photos taken: Yes    No     Photo labels / File references:

Time on Scene:     Time Cleared:

Supervisor Notified: Yes    No     If notified, time:

PAYMENT TERMS

Fee for incident response: $ (per incident unless otherwise agreed).

Payment schedule:

Late fee / interest: . Client shall be responsible for reasonable collection costs and attorneys' fees incurred to collect overdue amounts.

TERM AND TERMINATION

Service Start Date:     Service End Date (if applicable):

Either party may terminate this agreement for convenience with days' prior written notice. Termination for cause may be immediate where there is a material breach that remains uncured after reasonable notice.

CONFIDENTIALITY

Both parties acknowledge that incident reports and related materials may contain Confidential Information. Confidential Information shall not be disclosed except (i) as required by law or legal process, (ii) to emergency responders or law enforcement as necessary, or (iii) to the receiving party's professional advisors under comparable confidentiality obligations. Each party agrees to take reasonable measures to protect such information from unauthorized disclosure.

GOVERNING LAW

This Incident Guard Response Form shall be governed by and construed in accordance with the laws of the state of , without regard to principles of conflict of laws.

ENTIRE AGREEMENT

This document, together with any attached Scope of Work and exhibits, constitutes the entire agreement between the parties with respect to incident response services and supersedes all prior negotiations, representations, or agreements, whether written or oral. No amendment shall be effective unless in writing and signed by both parties.

CERTIFICATION

The undersigned certify that the information provided herein is accurate to the best of their knowledge, that the actions recorded represent the actual response performed, and that the individual signing has authority to bind the party on whose behalf they sign.

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