EyeQ — EWP Partner Application

Section 1

Points of Contact

Provide contact details for each role. EyeQ will route communications based on these assignments.

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Required roles

Primary Partner Contact and After-Hours Emergency Contact are required. All others are strongly recommended.

Role	Name	Phone	Email
Primary Partner Contact *
Dispatch / Scheduling
Billing / Accounts Receivable
After-Hours Emergency *
Executive Escalation

Dispatch / Scheduling Instructions *

Describe how EyeQ should submit work orders to your team — preferred method (portal, email, phone), hours of operation, lead time requirements, and any special routing instructions.

Section 3

Licensing & Insurance

List all active licenses and current insurance coverage. Copies must be emailed with your application.

State Contractor Licenses

⚠️

Attach copies

Attach a copy of each license when submitting this application. Expired licenses will disqualify your application.

State	License Type	License Number	Expiration Date	Qualifier Name

Insurance Coverage

Coverage Type	Carrier Name	Policy Number	Limit	Expiry Date
General Liability *
Workers' Compensation *
Commercial Auto
Umbrella / Excess

Additional Insured

Can EyeQ be named as Additional Insured on your GL policy? *

Yes — within 48 hours Need to confirm with carrier No

Do you carry Errors & Omissions (E&O) insurance?

Yes No

Section 4

Technical Capability

Describe your field workforce, certifications, systems experience, and equipment inventory.

Field Workforce

W2 Field Technicians *

Approved 1099 / Contract Techs

Techs with Low Voltage Cert.

Techs with Security / Alarm Cert.

Industry Certifications

Certifications held (list all — NICET, ESA, manufacturer certs, etc.)

Equipment & Vehicles

Dedicated Service Vehicles

Dedicated Install Vehicles

GPS Tracking on Vehicles

All vehicles Some vehicles No GPS tracking

OSHA / Safety Program

OSHA 30 Trained OSHA 10 Trained Basic in-house program No formal program

Section 5

Zones & Rates

Select your service coverage zones and installation coverage zones separately. Review EyeQ's Response Time Objectives below before selecting — service zones must meet these SLA requirements.

Zones selected

0

States covered

0

Regions covered

0

Available zones

3,143

EyeQ Response Time Objectives (RTOs) — Service Zone Requirements

By selecting service zones you are committing to meet the following RTOs. Only select zones where you can meet these response times. Install zones have no RTO requirement.

P1 — Critical

2 hrs

Alarm activation, intrusion, life-safety events

P2 — High

4 hrs

Camera down, access control failure, active fault

P3 — Standard

8 hrs

Routine service, preventive maintenance, repairs

After-hours obligation: P1 events require 24/7 on-call response. P2 by next business morning. Priority Zones (metro areas) require 2-hour P1 commitment.

Service Zones — Counties where your team provides maintenance, repair, and emergency response. Must meet EyeQ RTOs above.

Selected Zones (0)

No zones selected yet. Click counties on the map above.

Selected Coverage Zones

SLA Commitments

Emergency Response SLA (hours) *

After-Hours Emergency Coverage *

Current Capacity Utilization

Max Simultaneous Work Orders

Service Rate Card (per technician / per hour)

Enter your standard billable labor rates. Do not include travel or materials. EyeQ uses these for work order budgeting and invoice review.

Rate Type

$/hr

Standard Service Call *

Regular business hours, Mon–Fri

$

After-Hours Rate *

Outside regular business hours, weeknights

$

Weekend Rate *

Saturday and Sunday

$

Holiday Rate *

Federal holidays and observed company holidays

$

Emergency / Priority Response *

Immediate dispatch required, any time

$

Minimum Trip Charge

Flat fee per dispatch regardless of hours — optional

$

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Rate notes

All rates are per technician per hour. Travel, materials, and permit fees are billed separately per work order. EyeQ will confirm final rates during the onboarding call.

Section 6

Business History & References

Disclose any relevant business history and provide three professional references.

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Honest disclosures required

Answer all questions truthfully. A "Yes" answer does not automatically disqualify your application — but misrepresentation will.

Business Disclosures

Has your company filed for bankruptcy in the last 7 years? *

No Yes — provide explanation below

Does your company have active liens, judgments, or legal disputes? *

No Yes — provide explanation below

Has any contractor license been suspended or revoked? *

No Yes — provide explanation below

Any OSHA violations or recordable safety incidents in the last 3 years? *

No Yes — provide explanation below

Explanation (if any "Yes" answers above)

Subcontractor Experience

Have you previously worked as a subcontractor for a systems integrator? *

Yes No — this would be our first subcontract relationship

If yes — describe companies worked with, scope, and duration

Professional References

Provide three references. At least two must be clients or partners who can speak to field work quality.

#	Company / Contact Name	Relationship	Phone	Email
Ref 1 *
Ref 2 *
Ref 3

Section 7

Review & Sign

Review your application, sign, and export a PDF to email to EyeQ Partner Programs.

Certification Statement

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Legal attestation

By signing below, you certify that all information provided is true and accurate. Misrepresentation may result in disqualification or termination from the EyeQ EWP network. You authorize EyeQ to verify all information and contact listed references.

Authorized Signatory (Print Name) *

Title / Role *

Date

Signature *

Draw your signature above ·

Application complete. Export a PDF and email it to EyeQ Partner Programs.

Email to: ewp@eyeqmonitoring.com · Subject: EWP Application — [Your Company Name]

Company Information

Company Information

Points of Contact

Licensing & Insurance

Technical Capability

Zones & Rates

Selected Coverage Zones

Business History & References

Review & Sign