Integriti - KeyPoint Change Of Installer Request Form
Transcription
Integriti - KeyPoint Change Of Installer Request Form
Change of Installer Request Form SECTION A - End user / Customer details SECTION B - New Security Contractor Site/Company Name: Company Name: Site Address: Contact Name: Contact Name: Contact Phone: Contact Phone: SECTION C - Current Security Contractor Company Name: Contact Name: Contact Phone: SECTION D - End User Statement I being the authorised representative for the End User named in SECTION A of this form wish to advise Inner Range that wish to appoint the Security Contractor named in SECTION B as our registered security contractor for the purposes of licence administration in the Inner Range Keypoint database. We further advise that we require the Keypoint administration privileges of the Security Contractor named in SECTION C to be removed/retained in addition to the existing Contractor named in Section C. (delete one). Accordingly we herewith request that Inner Range make the necessary change to our site details in the Inner Range Keypoint database to reflect these changed circumstances. Hereby warrants to Inner Range that they are the unencumbered owner of the complete system and that they have a legal right to make this request. They further warrant to Inner Range that there are no disputes, legal proceedings or threatened legal proceeding currently in place or foreseen between the End User named in SECTION A and the Security Contractor named in SECTION C. In signing this request I also acknowledge and give my authority to Inner Range to action their reserved rights as defined below: • Inner Range reserves the right to contact the end user named in SECTION A as a means to establish overall satisfaction with the security system and to gain a more detailed understanding of the services or lack of services being provided to them by the security contractors named in SECTION B & SECTION C. • Inner Range reserves the right to notify the end user named in SECTION A should it be aware that the Security Contractors named in SECTION B or SECTION C do not have current Inner Range factory training certification, or do not meet other regulatory requirements for security industry licensing or qualifications. • Inner Range reserves the right to contact the Security Contractor named in SECTION C to ensure that there are no current disputes, legal proceedings or the threat of legal proceeding foreseen between the customers named in SECTION A and the Security Contractor named in SECTION C. where issues are identified between the parties, Inner Range reserves the right to take no action if it might be deemed that the rights of any party to a legal proceeding may be prejudiced by such action. 1 Change of Installer Request Form (cont.) SECTION E - Signed Authority by End User & New Security Contractor End User Signature of Authorised Representative Position of Authorised Representative Name of Authorised Representative Date New Security Contractor Signature of Authorised Representative Position of Authorised Representative Name of Authorised Representative Date Submit Form Below Mail Inner Range PO Box 9292 Scoresby VIC 3179 Mail Inner Range Units 10 - 11 Theale Lakes Business Park, Moulden Way, Sulhampstead, Reading, Berkshire RG74GB, UK 2 Fax +61 3 9753 3499 Email [email protected] Fax +44 (0) 845 470 5001 Email [email protected]