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Company's Legal Name *

Address *

City *

Province/State *

Zip Code/Postal Code *

Telephone *

Contact Person *

Title Designation *

Years in Business *

Extension

Email Address *

Website *

Years at Current Address *

Number of Employees

President Name and Ext *

Safety/Risk Officer name and Ext *

Freight Kinds (Freight description/commodities) *

Email Address: *

Email Address

Other Locations: *

Are you a Logistics or 3PL Company or Carrier, Manufacturer or Distributor? *

Logistics or 3PL Company
Carrier, Manufacturer or Distributor

Surety Bond #

MC#

MC# (if Applicable)

DOT# (if Applicable)

CVOR# (if applicable)

Skybound Transport Carriers (LTL services) *

Skybound Transport Carriers (LTL services)
Skybound Global Logistics (3PL services)
Skybound Commercial Warehousing (Warehousing & Distribution services)

Skybound sales representative/contact name (if known)

PIP certified? *

Yes
No

CTPAT certified? *

Yes
No

WSIB/CSST/W-9? *

Yes
No

Company Name with PIP *

Company Name with CTPAT *

Account Number: *

In submitting this completed Questionnaire, we certify the responses to be true and correct to the best of our knowledge.

Do you verify past employment history and conduct police verification/background checks on prospective employees? * *

Yes
No
Not Applicable

If the response is NO:

Do you have an employee termination procedure that includes recovering keys, identification badges and other access devices? * *

Yes
No
Not Applicable

If the response is NO:

Does your Company have a procedure that all customers must have an account set up before moving any freight? And does that process include financial soundness, security processes, business references and a brick and mortar business address? * *

Yes
No
Not Applicable

If the response is NO:

Does your Company possess documentation indicating whether your business partners are or are not CTPAT/PIP or equivalent Supply Chain Security Program certified? *

Yes
No
Not Applicable

If the response is NO:

Does your Company conduct periodic review/updates of your business partners' processes and facilities based on risk? *

Yes
No
Not Applicable

If the response is NO:

Does your Company reach out to your business partners' custom brokers to verify the account in good standing and confirm with border agents if necessary? *

Yes
No
Not Applicable

If the response is NO:

Is your facility equipped with fire detection, alarm systems, locks, camera/CCTV surveillance or a security guard and are all areas inside and outside your facility, including parking areas, adequately lighted? *

Yes
No
Not Applicable

If the response is NO:

Does the Company Management maintain control and distribution of all locks and keys? *

Yes
No
Not Applicable

If the response is NO:

Are access security policies and procedures documented, controlled, communicated to applicable employees and periodically reviewed and updated by Company Management? *

Yes
No
Not Applicable

If the response is NO:

Are records or a logbook kept of visitor names, company they are representing, purpose of visit and entrance/exit times maintained? *

Yes
No
Not Applicable

If the response is NO:

Are visitors escorted by other employees while visiting your facility? *

Yes
No
Not Applicable

If the response is NO:

Do you maintain a list of emergency contact numbers for both external agencies like Law Enforcement, Fire, Medical Aid and Key Staff/Management? *

Yes
No
Not Applicable

If the response is NO:

Does your Company encourage your shippers to use PU/PO #'s for an added layer to ensure correct loading? *

Yes
No
Not Applicable

If the response is NO:

Do you have procedures to ensure your customer has the correct products which are properly marked, weighed, counted and documented for your partner carriers? *

Yes
No
Not Applicable

If the response is NO:

Do you have written standards for selection and monitoring performance of service providers? Do you request information on their physical and procedural security? *

Yes
No
Not Applicable

If the response is NO:

Do you discuss security issues with your vendors? *

Yes
No
Not Applicable

If the response is NO:

Do your customers have procedures in place to verify the physical inspection of the conveyance (truck, trailers) and written procedures on how to address a pest contamination, including maintaining records of the type of pest contamination, where found and how the pest contamination was eliminated? *

Yes
No
Not Applicable

If the response is NO:

Are your Company computers protected by a periodic change of passwords? *

Yes
No
Not Applicable

If the response is NO:

Does the Company provide IT security policies, procedures and standards to employees in the form of training? *

Yes
No
Not Applicable

If the response is NO:

Does your Company have a system in place to identify the abuse of IT including improper access, tampering or the altering of business data? Are system violators subject to appropriate disciplinary actions? *

Yes
No
Not Applicable

If the response is NO:

Do you keep data and records in a controlled, safe and secure environment? *

Yes
No
Not Applicable

If the response is NO:

Does your Company have systems, procedures and protocols regarding cybersecurity threats and corrective action? *

Yes
No
Not Applicable

If the response is NO:

Does your Company routinely test for cybersecurity vulnerabilities? *

Yes
No
Not Applicable

If the response is NO:

Does your Company have protocols to report unauthorized access attempts to your system to Customs and or Law Enforcement agencies? *

Yes
No
Not Applicable

If the response is NO:

Do you have a threat awareness training program established and maintained to recognize and encourage awareness of the threat posed by terrorists and contraband smugglers at each point in your supply chain? *

Yes
No
Not Applicable

If the response is NO:

Is specific training provided to assist employees in detecting unlawful activity, access and suspicious behaviour within the Company? *

Yes
No
Not Applicable

If the response is NO:

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