Please note that there are eleven sections (1-11) 

*This may take some time, feel free to do at your own pace.

Date Business Established
Date Business Established
2. Operational Information
Date of next financial year end
Date of next financial year end
Last Year: Current Year: Next Year (est.):
Last Year: Current Year: Next Year (est.)
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Section 2. Continued
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Please add % sign to the end of your number. 1. US 2. Canada 3. UK 4. Europe 5. Clients anywhere else in the world
PII's is defined as a personally identifiable record on an individual that can be used to identify, contact or locate a single individual
J1. Payment Card Data
Identify the type of PII retained on your network
J2. Healthcare Data
Identify the type of PII retained on your network
J3. Other PII
Identify the type of PII retained on your network
3. Technology Activities / Professional Services
Hardware
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Software
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Service
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Other Work
Total must add up to 100%
Section 3 (Continued)
B. Detail your three largest contracts which you have undertaken in the last three years:
Please list 1. 2. 3.
Please list 1. 2. 3.
Please list 1. 2. 3.
Please list 1. 2. 3.
E. Do you require consultants/contractors to hold errors & omissions coverage?
F. Do you enter into written contracts with all clients?
G. Do your written contracts with clients contain the following clauses/provisions?
Limitations of liability
Disclaimer of warranties
Arbitration clause
Customer acceptance/sign off
H. Do you ensure that changes to the original contract are agreed by both parties and documented in writing, which is then incorporated into the main contract?
I. Are all contracts reviewed by legal counsel prior to commencing any work?
K. Are variations to contracts reviewed by legal counsel?
L. Where you develop software, please confirm that this has been reviewed by legal counsel prior to release
M. Do you have quality control procedures in focus to test all software and products prior to release?
N. Is the failure of any of your products or any of your services likely to result in any of the following outcomes
Damage or distraction to physical property, or bodily injury
Immediate and significant financial loss