Supply Chain Security Questionnaire Company Name: _______________________________________________________________________Date: ______________ Address: ________________________________________________________________________________________________ City: ______________________________________ State/Province: ______________________ Postal/Zip Code: ____________ Contact:_____________________________________________ Title: _______________________________________________ Phone:______________________________ Fax: _________________________ Email: _________________________________ Steamship Line NVOCC Airline Airfreight Consolidator CFS/Warehouse Freight Forwarder Customs Broker Highway Carrier Other: __________________________ Section 2 – Procedural Security and Documentation KEY: N/A Not applicable U/D Under development YES NO N/A U/D Does your company participate in the US Customs and Border Protection’s Customs-Trade Partnership Against Terrorism (CTPAT) program? If you answered “YES” to question #1, STOP HERE, insert your C-TPAT Status Verification Interface (SVI) number: ___________________________________________ , and return page one of this questionnaire via email to: [email protected] . We recommend use of the C-TPAT Security Link Portal for exchanging SVI tokens. Kindly email your SVI# using your C-TPAT Portal account to: [email protected] . Does your company participate in US Customs and Border Protection’s Carrier Initiative Program (CIP)? Does your company participate in any government partnership: i.e. Authorized Economic Operator AEO/Canada Border Services Agency’s Partners In Protection program (PIP) Program? Does your company participate in the Free and Secure Trade (FAST) Program in the US or Canada? Does your company have a written corporate security policy? Does your company have procedures to protect against the introduction of un-manifested materials into your facility and/or conveyances? i.e.: Use of CBP 7/17 inspection process/other Does your company have procedures to ensure the accuracy of the information contained in manifests, bills of lading and other shipping documents? Does your company have procedures to identify and report shortages and overages? Does your company have procedures to verify seals on containers, trailers, rail cars? Do you validate shipper, consignee, notify party names and addresses? Are company vehicles (including trailers and containers) locked/secured when left unattended? Are empty trailers, containers or other conveyances stored in a secure manner to prevent unauthorized use or access? Does your company have a system to track the movement of your conveyances? Does your company have procedures to protect against falsification of documents? Does your company have procedures to identify and report suspicious persons or activities to Customs or other law enforcement agencies? Section 1 - Type of Supplier/Service Provider (please check all that apply)