Vendor Access Request Form

PLEASE NOTE // It is the responsibility of the person requesting access to confirm with property management that access is available and has been scheduled. Requests need to be made a minimum of one week before access is needed. Access is not approved until an email confirmation is sent and requests will be denied if the above process is not followed. Please contact property management with any questions.

Access Details

Building*

Select All
900 Jefferson (Tower A)
900 Middlefield (Tower B)

Access Begin Date*

Access Begin Time*

:

Access End Date*

Access End Time*

:

Tenant Information

Hidden

Submitter Email

Tenant (Company) Name*

Floor*

Suite*

Tenant Contact Name*

Tenant Phone Number*

Tenant Email Address*

Contractor / Vendor Information

Vendor (Company) Name*

Vendor Contact Name*

Vendor Contact Phone*

Vendor Contact Email*

Description of work being performed*

Please check all that apply:*

FLS System Off-line
Sprinkler Drain Down
Hot Work Permit
MPOE / Riser Access
Engineer Assistance
Other

Employee Names*

Please list the full name (first / last) of each employee that will be performing work on-site. If names are not available, please list the number of employees who will be on-site.

Freight Elevator Access Required*

Yes
No

Freight Elevator Date

Freight Elevator Start Time

:

Freight Elevator End Time

:

Contractor's insurance submitted to the property management office?*

Yes
No

You can email a certificate of insurance to Crossing900Team@kilroyrealty.com.

Kilroy Realty Corporation requires each tenant's service provider to deliver evidence of insurance to the Building Management Office before commencing any work, including before any tenant moves or deliveries.

Subcontractors

Add Contractors

Contractor / Vendor Name	Access Times	Work to be Performed	Actions

There are no Contractors.

Health and Safety Plan*

Health and Safety Plan

Vendor/Contractor certifies that it has a plan in place that strictly complies with any and all applicable health and safety guidelines, laws, ordinances, rules and regulations now imposed, or hereafter imposed, by any federal, state or local governmental entity while performing work at the Building. Owner shall not be responsible for reviewing Vendor’s/Contractor’s plan or ensuring Vendor’s/Contractor’s compliance with any such requirements. Vendor/Contractor hereby releases Owner, and its affiliates, from any and all liability resulting from any deficiencies in Vendor’s/Contractor’s compliance plan or business operations at the Building.

Email

This field is for validation purposes and should be left unchanged.

VENDOR ACCESS REQUEST

Access Details

Tenant Information

Contractor / Vendor Information

Subcontractors

About Crossing 900

Building Information

Contact