ON-SITE VENDOR...New requirements for Certificate of Insurance effective September 13, 2006: (See below and sample attached) Per the request of our insurance company, all vendors on

Serving VA & NC Since 1978

GROWTH THROUGH EXCELLENCE

525 S. Independence Blvd., Suite 200 • Virginia Beach, VA 23452-1189 • 757-497-5752 • Fax: 757-497-9133

www.unitedpropertyassociates.com

To: Prospective Vendor for United Property Associates

___________________________________________

Fax/Address: ___________________________________________

From: __________________________

Date: __________________________

RE: ON-SITE VENDOR PACKAGE

We have received information that your company would like to become a vendor for United Property Associates and we are thrilled with the opportunity to work with your company!

If this package is being submitted for a specific property managed by UPA, please include the property name here:

The first step is to complete the attached application and submit with all necessary information: 1. completed application2. current business license3. current contractors license (see below required services that require such license)

asphalt repair, bio-hazard remediation, concrete services, contractors, electricians, heating & ac installation/repair, irrigation, marine construction, masonry services, plumbing, pump service/repair, roofing, sheetrock repair, sprinkler systems,

structural restoration, utility work, vinyl siding, well drilling

4. current signed W9 form5. current certificate of insurance

In order to be considered for our vendor list your Certificate of Insurance must reflect our new requirements, and all other necessary documents must be submitted, otherwise it will result in a delay in processing your application and/or your application will be voided.

New requirements for Certificate of Insurance effective September 13, 2006: (See below and sample attached)

Per the request of our insurance company, all vendors on the UPA vendor list must have:

1. general liability2. automobile liability3. workers compensation and employers’ liability4. United Property Associates needs to be listed as the certificate holder and an additional insured

(with regards to general liability) with the below as our address:525 S. Independence Blvd. Suite 200 / Virginia Beach, VA 23452

Please mail, fax or email the necessary information as soon as possible. Attn: Brenda Johnson Fax: 757-497-9133 Mail: 525 S. Independence Blvd. Ste. 200, Virginia Beach, VA 23452

Email: [email protected]

ON-SITE VENDOR ~DOES COME ON A UPA MANAGED PROPERTY TO PROVIDE SERVICE~

http://www.unitedpropertyassociates.com/mailto:[email protected]

Serving VA & NC Since 1978

GROWTH THROUGH EXCELLENCE

525 S. Independence Blvd., Suite 200 • Virginia Beach, VA 23452-1189 • 757-497-5752 • Fax: 757-497-9133

www.unitedpropertyassociates.com

February 1, 2018

To potential vendors:

Please be advised that United Property Associates has entered into an agreement with AvidXchange to implement an

electronic invoice and/or bill payment process, which will be facilitated on our behalf by AvidXchange, Inc. This

process will make our bill payment process more efficient and is consistent with our efforts to act in a more

environmentally sensitive manner.

As included in the Service Agreement for AvidPay or AvidBill Service, AvidXchange shall have the authority

to undertake the following actions:

Request and receive electronic (PDF) invoices rather than paper invoices.

Request information on your Accounts Receivables process, payment delivery preferences, and facilitate

the payment delivery preference; i.e. the ability to accept an electronic payment with proper payment

information on behalf of United Property Associates or through a paper check.

Authorize modifications to United Property Associates “Bill To” address.

o For paper invoice submission, authorize change of billing address.

o For electronic invoice submission, authorize correct email address for receipt.

If you are approved as a UPA vendor and need to submit an invoice for payment please do so by:

OPTION 1:

E-mailing your invoice to: [email protected]

Include PDF attachment under 5MB

One Invoice per PDF (e-mails can include multiple attachments)

Include any back-up documentation within invoice’s PDF (Invoice must be page 1)

OPTION 2:

Mail your invoice to: United Property Associates P.O. BOX 37515 Charlotte, NC 28237

All Invoices Must Include the Following Information:

Property/Entity/Department Name

Property/Entity/Department Ship-to/Service Address

Property/Entity/Department Code (optional)

Supplier Name & Remittance Address

Please contact AvidXchange at [email protected] for questions related to your supplier profile

and/or payment methods accepted by your company.

SUBMITTING INVOICESPlease ensure that sales tax is included on your statements. Delays in payment can occur if the sales tax is not included.

mailto:[email protected]:[email protected]

VENDOR APPLICATION

UNITED PROPERTY ASSOCIATES Please fill out this form completely.

Copies of your Business License, Current Certificate of Insurance * & a signed W-9 ARE REQUIRED prior to consideration for being added to the UPA Vendor List. It has been filled out by:

________________________________________________ ____________ Print Name & Title Date

Vendor’s Complete Business Name & Address: Contact person:

Employer ID #:

Phone Number:

Fax Number:

____________________________________________________ Cell Number: REMIT ADDRESS (if different from above):

____________________________________________________ Email:

____________________________________________________ List services provided by your Company:

Is any owner(s)/partner(s) of the Company’s spouse/companion, family-member and/or personal friend of any UPA employee(s)? If YES, please list employee’s name and relationship.

Please list the Name, Address & Phone Number of at least three (3) REFERENCES:

Send above requested information to:

* CERTIFICATE OF INSURANCE REQUIREMENTS:

United Property Associates must be listed as the Certificate

Holder. There must be coverage for General Liability (with United Property Associates listed as the additional insured),

Automobile Liability, and Workers Compensation and Employer’s Liability. If Vendor has been selected for work at a property, an

Insurance Certificate must also be provided listing that property as an additional insured.

APPROVED FOR VENDOR LIST

APPROVED FOR ____________________________________________________________ONLY (WILL NOT BE ON VENDOR LIST)

DISAPPROVED_____________________ ___________________

DateDebra YoungPresident

United Property Associates

Attention: Executive Administrative Assistant

525 South Independence Blvd., Suite 200

Virginia Beach, VA 23452-1189

1099

REQUIRED:

_________YES

_________NO

New association

60 day grace period:

Start:

_____________

End:

_____________

ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?

INSR ADDL SUBRLTR INSD WVD

CONTACTNAME:

FAXPHONE(A/C, No):(A/C, No, Ext):

E-MAILADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY

AUTHORIZED REPRESENTATIVE

EACH OCCURRENCE $

DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT

OTHER: $

COMBINED SINGLE LIMIT$(Ea accident)

ANY AUTO BODILY INJURY (Per person) $OWNED SCHEDULED

BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

HIRED NON-OWNED PROPERTY DAMAGE$AUTOS ONLY AUTOS ONLY (Per accident)

$

OCCUR EACH OCCURRENCE

CLAIMS-MADE AGGREGATE $

DED RETENTION $

PER OTH-STATUTE ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE $If yes, describe under

E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below

INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY

Y / NN / A

(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION

© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)

SAMPLE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

$

$

$

$

$

The ACORD name and logo are registered marks of ACORD

REQUIRED: COMPANY NAME

A

X REQUIRED: MINIMUM $1,000,000

MUSTHAVE POLICY # AND EFFECTIVE

DATES

CURRENT EFFECTIVEDATES

B REQUIRED: MINIMUM $250,000

MUSTHAVE POLICY # AND EFFECTIVE

DATES

CURRENT EFFECTIVEDATES

A

C REQUIRED: NO MINIMUM LIMIT

MUST HAVE POLICY # AND EFFECTIVE DATES

CURRENT EFFECTIVEDATES

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

REQUIRED:United Property Associates is listed as Additional Insured with regards to the General Liability policy

United Property Associates 525 S. Independence Blvd Ste. 200 Virginia Beach, VA 23452

PRODUCER

SAMPLEIF "REQUIRED" IS NOTED, WE MUST RECEIVE IN

ORDER TO PROCESSi

AggregateX

XX

X

X

X X

REQUIRE

D

REQUIRED