Vendor Registration

Phone 910.997.3316 | Fax 910.997.6981
809 Armistead Street, Rockingham, NC 28379
rhanc.com

Thank you for your interest in becoming a vendor for the Rockingham Housing Authority (RHA). To register as a new vendor with the RHA, please enter some general business information and an indication of the types of goods and/or services you can offer the RHA. Vendors are required to fill out the Vendor Registration Packet completely to be added to the vendor database.

Please be sure to read and follow the instructions to complete the information in the below sections:

1. RHA Vendor Registration Form
2. Insurance Requirements

Please attach a completed W-9 form with your information below:

• Form W-9 

COMPLIANCE WITH CERTIFICATE OF INSURANCE REQUIREMENTS
This is to draw your attention to the Rockingham Housing Authority's (RHA) Terms & Conditions concerning Insurance Certificates and Limits of Liability. RHA is requesting that all Contractors currently conducting business or performing any services at any of the RHA s' properties submit Certificates of Insurance. RHA requires the following insurance provisions from Contractors and Suppliers:

1. Workers Compensation: As required by State Law for company size.
2. Comprehensive General Liability: Coverage shall have minimum limits of $1,000,000 per occurrence, combined single limit for bodily injury liability and property damage liability. This shall include premises and/or operations; independent contractors; products and completed operations and contractual liability.
3. Business Auto Liability: Coverage shall have minimum limits of $500,000 per occurrence, combined single limit for bodily injury liability and property damage liability. This shall include: owned vehicles, hired and non-owned vehicles and employee non-ownership. Rockingham Housing Authority is to be listed as Additional Insured on both the comprehensive general liability and business auto liability policies. RHA shall be named as the Certificate Holder using the following name and address:

Rockingham Housing Authority
809 Armstead Street
P.O. Box 160
Rockingham, NC 28379
Office Number (910) 997-3316
Fax Number (910) 997-6981

RHA does require a valid, up to date copy of your policy to be maintained on file with our office during the duration of any service or particular project. Renewal certificates shall be sent to RHA via fax or mail 30 days prior to any expiration date. In addition, there shall be a 30-day notification to RHA in the event of cancellation or modification of any stipulated insurance coverage. Please send certificates to the address listed above. Please contact the office number listed above with any questions.

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