5950 Berkshire Lane | Suite 1300 | Dallas, TX 75225

214.646.9901 | Fax 214.646.9905

11/17/21 v1

www.s2cp.com/s2-residential

New Vendor Checklist

All of the below items must be submitted in a single pdf in the following
order to be reviewed for vendor entry/approval.
All vendors must have VP approval before processing.

☐New Vendor Information Form - Complete

☐General Vendor Service Contract - Complete
☐W-9 on the current October 2018 form - Attached
☐COI - Attached (For on-site vendors only)
☐General Liability Insurance is $2,000,000
☐Auto Insurance is $1,000,000
☐Workers Comp is $500,000
☐S2C Management is listed as the Certificate Holder
☐Approval email from VP - Attached

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 5950 Berkshire Lane | Suite 1300 | Dallas, TX 75225
214.646.9901 | Fax 214.646.9905

www.s2cp.com/s2-residential

New Vendor Information Form

THIS FORM MUST BE COMPLETED AND APPROVED BEFORE A NEW ACCOUNT CAN BE
ESTABLISHED/WORK CAN BE PERFORMED. Please provide all required information below & attach a
copy of the vendors W9 form & insurance Certifications.
ACCOUNTS WILL NOT BE SET UP IF THERE IS ANY MISSSING OR INCOMPLETE INFORMATION.

PROPERTY: ____________________________________________________

REQUESTED BY: _______________________________________________

** Is Vendor related to a S2 employee (if yes, how?)___________________________
APPROVED BY: ________________________________________________
SERVICE/MATERIAL PROVIDED: __________________________________
Bath Tub/ Countertop Refinishing

ON-SITE/ OFF-SITE VENDOR: _____________________________________

Yes
** (Does vendor provide services on property?)

Whiteside Industries Inc A-Plus Refinishing

VENDOR NAME: ________________________________________________

Rob Whiteside
*CONTACT NAME: ______________________________________________

8813 Gulf Court , Suite D

*ADDRESS: ____________________________________________________

Raleigh NC
CITY: ___________ STATE: ________ ZIP CODE: __________________
27603

919-896-5743
*PHONE NUMBER: _____________________________________________

*EMAIL ADDRESS: _____________________________________________

aplusrefinishingraleigh@gmail.com

**ATTACHMENTS: W9 ______ INSURANCE ____________________

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214.646.9901 | Fax 214.646.9905

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Whiteside Industries Inc A-Plus Refinishing agrees to provide goods and/or services for S2
Residential and/or properties owned/managed by an S2 affiliate (“Owner”). As a Vendor providing goods and/or services to Owner,
I/we agree that S2 Residential is the property manager on behalf of Owner, and accordingly S2 Residential shall have no liability
for obligations of the property or owner. I/we agree to the following terms:

Vendor Requirements. As a vendor providing any type of good and/or service to a S2 Residential apartment community,
corporate, or regional office, I must have a W-9 and any applicable professional licenses on file. If I am providing any type of good
and/or service which requires my company to send a representative to the community or office, I must also have a current
certificate(s) of insurance on file; the amounts of coverage are detailed on the Vendor Checklist with which I have been provided.
The certificate(s) of insurance must be accompanied by an additional insured endorsement for the general liability policy which
includes S2C Management, LLC dba S2 Residential and the ownership entities of their owned or managed properties as an
additional insured. Any applicable excess/umbrella policy is to be issued on a follows form basis. All coverage shall be primary and
non-contributory. In addition, a waiver of subrogation shall apply in favor of the aforementioned parties on all policies as permitted
by law. The certificate(s) of insurance must remain current and any lapse in coverage will result in the termination of future
purchases of goods and services.

Background Screening of Workers. Vendor agrees to exercise due diligence in not placing any employees, laborers, or
subcontractors to perform work within property boundaries and inside dwelling units who may have a history of criminal convictions
or deferred-adjudication or pose a potential threat or risk of injury to residents and others. Unacceptable criminal history might
include, but is not limited to, such crimes as rape, molestation, sexual assault, indecent exposure, indecency with a child, murder,
robbery, assault or kidnapping. Vendor also agrees to comply with Immigration and Customs Enforcement (ICE) regulations. I
understand that it is my duty to use responsible hiring practices and acknowledge S2 Residential’s policy regarding the background
screening of my labor force.

Fair Housing Policy. It is the policy of S2 Residential to treat all residents, prospective residents and their guests in a fair,
professional manner without regard to race, color, religion, sex, familial status, handicap or national origin, and in accordance with
all jurisdictional guidelines. As a contractor/vendor to S2 Residential, I agree that I will treat all S2 Residential staff, residents,
prospective residents and their guests in a fair, professional manner without regard to race, color, religion, sex, familial status,
handicap or national origin and in accordance with all jurisdictional guidelines. In addition, I accept the responsibility to train my
employees to treat all S2 Residential staff, residents, prospective residents and their guests in a fair, professional manner without
regard to race, color, religion, sex, familial status, handicap or national origin. I understand that failure to adhere to S2 Residential’s
Fair Housing Policy and the Fair Housing Laws will result in the termination of my relationship with S2 Residential. My signature
below indicates my understanding of S2 Residential’s Fair Housing Policy and my commitment to comply with that policy.

Workers Compensation Requirements. I understand that S2 Residential requires workers compensation coverage for all
vendors regardless of state regulations, except for vendors who are sole proprietors with zero employees. Vendors categorized as
off-site are not required to provide proof of workers compensation insurance.

Employees, agents or sub-contractors of the vendor agree to conduct themselves in a professional and ethical manner in all
dealings with S2 Residential, its agents and employees.

Vendor agrees to protect, indemnify, save and hold harmless S2C Management, LLC and the ownership entities of their owned or
managed properties from and against any and all claims, damages, expenses, and loss or destruction of any kind, including but
not limited to defense costs an d attorney’s fees, arising out of, relating to, or resulting from performance of work at property(s) by
Vendor, its employees or agents, the presence of Vendor, its employees or agents on the property(s), or any injury or death to any
person, including all agents or employees of Vendor arising out of or in the course of their work on the property. Vendor’s Liability
insurance will add property owner and manager as additional insured on forms CG 2010/CG 2038 and CG 2037, will contain no
exclusions pertaining to the work in the contract, and will continue in force for at least 3 years after completion. Vendor will provide
property owner and manager with a 30 days’ notice of cancellation of any policies during the project term - if cancelled,
contractor/vendor will not be allowed to enter the property or continue work until insurance coverage is continued.

My signature indicates acknowledgement of receipt and agreement with the above terms. Violation of any terms of this agreement
will result in the termination of approval to perform work for S2 Residential, its agents or employees.

6/28/2023 Rob Whiteside

Signature of Agent Date Print Name/Title
Whiteside Industries Inc A-Plus Refinishing; 8813 Gulf Ct., Suite D; Raleigh NC, 27603 919-896-5743
aplusrefinishingraleigh@gmail.com
Vendor Name, Address, Phone Number, and Email Address

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 5950 Berkshire Lane | Suite 1300 | Dallas, TX 75225
214.646.9901 | Fax 214.646.9905

www.s2cp.com/s2-residential

S2 Residential General Vendor Services Contract

VENDOR: Whiteside Industries Inc A-Plus Refinishing S2 Residential Properties – List Below
Address: Gulf 8813 Ct., Suite D; Raleigh NC, 27603
Representative: Rob Whiteside
Telephone: 919-896-5743
Email: aplusrefinishingraleigh@gmail.com
Contract/Service: Bath tub/countertop refinishing

S2 Residential’s General Vendor Services Contract (“Contract”) is effective as of __________,

6/28/2023 2021, by and between
“VENDOR” (as identified above) and _________________________________ (“OWNER”), having an address of
5950 Berkshire Lane, Suite 1300, Dallas, Texas 75225, Attention: Asset Manager, for services to be performed
and/or material to be supplied for the Property identified above (the “Property”). In consideration of the
acceptance of VENDOR’s bid and/or proposal for furnishing supplies, goods and/or services to the Property
attached hereto (the “Proposal/Bid”) and other good and valuable consideration the receipt and sufficiency of
which are hereby acknowledged, VENDOR agrees to perform the services and/or supply the goods and materials
identified in the Proposal (the “Work”) in accordance with this Contract.

VENDOR’s obligation to timely perform and complete the work or provide supplies/materials shall be absolute.
VENDOR warrants that the products will be provided and/or services will be completed in a professional,
workmanlike manner in accordance with applicable industry standards. VENDOR shall enforce strict discipline and
good order among its employees and other persons performing services for OWNER on the Property. Any changes
to the scope of Work or cost of Work must be approved by OWNER in writing prior to the performance of such
additional and/or changed work. In the event OWNER and VENDOR shall agree to additional Work, a reduction in
Work or a change to the cost of Work, such agreement shall be included on a Change Order stipulating the change
in Work and fees. Payment of any invoice is not evidence of OWNER’s acceptance of the Services as complete or
workmanlike.

This Contract does not establish an exclusive right to furnish supplies, goods and/or services to the Property. This
Contract will survive until terminated by either party. OWNER may terminate this Contract at any time, with or
without cause, upon ten (10) days’ prior written notice to VENDOR. VENDOR may terminate this Contract upon
thirty (30) days’ prior written notice to OWNER if there are not outstanding Proposals. OWNER may terminate this
Contract at any time, including with respect to any work in process, if (i) OWNER fails to obtain, or maintain as
valid, any license, insurance, permit or approval required to allow lawful performance of the Work; (ii) OWNER
determines, in its sole discretion, that VENDOR is not complying with any Law (defined below), (iii) VENDOR has
failed to perform the Work in a workmanlike manner or in a timely way; (iv) VENDOR breaches any material term
or condition of this Contract; or (v) OWNER determines, in its sole discretion, that VENDOR is not financially stable
or responsible. Notice of termination pursuant to this section shall be in writing and shall be effective upon receipt
thereof.

VENDOR is solely responsible for, and agrees to perform its obligations in a manner that complies with all
applicable national, federal, state and local laws, statutes, ordinances, regulations, codes and other types of

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government authority (including, but not limited to, the Americans with Disabilities Act, those governing export
control, unfair competition, anti-discrimination, false advertising, privacy and data protection, and publicity and
those identifying and requiring permits, licenses, approvals, and other consents) (“Laws”).

TO THE FULLEST EXTENT PERMITTED BY LAW, VENDOR SHALL INDEMNIFY, PROTECT, DEFEND AND HOLD
OWNER, THE BENEFICIAL OWNER OF THE PROPERTY, THEIR AFFILIATES, PARENT AND SUBSIDIARY ENTITIES,
INCLUDING, WITHOUT LIMITATION, S2C MANAGEMENT LLC, S2C FL MANAGEMENT LLC AND S2C NC
MANAGEMENT LLC D/B/A S2 RESIDENTIAL (S2), AND ANY OF S2’S SUBSIDIARIES AND AFFILIATES THAT MAY
DIRECTLY OR INDIRECTLY OWN OR MANAGE THE PROPERTY AT OR FOR WHICH VENDOR PERFORMS WORK, AND
THEIR RESPECTIVE PARTNERS, MANAGERS, MEMBERS, EMPLOYEES, OFFICERS, DIRECTORS, TRUSTEES,
SHAREHOLDERS, COUNSEL, REPRESENTATIVES, AGENTS, SUCCESSORS AND ASSIGNS (THE “INDEMNIFIED
PARTIES”) FREE AND HARMLESS FROM ANY AND ALL LIABILITIES, CLAIMS, DEMANDS, ACTIONS, COSTS
(INCLUDING REASONABLE ATTORNEY’S FEES), LOSSES, FINES, PENALTIES, EXPENSES, SUITS OR MATTERS ARISING
FROM OR RELATED TO (ANY DEATH OF OR INJURY TO ANY PERSON, DAMAGE TO ANY PROPERTY, OR ANY
OTHER DAMAGE OR LOSS, BY WHOMSOEVER SUFFERED, CLAIMED TO RESULT IN WHOLE OR IN PART FROM ANY
(I) DEFECT IN PRODUCTS AND/OR SERVICES DELIVERED PURSUANT TO THE THIS CONTRACT AND THE PROPOSAL,
OR (II) ANY NEGLIGENT OR INTENTIONAL, ACT, ACTIVITY OR OMISSION OF VENDOR, ITS EMPLOYEES OR AGENTS,
INCLUDING ACTIVITIES ON THE PROPERTY. VENDOR’S OBLIGATIONS UNDER THIS CONTRACT, INCLUDING ITS
INDEMNITY OBLIGATIONS, SHALL NOT BE LIMITED BY A LIMITATION ON THE AMOUNT OR TYPE OF DAMAGES
PAYABLE BY OR FOR VENDOR UNDER WORKER’S OR WORKMAN’S COMPENSATION ACTS. THIS PROVISION
SHALL SURVIVE THE TERMINATION OR EXPERATION OF THIS CONTRACT.

VENDOR WAIVES AND RELEASES ALL CLAIMS FOR OR RIGHT TO ANY CONSEQUENTIAL, INCIDENTAL, EXEMPLARY,
PUNITIVE OR SPECIAL DAMAGES (INCLUDING, WITHOUT LIMITATION, LOST PROFITS, PROPERTY DAMAGE, LOSS
OF REVENUE, LOSS OF BUSINESS OR LOST SAVINGS) ARISING OUT OF OR IN CONNECTION WITH THIS CONTRACT
OR THE PROPOSAL, WHETHER OR NOT OWNER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. IF
VENDOR SHOULD BECOME ENTITLED TO CLAIM DAMAGES FROM OWNER, OWNER WILL BE LIABLE ONLY FOR
THE AMOUNT OF VENDOR’S ACTUAL DIRECT DAMAGES, NOT TO EXCEED (IN THE AGGREGATE FOR ALL CLAIMS)
THE FEES PAYABLE BY OWNER FOR THE SPECIFIC PRODUCT OR SERVICE THAT GAVE RISE TO SUCH LIABILITY AND
IS THE SUBJECT OF THE CLAIM. VENDOR further agrees that the sole and exclusive remedy of VENDOR for
payment and/or performance of this Contract shall be against the assets of OWNER. This provision shall survive the
termination or expiration of this Contract.

VENDOR shall purchase and maintain, at is sole expense, insurance in accordance with the requirements outlined
below. Insurance limits noted below are minimum policy limits only, and do not limit VENDOR’s responsibilities.
VENDOR acknowledges and agrees that its failure to provide the certificate of insurance as required hereunder will
not be a waiver by OWNER of VENDOR’s contractual requirements to provide insurance. The insurance required
shall be written with insurance carriers licensed to do business in the State in which services are performed and
which have an AM Best Rating of A VII or better. The liability insurance shall cover all labor, materials, or services
furnished hereunder and shall include a Contractual liability endorsement. As a condition precedent to the
commencement of the Work, VENDOR shall furnish OWNER with a Certificate of Insurance, naming the
Indemnified Parties (Property, Legal Entity Name & S2C Management, LLC d/b/a S2 Residential, LLC) as
additional insureds. ALL On-site VENDOR (Suppliers/Providers) are required to provide a COI (Certificate of
Insurance) detailing insurance coverage as detailed below:

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Insurance Requirements. VENDORs/Providers who are unable to provide the required coverage limits, will not be
approved to work at any S2 Residential community. Excludes Off-Site VENDORs/Providers.

General Liability Required Limit Coverage

$1,000,000 Each Occurrence
$2,000,000 General Aggregate
$1,000,000 Product – Comp/Op Aggregate
$1,000,000 Personal and Advertising Injury
Auto Required Limit Coverage
$1,000,000 Any Auto – Combined Coverage
Excess GL Coverage Required Limit Coverage
$1,000,000 Each Occurrence
$1,000,000 Aggregate
Worker’s Compensation Required Limit Coverage
$500,000 Employer’s Liability – Each
Accident
$500,000 Employer’s Liability – Each
Accident
$500,000 Employer’s Liability – Each
Accident

Nothing contained herein shall create any third-party beneficiary rights in any person not a signatory to this
Contract except (1) the beneficial OWNER of the Property is a beneficiary under the Contract and (2) OWNER will
be a third party beneficiary of VENDOR’s agreements with all of its sub-contractors and VENDOR shall include or
cause to be included similar provisions in each of the aforementioned agreements naming OWNER as third party
beneficiary. VENDOR shall be solely responsible for the employment, control and conduct of its employees and
nothing set forth herein shall have the effect of creating an employer-employee relationship between OWNER and
any of VENDOR’s employees.

In addition to any obligations for confidentiality contained in any prior agreement, VENDOR shall treat as
confidential property and not disclose to others during or subsequent to the term of this Contract, except as is
necessary to perform this Contract, (and then only on a confidential basis satisfactory to OWNER), any information
(including any technical information, experience or data) regarding the Work or OWNER’s plans, project plans,
specifications, drawings, programs, plants, sites, processes, products, costs, equipment, operations or customers
which may come within VENDOR’s, its officers’ or employees’ knowledge in the performance of this Contract,
without in each instance securing the prior written consent of OWNER. VENDOR shall return to OWNER within
three months of completion of the VENDOR’s Work or immediately upon request of OWNER all copies of all
specifications, plans, drawings and the like. The foregoing obligations shall survive the termination or expiration of
this Contract. VENDOR and its employees shall have access to the Property only to the extent necessary for proper
performance of the Work. VENDOR may use only designated areas and may not enter unauthorized office or
operating areas and shall keep the Property clean.
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All trade discounts, rebates and refunds and all returns from sales of surplus materials and equipment shall belong
to and accrue for the benefit of OWNER or as outlined in Strategic Account Agreements.

VENDOR shall not place or permit any subcontractor or supplier to place any lien on the Property or any premises
owned or leased by OWNER and, as a precondition to VENDOR’s right to payment, VENDOR will provide to Owner
with each request for payment a payment application, a Conditional Waiver of Lien and, with the request for final
payment, a full waiver and Release of Lien, in the form and with such affidavits as Owner may request along with
any additional supporting documentation as may be required in the S2 Vendor Packet. Payments on account of the
work will be made within forty-five (45) days after receipt of VENDOR’s invoice; provided, however, if OWNER
disputes an invoice, OWNER will pay the undisputed amount with the agreed timeframe and will promptly pay the
remainder (if any) once the dispute has been resolved. Any such dispute shall not impact VENDOR’s obligations to
timely perform and complete the work or provide supplies materials in accordance with this Contract and the
Proposal. Time is of the essence with respect to all of VENDOR’s obligations contemplated herein. ALL invoices are
to be submitted no later than twenty (20) days from completion of work and must contain the PO number.
Invoices not submitted within the dates of the contract term as noted above, will not be paid, and considered null
and void. VENDOR agrees, acknowledges, and understands our PO and invoice submission process and your
obligation to the terms and requirements. Invoices can be submitted as follows:

→ Deliver to the Property Manager at the community where work was performed; or
→ Mail to the Property at the community where work was performed; or
→ Email directly to the onsite Property Manager; or
→ Email directly to the main email address for the community.

All email addresses can be obtained from the onsite Property Manager. Please ensure you and your team have the
information needed to submit timely invoices as outlined above.

PURCHASE ORDER (“PO”) NUMBERS ARE REQUIRED at the time the product, service, goods or supplies are to be
ordered – not when it is time to pay. All approved bids and/or proposals for supplies, good and/or services will
come with a Purchase Order Number. Emergency Purchase Order Numbers will have their own set of identifying
PO numbers and will be provided at the time service is approved. However, ALL VENDOR invoices must reflect
the standard PO or Emergency PO Number provided by the Property. Invoices that do not have the Standard PO
or Emergency PO Number, will not be authorized as approved nor payment made. Verbal purchases (without
an approved purchase order) are NOT considered valid by S2. A VENDOR that authorizes a purchase for supplies,
goods and/or services without a PO, does so at their own risk.

Although VENDOR and its Contractors, Sub-Contractor and consultants may employ relatives of employees of the
OWNER, its affiliates, parent and subsidiary entities, including, without limitation, S2 and any of S2’s subsidiaries
and affiliates that may directly or indirectly own or manage the Property at or for which VENDOR performs any
work (the “S2 Employee”), VENDOR shall immediately so inform OWNER as soon as known, or discovered. OWNER
reserves the right to require that VENDOR and/or its Contractors, Sub-Contractor and consultants to modify work
assignments of the S2 Employee’s relative where a conflict of interest, or the appearance thereof, is deemed by
OWNER to exist. VENDOR shall include this provision in any of its sub-contracts and material agreements.

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OWNER may assign this Contract in its discretion. VENDOR may not assign, subcontract or otherwise delegate its
rights or obligations without the prior written consent of OWNER, and any attempt to do so will be void. This
Contract will be binding upon the parties’ respective successors and permitted assigns.

If any clause or provision of this Contract is illegal, invalid, or unenforceable under present or future laws, then the
remainder of this Contract will not be affected thereby and in lieu of such clause or provision, there will be added
as a part of this Contract a clause or provision as similar in terms to such illegal, invalid, or unenforceable clause or
provision as may be possible and be legal, valid, and enforceable.

VENDOR is and shall perform the Work as an independent contractor, and as such, shall have and maintain
complete control over all of its employees, agents and operations. Neither VENDOR nor anyone employed by
VENDOR shall be, represent, act, purport to act or be deemed to be the agent, representative, employee or servant
of OWNER.

All notices to be given to a party under this Contract must be in writing, sent to the address above or to such other
addresses as VENDOR or OWNER may designate, by certified mail (return receipt requested), overnight courier,
personal delivery, or confirmed email or facsimile.

This Contract constitutes the entire agreement between the parties, and supersedes all other prior or
contemporaneous communications between the parties (whether written or oral) relating to the subject matter of
this Contract. In the event of an inconsistency between this Contract and any Proposal, the terms of this Contract
shall control. Unless otherwise expressly provided herein, this Contract may be modified or amended solely in a
writing signed by both parties. The normal rule of construction that any ambiguities be resolved against the
drafting party will not apply to the interpretation of this Contract or any attachments hereto.

VENDOR hereby acknowledges and agrees that, VENDOR (if a corporation, partnership or other business entity) is a
duly formed and existing entity qualified to do business in the state in which the Property is located, VENDOR has
full right and authority to execute and deliver this Contract, each person signing on behalf of VENDOR is authorized
to do so, and this Contract is enforceable against VENDOR in accordance with its terms. VENDOR acknowledges,
understands and agrees that OWNER may execute this Contract by an authorized representative. Notwithstanding
anything contained herein to the contrary, such authorized representative and/or its affiliates shall not incur any
liability, or other obligation, under this Contract to VENDOR, for any reason, including, but not limited to, for any
payments that may be due VENDOR hereunder.

This Contract may be executed in multiple counterparts each of which is deemed an original but together
constitute one and the same instrument. Notwithstanding any law or presumption to the contrary, this Contract
may be executed electronically or by “pdf” and each party has the right to rely upon an electronic or “pdf”
counterpart of this Contract signed by the other party to the same extent as if such party had received an original
counterpart, and such counterpart of this Contract will be deemed valid and binding and admissible by either party
against the other as if same were an original ink signature.

This Contract is entered into as of the day and year first written above. This Contract shall be governed by the
Laws of the place where the Property is located. All disputes arising under or connected with this Contract shall be
resolved in the County and State where the Property is located.
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IN WITNESS WHEREOF, the parties have caused this Contract to be executed by their duly authorized representatives as
of the day of the year first written above.

OWNER: ___________________________________________________
By S2 Residential, its managing agent

PROPERTY: ___________________________________________________

Signature: ___________________________________________________ Date: _______________________

Printed Name: ___________________________________________________
Title: ___________________________________________________

VENDOR:

Signature: ___________________________________________________ Date: _______________________

6/28/2023
Printed Name: ___________________________________________________
Rob Whiteside
Title: ___________________________________________________
manager
Form
(Rev. October 2018)
W-9 Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
Department of the Treasury send to the IRS.
Internal Revenue Service ▶ Go to www.irs.gov/FormW9 for instructions and the latest information.
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
Whiteside Industries Inc A-Plus Refinishing
2 Business name/disregarded entity name, if different from above
See Specific Instructions on page 3.

3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to
following seven boxes. certain entities, not individuals; see
instructions on page 3):
Individual/sole proprietor or C Corporation X S Corporation Partnership Trust/estate
single-member LLC Exempt payee code (if any)
Print or type.

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ▶
Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting
LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is
code (if any)
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
Other (see instructions) ▶ (Applies to accounts maintained outside the U.S.)

5 Address (number, street, and apt. or suite no.) See instructions. Requester’s name and address (optional)
8813 Gulf Court, Suite D
6 City, state, and ZIP code
Raleigh , NC 27617
7 List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other – –
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN, later. or
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Employer identification number
Number To Give the Requester for guidelines on whose number to enter.
92 – 3657250
Part II Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign Signature of
Here U.S. person ▶ Date ▶ 6/28/2023

General Instructions • Form 1099-DIV (dividends, including those from stocks or mutual
funds)
Section references are to the Internal Revenue Code unless otherwise • Form 1099-MISC (various types of income, prizes, awards, or gross
noted. proceeds)
Future developments. For the latest information about developments • Form 1099-B (stock or mutual fund sales and certain other
related to Form W-9 and its instructions, such as legislation enacted transactions by brokers)
after they were published, go to www.irs.gov/FormW9.
• Form 1099-S (proceeds from real estate transactions)
Purpose of Form • Form 1099-K (merchant card and third party network transactions)
An individual or entity (Form W-9 requester) who is required to file an • Form 1098 (home mortgage interest), 1098-E (student loan interest),
information return with the IRS must obtain your correct taxpayer 1098-T (tuition)
identification number (TIN) which may be your social security number • Form 1099-C (canceled debt)
(SSN), individual taxpayer identification number (ITIN), adoption
• Form 1099-A (acquisition or abandonment of secured property)
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the amount paid to you, or other Use Form W-9 only if you are a U.S. person (including a resident
amount reportable on an information return. Examples of information alien), to provide your correct TIN.
returns include, but are not limited to, the following. If you do not return Form W-9 to the requester with a TIN, you might
• Form 1099-INT (interest earned or paid) be subject to backup withholding. See What is backup withholding,
later.

Cat. No. 10231X Form W-9 (Rev. 10-2018)

 DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE 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 on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
PHONE FAX
(A/C, No, Ext): (A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #

(Insurer must have a rating of B+ of higher)

SAMPLE
INSURER A :
INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE 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.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000

CLAIMS-MADE
x OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrence) $
MED EXP (Any one person) $
x PERSONAL & ADV INJURY $ 1,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000

$ 1,000,000
PRO-
POLICY JECT LOC PRODUCTS - COMP/OP AGG

OTHER: $
AUTOMOBILE LIABILITY May be "Hired Autos" AND "Non-Owned" COMBINED SINGLE LIMIT
(Ea accident) $ 1,000,000
x ANY AUTO Autos instead of "Any Auto" ONLY for BODILY INJURY (Per person) $ 500,000
Companies who do not own vehicles Must be
OWNED
AUTOS ONLY
SCHEDULED
AUTOS $1M combined single limit, OR $500k BI(per
BODILY INJURY (Per accident) $ 500,000
HIRED NON-OWNED
person)/$500k BI (per accident)/$500k
PROPERTY DAMAGE
(Per accident) $ 500,000
AUTOS ONLY AUTOS ONLY
Property Damage. $
UMBRELLA LIAB Excess not required if Each Occurrence, EACH OCCURRENCE $ 1,000,000
OCCUR
General Aggregate and Products-Comp/Op
x EXCESS LIAB 1,000,000
CLAIMS-MADE
limits on GL coverage are above $2M each AGGREGATE $

DED RETENTION $ or more. $

WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY Exemption available for Sole Proprietors STATUTE ER
Y/N
ANYPROPRIETOR/PARTNER/EXECUTIVE with zero employees E.L. EACH ACCIDENT $ 500,000
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
S2C Management, LLC dba S2 Residential and the ownership entities of their owned or managed properties are included as an
additional insured on the general liability policy.

CERTIFICATE HOLDER CANCELLATION

S2C Management LLC
5950 Berkshire Ln. Suite 1300
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Dallas, TX 75225 ACCORDANCE WITH THE POLICY PROVISIONS.
Fax: 214-646-9905
AUTHORIZED REPRESENTATIVE

© 1988-2016 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD