Vendor Application

• •  $1,000,0000 each occurrence
• •  $50,000 damage to rented premises
• •  $5,000 medical expense
• •  $1,000,000 personal & advertising injury
• •  $2,000,000 general aggregate
• •  $2,000,000 product/completed operations aggregate
• •  MHS Customer Service, Inc. shall be named as Additional Insured on form CG 2010 1185 or its equivalent including Primary and Non-contributory wording
• •  Waiver of Subrogation in favor of MHS Customer Service, Inc.

• •  $1,000,000 combined single limit
• •  If your company does not have any owned autos, the policy shall be written using symbol 8 and 9 (non-owned and hired autos)
• •  MHS Customer Service, Inc. shall be named as additional insured
• •  Waiver of Subrogation in favor of MHS Customer Service, Inc.

• •  $1,000,000 each occurrence
• •  $1,000,000 each employee
• •  $1,000,000 policy limit
• •  Waiver of Subrogation in favor of MHS Customer Service, Inc.

Before a Vendor is approved to service our account all owner(s) and/or principals will be required to complete and pass a background check. MHS will not employ vendors who have been convicted of a crime (except misdemeanor traffic violations which have not resulted in either personal injury or death). If a member of your firm does not successfully pass the background check, that individual will not be permitted to service customers on behalf of MHS.

MHS has elected Info Cubic as their Employment Screening Company that will administer and process all background investigations for its vendor network. The fee for the required background check is $59.75. MHS requires a copy of the signed and dated release form along with a “pass” background check to be submitted with the application package. The form is attached below.

The background check includes the following parameters:

• •  Social Security Number trace
• •  A review of any state and federal felony convictions
• •  A review of state and federal misdemeanor convictions for crimes that would present an unreasonable risk of harm to others or their property.
• •  Any pending deferred adjudications with respect to the above items for the seven years prior to the date of the background check.
• •  A review of the national sexual offender database. The background check was completed in the county in which the officer, owner and employee has resided, currently resides and/or has been, or is currently employed.
• •  Office of Foreign Asset Control’s list of prohibited individuals

The following items are required with your application. You may either upload them via the upload section below, email them to info@callmhs.com, or fax them to (858) 695-2361.

• •  MHS vendor application (hit submit when you are done)
• •  Background check signed authorization with passing results
• •  Form W-9
• •  Copy of applying company's business license and contractor license
• •  Workers Compensation Insurance Certificate
• •  Commercial General Liability Insurance Certificate
• •  Commercial Auto Insurance Certificate