25C - AGMT MERCHANT PROCESSING SVCS

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CHASE Or Merchant Services • 4 Northeastern Boulevard, Salem, NH 03079-1952 • www.chasepaymentech.com Phone: (603) 896-6000 • Fax: (603) 896-8715 • kierchant—Services@ChasePaymenlech.com SECTION 4: 1099K CONTACT INFORMATION (W--9 required if new US entity and/or taxpayer ID, W-8 required for Canadian Transaction Division's Taxpayer ID #/No. 95-6000785 Same as Corporate Yes ❑ No 1099K Contact Name Francisco Gutierrez 1099K Contact email address: fgutierrez@santa-ana.org SECTION 4a: TRANSACTION DIVISION Division Name: City Of Santa Ana -PREP (up to 30 bytes - this will appear on your Financial Reports) Currency (list only 1 each per division): Presentment: US Settlement: US •" It using our Cross Currency Product — please provide both the Presentment and the Settlement Currencies • The following field appears on the customer's statement and Identifies the merchant name for the consumer and credit card organizations. To further aid consumer recognition, Visa has sanctioned the abbreviation of the merchant name. It must be separated from product information by an asterisk ('), which must appear in the 4th, 8th or 13th position. The asterisk cannot be used for Retail Merchants. Internet service providers, e-commerce merchants may utilize a URL instead of Customer Service Phone if not processing any Mail-order transactions (URL must only be 13 bytes) Cardholder Descriptor (Feral/ card types with the exception o(American Express): Eli t y o f S I a I n I t I a I I A I n I a Customer Service Phone* : Required for Mall Order or Retuning) City: (Required for Retail) IRL: (optional, 0 phwee provided above) (13 (13 (13 7 1 4 6 4 7 5 3 3 5 (22 bytes) bytes) bytes) bytes) Division Location Address: 20 Civic Center Plaza Country: USA (Must be a street address, PO Boxes not acceptable) City: Santa Ana State/Prov: C A Zip Code (US): 9 2 17 1 0 11 (For Refad-City above must match City Location)' Postal Code (Intl): I I I I IPostal Code (Can): I (s bytes) (StaterProVince and PostabVp codes must match the address given above) ProductlService Description (Enferprodcct deserloffon, i.e. cicthing. P I R I E I P books, memberstvp) Publication Descriptor (Please provide only itrequired by yoursubmider): Avg. Trans. $ Amt: 80 Avg. # Trans.Nr: 850 Projected Refund % 10 BPS How do you market this product? (Check onlV these that apply to this division) ❑ Catalog ❑ Direct Mail ®Internet ❑ Space Ad ❑ TV ❑ Outbound Telemarketing ❑ Other How will consumers provide credit card information to you when they order this product? (Select only one): ❑ Retail ❑ Mail/Phone(Markebng Material Required) ® Internet(Please provide your URL): http:/I wwN.invoicecloud.com/santa- ana If infemet is selected and the website is not yet available to consumers please complete a Marketing Material Supplement form which you may obtain them Merchant Services cr your account executive. If Internet, please advise: Select one: ® SSL ❑ SET ❑ No encryption method Will the consumer be able to place their order and provide their credit card info (or electronic check info) through this website? ® Yes ❑ No Is the web site secure. i.e., will the information that the consumer provides, such as their name and credit card number be encrypted so that it can't be read or intercepted by other people? ®Yes ❑No Maximum Sale $125k Transaction Amount (Default S25.000 U.S. dollars or established international currency equivalent per transaction) Maximum Refund $125k Transaction Amount: (Default 525.000 U.S.dollars or established international currency equivalent per transaction) (Approval will be required rorany temporary or permanent increases to this ceffing rimd). Please check the consumers payment option for this division: (Select only one) Rev11/18/10 2 NewDivisionSetup/cboo 25C-79