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Ver. 2.7 ° • ' Dag License s • 1 1(19/2015 Invoicing Parameters sheet must becompleted foreachinvoice type. house °•.Non -Submitter Visa ®MasterCard ❑Discover ❑Amex ®EFT/ACH EloMonthly ❑EBPP ❑Cloud Store Cloud Pay ❑ OBD ❑ IVR ❑Kiosk Billing FrequencyNumber of Bills: 2,500 Number of Cycles: t Number of Installments: 1 Average Invoice Amount: 25 Highest Invoice Amount; $ 000 Billing Months (please select the applicable months below): ❑Jan ❑Feb ❑Mar ❑Apr ❑May ❑Jun ❑ Jul ❑ Aug ❑ Sept ❑Oct ❑ Nov ❑ Dec ® All -P ®+ ❑1st -loth ❑ 11th -20th ❑21+t -31st • + + ❑ Biller ❑ Tem late ❑ Bill Print Vendor (please complete below R + - , ose an item. Provided by: ❑ Sales Rep ❑ Operations Hardware: Choose an item. CITY 15h Per Unit Price: $ ping Address: erent than location address), $ Total Due:see i Oil p 4 0 B- + 44+ B Item Paid b a er Item Paid by Biller ❑ Credit Card: ® Credit Interchange, fees, dues assessments+ %with$ Minimum Card: Authorization $0 20, + 50, %BP 1, ❑ EFT/ACH: I $ per item ® EFT/ACH: $ 0.50 ! per item ❑ Flex Pay ACH: $F7 per Item ❑ Flex Pay ACH: $ per item Item Paid by payer Item Paid by Biller ❑ Credit Card: ❑ Credit Interchange, fees, dues assessments+ %with $ Minimum Card: (Without Visa Acceptance) Authorization $ + % 8p ❑ EFT/ACH: $ Per item ❑ EFT/ACH: $ Per Item IVI P • - • , , - - P W W W ' • • • , • 0 ❑ Credit Card Service Fee: $ Max Cap for Credit Cards: $ ❑ EFT/ACH: Service Fee: $ 11 Paid by payer [I Paid by Biller ❑ Paid by payer Service Fee + $ ❑ Paid by Biller $ per item surcharge IgAllP Claud Pay (i.e. Web services payment processing) through the City's current provider of Basic EBPP, InfoSend. _... ...2/12/2016 ..........Hans 4 < > Nielsen Please note the above requested date is not guaranteed, The implementation time frame is not guaranteed subject to change and delays to workload, systems/data requirements, biller cooperation and other factors.