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a <br />CONEXIS <br />human resoarc elu l° <br />CONEXIS- ADMINISTRATIVE SERVICES AGREEMENT <br />FEE APPENDIX — Schedule of Selected Service Charges and Fees <br />Business Name: City of Santa Ana <br />This Fee Appendix — Schedule of Service Fees is incorporated into and made a part of the Service Agreement <br />("Agreement'). If there is a conflict between this Fee Appendix and the Agreement, the Agreement controls. <br />DIRECT BILL SERVICES <br />Item Contract Initial by <br />Code Description Fee Client to <br />ACcep <br />Please initial next to all pricing items agreed to in the "Initialed by Client" column. <br />Direct Bill Services <br />D80D6 Direct Bill Implementation / Set-up Fee Included <br />D1098 Fixed Rate Per Direct Bill Participant $4.00 <br />D5467 Direct Bill Past Due Notice Included <br />Service Fee Guarantee Period: January 1, 2014 through December 31, 2016 <br />Client Authorized Signature: L/// Date: <br />Name and Title: David Cavazos City Manage <br />CONEXIS Signature: Lam- � Date: I <br />Eva Boucher, CCEP <br />VP and Chief Compliance Officer <br />ATTE$r <br />`_�'Av A%� <br />MARIA O. HUIZAR <br />CLERK OF THE COUNCIL <br />Direct Bill Service Appendix 1 V2.0-010108 <br />