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j EXHIBIT A <br />�s Biller Order Form .�,z9 <br />Ownership Type: Government Biller Contacts <br />Legal Name: City of Santa Ana ! Minerva Mancha, Treasury Services Supv. <br />Address 1: 20 Civic Center Plaza Phone Number: 714- 647 -5442 Ext. <br />Address 2: Email Address: mmancha @santa - ana.org <br />City: F Santa Ana State: Ca Zip: 92701 • ° ° Hans Nielsen, Project Manager <br />Phone# 714- 647 -5442 Fax #: 714- 6475089 !Email umber: 714- 647.5442 Ext. <br />Website URL: htip: / /www.cl.santa- ana.ca.us/ ddress: hnielsen @santa- ana.org <br />Business Open Date: 1886 ' Minerva Mancha <br />Federal Tax ID #: 95- 6000785 Phone Number: 714- 647 -5442 Ext. <br />Nate: Federal Tax ID and Legal Name must match on all documents. Email Address: mmancha @ santa- ana.org <br />Signatory Contact: I I Francisco Gutierrez I Title: Finance Director <br />Phone Number: 714-647-5400 1 Ext. Email Address: fgufierrez @santa- ana.org <br />Paperwork Contact: Will Holt, Treasury& Customer Services Manager, (714) 647 -5456, wholt @sonto- ono.org. <br />Please note that Systems and Software Is still iimplementing Go Mobile for Santa Ana. <br />New Biller Implementation: <br />$ <br />1,500 <br />Paperless Presentment: <br />includes 3 email notifications <br />$ <br />0.11 <br />Per Item <br />Biller Portal Access: <br />$ <br />_ <br />100 <br />Monthly <br />IC Payment - Credit Card: <br />$ <br />0.00 <br />Per Item <br />Additional User(sj <br />$ <br />-0.00 <br />Monthly Per User <br />IC Payment - EFT /ACH: <br />$ <br />0.00 <br />Per Item <br />Online Bank Direct Access: <br />$ <br />0,00 <br />Choose an item. <br />Online Bank Direct: <br />$ <br />r -025- <br />Per Item <br />Go Mobile Gateway <br />$ <br />0.00 <br />Choose an item. <br />Harris Go Mobile: <br />$ <br />0.00 <br />Per Item <br />Invoice Presentment: <br />$ <br />0.00 <br />Monthly <br />EFT /ACH Reject: <br />$ <br />15.00 <br />Per Item <br />Charge Back: <br />$ <br />r 20 00 <br />Per item <br />Name of Checking Account (As it appears an check or Bank letter): I I City of Santa Ana <br />Bank J.P. Morgan Address: �{ 3 Park Plaza Fir 9 Irvine, CA 92614 Phone: g49- 833061 <br />Name: <br />Depository Routing #: 322271627 Account #: 935309500 <br />Your Invoice payment collections will be electronball de 71ted into this account, <br />Fees Routing #: Account #: - <br />322271627 935309500 <br />