HomeMy WebLinkAboutFIRST NATIONAL BANK OF OMAHA/TSYS MERCHANT SOLUTIONS, LLC 2 -2014N- 2014 -074
Principal /Bank: Associate /Group: 002000 Chain/Association: 002001 MIDtt: MCC Code: 7523
MERCHANT TRANSACTION PROCESSING AGREEMENT — MERCHANT APPLICATION
201310 Merchant Application SBS Pass Through CONFIDENTTAL
BUSINESS
INFOPTVIATION
Business Legal Name (must match name on tax return);
Business DB /A:
( "MERCHANT) CITY OF SANTA ANA
City of Santa Ana
Location Street Address:(No P.O. Boxes)
City:
State:
Zip:
20 Civic Center Plaza M -13
Santa Ana
CA
92701
Contact Name:
Phone:
Fax;
Email:
Minerva
1 (714 ) 647 -5440
MMancha @santa - ana.org
Mailing /Billing Address: (If different from Location) City: State: Zip; Phone:
20 Civic Center Plaza M -13 Santa Ana CA 92701 (714) 647 -5440
ASSUMPTIONS BUSINESS PROFILE AND
4 of Locations; Fed. Tax ID: Annual Vise/MasterCard/Discover Location Volume ($): Business Open Date:
1 956000785 Volume ($): 86,400.00 86,400.00
Average Ticket ($):
Highest Ticket (S):
Avg. monthly Vol. ($):
Length of Ownership:
Visa/MasterCard/Discover 101 as
1,00
5.00
7,200.00
0 Yr 0 me
Currently Accepted? ❑No
N of Employees:
Ownership Type:
%of Goods /Services Cash and Carry: 100
0
Government
Business:
Pricing Method: Retail
TyppoGoods /Services sold:(Please include a copy of your retam/refund policy)
Rataof
R
parking
PIC' &s Processor: (Please Include copy ofstatements)
Business Website: www.santa- ana.org �
Card Present 100 %+ Card Not Present %= TOTAL: 100%
Sales to: Consumer -2952----Y. + Business 5 %= TOTAL: 100%
—
IfCNP Choose one:
Card Swipe 100 %+ Imprint 0 %= TOTAL Card Present %
Application Type:
Addl. Location LOC /Old MID:
Dun &Bradsbeetll: (Ifavailable)
Have you or your business ever declared
Additional Location
51542672
-0 < 3 Z`-}'
bankruptcy? ❑ Yes ® No
Do you use any third party fulfillment houses? ❑ Yes m No
Do you work with any third parties or software vendors who have access to
If Yes, please provide a contact list of all third party fulfillment houses.
cardholder data? L I Yes [Z No
If yes, please provide a contact list of all third parties and software vendors who
have access to cardholder data.
When is cardholder billed for goods /services? ® On Order ❑ On Shipment Average number of days between order and shipment? 0
Expected date of Srst hansaction?
Do you operate as a Seasonal Merchant? ❑Yes V1 No
If seasonal, indicate operating months: ❑Jan []Feb ❑Mar ❑Apr []May ❑Jun [:]Jul ❑Aug ❑Sep ❑Oct []Nov ❑Dec
RE
Bank Reference Name: Contact:
S
Phone: Account Number:
JP Morgan Chase Kathy Kobayashi
(949) 833 -4801 935309500
Trade /Supplier I Name: Contact:
Phone: Account Number:
Trade /Supplier 2Name;
Contact Phone:
Account Number:
DISCLOSURE VISA
MEMBER BANK (ACQUIRER)
IMPORTANT MEMBER BANK (ACQUIRER) RESPONSIBILITIES)
IMPORTANT MERCHANT RESPONSIBILITIES
INFORMATION
1. A Visa Member is the only entity approved to extend acceptance of
1. Ensure compliance with cardholder data security and
First National Bank of Omaha
Visa products directly to a Merchant
storage requirements.
1620 Dodge Street
2. A Visa Member is responsible for educating Merchants on pertinent
2. Maintain fraud and chargebacks below thresholds.
Omaha, NE 68197
Visa Operating Regulations with which Merchants must comply
3. Review and understand the terms of the Merchant
800- 853 -9586
3. The Visa Member is responsible for and must provide settlement
Agreement.
funds to the Merchant
4. Comply with Visa Operating Regulations.
4. The Visa Member is responsible for all funds held in reserve that are
derived from settlement.
The responsibilities )fisted above do not supersede the terms of the Merchant Agreement and are provided to ensure the Merchant understands some important
obligations of each party and that the Visa Member (Acquirer) is the ultimate authority should the Merchant oblems.
Merchant Name:
Authorized Signature:
CITY OF SANTA ANA
X
Address: 20 Clvlc Center Plaza M -13
print Name: �-
Santa Ann CA 92701
TSYS Merchant Solutions, LLC is a registered agent of First National Bank of Omaha, 1620 Dodge Street, Omaha, NE 68197 800- 853 -9586
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t
201310 Merchant Application SBS Pass Through
CONFIDENTIAL
VISA/MC/DISCOVER
Pass through pricing: 0.0000 % DISCOUNT on SALES + $ 2-00000 per item on gross items (SALES plus Credits)
Visa Rewards, Visa Signature, Visa Premium, MasterCard World, MasterCard Enhanced, MasterCard Premium and Discover Premium cards will he assessed an
additional to the applicable rate tier. Please review the Rate Descriptions online at www.tsystransactionsummary.com or contact TMS at 800.228.2443
for additional information on which interchange programs qualify.
Merchant Setup $ 0.00 perMID
Authorizations $ 0.0350 per V /MC /Disc/OnePoint Auth
"at'
Excessive Electronic $ 0.0000 per V/M °/Disc Auth over 100%
Monthly Maintenance S 0.00 perMID
Authorizations of SALES & per OnePoint Auth
Minimum Discount Billing $ per month/MID
Non V /MC/Disc /OnePoint Authorizations $ 0.0350 each
Chargebacks $ 5.00 each
Voice Authorizations $ 0.6500 each
Retrievals $ 5.00 each
Voice AVS $ 1.99 each
Batch Capture $ 0.00 each
Paper Statement []Yes [Z No $9.95 per month/MID
Insufficient Funds Fee $35 per unsuccessful debit of
Wireless Monthly $ perdevice
DESIGNATED Account
Wireless Set Up $ peadevice
OTHER $
Annual Seasonal $ per MID
OTHER $
Regulatory and Compliance $ 1.00 per month/MID
ATM /DEBIT ❑Yes ❑No
PCI VALIDATION
Setup$ per MID
PCIValidation$ 45.00 per year /MID OR$ 3.75 per manth/M ID
Transactions S each
PCI Non - validation: $ per month/MID if MERCHANT is not validated for compliance with
Monthly per MID $
TMS's vendor, beginning 75 days after signing,
Network Fees Pass thru
Card Compromise Assistance Plan (CCAP)
CCAP Fee (PCI Validated): $ 7.95 per month/MID, if MERCHANT is validated for PCI Compliance with TMS's vendor.
CCAP Fee (PCI Non- Validated): $34 ^95 per month/ MID, if MERCHANT is not validated for PCI Compliance with TMS's vendor, beginning 75 days after
signing. This program is not being offered by Bank. Bank has no responsibility or liability under this program.
Account Closure Fee: If the AGREEMENT is terminated early during the INITIAL TERM or any RENEWAL TERM for any reason otter than set out in para-
graph 5.1, 5.2A, or 5.2.11, then MERCHANT agrees to pay TMS an account closure fee (`ACCOUNT CLOSURE FEE") in accordance with the following: $399
per MID during the first 12 months of the INITIAL TERM; $299 per MID during the second 12 months of the INITIAL TERM; $199 per MID during the third
12 months ofthe INITIAL TERM; $149 per MID during any RENEWAL TERM. MERCHANT agrees that the ACCOUNT CLOSURE FEE shall also be due to
TMS in accordance with this schedule if MERCHANT discontinues submitting SALES for processing during the INITIAL TERM or any RENEWAL TERM of
the AGREEMENT. MERCHANT agrees that this fee is a not a penalty, but rather a reasonable estimation of the actual damages TMS would suffer if TMS were
to fail to receive the processing business for the then current term. Paragraph references and capitalized tens not defined in this paragraph are defined in the
at tched Tenns and Conditions. Pursuant to Section 4.1 of the Tens and Conditions the INITIAL TERM shall be for 3 years.
TMS EQUIPMENT/SOFTWARE
Brand/Model MONEfRA Brand /Model Brand/Model
Equipment Option OWNS Equipment Option Equipment Option
Fee $ 0.00 Quantity 1 Total $ 0,00 Fee $ Quantity _Total $ Fee $ Quantity _Total $ .0
Payment Option OWNS Payment Option Payment Option
OWNS N
Software Vendor Payment Application Version
ASSOCIATIONFEES
Visa Zero Floor Limit: I Visa Base 11:
$0.1039 per transaction without corresponding authorization $O.OD14 per MasterCard gross transaction 1$0,0023 per Visa transaction
MC Acquirer License Fee: 0.0075% ofgross MC SALES dollar volume
The following fees will be passed through at Association's rate: Interchange, Assessments, MasterCard Network Access Brand Usage Fee, Visa Exception
Item Fee, Visa Network Acquirer Processing Fee, Visa International Acquirer Fee (including High Risk), Visa Partial Authorization Non - participation Fee, Dis-
cover International Processing Fee, Discover International Service Fee, Discover Data Usage Fee, MasterCard AVS Card Present Fee, MasterCard Account Sta-
tus Fee, MasterCard AVS Card Not Present Fee, Visa International Service (including cash advance), Visa Misuse, MasterCard Cross Border (US /Non -US /Puerto
Rico), MasterCard Processing Integrity, Visa Debit Transaction Integrity, Visa Fixed Acquirer Network Fee, Discover Network Authorization Fee, MasterCard
CVC2 Transaction Fee, All Other Applicable Association Fees.
FUNDSTRANSFER:
In accordance with the terms set out in the Terms and Conditions, transfer funds will be made to /from the account set forth in the enclosed voided check or bank
letter. ]Standard 0/ Premium ❑DDA El
I5Yb Merchanl501uuons, LLC is a registered agent of First National Bank of Onhaha, 1620 Dodge Street, Omaha, NE 68197 800 -853- 86
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Original Source Document
Friday, June 06, 2014 r
201310 Merchant Application SBS Pass Through
CONFIDENTIAL
Sales Professional Verification
By the signature below, the Sales to essional verifies that that the information stated In this Agreement is correct to the best of his/her knowledge and ism represented
to himAter by MERCHANT.
Sales Professi alst amre:
Sales Professional Name Printed:
Bret Johnson
Sales Organization: Application Date: Physical Site Inspection Conducted By Sales
TSYS Merchant s 5/29/14 Professional Yes Q No
CCAP Opt Out
Note: MERCHANT may only opt out if MERCHANT validates PCI Compliance with TMS veodorwithin 75 days ofsigning. If at any time MERCHANT is not vali.
dated for compliance, MERCHANT will be automatically enrolled In CCAP until such time that MERCHANT restores validation, at which point MERCHANT will
again be opted out. MERCHANT declines to participate In the Card Compromise Assistance Plan ("CCAP"), MERCHANT understands that under the terms of the
AGREEMENT, MERCHANT is responsible for all expenses, fines, assessments, and penalties that arise in the event that a data breach is suspected or occurs at one or
more of MERCHANTS locations. Further, MERCHANT understands and agrees that CCAP assistance will not be available to help pay any of the above mentioned
expenses, fines, assessments, or penalties in the event of a suspected or actual data breach at one or more of MERCHANT's locations. MERCHANT acknowledges that
despite opting out of CCAP, MERCHANT will still be assessed a PCI Validation Fee. This program is not being offered by BANK. BANK has no responsibility or
liability under this program.
Merchant Name: L /nom,,,
Authori(zed .
.
�G / 1 /�
`�• 1
Title:
Date: 5/29/14
Please attach voided check here.
TSYS Merchant Solutions, LLC is a registered agent of R St National Bank of Omaha, 1620 Dodge Street, Omaha, NE 68197 800 -853 -9586
4 of 4
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AMENtlb1EN7 Ta 7HE t0ERCNAN r , cTla PROC7:3SINCr AGREEMENT
201310 ACF WAIVER ANIEt{f7MEN I
THIS Amendment ('AMENDMENT'), by and between FIRST NATIONAL HANK OF OMAt A {'BANK "), TSYS
MERCHANT SOLUTIONS, LLC (10), and "MERCHANT", in$ name 0( Which is set out below, shell by,gme
effeCtte an the date executed or approved by duly authorized raprasantaftve of BANK. BANK, 7 MS, and
MERCHANT shall be collectively known tioreaffer as the "PARTIES."
WHEREAS, BANK, TMS, and MERCHANT are PARTIES to a Merchant Tiensact!on Processing Agreement (together
with its addenda, attachments, and schedufm shall be hereinafter known as the "AGREEMENT".), under which BANK
grid TMS Provide trensac:ton processfng and other Services regard,ng credit card sales transactions ( "SALES "),
subject to the terms and conditions more fully not out in AGREEMENT; and
WHEREAS, the PARTIES desire to delete the ACCOUNT CI.GSURE FEE as set outin the AGREEMENT.
receipt 'and su Ranh In whit consideration of 177a mulual promises made herein, and other valuable cansideratlon,
receipt and euftic!ancy of which aro hereby acknowledged, the PARTIES do hereby agree as follows:
1. Terms set forth harain, which are typed in ail capitalized letters and not defined herein, shall have the
same meaning as gat out In the AGREEMENT.
2. The PARTIES noros to delete in Its entirety the Account Ctosuro Fee section from the FEES Section of
the AGREEMENT,
3. The PARTIES agree to delete all other rcinr
Condliions of the AGREEMENT, encas to file ACCOUNT CLOSURE FEE [tune the Terms iri;f
4. This AMENDMENT, together With the AGREEMENT and Its other amendments, attachments, exhibils,
end any other representations, Indtucamenis, Promises, or agreeme��� Dot contained hate n Shall e of no force and effect as to transaction processing,
S. Except as amended hereby, HANK, TMS, and MERCHANT reaf:irm the. obligations of each as they are
contained in the AGREEMENT.
IN WITNESS WHEREOF, the PARTIES hareto have caused this AMENDMENT to be executed by their duly
authorized representative, effective as of Via date executed or approveo by RANK..
r - 'first National Bank or omaho
city nrfinnin Ace
ADBRE6S 2p Civic Colt,, plaxe M -13
BANKAUInorixeCl
Prim Neme
AUiflodzad
Pnnt Name
TSYS tvtarcrant 3olulions
'I M3 Autnortzcad Stgnatu
Print mama � JNDS)� Y MAZNOR
CREDFT ANA YST —
201310 ACF Wblvar Mttntlmen4
P;agp 7 of i
0rigi'n'Q9r'9bYce Document;
_ Friday, June 06, 2014
IN WITNESS WHEREOF, the parties hereto have executed this Merchant Transaction
Processing Agreement /Merchant Application the date and year first above written.
ATTEST:
CITY OF SANTA
/�
Maria D. H'aizar 17 Davi avazo
Clerk of the Council City Manager
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By: Lisa E. Storck
Assistant City Attorney
TSYS MERCHANT INSIGHTS AMENDMENT TO THE MERCHANT TRANSACTION PROCESSING AGREEMENT
201310 TSYS MERCHANT INSIGHTS
THIS Amendment ( "AMENDMENT "), by and between FIRST NATIONAL BANK OF OMAHA ( "BANK "), TSYS MERCHANT
SOLUTIONS, LLC ( "TMS "), and MERCHANT, the name of which is set out below, shall become effective on the date executed or
approved by a duly authorized representative of BANK. BANK, TMS, and MERCHANT shall be collectively known hereafter as the
"PARTIES."
WHEREAS, BANK, TMS, and MERCHANT are PARTIES to a Merchant Transaction Processing Agreement (together with its addenda,
amendments, attachments, and schedules shall be hereinafter known as the "AGREEMENT "), under which BANK and TMS provide
processing and other services regarding credit card sales transactions ( "SALES "), subject to the terms and conditions more fully set out
in AGREEMENT; and
WHEREAS, the PARTIES desire to amend the AGREEMENT as set out below.
NOW THEREFORE, in consideration of the mutual promises made herein, and other valuable consideration, receipt and sufficiency of
which are hereby acknowledged, the PARTIES do hereby agree as follows:
1. Terms set forth herein in all capitalized letters which are not otherwise defined herein shall have meaning as set out in the
AGREEMENT.
2. To the extent TMS is not already a PARTY to the AGREEMENT, the PARTIES agree to amend the AGREEMENT to make
TMS a party to the AGREEMENT. BANK will continue to sponsor MERCHANT into the ASSOCIATIONS, retain the responsibllity of
settling MERCHANT's SALES, and all other obligations that are required to be retained at BANK by the ASSOCIATIONS. TMS will be
responsible for all other responsibilities and obligations to MERCHANT under the AGREEMENT, including but not limited to processing
SALES and handling customer service.
3. The PARTIES agree to amend the AGREEMENT by adding the products and services listed below, and MERCHANT agrees
to pay the applicable FEES listed below. MERCHANT understands and agrees that the products and services hereunder are offered
by Oto Analytics, Inc. d /b /a Womply ( "WOMPLY'), and not by BANK or TMS. TMS, BANK, and their affiliates are in no way responsible
for the actions, inactions, performance or nonperformance of WOMPLY, or for disputes or resolving disputes of any kind arising from
the products and services provided by WOMPLY. MERCHANT understands and agrees that MERCHANT's access to the products and
services hereunder are subject to WOMPLY'S acceptance of MERCHANT as a customer, and MERCHANT's agreement to WOMPLY's
End User License Agreement. MERCHANT hereby authorizes TMS and /or WOMPLY to contact MERCHANT via phone, email,
facsimile, or mail in regards to the products and services hereunder.
TSYS Merchant Insights Essentials: 60 day free trial period. Billed at $19.99 per MID per month if not cancelled
4. This AMENDMENT, together with the AGREEMENT and its other amendments, attachments, exhibits, and schedules,
constitutes the entire AGREEMENT between the PARTIES as to transaction processing, and any other representations, inducements
promises, or agreements not contained herein shall be of no force and effect as to transaction processing.
5. Except as amended hereby, BANK, TMS, and MERCHANT reaffirm the obligations of each as they are contained in the,
AGREEMENT.
IN WITNESS WHEREOF, the PARTIES hereto have caused this AMENDMENT to be executed by their duly authorized officers,
effective as of the date executed or approved by BANK.
First National Bank of Omaha
BANK Authorized Signature
Title
Date
TSYS Merchant Solutions, LLC
TMS Authorized Signature
Print Name
Date
City of Santa Ana
MERCHANT Name
MID #:
Email Address: MMancha @santa - ana.org
Address: 20 Civic Center Plaza M -13
Santa Ana Ca 92701
City, State, Zip Code
Authorized Signature
Print Name
201310 TSYS Merchant Insights Page 1 of 1 CONFIDENTIAL