STATE OF CALIFORNIA
STANDARD AGREEMENT AMENDMENT
STD. 213 A (Rev 6/03)
CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED / 44 /Pages
/ AGREEMENT NUMBER / AMENDMENT NUMBER5-10-99-01 / 1
REGISTRATION NUMBER
1. / This Agreement is entered into between the State Agency and Contractor named below:
STATE AGENCY’S NAME
DEPARTMENT OF GENERAL SERVICES
CONTRACTOR’S NAME
First Data Merchant Services Corporation (See second signature page )
2. / The term of this
Agreement is / June 1, 2010 / through / May 31, 2015
3. / The maximum amount of this / $0
Agreement after this amendment is: / Zero dollars
4. / The parties mutually agree to this amendment as follows. All actions noted below are by this reference made a part of the Agreement and incorporated herein:
To amend and supplement Master Services Agreement 5-10-99-01 dated June 1, 2010 (the “Agreement”). FDMS and DGS do hereby agree to replace the exhibits shown below in its entirety and attach hereto and incorporate herein as follows
From: FDMS To: FDMS
Exhibit B Amendment 1 of Exhibit B – Budget Detail and Payment ProvisionsPages 3
Exhibit DAmendment 1 of Exhibit D – Special Terms and ConditionsPages 7
Exhibit D - Attach 1Amendment 1 of Exhibit D – Attachment I – First Data AuthorizationPages 3
User Participation – Set Up Form
Exhibit E Amendment 1 of Exhibit E – Fees and CostsPages 4
Exhibit E - Attach 1Amendment 1 of Exhibit E – Attachment 1 – Service Pricing Pages 5
Exhibit GAmendment 1 of Exhibit G – Agreement for Merchant Processing ServicesPages 20
All other terms and conditions shall remain the same.
The effective date of this amendment is the date approved and signed by the Department of General Service’s Office of LegalServices.
IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto.
CONTRACTOR / CALIFORNIA
Department of General Services
Use Only
CONTRACTOR’S NAME (If other than an individual, state whether a corporation, partnership, etc.)
First Data Merchant Services Corporation /
BY (Authorized Signature) / DATE SIGNED (Do not type)
Original Signature on File / 1/31/2011
PRINTED NAME AND TITLE OF PERSON SIGNING
Jim Contardi - SVP
ADDRESS
5565 Glenridge Connector, N.E.
Alanta,GA30342
STATE OF CALIFORNIA
AGENCY NAME
Department of General Services - Procurement Division
BY (Authorized Signature) / DATE SIGNED (Do not type)
Original Signature on File
PRINTED NAME AND TITLE OF PERSON SIGNING / Exempt per:
Jim Butler, Deputy Director
ADDRESS
707 Third Street, 2nd Floor, West Sacramento, CA 95605
IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed by their authorized officers, all as of the day and year first written above.
Exhibits A-G - Merchant Services (Category 1)
First Data Merchant Services Corporation
(“FDMS”) (“Contractor”)
Signature:Original Signature on File
Print Name:Jim Contardi
Title: Senior Vice President
Dated: January 31, 2011
Citicorp Payment Services, Inc.
Signature:Original Signature on File
Print Name:Jim Contardi
Title: Senior Vice President
Dated: January 31, 2011
Exhibit A-G - Attachments II and III (Amex/Discover Cards and Debit Cards) (Category 1)
First Data Merchant Services Corporation
(“FDMS”) (“Contractor”)
Signature:Original Signature on File
Print Name:Jim Contardi
Title: Senior Vice President
Dated: January 31, 2011
Exhibits A-F and H (PayPoint Gateway for eCheck, Convenience Fee or online payments)
(Categories 1 & 2)
First Data Government Solutions, LP
(“FDGS”) (“Contractor”)
Signature:Original Signature on File
Print Name: Jeffery Meyers
Title: Senior Vice President
Dated: January 31, 2011
Exhibits A-F and I (EFT)___(Category 4)
First Data Government Solutions, LP
(“FDGS”) (“Contractor”)
Signature:Original Signature on File
Print Name: Jeffery Meyers
Title: Senior Vice President
Dated: January 31, 2011
Exhibits A-F and J (Remote Deposit) (Category 3)
RemitCo, LLC
(“RemitCo”) (“Contractor”)
Signature:Original Signature on File
Print Name: Jeffery Meyers
Title: Senior Vice President
Dated: January 31, 2011
Exhibits A-F and K (TeleCheck for Electronic Check Conversion or Check Warrantee)
(Categories 2 & 3)
TeleCheck Services, Inc.______
(“TeleCheck”) (“Contractor”)
Signature:Original Signature on File
Print Name: Mark Wallin
Title: President
Dated: February 14, 2011