STATE OF CALIFORNIA
STANDARD AGREEMENTSTD 213 (Rev 06/03) / AGREEMENT NUMBER
5-10-99-02
REGISTRATION NUMBER
1.This Agreement is entered into between the State Agency and the Contractor named below:
STATE AGENCY'S NAME
Department of General Services
CONTRACTOR'S NAME
Elavon, Inc.
2. / The term of this / June, 1, 2010 / through / May31,2015
Agreement is:
3.The maximum amount / $0
of this Agreement is:
4. The parties agree to comply with the terms and conditions of this MSA and the following exhibits which are by this reference made a part of the Agreement.
Exhibit A:Scope of Services / 6pages
Exhibit B:Budget Detail and Payment Provisions / 3pages
Attachment I – Quarterly Report template / 2 Pages
Exhibit C:The State’s General Terms and Conditions (GTC307 As Modified) and
Contractor Certification Clauses (CCC 307 As Modified) / 5 pages
4 pages
Exhibit D:Special Terms and Conditions / 8pages
Attachment I – Authorized User Participation Set Up Form / 3 pages
Attachment II -- Selected Services Signature Page (State Authorized Users)
Attachment III -- Selected Services Signature Page (Local Authorized Users) / 2 pages
2 pages
Exhibit E:Fees and Costs / 2 pages
Attachment I – Elavon Service Pricing (Credit/Debit, ECS, & Tier Methodology-3 tabs) / 3 pages
Attachment II –Elavon Equipment Pricing / 2 Pages
Attachment III –Elavon Equipment Specifications (workbook w/ 6 tabs) / 8 pages
Exhibit F:Equipment and Software / 6 pages
Exhibit G:Agreement for Merchant Processing Services Acceptance
Exhibit H: Electronic Check Services
Exhibit I:Convenience and Service Fee Services
Exhibit J:Enterprise Billing Solution Services / 16 pages
4 pages
6pages
6 pages
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.)
Elavon, Inc.
BY (Authorized Signature)
Original Signature on File / 6/8/10
PRINTED NAME AND TITLE OF PERSON SIGNING
Timothy I. Miller, Senior Vice President
ADDRESS
7300 Chapman Highway,Knoxville,TN 379220
STATE OF CALIFORNIA
AGENCY NAME
Department of General Services – Procurement Division
BY (Authorized Signature)
Original Signature on File / 6/16/10
PRINTED NAME AND TITLE OF PERSON SIGNING
Jim Butler, Deputy Director
ADDRESS
707 Third Street, 2nd Floor,West Sacramento,CA95605
Std 213 Signature Page (continued)
The undersigned each agree to be bound by the terms and conditions of the MSA exhibits selected
and signed for below.
Elavon______
(“Contractor”)
Signature: Original Signature on File
Print Name:______
Title: ______
Dated: 6/18/10
Exhibits A-G
U.S. Bank______
(“Bank or Member”)
Signature: Original Signature on File
Print Name:______
Title:______
Dated:6/18/10