HomeMy WebLinkAboutResolution - 2001-R0361 - Agreement With Bank Of America For Merchant Card Service - 09/13/2001Resolution No. 2001-RO361
September 13, 2001
Item No. 57
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock, an Agreement between the
City of Lubbock and BankAmerica, for merchant card service, and all related documents.
Said Agreement is attached hereto and incorporated in this resolution as if fully set forth
herein and shall be included in the minutes of the City Council.
Passed by the City Council this 13th day of September , 2001.
ATTEST:
Rebecca Garza
City Secretary
APPROVED AS TO CONTENT:
Andy Aurcham
Cash and Debt Manager
APPROVED AS TO FORM:
William de Haas
Contract Manager/Attorney
Dh/Ccdocs/BankAmeri cares
August 29, 2001
Resolution No. 2001-RO361
BankAmerica Merchant Services Account Application
Ownership Please I'M the hires owners 1,11, the largest share of ai�nership.
TAM or ausieaa
0 Sole Proprietorship 0 caenerel Partnership 0 Limiled Partersdp
0 Corporation 0 b1Med Liability Company �Olher�OV�rt�y(}
Type of gooddsenices sold MiMl iwsl S�^ �Q+�;�
.sT (ftQ 4 i bi r qk
When was business established (Mh0)7 1,409
How long has current owner owned this Iwsbess? ^ I A
aloe.
CXttce Suite
0 ROW Storefront
OOD er
0 Private ResMmwe
How lore at this location? NLLV I;L* Number of locations
►aaey
No Refund 0 Refund In 30 days or lace
0 Merchandise exdunge only 0 Other
14000590fo
1-1,72. payBr IU #
Business Name (reme me if applicable)
Andy Surck&m
(B06 )115— 2149
Name and 00M MIRIOW of pdmey contact
I .�•
(bob i1'IS-2i4q (Belo 11'15-2033
Business phone# FAX#
'Please attach voided d..k from Mia • ----------
5 13�i' S� r
5.4e
Physeal bustles West address (No P.O. Sexes)
i .
'7940
ubbc><.k T14,
i
P 0—Boy 20411
aP
Maang address (P.O. Boxes okay)
Lubbock —i -x
'lq�
City State
ZIP
Ownership Please I'M the hires owners 1,11, the largest share of ai�nership.
TAM or ausieaa
0 Sole Proprietorship 0 caenerel Partnership 0 Limiled Partersdp
0 Corporation 0 b1Med Liability Company �Olher�OV�rt�y(}
Type of gooddsenices sold MiMl iwsl S�^ �Q+�;�
.sT (ftQ 4 i bi r qk
When was business established (Mh0)7 1,409
How long has current owner owned this Iwsbess? ^ I A
aloe.
CXttce Suite
0 ROW Storefront
OOD er
0 Private ResMmwe
How lore at this location? NLLV I;L* Number of locations
►aaey
No Refund 0 Refund In 30 days or lace
0 Merchandise exdunge only 0 Other
14000590fo
1-1,72. payBr IU #
Tote) Prnlected monthly sales $__Z
Projected monthly Vlea/MastarCard
credit card sales $
Average credit card transaction t_
% of transections not swiped
'ins Is the account in which well deposit funds hm1999 you tel us otherwise.
H You accepted credit cards before? % Mail/Phone Order Credit Card San
fes 0 No a yes: (f' 11 Is a futtarrent house used? 0 Yes
N--,Pr-1--p— 7ioAnsttY5i' /{lrxi'Y Li5A 'Y-,"O—
If
yes,NemoIf BA, 1640 merchant I.D. _.. Address
S&J W %
0 No WfIVA
Authorization and Oeposh M_odfal # Rent Buy Ploase reprogram my own O*dpment
S2Q. OIT,�C °Q Termkhnl S �P... city 0" 1 Model # Madel #
Send �.up � j�JDD Printer Terminal Printer
0 Merchant NiererhG, Pin Pad Hrests m' dose merchant need terminal that can be ad)ueled for tips?
Imprinter WA Ely" ONO
Payment Options
isa7Meate6anr Ceresin Cade 0 Ofmwa Ck&MRde BlenChO Dkccven' CerdINOVUS-Card Brands 0 Check finerertes 0 Ethpress payment Service 0 Supemmadrot
0 JCB- Card American Express• Card 0 Debit Card 0 Travel and Entertainment Services O Presumodmd Hash Cera incentive Program
HI This application. IB" recent tax returns (am instructions thesis Sig"p Padwpe).
0 Most recent 3 menthe' merc,a t Processor statemema. 0 Vowed Business Chsckkhg Account clack (etiech below).
0 Current American Express Card Processing statement.
Agreement
By sgntrtg belay, this Mordant named above (1) certifies thal a91'dorrradon and documents subndtted t, connection with this Application are tare and carne : (� tTda,owledges receipt d the
booklet erutltled'Merd,erd Card Service Agreertenr (the "Agreement); (3) agrees that Merchant and sad, tan,sactiorn subrtdDed b BA Merchant Services, Iq. (BA) will be bound by the terra and
conditions In tide Agreement and (4) agrees that Merctam will aulXNt transactions to BA orgy in accordance with the I donation in gds Application and will tmudsely Worm BA In wmirtg at the
address below y any Wortnetlon in this Applkatch changes; and (5) undendards that tide Appgmtion is OCt b vedy any of the h1ormation
given, intdudktg pact refererrae; to obtain reports on the business and sadt of you IndMdy Idly, IndurN (trr�gora o ehihodzes 8A b
b share or provide tits to SIN* This (tures of t • epowse it a eommed to property stats): and
MercC t Igo ApreemerN becones eNedHe when eigmed by Madam and BA Signatures of two RA atticas ere required b bad BA
SIGN IA�PROVED AS TO CONTENT:
HERE X
WINDY SITTON, MAYOR
ATTEST:.
Andy Burc7h[am`,vC�ashh &� Debt Manager
X
APPROVED AS TO FORM:
Rebecca Garza, City Secret ry �!/lo�
—` T17Tam de Haas, Con /A nv
13A Merchant Services, Inc. Dept #12133, P.O. Box 37000, San Francisco, CA 94137 -- "� ra c t Mana P>
A BankAmerica Company
i
1)
BA Sigiabre Data
For Branch Use Only (please print)
Sade 3Bounty #
Branch idem# Branca If phone #
BA Mordent Sw*80• Inc. Sales Representative pan,
BankAmertnet # Blitz Code Sic Code
MS -8 Rev. 7-98
2
BA Signature i
TOP AND UMME COPIES -BA MERCXANTSVIVICE6• INC, BOTTOM COPY-MERCXAW
0 R -,V No Pq.r
Name of Randal Inetrutlonh Account Type Account Number Transit Routing Number
Length of Relationship
Business; Cdecdnd 3 111322583
I .�•
'Please attach voided d..k from Mia • ----------
Tote) Prnlected monthly sales $__Z
Projected monthly Vlea/MastarCard
credit card sales $
Average credit card transaction t_
% of transections not swiped
'ins Is the account in which well deposit funds hm1999 you tel us otherwise.
H You accepted credit cards before? % Mail/Phone Order Credit Card San
fes 0 No a yes: (f' 11 Is a futtarrent house used? 0 Yes
N--,Pr-1--p— 7ioAnsttY5i' /{lrxi'Y Li5A 'Y-,"O—
If
yes,NemoIf BA, 1640 merchant I.D. _.. Address
S&J W %
0 No WfIVA
Authorization and Oeposh M_odfal # Rent Buy Ploase reprogram my own O*dpment
S2Q. OIT,�C °Q Termkhnl S �P... city 0" 1 Model # Madel #
Send �.up � j�JDD Printer Terminal Printer
0 Merchant NiererhG, Pin Pad Hrests m' dose merchant need terminal that can be ad)ueled for tips?
Imprinter WA Ely" ONO
Payment Options
isa7Meate6anr Ceresin Cade 0 Ofmwa Ck&MRde BlenChO Dkccven' CerdINOVUS-Card Brands 0 Check finerertes 0 Ethpress payment Service 0 Supemmadrot
0 JCB- Card American Express• Card 0 Debit Card 0 Travel and Entertainment Services O Presumodmd Hash Cera incentive Program
HI This application. IB" recent tax returns (am instructions thesis Sig"p Padwpe).
0 Most recent 3 menthe' merc,a t Processor statemema. 0 Vowed Business Chsckkhg Account clack (etiech below).
0 Current American Express Card Processing statement.
Agreement
By sgntrtg belay, this Mordant named above (1) certifies thal a91'dorrradon and documents subndtted t, connection with this Application are tare and carne : (� tTda,owledges receipt d the
booklet erutltled'Merd,erd Card Service Agreertenr (the "Agreement); (3) agrees that Merchant and sad, tan,sactiorn subrtdDed b BA Merchant Services, Iq. (BA) will be bound by the terra and
conditions In tide Agreement and (4) agrees that Merctam will aulXNt transactions to BA orgy in accordance with the I donation in gds Application and will tmudsely Worm BA In wmirtg at the
address below y any Wortnetlon in this Applkatch changes; and (5) undendards that tide Appgmtion is OCt b vedy any of the h1ormation
given, intdudktg pact refererrae; to obtain reports on the business and sadt of you IndMdy Idly, IndurN (trr�gora o ehihodzes 8A b
b share or provide tits to SIN* This (tures of t • epowse it a eommed to property stats): and
MercC t Igo ApreemerN becones eNedHe when eigmed by Madam and BA Signatures of two RA atticas ere required b bad BA
SIGN IA�PROVED AS TO CONTENT:
HERE X
WINDY SITTON, MAYOR
ATTEST:.
Andy Burc7h[am`,vC�ashh &� Debt Manager
X
APPROVED AS TO FORM:
Rebecca Garza, City Secret ry �!/lo�
—` T17Tam de Haas, Con /A nv
13A Merchant Services, Inc. Dept #12133, P.O. Box 37000, San Francisco, CA 94137 -- "� ra c t Mana P>
A BankAmerica Company
i
1)
BA Sigiabre Data
For Branch Use Only (please print)
Sade 3Bounty #
Branch idem# Branca If phone #
BA Mordent Sw*80• Inc. Sales Representative pan,
BankAmertnet # Blitz Code Sic Code
MS -8 Rev. 7-98
2
BA Signature i
TOP AND UMME COPIES -BA MERCXANTSVIVICE6• INC, BOTTOM COPY-MERCXAW
0 R -,V No Pq.r
Resolution No. 2001-RO361
Required Information for Additional Locations
D.B.A. Name if different from original application:
Animal Services
Additional Location Physical Address:
401 North Ash
Lubbock, TX 79401
Do you want statements sent to this address?
NO
Contact Person at this location:
Gail Findley
Contact Person's phone number
(806)775-2057
Fax number at this location if applicable
(806)775-2717
Checking Account Information if different from original location. If different
please provide voided business check with this additional location memo.
Account Number: Same
Transit Routing: Same
Terminal/Equipment Information
Terminal Name: Verifone MAP ACS
Model Number: Trans 330 Printer 250
Pin Pad (for debit) Model Number: N/A Thermal or Carbon Printer Paper (circle one)
American Express Merchant Id at this location: N/A
Discover Merchant Id at this location: N/A
Comments or Special Instructions:
Rectuired Information for Additional Locations
D.B.A. Name if different from original application:
Buddy Holly Center
Additional Location Physical Address:
1801 Avenue G
Lubbock, TX 79401
Do you want statements sent to this address?
NO
Contact Person at this location:
Shelby Morrison
Contact Person's phone number
(806)767-2686
Fax number at this location if applicable
(806) 767-0732
Checking Account Information if different from original location. If different
please provide voided business check with this additional location memo.
Account Number: Same
Transit Routing: Same
Terminal/Equipment Information
Terminal Name: Counterpoint Software System (PC -Based)
System was installed by John Games @ (806) 771-2300
Model Number: Trans 330 Printer 250
Pin Pad (for debit) Model Number: N/A Thermal or Carbon Printer Paper (circle one)
American Express Merchant Id at this location: 142347878-3
Discover Merchant Id at this location: 601101300544440
Comments or Special Instructions:
Required Information for Additional Locations
D.B.A. Name if different from original application:
City Manager
Additional Location Physical Address:
5401 N. MLK Blvd.
Lubbock, TX 79403
Do you want statements sent to this address?
NO
Contact Person at this location:
Kelly Campbell
Contact Person's phone number
(806)775-3131
Fax number at this location if applicable
(806)775-3133
Checking Account Information if different from original location. If different
please provide voided business check with this additional location memo.
Account Number: Same
Transit Routing: Same
Terminal/Equipment Information
Terminal Name: N/A
Model Number: N/A
Pin Pad (for debit) Model Number: N/A Thermal or Carbon Printer Paper (circle one)
American Express Merchant Id at this location: N/A
Discover Merchant Id at this location: N/A
Comments or Special Instructions:
This location currently hand writes credit cards slips and includes with deposit to bank.
Required Information for Additional Locations
D.B.A. Name if different from original application:
Civic Center
Additional Location Physical Address:
1501 6th
Lubbock, TX 79401
Do you want statements sent to this address?
NO
Contact Person at this location:
Vicki Key
Contact Person's phone number
(806) 775-2236
Fax number at this location if applicable
(806) 775-3240
Checking Account Information if different from original location. If different
please provide voided business check with this additional location memo.
Account Number: Same
Transit Routing: Same
Terminal/Equipment Information
Terminal Name: N/A
Model Number: N/A
Pin Pad (for debit) Model Number: N/A Thermal or Carbon Printer Paper (circle one)
American Express Merchant Id at this location: N/A
Discover Merchant Id at this location: N/A
Comments or Special Instructions:
This location imprints the cards and calls -in for verification
Required Information for Additional Locations
D.B.A. Name if different from original application:
Fine Arts
Additional Location Physical Address:
4215 South University
Lubbock, TX 79413
Do you want statements sent to this address?
NO
Contact Person at this location:
Paula Griffith
Contact Person's phone number
(806)767-3724
Fax number at this location if applicable
(806)767-3726
Checking Account Information if different from original location. If different
please provide voided business check with this additional location memo.
Account Number: Same
Transit Routing: Same
Terminal/Equipment Information
Terminal Name: N/A
Model Number: N/A
Pin Pad (for debit) Model Number: N/A Thermal or Carbon Printer Paper (circle one)
American Express Merchant Id at this location: N/A
Discover Merchant Id at this location: N/A
Comments or Special Instructions:
This location currently hand writes credit cards slips and includes with deposit to bank.
Required Information for Additional Locations
D.B.A. Name if different from original application:
Health Department
Additional Location Physical Address:
1902 Texas Avenue
Lubbock, TX 79405
Do you want statements sent to this address?
NO
Contact Person at this location:
Eva Smith
Contact Person's phone number
(806) 775-2943
Fax number at this location if applicable
(806) 775-2957
Checking Account Information if different from original location. If different
please provide voided business check with this additional location memo.
Account Number: Same
Transit Routing: Same
Terminal/Equipment Information
Terminal Name: Global Payment System
Model Number: T7P host
Pin Pad (for debit) Model Number: N/A Thermal or Carbon Printer Paper (circle one)
American Express Merchant Id at this location: N/A
Discover Merchant Id at this location: N/A
Comments or Special Instructions:
Required Information for Additional Locations
D.B.A. Name if different from original application:
Lubbock Online
Additional Location Physical Address:
916 Texas Avenue
Lubbock, TX 79401
Do you want statements sent to this address?
NO
Contact Person at this location:
Christopher Reed
Contact Person's phone number
(806) 775-2365
Fax number at this location if applicable
(806)775-3033
Checking Account Information if different from original location. If different
please provide voided business check with this additional location memo.
Account Number: Same
Transit Routing: Same
Terminal/Equipment Information
Terminal Name: Internet
Model Number: N/A
Pin Pad (for debit) Model Number: N/A Thermal or Carbon Printer Paper (circle one)
American Express Merchant Id at this location: 3230378125
Discover Merchant Id at this location: 601101300520705
Comments or Special Instructions:
Required Information for Additional Locations
D.B.A. Name if different from original application:
Parks Department
Additional Location Physical Address:
1010 9th Street
Lubbock, TX 79401
Do you want statements sent to this address?
NO
Contact Person at this location:
Jay Zhine
Contact Person's phone number
(806) 775-2673
Fax number at this location if applicable
(806) 775-2686
Checking Account Information if different from original location. If different
please provide voided business check with this additional location memo.
Account Number: Same
Transit Routing: Same
Terminal/Equipment Information
Terminal Name: N/A
Model Number: N/A
Pin Pad (for debit) Model Number: N/A Thermal or Carbon Printer Paper (circle one)
American Express Merchant Id at this location: N/A
Discover Merchant Id at this location: N/A
Comments or Special Instructions:
This location currently hand writes credit cards slips and includes with deposit to bank.
Required Information for Additional Locations
D.B.A. Name if different from original application:
Purchasing Department
Additional Location Physical Address:
1625 13th Street
Lubbock, TX 79401
Do you want statements sent to this address? \
NO
Contact Person at this location:
Jenny Buzbee
Contact Person's phone number
(806) 775-2168
Fax number at this location if applicable
(806) 775-2164
Checking Account Information if different from original location. If different
please provide voided business check with this additional location memo.
Account Number: Same
Transit Routing: Same
Terminal/Equipment Information
Terminal Name: Visa Net Retail/Debit Payment System
Model Number: T7RRXX
Pin Pad (for debit) Model Number: N/A Thermal or Carbon Printer Paper (circle one)
American Express Merchant Id at this location: N/A
Discover Merchant Id at this location: N/A
Comments or Special Instructions:
Required Information for Additional Locations
D.B.A. Name if different from original application:
Select -A -Seat
Additional Location Physical Address:
3801 50th Street
Lubbock, TX 79413
Do you want statements sent to this address?
NO
Contact Person at this location:
Lisa Burns
Contact Person's phone number
(806) 797-4684
Fax number at this location if applicable
(806)795-4700
Checking Account Information if different from original location. If different
please provide voided business check with this additional location memo.
Account Number: Same
Transit Routing: Same
Terminal/Equipment Information
Terminal Name: Protobase Software (PC-based)
Model Number: N/A
Pin Pad (for debit) Model Number: N/A Thermal or Carbon Printer Paper (circle one)
American Express Merchant Id at this location: 1420201014
Discover Merchant Id at this location: 601101700277690
Comments or Special Instructions:
Fi
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SIGN
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Resolution No. 2001-80361
Merchant Services Account Annlicatinn
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ATTEST: Andy Burcham, Cash & Debt Manager
X s
APPROVED AS TO FORM:
Rebecca GarzaGas, City Secret ry _�/� �t / I
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