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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 i 0 s SIGN ,,ERE X tyJ BankAmerica C rFy Resolution No. 2001-80361 Merchant Services Account Annlicatinn QC 1 66 L To- -fN.W- ---•• (inaaw dba YappyaeEpj �1ndv 8urcham (906 Ills- ZI4q �O G�en.dp PaNSWP lidMd P.Wwrt O O umiftc-p., Herrn aadPtiwN nlABard Pdaary txriMat 106 )-I-IS-2149 (Sn6 _ Type olw&%wwcm wu mj ICa &g4 n,� jqp" trK mac' Ly p,, 0 1715- 2.033 ..aaWnmamWymndPUY,T_14o9 FAXf JbzS 13th $} HawloiglMaawwMawrer--w04.Dmaiw9 SIA �#• add eea(No P.O. Boaml� G. ;.40_ �o —� y [__ ' ORAW Sn.6— OPdm Raddwaa Lubbock T� 79401 atv �n d BCIYC 9p NaMlwwnw.nanwa7 Vdr--- Nurosdbcemrr 2000 MaWgaddrem(PO M Bola mql L vbbxk -r-lc 19"1°A1Btl""w.mdw�.«fY WRalun O RaMan In 30 drp. Nm OOID. Zo 75 L004590(0 i�Ym ❑No --Ilya•–•••••�••r % MWW'nrw O'dw Gtll Card -40 r IaaaxlaawMaw,y,wm OYm ° Nwm dMeNWePlaceamr USIA DYMNwm q BA, 18rMp1 mardrwd I.D. —�–Y Ad*°° PMtw _ Pln Pad --�— MDdrd. WA Card. -• _• ^rowan my omtaVdOrrrra: Madel f modw f TwniW N-M—t, dma nnndrwa ry fd twtdntl tap ran M -*-w Ir to.? DYm ONO md.aMwm ❑'3 Pm—u"nP-W—Hem MCre Ow�"Pm Q. ❑Mop r.ml3 rronlha'niardwd Prammorelwanwge. wrm(melmwXYgm h4da81gr.(Ip PaCkaDa) ❑ Conant Arnadcm EaPraae CeNororaew,N a.rr..,... O Vaknd aWnma CawRyp MmwM Gnak leapt balaM1. ATTEST: Andy Burcham, Cash & Debt Manager X s APPROVED AS TO FORM: Rebecca GarzaGas, City Secret ry _�/� �t / I .Ine. Daft f12139, P.O. Box 37000, San FrenGaco, CA 80137 ra t act Mana r/A nv K. 1I SlDnawre - Dan Masgaanae '.. 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