R95-194RESOLUTION R95-/~
A RESOLUTION OF THE CITY COMMISSION OF
THE CITY OF BOYNTON BEACH, FLORIDA,
AUTHORIZING AND DIRECTING THE MAYOR AND
CITY CLERK TO EXECUTE A MERCHANT
PROCESSING AGREEMENT AND AMENDMENT TO
MERCHANT PROCESSING AGREEMENT BETWEEN THE
CITY OF BOYNTON BEACH AND NOVA
INFORMATION SYSTEMS, INC., AND MELLON
BANK, N.A., AND PROVIDING AN EFFECTIVE
DATE.
WHEREAS, MELLON is engaged in the business of financial
transaction processing which includes, but is not limited to,
the processing of and providing for the payment of charges
created by the holders of Visa and MasterCard, as well as
certain other credit cards; and
WHEREAS, the City of Boynton Beach desires to accept,
bankcards for the purchase of goods and services for the
convenience of our customers;
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
THE CITY OF BOYNTON BEACH, FLORIDA, THAT:
~ The City Commission of the City of Boynton
Beach, Florida does hereby authorize and direct the Mayor and
City Clerk to execute a Merchant Processing Agreement and
Amendment to Merchant Processing Agreement, copies of which
are annexed hereto as composite Exhibit "A"
~ That this Resolution
effective immediately upon passage.
shall become
PASSED AND ADOPTED this -~- day of December, 1995.
CITY~~~._~~.~,OF BOY~N~TON B~GHT,~" FLORIDA
Mayor r~
l~iVc~e
ATTEST:
C '~y Clerk
(Corporate Seal
Nova-~olf-ll/30/95
Authsig.doc
Boynton Beach
100 E. Boynton Beach Boulevard
P.o. Box310
Boynton Beach, Florida 33425-0310
t Oty HoIZ'~ (407)
FAX: (407) 3756090
December 13, 1995
Ms. Cara D. Melenyzer
Senior Counsel - Merchant Services
NOVA INFORMATIONS SYSTEMS INC.
5 Concourse Parkway, #700
Atlanta, GA 30328
RE:
Resolution #R95-194
Amendment to Merchant Processing Agreement
Dear Ms. Melenyzer:
Attached please find a copy of Resolution #R95-194 and three original amendment
agreements.
This resolution and agreement were approved at the City Commission meeting
held on December 5, 1995. Please return at least one completely signed original
agreement to me for Central Files.
If you have any questions pertaining to this, please do not hesitate to contact me.
Sincerely,
CITY OF BOYNTON BEACH
Sue Kruse, CMC/AAE
City Clerk
America's Gateway to the Gulfstream
Letter to Michael J. Pawelczyk, Esq.
November 20, 1995
Page Three
along with three executed copies of the Merchant Processing Agreement.
Very truly yours,
Cara D. Melenyzer
Senior Counsel - Merchant Services
Agreed and accepted this /,.~' day of ~-~---/~,~",~,, 1995.
City of Boynton Beach d/b/a Boynton Beach Municipal Golf Course
By:
Title:
Agreed and accepted this
day of ,1995.
MELLON BANK, N.A.
By:
Title:
CC:
Claire Egem, President, Computer Golf
Joe Cohane, Vice President Product Management, NOVA
Caroline C. Seely, Assistant Vice President, Mellon
¥OVA'
November 20, 1995
Michael J. PaWelczyk, Esq.
Boynton Beach Assistant City Attorney
3099 East Commercial Boulevard
Suite 200
Fort Lauderdale, Florida 33308
NOVA Information Systems, Inc,
Five Concourse Parkway
Suite 700
Atlanta, Georgia 30328
(404) 396,1456 Office
(404) 396-2117 Fax
Re: .A. mendment to Merchant Processin,q A,qr=cment
City of Boynton Beach d/b/a BOynton Beach Municipal Golf Course
Dear Mr. Pawelczyk:
The purpose of this letter (this "Letter Amendment") is to clarify, amend
and supplement the Merchant Processing Agreement dated of even date
herewith by and among City of Boynton Beach d/b/a Boynton Beach Municipal
Golf Course, NOVA Information Systems, Inc. and Mellon Bank, N.A. (the
"Agreement").
In consideration of the mutual covenants and agreements and intending
to be legally bound hereby, the parties hereby covenant and agree as follows:
I. Definitions..
Except .as .otherwise definec~ in this Letter Amendment, capitalized
terms used herein Shall I~ave the same meaning ascribed to such terms in the
Agreement.
II. Clarifications and Amendments to A,qr~ment:
Unless specifically designated as an amendment, the following
descriptions are intended only to clarify and supplement the specific numbered
sections of the Agreement. The numbersSet forth below refer to the numbered
sections of the Agreement.
15. Indemnity: Section 15 shall be amended by adding the following
to the end of Section 15:
"15. !.ndemnit~: Subject to Section 14, NOVA and MELLON agree to
indemnify and hold MERCHANT harmless from any claims, damages,
costs, fees and expenses, including attorney fees arising from any
.material breach by such party of their respective obligations under this
Agreement, if such breach is not cUred within a period of 10 business
Letter to Michael J. Pawelczyk, Esq.
November 20, 1995
Page Two
days follOWing receipt of written notice by the breaching party of such
material breach, or if such breach can not be cured within such 10 day
business day notice peri:od, the breaching party has not made efforts to
cure the breach."
17. Governin,q Law:. Section 17 shall be amended by adding the
following paragraph after the second paragraph:
"17. Governin,q Law:. NOVA and MELLON shall indemnify, and hold
MERCHANT harmless for any' costs, fees, expenses, including court
costs, attorneys fees and collection expense, which such, may incur in
enforcing their rights hereunder."
18. Assi,qnment and/or Amendments: Section- 18 shall be deleted in its
entirety and replaced with the following:
"18. Assi,qnment and/or Amendments: The parties hereto agree that
MELLO.N shall have, in its sole discretion the right to amend, modify, or
change this agreement. In the event MELLON chooses to amend, modify
or change this agreement, then NOVA or MELLON shall mail, by regular
mail, a copy of the modified agreement directly to MERCHANT for a 30
day approval period. MERCHANT's continued use of NOVA's or
MELLON's services past said 30 day approval period shall constitute
MERCHANT's acceptance of the amended, modified or changed
agreement. Notwithstanding anything contained herein to the contrary,
MELLON may amend, modify, or change this agreement upon 10 days
-notice if such amendment, modification, or change is a result of a change
in the rules, regulations or operating procedures of VISA USA or
MasterCard International. It is further agreed that both NOVA and
MELLON may assign their right, title and interest in and to this
Agreement."
19. Termination: Section 19 shall be amended by deleting the last
sentence of Section 19 regarding the term ination fee.
If the above is agreeable, we ask that you execute each copy of this
Letter Amendment in the appropriate place below and return each copy to me
Letter to Michael J. Pawelczyk, Esq.
November 20, 1995
Page Three~
along with three executed copies of the Merchant Processing Agreement.
Very truly yours,
-.
Senior Counsel - Merchant Services
Agreed and accepted this day of ., 1995.
City of Boynton Beach d/bla Boynton Beach Municipal Golf Course
By:
Title:
Agreed and accepted this
MELLON BANK, N.A.
By:
dayof ,1995.
Title:
Claire Egem, President, Computer Golf
Joe Cohane, Vice President Product Management, NOVA
Caroline C. Seely, Assistant Vice President, Mellon
MERCHANT PROCESSING
AGREEMENT
REGISTERED MEMBER SERVICE PROVIDER FOR:
MELLON BANK, N.A., PII'FSBURGH, PA
THIS AGREEMENT is made by and be(',,men NOVA INFORMATION SYSTEMS.
INCORPORATED, doing txmJnee~ a~ NOVA. a Geo~ia ~, MELLON EANK.
(MELLON), located in Pittsburgh, Pe~nsylvama and the taxtemigned MERCHANT, and is
sunje~ to me apl~oval of MELLON.
WHEREAS: MELLON ia engaged in the Ixmmeel of financial transaction ;w3cessmg
which includes, but ts not limited to. the _pn::~__..~ of and providing for the payment of
a harges created by the holders of Visa and MaatefCard. hef~nafte~ refefTerl to as
nkcards, as wetl as certain other credit c&'dl: and
WHEREAS: MERCHANT here~y afflmm that he/she is engaged in a lawful business
*s duly licensed under the laws of the State, County, and Cib/it is locate(3 in, to conduct
such bUS;ness; and --
WHEREAS: MERCHANT currently access, or damras to acce~x, bankcer~ for the
uw~e~, ona=.r or rnar~ger ~ MI~T hes be~n emotove~ by arr. wn~h.~,~.
,neee term hated from de~ng panl(cerd sales by any other: b~ ...............
~....~V, THEREFORE, in considemtXm of the rerx'eesntations, covemmts and l~3misas
ma(~ herein, the pmfias agree es foJlow~:
1. as well as all other documents executed by MER-
shall attached hereto, and shall coristitute the entire
CCF_.FTANCE OF BANKC. ARDS: MERCHANT ~ to Ixx'tor all valid ~
proberty' p~e~ for payment by cardho~.
3. k SALES DRAFTS: MERCHANT agmas to comr~ate all
accomanue with Ixe~=ibed rules and regulations
of desc~ Jn NOVA'~ MERCHANT OPERATING
ID J
in authorization
or below which it wt nof honor ca~l.
and es~ntY reduimmentL and muat cbeck
= a~ cnde.
draft unlees ~ uente~ inatmution~ provide
~k3w au~ center~ ir~ and ~ not atteml~ to
aumc~.at~ ts danied. (a) In ~e event ot
or communication eh-or. MERCHANT agres~ to ootain
wocedum~ fumiahed by NOVA in its Merchant
AND TELEPHONE SALES: MELLON and NOVA discourage
the high incidence of f~aud associated with such
demre to accept such sales. NOVA sugge~l that you follow the
its Meroftant Obefating Guide including wnting "TO" on telel~one
rnail orders.
MERCHANT. underatanda that an authonze~ mail or tetepixme of=er ~ not constitute a
guarantee Of payr~ only available credit and may be su~ect to dispute or chargebecl(.
, "; ~I;~"~a aa .J agrue~ [o Dalaflce anQ 6ettle ea(~/t terminal dally exce~ on
days w'~en MERCHANTs place of business is closed. '
8. PAYMENT: All paymer~ to MERCHANT, ~' legitimate ar~ autl'~ized I~nkcard
umv~e~ a voided check. MERCHANT understands that
credited by MERCHANT's bank. MERCHANT understanda that due to the nature of the
ACH and the ekeotronic rlatwod~ involvnd, and the faot that not sil benk~ 13ek3~g to an
ACH, ~ to the MERCHANT can be datayed. In such ~____-~-~ the MERCHANT
MERCHANT's "DWgnated Acmunt'.
MERCHANT hereby aut~ MELLON, in aocordanon with this
.......... . __ -=.=- c~ or other Mas which MERCHANT
-=q year :,n .such a manner so as to ~ MERCHANT to
co~as or any ~llas dralt requeatnd by NOVA or MELLQN, on ~ca~mm~24. "---'
result- in a
anti may re~JIt in a
or suspension, of your
274AP9212R950309
*REGISTERED MEMBER SERVICE PROVIDER FOR:
MELLON BANK, N.A., PITTSBURGH, PA
(n) If ~ ~ to any ar~ o~ ME~ out~ the r~Jo ~ Ma~mC. ard
(a) Refu~e to acoegt mmotmn~e in mlum ar eami~,~e and reftme to i~ue a re:run~
to a carcllx~m;, or
(b) Aoce~ retume~ ~ o~ in ~ ~ meml~ndJ~e equ~l in ~nce to
the amount oft~e original trane; ~
Co). Accept resumed me~r,l~andise in exchange for ~e MERCHANT's promise to
delmer g__,-~,~:~__ or seP~ce~ of equal value available from ME~CHANT, at no a~itional
~'n~'°t~ sl~afl bed~.. ~to r~av~ I~e~ gwe~if, at the timeofth, transaction t~e
'~'~-~ ~ appeam o~ all ~ of the sale~ 0r'alt in leoible lattefa ~t I~
· -- -.... ~ c~u..r-~.~=,- r.~NI.T- Or "IN STORE CREDIT ONLY' or
(aL~W_,._t~e- ;~ have ~ r~ume~ to MERCHANT by caml~lcler,
cam rescuing banlc .... '~ "
(1) gooom °r me~ice~ ~mm no~ mceiveO by cam~ckler, or by aultmrzmcm ume~, o~
14.1
a~
stma be ~ from iiabdity
m~c~ failure to per. tm
fire:. 11o~1; ato~; ee~; tidal wave;.
em~; mecflamcal
the o~le~, re~Jmitio~, request or
17, ~NI.NG LAW; Thil Agreeme~ ~ be governed by and .;c.-,~ue~ n
~ me as~grme ~ ~; ~ ~, m ~, ~ ......... -'- --':
me n~, ,in im ~ d~ t~ ~ o ~ ~ .......... --"
m I . , . ~ ~ ~VA shall
274AP9212R950309
*REGISTERED MEMBER SERVICE PROVIDER FOR:
MEU. ON BANK, NA, PITTSBURGH, PA
· 19. TERMINATION: NOVA, MELLON ami the MERCHANT si;Il ~ the ri~ to
terrmnate this a~ without ~ ~ without r~ and said termination shall no~
release one from I/ne offia~ until all sun~ are ~ in full. MERCHANT agrees-to pay a
termination fee of $95.00, ragan3Jles~ of I~/wlxim this agreement is terminat~:l.
20. ACH AUTHORIZATION: I/we hamby authorize MELLON. in ac~omance with this
enm-- -- ~ ,~[~,,...~aga~.~ ass~g.ns, succes~om, now or In .the future, to initiate debit/credit
_~.,.,,=~ _~u_ .~,:.~.g:~<mg ~ or any ~ account maintained by me/us at any financial
,,==~r~um3n ma~ ~s a rece~ng mempar of an ACH. A voided chat, l<
~ ~~Tto ~m~'usJ, its temlination, in suc~ manner ,8 to affo~
tee charged on esch sale ar~ each creclit transacUon, fee ............
of~ any direct, or
to: changes in
International; or
to any ~ in communicationl cost~ charge~ to NOVA, or
MERCHANT's rate and 'host
Jn
al=ore, or should spacial
PRINT OWNE]~ ~ NAME
DAIE: BY:.
Oi~COUNT PER ITEM Oi~COUNT ~ ITJ~tll DISCO ITEB DISCOUNT PER tTEM
Vk~v~e=e~a~ % %
'Diners ClublCa~te Blanche % %
m smMme~gs show~ curmM d/~count r~. Moce~ee direGt aed~ment aerv~ee, ff a ~ ~~ ~ ~ ~ a~
~ ~ rote ~ ~ is ~ ~ ~.~ Vi~ U.S:A. a~ ~ Int~ ~ ~ ~
VOICE AU~ORI~ ~ON - $ ,~ T~ AU~ ONL Y- $ .28
R~IEVALS. INQUIRI~, CH~G~CKS. $10.~ WA~ AU~ ~ ~ . $ .20 ~IC~ ~S - $ 20
ACH~TA~m. $ 8.~
abUtFl~D By: ~A INF~MATI~ SY~M~
A~ ~r (ONL~ A~ ~c~ (ONL~
DA~; By: DA~: BY:
274AP9212R950309
*REGISTERED MEMBER SERVICE PROVIDER FOR:
MELLON BANK. N.A., PITTSBURGH, PA
PLICATION FOR 1:
ME!CHANT BANK CARD SERVICES • tA19---VA
Service Center/FI ... .-- 5 - ‘5 _, Bank Number Branch ID TSYS Association
Association Code (if any) Chain Number SIC Code Rep # 1 / q
Merchant is Applying for. ❑ VISA/MasteiCard Services ❑ Debit Card Service ❑ Additional Location
❑ Electronic Data Capture Terminal ❑ PC Processing
Merchant Processing Method: ❑ Tape ❑ Paper/Telephone
❑ Paper /Auth Terminal VAR dorrpoergg 6e f rlii7eE
Business Profile: ❑ Corporation ❑ Closely Held Widely Held ❑ Si. b Chapter S Corp
O Partnership General/Limited ❑ Non -Profit ❑ Sc le-Proprietorship
Busines ame (DBA Corporation Name
D� SO 61 r1U1M(F L 60LP d
Street Ad Street Address
2 �0 50 G- P.o 14:13
city -
160\101-01J a & Stat
b . Z 3 City State Zip
Phone Number Fax Number j Phone Number Fax Number
.( #7) gioq -az .(yap P1 ( ) ( )
Contact Name Drbe uct o Service 7 --ge.„- r i,,,g_5- ..,- e,---/..47-4. pa, e. A ,--,,,.,
# of Years in Business # of Locations Federal Tax ID #
Ia \A 1
Prior Name(s) of Business (if any)
: .pis:; }. :. }'':al r x •' . ; :: Title % of Ownership
N e Date of Birth Social Security # Home Phone
1� O� \\INS(N OSCL -- ( )
Street .` oyaN -3 c h - b 1 v c City 'v - )c-\1"\ State 1 Zip
ti
,�, Previourftddress (a ir less than 5 years) it o Zip
, r. 2 O�op -J �r Y��C � 31x5 -030
'. : ,, `. , :,.. Title % of Ownership
Name Date of Birth Social Security # Home Phone
( )
Street Address City State Zip
Previous Address (id less than 5 years) City State Zip
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Owner Bank Name Account Number Account Number Account Number Bank Phone
1 ‘ 3S\\ ( 73G
1 ( )
2 ( )
2 ( )
❑ Approved ❑ Declined Date Authorized Officer
*Registered Member Service Provider For.
281AP9212R940725 MELLON BANK, N.A., PITTSBURGH, PA
RECENT NOTIA .
Initial Fees
Non - Refundable Application Fee $ (pF I V ❑ Check Attached Variance: .
Site Survey $ 0. al Fee applicable only if survey provided by Professional Services
Terminal Reprogramming $ 0 I 1 ❑ Check Attached Variance:
❑ Debit ACH
I. - lation/Training _
Telep ;1 $ ❑ Check Attached Variance:
On -Site $ 100.00 ❑ Debit ACH
EQUIPMENT/SO ' ' QUANTITY - ' ' • E METHOD
FEES EQUIPMENT PURCHASE ``RENT LEASE
Debit • -.. t # of ,Monthly_
ck Price Monthly Monihly � _ :AI 'AC - Billing Billing Check
Item Description I b # Per Item Charge Charge Monthly Periods Amount Attch'd
Verifone XL 300 New
Verifone XL 300 Refurbished WA
Verifone Tranz 330 New
Verifone Tranz 380 New
Verifone Printer. 250 New glilliPA
Pin Pad 101 N/A
Pin Pad 201 N/A
Imprirder N/A
PC Transact-It N/A N/A
Chit UP8 s N/A N/A
Other:
Combination Pricing
XL300/Printer 250
Tranz 33. ' 50
Trani ' .■ - 250
• . I 1 • used/P250 N/A N/A
Please explain exception pricing: Le.(Trade In Values)
Recurring Charges
Monthly Minimum Discount $20 Variance:
Annual Membership $25 Variance:
Returned Draft S20 per occurrence Variance:
NSF Chargeback $10 per occurrence Variance:
Terminal/Printer Swap Out of Warranty S85 per occurrence Variance:
Rate Schedule
,t,::::. "• s. .•...:� :�• -^ ; :« :�, - PS2000 /MERIT III _ t .,I ; M 1 TI1F MERIT I STANDARD
• :.� ..' . _ } D Per Item Disco n Per Item Discount Per item Discount - r Item
Visa/MasterCard 1. 7 % . .76 % % %
NA 4 NA
Wows. NA . • NA
illitiw► NA NA NA
IIIIIIIII o %
% o/a %
*Registered Member Service Provider For:
281AP9212R940725 MELLON BANK, N.A., PITTSBURGH, PA
,
7 ta iv a.... 401 ,....t rIA — -*
AL INFORM
ADDITION—
statements
a , ‘ ,...„...._—
Current Consecutive Merchant
k ' s"-- Most ____
d Processor (Please Attach Three m
, Curre Balikeur
Name or
Provide Most Recent Financial Statements
attach explanation)
- Please Prow
please New Businesses
or lawsuits? (if Yes P
a to any claims
Is the business or owner
I\ H ave you or the business ever dec lared bankru (If yes, state date and chap °
4 e-
1 fle '
-.
-To ■fib e. ckCiNk
Impo rtant) S AL(21 s&iLQa-89
-.t' I0‘),51NA a_e_te S
-')-) OD Anticipated Yearly Card Volume (Very
Average Credit Card Amount S "..)'
CD
taiog Sales %
ephone Sales %
Percentage o
Monthly Credit
rtnc `S9DD
Card Sales Volume S Percentage o . Mai d I/Ca
f Transacti—
Monthly N u m be r °
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/1 S Sr ciTy ATTORNEY
Provider For:
isterel Member Service
N, AP PA
*Re ELLON BANK,
281AP9212R940725 M
DEBIT /CREDIT AUTHORIZATION
AND E '
. AM Z ....... .- _` ... _? J
PAYMENT AGREEMENT J '� ��
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I/We hereby authorize NOVA Information Systems, Inc. (NOVA), in accordance with any and all obligations owed to NOVA, or its
agents, assigns, successors, now or in the future, for providing various transaction processing support services or other obligations
including, but not limited to, supplies, equipment, authorization, and information capture to initiate debit /credit entries to our
checking account, as indicated below. This authority is to remain in full force and effect until NOVA has received written notification
from me /us of its termination in such manner as to afford NOVA reasonable opportunity to act upon it. I/We also agree to
immediately notify NOVA in writing as to any change to the checking account information indicated below.
For value received, and in order to induce NOVA to provide various transaction processing support services for MERCHANT, the
undersigned agrees absolutely and unconditionally, that MERCHANT is liable to NOVA, its successors or assigns, for the prompt
and complete payment, performance, and satisfaction of any "Uncollected Amount" owed for providing various transaction
processing support services or other obligations by MERCHANT, whether direct or indirect, absolute or contingent, liquidated or
unliquidated, now existing or arising in the future, of any nature or kind whatsoever, together with any interest thereon and any
expenses incurred by NOVA, in enforcing this Agreement (including reasonable collection fees), said Agreement shall remain in
full force and effect until such debts and obligations are fully paid and satisfied, notwithstanding the termination of, or any
amendment to, this Agreement. MERCHANT waives acceptance and notice of acceptance of this Agreement by NOVA and notice
by NOVA of any default by MERCHANT, or of any action taken by NOVA with respect thereto
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INFORMATION SYSTEMS. INC. Suite 700
Atlanta, Georgia 30328
November 20, 1995 (404) 396 -1456 Office
(404) 396 -2117 fax
Michael J. Pawelczyk, Esq.
Boynton Beach Assistant City Attorney
3099 East Commercial Boulevard
Suite 200
Fort Lauderdale, Florida 33308
Re: Amendment to Merchant Processing Agreement
City of Boynton Beach d /b /a Boynton Beach Municipal Golf Course
Dear Mr. Pawelczyk:
The purpose of this letter (this "Letter Amendment ") is to clarify, amend
and supplement the Merchant Processing Agreement dated of even date
herewith by and among City of Boynton Beach d/b /a Boynton Beach Municipal
Golf Course, NOVA Information Systems, Inc. and Mellon Bank, N.A. (the
"Agreement ").
In consideration of the mutual covenants and agreements and intending
to be legally bound hereby, the parties hereby covenant and agree as follows:
I. Definitions.
Except as otherwise defined in this Letter Amendment, capitalized
terms used herein shall have the same meaning ascribed to such terms in the
Agreement.
II. Clarifications and Amendments to Agreement.
Unless specifically designated as an amendment, the following
descriptions are intended qnly to clarify and supplement the specific numbered
sections of the Agreement. The numbers set forth below refer to the numbered
sections of the Agreement.
15. Indemnity: Section 15 shall be amended by adding the following
to the end of Section 15:
"15. Indemnity: Subject to Section 14, NOVA and MELLON agree to
indemnify and hold MERCHANT harmless from any claims, damages,
costs, fees and expenses, including attorney fees arising from any
material breach by such party of their respective obligations under this
Agreement, if such breach is not cured within a period of 10 business
Letter to Michael J. Pawelczyk, Esq.
November 20, 1995
Page -Two
days following receipt of written notice by the breaching party of such
material breach, or if such breach can not be cured within such 10 day
business day notice period, the breaching party has not made efforts to
cure the breach."
17. Goveminq Law. Section 17 shall be amended by adding the
following paragraph after the second paragraph:
"17. Governing Law. NOVA and MELLON shall indemnify and hold
MERCHANT harmless for any costs, fees, expenses, including court
costs, attorneys fees and collection expense, which such, may incur in
enforcing their rights hereunder."
18. Assignment and /or Amendments: Section 18 shall be deleted in its
entirety and replaced with the following:
"18. Assignment and /or Amendments: The parties hereto agree that
MELLON shall have, in its sole discretion the right to amend, modify, or
change this agreement. In the event MELLON chooses to amend, modify
or change this agreement, then NOVA or MELLON shall mail, by regular
mail, a copy of the modified agreement directly to MERCHANT for a 30
day approval period. MERCHANTs continued use of NOVA's or
MELLON's services past said 30 day approval period shall constitute
MERCHANT's acceptance of the amended, modified or changed
agreement. Notwithstanding anything contained herein to the contrary,
MELLON may amend, modify, or change this agreement upon 10 days
notice if such amendment, modification, or change is a result of a change
in the rules, regulations or operating procedures of VISA USA or
MasterCard International. It is further agreed that both NOVA and
MELLON may assign their right, title and interest in and to this
Agreement."
19. Termination: Section 19 shall be amended by deleting the last
sentence of Section 19 regarding the termination fee.
If the above is agreeable, we ask that you execute each copy of this
Letter Amendment in the appropriate place below and return each copy to me
Letter to Michael J. Pawelczyk, Esq.
November 20, 1995
Page Three
along with three executed copies of the Merchant Processing Agreement.
Very truly yours,
ddAlt/te '
Cara D. Melenyzer
Senior Counsel - Merchant Services
Agreed and accepted this 'D day of A/etARf/, 1996.
City of Boynton Beach d /b /a Boynton Beach Municipal Golf Course
By: ,A. . `/ APPROVED AS TO FORM :
Title: /
Agreed and accepted this day of , 1996.
MELLON BANK, N.A.
By:
Title:
cc: Claire Egem, President, Computer Golf
Joe Cohane, Vice President Product Management, NOVA
Caroline C. Seely, Assistant Vice President, Mellon
SUBJECT TO ADDENDUM
fr 7:711-
*
1 IOM 7kL
MERCHANT PROCESSING
AGREEMENT
REGISTERED MEMBER SERVICE PROVIDER FOR:
MELLON BANK, N.A., PITTSBURGH, PA
fitly 14.41
THIS AGREEMENT is made by and between NOVA INFORMATION SYSTEMS, 8 PAYMENT All payments to MERCHANT, for legitimate and authorized bankcard
INCORPORATED, doing business as NOVA, a Georgia Corporation, MELLON BANK, sales, shall be made by MELLON through the Automated Cleanng House (ACH) and shall
(MELLON), located in Pittsburgh, Pennsylvania and the undersigned MERCHANT, and is be electronically transmitted directly to a "Designated Account" of the MERCHANT, for
subject to the approval of MELLON which MERCHANT has provided a voided check MERCHANT understands that
payments are transmitted daily, except weekends and bank holidays However, neither
WHEREAS MELLON is engaged in the business of financial transaction processing MELLON nor NOVA, can guarantee the timeliness with which any payment may be
which includes, but is not limited to, the processing of and providing for the payment of credited by MERCHANTS bank MERCHANT understands that due to the nature of the
charges created by the holders of Visa and MasterCard, hereinafter referred to as ACH and the electronic networks involved, and the fact that not all banks belong to an
bankcards, as well as certain other credit cards, and ACH, payment to the MERCHANT can be delayed In such cases, the MERCHANT
WHEREAS MERCHANT hereby affirms that he/she rs engaged in a lawful business and agrees to work with MELLON and NOVA to help resolve any problems in crediting
is duly licensed under the laws of the State, County, and City it is located in, to conduct MERCHANTS "Designated Account'
such business, and MERCHANT hereby authorizes MELLON, in accordance with this merchant processing
WHEREAS MERCHANT currently accepts, or desires to accept, bankcards for the agreement, or other obligations owed to MELLON, its agents, assigns or successors, now
purchase of goods and services, and or in the future, to initiate debit/credit entnes to its checking account, or any other account
maintained by MERCHANT at any bank that rs a receiving member of an ACH This
WHEREAS MERCHANT warrants that he/she has not been terminated from depositing authority is to remain in full force and effect until MELLON and NOVA have received
bankcard sales by any other bank under its current or any previous business name and written notification from MERCHANT of its termination in such manner as to afford
that no owner, officer or manager of MERCHANT has been employed by a merchant or MELLON and NOVA reasonable opportunity to act on it All payments to the MERCHANT
business terminated from depositing bankcard sales by any other bank shall be paid in full, less discount, credits, chargebacks or other fees, which MERCHANT
NOW, THEREFORE, in consideration of the representations, covenants and promises shall be responsible for Said fees shall be deducted from incoming transactions or may
N parties agree as follows be debited against MERCHANTs "Designated Account" by MELLON
made OW herein, the
9 SALES DRAFTS STORAGE AND RETRIEVAL Visa, USA and MasterCard
1 AGREEMENT This document, as well as all other documents executed by MER-
CHANT, pursuant to the acceptance of Visa and/or MasterCard or any other credit card, sale
s s otio or credit edit dra rules drafts require, fts to card from insurers, time to urers, or receiving MELLON
banks, upon request
obtain and forward copies of
shall be incorporated herein, and attached hereto, and shall constitute the entire
sal
agreement between NOVA, MELLON and MERCHANT MERCHANT is required to set up a system to store and maintain sales drafts for not less
MERCHANT agrees to honor all valid bankcards than 1 year in such a manner so as to allow MERCHANT to forward, within 24 hours,
2 ACCEPTANCE OF BANKCARDS ME cardholder RCHA copies of any sales draft requested by NOVA or MELLON, on behalf of card issuer
when properly presented for payment by
MERCHANT understands that failure to respond to the retneval request could result in a
3 COMPLETION OF BANKCARD SALES DRAFTS MERCHANT agrees to complete all a
bankcard sales drafts or credit drafts in accordance with prescribed rules and regulations sub under Visa and MasterCard rules and a and may result
of Visa and MasterCard which are described in NOVA's MERCHANT OPERATING substantial antial increase in discount ount ratee, , o or in t in the termmininattion, ion, s, or suspension, of your
y
processing privileges
GUIDE, which MERCHANT acknowledges it has received
MERCHANT agrees to impnnt the sales slips with the embossed data from the customer's 10 WARRANTING BY MERCHANT MERCHANT warrants and agrees that
credit card and the MERCHANT's plate on an imprinter, and obtain the cardholder's MERCHANT shall fully comply with all federal state, and local laws, rules and regulations,
signature which must match that on the card MERCHANT may request a second form of as amended from time to time, including the Federal Truth -in- Lending Act and Regulation
ID if in doubt and agrees not to accept cards when the signature is in question Z of the Board of Governors of the Federal Reserve System
If MERCHANT uses an electronic pnnter connected to a P 0 S device, the MERCHANT As to each bankcard sale presented to MELLON for payment MERCHANT warrants that
must still obtain the cardholder's signature on the printed sales receipt In the event of a (a) The sale is valid in form and has been completed, in accordance with current
manually entered sale or credit, in addition to the printers sales draft, MERCHANT must instructions furnished by NOVA to MERCHANT, and
obtain an imprint of the cardholder's card Failure to do so may result in a chargeback
(b) MERCHANT has delivered merchandise to the cardholder signing each sales
4 POINT OF SALE DEVICES MERCHANT agrees to utilize a P 0 S terminal furnished draft or completed the services described on the draft, in accordance with
by, or approved by, NOVA for all transactions, unless otherwise specified in authorization MERCHANTs underlying agreement with the cardholder, and
center's instructions and the Merchant Operating Guide
(c) Each sales draft represents the cardholder's indebtedness for the amount shown,
5 AUTHORIZATIONS MERCHANT understands, and acknowledges, that unless the and
procedures in the Merchant Operating Guide fur by NOVA provides otherwise, as
floor limit shall be ZERO and that all transactions must be authorized, by a designated (d) MERCHANT represents that as of the date any sales draft is offered to MELLON,
Card Authorization Center MERCHANT has no knowledge or notice that would impair the validity of the sales
draft, or the indebtedness thereunder, or its collectibility, and warrants that such sales
MERCHANT will not establish a dollar limit above or below which it will not honor cards draft, or indebtedness, is not subject to any prior lien
MERCHANT will follow card plan verification and security requirements, and must check
card validity and expiration date, verify signature, and obtain electronic authorization code (e) To the best of MERCHANTS knowledge, the cardholder has no defense right of
which shall be written on sales draft unless authorization centers instructions provide offset, or counterclaim against MERCHANT in connection with the purchase of the
otherwise goods or services, and MERCHANT shall hold NOVA and MELLON harmless from any
such claim,
MERCHANT agrees to follow authorization center's instructions and shall not attempt to
obtain an approval of a transaction where an authorization is denied (a) In the event of (I) MERCHANT has charged cardholder no separate or additional fee(s) in
gasoline or fuel sales, merchant must include vehicle license number and state or county connection with the transaction The foregoing shall not prohibit MERCHANT from
of issue (b) Lodging establishments acknowledge that they have been explained and will extending discounts to customers paying by cash, check, or any other means other
follow special plan rules for hotel reservations and charges as described in Merchant than by bankcard
Operating Guide MERCHANT warrants and agrees that it shall not, without the cardholder's consent, sell
In the event of terminal failure or communication error, MERCHANT agrees to obtain purchase provide or exchange bankcard account number information, in the form of
authorizations according to voice backup procedures furnished by NOVA in its Merchant imprinted sales draft slips, mailing lists, tapes or any other media obtained by reason of a
Operating Guide bankcard transaction or otherwise, to any third party other than to MERCHANT's agents
for the purpose of assisting the MERCHANT in its business, to NOVA, its ACQUIRER, or
6 MAIL ORDER AND TELEPHONE SALES MELLON and NOVA discourage accepting to MasterCard International or Visa, USA, or pursuant to a governmental request
mail and telephone orders because of the high incidence of fraud associated with such
sales Should you desire to accept such sales, NOVA suggests that you follow the 11 RETURNS AND CREDITS NOVA will furnish MERCHANT with a supply of bankcard
procedures given in its Merchant Operating Guide including writing TO on telephone credit drafts MERCHANT shall properly complete a credit draft, delivering one completed
orders and "MO" on mail orders copy to the cardholder at the time of each return or cancellation of sale
MERCHANT understands that an authorized mail or telephone order does not constitute a MERCHANT shall follow the credit procedures as outlined in the MERCHANT
guarantee of payment only available credit and may be subject to dispute or chargeback OPERATING GUIDE when giving credit The per -item or processing fee will still be
applicable
7 SETTLEMENT MERCHANT agrees to follow those procedures provided by MELLON
through NOVA in its Merchant Operating Guide for balancing of daily sales transactions MERCHANT shall not, under any circumstances, issue cash for returns of merchandise or
MERCHANT understands and agrees to balance and settle each terminal daily, except on cancellation of services, where goods or services were originally purchased in a bankcard
days when MERCHANTS place of business is closed transaction
274AP9212R950309 `REGISTERED MEMBER SERVICE PROVIDER FOR:
MELLON BANK, N A., PITTSBURGH, PA
With proper disclosure at the time of the transaction, MERCHANT may (n) If with respect to any one of MERCHANTs outlets, the ratio of MasterCard
counterfeit and fraud volume to MasterCard sales volume exceeds 8% for two
(a) Refuse to accept merchandise in return or exchange and refuse to issue a refund successive months All sales may be charged back and MERCHANT may be
to a cardholder, or terminated immediately and without notice
(b) Accept returned merchandise only in exchange for merchandise equal in price to (o) In any other situation where the sale was executed, or depository credit given to
the amount of the original transaction, or MERCHANT, in circumstances constituting a breach of any representation or warranty
of MERCHANT hereunder, or where any action, or lack of action, by MERCHANT in
(c) Accept returned merchandise in exchange for the MERCHANT's promise to violation of Plan, has resulted in a sale being charged back to MELLON by an issuing
deliver goods or services of equal value available from MERCHANT, at no additional member of the Plan, pursuant to Plan rules and regulations, as amended from time to
cost to cardholder time
Proper disclosure shall be deemed to have been given rf, at the time of the transaction, the NOVA will provide MERCHANT with any Information possessed by it which may enable
following notice appears on all copies of the sales draft in legible letters at least 1/4 inch MERCHANT to recover from others the amount of any sale charged back to MERCHANT
high and in close proximity to the space provided for the cardholder's signature stating MERCHANT authorizes NOVA, at its option, to set up a reserve account of not less than
"NO REFUND" or "EXCHANGE ONLY" or "IN STORE CREDIT ONLY ", or equivalent one hundred dollars, to be held by MELLON to be used as an offset for chargebacks This
language, as applicable amount may be adjusted from time to time, based on chargeback activity or risk factors,
12 CHARGEBACKS Notwithstanding any non - recourse provisions contained herein, and shall be retained for a period of not less than 180 days from date MERCHANT
MERCHANT will pay MELLON, upon demand the face amount of any sale, otherwise discontinues transacting business through MELLON
MELLON shall have the nght to charge MERCHANTS "Designated Account therefore and Any amounts due and owing by MERCHANT, under the terms of this Agreement, shall be
to chargeback such sale to MERCHANT in any of the following situations deemed an "Uncollected Amount" if not paid in full within 24 hours of any collection
(a) Where Products have been returned to MERCHANT by cardholder, and attempt Furthermore, MERCHANT agrees to reimburse MELLON for all collection costs in
cardholder requested a credit slip and such credit slip was not processed by the event of MERCHANTs failure to pay for any chargebacks or any other amount that
MERCHANT may be due MELLON, its assigns or successors in interest
(b) Where the purchase had not been authorized by the designated card 13 FRAUDULENT SALES/FACTORING MERCHANT shall never accept, or deposit, or
authonz Where
center, as required hereunder, and the sale was charged back by the enter into its terminal, a fraudulent sale, or any sales, made by any other MERCHANT
card issuing bank Should MERCHANT do so, he shall be immediately terminated, all funds will be placed on
hold for not less than 180 days, and MERCHANT will be placed on the "Merchant
(c) Where the sale covers goods or services other than those set forth in the Terminated File" Said action may result in never being allowed to take Visa and
Merchant Application, and sale is charged back by the card issuing bank MasterCard again In the event NOVA, or MELLON, reasonably believes MERCHANT
fraud may have occurred or MERCHANT fails to repurchase, upon demand, any sale as
(d) Where a cardholder contends or disputes, in writing to NOVA, MELLON, or the required under Plan rules or to provide funds for credits issued, MELLON may hold all
appropriate issuing member of the Plan that funds represented by drafts submitted by MERCHANT for not less than 180 days
MERCHANT acknowledges that credit to its account for Bank Card drafts are provisional
(1) goods or services were not received by cardholder, or by authorized user, or and may be revoked at any time in accordance with Visa and/or MasterCard rules In the
event MERCHANT ceases doing business and no claim is made for funds held pursuant to
(2) goods or services received by cardholder, or by authorized user, do not this Section 13 within one hundred eighty (180) days of cessation of business, any
conform to what was on sales draft, or remaining funds may be retained by MELLON
(3) goods, or other things of value, were defective, or 14 DUE CARE The performance by NOVA, or MELLON, of all services called for in this
(4) the dispute reflects a claim, or defense, authonzed against bankcard Issuers, Agreement shall be consistent with industry standards Neither NOVA, or MELLON, shall
or creditors, by a relevant statute or regulation be liable for special, consequential, exemplary or punitive damages In no event shall
NOVA's, or MELLON's, cumulative liability to MERCHANT hereunder exceed the amount
(e) Where ongmal sales draft is not received by NOVA, or MELLON, as required in of the Bank Processing Fees paid by MERCHANT in the prior month
accordance with Section 9 of this Agreement 15 INDEMNITY MERCHANT agrees to indemnify and hold NOVA and MELLON
(f) Where sales draft does not contain a transaction date, or the face of such sales harmless from any claims, damages, costs, fees and expenses, including attorneys fees
draft shows that such date or dollar amount has been altered, or incorrectly entered, or arising from (1) the provision of, or MERCHANTS alleged failure to provide, services or
transaction was received more than 10 days from transaction date, and sales draft is goods, (2) breach by MERCHANT of terms of, or any warranties set forth, in this
charged back by the card issuing bank agreement, (3) any action by any federal or state agency authority or regulatory body
involving MERCHANT, or (4) any claim by any party for funds owed by MERCHANT
(g) Where the sales draft contains the imprint or description of a card other than card MERCHANT acknowledges liability for the actions, or failure to act, of its employees and
specified and authonzed agents
(h) Where the sale is generated through the use of an expired card, and sale is 16 FORCE MAJEURE The parties to this Agreement shall be released from liability
charged back by the card issuing bank hereunder for failure to perform any of the obligations herein where such failure to perform
occurs by reason of any act of God, fire, flood, storm, earthquake, tidal wave,
(q Where sale is a duplicate of one previously transmitted to MELLON, or includes a communications failure, sabotage, war, military operation, national emergency, mechanical
charge previously paid by cardholder and sale is charged back by the card issuing or electrical breakdown, civil commotion, or the order, requisition, request or
bank, or two or more drafts were made by merchant to circumvent the floor limit recommendation of any governmental agency or acting governmental authority, or either
party's compliance therewith, or government pro- ration, regulation, or priority, or any other
0) Where no signature appears on sales draft and the cardholder has certified in cause beyond either party's reasonable control whether similar, or dissimilar, to such
writing to NOVA, or the appropriate issuing member of the Card Plan pursuant to Plan causes
regulations, that he did not make, or authorize, the transaction
17 GOVERNING LAW This Agreement shall be governed by, and construed in
(k) Where sales draft does not contain the embossed legend from a bankcard, or accordance with, the laws of Pennsylvania, or in the event of any assignment by, or
MERCHANT has failed to obtain the specific authorization from a designated card successor to MELLON, then this Agreement shall be governed by the taws of the state
authorization center to complete the transaction and/or the cardholder has certified in where the assignee is domiciled, and shall, in addition, be subject to the by -laws and
writing to NOVA, or the appropnate issuing member of the Card Plan that he did not operating regulations of Visa USA and MasterCard International
make, or authorize, the transaction
MERCHANT shall indemnify and hold NOVA and MELLON harmless for any costs, fees
(I) Where the signature on a sales draft is obviously different from the signature expenses, including court costs, attorneys fees and collection expense which NOVA, or
appearing on the signature panel of the card and sale is charged back by the card MELLON, may incur in enforcing their rights hereunder
issuing bank
18 ASSIGNMENT AND /OR AMENDMENTS The parties hereto agree that MELLON
(m) Where a card issuer or MELLON reasonably believes that merchant fraud shall have, in its sole discretion the right to amend modify, or change this agreement In
occurred at the time of trar;,actlon(s), whether or not such transaction(s) was properly the event MELLON chooses to amend, modify or change this agreement, then NOVA shall
authorized by the issuer, and the cardholder neither participated in nor authorized the mail by regular mail a copy of the modified agreement directly to MERCHANT for a 10
transaction(s), or the Issuer certifies that there was no card outstanding with the day approval period MERCHANT's continued use of NOVA's or MELLON's services past
account number used said 10 day approval period shall constitute MERCHANTs acceptance of the amended,
274AP9212R950309 *REGISTERED MEMBER SERVICE PROVIDER FOR
MELLON BANK, N.A., PITTSBURGH, PA
■
SUBJECT TO ADDENDUM
Awn ��ti
modified or changed agreement It is further agreed that both NOVA and MELLON may Application, or monthly volume change by 10% or more, MERCHANT understands he will
assign their right, title and interest in and to this agreement pay the discount rate associated with the lower average sale or volume However, in no
event shall the discount rate be changed by more than 25 %, without written notice to
19 TERMINATION NOVA, MELLON and the MERCHANT shall have the right to MERCHANT
terminate this agreement without cause and without notice, and said termination shall not Merchant to agrees
release one from the other until all sums are paid in full MERCHANT agrees to pay a 9 pay the fees and charges set forth in the Rate Schedule, incorporated
termination fee of $95 00, regardless of by whom this agreement is terminated herein, as such schedule may be amended, modified or supplemented, in accordance with
this Merchant Processing Agreement
20 ACH AUTHORIZATION Vie hereby authorize MELLON, in accordance with this 22 All billing errors or disputes must be submitted in writing to NOVA within 60 days of
bankcard processing agreement, or any other agreement with, or obligations owed to, billing date
MELLON or its agents, assigns, successors, now or in the future, to initiate detxVcredit
entnes to our checking account or any other account maintained by me/us at any financial 23 GUARANTEE For value received, and in order to induce MELLON to enter into this
institution that is a receiving member of an ACH A voided check will be forwarded under agreement with MERCHANT, the undersigned Guarantor(s) (individually and collectively
separate cover This authority is to remain in full force and effect until MELLON has Guarantor), agree to guarantee absolutely and unconditionally to MELLON, its
received written notification from me/us of its termination, in such manner as to afford successors, or assigns the prompt and complete payment, performance, and satisfaction
MELLON reasonable opportunity to act on it of all debts and obligations created by MERCHANT, whether direct or indirect, absolute or
contingent, liquidated or unliquidated, now existing or arising in the future, of any nature or
21 DISCOUNT Discount shall mean a percentage of the gross sales (undiminished by
credit transactions) processed to MERCHANTs Account Transaction fee shall mean a M id whatsoever, N, inn o together with any interest thereon and any expenses incurred by
it transaction M all O in i enforcing this guaranty
nd effect until in suc debts a collection fees), fully guaranty
fee charged on each sale and each credit
shall remain in full force and effect until such debts and obligations are fully paid and
MELLON shall have the right to increase charges as necessary to offset any direct, or satisfied, notwithstanding the termination of, or any amendment to, this Agreement
indirect, increase in the costs of tease the services hereunder due to changes in Guarantor waives acceptance and notice of acceptance of this guaranty by MELLON, and
rules, regulations or operating procedures of Visa, USA and MasterCard International, or notice of any default by MERCHANT, or of any action taken by MELLON, with respect
any additional requirement imposed by any federal or state governmental agency or thereto
regulatory authority, or due to any increase in communications costs charged to NOVA, or INVE hereby acknowledge and agree that this MERCHANT PROCESSING AGREEMENT,
Authorization Service, by communications common camers Such increases shall, without receipt of which is hereby acknowledged, shall be binding on us, and further agree that
prior notice, become effective as of the date of change MERCHANTS rate and host this agreement shall replace, supplant, and supersede any prior agreements and that this
computer profile are predicated upon his average ticket size and monthly volume agreement shall remain in full force and effect unless replaced or modified by MELLON, in
MERCHANT warrants that the information on his application is true and correct its sole discretion !ME understand and agree that we have ten (10) days, from date of
In the event of a change in the existing parameters stated above, or should special receipt, to reject this or any other new agreement, after which date, if we continue to
circumstances arise, (i e special sales, etc ) which shall temporarily /permanently change process through NOVA and MELLO
meat it shall constitute our acceptance of the amended,
the existing conditions, MERCHANT must notify NOVA pnor to these changes, so that moiled, changed or new agreement
necessary parameter adjustments can be made IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their
Should MERCHANT's average sales be less than those shown on the Merchant duly authorized representatives as of the date set forth herein
NAME '' 1. (, i (jo - 5e S F x �
t n ��E��� �n C
l. PLEASE PRINT Legal/Corporate Name of Business PLEASE PRINT Doing Business As (DBA) Name
PRINT OWNER/OFFICER #1 NAME Geee41 •i) -M/ ` ti L SOCIAL SECURITY #
DATE / " 3 C — 76 By �� /s, /�/Ji SIGNATURE - OWNER #1 (GUARANTOR)
PRINT OWNER /OFFICER #2 NAME V SOCIAL SECURrrY # - _ - _ - , - • t
DATE BY SIGNATURE - OWNER #2 (GUARANTOR) ) / rte '
/ l ti: (.411.. % i% / (('G ^ L .--
DATE BY � p �«�y� �
ALES REPRESENTATIVE) tY -
- . - • - = RATE Ohl R DtJLE
PS2000 / MERIT III TIIF l! / MERIT II TI!F I / MERIT ! STANDARD
DISCOUNT PER ITEM DISCOUNT PER ITEM DISCOUNT PER ITEM DISCOUNT PER ITEM
Visa/MasterCard • V % ..70 % % %
American Express % % % %
Discover (rates determined by Discover) % % % %
'Diners Club/Carte Blanche % % % %
'Rates to be quoted by Diners Club/Carte Blanche directly unless bank processes direct settlement services If a merchant currently accepts Diners Club/Carte Blanche, attach
merchant statements showing current discount rate
The discount rate quoted above is based upon compliance with Visa U S A and MasterCard International rules and regulations
The discount rate for Visa/MasterCard Business Card transactions will be / % + /U /'f cents per item
MINIMUM REQUIRED BALANCE FOR CHARGEBACK ACCOUNT IS /5 • 7 (May be recomputed based on chargeback activity)
($100 00)
VOICE AUTHORIZATION - S 55 T&E AUTH ONLY - $ 28 WATS AUTH (Non -Local Node) - $ 20 AMERICAN EXPRESS - $ 20
RETRIEVALS, INQUIRIES, CHARGEBACKS - $1000 ACH/STATEMENTS - $ 850 NSF FEE - $ 20 00
- FOR QFFiCE USE ONLY . DO NOT WRITE BELOW THIS LINE
ACCEPTED BY MELLON BANK, N A ACCEPTED BY NOVA INFORMATION SYSTEMS, INC
Authorized Officer (ONLY) Authorized Officer (ONLY)
DATE BY DATE BY
274AP9212R950309 *REGISTERED MEMBER SERVICE PROVIDER FOR.
MELLON BANK, NA., PITTSBURGH, PA