HomeMy WebLinkAboutVIII-14 Approve Contract Addendum - BS&A Payment Module
City Council Memorandum
To: Mayor Fasbender & City Council members
From: Chris Eitemiller, Finance Manager
Date: August 19, 2024
Item: BS&A Payment Module Contract Addendum
Council Action Requested:
Approve contract addendum for the BS&A payment module.
Background Information:
Prior to implementation of the new BS&A financial system, the City was presented with the option to
add the BS&A module to accept payments, which we did. This required an addendum to the City’s
contract with the vendor.
Financial Impact:
There is no cost to the City. All expenses will be paid by customers via transaction convenience
fees.
Committee Discussion:
Not Applicable
Attachments:
BS&A Integrated Payments module contract addendum.
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Integrated Payments Addendum
This Addendum (“Addendum”) supplements the Customer Agreement entered into by and between
BS&A Software, LLC (“BS&A”) and the City of Hastings, MN (“Customer”) together with the BS&A
Customer Terms and Conditions (collectively, the “Agreement”). Effective as of May 13, 2024.
Payment processing services accessible through an integration with BS&A’s platform are provided by
BS&A’s designated payment processor, as BS&A may designated from time to time (“Processor”). As of
the effective date of this Addendum, the Processor is Stripe, Inc. (“Stripe”). This Addendum will apply if
Customer sets up an account with the Processor (with Stripe as processor, such account is referred to
herein as the “Stripe Connected Account”), to receive payment processing services from Processor
(“Payment Processing Services”) through such integration. Capitalized terms used but not defined here
will have the meanings given to them in the Agreement or in the Stripe Agreements (defined below).
1. Payment Processing Services
1.1 Processor Agreements. As of the effective date of this Addendum, use of the Payment
Processing Services is subject to the Stripe Services Agreement, the Stripe Privacy Policy, and other
terms and conditions of Stripe, as each may be updated or modified by Stripe from time to time
(collectively, the “Stripe Agreements”). Customer may not use any Payment Processing Services until
Customer agrees to the Stripe Agreements, and by agreeing to this Addendum, Customer expressly
(a) accepts and agrees to the Stripe Agreements, and (b) authorizes BS&A to capture Customer’s
electronic or digital acceptance of the Stripe Agreement and provide proof of such acceptance to Stripe
as may be requested by Stripe. Customer understands that the Stripe Agreements are solely between
Customer and Stripe, and the Payment Processing Services are provided solely by Stripe. BS&A is not a
party to the Stripe Agreements, has no control over the Payment Processing Services and the Stripe
Agreements, and will have no liability under the Stripe Agreements or in any way relating to the
Payment Processing Services. Customer is responsible for checking for applicable updates to the Stripe
Agreements from time to time, and any use by Customer of the Payment Processing Services following a
change to the Stripe Agreements shall constitute acceptance of such change.
1.2 Customer Information and onboarding. Customer will follow the onboarding procedures and
policies provided by BS&A and Stripe (as may be amended from time to time), and Customer will
provide all requested information. All information provided by Customer to BS&A must be truthful and
accurate. Customer acknowledges that Processor has the ultimate decision whether to approve
Customer for the Payment Processing Services.
1.3 Transaction Processing and Settlement. Transactions are processed by Processor, not BS&A.
Stripe (or its partner banks) will settle Transaction proceeds to Customer’s designated bank account in
accordance with the Stripe Agreements. Customer acknowledges and agrees that its processed
transactions may be deposited into to a pooled account held for the benefit of Customer and other
customers of BS&A held at any financial institution so that such funds may be combined and aggregated
with other funds that are ultimately settled to Customer by such financial institution. Customer
understands and agrees that BS&A does not process, receive, or hold Customer funds at any time and
that BS&A is not a bank, money transmitter, or other money services business (as such terms are
defined by the Bank Secrecy Act or any state law). To the extent BS&A is deemed to hold or receive
funds (constructively or otherwise) of any customer of Customer at any point in time, Customer hereby
irrevocably appoints BS&A as its non-fiduciary agent for the limited purpose of collecting, receiving,
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holding, and settling funds from Customer’s customer (the cardholder) on Customer’s behalf. In such
event, such funds shall be deemed received by Customer upon receipt by BS&A and shall satisfy the
cardholder’s obligation to Customer in connection with the transaction for the goods or services sold by
Customer. If BS&A fails to remit such funds to Customer, Customer’s sole recourse for such event is
solely against BS&A and not against the cardholder or the cardholder’s financial source.
1.4 Data Usage and Sharing. Customer authorizes BS&A to (a) access and receive data relating to
Customer’s Stripe Connected Account (as such term is defined in the Stripe Agreements), including
transaction and usage data and other data about the Stripe Connected Account; (b) share data regarding
the Stripe Connected Account, related activity and other Customer data with Stripe in connection with
the Payment Processing Services; and (c) issue instructions to Stripe regarding Transactions and funds
processed by Stripe. Customer agrees to complete and submit any additional authorization forms or
other such documentation as requested by BS&A or Stripe.
2. Payment Terms
2.1 Fees. The fees for the Payment Processing Services will be as set forth in Schedule A of this
Addendum and will be automatically debited by BS&A via ACH from the depository account designated
by Customer that is on file with BS&A (“Customer Account”). Customer hereby authorizes BS&A,
Processor, their financial institutions and any of their assignees to collect amounts owed under this
Addendum (including, but not limited to, the fees for the Payment Processing Services set forth on
Schedule A and any liabilities arising under this Addendum) by debiting funds from the Customer
Account (“ACH Debit Authorization”). All payments are non-refundable. If Customer fails to make any
payment when due (or any ACH Debit of the Customer Account is returned or rejected for any reason),
late charges will accrue as permitted pursuant to Section 7.1 of the Agreement. For clarity, any fees or
payment terms that may be posted on Stripe’s website for Stripe’s direct customers are not applicable.
All fees are exclusive of any applicable taxes, unless otherwise provided. Customer agrees that all ACH
transactions authorized pursuant to this authorization comply with all applicable laws and with the
Network Rules (including the Nacha Operating Rules). Notwithstanding anything to the contrary in the
Agreement, fees for the Payment Processing Services can be amended upon thirty days notice to
Customer.
2.2 Disputes. If Customer believes that there is an error in any statement provided by BS&A or any
information reported by BS&A regarding a Transaction, or any error made in the amount of a payment
or settlement, Customer must notify BS&A within thirty (30) days of Customer’s discovery of the error or
it will waive such claim.
2.3 Tax Reporting. BS&A may send documents to Customer and the Internal Revenue Service (IRS)
or other tax authority for Transactions processed using the Payment Processing Services. BS&A may
have tax reporting responsibilities in connection with the Payment Processing Services such as an
Internal Revenue Service report on Form 1099-K (which reports Customer’s gross transaction amounts
each calendar year to the IRS), or state or other taxing authority requirements. Customer acknowledges
that BS&A or Stripe (as determined in their sole discretion) will report the total amount of transactions
received by Customer in connection with the Payment Processing Services each calendar year as
required by the taxing authorities. Customer will cooperate with BS&A and Stripe in providing accurate
and complete tax reporting information, including any other information that may be required by the
taxing authorities to fulfil tax reporting described herein. Customer represents and warrants that all
information that it submits for tax reporting purposes is complete and accurate to the best of its
knowledge, and that BS&A and Stripe may rely on all such information submitted by Customer.
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Customer agrees that neither Stripe nor BS&A will be liable for any penalty or other damages stemming
from any 1099-K form that is issued incorrectly if it comports with the information provided by
Customer, and neither Stripe nor BS&A will have any obligation to verify the legal name or tax ID
number for reporting purposes. Customer understands and agrees that BS&A and Stripe may submit tax
reporting information exactly as provided by Customer. Notwithstanding the foregoing, BS&A or Stripe
may in their sole discretion investigate or validate any tax reporting information or other information
submitted by Customer.
2.4 Electronic Delivery of Tax Documents. In connection with the tax reporting activities described
above, Customer may elect to receive electronic delivery of the referenced tax-related documents from
BS&A or Stripe, including through BS&A’s platform or another online portal whereby Customer can
access and download the applicable statements. If Customer elects to receive tax documents
electronically, it will provide such consent by clicking an “I Accept” or similar button or checking a box
captioned with acceptance and consent language (“Tax E-Delivery Consent”). The Tax E-Delivery
Consent will remain in effect until withdrawn by Customer. The Tax E-Delivery Consent may be printed
or downloaded. If Customer does not specifically consent to the electronic delivery of tax-related
documents, Customer will receive paper copies of all required tax-related documents, including Form
1099-K. BS&A or Stripe will notify Customer once the applicable tax forms become available via the
email address BS&A has on file for Customer.
3. Compliance
3.1 Laws and Rules. Customer agrees to comply at all times with all applicable laws and regulations
as well as the rules and regulations of all applicable payment networks (“Network Rules”), including
industry standards such as the Payment Card Industry Data Security Standards (“PCI-DSS”). Additional
data protection standards and policies which Customer must comply with are set forth in the Stripe
Agreements. Furthermore, Customer acknowledges and agrees that it is fully responsible for all acts and
omissions of its employees, contractors, and agents and will ensure their compliance with all laws and
Network Rules as well as Customer’s other obligations under this Addendum and the Stripe Agreements.
3.2 Customer’s Business. Customer understands that any transactions involving Customer’s goods
or services which are processed through the Payment Processing Services pursuant to this Addendum
(“Transactions”) are between Customer and its customer (the cardholder), and any issues relating to a
Transaction are solely between Customer and the cardholder. Customer is solely responsible for all
liabilities associated with Customer’s payment processing activity and use of the Payment Processing
Services, including without limitation with respect to chargebacks, refunds, identity theft, fraud and any
assessments or fees imposed by Stripe, a sponsor bank, the card networks or any third party. Customer
is responsible for determining what, if any, taxes apply to the goods and services Customer provides to
its cardholders and the payments Customer makes or receives, and it is Customer’s responsibility to
collect, report and remit the correct tax to the appropriate tax authority. Customer will comply with any
and all applicable tax laws, including those in connection with Transactions.
3.3 Prohibited Activities. Customer will not use the Stripe Connected Account for any activity
prohibited by Stripe, including but not limited to those activities listed in the section of Stripe Services
Agreement titled “Services Restrictions” or those activities listed in the Stripe Restricted Businesses List.
Customer shall not use the Payment Processing Services to conduct a Restricted Business or transact
with a Restricted Business. Customer may not use the Payment Processing Services in breach of the
Connected Account Agreement or for any activity that applicable law or the Stripe Agreements prohibit.
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3.4 Fraud Monitoring. BS&A and Stripe may monitor Transactions for the purpose of determining
fraudulent activity and whether Customer is in good standing. Such monitoring if conducted, will be for
the benefit of BS&A and/or Stripe only. BS&A does not have any obligation to monitor Transactions on
Customer’s behalf. Based on BS&A’s methods, which are subject to change without notice, BS&A may
decide to suspend Customer’s access to the Payment Processing Services, or in other ways limit
Customer’s privileges to the extent BS&A deems necessary or useful to prevent fraud or losses. Without
limiting the foregoing, BS&A may delay, in its sole discretion, or at the direction of Stripe sending
instructions on Customer’s behalf if BS&A reasonably believes that Customer’s instructions may involve
fraud or misconduct, or violate applicable law, rule, regulation, order, this Addendum, or other
applicable BS&A or Stripe policies, as determined by BS&A or Stripe in their sole and absolute discretion.
3.5 Cardholder Fee Programs. If Customer elects to impose a fee on cardholders with respect to
Transactions (including a surcharge for credit cards, a convenience fee, service fee or other similar type
of fee) or implement a discount based on the type of payment method used for a Transaction (including
cash, check, or ACH) (collectively, “Cardholder Fee Program”), Customer must first seek approval from
BS&A. Customer is solely responsible for its compliance with all applicable Network Rules and all present
and future federal and state laws and regulations relating to any such Cardholder Fee Program and any
required consumer disclosures related thereto. Although BS&A may, in its discretion, assist Customer
with disclosures and practices relating to such Cardholder Fee Programs, BS&A’s provision or approval of
any materials or practices shall not be deemed a confirmation that such materials or practices comply
with the Network Rules or applicable law and shall not in any way relieve Customer from its
responsibility to ensure that all program materials and practices comply with the Network Rules and
applicable law. Customer must provide BS&A with at least at thirty (30) days prior written notice before
implementing (or announcing publicly that it intends to implement) any Cardholder Fee Program that
would be considered a surcharge program under the Network Rules.
4. Chargebacks
4.1 Chargebacks. If BS&A determines in its sole discretion that Customer is incurring excessive
chargebacks, BS&A may establish controls or conditions governing Customer’s use of the Payment
Processing Services, including without limitation, by (a) establishing new fees, (b) instructing Stripe to
require a reserve, (c) instruct Stripe to delay payouts, and/or (d) terminating this Addendum and access
to the Payment Processing Services. Notwithstanding anything to the contrary herein, for any
Transaction that results in a chargeback, BS&A may direct the withholding of the chargeback amount
and any associated fees. Customer authorizes BS&A to deduct or debit the amount of any chargeback
and any associated fees, fines, or penalties assessed by a third party, from Customer’s Account or offset
from any amounts otherwise due to Customer. Further, if BS&A reasonably believes that a chargeback is
likely with respect to any Transaction, BS&A may instruct Stripe to withhold the amount of the potential
chargeback from payments otherwise due to Customer until such time that: (a) a chargeback is
assessed, in which case BS&A will retain the funds; (b) the period of time under applicable law or Rule by
which the cardholder may dispute the Transaction has expired; or (c) BS&A determines that a
chargeback on the Transaction will not occur, in which case BS&A will instruct the release of the
withheld funds to Customer. If BS&A is unable to recover funds related to a chargeback for which
Customer is liable, BS&A may set off or debit Customer’s Account for the full amount of the applicable
chargeback, or, if BS&A is unable to do so, Customer shall pay BS&A the amount of such chargeback and
any associated fees, fines or penalties immediately upon demand. Customer will pay all costs and
expenses, including without limitation attorneys’ fees, other legal expenses, and handling fees incurred
by or on behalf of BS&A in connection with the collection of all chargebacks. This section will survive
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termination of this Addendum. Additional chargeback terms and requirements are set forth in the Stripe
Agreements.
4.2 Investigations. BS&A is not obligated to intervene in any dispute arising between Customer and
cardholders. Notwithstanding anything to the contrary herein, if BS&A needs to conduct an investigation
or resolve any pending dispute related to chargebacks or Transactions, Customer will assist BS&A when
requested, at Customer’s expense, to investigate such Transactions. Customer will timely submit all
applicable information, documentation, or evidence related to such chargeback to BS&A, within the
timeframe instructed by BS&A, necessary for BS&A to meet card network timelines for submitting
evidence and responding to a chargeback. Customer authorizes BS&A to share information about a
chargeback with the cardholder, the cardholder’s financial institution and Customer’s financial
institution in order to investigate or mediate a chargeback. BS&A will request necessary information
from Customer to contest the chargeback. If a chargeback dispute is not resolved in Customer’s favor by
the card network or issuing bank or Customer chooses not to contest the chargeback, BS&A may recover
the chargeback amount and any associated fees. Customer acknowledges that its failure to assist BS&A
in a timely manner when investigating a Transaction, including providing necessary documentation
within the time period specified in BS&A’s request, may result in an irreversible chargeback. BS&A will
charge a fee as set forth in the applicable price schedule for mediating or investigating chargeback
disputes, in addition to any other chargeback fees set forth in this Addendum or the Agreement, if
applicable. BS&A reserves the right to change such fee at any time. If BS&A reasonably suspects that the
Customer’s access to the BS&A platform or Payment Processing Services has been used for an
unauthorized, illegal, or criminal purpose, Customer gives BS&A express authorization to (but
understands that BS&A is not obligated to) share information about Customer and any Transactions with
law enforcement.
5. Liability
5.1 Indemnification.
5.1.1 In addition to the indemnification obligations under the Agreement, Customer will
indemnify and hold harmless BS&A and its officers, affiliates, and representatives from and
against any and all losses, damages, claims, assessments, chargebacks, fees, and other
amounts incurred arising out of or in any way related to: (a) Customer’s breach of any of its
representations, warranties or covenants in this Addendum; (b) the Stripe Agreements or
Customer’s use of the Payment Processing Services, including all activity on Customer’s
Stripe account; (c) Customer’s violation or non-compliance with any applicable law, rule,
regulation, order, or Network Rules (including non-compliance of PCI-DSS); (d) all Merchant
Losses (as defined in the Stripe Agreements); (e) Customer’s implementation of a
Cardholder Fee Program; and (f) Customer’s gross negligence or willful misconduct.
5.1.2 In addition to the indemnification obligations under the Agreement, BS&A will indemnify
and hold harmless Customer and its officers, affiliates, and representatives from and against
any and all losses, damages, claims, assessments, chargebacks, fees, and other amounts
incurred arising out of or in any way related to: (a) BS&A’s breach of any of its
representations, warranties or covenants in this Addendum; (b) BS&A’s violation or non-
compliance with any applicable law, rule, regulation, or order; and (c) BS&A’s gross
negligence or willful misconduct.
5.2 Limitation of Liability. TO THE FULLEST EXTENT PERMITTED BY LAW, IN NO EVENT SHALL BS&A,
ITS OFFICERS, DIRECTORS, EMPLOYEES, AFFILIATES, OR AGENTS, BE LIABLE TO CUSTOMER OR ANY
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OTHER PARTY FOR ANY INDIRECT, INCIDENTAL, SPECIAL, PUNITIVE, OR CONSEQUENTIAL OR EXEMPLARY
DAMAGES, WHETHER BASED ON WARRANTY, CONTRACT, TORT (INCLUDING NEGLIGENCE), OR ANY
OTHER LEGAL THEORY, AND WHETHER OR NOT BS&A IS ADVISED OF THE POSSIBILITY OF SUCH
DAMAGES. FOR THE AVOIDANCE OF DOUBT, CUSTOMER AGREES AND ACKNOWLEDGES THAT ANY
ASSESSMENT, FINE, PENALTY, FEE, OR OTHERWISE IMPOSED BY STRIPE, A BANK, A CARD NETWORK OR
A GOVERNEMNT AGENCY OR REGULATOR WILL BE DEEMED TO BE A DIRECT DAMAGE AND NOT
INDIRECT, CONSEQUENTIAL, OR INCIDENTIAL.
5.3 Force Majeure. BS&A is not responsible for any delay or failure in performing its obligations
under this Addendum, in whole or in part, for any cause or circumstance outside its reasonable control,
including, without limitation: fires, floods, storms, earthquakes, civil disturbances, disruption of
telecommunications, pandemics, transportation, utilities, services or supplies, governmental action,
computer viruses, corruption of data, failures of Processor or other third party provider, DDoS or other
computer attacks, incompatible or defective equipment, software, or services, or otherwise.
6. Term and Termination
6.1 Term. This Addendum will be effective on the date that BS&A approves Customer for the
Payment Processing Services and will continue for one (1) year unless earlier terminated in accordance
with this section. This Addendum will automatically renew for consecutive one (1)-year renewal terms
unless either party gives the other party written notice of non-renewal no less than sixty (60) days
before the end of the then-current term.
6.2 Termination. This Addendum will automatically terminate upon termination of the Agreement.
6.3 Termination . In addition to the termination rights set forth under the Agreement, either party
will have the right to terminate this Addendum immediately, with or without notice, for: (a) breaches
any provision of this Addendum or any Stripe Agreements; (b) the Stripe Agreements or the Customer’s
Stripe Connected Account terminate for any reason;; (d) either party or their employees and agents
violate any applicable laws or Network Rules; or (e) either party is required to terminate this Addendum
by Stripe, government agency, payment network, or other regulator. BS&A will not be liable to
Customer or other third party for termination of the Payment Processing Services for any reason.
6.4 Effect of Termination. The termination of this Addendum will not affect any of BS&A’s rights or
Customer’s obligations arising under this Addendum. After termination of this Addendum and/or
Customer’s Stripe account, Customer shall continue to be liable for all chargebacks, refunds, fees, card
network liabilities, credits, and adjustments resulting from or relating to Transactions processed
pursuant to this Addendum. The termination of Customer’s access to Payment Processing Services will
be effective immediately. Customer authorizes BS&A to notify Stripe of any termination of this
Addendum; however, Customer is responsible to manually close its Stripe Connected Account separately
in accordance with Stripe procedures.
7. General
7.1 Precedence. Any inconsistency, conflict, or ambiguity between these Addendum and the
Agreement will be resolved by giving precedence and effect to this Addendum, but only to the extent of
the inconsistency, conflict, or ambiguity. Other than as expressly amended by this Addendum, all other
provisions of the Agreement will remain in full force and effect.
7.2 Amendments. Except as set forth below in this section, this Addendum may only be amended
with the written consent of both parties. BS&A shall only request an amendment to this Addendum for
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applicable fees and rates at time of renewal . BS&A must give Customer ninety (90) days’ prior notice of
increase in fees and rates so that Customer may consider such increases prior to any automatic renewal
term. For any other material amendments, BS&A shall give Customer thirty (30) days’ prior notice of the
request for any amendment. If Customer does not agree to any material amendment it may terminate
this Addendum without penalty within thirty (30) days of receiving notice of the amendment. Failure to
terminate this Addendum prior to the effective date of the amendment, or any continued use of the
Payment Processing Services following the effective date of the amendment, will constitute Customer’s
acceptance of and agreement to the amendment. Notwithstanding the foregoing, the termination right
set forth herein will not apply to any amendment which, in BS&A’s sole and absolute discretion, is
required to comply with applicable laws or Network Rules, or to pass through increases in third party
costs and fees, including but not limited to fees and assessments charged by Stripe, payment networks,
or BS&A’s vendors and service providers.
7.3 Dispute Resolution. The dispute resolution provisions of the Agreement, including the choice of
law and venue will apply to any and all disputes or claims arising under this Addendum.
7.4 Counterparts. This Addendum may be executed simultaneously in two or more counterparts,
each of which shall be deemed an original, but all of which together shall constitute one and the same
instrument. An electronic signature shall be accepted as an original for all purposes. This Addendum
may be executed and delivered by electronic means (including click-to-accept) and the parties agree
that such electronic execution and delivery will have the same force and effect as delivery of an original
document with original signatures, and that each party may use such electronic signatures as evidence
of the execution and delivery of this Addendum to the same extent that an original signature could be
used.
BS&A Software
Kellie Kucik, Integrated Payments Team, BS&A Software
CITY OF HASTINGS
Mary Fasbender, Mayor
Kelly Murtaugh, City Clerk
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Tax E-Delivery Consent
Please read this information carefully and print or download a copy for your files.
Consent to Electronic Delivery of Tax-Related Documents
By executing the Addendum or otherwise accepting this Tax E-Delivery Consent (“Consent”), you
acknowledge that you have read and understand the terms of this Consent, and you affirmatively elect
and consent to receive tax-related documents in connection with the Payment Processing Services (“Tax
Documents”), including but not limited to IRS Form 1099-K, via electronic delivery.
This Tax E-Delivery Consent (“Consent”) is effective until withdrawn in the manner described below. You
understand you will NOT receive hard (paper) copies of Tax Documents unless and until such
withdrawal.
This is your copy of the Consent. Please print, download, and save a copy of this Consent for your
records.
Electronic Delivery
You agree that BS&A may deliver Tax Documents to you in any of the following ways:
(a) via email at the email address BS&A has on file for you; and/or
(b) via an online interface which allows you to view and download the Tax Documents. For example,
such interface may be provided through your account or profile on the BS&A services, if
applicable. If Tax Documents are provided via the BS&A services or other online interface, BS&A
(or its processor or service provider, as applicable) will notify you via email once each Tax
Document becomes available.
Additional or Substitute Paper Copies
In addition to obtaining electronic copies, you may also request paper copies of your Tax Documents by
contacting BS&A at the contact information provided below. Note that requesting a paper copy of Tax
Documents will be considered a one-time request and will not be considered a withdrawal of this
Consent. You must formally withdraw this Consent in the manner described below to begin regularly
receiving paper copies of Tax Documents on a going-forward basis.
For information that is required by law to be sent to you, including Form 1099-K and other Tax
Documents, as applicable, if BS&A receives notice that an email is undeliverable due to an incorrect or
inoperable email address, or if BS&A is otherwise unable to deliver your Tax Documents via electronic
means, BS&A will attempt to send such information via U.S. Postal Service to the mailing address BS&A
has on file for you.
Notification of Change of Tax Information or Email
You must notify BS&A promptly if your email address used to receive Tax Documents, notifications, or
other account information changes. You must also notify BS&A promptly of any relevant change in your
information as it appears on your Form W-9, including your name, address, or taxpayer identification
number. BS&A must have such information exactly as it appears on your Form W-9 in order to properly
fill out and issue your Form 1099-K.
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By agreeing to this Consent, you agree to notify BS&A promptly of any such change, by contacting BS&A
by mail or email at the contact information provided below
Withdrawal or Termination this Consent
You may withdraw this Consent at any time by providing written notice of withdrawal to BS&A by mail
or email at the contact information provided below. In each case, you must state that you are
withdrawing consent to paperless delivery of tax-related documents, and you must provide your name
and taxpayer identification number exactly as they appear on your IRS Form W-9.
You understand that withdrawal of this Consent is prospective only; withdrawal ensures that future Tax
Documents will be delivered to you in paper but does not apply to any Tax Document that has already
been furnished to you electronically. BS&A may take up to 10 business days after receipt of your
withdrawal to process your request.
In addition, BS&A reserves the right to terminate this Consent and stop electronic delivery of Tax
Documents at any time by giving notice to you. If BS&A does so, BS&A will send future Tax Documents
as paper copies, via mail.
System Requirements
To access Tax Documents electronically, you need a computer system or mobile device that, at
minimum, has the following features and capabilities:
• internet access;
• browser software (at least 128-bit encryption, JavaScript enabled);
• application that can read and display PDF files;
• sufficient hardware necessary to support the above features, including sufficient storage to
download and retails files to keep a copy for your records; and
• printer (if you want to print a hard copy).
By agreeing to this Consent you certify that your computer system or mobile device meets these
hardware and software requirements.
Contact BS&A
You may contact BS&A by mail or email to update your Form W-9 information or to withdraw this
Consent at:
BS&A Software, LLC
• 14965 Abbey Ln, Bath Twp, MI 48808
• payments@bsasoftware.com
X
Chris Eitemiller
Finance Manager, City of Hastings
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Schedule A – Payment Processing Services & Fees
Service Fee
Payment Processing Implementation $0
Monthly Account Fee $0
Gateway $0
PCI DSS $0
Tokenization $0
Chargeback / Dispute Management $0
Real-Time ACH Validation $0
Real-Time Transaction Fraud & Risk Monitoring $0
Text – to – Pay $0
IVR $0
Credit Card – Visa, Mastercard, Discover, American Express – Pass-Through to Payor
Online, Text, IVR, Counter Percentage Per Transaction
Utility Billing 2.95% $0.50
Tax 2.80% $0.50
Misc. 2.95% $0.50
Credit Card – Visa, Mastercard, Discover, American Express – Absorbed by Municipality
Online, Text, IVR, Counter Percentage Per Transaction
Utility Billing 2.8% $0.50
Tax 2.8% $0.50
Misc. 2.8% $0.50
ACH – Pass-Through to Payor
Transaction Amount Fee per Transaction
$0 - $1,000 $3.00
$1,001 - $5,000 $6.00
$5,001 + $12.00
Device Price No. of Devices Total
S700 Terminal $300 + Tax & Shipping 3 Complementary
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