HomeMy WebLinkAboutCitibank N.A. 2016-11-01STANDARD AGREEMENT
STD 213 (Rev 06/03)
CXL, 0L) • 1116115
AGREEMENT NUMBER
5159906
REGISTRATION NUMBER
-
t. This Participating Agreement is entered into between the below Participating Entity and the Contractor named below:
PARTICIPATING ENTITY'S NAME
CITY OF UKIAH
CONTRACTOR'S NAME
Citibank, N.A.
2. October 31, 2019 With (2) two-year options to
Term of this agreement: November 1, 2016 through extend.
3. The maximum amount of this Agreement is: $0.00 No maximum. Agreement is under DGS MSA for Travel
Payment System. See Exhibit B for payment provisions and
prompt payment incentives.
This Participation Agreement is entered into between the Contractor and the Participating Entity pursuant to MSA # 5159906
("MSA') entered into as of July 27 , 20161 between the State of California, Department of General Services ("QQa') and
Citibank, N.A. ("Contractor ). The terms of the MSA are incorporated herein by reference. By signing this Participating
Agreement, the Participating Entity agrees to be bound by the terms and conditions contained in this Participating Agreement
and in the MSA. Participating Entity acknowledges and agrees that should DGS and Contractor execute modification to the
MSA, the Participating Entity agrees to be bound by the terms of the MSA, as modified. Further, the undersigned Participating
Entity agrees to the methodology for rebate calculation and terms for rebate payment, as appropriate, as set forth in the MSA.
All notices to each of the Contractor and the Participating Entity shall be sent to the respective addresses set forth below in
Exhibit A, unless either such party designates another address in writing. The undersigned does hereby state and certify to the
DGS and Contractor that he or she possesses the express authority to sign the Participating Agreement on behalf of the named
Participating Entity and to contractually bind the Participating Entity to the terms of the Participating Agreement and Contract.
Exhibit A— Scope of Work
Exhibit B — Budget Detail and Payment Provisions
IN WITNESS WHEREOF, this Agreement has been executed bythe
an
Citibank, N.A.
Paul Horn, VP/Managing Director
CONTRACTOR
a
)arties hereto.
388 Greenwich Street, New York, NY 10013, Contact: Diane Rivera 25'" Floor
CITY OF UKIAH
GE SANGIACOMO, CITY MANAGER
300 SEMINARY AVENUE, UKIAH CA 95482
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Department of General
Services
❑ Exempt per
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EXHIBIT A
SCOPE OF WORK
1. Contractor agrees to provide Participating Entity Travel Payment System services as described
in the MSA 5159906.
Program Type: (Check Card or Account type selected)
Individual Liability Cards
✓ Direct Bill Accounts
Virtual Card Number Accounts
3. The Contractor's Contract Administrator will be:
Contractor's Contract Administrator
Contact's Name:
Erin Means -Re noso
Address:
710 Riverpoint Court West
Sacramento, CA 95605
Phone Number:
Office: 916-341-2355; Celt: 347-510-7610
Email Address:
erin.meansreynoso@citi.com
4. The Participating Entity's Contract Administrator:
Agency's Contract Administrator
Contact's Name:
MARY HORGER
Address:
300 SEMINARY AVENUE, UKIAH, CA 95482
Phone Number:
707-463-6233
Email Address:
mhorger@cityofukiaah.com
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EXHIBIT B
BUDGET DETAIL AND PAYMENT PROVISIONS
1. Invoicing and Payment
A. Contractor shall bill Participating Entity and Participating Entity agrees to pay Contractor
for charges incurred in accordance with the California Prompt Payment Act, as specified
in the MSA.
B. Invoices shall be submitted on a monthly basis in arrears to the address and contact
listed for the billing account during the implementation and as maintained by an
authorized user.
C. Prompt Payment Incentives shall be calculated and paid annually to Participating Entity
as specified in the MSA and Citi Payment Instruction for Rebates form.
D. Total Spend Incentives shall be paid directly to the Department of General Services, as
specified in the MSA.
4821-6248-0693, v. 1