Agenda - 06-07-2011 - 5d - Laserfiche WebLink

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4 ~,,,,-.. Bankof Arnerica~~Higher Standards 6. What are your annual payables? many invoices do you process annually? What types of purchases do you plan to use the Purchasing Card for (travel, office supplies, etc.)? 8. How many cards do you anticipate initially? At full implementation? 9. When do you plan to implement a Purchasing Cazd program (target date)? Planned Reporting Method: Features: ^ EDI ^ Statement Billing (ASCII File) ^ Visa Information Management ^ Works ^ Paper Planned Payment Method ^ ACH Credit ^ ACH Debit ^ Wire Transfer ^ Check Additional Technology ^ Cost Allocation Process ^ eProcurement ^ ePayables Signature and Authorization: The Organization named above (the "Organization"), by the signature of its authorized officer below, requests that a Visa Purchasing Cazd account be established by Bank of America, N.A. (USA) in the name of the Organization, and that Visa Purchasing Cazds be issued to the representatives of the Organization as the Organization designates from time to time. The Organization acknowledges that it has read a copy of, and agrees to be bound by, the terms and conditions contained in the State of North Carolina's statewide procurement card contract (Contract #946A resulting from RFP#501220) and amendments which may be added from time to time (collectively the "Agreement") administered by the North Cazolina Division of Purchase and Contract. The Organization understands that its participation in the Purchasing Card Program may be terminated if it fails to make timely payments hereunder or as otherwise set forth in the Agreement. If the Agreement is terminated, Bank of America may, at its option, upon notice to the Organization, terminate Organization's account or issue new terms for the account. Organization represents and warrants that (i) this Agreement is a duly authorized, legal, valid, binding and enforceable obligation and (ii) its performance of its obligations under this Agreement will not violate any law, regulation, judgment, decree or order applicable to Organization. This agreement is effective as of the date written below. Name (print): Title: Signature: Organization: TO ENSURE PROMPT PROCESSING, CONFIRM THAT THE FOLLOWING IS PROVIDED: 4 Complete Application: Complete all sections of the Application including Signature(s) and Authorization and Resolution. 4 Financial Statements: Enclose the two most recent years audited financial statements or two most recent years tax returns (if applicable). 4Submit the completed Application, along with required documentation to: Bank of America Gary L Clazk Global Treasury Services 421 Fayetteville Street Mailstop: NC7-002-17-03 Raleigh, NC 27601 For questions aboutthis application contact Gary L Clazk at Phone: 919-359-0610; Fax: 919-882-8257 Email: gary.l.clazk(cr~baml.com 763642.02