D.9_Exhibit_1_-_(Template)_Invoice_with_pricing_and_Volumes_of_Services.xlsx

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Commercial Banking Services
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75FCMC19R0006
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Attachment D.9 Exhibit 1 - (Template) Invoice with pricing and Volumes of Services

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Exhibit 1 Invoice

Schedule of Services, Volume , Unit Cost and Total cost
Month/Year
Workload
MEASURED ACCOUNT SERVICESVOLUMEUNIT COSTTOTAL LINE ITEM COST
1PAYMENT
a)EFTs*=
b)Checks*=
2MAJOR COST ITEMS
a)Deposited Items*=
b)ACH Addenda Records*=
c)Check Image Capture*=
3ALL OTHER CHARGES
a)Account Maintenance*=
b)Reconciliations*=
c)CMS Mandated Reconciliations and Reports (per funding account)*=
d)CD ROM Disks*=
e)Controlled Distribution Maintenance (Controlled Disbursement & ARP)*=
f)Wire Transfers*=
g)Mail Credit Advice/Express Courier Deposit*=
h)Online Payable Services - paid check retention*=
i)Online Stop Payments*=
j)Online Information Reporting - subscription fee (per user, per module)*=
k)Online Payable Services -Maintenance*=
l)Data Transmission - ACH (per transmission)*=
m)Data Transmission - Issue File*=
n)Data Transmission/Pay File (per transmission)*=
o)Deposit Ticket/Credits Posted*=
p)EFT Monthly Maintenance*=
q)EFT Return Notification Fax*=
r)ACH Debit Block Maintenance*=
s)ACH returns/NOCs*=
t)ACH reversals*=
u)ACH return via transmission (per item)*=
v)Positive Pay Maintenance*=
w)Positive Pay Exception (per item)*=
x)Positive Pay Exception Return (per return)*=
y)Same Day Positive Pay*=
z)Onsite Electronic Deposit - Deposited Items*=
aa)Onsite Electronic Deposit- Credit*=
bb)Onsite Electronic Deposit - Check Scanner*=
cc)Onsite Electronic Deposit - Email Notification of Returns*=
dd)Web Service -Ext paid check Retention 84 months (per item)*=
ee)Image Deposited Checks maintenance (monthly)*=
ff)Image Deposited Checks - per item*=
gg)Image Deposit - Credit posted*=
hh)Image Deposit - Return Deposited Item (per item)*=
ii)Image Deposited Checks Maintenance (Monthly)*=
jj)Image Deposit - Credit posted (per credit)*=
kk)Lockbox- Item Processing*=
ll)Lockbox- Photocopy- (per Item)*=
mm)Lockbox- Checks Deposited*=
nn)Lockbox- Account Changes*=
oo)Lockbox - Image File Transmission (per item)*=
pp)Lockbox- Data Entry*=
qq)Lockbox- Document Sorting/matching*=
rr)Lockbox- Returned deposits/envelopes*=
ss)Lockbox- Credit Ticket*=
tt)Lockbox- Monthly Maintenance*=
vv)Lockbox - Deposit Item Image CD (per item)*=
ww)Payee Positive Pay*=
4Fees For New Accounts Setup / Service Changes /All Testing Support
a)New ACH Setup - Includes account setup, inbound transmission, up to two full "round trip" test cycles.*=
b)New ARP / Positive Pay Setup - Includes account setup, inbound and outbound transmissions, up to two full "round trip" test cycles.*=
c)ACH / ARP / Positive Pay /- Additional Test Cycles / Support for Testing Base / Non-Base Changes - Per Round Trip Cycle*=
d)New LOC Setup / Wire Drawdown System Setup and Testing / Per LOC*=
TOTAL COST

HHSM-500-2019-RFP-0000 &"-,Bold"Invoice with pricing and Volumes of Services Invoice DATE Invoice Number Customer ID

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