Agency Schedule of Fees Charges and Rebates.docx

Schedule of Fees, Charges and Rebates State Agencies June 16, 2015 | CONFIDENTIAL

EXHIBIT G

Submitted by:

Kristin Harrison | Director Global Treasury Solutions Bank Merrill Lynch T +850-561-5911 E Kristin.harrison@baml.com

Confidential | Bank of Authorized initials:

Date:

I. GENERAL PRODUCT FEES AND CHARGES

General Fees

· Overnight=$35.00, unless waived

State Billed Fees

*If you make a transaction in currency other than U.S. dollars, Visa or MasterCard will convert the charge or credit into a U.S. dollar amount. The conversion rate on the processing date may differ from the rate on the date of your transaction.

The exchange rate used by Visa will either be (i) a rate selected by Visa from a range of rates available in wholesale currency markets for the applicable central processing date, which rate may differ from the rate Visa receives, or (ii) the government-mandated rate in effect for the central processing date. MasterCard will use an exchange rate of either (i) a wholesale market rate or (ii) a government-mandated rate. We may add a 2% fee to the U.S. dollar amount of any transaction that is made in foreign currency or that is made outside the United States even if you pay in U.S. dollars (the “International Transaction Fee”).

II. ELECTRONIC PRODUCTS SCHEDULE OF FEES AND CHARGES

Reporting and Data

Payment Center

Fee Waived

Data File Feeds To Customers / Third Parties:

· Statement Billing File

· EDI 811

· Visa Commercial Format (VCF)

· MC Commercial Data Format (CDF)

· 1099 & Socioeconomic Reporting Fee Waived

END OF SCHEDULES I AND II

III.

US SCHEDULE OF REBATES

(Cycle and Grace Days)

REBATE DEFINITIONS

Capitalized terms, which are not defined in this Section III have the meanings ascribed in the applicable Card Agreement.

“Calculation Period” means the three (3) month period commencing on the first day of the month after Bank receives a fully executed original of the Agreement and thereafter, each subsequent three (3) month period.

“Credit Losses” means any balances which remain unpaid by State Agency, Participant or a Cardholder six (6) billing periods after the closing date on the Billing Statement in which the Transactions, fees and charges appeared for the reporting period.

“Cycle Days” means the number of days from the start of the billing period to the Billing Statement date.

“Grace Days” means the number of days after the Billing Statement closing date within which payment is due.

“Large Ticket Interchange (LTI) Transactions” means certain transactions which, based upon the type of merchant and/or transaction dollar amount, are subject to a Visa or MasterCard large ticket interchange program, as determined by and amended by Visa and MasterCard from time to time.

“Rebate Multiplier” means the multiplier corresponding to the Standard Transactions volume, Cycle Days and Grace Days as set forth in the Standard Transactions Rebate Multiplier Table below.

“Standard Transactions” means the Transaction Volume not meeting the criteria for Large Ticket Interchange Transactions.

“Total Credit Losses” means, for any Calculation Period, the sum of (i) Bank’s Credit Losses on the Card Accounts for the Calculation Period and (ii) Bank’s Credit Losses on the Card Accounts for any previous Calculation Period which have not been applied against any rebate payable under the Agreement.

“Transaction Volume” means, for any Calculation Period, the total dollar amount of purchase Transactions made with the Cards during the Calculation Period, less the total dollar amount of: returned purchases, credit adjustments, Transactions resulting from Unauthorized Use, and disputed charges. Cash advances and Convenience Checks are not included in Transaction Volume.

REBATE CONDITIONS

During the Calculation Period, the program must meet all of the following conditions in order to qualify for a rebate:

i. State Agency complies with conditions of contract which may be further described upon execution of contract; and

ii. State Agency complied with terms in this Agreement; and

iii. The conditions above, being the “Rebate Conditions”.

REBATE CALCULATION AND PAYMENT

In the event that all of the above Rebate Conditions are met with respect to the Calculation Period, Bank will pay a rebate to the State, which shall be calculated at the end of the Calculation Period in accordance with the Standard Transactions Rebate Multiplier Table and using the following equation:

((Transaction Volume for Standard Transactions x Rebate Multiplier) + (Transaction Volume for Large Ticket Interchange Transactions x LTI Rebate Multiplier) – Total Credit Losses The Standard Transactions rebate multiplier will be determined based on the Calculation Period cumulative total of all Standard Transactions volume.

Payment of any rebate will be made by ACH credit or other means determined by Bank, within ninety (30) days following the end of the Calculation Period.

State Agency and Contractor must comply with conditions of contract relating to rebates which may be further described herein upon execution of contract.

*Based on an annual average payment time of 10 days.

END OF US SCHEDULE III

IV. ACKNOWLEDGEMENT

By signature of an authorized representative(s), you agree to the terms and conditions of this Schedule of Fees and Charges presented herein. This form must be signed in ink by an authorized representative(s) and submitted with the original signature to your Bank representative.

State Agency

Bank of America, N.A

Click here to enter text.

[STATE AGENCY NAME]

By:

(Signature)

By:

(Signature)

Name: Click here to enter text.

(Print or Type)

Name: Jeri Winkleblack

Title: Click here to enter text.

Title: Vice President

Date: Click here to enter text.

Date:

Authorized initials:

Date: 2