CTR060124_A5_FE_4.14.25.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR060124
- Contract number
- CTR060124
- Issued by
- Arizona
About this file
This is a Contract Amendment (Amendment Five) between the Arizona Department of Economic Security (ADES) and Fidelity National Information Services, LLC (FIS), as part of the Western States EBT Alliance (WSEA). The amendment is dated 3/12/2025 and specifically relates to Contract Number CTR060124 for Electronic Benefit Transfer (EBT) services.
The amendment authorizes FIS to implement the Summer Electronic Benefit Transfer (EBT) Program for Summer 2025 as part of the Fiscal Responsibilities Act of 2023. FIS will ensure benefits are disbursed per the state's defined spend order, including FSSL, PEBT, SNAP, and other benefits. The pricing structure includes a $15,000 implementation fee, a $4.51 processing fee for Summer EBT Only cases, and a $3.00 additional child fee per case with more than one child receiving summer benefits. The contract specifies that fees will be charged only once, in the first month a summer benefit is received, with no additional charges in subsequent months. The Summer EBT program is a three-month benefit program, with specific provisions for card issuance, reporting, and integration with existing benefit systems.
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Text version
CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR060124 Five (5)
DESCRIPTION/ LABEL: Electronic Benefit Transfer Services for Western States EBT Alliance (WSEA)
CONTRACTOR NAME: Fidelity National Information Services, LLC (FIS)
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. Pursuant to the Uniform Terms and Conditions, Section 5 Contract Changes, 5.1 Amendments, and in alignment with DBME Change Request Control Process in Amendment One (1), the purpose of this amendment is to authorize for FIS to implement Summer Electronic Benefit Transfer (EBT) Program for Summer 2025 as part of the Fiscal Responsibilities Act of 2023. FIS shall follow the attached AZ Customer Authorization (CA) for Summer EBT 2025 EBTGOVS-14800, dated 3/12/2025.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED
ACKNOWLEDGEMENT AND AUTHORIZATION
This Amendment shall be fully executed by means of electronic approval in APP.
Nila Henson
Procurement Manager
File details come from the government source that posted it. Updated .