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.

View the file

Other files

File Type Posted
Attachment 01 Request for Proposals Signature Page v.2.pdf PDF
Attachment 02 SNAP Cash Requirements v.2.docx DOCX document
Attachment 04 and 05 Written Inquiry Responses.docx DOCX document
Attachment 09 SNAP Cash Interfaces.pdf PDF
CTR060124_FIS_WSEA_EBT_Services_Amendment_2_-_FE.pdf PDF
FIS Waiver of Subrogation GL.pdf PDF
US GCL Additional Insured.pdf PDF
Attachment 02 and 03 Written Inquiry Responses.docx DOCX document
Attachment 07 WSEA Waivers.docx DOCX document
Attachment 11 Alaska DHSS Sample Security Authorization.pdf PDF
Attachment 12 Written Inquiry Responses.docx DOCX document
CTR060124_FIS_WSEA_EBT_Services_Amendment_01-FE.pdf PDF
State of Arizona.pdf PDF
Addendum 1 Written Inquiries Responses re WSEA Supplemental Call Center Statistics Tables.docx DOCX document
Attachment 03 SNAP Cash Written Responses.docx DOCX document
Attachment 05 WIC Written Responses v.2.docx DOCX document
Attachment 06 ALERT AMA STARS and REDE file formats.pdf PDF
Attachment 08 Written Inquiry Responses.docx DOCX document
Attachment_A_-FIS_Cost_Proposal.pdf PDF
Attachment_B_-_FIS_Technical_Proposal.pdf PDF
CTR060124-Debarrment_Checks_1.27.23.pdf PDF
CTR060124_FIS_WSEA_EBT_Services_Amendment_3_-_FE.pdf PDF
FIS Waiver of Right to Recover WC.pdf PDF
1 WSEA EBT Services RFP v.8.4.docx DOCX document
1 WSEA RFP Written Inquiry Responses.docx DOCX document
Attachment 04 WIC Requirements v.2.docx DOCX document
Attachment 08 State Contract Terms and Conditions v.2.pdf PDF
Attachment 08 Written Inquiry Responses - Idaho.docx DOCX document
Attachment 10 WIC Interface Configurations.pdf PDF
Attachment 12 WSEA EBT Pricing Schedules v.2.docx DOCX document
Attachment 13 Federal Procurement Provisions.docx DOCX document
CTR060124-Contract_Documents.pdf PDF
CTR060124_FISParticipatingAddendum_WSEAEBTServices_Amendment4.pdf PDF
SPO_Approval_to_Request_to_Enter_Co-op_and_Contract_Beyond_5_years_-_WSEA_EBT_7..pdf PDF
CTR060124_COI_2026-2-1_Cyber__2026-4-1_CGL_AL_WC.pdf PDF
Show all 35

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .