CTR060124_FIS_WSEA_EBT_Services_Amendment_2_-_FE.pdf
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- Attached to
- Master Agreement AZ|CTR060124
- Contract number
- CTR060124
- Issued by
- Arizona
About this file
This document is a Participating Addendum and Customer Authorization (CA) Amendment 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 contract number is CTR060124, with Amendment Number 02, and specifically relates to a Customer Authorization identified as EBTGOVS-13766.
The amendment authorizes FIS to display merchant location information for Arizona cardholders on the electronic Benefit Transfer (EBT) Cardholder Portal (CHP) and Mobile Application. The project involves configuring the system to show merchant names, addresses, and transaction details for State of Arizona cardholders. The pricing is based on 100 Professional Service Hours, which will be deducted from the state's current allotment of 300 hours upon execution. The Customer Authorization is valid for 60 days from the dated document and includes provisions for system configuration, QC testing, and allowing the state to test unassisted in UAT (User Acceptance Testing).
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Text version
PARTICIPATING ADDENDUM
AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR060124 02
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, the purpose of this Contract Amendment is to include the following Customer Authorization (CA) Agreement:
a. No. EBTGOVS-13766 AZ CA Display Retailer on CHP and Mobile App (v2)
i. This CA is authorization for FIS to display merchant location information on the Cardholder
Portal and Mobile Application.
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 L. Henson
Procurement Manager
March 14, 2023
| CTR060124_FIS_Participating Addendum_WSEA_CA_AZ CAGOVS-13766 Display Retailer on CHP and Mobile App (v2)_Amendment 2 |
| AZ CAGOVS-13766 Display Retailer on CHP and Mobile App (v2) |
| 2023-03-14T09:48:52-0700 | |
| Henson, Nila L |
File details come from the government source that posted it. Updated .