CTR060124_FIS_WSEA_EBT_Services_Amendment_2_-_FE.pdf

PDF 654 KB Posted

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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Other files

File Type Posted
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
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
FIS Waiver of Subrogation GL.pdf PDF
US GCL Additional Insured.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_A5_FE_4.14.25.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
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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 .