CTR060124_FISParticipatingAddendum_WSEAEBTServices_Amendment4.pdf

PDF 763 KB Posted

Attached to
Master Agreement AZ|CTR060124
Contract number
CTR060124
Issued by
Arizona

About this file

This document is a Contract Amendment (Amendment Number 04) for the Arizona Department of Economic Security, involving Fidelity National Information Services, LLC (FIS) for the Western States EBT Alliance (WSEA). The contract (CTR060124) is dated January 27, 2023, and specifically relates to Electronic Benefit Transfer (EBT) services for the Summer 2024 program.

The amendment authorizes FIS to implement the Summer Electronic Benefit Transfer (EBT) Program for Summer 2024 as part of the Fiscal Responsibility Act of 2023. Key deliverables include creating a new 'FSSL' benefit type, ensuring benefits are disbursed per the state's defined spend order (including SNAP and other benefits), and providing monthly reports. The pricing structure includes a $15,000.00 implementation fee and processing fees of $4.35 for Summer EBT Only, with contingencies specifying that services are limited to the 2024 summer program. Payment terms involve invoicing the implementation fee after contract execution and monthly invoicing for Summer EBT services, with the contract valid for sixty days from the stated date.

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
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
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
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
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

������������ �������������������������������������� !"#$�%�&����'(�)�*+'��+,�-�./�0'�1�!23!,�4��).5,�67�#288"9:;<=69<�;>-?@=A 6-@;0-@;<�;>-?@=A�
BCB�DE BE0@*9=F�<F:;G�H6?@HA �I���������J�����������K�������L���K�����M�K����������K��J���II������NM���O9:;<=69<:=�;6-@A P�Q�I�� ��������I�R��������������L���KS�TT�NPR�O�U���J

V�� �P� � ��R��U�

�JW��

�RPR������P

TT

M�X!Y�Z'(Z�)+�+��+4��>).��'[�<�'[(��)\�9�)\.+.�)(,�*�]+.�)�2�9�)+'�]+�94�)��(,�2Y!�6[�)\[�)+(,�+4��1Z'1�(�����+4.(�9�)+'�]+�6[�)\[�)+�.(�+��.)]/Z\��+4����//�̂.)��9Z(+�[�'�6Z+4�'._�+.�)�̀96a�6�'��[�)+A��Y;�Y�@?<b:c*d!e$fg�67�96�*Z[[�'�@?<�f8f3�cf.Y<4.(�96�.(��Z+4�'._�\���'�hF*�+��.[1/�[�)+�*Z[[�'�@/�]+'�).]�?�)��.+�<'�)(��'�̀@?<a��'��'�[���'�*Z[[�'�f8f3��(�1�'+����+4��h.(]�/�=�(1�)(.i./.+j�6]+����f8feY�

6HH�:<k@=�=@l>F=@-@;<*,�*�@9FhF96<F:;*,�6;0�<@=-*�6;0�9:;0F<F:;*�=@-6F;�>;9k6;b@069m;:%H@0b@-@;<�6;0�6><k:=F76<F:;<4.(�6[�)\[�)+�(4�//�i���Z//j��5�]Z+�\�ij�[��)(�����/�]+'�).]��11'�n�/�.)�6��Y

File details come from the government source that posted it. Updated .