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Company Agreement <br />Type <br />Quantity <br />Amount <br />Frequency <br />PCI Program Fee <br />1 <br />$ 10.00 <br />Monthly <br />Minimum Monthly Fee <br />1 <br />$ 35.00 <br />Monthly <br />Reporting and Support <br />Package <br />1 <br />$ 12.99 <br />Monthly <br />Chargeback Fee <br />1 <br />$ 25.00 <br />Per Occurrence <br />NSF Fee <br />Voice Authorization with <br />AVS <br />1 <br />$ 20.00 <br />Per Occurrence <br />Per Occurrence <br />Per Occurrence <br />Per Occurrence <br />Per Occurrence <br />1 <br />$ 0.85 <br />Voice Referral <br />1 <br />$ 0.85 <br />Voice Operator Assisted <br />1 <br />$ 0.85 <br />Voice Auth Touchtone Fee <br />1 <br />$ 0.85 <br />Software <br />Quantity <br />Ownership Type <br />Details <br />Converge <br />1 <br />N/A <br />$149 setup fee, $10 per <br />month <br />All applicable state and local taxes will be applied. <br />Tax Exempt No <br />Elavon and Member have no responsibility for, and shall have no liability to Company in connection with, any hardware or software, or any related <br />services. Company receives under a direct agreement (including any sale, warranty or end -user license agreement) between Company and a third <br />party, including any Value Added Servicer, even if Elavon collects fees or other amounts from Company with respect to such hardware, software or <br />services. <br />Terminal Programming None <br />Instructions <br />Training Included Yes <br />Rush Shipping Type N/A <br />Ownership Type Government <br />TIN (Employer ID #) **-** 4838 <br />Name City of Hugo <br />Address 14669 Fitzgerald Ave <br />Hugo MN 55038 <br />(Business Street Address) <br />M,Mhank 1 Eldv'on' <br />I A U.S. Bancorp Company <br />Document Version: 158446-01 EC-805E-0A52-EBDF-8F9B-2533-214A-1 E50 generated on 04/25/2018 10:52:29 <br />