FIRST NATIONAL BANK OF OMAHA/TSYS MERCHANT SOLUTIONS, LLC 1 -2013

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Q CC?A /Tern ?ei, ? C3 ? Ftg _ 7 2013 Principal: Associate: 002 Chain:001 MID#: DDA# MCC Code: 7523 N-2013-014 MERCHANT TRANSACTION PROCESSING AGREEMENT - MERCHANT APPLICATION 2012 10 Merchant Application SBS Pass Through CONFIDENTIAL Bm ot City of Santa Ana City of Santa Ana Location Street Address: (No P.O. Boxes) City: State: Zip: 20 Civic Center Plaza M-13 Santa Ana CA 92701 Contact Name: Phone: Fax: Email: Minerva (714) 647-5440 MMancha@santa-ana.org Mailing/Billing Address: (If different from Location) City: =State:Zip: Phon e: 20 Civic Center Plaza M-13 Santa Ana 01 (714) 647-5440 BUSINESS PROFILE AND ASSUNIP'l-IONS # of Locations: Fed. Tax ID: Annual Visa/MasterCard/Discover Location Volume ($): Business Open Date: 1 956000785 Volume ($): 15,000.00 15,000.00 Average Ticket ($): Highest Ticket ($): Avg. monthly Vol. ($): Length of Ownership: Visa/MasterCard/Discover ?Yes 1.00 4.00 1,250.00 0 Yr 0 Mo Currently Accepted? ? No # of Employees: Ownership Type: % of Goods/Services Cash and Cary: 100 0 Government Type of Business: Pricing Method: Retail Type of Goods/Services sold:(Please include a copy ofyour retum/refund policy) Retail Pass Thru *See Attached Amendment parking RXious Processor: (Please Include copy of statements) Business Website: www.santa-ana.org Card Present 100 % + Card Not Present % = TOTAL: 100% Sales to Consumer 95 %+ Business 5 % = TOTAL: 100% If CNP Choose one: Card Swipe 100 a/o + Imprint 0 %= TOTAL Card Present % Application Type: Addl. Location LOC/Old MID: Dun & Bradstreet #: (If available) Have you or your business ever declared Never had bankcards 0 bankruptcy? [:1 Yes m No Do you use any third party fulfillment houses? ? Yes ® No Do you work with an third parties or software vendors who have access to an If Yes, please provide a contact list of all third party fulfillment houses. cardholder data? Yes ® No If yes, please provide a contact list of all third parties and software vendors who have access to cardholder data. When is cardholder billed for goods/services? F] On Order ?On Shipment Average number of days between order and shipment? 0 Expected date of first transaction? Do you operate as a Seasonal Merchant? ? Yes 0 No If seasonal, indicate operating months: ? Jan ? Feb ? Mar ? Apr ? May ? Jun ? Jul ? Aug ? Sep ? Oct ? Nov ? Dec Bank Reference Name: Contact: Phone: Account Number: JP Morgan Chase Robert Donahue (949) 471-9869 935309500 Trade/Supplier 1 Name: Contact: Phone: Account Number: Trade/Supplier 2 Name: Contact: Phone: Account Number: MEMBER BANK (ACQUIRER) IMPORTANT MEMBER BANK (ACQUIRER) RESPONSIBILITIES) IMPORTANT MERCHANT RESPONSIBILITIES INFORMATION 1. A Visa Member is the only entity approved to extend acceptance of 1. Ensure compliance with cardholder data security and First National Bank of Omaha Visa products directly to a Merchant storage requirements. 1620 Dodge Street 2. A Visa Member is responsible for educating Merchants on pertinent 2. Maintain fraud and chargebacks below thresholds. Omaha, NE 68197 Visa Operating Regulations with which Merchants must comply 3. Review and understand the terms of the Merchant 800-853-9586 3. The Visa Member is responsible for and must provide settlement Agreement. funds to the Merchant 4. Comply with Visa Operating Regulations. 4. The Visa Member is responsible for all funds held in reserve that are derived from settlement. The responsibilities listed above do not supersede the terms of the Merchant Agreement and are provided to ensure the Merchant understands some important obligations of each party and that the Visa Member (Acquirer) is the ultimate authority should the Merchant ve any problems. ll? Merchant Name: City of Santa Ana Authorized Signatur . X Address: 20 Civic Center Plaza M-13 Print Name: Santa Ana CA 92701 C, Ir- ? LJ/'gS TSYS Merchant Solutions, LLC is a registered agent of First National Bank of Omaha, 1620 Dodge Street, Omaha, NE 68197 800-853-9586 1 of4