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HomeMy WebLinkAbout20173935.tiffTreasury Management Product Enrollment Customer Information Customer Name Weld, County of Street Address 1400 N 17th Ave CEO Company ID WELDC481 City Greeley Country Name UNITED STATES State CO Zip 80631 Primary Contact Lauretta Bollig Country Code (if applicable) USA Phone (970) 400-2512 Email Address Iballig@weldgov.com Fax Acceptance of Services Each person signing in the signature block at the end of this form certifies that: the customer identified in the signature block ("Customer" or "Company") has received and agrees to be bound by the Service Documentation for the Treasury Management Services (each, a "Service") in which Customer is enrolling as of the date of this form. "Service Documentation" is defined in Wells Fargo Bank, N.A.'s ("Bank") Master Agreement for Treasury Management Services. Customer has granted the person(s) signing the signature block the authority on Customer's behalf to (i) enter into this and other agreements with Bank for Services on or after the Effective Date of this form and (ii) amend, terminate or otherwise act on behalf of Customer with respect to this form and the Services. Customer's use of any Service, including each Service Customer enrolls in after the Effective Date of this form, confirms Customer's receipt of and agreement to be bound by the Service Documentation relating to that Service. "Customer" may also be referred to as "Company" in the Service Documentation. Customer Entity Name(s) TIN, SSN, Intl, or Gov ID(s) WELD COUNTY COLORADO 846000813 ACH Origination Services - Security Procedure Elections 2017-3935 Description of Security Procedure Definitions. An "Entry" is an automated clearing house ("ACH") debit or credit entry issued in Customer's name, and a "File" is the data file or batch release used to transmit one or more Entries (or a communication amending or canceling an Entry or File) to Bank. An "Initiation Method" is a method Bank offers to Customer for delivering a File to Bank. A "Security Procedure" is the method Customer elects in this form for Bank to verify the authenticity of a File delivered to Bank in Customer's name. Bank will not use the Security Procedure to detect an erroneous or duplicate Entry or File. Commercially Reasonable. Customer has determined the Security Procedure(s) Customer has elected (a) best meets Customer's requirements with regard to the size, type and frequency of Files issued by Customer to Bank and (b) is commercially reasonable. Customer refuses to have its Files verified by any security procedure other than the Security Procedure Customer has elected. © 2017 Wells Fargo Bank, N.A., All rights reserved. TM Product Enrollment TM -1500 (Rev 10/20/2017) t:Pe4c-) //-Oe, -/7 Page 1 of 3 AC'ooaz, Binding Instructions. Customer will be responsible for any erroneous or duplicate Entry or File Bank receives in Customer's name. Customer agrees to be bound by each Entry and File, or request to cancel or amend an Entry or File, whether or not authorized by Customer, issued in Customer's name and accepted by Bank in compliance with the Security Procedure Customer has elected. Confidentiality. Customer and Bank will preserve the confidentiality of the Security Procedure(s) and any passwords, codes, security devices and related instructions provided by Bank. If one party becomes aware of a breach, or suspects that a breach may occur, it will promptly notify the other party. Customer will maintain effective internal procedures to safeguard against unauthorized Entries or Files and warrants that no individual will be allowed to initiate an Entry or File without proper supervision and safeguards. Election of Initiation Method(s) and Security Procedure(s) The Initiation Method(s) and Security Procedure(s) Customer has elected for ACH origination are: Customer Entity Customer Entity Name(s) WELD COUNTY COLORADO Direct Origination Initiation Method TIN, SSN, Intl, or Gov ID(s) 846000813 Secure Application File Exchange Transmission ("SAFE -T"). This transmission platform offers a variety of transmission protocols including hypertext transfer protocol secured (https), FTP over SSL (FTP/S), secure FTP (S-FTP), and Applicability Statement 2 (AS2). CEO® Users Set-up Add User Section Remove Last Section Add Row elet Row User Name User ID (if existing) Donna Mcnamara MCNAD481 Chris Ovidio DOVIC195 Barb Connolly EURIB481 Select one or more CEO Products for the user(s) listed above: IX ACH' User n ACH' Administrator ACH Fraud Filter Cards' ❑ Payment Manager Online ® Other Treasury Management Products in Administration' n Other Treasury Management Products not in Administration' H Cash Vault (specify): Deposit Inquiry 7 Change Orders Inquiry Change Orders Supply Order Accounts: 8012700864 ACH IDs (File ID/Company ID): 7846000813 I ACH Domestic Payments and ACH Payments. This only covers giving users access to the high level product in the CEO and the ACH application. Additional approval is required to setup detailed product entitlement within the ACH application. 2 Prepaid Card and Recognition Card. 3 Additional Wells Fargo Online Services (Single Sign On to WF Business Online Banking), Autolink, Centralized Disbursements - Clients, Document Retrieval, Electronic Document Delivery, Healthcare Claims Payments, Healthcare Supplier Payments, Information Reporting Direct File Transfer, Invoice Manager, Payment and Delivery Preferences, Receivables Manager, Retail Lockbox Image Archive, Reverse Positive Pay, Smart Decision Service, Sweep & Fed Funds -Statements & Confirmations, Wells Fargo Business Online Banking (Single Sign On), & White Label Wholesale Lockbox. 4 ARP Register Maintenance, Basic Banking, Canadian Treasury Services, Cash Concentration, Centralized Disbursements, Deposit Maintenance, Desktop Deposit, E -Box Decisioning, Fed Funds, Event Messaging, Image, Image Positive Pay, Item Detail Inquiry Service, Lockbox, Lockbox Correspondence, Payment Manager File Validation Tool, Returned Items, SAFE Transmission, Statements & Notices (Client Analysis Statements, Commercial Checking/ Savings Account Statements, Deposit Adjustment Notices, Merchant Notices, Multi CurrencyAccount Statements and Stop Notices), Transaction Search, Treasury Information Reporting, & Wells TAX'. INTERNAL BANK USE ONLY Does the customer have Administration, or is it included in the current request? ® Yes n No © 2017 Wells Fargo Bank, N.A., All rights reserved. TM Product Enrollment TM -1500 (Rev 10/20/2017) Page 2 of 3 Signature Customer Approval - (Authorized Signature Required) Each person who signs this form on Customer's behalf is authorized to do so by resolution, agreement or other legally sufficient action of the governing body of Customer, if Customer is not an individual, or is an Authorized Signer on Customer's account. Julie A. Cozad, Chair, Board of Weld County. Commissioners Printed Name of Authorized Signer (970) 400-4201 Phone NOV 2 0 2017 Date INTERNAL BANK USE ONLY Bank"Approval - (303) 863-6597 JONATHAN NARLOCK Printed Name of Relationship Manager/Authorized Approver Phone Relationship Manager/Authorized Approver Signature* Date *By signing this document you are approving and acknowledging this individual is authorized to make these changes on behalf of this company. © 2017 Wells Fargo Bank, N.A., All rights reserved. TM Product Enrollment TM -1500 (Rev 10/20/2017) Page 3 of 3 Q r+, Hello