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HomeMy WebLinkAbout2012-065 off r- nt TO 5000 OR CONTRACT BETWEEN FLORIDA DEPARTMENT OF MANAGEMENT SERVICES AND Wright Express Financial Services Corporation This Contract is by and between the State of Florida, Department of Management Services (Department), Division of State Purchasing ( offices Division), an agency of the State of Florida with at 4050 Esplanade Way , Tallahassee, Florida 32399-0950 , and Wright Express Financial Services Corporation (Contractor or Wright Express) . Whereas, the Contractor replied to the Division ' s Invitation to Negotiate (ITN), No . : 15111973 - 163 -X — Fuel Card Services; do herebyllen u into tpromi hi Coses ntract tamed in the Contract documents , the Accordingly, and in consideration Department and the Contract 1 . 0 SUMMARY OF THE CONTRACTUAL SERVICES / SCOPE OF WORK This Contract is to provide a Fleet Fuel Card Program for Vehicle Fleets owned by state agencies and Eligible Users in the State of Florida. The Fleet Fuel Card will be built on a of Fuel and Universal Platform. The Fleet Fuel Card Program will include the purchase . any commodity and/or service for immediate use by the Eligible User to maintain daily operation of their vehicle fleet. Also , the Fuel Card may be used at Marinas and/or Airports as allowed for ' Marine Fleets and/or Aircraft Fleets . The Department seeks to improve quality and efficiency of services delivered, improve Eligible User services and reduce cost. 2 .0 DELIVERABLES Florida Department of Transportation (FDOT) Bulk Fueling Sites ecution, FDOT and Wright Express will develop policies Within 45 days of contract ex and procedures for transactions occurring sites . ng at FDOT owned bulk fueling Fuel Price Mapping WEXOnline contains areal-time fuel price mapping feature that allows fleets to see fuel Express cardholder transactions at accepting price information based on recent Wright is fed merchant locations . This pricing information into maps which include both satellite and standard map views . Results are updated with the most recent Wright Express transactions, showing you which stations have had the lowest prices in the area of your search. No prices older than seven days are presented. Search criteria include address , city, state, zip code, brand and PPG. Fuel Site Mapping Mobile Application The Fuel Site Mapping Mobile tool is a mobile application that allows users to enter into a web enabled mobile device (i . e . Blackberry , iPhone) their current location via GPS , .zip code or address , as well as desired fuel type and search radius . The application returns a list of accepting merchants with address, distance from current location, and date and time of the last price per gallon for that site . This application obtains results from the Page 1 of 5 Contract No . : 973463 - 104 _ ATRIJhGf{3� py II pp �t A / [ - 4 OR G1 T�l �� � CONTRACT BETWEEN FLORIDA DEPARTMENT OF MANAGEMENT SERVICES AND Wright Express Financial Services Corporation This Contract is by and between the State of Florida, Department of Management Services (Department), Division of State Purchasing (Division), an agency of the State of Florida with offices at 4050 Esplanade Way , Tallahassee, Florida 32399 -0950 , and Wright Express Financial Services Corporation (Contractor or Wright Express) . Whereas, the Contractor replied to the Division ' s Invitation to Negotiate (ITN) , No . : 15 -973463 -X — Fuel Card Services; Accordingly, and in consideration of the mutual promises contained in the Contract documents , the Department and the Contractor do hereby enter into this Contract. 1 . 0 SUMMARY OF THE CONTRACTUAL SERVICES / SCOPE OF WORK This Contract is to provide a Fleet Fuel Card Program for Vehicle Fleets owned by state agencies and Eligible Users in the State of Florida . The Fleet Fuel Card will be built on a Universal Platform . The Fleet Fuel Card Program will include the purchase of Fuel and , any commodity and/or service for immediate use by the Eligible User to maintain daily operation of their vehicle fleet. Also, the Fuel Card may be used at Marinas and/or Airports as allowed for ' Marine Fleets and/or Aircraft Fleets . The Department seeks to improve quality and efficiency of services delivered, improve Eligible User services and reduce cost. 2 . 0 DELIVERABLES Florida Department of Transportation (FDOT) Bulk Fueling Sites Within 45 days of contract execution, FDOT and Wright Express will develop policies and procedures for transactions occurring at FDOT owned bulk fueling sites . Fuel Price Mapping WEXOnline contains a real-time fuel price mapping feature that allows fleets to see fuel price information based on recent Wright Express cardholder transactions at accepting merchant locations . This pricing information is fed into maps which include both satellite and standard map views . Results are updated with the most recent Wright Express transactions , showing you which stations have had the lowest prices in the area of your search. No prices older than seven days are presented. Search criteria include address , city, state, zip code , brand and PPG . Fuel Site Mapping Mobile Application The Fuel Site Mapping Mobile tool is a mobile application that allows users to enter into a web enabled mobile device (i. e . Blackberry, iPhone) their current location via GPS , .zip code or address , as well as desired fuel type and search radius . The application returns a list of accepting merchants with address, distance from current location, and date and time of the last price per gallon for that site . This application obtains results from the Page 1 of ContractNo . : 973 - 163 - 10- 1 � rrl t COVY CERTIFICATION ON LAST PA F J . K . BARTON , CLERK i most recent Wright Express authorization data from accepting merchants . No prices older than seven days are presented. Reporting Dashboards Wright Express will provide the Department a reporting dashboard that will show key indicators of the program ' s performance . It is expected that this could include approximately 840 canned reports , with the ability to conduct ad hoc reporting as needed. Wright Express will work with the Department within the first 60 days after contract execution to gather requirements for these reports , and provide a date for first delivery of these reports based on development needs and complexity. i Discount Wright Express will provide a discount of 145 basis points ( 1 . 45 %) off all Monthly Retail Transactions charged to a contract user ' s account prior to submitting the monthly invoice . International Transactions Discounts for international transactions shall be paid at a rate of 50% of the applicable Discount Percentage . Definitions 'Monthly Retail Transactions" shall mean the total amount of all purchases made using Universal Cards at retail (not bulk or private site) locations that appear on invoices provided to you in a calendar month. Monthly Retail Transactions shall not include : (i) those amounts representing credits , disputed items , fees, late fees or charges posted to your accounts (such as returned check fees , collection costs , administrative fees and reporting fees) , or (ii) any amounts posted to an account with respect to which a Card has been reported lost or stolen. Due to billing cycle cut off dates and monthly calendar variances invoices received by you in a given month may contain transactions from the previous month and they may not contain all transactions that occurred during the month in which you were invoiced. The service deliverables above are included in the contract at no additional charge . See Section 4 . 04 for additional contract deliverables . OPTIONAL CONTRACT PRODUCTS The following products may be utilized as part of this contract based on the needs j identified by individual Eligible Users . Additional fees , terms and conditions may apply : National Roadside Assistance The Wright Express card offers national roadside assistance designed to decrease downtime, organize and improve the administration of road services , and reduce costs . Access to roadside assistance is free of charge (no membership required) , but there is a cost for each incident based on the services utilized. Our program provides your drivers with a reliable , toll-free, 24-hour, 365 day a year provider of high-quality roadside assistance program . Contract No . : 973 - 163 - 10 - 1 Page 2 of 5 i � rrl t COVY CERTIFICATION ON LAST PA F J . K . BARTON , CLERK i most recent Wright Express authorization data from accepting merchants . No prices older than seven days are presented. Reporting Dashboards Wright Express will provide the Department a reporting dashboard that will show key indicators of the program ' s performance . It is expected that this could include approximately 840 canned reports , with the ability to conduct ad hoc reporting as needed. Wright Express will work with the Department within the first 60 days after contract execution to gather requirements for these reports , and provide a date for first delivery of these reports based on development needs and complexity. i Discount Wright Express will provide a discount of 145 basis points ( 1 . 45 %) off all Monthly Retail Transactions charged to a contract user ' s account prior to submitting the monthly invoice . International Transactions Discounts for international transactions shall be paid at a rate of 50% of the applicable Discount Percentage . Definitions 'Monthly Retail Transactions" shall mean the total amount of all purchases made using Universal Cards at retail (not bulk or private site) locations that appear on invoices provided to you in a calendar month. Monthly Retail Transactions shall not include : (i) those amounts representing credits , disputed items , fees, late fees or charges posted to your accounts (such as returned check fees , collection costs , administrative fees and reporting fees) , or (ii) any amounts posted to an account with respect to which a Card has been reported lost or stolen. Due to billing cycle cut off dates and monthly calendar variances invoices received by you in a given month may contain transactions from the previous month and they may not contain all transactions that occurred during the month in which you were invoiced. The service deliverables above are included in the contract at no additional charge . See Section 4 . 04 for additional contract deliverables . OPTIONAL CONTRACT PRODUCTS The following products may be utilized as part of this contract based on the needs j identified by individual Eligible Users . Additional fees , terms and conditions may apply : National Roadside Assistance The Wright Express card offers national roadside assistance designed to decrease downtime, organize and improve the administration of road services , and reduce costs . Access to roadside assistance is free of charge (no membership required) , but there is a cost for each incident based on the services utilized. Our program provides your drivers with a reliable , toll-free, 24-hour, 365 day a year provider of high-quality roadside assistance program . Contract No . : 973 - 163 - 10 - 1 Page 2 of 5 i nN LAS TK , RO, pTpnl ri ak l Services Include : 1 I Towing Mechanical first aid s Jump start Tire change • Lockout assistance Fuel and water delivery Roadside Assistance transactions will be reported by vehicle . Through your reporting, you will be able to track your service expenses and maintain control over fleet costs . By using Wright Express , you ' ll get the benefit of pre-negotiated services rates with contracted garages therefore eliminating the need to , search for reputable providers or send out multiple payments at the end of the month. WEXSmartTM WEXSMARTTM is a GPS wireless vehicle management system that helps customers control fuel and maintenance costs , track driver behavior, increase productivity, and manage risk. Utilizing GPS and wireless communications technology, Wright Express ' WEXSMARTTM gives managers real-time access to vehicle position, speed, and engine- operating conditions, through any internet connection. Managers can configure alerts and schedule reports that ensure drivers are where they should be, operating safely, and vehicles are in top operating condition, using fuel efficiently . Price Risk Management With Pricelock' s Universal Retail Price Protection program, you can be on your way to guaranteed budget predictability and control in three simple steps : 1 . Lock in protection by estimating the number of gallons of fuel at a daily price for your area. Buy the option to purchase a specified number of gallons (minimum 42 , 000 per month) at a locked-in price for a specified term. 2 . Swipe and pump with peace of mind. Fuel your vehicles at more than 135 , 000 stations nationwide for the specified period of purchase . You are protected if prices go up beyond your option price . Enjoy the benefit of lower prices if fuel drops below the locked option price . 3 . Manage your fuel either by reviewing customized monthly statements provided by Pricelock or by visiting Pricelock. com to manage your committed gallons , review historical and current market trends and gain insight into factors that may influence fuel costs thus affecting your future purchasing decisions . Page 3 of 5 Contract No. : 973 - 163 - 10- 1 nN LAS TK , RO, pTpnl ri ak l Services Include : 1 I Towing Mechanical first aid s Jump start Tire change • Lockout assistance Fuel and water delivery Roadside Assistance transactions will be reported by vehicle . Through your reporting, you will be able to track your service expenses and maintain control over fleet costs . By using Wright Express , you ' ll get the benefit of pre-negotiated services rates with contracted garages therefore eliminating the need to , search for reputable providers or send out multiple payments at the end of the month. WEXSmartTM WEXSMARTTM is a GPS wireless vehicle management system that helps customers control fuel and maintenance costs , track driver behavior, increase productivity, and manage risk. Utilizing GPS and wireless communications technology, Wright Express ' WEXSMARTTM gives managers real-time access to vehicle position, speed, and engine- operating conditions, through any internet connection. Managers can configure alerts and schedule reports that ensure drivers are where they should be, operating safely, and vehicles are in top operating condition, using fuel efficiently . Price Risk Management With Pricelock' s Universal Retail Price Protection program, you can be on your way to guaranteed budget predictability and control in three simple steps : 1 . Lock in protection by estimating the number of gallons of fuel at a daily price for your area. Buy the option to purchase a specified number of gallons (minimum 42 , 000 per month) at a locked-in price for a specified term. 2 . Swipe and pump with peace of mind. Fuel your vehicles at more than 135 , 000 stations nationwide for the specified period of purchase . You are protected if prices go up beyond your option price . Enjoy the benefit of lower prices if fuel drops below the locked option price . 3 . Manage your fuel either by reviewing customized monthly statements provided by Pricelock or by visiting Pricelock. com to manage your committed gallons , review historical and current market trends and gain insight into factors that may influence fuel costs thus affecting your future purchasing decisions . Page 3 of 5 Contract No. : 973 - 163 - 10- 1 _—_ -- --- - - - -- A TRUE: COPY GERTiFiCATJON ON LAS -1 l - K: BARTON M. FRK I 3 . 0 SUMMARY OF PEANALTY FOR FAILURE OF CONTRACTOR TO MEET DELIVERALBES See PUR 1000 Section 23 (Termination for Cause) for details . 4 . 0 EFFECTIVE DATE This Contract shall begin on the last date in which it is signed by all parties, whichever is later. 5 . 0 EXPIRATION DATE This Contract shall expire 5 years from the effective date of the Contract, unless cancelled earlier in accordance with its terms . 6 . 0 RENEWAL Upon mutual written agreement, the Department and the Contractor may renew the Contract for 5 additional years pursuant to the provision of PUR 1000 Section 26 . 7 . 0 INTELLECTUAL PROPERTY The parties do not anticipate that any intellectual property will be developed as a result of this contract. However, any preexisting software, or other work of authorship used by Contractor, to create a Deliverable but which exists as a work independently of the Deliverable, shall remain the property of the Contractor. 8 . 0 PREFERRED PRICE The Contractor agrees to submit to Customer at least annually an affidavit fi•om an authorized representative attesting that the Contractor is in compliance with the preferred pricing provision in Section 4(b) of form PUR 1000 . 9.0 TRANSITION If, at any time, this Contract is canceled, terminated or otherwise expires, and a Contract is subsequently executed with a fnin other than the Contractor, the Contractor has the affirmative obligation to assist in the smooth transition of Contract services to the subsequent Contractor, including providing documents and information not otherwise protected from disclosure by law and other reasonable requests made by the Contract Administrator. 10 . 0 CONTRACT DOCUMENTS This Contract, together with the following documents, set forth the entire understanding of the parties with respect to the subject matter. In case of conflict, the ten-ns of this Contract shall control . If a conflict exists among any of the documents, the documents shall have priority after the contract document in the order listed : A. ITN No . . 15-973463-X (the solicitation document - amendments thereto take precedence) . B . Contractor' s Response to the ITN . 11 .0 CONTRACT MANAGEMENT A. Contract Administrator The Department employee who is primarily responsible for maintaining the Contract administration file shall be as follows : David A. Bennett Division of State Purchasing Department of Management Services Pave 4 of 5 Contract No . : 973 - 163 - 10 - 1 I _—_ -- --- - - - -- A TRUE: COPY GERTiFiCATJON ON LAS -1 l - K: BARTON M. FRK I 3 . 0 SUMMARY OF PEANALTY FOR FAILURE OF CONTRACTOR TO MEET DELIVERALBES See PUR 1000 Section 23 (Termination for Cause) for details . 4 . 0 EFFECTIVE DATE This Contract shall begin on the last date in which it is signed by all parties, whichever is later. 5 . 0 EXPIRATION DATE This Contract shall expire 5 years from the effective date of the Contract, unless cancelled earlier in accordance with its terms . 6 . 0 RENEWAL Upon mutual written agreement, the Department and the Contractor may renew the Contract for 5 additional years pursuant to the provision of PUR 1000 Section 26 . 7 . 0 INTELLECTUAL PROPERTY The parties do not anticipate that any intellectual property will be developed as a result of this contract. However, any preexisting software, or other work of authorship used by Contractor, to create a Deliverable but which exists as a work independently of the Deliverable, shall remain the property of the Contractor. 8 . 0 PREFERRED PRICE The Contractor agrees to submit to Customer at least annually an affidavit fi•om an authorized representative attesting that the Contractor is in compliance with the preferred pricing provision in Section 4(b) of form PUR 1000 . 9.0 TRANSITION If, at any time, this Contract is canceled, terminated or otherwise expires, and a Contract is subsequently executed with a fnin other than the Contractor, the Contractor has the affirmative obligation to assist in the smooth transition of Contract services to the subsequent Contractor, including providing documents and information not otherwise protected from disclosure by law and other reasonable requests made by the Contract Administrator. 10 . 0 CONTRACT DOCUMENTS This Contract, together with the following documents, set forth the entire understanding of the parties with respect to the subject matter. In case of conflict, the ten-ns of this Contract shall control . If a conflict exists among any of the documents, the documents shall have priority after the contract document in the order listed : A. ITN No . . 15-973463-X (the solicitation document - amendments thereto take precedence) . B . Contractor' s Response to the ITN . 11 .0 CONTRACT MANAGEMENT A. Contract Administrator The Department employee who is primarily responsible for maintaining the Contract administration file shall be as follows : David A. Bennett Division of State Purchasing Department of Management Services Pave 4 of 5 Contract No . : 973 - 163 - 10 - 1 I r � 1� RUf (; t) PY SFR ? IFIGAT40 "r V 4050 Esplanade Way, Suite 360 Tallahassee, FL 32399-0950 Telephone: (850) 9214072 Fax: ( 850) 414-6122 E-mail: David. Bennett@dms . myflorida. com The Department may appoint a different Contract Administrator, which shall not constitute an amendment to the Contract, by sending written notice to Contractor. Any communication to the Department relating to the Contract shall be addressed to the Contract Administrator. B . Contractor' s Representative Sharon Linnane, Government Account Manager Wright Express Corporation 97 Darling Avenue South Portland, Maine 04106 Telephone : (941 )761 -0000 Fax : (207) 523 -6377 E-mail : Sharon liiinalie@wrightopress . com With a copy to : General Counsel Wright Express Corporation 97 Darling Avenue South Portland, Maine 04106 Telephone : (207) 523 -7366 Fax: (207) 523m6377 State of Florida Approved as to form and legality Department of Management Services by the Department General Counsel ' s Office By : Lin a H. South Au Alf Date Dat& Wright Express Financial Services AS Corporation �r�TO Fo M ----------- jog Signature Kirk S. Weiler, President and CEO Print Name Date ContractNo , : 973 - 16340 - 1 Page 5 of r � 1� RUf (; t) PY SFR ? IFIGAT40 "r V 4050 Esplanade Way, Suite 360 Tallahassee, FL 32399-0950 Telephone: (850) 9214072 Fax: ( 850) 414-6122 E-mail: David. Bennett@dms . myflorida. com The Department may appoint a different Contract Administrator, which shall not constitute an amendment to the Contract, by sending written notice to Contractor. Any communication to the Department relating to the Contract shall be addressed to the Contract Administrator. B . Contractor' s Representative Sharon Linnane, Government Account Manager Wright Express Corporation 97 Darling Avenue South Portland, Maine 04106 Telephone : (941 )761 -0000 Fax : (207) 523 -6377 E-mail : Sharon liiinalie@wrightopress . com With a copy to : General Counsel Wright Express Corporation 97 Darling Avenue South Portland, Maine 04106 Telephone : (207) 523 -7366 Fax: (207) 523m6377 State of Florida Approved as to form and legality Department of Management Services by the Department General Counsel ' s Office By : Lin a H. South Au Alf Date Dat& Wright Express Financial Services AS Corporation �r�TO Fo M ----------- jog Signature Kirk S. Weiler, President and CEO Print Name Date ContractNo , : 973 - 16340 - 1 Page 5 of ADDENDUM TO THE FUEL CARD SERVICES AGREEMENT BETWEEN WRIGHT EXPRESS FINANCIAL SERVICES CORPORATION ("WEX FSC ") AND THE STATE OF FLORIDA DEPARTMENT OF MANAGEMENT SERVICES (the " STATE ") CREDIT INFORMATION Participating Entity agrees that in the event the account is not paid as agreed , WEX FSC may report the undersigned' s liability for and the status of the account to credit bureaus and others who may lawfully receive such information . Participating Entity Phone # Fax# Business Name and Physical Address (Do not include PO Box) Applicant' s Taxpayer ID # (TIN , FEIN or SSN ) In Business Since (yyyy) Year of Incorporation (yyyy) Number of Vehicles Avg Monthly Fuel Expenditures Avg Monthly Service Expenditures $ $ ACCOUNT SETUP INFORMATION Write Participating Entity name as you wish it to appear on cards . Limit of 20 characters & spaces . Unless specified, no company name will appear on cards . Billing Contact Billing Address City State Zip+4 Designate the Fleet Contact authorized to receive all charge cards, reports , and other such information we provide from time to time and to take actions with respect to your account and account access. This is also the person designated by your company to provide all fleet vehicles , driver and other information we may request. Authorized Fleet Contact Name Title Phone # Fax # Mailing Address (if different from billing address) City State Zip+ 4 Email address ( required to take advantage of product type card controls) Card Controls : To help us estimate your credit needs, indicate the types of cards you anticipate using . If you provide a valid email address above, you can select from these product type options : ❑ All Products ❑ Fuel & Service ❑ Fuel & Fluids with Roadside Assistance ❑ Fuel with Roadside Assistance ❑ Mix of card types ❑ Check here if business is exempt from motor fuels tax DEFINITIONS : "Agreement" means : Contract No.973A 63-10-1 effective August 6 , 2010 for Fuel Cards and Fuel Management Services (the "Agreement") between the State of Florida Department of Management Services and WEX FSC . " Participating Entity" shall mean the Participating Entity as defined in the Agreement permitted to purchase services under the Agreement, as specified in the Credit Information above . All other capitalized terms used in this Addendum without definition have the meanings set forth in the Agreement. AGREEMENTS OF WEX FSC AND PARTICIPATING ENTITY: 1 . This Addendum is to allow the Participating Entity to participate under the Agreement between WEX FSC and the State . It does not modify , amend or change the Agreement in any way . 2 . Participating Entity represents that it is authorized or allowed by the laws of its home state to enter into this Addendum and to participate under the. : . . . Agreement. 3 . Participating Entity hereby requests the services of WEX FSC described in the Agreement and agrees to perform all duties of a Partin ti ity under�i� the Agreement, including , without limitation , payment of all charges on its account(s ) within the time periods provided under the Agr"9pera t , nt fees provided in the Agreement, and cooperation with respect to providing all necessary information for the administration of the AgM�O ent. Entity agrees to be bound by the terms and conditions of the Agreement , including , without limitation , rules for authorized and unau�t6ri2ed use disputes of charges , reporting lost and stolen cards , and all other rules and provisions relating to use of Participating Entity's accourj. of ' If failure to make timely payment in accordance with the terms of the Agreement 4 . Participating Entity acknowledges that its and/or the A% um m suspension or cancellation of the account(s ) . The undersigned represents and warrants that he/she is duly authorized to execute this i �`rWf ; ' of the Participating Entity and this Addendum is the valid and binding obligation of the Participating Entity, enforceable in accordance eir p rpU ;.° INFORMATION SHARING DISCLOSURE : Information regarding your transactions may be provided to the State , accepting merchants or their serv`fireifiYTdef�"»» to facilitate discounts or other promotional campaigns of interest to you . U . S .A . PATRIOT ACT : Our bank complies with Section 326 of the USA PATRIOT Act which requires all financial institutions to obtain , verify , and record information that identifies each company or person who opens an account. What this means for you : when you open an account, we will ask for your na e , address , date of birth , and other information that will allow us to identify you . We may also ask to see your driver's license or other identifying documents ur of business . DISCLAIMER: THIS IS AN APPLICATION FOR SERVICES AND SHALL NOT BE BINDING UPON WEX FSC UNTIL FINAL CREDIT APPRO HAS BEEN GRANTED BY WEX FSC . CONTRACTING AGENCY AUTHORIZED SIGNATURE REQUIRED km Any person signing on behalf of the Participating Entity has been duly y t�eFessary action of Applicant's governing body, and that the undersigned is authorized to make this a cation on behalf of the Participating Entik'[ � � Signature : G ted Name : Gar C Wheeler r Title : ' Date : i 7 2012 Complete a 'sign dum . Fax to 866 -527 -8873 . 2 oo . - . Oppty Number Sales Cod y' PlasType Coupon Code Account Number .. n 10914030``69 ^ .• • � 'F'L2 FL2 04 �T 04 . ADDEND . CRDAPP ( 11 /08 ) ;111 11 ik A ADDENDUM TO THE FUEL CARD SERVICES AGREEMENT BETWEEN WRIGHT EXPRESS FINANCIAL SERVICES CORPORATION ("WEX FSC ") AND THE STATE OF FLORIDA DEPARTMENT OF MANAGEMENT SERVICES (the " STATE ") CREDIT INFORMATION Participating Entity agrees that in the event the account is not paid as agreed , WEX FSC may report the undersigned' s liability for and the status of the account to credit bureaus and others who may lawfully receive such information . Participating Entity Phone # Fax# Business Name and Physical Address (Do not include PO Box) Applicant' s Taxpayer ID # (TIN , FEIN or SSN ) In Business Since (yyyy) Year of Incorporation (yyyy) Number of Vehicles Avg Monthly Fuel Expenditures Avg Monthly Service Expenditures $ $ ACCOUNT SETUP INFORMATION Write Participating Entity name as you wish it to appear on cards . Limit of 20 characters & spaces . Unless specified, no company name will appear on cards . Billing Contact Billing Address City State Zip+4 Designate the Fleet Contact authorized to receive all charge cards, reports , and other such information we provide from time to time and to take actions with respect to your account and account access. This is also the person designated by your company to provide all fleet vehicles , driver and other information we may request. Authorized Fleet Contact Name Title Phone # Fax # Mailing Address (if different from billing address) City State Zip+ 4 Email address ( required to take advantage of product type card controls) Card Controls : To help us estimate your credit needs, indicate the types of cards you anticipate using . If you provide a valid email address above, you can select from these product type options : ❑ All Products ❑ Fuel & Service ❑ Fuel & Fluids with Roadside Assistance ❑ Fuel with Roadside Assistance ❑ Mix of card types ❑ Check here if business is exempt from motor fuels tax DEFINITIONS : "Agreement" means : Contract No.973A 63-10-1 effective August 6 , 2010 for Fuel Cards and Fuel Management Services (the "Agreement") between the State of Florida Department of Management Services and WEX FSC . " Participating Entity" shall mean the Participating Entity as defined in the Agreement permitted to purchase services under the Agreement, as specified in the Credit Information above . All other capitalized terms used in this Addendum without definition have the meanings set forth in the Agreement. AGREEMENTS OF WEX FSC AND PARTICIPATING ENTITY: 1 . This Addendum is to allow the Participating Entity to participate under the Agreement between WEX FSC and the State . It does not modify , amend or change the Agreement in any way . 2 . Participating Entity represents that it is authorized or allowed by the laws of its home state to enter into this Addendum and to participate under the. : . . . Agreement. 3 . Participating Entity hereby requests the services of WEX FSC described in the Agreement and agrees to perform all duties of a Partin ti ity under�i� the Agreement, including , without limitation , payment of all charges on its account(s ) within the time periods provided under the Agr"9pera t , nt fees provided in the Agreement, and cooperation with respect to providing all necessary information for the administration of the AgM�O ent. Entity agrees to be bound by the terms and conditions of the Agreement , including , without limitation , rules for authorized and unau�t6ri2ed use disputes of charges , reporting lost and stolen cards , and all other rules and provisions relating to use of Participating Entity's accourj. of ' If failure to make timely payment in accordance with the terms of the Agreement 4 . Participating Entity acknowledges that its and/or the A% um m suspension or cancellation of the account(s ) . The undersigned represents and warrants that he/she is duly authorized to execute this i �`rWf ; ' of the Participating Entity and this Addendum is the valid and binding obligation of the Participating Entity, enforceable in accordance eir p rpU ;.° INFORMATION SHARING DISCLOSURE : Information regarding your transactions may be provided to the State , accepting merchants or their serv`fireifiYTdef�"»» to facilitate discounts or other promotional campaigns of interest to you . U . S .A . PATRIOT ACT : Our bank complies with Section 326 of the USA PATRIOT Act which requires all financial institutions to obtain , verify , and record information that identifies each company or person who opens an account. What this means for you : when you open an account, we will ask for your na e , address , date of birth , and other information that will allow us to identify you . We may also ask to see your driver's license or other identifying documents ur of business . DISCLAIMER: THIS IS AN APPLICATION FOR SERVICES AND SHALL NOT BE BINDING UPON WEX FSC UNTIL FINAL CREDIT APPRO HAS BEEN GRANTED BY WEX FSC . CONTRACTING AGENCY AUTHORIZED SIGNATURE REQUIRED km Any person signing on behalf of the Participating Entity has been duly y t�eFessary action of Applicant's governing body, and that the undersigned is authorized to make this a cation on behalf of the Participating Entik'[ � � Signature : G ted Name : Gar C Wheeler r Title : ' Date : i 7 2012 Complete a 'sign dum . Fax to 866 -527 -8873 . 2 oo . - . Oppty Number Sales Cod y' PlasType Coupon Code Account Number .. n 10914030``69 ^ .• • � 'F'L2 FL2 04 �T 04 . ADDEND . CRDAPP ( 11 /08 ) ;111 11 ik A _ ATRIJhGf{3� py II pp �t A / [ - 4 OR G1 T�l �� � CONTRACT BETWEEN FLORIDA DEPARTMENT OF MANAGEMENT SERVICES AND Wright Express Financial Services Corporation This Contract is by and between the State of Florida, Department of Management Services (Department), Division of State Purchasing (Division), an agency of the State of Florida with offices at 4050 Esplanade Way , Tallahassee, Florida 32399 -0950 , and Wright Express Financial Services Corporation (Contractor or Wright Express) . Whereas, the Contractor replied to the Division ' s Invitation to Negotiate (ITN) , No . : 15 -973463 -X — Fuel Card Services; Accordingly, and in consideration of the mutual promises contained in the Contract documents , the Department and the Contractor do hereby enter into this Contract. 1 . 0 SUMMARY OF THE CONTRACTUAL SERVICES / SCOPE OF WORK This Contract is to provide a Fleet Fuel Card Program for Vehicle Fleets owned by state agencies and Eligible Users in the State of Florida . The Fleet Fuel Card will be built on a Universal Platform . The Fleet Fuel Card Program will include the purchase of Fuel and , any commodity and/or service for immediate use by the Eligible User to maintain daily operation of their vehicle fleet. Also, the Fuel Card may be used at Marinas and/or Airports as allowed for ' Marine Fleets and/or Aircraft Fleets . The Department seeks to improve quality and efficiency of services delivered, improve Eligible User services and reduce cost. 2 . 0 DELIVERABLES Florida Department of Transportation (FDOT) Bulk Fueling Sites Within 45 days of contract execution, FDOT and Wright Express will develop policies and procedures for transactions occurring at FDOT owned bulk fueling sites . Fuel Price Mapping WEXOnline contains a real-time fuel price mapping feature that allows fleets to see fuel price information based on recent Wright Express cardholder transactions at accepting merchant locations . This pricing information is fed into maps which include both satellite and standard map views . Results are updated with the most recent Wright Express transactions , showing you which stations have had the lowest prices in the area of your search. No prices older than seven days are presented. Search criteria include address , city, state, zip code , brand and PPG . Fuel Site Mapping Mobile Application The Fuel Site Mapping Mobile tool is a mobile application that allows users to enter into a web enabled mobile device (i. e . Blackberry, iPhone) their current location via GPS , .zip code or address , as well as desired fuel type and search radius . The application returns a list of accepting merchants with address, distance from current location, and date and time of the last price per gallon for that site . This application obtains results from the Page 1 of ContractNo . : 973 - 163 - 10- 1