7697 - Informal Amendment 1 Executed
Procurement & Compliance
901 B Texas St., Denton, TX 76209 y (940) 349-7100
OUR CORE VALUES
Integrity y Fiscal Responsibility y Inclusion yTransparency y Outstanding Customer Service
January 20, 2022
Mr. Robert Autor
Invoice Cloud, Inc.
30 Braintree Hill Office Park
Suite 303
Braintree, Massachusetts 02184
rautor@invoicecloud.com
Ref: RFP 7697 Integrated Utility Payment Solutions
Mr. Autor:
The City of Denton (COD) has reviewed and accepts the addition of the following new line items to
contract 7697 with your firm:
Line Description Unit Price UOM
Invoicing – Outbound Campaigns – Call $0.10 Per Transaction
Invoicing – Outbound Campaigns – Email $0.05 Per Transaction
Invoicing – Outbound Campaigns – Text $0.10 Per Transaction
Invoicing – Outbound Campaigns – Monthly
(Email/Text/Call) 0.00 Monthly
All terms and conditions of the contract shall apply. If your firm is in agreement, please sign and
return this letter to my attention. We look forward to future business with your firm.
Regards,
___________________________ ___________________________
Erica Garcia Robert Autor
Compliance & Procurement Invoice Cloud, Inc.
Add-On to the Biller Order Form
SALES INFORMATION
IC Sales Rep Rich Dickerson Vertical Local Gov (Util, Tax, Misc)
Order Date 1/20/2022 Sales Partner Harris - Northstar Software Partner Harris - Northstar
PRODUCTS AND SERVICES
Products [Outbound Campaigns]
PAYMENT METHODS ACCEPTED
Payment Types rdickerson@invoicecloud.com
BILLER INFORMATION
Ownership Type Government Phone (940) 349-8200 Fax
Legal Name City of Denton Website URL cityofdenton.com
Address 1 215 E McKinney St Bus. Open Date 1866
Address 2 Federal Tax ID
City Denton *Federal Tax ID and Legal Name must match on all documents
State TX ZIP 76201 Array
BILLER CONTACT
Primary Contact Name Erica Garcia
Phone ϵϰϬͲϯϰϵͲϳϭϯϭ
Email Address erica.garcia@cityofdenton.com
SIGNING AUTHORITY
Name Erica Garcia Title
Phone (940)
349-ϳϭϯϭ Fax Email Address erica.garcia@cityofdenton.com
BILLER PRICING
Description Interval Cost Type Cost
Invoicing - Outbound Campaigns - Call Per Transaction Fixed ($) $0.10
Invoicing - Outbound Campaigns - Email Per Transaction Fixed ($) $0.05
Invoicing - Outbound Campaigns - Text Per Transaction Fixed ($) $0.10
Invoicing - Outbound Campaigns -
Monthly (Email/Text/Call) Monthly Fixed ($) $0.00
HARDWARE
Card Reader Type Quantity Cost per Reader
Card Reader Billing Interval
Shipping Addr.
(if different than
location address)
Kiosk Type Device Quantity Per Device Txn Min Note: Biller will be charged for the minimum number of transactions listed to left each
Standard/In-Door 750 month per kiosk unity. In addition, if the Biller's order includes kiosks then the terms
Thru-Wall 800 and conditions of Kiosk Managed Standard SOW (and applicable schedules) are hereby
Outdoor Model 850 agreed and incorporated by reference
BILLER BANK INFO
Note: Must include voided business check or bank letter for each unique account
Billing Method
Name on Account Bank Name
Bank Address Phone
Routing # 121000248 Last 4 Acct # 1529
DATA RETENTION
Months to Keep 24 *Additional Fees apply if greater than 24 months
NOTES/SPECIAL HANDLING
CERTIFICATION AND AGREEMENT
A. By signing below, the Biller hereby ratifies its authorization for Invoice Cloud, Inc. ("Invoice Cloud") to execute debit/credit entries to its checking/deposit account(s)
indicated above at the depository financial institution(s) named above and to debit/credit the same such account(s). The Biller acknowledges that the origination of
ACH transactions to its account(s) must comply with the provisions of U.S. law. This authority is to remain in full force and effect until (i) Invoice Cloud has received
written notification (by electronic or U.S. mail) from the Biller of its revocation in such time and manner as to allow Invoice Cloud a reasonable opportunity to act on
it, but not less than 10 business days notice; and (ii) all obligations of the Biller to Invoice Cloud that have arisen under this Agreement and all other agreements have
been paid in full. The Biller must also notify Invoice Cloud, in writing, (by electronic or U.S. mail) when a change in account number(s) or bank has occurred at which
time this authorization shall apply to such new/changed account. This notification must be received within 10 business days of change. A fee will be charged for any
returned ACH debits.
B. By signing below, the Biller named: (1) has read, agreed to, ratifies the Biller Agreement, Biller T+C and other Order Forms previously executed by the Biller, and (2)
certifies to Invoice Cloud that he/she is authorized to sign this Add on to the Biller Order Form; (3) certifies that all information and documents submitted in
connection with this Order Form are true and complete; (4) authorizes Invoice Cloud or its agent to verify any of the information given, including credit references,
and to obtain credit reports (including a spouse if in a community property state); (5) agrees to pay the Monthly Access Fee through the last day of the month
following the effective date of termination as provided in the Billing Agreement; (6) agrees that Biller and each transaction submitted will continue to be bound by
the Order Form and the Biller Agreement in its entirety and any new agreement forms executed herewith; (7) If the Biller's order includes kiosks, then the terms and
conditions of Kiosk Managed Services Standard SOW (and applicable schedules) are hereby agreed and incorporated by reference.(8) agrees that Biller will submit
transactions only in accordance with the information in this Add on to the Biller Order Form and Biller Agreement and will immediately inform Invoice Cloud, by email
(contracts@invoicecloud.com) if any information in this Order Form changes, and (9) the Biller agrees and understands that outstanding sums due and owing to
Invoice Cloud., will be charged daily or monthly and debited from its current depository account. Non-sufficient funds for these debits are grounds for a change in
fees or termination of this Agreement. In the event of non-payment of any sums due, Invoice Cloud reserves the right to withdraw such sums from the current
depository account at any time to ensure payment of the same.
C. Pay by Text: Standard data rates and text messaging rates may apply based on the payer's plan with their mobile phone carrier. Payer can opt out of text messaging
at any time with Invoice Cloud. Partial payment or overpayment is not supported. Service fees may apply based on the biller set up with Invoice Cloud. Biller may not
use the service for activities that violate any law, statute, ordinance or regulation.
D. By signing below, the Biller hereby gives permission to Invoice Cloud to access his / her credit history via Trans Union, Equifax, or other credit-reporting agency.
E. This Add on to the Order Form will become effective only when counter-signed by Invoice Cloud and upon execution by the Biller of such third party agreement
required by Invoice Cloud to permit use of the payment function of the Service.
F. If the Biller's order includes kiosks, then the terms and conditions of Kiosk Managed Services Standard SOW (and applicable schedules) are hereby agreed and
incorporated by reference.
In WITNESS WHEREOF, the parties have executed this Agreement as of this day
Accepted by Biller: Accepted by Invoice Cloud, Inc.:
X X
Corporate Officer Corporate Officer
Erica Garcia Robert S. Autor
Printed Name Printed Name
Chief Operating Officer
Title Title
ƵLJĞƌ