OWN Home Friendly People TOWN COEBURN OF "The Home of Friendly People" Jimmy F. Williams Jr, Town Manager Kathy Sharpe, Clerk/Treasurer Scott Brooks, ChiefofPolice Town Council Deventae Mooney, Mayor Sharon Still, Vice. Mayor Jeffrey G. Kiser Carles Collins Joe Still Coeburn Town Council Regular Council Meeting Monday, April 10, 2023 6:30pm 1. Call to Order 2. Roll Call 3. Invocation 4. Pledge of Allegiance 5. Public Expression Any citizen, taxpayer, or interested person is welcome to come forth and state his or her views concerning the Town. (Please state: your name; physical address; whether you live in town or out-of-town, and if you are served by the town, or if you are a business owner in town. Please limit your comments andlor questions to 5 minutes). 6. Approval of Agenda (amendment by majority vote) 7. Reports a. Fire Department - Cliff Hawkins, Chief b. Police Department - Scott Brooks, Chief - Water Plant - Brian Markham d. Town Manager Report - Jimmy F. Williams Jr, Town Manager e. Public Works - Jeff Livingston f. The Lane Group- Chris Mullins, Project Manager g. Treasurer/Clerk - Kathy Sharpe, Treasurer h. Attorney Report t- Will Sturgill Regular Council Meeting Monday, April 10, 2023 6:30pm 403 Second St. N.E. . P.O. Box 370 . Coeburn, Virginia 24230 Phone (276) 395-3323 . Fax (276) 395-3648 Page 1 8. New Business a. Petition to Destroy Town Records b. Invoice Cloud, Payment Services Network, Inc C. Utility Rate Survey, FY-2023 d. Train Depot Discussion e. Public Expression Discussion . July 4th Fireworks g. Hillcom 9. Old Business a. Ringley Park Discussion b. Crime Prevention - Remembrance Sign Dedication 10.Closed Session in accordance with Virginia Code $2.2-3711(A. Certification of Closed Session ii. Roll Call Vote 11.Reconvene Open Meeting 12.Council Actions from Closed Session 13.Council Comments and Concerns 14.Adjournment Regular Council Meeting Monday, April 10, 2023 6:30pm 403 Second St. N.E. . P.O. Box 370 . Coeburn, Virginia 24230 Phone (276) 395-3323 . Fax (276) 395-3648 Page2 SOWNO) The Homeof Friendly People RN Treasurer's Report Regular Meeting 4-10-2023 Total Accounts Payable. Due: $56,493.65 Interim Accounts Payable: $283,861.17 March 13, 2023 Regular Meeting Minutes March 27, 2023 Workshop Meeting Minutes Posted Cash Balance as of 4/262023: $234,783.88** Accounts Payable Due: $56,493.65 Outstanding Checks: $70,964.59 Total Cash Availability: $107,325.64 Minutes Cash Report Bank Account Balances American Recovery: $1,005,988.48 ($957,109.00 was the beginning balance on this account. Another $957,109.00 was deposited 7/22/2022) Most recent expenditures: Pool Pump/Pool Filter, etc. **See. Attachment**. UTI Escrow: $133,390.26 Police Dept. Restitution: 1,422.99 Police Dept. Special Events: $713.73 Redi Access: $85,494.41 Special Events: $290.41 Ringley Expansion Project: $3,774.27 (Swings $2,997.00) (Merry Go Round and Teeter Totter $23,052.00) VRA Reserve Fund: $51,115.80 ($6,900.00 was deposited into the account which was required by VRA for the Water System Improvement: Project..another $21,995.04 was deposited which was reimbursed for interest thei town paid Powell Valley National Bank). American Recovery Account Deposits and Interest Date 7/16/2021 8/11/2021 9/30/2021 12/31/2021 3/31/2022 6/30/2022 7/22/2022 9/30/2022 12/31/2022 2/10/2023 3/28/2023 3/31/2023 Amount Deposit Depost Interest Interest Interest Interest Deposit Interest Interest Interest $ $ $ $ $ $ $ $ $ $ $ $ Total $ 949,458.00 7,651.00 201.37 231.92 220.61 210.43 957,109.00 349.72 358.79 10,000.00 2,500.00 287.70 1,928,578.54 Transferred From Combined (WSIP Reimbursed) Fire Hydrant (Reimbursed-Ins. Paid) Expenditures 10/22/2021 10/22/2021 11/17/2021 11/29/2021 3/21/2022 4/29/2022 5/27/2022 5/27/2022 5/11/2022 6/15/2022 6/24/2022 6/24/2022 6/24/2022 7/12/2022 7/12/2022 7/12/2022 7/12/2022 7/12/2022 7/14/2022 8/4/2022 8/18/2022 8/26/2022 9/1/2022 9/15/2022 9/21/2022 9/29/2022 9/29/2022 Premium Pay Pool Chairs Marquee Sign $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 26,250.00 1,942.65 23,876.74 10,500.00 2,380.00 6,030.64 40,460.00 10,155.00 35,898.73 4,845.00 397.60 7,482.67 8,449.06 4,320.60 936.79 3,986.80 9,765.88 4,911.71 56,929.91 20,814.13 3,031.57 78,495.30 51,203.20 1,994.00 11,133.00 4,320.60 6,437.00 Premium Pay- Police Department Water Treatment Plant Computers Delinquent Accounts WaterT Treatment Plant Jetter & Flocculator Concrete Planters Utility Penalty & Interest Building & Grounds Trailer Penalty & Interest Missed for Covid Relief Water Treatment Plant Filter Change Pool & Office Items Town Signs Water Treatment Plant Pump Sewer Repairs & Materials Christmas Decorations Sewer Repairs & Materials T& B Contractors Inc (Charcoal Filters) VFD Box Installed to Flocculator Ford F550 Dump Truck T& B Contractors Inc (Filter Media Project) T& B Contractors Inc (8" flanged gate valve install) Salt Spreader Town Signs (Second Payment) T& B Contractors Inc (Pipe Gallery Upgrades) Water Treatment Plant Flocculator Installation 10/13/2022 11/15/2022 11/15/2022 11/15/2022 11/23/2022 11/28/2022 12/8/2022 12/12/2022 12/20/2022 12/28/2022 1/19/2023 1/19/2023 1/25/2023 2/2/2023 2/2/2023 2/16/2023 2/16/2023 3/2/2023 3/2/2023 3/2/2023 3/23/2023 4/6/2023 Hopper Spreader Town Signs Computers Sewer Repairs & Materials Sewer Repairs & Materials Fire Hydrant Fountain Enclosure Signs and Cones Garbage Truck Magic Box Propane Heater Lenowisco WSIP Payroll Flatwoods Pump Station Meters & Supplies External Defibrillators UTV Parts Hydromatic Pump & Install (Guest River Station) Meter/HyirantSuplie: Fire Department Uniforms/Equpment Lay's- Installation of Heat Pump Pool- - Pump/Filter etc. $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Total $ 7,971.57 9,207.21 14,948.90 17,740.00 11,066.95 22,749.90 2,500.00 15,492.00 8,659.10 209,900.00 3,100.00 1,771.01 10,000.00 3,597.20 13,987.50 29,994.00 632.87 18,824.50 14,171.27 36,763.48 600.00 31,964.02 922,590.06 1,005,988.48 2022 Can-Am Defender Pro DPS HD10 Snow Plow Etc. $ Account Balance $ Accounts Payable Due Vendor Name A&AE Enterprises Inc Amazon Capital Services Bentley Distributing Inc Bentley Distributing Inc Bentley Distributing Inc Bentley Distributing Inc Beverly's Gun Shop CNW Regional Waste Water Cell Phone Repair Collins Full Service Cox Tractor Company Inc Dalton Britton DJs Truck Parts DJs Truck Parts Funk Drilling Co Homel Hardware &F Furniture KVAT Food City Stores Inc Lee Propane Minnesota Life Ins Co MSE Companies The Coalfield Progress Tiffany Gibson United! States Treasury United States Treasury USA Bluebook VFIS VFIS VUPS Inc William Sturgill Doc Desc Doc Date Due Date Amount 4/5/2023 4/13/2023 $ 4/1/2023 4/13/2023 $ 841.92 3/22/2023 4/13/2023) $ 3/31/2023 4/13/2023 $ 10.00 3/31/2023 4/13/2023 $ 19.00 3/31/2023 4/13/2023 $ 3/31/2023 4/13/2023 3/27/2023 4/10/2023 $29,107.00 4/5/2023 4/13/2023] 3/30/2023 4/13/2023 3/24/2023 4/13/2023 4/2/2023 4/13/2023 3/27/2023 4/13/2023 3/27/2023 4/13/2023 3/29/2023 4/13/2023 3/24/2023 4/13/2023 4/6/2023 4/13/2023 $5,633.18 3/29/2023 4/13/2023 $1,508.00 4/4/2023 4/13/2023 3/24/2023 4/13/2023 $6,210.00 3/29/2023 4/13/2023 3/14/2023 4/13/2023 4/1/2023 4/13/2023 4/3/2023 4/13/2023 $1,117.73 4/3/2023 4/13/2023 3/27/2023 4/13/2023 $5,087.71 3/2/2023 4/13/2023 3/2/2023 4/13/2023 3/31/2023 4/13/2023 4/1/2023 4/10/2023 $1,500.00 Police Dept. Uniforms B& G- Headlight Assembly/Flags Town Hall Town Hall Police Dept.- Restitution. Reimbursement Police Dept. Restitution Reimbursement Police Dept.- Ammunition Monthly Fee Computer Backup & Protection B&g-Unit018 B&G- Grass Dept.- Supplies for Wheel Deck Depot- Deposit Refund Water Dept.- Bolts/Washers/Nuts B&G-Safety Glasses/Cable Ties Sanitation Dept.- Unit 011 B&G-Keys B&G G//Fire Dept./Police Dept./Sanitation/ Sewer Dept./Water Dept. B&G-Shop Employee Insurance Sanitation Dept. Dumpsters Admin./Public Heating- Abandon Alleyway Depot- Deposit Refund Payroll Taxes Payroll Taxes Water Dept. Xmitter ARPA Fire Dept. Insurance Fire Dept.- Insurance Transmissions Monthly 65.00 34.00 12.00 $258.79 $340.00 $20.00 $196.01 $25.00 $25.89 $60.88 $56.16 $9.00 $386.23 $480.00 $65.32 $25.00 $655.98 $1,930.00 $796.00 $17.85 $56,493.65 Southwest! Septic Tanks & Contractors Sewer Dept.- Pump Manhole Interim Accounts Payable Vendor Name A& AI Enterprises Inc Advance Auto Parts Amazon Capital Services Bentley Distributing Inc Bentley Distributing Inc Cell Phone Repair Cintas Coeburn EDA Collins Full Service Consolidated Pipe & Supply Cory McReynolds Delta Tire Center Inc DJs Truck Parts Dominion Office Products FerrelIGas Fisher Auto Parts Friendly Tire & Auto Repair Graybar Lowes Description Amount $65.00 $2,356.97 $230.24 $1,002.73 $55.50 $23.50 $340.00 $635.46 $20,000.00 $100.00 $779.75 $25.00 $2,719.06 $19.42 $61.90 $12.00 $1,118.58 $280.80 $476.32 $1,250.00 $717.87 $2,266.91 $1,632.49 $13,269.73 $25.00 $69.03 $649.20 $115.00 $2,365.20 $511.65 $1,378.25 $32,630.66 $11.55 $2,601.28 $225.00 $600.00 $582.73 $26,646.00 $88.51 $105,580.15 $50.91 $647.54 $5,132.60 $85.69 $5,409.50 $2.99 $196.03 Police Dept. Uniforms B& G/Treas. - Office Supplies Town Hall B&G- Shop/Units 002/005/007/018- Police Dept. Unit 601 Appalachian Aggregates LLC B&G- Stone Police Dept. Restitution Reimbursement Computer Backup & Protection Budgeted Amount Police Dept. Units 600/601 Water Dept. - Meters/Supplies Depot Deposit Refund B&G- Shop/Supplies Admin./Treas. Office Supplies B&G- Complex B B&G- Unit 031 Water Treatment Plant Supplies B& G/Water Dept. Supplies Police Dept. - Unit6 601 Monthly Police Dept Monthly UT- Deposit Refund Admin. Promotional Ad Water Treatment Plant Chemicals Fire Dept. Insurance Transmissions Monthly Police Dept./Town Hall - Mats Sewer Dept./Water Dept. Uniforms B&G- Chevrolet/GMC Police Dept. - Units 601/603 B&G- Shop/Units 005/007/012/018 - Police Dept. Units 600/601 Lonesome Pine Regional Library 4th Quarter Allocation Morgan McClure Castlewood B&G-2006 Chevrolet Service Truck Morgan McClure Ford Inc Old Dominion Power Ricoh USA Inc Scotty LVanover The Coalfield Progress Truist Bank USA Bluebook VACORP VUPS Inc AT& TI Mobility Danny's Auto Repair Jeff Sanders United Postal Service Auto Zone Boggs Municipal Services Charlie Jordan Cintas Citco Water Comcast Cable DJs Truck Parts Dominion Office Products Seaboard Asphalt Product Co B&G- Hole Patch Admin./B & G/Sanitation Dept./Sewer Dept/Treas,/Water Dept. Virginia Risk Sharing Association FY22/23 Quarterly Renewal Payment B& G-F Fender & Hood Public Works Vehide B& G- Lay's Heat Pump Installation ARPA UT-E Billing Postage B&G- Shop Water System Improvement Project UT- Deposit Refund Water Dept. Chemicals Monthly Water Dept. - Meter Lock Admin./B & G/Treas. Office Supplies Anthem Blue Cross Blue Shield Employee Health Insurance Police Dept./Town Hall - Mats Sewer Dept./Water Dept. - Uniforms Consolidated Pipe & Supply Water Dept. - Meters/Supplies FerrelIGas Frizzel Construction Col Inc Funk Drilling Co. Matthew Hamilton Old Dominion Power Quill Corporation Red Oak Trading Company Ricoh USA Inc Town of Coeburn Town of Coeburn Wilson Sales & Service Inc Scott County Telephone Co-op Monthly DEQ Treasurer of Virginia Pool Supply Unlimited B&G- Complex B Water System Improvement Project Water Dept. Supplies UT- Deposit Refund Monthly $672.40 $2,878.50 $1,732.16 $8.00 $100.00 $85.84 $1,417.63 $145.29 $4,865.85 $31.99 $868.97 $280.28 $65.05 $1,930.00 $25.00 $210.68 $935.81 $600.00 $31,964.02 $283,861.17 Home Hardware & Furniture B&G-Unit034 Pace Analytical Services LLC Water Treatment Plant Pitney Bowes Global Financial Treasurer Postage Lease Powell Valley National Bank Water System Improvement Project Interest Pymt. Water Dept. - Escrow Acct. Deposit Slips B&G SDepalyylbayple Dept./Pool/Shop Town Hall Monthly Lease & Usage UB Applied & Refunded Deposited into Redi-Access Depot- Deposit Refund Paid on' Taxes B&G- Unit010 Water Treatment Plant- Permits B&G- Pool Filter/Pump etc. ARPA The Lincoln National Life Ins Co Employee Insurance Council Minutes Regular Meeting March 13, 2023-6:30 p.m. - 502 Front St. E, Coeburn, VA Attendees: Upon roll call, all members of council were present. Cathy Sharpe Clerk/Treasurer, Jimmy Williams -Town Manager, and William Sturgill-7 Town Attorney, were also present. Call to Order: Mayor Deventae Mooney called the meeting to order. Mr. Joe Still gave the invocation. The group remained standing for the Pledge of Allegiance led by Mr. Deventae Mooney. Public Expression: Mr. Jeff Collins, 202 Alfred Ave NE, advised he is concerned about the appearance of the town. Mr. Collins said he is concerned about the abandoned homes, properties filled with trash and the general appearance oft the town. He feels that the town needs to do more to make the homeowners clean up their properties. Mr. Mooney stated that the town is working on the ordinances. Mr. Collins said the town is governed by the Virginia State Code. Mr. Mooney said the town attorney is guiding the town as they deal with this problem. Mr. William Sturgill said there is the Virginia Code and Local Code in place, and he will speak with Mr. Jimmy McElrath at the Wise County Building and Zoning Department about the issue. Mr. Collins feels the town needs to condemn these properties because they are a nuisance. Vice Mayor Sharon Still said the town is working with DHDC and Lenowisco on a program to deal with blighted properties. Mr. Collins said the overgrowth from the property is coming onto his property and he has had to bring in equipment to clean it up. Mr. Mooney said that Mr. William Sturgill will speak with Ms. Belinda Couch, 511 Hamilton Street, thanked the Coeburn Police Department for the extra patrols they are doing on Hamilton Street and the arrests that have been made. Ms. Couch said there will be a Crime Prevention Meeting in April that will take the place of Neighborhood Watch. This meeting will be open to town and county residents. Ms. Couch asked if the town could make standards for trailer parks. Ms. Still said there are ordinances concerning things like yards and grass but there is also an issue of who is responsible, the renter or the owner. Ms. Still said this will be addressed with the Blighted Community Program. Mr. William Sturgill, Town Attorney, said he would look into it to see what the State Code allows. Mr. Joe Still said this is also an issue for the county and the county is also working on dealing with this issue. Ms. Couch asked if they will promote the Crime Prevention Meeting. Council advised they will promote the Mr. McElrath and call Mr. Collins and share his findings. event once it is finalized and details are made available. Town of Coeburn Regular Council Meeting March 13, 2023 Page 1 of8 Approval of the. Agenda: Mayor Deventae Mooney made a motion to add New Business (B.) Resolution 23-001 to the agenda. Vicel Mayor Sharon Still seconded the motion, which resulted in all Ayes. Deventae Mooney made a motion to approve the agenda as amended. Sharon Still seconded the motion, which resulted in all. Ayes. Reports: Fire Department There was no representative from the fire department present, but an activity report was included int the packets. The fire department also sent a list ofe elected officers for council to approve. Sharon Still made a motion to approve officers elected for the 2023 Coeburn Fire Department. Joe Still seconded the motion. Aroll call vote resulted in all Ayes. Police Department Captain Ryan Gardner gave a report for the month of February 2023. There were 669 total events. Mr. Gardner gave a summary oft these events. He advised there was an event resulting in Captain Gardner said on March 3, 2023, an email was received from DCJS stating that the Coeburn Police Department was awarded a Federal Law Enforcement Equipment Grant in the amount of $212,000.00. He advised there is a March 24th deadline to get things purchased and the paperwork completed in order to: receive the funding. Mr. Mooney stated the email reads like there will be more money available in the future. Mr. Gardner said he will email a list of items. Mr. Jeff Kiser asked Captain Gardner to email council a copy oft the original email along with the Mr. Gardner reported the problem at 510 Hamilton should be resolved. He advised the resident has been moved to an assisted living facility and the woman that was causing issues is Mr. Gardner also stated that the Crime Prevention Meeting is scheduled for April 6, 2023. Ms. Still asked Captain Gardner to finalize details and let council members know SO it can be Mr. Jimmy Williams asked if the grant could be used to outfit the cars. Captain Gardner said he several charges being made taking care ofaj problem in the town. list ofitems being purchased. incarcerated and has been advised not to return to the residence. advertised. thought SO. Mr. Joe Still thanked the police department for all their hard work. Town of Coeburn Regular Council Meeting March 13, 2023. Page 2of8 Water Plant Mr. Brian Markham, Water Plant Supervisor, reported that the project is nearing its end hopefully by Friday. He advised tank cleaning is planned for April and the water lines will be flushed in the spring. He said the million gallon tank will be cleaned in the fall and the lines will be flushed again at that time. Mr. Mooney asked that paving be done at the plant as soon as the pavement plant opens, and the town begins paving. Town Manager Mr. Jimmy Williams, Town Manager, gave each council member a picture of Ringley Park and advised that Raphael said he would be able to do the necessary concrete work. Mr. Williams said that the ground is very soft there and work will need to be done to dig down to solid ground which will be four to six feet. He said the plan will have to be made according to the playground compliance guidelines. Mr. Williams said there will need to be at least five inches of mulch laid and it will be $28,593.00 to have the mulch installed. He said this price does not include the barrier to contain the mulch to the play area. Mr. Mooney informed Mr. Williams that a non- profit agency has applied for a grant on behalf of the town and will use that to fund the park project, but the amount of money that would be received or if that agency will be chosen to receive the grant is not known at this time. He said hopefully more information will be available in June. Mr. Mooney said that the RAFA program may be able to fund this project. Ms. Still advised she is working on a grant for the park. Mr. Mooney said that during the meeting with DHCD the Banner watershed was addressed and maybe some work at the park will be able to be tied into that program. Mr. Jeff Kiser asked if there were plans for the park in Bondtown. Mr. Williams advised he thought about raising the park but that will be a situation affecting the floodplain. He suggested more equipment and mulch for the park. Mr. Kiser said the town cannot ignore the park in Bondtown. Mr. Mooney stated that the work at Ringley Park needs to Mr. Williams reported he has found a filter that meets the needs for the pool for $14,000.00 for parts but no installation. He asked Ms. Still to get her contact to break down into layman' 's terms what is needed and if! he can install it and give a time frame for the work. Mr. Mooney stated he Mr. Williams said Raphael will be working near town this week and will schedule a time to Mr. Williams reported he has been in touch with someone to teach the CPR/First Aid Class and the cost will be $20.00 per person; the date is to be determined. He said he would like to go ahead and install the AEDs in all the places they need to go. Mr. Kiser asked ift the boxes would be locked as had been discussed in previous meetings. Mr. Kiser said as he has traveled, he has looked at AED's in other places and none of them have locks on them. Mr. Williams said these Ms. Sharon Still said the EDA will be meeting soon and needs to know when she could pick up the line-item check for them. Mr. Williams said it would be ready anytime she needed it. be completed as there are plans in the works. wants to make sure the installation takes place in time for the pool to open. come. look at the pool and discuss the work that needs to be done there. are unlocked boxes. Town of Coeburn Regular Council Meeting March 13, 2023 Page 3 of8 Mr. Mooney said the flooring in the depot kitchen, hallway and bathrooms looks good and he would like to see that flooring all through the building. Mr. Williams said he would have to measure and get the square footage to be able to estimate a price. Mr. Kiser said the flooring in the depot is relatively new. Ms. Still advised there is just a small piece that is chipping and needs to be replaced. She suggested a piece be taken up and matched at Red Oak Trading Company to replace that if the entire floor wasn't being redone. Mr. Mooney said if the town is Mr. Williams reported the Office of Drinking Water is going to be requiring that all lead and copper pipe must be removed from the ground. He said he had a call set up to get more information and the town will need to have a system in place to identify these lines. Mr. Kiser asked what grant funding is available for this project. Mr. Williams said that will have to be Mr. Mooney asked about the status of the Main Street project. Mr. Williams said he has that information in his files. Mr. Mooney said that the paperwork on the Main Street program must be done before going forward with any more communication with DHCD. Mr. Mooney asked Mr. Joe Still suggested William Sturgill, Town Attorney, write up the requirements of trailer parks as businesses and time frames for moving in and out. Ms. Sharon Still said there are limits as far as how many trailer spots can be on an acre and that there can be no new trailer parks in town limits. Ms. Still said time limits regarding the moving in and out of trailers apply to private Mr. Williams said he has not been able to get in touch with Mr. Tim Owens to set up an Mr. Still asked what the insurance company said about covering the bike ride during the Guest River Rally. Mr. Williams said that the insurance company did not want to cover the race because oft the distance and taking the ride into the county. Mr. Still, Ms. Still and Mr. Kiser all said that bike rides had been covered in the past as they were held during the rally and were part of a town sponsored event. Mr. Kiser said he would like to see the ride take place; especially considering that Larry Salyer, who was organizing the race, has passed away. Mr. Williams advised he will speak with the insurance company again, presenting the race as a town event. going to rent the building it needs to be kept in good repair. determined; the project isi in its early stages. Mr. Williams toj put that on the top ofhis to do list. lots but not to the lots functioning as a business. inspection of the town buildings. Mr. Sturgill said he could draw up a waiver for participants to sign. Mr. Williams said the lawyers for Hill-Con are still reviewing the contracts. Mr. Williams reported he is working on the order for the awnings for the town buildings. Mr. Williams stated that Invoice Cloud sounds like exactly what the town needs but will have more information on pricing by the next meeting. Town of Coeburn Regular Council Meeting March 13, 2023- Page 4 of8 Public Works Mr. Jeff Livingston, Public Works Supervisor, reported that a setter and meter have been installed at Ashvale Circle, sewer lines were jetted at High Street and Second Street, and debris was removed from the sewer line in Bondtown. The sewer line at Pizza Hut was jetted and Mr. Joe Still said that Ms. Wanda Rose from the Coeburn Community Library asked if public works could remove a stake that is sticking up at the library and presenting a hazard. Ms. Rose Mr. Mooney said the sign beside the propane shop coming into town is lying down and asked that the sign be put back inj place. Mr. Mooney also had a call from Ralph Stanley II questioning why his name was: removed from the sign. Mr. Stanley offered to help with funding to have his name placed back on the sign. Mr. Williams said he will look into it and get a price for the Ms. Still asked if there was any paint for the pool. Mr. Livingston said last year the bottom of the pool was painted, but there was no paint left over. Ms. Still asked if the drain could be Mr. Mooney reported he has been in contact with Mr. Matthew Powers with the Virginia Department of Energy and the Eastside High School Earth Science class will be having an Arbor Day event in the Dale Ridge area April 20th. He said tents have been rented and will be brought in on April 19th. The group. has also requested the use of the large cans from litter control but public works will need toj pick the cans up and deliver them to the site of the event. Mr. Mooney asked public works to coordinate the can delivery with the tent delivery. The Historical Marker dedication for the Wiley Gwynn sign will be held April 22nd. Mr. Mooney asked Mr. Williams if! he had spoken with Mr. Odle about a Car/Jeep showi in April. Mr. Williams said he has spoken with Mr. Odle and is waiting for more: information from him. Ms. Still asked for Clean Up Day to be put on the marquee sign. Clean Up Day is April 22nd and Mr. Mooney said there appeared to be a stove sitting on the curb across from the Pawn Shop and Mr. Still asked if public works had found anything near the hydrant by his house. Mr. Williams public works completed 120 work orders. told Mr. Still the stake is currently covered by a cone. replacement. concreted in the baby pool before any painting is done. the' Town Wide Clean Up will be April 17th through the 21st. asked for someone to check and see about that. said that is a wet weather spring and tests negative for chlorine. Town of Coeburn Regular Council Meeting March 13, 2023 Page 5of8 Lane Group There was no representative from The Lane Group present. Mr. Joe Still asked where Mr. Mullins was in his architectural rendering of the depot. Mr. Williams advised that Mr. Mullins Mr. Williams reported that the project in Banner is complete. Ms. Still asked about the bridge in Banner. Mr. Mooney said that the town doesn'town it and that is all the town has to offer on the issue of ownership. Mr. Kiser said the town only owns one bridge and that he would hate to even say that the bridge in Banner is owned by the state because it could be privately owned. will have something by April. The landowner will have to find out who owns that bridge. Treasurer Report Ms. Cathy Sharpe, Clerk/Treasurer, reported a posted cash balance in the amount of $319,610.03 as of3/10/2023. She reported outstanding checks in the amount of $15,344.37, accounts payable due in the amount of $65,050.53 and interim accounts payable in the amount of $449,727.35. This amount includes the Water System Improvement Project checks. After deducting the accounts payable due and outstanding checks, the reconciled balance was $239,215.13. Ms. Sharpe presented meeting minutes for February 13, 2023, regular meeting and February 27, Ms. Sharpe reported two additional deposits since reports had been presented for the meeting. Friday's deposit was $10,618.75 and today's deposit was $7,638.86 making the total cash Mr. Mooney looked back at the balance from last year and said it is close to the same amount as Mr. Mooney found a typo in the February 13th meeting minutes. He advised the Sandy Ridge Captain's last name is Indseth, not Williams. Ms. Sharpe said she will make the corrections. Sharon Still made a motion to accept the total accounts payable due as presented. Deventae Sharon Still made a motion to accept the interim accounts payable due as presented. Deventae Sharon Still made a motion to accept the February 13, 2023, regular meeting minutes with the last name change for the Sandy Ridge Captain from Williams to Indseth. Deventae Mooney Sharon Still made a motion to accept the February 27, 2023, workshop meeting minutes with the change to the Sandy Ridge Captain's last name from Williams to Indseth. Deventae Mooney 2023, workshop meeting. availability $257,472.74. now. Mooney seconded the motion, which resulted in all Ayes. Mooney seconded the motion, which resulted in all Ayes. seconded the motion, which resulted in all Ayes. Mr. Jeff Kiser abstained. seconded the motion, which resulted in all Ayes. Town of Coeburn Regular Council Meeting March 13, 2023 Page 60 of8 Attorney Report William Sturgill, Town Attorney, reported he has an agreement ready for the EDA. New Business: A. First Bank and Trust - Mr. Williams has been in contact with Ms. Melissa Coffey to find out what paperwork and Resolution would be needed to open a new bank account. Mr. B. Resolution 23-001 - The Town of Coeburn recognized the Eastside One Act team for its ninth straight State Championship. The town expressed its pride in the Eastside One Act team's outstanding performance, hard work and the fine manner in which the team Williams said he will get the information and paperwork together. represented the town. Jeff Kiser made a motion to approve Resolution 23-001. Sharon Still seconded the motion, which resulted in all Ayes. Old Business: A. Purchase of a New Service Truck for Public Works - Mr. Williams presented a quote from a dealer in West Virginia and is waiting to hear from Toms Trucking. He said he cannot get a state bid because it is outside of the window to place bids. Ms. Still asked if the truck with the red hood was operational. Mr. Williams said it is but needs to be tagged. Mr. Williams also said the backhoe is ready and sitting in Norton. Mr. Mooney asked Mr. Williams to let council know when the backhoe makes it to Coeburn. B. Purchase of Heat Pump for Lay's Building - Mr. Williams advised that representatives from Lay's had verbal quotes but said they would go with the quote Mr. Jeff Livingston has from the group in Florida. He said that quote is around $4,200.00 but does not include installation which could be in the neighborhood of $1,000.00. Ms. Still asked if ARPA funds could be used for that. She said she feels comfortable using those funds to replace the heat pump. Sharon Still made a motion to purchase a heat pump for the Lay's Building using ARPA funds of no more than $5,500.00. Joe Still seconded the motion, which resulted in all Ayes. Mayor Deventae Mooney made a motion to enter into closed session in accordance with Virginia Code $2.2-3711 (A1) to discuss performance of Town of Coeburn personnel and $2.2-3711 (A8) to discuss with legal counsel pertaining to possible litigation and $2.2-3711 (A7) to discuss legal matters. Ms. Sharon Still seconded the motion, which resulted in all Ayes. Town of Coeburn Regular Council Meeting March 13, 2023 - Page 7 of8 Closed Session: Immediately following closed session, Mr. William Sturgill, Town Attorney, read "Certification ofClosed Meeting", which is attached to these minutes and made a part hereof. A roll call vote certifying that only business matters that were identified in the motion convening were discussed or considered. The roll call vote resulted in all Ayes. There were no actions resulting from Closed Session. Council Comments and Concerns: Carles Collins Mr. Collins had no comments or concerns. Jeff Kiser Mr. Kiser expressed his condolences to the family of Mr. Larry Salyer. Mr. Salyer, former Mayor of the Town of Coeburn, has passed away. Mr. Kiser feels the town needs to Joe Still - Mr. Still said he appreciates everything that everyone does to move the town along. Sharon Still - Ms. Still said she would like to commend the girls' basketball team for coming in 2nd in the State Championship. She said the team appreciated seeing the marquee and the support from the town. Ms. Still appreciates everything everyone does for the town. Deventae Mooney - Mr. Mooney said he echoes everything said by his fellow council members. honor Mr. Salyer in some way. Adjournment: Mr. Deventae Mooney made a motion to adjourn this meeting. Ms. Sharon Still seconded the motion, which resulted in all Ayes. Respectfully Submitted, Attest: Cathy Sharpe, Clerk Deventae Mooney, Mayor Town of Coeburn Regular Council Meeting March 13, 2023 Page 8 of8 Council Minutes Workshop Meeting March 27, 2023 - 6:30 p.m. - 502 Front St. E, Coeburn, VA Attendees: Upon roll call, the following members of council were present: Mayor Deventae Mooney, Vice Mayor Sharon Still, Carles Collins and Joe Still. Mr. Jeff Kiser was absent. Cathy Sharpe - Clerk/Treasurer, Jimmy Williams - Town Manager, and William Sturgill, Town Attorney, were also present. Call to Order: Mayor Deventae Mooney called the meeting to order. Mr. Joe Still gave the invocation. The group remained standing for the Pledge of Allegiance led by Mr. Deventae Mooney. Public Expression: Mr. Jeff Collins, 202 Alfred Avenue NE, said he is concerned about the state of some of the properties in the town. He specifically mentioned the property on the left as you turn up Coeburn Mountain on the way to the pool. Mr. Collins feels that this is a safety and health issue and the town needs to pass ordinances to deal with these properties that are in disrepair or piled up with trash. Mr. Collins would like to see the town give him a solution to the problem. He suggested that the town update the website and have all the ordinances on the site. Mr. Collins said there are also issues with crime and he has had to go around Coeburn to find things that have been stolen Vice Mayor Sharon Still assured Mr. Collins that work is being done with Lenowisco to clean up these properties. She said there is a process that must be followed but the process is moving along. Ms. Still said she will get with Town Manager, Jimmy Williams, to get the ordinances on the website. Ms. Still also informed Mr. Collins that there is a Crime Prevention Meeting tentatively Ms. Shirley Cassidy, 704 Plum Avenue, asked that problems ini the two trailer parks near her home bet taken care of. She said these trailer parks are in disrepair. Ms. Cassidy is asking that the owners be contacted and have them straighten up the trailer parks. She said the area needs to be cleaned up. Ms. Cassidy stated that there are two windows that are. loose in the Rally Shack, and they need to bei repaired. She is also concerned that there has been no work done at Ringley Park to provide Ms. Still assured Ms. Cassidy that the complaints aren't falling on deaf ears, but it is a tangled mess going through both local and state codes and informing homcownerylamdowners oft the need to clean up. Mr. William Sturgill, Town Attorney, said he is expecting a call from Mr. Jimmy from him. scheduled for April 6, 2023. handicapped access for children with special needs. McElrath from Wise County Building and Zoning concerning this matter. Town of Coeburn- Workshop Meeting - March 27, 2023 Page 1of6 Ms. Cassidy thanked everyone for all their time, work, and all they do for the town. Public expression was closed. Approval of the. Agenda: Sharon Still made a motion to move New Business (A.) Historical Marker Dedication to before Deventae Mooney made a motion to approve the agenda as amended. Sharon Still seconded the reports. Mr. Joe Still seconded the motion, which resulted in all Ayes. motion, which resulted in all Ayes. New Business: A. Historical Marker Dedication - Mr. Preston Mitchell reported the Town of Coeburn was the first town in the county to approve a Resolution supporting the Community Remembrance Project. Hesaidi it is now time toj place thei third and final marker, the Wiley Guynn marker. Mr. Wiley Guynn was lynched in Bondtown in 1902. With help from the community, the approximate location of the cell was found to be near the Bondtown Community Church. There is a tentative date set to install the marker on April 22, 2023. Once the marker is delivered, the date will be set, and the dedication ceremony will bel held at 12 p.m. and will be followed by a reception. The Equal Justice Initiative will have literature available showing the work they do nationwide. Mr. Mitchell said he will invite people to the event and may even find some people who want to help with the clean-up event. Black in Appalachia will be on hand filming the event. Public Works will be installing the sign. Reports: Fire Department There was no: representative from the Fire Department present. Police Department Captain Ryan Gardner did not bring a report but went over the purchases made with the $212,000.00 grant that was awarded to the police department for purchase of law enforcement equipment. He reported the police department has purchased two Ford Expeditions and an Interceptor, six laptops with mounts for the cars, three new consoles for the vehicles, installation fees, emergency light package for the new vehicles, base station radios, a cage, push bumpers and exterior light fixtures for the Expeditions. Mr. Gardner said the cages will have shotgun holders, and six new shotguns have been purchased along with ten backup weapons. There were two new duty weapons ordered, six new car unlocking systems and new Stinger spike systems. Ms. Still reminded Captain Gardner to keep the cars completely tobacco free. Captain Gardner said that has been discussed with the police chief. Mr. Mooney mentioned that the vehicles need Town of Coeburn- Workshop Meeting March 27,2023 Page 2of6 to be on a 30 or 60-day service schedule if they have to be taken to a dealership to keep up the Ms. Still asked Mr. Gardner about the Crime Prevention Meeting. Mr. Gardner said he should hear something tomorrow and will inform everyone when he has the information. warranty. He said after that the town will service the vehicles. Water Plant There was noi representative from the water plant present. Mr. Jimmy Williams, Town Manager, reported there are still ai few things to complete at the water plant. He: said the roof oft the building where the chemicals are stored needs to bei replaced but there are noi funds left to do SO. Mr. Carles Collins asked what all work was done at the plant. Mr. Williams said there were new valves and tanks installed, new computer systems and cutting off the old line from the dam. Ms. Still said Mr. Chris Mullins with The Lane Group said that the town has the most up to date water plant in the area. Mr. Mooney asked Mr. Williams to see what the project fell short on and give an update with that information. Town. Manager Mr. Jimmy Williams, Town Manager, reported he has been working to update the town's website. He said the awnings have been ordered and AED's have been placed in buildings throughout the town. He said hei is looking to schedule First Aid' Training classes around May 8, 2023. Mr. Joe Still asked the status oft the vehicles the town ordered. Captain Gardner said that he will Mr. Deventae Mooney asked if Captain Gardner will be attending the taser training class. Captain Mr. Still asked about thei trackers on the vehicles. Mr. Williams said they are no. longer being used Mr. Mooney askedi if Raphael has sent Mr. Williams any diagrams or pricing. Mr. Williams replied Mr. Mooney asked if the toilet leak in the women' s room has been repaired at the depot. Mr. Mr. Williams said the meeting with Invoice Cloud was: rescheduled and should be March 28,2023, Mr. Still asked about flags for the flagpole at the depot. Mr. Williams said that new flags have been ordered. Mr. Mooney asked that Mr. Livingston pick them up and hang them tomorrow. Ms. Still asked that when the flags are ragged to please take them down and order new ones. call to get a date and said the three he ordered includes delivery. Gardner said he will be attending. or paid for. hel has not. Livingston said he thinks that it has been fixed. at2p.m. Town of Coeburn- Workshop Meeting March 27, 2023 Page 30 of6 Mr. Mooney asked Mr. Williams to check on the pricing for the Ralph Stanley II sign for the Mr. Carles Collins asked if the whole flagpole on the hill needs changed or if the pully system could be changed. Ms. Still said replacing the pully system may be cheaper than replacing the pole. She said that the pole needs to be inspected to: see what exactly is needed to fixi it. Ms. Still asked Mr. Williams when the budget would be ready. Mr. Williams said the majority of Welcome to Coeburn sign this week. the budget is done, and he will have it by April 10, 2023. Public Works Mr.. JeffLivingston, Public Works Supervisor, reported that the drains have been cleaned on Grant Street, the stove has been removed from the old Tiger Market parking lot, the drain at the kiddy pool was concreted, the back wall of the depot was repaired, and the manhole was repaired at Miners Exchange Bank. He said the heat pump was installed at the Lay's building. He reported Mr. Carles Collins informed Mr. Livingston that there was a sign down on Kiser Avenue. Mr. Livingston said he thinks that the state is in charge of Bluebell Hollow Road. eighty work orders were completed. Lane Group There was noi representative present from The Lane Group. Treasurer Report Ms. Cathy Sharpe, Clerk/Treasurer, reported aj posted cash balance af56.982958d024003 She reported outstanding checks in the amount of $34,153.24, accounts payable due int the amount of $5,116.23 and interim accounts payable in the amount of $91,203.78. After deducting the accounts payable due and outstanding checks, the reconciled balance was $228,693.48. Ms. Sharpe advised that March 13, 2023, regular meeting minutes will be distributed along with Ms. Sharpe reported two additional deposits since reports had been presented for the meeting. Friday's deposit was $1,314.04 and today's deposit was $2,185.11, making the total cash Mr. Mooney asked about the payment for the heat pump. Mr. Williams said the $600.00 payment Mr. Still asked about the $2,500.00 payment for the fire hydrant. Mr. Williams advised the town paid for the hydrant and was reimbursed for that payment out oft the ARPA account. the April 10, 2023, council packets. availability $232,192.63. was for the heat pump installation at Lay's. Town of Coeburn- Workshop Meeting March 27, 2023 Page 4 of6 Ms. Still asked about the magic box listed on the ARPA spreadsheet. Mr. Williams informed Ms. Ms. Still asked about the payment for the signs funded by ARPA. There are three payments for signs. Mr. Williams said he would have to look back to see what payment goes with each set of Still that the box is a type of flow meter. signs. Attorney Report William Sturgill, Town Attorney, reported he has a conference set up with Mr. Jimmy McElrath to discuss building and trailer park issues. Mr. Sturgill has been researching nuisance codes and ist researching litter ordinances and seeing what provisions will need to be applied. Mr. Sturgill is Mr. Mooney asked Mr. Sturgill to draw up a Resolution recognizing the student on the Forensics Team that won their division at the State Competition. Mr. Mooney said he will send Mr. Sturgill looking into who is responsible for clean-up and recouping costs spent on it. the information for the individual. New Business: A. Purchase ofPool Equipment - Mr. Williams said the installation fee is worth it for the pool filter, etc. He said he has found the same size sand filter for under $10,000.00. Mr. Williams has stock numbers and has located the needed parts. He said he contacted R &F Electrical about a 10-horsepower pump. He reported the current pump is obsolete and has found a 20-horsepower pump for $6,900.00. Mr. Williams advised these items will need to be installed and said some sand and pea gravel are also needed. He said he is also looking for a chlorine injector. Mr. Mooney said since tonight isn't a voting meeting, he would like to do a consensus to order the pool items. Mayor Deventae Mooney called for a consensus to allow Mr. Jimmy Williams to go ahead and order what is needed for the pool, allowing a budget of $45,000.00 in order to allow time to get the items installed before opening day. All council members present agreed. There will be a The pool will open Memorial Day Weekend, May 29, 2023. Paint will need to be ordered to paint B. Time and Attendance Policy - Mr. Williams advised he has made some changes to the personnel policy, and will go over those changes with Mr. William Sturgill. Mr. Mooney asked that Mr. Williams go over those changes with all department heads to make sure there are no issues. Ms. Still needed clarification about notifying supervisors about absences or tardiness and reviewed who was supervising each department. formal vote at the next meeting. the pool before opening day. Old Business: There was no old business to discuss. Town of Coeburn- Workshop Meeting March 27,2023 - Page 5of6 Mayor Deventae Mooney made a motion to enter into closed session in accordance with Virginia Code $2.2-3711 (A1) to discuss performance ofTown of Coeburn personnel and $2.2-3711 (A8) to discuss with legal counsel pertaining to legal matters. Ms. Sharon Still seconded the motion, which resulted in all Ayes. Closed Session: Immediately following closed session, Mr. William Sturgill, Town Attorney, read "Certification ofClosed Meeting", which is attached to these minutes and made a part hereof. A roll call vote certifying that only business matters that were identified in the motion convening were discussed or considered. The roll call vote resulted in all Ayes. There were no actions resulting from Closed Session. Council Comments and Concerns: Carles Collins - Mr. Collins had no comments or concerns. Joe Still - Mr. Still had no comments or concerns. Sharon Still - Ms. Still had no comments or concerns. Deventae Mooney - Mr. Mooney had no comments or concerns. Adjournment: Mr. Deventae Mooney made a motion to adjourn this meeting. Mr. Joe Still seconded the motion, which resulted in all Ayes. Respectfully Submitted, Attest: Cathy Sharpe, Clerk Deventae Mooney, Mayor Town of Coeburn- Workshop Meeting March 27, 2023 - Page 6of6 Cash Availabilty Comparison 2023 2022 2021 N/A 2020 2019 2018 July Regular Meeting Reported July Workshop Meeting Reported August Regular Meeting Reported August Workshop Meeting Reported September Regular Meeting Reported September Workshop Meeting Reported October Regular Meeting Reported October Workshop Meeting Reported November Regular Meeting Reported November Workshop Meeting Reported December Regular Meeting Reported December Workshop Meeting Reported January Regular Meeting Reported January Workshop Meeting Reported February Regular Meeting Reported March Regular Meeting Reported March Workshop Meeting Reported April Regular Meeting Reported April Workshop Meeting! Reported May Regular Meeting! Reported May Workshop Meeting Reported June Regular Meeting Reported June Workshop Meeting Reported $ 210,683.35 $ 1,117,152.46 $ 45,870.50 $ 111,843.43 $ (9,150.51) $ 151,556.78 $ 156,686.84 $ 10,422.26 $ 76,511.06 $ 8,733.55 191,277.78 $ 206,568.10 $ 81,758.28 $ 72,264.67 $ 10,394.98 142,162.94 $ 197,481.63 $ 79,356.29 $ 69,564.36 $ 20,236.57 $ 141,994.95 $ 257,922.99 $ 95,756.17 $ 35,816.21 $ (26,170.63) $ 105,791.42 $ 244,495.65 $ 19,682.05 $ 6,834.59 $ (39,766.39) 110,252.41 $ 210,488.33 $ 45,064.45 $ 9,783.21 $ (57,494.99) 66,067.81 $ 164,829.65 $ 26,142.93 $ 11,204.75 $ (32,147.55) 116,382.38 $ 254,489.66 $ 101,491.47 $ 53,901.74 N/A $ 192,692.29 $ 376,131.36 $ 155,488.24 $ 145,420.41 $ 75,050.64 $ 195,680.58 37,359.63 $ 149,934.50 $ (7,698.78) N/A N/A N/A N/A N/A N/A N/A $ 265,398.03 $ 133,541.99 $ 86,726.85 $ 52,782.61 $ 6,642.11 $ 196,551.08 $ 286,049.24 $ 78,731.25 $ 37,075.76 $ 43,087.68 $ (18,247.27) $ 239,215.13 $ 269,618.14 $ 54,553.41 $ 39,312.95 $ 31,991.80 $ (37,100.14) $ 107,325.64 $ 219,832.15 $ 155,412.27 $ 35,757.52 $ 42,482.88 $ (51,849.51) $ 176,306.60 $ 255,841.15 $ 105,425.71 N/A $ 17,951.93 February Workshop Meeting Reported $ 202,363.93 $ 233,647.97 $ 112,821.19 N/A $ 24,601.90 $ (23,125.60) N/A $ 36,606.50 $ (31,331.45) $ 228,693.48 N/A $ 122,796.57 N/A $ 134,276.75 $ 14,604.59 $ 35,340.86 N/A $ 272,179.43 $ 194,409.13 $ 64,992.72 $ 107,626.76 $ (4,285.16) $ 290,652.06 $ 208,386.36 $ 88,517.70 $ 105,300.90 $ 16,374.89 273,905.63 $ 230,699.06 $ 112,205.53 $134,425.30 N/A $ 339,537.85 N/A $ 82,633.87 $ 117,692.13 N/A Daily Cash Availability - April 2023 Date Total Cash Availability 4/3/2023 4/4/2023 4/5/2023 4/6/2023 $93,066.78 $102,608.79 $103,351.57 $107,325.64 4/6/2023 (Daily) Account Current Balance Total Oustanding Checks Accounts Payable Due =-Total Cash Availability $ $ $ $ 234,783.88 70,964.59 56,493.65 107,325.64 Daily Cash Availability March 2023 Date Total Cash Availability 3/1/2023 3/2/2023 3/3/2023 3/6/2023 3/7/2023 3/8/2023 3/9/2023 3/10/2023 3/13/2023 3/14/2023 3/15/2023 3/16/2023 3/17/2023 3/20/2023 3/21/2023 3/22/2023 3/23/2023 3/24/2023 3/27/2023 3/28/2023 3/29/2023 3/30/2023 3/31/2023 $182,118.23 $214,407.00 $235,198.03 $251,686.72 $262,204.90 $276,826.25 $257,472.81 $239,215.13 $192,881.62 $200,798.35 $185,134.31 $166,529.40 $183,703.17 $190,058.05 $194,472.53 $210,918.22 $210,633.79 $228,693.48 $231,212.14 $151,999.90 $117,985.89 $79,822.53 $83,655.54 3/31/2023 (Daily) Account Current Balance Total Oustanding Checks Accounts Payable Due =-Total Cash Availability $ $ $ $ 342,098.32 225,109.78 33,333.00 83,655.54 Billing Statement Food Stores, Inc. K-VA-TI Food Stores, Inc. POI Box 1158 Abingdon, VA 24212 BillTo: Billing Date: 04/06/2023 Due Date: 04/16/2023 Master. Account No.: 10090893 BALANCE. INI FULL- Due Within. 10 Days of Billing. Date! Account Summary Previous. Balance Payments THANK YOU! New Charges Total Amount Due $5,023.53 (S5,023.53) $5,633.18 $5,633.18 30120235-03212023 Balance Due $5,023.53 ($5,023.53) $81.40 $87.44 $61.05 $36.49 $95.00 $88.11 Town Of Coeburn Attn: Cathy Sharpe P.O. Box 370 Coeburn, VA 24230 Opening/Closing Date Previous Balance Date Card# Card Holder Charges Payments Description 03/10/2023 ($5,023.53) 116041 FRONT STREET WEST, COEBURN, VA2 24230- #3893 116041 FRONT STREET WEST, COEBURN, VA: 24230- -#3893 11604 FRONT: STREET WEST, COEBURN, VA: 24230-* #3893 11604F FRONT STREET WEST, COEBURN, VA2 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA: 24230- #3893 11604F FRONT STREET WEST, COEBURN, VA2 24230-#3893 11604FRONTS STREET WEST, ÇOEBURN, VA: 24230- #3893 03/06/2023 1096 Livingston,leftrey 03/07/2023 1096 Livingston,eftrey 03/10/2023 1096 Livingston,efftey 03/10/2023 1096 Livingston,leftrey 03/16/2023 1096 Livingston,leffrey 03/24/2023 1096 Livingston,effrey Paperless Billing Option torehage@foodilycom $81.40 $87.44 $61.05 $36.49 $95.00 $88.11 Balance Summary 0-3 30 Days: 31-60 past due balance: 61-90 past due balance: : Over 90 past due balance: $5,633.18 $0.00 $0.00 $0.00 Enrolling int this serviçe isf fast ande easy. Simply completet the lowerl left portion ofy your remittance: slipa and returni itt tou us with your payment or email your requestt to Any Past! Due balances still remaining ut Invoice date dres subjecttol latey payment penaly fec as statedi in the K-V4-TI Food Stores- Rusiness Account Ayreement. Total Balance Due $5,633.18 Detach ande enclose this portiony with your payment. Please writey your account number on your check. Don nots send cash. Account Number Balance Due Amount Enclosed $ 10090893 $5,633.18 Town Of Coeburn Attn: Cathy Sharpe P.O. Box 370 Coeburn, VA2 24230 Check here and fill out! back ofthis slip ify your account needs changes Food Stores, Inc. 'Balance Due" amount isi inp parenthesis,, you currently have a credit balance. DONOTPAY. Make checks payable to Food City FOOD CITY POI BOX1 1158 ABINGDON, VA 24212 Ifyouv wish top pay ataF Food City location, detach this slip and bes sure tob bring your card. Toe enrolli ine electronic delivery of statements, please check here_ Enter your emaili information.. Ifyoul have any questions please contact Store Charge and Tax Exempts group. Atl 1-800-826-8451 or Sor-Charxeglndaiy.om Pagell Billing Statement Food Stores, Inc. K-VA-TFood: Stores, Inc. POI Box 1158 Abingdon, VA 24212 Billing Date: 04/06/2023 Due Date: 04/16/2023 Master Account No.: 10090893 Account Detail (continued) Description Balance Due $96.01 $37.00 $42.00 $42.01 $45.00 $49.98 $44.48 $41.00 $40.01 $41,01 $46.01 $45.00 $41.00 $7,00 $16.00 $29.90 $32.26 $33.18: $29.38 $32.59 Date Card# Card Holder 03/31/2023 1096 Livingston,lettrey 03/02/2023 1334 Adkins,Dennis 03/08/2023 1334 Adkins,Dennis 03/09/2023 1334 Adkins,Dennis 03/17/2023 1334 Adkins,Dennis 03/24/2023 1334 03/04/2023 1335 Brickey,Randal 03/06/2023 1335 Brickey,Randal 03/10/2023 1335 Brickey,Randall 03/12/2023 1335 Brickey,Randall 03/15/2023 1335 03/18/2023 1335 Brickey,Randal 03/20/2023 1335 Brickey,Randal 03/26/2023 1335 Brickey,Randall 03/27/2023 1335 Brickey,Randall 03/01/2023 1338 Demory,Edwin 03/07/2023 1338 Demory,Edwin 03/13/2023 1338 Demory,Edwin 03/16/2023 1338 Demory,Edwin 03/23/2023 1338 Demory,Edwin Charges Payments $96.01 $37.00 $42.00 $42.01 $45.00 $49.98 $44.48 $41.00 $40.01 $41.01 $46.01 $45.00 $41.00 $7.00 $16.00 $29.90 $32.26 $33.18 $29.38 $32.59 116041 FRONT STREET WEST, COEBURN, VA2 24230- -#3893 11604 FRONT STREET WEST, COEBURN, VA 24230- -#3893 11604) FRONT: STREET WEST, COEBURN, VA 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA2 24230- #3893 116041 FRONT STREET WEST, COEBURN, VA 24230- -#3893 1001 BONHAMI ROAD, BRISTOL, VA 24201 -#816 116041 FRONT STREET WEST, COEBURN, VA: 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA 24230- #3893 11604 FRONT STREET WEST, COEBURN, VA: 24230 -#3893 11604 FRONT STREET WEST, COEBURN, VA 24230- -#3893 116041 FRONT: STREET WEST, COEBURN, VA 24230- -#3893 11604) FRONT STREET WEST, COEBURN, VA 24230- #3893 11604 FRONT STREET WEST, COEBURN, VA 24230- #3893 116041 FRONT STREET WEST, COEBURN, VA: 24230-#3893 116041 FRONT STREET WESI,COEBURN, VA: 24230-#3893 1001 BONHAMI ROAD, BRISTOL, VA: 24201- -#816 1001 BONHAMI ROAD, BRISTOL, VA 24201 -#816 396 TOWNE CENTREI DRIVE, ABINGDON, VA 24210-#823 1001 BONHAMI ROAD, BRISTOL, VA: 24201 #816 11604 FRONT: STREET WEST, COEBURM.VAZ230-E) Adkins,Dennis Brickey,Randall Billing Statement Food Stores. Inc. K-VA-TFood Stores, Inc. POI Box 1158 Abingdon, VA 24212 Billing Date: 04/06/2023 Due Date: 04/16/2023 Master Account No.: 10090893 Account Detail (continued) Balance Due $34.98 $42.41 $41.43 $II7.47 $39.00 $30.00 $157.31 $51.07 $60.20 $55.40 $40.00 $I25.00 $60.00 $85.45 $78.90 $22.13 $32.00 $106.00 $88.00 $114.43 Holder Date Card# Card 03/28/2023 1338 Demory,Edwin 03/03/2023 1339 Farmer,Randy 03/09/2023 1339 Farmer,Randy 03/14/2023 1339 Farmer,Randy 03/22/2023 1339 Farmer,Randy 03/29/2023 1339 Farmer,Randy 03/30/2023 1339 Farmer,Randy 03/30/2023 1339 Farmer,Randy 03/06/2023 1342 Garrison,Tracy 03/21/2023 1342 Garrison,Tracy 03/08/2023 1343 Gibson,David 03/20/2023 1343 Gibson,David 03/23/2023 1343 Gibson,David 03/13/2023 1344 Kilgore,David 03/22/2023 1344 Kilgore,David 03/22/2023 1344 Kilgore,David 03/20/2023 1350 Wireman,Randall 03/20/2023 1350 03/30/2023 1350 Wireman,Randall 03/10/2023 1352 CFDUnit682 Charges Payments $34.98 $42.41 $41.43 $117.47 $39.00 $30.00 $I57.31 $51.07 $60.20 $55.40 $40.00 $I25.00 $60.00 $85.45 $78.90 $22.13 $32.00 $106.00 $88.00 $114.43 Description 116041 FRONT STREET WEST, COEBURN, VA2 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA 24230-# #3893 11604) FRONT STREET WEST, COEBURN, VA 24230- #3893 116041 FRONT STREET WEST, COEBURN, VA2 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA: 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA 24230- #3893 116041 FRONT STREET WEST, COEBURN, VA 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA 24230- #3893 116041 FRONT STREET WEST, COEBURN, VA 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA 24230-# #3893 11604E FRONT: STREET WEST, COEBURN, VA 24230- -#3893 116041 FRONTSTREET WEST, COEBURN, VA: 24230- -# #3893 116041 FRONT: STREET WEST, COEBURN, VA 24230- -#3893 116041 FRONT STREET WEST,COEBURN, VA 24230- #3893 116041 FRONT STREET WEST,COEBURN, VA 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA: 24230-# #3893 11604F FRONT STREET WEST, COEBURN, VA 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA 24230- #3893 Wireman,Randall Billing Statement Food Stores. Inc. K-VA-TFood! Stores, Inc. POI Box 1158 Abingdon, VA 24212 Billing Date: 04/06/2023 Due Date: : 04/16/2023 Master Account No.: 10090893 Account Detail (continued) Description Balance Due $60.01 $32.46: $22.33 $71:27 $180,97 $87.41 $82.53. $35.02 $40,03 $38.15 $41.02. $31.60 $39,82 $34.25 $37.30 $35.56 $36.34. $41,61 $41.00. $46.08 Date Card# Card Holder 03/10/2023 1355 03/25/2023 1355 CFDUnit6 686 03/31/2023 1355 CFD Unit6 686 03/22/2023 1356 CFDUnit6 687 03/16/2023 1378 Gibson,Channon 03/20/2023 1378 Gibson,Channon 03/22/2023 1378 Gibson,Channon 03/02/2023 1402 Meade,Brandon 03/03/2023 1402 Meade,Brandon 03/05/2023 1402 Meade,Brandon 03/07/2023 1402 03/09/2023 1402 Meade,Brandon 03/12/2023 1402 Meade,Brandon 03/14/2023 1402 MeadeBrandon 03/17/2023 1402 Meade,Brandon 03/19/2023 1402 Meade,Brandon 03/23/2023 1402 Meade,Brandon 03/26/2023 1402 Meade,Brandon 03/29/2023 1402 Meade,Brandon 03/30/2023 1402 Meade,Brandon Charges Payments $60.01 $32.46 $22.33 $71.27 $180.97 $87.41 $82.53 $35.02 $40.03 $38.15 $41.02 $31.60 $39.82 $34.25 $37.30 $35.56 $36.34 $41.61 $41.00 $46.08 CFDUnit686 116041 FRONTS STREET WEST, COEBURN, VA: 24230-#3893 11604E FRONT STREET WEST, COEBURN, VA: 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA: 24230- #3893 116041 FRONTS STREET WEST, COEBURN, VA 24230- -#3893 116041 FRONT: STREET WEST, COEBURN, VA 24230- #3893 116041 FRONTS STREET' WEST,COEBURN, VA 24230-# #3893 11604F FRONT STREET WEST, COEBURN, VA: 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA2 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA 24230- #3893 116041 FRONT STREET WEST, COEBURN, VA 24230- -#3893 11604 FRONT STREET WEST, COEBURN, VA24230-#3893 116041 FRONT STREET WEST, COEBURN, VA2 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA: 24230-#3893 11604F FRONT STREET WEST, COEBURN, VA: 24230- -#3893 11604F FRONT: STREET WEST, COEBURN, VA: 24230- -#3893 11604) FRONT STREET WEST, COEBURN, VA 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA2 24230-#3893 11604F FRONT STREET WEST, COEBURN, VA 24230- -#3893 116041 FRONT: STREET WEST, COEBURN, VA 24230- #3893 11604 FRONT STREET WEST, COEBURN, VA2 24230- -#3893 Meade,Brandon Billing Statement Food Stores, Inc. K-VA-TI Food Stores, Inc. POI Box 1158 Abingdon, VA 24212 Billing Date: 04/06/2023 Duel Date: 04/16/2023 Master Account No.: 10090893 Account Detail (continued) Date Card# Card Holder 03/30/2023 1402 Meade,Brandon 03/31/2023 1402 Meade,Brandon 03/01/2023 1403 Swindie,Westley 03/06/2023 1403 Swinde,Westley 03/09/2023 1403 Swindle,Westley 03/21/2023 1403 Swindle,Westley 03/22/2023 1403 Swindie,Westley 03/27/2023 1403 Swindle,Westley 03/28/2023 1403 Swindle,Westley 03/29/2023 1403 Swindle,Westley 03/30/2023 1403 Swindle,Westley 03/01/2023 1456 Robinette,Matthew 03/14/2023 1456 Robinette,Matthew 03/17/2023 1456 Robinette,Matthew 03/31/2023 1456 Robinette,Matthew 03/02/2023 1458 Pennington,lames 03/07/2023 1458 Pennington,lames 03/09/2023 1458 Pennington,lames 03/13/2023 1458 Pennington,lames 03/21/2023 1458 Pennington,lames Charges Payments $6.53 $24.02 $33.97 $49.25 $40.15 $38.05 $34.82 $51.50 $34.36 $34.07 $39.19 $68.09 $72.14 $50.33 $69.78 $185.02 $203.12 $186.91 $180.21 $174.61 Description Balance! Due $6.53 $24.02 $33.97 $49.25 $40.15 $38.05 $34.82 $51.50 $34.36 $34.07 $39.19 $68.09 $72.14 $50.33 $69.78 $185.02 $203.12 $186.91 $180.21 $174.61 116041 FRONT STREET WEST, COEBURN, VA2 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA2 24230-#3893 116041 FRONTS STREET WEST, COEBURN, VA 24230- #3893 116041 FRONT STREET WEST, COEBURN, VA2 24230- #3893 116041 FRONT STREET WEST, COEBURN, VA: 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA 24230- -#3893 11604F FRONT STREET WEST, COEBURN, VA: 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA: 24230- #3893 116041 FRONT STREET WEST, COEBURN, VA 24230- #3893 11604F FRONT STREET WEST, COEBURN, VA 24230- #3893 11604E FRONT STREET WEST, COEBURN, VA: 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA 24230- #3893 116041 FRONT: STREET WEST, COEBURN, VA 24230- -#3893 116041 FRONT STREET WEST, COEBURN, VA: 24230- #3893 116041 FRONT STREET WEST, COEBURN, VA 24230- #3893 116041 FRONT: STREET WEST, COEBURN, VA 24230- #3893 11604) FRONTSTREET WEST, COEBURN, VA 24230- #3893 11604F FRONT STREET WEST, COEBURN, VA2 24230- -#3893 11604FRONT: STREET WEST, COEBURN, VA: 24230- #3893 Billing Statement Food Stores. Inc. K-VA-TFood: Stores, Inc. POE Box 1158 Abingdon, VA 24212 Billing Date: 04/06/2023 Due Date: 04/16/2023 Master. Account No.: 10090893 Account Detail (continued) Date Card# Card Holder 03/23/2023 1458 Pennington,ames 03/28/2023 1458 Pennington,ames 03/17/2023 4456 Williams,immy Charges Payments $191.85 $164.51 $44.45 Description Balance Due $191.85 $164.51 $44.45 116041 FRONT STREET WEST, COEBURN, VA24230-#3893 116041 FRONT STREET WEST, COEBURN, VA 24230-#3893 116041 FRONT STREET WEST, COEBURN, VA24230-#3893 3-10 TRUIST BL ACCT 00041967-000000 TOWN OF COEBURN Account Number: ##### #### #### 5680 Page 1 of 4 Account Summary Billing Cycle Days Inl Billing Cycle Previous Balance Purchases Cash Special Credits Payments Other Charges Finance Charges NEW BALANCE Credit Summary Total Credit Limit Available Credit Limit Available Cash Amount Over Credit Limit Amount Past Due Disputed Amount Corporate Activity Trans Date Post Date 02/24 02/24 Cardholder Account Summary BRIANI MARKHAM ### ### #### 3572 Cardholder Account Detail EH Contact Information 03/02/2023 28 $ 3,121.01 + 2,374.67 + 0.00 + 0.00 9.47CR 3,121.01CR + 0.00 0.00 $ 2,365.20 $ 20,000.00 17,634.80 0.00 0.00 0.00 0.00 Call us at 844-4TRUIST (844-487-8478) Visit us at Truist.com Write us atl TRUIST BANK POBOX6 698, WILSON, NC 27894-0698 Payment Summary NEWI BALANCE MINIMUM PAYMENT PAYMENT DUE DATE $2,365.20 $24.00 03/27/2023 NOTE: Grace periodt to avoidaf finance charge on purchases, pay entire new balance by payment due date. Finance charge accrues on cash advances until paida andi willl bet billed on your next statement. TOTAL CORPORATE ACTIMITY Transaction Description BRANCHPAYMENT- -THANK YOU $3,121.01CR Amount $3,121.01CR Total Activity 328.48 Amount 80.00 80.00 80.00 Reference Number 00027568002 Payments & Other Purchases &Other Cash Advances 0.00 Credits 0.00 Charges 328.48 Trans Date Post Date I Plan Name Reference Number Description 02/02 02/02 02/02 02/03 PPLNO1 2478542033280.323896 VADPORE 804-36785971 VA 02/03 PPLNO1 2475.2832803832492 VAI DPOR 804-3678597 VA 02/03 PPLNO1 2478.2033280XXX09397 VADPOR8043678597 VA PLEASE DETACH COUPON AND RETURN PAYMENT USING THE ENCLOSED ENVELOPE- ALLOW5DAYS! FORI MAIL DELIVERY Important contact details orA Account. Making payments Lost/Stolen Card? Please call usi immediately: at 844-4TRUIST (844-487-8478) tor reporta any loss, theft, ors suspected ora actual Unauthorized Use of Card Address Change? Call thel Truist Contaci Center at 844-4TRUIST (844-487-8478). Your mayr make payments ont the Accounti in any of thet following ways: Ata anyl Truistb branch duringr normal business hours. Byt using Truist eZBusiness or Truist Online Banking. statement- please allowa atl least five (5) business days ford delivery. payment! toy your Account after 5 pm ET and prior lon midnight ET ont the Anyf failure to comply with the following instructions may. Your mustp payt theN Minimum Paymente each month! byt the Payment Duel Date. Calculating interest charges To calculate the Average Daily Balance on) your Account: Truist adds the outstanding daily Balance (including new Transactions): and periodic payments and credits; this is donef fore each Transaction typet for each day in the Billing Cycle. We may make additional adjustments, as appropriate, us the daily Balance fore each Transaction Type. Truist then adds all of the finance charges ont the/ Account by multiplying thel Monthly! Periodic Rate (MPR) byt the Average Daily Balance! for each Transaction! type (e.g., Purchases, Cash Advances) int the Billing Cycle. For each Transactiont type, total allo oft thei interest chargest for each Transaction: typei in thel Billing Cycle. lfyous see ane error on your statement or wish to dispute a lfyous see ane error or wish to dispute a charge, contact your Program unknown charge, a" "Disputet this Charge" form appears. Complete thef form, then clickt the" "Submit and Save" button andy your dispute will be than 600 days after wes senty you thef first! bill on which the error or problem appeared. Your may also submit ac dispute byo calling 866-907-0507. communicate information about" Truist's experiences and" Transactions with receive thati information." Truist only reports Business Credit to Business Truist.com or byo calling 844-4TRUIST (844-487-8478). Byo calling the" Truist Contact Center at8 844-4TRUIST (844-487-8478). interest charges, fees, and unpaidi interest charges while deducting By mail att thes address listed ont thep payment coupon ont thef front oft this subjectt to applicable law( (e.g-, when: a Transaction! is dispuled). This gives Payments that Truist receives priort tor midnightE ET through Truist Online daily Balances for each separate Transaction! lype ont the Account fore each Banking, a Truist branch, orb by phone or maila att the address shown ont the day of the! Billing Cycle and divides that total amount by the number ofo days front of your statement will bec credited as of the dater received. Ify your make a int the Billing Cycle. This results int the Average Daily Balance fore each Payment Due Date, your mays see al latef feec ony yours statement, buti itv will be To calculate thel Finance Charges onj your Account: Truisto calculates the cause your payment to! be delayed. This delay may resuiti in we determine the MPR applicablet tot thatr respectivel Balance! byt takingt the additional charges and possible suspension/closure (ora allo of APR(s) applicable tot that Transaction type and dividingi it by 12. Wet then Payment must bei inl U.S. dollars, but noti inc cash unless thep payment is Thisi ist thet total interest charge (Finance Charges) fort thel Billing Cycle. Payment must noti includer restrictive language (e.g., "paymenti int fulr)or Administrator. If you area a Program Administrator, you can dispute a charge other language atlached tot thep payment; Truist may accepta any payment onlinel by viewing) yourt transactions in Truiste eZBusiness. Byo clicking ont the (e.g., a Convenience Check, CashA Advance, or Balance Transfer made electronically: submitted to Truist. Your disputer must! bes submitted no later Accounti number (or Cardholder Account number, ifapplicable) written on Truistr may, tot the extent andi int the manner permitted! by applicable law, Authorization: to convert! your check to ane electronic transfer yout to credit bureaus, Truist's affiliates, and others who may properly Wheny youp provide ac check asp payment, youa authorize ust tou usei information Bureaus. A complete copy oft thel Truist Privacy Policyi is available at Transaction' type fort the Billing Cycle. refunded within twob business days. these) oft the Account. made atal Truist branch. Payment must comef from aus. deposit account ord cashier's check drawn ona a U.S. financial institution. with restrictivel language withoutl losingo ourr rights. Payment cannot comef from a credite account that Truist provides you Paymenti inap paperi form (such as a check, money order, or cashier's charge ont this Account). thep payment. debit check) musti includet the payment coupon from the Statement ort have the Sharing ofi information fromy your check to make a one-time electronic fundt transfer fromy your account. Inc certain circumstances, such as fort technical orp processing reasons, wer may process youry payment as ac check! transaction. When we usei informationi from your checkt tor make ane electronic fundt transfer, funds may be withdrawnf fromy youre account as soon ast thes same dayv wer receive your payment, andy youv willr notr receivey your check back fromy your financial institution. BL ACCT 00041967-00000000 TOWN OF COEBURN Account Number: ##### #### #### 5680 Page 3 of 4 Cardholder Account Detail Continued Trans Date Post Date Plan Name Referencel Number 02/15 02/19 02/21 02/22 TRUIST HH Description Amount 4.90 40.93 11.90 30.75 02/16 PPLNO1 2437639470103415807 LSSPOA2UI2NCENRIVA 0220 PPLNO1 2.69216920600647397808 VONAGE *PRICE+TAXES 866-243-4357NJ 02/22 PPLNO1 2931689463370002307 FAMILYDOLLAR #2329COEBURNY VA 0223 PPLNO1 2.23568454870003659 FAMILYDOLLAR: #23290 COEBURNY VA Cardholder Account Summary SCOTTE BROOKS #### #### #### 2702 Cardholder Account Detail Payments & Other Purchases & Other Cash Advances 0.00 Total Activity 866.40 Amount 18.28 18.51 7.32 5.64 8.19 9.82 30.32 24.71 5.41 14.30 7.09 9.47CR 35.18 20.85 9.48 11.66 7.91 5.97 25.81 <18638 5.97 7.91 28.04 21.30 23.67 30.62 17.36 5.10 5.81. 13.65 18.87 8.19 8.19 18.24 25.02 7.91 5.97 11.70 12.56 8.06 9.93 32.61 20.51 13.84 7.96 11.88 14.13 28.04 Credits 9.47CR Charges 875.87 Trans Date Post Date Plan Name Reference Number Description 02/01 02/01 02/01 02/01 02/03 02/03 02/02 02/02 02/02 02/05 02/06 02/07 02/07 02/07 02/08 02/08 02/08 02/08 02/09 02/11 02/09 02/09 02/13 02/13 02/14 02/14 02/15 02/15 02/15 02/17 02/17 02/16 02/22 02/23 02/24 02/23 02/23 02/24 02/24 02/24 0227 02/28 02/27 02/27 02/28 03/01 03/01 03/01 02/03 PPLNO1 24376X930075780683 CRACKER BARREL #614E BRIST BRISTOL VA PPLNO1 243746303500675780676 CRACKER BARREL #614 BRIST BRISTOLV VA 02/03 PPLNO1 24273830337/001510289 CHICK-FIL-A: #02858E BRISTOLVA PPLNO1 24273303371001510392 CHICK-FIL-A1 #02858 BRISTOLVA 02/05 PPLNO1 24786913088.0418249 COOK OUT BRISTOL BRISTOLVA 02/05 PPLNO1 2478073086819048725 COOK OUT BRISTOL BRISTOLVA 02/05 PPLNO1 24013923400275185376 SOUTHERN CRAFT BAR-B-QUE JOHNSONCITYTN PPLNO1 297333034002516398 SOUTHERN CRAFT BAR-B-QUE JOHNSON CITYTN 02/05 PPLNO1 24273304700/6583375 CHICK-FIL-A# #02858 BRISTOL VA PPLNO1 247801309789049830 COOK OUT BRISTOL BRISTOLVA 02/08 PPLNO1 24273338/001637483 CHICK-FIL-At #02858 BRISTOLVA 749216,08/99943313 CREDIT VOUCHER 02/09 PPLNO1 2.013933X0084178585 SOUTHERNCRAFT BAR-B-QUE JOHNSON CITYTN 02/09 PPLNO1 7013993X.0.414023 SOUTHERNCRAFT BAR-B-QUE JOHNSON CITYTN 02/10 PPLNO1 7460T3A0AU2SIE COOK OUT BRISTOL BRISTOLVA PPLN01 24760120X08S0A26/5 COOK OUT BRISTOL BRISTOL VA 02/10 PPLNO1 242733A07/001712831 CHICK-FIL-A# #02858 BRISTOL VA PPLN01 242233.070017269 CHICK-FIL-A: #02858 BRISTOL VA 02/10 PPLNO1 2.93580041274972865 CHILI'S BRISTOL BRISTOLVA 0212 PPLNO1 2449000A00/716261 BELK #561 WISE WISE VA 02/12 PPLNO1 242334710078065139 CHICK-FIL-A: #02858 BRISTOL VA 02/12 PPLNO1 2428X947/00T86147 CHICK-FIL-A1 #02858 BRISTOL VA 02/14 PPLNO1 2231830A540C0RUASA TEXAS ROADHOUSE: #2724E BRISTOL VA 02/14 PPLNO1 22316830A54000080080 TEXASE ROADHOUSE #2724 BRISTOL VA PPLNO1 2936830467274280X9 CHILI'S BRISTOL BRISTOL VA PPLNO1 2.83583067274283465 CHILISE BRISTOL BRISTOL VA 02/6 PPLNO1 24282193046X2001750092 PUERTONUEVOI MEXICAN/ ANDE BRISTOL VA 02/17 PPLNO1 2427330477016820A CHICK-FIL-A: #02858 BRISTOL VA 02/17 PPLNO1 242733947/001685089 CHICK-FIL-A #02858 BRISTOL VA 02/19 PPLNO1 437460A8.06704740 TST* DRAKE'S BRISTOL BRISTOL TN 02/19" PPLNO1 24374639485007084515 TST" DRAKES - BRISTOL BRISTOL TN 02/19 PPLNO1 220I30ARSSORS2Y COOK OUT BRISTOL BRISTOL VA 02/24 PPLNO1 24789019548990423333 COOK OUT BRISTOL BRISTOL VA 02/24 PPLNO1 240/3930640024658191 SOUTHERN CRAFT BAR-B-QUE JOHNSONCITYTN 02/24 PPLNO1 28216.650TT92470 MELLOW MUSHROOM BRISTOLVA 02/26 PPLNO1 2428.4997001820.0 CHICK-FIL-A! #02858 BRISTOL VA 02/26 PPLNO1 242733.571001828108 CHICK-FIL-A: #02858 BRISTOL VA PPLNO1 243108.X.92880XXX962 PANDA! EXPRESS #2629 BRISTOL TN 02/26 PPLNO1 24310830689800380238 PANDA EXPRESS #26298 BRISTOL TN 02/26 PPLNO1 24032X483191064.001 BOJANGLES: #300 BRISTOL VA PPLNO1 24769013.89890427613 COOK OUT BRISTOLI BRISTOL VA PPLNO1 2445000804008418475 WMSUPERCENTER: #2089 BRISTOLVA PPLNO1 244500CX0273/17A FMVEGUYS 1956 QSR BRISTOL1 TN PPLNO1 24.0XX9X..27231124 FMVEGUYS 1956 QSR BRISTOLTN 03/01 PPLNO1 29.800080085403000785 KFCJ718120 BRISTOL VA PPLNO1 2401X090,076A1867 CHARLEYS PHILLY STEAKS06A ABINGDONVA PPLNO1 24013389080001685123 CHARLEYS PHILLY STEAKS 06A ABINGDONVA 03/02 PPLNO1 2.231689061870008975 TEXAS ROADHOUSE #2724BRISTOL VA 02/03 02/03 02/05 02/07 02/08 02/10 02/10 VISTAPRINT 8662074 4955) MA 02/15 02/15 02/26 02/28 03/01 03/01 03/01 03/02 03/02 45110-12790 raye 4 UI 4 Total Activity 809,45 Amount 539.03 75.77 194,65 Total Activity 360.87 Amount 20.00 254.79 86.08 Cardholder Account Summary JEFFERY LI LIVINGSTON #### ### ### 9278 Cardholder. Account Detail Payments & Other Purchases & Other Cash Advances 0.00 Credits 0.00 Charges 809.45 Trans Date Post Date Plan! Name Reference Number Description 02/06 02/25 03/01 02/07 PPLNO1 246523380916.00X50 NORTONRURALI KINGI NORTONVA PPLNO1 24152.966709165900047 NORTONRURALI KINGN NORTONVA 03/02 PPLNO1 2-2316806109.03728589 HARBORI FREIGHT TOOLS 727 WISE VA 02/27 Cardholder. Account Summary JIMMY WILLIAMS #### #### ### 7056 Cardholder Account Detail Payments & Other Purchases & Other Cash Advances 0.00 Credits 0.00 Charges 360.87 Trans Date Post Date Plan Name Reference Number Description 02/06 03/01 03/01 02/07 PPLNO1 247854239853381646/04 VAD DM/NORTONCSCI NORTONVA PPLNO1 248921630801028915971 GOOGLE" *GSUITE townofc cc@google.com CA PPLNO1 2478.4239902708162829 ONT THE CLOCK8 888-7535999MI 03/02 03/02 Finance Charge Summary / Plan Level Information Plan Name Purchases PPLNO10 001 PURCHASE Cash CPLNO1 001 Periodic Rate (M)-Monthly (D)-Daily * includes cash advance andf foreign currency fees Plan Previous Average Periodic Corresponding Finance Effective APRI Effective Ending Description Balance Daily Balance Rate* APR Charges Fees* ** APR Balance $3,121.01 $0.00 $0.00 0.95000%( (M) 11.4000%( (V) $0.00 $0.00 0.0000% $2,365.20 Days In Billing Cycle: 28 APR: =Annual Percentage Rate $0.00 CASH $0.00 1.45000%( M) 17.4000%M $0.00 $0.00 0.0000% (M= Variable Rate Ifyoul havea a variable rate account the periodic rate and/ Annual Percentage Rate (APR) may vary. OWN Home Friendly copie Town of Coeburn "The Home of Friendly People" Jimmy F. Williams Jr, Town Manager Cathy Sharpe, Clerk/Treasurer Scott Brooks, Chief of Police Town Council Deventae Mooney, Mayor Sharon Still, Vice Mayor Jeffrey G. Kiser Carles Collins Joe Still April 10, 2023 PETITION FOR AUTHORIZATION TO DESTROY TOWN RECORDS Petitioned by: Cathy L. Sharpe, Clerk/Treasurer As provided for and in compliance with requirements promulgated by the Library of Virginia, I hereby, and on behalf of the Town of Coeburn, petition the Coeburn Town Council for approval of an application to destroy tax records, daily work records, accounts payable records, payroll records, and rental records as indicated herein. Description of property to be destroyed: 2006-2008 Payroll, Time Sheets 2008 Bank Statements, Canceled Checks, Receipts Personal Property and Real Estate Working Papers 2007-2013 Tax Information- Real Estate, Personal Property, Mobile Home, Machinery and Tools 2009 2009 2009 Work Orders Utility Billing and Reports General Ledger Journals 2010-2012 Abatements/Supplements-laxes 2012-2014 Returned Tax Tickets 2013-2018 Ringley Park Reservation Calendars 2014 2014 Debt Set off Transient Occupancy Returns 2015-2018 Depot Calendars 403 Second St. N.E.-P.O. Box 370 . Coeburn, Virginia 24230 Phone (276) 395-3323* Fax (276)395-3648 Page1 2016 2016 2016 2017 2017 2017 Accounts Payable, Deposit Slips Time Sheets Utility Bill Pay Agreements 2017-2019 Front Calendar Penalty and Cutoff InformationWater) Water Bill Leak. Adjustments Daily Work 2017-2019 Utility Billing and Accounts Payable Irequest authorization to destroy these records because there is no long term storage available and the records are not used or referenced and serve no beneficial or legitimate business purpose. Ihereby attest that all of the above statements are true and that I, Cathy L Sharpe, as an officer of the Town of Coeburn, am empowered to make this petition on behalf of the Town of Coeburn. CHlas J. Maye Cathy L. Sharpe, Clerk/Treasurer State of Virginia County of Wise Acknowledged before me by Cathy L. Sharpe on this 6 day of April 10, 2023. iRLe - N MSAINN JN NOTARY PUBLIC REG. #7861591 MYCOMMISSION EXPIRES 0-3/-24. Notary Public My commission expires: 403 Second St. N.E. . P.O. Box 370 . Coeburn, Virginia 24230 Phone (276) 395-3323 . Fax (276) 395-3648 Page2 Payment Service Network, Inc. Simplifying your customer's life and your business day Pricing Proposal for Coeburn, VA Payment Service Network, Inc. 2901 International Lane Madison Wisconsin 53704 www.PaymentserviceNetwork.com Nick Photos Phone: 203-305-1127 photoeinoreoudcon VISA PRE MasterCard DISCOVER eCheck Savings March 28, 2023 Thank yout for allowing me tos submit this proposal. Payment Service Network (PSN) provides a vast range ofe eServices for payment processing, billing and customer communication. After discussing your needs, Ihave developed thet following proposal of services. Please let me know ifthere is any additional information you require. The staff at PSN looks forward to providing you with This proposal quotes costs for the services that are marked below. If you would like quotes on any personalized service. additional services, please let me know. PAYMENT METHODS Included Not Included V V Credit and Debit Card Payments Checking and Savings Payments PAYMENT CHANNELS Included Not Included V V V V Online Customer Mobile. App* Credit Card1 Terminal Virtual Terminal (anyl Internet-connected. device)* Automated Phone (IVR) and PSN Cali Center Backoffice. Auto-Pay (recurring set up by staff) Customers' Banks' Bill Payment System X X *Come standard with Online payment. services ADDITIONAL SERVICES Included Not Included V V Web Customization withy your Logo Data Sharing (System Integration) 1 PSN ntServicet March 28, 2023 Implementation and Service Fees Following are non-transactional fees which are either one-time, monthly or annual costs. Ifyou need additional information on these costs, please let me know. Service Implementation Fee Includes, as applicable: Implementation Team . Training Online Portal Setup . Standard Customer Payment App Setup . IVR: Setup . PSN Call Center Training Specific to Your Account . Merchant. Application Processing Marketing Support Paperless Billing - per paperless bill per cycle Note: Only when paper is suppressed, anda a paperi invoicei is notr mailed Support, Maintenance Fee Includes, as applicable: Online Portal, Standard Customer Mobile App, IVR System Upgrades and Maintenance . Call Center Support for Your Customers . Emaill Notifications to Payers and Staff Service Account Manager for Your Staff. Interface/lntegration: Support (Storage and Maintenance of Customer Data) Reports . Online Account Management Center System and Account Monitoring (24/7) PCI Security Compliance Fee Card Security Requirernents : Auditing Transaction Fees Paid by Customers cash) and/or how the payment is made. Payment Channel Online . Mobile e Virtual One-time fee Waived Per Billing Cycle Monthlyt fee $.20 $200 And More Annual fee Waived Includes: Required PCI Certification . Compliance with Credit Charged each December To cover costs of processing payments through the network of financial institutions, thei following fees will apply to each transaction. The fees are based on the type of payment (check, credit card, Check/Savings Credit/Debit Card* $3.00 $3.95 $5.95 3.5% with minimum fee of $3.00 3.5% + $0.95 with minimum fee of $3.00 3.5%+ $2.95 with minimum fee of $3.00 IVR- Automated Phone Payments (Optional) Live Call Center Payments/Optional, *Credit cards include your choice of VISA, MasterCard, Discover and American Express NOTE:A; $15 fee is charged toy youj for any disputedo credit/debit card. Coeburn, VAI is charged $9.95 for NSFI returns. PSN 2 Payment Service Network, Inc. Service Agreement This SERVICE AGREEMENT, including any anda all exhibits attached hereto (the* "Agreement"), is entered into as ofthe! 9th day ofFebruary Biller and 2023 (the "Effective Date"), by and between Town of Coeburn, VA (the "Biller"), and) Payment Service Network, Inc. shalll ("PSN"). have the PSN may! ber referredt to! hereini individually as a "Party" and collectively as the" "Parties." Capitalized terms used! herein ascribedi tot themi in] Exhibit A attached hereto, unless otherwise expressly definedi ini this Agreement. meanings WHEREAS, PSN isi int thet business of providing andi implementing electronic bill presentment and payment services (the "Services" as more WHEREAS, Biller desires to contract with PSN: for the provision oft the Services upont the terms and conditions set forth herein. fully definedi in] Exhibit Al below); and other to execution Biller of this by valuable consideration, the receipt and sufficiency of which are the Biller Agreement, Order] Form attached) hereto as Exhibit B. until the termination NOWTHEREFORE, in consideration oft the above recitals ando good and hereby acknowledged, thel Parties hereby agree asf follows: transferable, worldwide right to uset the Services selectedby Biller ont Restrictions. PSN hereby grants to Biller a non-exclusive, non- tol bill andi receive payment from Biller's own 1. License Grant and Subject ands ofthis Agreement as provided herein, solely for the purposes authorized herein, specifically hereunder does not Customers. All rights not expressly granted to Biller are reserved by PSN andi its licensors. The license granted tol Biller and all right, title and transfer to Biller any ownership or proprietary rights in] PSN's Site, PSN Technology ort the Services or any part thereof, sublicense, resell, interesti in andt tol PSN's Site, PSN Technology andi the Services will remain solely with PSN.Biller: shall not: ()1 license, PSN Technology sell, or the lease, transfer, assign, distribute or otherwise commercially exploit or make available to any third party the PSN's Site, recreate, "frame" or Services in any way; (i) modify or make derivative works based upon! PSN's Site, PSN Technology or Internet-based Services; (in) device; reverse "mirror" any portion ofl PSN's Site, PSN Technology or the Services on any other server or wireless of or PSN's Site, PSN Technology (iv) or the engineer PSN's Site, PSN Technology or the Services; (v) copy. any features, functions or graphics Services; or (vi) access PSN's Site, PSN Technology or the Services in order to build a competitive product or using similar ideas, features, functions or graphics of PSN's Site, PSNTechnology ort the Services. service, or to build aj product 2. General Service' Terms. Biller will provide tol PSN alll Biller Data generated for Biller's Customers. Unless otherwise expressly electronic agreed data to in writing by PSN to the contrary, PSN will process all of Biller's Transactions related to the Biller Data and will do so Order via transmission according to PSN's formats and procedures for each electronic payment type Biller selects on the Biller understands and acknowledges that PSNi is party to agreements with various processors and card associations pursuant to whichl PSN being with certain payment processing services by a member (a "Provider") of Mastercard, Visa, Discover and/or similar entities agreements witht thel Provider (onl Provider's current form) asi necessary fort thej provision ofServicest limitation sub-merchant agreements). thatl Billerk have a direct contractual relationship witha ar member oft the card association (including without for the Services without unreasonable including without limitation Payment Processing Agreements andr merchant agreements that may be required uponi implementation, 3.) Exclusivity. During the' Term oft this Agreement, PSN shall bet the exclusive provider oft the! Services selected by Biller ont the Biller Order Form. Biller shall not seek or accept similar services from other providers unless prior written approval is obtained from PSN. 4.Privacy and Security. PSN's! privacy policy may be viewed at ms.hmsinaasnieNtamsals, PSNI reserves the right to modify its privacy policy in its reasonable discretion from time to time which such modifications shall not Cardholder materially Information adversely impact such policy. PSN will maintain compliance with current required Payment Card Industry (PCI) standards andt technical and safeguards 5.4 Account Access, Information and Data. Biller shalll be provided with real-time access to all account information via information PSN's administrative available logon. Such access willl be provided to alll Biller authorized representatives designated in writing' by Biller. The account utilities, taxes, etc.). For tol Biller will include Transaction" totals, specification by account, and specification by Transaction/account: type( (e.g., to accounti information each Customer who sets up aj profile within thel PSN system, PSN willp provides such Customer willi with inform real-time each Customer accesst of their the charge and amount (but not the information ofa any other Customer) through PSN's Site. If applicable, PSN not and will not own Customer! Data in the course of providing the Services. Biller, not PSN, shall have sole responsibility for the accuracy, quality, integrity, legality, is obtaining the intellectual property rights to use andp process, all Customer Data. In the event that this Agreement terminated, andi PCI-DSS available tol Biller a file ofthe Customer. Data (to thee extent that PSNi is permitted toj provide such file pursuant to applicable ifBiller law so requests at the standards), within thirty (30) days oft termination oft this Agreement (or ata al later timei ifr required by applicable law), than time of termination. PSN reserves the right to remove and/or delete Customer Data from its records no less sixty (60) days 6.1 Biller and Customer Support. PSN shall responsible to the Services. providing PSNS shall not be responsible for providing customer support regarding redirect tol PSN: any customer support inquiries specifict to the Services, for example, issues related to the products or services offered by Biller Biller Form. is provided (collectively, "Associations"), andt that att times, Billeri isas sub-merchant under suchr merchant services agreements between PSN andl Providers. its under this Agreement, Biller shall enteri into such tos satisfy the card associations' requirement Where requested by PSN, and as a conditional precedent tol PSN performingi obligations In addition, Biller will execute all third-party applications and enteri into all agreements required suchi time ast the Services operate with different or multiple payment processors. or later delay, at reasonable: and administrative, physical designed Security standards. PSN agreest tor maintain commercially appropriate and control. top protect thes security, confidentiality andi integrity of Customer. Data whilei inl PSN's possession ofany fees for the Services that willl be charged to the Customer directly. PSN does any and reliability of, and PSN will make after the as be by for law ori int the event ofexigent circumstances. customer support in connection with the Services and Biller may termination or expiration ofthis Agreement, except prohibited applicable any aspect ofBiller'st business not specifically related Payment Service! Network, Inc. Service Agreement Page 1of15 V.2.0 Payment Service Network, Inc. Service Agreement to Customers, ora any Customer disputes regarding the amount charged or invoiced by Biller for Biller's products ofservices. Biller understands and acknowledges that the processing of payments as directed by PSN live agents is not part of customer support unless specifically indicated 7. Confidentiality. Biller understands and acknowledges that during the course of using or gaining access to the Services (or components thereof), itr may be furished with or otherwise have access toi information or materials that PSN considers to be confidential, including but not limitedt tol PSN' Technology, the! Services, the terms ofthis Agreement, PSN customer and/or prospective customer information, product features and plans, marketing and sales collateral, and pricing and financial information which are hereby deemed to be PSN Confidential Information, or any other information that by its very nature constitutes information ofa type that any reasonable business person would conclude was intended by PSN to bet treated as proprietary, confidential, or private ("PSN Confidential Information"). Biller agrees to secure and protect the PSN Confidential Information in a manner consistent with the maintenance ofPSN's rights therein, using at] least as great a degree of care as ituses to maintain the confidentiality ofits own confidential information, but in no event use less than a reasonable degree of care. Biller will nots sell, transfer, publish, disclose, or otherwise make available any portion of the PSN Confidential Information to any third party (and will ensure that its employee and agents abide by the requirements hereof), except as expressly authorized in this Agreement or otherwise required PSN understands and acknowledges thati it may be furnished with or otherwise have access to Customer Data that Biller's Customers consider confidential ("Customer Confidential Information"). PSN agrees to secure and protect the Customer Confidential Information in a manner consistent with the maintenance of PSN's own Confidential Information, using at least as great a degree of care as it uses to maintain the confidentiality ofits own Confidential Information, but ini no event usel less than ai reasonable degree ofcare. PSN will not sell, transfer, publish, disclose, or otherwise make available any portion of the Customer Confidential Information to any third party, except as permitted under this 8.Intellectuall Property Ownership. PSN (andi its licensors, where applicable) owns allt right, title andi interest, including all Property Rights, in and to: (i)t the PSN Technology, the Content andt the Services, (i) alll Integration Components and application programming interfaces relatedt to or usedi in connection witht the Services, and (ii) any enhancement: requests, feedback, suggestions, ideas, recommendations and other information provided by Biller, Customers or any other party relating to the Services. In the event any such intellectual property rights int the PSN Technology, the Content or the Services do not fall within the specifically enumerated works that constitute works made for hire under applicable copyright laws or are deemed to be owned by PSN, Biller hereby irrevocably, expressly and automatically assigns all right, title and interest worldwide in and to such intellectual property rights to PSN. The PSN name, the PSN logo, and the product names 9.B Billing, Fees and Fee Modifications. PSN's fees for the Service are provided on the Biller Order Form attached hereto as Exhibit B. The Biller Order Form specifies those fees payable by Biller directly and those fees payable by Biller's Customers. Biller agrees to: () pay the Setup/Equipment Fees set forth in) Exhibit B upon execution of this Agreement; (i) pay Monthly Fees set forth in Exhibit B on or about the first day of each month; and (iii) pay the Transaction Fees and Other Fees as designated in Exhibit B. PSN's fees are exclusive of all taxes, levies, or duties imposed by taxing authorities. PSN may assess and/or collect such taxes, levies, or duties against Biller and Biller shall be responsible for payment ofa all: such taxes, levies, or duties, excluding only United States (federal or state) taxes based solely on PSN's income. AtPSN's option, all payment obligations are either: (a) auto debited from the Biller Bank Account; or (b) deducted from Customer payments before such payments are deposited into the Biller Bank Account. All payment obligations are non-cancellable, and all amounts or fees paid are non-refundable. Unless PSN in its discretion determines otherwise, all fees will be billed in U.S. dollars. IfBiller believes Biller's bill or payment isi incorrect, Biller must provide written notice tol PSN within sixty (60) days of the earlier of the invoice date, or the date of payment, with respect to the amount in question in order to be eligible to receive an adjustment or credit; otherwise such bill or payment is deemed correct. PSN shall endeavor to deliver Customer payments to the Biller Bank Account within three (3) banking days of payment, however, Biller acknowledges thati it may take up to five (5)banking days to complete such deposits due tol bank notification times and different deposit frequencies from the credit card processors to PSN. A "banking day" is a day of the week on which a bank or financial institution is open to the public for carrying on all ofi its banking functions (ie., Monday through Friday, excluding Saturday, Sunday and legal holidays). PSN's failure to deduct or auto-debit any Setup/Equipment Fees, Monthly Fees, Transaction Fees or Other Fees listed on the Biller Order Form ("Unpaid Fees") does not forfeit PSN'sr right to collect such Unpaid Fees from Biller at a later date, and] Biller agrees to pay such Unpaid Fees PSN will charge the Biller and/or Customer payment transaction and other fees as provided in the Biller Order Form. In addition, PSN will charge the fees set forth ont thel Biller Order. Form for the initial platform setup, configuration, implementation andi integrationofPSN'ss Services with Biller's system(s) (the Implementation'"). PSNI reserves the right to also charget for changes and additions to the Implementation, and for any requests by! Biller following the completion ofthel Implementation which are agreed to in writing by the Parties, including without limitation with an associated price in Exhibit B attached hereto. by applicable law. Agreement, required top perform the Services, or otherwise: required by applicable law. related Intellectual associated with the Services are trademarks ofl PSN or third parties, andr no right or license is granted to use them. tol PSN. for the following services, at PSN's then standard rates: Custom development and features which are not stated in the Biller Order Form, and change requests and modifications to existing Additional integrations or integration modifications requested after the Go Live Date that are not provided for in the Biller Order Changes tol bill presentment (web or PDF templates), billing system integrations, or other Service components coded or configured tol Biller's specifications made after Biller has signed off on the relevant specification or Services arel live; Custom data extracts and file requests that are not part of the Implementation signed off on by both Parties; and platform functionality not stated in the Biller Order Form; Form; Page2 2of15 Payment Service Network, Inc. Service Agreement V.2.0 Payment Service Network, Inc. Service. Agreement Data conversion not listedi int thel Biller Order Form, or repetitive re-loading of data duet tol Biller error. PSN reserves the right to modify the fees charged tol Biller and/or Biller's Customers ini its sole discretion from time to time. PSN will notify Biller of such fee modifications by written notice (email is sufficient) at least thirty (30) days prior to the effective date of any such modifications. PSN's right to modify its fees hereunder includes any modifications made necessary due to increases incurred by PSN on Network Fees from credit card processers, bank card issuers, payment associations, ACH and check processers, and similar entities. From time-to-time PSN may offer Biller new Payment Methods, and, in such event, PSN will provide Biller with notice by email disclosing the pricing under whicht the added Payment Methods are made available. Biller willl have atl leastt thirty (30) days after the date ofther notice to opt- out ofthe additional Payment Methods in thei manner provided int the notice. IfBiller doest not opt-out ins such time frame, then oni introduction oft the additional Payment Methods, Biller willl be bound by the additional terms as disclosed in the notice, and the Biller Order Form will be 10. Term and' Termination. Thei initial term ofthis Agreement shall commence as oft thel Effective Date and continue for ap period of five (5) years from the Go Live Date ("Initial Term"), and will automatically renew for each of additional successive three (3): year terms (each, a "Renewal Term") unless terminated as set forth herein. "Term" as used herein shall mean the Initial Term and any Renewal Term. This Agreement. may bet terminated bye either] Party effective att the end oft thel Initial Term or any! Renewal Term then ine effect! by suchl Party providing writtenr noticet tot the other) Party ofitsi intentr not to renew this Agreement nol lesst than ninety (90) days priort to the expiration oft thel Initial' Term or Renewal Term then ine effect.. Additionally, this Agreement may be terminated by either Party with cause in the event ofa material breach oft the terms of this Agreement by the other Party and the breach remains uncured for a period of thirty (30) days following receipt of written notice by thel breaching Party. Upon any early termination oft this Agreement by PSN as a: result of Biller's breach, Biller shall remain liable for all fees and charges incurred, and all periodic fees owedt through the end oft the calendar month following the effective date oftermination. Upon any termination or expiration of this Agreement, Biller's password and access will be disabled and Biller will be obligated to pay the balance due onl Biller's account. Biller agrees that] PSN may debits suchi unpaid fees and charges fromt the! Biller Bank Account, charge Biller's credit card for the unpaid fees and charges, or otherwise invoice Biller for such unpaid fees and charges, such fees and charges including, without limitation, Chargebacks, the reversal of any Customer payments deposited by PSNi into the Biller Bank Account for which there are insufficient funds, and any other Disputed Transactions specified in Section 23 of this Agreement. PSN will direct the processing of all Customer payments received prior to the date of termination. No Customer payments willl be directed by PSN for processing after the date of termination.. Allo obligations ofBiller arising from Transactionsi involving Customer payments receivedby! PSN, priort toi termination shalls survive the termination oft this Agreement. Biller will notify all Customers registered ont the Site as to the termination of this Agreement andi inform 11.PSN's Representations, Warranties, and) Responsibilities. PSN represents and warrants thati it hast the legal power and authority to enter into this Agreement. PSN warrants that the Services will materially perform the functions that Biller has selected on the Biller Order Form under normal use and circumstances, and that PSN shall maintain commercially reasonable and appropriate administrative, physical and technical safeguards designed toj protect the security, confidentiality and integrity of Customer Data while inl PSN's possession and control; provided that Billers shall maintain immediately accessible backups oft the Customer. Data (tot the extentt that Billeri is permitted to dos so pursuant to applicable law and PCI-DSS standards). In addition, PSN will, at its own expense, as the sole and exclusive remedy with respect to performance ofthe Services hereunder, correct any Transactions tot the extent that such errors have been caused by PSNor by malfunctions of 12. LIMITED WARRANTY AND DISCLAIMERS. EXCEPT AS PROVIDED IN SECTION 11 IMMEDIATELY ABOVE, THE SERVICES, THE SITE, PSN TECHNOLOGY AND ALL CONTENT AND TRANSACTION DATA IS PROVIDED WITHOUT ANY EXPRESS OR IMPLIED WARRANTY, INCLUDING, WITHOUT LIMITATION, ANY IMPLIED WARRANTY OF MERCHANTABLITAFTNES FOR A PARTICULAR PURPOSE, OR NON-INFRINGEMENT, AND ALL OTHER WARRANTIES ARE HEREBY DISCLAIMED TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW BY PSNANDI ITSI LICENSORS, PAYMENT PROCESSORS AND SUBCONTRACTORS. PSN AND ITS LICENSORS, PAYMENT PROCESSORS AND SUBCONTRACTORS DONOTI REPRESENT OR WAREANTTHAECTHELS: OF THE SERVICES WILLI BEI UNINTERRUPTED ORERAORFREEROPERATEINCOABNATION: WITHANYOTHER HARDWARE, SOFTWARE, SYSTAMOADATA/OTHAT THE SERVICES WILL NOT EXPERIENCE DELAYS IN PROCESSING OR PAYING, OR (C) THE SERVICES WILL MEET REQUIREMENTS WITH RESPECT TO SIZE OR VOLUME. PSN AND ITS LICENSORS, PAYMENT PROCESSORS AND SUBCONTRACTORS DO NOT GUARANTEE THE ACCURACY OF, AND SPECIFICALLY DISCLAIM LIABILITY FOR, INFORMATION OR DATA THAT IS SUPPLIED OR KEY-ENTERED BY BILLER, BILLER'S CUSTOMERS OR BILLER'S EMPLOYEESOR. AGENTS. PSMANDIISLICENSORS PAYMENT: PROCESSORS AND: SURCONTRACTOASDONOT WARRANT THE ACCURACV,RELIABILTTY.COMPLETENES OR TIMELINESS OF THE CONTENT OF INTERNET WEB SITES OR OTHER DATA RECEIVED BY BILLER OR BILLER'S CUSTOMERS VIA THE INTERNET. PSN'S SERVICES MAY BE SUBJECT TO LIMITATIONS, DELAYS, AND OTHER PROBLEMS INHERENT IN THE USE OF THE INTERNET AND ELECTRONIC COMMUNICATIONS. PSNI ISNOTRESPONSIBLEFORANYDELAYS DBLMERYPAIIRESOROTEX DAMAGE RESULTING FROM SUCH PROBLEMS. PSN IS NOT RESPONSIBLE FOR ANY BILLER POSTINGS IN ERROR DUE TO DELAYED NOTIFICATIONI FROMCREDIT CARD) PROCESSORS, ACH, BANK AND OTHER RELATED CIRCUMSTANCES. 13. Biller's Representations, Warranties, and Responsibilities. Biller represents and warrants that: (a)i it hast the legal power and authority to enter into this Agreement and to perform its obligations set forth herein; (b) it will provide all reasonable assistance to PSN and PSN's subcontractors as required for PSN to provide the Services set forth herein; (c) Biller andi its authorized users will only use the Services for lawful purposes and in compliance with the rules and regulations of the applicable payment processors (including, without limitation, deemed amended tor reflect the changes. such Customers that future payments are tol ber made directly tol Biller. PSN's processing systems. Page 3of15 Payment Service Network, Inc. Service Agreement V.2.0 Payment Service Network, Inc. Service Agreement MasterCard, Visa, Discover and American Express), credit card issuers, and depository account institutions (collectively, the "Rules and Regulations"), and in accordance with PSN's account documentation, policies, specifications, and operating procedures, and will not violate any law of any country or the intellectual property rights of any party; (d)i its shall timely provide all required disclosures to its Customers and obtain any required authorizations pursuant tot thel Rules and Regulations; (e)i its shall maintain or destroy, as applicable, checks, receipts, and/or payer authorizations in accordance with applicable law and/or retention periods; () Biller and its authorized users will not (I) engage in spamming, mail-bombing, spoofing or any other fraudulent, illegal or unauthorized use ofthe Services, or (2)i introduce, send, store or transmit through the Site, PSN Technology or the! Services, including withoutl limitation via any portion oft Biller's computer system that interfaces with the Site, PSN Technology ort the Services, or otherwise, any virus, worm, software Iock, drop dead device, trojan-horse routine, trap door, back door, timer, time bomb, clock, counter or other limiting routine, instruction or design or any other codes, files, scripts, agents, programs or instructions that may be used to access, modify, delete, damage, disable or prevent the use of the Site, PSN Technology, the Services or any other computer systems of PSN or its subcontractors; and (g) should Biller receive notice ofa any claim regarding the Site or Services, Biller shall promptly provide PSN with written notice ofsuch claim. Furthermore, as to all' Transactions that Biller submits tol PSN for processing, Biller represents and warrants that: (1) The Transactions represent payment or refund of payment, for a bona fidet transaction; (2) The Transactions represent an obligation of the Customer for the amount oft the Transaction, and that the Transaction is valid and The Transactions are not for any other purpose than payment for a current transaction and future payments as agreed upon by the accurate; Customer; (4) The Transactions are free: from any material alteration not authorized by the Customer; (5) The amount charged for the' Transaction is not subject to any known dispute, setoff, or counterclaim; (6) Neither Biller nor its employees have advanced any cash to the Customer in connection with the Transaction, nor have Biller or its employees accepted payment for effecting credits to a Customer, excepting those transactions expressly permitted by this Agreement; (7) Biller has made no representation ora agreement for the issuance ofrefunds except asi its statesi in) Bile'sreum/eancelation policy, which (8) Any Transaction submitted tol PSNt to credit a Customer's account represents a valid refund or adjustment to a Transaction previously (9) The Transactions, including but not limited to total due fields, are complete, accurate and in compliance with alll Network rules, applicable laws, ordinances, and regulations. The Transactions are originated in compliance with this Agreement and any (10)Fora al Transactioni iny which the Customer paysi ini installments or on a deferred payment plan, a Transaction: record has been prepared separately for each installment transaction or deferred payment on the date(s) the Customer agreed to be charged. All installments and deferred payments, whether ort not they havel been submitted tol PSN for processing, shall be deemed to be aj part oft the original (11)Biller has not submitted any" Transaction that itl knows or should have known tol be unauthorized, fraudulent, illegal, or otherwise in Biller agrees to provide PSN with timely, complete, and accurate billing and contact information. This information includes Biller's legai company name, streeta address, e-mail address, andr name andt telephone number ofana authorized! billing contact and license administrator. Biller agreest tou update thisi information withint thirty (30) days ofany changet toi it.) Billeri is responsiblei for all activity occurring under) Biller's accounts and shall abide! by all applicable laws and regulations in connection with Biller's and/or its Customers' use of the Services, including those related to dataj privacy, communications, export ori import ofdata and thet transmission oft technical, personal or other data. Billershall abide by all applicable card association rules, NACHA rules and Payment Processing Agreements entered into by Biller, in connection with Biller's and/ori its Customers' use oft the Services. Billers shall not: ()i impersonate another PSN user or provide false identity information1 to gain access to or use the Services; (ii) interfere with or disrupt the integrity or performance ofthe Services or the data contained therein; or (ii) attempt to gain unauthorized: access tot the! Services ori its relateds systems or networks. Biller represents and warrants that Biller has not faisely identified itself nor provided any false information to gain access tot the Services and that Biller's billing information is correct. Biller shall: (): notify PSN immediately of any unauthorized use of any password or account or any other known or suspected breach of security; (i) report to PSN andi immediately stop any copying or distribution ofContentt thati isl known or suspected tol be unauthorized by Biller or Biller's users; and (ii) obtain consent: from Biller's Customers to receive notifications andi invoices from PSN. Biller agrees and acknowledges that in the event that Biller has access to, receives from, creates, or receives protected health information, or Biller has access to, creates, receives, maintains or transmits on behalf of electronic protected health information (as those terms are defined under the privacy or security regulations issued pursuant tot thel Health Insurance. Portability and Accountability Act of 1996 ("HIPAA") and Subtitlel D oft thel Health Information Technology has been previously submittedi tol PSNi in writing, and whichi is available tot the Customer; submitted tol PSN; applicable agreements; Transaction; and violation of any provision ofthis Agreement or other applicable agreements. Page4of15 Payment Service Network, Inc. Service Agreement V.2.0 Payment Service Network, Inc. Service Agreement forl Economic: and Clinical Health Actp provisions oft the American Recovery andl Reinvestment. Act of2009 ("ARRA"), during the performance Billeri is required to ensuret thati iti maintains ai fairp policy witht regard tot thei refund, return or cancellation of payment for services and adjustment of1 Transactions. Biller is aiso required to disclose all refund, return and cancellation policies tol PSN and any applicable payment processors and Biller's Customers, as requested. Any change in a return/cancellation policy must bes submitted to PSN, in writing, not less than twenty- one (21)days prior tot the effective date ofs such change. IfBiller allows ori ist requiredt to provide aj price adjustment or cancellation ofs services in connection with a Transaction previously processed, Biller will prepare and deliver to PSN Transaction data reflecting such refund/adjustment within two (2) days ofr resolution of the request resulting in such refundadustment. The amount of the refund'adjustment cannot exceedt the amounts shown ast the total on the original Transaction data. Biller may not accept cash or any other payment or consideration from a Customer in return for preparing a refund to be deposited to the Customer's account; nor may Biller give cash/check refunds to a Customer in connection with a Transaction previously processed by credit card, debit card, ACH, or other electronic payment method, unless Billers shall fully cooperate with PSNt to effect at timely Implementation by Biller allocating sufficient and properly trained personnel to support the Implementation process, by securing the cooperation of Biller's software and service providers, and by providing to PSN alli information required to integrate with Biller's billing systems, customer information systems (CIS) and other applicable systems. PSN and Biller will collaborate to develop compatibility of the reporting and accounting information with Biller's management, CIS and accounting software; PSN's provided, however, that PSN: shall have no obligation to develop such compatibility where it would adversely affect, alter or change 14.) Processing ofTransactions. and Authorizations. Biller must designate on thel Biller Order Form at least one bank account for the deposit ands settlement ofi funds andt the debit of any Chargebacks, fees and costs, including buti not limited to Network Fees and Network Liabilities, associated with the Services ort the' Transactions (alls such designated bank accounts and all bank accounts substituted for accounts listed on the Biller Order Form shall be collectively referred to herein as the "Biller Bank Account"). Biller may only change its designated Biller Bank entries, and adjustmentst tot thel Biller Bank Account for amounts duei to or from Billeri in connection with this Agreement.. PSN will not be liable for any delays inr receipt off funds or errorsi inj Biller Bank Account entries caused by third parties, including but not limited to delays or errors So ast to enable PSNt to process Transactions for Biller, Biller hereby authorizes and directs PSN, its affiliates, thel Payment Method will providers, disburse andt the payment processors:()that, withr respect to any Transactions processed by the payment processor, the payment processor fundst to and collectf funds from thel Billeri in accordance withi instructions providedtot the payment) processor by PSN, and as otherwise permitted pursuant to any applicablel Payment Processing Agreement that Biller has entered into; (2)t that undisputed and outstanding: sums due and owing tol PSNj pursuant tot the terms ofthis Agreement and/or any applicable Payment Processing Agreement agreed to by Biller, including, but not limitedt to Chargebacks andl Network Fees, willa automatically be debited from the! Biller) Bank Account for such purpose on a daily or monthly basis at PSN'ssole discretion. Billers shallt maintain sufficient fundsi int thel Biller Bank Accounts toj pay all periodic fees, Chargebacks, Network Fees and other fees duel hereunder; and non-sufficient funds for these debits, or blocking or otherwise rendering inaccessible any Biller Bank Account, are grounds for suspension of the Services, and/or termination oft this Agreement if, after written notice and opportunity to cure is In the event that more than One Million Dollars ($1,000,000): in Visa" Transactions, and/or One Million Dollars ($1,000,000) in MasterCard behalfo of Transactions (or such other amount provided by the Operating Regulations) ("Benchmark Amount") is processed through and onl Billeri in any 12-month! period, Biller willa automatically be deemed tol have: accepted, and will be bound by, the Merchant Services. Agreement for Sub-Merchants" with Vantiv, LLC andi its designated Member Bank (collectively "Acquirer"), the terms of which will be independently (a) "Operating Regulations" means, collectively, the Associations' and other payment network's by-laws, operating regulations the VISA all other rules, policies and procedures, including but not limited to the Payment Card Industry Data Security Standard, that Cardholder Information Security Program, the MasterCard Sitel Datal Protection Program, and any other program or requirement (c) "Member Bank" means a member of VISA, MasterCard and/or Discover, as applicable, that provides sponsorship Member connection with the Merchant Services Agreement for Sub-Merchants. As oft the commencement oft this Agreement, 15. Indemnification. PSN shalli indemnify and] hold) Biller and Biller's employees, attorneys, and agents harmless from and against any third- claims and/or Customer claims ("Claims"), including any losses, liabilities, and damages (including, without limitation reasonable party attorneys' fees) incurred by Biller resulting from such Claims, tot the extent such Claims arise from: ()PSN's failure toi implement andi maintain reasonable and appropriate administrative, physical and technical safeguards against the theft of Customer Data; or (i) PSN's commercially total failure to direct the delivery of funds to Biller as required hereunder, to the extent such funds comprise payments due from PSN for Transactions processed) hereunder. PSN'si indemnification obligations as set forth int this Section 15 do not apply to any Claim relating to: (a) undert this Agreement, it will comply with all such laws, regulations andi rules related thereto. required by applicable law. Services. written noticet tol that Biller hereby andt timely delivers tol PSN all forms electronic () credit payments debit Account upon notl less than fifteen (15) days prior required by PSN to complete the change in designated Biller Bank byt thel Networks, payment processors, merchant acquirors ort the bank. PSN, Account. provided Biller authorizes completes PSN to: direct from the entries, Customers: for which) Biller provides PSNt the requiredi information; and (i)i instruct PSN's processors toi initiate provided tol Biller, Billeri fails to cure within thirty (30) days ofr receiving said notice. enforceablel by Acquirer. For purposes ofthis Section 14: and/or and certain services in Bank may be published and/or mandated by the Associations or payment networks; (b) "Associations") means MasterCard/ International Inc. ("MasterCard"), VISAU.S.A. Inc. ("*VISA"), shall bel Fifth' Thirdl Bank, an Ohio Banking Corporation, located in Cincinnati, OH 45263. Discover ("Discover"), similar entities; and Page 5 of15 Payment Service! Network, Inc. Service Agreement V.2.0 Payment Service Network, Inc. Service Agreement Biller's failure to resolve a payment dispute concerning debts owed to Biller; (b) Biller's negligence, willful misconduct, or violation of any applicable agreement or law; (c) any inaccuracy in or breach ofBiller's representations or warranties contained in this Agreement; (d) Biller's breach ofany covenant or obligation contained: int this Agreement; or (€) any dispute causedi in whole ori inj part by the information or directions 16. Limitation of Liability. IN NO EVENT SHALL PSN'S AGGREGATE AND CUMULATIVE LIABILITY RELATING TO OR ARISINGI FROMTHIS AGREEMENT ORTHE SERVICESPROVIDEDHEREUNDER EXCEEDTHE TOTAL AMOUNT OFI FEESPAID TO PSN BY BILLER IN THE TWELVE (12) MONTH PERIOD IMMEDIATELY PRECEDINGTHE FIRST EVENT GIVING RISE TO SUCH LIABILITY. IN NO EVENT SHALL PSN AND/OR ITS LICENSORS BE LIABLE TO ANYONE FOR ANY INDIRECT, PUNITIVE, SPECIAL, EXEMPLARY, INCIDENTAL, OR CONSEQUENTIAL: DAMAGES (INCLUDINGLOSS OF DATA, REVENUE, PROFITS, USE OR OTHER ECONOMICADVANTAGE) ARISING OUT OF, ORI IN ANY WAYCONNECTED WITH THE SERVICES, EVENI IFI SNORITSLICENSORSI HAVE BEENI PREVIOUSLY, ADVISED OF THE POSSIBILITY OF SUCHDAMAGES. Certain states and/orj jurisdictions do not allowt the exclusion ofimplied warranties or limitation of1 liability for incidental, consequential or certain other types 17.1 Export Control. Biller agrees to comply with United States export controls administered by the U.S. Department of Commerce, the United 18. Notice. Either Party may give notice by electronic mail to the other Party's email address. For PSN, that email address is: PSNOPSQPaymentservicenelwork.com. For Biller, that email address is the one designated by Biller on the Biller Order Form. Either Party may also giver notice by written communication sent by first class mail or pre-paid post to the other Party's address as set forth below: provided tol PSNI by Biller ori its agents. of damages, in which such case the exclusions set forth above may not apply to Biller. States Department ofTreasury Office of Foreign Assets Control, and other U.S. agencies. PSN: Payment Service Network, Inc. 2901 International Lane, Suite 300 Madison, WI53704 Attention: Legal Department TOWNOF COEBURN, VA 403 SECOND STREET NE COEBURN, VIRGINIA 24230 UNTEDSTATESAltemion: : Jimmy Williams Biller: Such notice shall be deemed to have been given upon the expiration of forty-right (48) hours after mailing or posting (ifs sent by first class mail or pre-paid post): or twelve(12)1 hours after sending (ifs sent by email). Biller consents to receiving from PSN any federal tax statements or other 19.4 Assignment. This Agreement may not be assigned by either Party without the prior written approval ofthe other Party, but may be assigned without the other Party's consent to: ()ap parent or subsidiary; (i) an acquirer of assets; or (iii) a successor by merger; except that ini noi instance will this Agreement be assignable by Billert toa a competitor of PSN, or aj provider rofservices similar to the Services provided by PSNI hereunder. notices required by federal, state or local law in an electronic format. Any purported assignment in violation oft this Section shall be void. 20. Insurance. PSN agrees to maintain in full force and effect during the Term of the. Agreement, at its own cost, the following insurance coverages: Commercial General orl Business Liability Insurance with minimum combined single limits ofOne Million Dollars ($1,000,000) each b. Umbrella Liability Insurance with minimum combined single limits of Five Million Dollars ($5,000,000) each occurrence and Five :, Automobile Liability Insurance with minimum combined single limits for bodily injury and property damage ofnot less than One Million Dollars ($1,000,000) for any one occurrence, with respect to each of PSN's hired or non-owned vehicles assigned to or used d. Errors and Omissions Insurance (Professional Liability and Cyber Insurance) with limits of liability of at least One Million Dollars 21. Immigration Laws. PSN represents and warrants thati it has complied with, and will comply with, all applicable immigration laws with 22. Beta Products. In the event that there is any functionality labeled' "Beta" on the! Biller Order Form, such functionality is provided"ASIS" WITHOUT ANY EXPRESS OR IMPLIED WARRANTY, INCLUDING, WITHOUT LIMITATION, ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND ALL OTHER WARRANTIES ARE HEREBY occurrence and Twol Million Dollars ($2,000,000) general aggregate. Million Dollars ($5,000,000) general aggregate. inj performance oft the Services. ($1,000,000): per claim and in the aggregate. respect to thej personnel assigned to perform Services for Biller. Page 6of15 Payment Service Network, Inc. Service Agreement V.2.0 Payment Service Network, Inc. Service. Agreement DISCLAIMEDTOTHE: MAXIMUMI EXTENT PERMITTED! BY. APLICABIEIAWIBYEMANDITSLICIENSONS: ANDPAYMENT NOT PROCESSORS. PSN'S AGGREGATE LIABILITY WITH RESPECT TO SUCH FUNCTIONALITY SHALL BE UP TO AND 23. Chargebacks, Disputes and Reserve Account. IfBiller incurs excessive Chargebacks, in PSN's sole determination, or otherwise fails to pay fees or charges, or there are insufficient funds for PSN to debit amounts for which Biller is responsible hereunder, in addition to other charged to process Chargebacks; (i) collect from Biller an amount reasonably determined by PSN (ort the payment processor) tol be to cover anticipated Chargebacks anda all relatedi fees, penalties, expenses, andf fines, ori increase areserve amount; (ii) require) Biller to] promptly establish al Reserve Account as determined by PSN; or (iv)t terminate the Agreement. Biller shall be responsible tol PSN for, and shall promptly pay tol PSN, such charges required tol be paid by) Biller and any Chargebacks, by any party, including without limitation Chargebacks claimed To the extent permitted by applicable law, Biller shall indemnify, defend, and hold PSN and its liçensors, subsidiaries, affiliates, liabilities officers, directors, employees, attorneys, agents, and payment processors harmless from and: against any anda all claims, costs, damages, losses, and expenses (including attoreys' fees and costs) arising out ofor relating to: () any charge against any reserves required by payment limitation or credit card processors; (ii) Chargebacks, Network Fees ori insufficiency offundsi ina any Biller Bank Account, by any party, including without) Chargebacks claimed by any payment or credit card processors, bank, or other financial services organization; (ii) any claims or allegations thel breach by Biller or Biller's users or Customers of this Agreement, including without limitation incomplete ori inaccurate' Transactions; authorized users' (v) Biller's violation ofanyt third party payment or credit card processing agreement or merchant agreement, or (vi)! Biller's or its use oft the Services. Biller represents and warrants that thel Biller Bank Account will contain sufficient funds to cover any estimated under exposure based on reasonable criteria for Chargebacks, ACH rejects or reversals, credits, returns, and all additional liabilities collect anticipatedi fees related to this Agreement, including, but not limited to Chargebacks, fines, fees and penalties. PSN may, at its sole discretion, Chargebacks and ACH: rejects and reversals, or other refunds or credits from Biller's Customers. Biller agrees to cooperate with PSN ini resolving any disputes between Biller and Customers in at timely manner, reaffirming that PSNis only an intermediary and does not hold the funds in dispute and that PSN does not represent Biller or Customer in such disputes. Disputed Transactions and Chargebacks ("Disputed Transactions") will bel handled int the following manner: PSN will notify Biller viae electronic: mail of any disputed credit card payments to follow its standard operating procedures to resolve such disputed or charge-backed such claims. For all credit card company, ori its agents toi investigate any such cases and: assist ini resolving any Transaction plus such Chargeback fee for the purpose ofc charging itl back tot the Customer. (2) ACH-Checking: and Savings Account Transactions.] Bank] Billl Pay and Check 21 Transactions: Problem Transactions: NSF, Invalid Account, Receiver's Account Closed, No Account, Stopped] Payment, Does Not Authorize Payment, RDFI Not ACH Member and/or any other Retum Reason Codes as labeled inl EXCEED TENDOLLARS (SI0). the following actions: () Biller ofai new rate that will be remedies under this Agreement, PSN (or the payment processor) may take notify sufficient by any payment and credit card processors, bank, or other financial services organization. the third violation! Biller of Biller's representations: and warranties or that PSN's use of any Customer Datai infringes rights ofat party; (iv)a by financial (1) Credit Card Transactions: or Chargebacks from Biller's Customers. Biller agrees credit card payments and work withl PSN, the Biller Chargebacks, willl be charged a fee as set forth int the Biller Order Form and will automatically debit Biller's account fort the total of the original Account Frozen, Customer NACHA Processing another Transaction Guidelines will be resolvedi int the following manner: (i) PSN willi notify Biller and Customer ofs said problem; (ii) PSN wills stop payment iffundsl have not already been depositedor,if ifdirectedby Customer, process for Customer; and (ii) In the event thatf funds froms said Transaction have! been deposited into Biller's account, PSN will debit Biller's account for at total sum oft the original deposit for said Transaction. 24. Independent Contractors. PSN and Biller are independent contractors and this Agreement does not establish any relationship of franchise or Party's between PSN and Biller. Neither PSN nor Biller will have the power to bind the partnership, joint venture, employment, the other agency behalf without the other prior written consent, except as otherwise expressly other Party or incur obligations on provided int this Agreement. Party's 25. Communications with Customers and Permissions. Individual Customers and users, when they initially log int to make payments using the Services, may be asked whether or not they wish to receive marketing and other non-critical Service-related communications from PSN from time tot time. Such Customers and users may opt out ofreceiving: such communications at that time or at any subsequent time by changing preferences.. Biller understands and acknowledges that! becauset the Services are al hosted, online application, all users of the Services (whether or not they have opted out as described above) of important theira account ore emails subscription need PSN occasionally may to notify announcements regarding the operation oft the Services. Biller hereby grants tol PSN: andi its providers a worldwide; non-exclusive, assignable, perpetual, and royalty-freel license and right Customers to copy, use, and distribute Customer names, physical addresses, and email addresses as well as obtain email addresses of Biller's using publish datal Biller has provided or made accessible to PSN or any ofi its affiliates, solelyfor the purposes of () communicating or sending Services to by information toi inform, promote, and encourage Customers (and/or their agents) to use the Customers (and/or their agents)i Payment Service! Network, Inc. Service Agreement designed and enrolling in paperless billing, and (ii) in conjunction with including, without limitation, paying bills online, enrolling in autopay, Page7of15 V.2.0 Payment Service Network, Inc. Service Agreement information relating to feedback andi response regarding such communications, creating and using aggregated and anonymized data and analysis for purposes of improving the Services. Biller hereby grants tol PSN andi its providers a worldwide, non-exclusive, assignable, and royalty-free license and right during the Term, to copy, use, modify, and publish the Biller's name, logos, trade dress, photographs, website materials, and other works of authorship for the purpose of implementing and providing the Services and performing their obligations under this Agreement. Biller represents and warrants it) has all necessary rights, permissions, and licenses to grant and provide to PSN and its service providers the license, rights, and permissions described in this Section and will comply with all applicable laws and regulations with respect to any personal information of any ofits Customers. For purposes of clarity, the license, rights, and permission grants described in this Section are part ofthe 26. American Express Compliance (this Section only applies ifl Biller accepts American Express as a Payment Method). (1) Biller agrees to comply with all applicable laws, rules and regulations, including the American Express Merchant Operating Guide requirements, which are incorporated into this Agreement by reference as if they were fully set forth in the Agreement. The American Express Merchant Operating Guide may be viewed at: wwwamericanspres.commer.hamopguid. To the extent of any conflict arising between the terms of this Agreement andt the American Express Merchant Operating Guide, the terms of this (2) Processing Restrictions. Biller is prohibited from processing Transactions itself once such Transactions have been submitted to American Express or receiving payments on behalfof, or (unless required by law) re-directing payments to any other party. Biller confers on. American Express the third-party beneficiary rights, but not obligations, to the Agreement Biller and] PSN and, as such, American Express has the express right to enforce the terms of the Agreement against the Biller agrees and warrants that it does not hold third party beneficiary rights to any agreements between PSN and American Express and at not time will attempt to enforce any such agreements against American Express. (4) AMERICAN EXPRESS LIMITATION OF LIABILITY. BILLER ACKNOWLEDGES AND AGREES THAT IN NO EVENT SHAILAMERICANEXRISSISATFLAIS AGENTS,SUCCESSORS, OR. ASSIGNS BELIABLETOBLLERFOR ANY DAMAGES, LOSSES, OR COSTS INCURRED, INCLUDING INCIDENTAL, INDIRECT, SPECULATIVE, CONSEQUENTIAL, SPECIAL, PUNITIVE, OR EXEMPLARY DAMAGES OF ANY KIND (WHETHER BASED ON CONTRACT, TORT, INCLUDING NEGLIGENCE, STRICT LIABILITY, FRAUD, OR OTHERWISE, OR STATUTES, REGULATIONS, OR ANY OTHER THEORY), ARISINGOUT OF ORI IN CONNECTION WITHTHE. AGREEMENT. (5) American Express Addendum. Billera acknowledges that it must agreet to the terms ofthel PSN. American Express Addendum before accessing or using the Services, and Biller must at all times comply with the terms ofthe PSN American Express Addendum. The PSN American Express Addendum is hereby incorporated herein, and made a part hereof, by this reference. "Services" under the. Agreement. Agreement shall control. (3) Third Party Beneficiary Rights. between Biller. 27.Interactive Voice Response Functionality and Outbound Communications ("IVR"). License. For and in consideration of the payment of all fees and charges paid to PSN, as provided in the Biller Order Form, PSN b. Indemnification. Biller agrees it will not use the IVR in any manner, shape or form that violates any local, state or federal law or regulation (including without limitation violations of Fair Debt Collection Practices Act, 15 U.S.C. $ 1692 -1692p ). Biller shall defend and! hold PSN and its licensor harmless from and against, and will indemnify PSN and its licensor for, any and all costs, fines, penalties, causes of action, allegations, suits, and claims, including reasonable attorney'st fees and expenses, arising from or relating Legal Compliance. Notwithstanding any other provision int this Agreement to the contrary, Biller shall be responsible for compliance with all applicable laws and regulations related to the call flows, content, prompts, and data flows and the Biller's benefits and uses of the IVR. Although neither PSN nor its licensor provides legal advice to Biller, Biller understands and acknowledges and shall comply with all laws, rules, and regulations regarding do not call lists, legal calling times, and dialing cellular numbers, and shall d. No Warranty. NEITHER PSNI NORITSI LICENSOR: MAKES ANY WARRANTY OR ANY REPRESENTATION, EXPRESSOR IMPLIED, WRITTEN OR ORAL, RELATINGTOTHE: IVR UNDER THIS AGREEMENT OR OTHERWISE, INCLUDINGBUT NOTLIMITED TO. ANY IMPLIED WARRANTYTHATTHE IVR SERVICES AREI FIT FOR ANY PARTICULAR PURPOSES CACEGTANIAASTETAEMOVTDAIN BILLER AGREES THATNEITHER PSNI NOR LICENSOR WARRANTS THAT THE IVR OR ITS SERVICES WILL BE ERROR FREE OR OPERATE UNINTERRUPTED, AND THAT NEITHER PSNNORI LICENSOR WILL BE HELDRESPONSIBLEI INANYMANNER, SHAPE OR FORMFOR. ANYI FAILURE OF THE. IVRORI ITS SERVICESTOI PERFORM. ANY PARTICULAR FUNCTION. Biller acknowledges that the IVR services are provided through telephone and electronic devices and shali not hold PSN or any licensor responsible for any failure duet to technical or electronic failures which are not attributed to PSN's negligence. Further, neither PSN nor its licensor is responsible for any poor hereby licenses to Biller non-exclusive access to its proprietary IVR for Biller'si internal use only. tol Biller's use oft the IVRi in violation of any local, state or federal law or regulation. abide by all applicable laws, rules, and regulations whilei implementing or using IVR. result as ai result ofjudgments and choices made by Biller in using the IVR: services. 28. Point of Sale Devices (Applicable where Point of Sale Devices are selected on the Biller Order Form). ofl loss and damage to Point of Sale Devices whilei in Biller's possession or control, save normal wear and tear. Point of Sale Devices are provided to the Biller for their use under license fees provided in the Biller Order Form. PSN provides to Biller all Point of Sale Devices on a license basis. Biller willl be fully responsible for all Point ofSalel Devices including without limitation all risk Page 8of15 Payment Service Network, Inc. Service Agreement V.2.0 Payment Service Network, Inc. Service Agreement Where) PSN provides Point of Salel Devices, the: following additional terms apply: manufacturer warrant that the Point of Sale Devices provided pursuant to this Agreement will a. PSN and thel Point of Sale Device Shouldal Point ofs Sale! Devicei failt to conform to applicable perform ina accordance witht ther manufacturer's) publisheds specifications. be furnished on an exchange basis and will be either reconditioned or new as specified below. This limited warranty does not include service repair damage Devicer resulting from: accident, disaster, unreasonable use, misuse, abuse, customer' s/reseller" s/any othert third party's negligence, orr non-manufacturer: modification ofthe) Point ofs Salel Device. PSN: reserves the right to examine the alleged defective product to manufacturer specifically disclaim any liability or warranty any maintained, treated Biller, its customers, and/or manufacturer's: specifications, repair parts and replacement products will to to the Point of Sale Without the ofthe PSN and thel Point of Sale] Device or the Point by of Sale Device during the determine whether the warranty is applicable. warranty period asi instructed by) PSN. limiting for generality Point of Sale foregoing, Device resold in other than manufacturer's original packages, andf for Pointo of Salel Devices modified, altered, repaired, any third party. Service on a defective Point of Sale Device may be obtained by delivering b. Thei following ist the repair andi replacement policy for a defective. Point of Salel Device: Replacement Requests - Biller shall promptly notify PSN that the Point of Sale! Device is not working, via email, phone call or help deskt ticket. PSN will update and/or open ar new! help deskt ticket for the Pointo of Salel Devices swapr replacement: request. Biller Replacement Point of Sale Devices willl bes shipped tot thel Biller as noted ont the help desk ticketi issued by PSN. Shipping Method: Replacement Point of Salel Devices willl be shipped via a commercial: shipping service ati no charge tot the Biller. IfBiller needs the device sent viac overnight shipping therei is an additional cost of$35.00 per device. Biller has 14 business days to return al Point of Sale Device thati is not working to an address specified by PSN on the retum help desk ticket, delivery or postage pre-paid. Failure to return the non-working device may result in additional fees and charges to PSN shall use reasonable efforts to provide the Point of Sale Device services in an uninterrupted, continuous manner. Biller understands and agrees thats services may be periodically off1 line or otherwisei inoperablei in order for PSNt to perform maintenance, Device install ort test software, or for other commercially: reasonable business purposes and that during such timei thel Point of Sale) services may not be provided. Biller further understands and agrees that from time to time Point of Sale Device services may be off1 line or otherwise inoperable as a result oft the failure ofe equipment ors services provided tot the manufacturer by third parties (for example, public or private telecommunications. services ori internet nodes or facilities, overall Internet congestion, unavailability ofi internet services, such as DNS services), and that during such time the Point of Sale Devices services may not will be provided. Furthermore, Biller understands and agrees that the provisions of any services and other performances hereunder be excused for any ofther reasons seti forthl herein. Int thes evento ofunforeseen network ore equipment failure, manufacturer will use commercially from reasonable efforts to restore thel Point of Sale Devices services in a reasonability prompt fashion. Manufacturer may time to time, ini its sole discretion, modify thet manner in which it provides Point of Sale Device services, and modify its software and systems, all ofwhich may result in ac change in the manner in which manufacturer provides the software and systems, the provided, features however, that suchi modifications and/or changes do not degrade the level of, or have a material adverse impact upon EXCEPT. ASI PROVIDED: IN THIS SECTION 28, PSN. AND THE POINT OF SALE DEVICEI MANUFACTURER MAKENO OTHER WARRANTY, EXPRESS OR IMPLIED, AND PSN AND THE POINT OF SALE DEVICE MANUFACTURER DISCLAIM ANY WARRANTY OF ANY OTHER KIND INCLUDING, WITHOUTLIMITATION, ANY WARRANTY OF MERCHANTABILITY ORI FINESFORAPARTICUIARI PURPOSE. BILLER. AGREES ANDACEMOMIEDOESTHAT ALLI PRODUCTS ANDI POINT OF SALE DEVICES. ARE OFFERED. ANDI PROVIDED ON AN"ASIS") BASIS. d. Responsibilities ofl Biller. Bilier is responsible for the following: (1) providing PSN with a static IP address or a specific range the of static IP addresses, and (ii) protecting the confidentiality of each end user's Data. Biller is solely responsible and the for ensuring of Sale secure transmission of any data that Biller transmits to PSN ("Biller Transmitted Information"), and PSN Devicet manufacturer willl have no liability therefore (provided that thei manufacturer will use Biller Transmitted Information only for purposes of this Agreement). Biller is solely responsible for: (a) adopting, implementing, and maintaining appropriate and effective security measures, procedures, policies, and standards and any other best practices available top protect the confidentiality Device ofBiller Data, (b) protecting the confidentiality of anyi information. storedo onl Biller'ss servers, and (c)u using the Point ofSaleI services int the manner instructedt by PSN and the manufacturer: and otherwise: in the manner intended. must! provide thes serial number oft the! Point of Sale Device thati ist not working. Biller. andi functionality oft the Point of Salel Device services. Point bes for ensuring that authorized) Biller employees and contractors are not security PSN with information reasonably necessary for PSN to evaluate Network Security. Biller shall solely responsible security issues and/or concerns relatingt to any risks. Upon PSN's request, Biller will promptly authorized provide Biller employee any and/or contractor. Each! party will be solely responsible andj that are sufficient to ensure that (a) such for thes selection, implementation, and maintenance of security procedures policies Pages 9of15 Payment Servicel Network, Inc. Service Agreement V.2.0 Payment Service Network, Inc. Service. Agreement party's use of any network ori internet connection is secure andi is used only for authorized purposes, and (b) such party's! business Biller shall provide PSN with physical access to the Point of Sale Devices upon request after reasonable advance notice. Bilier shall not, nor allow any third party to, modify, repair, replace, relocate, sell, lease, assign, encumber, or otherwise tamper with any oft the Point of Sale Devices without PSN's express written consent. Any change of the location ofa any Point of Sale Device may warrant that Biller pay PSN any additional installation and related charges associated with such relocation, charged by PSN's third-party vendors. At the endo oft the term, Biller shall be responsible to promptly return all Point of Sale Devices, freight prepaid by PSN, to PSN at the place from which the Point of Sale Device was shipped (or as otherwise designated by PSN) in as good condition as exists at the commencement of the term, reasonable wear and tear, and casualty, in respect thereto excepted. Biller shall use each Point of Sale Device at all times in a proper, diligent, and workmanlike manner and in such manner as will not damage or injure the Point of Sale Device except by the ordinary wear and tear of such Point of Sale Device. In the event of damage to any Point ofSalel Device, Biller shall notify PSN who shall replace or repair the Point ofSalel Device at Biller's expense. Point of Sale Devices and all parts and components thereof shall retain their character as personal property and all right, title and interest in and to shall not pass tol Biller or any third party, but title and ownership shall remain exclusively with PSN. Biller shall be and shall have the duties ofa bailee oft the Point of Sale Devices. Biller shall not remove, conceal, or otherwise interfere with the title or ownership plate ofl PSN affixed to any Point of Sale Device until and unless such Point of Sale Device is purchased, and full payment is made as herein provided. IfBiller sells, assigns, pledges, or attempts to sell or assign Point of Sale Devices or any interest therein, ori ifBiller defaults in any of the covenants, conditions or provisions ofthis Agreement, iti is agreed that PSN may immediately and without notice take possession of the Point ofSale Devices where found and remove and keep or dispose of the: same and any unpaid fees shall at once become due andj payable by Biller. Ifany step is taken by legal action or otherwise by PSN to recover possession of any Point of Sale Device or otherwise enforce this Agreement or to collect moneys due hereunder, Biller shall promptly reimburse PSN for all expenses and charges incurred by PSN, including reasonable attorney's fees. 29. Biller. Agents. Biller will certify tol PSN the identity of any person that Biller has authorized to act asi its agent with respect to the Services. Any such person is authorized to, without limitation, take any action on behalf of Biller as it relates to any Services. PSN shall be able to conclusively presume that such agency continues until PSN: receives written noticet tot the contrary. PSN may rely oni instructions received from 30. Captions. Captions/section headings contained ini this Agreement are included only for convenience ofreference and do not define, limit, explain or modify this Agreement or its interpretation, instruction or meanings and are in no way intended to be construed as part of this 31. Data Privacy. All capitalized terms used ini this Section, not otherwise defined, shall have the meaning established by Applicable Laws. For purposes of this Section, "Applicable Laws" means all applicable state privacy and data protection laws, including, without limitation, the California Consumerl Privacy Actof2018CPCCPA), Cal. Civ. Code Section 1798.100, ets seq., as may be amended from time to time (including but not limited tot those amendments enacted by the California Privacy Rights Act of2020 ("CPRA")); the Virginia Consumer Data Protection Act ("*VCDPA"); the Colorado Privacy Act ("COPA"); the Utah Consumer Privacy Act ("UCPA"); Connecticut's Personal Data Privacy Act ("CTPDPA"); and other analogous state data privacy and security laws or regulations. Regardless of Biller's status as a Business or Controller under Applicable Laws, PSN is a "Service Provider" under the CCPA/CPRA, and a "Processor" under the VCDPA, COPA, UCPA, and CTPDPA, to the extent such Applicable Laws are applicable to PSN. PSN, as a Service Provider/Processor, agrees to the following as b. PSNwill not retain, use, or disclose Personal Information: for any purpose other than for the specific purpose ofproviding the Services, C. PSN will not retain, use, or disclose Personal Information for any commercial purpose other than providing the Services. d. PSN shall provide reasonable assistance tol Biller ini facilitating compliance with Consumer rights requests. Upon directionl by Biller, andy with a commercially reasonable amount oftime, PSN shall delete Personal Information: ini its possession. PSN: shall notb bes required to delete any Personal Information in order to comply with a Consumer's request or as directed by Billeri if iti is necessary for PSN to maintain such information in accordance with Applicable Laws. PSN shall promptly inform Biller oft the exceptions relied upon under Applicable Laws and PSN shall not use the Personal Information retained for any other purpose than IfPSN, ini its sole discretion, uses a Servicel Provider top provide the! Services, PSN will enter into written agreements withs such Service Providers requiring the Service Provider to abide by terms substantially similar to those set forthi in this Section. records and data arej protected against improper access, use, loss, alteration, and/or destruction. such persons and need not make any inquiries to confirm that thei instructions are within the scope ofthe agency. Agreement. applicable: a. PSN will not selll Personal Information. as set out ini the. Agreement, or as otherwise permitted by Applicable Laws. provided for by the applicable exception or as otherwise permitted by Applicable Laws. PSN certifies it understands the prohibitions ini this Section and will comply with them. 32. General. (a) With respect to agreements with municipalities, localities or governmental authorities, this Agreement shall be governed by the law oft the state wherein such municipality, locality or governmental authority is established, without regard to the choice or conflicts of law provisions of any jurisdiction. With respect to Billers that are not municipalities, localities or govemmental authorities: () this Agreement shall be governed by the laws oft the State of Wisconsin and controlling United States federal law, without regard to the choice or conflicts of law provisions ofa any jurisdiction; and (i) for the purposeofany dispute arising under, or related in any way to, the: subject matter ofthis Agreement, Page 10of15 Payment Service? Network, Inc. Service Agreement V.2.0 Payment Service Network, Inc. Service Agreement thel Parties agreet thats such dispute shall bel heard exclusively byt the federal or state courts situated inl Dane County, Wisconsin, andt the Parties agreer not tor raise any objection to or defensel based upont the venue ofs said courts. Not text or information set forth on any other purchase order, preprinted form or document (other than al Biller Orderl Form and any add-on! Biller Order) Form, ifapplicable), andr no documentation (including any implementation planning documents) except as specifically referenced in this Agreement, shall modify, add to or vary the terms and conditions oft this Agreement. If any provision of this Agreement is held by a court of competent jurisdiction to bei invalid or unenforceable, then such provision(s) shall be construed, as nearly as possible, to reflect the intentions oft the invalid or unenforceable provision(s), with all other provisions remaining in full force and effect. The failure of either Party to enforce any right or provision in this Agreement shall not constitute: a waiver ofsuch right or provision unless acknowledged: and agreed tol by in writing. rights Sections 7, 8, I0, 15,1 16, 18,22 and 31 shall survive termination of this Agreement. This Agreement, including all exhibits comprises the entire agreement between Biller and PSN and supersedes all prior or contemporaneous: negotiations, discussions or agreements, whether written or oral between the Parties regarding the subject matter contained herein. Biller agrees that PSN may disclose the fact that Biller is a paying customer and the version of the Services that Biller is using. Where this Agreement is incorporated into, embedded in or otherwise made aj part ofas separate agreement between PSN, Biller and a third party service provider ("Third Party Agreement"), and such Third Party Agreement ist terminated or expires, Biller andl PSN agree that thei terms and conditions ofthis Agreement shall survive and remain in effect as between Biller and PSN until this Agreement expires or is otherwise terminated by either Biller or PSN in accordance with the (b)Bye executing this Agreement, Biller ratifies its authorization: for PSN to execute debit/credit entries to thel Biller Bank. Account specified in thel Biller Order Form att the depository financial institution(s) named in the! Biller Order Form, andt to debit/credit the same such account(s). Biller acknowledges thatt the origination of ACH transactions toi its account(s) must comply with the provisions ofU.S. law. This authority is tor remain in full force and effect until: () PSNI has received written notification (by electronic or U.S. mail) from Biller of its revocation in such time and manner as to allow PSN ar reasonable opportunity to act on it, but not less than ten (10) business days' notice; and (ii) all obligations ofBiller tol PSN that! have arisen under the Agreement and all other agreements have been paidi in full. Biller must also notify PSN as set forth in this Agreement when a change in) Biller Bank Account number(s) or bank has occurred, at which time this authorization shall apply tos suchi new/changed: Biller Bank Account.. A fee will be charged for any returned or rejected ACH debits. In the event of non-payment of any sums duet tol PSN by Biller, PSN reserves the right to withdraw such: sums: from thel Biller Bank Account at any time to ensure] payment (c) Standard datai rates andt text messaging rates may apply based on the Customer'sp plan with their mobile phone carrier. Customers can opt outo oft text messaging ata any time with) PSN.1 Partial payment or overpayment is not supported. Biller may not uset the Services for activities that 33. Certifications, Attestation and Execution. By executing this Agreement, Biller: () certifies to PSN that the individual signing this Agreement on Biller's behalfis authorized by Billert tos sign this Agreement; (ii) certifies tol PSN thata alli information and documents submitted by Biller in connection witht this Agreement aret true and complete; and (in) authorizes PSN or its agent to verify any oft thei information given, By signing below, Biller attests and agrees that: (i) all information, documentation, and materials submitted to PSN by Biller in connection with Biller's submerchant application are true, accurate and complete; and (ii) Biller will at all times comply with the terms, conditions and This Agreement may be executed in several counterparts, each ofwhich may be deemed an original, but all ofwhicht together shall constitute one and thes samei instrument. Executed copies! hereof may be delivered by facsimile or email ofal PDF document, and, upon receipt, shall be deemed originals and! binding upon the signatories hereto, ands shalll have the: full force ande effect oft the original for all purposes, including the PSN: All and obligations ofthel Parties in attached hereto, terms herein. oft thes same. violate anyl law, statute, ordinance or regulation. including credit references, andt to obtain credit reports. requirements ofthis Agreement and thel Merchant Services Agreement for Sub-Merchants. rules ofevidence applicable to court proceedings. SICMATUREFAGEOLONS Page 11of15 Payment Servicel Network, Inc. Service Agreement V.2.0 Payment Service Network, Inc. Service Agreement IN WITNESS WHEREOF, the Parties have executed this Agreement effective as oft the Effective Date first set above. By the signature ofits representative below, each) Party affirms that it! has taken all necessary actiont to authorize said representative to execute this Agreement. PAYMENT SERVICE NETWORK, INC. Town ofCoeburn, VA By: Name: Title: Date: By: Name: Jimmy Williams Title: Town Manager Date:. Page 12of15 Payment Service Network, Inc. Service Agreement V.2.0 Payment Service Network, Inc. Service Agreement EXHIBITATOTHES SERVICE. AGREEMENT DEFINITIONS The following definitions apply as usedi int the Agreement andi in any exhibit thereto, now orl hereafter: "Biller Data", means invoices and bills oft thel Biller as well ast the Content ofs suchi invoices and bilis; "Biller Order) Form" means the order form containedi in) ExhibitB attached! hereto that references the Services to be performed! by PSN and any add-on Services under any add-on Biller Order Form, and which also specifies Biller's initial subscription for the Services, the applicable "Chargeback" is a reversal of a Transaction initiated by a credit card company, processor, bank or other financial institution including and chargebacks, ACH rejects orI reversals, disputes and other refunds or credits, that! Biller previously presented tol PSN under this Agreement includes, buti ist not limited to, instances where: (i)] Biller failures toi issue ar refund toa a Customer as required; (ii) PSN did notr receive Biller's and and other charges, terms and conditions as agreed tol between transactional fees, servicet fees other fees charged by PSN, thel billing period, the Parties; thel Payment Brand! Rules; (i)aCustomer disputes response to ai retrieval request within seven (7) days or any shorter time period required by the' Transaction or claims thatt the' Transaction is subject to a set-off, defense or counterclaim; or (iv)t the Biller Customer for an ACH transaction isi invalid, or has insufficient: funds to complete a' Transaction; Bank Account the designated by "Content" means the information and documents provided or made available to Biller by PSNi in the course of Biller accessing or using the Services; "Customer" shalli include customers, payers, taxpayers and users ofs services ofl Biller; excluding any datat that] PSN acquired other than from the Biller or Customers; "Customer Data" means name, address and contact information of Customers and associated credit card numbers and bank account numbers, "Gol Livel Date" means the date that thei first payment transaction is processed by PSN: for any Customer under this Agreement; "Integration Components" means software whichi integrates the Services with any third party software, and any updates or revisions thereto; "Intellectual! Property Rights" means unpatented inventions, patent applications, patents, design rights, copyrights, trademarks, service marks, trade names, domain name rights, mask work rights, know-how and other trade secret rights, and all other intellectual property rights, "IVR" means the software as a service which provides interactive voice and communication response functionality, automated payments by "Network" is any Payment Method provider whose payment method is accepted by Biller from Customers and whichi is accepted by PSN for processing, including, but not limited to, Visa, Inc., MasterCard) International, Inc., American Express, PayPal (including Pay! Pal, Venmo,] Pay In4 48 and PayPal Credit), Discover! Financial Services, LLC, and any other Payment Methods, digital wallets, credit and debit with card providers, to and debit network providers. Network also includes the National Automated Clearing House Association ("NACHA"), respect and application programming interfaces thereof, and forms of protection ofas similar nature anywhere in derivatives, Integration Components the world; voice andt text, text (SMS) messaging, andi related functionality, including inbound and outbound communications; over the ACH: network, and other network or clearinghouse over which any Transactions involving any credit or debit entry processed electronic check processing Transactions may be processed; "Network Fees" means all pass-through costs including interchange, PayPal card issuers, fees, assessed by any Network, credit card or payment processers, bank "Network Liabilities" means any anda all fines, fees, penalties, any payment brand fees, dues, assessment fees, processing fees, and similar associations, or ACHO or check processers; liabilities, charges and other amounts which may be imposed or assessed by the without limitation, Biller's Networks or payment processors as a result of Biller's actions, omissions, Transactions or Chargebacks, including failuret to comply with thel Network Rules, ort this Agreement and/or any agreement with any payment processor; "Payment Methods" means credit and debit cards, ACH, EFT and Check 21 transactions, digital wallets including but not limited to Visa, MasterCard, Amex and) Discover, PayPal, Venmo, Apple Pay, Google Pay, credit instruments including PayPal Credit andl PayPal Pay that in4, stored value cards, loyalty cards, electronic gift cards, authorized account or access numbers, paper certificates and credit accounts are "Payment Processing Agreement(s)" means the payment and card processing agreements and merchant agreements which PSNI has directed "PSN Technology" means all of PSN's proprietary technology (including technical material or information) made available to Biller or otherwise used for Transactions and! listed on thel Biller Order Form; thel Biller to enter intot to enablel PSNt to provide the Services; know-how, techniques, designs and other tangible or intangible Payment Service! Network, Inc. Service Agreement software, hardware, products, processes, algorithms, user interfaces, Page 13of15 V.2.0 Payment Service. Network, Inc. Service. Agreement developed by) PSN inp providing the Services; "Reserve Account" means a. Biller account which is maintained in order to protect PSN against the risk of, among other things, existing, "Service(s)" means PSN's billing and payment service, the Content, PSN Technology and other services identified on the Biller Order Form, developed, operated, provided, and/or maintained by PSN, accessible via the Site or another designated website or IP address, or ancillary online and/or offline products and services provided tol Biller by PSN, to whichl Billeri is being granted access under this Agreement; potential, or anticipated Chargebacks and tos satisfy the other obligations under the. Agreement; "Site" means! htpsy/hnmw.infpawmeainicensiwork.som. andi its subdomains; and Transaction(s)", means at transaction conducted between. Billera andi its Customers with respectt toa ana account, ore evidenceofans account, utilizing Payment Methods for payment in connection with the sale, lease, financing or provision of goods and/or services by Biller and/or payment of taxes (either directly or through PSN). Transaction(s)" may also be used to refer to the written or electronic record of such a transaction, including, without limitation, an authorization code, settlement record, ECP file, or a credit or debit entry pursuant to and consistent with NACHA Rules or card association rules whichi is submitted to aj processor toi initiate or evidence a Transaction. Page 14of15 Payment Service Network, Inc. Service Agreement V.2.0 Payment Service Network, Inc. Service Agreement EXHBITBTOTHE: SERVICEAGREEMENT BILLER ORDER FORM Page 15of15 Payment Servicel Network, Inc. Service Agreement V.2.0 FEESCHEDULE FOR TOWN OF COEBURN, VA Thei items below marked with an" X" are those Services selected by Biller. SETUPEQUIPMENT FEES B One-time Setup 3 Web Customization K Mobile App Training R Software Integration D Custom Programming D Swipe Credit Card Setup D Check Scanning Equipment D Credit Card Swipe Machine R Gateway including eBill solution Mobile App Outbound. Auto-Call Messaging D Swiped Credit Card WAIVED Included Included Included Included $ $ $ $ $200 Included $ $ TRANSACTION FEES NA $ NA $ NA $ Deposit $3.00 NA $ NA $ NA $ $3.00 NA $ NA $ NA $ NA $ OTHER FEES Due eachI December Pere eBill Only answered calls get device pickups are considered answered. NA NA NA NA NA NA NA NA NA Paidi by Account Holder NA NA NA Basic Standard Southern Software MONTHLY FEES (all fees are peri item; unless otherwise noted, only one fee will be charged per Transaction) B Online/Mobile/Virtual Net Deposit $3.00 Paid by Customer eChecking or eSavings D Automated Phone K Payment D Text D Livel PSNI Rep Online/Mobile/Virtual Net 3 3.5%* with minimum fee of Paid by Customer Credit Card Payments D Automated. Phone 3 MasterCard VISA D Text NA NA NA NA NA NA NA NA Paidl By Account Holder Discover AMEX D Back Office Auto-Pay D eCash Solution D Livel PSNJ Rep credit cards) Rates for AMEX (above rates are for all other 3.5%* with minimum fee of Paid by Customer D Auto-Post Check Scanning (Check21 or RDC) D Advanced Integrated Credit Card Swipe Annual Security Compliance (billed annually) WAIVED $0.20 B Paper eBill Opt Out D Outbound. Auto-Call Messaging NSF (for online and phone check/savings B Transactions withi insufficient funds) D NSF (for scanned and VPOST checks) B3 Chargeback (for credit cards thata are disputed) *IfPayment is under $100, the customer will be charged $3.00 Net] Deposits are Customer payment deposits less" Transaction Fees. assessed the fee; recording 15f per minute, NA 2-minute minimum $9.95 $15.00 Paid by Account Holder NA Paid by Account Holder Gross Deposits are Customer payment deposits including Customer paid" Transaction Fees, ifany PSN PaynentSerceNework,l Inc. PSN Contact Information Form for Credit Card Processing Tax Filing Business Name: Town of Coeburn, VA Corporate Structure R Government Is this a utility account? Yes ONo Is this a tax account? Yes ONo Primary Contact Name (First/Last) Jimmy Williams Primary Contact Title Town Manager Physical Street Address 403 2nd Street NE City Coeburn State Virginia ZIP 24230 Business Phone Number (Must be a Land Line) 276-395-3323 Month/Day/Year Municipality Established Monthly Accounts Receivable Monthly Credit Card Volume (Estimated if unknown) Average Credit Card Transaction Amount Maximum Payment Amount Received Average Number of Payments Received Per Day Fed Tax ID PLEASE ALSO INCLUDE ACOPY OF VOIDED CHECK(s) or BANKI LETTER FORI DEPOSIT. ACCOUNT(S) MERCHANT SERVICES AGREEMENT FOR SUB-MERCHANTS This MERCHANT SERVICES AGREEMENT FOR SUB-MERCHANTS ("Agreement") is made among) VANTIV, LLC, having its principal office at 8500 Governors Hill Drive, Symmes Township, OH 45249-1384 and its designated Member Bank (collectively "Acquirer") and Service Network, Inc. ("Provider"). Acquirer willp provide Sub-merchant with certain payment processing services Semka)mascotancewan the terms oft this Agreement. In consideration of Sub-merchants receipt of credit or debit card funded payments, and participation inj programs affiliated with MasterCard International Inc. ("MasterCard"), VISA U.S.A. Inc. ("VISA"), Discover ("Discover"), and certain similar entities (coliectively, Associations), Sub-merchant is required to comply with the Operating Reguiations (defined below) as they pertain to applicable credita and debit card payments. Ina addition, fSub-merchant meets certain requirements under the Operating Regulations or an Association or the Operating Regulations otherwise require, Sub-merchant may be required to enter into a direct relationship with ane entity that is a member of the Associations. By executing this Agreement, Sub-merchant has fulfilled such requirement. However, Acquirer understands that Sub- merchant may have contracted with Provider to obtain certain processing services andt that Provider may have agreed to be responsible to NOW, THEREFORE, inc consideration oft the foregoing recitals and oft the mutual promises contained herein, the parties agree as follows: 1.9 Certain Sub-merchant Responsibilities. Sub-merchant agrees to comply, and to cause third parties acting as Sub-merchants agent ("Agents") ) to comply, with the Association's and other payment network's by-laws, operating regulations and/or all other rules, policies and procedures, including but not limited to the Payment Card Industry Data Security Standard, the VISA Cardholder Information Security Program, the MasterCard Site Data! Protection Program, and any other program or requirement that may be published and/or mandated by the Associations or payment networks (collectively" "Operating Regulations"). Sub-merchant may review the' VISA, MasterCard, and Discover websites for a copy of the Visa, MasterCard and Discover regulations. The websites are: psavsacmatcne, and wwcsyA-eN and htplNw.dscouemehork com/merchants!. Sub-merchant also agrees to comply with all applicabie state, federal, and local laws, rules, and regulations ("Laws"). Without limiting the foregoing, Sub-merchant agrees thati it will fully comply with any and all anti-money laundering laws and regulations, including but not limited tot the Bank Secrecy Act, the US Treasury's Office of Foreign Assets Control (OFAC) and USA Patriot Act (or similar law, rule or regulation) and the Federal Trade Commission. For purposes of this section, Agents include, but are not limited to, Sub-merchant's software providers and/or equipment providers. ifa appropriately indicated in Sub-merchants agreement with Provider, Sub-merchant may be al limited-acceptance merchant, which means that Sub-merchant has electedt toa accepto only certain Visa and MasterCard card types (i.e., consumer credit, consumer debit, and commercial cards) and must display appropriate signage toi indicate the same. Acquirer has no obligation othert than those expressly provided under the Operating! Regulations and applicable law as theyr may relate tol limited acceptance. Sub-merchant, and not Acquirer, willl be solely responsible sale. fort thei implementation ofi its decisionf for limited acceptance, including butr not limitedt top policingt the card type(s) accepted att the point of Sub-merchant shall only complete sales transactions produced as the direct result oft bonaf fide sales made by Sub-merchant to cardholders, and is expressly prohibited from processing, factoring, laundering, offering, and/or presenting sales transactions which are produced as a result ofs sales made! by any person ore entity other than Sub-merchant, or for purposes related tof financing terrorist activities. Sub-merchant may. set a minimum transaction amount to accept a card that provides access to a credit account, under the following conditions: i) the minimum transaction amount does not differentiate between card issuers; i) the minimum transaction amount does not differentiate between MasterCard, Visa, ora any other acceptancel brand; andi il) the minimum transaction amount does not exceed ten dollars (or any higher amount established by the Federal Reserve). Sub-merchant may set a maximum transaction amount to accept a card that provides access to ac credit account, under the following conditions: Sub-merchant is ai ) department, agency or instrumentality of the U.S. government; i) corporation owned or controlled by the U.S. government; or i) Sub-merchant whose primary business is reflected by one of the following MCCs: 8220, 8244, 8249- -Schools, Trade or Vocational; and the maximum transaction amount does not differentiate between 2. Sub-merchant Prohibitions. Sub-merchant must not ) require a cardholder to complete a postcard or similar device that includes the cardholder's account number, card expiration date, signature, or any other card account data in plain view when mailed, li) add any tax to transactions, unless applicable law expressly requires that a Sub-merchant impose a tax (any tax amount, if allowed, must bei included in the transaction amount and not collected separately), i) request or use an account number for any purpose other than as payment for its goods ors services, iv) disburse funds in the form oft travelers checks ift the sole purpose is to allow the cardholder tor make a cash purchase form of of goods or services from Sub-merchant, v) disburse funds in the form of cash unless Sub-merchant is dispensing funds travelers in the checks, travelers checks, TravelMoney cards, or foreign currency (ins such case, the transaction amounti is limited tot the value oft the TravelMoney cards, or foreign currency, plus any commission or fee charged by the Sub-merchant), or Sub-merchant is participating ina cash back service, vi) submit any transaction receipt for a transaction that was previously charged back to the Acquirer Visa and subsequently returned to Sub-merchant, irrespective of cardholder approval, vi) accept a Visa consumer credit card or commercial product issued byau.s. issuer to collect or refinance an existing debt, vii) accept a card to collect or refinance an existing debt that has been deemed uncollectable, or ix) submit a transaction that represents collection of a dishonored check. Sub-merchant further agrees that, under no circumstance, will Sub-merchant store cardholder data in violation of the Laws or the Operating Regulations including butr not limited tot the storage oft track-2 data. Neither Sub-merchant nori its Agent shall retain or store magnetic-stripe data subsequent to the authorization ofa ("Sub-merchant) in connection with the agreement between Sub-merchant and Payment Sub-merchant for all orp part of Sub-merchants obligations contained herein. MasterCard, Visa, or any other acceptance brand. salest transaction. Page1of2 3. Settlement. Upon receipt of Sub-merchants sales data for card transactions, Acquirer will process Sub-merchants sales data to facilitate the the funds transfer between the various Associations and Sub-merchant. After Acquirer receives credit for such Account sales data, or subject Provider to terms set forth! herein, Acquirerwillf fund Sub-merchant, either directly tot the Sub-merchant-Owned for Designated. such card transactions. through Sub-merchant agrees thatt the deposit off funds to the Provider Designated Account shali discharge between Acquirer Provider of Sub-merchant. obligation Acquirer will debit the Provider Designated Account for funds owed to Acquirer as a result of the Services provided hereunder, Account") upon receipt of such may account debit Sub-merchants designated demand deposit account (Sub-merchant-Owned. settlement Designated the Sub-merchant-Owned, Designated Account. Further, ifa cardholder disputes at transaction, ifat transaction is charged! back for anyr reason, orifA and Acquirer debited from Sub-merchant or Provider. 4. Terma andl Termination. This Agreement shall be! binding upon Sub-merchant upon Sub-merchants execution. The date term oft this Agreement this shall begin, and the terms of the Agreement shall be deemed accepted and binding Provider's upon Acquirer, on the with Sub-merchant. Acquirer accepts Notwithstandingi the foregoing, Acquirer mayi immediately cease providing Services and/or terminate this Agreement without Sub-merchant noticei if () Sub- merchant or Provider fails to pay any amount to Acquirer when due, (i) in Acquirer's opinion, provision of a service to member oft the Associations orf fails tot have the required licenses, or (vii) Acquirer is required to dos so by any oft the alleged! breachi firsto occurred. Failure tos sop provide notice shall be deemed an acceptance by to an account designated by Provider ("Provider Designated. Account"), at Acquirer's discretion, its settlement to Sub-merchant, and that any dispute regarding the receipt or amount of settlement shall be information from Sub-merchant or Provider, or if Acquirer deposits and provided that Acquirer also reasonably! believes at transaction funds into is unauthorized or otherwise unacceptable, the: amounto ofs such transaction may be charged backa Agreement byi issuing ar merchanti identification number, and shall be coterminous with Provider may be a violation of the Operating Regulations determines any violate the Operating Regulations ort the Laws, (v) Acquire Association, (v) Acquirer's agreement with Provider terminates, (vi) any agreement or or Laws, (ii) Acquirer believes that Sub-merchant has violated or is likely to Sub-merchant at financial or regulatory risk to Acquirer or an Association poses Provider, (vii) Acquirer ceases to be a deregisters the Associations. 5. Limits of Liability. Sub-merchant: agrees top provide Acquirer, via a communication with Provider, with written notice of of the any date alleged on which breach by Acquirer oft this Agreement, whichr notice will specifically detail such alleged breach, within Sub-merchant thirty (30) days and av waiver of and EXCEPTFORTHOSE EXPRESSWARRANTESI MADEI INT THISAGREEMENT, ACQUIRERI DISCLAIMS ALL WARRANTIES, INCLUDING, WITHOUT LIMITATION, ANY EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Sub-merchants sole and exclusive remedy for any and all claims against Acquirer arising out of or in any way related to the with the Services, rights, andlor obligations defined int this Agreement, In no event shali Acquirer against have any liability to Sub- merchant with respect to this Agreement or the Services. Sub-merchant not acknowledges liable for Acquirer action orf failuret only providing to act by! Provider, and that Acquirer shall have services to Sub-merchant in connection with this Agreement and Acquirer elects provide the terms of Acquirer's then current Bank Card acknowledges and agrees that the provisions of this Agreement will no longer apply and relationship with Sub-merchant. If Provider any allr rights to dispute such! breach. transactions contemplated' hereins shalil be termination Int the eventt that Sub-merchant has any claim arising in connection any Sub-merchant Provider. If Provider is unablet top provide its oft this Agreement Sub-merchant shall proceed Provider and nota against Acquirer, this Agreement to assisti in Provider's unless otherwise specifically set forth in the Operating Regulations. processing relationship with Sub-merchant, that. Acquireri is nol liability whatsoever inc connection with any products ors services provided to Merchant Agreement, which would be provided to Sub-merchant, will govern Acquirer's Acquirer cease to subsequently provides its services to Sub-merchant in connection with this Agreement, receipt of notice from Provider and this Agreement will govern Acquirer's relationship with Sub-merchant. is to by those services directly, Sub- merchant such services after will provide This Agreement is entered into, governed by, and construed pursuant to the laws of the State of Ohio without regard to 6.! Miscellaneous. conflicts of law provisions. This not be assigned by, Sub-merchant without the prior written consent of Acquirer. This andi Agreement inure tot may thel benefit oft the parties hereto and their respective successors, transferees and assignees. Agreement shall be binding upon and be enforced Acquirer and Sub-merchant andi is not for the benefit of, and may not be This Agreementi is for the benefit of, may! amend this only by, upon notice to Sub-merchant in accordance with Acquirer's standard enforced by, any other party. Acquirer oft may this Agreement is Agreement determined to be illegal ori invalid, such illegality ori invalidity of that provision will operating procedure. the Ifany provision and this Agreement will be construed as if such provision is not contained in the Agreement not "Member affect Bank" any of as used remaining in this provisions Agreement shall mean a member of VISA, MasterCard and/or Discover, as applicable, be that Fifth provides sponsorship. services in connection with this Agreement. As oft the commencement of this Agreement, this Member Bank shall The Member Bank Third Bank, an Ohio Banking Corporation, located in Cincinnati, OH 45263. The Member Bank is time a party without to notice Agreement. to Sub-merchant. may be changed, andi its rights and obligations assigned to another party by Acquirer at any WHEREOF, has beene executed Sub-merchants authorized officer as oft the date sett forth below. INWITNESS SUB-MERCHANT: Signature: Name: Title: Date: Address: this Agreement by Page2of2 Your Complete PAYMENT, BILLING ACOMMUNICATIONS Solutionf Provider PSN Payment Service! Network, Inc. PERMISSION TO VERIFY BANK ACCOUNT INFORMATION As part of our implementation process and underwriting, we need to confirm your company's bank account information. Our request to the bank includes verifying the account numbers, when the account was established, average balances, average number of NSFS and a rating of the account. Please complete the form below which gives the bank permission to release information to PSN. If you have any questions, please let us know. Bank Name: Bank Address: Bank Telephone Number: Bank Faxl Number: Name on Bank Account: Bank Routing Number: Bank Account Number(s): indicated above. Authorized Signature: Print Name: Title: Company Name: Date: ihereby authorize Payment Service Network (PSN) to obtain account information from the bank Fax back form to 608-442-5116 Payment Service Network I 866.917.7368 I www.PaymentserviceNetwork.com 2901 International Lane, Madison Wisconsin 53704 Request for Taxpayer Give Form to the requester. Do not to the send IRS. Form W-9 (Rev. October 2018) Departmento ofthe Treasury Internal Revenue Service Identification Number and Certification Got tov www.is-gow/Formw9: fori instructions and the latest information. 1 Name (as shown ony youri incomet taxr return). Namei isr required ont thisl line; dor notk leave this line! blank. 2 Business name/disregarded entityr name, ifdifferentf froma above 3 Checka appropriate! boxf forf federalt taxc classification oft thep persony whoser name ise entered onli line1 1.0 Check only one ofthe 4 Exemptions (codes apply onlyt to following sevenb boxes. single-member LLC certain entities, noti individuals; see instructions onp page 3): Exempt payee code (fa any) Individual/sole proprietoror CCorporation OsCorporation Partnership Trust/estate Limitedl liability company. Entert thet tax classification (C=C corporation, S-S corporation, P-Partnership)". Note: Check thea appropriatel boxi int thel lines above fort thet taxc classification ofti thes single-member owner. Donot check Exemption from! FATCAr reporting LLCifthel LLCis classified as a single-member LLCt thati is disregardedi fromt thec owner unless thec owner oft thel LLCis code (fa any) another LLCt thati ist not disregarded" from thec ownerf for U.S. federalt taxp purposes. Otherwise, as single-member LLCt that isd disregarded1 fromt thec owners should check the appropriate! boxf fort thet tax classification ofi its owner. Other (seei instructions)" 6 City, state, andz ZIP code 7 Lista accountr number(s) here( (optional) Appliest tosccountsn theU.S.) Address number, street, anda apt. ors suiter no.) Seei instructions. Requester's name anda address (optional) Part I Taxpayer Identification Number (TIN) Enter your TINI in the appropriatel box. The TIN providedi must matcht ther name given onl line 1 to avoid Sociai security number backup withholding. For individuals, thisi is generally, yours socials security number (SSN). However, fora resident alien, sole proprietor, or disregarded entity, seet thei instructions for Partl I,l later. For other entities, itisy your employer identification number (EIN). Ify you do not have ar number, see How to geta TIN, later. or Note: Ift the accounti isi inr moret than oner name, see thei instructions for line 1.A Also seel What Name and Employer identification: number Number To Give thel Requester for guidelines onv whose number toe enter. Part! II Certification Under penaities ofp perjury, Icertify that: nol longer subjectt tol backup withholding; and 3.lamal U.S. citizen ord other U.S. person (defined below); and 1.T The numbers shown ont this formi isr my correct taxpayer identification number (ori am waiting for a number tol bei issuedt tor me); and 2.1 amr not subject tol backup withholding! because: (a)! am exempt from backup withholding, or (b)I have not been notified by the Internal Revenue Service (RS) that I ams subjectt tob backup withholding as ar resuit ofaf failure tor report alli interest or dividends, or (c) the IRS has notified mei thatl lam Certification! instructions. Your must cross outi item 2a abovei ify youh haveb been notifiedk byt thel IRSt that yous are currentlys subject to! backupy withholding because youl have failed tor report alli interesta and dividends ony yourt taxr retum. Forr reale estatet transactions, item 2 does nota apply. Forr mortgagei interest paid, acquisition ora abandonment ofs securedp properly, cancellation of debt, contributions to ani individual retirement arrangement (IRA), and generally, payments other thani interesta and dividends, you arer notr required tos signt the certification, buty your must provide your correct TIN. Seet thei instructions for Part H,1 later. 4.7 TheF FATCA code(s) entered on this form (fa any)i indicatingt thatl lame exemptf from FATCAI reporting is correct. Sign Signature of Here U.S. person) General Instructions Date) > Form 1099-DIV (dividends, including thoset from stocks or mutual funds) Form 1099-MISC (various types ofi income, prizes, awards, or gross proceeds) Form 1099-B (stock orr mutual funds sales and certain other transactions by brokers) Form 1099-S (proceeds from reale estate transactions) Form 1099-K (merchant card andi third party network transactions) Form 1098 (home mortgage interest), 1098-E (student loani interest), 1098-T( (tuition) Form 1099-C (canceled debt) Form 1099-A (acquisition or abandonment ofs secured property) Use Form W-9 ify you are a U.S. alien), top provide your correct TIN. lfyou dor not return Form W-91 tot the requester witha a TIN, you might bes subject to backup withholding. See Whati is backup withholding, Section references aret tot the Internal Revenue Code unless otherwise Future developments. Fort thei latesti information: about developments related to Form' W-9: andi itsi instructions, such as legislation enacted after they were published, go toy www.is.gowFom9. Ani individual ore entity (Form W-9r requester) whoi isr required tot file an information retum with thel IRSr must obtain your correct taxpayer identification number (TIN) which may be your socials security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), ore employer identification number (EIN), tor report ona ani information return the amount paid toy you, or other amount reportable on ani information return. Examples ofi information returns include, buta arer not! limited to, thet following. Form 1099-INT (intereste earned or paid) noted. Purpose of Form a resident onlyi person (Includinga later. Cat. No. 10231X Form' W-9 (Rev. 10-2018) 2 Page Form W-9( (Rev. 10-2018) By signing thet filled- out form, you: number tob bei issued), Example. Article: 20 oft the U.S.-China incomet tax treaty allows an exemption from taxf for scholarship income received by a Chinese student will become a resident alien fort taxp purposes ifh his or her stay in thel United States exceeds 5 calendar years. However, paragraph2 of thep provisions ofA Article 20t to continue to apply even after the Chinese student who qualifies for this exception (under paragraph: 2 of the from first tax protocol) andi isr relying on this exception to claim ane exemption on) his or her scholarship or fellowshipi income would attacht to Form W-9a as statement thati includes thei information described: abovet to support thate exemption. Ifyoua are ar nonresident: alien ora at foreign entity, give the requester the appropriate completed Form' W-8 or Form 8233. Backup Withholding What is backup withholding? Persons making certain payments toy you must under certain conditions withhold and pay tot thel IRS 24% ofs such payments. This is called' "backup withholding." Payments that may be subjectt tol backup withhoiding includei interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments madei in settlement of payment card and third party network transactions, and certain payments from fishing! boat operators. Real estatet transactions are not subject tol backup You will not bes subject to backup withholding onp payments you receive ify you give the requester your correct TIN, make the proper Payments you receive will be subject tol backup withholdingi if: 1.You do not furnish your TINt tot the requester, 2. You dor not certify your TIN whenr required (seet thei instructions for 3.7 Thel IRS tells the requester that youf furnished ani incorrect TIN, 4. Thel IRS tells you thaty you are subject tot backup withholding because you didr not report ally your interest and dividends ony yourt tax retum (for reportablei interest and dividends only), or 5. You dor not certifyt to ther requester that you are subject to backupy withholding under 4 above (forr reportablei interest and dividend accounts opened after 1983 only). Certainp payees and payments are exempt from backup withholding. See Exempt payee code, later, andt the separate Instructions for the Requester ofF Form W-91 for more information. Also see Special rules forA partnerships, earlier. What is FATCA Reporting? Account Tax Compliance Act (FATCA) requires a Foreign financial institution tor alll United States participating foreign specified United report account holders that are payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and thel Instructions for the Requester of Form Updating Your Information claimed to be: ane exempt payeei if you: are nol longer ane exempt payee anda anticipate receivingr reportabie payments in the futuret from this person. For example, your may need top provide updated informationi if you are a Co corporation thate elects tob be an S corporation, ori ify your no ther name or TIN changes for the account; fore example, ifthe grantor ofa Failure tot furnish' TIN. If you fail tot furnishy your correct TINt toa requester, you: are subject to ap penalty of $501 fore each sucht failure unless) failurei is due tor reasonable cause and not to willful neglect. make at false: statement with no reasonable basist that results inr no backup withholding, you are subject to a $500 penalty. 1. Certifyt thatt thel TIN you are givingi is correct (or you: arev waiting fora student temporarily presenti int the United States. Under U.S. law, this 3. Claim exemption from backup withholding ify you are al U.S. exempt the first Protocol tot the U.S.-China treaty (datedA April 30, 1984) allows allocable. share of any partnershipi incomet from al U.S. trade ork business student becomes ar resident alien oft the United States. AC Chinese 2.Certify thaty you arer not subject tol backup withholding, or payee. Ifapplicable, you: are also certifyingt that asa al U.S. person, your isr not subject tot the withholding tax onf foreign partners' share of effectively connectedi income, and 4. Certifyt that FATGA code(s) entered ont this form (ifa any) indicating that yous aree exempt fromt thel FATCAI reporting, is correct. See Whatis is FATCAI reporting, later, forf further information. Note: Ify you are al U.S. person and a requester gives yous at form other than Form W-9 tor request your TIN, your must use ther requester's formi if itiss substantially. similart tot this Form) W-9. Definition of au.s. person. Fort federal taxp purposes, you are considered: al U.S. person ify youa are: Ani individual whoi isal U.S. citizen orU.S. resident alien; Ap partnership, corporation, company, or association created or organized int the United States or under the laws oft thel United States; An estate (other than at foreigne estate); or Ad domestic trust (as definedi inF Regulations section: 301.7701-7). Special rules for partnerships. Partnershipst that conduct at trade or businessi int the United States are generally requiredt top pay av withholding tax under section 1446 on any foreign partners' share ofe effectively where al Form W-9 has not been received, ther rules under section 1446 tax retum. requirea a partnership top presume that a partner is a foreign! person, and payt thes section 1446 withholding tax. Therefore, ifyou are aU.S. person that isap partneri ina a partnership conducting at trade orb business in the United States, providel Form' W-9t tot they partnership toe establish your U.S. status anda avoids section 1446 withholding ony your share of Int the cases! below, the following person mustg give Form W-9t tot the partnership forp purposes ofe establishing its U.S. status and avoiding withholding oni its allocable share ofr neti incomef from the partnership conducting at trade orb business int the United States. Int the case ofa disregarded- entity with a U.S. owner, the owner oft the disregarded entity andr noti thee entity; Int the case ofag grantor trusty with al U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner oft the grantor trust and Int the case ofal U.S. trust (other than a grantor trust), the U.S. trust (other than a grantort trust)a and not the! beneficiaries oft thet trust. Foreign person. Ify youa are a foreign person ort the U.S. branch ofa foreign! bankt that has electedi tob bet treated as aU.S.p person, dor not use The! Form W-9. Instead, use the appropriate Form' W-8 or Form 8233 (see Pub. 515, Withholding of Tax on! Nonresident. Aliens and Foreign Nonresident: alien who becomes ai resident alien. Generally, only a ore eliminate U.S. tax on certaint types ofi income. However, most tax treaties contain ap provision known as a' "saving clause." Exceptions specifiedi int the saving clauser may permit ane exemption from taxt to become al U.S. resident alieni for taxp purposes. Ify you are al U.S. resident alien whoi isr relying on an exception contained int thes saving clause ofa at taxt treatyt to claim attach an exemption as statement from U.S. tax on certain types ofi income, your must toF Form W-91 that specifies thet following fivei items. 1.7 Thet treaty country. Generally, this must! bet the same treaty under whichy you claimede exemption fromt tax as a nonresident alien." 2.T Thet treaty articlea addressing the income. 3. The articler number (or location) int thet tax treaty that contains the saving clause andi its exceptions. 4.Thet type anda amount ofi income that qualifies fort the exemption from tax. the treaty article. withholding. connectedi taxable income from such! business. Further, in certain cases certifications, andr report ally your taxablei interest and dividends on your Partl Ili for details), partnership income. not U.S. nott thet trust; and States persons. Certain Entities). nonresident alien individual may use thet terms ofa at tax treaty tor reduce W-91 for more information. continue for certain types ofi income even after the payee! has otherwise Your must provide updatedi information Ina exempt. addition, yous to whom you to any person are tax longer grantor trust dies. Penalties your must furnisha a new Form W-9if 5. Sufficient facts toj justify thee exemption from tax under thet terms of Civil penalty for false information with respect to withholding. Ifyou 3 Page Form W-9 10-2018) (Rev. including fines and/ori imprisonment. Specific Instructions Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject yout to criminal penalties Misuse of TINS. Ift the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties. Your must enter one oft thei following on this line; do not leave this line blank. The name shouldr match the name on your tax return. Ifthis Form W-9i isf for aj joint account (other than an account maintained by at foreign financial institution (FFI), list first, and then circle, the name oft the person ore entity whoser number you enteredi in Partl of Form W-9. Ifyou arep providing Form' W-9t to anf FFI to document or aj joint account, each holder oft the account that is al U.S. person must a. Individual. Generally, enter the name: shown on your tax return. If you have changed your last name withouti informingt the Social Security Administration (SSA) of ther name change, enter yourf first name, thel last name as shown on) your: social security card, andy your new last name. Note: ITIN applicant: Entery your individual name asi it was entered on your Form' W-7 application, line 1a. This should also bei the same ast the . Trust/estate name youe entered on the Form 1040/1040A/1040EZ youi filed with your Line 4, Exemptions b. Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ: on line 1. You may enter your business, trade, or "doing! business as" (DBA) name onl line 2. C. Partnership, LLC that is not a single- member LLC,C corporation,' or S corporation. Enter the entity's name as shown ont the entity's tax return on! line 1 and any business, trade, or DBAI name on d. Other entities. Enter your name as shown on required U.S. federal tax documents on! line 1. This name should match the name shown ont the charter or other legal document creatingt the entity. You may enter any disregarded as an entity separate from its owneri is treated as a the owner's name onl line 1. The name of the entity entered on line1 shouldr never be a disregarded entity. The name oni line 1 should bet the name shown ont thei income tax return on whicht the income should be reported. For example, ifai foreign LLCI that ist treated as a disregarded entity for U.S. federal tax purposes has a single owner that is al U.S. person, the U.S. owner's name is required to be provided onl line 1.1f the direct owner of the entity is also ac disregarded entity, enter thet first owner thati is not disregarded forf federal tax purposes. Entert the name."Ift the owner of the disregarded entityi isa ai foreign person, the owner must complete ana appropriate Form W-8i instead ofa al Form' W-9. Thisi ist the case even ift thet foreign person has a U.S. TIN. Ifyou have al business name, trader name, DBAI name, or disregarded entity name, your may enter itc onl line 2. Check the appropriate box onl line 31 for thel U.S. federal tax classification oft the person whose name is entered onl line 1.Check only IF the entity/person on line 1is THEN check the box for. : a(n). . Corporation . Individual Sole proprietorship, or . Single-member limitedl liability company (LLC) owned by an individual and disregarded for U.S. federal tax purposes. . LLC treated as a partnership for Limited liability company and enter U.S. federal tax purposes, . LLC that has filed Form 8832 or (P= Partnership; C= C corporation; 25531 to bet taxed as a corporation, ors= S corporation) . LLC that is disregarded as an entity separate from its owner but the owner is another LLC thati is not disregarded for U.S. federal tax purposes. . Partnership Corporation Individual/sole proprietor or single- member LLC Line 1 the appropriate tax classification. providea al Form W-9. Partnership Trust/estate application. Ify you are exempt from backup withholding and/or FATCAI reporting, enter in the appropriate space on line 4 any code(s) that may apply to Generally, individuals (including sole proprietors) Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. Corporations are not exempt from backup withholding for payments made in settlement of payment card ort third party network transactions. Corporations are not exempt from backup withholding with respect to that provider medicai or health çare services are not exempt with respect The following codes identify payees that are exempt from backup withholding. Enter the appropriate code int the space inl line 4. 2-The United States or any ofi its agencies ori instrumentalities 3-A: state, the District of Columbia, a U.S. commonwealth or 4-Af foreign government any political you. Exempt payee code. backup withholding. are not from exempt line 2. business, trade, or DBA name onl line 2. e. Disregarded entity. Forl U.S. federal tax purposes, ane entity thati is attorneys' fees or gross proceeds paidt to attorneys, and corporations "disregarded entity." See Regulations section 301.7701-2lc)2X0. Enter to payments reportable on Form 1099-MISC. from tax under section 403(b)7) any IRA, or 1-An organization exempt section a custodial account under requirements of section 401((2) if the account 501(a), satisfies the disregarded entity's name on line 2, "Business name/disregarded. entity possession, ora any oft their political subdivisions ori instrumentalities or of its subdivisions, agencies, ori instrumentalities 5-A corporation possession Futures Trading Commission 8-Ar real estate investment trust Investment Company Act of 1940 11-A1 financial institution custodian 4947 Line 2 Line 3 onel box on! line 3. 6-A dealer in securities or commodities required tor register in the United States, thel District of Columbia, oraU.S. commonwealth or 7-Afutures commission merchant registered with the Commodity 9-An entity registered at all times during the tax year under the 10--A commont trust fund operated byat bank under section 584(a) 12-Ar middleman knowni in the investment community as a nominee or 13-A trust exempt from tax under section 664 or described in section Form W-9 (Rev. 10-2018) above, 11 through 13. IF the paymenti is for. Broker transactions Page4 4 The following chart shows types of payments thatr may bee exempt from backup withholding. The chart applies tot the exempt payees listed plan M-At tax exempt trust under as section 403(b) plan or section 457lg) Note: Your may wish to consult with thef financial institution requesting this formi to determine whether the FATCA code and/or exempt payee Enter your address (number, street, anda apartment ors suite number). file, writel NEW att thet top. Ifar new addressi isp provided, therei is stilla THENt the payment is exempt for... for7 code should be completed. Line 5 Interest and dividend payments Allexempt payees except Exempt payees 11 through 4a ande 6 This is where the requester of this Form W-9 will mail your information through 11 and all C corporations. returns. ift this address differsf from the one ther requester aiready! has on exempt payee codel because they chance the old address willl be used until the payor changes your Sc corporations must not enter an are exempt only for sales of noncovered: securities acquired prior to 2012. addressi int their records. Line 6 Enter your city, state, and ZIP code. Barter exchanget transactions and Exempt payees 11 through 4 patronage dividends Payments over $600 required tobe Generally, exempt payees reported and directs sales over 1through 52 $5,000' Payments madei ins settlement of Exempt payees 11 through 4 payment card ort third party networkl transactions See Form 1099-MISC, Miscellaneous Income, andi itsi instructions. However, thei following payments madet toa a corporation: and reportable onF Form 1099-MISC are not exempt from backup proceeds paidt to ana attorney reportable under section 6045(), and payments for services paid! by at federal executive agency. Exemptioni from FATCA reporting code. Thet following codes identify payeest that are exempt from reporting under FATCA. These codes applyt top persons submitting this formi for accounts maintained outside youa are onlys submitting this formf for ana account you! hold int the United States, your may leavet this field blank. Consult witht the person requesting this formi ify youa are uncertain ift thet financial institutioni is subject tot theser requirements. Ar requester may indicatei that a codeis is any similari indication) written or printed ont thel linet for aFATCA A-An organization exemptf fromi tax unders section 501(a) or any individual retirement plana as definedi ins section 7701(a)(37) B-The United States ora any ofi its agencies ori instrumentalities C--As state, thel District of Columbia, al U.S. commonwealth or possession, ora any oft their political subdivisions ori Instrumentalities D-AC corporation thes stock ofv which isr regularly traded on one or more established securities markets, as describedi inF Regulations E-AC corporation that is ar member oft the same expanded affiliated F-Ac dealeri ins securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options)t that ist registered as such under thel laws oft the United States ora anys state G-Areal estatei investment trust H-Ar regulatedi investment companya as definedi ins section 851 or an entityr registered: at allt times duringt thet tax year under thel Investment Company Act of1 1940 I-A commont trust fund as defined ins section 584(a) J-AE bank as definedi ins section! 581 K-Al broker 4947(a)(1) Part I. Taxpayer Identification Number (TIN) Enter your TINI int the appropriate box. If you are a resident alien and you do not have and arer note eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter iti int thes social security number box. Ify you dor notl have anl ITIN, see How tos geta a TIN Ify you are a sole proprietor andy youh have an EIN, your may enter either Ifyou are as single-member LLC that is disregarded. as ane entity separate from its owner, enter the owner's SSN (or EIN, ift the owner has one). Do note enter the disregarded entity's EIN. Ifthel LLC is classified as ac corporation or partnership, enter the entity's EIN. further clarification ofr name and" TIN combinations. How to geta a TIN.I If you do not have a TIN, apply for onei immediately. To apply for an SSN, get Form SS-5,A Application for a Social Security Card, fromy your local SSA office or get this form online at www.SSA.gov." Your may also get this form by calling 1-800-772-1213. Number, to apply for an ITIN, or Form SS-4,A Application for Employer Identification Number, to apply fora an! EIN. You can applyf for an EIN online by accessing thel IRS website atv www.r.gowBusineses: and clicking onE Employer Identification Number (EIN) under Startinga W-7 and/or Form SS-4. Or, you can go tos www.irs. gov/OrderForms to place and order and! have Form W-7 and/or SS-4 mailed toy youy within 10 Ifyou are asked to complete Form W-9 but do not have a TIN, apply foral TIN and write' "Applied For" int thes space for the TIN, sign and date thet form, and givei itt tot the requester. Fori interest and dividend payments, and certain payments made with respect tor readilyt tradable instruments, generally you willl have 600 dayst to getal TIN andg givei itto ther requester beforey you ares subjectt to backup withholding on payments. The 60-day rule does not apply to othert types of payments. You willl be subject tol backup withholding on alls such payments until Caution: A disregarded U.S. entityt that has at foreign owner must use To establishi tot the withholding agent that you are aU.S. person, or resident alien, sign Form' W-9. Your may! ber requested tos sign by the withholding agente even ifi item 1,4,0r55 below indicates otherwise. Foraj joint account, onlyt the person whose TIN is showni inF Partl shoulds sign (whenr required). Int the case ofa a disregarded entity, the personi identified onl line 1 must sign. Exempt payees, see Exempt payee below. your SSN or EIN. withholding: medical and! healtho care payments, attorneys' fees, gross Note: See What Name and Number To Give the Requester, later, for oft the United States! by certain foreignf financial institutions. Therefore, if Use Form' W-7, Application for IRSI Individual Taxpayer Identification not required! by providing you with aF Form W-9 with' "Not Applicable" (or Business. Got tov www.is.govlForms tov view, download, or print Form exemption code. business days. section 1.1472-1(CX1)0 youp providey your TINt tot ther requester. TIN ort thaty you intend to apply for one soon. the appropriatel Form W-8. Part II. Certification group as a corporation describedi inf Regulations section 1.1472-1(C)1)0 Note: Entering' "Applied For" means thaty you have already applied fora a code, earlier. Signature requirements. Complete the items 11 through! 5 below. L-A1 trust exempt fromi tax unders section 664 or described ins section certification asi indicatedi in 5 Page Form W-9( (Rev. 10-2018) certification. 1.h Interest, dividend, and barter exchange: accounts opened before 1984 and broker accounts considered: active during 1983. You must givey your correct TIN,E buty you dor not havet tos signt the 2.1 Interest, dividend, broker, and barter exchange accounts opened: after 1983 and! broker accounts considered inactive during 1983. Your musts sign the certification or backup withholding will apply.I If yous ares subject tol backup withholding andy yous arer merely providing your correct TINt tot ther requester, your must cross outi item 21 int the 3.F Real estatet transactions. Your musts signt the certification. Your may 4. Other payments. Your must givey your correct TIN, but you dor not have tos signt the certification unlessy youl havel been notified that you have previously given ani incorrect TIN. "Other payments" include payments madei int the course of ther requester's trade or business for health care services (including payments to corporations), payments ar nonemployeet for services, payments madei ins settlement ofp payment card andt third party network transactions, payments to certain fishing boat crew members andf fishermen, and gross proceeds paidt to attorneys (including payments to corporations). 5. Mortgage interest paid! bys you, secured property, cancellation of debt, qualified tuition program IRA, Coverdell! ESA, Archer MSA orl HSA contributions or distributions, andp pension distributions. Your must givey your correct TIN, buty youd dor not! have tos signt the certification. For this type of account: 1.1 Individual 2.T Two orr morei individuals (oint maintained! by anFFI 3.T Two or morel U.S. persons (joint accountr maintained! by anF FFI) 4.0 Custodial account ofar (Uniform Giftt to Minors/ Act) 5.a.1 Theu usualr revocable savingst trust The grantor-trustee (grantor is alsot trustee) b. So-calledt trusta accountt thati is not Thea actual owner' alegal orv validt trustu unders state! law 6.5 Sole proprietorship ord disregarded The owner" entity owned! bys ani individual 7.Grantort trustf filingu under Optional Theg grantor" Form1 1099 Filing Method1 1 (see Regulations: section 1.671-4(b/(2)0 (A)) For this type of account: B.Disregardede entityr noto owned! bya an Thec owner individual 9.AV validt trust, estate, orp pensiont trust Legale entity? 10. Corporation orl LLCE electing corporates status onF Form 8832 or Form 2553 11.A Association, club, religious, charitable, educational, oro othert tax- exempto organization 12.F Partnershipc or multi-member LLC Thep partnership 13.A Ab broker orr registered nominee The broker orr nominee Fort thisi type of account: 14. Account with thel Departmento of The publice entity Agriculturei in ther name ofap public entity (such as a state or local government, school district, or prison)t thatr reçeives agricultural program payments 15. Grantort trustf under the Form Thet trust flingu 1041 Filing! Method or the Optional Form 1099F FilingN Method 2 (see Regulations: section 1.671-4020XB) 'Listf first and circlet the name of the persony whoser SSN, that number you furnish. number Ifonly one person ona a jointa account has an must bef furnished. 2Circlet ther minor's name andi furnish the minor's SSN. business or DBAI name ont the' "Business name/disregarded entity" name line. You use eithery your SSN or EIN (fy youl have one), but the IRS encourages may youi to usey your SSN. 4Listf first and circlet the name oft thet trust, estate, or pension trust. (Do not furnish the TIN oft thep personal representative ort trustee unless the entityi itself is not designated ini the account title.) Also see Special *Note: The grantor also must provide al Form W-9 tot trustee oft trust. Note: lfr nor namei is circled when more than one name is! listed, the number will be considered tob bet that of thet first name listed. Identity theft occurs whens someone uses your personali information such as your name, SSN, or otheri identifyingi information, withouty your permission,' to commit fraud or other crimes. Ani identity SSN thief may receive use Give name and EIN of: certification! before signing thet form. cross outi item 20 oft the certification. person's rents, royalties, goods (other than biilst forr merchandise), medical and to 3Your must showy your individual name andy you may also enter your acquisition or abandonment of legal earlier. payments (unders section 529), ABLE accounts (under section! 529A), rules for partnerships, What Name and Number To Give the Requester Secure Your Tax Records From Identity Theft account) othert thana ana account combinedf funds, thet firsti individual on your SSN tos get a job orr may file a tax return using your tor Give name and SSN of: Thei individuai Thea actual owner oft the account or,if thea account' Each holder oft the account Ther minor arefund. Tor reduce your risk: Protect your SSN, minor Ensure your employer is protecting) your SSN, and Be careful when choosing at tax preparer. Ify yourt tax records area affected byi identityt theft andy you receive a noticef fromt thel IRS, respond right away to the name and phone number printed ont the IRSI notice or letter. Ify your taxr records arer not currently affected! byi identity theft buty you think you are atr risk due toal lost or stolen purse or wallet, questionable credit card activity or credit report, contact thel IRSI Identity Theft! Hotline at 1-800-908-4490 or submit Form 14039. For more information, see Pub. 5027, Identity" Theft Information for Victims ofi identity theft who are experiencing economic harm ora systemic problem, or are seeking helpi in resolving tax problems that haver not been resolved through normal channels, may can be eligible TAS! for Taxpayer. Advocate Service (TAS) assistance. You reach by calling the TAS toll-free case intake line at1 1-877-777-4778 or TTY/TDD Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use ofe email and websites designedt to mimic! legitimate business emails and websites. The most common act iss sending ane emailt to a user falsely claimingt to be ane established legitimate enterprise ina an attempt to scam the user into surrendering privatei information that willl be used fori identity theft. Taxpayers. Give name and EIN of: 1-800-829-4059. Thec corporation The organization Form W-9 (Rev. 10-2018) Page 6 your Thel IRS does not initiate contacts with taxpayers via emails. Also, the Privacy Act Notice IRS does not request personal detailed information through email or ask Section 6109 oft the Internal Revenue Code requires to taxpayers for the PIN numbers, passwords, or similar secret access information fort their credit card, bank, or other financial accounts. Ify you receive an unsolicited email claiming to bet from the IRS, forward this message to phishing@irs.gov. You may also report misuse oft thel IRS name, logo, or other IRS property to the" Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails tot thel Federal Trade Commission at spam@uce.s gov or report them at www.f c.gov/complaint. You can Ifyoul have been the victim ofi identity theft, see www.denti/Ther.goy Visit www.irs. govlldentityTheft: to learn more abouti identity theft and correct TINt to persons agencies) who yout are provide required to (including federal filei information returns with the IRS tor reporti interest, dividends, or certain other income paid toy you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an! IRA, Archer MSA, orh HSA. The person collecting this form uses thei information ont the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving itto the Department of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, tof federal and state agencies to enforce civil and criminal laws, or tof federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required tot file a tax return. Under section 3406, payers must generally withhold a percentage oft taxable interest, dividend, and certain other payments to ap payee who does not give a TIN tot the payer. Certain penalties may also apply for providing false or fraudulent contact the! FTC at www.ftc.gouvlidtheft or 877-IDTHEFT (877-438-4338). Justice for civil and criminal litigation and to cities, states, the District of and Pub. 5027. how tor reduce your risk. information. ADDITIONALS SCHEDULE-B" TOTHE PSN SERVICE AGREEMENT By signing below, Account Holder ratifies the Service Agreement by and between Biller Name and Payment Service Network, Inc. ("PSN"), and its Schedule A, previously executed by the Account Holder (as may have been amended) as well as ratifies the listing of Transaction Fees and related services listed on Schedule B and any Additional Schedule B's, previously agreed to by the parties. The effective date of this Additional Schedule B is the last date noted on the signature lines below (the "Effective Date"). 1. Depository Account(s): The Account Holder's previous designated depository account(s) in Schedule B will continue to be used 2. Additional Services and' Transaction. Fees For Billers where fees are paid byt their payers: Fees forl PayPal Brands (eg., PayPal, Pay Later, Venmo) will be equal to current credit card fees as provided in the Biller Order Form. For example, ifPayers are paying 3.95% for credit card, they will pay 3.95% for PayPal Brand payment transactions. Similarly, ifl Payers are paying $4.95 per credit card transaction, they will pay $4.95 per PayPal Brand payment transaction. For Billers who absorb both passthrough credit card and processing costs: Instead of Credit Card Interchange, dues, assessments, and processing fees Billers willl be charged 1.50% oft the payment amount for eachl PayPal Brand payment transaction. For example, for a $100.00 transaction, the passthrough cost will be $1.50. In addition, Billers will also pay current credit card fees as provided in the Biller Order Form. For example, ify you pay $4.95 per credit card transaction, you will pay $4.95 per PayPal Brand payment transaction. Or, ify you pay 2.0% (200 BPs), you will pay For Billers who paya credit card transaction fee, but do not absorb Credit Card Interchange. dues.assessments. and Fees forl PayPal Brands will be equal to current credit card fees as providedi in the Biller Order Form. For example, ifyouy pay $2.00 ona a$100 transaction. processing fees: 3.95% per credit card transaction, you will pay 3.95% per PayPal Brand payment transaction. 3. Annex I-Terms and Conditions tot this Additional Schedule B: are agreed to andi incorporated by reference as of the Effectivel Date, and shall apply to the. Agreement, any Schedule B and all. Additional Schedule Bs. 4. Except as otherwise provided in this Additional Schedule B and Annex 1 hereto, the terms and conditions oft the Agreement, Schedule A, Schedulel B and any other. Additional Schedulel Bs shall continue to be in full force and effect. IN WITNESS WHEREOF, the undersigned parties have duly executed this Additional Schedulel B to thel PSN Service. Agreement effective as oft thel Effective Date. Biller Name Signature: Print Name: Title: Date: Payment Service Network, Inc Signature: Clein W Obien Print Name: Kevin O'Brien Title: President Date: Annex 1 to the Additional Schedule B Terms and Conditions "Account Holder's Designated Depository Account(s)" or "Account Holder's designated depository account(s)" in the Agreement or any Schedule thereto shall mean any and all accounts, which Account Holder has designated as provided herein, into which payments made by Account Holder's Customers/Payees: are deposited hereunder. Account! Holder may only change the Account Holder's Designated Depository Account(s) upon not less than fifteen (15) days prior written notice to PSN, provided that Account Holder completes and timely delivers to PSN all forms Account Holder agrees: (1) that, with respect to PayPal, Venmo, Pay Later transactions and any other transactions, e.g., credit card, ACH, processed by PayPal (if applicable) or other processors, PayPal or other processors, as applicable, will disburse funds to and collect funds from the Account Holder in accordance with instructions provided to such processor by PSN, and as otherwise permitted pursuant to the Account Holder's applicable agreement with the processor; (2) that PSN is not collecting payments from Account Holder customers and PSN is not a payment intermediary; (3) that Account) Holder shall enteri into and agree to the PayPall Processing Services Agreement (as may be amended) and other required processor agreements; (4) where PayPal becomes the processor, the Account Holder will become the merchant of record (and not the sub-merchant), and PSN will not be the merchant of record; (5) as well as authorizes that outstanding sums due and owing to PSN, including, but not limited to chargebacks, ACH rejects or reversals, disputes, over-payments, payment errors, and invalidated payments and other refunds or credits (collectively "Chargebacks"), and pass-through costs including interchange, fees, dues, assessment, processing fees, and PayPal fees, will automatically be debited from Account Holder's Designated Depository Account(s) for such purpose on a daily or monthly basis at] PSN's sole discretion; (6) non-sufficient funds for these debits, or blocking or otherwise rendering inaccessible any Account Holder'sI Designated Depository account(s), are grounds for an increase in fees, suspension of the Service or termination of this Agreement. In the event of any such occurrence leading to non-payment of any sums due, PSN reserves the right to withdraw such sums from the Account Holder's Designated Depository Account(s), offset or net settle these sums (ie., deduct funds owed from daily disbursements to Account Holder), against future deposits, or withhold future deposits until such sums are paid in full, at any time to ensure payment of thes same; (7) adjudication of disputes are made between the applicable payment processor and Account Holder pursuant to Section 4 of the Agreement; and (8) the Cash distribution services are no longer available under Account Holder agrees to pay Transaction Fees and Other Fees as designated in the Agreement, Schedule B or any Additional Schedule B. PSN shall, at PSN's option, (a) deduct Transaction Fees and Other Fees from Customer payments before such payments are deposited into Account Holder's designated depository account (b) invoice the Account Holder the Transaction Fees and Other Fees and/or (b) auto-debit from Account Holder's Designated Depository Account(s) on or around the first ofevery month the total ofa all Transaction Fees and Other Fees incurred during the immediately preceding month which were deposited into the Account Holder's Designated Depository Ins support ofthe Account Holder'sagrement with thej payment processor (including PayPal), PSN will support efforts toward the deposit of Customer payments into Account Holder's Designated Depository Account(s) within three (3) banking days of payment, however, Account Holder acknowledges that it may take up to five (5) banking days to complete such deposits due tol bank notification times and different deposit frequencies from the credit card processors tol PSN. A' "banking day" isa day oft the week on which al bank or financial institution is open to the public for carrying on all ofits banking functions (i.e., Monday through Friday, excluding Saturday, Sunday and legal holidays). In the event of a conflict between these Terms and Conditions, the Agreement, Schedule B and any Additional required by PSN to complete the change in designated depository account(s). this Agreement Account(s). Schedule B, these Terms and Conditions shall control. PSN AMERICAN! EXPRESS ADDENDUM This PSN American Express Addendum to the Payment Service Network, Inc. Agreement for Service ("Addendum") is executed byt the undersigned Account Holder on the date first written below (the "Addendum Effective Date"). RECITALS A. B. Payment Service Network, Inc. ("PSN") and Account Holder are parties to an Agreement for Account Holder wishes to have PSN accept payments from Customers via the American Express C. Account Holder agrees that the Amex Services shall be added to the "Services" provided D. American Express Travel Related Services, Inc. ("American Express") requires certain provisions to be includedi in the Agreement as a condition of PSN providing the Amex Services, and the parties wish Service (the Agreement"). Card through the Site, or otherwise (phone in ori faxi in) (the' "Amex Services"). pursuantt tot the Agreement. toi include such addition1 terms in the. Agreement as providedi in this Addendum. E. Capitalized terms which are not defined in this Addendum shall have the meaning assigned to NOW, THEREFORE, in order to carry out the intent of the foregoing recitals, which are made a 1. Addition of Amex Services. The Amex Services are hereby added to the definition of "Services" being provided pursuant to the Agreement. Account Holder hereby authorizes PSN to accept payments made via the American Express Card and to submit American Express Card charges on behalf of the Reserves Required by American Express. The following reserve provisions are hereby added to the Agreement, as required by American Express. The following provisions shall only apply to A. Creating a Reserve. In its agreement with PSN, American Express has the right, in its discretion, to determine that it is necessary to establish a reserve ("Reserve"). If American Express believes thati its needs to create al Reserve, it may immediately establish a Reserve, increase any existing Reserve, or terminate this Addendum. American Express may establish a Reserve by () withholding amounts from payment American Express would otherwise make to Account Holder (or to PSN for the benefit of Account Holder) or (i) requiring Account Holder to deposit funds or other collateral with American Express. Any collateral provided pursuantt to this Section is subject to the prior written approval of American Express. American Express may increase the amount of the Reserve at any time so long as the amount of the Reserve does not exceed an amount sufficient, in American Express' reasonable judgment, to satisfy any financial exposure or risk to American Express (including charges submitted by Account Holder for goods or services not yet received by American Express card members and American B. Appliçation of Reserve. American Express may deduct and withhold from, and recoup and set-off against, the Reserve () any amounts owed to American Express or any ofi its affiliates; (i) any costs incurred by American Express in connection with the administration of the Reserve, including attorneys' fees; and (l) any costs incurred by American Express as a result of Account Holder's failure to fulfill any obligations to American Express, any of its affiliates, or to American Express card members, such terms int the Agreement. contractual part of this Addendum, the Account Holder agrees as follows: Account Holder and its Customers. 2. governmental entities to the extent permitted by applicable law: Express' costs of handling disputed charges). including attorneys' fees and American Express' costs of handling disputed charges. C. Providing Information. Account Holder must provide American Express promptly, upon request, information about Account Holder's and its affiliates' finances, creditworthiness, and operations, [D. Indemnification. If and to the extent that the acts of omissions of Account Holder and/or its Customers cause American Express to exercise its right to establish a Reserve, Account Holder shall indemnify and hold PSN harmless from and against all amounts reserved, costs, expenses, reasonable attorneys' fees andl legal expenses, except to the extent that the loss resulted from PSN's own negligence or intentional misconduct. Without limiting the generality of the foregoing, PSN reserves the right to establish and apply a Reserve under the principles contained in this Section 2 in the event American Express reserves amounts owed to PSN based on the acts or omissions of Account Holder and/or its including the most recent certified financial statements. Customers.] 3. Additional Provisions RequiredI by American Express. A. American Express as Third Party Beneficiary. American Express is a third party beneficiary of the Agreement (and all applicable addenda) with full right authority to enforce the Agreement and applicable addenda against Account Holder. For avoidance of doubt, nothing contained herein shall impose any obligations on American Express under the Agreement or any addenda to the Merchant Regulations published by American Express from time to time, as amended (the Merchant Regulations") which are applicable to "Sponsored Merchants" including, without limitation, Section 13of the Merchant Regulations. The applicable provisions of the Merchant Regulations are incorporated herein by this reference. Account Holder acknowledges that PSN has provided Account Holder with a copy of the Merchant Regulations as of Addendum Effective Date and that Account Holder is responsible Term and Termination. The term of this Addendum shall commence on the Addendum Effective Date, and shall continue until the first to occur of expiration or termination of the Agreement, or the date on which PSN ceases providing Amex Services. Notwithstanding the previous sentence, PSN may terminate the Amex Services immediately upon notice to Account Holder if PSN determines in its sole discretion that Account Holder has breached this Addendum or violated the Merchant Regulations. Fees. The per transaction and other fees charged for the Amex Services shall be those specified in Schedule Bi to the Agreement (the "Fee Schedule"), as such Fee Schedule may be amended from time to time. Account Holder acknowledges and agrees that the effectiveness of this Addendum is expressly contingent upon Account Holder's execution of a Fee Schedule (or amended Fee Schedule, if applicable) Relationship to Agreement. This Addendum is made a part of the Agreement, and describes additional services that are being made a part of the Services under the Agreement. The terms of the Agreement shall apply to the Amex Services, and such Amex Services shall be considered part of the Services under the Agreement. In the event of a conflict between the Agreement and this Addendum, this Agreement. B. Merchant Regulations. Account Holder agrees to comply with and be bound by all for obtaining, and complying with, any amendments to the Merchant Regulations. 4. 5. that includes transaction fees for the Amex Services. 6. Addendum shall control. 7. Facsimile and Scanned Signatures. Faxed, photocopied and scanned signatures shali be acceptable to PSN, and legally binding on Account Holder. ACCOUNT HOLDER: By: Name: Title: Date 2 Page/1 LENOWISCO AE Planning District Commission 372Technology Traill Lane, Suite: 101- - Duffield, VA 24244- Phone: 276-431-2206- htp/Awlenowsoorg Utility Rate Survey Fiscal Year 2023 Table of Contents Utility Rate Survey Introduction & Background Utility Rate Changes FY 2018-FY2023 Average In-Town Water Bill Average Out-of-Town Water Bill Average In-Town Sewer Bill Average Out-of-Town Sewer Bill 2 5 6 7 8 9 10 11 12 13 15 17 19 21 23 25 26 Average Combined In-Town Water and Sewer Bill Average Combined Out-of-Town Water and Sewer Bill Wholesale Water Rates Lee County Water Rates Lee County Sewer Rates Scott County Water Rates Scott County Sewer Rates Wise County and City of Norton Water Rates Wise County and City of Norton Sewer Rates Residential Garbage Collection Rates Notes Page/2 LENOWISCO AE Planning District Commission Utility Rate Survey Fiscal Year 2023 This is the LENOWISCO Planning District Commission's 36th annual Utility Rate Survey. It contains the water, sewer, and residential garbage collection rates within the LENOWISCO Planning District (Lee, Scott, and' Wise Counties and the City of Norton). It is completed each year to help the public agencies providing these services to understand where they stand with respect to their neighbors within the District. Since the last study, Wise County PSA'swater and sewer rates were added tot the in-town rate tables. Wise County PSA has a single rate structure and now owns and operates utilities for the Town of Pound. Please note, as several providers have different rate structures for residential and 'non-residential" (commercial and/or industrial) customers, only residential rates will be noted, calculated and compared. Comparing Utility Systems Iti is very difficult to compare the rates of one system with those of another. As the information contained in this survey reveals, different systems have straight rates, flat rates, regressive rates, and progressive rates-- all in varying increments. As in previous editions of this report, we have tried to devise a consistent yardstick to compare ratesk by computing an' "average monthly! bill." The United States Department of Agriculture Rural Development uses 4,200 gallons per month as a consumption rate for the average residential connection. Several authorities and localities have suggested 3,000 is closer to the average monthly consumption of their customer base. Therefore, all "average" monthly bills ini this report are based on that rate of consumption. AWord of Caution There are several factors of which the reader should be aware concerning the figures based herein. They 1. Municipalities with general taxationauthority, operate many of the systems. Some oft these systems are not supported by water and/or sewer revenue alone but are subsidized by the municipality's general tax revenue. Rates for such systems may be artificially low! because the numbers may not reflect thei true cost are: LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/3 of system operation. In contrast, public service authorities have no revenue raising capability except user 2. Several systemshave! belatedly started funding depreciation asar means of dealing with the uncertainties of 3. Some systems are older and therefore, their cost to construct was less. The debt loads on these systems are also lower because they were financed at lower interest rates. Ther newer systems obviously cost more 4. Consumption rates are not uniform throughout the LENOWISCO District. Consumers often use less water where rates are higher, while systems with low rates have customers who use more than the national average. Again, 4,200 gallons per month! has historically been selected as the common water usage for the purposes of this survey. However, the study is a tool used by providers in adjusting budgets and rates, an added: set ofcomparisons of3,000gallons per month usage will be added moving forward. There are great differences in system efficiency. Accountability rates (the percentage of water produced and accounted for through metered sales) vary widely. Low accountability drastically (and artificially) inflates such costs as chemicals, labor, and power, while highaccountabilityh helps keep costs at aminimum. 6. Some systems rely on other providers for treated water. They are often at the mercy of the wholesale provider wheni it comes to setting their own retail rates, since they have no direct control over their water There are other reasons that make comparing one system to another difficult. The reader is cautioned to fees and connection fees. future capital outlayneeds. Inalmost all cases, this has resulted in a rate increase. to construct or rehabilitate and, in some cases, were financed at higher rates. source costs. keep these factors in mind when the data is compared. Wholesale Water Rates Atable of the District's Wholesale Water Rates is also included in the study. In the LENOWISCO Planning District, there are several water providers that produce and treat their own water. Other water producers only purchase treated water from a neighboring producer, while others may do both. Reasons for this situation include: The service area of the retail customer base under development is not contiguous to existing supply Water needs to be purchased from neighboring producers to supplement existing production or Ap producer may have determined that the water can be purchased from a neighboring producer at a lines of the water producer. emergency outages. cost cheaper than it can be treated. LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/4 For clarification, a "wholesale water rate" is the cost of production of treated water combined with delivery of said water to the point of sale (a master meter). This rate may include other related expenses, such as plant and equipment depreciation plus other coststhe producer may deem appropriate. However, it does not include costs that are a result of providing water to the retail user, such as the cost to set and read meters, service line maintenance and tank maintenance except where the tank is the primary supplier of the wholesale water, or debt service and depreciation on the retail side. Sewage Service Sewage service is generally confined to municipalities, although each of the Lee, Scott and Wise County Public Service Authorities has multiple systems throughout their various communities and service areas that are the general exceptions. Wise County PSA's systems in the applicable areas collect but treatment is done at the Coeburm-Norton-Wise (CNW)facility. Higher sewer rates, just like water rates, may reflect the cost associated with newer or recently upgraded systems. Garbage Collection Ten communities or authorities provide residential garbage collection. Although LENOWISCO did not attempt to determine frequency or type of collection, the information is provided, again, for comparison. AClosing Word The information included in this report was derived from the data available on the provider's website or given by email, phone or fax. Keep in mind iti is only as reliable as the information received. For communities seeking financial assistance from Rural Development, the Virginia Department of Housing and Community Development's Community Development Block Grant Program, the Virginia Department of Health's Financial and Construction Assistance Program, or other grant/loan programs, user rates are a major factor in determining percentage of grant versus loan, or whether a project is fundable at all. Utility systems should be operated ase efficientiy as possible, and the rates should generate sufficient income to supportt them. Systems with unrealistically low rates should not expect any significant grant assistance from the aforementioned agencies and programs. The few remaining Federal programs for water and sewer financial assistance are geared toward helping communities who are trying to help themselves. This is particularly important for those localities facing mandated sewage system renovations. LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/5 LENOWISCO Planning District Commission Overview of Utility Rate Changes FY2018 - FY2023 (Based on District-Wide Average Monthly Rate at 3,000 Gallons Usage per Month) Service In-Town Water Water In-Town Sewer Sewer Residential Garbage FY18 FY19 FY20 FY21 FY22 $29.50 $30.33 $30.75 $31.59 $32.68 $35.14 FY23 +2.8% +1.4% +2.7% +3.5% +7.5%*1 +1.4% +3.3% +3.4% +2.6% Out-of-Town $39.43 $39.98 $41.30 $42.69 $43.78 $45.42 +3.7% $41.42 $58.90 +5.7% $10.90 0.0% $32.96 $34.99 $35.74 $36.81 $37.70 +6.2% +2.1% +3.0% +2.4% +9.9%*1 +5.4% +6.1% +3.6% 2.7% $9.68 $9.77 $10.09 $10.09 $10.90 +0.9% +3.3% 0.0% +8.0% Out-of-Town $46.75 $49.26 $52.31 $54.21 $55.70 For the purposes of this report, the historic rate change chart has also changed to be based on 3,000- gallon usage data. *ISEE NOTES PAGE: 26 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/6 LENOWISCO PLANNING DISTRICT AVERAGE IN-TOWN WATER BILL Fiscal Year 2023 (Based on 3,000 Gallons Usage per Month) Rank 1 2 3 4 5 6 7 8 9 10 11 12 Provider Pennington Gap St. Paul Norton*2 Jonesville*2 Wise Coeburn Dungannon Gate City Big Stone Gap*2 Appalachia*2'3 Scott County PSA*4 Wise County PSA*1 2023 AVERAGE BILL 2022. AVERAGE BILL 2021 AVERAGE BILL 2020. AVERAGE BILL 2019. AVERAGE BILL Average System Bill $23.84 $26.55 $30.75 $31.97 $32.26 $34.50 $36.00 $36.05 $36.40 $41.55 $42.50 $49.25 $35.14 $32.68 $31.59 $30.75 $30.33 *1,2,3,4 SEE NOTES PAGE 26 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/7 LENOWISCO PLANNING DISTRICT AVERAGE OUT-OF-TOWN WATER BILL Fiscal Year 2023 (Based on 3,000 Gallons Usage per Month) Rank 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Provider Pennington Gap Dryden*6 Dungannon Scott County PSA Woodway*6 Gate City Wise Norton*2 St.Paul Wise County PSA Lee County PSA Jonesville*2"6 Coeburn Appalachia?3 Big Stone Gap*2 2023. AVERAGE BILL 2022 AVERAGE BILL 2021 AVERAGE BILL 2020 AVERAGE BILL 2019, AVERAGE BILL Average System Bill $27.91 $35.51 $40.00 $42.50 $42.60 $44.15 $46.92 $46.95 $47.18 $49.25 $49.60 $49.72 $51.05 $53.94 $53.99 $45.42 $43.78 $42.69 $41.30 $39.98 *2,3,6 SEE NOTES PAGE 26 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page 18 LENOWISCO PLANNING DISTRICT AVERAGE IN-TOWN SEWER BILL Fiscal Year 2023 (Based on 3,000 Gallons Usage per Month) Rank 1 2 3 4 5 6 7 8 9 10 11 12 Provider St.P Paul Big Stone Gap*2 Pennington Gap Dungannon Gate City Jonesville*2 Wise Coeburn Norton*2 Appalachia*2 Scott County PSA"4 Wise County PSA*1 2023 AVERAGE BILL 2022A AVERAGE BILL 2021. AVERAGE BILL 2020, AVERAGE BILL 2019, AVERAGE BILL Average System Bill $29.21 $33.18 $34.89 $36.00 $38.25 $38.31 $40.33 $44.85 $45.06 $46.40 $47.59 $63.00 $41.42 $37.70 $36.81 $35.74 $34.99 *1,2,4 SEE NOTES PAGE 26 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page19 LENOWISCO PLANNING DISTRICT AVERAGE OUT-OF-TOWN SEWER BILL Fiscal Year 2023 (Based on 3,000 Gallons Usage per Month) Rank 1 2 3 4 5 6 7 8 9 10 11 Provider Dungannon Scott County PSA*5 St. Paul Lee County PSA*6 Pennington Gap Big Stone Gap*2 Wise Wise County PSA Appalachia*2 Coeburn Norton*2 2023 AVERAGE BILL 2022 AVERAGE BILL 2021 AVERAGE BILL 2020, AVERAGE BILL 2019, AVERAGE BILL Average System Bill $40.00 $47.59 $51.89 $52.91 $53.92 $55.13 $58.65 $63.00 $64.36 $76.58 $83.90 $58.90 $55.70 $54.21 $52.31 $49.29 *2,5,6SEE NOTES PAGE: 26 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/10 LENOWISCO PLANNING DISTRICT AVERAGE COMBINED IN-TOWN WATER AND SEWER BILL Fiscal Year 2023 (Based on 3,000 Gallons Usage per Month) Rank 1 2 3 4 5 6 7 8 9 10 11 12 Provider St. Paul Pennington Gap Big Stone Gap*2 Jonesville*2"6 Dungannon Wise Gate City Norton*2 Coeburn Appalachia*23 Dryden*6 Scott County PSA"4 2023 AVERAGE BILL 2022 AVERAGE BILL 2021 AVERAGE BILL 2020 AVERAGE BILL 2019, AVERAGE BILL Average System Bill $55.76 $58.73 $69.58 $70.28 $72.00 $72.59 $74.30 $75.81 $79.35 $87.95 $88.42 $90.09 $74.57 $71.83 $69.51 $67.46 $66.14 *2,3,4,6 SEE NOTES PAGE 26 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page11 LENOWISCO PLANNING DISTRICT AVERAGE COMBINED OUT-OF-TOWN WATER AND SEWER BILL Fiscal Year 2023 (Based on 3,000 Gallons Usage per Month) Rank 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Provider Dungannon Pennington Gap Dryden*6 Scott County PSA Gate City*5 Woodway"*6 St. Paul Lee County PSA Jonesville*2*5 Wise Big Stone Gap*2 Wise County PSA Appalachia*23 Coeburn Norton*2 2023 AVERAGE BILL 2022 AVERAGE BILL 2021 AVERAGE BILL 2020AVERAGE. BILL 2019AVERAGE BILL Average System Bill $80.00 $81.83 $88.42 $90.09 $91.74 $95.51 $99.07 $102.51 $102.63 $105.57 $109.12 $112.25 $118.30 $127.63 $130.85 $102.37 $98.12 $95.67 $92.52 $88.36 *2,3,5,6 SEE NOTES PAGE2 26 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/12 LENOWISCO PLANNING DISTRICT WHOLESALE WATER RATES Fiscal Year 2023 RECIPIENT Scott County PSA Town of Gate City Lee County PSA Scott County PSA Scott County PSA Washington County SA Scott County PSA Lee County PSA Lee County PSA Lee County PSA Lee County PSA- = Big Hill Lee County PSA Smyth and Miller's Chapel Lee County PSA- -St. Charles City of Norton Woodway' Water. Authority Dryden Water Authority Woodway Water Authority Town of Wise Wise County PSA Wise County PSA City of Norton Town of Coeburn To Russell County' WSA-Castlewood Russell County WSA-Dante Wise County PSA PROVIDER Town of Gate City Scott County PSA Scott County PSA Bloomingdale Utility Dt. To Washington County SA To Scott County PSA Russell County PSA Town of Appalachia Town of Big Stone Gap To Town of. Jonesville Town of Pennington Gap To Town of Pennington Gap To Town of Pennington Gap To Town of Big Stone Gap To Town of. Jonesville Town of Pennington Gap To Town of Pennington Gap To City of Norton City of Norton Town of Wise Wise County PSA Wise County PSA Town of St. Paul Town of St. Paul Town of Coeburn PRICE PER: 1000 GALLONS $3.41 $3.41 $2.80 $5.95 $5.95 $6.79 $6.79 $2.50 $443/$3.50** $3.50 $2.25 $3.25 $1,035/$1.56** $5,001/$2.20** $7,505/$1.17** $3.50 $3.28 $6,732/$0.99** 518,925.00/51.39* $3.50 $3.50 $3.50 $3.50 $3.50 $4.95 $4.95 $3.50 To To To Bloomingdale Utility Dt. To Scott County PSA-Boozy Creek To To To To Woodway Water Authority To Lee County PSA - Stickleyville To To To To To To To To **These rates reflect ani initial charget fori thet first 1,000 gallons anda a per 1,000 rate for usage over: 1,000 gallons** LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page 113 LEE COUNTY WATER RATES Fiscal Year 2023 AMOUNT OF WATER First 1,500 gallons Over 1,500 gallons First 1,000 gallons Over: 1,000 gallons First 1,500 gallons Over 1,500 gallons First 1,000 gallons Over 1,000 gallons RESIDENTIAL First 2,000 gallons Over 2,000gallons LOCALITY Town of Jonesville Town of Pennington Gap Dryden Water Authority Woodway' Water Authority Lee Countyl PSA IN-TOWN COST $1 13.91 (minimum)+fees $ 9.04 per 1,000 gallons $ 13.92 $ 6.61 per 1,000 gallons OUT-OF-TOWN COST $ 24.35 (minimum)+fees $ 13.91 1,000 gallons $16.24 $ 7.78 per 1,000 gallons $ 20.60 $ 9.94 per 1,000 gallons $28.42 $ 7.09 per: 1,000 gallons $ 40.90 $ 8.70 per: 1,000 gallons (minimum) N/A N/A N/A (minimum) (minimum) (minimum) (minimum) Lee County Public Service Authority provides sewer/wastewater services for Dryden and Woodway water customers. Therefore, for overail comparison charts, Dryden and Woodway's "Combined Out-of- Town" estimate will be the same as their "Combined In-Town" estimate respectively. LCPSA also has a separate rate structure for Non-Residential/Commercial/ Industrial customers, based on location, size meter and usage. For further information, please visit their website at www.leecopsa.org. LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/14 LEE COUNTY WATER RATES Fiscal Year 2023 NEWT TAP NEW/CONNECTION ADDITIONAL RECONNECTION FEE $100 LOCALITY Town of Jonesville FEE $850 $500 (In- of-Town) $650 %4"$850 1"$1,300 2"$4,000 Startinga at $850 FEE None FEES $3.00tank maintenancei fee; $100 $1.50f firei fee None None $101 late feei ifnot paid by the 10th, $250 tampering fee $75 tampering fee DEPOSIT $150 (Water), $175 (Water and: Sewer) $100 $100 $100 Town of Pennington Gap Town) Dryden Water Authority Woodway Water Authority Lee County PSA $62.50 (In-Town) $1,000 (Out- $125 (Out-of-Town) $125 $50 $100 $50 None $50 $100 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page15 LEE COUNTY SEWER RATES Fiscal Year 2023 AMOUNT OF SEWAGE LOCALITY Town of Jonesville Town of Pennington Gap Lee County PSA IN-TOWN COST 87% of water bill + $10.50f flatrate $ 24.66 $ 6.82 per 1000 gallons OUT-OF-TOWN COST N/A (minimum) (minimum) First 1,000 gallons Over 1,000 gallons RESIDENTIAL First 2,000 gallons Over 2,000 gallons (minimum) $41.65 $ 40.90 $ 8.18 per 1000 gallons $8.70 per 1,000 gallons N/A Lee County Public Service Authority provides sewer/wastewater services for Dryden and Woodway water customers. Therefore, for overall comparison charts, Dryden Woodway's Town" estimate will bei the same as their "Combined In-Town" estimate respectively. LCPSA also hasa separate rate structure for onesidemta/Commerda/ Industrial customers, based on location, size meter and usage. For further information, please visit their website at www.eecopsa.org. and "Combined Out-of- LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/16 LEE COUNTY SEWER RATES Fiscal Year 2023 NEW INSTALLATION NEW CONNECTION RECONNECTION FEE None $125 $50 LOCALITY Town of Jonesville Town of Pennington Gap Lee County PSA FEE $500 (In-Town) $500 (In-Town), $1,000 (Out-of-Town) Starting at $500 FEE None $62.50 (In-Town) $125 (Out-of-Town) $100 DEPOSIT Includedin water Includedin Water $100 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/17 SCOTT COUNTY WATER RATES Fiscal Year 2023 AMOUNT OF WATER First 2,000 gallons Over: 2,000 gallons RESIDENTIAL First 2,000 gallons Over 2,000 gallons RESIDENTIAL First: 2,000 gallons LOCALITY Town of Dungannon Town of Gate City Scott County PSA (includes Clinchport, Weber City) IN-TOWN COST $30.00 (minimum) $ 6.00 per 1,000 gallons $28.15 (minimum) $ 7.90 per1,000 gallons $ 31.56 (minimum) 10.94 per 1,000 gallons OUT-OF-TOWN COST 34.00 (minimum) 6.00 per: 1,000 gallons $36.25 (minimum) $ 7.90 per 1,000 gallons $31.56 (minimum) 10.94 per1,000gallons Duffield, Nickelsville, & Over 2,000 gallons The Town of Gate City has a separate rate structure for Non-Residental/Commerca/lndustral customers, based on location, size meter and usage. Fori further information, please visit their website The Scott County Public Service. Authority has a separate rate: structure for Moescenta/commerca, Industrial customers, based on location, size meter and usage. For further information, please visit their website at ttp:l/www.scottcottcountypsa.com, The Town of Nickelsville merged with the SCPSA in 2019 at! www.mypatecty.com, and share the same rates/fee structure. LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page118 SCOTT COUNTY WATER RATES Fiscal Year 2023 NEW TAP NEW CONNECTION ADDITIONAL RECONNECTION FEE $50 $50 LOCALITY Town of Dungannon Town of Gate City FEE $750 $650 No Charge during project planning $750a after funded $1,500 after projecti is constructed FEE None $50 (Water meter fee) FEES Monthly Fee $75 for meters larger (Water only than %i inch None DEPOSIT $175 $125) $150 (Water, Sewage, and Garbage) Scott County PSA (includes Clinchport, Duffield, Nickelsville, & projecti is Weber City) Administrative Fee $50 (Owners onlyat $150 (Renter) time of deposit) None $50 (Owner) $50 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/19 SCOTT COUNTY SEWER RATES Fiscal Year 2023 AMOUNT OF SEWAGE First 2,000g gallons Over 2,000 gallons RESIDENTIAL First 2,000 gallons Over: 2,000 gallons RESIDENTIAL First 2,000 gallons LOCALITY Towno of Dungannon Town of Gate City Scott County PSA (includes Clinchport, Duffield, IN-TOWN COST $30.00 $ 6.00 per1,000gallons $ 28.85 $ 9.40 per1 1,000 gallons $ 33.18 $ 14.41 per1 1,000 gallons OUT-OF-TOWN COST 34.00 (minimum) 6.00 per 1,000 gallons N/A (minimum) (minimum) (minimum) $33.18 (minimum) $ 14.41 per 1,000 gallons Nickelsville, & Weber City) Over 2,000 gallons The Town of Gate City! has a separate rate structure for Non-Residential/ Commercial/ Industrial customers, based on location, size meter and usage. Fori further information, please visit their website The Scott County Public Service Authority has a separate rate. structure for Monecenta/commerca, Industrial customers, based on location, size meter and usage. For further information, please visit their at www.mygatecly.com. website at tps/setcounopsion LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page120 SCOTT COUNTY SEWER RATES Fiscal Year 2023 NEW INSTALLATION NEW CONNECTION RECONNECTION FEE Included in water Included in water LOCALITY Town of Dungannon Town of Gate City Scott County PSA (includes Clinchport, Duffield, Nickelsville, & Weber City) FEE $750 $900 No Charge during project planning $1,000 after projecti is funded $2,000 after project is constructed FEE None None DEPOSIT Includedin water Includedi in water $100 water & sewer (owner) $150 water & sewer (renter) None $50 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/21 WISE COUNTY AND CITY OF NORTON WATER RATES Fiscal Year 2023 AMOUNT OF WATER First 1,000 gallons Over: 1,000 gallons First 1,500 galions Over: 1,000 gallons First 2,000 gallons Over 2,000 gallons First: 1,500 gallons Over 1,500 gallons First 1,000 gallons Over 1,000 gallons First 1,500 gallons Over 1,500 gallons First2 2,000 gallons Over 2,000 gallons LOCALITY Town of Appalachia Town of Big Stone Gap Town of Coeburn Town ofSt.P Paul Town of Wise Wise County PSA City of! Norton IN-TOWN COST $ 15.75 (minimum) +fees $ 6.40 per 1,000gallons $19.21 (minimum)-+fees $ 6.46 per1,000gallons $26.53 $ 7.97 per1,000g gallons $15.00 $ 7.70 per1,000 gallons $17.92 $ 7.17 per1 1,000 galions N/A OUT-OF-TOWN COST $21.28 (minimum)-fees $ 9.83 per1 1,000 gallons $ 30.96 (minimum)-tfees $ 10.35 per 1,000 gallons $38.81 12.24 per: 1,000 gallons $27.75 $12.95 per1 1,000 gallons $26.06 10.43 per: 1,000 gallons $30.50 $12.50 per 1000 gallons $28.65 (minimum) +fees $13.30 per 1,000g gallons (minimum) (minimum) (minimum) (minimum) (minimum) (minimum) (minimum) $19.10 (minimum) +fees $ 6.65 1,000gallons LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/22 WISE COUNTY AND CITY OF NORTON WATER RATES Fiscal Year 2023 NEWTAP NEW CONNECTION ADDITIONAL FEES $6 Water Line Maint. Fee (per month) $61 Tank Maint. Fee (per month) $6 Flouride Fee (pery year) $61 VDH Tax (per year) *3 $7.501 Improvement Fee $150Meter Tampering $3001 for Meter Replacement due to $132.50 (Out- Tampering Damage None RECONNECTION FEE LOCALITY FEE $1000 Residential $1250 Commercial $550 (In- (Out-of- Town) $850 (In- Town) $1000 (Out- of-Town) $750%" $3,5001%" $3,8002" $500 (In- Town) $750 (Out-of- Town) *"$1200 1"$1400 2"$4500 3"&L Larger Contractor Pricing $240 (In-City) $360 (Out-of-City) FEE DEPOSIT Town of Appalachia None $100 $75 Town of Big Town) $800 Stone Gap Town of Coeburn $20 $100 $105 (In- town) of-Town) $100 (renters) $40 None $60 Town of St. Paul $1,0001" None $50 $3.50 Annual Waterworks $20 (owners) Operation Fee Town of Wise $20 $120 (renters) $50 Wise County 1%"$3500 PSA $100 (owners) $200( (renters) $30 $3 Loss Protection"7 $50 Water imp. Charge <2000g-$2.50 2001-4200- $5 4201-10,000-97.50 10,001-27,000-910 >27,000-$12.50 Cityo of Norton None $100 $50 *7SEE NOTES PAGE: 26 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page/23 WISE COUNTY AND CITY OF NORTON SEWER RATES Fiscal Year 2023 AMOUNT OF SEWAGE LOCALITY Town of Appalachia Town of Big Stone Gap Town of Coeburn Town ofs St. Paul Town of Wise Wise County PSA Cityo of Norton IN-TOWN COST 145% ofv water bill $5.00 Sewer maintenance Fee $ 20.74 $ 6.22 per1,000g gallons 130% of waterb bill 110% of water bill 125% of water bill N/A 175% of water bill ** Doesr noti include fees OUT-OF-TOWN RATES 145% of water bill include $5.00 Sewer maintenance Fee $ 35.29 $ 9.92 per1,000 gallons 150% of water bill 110% of water bill 125% of water bill $ 42.00 $ 14.00 per1,000g gallons 200% of water bill ** Does noti includet fees ** Does noti include water fees; does include ** Does not include water fees; does First 1,000 gallons Over: 1,000 gallons (minimum) (minimum) First 1,500 gallons Over 1,500 gallons (minimum) LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page124 WISE COUNTY AND CITY OF NORTON SEWER RATES Fiscal Year 2023 NEW INSTALLATION NEW CONNECTION RECONNECTION FEE $0 Includedi in water Includedi iny water Included in water Includedi in water $50 $50 LOCALITY Town of Appalachia Town of Big Stone Gap Town of Coeburn Town of St. Paul Town of Wise Wise County PSA City of Norton FEE $1000F Residential $1250 Commercial $400( (In-Town) $650( (Out-of-Town) $850 (In-Town) $1000 (Out-of-Town) $350 $500 (In-Town) $750 (Out-of-Town) 2" $950 (Bold Camp) 4"$1200 6"$1350 $175 (In-City) $350( (Out-of-City) FEE $0 Included in water None None $20 $30 None DEPOSIT Included in water Included inv water Included inv water Included inv water Included inv water $100 (owners) $200 (renters) Same as water LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page 125 LENOWISCO PLANNING DISCTICT RESIDENTIAL GARBAGE COLLECTION RATES Fiscal Year 2023 RESIDENTIAL GARBAGE COLLECTION LOCALITY Lee County Town of Jonesville Town of Pennington Gap Scott County Town of Gate City Wise County Town of Appalachia Town of Big Stone Gap Town of Coeburn Town of St. Paul*8 Town of Wise*9 Wise County PSA City of Norton 2023 AVERAGE BILL 2022 AVERAGE BILL 2021 AVERAGE BILL 2020. AVERAGE BILL 2019. AVERAGE BILL $10.00 $7.50 $10.00 $12.00 $11.00 $10.00 $8.50/$10.50 $12.00 $15.00 $12.00 $10.90 $10.90 $10.09 $10.09 $9.77 *8,9SEE NOTES PAGE2 26 LENOWISCO Planning District Commission Utility Rate Survey FY2023 Page |26 NOTES *lIn. June 2021, the Wise County PSA assumed ownership and operation of utilities for the Town of Pound customers. To reflect this, Wise County PSA'srates were added to the in-town water and in-town sewer tables, which helps explain significanti tincreases in the average in-town water and sewer bills. *2Appalachia, Big Stone Gap, Jonesville, and Norton include additional fees ini the calculated and ranked "3Town of Appalachia water rates were updated to reflect a $1 charge per month in fees (.50C fluoride fee + .50C VDH tax). These fees are not the result of rate increases; they were simply not calculated in *4Scott County PSA provides in-town water and sewer services for Clinchport, Duffield, Nickelsville and *5Scott County PSA provides out-of-town sewer services for Gate City. This will be reflected in the *6Lee County PSA provides out-of-town sewer services for. Jonesville, Dryden and Woodway. This will be *7Wise County PSA offers an optional "Loss Protection" product at a fee of $3.00 for water and $3.00 for "8Town of St. Paul differentiates in-town ($8.50) and out-of-town ($10.50) residential garbage collection. *9The Town of Wise has varying rates for residential garbage collection dependent on the number of pick- ups per week, ranging from $12 month/1 pick-up per week to $72 month/ 6 pick-ups per week. water and/or sewer rate charts. prior iterations of this Survey. Weber City. combined services rates. reflected in the combined services rates. sewer. The funds collected go toa 3rd party vendor for their service. LENOWISCO Planning District Commission Utility Rate Survey FY2023