svc.mt.govsvc.mt.gov/gsd/onestop/Upload/RFP15-2754V-WIC-Banking... · Web view3.5.2 The WIC Program shall attempt to maintain a zero balance account. The State shall fund the account

STATE OF MONTANAREQUEST FOR PROPOSAL (RFP)

RFP Number:15-2754V

RFP Title:Women, Infants, and Children (WIC) Banking Services

RFP Response Due Date and Time:September 26, 2014

2:00 p.m., Mountain Time

Number of Pages:88

Issue Date:August 5, 2014

ISSUING AGENCY INFORMATIONProcurement Officer:Rick Dorvall

State Procurement BureauGeneral Services Division

Department of AdministrationPhone: (406) 444-2575

Fax: (406) 444-2529TTY Users, Dial 711

Website: http://vendor.mt.gov/

INSTRUCTIONS TO OFFERORSReturn Sealed Proposal to:

Mark Face of Envelope/Package with:

RFP Number: 15-2754VRFP Response Due Date: September 26, 2014

PHYSICAL ADDRESS:State Procurement BureauGeneral Services DivisionDepartment of AdministrationRoom 165, Mitchell Building125 North Roberts StreetHelena, MT 59601-4558

MAILING ADDRESS:State Procurement BureauGeneral Services DivisionDepartment of AdministrationP.O. Box 200135Helena, MT 59620-0135

Special Instructions:

OFFERORS MUST COMPLETE THE FOLLOWINGOfferor Name/Address:

(Name/Title)

(Signature)

Print name and title and sign in ink. By submitting a response to this RFP, offeror acknowledges it understands and shall comply with the RFP specifications and requirements.

Type of Entity (e.g., corporation, LLC, etc.) Offeror Phone Number:

Offeror E-mail Address: Offeror FAX Number:

OFFERORS MUST RETURN THIS COVER SHEET WITH RFP RESPONSE

Revised 08/12

http://vendor.mt.gov/

TABLE OF CONTENTS

PAGEInstructions to Offerors................................................................................................4Schedule of Events.......................................................................................................5Section 1: Introduction and Instructions...................................................................6

1.1 Introduction.......................................................................................................................................61.2 Contract Period.................................................................................................................................61.3 Single Point of Contact.....................................................................................................................61.4 Required Review..............................................................................................................................61.5 Pre-Proposal Conference Call..........................................................................................................71.6 General Requirements......................................................................................................................71.7 Submitting a Proposal.......................................................................................................................81.8 Costs/Ownership of Materials...........................................................................................................9

Section 2: RFP Standard Information.......................................................................102.1 Authority..........................................................................................................................................102.2 Offeror Competition........................................................................................................................102.3 Receipt of Proposals and Public Inspection...................................................................................102.4 Classification and Evaluation of Proposals.....................................................................................102.5 State's Rights Reserved.................................................................................................................12

Section 3: Scope of Services.....................................................................................133.1 Provision of Services.....................................................................................................................133.2 WIC Benefit Requirements and Specifications..............................................................................143.3 WIC Farmers Market Requirements and Specifications................................................................183.4 Listings .........................................................................................................................................203.5 Cash Flow Procedures .................................................................................................................203.6 Responsibilities of State Agency...................................................................................................20

Section 4: Offeror Qualifications...............................................................................214.1 State's Right to Investigate and Reject...........................................................................................214.2 Offeror Qualifications......................................................................................................................21

Section 5: Cost Proposal...........................................................................................235.1 Cost Proposal.................................................................................................................................23

Section 6: Evaluation Process...................................................................................246.1 Basis of Evaluation.........................................................................................................................246.2 Evaluation Criteria..........................................................................................................................25

Appendix A - Standard Terms and Conditions.........................................................26Appendix B - Contract.................................................................................................27Appendix C– Issued File Layout.................................................................................35Appendix D–Type File Layout.....................................................................................37Appendix E – Paid File Layout....................................................................................39Appendix F – Vendor Stamp File Layout...................................................................41Appendix G– Vendor Information File Layout...........................................................43Appendix H– Determining the Maximum Price for a Food Instrument...................45Appendix I - Stamping Rejected Benefits..................................................................46Appendix J – Definitions.............................................................................................48Appendix K – Current Montana WIC Profile..............................................................49

RFP#15-2754V WIC Banking Services, Page 2

Appendix L – Benefit Stock Example.........................................................................51Appendix M – WIC Organization Chart (Available Upon Request)..........................52Appendix N – DPHHS Organization Chart (Available Upon Request).....................53Appendix O – Reports.................................................................................................54


INSTRUCTIONS TO OFFERORSIt is the responsibility of each offeror to:

Follow the format required in the RFP when preparing your response. Provide responses in a clear and concise manner.

Provide complete answers/descriptions. Read and answer all questions and requirements. Proposals are evaluated based solely on the information and materials provided in your written response.

Use any forms provided, e.g., cover page, budget form, certification forms, etc.

Submit your response on time. Note all the dates and times listed in the Schedule of Events and within the document. Late proposals are never accepted.

The following items MUST be included in the response.Failure to include ANY of these items may result in a nonresponsive determination.

Signed Cover Sheet Signed Addenda (if appropriate) in accordance with Section 1.4.3 Address all mandatory requirements in accordance with Section 1.6.3 Correctly executed State of Montana "Affidavit for Trade Secret Confidentiality" form, if claiming

information to be confidential or proprietary in accordance with Section 2.3.1. In addition to a detailed response to all requirements within Sections 3, 4, and 5, offeror must

acknowledge that it has read, understands, and will comply with each section/subsection listed below by initialing the line to the left of each. If offeror cannot meet a particular requirement, provide a detailed explanation next to that requirement.

Section 1, Introduction and Instructions

Section 2, RFP Standard Information

Section 3.1, Overview

Section 3.2, WIC Benefit Requirements and Specifications

Section 3.3, Department Responsibilities

Section 4.1, State's Right to Investigate and Reject

Section 6, Evaluation Process

Appendix A, Standard Terms and Conditions

Appendix B, Contract


SCHEDULE OF EVENTS

EVENT DATE

RFP Issue Date........................................................................................August 5, 2014

Pre-Proposal Conference Call- 10:00 a.m...........................................August 14, 2014

Deadline for Receipt of Written Questions.........................................August 25, 2014

Deadline for Posting Written Responses to the State's Website.....August 29, 2014

RFP Response Due Date................................................................September 26, 2014


SECTION 1: INTRODUCTION AND INSTRUCTIONS

1.1 INTRODUCTION

The STATE OF MONTANA, Department of Public Health and Human Services ("State") is seeking a contractor to provide Banking Services for the State’s Women, Infants, and Children (WIC) program. A more complete description of the services is provided in Section 3, Scope of Services.

1.2 CONTRACT PERIOD

The contract period is two year(s), beginning March 1, 2015, and ending February 28, 2017, inclusive. The parties may mutually agree to a renewal of this contract in one-year intervals, or any interval that is advantageous to the State. This contract, including any renewals, may not exceed a total of seven years, at the State's option.

1.3 SINGLE POINT OF CONTACT

From the date this Request for Proposal (RFP) is issued until an offeror is selected and announced by the procurement officer, offerors shall not communicate with any state staff regarding this procurement, except at the direction of Rick Dorvall, the procurement officer in charge of the solicitation. Any unauthorized contact may disqualify the offeror from further consideration. Contact information for the single point of contact is:

Procurement Officer: Rick DorvallTelephone Number: 406-444-3366

Fax Number: 406-444-2529E-mail Address: [email protected]

1.4 REQUIRED REVIEW

1.4.1 Review RFP. Offerors shall carefully review the entire RFP. Offerors shall promptly notify the procurement officer identified above via e-mail or in writing of any ambiguity, inconsistency, unduly restrictive specifications, or error that they discover. In this notice, the offeror shall include any terms or requirements within the RFP that preclude the offeror from responding or add unnecessary cost. Offerors shall provide an explanation with suggested modifications. The notice must be received by the deadline for receipt of inquiries set forth in Section 1.4.2. The State will determine any changes to the RFP.

1.4.2 Form of Questions. Offerors having questions or requiring clarification or interpretation of any section within this RFP must address these issues via e-mail or in writing to the procurement officer listed above on or before August 25, 2014. Offerors are to submit questions using the Vendor RFP Question and Answer Form available on the OneStop Vendor Information website at: http://svc.mt.gov/gsd/OneStop/GSDDocuments.aspx or by calling (406) 444-2575. Clear reference to the section, page, and item in question must be included in the form. Questions received after the deadline may not be considered.

1.4.3 State's Response. The State will provide a written response by August 29, 2014 to all questions received by August 25, 2014. The State's response will be by written addendum and will be posted on the State's website with the RFP at http://svc.mt.gov/gsd/OneStop/SolicitationDefault.aspx by the close of business on the date listed. Any other form of interpretation, correction, or change to this RFP will not be


http://svc.mt.gov/gsd/OneStop/SolicitationDefault.aspx

http://svc.mt.gov/gsd/OneStop/GSDDocuments.aspx

binding upon the State. Offerors shall sign and return with their RFP response an Acknowledgment of Addendum for any addendum issued.

1.5 PRE-PROPOSAL CONFERENCE CALL

A non-mandatory Pre-Proposal Conference Call will be conducted on August 14, 2014 at 10:00 a.m. mountain time. Offerors are encouraged to use this opportunity to ask clarifying questions, obtain a better understanding of the project, and to notify the State of any ambiguities, inconsistencies, or errors discovered upon examination of this RFP. All responses to questions during the Pre-Proposal Conference/Conference Call will be oral and in no way binding on the State. Participation in the Pre-Proposal Conference/Conference Call is optional; however, it is advisable that all interested parties participate.

The conference call number is 1-866-910-4857. The passcode is 768324.

1.6 GENERAL REQUIREMENTS

1.6.1 Acceptance of Standard Terms and Conditions/Contract. By submitting a response to this RFP, offeror accepts the standard terms and conditions and contract set out in Appendices A and B, respectively. Much of the language included in the standard terms and conditions and contract reflects the requirements of Montana law.

Offerors requesting additions or exceptions to the standard terms and conditions, or to the contract terms, shall submit them to the procurement officer listed above by the date specified in Section 1.4.2. A request must be accompanied by an explanation why the exception is being sought and what specific effect it will have on the offeror's ability to respond to the RFP or perform the contract. The State reserves the right to address nonmaterial requests for exceptions to the standard terms and conditions and contract language with the highest scoring offeror during contract negotiation.

The State shall identify any revisions to the standard terms and conditions and contract language in a written addendum issued for this RFP. The addendum will apply to all offerors submitting a response to this RFP. The State will determine any changes to the standard terms and conditions and/or contract.

1.6.2 Resulting Contract. This RFP and any addenda, the offeror's RFP response, including any amendments, a best and final offer (if any), and any clarification question responses shall be incorporated by reference in any resulting contract.

1.6.3 Mandatory Requirements. To be eligible for consideration, an offeror must meet all mandatory requirements as listed in all of Section 3.2, WIC Benefit Requirements and Specifications. The State will determine whether an offeror's proposal complies with the requirements. Proposals that fail to meet any mandatory requirements listed in this RFP will be deemed nonresponsive.

1.6.4 Understanding of Specifications and Requirements. By submitting a response to this RFP, offeror acknowledges it understands and shall comply with the RFP specifications and requirements.

1.6.5 Offeror's Signature. Offeror's proposal must be signed in ink by an individual authorized to legally bind the offeror. The offeror's signature guarantees that the offer has been established without collusion. Offeror shall provide proof of authority of the person signing the RFP upon State's request.

1.6.6 Offer in Effect for 120 Calendar Days. Offeror agrees that it may not modify, withdraw, or cancel its proposal for a 120-day period following the RFP due date or receipt of best and final offer, if required.


1.7 SUBMITTING A PROPOSAL

1.7.1 Organization of Proposal. Offerors must organize their proposal into sections that follow the format of this RFP. Proposals should be bound, and must include tabbed dividers separating each section. Proposal pages must be consecutively numbered.

All subsections not listed in the "Instructions to Offerors" on page 4 require a response. Restate the section/subsection number and the text immediately prior to your written response.Unless specifically requested in the RFP, an offeror making the statement "Refer to our literature…" or "Please see www…….com" may be deemed nonresponsive or receive point deductions. If making reference to materials located in another section of the proposal, specific page numbers and sections must be noted. The Evaluator/Evaluation Committee is not required to search through the proposal or literature to find a response.

The State encourages offerors to use materials (e.g., paper, dividers, binders, brochures, etc.) that contain post-consumer recycled content. Offerors are encouraged to print/copy on both sides of each page.

1.7.2 Failure to Comply with Instructions. Offerors failing to comply with these instructions may be subject to point deductions. Further, the State may deem a proposal nonresponsive or disqualify it from further consideration if it does not follow the response format, is difficult to read or understand, or is missing requested information.

1.7.3 Multiple Proposals. Offerors may, at their option, submit multiple proposals. Each proposal shall be evaluated separately.

1.7.4 Price Sheets. Offerors must use the RFP Price Sheets found in Section 5.1.These price sheets serve as the primary representation of offeror's cost/price. Offeror should include additional information as necessary to explain the offeror's cost/price.

1.7.5 Copies Required and Deadline for Receipt of Proposals. Offerors must submit one original proposal and five hard copies to the State Procurement Bureau. If any confidential materials are included in accordance with the requirements of Section 2.3.2, they must be submitted separately in hard copy. In addition, offerors must submit two electronic copies on compact disc (CD) or universal serial bus (USB) flash drive in Microsoft Word or portable document format (PDF). If any confidential materials are included in accordance with the requirements of Section 2.3.2, they must be submitted on a separate CD or USB flash drive.

EACH PROPOSAL MUST BE SEALED AND LABELED ON THE OUTSIDE OF THE PACKAGE clearly indicating it is in response to RFP 15-2754V. Proposals must be received at the reception desk of the State Procurement Bureau prior to 2:00 p.m., Mountain Time, September 26, 2014. Offeror is solely responsible for assuring delivery to the reception desk by the designated time.

1.7.6 Facsimile Responses. A facsimile response to an RFP will ONLY be accepted on an exception basis with prior approval of the procurement officer and only if it is received in its entirety by the specified deadline. Responses to RFPs received after the deadline will not be considered.

1.7.7 Late Proposals. Regardless of cause, the State shall not accept late proposals. Such proposals will automatically be disqualified from consideration. Offeror may request the State return the proposal at offeror's expense or the State will dispose of the proposal if requested by the offeror. (See Administrative Rules of Montana (ARM) 2.5.509.)


1.8 COSTS/OWNERSHIP OF MATERIALS

1.8.1 State Not Responsible for Preparation Costs. Offeror is solely responsible for all costs it incurs prior to contract execution.

1.8.2 Ownership of Timely Submitted Materials. The State shall own all materials submitted in response to this RFP.


SECTION 2: RFP STANDARD INFORMATION

2.1 AUTHORITY

The RFP is issued under 18-4-304, Montana Code Annotated (MCA) and ARM 2.5.602. The RFP process is a procurement option allowing the award to be based on stated evaluation criteria. The RFP states the relative importance of all evaluation criteria. The State shall use only the evaluation criteria outlined in this RFP.

2.2 OFFEROR COMPETITION

The State encourages free and open competition to obtain quality, cost-effective services and supplies. The State designs specifications, proposal requests, and conditions to accomplish this objective.

2.3 RECEIPT OF PROPOSALS AND PUBLIC INSPECTION

2.3.1 Public Information. Subject to exceptions provided by Montana law, all information received in response to this RFP, including copyrighted material, is public information. Proposals will be made available for public viewing and copying shortly after the proposal due date and time. The exceptions to this requirement are: (1) bona fide trade secrets meeting the requirements of the Uniform Trade Secrets Act, Title 30, chapter 14, part 4, MCA, that have been properly marked, separated, and documented; (2) matters involving individual safety as determined by the State; and (3) other constitutional protections. See 18-4-304, MCA. The State provides a copier for interested parties' use at $0.10 per page. The interested party is responsible for the cost of copies and to provide personnel to do the copying.

2.3.2 Procurement Officer Review of Proposals. Upon opening the proposals in response to this RFP, the procurement officer will review the proposals for information that meets the exceptions in Section 2.3.1, providing the following conditions have been met:

● Confidential information (including any provided in electronic media) is clearly marked and separated from the rest of the proposal.

● The proposal does not contain confidential material in the cost or price section.● An affidavit from the offeror's legal counsel attesting to and explaining the validity of the trade secret

claim as set out in Title 30, chapter 14, part 4, MCA, is attached to each proposal containing trade secrets. Counsel must use the State of Montana "Affidavit for Trade Secret Confidentiality" form in requesting the trade secret claim. This affidavit form is available on the OneStop Vendor Information website at: http://svc.mt.gov/gsd/OneStop/GSDDocuments.aspx or by calling (406) 444-2575.

Information separated out under this process will be available for review only by the procurement officer, the evaluator/evaluation committee members, and limited other designees. Offerors shall pay all of its legal costs and related fees and expenses associated with defending a claim for confidentiality should another party submit a "right to know" (open records) request.

2.4 CLASSIFICATION AND EVALUATION OF PROPOSALS

2.4.1 Initial Classification of Proposals as Responsive or Nonresponsive. The State shall initially classify all proposals as either "responsive" or "nonresponsive" (ARM 2.5.602). The State may deem a proposal nonresponsive if: (1) any of the required information is not provided; (2) the submitted price is found to be excessive or inadequate as measured by the RFP criteria; or (3) the proposal does not meet RFP


http://svc.mt.gov/gsd/OneStop/GSDDocuments.aspx

requirements and specifications. The State may find any proposal to be nonresponsive at any time during the procurement process. If the State deems a proposal nonresponsive, it will not be considered further.

2.4.2 Determination of Responsibility. The procurement officer will determine whether an offeror has met the standards of responsibility consistent with ARM 2.5.407. An offeror may be determined nonresponsive at any time during the procurement process if information surfaces that supports a nonresponsive determination. If an offeror is found nonresponsive, the procurement officer will notify the offeror by mail. The determination will be included within the procurement file.

2.4.3 Evaluation of Proposals. An evaluator/evaluation committee will evaluate all responsive proposals based on stated criteria and recommend an award to the highest scoring offeror. The evaluator/evaluation committee may initiate discussion, negotiation, or a best and final offer. In scoring against stated criteria, the evaluator/evaluation committee may consider such factors as accepted industry standards and a comparative evaluation of other proposals in terms of differing price and quality. These scores will be used to determine the most advantageous offering to the State. If an evaluation committee meets to deliberate and evaluate the proposals, the public may attend and observe the evaluation committee deliberations.

2.4.4 Completeness of Proposals. Selection and award will be based on the offeror's proposal and other items outlined in this RFP. Proposals may not include references to information such as Internet websites, unless specifically requested. Information or materials presented by offerors outside the formal response or subsequent discussion, negotiation, or best and final offer, if requested, will not be considered, will have no bearing on any award, and may result in the offeror being disqualified from further consideration.

2.4.5 Achieve Minimum Score. Any proposal that fails to achieve 65 % or less of the total available points for Sections 1-4 will be eliminated from further consideration. A "fail" for any individual evaluation criteria may result in proposal disqualification at the discretion of the procurement officer.

2.4.6 Opportunity for Discussion/Negotiation and/or Oral Presentation/Product Demonstration. After receipt of proposals and prior to the recommendation of award, the procurement officer may initiate discussions with one or more offerors should clarification or negotiation be necessary. Offerors may also be required to make an oral presentation and/or product demonstration to clarify their RFP response or to further define their offer. In either case, offerors should be prepared to send qualified personnel to Helena, Montana, to discuss technical and contractual aspects of their proposal. Oral presentations and product demonstrations, if requested, shall be at the offeror's expense.

2.4.7 Best and Final Offer. Under Montana law, the procurement officer may request a best and final offer if additional information is required to make a final decision. The State reserves the right to request a best and final offer based on price/cost alone. Please note that the State rarely requests a best and final offer on cost alone.

2.4.8 Evaluator/Evaluation Committee Recommendation for Contract Award. The evaluator/ evaluation committee will provide a written recommendation for contract award to the procurement officer that contains the scores, justification, and rationale for the decision. The procurement officer will review the recommendation to ensure its compliance with the RFP process and criteria before concurring with the evaluator's/evaluation committee's recommendation.

2.4.9 Request for Documents Notice. Upon concurrence with the evaluator's/evaluation committee's recommendation, the procurement officer will request from the highest scoring offeror the required documents and information, such as insurance documents, contract performance security, an electronic copy of any requested material (e.g., proposal, response to clarification questions, and/or best and final offer), and any other necessary documents. Receipt of this request does not constitute a contract and no work may begin


until a contract signed by all parties is in place. The procurement officer will notify all other offerors of the State's selection.

2.4.10 Contract Execution. Upon receipt of all required materials, a contract (Appendix B) incorporating the Standard Terms and Conditions (Appendix A), as well as the highest scoring offeror's proposal, will be provided to the highest scoring offeror for signature. The highest scoring offeror will be expected to accept and agree to all material requirements contained in Appendices A and B of this RFP. If the highest scoring offeror does not accept all material requirements, the State may move to the next highest scoring offeror, or cancel the RFP. Work under the contract may begin when the contract is signed by all parties.

2.5 STATE'S RIGHTS RESERVED

While the State has every intention to award a contract resulting from this RFP, issuance of the RFP in no way constitutes a commitment by the State to award and execute a contract. Upon a determination such actions would be in its best interest, the State, in its sole discretion, reserves the right to:

● Cancel or terminate this RFP (18-4-307, MCA);● Reject any or all proposals received in response to this RFP (ARM 2.5.602);● Waive any undesirable, inconsequential, or inconsistent provisions of this RFP that would not have

significant impact on any proposal (ARM 2.5.505);● Not award a contract, if it is in the State's best interest not to proceed with contract execution (ARM

2.5.602); or● If awarded, terminate any contract if the State determines adequate state funds are not available

(18-4-313, MCA).


SECTION 3: SCOPE OF SERVICES

To enable the State to determine the capabilities of an offeror to perform the services specified in the RFP, the offeror shall respond to the following regarding its ability to meet the State's requirements.

All subsections of Section 3 not listed in the "Instructions to Offerors" on page 4 require a response. Restate the subsection number and the text immediately prior to your written response.

NOTE: Each item must be thoroughly addressed. Offerors taking exception to any requirements listed in this section may be found nonresponsive or be subject to point deductions.

3.1 PROVISION OF SERVICES

3.1.1 Overview. Local WIC agencies determine applicant eligibility, provide client nutrition education and counseling, prescribe specific foods, issue food instruments (benefits), and refer clients to public and private local health providers. Prescribed foods are distributed statewide through a retail food delivery system comprised of authorized retailers. WIC services (Section 3.2) terminate when the State goes to EBT but Farmers Market services (Section 3.3) will continue through the life of the contract. During the EBT transition, the contractor is expected to provide services fully through the transition. The timeframe for WIC services transition to EBT cannot be determined at this time and may begin at any time during the contract. No guarantee of WIC services will be provided under this contract as the transition to EBT could take place as early as the first year of the contract.

Participant flow varies from clinic to clinic, but all certification (participant eligibility determination), enrollment and service activities consist of essentially the same components at each service delivery site. These components are:

3.1.1.1 Collect and document income, demographic and health history information through interview;

3.1.1.2 Measure and record height and weight;

3.1.1.3 Chart height and weight on child growth grid or prenatal weight gain chart;

3.1.1.4 Obtain blood sample and determine and document hematocrit/hemoglobin;

3.1.1.5 Collect, record and evaluate 24-hour diet recalls;

3.1.1.6 Determine and prescribe food package;

3.1.1.7 Write nutrition care plan;

3.1.1.8 Document nutrition education and referral services;

3.1.1.9 Issue WIC ID Packets and WIC benefits, and, if participating in the WIC FMNP, WIC FMNP coupons;

3.1.1.10 Schedule future appointment(s).

These processes involve one or more staff and may be accomplished at a single work desk or up to three or more work desks. On average, a certification appointment (i.e., first visit) takes approximately 45 minutes to one hour to complete. On average, an appointment to receive benefits takes approximately 20-30 minutes.

Participants return to the service delivery site on a monthly, bimonthly or trimonthly basis during a six-month or one year certification period. The primary purpose of these subsequent visits is to obtain nutrition education and WIC benefits.


3.1.2 Issuance of Benefits. Montana WIC benefits are assigned a sequence number at the time of issuance using a MICR printing system. A copy of the benefit stock can be found in Appendix L. Local agencies must maintain perpetual inventory records of all benefits received and issued. At issuance, the following information is generated by the WIC automated system and subsequently printed on the benefit at the local agency:

3.1.2.1 Benefit Sequence Number

3.1.2.2 WIC Participant Identification Number

3.1.2.3 WIC Participant Name

3.1.2.4 WIC Clinic Number

3.1.2.5 Food Package Contents (Specific items up to seven lines per Benefit)

3.1.2.6 Valid Redemption Period

Issuance, redemption, and vendor information is exchanged with the banking contractor through a nightly file transfer. The successful contractor must accept and produce files as specified in appendices C-G.

3.1.3 Redemption of WIC Benefits. Participants / Parents / Guardians redeem the benefits for approved foods at authorized retailers. At the time of redemption, retailers are to indicate the redemption amount (actual amount of sale) on the benefit, obtain the benefit and mark the benefit with the retailer stamp containing the retailer identification number. The participant / parent / guardian attest that the food items have been received by signature of each benefit. Retailers deposit the benefits in their bank and they are processed as a normal bank transaction. The benefits clear through the banking processes to the banking facility awarded this contract. WIC food instruments are valid for a period not to exceed 60 days after the benefit’s First Date to Use. The Contractor must consider all benefits submitted within 5 days of the expiration date to be valid for processing.

The State Agency is currently in the process of transitioning from the use of paper stock in benefit issuance, to an Electronic Benefit Transfer (EBT) system for benefit issuance. It will be the State Agency’s option to continue using paper FMNP coupons after transitioning to EBT. The Contractor is required to process paper FMNP coupons as per the contract terms.

3.2 WIC BENEFIT REQUIREMENTS AND SPECIFICATIONS

3.2.1 Overview of Interactions with Contractor. On each business day, the State shall generate an issuance file, a vendor file, a stamp number file, and a prices file. These files shall be electronically transmitted to the Contractor to facilitate checking of benefit validity before payment. Each business day the Contractor shall generate a payment file and reports, which shall be transmitted to the WIC state agency.

The State Agency uses the M-SPIRIT Management Information System, and the Contractor is required to generate all files in the formats defined in Appendices C-G.

3.2.2 Requirements

3.2.2.1 Benefit Issuance Data

3.2.2.1.1 The Contractor shall update benefit issuance data from the issuance file transmitted from the WIC state agency within 24 hours of the benefit Issuance file being delivered to the banking contractor.


3.2.2.1.2 The capability shall be provided to add new issuance data or update existing issuance data from the issuance file.

3.2.2.1.3 The format for the benefit issuance file is specified in Appendix C.

3.2.2.2 Benefit Price Data

3.2.2.2.1 The Contractor shall maintain a database of benefit price data containing the information specified in Appendix D.

3.2.2.2.2 The Contractor shall replace benefit Price Data with data from the benefit Price Data file transmitted from the WIC state agency within 24 hours of the benefit Price Data file being delivered.

3.2.2.2.3 The format for Food Instrument Price Data file is specified in Appendix H.

3.2.2.3 Vendor Data

3.2.2.3.1 The Contractor shall maintain a database of Vendor data containing the information specified in Appendix G.

3.2.2.3.2 The Contractor shall replace Vendor Data with data from the Vendor Data file transmitted per section 3.2.2.9 Data Transmittal, from the WIC state agency within 24 hours of the Vendor Data File being available.

3.2.2.3.3 The format for Vendor Data file is specified in Appendix G.

3.2.2.4 Vendor Stamp Data

3.2.2.4.1 The Contractor shall maintain a database of Vendor Stamp data containing the information specified in Appendix F.

3.2.2.4.2 The Contractor shall replace Vendor Stamp data with data from the Vendor Stamp data file transmitted per section 3.2.2.9 Data Transmittal, from the WIC state agency within 24 hours of the Vendor Stamp file being available.

3.2.2.4.3 The format for Vendor Stamp data file is specified in Appendix F.

3.2.2.5 Redemption Data

3.2.2.5.1 The Contractor shall capture the following information for all Benefits presented to the bank for payment.

a) Food Instrument Numberb) Retailer Numberc) Redeemed Dollar Amountd) Date Processed

3.2.2.5.2 Each business day, the Contractor shall generate a Redemption Data file and transmit it to the WIC state agency. Reference section 3.2.2.9.


3.2.2.5.3 The Contractor shall maintain redemption data as needed to perform the Edits specified below.

3.2.2.5.4 The information for the Redemption Data file is specified in Appendix E.

3.2.2.6 Processed Food Instruments (Benefits)

3.2.2.6.1 The Contractor shall maintain “scanned in” image data for every benefit presented for redemption.

3.2.2.6.2 These images shall be made available for viewing/printing by the WIC state agency.

3.2.2.6.3 The viewing/printing mechanism shall be secure, easy to use.

3.2.2.6.4 Images shall available for viewing/printing within 24 hours of the benefit being processed.

3.2.2.6.5 Images shall be available for a period of three years.

3.2.2.6.6 The canceled benefits shall be stored for a short period of time to verify image accuracy. Upon verification, the checks shall be disposed of in a manner appropriate and consistent with commonly accepted banking practices.

3.2.2.7 Edits

3.2.2.7.1 The Contractor shall pay benefits that meet all of the following criteria:

3.2.2.7.1.1 The benefit is stamped with a MT retailer stamp and the stamp is sufficiently legible to indicate the retailer number.

3.2.2.7.1.2 The Retailer number stamped on the benefit is in the bank's Vendor file and the redemption date is greater than the effective date and less than the deactivate day plus one month, as specified in Appendix F Vendor Stamp File.

3.2.2.7.1.3 The actual amount of the sale can clearly be read or the original actual amount is crossed out and a clearly written amount is present.

3.2.2.7.1.4 The actual amount of the sale on the benefit does not exceed the maximum amount as determined by the process specified in Appendix H.

3.2.2.7.1.5 The redemption date on the food instrument is within the redemption period specified in the original benefit record from DPHHS.

3.2.2.7.1.6 A stop pay has not been issued against the benefits by DPHHS.

3.2.2.7.1.7 The benefit has been signed.

3.2.2.7.1.8 The benefit has not been altered. Specifically, the benefit period, the food package contents, or the vendor stamp.

3.2.2.7.2 The Contractor shall pay the benefit if the F.I was previously rejected and DPHHS has overridden the rejection and the benefit has been resubmitted.

3.2.2.7.3 The Contractor shall pay the benefit and send the original benefit to DPHHS if the following occurs:


3.2.2.7.3.1 The food instrument has been voided or previously paid.

3.2.2.7.3.2 The Contractor shall maintain information on whether the benefit has been paid. The redemption food instrument status code shall be set according to Appendix H.

3.2.2.7.4 If issuance data is not available for a benefit the Contractor shall pay the benefit and report the benefit as paid without issuance data.

3.2.2.7.5 Rejected benefits shall be stamped in accordance with Appendix I.

3.2.2.7.6 The Contractor is to furnish any required data entry before processing the benefits. Any valid Benefits passing the automated bank edits shall be paid and reported to DPHHS as paid transactions in the format described in Appendix G. Benefits not meeting the edit criteria shall be reported to DPHHS as rejected transactions, indicating the reason for rejection. The rejected Benefits shall be returned by the bank to the retailer via the banking system in the manner of an NSF. The Contractor shall transmit the specific reject code back to DPHHS via the prescribed format.

3.2.2.8 Reports

3.2.2.8.1 The Contractor shall provide the following identified reports. Final content and format for each report shall be determined and approved by the Department.

3.2.2.8.2 The Contractor shall provide daily reports as follows:

3.2.2.8.2.1 A benefit error report containing the same data as the example report in Appendix O .

3.2.2.8.3 The Contractor shall provide monthly reports as follows:

3.2.2.8.3.1 A monthly summary containing similar data as the example report in Appendix O.

3.2.2.8.3.2 A Debit/Credit summary containing similar data as the example report in Appendix O.

3.2.2.8.3.3 A Reconciliation report containing similar data as the example report in Appendix O.

3.2.2.8.3.4 A Net Paid report containing similar data as the example report in Appendix O.

3.2.2.8.3.5 A Closeout Posting summary containing similar data as the example report in Appendix O.

3.2.2.8.3.6 A Closeout Paid Exception Report containing similar data as the example report in Appendix O.

3.2.2.8.3.7 A Closeout Returned Items List containing similar data as the example report in Appendix O.

3.2.2.8.4 The Contractor should include formats or examples of all reports that shall be available to the State in their response.


3.2.2.9 Data Transmittal

3.2.2.9.1 Data transmittal shall take place using a minimum 1024K secure mechanism.

3.2.2.9.2 The preferred method is for DPHHS to access a contractor-provided SFTP site to pick up and deposit files.

3.2.2.9.3 The Contractor may provide a secure mechanism to transfer files to and from the Contractor’s automated system.

3.2.2.9.4 Encrypted file transfer is required.

3.2.2.10 System Testing

3.2.2.10.1 Before the system is implemented, DPHHS shall require a system test of the programs. For the period of the contract, DPHHS reserves the right to approve all program changes and to retest the program.

3.3 WIC FARMERS MARKET REQUIREMENTS AND SPECIFICATIONS

3.3.1 Overview of Interactions with Contractor. Each business day the Contractor shall generate a payment file and reports, which shall be transmitted to the State.

3.3.2 Issuance of Farmers Market Nutrition Program (FMNP) Coupons. Currently, the State WIC FMNP agency is responsible to provide WIC FMNP coupons in predetermined quantities to local WIC agencies contracted to operate WIC FMNP. A copy of the current WIC FMNP coupon stock can be found in Appendix L. Local agencies must maintain perpetual inventory records of all WIC FMNP coupons received and issued. The WIC FMNP coupons are preprinted with a sequence number, valid dates, and dollar amount. The food package is specified with the statement “Good for the purchase of fresh, locally grown vegetables, fruits and herbs from an FMNP vendor.”

The Contractor shall be provided with the sequence range of valid WIC FMNP coupons for the current year.

3.3.3 Redemption of FMNP Coupons. The WIC FMNP recipient redeems the WIC FMNP coupons with an authorized farmer. The farmer stamps the WIC FMNP coupon with their authorized numbered identification stamp. The farmer deposits the WIC FMNP coupon in their bank and they are processed as a normal bank transaction. The WIC FMNP coupons clear through the banking processes to the banking facility awarded this contract. WIC FMNP coupons expire on September 30th of the current year and must be deposited by the authorized farmer by October 31st of the current year. The Contractor must consider all WIC FMNP coupons by November 5th of the current year to be valid for processing.

The Contractor shall be provided with all of the authorized farmers’ stamp numbers daily.

3.3.4 Requirements

3.3.4.1 FMNP Coupon Issuance Data

3.3.4.1.1 Once each year the State shall provide to the bank a coupon number range. The WIC state agency may update the range during the year if more coupons need to be printed.

3.3.4.1.2 Once each year the State shall specify a first date to cash and a last date to cash.

3.3.4.2 FMNP Price Data


3.3.4.2.1 Once each year the State shall specify the not-to-exceed value for every coupon.

3.3.4.3 FMNP Vendor (Farmer) Data

3.3.4.3.1 FMNP authorized farmer data shall be provided in a farmers market vendor file. The Contractor shall utilize the authorized farmer data to validate authorized farmer numbers.

3.3.4.3.2 The State Agency shall provide the Contractor with the valid FMNP vendor numbers daily.

3.3.4.3.3 The Contractor shall capture the following information for all FMNP coupons presented to the bank for payment.

a) Coupon Numberb) Farmer Numberc) Date Processedd) Amount Processed

3.3.4.3.4 Each business day, the Contractor shall generate a Redemption Data file and transmit it to the WIC state agency.

3.3.4.3.5 The format for Redemption Data file is the same as the WIC BENEFIT redemption data file specified in Appendix E.

3.3.4.3.6 Unused fields shall be set to the appropriate fill value.

3.3.4.3.7 The Coupon Number shall be placed in the benefit number field.

3.3.4.3.8 The Farmer Number shall be placed in the vendor number field.

3.3.4.3.9 The paid value shall be equal to or less than the not-to-exceed value.

3.3.4.3.10 The Contractor shall maintain redemption data as needed to perform the Edits specified below.

3.3.4.4 FMNP Edits

3.3.4.4.1 The Contractor shall pay coupons that meet all of the following criteria:

3.3.4.4.1.2 The coupon is stamped with a FMNP authorized farmer stamp and the stamp is sufficiently legible to indicate the farmer number.

3.3.4.4.1.3 The farmer number stamped on the coupon is in the bank's FMNP Vendor file.

3.3.4.4.1.4 The redemption date is on or after the first date to cash, and on or before the last date to cash.

3.3.4.4.1.5 The amount on the coupon is less than or equal to the fixed value given by the WIC state agency.


3.3.4.4.1.6 The coupon number is in the coupon number range given by the WIC state agency.

3.3.4.4.1.7 The Contractor shall pay the coupon and send the original coupon to DPHHS if the following occurs:

3.3.4.4.1.8 The coupon has been previously paid. The Contractor shall maintain information on whether a coupon has been paid. The redemption coupon status code shall be set according to Appendix E.

3.3.4.4.1.9 Rejected coupons shall be stamped in accordance with Appendix I.

3.3.4.5 FMNP Reports

3.3.4.5.1 The Contractor shall produce the same set of reports as for WIC Benefits.

3.4 LISTINGS A bank copy listing of paid and rejected Benefits each day. Offerors should include formats or examples of all reports that shall be available to the State in their response.

3.5 CASH FLOW PROCEDURES 3.5.1 An "Advance" account shall initially be established at the Contractor in an amount sufficient to

cover variances in daily estimated expenses. The estimated maximum account balance to be maintained shall be $10,000; the minimum shall be $2,000.

3.5.2 The WIC Program shall attempt to maintain a zero balance account. The State shall fund the account by a daily wire transfer.

3.5.3 The Contractor must provide pledged securities as required by 17-6-102, Montana Code Annotated, when the WIC daily bank balance exceeds the FDIC coverage of $100,000.

3.5.4 The Contractor shall FAX daily the dollar amount estimated during the next 24-hour period. The FAX must be received by DPHHS on or before 1:00 P.M. Mountain Time.

3.5.5 DPHHS shall request a daily cash draw from USDA Letter of Credit, based on the estimated Federal Reserve total, including any local bank activity. Only amounts included in the daily estimate shall be processed that night.

3.5.6 If the Contractor cannot determine the wire transfer for a particular day, or if a holiday is observed by the State and not the Contractor, a contingency amount shall be requested based on the funding requirements of the past several days/weeks.

3.5.7 It is anticipated that an overdraft circumstance could occur up to six times per year. There shall be no charges if the fault resides within the Contractor. In the event the funds are not received by the Contractor for that day's posting (through no fault of the Contractor), a penalty fee shall be assessed. The penalty fee shall be calculated daily as follows: Dollar amount of unfunded obligations x days unfunded/365 x current federal funds rate.

3.5.8 The Contractor must provide a monthly account analysis, as of the last day of the month, to DPHHS within the first ten working days of the following month. The Contractor must submit a final bill within 120 days of the termination date of this contract.

3.6 RESPONSIBILITIES OF STATE AGENCY RFP#15-2754V WIC Banking Services, Page 20

3.6.1 The State shall supply to local agencies, all computer hardware required to operate the proposed system at the DPHHS.

3.6.2 The state agency shall be responsible for all central processor platform software operations at the DPHHS.

3.6.3 The state agency shall be responsible for providing the FMNP coupons sequence number range and the market master stamp numbers for each year of operation.

3.6.4 The state agency shall be responsible for payment of monthly charges within 30 days of the invoicing.


SECTION 4: OFFEROR QUALIFICATIONS


4.1 STATE'S RIGHT TO INVESTIGATE AND REJECT

The State may make such investigations as deemed necessary to determine the offeror's ability to perform the services specified. The State reserves the right to reject a proposal if the information submitted by, or investigation of, the offeror fails to satisfy the State’s determination that the offeror is properly qualified to perform the obligations of the contract. This includes the State's ability to reject the proposal based on negative references.

4.2 OFFEROR QUALIFICATIONS

To enable the State to determine the capabilities of an offeror to perform the services specified in the RFP, the offeror shall respond to the following regarding its ability to meet the State's requirements. THE RESPONSE, "(OFFEROR'S NAME) UNDERSTANDS AND WILL COMPLY," IS NOT APPROPRIATE FOR THIS SECTION.

NOTE: Each item must be thoroughly addressed. Offerors taking exception to any requirements listed in this section may be found nonresponsive or be subject to point deductions.

4.2.1 References. Offeror shall provide a minimum of three references that are currently using or have previously used services of the type proposed in this RFP. The references may include state governments or universities for whom the offeror, preferably within the last five years, has successfully completed services pertaining to this contract. At a minimum, the offeror shall provide the company name, location where the services were provided, contact person(s), contact telephone number, e-mail address, and a complete description of the services provided, and dates of service. These references may be contacted to verify offeror's ability to perform the contract. For each client reference, offerors must identify which members of the proposed project team participated in the project, and what their roles and responsibilities were. The State reserves the right to use any information or additional references deemed necessary to establish the ability of the offeror to perform the contract. Negative references may be grounds for proposal disqualification.

4.2.2 Company Profile and Experience/Expertise. Offeror shall provide documentation establishing the individual or company submitting the proposal has the qualifications and experience to provide the services specified in this RFP, including, at a minimum:

a detailed description of any similar past projects, including the service type and dates the services were provided;

the client for whom the services were provided; and a general description of the firm including its primary source of business, organizational structure

and size, number of employees, years of experience performing services similar to those described within this RFP.

4.2.3 Project Approach. This part of the proposal must describe in detail how the offeror would conduct the WIC banking services development and implementation. The presentation for this part must be structured according to the following general topical outline:

a. Project Organization and Work planb. General System Design


c. Programmingd. Testinge. Implementation

4.2.4 Ongoing Quality Assurance Plan. This part of the proposal must describe in detail, how the offeror detects errors in the check handling process, and how they are corrected. This includes the methods used to monitor employee input errors, check reading errors, and how these errors are handled when they are discovered.


SECTION 5: COST PROPOSAL


5.1 COST PROPOSAL

Costs based upon the specifications stated in the RFP.

5.1.1 Benefits cleared and paid (including data entry and pre-payment edit costs and retain all copies of image data for a three-year term and provide copies upon request for DPHHS) TOTAL

Cost per food instrument Per month $______ x 24 months $__________

5.1.2 Benefits rejected and returned to retailer (including rejection reasons)


5.1.3 Reprocessed items requiring creation of an issue record

Cost per item Per month $______ x 24 months $__________

5.1.4 Mis-numbered items requiring research and correction

Cost per item Per month $______ x 24 months $__________

5.1.5 Stop Payment Orders by telephone and/or in writing


5.1.6 Wire transfers

Cost per wire Per month $______ x 24 months $__________

Two Years Total $__________

Cost evaluation will be based on total cost for two years. All costs must be filled in. If there is no cost, offeror must enter $0, no cost, included or N/A in the space provided.


SECTION 6: EVALUATION PROCESS

6.1 BASIS OF EVALUATION

The evaluator/evaluation committee will review and evaluate the offers according to the following criteria based on a total number of 100,000 points. . If the mandatory requirements stated in Section 1 are not met, the proposal will not be evaluated further.

The offeror’s response should be guided by the format requirements specified in Section 1. Special attention should be given by the offeror to the fact the DPHHS must be persuaded by the presentation that: (1) the offeror does indeed understand WIC benefits delivery systems and how to construct and install a banking services system for such a system; (2) the offeror understands the technical environment in the State of Montana: and (3) the offeror has the management experience and aptitude required to organize, implement and manage the project in Montana, where several organizations are involved across a large geographic area.

References, Company Profile and Experience/Expertise, Project Approach and Ongoing Quality Assurance Plan portions of the proposal will be evaluated based on the following Scoring Guide. The Cost Proposal will be evaluated based on the formula set forth below.

A "fail" for any individual evaluation criterion may result in proposal disqualification at the discretion of the procurement officer.

SCORING GUIDE

In awarding points to the evaluation criteria, the evaluator/evaluation committee will consider the following guidelines:

Superior Response (95-100%): A superior response is an exceptional reply that completely and comprehensively meets all of the requirements of the RFP. In addition, the response may cover areas not originally addressed within the RFP and/or include additional information and recommendations that would prove both valuable and beneficial to the agency.

Good Response (75-94%): A good response clearly meets all the requirements of the RFP and demonstrates in an unambiguous and concise manner a thorough knowledge and understanding of the project, with no deficiencies noted.

Fair Response (60-74%): A fair response minimally meets most requirements set forth in the RFP. The offeror demonstrates some ability to comply with guidelines and requirements of the project, but knowledge of the subject matter is limited.

Failed Response (59% or less): A failed response does not meet the requirements set forth in the RFP. The offeror has not demonstrated sufficient knowledge of the subject matter.


6.2 EVALUATION CRITERIA

Lowest overall cost receives the maximum allotted points. All other proposals receive a percentage of the points available based on their cost relationship to the lowest. Example: Total possible points for cost are 200. Offeror A's cost is $20,000. Offeror B's cost is $30,000. Offeror A would receive 200 points. Offeror B would receive 134 points (($20,000/$30,000) = 67% x 200 points = 134).

Lowest Responsive Offer Total Cost x Number of available points = Award PointsThis Offeror's Total Cost

Item Description PointsQUALIFICATIONS

1. Expertise & ExperienceRFP Section 4.2.2

10,000

2. ReferencesRFP Section 4.2.1

Pass/Fail

PROJECT APPROACHRFP SECTION 4.2.3

3. Organization and Work Plan RFP Section 4.2.3a

5,000

4. General System Design RFP Section 4.2.3b

12,000

5. ProgrammingRFP Section 4.2.3c

2,000

6. TestingRFP Section 4.2.3d

6,000

7. Implementation RFP Section 4.2.3e

5,000

8. Ongoing Quality Assurance Plan Section 4.2.4

10,000

COST PROPOSALRFP SECTION 5

9. Cost ProposalRFP Section 5.1

50,000

TOTAL POINTS AVAILABLE 100,000


APPENDIX A: STANDARD TERMS & CONDITIONS

By submitting a response to this request for proposal or acceptance of a contract, the vendor agrees to acceptance of the following Standard Terms and Conditions and any other provisions that are specific to this solicitation or contract.

ACCEPTANCE/REJECTION OF BIDS, PROPOSALS, OR LIMITED SOLICITATION RESPONSES: The State reserves the right to accept or reject any or all bids, proposals, or limited solicitation responses, wholly or in part, and to make awards in any manner deemed in the best interest of the State. Bids, proposals, and limited solicitation responses will be firm for 30 days, unless stated otherwise in the text of the invitation for bid, request for proposal, or limited solicitation.

ALTERATION OF SOLICITATION DOCUMENT: In the event of inconsistencies or contradictions between language contained in the State’s solicitation document and a vendor’s response, the language contained in the State’s original solicitation document will prevail. Intentional manipulation and/or alteration of solicitation document language will result in the vendor’s disqualification and possible debarment.

DEBARMENT: Contractor certifies, by submitting this bid or proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction (contract) by any governmental department or agency. If Contractor cannot certify this statement, attach a written explanation for review by the State.

FACSIMILE RESPONSES: Facsimile responses will be accepted for invitations for bids, small purchases, or limited solicitations ONLY if they are completely received by the State Procurement Bureau prior to the time set for receipt. Bids, or portions thereof, received after the due time will not be considered. Facsimile responses to requests for proposals are ONLY accepted on an exception basis with prior approval of the procurement officer.

FAILURE TO HONOR BID/PROPOSAL: If a bidder/offeror to whom a contract is awarded refuses to accept the award (PO/contract) or fails to deliver in accordance with the contract terms and conditions, the department may, in its discretion, suspend the bidder/offeror for a period of time from entering into any contracts with the State of Montana.

LATE BIDS AND PROPOSALS: Regardless of cause, late bids and proposals will not be accepted and will automatically be disqualified from further consideration. It will be solely the vendor’s risk to ensure delivery at the designated office by the designated time. Late bids and proposals will not be opened and may be returned to the vendor at the expense of the vendor or destroyed if requested.

RECIPROCAL PREFERENCE: The State of Montana applies a reciprocal preference against a vendor submitting a bid from a state or country that grants a residency preference to its resident businesses. A reciprocal preference is only applied to an invitation for bid for supplies or an invitation for bid for nonconstruction services for public works as defined in section 18-2-401(9), MCA, and then only if federal funds are not involved. For a list of states that grant resident preference, see http://gsd.mt.gov/ProcurementServices/preferences.mcpx.

SOLICITATION DOCUMENT EXAMINATION: Vendors will promptly notify the State of any ambiguity, inconsistency, or error which they may discover upon examination of a solicitation document.


http://gsd.mt.gov/ProcurementServices/preferences.mcpx

APPENDIX B: CONTRACT

Women, Infants, and Children (WIC) Banking Contract(INSERT CONTRACT NUMBER)

THIS CONTRACT is entered into by and between the State of Montana Department of Public Health and Human Services(State), whose address and phone number are (insert address), (insert phone number) and (insert name of contractor), (Contractor), whose address and phone number are (insert address) and (insert phone number).

1. EFFECTIVE DATE, DURATION, AND RENEWAL

1.1 Contract Term. The contract’s initial term is March 1, 2015 (or upon contract execution), through February 28, 2017, unless terminated earlier as provided in this contract. In no event is this contract binding on the State unless the State’s authorized representative has signed it. The legal counsel signature approving legal content of the contract and the procurement officer signature approving the form of the contract do not constitute an authorized signature.

1.2 Contract Renewal. The State may renew this contract under its then-existing terms and conditions (subject to potential cost adjustments described below in section 2) in one-year intervals, or any interval that is advantageous to the State. This contract, including any renewals, may not exceed a total of seven years.

2. COST ADJUSTMENTS

2.1 Cost Increase by Mutual Agreement. After the contract’s initial term and if the State agrees to a renewal, the parties may agree upon a cost increase. The State is not obligated to agree upon a renewal or a cost increase. Any cost increases must be based on demonstrated industry-wide or regional increases in Contractor's costs. Publications such as the Federal Bureau of Labor Statistics and the Consumer Price Index (CPI) for all Urban Consumers may be used to determine the increased value.

3. SERVICES AND/OR SUPPLIES

Contractor shall provide the State the following (insert a detailed description of the supplies, services, etc., to be provided to correspond to the requirements specified in the Scope of Project as listed in the solicitation).

4. WARRANTIES

4.1 Warranty of Services. Contractor warrants that the services provided conform to the contract requirements, including all descriptions, specifications and attachments made a part of this contract. The State’s acceptance of services provided by Contractor shall not relieve Contractor from its obligations under this warranty. In addition to its other remedies under this contract, at law, or in equity, the State may, at Contractor's expense, require prompt correction of any services failing to meet Contractor's warranty herein. Services corrected by Contractor shall be subject to all the provisions of this contract in the manner and to the same extent as services originally furnished.

5. CONSIDERATION/PAYMENT

5.1 Payment Schedule. In consideration of the (insert supplies or services) to be provided, the State shall pay Contractor according to the following schedule: (insert pay schedule).


5.3 Payment Terms. Unless otherwise noted in the solicitation document, the State has 30 days to pay invoices, as allowed by 17-8-242, MCA. Contractor shall provide banking information at the time of contract execution in order to facilitate the State’s electronic funds transfer payments.

5.4 Reference to Contract. The contract number MUST appear on all invoices, packing lists, packages, and correspondence pertaining to the contract. If the number is not provided, the State is not obligated to pay the invoice.

6. ACCESS AND RETENTION OF RECORDS

6.1 Access to Records. Contractor shall provide the State, Legislative Auditor, or their authorized agents access to any records necessary to determine contract compliance. The State may terminate this contract under section 14, without incurring liability, for the Contractor’s refusal to allow access as required by this section. (18-1-118, MCA.)

6.2 Retention Period. Contractor shall create and retain all records supporting the (insert services rendered or supplies provided) for a period of eight years after either the completion date of this contract or termination of the contract.

7. ASSIGNMENT, TRANSFER, AND SUBCONTRACTING

Contractor may not assign, transfer, or subcontract any portion of this contract without the State's prior written consent. (18-4-141, MCA.) Contractor is responsible to the State for the acts and omissions of all subcontractors or agents and of persons directly or indirectly employed by such subcontractors, and for the acts and omissions of persons employed directly by Contractor. No contractual relationships exist between any subcontractor and the State under this contract.

8. HOLD HARMLESS/INDEMNIFICATION

Contractor agrees to protect, defend, and save the State, its elected and appointed officials, agents, and employees, while acting within the scope of their duties as such, harmless from and against all claims, demands, causes of action of any kind or character, including the cost of defense thereof, arising in favor of Contractor's employees or third parties on account of bodily or personal injuries, death, or damage to property arising out of services performed or omissions of services or in any way resulting from the acts or omissions of Contractor and/or its agents, employees, representatives, assigns, subcontractors, except the sole negligence of the State, under this contract.

9. REQUIRED INSURANCE

9.1 General Requirements. Contractor shall maintain for the duration of this contract, at its cost and expense, insurance against claims for injuries to persons or damages to property, including contractual liability, which may arise from or in connection with the performance of the work by Contractor, agents, employees, representatives, assigns, or subcontractors. This insurance shall cover such claims as may be caused by any negligent act or omission.

9.2 Primary Insurance. Contractor's insurance coverage shall be primary insurance with respect to the State, its officers, officials, employees, and volunteers and shall apply separately to each project or location. Any insurance or self-insurance maintained by the State, its officers, officials, employees, or volunteers shall be excess of Contractor's insurance and shall not contribute with it.


9.3 Specific Requirements for Commercial General Liability. Contractor shall purchase and maintain occurrence coverage with combined single limits for bodily injury, personal injury, and property damage of $1,000,000.00 per occurrence and $2,000,000.00 aggregate per year to cover such claims as may be caused by any act, omission, or negligence of Contractor or its officers, agents, representatives, assigns, or subcontractors.

The State, its officers, officials, employees, and volunteers are to be covered and listed as additional insureds for liability arising out of activities performed by or on behalf of Contractor, including the insured's general supervision of Contractor, products, and completed operations, and the premises owned, leased, occupied, or used.

9.4 Deductibles and Self-Insured Retentions. Any deductible or self-insured retention must be declared to and approved by the State. At the request of the State either: (1) the insurer shall reduce or eliminate such deductibles or self-insured retentions as respects the State, its officers, officials, employees, or volunteers; or (2) at the expense of Contractor, Contractor shall procure a bond guaranteeing payment of losses and related investigations, claims administration, and defense expenses.

9.5 Certificate of Insurance/Endorsements. A certificate of insurance from an insurer with a Best's rating of no less than A- indicating compliance with the required coverages, has been received by the State Procurement Bureau, P.O. Box 200135, Helena, MT 59620-0135. Contractor must notify the State immediately of any material change in insurance coverage, such as changes in limits, coverages, change in status of policy, etc. The State reserves the right to require complete copies of insurance policies at all times.

10. COMPLIANCE WITH WORKERS' COMPENSATION ACT

Contractor shall comply with the provisions of the Montana Workers' Compensation Act while performing work for the State of Montana in accordance with 39-71-401, 39-71-405, and 39-71-417, MCA. Proof of compliance must be in the form of workers' compensation insurance, an independent contractor's exemption, or documentation of corporate officer status. Neither Contractor nor its employees are State employees. This insurance/exemption must be valid for the entire contract term and any renewal. Upon expiration, a renewal document must be sent to the State Procurement Bureau, P.O. Box 200135, Helena, MT 59620-0135.

11. COMPLIANCE WITH LAWS

Contractor shall, in performance of work under this contract, fully comply with all applicable federal, state, or local laws, rules, and regulations, including but not limited to, the Montana Human Rights Act, the Civil Rights Act of 1964, the Age Discrimination Act of 1975, the Americans with Disabilities Act of 1990, and Section 504 of the Rehabilitation Act of 1973. Any subletting or subcontracting by Contractor subjects subcontractors to the same provision. In accordance with 49-3-207, MCA, Contractor agrees that the hiring of persons to perform this contract will be made on the basis of merit and qualifications and there will be no discrimination based upon race, color, religion, creed, political ideas, sex, age, marital status, physical or mental disability, or national origin by the persons performing this contract.

12. DISABILITY ACCOMMODATIONS

The State does not discriminate on the basis of disability in admission to, access to, or operations of its programs, services, or activities. Individuals who need aids, alternative document formats, or services for effective communications or other disability related accommodations in the programs and services offered are invited to make their needs and preferences known to this office. Interested parties should provide as much advance notice as possible.


13. REGISTRATION WITH THE SECRETARY OF STATE

Any business intending to transact business in Montana must register with the Secretary of State. Businesses that are incorporated in another state or country, but which are conducting activity in Montana, must determine whether they are transacting business in Montana in accordance with 35-1-1026 and 35-8-1001, MCA. Such businesses may want to obtain the guidance of their attorney or accountant to determine whether their activity is considered transacting business.

If businesses determine that they are transacting business in Montana, they must register with the Secretary of State and obtain a certificate of authority to demonstrate that they are in good standing in Montana. To obtain registration materials, call the Office of the Secretary of State at (406) 444-3665, or visit their website at http://sos.mt.gov.

14. CONTRACT TERMINATION

14.1 Termination for Cause with Notice to Cure Requirement. The State may terminate this contract in whole or in part for Contractor’s failure to materially perform any of the services, duties, terms, or conditions contained in this contract after giving Contractor written notice of the stated failure. The written notice must demand performance of the stated failure within a specified period of time of not less than 30 days). If the demanded performance is not completed within the specified period, the termination is effective at the end of the specified period.

14.2 Termination for Cause with Notice to Cure Requirement. Contractor may terminate this contract for the State’s failure to perform any of its duties under this contract after giving the State written notice of the failure. The written notice must demand performance of the stated failure within a specified period of time of not less than (30 days). If the demanded performance is not completed within the specified period, the termination is effective at the end of the specified period.

14.3 Reduction of Funding. The State must by law terminate this contract if funds are not appropriated or otherwise made available to support the State's continuation of performance of this contract in a subsequent fiscal period. (18-4-313(4), MCA.) If state or federal government funds are not appropriated or otherwise made available through the state budgeting process to support continued performance of this contract (whether at an initial contract payment level or any contract increases to that initial level) in subsequent fiscal periods, the State shall terminate this contract as required by law. The State shall provide Contractor the date the State's termination shall take effect. The State shall not be liable to Contractor for any payment that would have been payable had the contract not been terminated under this provision. As stated above, the State shall be liable to Contractor only for the payment, or prorated portion of that payment, owed to Contractor up to the date the State's termination takes effect. This is Contractor's sole remedy. The State shall not be liable to Contractor for any other payments or damages arising from termination under this section, including but not limited to general, special, or consequential damages such as lost profits or revenues.

15. EVENT OF BREACH – REMEDIES

15.1 Event of Breach by Contractor. Any one or more of the following Contractor acts or omissions constitute an event of material breach under this contract:

products or services furnished fail to conform to any requirement; failure to submit any report required by this contract; failure to perform any of the other terms and conditions of this contract, including but not limited

to beginning work under this contract without prior State approval or breaching Section 20.1 obligations; or

voluntary or involuntary bankruptcy or receivership.


15.2 Event of Breach by State. The State’s failure to perform any material terms or conditions of this contract constitutes an event of breach.

15.3 Actions in Event of Breach.

Upon Contractor’s material breach, the State may: terminate this contract under Section 14.1 and pursue any of its remedies under this contract, at

law, or in equity; or treat this contract as materially breached and pursue any of its remedies under this contract, at

law, or in equity.

Upon the State’s material breach, Contractor may: terminate this contract under Section 14.2 and pursue any of its remedies under this contract, at

law, or in equity; or treat this contract as materially breached and, except as the remedy is limited in this contract,

pursue any of its remedies under this contract, at law, or in equity.

16. FORCE MAJEURE

Neither party is responsible for failure to fulfill its obligations due to causes beyond its reasonable control, including without limitation, acts or omissions of government or military authority, acts of God, materials shortages, transportation delays, fires, floods, labor disturbances, riots, wars, terrorist acts, or any other causes, directly or indirectly beyond the reasonable control of the nonperforming party, so long as such party uses its best efforts to remedy such failure or delays. A party affected by a force majeure condition shall provide written notice to the other party within a reasonable time of the onset of the condition. In no event, however, shall the notice be provided later than five working days after the onset. If the notice is not provided within the five day period, then a party may not claim a force majeure event. A force majeure condition suspends a party’s obligations under this contract, unless the parties mutually agree that the obligation is excused because of the condition.

17. WAIVER OF BREACH

Either party’s failure to enforce any contract provisions after any event of breach is not a waiver of its right to enforce the provisions and exercise appropriate remedies if the breach occurs again. Neither party may assert the defense of waiver in these situations.

18. CONFORMANCE WITH CONTRACT

No alteration of the terms, conditions, delivery, price, quality, quantities, or specifications of the contract shall be granted without the State Procurement Bureau’s prior written consent. Product or services provided that do not conform to the contract terms, conditions, and specifications may be rejected and returned at Contractor’s expense.

19. LIAISONS AND SERVICE OF NOTICES

19.1 Contract Manager. The State Contract Manager identified below is the State's single point of contact and shall perform all contract management under 2-17-512, MCA, on the State’s behalf. Written notices, requests, complaints, or any other issues regarding this contract should be directed to the State Contract Manager.


is the State's Contract Manager.(Address):(City, State, ZIP):Telephone: Cell Phone: Fax:E-mail:

is Contractor's Contract Manager.(Address):(City, State, ZIP):Telephone: Cell Phone: Fax:E-mail:

19.2 Notifications. The State's liaison and Contractor's liaison may be changed by written notice to the other party. Written notices, requests, or complaints must first be directed to the liaison. Notice may be provided by personal service, mail, or facsimile. If notice is provided by personal service or facsimile, the notice is effective upon receipt; if notice is provided by mail, the notice is effective within three business days of mailing. A signed and dated acknowledgement of the notice is required of both parties.

20. MEETINGS

20.1 Technical or Contractual Problems. Contractor shall meet with the State's personnel, or designated representatives, to resolve technical or contractual problems occurring during the contract term or to discuss the progress made by Contractor and the State in the performance of their respective obligations, at no additional cost to the State. The State may request the meetings as problems arise and will be coordinated by the State. The State shall provide Contractor a minimum of three full working days’ notice of meeting date, time, and location. Face-to-face meetings are desired; however, at Contractor's option and expense, a conference call meeting may be substituted. Contractor’s consistent failure to participate in problem resolution meetings, Contractor missing or rescheduling two consecutive meetings, or Contractor’s failure to make a good faith effort to resolve problems may result in termination of the contract.

21. TRANSITION ASSISTANCE

If this contract is not renewed at the end of this term, if the contract is otherwise terminated before project completion, or if particular work on a project is terminated for any reason, Contractor shall provide transition assistance for a reasonable, mutually agreed period of time after the expiration or termination of this contract or particular work under this contract. The purpose of this assistance is to allow for the expired or terminated portion of the services to continue without interruption or adverse effect, and to facilitate the orderly transfer of such services to the State or its designees. The parties agree that such transition assistance is governed by the terms and conditions of this contract, except for those terms or conditions that do not reasonably apply to such transition assistance. The State shall pay Contractor for any resources utilized in performing such transition assistance at the most current contract rates. If the State terminates a project or this contract for cause, then the State may offset the cost of paying Contractor for the additional resources Contractor utilized in providing transition assistance with any damages the State may have sustained as a result of Contractor’s breach.


22. CHOICE OF LAW AND VENUE

Montana law governs this contract. The parties agree that any litigation concerning this bid, proposal, or this contract must be brought in the First Judicial District in and for the County of Lewis and Clark, State of Montana, and each party shall pay its own costs and attorney fees.

23. TAX EXEMPTION

The State of Montana is exempt from Federal Excise Taxes (#81-0302402).

24. AUTHORITY

This contract is issued under authority of Title 18, Montana Code Annotated, and the Administrative Rules of Montana, Title 2, chapter 5.

25. SEVERABILITY CLAUSE

A declaration by any court or any other binding legal source that any provision of the contract is illegal and void shall not affect the legality and enforceability of any other provision of the contract, unless the provisions are mutually and materially dependent.

26. SCOPE, ENTIRE AGREEMENT, AND AMENDMENT

26.1 Contract. This contract consists of (insert number) numbered pages, any Attachments as required, Solicitation # 15-2754V, as amended, and Contractor's response, as amended. In the case of dispute or ambiguity arising between or among the documents, the order of precedence of document interpretation is the same.

26.2 Entire Agreement. These documents are the entire agreement of the parties. They supersede all prior agreements, representations, and understandings. Any amendment or modification must be in a written agreement signed by the parties.

27. WAIVER

The State's waiver of any Contractor obligation or responsibility in a specific situation is not a waiver in a future similar situation or is not a waiver of any other Contractor obligation or responsibility.


28. EXECUTION

The parties through their authorized agents have executed this contract on the dates set out below.

STATE OF MONTANA (INSERT CONTRACTOR’S NAME) ( INSERT AGENCY NAME ) (Insert Address)(Insert Address) ( Insert City, State, Zip) (Insert City, State, Zip) FEDERAL ID #

BY: BY: (Name/Title) (Name/Title)

(Signature) (Signature)

DATE: DATE:

Approved as to Legal Content:

DPHHS Legal Counsel (Date)

Approved as to Form:

Procurement Officer (Date)State Procurement Bureau


APPENDIX C Issued File Layout

This is the issued file layout document.

File Naming Convention

Name of issued file will be ISXXmmdd.nnn Where:

IS= Static Characters for Issued fileXX=Static characters: XX (Assigned state Abbreviation)mm=Processing date, month value: Will be 01 through 12dd=Processing date, day value: Will be 01 through 31nnn = File number for the day. First file on the day will be 001, and second file on the same day will be 002.

General Format Rules

File Layout

This file shall contain one header record, followed by a variable number of detail records, followed by one trailer record

Record Layout

All characters in the record shall be printable ASCII characters. All fields shall be unpacked with a fixed width. Unused fields shall be filled according to the field type fill specified below.

The logical record length shall be up to 62 bytes. Records shall be separated by a carriage return and line feed (hexadecimal codes: 0D0A) at the end of each record. The carriage return/line feed pair are not counted in the length of 62 bytes. Therefore, the true record length shall be 64 bytes.

Field LayoutType:N = Numeric, right justified, zero filled$ = Amount, right justified, zero filled, no decimal point, last two positions assumed to be right of the decimal pointA = Alpha numeric, left justified space filled.


Header Record

Position Length Type Description

1 – 3 3 A Record ID Value “IAA”4 – 9 6 A From Machine value XX8888

10 – 15 6 A To Machine16 – 23 8 N File Date Format YYYYMMDD24 – 33 10 A Filename Value “BI######”34 – 41 8 A Version ID

Detail Record

Position Length Type Description1 – 3 3 A Record ID value “IBA”

4 – 11 8 N Check number 12 – 19 8 N First Use Date, format: YYYYMMDD. First use date, is the day the

checks are valid for use. Early cashing if cashed before this date.20 -27 8 N Last use Date, format: YYYYMMDD, State shall provide last use date;

FSMC shall add 45 days to the last use date and use it for stale date editing.

28 – 28 1 A Program Code 0 = WIC Item, 1 = FM item

29 – 29 1 A Pharmacy Indicator30 – 30 1 A Compliance buy Indicator

Y = Compliance Item.N = Not a Compliance Item.

31 – 35 5 N Food Instrument Type Code.00001 = FM Item. Other values shall correspond to FI Type in the price file.

Trailer Record

Position Length Type Description

1 – 3 3 A Literal value “IA9”4 – 8 3 N Total “IBA”, Detail record count


APPENDIX DType File Layout

This is the price file layout document.


A complete type file is sent every time the state has updates to the types. The name for the type file shall be: BPnnnnnn.Where: BP=Static Characters nnnnnn= Sequential number generated by state. .TXT= Static Characters.


File Layout


Record Layout





Type file Header Record

Position Length Type Description1 – 3 3 A Record ID Value “PAA”4 – 9 6 A From Machine Value XX8888

10 – 15 6 A To Machine16 – 23 8 N File Date Format YYYYMMDD24 – 33 10 A Filename Value “BP######”34 – 41 8 A Version ID

Type file Detail Record

Position Length Type Description1 – 3 3 A Record ID Value “PBA” 4 – 5 2 N Peer group, Value not exceed 18 peer groups for present.6 – 10 5 N Food Instrument Type Code.

11 – 16 6 N Average Amount Format 9(04)V99, two assumed decimal. Shall be used for creating auto ACH and applied as ACH amount.

18 – 22 6 N Maximum amount FORMAT 9(04)V99, two assumed decimal. Maximum amount used for editing.

Type file Trailer Record

Position Length Type Description1 – 3 3 A Record ID value “PA9”4 – 8 5 N Count of (“PBA”) detail records. Format 9(06).


APPENDIX EPaid File Layout

This is the paid (redeemed) file layout document.


Daily redemption file with file name, PDXXmmddyy.DAT (For date 01/31/07, file name would be PDXX013107.DAT) –

Where:PDXX =Static characters: (PD for Paid, XX for Sate Abbreviation) mm=Processing date, month value: Shall be 01 through 12dd=Processing date, day value: Shall be 01 through 31yy = Processing year

.DAT=Static characters: DAT file extension


File Layout


Record Layout





Paid File, Header Record

Position Length Type Description1 – 3 3 A Record ID Value “RAA”4 – 9 6 A From Machine

10 – 15 6 A To Machine16 – 23 8 N File Date Format MMDDYYYY24 – 33 10 A Filename Value “PDXX####”34 – 41 8 A Version ID42 – 42 1 A Program Code

Paid File, Detail Record

Position Length Type Description1 – 3 3 A Record ID Value ‘RBA”4 – 4 1 A Paid Indicator (Y/N)

5 – 12 8 N Serial Number13 – 20 8 N Paid date Format MMDDYYYY21 – 27 7 N Paid or returned amount Format 9(05)99, last two digits

assumed decimal. 28 – 35 8 N Reject Date Format MMDDYYYY 36 -36 1 A Reject reason Code.

A = Missing Vendor #B = Invalid vendorD = Unreadable VendorE = Missing 1st Signature / VoidF = Stale Date /VoidG = Early cashing /VoidI = Unreasonable Dollar/ Void (Over the max amt.) J = Priced in Pencil /VoidL = Purchase Price Missing /VoidS = Stop Payment.W = 2nd Presentment / VoidX = Duplicate Paid

37 – 43 7 N Presentment Amount -- Format 9(05)99, last two digits assumed decimal.

44 - 49 6 N Vendor Stamp50 – 50 1 A Program Code

Paid File, Trailer Record

Position Length Type Description1 – 3 3 A Record ID Value “RA9”4 – 10 7 N Total Count of detail (RBA) Records.

11 – 15 5 N Totals Count of All records including header and trailer.16 – 28 13 N Total of presentment amount in file. Format 9(11) V99.29 – 41 13 N Total of paid amount in file. Format 9(11) V99.


APPENDIX F

Vendor Stamp File Layout

This is the vendor file layout document.


WIC shall send two separate files, one is a vendor stamp file and the second is the vendor information file. A complete vendor file is sent every time the state has updates to the vendors. File name for the Vendor Stamp File, shall be: BSnnnnnn.TXT BS = Static Characters nnnnnn = Sequential number generated by state. .TXT = Static Characters.


File Layout


Record Layout





Vendor Stamp File Header Record

Position Length Type Description1 – 3 3 A Record ID value ‘SAA’ 4 – 9 6 A From Machine ID value ‘XX8888’.

XX = State Code10 - 15 6 A To Machine ID 16 – 23 8 N File date: Format YYYYMMDD24 – 33 10 A File name value ‘BSnnnnnn ’ 34 – 41 8 A Version number value blanks.

Vendor Stamp File, Detail Record

Position Length Type Description1 – 3 3 A RECORD ID VALUE ‘SBA’ 4 – 9 6 N VENDOR ID ---Right Justified zero filled i.e. 00300 This vendor

stamp should have unique corresponding record in the vendor information file and shall be used for combining both files in to

one. 10 – 15 6 N Vendor Stamp 16 – 23 8 N Vendor EFFECTIVE DATE (YYYYMMDD)24 – 31 8 N Vendor DEACTIVATE DATE (YYYYMMDD)

Vendor Stamp File, Trailer Record

Position Length Type Description1 – 3 3 A Record ID value ‘SA9’ State to decide. 4 - 8 5 N Record count of detail records.


APPENDIX G Vendor Information File Layout

This is the vendor file layout document.


WIC shall send two separate files, one is a vendor stamp file and the second is the vendor information file. A complete vendor file is sent every time the state has updates to the vendors.

File name for the Vendor Information file shall be: BVnnnnnn.TXT BV = Static Characters. nnnnnn = Sequential number generated by state. .TXT = Static Characters.


File Layout


Record Layout





Vendor Information File, Header Record

Position Length Type Description1 – 3 3 A Record ID value ‘VAA’ 4 – 9 6 A From Machine ID value ‘XX8888’.

XX = State Code

Vendor Information File, Detail Record

Position Length Type Description1 – 3 3 A Record ID value VBA’ 4 – 9 6 N

VENDOR ID---Right Justified zero filled i.e. 000300This vendor stamp should have unique corresponding record in the vendor Stamp file and shall be used for combining both files in to one.

10 – 11 2 N VENDOR PEER GROUP 12 – 12 1 A Pharmacy Indicator, For FSMC this column is not used. 13 – 22 10 N BANK ROUTING (TRANSIT) NUMBER.

Covansys uses 10 digit fields but only sends a 9 digit number padded with zeroes to the right.FSMC shall apply first 9 digits as the Bank Routing number.

22 – 32 10 A BANK ACCOUNT NUMBER33 – 82 50 A VENDOR TRADE NAME83 – 132 50 A MAILING ADDRESS LINE 1

133 – 182 50 A MAILING ADDRESS LINE 2183 – 212 30 A MAIL CITY213 – 214 2 A STATE CODE215 – 223 9 A ZIP CODE

Vendor Information File, Trailer Record


Position Length Type Description1 – 3 3 A Record ID value ‘VA9’ 4 – 8 5 N Record count of detail records.

APPENDIX HDetermining the Maximum Price for a Food Instrument

1) Obtain the Food Instrument serial number and the vendor number from the redeemed food instrument.

2) Look up the issuance record using the food instrument serial number and get the food instrument type code from the issuance record.

3) Look up the Vendor Id in the Vendor Information File and get the Vendor Peer Group number.

4) Find the record in the Type File where the Food Instrument Type Code and Vendor Peer Group match. This record has the maximum price for the food instrument.


APPENDIX I

Stamping Rejected Benefits

Reject Code If Deposit Use Stamp (s)

A 1 NO/ILLEGIBLE RETAILER STAMP

2 DO NOT REDEPOSIT

B 1 INVALID RETAILER STAMP/NUMBER

and DO NOT REDEPOSIT

C 1 NO SIGNATUREand PLEASE CALL STATE WIC PROGRAM

2 DO NOT REDEPOSIT

D 1 REDEEMED TOO EARLY

2 DO NOT REDEPOSIT

E 1 REDEEMED TOO LATEand DO NOT REDEPOSIT

F 1 EXCESSIVE DOLLAR AMOUNTand PLEASE CALL THE STATE WIC PROGRAM

2 DO NOT REDEPOSIT

G 1 ALTERED DOLLAR AMOUNTand PLEASE CALL THE STATE WIC PROGRAM

2 DO NOT REDEPOSIT

H 1 PURCHASE PRICE MISSING / ILLEGIBLEand PLEASE CALL STATE WIC PROGRAM

2 DO NOT REDEPOSIT

I 1 PRICED IN PENCIL2 and DO NOT REDEPOSIT

J 1 ALTERED PRICEand PLEASE CALL THE STATE WIC OFFICE

2 DO NOT REDEPOSIT

K 1 STOP PAYMENTand DO NOT REDEPOSIT

L 1 VOIDED F.I.


2 DO NOT REDEPOSIT

M 1 NOT ON ISSUE FILE

2 DO NOT REDEPOSIT

O 1 OTHERand PLEASE CALL STATE WIC OFFICE

2 DO NOT REDEPOSIT

P 1 ALTERED FOOD PACKAGEand PLEASE CALL THE STATE WIC OFFICE

2 DO NOT REDEPOSIT

1 = The first presentment.2 = The second presentment following a rejection, return to retailer, and resubmission by vendor


APPENDIX J

Definitions

CONTRACT An agreement, or mutual assent, between two or more competent parties with the elements of the agreement offered, considered and accepted.

CONTRACT OFFICER The individual designated by the State of Montana, Department of Administration, Purchasing Bureau to act on behalf of the State to develop and administer purchasing agreements and contracts within limits established by law. The State designated Contract Officer for this contract is Floyd Shallis.

CONTRACTOR/BANK A company, corporation, firm or combination thereof with whom the State of Montana develops a contract to provide services outlined herein.

DPHHS/DEPARTMENT The Montana Department of Public Health and Human Services.

FOOD INSTRUMENT An instrument, similar to a check, that is redeemable for specific products at a predetermined maximum value.

PARTICIPANT An individual meeting the residential, financial and nutritional or medical requirements to participate in the WIC Program.

PROPOSER An individual, company, corporation, firm or combination thereof submitting a proposal to the State of Montana.

RETAILER A retail grocery store, dairy or pharmacy where F.I.’s are redeemed for foods.

RFP A Request for Proposal is a formal request containing functional specifications for which a contractor must respond with a sealed technical proposal.


APPENDIX K

Current Montana WIC Profile

In State Fiscal Year 2013, between 58,994 and 62,519 F.I.’s per month were issued to participants in the WIC Program. These F.I.’s have an average value of $36.00 each. The food packages are currently issued monthly and contain up to three (3) individual F.I.’s provided to each participant.

Projected # of F.I.’s Issued Annually

FY 2011 519,967FY 2012 732,151FY 2013 724,490

WIC Retailers

Approximately 310 retailers (grocery stores and farmers) now participate in the Montana WIC Program.

Food Instrument Usage Estimates by Location(on next page)


Clinic Number of Benefits Issued

during 1st Quarter of FY 2014

ANACONDA 2191ARLEE 407ASHLAND 160BAKER 371BELGRADE 2577BIG TIMBER 188BOULDER 265BOZEMAN 6679BROADUS 63BROWNING 6669BUTTE 6508CASCADE COUNTY

14752

CHESTER 38CHINOOK 103CHOTEAU 528CIRCLE 81COLSTRIP 112COLUMBIA FALLS

1101

COLUMBUS 376CONRAD 1072CROW 3094CUT BANK 1282DARBY 342DILLON 1131DRUMMOND 121EUREKA 654FAIRFIELD 211FORSYTH 398FT. BENTON 340GLASGOW 1154GLENDIVE 1071HAMILTON 4222HARDIN 2494HARLEM 1998HARLOWTON 351HAVRE 3254HAYS 638HELENA 9574HOT SPRINGS 122

HYSHAM CLINIC

86

JOLIET 214JORDAN 88KALISPELL 13556LAME DEER 5004LAUREL 605LEWISTOWN 2406LIBBY 2414LIVINGSTON 1209LODGE GRASS 1295LOLO 866MALMSTROM AFB

851

MALTA 623MILES CITY 2997MISSOULA SOUTH AVENUE

9

MISSOULA 20112NOXON 220PLAINS 647PLENTYWOOD 379POLSON 4379POPLAR 2966RED LODGE 233RICHLAND COUNTY

1039

RIVERSTONE PROGRAM

25097

ROCKY BOY 2646RONAN 1716ROUNDUP 488SCOBEY 238SEELEY LAKE 240SHELBY -- TOOLE COUNTY HEALTH DEPARTMENT

908

SHERIDAN CLINIC

218

ST. IGNATIUS 1034STANFORD 113STEVENSVILLE 1661SUPERIOR 742TERRY 104THOMPSON 820

FALLSTOWNSEND 1003TROY 330UNIV OF MT 748VICTOR 164WEST YELLOWSTONE

282

WHITE SULPHUR SPRINGS

243

WHITEHALL 333WIBAUX 93WOLF POINT 2751WORDEN 196YOUNG FAMILIES CLINIC

31


APPENDIX L

Benefit Stock Example

STANDARD WIC BENEFIT

FARMERS MARKET NUTRITION PROGRAM (FMNP) BENEFIT


APPENDIX M

WIC Organizational Chart

AVAILABLE UPON REQUEST


APPENDIX N

DPHHS Organizational Chart

AVAILABLE UPON REQUEST


APPENDIX O

Reports

The following list of reports represents our current set of reports. Equivalent information must be provided, though not necessarily in the format displayed below.

To: MONTANA - DEPT OF PUBLIC HEALT Reports Included in this File Report File Created: 05/01/2014 PAGE 1From: Report Control System Report Directory: H0042 Time Created: 22:24:32

Report ID Program Title Rpt Date # Pages ------------ -------- ------------------------------ -------- ---------- 009999993010 WICRPT0 CLOSEOUT POSTING SUMMARY 4/30/14 1 009999993030 WICRPT3 CLOSEOUT RETURNED ITEMS 4/30/14 9 009999993050 WICRPT5 CLOSEOUT COMPLIANCE BUY 4/30/14 1 009999993130 WICRPT13 CLOSEOUT NOT ISSUED 4/30/14 1 009999993140 WICRPT14 CLOSEOUT PAID EXCEPTIONS 4/30/14 1 009999993170 WICRPT17 CLOSEOUT ENDORSEMENT FOR 4/30/14 1 009999993180 WICRPT18 CLOSEOUT AVERAGE BY TYPE 4/30/14 4 009999994010 WICRPT0 M/E C.O. POSTING SUMMARY 4/30/14 2 009999994020 WICRPT2 M/E C.O. ALL ITEMS 4/30/14 468 009999994030 WICRPT3 M/E C.O. RETURNED ITEMS 4/30/14 83 009999994090 WICRPT9 M/E C.O. STALE & POST DT 4/30/14 1 009999994110 WICRPT11 M/E C.O. PAID PREV RET 4/30/14 7 009999994130 WICRPT13 M/E C.O. NOT ISSUED 4/30/14 1 009999994140 WICRPT14 M/E C.O. PAID EXCEPTIONS 4/30/14 12 009999994170 WICRPT17 M/E C.O. ENDORSEMENT FOR 4/30/14 1 009999994180 WICRPT18 M/E C.O. AVERAGE BY TYPE 4/30/14 10 009999994190 WICRPT19 M/E C.O. TOTALS BY VENDR 4/30/14 5 009999994300 WICRPT30 M/E C.O. VEND REDEMPTION 4/30/14 1,069 009999994310 WICRPT31 M/E C.O. QTRLY VEND SUM 4/30/14 43 009999994320 WICRPT32 M/E C.O. QTRLY VEND RISK 4/30/14 34 009999994330 WICRPT33 M/E C.O. % WITHIN MAX 4/30/14 77 009999994380 WICRPT38 M/E C.O. VENDOR LISTING 4/30/14 39 009999990020 WICTYPE WIC TYPE FILE LOAD 5/01/14 1,362 009999990021 VDM001 WIC VENDOR FILE LOAD 5/01/14 39 009999990022 VDM001 WIC VENDOR ERRORS/TOTALS 5/01/14 1 009999990062 WICISS WIC ISSUE ERRORS REPORT 5/01/14 1 009999990063 WICISS WIC ISSUE NON-FATAL RPT 5/01/14 1


BANKING CONTRACTOR CLOSEOUT - POSTING SUMMARY REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WICRPT0STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 11:30:07:03 RPT: 3010

----------------R E V E R S E D D E B I T S------------|--------------------A D J U S T E D D E B I T S---------------- CHECK VENDOR REV MAXIMUM FIRST PAID TRACE | CHECK ORIGINL ADJUST NEW VENDOR FIRST PAID TRACE NUMBER NUMBER AMOUNT AMOUNT DATE DATE NUMBER | NUMBER AMOUNT AMOUNT AMOUNT NUMBER DATE DATE NUMBER---------- ------ -------- ------- ----- ----- ----------|---------- ------- -------- ------- ------ ----- ----- ---------- 3463470 999999 54.35- .00 04-01 04-30 839980229|************************************************************************************************************************************ S U M M A R Y T O T A L S

COUNT AMOUNT CODE RETURN REASON COUNT AMOUNT % -------- ----------------- ----- ------------------------- ------- ---------------- -----POSTED 2,071 38,139.55 A 01 MISSING VENDOR # 6 107.83 18.2RETURNED 33- 724.89- 1.6% D 03 UNREADABLE VENDOR# 20 428.97 60.6REVERSED DB 1- 54.35- N 38 ENCODING ERROR 1 19.22 3.0ACH REISSUE 0 .00 I 40 UNREASONABLE DOLLAR 6 168.87 18.2ADJUSTMENTS (0) .00 ------- ---------------- -------- ----------------- 33 724.89NET PAID 2,037 37,360.31************************************************************************************************************************************ N E T P A I D B R E A K D O W N

PAID PAID RETURN RETURNBY ISSUE MON COUNT AMOUNT COUNT AMOUNT BY PAID REASON COUNT AMOUNT------------ -------- ----------------- ------- ------------ ------------------------- ------- ---------------- 03 11 169.92 0 .00 NOT ISSUED 1 9.49 04 2,025 37,180.90 33 724.89 PREVIOUSLY RETURNED 19 388.97NOT ISSUED 1 9.49 0 .00 REDEEMED AT MAXIMUM 40 300.00 -------- ----------------- ------- ------------ REGULAR PAID 1,977 36,661.85 2,037 37,360.31 33 724.89 ------- ---------------- 2,037 37,360.31

*** END OF REPORT ***


BANKING CONTRACTOR CLOSEOUT - RETURNED ITEMS LIST REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WICRPT3STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 11:30:07:95 RPT: 3030

CHECK VENDOR RETURN MAXIMUM FIRST PAID CHECK NUMBER NUMBER AMOUNT AMOUNT DATE DATE TYPE CODE---------- ------ ------- ------- -------- ----- ---------- ------------------------------ VENDOR 0 VENDOR NUMBER NOT ON FILE

3533608 16.37 .00 04-24-14 04-30 70500 UNREADABLE VENDOR# VENDOR 0 TOTALS COUNT AMOUNT 6 107.83 MISSING VENDOR # 20 428.97 UNREADABLE VENDOR# 26 536.80 ALL------------------------------------------------------------------------------------------

BANKING CONTRACTOR CLOSEOUT - RETURNED ITEMS LIST REPORT DATE 4/30/14 PAGE 9INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WICRPT3STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 11:30:07:95 RPT: 3030

******************************************************************************************TOTALS (RETURNED) COUNT AMOUNT 6 107.83 MISSING VENDOR # 20 428.97 UNREADABLE VENDOR# 1 19.22 ENCODING ERROR 6 168.87 UNREASONABLE DOLLAR --------- ---------- 33 724.89 ALL



BANKING CONTRACTOR CLOSEOUT - COMPLIANCE BUY LIST REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WICRPT5STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 11:30:08:73 RPT: 3050

***************************************************************************TOTALS COUNT AMOUNT PAID .00 RETURNED .00 --------- -------------- ALL .00


BANKING CONTRACTOR CLOSEOUT - NOT ISSUED ITEMS REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WICRPT13STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 11:30:09:56 RPT: 3130

CHECK VENDOR PAID MAXIMUM FIRST PAID CHECK NUMBER NUMBER AMOUNT AMOUNT DATE DATE TYPE CODE---------- ------ ------- ------- -------- ----- ---------- -------------- 3463470 4066 9.49 .00 04-30 0***********************************************************************************TOTALS COUNT AMOUNT PAID 1 9.49 RETURNED .00 --------- -------------- ALL 1 9.49



BANKING CONTRACTOR CLOSEOUT - PAID EXCEPTION LIST REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WICRPT14STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 11:30:10:62 RPT: 3140

CHECK VENDOR PAID MAXIMUM FIRST CHECK CHECK VENDOR PAID MAXIMUM FIRST CHECK NUMBER NUMBER AMOUNT AMOUNT DATE TYPE CODE NUMBER NUMBER AMOUNT AMOUNT DATE TYPE CODE---------- ------ ------- ------- ----- ---------- -------------- ---------- ------ ------- ------- ----- ---------- --------------- 3472079 3086 10.00 10.00 04-01 4 REDEEMED AT MAPAID/PREVIOUSLY RETURNED: (01/A) MISSING VENDOR # 3472084 3086 6.00 6.00 04-01 10 REDEEMED AT MA 3473511 2012 6.00 6.00 04-01 10 REDEEMED AT MA 3299972 2096 14.00 16.32 03-01 5005 PREV RT 01/A 3477065 5032 10.00 10.00 04-01 4 REDEEMED AT MA 3389123 5043 89.95 100.70 04-01 1820 PREV RT 01/A 3478617 3107 6.00 6.00 04-01 10 REDEEMED AT MA 3389124 5043 71.96 80.56 04-01 7015 PREV RT 01/A 3481035 2097 10.00 10.00 04-01 4 REDEEMED AT MA 3462328 5043 17.25 43.14 04-01 72274 PREV RT 01/A 3483830 5113 10.00 10.00 04-01 4 REDEEMED AT MA 3486487 4113 10.00 10.00 04-01 4 REDEEMED AT MAPAID/PREVIOUSLY RETURNED: (03/D) UNREADABLE VENDOR# 3487053 5009 6.00 6.00 04-01 10 REDEEMED AT MA 3487894 5072 10.00 10.00 04-01 4 REDEEMED AT MA 3397167 4135 20.75 36.05 04-01 370 PREV RT 03/D 3488691 5165 6.00 6.00 04-01 10 REDEEMED AT MA 3408294 4135 19.44 31.86 04-01 363 PREV RT 03/D 3492698 5048 6.00 6.00 04-01 10 REDEEMED AT MA 3449629 4135 5.00 6.00 04-01 10 PREV RT 03/D 3504607 5157 10.00 10.00 04-09 4 REDEEMED AT MA 3459590 4135 19.30 31.86 04-01 363 PREV RT 03/D 3520146 2096 6.00 6.00 04-01 10 REDEEMED AT MA 3478231 4135 23.40 42.99 04-01 8810 PREV RT 03/D 3528296 3088 6.00 6.00 04-23 10 REDEEMED AT MA 3478404 4135 23.64 40.85 04-01 72264 PREV RT 03/D 3533414 2012 10.00 10.00 04-24 4 REDEEMED AT MA 3478406 4135 5.99 6.00 04-01 10 PREV RT 03/D 3533429 2012 6.00 6.00 04-24 10 REDEEMED AT MA 3481148 4135 19.11 36.06 04-01 418 PREV RT 03/D 3536071 5122 6.00 6.00 04-28 10 REDEEMED AT MA ******************************************************************PAID/PREVIOUSLY RETURNED: (40/I) UNREASONABLE DOLLAR TOTALS (PAID): COUNT AMOUNT PREV PAID:(01/A) MISSING VENDO 4 193.16 3300735 4113 5.15 6.89 03-01 71369 PREV RT 40/I PREV PAID:(03/D) UNREADABLE VE 8 136.63 3384477 2096 3.28 13.07 03-01 8079 PREV RT 40/I PREV PAID:(40/I) UNREASONABLE 7 59.18 3385328 2130 5.99 6.00 03-01 10 PREV RT 40/I REDEEMED AT MAXIMUM 40 300.00 3398274 3088 10.00 10.00 04-01 4 PREV RT 40/I --------- -------------- 3416164 4113 5.15 6.89 03-01 71369 PREV RT 40/I ALL 59 688.97 3430253 3086 10.08 13.44 04-01 6001 PREV RT 40/I 3465923 1087 19.53 25.38 04-01 3155 PREV RT 40/I *** END OF REPORT ***

REDEEMED AT MAXIMUM

3306071 3086 6.00 6.00 04-01 10 REDEEMED AT MA 3346613 2127 6.00 6.00 04-01 10 REDEEMED AT MA 3346622 2127 6.00 6.00 04-01 10 REDEEMED AT MA


3362259 5009 10.00 10.00 04-01 4 REDEEMED AT MA 3365946 2096 6.00 6.00 04-01 10 REDEEMED AT MA 3375142 4044 6.00 6.00 04-01 10 REDEEMED AT MA 3378316 3088 6.00 6.00 04-01 10 REDEEMED AT MA 3384513 3088 6.00 6.00 04-01 10 REDEEMED AT MA 3387301 4138 6.00 6.00 04-01 10 REDEEMED AT MA 3408646 3086 6.00 6.00 04-01 10 REDEEMED AT MA 3411591 4078 6.00 6.00 04-01 10 REDEEMED AT MA 3413252 5009 10.00 10.00 04-01 4 REDEEMED AT MA 3425139 5078 6.00 6.00 04-01 10 REDEEMED AT MA 3451789 2012 10.00 10.00 04-01 4 REDEEMED AT MA 3452102 2096 10.00 10.00 04-01 4 REDEEMED AT MA 3453422 2012 6.00 6.00 04-01 10 REDEEMED AT MA 3456978 3088 6.00 6.00 04-01 10 REDEEMED AT MA 3456986 3088 10.00 10.00 04-01 4 REDEEMED AT MA 3465584 2126 6.00 6.00 04-01 10 REDEEMED AT MA 3467225 1113 10.00 10.00 04-01 4 REDEEMED AT MA 3470797 1111 10.00 10.00 04-01 4 REDEEMED AT MA 3472073 3086 6.00 6.00 04-01 10 REDEEMED AT MA

BANKING CONTRACTOR CLOSEOUT - ENDORSEMENT FORCE LIST REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WICRPT17STATE: MB ACCOUNT: 999999 SUMMARY BY VENDOR TIME PREPARED 11:30:11:57 RPT: 3170

CORP. VENDOR ----FORCED VENDOR---- -----FORCED DATE----- ----PURCHASE DATE---- -------TOTALS--------CODE NUMBER NAME COUNT AMOUNT COUNT AMOUNT COUNT AMOUNT COUNT AMOUNT----- ------ ------------------------------ ------- ------------- ------- ------------- ------- ------------- ------- ------------- 999999 0 .00 0 .00 0 .00 0 .00

REPORT TOTALS 0 .00 0 .00 0 .00 0 .00


BANKING CONTRACTOR CLOSEOUT - AVERAGE BY FOOD TYPE REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WICRPT18STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 11:30:12:46 RPT: 3180

ITEM ITEM ITEM - - - - - - - - - - - I T E M M A X I M U M - - - - - - - - - - - - - - FOOD TYPE COUNT AMOUNT AVERAGE ---------- ------ ------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- 0000000000 1 9.49 9.49 00 .00 00 .00 00 .00 00 .00 00 .00 00 .00 00 .00 4 180 1,667.89 9.27 01 10.00 02 10.00 03 10.00 04 10.00 13 10.00 00 .00 00 .00


10 374 2,030.63 5.43 01 6.00 02 6.00 03 6.00 04 6.00 13 6.00 00 .00 00 .00 349 4 63.93 15.98 01 24.92 02 23.95 03 22.86 13 19.41 00 .00 00 .00 00 .00 351 1 9.90 9.90 01 27.14 02 27.04 03 26.92 13 20.04 00 .00 00 .00 00 .00 363 46 896.21 19.48 01 31.86 02 30.50 03 28.96 13 25.06 00 .00 00 .00 00 .00 364 2 31.01 15.51 01 29.74 02 28.60 03 26.67 13 24.22 00 .00 00 .00 00 .00 366 30 523.70 17.46 01 34.09 02 33.66 03 33.05 13 25.69 00 .00 00 .00 00 .00 370 177 3,226.48 18.23 01 36.05 02 33.25 03 32.15 13 22.79 00 .00 00 .00 00 .00 377 76 1,364.07 17.95 01 37.24 02 34.08 03 33.51 13 24.37 00 .00 00 .00 00 .00 383 1 18.86 18.86 01 34.07 02 33.52 03 32.99 13 25.69 00 .00 00 .00 00 .00 413 4 50.85 12.71 01 29.76 02 28.74 03 26.73 13 24.22 00 .00 00 .00 00 .00 418 56 974.27 17.40 01 36.06 02 33.32 03 32.18 13 22.79 00 .00 00 .00 00 .00 439 30 419.95 14.00 01 30.30 02 27.53 03 27.41 13 18.72 00 .00 00 .00 00 .00 442 1 29.25 29.25 01 49.35 02 45.74 03 45.57 13 33.42 00 .00 00 .00 00 .00 443 2 47.43 23.72 01 40.43 02 39.46 03 40.31 13 30.67 00 .00 00 .00 00 .00 457 1 20.66 20.66 01 43.60 02 40.10 03 40.83 13 29.35 00 .00 00 .00 00 .00 475 2 50.63 25.32 01 42.41 02 40.96 03 38.77 13 31.15 00 .00 00 .00 00 .00 486 3 78.89 26.30 01 40.20 02 37.94 03 34.74 13 30.52 00 .00 00 .00 00 .00 510 1 34.32 34.32 01 49.35 02 45.82 03 45.57 13 33.42 00 .00 00 .00 00 .00 522 3 106.02 35.34 01 51.26 02 46.36 03 45.16 13 32.88 00 .00 00 .00 00 .00 552 3 80.20 26.73 01 45.58 02 41.52 03 39.29 13 29.83 00 .00 00 .00 00 .00 594 1 20.33 20.33 01 32.33 02 30.32 03 27.71 13 25.61 00 .00 00 .00 00 .00 655 1 22.54 22.54 01 38.62 02 36.60 03 35.76 13 27.52 00 .00 00 .00 00 .00 672 2 38.52 19.26 01 31.88 02 30.64 03 29.02 13 25.06 00 .00 00 .00 00 .00 1695 14 356.67 25.48 01 48.77 02 46.14 03 46.78 13 32.51 00 .00 00 .00 00 .00 1820 32 2,596.60 81.14 01 109.70 02 100.70 03 96.50 13 82.85 00 .00 00 .00 00 .00 2101 1 103.96 103.96 01 154.04 02 141.88 03 133.00 13 125.92 00 .00 00 .00 00 .00 2285 8 70.33 8.79 01 15.05 02 14.21 03 13.43 13 12.54 00 .00 00 .00 00 .00 2371 8 642.90 80.36 01 110.05 02 100.45 03 96.75 13 82.85 00 .00 00 .00 00 .00 3052 1 77.45 77.45 01 108.10 02 102.05 03 96.20 13 87.90 00 .00 00 .00 00 .00 3155 19 239.25 12.59 01 25.38 02 26.57 03 28.49 13 22.02 00 .00 00 .00 00 .00 3238 4 91.24 22.81 01 32.32 02 33.12 03 34.59 13 27.67 00 .00 00 .00 00 .00 3772 2 24.61 12.31 01 29.55 02 30.29 03 31.38 13 24.75 00 .00 00 .00 00 .00 4007 1 9.66 9.66 01 18.44 02 20.02 03 22.39 13 16.37 00 .00 00 .00 00 .00 4030 2 9.92 4.96 01 9.70 02 9.20 03 9.27 13 8.14 00 .00 00 .00 00 .00 4031 26 488.24 18.78 01 29.81 02 28.08 03 29.24 13 21.68 00 .00 00 .00 00 .00 4112 1 22.32 22.32 01 26.80 02 25.28 03 26.40 13 18.80 00 .00 00 .00 00 .00 4179 2 57.96 28.98 01 40.66 02 40.56 03 40.37 13 33.13 00 .00 00 .00 00 .00


4205 2 13.63 6.82 01 10.20 02 9.57 03 8.83 13 8.25 00 .00 00 .00 00 .00 4372 6 84.75 14.13 01 25.35 02 23.90 03 25.08 13 17.77 00 .00 00 .00 00 .00 4474 5 17.01 3.40 01 6.90 02 7.80 03 9.00 13 6.15 00 .00 00 .00 00 .00 4793 8 169.99 21.25 01 39.78 02 36.66 03 36.10 13 26.76 00 .00 00 .00 00 .00 5005 38 535.19 14.08 01 21.22 02 19.84 03 21.52 13 16.32 00 .00 00 .00 00 .00 5090 1 118.40 118.40 01 158.30 02 148.00 03 141.30 13 124.30 00 .00 00 .00 00 .00 5100 3 150.78 50.26 01 65.82 02 60.42 03 57.90 13 49.71 00 .00 00 .00 00 .00 5852 1 34.58 34.58 01 44.02 02 40.18 03 38.70 13 33.14 00 .00 00 .00 00 .00 6001 36 421.83 11.72 01 18.21 02 17.04 03 18.68 13 13.44 00 .00 00 .00 00 .00 6052 2 128.52 64.26 01 88.04 02 80.36 03 77.40 13 66.28 00 .00 00 .00 00 .00 7015 21 1,349.24 64.25 01 87.76 02 80.56 03 77.20 13 66.28 00 .00 00 .00 00 .00 7104 11 1,211.62 110.15 01 153.58 02 140.98 03 135.10 13 115.99 00 .00 00 .00 00 .00 7159 4 79.34 19.84 01 49.75 02 45.90 03 45.05 13 30.90 00 .00 00 .00 00 .00 7250 14 205.28 14.66 01 26.11 02 24.78 03 24.22 13 20.99 00 .00 00 .00 00 .00


ITEM ITEM ITEM - - - - - - - - - - - I T E M M A X I M U M - - - - - - - - - - - - - - FOOD TYPE COUNT AMOUNT AVERAGE ---------- ------ ------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- 7624 1 13.52 13.52 01 21.31 02 19.84 03 17.82 13 16.63 00 .00 00 .00 00 .00 7680 27 550.65 20.39 01 35.10 02 34.26 03 34.90 13 26.74 00 .00 00 .00 00 .00 7850 1 18.83 18.83 01 55.13 02 52.16 03 54.10 13 37.49 00 .00 00 .00 00 .00 8009 2 60.05 30.03 01 57.11 02 53.58 03 52.56 13 37.97 00 .00 00 .00 00 .00 8069 1 15.78 15.78 01 21.94 02 20.14 03 19.30 13 16.57 00 .00 00 .00 00 .00 8079 2 15.37 7.69 01 23.36 02 20.98 03 21.31 13 13.07 00 .00 00 .00 00 .00 8279 1 16.42 16.42 01 29.11 02 26.70 03 26.05 13 17.14 00 .00 00 .00 00 .00 8706 1 20.05 20.05 01 48.12 02 44.10 03 41.88 13 32.22 00 .00 00 .00 00 .00 8746 1 62.16 62.16 01 82.32 02 78.60 03 78.12 13 65.28 00 .00 00 .00 00 .00 8793 3 98.94 32.98 01 43.88 02 40.28 03 38.60 13 33.14 00 .00 00 .00 00 .00 8810 38 839.33 22.09 01 42.99 02 39.80 03 38.25 13 28.44 00 .00 00 .00 00 .00 8971 1 17.15 17.15 01 37.31 02 37.28 03 38.93 13 27.37 00 .00 00 .00 00 .00 9014 76 1,946.70 25.61 01 46.80 02 46.60 03 48.58 13 34.67 00 .00 00 .00 00 .00 9108 1 49.85 49.85 01 80.60 02 78.12 03 71.61 13 65.10 00 .00 00 .00 00 .00 9737 1 4.62 4.62 01 11.58 02 10.97 03 10.49 13 9.72 00 .00 00 .00 00 .00 9747 2 187.88 93.94 01 132.06 02 120.54 03 116.10 13 99.42 00 .00 00 .00 00 .00 9826 6 542.80 90.47 01 124.80 02 120.96 03 110.88 13 100.80 00 .00 00 .00 00 .00


9841 1 45.98 45.98 01 62.39 02 55.66 03 54.45 13 36.26 00 .00 00 .00 00 .00 9859 7 243.29 34.76 01 55.14 02 54.04 03 54.36 13 40.13 00 .00 00 .00 00 .00 70274 3 85.74 28.58 01 51.33 02 47.24 03 44.03 13 33.90 00 .00 00 .00 00 .00 70400 29 592.60 20.43 01 43.01 02 39.94 03 38.31 13 28.44 00 .00 00 .00 00 .00 70500 2 28.18 14.09 01 24.69 02 24.40 03 25.64 13 18.26 00 .00 00 .00 00 .00 70718 1 12.56 12.56 01 19.17 02 18.23 03 18.12 13 15.34 00 .00 00 .00 00 .00 71120 1 29.24 29.24 01 43.44 02 41.70 03 40.68 13 32.20 00 .00 00 .00 00 .00 71369 82 372.20 4.54 01 8.11 02 7.66 03 7.33 13 6.89 00 .00 00 .00 00 .00 71518 3 36.96 12.32 01 17.42 02 16.28 03 17.56 13 13.68 00 .00 00 .00 00 .00 72067 1 23.41 23.41 01 45.75 02 41.18 03 40.25 13 26.70 00 .00 00 .00 00 .00 72107 1 23.82 23.82 01 39.54 02 38.90 03 39.51 13 30.81 00 .00 00 .00 00 .00 72264 131 3,207.61 24.49 01 40.85 02 39.98 03 39.64 13 30.81 00 .00 00 .00 00 .00 72267 6 138.85 23.14 01 43.06 02 43.00 03 43.67 13 31.44 00 .00 00 .00 00 .00 72268 6 177.35 29.56 01 47.21 02 46.00 03 46.96 13 35.79 00 .00 00 .00 00 .00 72269 9 186.68 20.74 01 39.23 02 36.26 03 35.81 13 25.28 00 .00 00 .00 00 .00 72270 2 61.30 30.65 01 53.16 02 52.62 03 55.90 13 39.65 00 .00 00 .00 00 .00 72271 5 130.20 26.04 01 37.81 02 37.12 03 37.90 13 28.92 00 .00 00 .00 00 .00 72272 12 389.24 32.44 01 49.19 02 47.42 03 45.42 13 36.27 00 .00 00 .00 00 .00 72273 12 241.62 20.14 01 40.22 02 36.97 03 35.04 13 25.52 00 .00 00 .00 00 .00 72274 36 879.52 24.43 01 43.08 02 43.14 03 43.73 13 31.44 00 .00 00 .00 00 .00 72275 3 92.86 30.95 01 51.40 02 50.44 03 49.45 13 36.90 00 .00 00 .00 00 .00 72276 5 107.33 21.47 01 40.22 02 36.97 03 35.04 13 25.52 00 .00 00 .00 00 .00 72277 17 362.84 21.34 01 33.91 02 33.43 03 33.54 13 25.16 00 .00 00 .00 00 .00 72279 1 9.52 9.52 01 14.41 02 13.48 03 14.72 13 10.80 00 .00 00 .00 00 .00 72280 3 63.03 21.01 01 38.73 02 38.08 03 37.35 13 29.97 00 .00 00 .00 00 .00 72281 7 151.74 21.68 01 38.75 02 38.22 03 37.41 13 29.97 00 .00 00 .00 00 .00 72282 2 60.81 30.41 01 49.42 02 48.94 03 50.99 13 36.42 00 .00 00 .00 00 .00 72283 3 66.10 22.03 01 39.23 02 36.22 03 35.81 13 25.28 00 .00 00 .00 00 .00 72284 14 322.15 23.01 01 42.47 02 41.68 03 42.26 13 33.20 00 .00 00 .00 00 .00 72285 1 7.98 7.98 01 35.82 02 35.44 03 34.66 13 27.58 00 .00 00 .00 00 .00 72287 1 28.63 28.63 01 47.07 02 45.52 03 43.13 13 35.43 00 .00 00 .00 00 .00 72290 7 148.74 21.25 01 39.86 02 40.05 03 42.48 13 29.02 00 .00 00 .00 00 .00 72297 2 11.11 5.56 01 33.48 02 30.54 03 31.07 13 21.21 00 .00 00 .00 00 .00 72304 10 182.63 18.26 01 30.44 02 30.12 03 30.38 13 22.33 00 .00 00 .00 00 .00 72324 1 17.61 17.61 01 32.65 02 33.18 03 34.43 13 22.96 00 .00 00 .00 00 .00 72326 5 132.59 26.52 01 40.87 02 40.12 03 39.70 13 30.81 00 .00 00 .00 00 .00

BANKING CONTRACTOR CLOSEOUT - AVERAGE BY FOOD TYPE REPORT DATE 4/30/14 PAGE 3


INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WICRPT18STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 11:30:12:46 RPT: 3180

ITEM ITEM ITEM - - - - - - - - - - - I T E M M A X I M U M - - - - - - - - - - - - - - FOOD TYPE COUNT AMOUNT AVERAGE ---------- ------ ------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- 72329 3 42.02 14.01 01 26.97 02 26.88 03 27.44 13 19.51 00 .00 00 .00 00 .00 72330 1 21.74 21.74 01 28.32 02 28.26 03 28.11 13 21.49 00 .00 00 .00 00 .00 72335 4 58.53 14.63 01 28.16 02 27.71 03 28.80 13 21.09 00 .00 00 .00 00 .00 72344 3 64.86 21.62 01 36.13 02 36.52 03 37.60 13 25.79 00 .00 00 .00 00 .00 72347 1 27.14 27.14 01 36.12 02 36.45 03 37.57 13 25.79 00 .00 00 .00 00 .00 72349 1 22.64 22.64 01 38.22 02 36.44 03 36.28 13 30.04 00 .00 00 .00 00 .00 72367 2 44.22 22.11 01 35.53 02 35.13 03 36.16 13 27.55 00 .00 00 .00 00 .00 72388 1 16.42 16.42 01 33.48 02 32.20 03 31.58 13 27.45 00 .00 00 .00 00 .00 72390 1 23.44 23.44 01 46.15 02 44.56 03 43.68 13 34.38 00 .00 00 .00 00 .00 72462 1 20.32 20.32 01 44.50 02 41.78 03 42.58 13 28.23 00 .00 00 .00 00 .00 72463 1 30.29 30.29 01 49.14 02 44.46 03 42.87 13 32.04 00 .00 00 .00 00 .00 72475 1 24.63 24.63 01 43.04 02 43.06 03 46.14 13 31.51 00 .00 00 .00 00 .00 72495 1 38.18 38.18 01 62.46 02 58.86 03 59.87 13 39.26 00 .00 00 .00 00 .00 72518 1 12.51 12.51 01 32.60 02 32.35 03 33.41 13 25.16 00 .00 00 .00 00 .00 72630 1 105.43 105.43 01 165.90 02 149.87 03 137.69 13 130.55 00 .00 00 .00 00 .00 72681 10 860.10 86.01 01 118.50 02 107.05 03 98.35 13 93.25 00 .00 00 .00 00 .00 72688 1 24.10 24.10 01 30.44 02 30.16 03 30.40 13 22.33 00 .00 00 .00 00 .00 72693 1 21.72 21.72 01 38.71 02 38.14 03 39.82 13 30.04 00 .00 00 .00 00 .00 72713 5 352.92 70.58 01 94.80 02 85.64 03 78.68 13 74.60 00 .00 00 .00 00 .00 72761 1 15.54 15.54 01 20.58 02 19.65 03 19.53 13 16.32 00 .00 00 .00 00 .00 72783 1 17.76 17.76 01 23.70 02 21.41 03 19.67 13 18.65 00 .00 00 .00 00 .00 72848 1 98.94 98.94 01 142.20 02 128.46 03 118.02 13 111.90 00 .00 00 .00 00 .00 73060 1 14.65 14.65 01 36.39 02 36.74 03 39.32 13 26.19 00 .00 00 .00 00 .00 73143 1 22.16 22.16 01 32.06 02 31.82 03 33.00 13 24.72 00 .00 00 .00 00 .00 73183 1 21.34 21.34 01 32.03 02 31.64 03 32.32 13 23.58 00 .00 00 .00 00 .00 73399 1 4.97 4.97 01 11.56 02 10.81 03 11.75 13 8.82 00 .00 00 .00 00 .00 73497 1 14.80 14.80 01 28.14 02 28.16 03 28.53 13 21.62 00 .00 00 .00 00 .00 73542 11 171.15 15.56 01 26.69 02 24.76 03 23.95 13 16.55 00 .00 00 .00 00 .00 73543 1 17.35 17.35 01 20.94 02 19.04 03 19.21 13 12.48 00 .00 00 .00 00 .00 73544 18 113.96 6.33 01 12.83 02 11.52 03 11.40 13 7.32 00 .00 00 .00 00 .00 73545 17 66.36 3.90 01 9.36 02 8.28 03 8.46 13 4.50 00 .00 00 .00 00 .00 73546 3 37.38 12.46 01 26.69 02 24.77 03 23.96 13 16.55 00 .00 00 .00 00 .00


73547 3 19.34 6.45 01 12.83 02 11.56 03 11.42 13 7.32 00 .00 00 .00 00 .00 73548 10 102.88 10.29 01 25.62 02 23.39 03 23.18 13 16.47 00 .00 00 .00 00 .00 73549 2 21.38 10.69 01 27.21 02 25.69 03 25.03 13 16.99 00 .00 00 .00 00 .00 73550 2 28.05 14.03 01 31.37 02 29.11 03 27.92 13 20.54 00 .00 00 .00 00 .00 73551 5 38.19 7.64 01 16.26 02 14.90 03 14.98 13 10.23 00 .00 00 .00 00 .00 73552 1 16.00 16.00 01 31.38 02 29.18 03 27.95 13 20.54 00 .00 00 .00 00 .00 73553 14 79.21 5.66 01 11.62 02 10.48 03 10.59 13 6.16 00 .00 00 .00 00 .00 73554 1 14.00 14.00 01 19.73 02 18.14 03 17.92 13 13.05 00 .00 00 .00 00 .00 73555 2 26.54 13.27 01 20.94 02 19.25 03 18.95 13 14.22 00 .00 00 .00 00 .00 73559 2 3.82 1.91 01 4.60 02 5.20 03 6.00 13 4.10 00 .00 00 .00 00 .00 73561 1 14.53 14.53 01 27.54 02 25.60 03 21.82 13 16.86 00 .00 00 .00 00 .00 73562 1 18.33 18.33 01 39.41 02 37.65 03 38.58 13 26.27 00 .00 00 .00 00 .00 73563 4 30.99 7.75 01 18.69 02 19.62 03 21.13 13 16.32 00 .00 00 .00 00 .00 73566 1 8.86 8.86 01 16.35 02 15.83 03 16.06 13 10.67 00 .00 00 .00 00 .00 73567 2 28.58 14.29 01 35.10 02 32.52 03 31.87 13 24.51 00 .00 00 .00 00 .00 73577 4 26.09 6.52 01 11.62 02 10.49 03 10.60 13 6.16 00 .00 00 .00 00 .00 73583 2 18.28 9.14 01 20.61 02 19.96 03 21.27 13 11.91 00 .00 00 .00 00 .00 73585 1 9.46 9.46 01 20.78 02 21.53 03 22.63 13 17.68 00 .00 00 .00 00 .00 73591 2 32.38 16.19 01 26.46 02 25.42 03 26.47 13 17.14 00 .00 00 .00 00 .00 73594 1 27.02 27.02 01 35.54 02 32.83 03 30.81 13 23.27 00 .00 00 .00 00 .00 73609 1 36.56 36.56 01 43.44 02 39.96 03 37.65 13 29.97 00 .00 00 .00 00 .00


ITEM ITEM ITEM - - - - - - - - - - - I T E M M A X I M U M - - - - - - - - - - - - - - FOOD TYPE COUNT AMOUNT AVERAGE ---------- ------ ------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- 73642 2 13.86 6.93 01 11.71 02 11.41 03 11.67 13 6.60 00 .00 00 .00 00 .00 73738 1 24.75 24.75 01 37.04 02 34.30 03 33.73 13 24.37 00 .00 00 .00 00 .00 73928 2 34.22 17.11 01 27.96 02 27.93 03 29.02 13 21.09 00 .00 00 .00 00 .00

TOTALS 2,037 37,360.31 18.34



BANKING CONTRACTOR CLOSEOUT - POSTING SUMMARY REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT0STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:43:97 RPT: 4010

----------------R E V E R S E D D E B I T S------------|--------------------A D J U S T E D D E B I T S---------------- CHECK VENDOR REV MAXIMUM FIRST PAID TRACE | CHECK ORIGINL ADJUST NEW VENDOR FIRST PAID TRACE NUMBER NUMBER AMOUNT AMOUNT DATE DATE NUMBER | NUMBER AMOUNT AMOUNT AMOUNT NUMBER DATE DATE NUMBER---------- ------ -------- ------- ----- ----- ----------|---------- ------- -------- ------- ------ ----- ----- ---------- 3463470 999999 54.35- .00 04-01 04-30 839980229| 3353045 61.00 55.00- 6.00 2132 04-01 04-23 808303399 | 3353119 65.00 55.35- 9.65 2132 04-01 04-23 808303397 | 3362823 91.85 82.00- 9.85 4078 04-01 04-07 804693162 | 3374047 49.47 43.49- 5.98 1109 04-01 04-23 12059206 | 3390735 10.15 .15- 10.00 4140 04-01 04-24 11139714 | 3403005 65.96 47.81- 18.15 2127 03-01 04-02 11170762 | 3426831 32.31 9.98- 22.33 3113 03-03 04-01 14004071 | 3447733 6.87 .87- 6.00 2127 04-01 04-23 14154182 | 3482688 85.00 71.15- 13.85 5122 04-01 04-03 814246068 | 3502363 23.43 20.44- 2.99 4140 04-01 04-25 14078252************************************************************************************************************************************ S U M M A R Y T O T A L S

COUNT AMOUNT CODE RETURN REASON COUNT AMOUNT % -------- ----------------- ----- ------------------------- ------- ---------------- -----POSTED 49,496 1,156,511.46 A 01 MISSING VENDOR # 203 4,567.88 43.5RETURNED 467- 10,344.82- 0.9% D 03 UNREADABLE VENDOR# 89 2,125.46 19.1REVERSED DB 1- 54.35- F 10 STALEDATE/VOID 1 9.69 0.2ACH REISSUE 0 .00 G 11 EARLY CASHING/VOID 6 229.42 1.3ADJUSTMENTS (10) 386.24- E 22 MISSING 1ST SIGNATURE/VOI 22 260.66 4.7 -------- ----------------- N 38 ENCODING ERROR 4 69.96 0.9NET PAID 49,028 1,145,726.05 I 40 UNREASONABLE DOLLAR 138 2,845.09 29.6 W 50 2ND PRES/VOID DO NOT REDE 4 236.66 0.9 ------- ---------------- 467 10,344.82************************************************************************************************************************************ N E T P A I D B R E A K D O W N

PAID PAID RETURN RETURNBY ISSUE MON COUNT AMOUNT COUNT AMOUNT BY PAID REASON COUNT AMOUNT------------ -------- ----------------- ------- ------------ ------------------------- ------- ----------------


02 18 462.04 1 9.69 ADJUSTMENTS 10 104.80 03 10,944 193,766.41 128 2,209.88 COMPLIANCE BUY 6 69.89 04 38,065 951,488.11 332 7,895.83 FORCE AUTHORIZED STAMP 1 5.78 05 0 .00 5 134.67 NOT ISSUED 1 9.49 06 0 .00 1 94.75 PREVIOUSLY RETURNED 315 8,463.35NOT ISSUED 1 9.49 0 .00 REDEEMED AT MAXIMUM 798 5,833.00 -------- ----------------- ------- ------------ REGULAR PAID 47,897 1,131,239.74 49,028 1,145,726.05 467 10,344.82 ------- ---------------- 49,028

1,145,726.05BANKING CONTRACTOR CLOSEOUT - POSTING SUMMARY REPORT DATE 4/30/14 PAGE 2INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT0STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:43:97 RPT: 4010

************************************************************************************************************************************ T O T A L S B Y D A Y

DATE --------POSTED-------- --------RETURNED-------- -REV DEBITS/ACH REISSUE- ------ADJUSTMENTS------ -------NET PAID------- COUNT AMOUNT COUNT AMOUNT COUNT AMOUNT COUNT AMOUNT COUNT AMOUNT ------- -------------- -------- --------------- -------- --------------- ------- --------------- ------- --------------04-01 3,564 59,045.75 55- 927.99- 0 .00 1 9.98- 3,509 58,107.7804-02 2,519 44,107.17 34- 452.38- 0 .00 1 47.81- 2,485 43,606.9804-03 3,369 103,978.31 23- 724.12- 0 .00 1 71.15- 3,346 103,183.0404-04 3,000 82,264.87 33- 790.80- 0 .00 0 .00 2,967 81,474.0704-07 1,666 49,423.79 8- 256.55- 0 .00 1 82.00- 1,658 49,085.2404-08 3,159 87,483.95 10- 457.51- 0 .00 0 .00 3,149 87,026.4404-09 2,067 55,258.71 22- 395.38- 0 .00 0 .00 2,045 54,863.3304-10 3,248 82,058.44 19- 505.32- 0 .00 0 .00 3,229 81,553.1204-11 1,531 43,254.26 3- 119.27- 0 .00 0 .00 1,528 43,134.9904-14 1,551 42,466.77 19- 604.21- 0 .00 0 .00 1,532 41,862.5604-15 2,428 55,992.97 26- 463.68- 0 .00 0 .00 2,402 55,529.2904-16 2,038 50,285.95 15- 408.12- 0 .00 0 .00 2,023 49,877.8304-17 2,602 67,623.89 11- 185.90- 0 .00 0 .00 2,591 67,437.9904-18 1,503 34,998.73 8- 234.18- 0 .00 0 .00 1,495 34,764.5504-21 1,032 20,873.37 4- 38.42- 0 .00 0 .00 1,028 20,834.9504-22 2,371 47,926.47 57- 1,443.37- 0 .00 0 .00 2,314 46,483.1004-23 1,856 39,937.38 13- 288.87- 0 .00 4 154.71- 1,843 39,493.8004-24 2,252 46,700.67 13- 314.59- 0 .00 1 .15- 2,239 46,385.9304-25 1,685 33,288.82 5- 91.81- 0 .00 1 20.44- 1,680 33,176.57


04-28 1,301 23,365.28 7- 91.90- 0 .00 0 .00 1,294 23,273.3804-29 2,683 48,036.36 49- 825.56- 0 .00 0 .00 2,634 47,210.8004-30 2,071 38,139.55 33- 724.89- 1- 54.35- 0 .00 2,037 37,360.31 ------- -------------- -------- --------------- -------- --------------- ------- --------------- ------- -------------- 49,496 1,156,511.46 467- 10,344.82- 1- 54.35- 10 386.24- 49,028 1,145,726.05

*** END OF REPORT *BANKING CONTRACTOR CLOSEOUT - ALL ITEMS LIST

REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT2STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:45:22 RPT: 4020

CHECK VENDOR PAID MAXIMUM FIRST CHECK PAID CHECK VENDOR PAID MAXIMUM FIRST CHECK PAID NUMBER NUMBER AMOUNT AMOUNT DATE TYPE CODE DATE NUMBER NUMBER AMOUNT AMOUNT DATE TYPE CODE DATE---------- ------ ------- ------- ----- ---------- -------- ----- ---------- ------ ------- ------- ----- ---------- --------- ----- 3216949 2127 17.56 32.15 03-01 370 04-09 3223761 5155 30.19 53.58 03-01 8009 04-22 3216950 2127 5.43 6.00 03-01 10 04-09 3223762 5155 18.03 30.29 03-01 3772 04-22 3217272 4124 18.59 33.25 03-01 370 04-03 3223763 5155 8.99 10.00 03-01 4 04-01 3217379 1110 20.85 33.25 03-01 370 04-02 3223851 2014 18.58 33.25 03-01 370 04-03 3217511 4143 12.16 33.05 03-01 366 04-07 3223852 2014 5.32 6.00 03-01 10 04-03 3217512 4143 20.25 38.31 03-01 70400 04-07 3223862 2014 17.96 30.50 03-01 363 04-03 3217524 4143 20.25 38.25 03-01 8810 04-07 3224174 1090 23.78 43.04 03-01 70400 04-01 3217525 4143 5.79 6.00 03-01 10 04-07 3224359 4138 28.83 39.64 03-01 72264 04-09 3218195 5158 30.09 49.45 03-01 72294 04-10 3224360 4138 7.68 32.15 03-01 370 04-09 3218196 5158 18.96 35.04 03-01 72273 04-10 3224361 4138 6.00 6.00 03-01 10 P-REDEEM 04-09 3533516 4094 20.04 30.38 04-01 72304 04-28 3534784 3088 17.82 22.33 04-01 72304 04-30BANKING CONTRACTOR CLOSEOUT - ALL ITEMS LIST REPORT DATE 4/30/14 PAGE 467INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT2STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:45:22 RPT: 4020

CHECK VENDOR PAID MAXIMUM FIRST CHECK PAID CHECK VENDOR PAID MAXIMUM FIRST CHECK PAID NUMBER NUMBER AMOUNT AMOUNT DATE TYPE CODE DATE NUMBER NUMBER AMOUNT AMOUNT DATE TYPE CODE DATE---------- ------ ------- ------- ----- ---------- -------- ----- ---------- ------ ------- ------- ----- ---------- --------- ----- 3534785 3088 4.66 6.16 04-01 73553 04-30 3535919 2123 20.36 27.14 04-25 351 04-29 3534786 3086 5.52 6.00 04-01 10 04-30 3535920 2123 4.99 9.36 04-25 73545 04-29 3534923 2123 22.16 32.06 04-01 73143 04-30 3535921 2123 5.00 6.00 04-25 10 04-29 3534924 2123 3.99 9.36 04-01 73545 04-30 3535934 3086 19.96 29.02 04-25 72290 04-30


3535010 5155 16.92 30.12 04-01 72304 04-29 3535935 3086 4.60 6.16 04-25 73553 04-30 3535011 5155 4.86 10.48 04-01 73553 04-29 3535936 3086 9.50 10.00 04-25 4 04-30 3535012 5155 5.64 6.00 04-01 10 04-29 3536069 5122 16.45 22.86 04-28 349 04-30 3535037 3088 24.44 31.44 04-01 72274 04-30 3536070 5122 1.88 8.46 04-28 73545 04-30 3535038 3088 16.88 22.79 04-01 418 04-30 3536071 5122 6.00 6.00 04-28 10 P-REDEEM 04-30 3535039 3088 5.85 6.00 04-01 10 04-30 3536150 5009 21.72 39.82 04-28 72693 04-30 3535118 5122 93.25 98.35 04-01 72681 04-29 3536151 5009 5.48 11.67 04-28 73642 04-30 3535119 5155 71.96 85.64 04-01 72713 04-29 3536152 5009 19.22 10.00 04-28 4 R-ENCODI 04-30 3535122 5155 17.70 34.26 04-01 7680 04-29 3536328 5122 20.11 42.48 04-28 72290 04-30 3535123 5155 12.81 27.53 04-01 439 04-29 3536329 5122 2.69 10.59 04-28 73553 04-30 3535124 5155 9.98 10.00 04-01 4 04-29 3536330 5122 9.62 10.00 04-28 4 04-30 3535151 2014 24.40 31.64 04-25 73183 04-29 3536407 4134 21.34 32.32 04-18 73183 04-30 3535152 2014 4.29 11.41 04-25 73647 04-29 3536409 4134 5.67 6.00 04-18 10 04-30 3535153 2014 5.99 6.00 04-25 10 04-29 3536416 4134 24.63 46.14 04-18 72475 04-30 3535184 4135 19.35 30.44 04-25 72304 04-30 3536417 4134 8.38 11.67 04-18 73642 04-30 3535185 4135 7.08 11.62 04-25 73553 04-30 3536418 4134 9.28 10.00 04-18 4 04-30 3535186 4135 5.48 6.00 04-25 10 04-30 3536549 5156 47.34 49.71 04-01 5100 04-30 3535228 4135 89.95 109.70 04-25 1820 04-30 3536860 2118 5.98 6.00 04-01 10 04-30 3535325 5122 21.34 31.88 04-01 72358 04-29 3537232 2118 5.16 6.00 04-28 10 04-30 3535326 5122 5.28 8.46 04-01 73619 04-29 3537265 5048 20.93 40.05 04-28 72290 04-30 3535327 5122 5.67 6.00 04-01 10 04-29 3537266 5048 8.54 19.96 04-28 73583 04-30 3535352 4111 14.00 19.41 04-25 349 04-29 3537267 5048 2.16 5.20 04-28 73559 04-30 3535353 4111 2.24 4.50 04-25 73545 04-29 3537268 5048 9.57 10.00 04-28 4 04-30 3535354 4111 5.37 6.00 04-25 10 04-29 3537738 4021 18.65 30.38 04-01 72304 04-30 3535358 4111 10.14 22.33 04-25 72304 04-29 3537739 4021 7.48 10.59 04-01 73553 04-30 3535359 4111 2.24 6.16 04-25 73553 04-29 3537740 4021 5.56 6.00 04-01 10 04-30 3535360 4111 5.98 6.00 04-25 10 04-29 3537753 4021 26.53 42.48 04-28 72290 04-30 3535364 4111 19.48 29.02 04-25 72290 04-29 3537754 4021 7.48 10.59 04-28 73553 04-30 3535365 4111 5.15 6.16 04-25 73553 04-29 3537755 4021 9.65 10.00 04-28 4 04-30 3535366 4111 9.88 10.00 04-25 4 04-29 3537761 5122 17.61 34.43 04-28 72324 04-30 3535529 2096 14.87 18.26 04-24 70500 04-29 3537762 5122 6.38 10.60 04-28 73577 04-30 3535530 2096 3.40 6.16 04-24 73553 04-29 3537763 5122 5.39 6.00 04-28 10 04-30 3535531 2096 9.77 10.00 04-24 4 04-29 3537905 5157 4.97 8.82 04-01 73399 04-30 3535538 2096 78.90 82.85 04-24 2371 04-29 3537906 5157 62.16 65.28 04-01 8746 04-30 3535600 2014 21.49 31.66 04-01 72424 04-29 3537907 5157 15.54 16.32 04-01 72761 04-30 3535601 2014 4.65 11.41 04-01 73642 04-29 3538332 5080 13.58 21.22 04-01 5005 04-30 3535602 2014 5.07 6.00 04-01 10 04-29 3538333 5080 67.56 88.04 04-01 6052 04-30


3535606 2014 20.23 30.12 04-25 72304 04-29 3538548 5080 17.14 24.92 04-01 349 04-30 3535607 2014 4.65 10.48 04-25 73553 04-29 3538550 5080 5.47 6.00 04-01 10 04-30 3535608 2014 4.19 6.00 04-25 10 04-29 3538733 4134 89.95 96.50 04-28 1820 04-30 3535660 2116 12.56 19.17 04-01 70718 04-30 3538793 2130 15.04 16.32 04-01 5005 04-30 3535718 5156 16.14 29.02 04-01 72290 04-29 3538794 2130 63.12 66.28 04-01 7015 04-30 3535719 5156 4.54 6.16 04-01 73553 04-29 3535720 5156 8.44 10.00 04-01 4 04-29 3535859 4106 4.39 6.16 04-25 73553 04-29 3535889 5044 6.88 10.48 04-01 73553 04-30 3535908 2123 16.25 30.87 04-25 72403 04-29 3535909 2123 7.48 12.83 04-25 73544 04-29 3535910 2123 10.00 10.00 04-25 4 P-REDEEM 04-29

BANKING CONTRACTOR CLOSEOUT - ALL ITEMS LIST REPORT DATE 4/30/14 PAGE 468INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT2STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:45:22 RPT: 4020

******************************************************************TOTALS (PAID): COUNT AMOUNT ADJUSTMENTS 10 104.80 COMPLIANCE BUY 6 69.89 FORCE AUTHORIZED STAMP 1 5.78 NOT ISSUED 1 9.49 PREVIOUSLY RETURNED 315 8,463.35 REDEEMED AT MAXIMUM 798 5,833.00 REGULAR PAID 47,897 1,131,239.74 --------- -------------- ALL 49,028 1,145,726.05TOTALS (RETURNED): MISSING VENDOR # 203 4,567.88 UNREADABLE VENDOR# 89 2,125.46 STALEDATE/VOID 1 9.69 EARLY CASHING/VOID 6 229.42 MISSING 1ST SIGNATURE/VOID 22 260.66 ENCODING ERROR 4 69.96 UNREASONABLE DOLLAR 138 2,845.09 2ND PRES/VOID DO NOT REDEPOSIT 4 236.66 --------- -------------- ALL 467 10,344.82


BANKING CONTRACTOR CLOSEOUT - RETURNED ITEMS LIST REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT3STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:47:36 RPT: 4030

CHECK VENDOR RETURN MAXIMUM FIRST PAID CHECK NUMBER NUMBER AMOUNT AMOUNT DATE DATE TYPE CODE---------- ------ ------- ------- -------- ----- ---------- ------------------------------ VENDOR 0 VENDOR NUMBER NOT ON FILE


3221562 5.72 .00 03-01-14 04-04 10 UNREADABLE VENDOR# 3233823 18.10 .00 03-01-14 04-01 370 MISSING VENDOR # 3233824 5.87 .00 03-01-14 04-01 10 MISSING VENDOR # 3233837 27.28 .00 03-01-14 04-01 9014 MISSING VENDOR # 3253820 19.47 .00 03-01-14 04-01 8810 MISSING VENDOR # 3255201 23.55 .00 03-01-14 04-09 370 UNREADABLE VENDOR# 3256690 20.52 .00 03-01-14 04-01 72273 MISSING VENDOR # 3262250 19.95 .00 03-01-14 04-02 370 UNREADABLE VENDOR# 3262260 34.28 .00 03-01-14 04-02 9014 UNREADABLE VENDOR# 3262262 5.58 .00 03-01-14 04-02 71369 UNREADABLE VENDOR# 3262263 9.00 .00 03-01-14 04-02 4 UNREADABLE VENDOR# 3267686 23.84 .00 03-01-14 04-10 8810 UNREADABLE VENDOR# 3281509 3.39 .00 03-01-14 04-01 10 MISSING VENDOR # 3281521 4.86 .00 03-01-14 04-01 10 MISSING VENDOR # 3288410 22.35 .00 03-01-14 04-10 370 UNREADABLE VENDOR# 3288411 5.74 .00 03-01-14 04-10 10 UNREADABLE VENDOR# 3291183 23.86 .00 03-01-14 04-01 72267 MISSING VENDOR # 3291410 26.93 .00 04-01-14 04-30 9014 UNREADABLE VENDOR# 3292544 10.44 .00 03-01-14 04-08 6001 UNREADABLE VENDOR# 3293495 3.99 .00 04-01-14 04-17 4205 MISSING VENDOR # 3293496 9.31 .00 04-01-14 04-17 4 MISSING VENDOR # 3293607 30.02 .00 04-01-14 04-17 72294 UNREADABLE VENDOR# 3295965 19.56 .00 03-01-14 04-02 418 MISSING VENDOR # 3299868 21.96 .00 03-01-14 04-01 72264 MISSING VENDOR # 3526686 9.67 .00 04-01-14 04-24 4 MISSING VENDOR # 3533608 16.37 .00 04-24-14 04-30 70500 UNREADABLE VENDOR# VENDOR 0 TOTALS COUNT AMOUNT 203 4,567.88 MISSING VENDOR # 89 2,125.46 UNREADABLE VENDOR# 292 6,693.34 ALL------------------------------------------------------------------------------------------


CHECK VENDOR RETURN MAXIMUM FIRST PAID CHECK NUMBER NUMBER AMOUNT AMOUNT DATE DATE TYPE CODE---------- ------ ------- ------- -------- ----- ---------- ------------------------------ VENDOR 1003 TANDE GROCERY

3508819 1003 5.03 6.00 04-01-14 04-22 10 MISSING 1ST SIGNATURE/VOID------------------------------------------------------------------------------------------


CHECK VENDOR RETURN MAXIMUM FIRST PAID CHECK NUMBER NUMBER AMOUNT AMOUNT DATE DATE TYPE CODE---------- ------ ------- ------- -------- ----- ---------- ------------------------------ VENDOR 1006 B & S QUICK STOP

3366442 1006 27.80 21.06 04-01-14 04-24 5005 UNREASONABLE DOLLAR------------------------------------------------------------------------------------------



******************************************************************************************TOTALS (RETURNED) COUNT AMOUNT 203 4,567.88 MISSING VENDOR # 89 2,125.46 UNREADABLE VENDOR# 1 9.69 STALEDATE/VOID 6 229.42 EARLY CASHING/VOID 22 260.66 MISSING 1ST SIGNATURE/VOID 4 69.96 ENCODING ERROR 138 2,845.09 UNREASONABLE DOLLAR 4 236.66 2ND PRES/VOID DO NOT REDEPOSIT --------- ---------- 467 10,344.82 ALL


BANKING CONTRACTOR CLOSEOUT - STALE & POST DATED LIST REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT9STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:48:51 RPT: 4090

CHECK VENDOR PAID MAXIMUM FIRST PAID CHECK NUMBER NUMBER AMOUNT AMOUNT DATE DATE TYPE CODE---------- ------ ------- ------- -------- ----- ---------- -------------- 3373712 1020 24.56 43.02 05-01-14 04-28 73749 EARLY CASHING/ 3406151 3108 7.65 10.00 05-01-14 04-29 4 EARLY CASHING/ 3416395 3102 9.69 11.62 02-25-14 04-07 73553 STALEDATE/VOID 3472686 4106 63.12 66.28 05-01-14 04-03 7015 EARLY CASHING/ 3478125 5122 20.14 29.24 05-01-14 04-03 4031 EARLY CASHING/ 3494342 2048 94.75 109.00 06-01-14 04-11 3052 EARLY CASHING/ 3510025 3086 19.20 24.37 05-01-14 04-16 377 EARLY CASHING/***************************************************************************TOTALS COUNT AMOUNT PAID .00 RETURNED 7 239.11 --------- -------------- ALL 7 239.11


BANKING CONTRACTOR CLOSEOUT - PAID ITEMS - PREVIOUSLY RETURNED REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT11STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:49:61 RPT: 4110

CHECK VENDOR PAID MAXIMUM FIRST PAID CHECK NUMBER NUMBER AMOUNT AMOUNT DATE DATE TYPE CODE---------- ------ ------- ------- -------- ----- ---------- -------------------- 3232335 3086 1.96 13.44 03-01-14 04-07 6001 I/40 UNREASONABLE D 3233823 2118 18.10 22.79 03-01-14 04-17 370 A/01 M/VENDOR # 3233824 2118 5.87 6.00 03-01-14 04-17 10 A/01 M/VENDOR # 3233837 2118 27.28 34.34 03-01-14 04-17 9014 A/01 M/VENDOR # 3234213 4106 23.96 30.48 03-01-14 04-08 72264 A/01 M/VENDOR # 3235936 3073 29.14 33.32 02-01-14 04-01 418 I/40 UNREASONABLE D 3237535 4113 5.46 6.89 03-01-14 04-22 71369 I/40 UNREASONABLE D 3239423 5100 18.94 30.50 03-01-14 04-01 363 A/01 M/VENDOR # 3240398 2118 22.21 30.48 03-01-14 04-09 72264 A/01 M/VENDOR # 3240399 2118 14.08 22.79 03-01-14 04-09 370 A/01 M/VENDOR # 3252396 4111 14.25 22.79 03-01-14 04-08 370 A/01 M/VENDOR #


3253820 3091 19.47 43.00 03-01-14 04-08 8810 A/01 M/VENDOR # 3256690 2118 20.52 25.52 03-01-14 04-17 72273 A/01 M/VENDOR # 3257011 4128 13.33 29.57 03-01-14 04-01 4031 A/01 M/VENDOR # 3257667 2096 5.16 6.00 03-01-14 04-09 10 A/01 M/VENDOR # 3260154 3003 32.61 46.79 03-01-14 04-01 9014 D/03 U/VENDOR# 3262250 1018 19.95 36.05 03-01-14 04-08 370 D/03 U/VENDOR# 3262260 1018 34.28 46.80 03-01-14 04-08 9014 D/03 U/VENDOR# 3262262 1018 5.58 8.14 03-01-14 04-08 71369 D/03 U/VENDOR# 3262263 1018 9.00 10.00 03-01-14 04-08 4 D/03 U/VENDOR# 3269776 5157 5.46 6.89 03-01-14 04-21 71369 I/40 UNREASONABLE D 3274658 5123 81.25 96.50 03-01-14 04-22 1820 A/01 M/VENDOR # 3274687 5123 15.47 34.90 03-01-14 04-22 7680 A/01 M/VENDOR # 3274689 5123 9.35 10.00 03-01-14 04-22 4 A/01 M/VENDOR # 3275443 2118 19.90 30.48 03-01-14 04-09 72264 A/01 M/VENDOR #


BANKING CONTRACTOR CLOSEOUT - PAID ITEMS - PREVIOUSLY RETURNED REPORT DATE 4/30/14 PAGE 7INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT11STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:49:61 RPT: 4110

*********************************************************************************TOTALS COUNT AMOUNT PAID 315 8,463.35 RETURNED .00 --------- -------------- ALL 315 8,463.35


BANKING CONTRACTOR CLOSEOUT - NOT ISSUED ITEMS REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT13STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:50:59 RPT: 4130

CHECK VENDOR PAID MAXIMUM FIRST PAID CHECK NUMBER NUMBER AMOUNT AMOUNT DATE DATE TYPE CODE---------- ------ ------- ------- -------- ----- ---------- -------------- 3463470 4066 9.49 .00 04-30 0***********************************************************************************TOTALS COUNT AMOUNT PAID 1 9.49 RETURNED .00 --------- -------------- ALL 1 9.49


BANKING CONTRACTOR CLOSEOUT - PAID EXCEPTION LIST REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT14STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:51:62 RPT: 4140

CHECK VENDOR PAID MAXIMUM FIRST CHECK CHECK VENDOR PAID MAXIMUM FIRST CHECK NUMBER NUMBER AMOUNT AMOUNT DATE TYPE CODE NUMBER NUMBER AMOUNT AMOUNT DATE TYPE CODE---------- ------ ------- ------- ----- ---------- -------------- ---------- ------ ------- ------- ----- ---------- --------------- 3361838 4111 23.56 30.48 03-01 72264 PREV RT 01/APAID/PREVIOUSLY RETURNED: (01/A) MISSING VENDOR # 3361844 4111 78.90 82.85 03-01 1820 PREV RT 01/A 3361845 4111 63.12 66.28 03-01 7015 PREV RT 01/A 3233823 2118 18.10 22.79 03-01 370 PREV RT 01/A 3363712 2118 16.35 22.79 03-01 370 PREV RT 01/A 3233824 2118 5.87 6.00 03-01 10 PREV RT 01/A 3363713 2118 4.75 6.00 03-01 10 PREV RT 01/A 3233837 2118 27.28 34.34 03-01 9014 PREV RT 01/A 3364449 2118 3.36 6.89 03-01 71369 PREV RT 01/A 3234213 4106 23.96 30.48 03-01 72264 PREV RT 01/A 3364450 2118 9.23 10.00 03-01 4 PREV RT 01/A 3239423 5100 18.94 30.50 03-01 363 PREV RT 01/A 3365078 5157 22.97 30.81 04-01 72264 PREV RT 01/A 3240398 2118 22.21 30.48 03-01 72264 PREV RT 01/A 3365366 4111 15.85 25.36 04-01 366 PREV RT 01/A


3240399 2118 14.08 22.79 03-01 370 PREV RT 01/A 3365367 4111 17.97 28.44 04-01 70400 PREV RT 01/A 3252396 4111 14.25 22.79 03-01 370 PREV RT 01/A 3365368 4111 5.17 6.00 04-01 10 PREV RT 01/A 3253820 3091 19.47 43.00 03-01 8810 PREV RT 01/A 3375630 2118 8.44 10.00 03-01 4 PREV RT 01/A 3256690 2118 20.52 25.52 03-01 72273 PREV RT 01/A 3376378 4029 23.95 40.82 04-01 72264 PREV RT 01/A 3257011 4128 13.33 29.57 03-01 4031 PREV RT 01/A 3376379 4029 15.52 36.05 04-01 370 PREV RT 01/A 3257667 2096 5.16 6.00 03-01 10 PREV RT 01/A 3377212 2118 28.82 34.34 03-01 9014 PREV RT 01/A 3274658 5123 81.25 96.50 03-01 1820 PREV RT 01/A 3377416 2046 18.56 33.25 04-01 370 PREV RT 01/A 3274687 5123 15.47 34.90 03-01 7680 PREV RT 01/A 3377417 2046 5.86 6.00 04-01 10 PREV RT 01/A 3274689 5123 9.35 10.00 03-01 4 PREV RT 01/A 3377424 2046 25.30 43.14 04-01 72274 PREV RT 01/A 3275443 2118 19.90 30.48 03-01 72264 PREV RT 01/A 3378221 4078 15.29 35.16 04-01 397 PREV RT 01/A 3275444 2118 10.14 22.79 03-01 370 PREV RT 01/A 3387058 4124 23.26 47.42 04-01 72272 PREV RT 01/A 3281509 2118 3.39 6.00 03-01 10 PREV RT 01/A 3387384 2118 14.64 16.32 03-01 5005 PREV RT 01/A 3281521 2118 4.86 6.00 03-01 10 PREV RT 01/A 3387385 2118 11.94 13.44 03-01 6001 PREV RT 01/A 3291183 2118 23.86 31.11 03-01 72267 PREV RT 01/A 3387761 4124 32.09 53.58 04-01 8009 PREV RT 01/A 3292543 2130 12.40 16.32 03-01 5005 PREV RT 01/A 3387763 4124 9.67 10.00 04-01 4 PREV RT 01/A 3299868 2118 21.96 30.48 03-01 72264 PREV RT 01/A 3388438 4124 21.46 33.25 04-01 370 PREV RT 01/A 3299972 2096 14.00 16.32 03-01 5005 PREV RT 01/A 3388439 4124 4.02 6.00 04-01 10 PREV RT 01/A 3301466 2118 18.68 24.73 03-01 363 PREV RT 01/A 3389123 5043 89.95 100.70 04-01 1820 PREV RT 01/A 3301752 2118 5.43 6.00 03-01 10 PREV RT 01/A 3389124 5043 71.96 80.56 04-01 7015 PREV RT 01/A 3301759 2118 21.96 30.48 03-01 72264 PREV RT 01/A 3393779 4078 10.77 33.25 04-01 370 PREV RT 01/A 3307108 4025 5.61 6.00 03-01 10 PREV RT 01/A 3396190 2118 9.94 24.73 03-01 363 PREV RT 01/A 3311817 2130 28.44 33.42 03-01 442 PREV RT 01/A 3402867 2118 23.50 32.18 03-01 1695 PREV RT 01/A

BANKING CONTRACTOR CLOSEOUT - PAID EXCEPTION LIST REPORT DATE 4/30/14 PAGE 12INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT14STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:51:62 RPT: 4140

******************************************************************TOTALS (PAID): COUNT AMOUNT PREV PAID:(01/A) MISSING VENDO 151 3,238.33 PREV PAID:(03/D) UNREADABLE VE 55 1,328.15 PREV PAID:(38/N) ENCODING ERRO 2 16.85 PREV PAID:(40/I) UNREASONABLE 105 3,668.97 PREV PAID:(50/W) 2ND PRES/VOID 2 211.05 ADJUSTMENTS 10 104.80 COMPLIANCE BUY 6 69.89 FORCE AUTHORIZED STAMP 1 5.78 REDEEMED AT MAXIMUM 798 5,833.00 --------- -------------- ALL 1,130 14,476.82



BANKING CONTRACTOR CLOSEOUT - ENDORSEMENT FORCE LIST REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT17STATE: MB ACCOUNT: 999999 SUMMARY BY VENDOR TIME PREPARED 12:30:52:72 RPT: 4170

CORP. VENDOR ----FORCED VENDOR---- -----FORCED DATE----- ----PURCHASE DATE---- -------TOTALS--------CODE NUMBER NAME COUNT AMOUNT COUNT AMOUNT COUNT AMOUNT COUNT AMOUNT----- ------ ------------------------------ ------- ------------- ------- ------------- ------- ------------- ------- ------------- 999999 0 .00 0 .00 0 .00 0 .00

REPORT TOTALS 0 .00 0 .00 0 .00 0 .00


BANKING CONTRACTOR CLOSEOUT - AVERAGE BY FOOD TYPE REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT18STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:53:69 RPT: 4180

ITEM ITEM ITEM - - - - - - - - - - - I T E M M A X I M U M - - - - - - - - - - - - - - FOOD TYPE COUNT AMOUNT AVERAGE ---------- ------ ------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- 0000000000 7 79.38 11.34 00 .00 00 .00 00 .00 00 .00 00 .00 00 .00 00 .00 4 3,843 34,973.84 9.10 01 10.00 02 10.00 03 10.00 04 10.00 13 10.00 00 .00 00 .00 10 8,696 47,620.55 5.48 01 6.00 02 6.00 03 6.00 04 6.00 13 6.00 00 .00 00 .00 96 1 31.67 31.67 01 56.03 02 53.84 03 55.85 13 36.37 00 .00 00 .00 00 .00 306 8 113.84 14.23 01 15.00 02 15.00 03 15.00 04 15.00 13 15.00 00 .00 00 .00 349 48 746.05 15.54 01 24.92 02 23.95 03 22.86 13 19.41 00 .00 00 .00 00 .00 351 14 240.36 17.17 01 27.14 02 27.04 03 26.92 13 20.04 00 .00 00 .00 00 .00 361 2 25.55 12.78 01 27.13 02 26.97 03 26.89 13 20.04 00 .00 00 .00 00 .00 363 883 17,033.26 19.29 01 31.86 02 30.50 03 28.96 13 25.06 00 .00 00 .00 00 .00 364 25 458.80 18.35 01 29.74 02 28.60 03 26.67 13 24.22 00 .00 00 .00 00 .00 366 710 13,337.75 18.79 01 34.09 02 33.66 03 33.05 13 25.69 00 .00 00 .00 00 .00 370 3,870 71,109.71 18.37 01 36.05 02 33.25 03 32.15 13 22.79 00 .00 00 .00 00 .00 374 2 29.61 14.81 01 22.80 02 22.05 03 20.57 13 18.57 00 .00 00 .00 00 .00 375 1 12.85 12.85 01 22.81 02 22.12 03 20.60 13 18.57 00 .00 00 .00 00 .00 377 1,524 27,298.49 17.91 01 37.24 02 34.08 03 33.51 13 24.37 00 .00 00 .00 00 .00


383 30 622.93 20.76 01 34.07 02 33.52 03 32.99 13 25.69 00 .00 00 .00 00 .00


BANKING CONTRACTOR CLOSEOUT - AVERAGE BY FOOD TYPE REPORT DATE 4/30/14 PAGE 10INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT18STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:53:69 RPT: 4180

ITEM ITEM ITEM - - - - - - - - - - - I T E M M A X I M U M - - - - - - - - - - - - - - FOOD TYPE COUNT AMOUNT AVERAGE ---------- ------ ------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- 73640 1 11.81 11.81 01 20.35 02 19.56 03 18.10 13 16.67 00 .00 00 .00 00 .00 73642 4 26.00 6.50 01 11.71 02 11.41 03 11.67 13 6.60 00 .00 00 .00 00 .00 73643 1 3.68 3.68 01 12.47 02 11.32 03 8.46 13 6.47 00 .00 00 .00 00 .00 73647 2 9.41 4.71 01 12.14 02 11.41 03 11.67 13 6.60 00 .00 00 .00 00 .00 73652 2 20.99 10.50 01 15.97 02 16.70 03 17.88 13 12.21 00 .00 00 .00 00 .00 73657 1 17.27 17.27 01 31.31 02 29.42 03 30.63 13 19.10 00 .00 00 .00 00 .00 73659 1 14.16 14.16 01 28.05 02 26.96 03 28.41 13 18.39 00 .00 00 .00 00 .00 73662 1 4.65 4.65 01 14.00 02 12.70 03 12.85 13 8.57 00 .00 00 .00 00 .00 73673 1 11.16 11.16 01 33.28 02 30.76 03 31.29 13 21.21 00 .00 00 .00 00 .00 73678 1 19.05 19.05 01 32.53 02 32.04 03 31.88 13 23.69 00 .00 00 .00 00 .00 73685 2 32.10 16.05 01 34.75 02 32.16 03 31.32 13 21.77 00 .00 00 .00 00 .00 73689 3 22.06 7.35 01 43.64 02 38.56 03 38.38 13 25.16 00 .00 00 .00 00 .00 73700 3 49.73 16.58 01 25.91 02 25.00 03 24.44 13 20.99 00 .00 00 .00 00 .00 73712 1 27.50 27.50 01 60.53 02 59.21 03 59.98 13 44.80 00 .00 00 .00 00 .00 73718 1 14.54 14.54 01 20.70 02 20.89 03 22.35 13 12.35 00 .00 00 .00 00 .00 73724 2 22.67 11.34 01 19.48 02 18.88 03 18.88 13 12.86 00 .00 00 .00 00 .00 73728 1 5.46 5.46 01 12.42 02 12.10 03 12.40 13 9.69 00 .00 00 .00 00 .00 73730 1 39.30 39.30 01 58.26 02 55.46 03 56.43 13 39.81 00 .00 00 .00 00 .00 73731 1 22.70 22.70 01 36.70 02 37.78 03 39.58 13 31.70 00 .00 00 .00 00 .00 73738 3 63.82 21.27 01 37.04 02 34.30 03 33.73 13 24.37 00 .00 00 .00 00 .00 73743 1 10.77 10.77 01 25.99 02 23.93 03 23.99 13 17.45 00 .00 00 .00 00 .00 73783 1 46.19 46.19 01 64.02 02 66.30 03 66.70 13 52.11 00 .00 00 .00 00 .00 73785 1 38.04 38.04 01 66.77 02 66.16 03 65.74 13 48.90 00 .00 00 .00 00 .00 73794 1 16.70 16.70 01 29.63 02 28.68 03 29.68 13 19.51 00 .00 00 .00 00 .00 73824 1 15.11 15.11 01 20.26 02 20.52 03 21.95 13 16.08 00 .00 00 .00 00 .00 73827 1 39.11 39.11 01 69.22 02 66.70 03 66.46 13 48.98 00 .00 00 .00 00 .00 73833 1 30.03 30.03 01 49.31 02 48.12 03 48.78 13 36.01 00 .00 00 .00 00 .00 73837 1 9.28 9.28 01 18.48 02 17.06 03 17.30 13 10.82 00 .00 00 .00 00 .00 73843 1 25.15 25.15 01 38.92 02 35.96 03 36.60 13 27.10 00 .00 00 .00 00 .00 73846 2 47.27 23.64 01 40.20 02 37.94 03 34.74 13 30.52 00 .00 00 .00 00 .00 73848 1 23.85 23.85 01 48.12 02 49.52 03 53.50 13 41.19 00 .00 00 .00 00 .00


73854 1 6.38 6.38 01 10.12 02 9.56 03 9.76 13 8.14 00 .00 00 .00 00 .00 73857 1 8.93 8.93 01 19.16 02 17.50 03 17.60 13 12.01 00 .00 00 .00 00 .00 73863 1 52.20 52.20 01 64.15 02 59.53 03 60.20 13 42.39 00 .00 00 .00 00 .00 73871 1 11.92 11.92 01 38.62 02 36.88 03 36.64 13 26.28 00 .00 00 .00 00 .00 73877 1 28.51 28.51 01 41.26 02 40.50 03 42.44 13 31.72 00 .00 00 .00 00 .00 73882 1 9.30 9.30 01 20.09 02 19.22 03 20.47 13 11.18 00 .00 00 .00 00 .00 73885 1 31.43 31.43 01 54.16 02 52.54 03 53.09 13 41.44 00 .00 00 .00 00 .00 73893 1 26.35 26.35 01 44.77 02 43.82 03 43.09 13 35.73 00 .00 00 .00 00 .00 73897 1 42.01 42.01 01 51.38 02 53.18 03 54.18 13 40.52 00 .00 00 .00 00 .00 73928 2 34.22 17.11 01 27.96 02 27.93 03 29.02 13 21.09 00 .00 00 .00 00 .00 73938 1 17.41 17.41 01 38.08 02 38.30 03 41.13 13 26.81 00 .00 00 .00 00 .00

TOTALS 49,028 1,145,726.05 23.37


BANKING CONTRACTOR CLOSEOUT - VENDOR TOTALS BY VENDOR NUMBER REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT19STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:57:90 RPT: 4190

AVERAGE ------PROCESSED----- --------PAID-------- ------RETURNED------ -----REIMBURSED-----CORP NUMBER VENDOR NAME AMOUNT COUNT AMOUNT COUNT AMOUNT COUNT AMOUNT COUNT AMOUNT----- ------ ---------------------------- ------ ------- ------------ ------- ------------ ------- ------------ ------- ------------ 0 VENDOR NOT ON FILE 22.92 292 6,693.34 .00 292 6,693.34 .00

*RPT TOTALS* REGULAR ITEMS 23.36 49,495 1156,070.87 49,028 1145,726.05 467 10,344.82 .00

BANKING CONTRACTOR CLOSEOUT - VENDOR WITH NO ACTIVITY REPORT DATE 4/30/14 PAGE 5INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WICRPT19STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:57:90 RPT: 3190

NUMBER VENDOR NAME NUMBER VENDOR NAME NUMBER VENDOR NAME NUMBER VENDOR NAME ------ ------------------------- ------ ----------------------- ------ ----------------------- ------ ------------------------

BANKING CONTRACTOR CLOSEOUT - REDEMPTIONS BY VENDOR REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT30STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:59:19 RPT: 4300

CHECK VENDOR ISSUE PAID DOLLAR RETURN DRAFT


NUMBER NUMBER DATE DATE AMOUNT CODE TYPE RETURN CODE---------- ------ -------- -------- -------- ------ ----- ------------------------------

VENDOR 0 VENDOR NUMBER NOT ON FILE

3221562 03/01/14 04/04/14 5.72 03 10 UNREADABLE VENDOR# 3233823 03/01/14 04/01/14 18.10 01 370 MISSING VENDOR # 3233824 03/01/14 04/01/14 5.87 01 10 MISSING VENDOR # 3233837 03/01/14 04/01/14 27.28 01 9014 MISSING VENDOR # 3253820 03/01/14 04/01/14 19.47 01 8810 MISSING VENDOR # 3255201 03/01/14 04/09/14 23.55 03 370 UNREADABLE VENDOR# 3256690 03/01/14 04/01/14 20.52 01 72273 MISSING VENDOR # 3262250 03/01/14 04/02/14 19.95 03 370 UNREADABLE VENDOR# 3262260 03/01/14 04/02/14 34.28 03 9014 UNREADABLE VENDOR# 3262262 03/01/14 04/02/14 5.58 03 71369 UNREADABLE VENDOR# 3262263 03/01/14 04/02/14 9.00 03 4 UNREADABLE VENDOR# 3267686 03/01/14 04/10/14 23.84 03 8810 UNREADABLE VENDOR# 3281509 03/01/14 04/01/14 3.39 01 10 MISSING VENDOR # 3281521 03/01/14 04/01/14 4.86 01 10 MISSING VENDOR # 3288410 03/01/14 04/10/14 22.35 03 370 UNREADABLE VENDOR# 3288411 03/01/14 04/10/14 5.74 03 10 UNREADABLE VENDOR# 3291183 03/01/14 04/01/14 23.86 01 72267 MISSING VENDOR # 3291410 04/01/14 04/30/14 26.93 03 9014 UNREADABLE VENDOR# 3292544 03/01/14 04/08/14 10.44 03 6001 UNREADABLE VENDOR# 3293495 04/01/14 04/17/14 3.99 01 4205 MISSING VENDOR # 3480501 5163 04/01/14 04/17/14 17.75 72264 3480503 5163 04/01/14 04/24/14 5.39 10 3480652 5163 04/01/14 04/24/14 31.10 72274 3480654 5163 04/01/14 04/24/14 5.77 10 3480824 5163 04/01/14 04/17/14 24.74 486 3480825 5163 04/01/14 04/17/14 35.32 70274 3480826 5163 04/01/14 04/17/14 5.98 10 3481846 5163 04/01/14 04/17/14 30.21 72380 3481848 5163 04/01/14 04/17/14 5.68 10 3481854 5163 04/01/14 04/17/14 115.43 6241 3483674 5163 04/01/14 04/17/14 13.23 5005 3485047 5163 04/01/14 04/17/14 147.54 8113 3485048 5163 04/01/14 04/17/14 122.95 5090 3487883 5163 04/01/14 04/17/14 26.63 72264

BANKING CONTRACTOR CLOSEOUT - REDEMPTIONS BY VENDOR REPORT DATE 4/30/14 PAGE 1,065INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT30STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:59:19 RPT: 4300

CHECK VENDOR ISSUE PAID DOLLAR RETURN DRAFT NUMBER NUMBER DATE DATE AMOUNT CODE TYPE RETURN CODE---------- ------ -------- -------- -------- ------ ----- ------------------------------ 3487884 5163 04/01/14 04/24/14 23.25 370 3489063 5163 04/01/14 04/17/14 22.25 418 3489064 5163 04/01/14 04/17/14 5.85 10 3489686 5163 04/02/14 04/17/14 22.14 72274 3489688 5163 04/02/14 04/17/14 5.94 10 3493348 5163 04/03/14 04/17/14 31.89 9014 3493351 5163 04/03/14 04/17/14 9.80 4 3493976 5163 04/01/14 04/17/14 31.62 70274 3493977 5163 04/01/14 04/17/14 5.74 10 3494681 5163 04/01/14 04/17/14 13.94 5005 3496132 5163 04/04/14 04/17/14 31.62 72284 3496135 5163 04/04/14 04/17/14 8.12 4 3498953 5163 04/07/14 04/17/14 34.19 9014 3498956 5163 04/07/14 04/17/14 9.75 4 3500231 5163 04/07/14 04/24/14 24.74 73846 3500232 5163 04/07/14 04/24/14 18.06 73576 3500233 5163 04/07/14 04/24/14 5.76 10

VENDOR 5163 TOTALS

TOTAL PAID 650 13,934.11 TOTAL RETURN 0 .00


---------------------------------------------------------------------------------------------------BANKING CONTRACTOR CLOSEOUT - REDEMPTIONS BY VENDOR REPORT DATE 4/30/14 PAGE 1,066INSTITUTION NR. 3 AS OF REPORT DATE RUN DATE 5/01/14 WIMRPT30STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:30:59:19 RPT: 4300

CHECK VENDOR ISSUE PAID DOLLAR RETURN DRAFT NUMBER NUMBER DATE DATE AMOUNT CODE TYPE RETURN CODE---------- ------ -------- -------- -------- ------ ----- ------------------------------

VENDOR 5165 Cory's Valley Market

3320219 5165 04/01/14 04/22/14 27.51 9014 3320220 5165 04/01/14 04/30/14 16.59 377 3320221 5165 04/01/14 04/28/14 3.94 71369 3320222 5165 04/01/14 04/08/14 9.92 4 3320232 5165 04/01/14 04/08/14 23.48 72264 3320233 5165 04/01/14 04/11/14 15.14 370 3320234 5165 04/01/14 04/24/14 5.89 10 3330886 5165 04/01/14 04/07/14 36.52 72272 3330887 5165 04/01/14 04/07/14 27.78 72273 3330888 5165 04/01/14 04/07/14 5.77 10 3374632 5165 04/01/14 04/03/14 26.70 72274 3374633 5165 04/01/14 04/10/14 18.33 418 3374634 5165 04/01/14 04/03/14 5.51 10 3374638 5165 04/01/14 04/03/14 13.29 6001 3374639 5165 04/01/14 04/03/14 125.93 72630 3374692 5165 03/01/14 04/01/14 18.24 370 3374697 5165 03/01/14 04/01/14 18.83 72274 3374699 5165 03/01/14 04/01/14 2.77 10 3374707 5165 03/01/14 04/01/14 16.18 370 3374709 5165 04/01/14 04/14/14 22.22 72264 3374883 5165 04/01/14 04/08/14 24.66 72264 3374884 5165 04/01/14 04/15/14 21.97 370 3374885 5165 04/01/14 04/08/14 5.00 10 3375105 5165 03/01/14 04/02/14 3.94 71369 3375120 5165 03/01/14 04/01/14 17.28 439 3375123 5165 03/01/14 04/01/14 11.09 418 3375124 5165 03/01/14 04/01/14 5.41 10 3375336 5165 04/01/14 04/04/14 21.43 377 3375760 5165 03/01/14 04/01/14 6.00 10 3375764 5165 03/01/14 04/01/14 30.53 443 3375766 5165 03/01/14 04/01/14 5.72 10 3375968 5165 04/01/14 04/18/14 25.87 72264 3375969 5165 04/01/14 04/10/14 12.03 370 3375970 5165 04/01/14 04/10/14 5.15 10 3375974 5165 04/01/14 04/11/14 26.91 72264 3375975 5165 04/01/14 04/30/14 13.94 370 3375976 5165 04/01/14 04/11/14 5.44 10 3376214 5165 04/01/14 04/23/14 17.87 370 3376628 5165 04/01/14 04/04/14 19.77 72264 3376629 5165 04/01/14 04/04/14 17.79 370 3376630 5165 04/01/14 04/04/14 3.34 10 3376925 5165 03/01/14 04/02/14 18.53 377 3376926 5165 03/01/14 04/02/14 4.04 71369 3376931 5165 04/01/14 04/07/14 23.52 72264 3376932 5165 04/01/14 04/24/14 22.11 370 3377160 5165 04/01/14 04/03/14 88.45 1820 3377161 5165 04/01/14 04/03/14 88.45 1820 3377165 5165 04/01/14 04/03/14 19.23 7680 3377166 5165 04/01/14 04/03/14 9.00 439 3377167 5165 04/01/14 04/03/14 4.73 4



CHECK VENDOR ISSUE PAID DOLLAR RETURN DRAFT NUMBER NUMBER DATE DATE AMOUNT CODE TYPE RETURN CODE---------- ------ -------- -------- -------- ------ ----- ------------------------------ 3381947 5165 04/01/14 04/03/14 23.54 40 5005 UNREASONABLE DOLLAR 3381949 5165 04/01/14 04/03/14 123.83 7104 3427270 5165 03/01/14 04/01/14 21.28 7680 3427272 5165 03/01/14 04/02/14 6.52 4 3482371 5165 04/01/14 04/08/14 123.83 7104 3485418 5165 04/01/14 04/30/14 88.45 1820 3485419 5165 04/01/14 04/30/14 70.76 7015 3485424 5165 04/01/14 04/04/14 18.63 7680 3485425 5165 04/01/14 04/30/14 11.58 439 3485426 5165 04/01/14 04/04/14 7.81 4 3485433 5165 04/01/14 04/04/14 19.30 72274 3485434 5165 04/01/14 04/30/14 14.94 418 3485435 5165 04/01/14 04/30/14 2.98 10 3485490 5165 04/01/14 04/22/14 11.04 5005 3485491 5165 04/01/14 04/22/14 11.04 6001 3485496 5165 04/01/14 04/22/14 15.58 672 3485497 5165 04/01/14 04/14/14 21.97 70400 3485498 5165 04/01/14 04/14/14 5.99 10 3486005 5165 04/01/14 04/11/14 25.77 72326 3486006 5165 04/01/14 04/22/14 19.73 418 3486007 5165 04/01/14 04/22/14 4.79 10 3486175 5165 04/01/14 04/03/14 28.22 72274 3486176 5165 04/01/14 04/14/14 17.92 418 3486177 5165 04/01/14 04/18/14 5.24 10 3486544 5165 04/01/14 04/15/14 25.91 72264 3486545 5165 04/01/14 04/23/14 18.67 370 3486546 5165 04/01/14 04/24/14 6.00 10 3486553 5165 04/01/14 04/17/14 25.91 72326 3486554 5165 04/01/14 04/23/14 18.67 418 3486555 5165 04/01/14 04/24/14 4.60 10 3486562 5165 04/01/14 04/15/14 25.91 72264 3486563 5165 04/01/14 04/17/14 21.61 370 3486564 5165 04/01/14 04/24/14 6.00 10 3486687 5165 04/01/14 04/08/14 31.80 475 3486688 5165 04/01/14 04/08/14 37.72 474 3486693 5165 04/01/14 04/30/14 30.69 475 3486695 5165 04/01/14 04/30/14 5.86 10 3487602 5165 04/01/14 04/03/14 9.94 4 3488011 5165 04/01/14 04/03/14 15.54 5005 3488013 5165 04/01/14 04/03/14 123.83 7104 3488159 5165 04/01/14 04/07/14 23.94 72284 3488160 5165 04/01/14 04/11/14 12.74 377 3488161 5165 04/01/14 04/22/14 4.04 71369 3488162 5165 04/01/14 04/07/14 9.28 4 3488281 5165 04/01/14 04/16/14 22.79 72264 3488282 5165 04/01/14 04/28/14 14.09 370 3488283 5165 04/01/14 04/28/14 5.88 10 3488296 5165 04/01/14 04/09/14 20.68 72264 3488297 5165 04/01/14 04/28/14 13.59 370 3488298 5165 04/01/14 04/09/14 5.35 10 3488372 5165 04/01/14 04/03/14 14.73 363 3488373 5165 04/01/14 04/17/14 15.99 8810 3488374 5165 04/01/14 04/03/14 4.29 10



CHECK VENDOR ISSUE PAID DOLLAR RETURN DRAFT NUMBER NUMBER DATE DATE AMOUNT CODE TYPE RETURN CODE---------- ------ -------- -------- -------- ------ ----- ------------------------------ 3488378 5165 04/01/14 04/30/14 12.44 366 3488379 5165 04/01/14 04/11/14 14.30 70400 3488380 5165 04/01/14 04/11/14 5.99 10 3488689 5165 04/01/14 04/24/14 28.48 72274 3488690 5165 04/01/14 04/30/14 15.98 418 3488691 5165 04/01/14 04/30/14 6.00 10 3488695 5165 04/01/14 04/14/14 32.03 443 3488696 5165 04/01/14 04/30/14 29.25 442 3488697 5165 04/01/14 04/30/14 5.72 10 3506656 5165 04/01/14 04/22/14 34.24 486 3506657 5165 04/01/14 04/30/14 27.02 73594 3506658 5165 04/01/14 04/22/14 6.00 10 3506663 5165 04/01/14 04/22/14 21.85 4031 3506664 5165 04/01/14 04/30/14 21.85 4031 3506665 5165 04/01/14 04/22/14 21.85 4031 3506670 5165 04/01/14 04/23/14 42.73 9859 3506671 5165 04/01/14 04/30/14 36.56 73609 3506672 5165 04/01/14 04/22/14 14.34 73585 3506673 5165 04/01/14 04/22/14 9.59 4

VENDOR 5165 TOTALS

TOTAL PAID 121 2,659.21 TOTAL RETURN 1 23.54

CODE COUNT AMOUNT 40 1 23.54 UNREASONABLE DOLLAR


***************************************************************************************************

REPORT TOTAL PAID 49028 145,726.05 REPORT TOTAL RETURN 467 10,344.82

TOTALS (RETURNED) COUNT AMOUNT 203 4,567.88 MISSING VENDOR # 89 2,125.46 UNREADABLE VENDOR# 1 9.69 STALEDATE/VOID 6 229.42 EARLY CASHING/VOID 22 260.66 MISSING 1ST SIGNATURE/VOID 4 69.96 ENCODING ERROR 138 2,845.09 UNREASONABLE DOLLAR 4 236.66 2ND PRES/VOID DO NOT REDEPOSIT --------- ---------- 467 10,344.82 ALL



BANKING CONTRACTOR CLOSEOUT - VENDOR QUARTERLY ACTIVITY SUMMARY REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 REPORT IN VENDOR NAME ORDER RUN DATE 5/01/14 WIMRPT31STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:31:02:45 RPT: 4310

VENDOR REDEMPTION -----------PAID--------- -------RETURNED------- ------REIMBURSED------ NUMBER NAME AND ADDRESS PERIOD COUNT AMOUNT COUNT AMOUNT COUNT AMOUNT ----- ------ ---------------------------- ------------- ------------------------ ----------------------- ----------------------- 000000 UNKNOWN VENDOR NAME FEB-APR 2014 0 0.00 706 16,895.15 0 0.00 NOV-JAN 2014 0 0.00 642 14,936.80 0 0.00 AUG-OCT 2013 0 0.00 845 19,402.60 0 0.00 MAY-JUL 2013 0 0.00 806 21,039.69 0 0.00 YEAR TOTAL 0 0.00 2,999 72,274.24 0 0.00 **Activity Warning** FISCAL YEAR 0 0.00 1,609 37,431.23 0 0.00

BANKING CONTRACTOR CLOSEOUT - QUARTERLY REPORT OF HIGH RISK VENDORS REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 REPORT IN DESCENDING DOLLAR ORDER RUN DATE 5/01/14 WIMRPT32STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:31:08:44 RPT: 4320

PAID & PAID & % % OF # AND % # AND $ VENDOR VENDOR ACH % ACH CHG STATE WITHIN 5% RETURNED FOR FLAGS NUMBER NAME COUNT CHG AMOUNT AVG AMOUNT OF MAXIMUM OVER DOLLAR MAX 1 2 3 ------ --------------------------- ---------- ------ ------------- ----- ------ --------------- -------------------- ----- State Totals MAY-JUL 2013 149,772 5.6 3,512,078.94 0.6- 100.0 19,699 0.0 320 9,718.13 AUG-OCT 2013 148,681 0.7- 3,490,895.73 0.1 100.0 21,275 0.0 512 22,389.02 NOV-JAN 2014 148,837 0.1 3,409,806.33 2.4- 100.0 24,530 0.0 629 18,938.82 FEB-APR 2014 141,258 5.1- 3,330,590.52 2.8 100.0 23,459 0.0 505 15,920.38 ---------- -------------- ----- --------- -------------------- 588,548 13,743,371.52 100.0 88,963 1,966 66,966.35------------------------------------------------------------------------------------------------------------------------------------ Flags are (Y)es/(N)o based if they meet that particular flag's criteria.

Flag 1: # of items within 5% of maximum plus the # items returned for over the dollar maximum, exceeds 5% of the total number of items for this vendor. Flag 2: Vendors who have 2% or more of the State total business (in dollar amount). Flag 3: Vendors who have had a change of 15% or more in their quarter to quarter business (in paid item count).


BANKING CONTRACTOR CLOSEOUT - QUARTERLY REPORT OF HIGH RISK VENDORS REPORT DATE 4/30/14 PAGE 2INSTITUTION NR. 3 REPORT IN DESCENDING DOLLAR ORDER RUN DATE 5/01/14 WIMRPT32STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:31:08:44 RPT: 4320

PAID & PAID & % % OF # AND % # AND $ VENDOR VENDOR ACH % ACH CHG STATE WITHIN 5% RETURNED FOR FLAGS NUMBER NAME COUNT CHG AMOUNT AVG AMOUNT OF MAXIMUM OVER DOLLAR MAX 1 2 3


BANKING CONTRACTOR CLOSEOUT - PAID WITHIN 05% OF MAXIMUM REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 REPORT IN TYPE ORDER RUN DATE 5/01/14 WIMRPT33STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:31:12:59 RPT: 4330

CHECK PAID MAXIMUM CORP VENDOR FIRST PAID CHECK CHECK PAID MAXIMUM CORP VENDOR FIRST PAID CHECK NUMBER AMOUNT AMOUNT CODE NUMBER DATE DATE TYPE NUMBER AMOUNT AMOUNT CODE NUMBER DATE DATE TYPE---------- ------- ------- ----- ------ -------- ----- ---------- ---------- ------- ------- ----- ------ -------- ------ ---------- 3219145 9.97 10.00 5158 03-01 14 04-04 4| 3299662 9.96 10.00 2133 04-01 14 04-15 4 3225882 9.98 10.00 5009 03-01 14 04-01 4| 3299674 9.75 10.00 5056 04-01 14 04-10 4 3228056 9.76 10.00 4132 03-01 14 04-01 4| 3300095 9.93 10.00 4111 04-01 14 04-29 4 3229809 9.69 10.00 5156 03-01 14 04-01 4| 3300179 9.52 10.00 5162 03-01 14 04-10 4 3234763 9.95 10.00 4129 03-01 14 04-02 4| 3300355 10.00 10.00 2096 04-01 14 04-15 4 3239821 9.79 10.00 1010 03-01 14 04-01 4| 3300693 9.52 10.00 5001 03-01 14 04-03 4 3240059 9.87 10.00 3017 03-01 14 04-02 4| 3301855 9.59 10.00 5056 04-01 14 04-15 4 3240421 9.81 10.00 5160 03-01 14 04-04 4| 3302588 9.98 10.00 5159 03-01 14 04-04 4 3244944 9.66 10.00 5163 03-01 14 04-10 4| 3303650 9.89 10.00 1099 03-01 14 04-02 4 3245954 9.76 10.00 4052 03-01 14 04-02 4| 3304195 9.99 10.00 5056 04-01 14 04-15 4 3252437 10.00 10.00 5163 03-01 14 04-04 4| 3304714 10.00 10.00 4013 03-01 14 04-01 4 3253526 9.92 10.00 4044 03-01 14 04-03 4| 3305198 9.86 10.00 3088 04-01 14 04-09 4 3260596 9.82 10.00 4111 03-01 14 04-02 4| 3305310 10.00 10.00 1006 04-01 14 04-28 4 3263887 9.65 10.00 4140 03-01 14 04-07 4| 3305453 9.68 10.00 5056 04-01 14 04-09 4 3266070 9.66 10.00 1028 03-01 14 04-02 4| 3305582 9.98 10.00 4140 03-01 14 04-10 4 3267040 9.99 10.00 5122 03-01 14 04-01 4| 3305688 9.97 10.00 4140 04-01 14 04-18 4


BANKING CONTRACTOR CLOSEOUT - PAID WITHIN 05% OF MAXIMUM REPORT DATE 4/30/14 PAGE 77INSTITUTION NR. 3 REPORT IN TYPE ORDER RUN DATE 5/01/14 WIMRPT33STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:31:12:59 RPT: 4330

CHECK PAID MAXIMUM CORP VENDOR FIRST PAID CHECK CHECK PAID MAXIMUM CORP VENDOR FIRST PAID CHECK NUMBER AMOUNT AMOUNT CODE NUMBER DATE DATE TYPE NUMBER AMOUNT AMOUNT CODE NUMBER DATE DATE TYPE---------- ------- ------- ----- ------ -------- ----- ---------- ---------- ------- ------- ----- ------ -------- ------ ---------- 3479644 118.72 124.67 4111 04-01 14 04-18 73439| 3514717 11.07 11.52 1111 04-16 14 04-23 73544| 3516372 11.50 11.52 2014 04-01 14 04-22 73544| 3500297 23.82 24.77 2117 04-01 14 04-15 73546| 3514708 11.07 11.56 1111 04-01 14 04-23 73547| 3455612 14.56 14.90 1110 03-17 14 04-02 73551| 3511063 14.56 14.98 2127 04-15 14 04-23 73551| 3500590 26.86 27.54 4129 04-01 14 04-24 73561|STATE TOTALS:# WITHIN 05%: 8,064 16.4% TOTAL # STATE: 49,028$ WITHIN 05%: $183,633.25 16.0% TOTAL $ STATE: $1,145,726.05


BANKING CONTRACTOR VENDOR LIST REPORT DATE 4/30/14 PAGE 1INSTITUTION NR. 3 REPORT IN VENDOR NUMBER ORDER RUN DATE 5/01/14 WIMRPT38STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:31:52:39 RPT: 4380

CLASS PULL TERM REINSTVENDOR VENDOR NAME CODE FLAG DATE DATE BANK NAME BANK ACCOUNT/ABA LAST F/M

BANKING CONTRACTOR VENDOR LIST REPORT DATE 4/30/14 PAGE 39INSTITUTION NR. 3 REPORT IN VENDOR NUMBER ORDER RUN DATE 5/01/14 WIMRPT38STATE: MB ACCOUNT: 999999 ALL ITEMS TIME PREPARED 12:31:52:39 RPT: 4380

CLASS PULL TERM REINSTVENDOR VENDOR NAME CODE FLAG DATE DATE BANK NAME BANK ACCOUNT/ABA LAST F/M------ ----------------------------------- -- - -------- -------- ------------------------------ ----------------- --------

# Vendors Normal Status: 311# Vendors Terminated: 168# Vendors in Pull Status: 0# Vendors in Audit Status: 0 -------Total # Vendors: 479



BANKING CONTRACTOR TYPE LOAD REPORT DATE 5/01/14 PAGE 1INSTITUTION NR. 3 RUN DATE 5/01/14 WICTYPESTATE: MB ACCOUNT: 00999999 TIME PREPARED 18:45:20:95 RPT: 0020

TYPE -----1---- -----2---- -----3---- -----4---- -----5---- -----6---- -----7---- -----8---- -----9---- ----10---- MISC. ----11---- ----12---- ----13---- ----14---- ----15---- ----16---- ----17---- ----18---- ----19---- ----20---- 1023 INVALID MAX OR ACH : RECORD NUMBER: 32 1093 INVALID MAX OR ACH : RECORD NUMBER: 109 9987 INVALID MAX OR ACH : RECORD NUMBER: 56088 9995 INVALID MAX OR ACH : RECORD NUMBER: 56097

BANKING CONTRACTOR TYPE LOAD REPORT DATE 5/01/14 PAGE 171INSTITUTION NR. 3 RUN DATE 5/01/14 WICTYPESTATE: MB ACCOUNT: 00999999 TIME PREPARED 18:45:20:95 RPT: 0020

TYPE -----1---- -----2---- -----3---- -----4---- -----5---- -----6---- -----7---- -----8---- -----9---- ----10---- MISC. ----11---- ----12---- ----13---- ----14---- ----15---- ----16---- ----17---- ----18---- ----19---- ----20---- 2 01 72.05 02 69.45 03 70.95 13 50.16 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 0000000002 MAX 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 01 59.92 02 57.76 03 61.74 13 44.40 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 0000000002 ACH 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00 00 0.00

Number of Type/Package Records Added 47,624Number of Type/Package Records in Error 8,476 -------Number of Type/Package Records Read 56,100

Number of Type Max./Avg.Amount Changed 0


BANKING CONTRACTOR VENDOR LOAD REPORT DATE 5/01/14 PAGE 1INSTITUTION NR. 3 RUN DATE 5/01/14 WICVENDRSTATE: MB ACCOUNT: 00999999 CODE: 44 TIME PREPARED 18:45:11:27 RPT: 0021

CLASS PULL TERM REINSVENDOR VENDOR NAME CODE FLAG DATE DATE BANK/ABA/ACCOUNT MESSAGE

--------------------------------------------------------------------


BANKING CONTRACTOR VENDOR LOAD REPORT DATE 5/01/14 PAGE 39INSTITUTION NR. 3 RUN DATE 5/01/14 WICVENDRSTATE: MB ACCOUNT: 00999999 CODE: 44 TIME PREPARED 18:45:15:91 RPT: 0021


Number of Vendors Added 479 Number of Warnings: 0Number of Vendors in Error 0Number of Vendors Dropped 0 ------Number of Vendors Read 479


BANKING CONTRACTOR VENDOR LOAD REPORT DATE 5/01/14 PAGE 1

INSTITUTION NR. 3 ERRORS AND TOTALS ONLY RUN DATE 5/01/14 WICVENDRSTATE: MB ACCOUNT: 00999999 CODE: 44 TIME PREPARED 18:45:15:91 RPT: 0022


Number of Vendors Added 479 Number of Warnings: 0Number of Vendors in Error 0Number of Vendors Dropped 0 ------Number of Vendors Read 479


BANKING CONTRACTOR WIC ISSUED ITEMS ERRORS AND TOTALS REPORT REPORT DATE 5/01/14 PAGE 1INSTITUTION NR. 3 FILE: ISMB0501.001 RUN DATE 5/01/14 WICISS DIRECTORY: H:\DIALIN\H0042\ TIME PREPARED 11:14:37:76 RPT: 0062STATE: MB ACCOUNT: 999999

TOTALS: NUMBER AMOUNT ERRORS 0 .00 NEW RECORDS 3,890 .00 NEW RECS/PAID 0 .00 VOIDED/DELETE 0 .00 VOIDS 0 .00 UN-VOID 0 .00 STATE OVERRIDE 0 .00 STOP PAYMENTS 0 .00 COMPLIANCE 0 .00 CORRECTIONS 0 .00 DROPPED 0 .00 ACH 0 .00 ========= ============== ALL RECORDS 3,890 .00



BANKING CONTRACTOR WIC ISSUED NON FATAL REPORT REPORT DATE 5/01/14 PAGE 1INSTITUTION NR. 3 FILE: ISMB0501.001 RUN DATE 5/01/14 WICISS DIRECTORY: H:\DIALIN\H0042\ TIME PREPARED 11:13:58:75 RPT: 0063STATE: MB ACCOUNT: 999999

CHECK ISSUE -------------MAXIMUM AMOUNTS----------- PAID PAID TRAN TRACE NUMBER DATE TYPE DATE AMOUNT CODE NUMBER MESSAGES 3545376 New 01: 0.00 02: 0.00 03: 0.00 .00 0 INV TYPE: 73949 3546866 New 01: 0.00 02: 0.00 03: 0.00 .00 0 INV TYPE: 73950 3547409 New 01: 0.00 02: 0.00 03: 0.00 .00 0 INV TYPE: 9995 3547860 New 01: 0.00 02: 0.00 03: 0.00 .00 0 INV TYPE: 73951

TOTALS: NUMBER OF ITEMS: 4 TOTAL MAX AMOUNT: .00 TOTAL PAID AMOUNT: .00

