HomeMy WebLinkAboutUser Cardholder Agreement - JP Morgan ChaseParticipating Employee Acknowledgment of Responsibilities
By participating in the City of South Bend Commercial Card Program as a
Cardholder, you assume responsibilities pertaining to the operation and
administration of the Commercial Card Program. These responsibilities
include but are not limited to the following:
The City of South Bend Commercial Card is to be used for business
expenditures only. The Commercial Card may only be used under the
parameters and procedures established for the Commercial Card Program
which are detailed in'The Commercial Card Cardholder Guide'. The City of
South Bend Commercial Card may not be used for personal or business
travel and entertainment purposes.
The Commercial Card will be issued in the name of the employee. By
accepting the Card, the employee assumes responsibility for the Card and
will be responsible for all charges made with the Card. The Card is not
transferable and may not be used by anyone other than the Cardholder.
The City of South Bend Commercial Card must be maintained with the
highest level of security. If the Card is lost or stolen, or if the Cardholder
suspects the Card or Account Number to have been compromised, the
Cardholder agrees to immediately notify Bank One at 1-800-848-2813 and
the City of South Bend Commercial Card Coordinator.
All charges will be billed and paid directly by City of South Bend. On a
monthly basis, the Cardholder will receive a statement listing all activity
associated with the Card. This activity will include purchases and credits
made during the reporting period. While the Cardholder will not be
responsible for making payments, the Cardholder will be responsible for the
verification and reconciliation of all Account activity.
Cardholder Accounts may be subject to periodic internal control reviews and
audits designed to protect the interests of City of South Bend. By accepting
the Card, the Cardholder agrees to comply with these reviews and audits.
The Cardholder may be asked to produce the Card to validate its existence
and produce statements and receipts to verify appropriate use.
Parameters and procedures related to the Commercial Card Program may be
updated or changed at any time. City of South Bend will promptly notify all
Cardholders of these changes, The Cardholder agrees to and will be
responsible for the execution of any program changes,
The Cardholder agrees to surrender and cease use of their Card upon
termination of employment whether for retirement, voluntary separation,
resignation or dismissal. In addition, the Cardholder must surrender and
cease use of the Card in the event of transfer or relocation, The Cardholder
may also be asked to surrender the Card at any time deemed necessary by
management.
Misuse or fraudulent use of the Card may result in disciplinary actions and
may be grounds for dismissal.
By signing below, I acknowledge that I have read and agree to the terms and
conditions of this document. I certify that as a participating Cardholder of
the City of South Bend Commercial Card Program, I understand and assume
the responsibilities listed above.
Employee Signature Title
Name (Print)
M
Manager Signature Title
Name (Print)
Date
Cardholder and Supervisor:
Retain one copy each and forward original to:
A P] 'U()
1110at'd (-If J)rlbjiC W");-ko
Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
March 19, 2018
Michael Schmidt
Purchasing ® Michael Schmidt
Department Admin/Finance
® Agreement
.............
❑ Contract
❑ Proposal
Ll Addendum
❑ Professional Services
❑ Amendment
❑ Bid Opening
❑ Bid Award
❑ Req. to Advertise
❑ Title Sheet
❑
Quote Opening
❑ Quote Award
❑
Chg Order No.
❑
C/O & PCA No.
❑
PCA
❑
Ease./Encroach.
❑
Traffic Control
❑
Resolution
❑ Other:
❑Claim
Re aired information
Company or Vendor Name
JP Morgan Chase
❑ Yes ❑ If Yes,
Approved by Purchasing
New Vendor
❑
No
MBEMIBE Contractor
❑
❑
MBE Completed
WBE
E-Verify Form Attached
❑ Yes
❑ No
Project Name
User Card Agreement — JP Morgan Purchasing Card Program
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
NIA
NIA
For :Chan °e.Orders O'nl
Amount of ❑
increase
$
❑
Decrease
$
Previous Amount
$
Current Percent of Change:
%
New Amount
$
Total Percent of Change:
%
Time Extension:
Dispersal After Approval
Copy . Original
® ❑
Jen Hockenhull & Michael Schmidt
❑ ❑
0 ❑