HomeMy WebLinkAboutResolution #5026 - agreement with ADP for a three year price agreement and for providing mandated affordable care act reporting requirements RESOLUTION NO 5026
A RESOLUTION APPROVING AN AGREEMENT BETWEEN THE CITY OF
CANTON AND ADP FOR A THREE YEAR PRICE AGREEMENT AND FOR
PROVIDING MANDATED AFFORDABLE CARE ACT REPORTING
REQUIREMENTS.
WHEREAS,ADP has provided the City of Canton with a guaranteed price agreement covering
the City's payroll services for a 36 month period subject to the terms and conditions set forth in
the agreement attached hereto and incorporated as Exhibit A; and
WHEREAS, the City Council of the City of Canton, Illinois has determined that it is necessary
and in the best interest of the City of Canton to enter into an agreement with ADP that will
guarantee pricing for the 36 month period; and
WHEREAS,the City Council of the City of Canton, Illinois has determined that it is necessary
and in the best interest of the City of Canton to enter into an agreement with ADP to provide
services for the Affordable Care Act Reporting Requirements by utilizing the workfore now HR
solutions module
WHEREAS,the City Council of the City of Canton, Illinois has determined that it is necessary
and in the best interest of the City to approve said agreement.
NOW THEREFORE,be it resolved by the City Council of the City of Canton, Fulton County,
Illinois, as follows:
1. That the guaranteed 36 month price agreement and the workfore Now HR Solutions
module for the affordable care act reporting for the filing of the 1094c/1095c which is
attached hereto and incorporated herein as Exhibit A, is hereby approved by the City
Council.
2. That the Mayor and City Clerk of Canton, Illinois are hereby authorized and directed
to execute and deliver said agreement on behalf of the City of Canton.
3. That this Resolution shall be in full force and effect immediately upon its passage by
the City Council of the City of Canton, Fulton County, Illinois and approval by the
Mayor thereof.
PASSED by the City Council of the City of Canton, Fulton County, Illinois, at a regular meeting
this 6th day of October 2015 upon a roll call vote as follows:
AYES: Aldermen Craig West, Tad Putrich, Jim Nelson, Ryan Mayhew, Justin Nelson,
Gerald Ellis, John Lovell, Angela Hale
NAYS: None
ABSENT: None
A�OVE D:A
Jeffrey A Fri ayor
A TES
Di Pav ey-Ro , ' y Clerk
Fe___YjUb0o
SALES ORDER
City of Canton Illinois Today's Date:10/512035
2 North Main Street Quote Number:02-2015-10588213
Canton,IL 61520
United States
Control Start Date: 10/26/2015
Executive Contact ADP Sales Associate
Diana Pavley Josh Sigman
Manager Josh.dgman@adp.com
dpavley@cantoncityholl.org 6105727862
309-647-6691
Number ofBniployeee for 1'dycolt taces$igg: 133 on control:City of Canton Illinois
Monthly Fees Count Min Base Rate Monthly Fee Annual Tbtals
Workforce Now HR Solutions *-33.0% 133 $1,50 $199.50 $2,394.00
Essential ACA
Annual 1094c/1095c Filing Evidence of Benefit Offering Screens&Reporting
*See ACA Services Statement of Work for a full detail of
additional work and cost that may apply
Billing for Essential Time and any module bundled under HR.Solutions will begin on the earlier of(i)the date the ADP Product or
Service is available for use by the client 1n a production environment OR(11)ninety(90)days from the date of this sales order unless
otherwise set forth In the applicable terms and conditions.The billing count for Essential rilme is based on all non-terminated
employees in the Time Module.The billhkg count for the I1R Solutions is based on all employees In the database that have not been
archived,Any'non-archived'employees coded as Non-Paid will be billed separately.
*Discount 465.84> <$790.08>
Invoice Details Unit Fees
Revenue Neutral Migration to Latest Version of Workforce Now
Implementation Fees Count One Time Fee
Implementation for Workforce Now HR Solutions '1 $187.50
Summary
Annual Total of Monthly Fees $1,603.92
Total One-Time Fees(Total of all one-time fees) $187,50
Control Summary
Control Name Company Code Pays
Control 1 City of Canton Illinois iNU 133
Client agrees to direct debit of foes for service: Yes
Expiration Date: 10/9/2015
THBADPSERVICBSLISIMV ONTHISSALBSORDBR AREAROYIDEiDAT THBPRICESSBTPORMONTHEABOVEPAOESANDINACG7JRAANCE WITHAMW
STANDARD TERMSAND CONDITIONS OFSERVICEATTACNED TO THISSALS'S ORDER,BY SIGN/NO BBL OW YOUARBACKNOWLRDGM RECRIPTOF
ANDAORSBMENT TO SUCH MAUSAND COM7TONSAND TO THELISTP.OPRIM
ADP,LLC Client:
By: By;
!Name: Z Name:
Title: r Title:
Date Q Date:
AM. Workf orceNow
MAJOR ACCOUNT SERVICES-MASTER SERVICES AGREEMENT
10/5!2015
(Bffective Date)
ADP,LLQ One ADP Boulevard (referred to herein as"ADP")
Roseland,New Jersey 07068
CLIENT: City of Canton Illinois (referred to herein as"Client")
2 North Main Street,Canton,IL 61520,United States
Attention: Diana Pavley
ADP and Client agree that ADP shall provide Client with the following services in accordance with the terms and subject to the conditions
set forth in this Mq{or Accounts Services Master Services Agreement,
ANNEX 1?: ESSENTIAL ACA
This Agreement modi Iles,amends,and supplements the terms and conditions of the ADP Major Accounts Agreement(or such equivalent terms and
conditions or agreement governing the provision and receipt of ADP services including but not limited to any product specific terms set forth in
such prior agreement)between ADP and Client and includes the Annexes related to the services selected by Client. if there is a conflict between
this Agreement and any prior agreement between Client and ADP(or if such prior agreement contained terms for services that were not purchased
at the Ume the prior agreement was executed),this Agreement shall govern with respect to the services listed above.The terms set forth heroin
replace in their entirety any duplicative terms set forth In Client's prior agreement for services.
Each Annex listed above is attached hereto and is Incorporated into this Agreement in full by this reference as if act forth in this Agreement in fill.
ADP,LLC C.
(Si a thorized Representative) (Std ute ut prrsontn
-Please Print) /`( (Name-Please Print)
(Title) te) (Title) (Date)
ADP Proprietary and Confidential ADP Major Account Services
Version 1 Cover-1AB
ANNEX E
Essential ACA
Lite ACA
1. Description. ADP will provide the Essential ACA solution specified in the Sales Order (and any applicable service
specification) (collectively,the"Essential ACA solution")to Client in accordance with the terns of this Agreement. Clients trust
have purchased Essential ACA prior to June 18,2015 and use ADP Workforce Now®Payroll,HR and Benefits services in order to
receive the Essential ACA solution for the 20 1.5 filing period. For those clients that order Essential ACA after June 17,2015 and prior
to the 2015 Order Deadline(as defined below),Lite ACA(as described below)will be provided to help clients meet their 2015
reporting requirements for Forms 1094.0 and 1095-C(the"Forms").Lite ACA clients and clients that order Essential ACA alter the
2015 Order Deadline will receive Essential ACA prior to the next required filing period. For purposes of this Annex,"2015 Order
Deadline"shall be defined as follows:(i)October 1,2015 contract date and pressing payroll no later than November 15,2015 for
new payroll clients,and(ii)November 15,2015 for exiating clients.
A. Essential ACA. Essential ACA is a technology and software solution to assist in managing compliance needs related to the
Affordable Care Act(ACA),including eligibility calculations and affordability determinations,preparation and electronic
filing of the Forms,and access to evidence of benefit offering information and benefit offering audit reports. The ability to
file the Forms using the Essential ACA solution requires the Client to be implemented on the ADP Workforce Now Payroll,
HR and Benefits modules.
B. Lite ACA. Lite ACA is a technology and software toot that enables the client to compile the required data in.a format
suitable for the purposes of preparation and, where applicable, electronic filing of the Forms for the 2015 reporting
period. Lite ACA will be provided to clients that order Essential ACA after June 17,2015 and prior to the 2015 Order
Deadline for the 2D15 reporting period,Clients will then be transitioned to Essential ACA for the 2016 reporting period and
beyond.Notwithstanding Section 2 below,client will be required to input all Client Content required for the preparation of
the Forms into the Lite ACA Solution.For the avoidance of doubt,all Forms filed by ADP with the IRS on behalf of Client
will be filed electronically;any Forms sent to Client for its employees by ADP shall be sent in paper form,and,if Client has
ADP's May functionality,ADP will also make Forms accessible to Client employees electronically.It will then be Client's
responsibility to distribute the Forms directly to its employees.
2. Delivery of Client Content. Client shall promptly deliver to ADP the Client Content as required by ADP in an electronic file format
specified by and accessible to ADP and will include any materials relating to Client and necessary for incorporation in the Essential
ACA solution,including,but not limited to,any Human Resources,Payroll,Time and Labor,Benefits,Farm I-9,and/or financial data.
3. Client ACA Liaison. Prior to the commencement of ADP's provision of the Essential ACA solution,Client shall designate in writing
to ADP the name of one person who shall serve as ADP's principal designated contact for the Essential ACA solution(the"Client
ACA Liaison"). Client hereby represents and warrants to ADP that the Client ACA Liaison has,and shall at all times have,the
requisite authority to transmit informmation,directions and instructions on behalf of Client. The Client ACA Liaison also shall be
deemed to have authority to issue,execute, grant,or provide any approvals(other than amendments to this Agreement), requests,
notices,or other communications required or permitted under this Agreement or requested by ADP in connection with the Essential
ACA solution.Client shall designate an alternate Client ACA Liaison in the event the principal Client ACA Liaison is not available.
4. Client Instructions. In the event ADP shall have any questions relating to a particular set of facts or Client directions,then ADP
shall request clarification from the Client ACA Liaison, The Client ACA Liaison shall have the responsibility to obtain answers to
any such questions or objections and ADP shall be entitled to rely upon such answers and to follow.any directions communicated by
the Client ACA Liaison. Client authorizes ADP to release employee-related data to third party vendors of Client as are designated by
Client from time to time. ADP shall be under no duty to question the measures taken or directions provided by Client pursuant to any
section of this Annex E.
5. Disclaimer. NOTWITHSTANDING ANYTHING TO THE CONTRARY CONTAINED HEREIN OR IN THE SCOPE OF
SERVICES, CLIENT EXPRESSLY ACKNOWLEDGES THAT ADP I5 NOT THE "ADMINISTRATOR" OR "PLAN
ADMINISTRATOR" AS DEFINED IN SECTION 3(16)(A) OF ERISA AND SECTION 414(8) OF THE INTERNAL
REVENUE CODE,RESPECTIVELY, NOR IS ADP A"FIDUCIARY" WITHIN THE MEANING OF ERISA SECTION
3(21). ADP SHALL NOT EXERCISE ANY DISCRETIONARY AUTHORITY OR DISCRETIONARY CONTROL
RESPECTING MANAGEMENT OF ANY BENEFIT PLANS SPONSORED OR OFFERED BY CLIENT. ADP HAS NO
DISCRETIONARY AUTHORITY OR DISCRETIONARY RESPONSIBILITY IN THE ADMINISTRATION OF THE
CLIENT'S BENEFIT PLAN(S).
6. Implementation Services. ADP will assist Client In implementing the Fissential ACA solution for the benefit of and in conjunction
with Client in accordance with the provisions of Sections 7 and 8 below.ADP will use commercially reasonable efforts to complete
the implementation services in a timely manner. ADP shall provide instructions on the use of the Lite ACA solution in conjunction
with ADP Workforce Now.
7. Conversion of Data,Required Timeline.
A. Lite ACA. Client shall be responsible for the accuracy,entry and review of all Client data related to the preparation of the
Forms.ADP will not perform any conversion,refinement,purification or reformatting of Client information. Client will be
required to input all Client data required for the preparation of the Forms and the preparation and submission of-electronic
filing of the Fornns into the Lite ACA solution within the specified IRS filing deadline. ADP will not define what
information or codes must be input on the forms. Client understands and agrees that in the event that Client Rils to enter all
required Client information in the Lite ACA solution,Client will not be eligible for credit of any fees paid for the Lite ACA
solution and Client shall be liable for any and all liabilities,claims,penalties,damages,forfeitures,suits,and the costs and
ADP Proprietary and Confidential ADP Major Account Services
Revised; 1011/2015 E-1
expenses incident thereto,arising from or claimed to have arisen from the Client's use of the Lite ACA solution.Client is
responsible for the accuracy of all Client information and will review for accuracy the preview of the Forms prior to filing
the Forms electronically or sending the Forms in paper form,as applicable. In the event that a Form 1094-C or 1095-C
needs to be refiled due to an inaccuracy in the Client information,Client will be billed for such refiling.
B. Essential ACA.-Client shall provide to ADP, such applicable Client files, databases and other information(the"Client
Files"}as Is necessary to permit the Essential ACA solution to be performed. Client must provide the Client Files to ADP
by November 1"of the year preceding the year in which the preparation and electronic filing of the Forms will be provided.
For purposes of clarification and example,in order for ADP to perform the preparation and electronic filing of the Forms in
January 2016,Client must provide the Client Files in accordance with the terns and conditions of this Annex,and such
Client Files must be accepted and converted by ADP by November 1,2015. Client assumes the responsibility for the Client
Files to be transmitted to ADP,including,but not limited to,their condition,content,format,usability or correctness. Client
shall perform all Client Files refinement, purification and reformatting in order for the Essential ACA solution to be
performed by ADP.With Client's pre-approval,ADP shall be compensated on a time and expense basis at ADP's standard
rates in effect at such time in the event ADP is required to perform any such refinement,purification or reformatting. Client
will cooperate with ADP and provide ADP with all necessary information and assistance required in order for ADP to
successfully convert the Client Files. Client understands and agrees that if Client fails to provide the Client Files in order for
such Client Files to be accepted and successfully converted by November 1"' in any given year,ADP will not provide die
preparation and electronic filing of the Forms for that year and Client will not be eligible for credit of any fees paid for the
Essential ACA solution for that year. Client is responsible for the accuracy of all Client.Files and will review for accuracy
the preview of the Forms prior to filing. In the event that a Form 1094-C or 1095-C needs to be refiled due to an inaccuracy
in the Client files,Client will be billed for such refiling. The obligations described in this Section 7 shall apply to ongoing
provision ofClicnt Files to ADP by Client.
B. Project Lead. Client will designate a project lead for the implementation of the Essential ACA solution and will promptly notify
ADP of the name,telephone number and emsil address of such person. The Client project lead will be deemed to have authority to
issue,execute,grant,or provide any approvals,requests,notices,or other communications required under this Annex E or requested
by the other party in connection with the implementation of the Essential ACA solution. The project lead will bring appropriate
personnellaldilaets to the project as needed.
9. Billing for Services. If Client is purchasing Essential ACA Services and the pricing for such Services is not bundled with Client's
pricing fbr Payroll Processing services,billing for such Services will begin on the earlier of(i)the date that the services are available
for use by Client in a production environment OR (H) ninety (90) days from the date that Client is first contacted by ADP
implementation team for commencement of implementation of Essential ACA. If the Services Client is purchasing pursuant to this
Annex E are bundled with Payroll Processing Services,then billing for such Services shall commence in accordance with the terms of
Section 2 of Annex B.
14. Licensed Entity. Notwithstanding the use in this Annex E of the word"ADP",in the event that ADP determines that all or a portion
of the Essential ACA solution may be subject to licensing or other regulatory requirements,such services shall be performed solely by
such wholly owned subsidiary of Automatic Data Processing, Inc. as shall be designated by AAP or such licensed third party as
determined by ADP.
ADP Proprietary and Confidential ADP Major Account Services
Revised: 10/1/2015 E-2
:,iglc
Texpayer Legal Name; City of Canton Illinois
Legal Addreec Canton,IL 61820
PayNu canlaul Emxww Cudact: Diane Pavlay
Phone: Emah: phone, 309-647-6891 Email: d aVieyQosA ctn�ItyI181I�Otg
A. e I Data Coriver5ion: e a on 1• Date
'Historical Hours wilt allow Workforce Now to calcutate'ACA Benefit Status',Without wolom calculation,client can code employees as Wart Time'or'Full Time', j
Options below vary basad on the extent of history the client wishes to bring over.
Option 11 Client does not need or already has hours history In Workforce Now
Check here If cllent does not need options 2,3,4 or 6 below:If tot checked,please select ONLY one of the 4 options listed below
Option 2: ACA Historical Hours Import:When client elects to upload up to 12 months of hours history themselves
Client Elects:No Charge
Option 3: ACA Historical Hours Impart+t When up to 18 months of hours history is required.
Includes;Extraction,conversion and import into Workforce Now on the client's behalf;Limited to one source/vendor
r--�Client Elects:$f,000 Conversion Fee(SCN:4Z F003021
Option 41 ACA Historical Hours Import":When up to 36 months of hours history is required
Includes:Extraction,conversion and import into Workforce Now on the client's behalf;Limited to one source/vendor
Client Elects.$1,500 Conversion Fee ISCN:4Z F00301)
1
Option 6t Full Check History Converalon t When importing up to 4 years'worth of history is neored
Includes:Extraction,conversion and import Into Workforce Now on the client's behalf;Limited to one source/vendor
Client Elects:$2,600 Conversion Fee(SCN:4Z F003001
#For Options 3,4 or B,Letter Agreement Required AND must provide prior vendor name.Note here-
B.
Medical Benefit Plan and HistoricalData Support:
Need depends on actual Benefits Modute Start Date and Medical.
Option 1: Client does not need;Already has active plans with effective dating and historical data loaded in Workforce Now Benefits Module
✓ Check here If client does not need options 2 OR 3 below,If not checked,ptease select options 2 and/or 3 listed below
Current Medical Plan Creation:Required only for migrating HR Profile IPCPWI,HR eXpert(Pay eXpert)and Essential HR IWFN v21 clients j
Option 2t that need a medical plan created,post migration,in Essential HR and Benefits."Not needed for clients upgrading to Enhanced HR with ;
Enhanced Benefits.Includes;Creation of Current Plan,Enrollment and Dependent History going back to beginning of current calendar year f
Client Elects:$500 Conversion Fee ISCN:4Z F00064)
option 31 ACA Employee Lead:Required only if medical plan runs on a fiscal year or Benefits Module is setup mid-calender year
Includes:Importing Effective Date,ACA Status,Minimum Value Provided,Cost of Employse•only Coverage for current calendar year
Client Elects:$500 Conversion Fee ISCN:4Z F000631
C.SeLf Funded/Self Insured Plan Support
Option 1t Client does not have a Sell Funded/Salt Insured Medical Plan OR already has an ACA Approved Benefits Module prior to 1/1/15
✓ Check here If client has a Fully Insured medical plan OR had the ADA Benefits Module active as of 1/1/16
Option 2e ACA Dependent Loath.Required only if Self Funded/Self Insu4d plans AND client is implementing an ADP Benefits Module mid-calendar year t
Indudes:Importing Effective Oate,Covered Dependents and prior plan creation It applicable)going back to beginning of current calendar year
Client Elects: $500 Conversion Fee ISCN:4Z F000651
D.
Option 1: Cllellt will not receive:Is planning on starting with AQP Payroll on or after 1/1/2016,or has signed up for Essential ACA after the Order
Deadline for 2015 reporting,and will receive Essential ACA in 2016
I
Click Here it client does not need Lite ACA for 2015 or is not eligible;If not checked,please select option 2 below ;
Option 2t Lite ACA:Client will be responsible for all data entry of required information for 1094/1 D95C forms into Lite ACA solution 3
Client Elects:One time charge of$20 Base fee and$1.50 per form filed ISCN:F019021
Current Platform:14N W
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ADP,LLC
dJ ' GUARAN'1'UM
THIRTY-SIX 41fINTH
" PRICE AGREEMENT
Chem IrlformaNen:
Client NUM: City of Canton Illinois nfTective nate 9121/2015
Service Center; 0034
Parent Company Crider: 0034-10-INU Custwwhj 384198 uxpiraionUaio: 9/2112018
Requested By: Josh Signlan-Sales
Meted Company Cada: _
Contact Infoearntion:
Contact: Diana PaYley _ Phone: 309-647-6691 Address: 2 North Main Street
City: Canton State: Illinois Zip: 61520
AOI",LIZ('ADP")is pkssed W piwside City of Caufon 1111noir ("Client-)witha Werentted pda agroemam a iverhtg doe Clienta ADP Servtw Por the
eastT
__ thirty-sir moaths,subject loth*krev and toadfgm M ebrik is Wit ogres t. his kWeeirsw*antomposus alt listed codes oW any Guars code a that may
be added order the above Ii led parent cod-.In Consideration arthe awtuai agreements sal forth below,AD?and C lIMI sora as(Wtowr:
1)lerke focreeer. For the nest tfsirfy-Sie toroth pariud cartaettcing with IM•fl'i tlive dale CC 912112115 ,ADP will immissa
pikaa per the whedula below an Payroll.HR and licoagt Ophom proccasint aavicea provided to Cheat(:%Mcfts").
ImIream Usha inensss%
9/2112015 No Increase
9/21/2016 No Increase
9;21/2017 No Increase
llsan ePeeHHany eseWded from this agreement are d6vory,reverse wlte teas,juslailetlon rase,ytarKnd feta end mslMenarsce fees. in the monlh following tha euarplatbre of thea gwnar[ed prion
period,Mann prius.91 basubject b the tame prkx kteneaxer awkd to its othrr cRoals of similar we and rimW wt wban iinteas a renewal sgrcommi Is Nona!try doh parties.
tj[barneleed Drm: As caaikkralios 1'ar the thlr".LV month guaramtod prig period,Client agmet to porchsse Ike wrvu'ec fora
mirimwn guannked harm of thirty-SLY *wow ammercing with Ise enecliva data,and rhsrasaar.Gliom's swee"M to parchsw rhe services vlesll rearm in fliccl
will can smiled by f:licat m ADP with ttbrety,days prior wtkscri nol'.ce.
1)For(v rarasirranen Fn: hf Chenl tttminsies this sgteunant W pwvhsw va"k.s prior to She end of ohaminkutm gwremiTid term or'.IT,,dun
SIK months,Chem Panus to pay ADP a serminsIUM tae of 3 n1OirNYS ol'avenga awoddy pioeessiag leas far the services(based oo in avenge of the
;act 3 in onthr of processing prior to the date oritnnlsat Mn). Following nr (hull-SLY ,"rah gtrramovil price parlod,itondant uiranttion policy
appitai based as kdttxl team and cot iWars scored by Cpcot.IfCBenl fails to Pay ane early tantkeahon its it What smoWtn ant haratada4 C.9lcnt Stoll rolmarvae AOF fee say espeases in:xnd,
including knerem and reasonable attorney fees.in collecting amowstr Mo AIA'hatsundar(hat are not under pi,"faith dispute by Client.The terenlaadnn pert Ily will be ws:ved is the evem the crsa:pary is
told,merinrd or in Uc avant aava is•rsuterial bnaoh of ADP's servita ennontkntart In the event of s serrtec breach ADP shill be notified In"ling ash)the aped tic scmcc issue and shalt be greened
Misty days to resolve all canna 0 the Clients aatisfutzm.
THHAMISLAVICGSCOVERED HYTHtSAGREEMENTARE PROVIDED INAC4WRUANCHWITHTHETERMSANnCOWATIONSSET FORTHINT1iHAO SRMEN`I(S)earl'WHEN
CLIENT AND ADP COVERING THE SPECIFIC SERVICES.THIS AORERMENT SUPFUMM IS AND ODES N0'1'SUPERSWJI,ANY Ot"i'HOM TERMS AND CONJIT'IONS.THIS
AGREEMENT IS NOT VALJD UNIAISS SIGNEDBY 110TH PAKt1F.S
(LAPP Repretrenfa�e/ Cf-ttyo, C414101 qfr OIs
Name: `) (J�1v q Q.Q I ���'I t: _ Name:
Stpitnttera: 61�L
True: hinaneial Analyst 'title:
Data i llalc: [51—
NOTE: THIS PRICE AGRRRMRNT IS VAUD ONLY IP SIONED BY RUM PARTIES WITHIN 90 DAYS OF THE DATE OP CREATION.THF,AGREEMENT MUST BE SIGNED BY IP4=13
INORDFR TO BH VAIM) hTNANCE OR REI.ATIOMSItLn MANAOPlAENT IS AUTNORILEt)rO MKUTETIfIS AGREEMENT ON HEHALFOPADP.
D02Ao
SALES ORDER
City of Canton Illinois Today's Date: 10/5/2015
2 North Main Street Quote Number:02-2015-1058821.3
Canton,IL 61520
United States
Control Start Date: 10/26/2015
Executive Contact ADP Sales Associate
Diana Pavley Josh Sigman
Manager josh.sigman@adp.com
dpavley@cantoncityhall.org 6105727862
309-647-6691
Number of Employees for Payroll processing: 133 on control:City of Canton Illinois
Monthly Fees Count Min Base Rate Monthly Fee Annual Totals
Workforce Now HR Solutions *-33.0% 133 $1.50 $199.50 $2,394.00
Essential ACA
Annual 1094c/1095c Filing Evidence of Benefit Offering Screens&Reporting
*See ACA Services Statement of Work for a full detail of
additional work and cost that may apply
Billing for Essential Time and any module bundled under HR Solutions will begin on the earlier of(i)the date the ADP Product or
Service is available for use by the client in a production environment OR(ii)ninety(90)days from the date of this sales order unless
otherwise set forth in the applicable terms and conditions.The billing count for Essential Time is based on all non-terminated
employees in the Time Module.The billing count for the HR Solutions is based on all employees in the database that have not been
archived.Any`non-archived'employees coded as Non-Paid will be billed separately.
*Discount <$65.84> <$790.08>
Invoice Details Unit Fees
Revenue Neutral Migration to Latest Version of Workforce Now
Implementation Fees Count One Time Fee
Implementation for Workforce Now HR Solutions 1 $187.50
Summary
Annual Total of Monthly Fees $1,603.92
Total One-Time Fees(Total of all one-time fees) $187.50
Control Summary
Control Name Company Code Pays
Control 1 City of Canton Illinois INU 133
Client agrees to direct debit of fees for service: Yes
Expiration Date: 10/9/2015
THE ADP SERVICES LISTED ON THIS SALES ORDER ARE PROVIDED AT THE PRICES SET FORTH ON THE ABOVE PAGES AND INACCORDANCE WITHADP'S
STANDARD TERMS AND CONDITIONS OFSERVICE ATTACHED TO THIS SALES ORDER.BY SIGNING BELOW YOUARE ACKNOWLEDGING RECEIPT OF
AND AGREEMENT TO SUCH TERMS AND CONDITIONS AND TO THE LISTED PRICES
ADP,LLC Client:
By: By: _ --
Name: Name: va-, _vr r
Title: Title:
c L L
Date: Date:
' 31 WorkforceNow
MAJOR ACCOUNT SERVICES-MASTER SERVICES AGREEMENT
10/5/2015
(Effective Date)
ADP,LLC: One ADP Boulevard (referred to herein as"ADP")
Roseland,New Jersey 07068
CLIENT: City of Canton Illinois (referred to herein as"Client")
2 North Main Street,Canton,IL 61520,United States
Attention: Diana Pavley
ADP and Client agree that ADP shall provide Client with the following services in accordance with the terms and subject to the conditions
set forth in this Major Accounts Services Master Services Agreement.
ANNEX E: I ESSENTIAL ACA
This Agreement modifies,amends,and supplements the terms and conditions of the ADP Major Accounts Agreement(or such equivalent terms and
conditions or agreement governing the provision and receipt of ADP services including but not limited to any product specific terms set forth in
such prior agreement)between ADP and Client and includes the Annexes related to the services selected by Client. If there is a conflict between
this Agreement and any prior agreement between Client and ADP(or if such prior agreement contained terms for services that were not purchased
at the time the prior agreement was executed),this Agreement shall govern with respect to the services listed above.The terms set forth herein
replace in their entirety any duplicative terms set forth in Client's prior agreement for services.
Each Annex listed above is attached hereto and is incorporated into this Agreement in full by this reference as if set forth in this Agreement in full.
ADP,LLC C X
-Z2-- —"
(Signature of Authorized Representative) (Sig ure o ut epresentat
CJ ,
(Name-Please Print) (Name-Please Print)
(Title) (Date) (Title) (Date)
ADP Proprietary and Confidential ADP Major Account Services
Version I Cover-IAB
ANNEX E
Essential ACA
Lite ACA
1. Description. ADP will provide the Essential ACA solution specified in the Sales Order (and any applicable service
specification) (collectively,the"Essential ACA solution")to Client in accordance with the terms of this Agreement. Clients must
have purchased Essential ACA prior to June 18,2015 and use ADP Workforce Now®Payroll,HR and Benefits services in order to
receive the Essential ACA solution for the 2015 filing period. For those clients that order Essential ACA after June 17,2015 and prior
to the 2015 Order Deadline (as defined below), Lite ACA (as described below) will be provided to help clients meet their 2015
reporting requirements for Forms 1094-C and 1095-C(the"Forms").Lite ACA clients and clients that order Essential ACA after the
2015 Order Deadline will receive Essential ACA prior to the next required filing period. For purposes of this Annex,"2015 Order
Deadline"shall be defined as follows:(i)October 1,2015 contract date and processing payroll no later than November 15,2015 for
new payroll clients;and(ii)November 15,2015 for existing clients.
A. Essential ACA. Essential ACA is a technology and software solution to assist in managing compliance needs related to the
Affordable Care Act(ACA), including eligibility calculations and affordability determinations,preparation and electronic
filing of the Forms,and access to evidence of benefit offering information and benefit offering audit reports. The ability to
file the Forms using the Essential ACA solution requires the Client to be implemented on the ADP Workforce Now Payroll,
HR and Benefits modules.
B. Lite ACA. Lite ACA is a technology and software tool that enables the client to compile the required data in a format
suitable for the purposes of preparation and, where applicable, electronic filing of the Forms for the 2015 reporting
period. Lite ACA will be provided to clients that order Essential ACA after June 17, 2015 and prior to the 2015 Order
Deadline for the 2015 reporting period.Clients will then be transitioned to Essential ACA for the 2016 reporting period and
beyond.Notwithstanding Section 2 below,client will be required to input all Client Content required for the preparation of
the Forms into the Lite ACA Solution.For the avoidance of doubt,all Forms filed by ADP with the IRS on behalf of Client
will be filed electronically;any Forms sent to Client for its employees by ADP shall be sent in paper form,and,if Client has
ADP's iPay functionality,ADP will also make Forms accessible to Client employees electronically.It will then be Client's
responsibility to distribute the Forms directly to its employees.
2. Delivery of Client Content. Client shall promptly deliver to ADP the Client Content as required by ADP in an electronic file format
specified by and accessible to ADP and will include any materials relating to Client and necessary for incorporation in the Essential
ACA solution,including,but not limited to,any Human Resources,Payroll,Time and Labor,Benefits,Form I-9,and/or financial data.
3. Client ACA Liaison. Prior to the commencement of ADP's provision of the Essential ACA solution,Client shall designate in writing
to ADP the name of one person who shall serve as ADP's principal designated contact for the Essential ACA solution(the"Client
ACA Liaison"). Client hereby represents and warrants to ADP that the Client ACA Liaison has, and shall at all times have, the
requisite authority to transmit information, directions and instructions on behalf of Client. The Client ACA Liaison also shall be
deemed to have authority to issue, execute, grant, or provide any approvals (other than amendments to this Agreement), requests,
notices,or other communications required or permitted under this Agreement or requested by ADP in connection with the Essential
ACA solution.Client shall designate an alternate Client ACA Liaison in the event the principal Client ACA Liaison is not available.
4. Client Instructions. In the event ADP shall have any questions relating to a particular set of facts or Client directions,then ADP
shall request clarification from the Client ACA Liaison. The Client ACA Liaison shall have the responsibility to obtain answers to
any such questions or objections and ADP shall be entitled to rely upon such answers and to follow any directions communicated by
the Client ACA Liaison. Client authorizes ADP to release employee-related data to third party vendors of Client as are designated by
Client from time to time. ADP shall be under no duty to question the measures taken or directions provided by Client pursuant to any
section of this Annex E.
5. Disclaimer. NOTWITHSTANDING ANYTHING TO THE CONTRARY CONTAINED HEREIN OR IN THE SCOPE OF
SERVICES, CLIENT EXPRESSLY ACKNOWLEDGES THAT ADP IS NOT THE "ADMINISTRATOR" OR "PLAN
ADMINISTRATOR" AS DEFINED IN SECTION 3(16)(A) OF ERISA AND SECTION 414(8) OF THE INTERNAL
REVENUE CODE, RESPECTIVELY, NOR IS ADP A "FIDUCIARY" WITHIN THE MEANING OF ERISA SECTION
3(21). ADP SHALL NOT EXERCISE ANY DISCRETIONARY AUTHORITY OR DISCRETIONARY CONTROL
RESPECTING MANAGEMENT OF ANY BENEFIT PLANS SPONSORED OR OFFERED BY CLIENT. ADP HAS NO
DISCRETIONARY AUTHORITY OR DISCRETIONARY RESPONSIBILITY IN THE ADMINISTRATION OF THE
CLIENT'S BENEFIT PLAN(S).
6. Implementation Services. ADP will assist Client in implementing the Essential ACA solution for the benefit of and in conjunction
with Client in accordance with the provisions of Sections 7 and 8 below.ADP will use commercially reasonable efforts to complete
the implementation services in a timely manner. ADP shall provide instructions on the use of the Lite ACA solution in conjunction
with ADP Workforce Now.
7. Conversion of Data;Required Timeline.
A. Lite ACA. Client shall be responsible for the accuracy,entry and review of all Client data related to the preparation of the
Forms.ADP will not perform any conversion,refinement,purification or reformatting of Client information. Client will be
required to input all Client data required for the preparation of the Forms and the preparation and submission of-electronic
filing of the Forms into the Lite ACA solution within the specified IRS filing deadline. ADP will not define what
information or codes must be input on the Forms. Client understands and agrees that in the event that Client fails to enter all
required Client information in the Lite ACA solution,Client will not be eligible for credit of any fees paid for the Lite ACA
solution and Client shall be liable for any and all liabilities,claims,penalties,damages, forfeitures,suits,and the costs and
ADP Proprietary and Confidential ADP Major Account Services
Revised: 10/1/2015 E-1
expenses incident thereto,arising from or claimed to have arisen from the Client's use of the Lite ACA solution.Client is
responsible for the accuracy of all Client information and will review for accuracy the preview of the Forms prior to filing
the Forms electronically or sending the Forms in paper form, as applicable. In the event that a Form 1094-C or 1095-C
needs to be refiled due to an inaccuracy in the Client information,Client will be billed for such refiling.
B. Essential ACA._ Client shall provide to ADP, such applicable Client files, databases and other information (the "Client
Files")as is necessary to permit the Essential ACA solution to be performed. Client must provide the Client Files to ADP
by November 1 s`of the year preceding the year in which the preparation and electronic filing of the Forms will be provided.
For purposes of clarification and example,in order for ADP to perform the preparation and electronic filing of the Forms in
January 2016, Client must provide the Client Files in accordance with the terms and conditions of this Annex, and such
Client Files must be accepted and converted by ADP by November 1,2015. Client assumes the responsibility for the Client
Files to be transmitted to ADP,including,but not limited to,their condition,content,format,usability or correctness. Client
shall perform all Client Files refinement, purification and reformatting in order for the Essential ACA solution to be
performed by ADP.With Client's pre-approval,ADP shall be compensated on a time and expense basis at ADP's standard
rates in effect at such time in the event ADP is required to perform any such refinement,purification or reformatting. Client
will cooperate with ADP and provide ADP with all necessary information and assistance required in order for ADP to
successfully convert the Client Files. Client understands and agrees that if Client fails to provide the Client Files in order for
such Client Files to be accepted and successfully converted by November I", in any given year,ADP will not provide the
preparation and electronic filing of the Forms for that year and Client will not be eligible for credit of any fees paid for the
Essential ACA solution for that year. Client is responsible for the accuracy of all Client Files and will review for accuracy
the preview of the Forms prior to filing. In the event that a Form 1094-C or 1095-C needs to be refiled due to an inaccuracy
in the Client files,Client will be billed for such refiling. The obligations described in this Section 7 shall apply to ongoing
provision of Client Files to ADP by Client.
8. Project Lead. Client will designate a project lead for the implementation of the Essential ACA solution and will promptly notify
ADP of the name,telephone number and email address of such person. The Client project lead will be deemed to have authority to
issue,execute,grant,or provide any approvals,requests,notices,or other communications required under this Annex E or requested
by the other party in connection with the implementation of the Essential ACA solution. The project lead will bring appropriate
personnel/skillsets to the project as needed.
9. Billing for Services. If Client is purchasing Essential ACA Services and the pricing for such Services is not bundled with Client's
pricing for Payroll Processing services,billing for such Services will begin on the earlier of(i)the date that the services are available
for use by Client in a production environment OR (ii) ninety (90) days from the date that Client is first contacted by ADP
implementation team for commencement of implementation of Essential ACA. If the Services Client is purchasing pursuant to this
Annex E are bundled with Payroll Processing Services,then billing for such Services shall commence in accordance with the terms of
Section 2 of Annex B.
10. Licensed Entity. Notwithstanding the use in this Annex E of the word"ADP",in the event that ADP determines that all or a portion
of the Essential ACA solution may be subject to licensing or other regulatory requirements,such services shall be performed solely by
such wholly owned subsidiary of Automatic Data Processing, Inc. as shall be designated by ADP or such licensed third party as
determined by ADP.
ADP Proprietary and Confidential ADP Major Account Services
Revised: 10/1/2015 E-2
Taxpayer Legal Name: City of Canton Illinois
Legal Address: Zipy'Cotaui Canton, IL 61520
Payroll Contact: Executive Contact: Diana Pavley
Phone: Email: Phone: 309-647-6691 Email: dpavley@cantoneityhall.org
HistoricalA. • Data • • • depends on 1 ' Payroll Start Date
`Historical Hours will allow Workforce Now to calculate'ACA Benefit Status'.Without system calculation,client can code employees as'Part Time'or'Full Time'.
Options below vary based on the extent of history the client wishes to bring over
Option 1: Client does not need or already has hours history in Workforce Now
Check here if client does not need options 2,3,4 or 5 below;If not checked,please select ONLY one of the 4 options listed below
Option 2: ACA Historical Hours Import:When client elects to upload up to 12 months of hours history themselves
L V Client Elects:No Charge
Option 3: ACA Historical Hours Import*:When up to 18 months of hours history is required.
Includes:Extraction,conversion and import into Workforce Now on the client's behalf;Limited to one source/vendor
Client Elects:$1,000 Conversion Fee(SCN:4Z F003021
Option 4: ACA Historical Hours Import*:When up to 36 months of hours history is required
Includes: Extraction,conversion and import into Workforce Now on the client's behalf;Limited to one source/vendor
C� Client Elects:$1,500 Conversion Fee[SCN:4Z F003011
Option 5: Full Check History Conversion*:When importing up to 4 years'worth of history is needed
Includes:Extraction,conversion and import into Workforce Now on the client's behalf;Limited to one source/vendor
Client Elects:$2,600 Conversion Fee(SCN:4Z F003001
*For Options 3,4 or 5,Letter Agreement Required AND must provide prior vendor name.Note here:
MedicalB. • • 1. Support:
Need depends • ••• Date and Medical Plan Year
Option1:1: Client does not need;Already has active plans with effective dating and historical data loaded in Workforce Now Benefits Module
Check here if client does not need options 2 OR 3 below;If not checked,please select options 2 and/or 3 listed below
Current Medical Plan Creation:Required only for migrating HR Profile(PCPW1,HR eXpert(Pay eXpert)and Essential HR(WFN v2)clients
Option 2: that need a medical plan created,post migration,in Essential HR and Benefits.*Not needed for clients upgrading to Enhanced HR with
Enhanced Benefits.Includes:Creation of Current Plan, Enrollment and Dependent History going back to beginning of current calendar year
Client Elects:$500 Conversion Fee(SCN:4Z F00064)
Option 3: ACA Employee Load:Required only if medical plan runs on a fiscal year or Benefits Module is setup mid-calendar year
Includes:Importing Effective Date,ACA Status,Minimum Value Provided,Cost of Employee-only Coverage for current calendar year
Client Elects:$500 Conversion Fee(SCN:4Z F00063)
FundedC.Self • Plan Support
Option 1: Client does not have a Self Funded/Self Insured Medical Plan OR already has an ACA Approved Benefits Module prior to 1/1/15
�✓ Check here if client has a Fully Insured medical plan OR had the ADP Benefits Module active as of 1/1/15
Option 2: ACA Dependent Load:Required only if Self Funded/Self Insured plans AND client is implementing an ADP Benefits Module mid-calendar year
Includes:Importing Effective Date,Covered Dependents and prior plan creation lif appticable)going back to beginning of current calendar year
Client Elects: $500 Conversion Fee(SCN:4Z F000651
D.
Option 1: Client will not receive:Is planning on starting with ADP Payroll on or after 1/1/2016,or has signed up for Essential ACA after the Order
Deadline for 2015 reporting,and will receive Essential ACA in 2016
7_7 Click Here if client does not need Lite ACA for 2015 or is not eligible;If not checked,please select option 2 below
Option 2: Lite ACA:Client will be responsible for all data entry of required information for 1094/1095C forms into Lite ACA solution
Client Elects:One time charge of$20 Base fee and$1.50 per form filed(SCN:F019021
Current Platform: WFN V2
The following Terms&Conditions apply only if rlient selects Option 3,4 or 5 in Section A above.
Terms and Conditions:Changes in project scope and/or unforeseen internal/external issues such as delays beyond ADP control may impact completion date and project cost.Prices for the Statement of Work
f"SOW"I as set on the effective date shall not change,but any changes or additions to the SOW shall be subject to price changes in the normal course of business,at ADP's discretion,
Upon completion of the services under this SOW,Client will immediately notify ADP if the services and deliverables oulfined in this SOW have not been satisfactorily delivered.Services,including any deliverable,
provided under this SOW will be deemed accepted by Client unless Client notifies ADP within 10 business days of the date of completion of such services.
In the event that Client terminates this SOW or the Agreement and work hereunder has already commenced,Client agrees that it is responsible for all costs and fees incurred by ADP prior to the effective date of
such termination and such amounts shall be due and payable by Client to ADP within 5 days of receipt of invoice.
This SOW is an addendum to the Major Accounts Agreement or similar agreement for the Provision of services by ADP executed by the If orpora by reference as d fully set forth herein.All other
terms and conditions of the,Agreernent shall remain in full torte and effect. In the event of any confticl between the terms and rnns ofA
and the to s tions of theAgreement,this Addendum
shall prevail.The terms defined in the Agreement and used In this SOW shall have the same respective meanmgs as set forth ieems clearly o ise defi d in this SOW`This proposal expires thirty 1301 days after Proposal Date if not signed by Client.Options&Rates above only appty to companiet tothrough 30/2015.
[tiale.Associate: Date: Client Autho at' Date:
0 Copyright 2015 ADP,LLC. Proprietary and Confidential / v4.0 dated 9/10/2015
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ADP,LLC
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GUARANTEED
THIRTY-SIX MONTH
® PRICE AGREEMENT
Client Information:
Client Name: City of Canton Illinois Effective Date: 9/21/2015
Service Center: 0034
Parent Company Code: 0034-10-1NU Customer 4: 384198 Expiration Date: 9/21/2018
Requested By: Josh Sigman-Sales
Related Company Codes:
Contact Information:
Contact: Diana Pavley Phone: 309-647-6691 Address: 2 North Main Street
City: Canton State: Illinois Zip: 61520
ADP,LLC("ADP")is pleased to provide City of Canton Illinois ("Client")with a guaranteed price agreement covering the Client's ADP services for the
next thirty-six months,subject to the terms and conditions set forth in this agreement. This agreement encompasses all listed codes and any future codes that may
be added under the above listed parent code. In consideration of the mutual agreements set forth below,ADP and Client agree as follows:
1) Price Increase: For the next thirty-six month period commencing with the effective date of 9/21/2015 ,ADP will increase
prices per the schedule below on Payroll,HR and Benefit Options processing services provided to Client("Services").
Increase Date Increase%
9/21/2015 No Increase
9/21/2016 No Increase
9/21/2017 No Increase
Items specifically excluded from this agreement are delivery,reverse wire fees,Jurisdiction fees,year-end fees and maintenance fees. In the month following the completion of the guaranteed price
period,Client's prices will be subject to the same price increases applied to its other clients of similar size and product utilization unless a renewal agreement is signed by both parties.
2) Guaranteed Term: As consideration for the thirty-six month guaranteed price period,Client agrees to purchase the services for a
minimum guaranteed term of thirty-six months commencing with the effective date,and thereafter.Client's agreement to purchase the services shall remain in effect
until cancelled by Client or ADP with ninety days prior written notice.
3) Early Termination Fee: If Client terminates this agreement to purchase services prior to the end of the minimum guaranteed term of no less than
thirty-Six months,Client agrees to pay ADP a termination fee of 3 months of average monthly processing fees for the services(based on an average of the
last 3 months of processing prior to the date of termination). Following the thirty-Six month guaranteed price period,standard termination policy
applies based on initial terms and conditions signed by Client. If Client fails to pay the early termination fee or other amounts due hereunder,Client shall reimburse ADP for any expenses incurred,
including interest and reasonable attorney fees,in collecting amounts due ADP hereunder that are not under good faith dispute by Client.The termination penalty will be waived in the event the company is
sold,merged or in the event there is a material breach of ADP's service commitment. in the event of a service breach ADP shall be notified in writing as to the specific service issue and shall be granted
sixty days to resolve all issues to the Clients satisfaction.
THE ADP SERVICES COVERED BY THIS AGREEMENT ARE PROVIDED IN ACCORDANCE WITH THE TERMS AND CONDITIONS SET FORTH IN THE AGREEMENT(S)BETWEEN
CLIENT AND ADP COVERING THE SPECIFIC SERVICES.THIS AGREEMENT SUPPLEMENTS AND DOES NOT SUPERSEDE ANY OF THOSE TERMS AND CONDITIONS.THIS
AGREEMENT 1S NOT VALID UNLESS SIGNED BY BOTH PARTIES.
ADP Representative City of CantotrIffinois
Name: Name:
Signature: Signature:
Title: Financial Analyst Title: (21.4 P Ic
Date 1
Date: y
NOTE: TIES PRICE AGREEMENT IS VALID ONLY IF SIGNED BY BOTH PARTIES WITHIN 90 DAYS OF THE DATE OF CREATION. THE AGREEMENT MUST BE SIGNED BY 12/14/2015
IN ORDER TO BE VALID. FINANCE OR RELATIONSHIP MANAGEMENT IS AUTHORIZED TO EXECUTE THIS AGREEMENT ON BEHALF OF ADP.