Recommended for Approval Approved as to Form:
________________________________ ___________________________ Carlo Balboni Skitch Crosby
Fleet Services Superviser Assistant City Attorney
Docusign Envelope ID: 7F0BC712-2F71-4487-A0A8-3254F1327630
REV Sourcewll Participating ADDEND.CRDAPP (13 AUG 2025)
ADDENDUM TO THE FUEL CARD SERVICES AGREEMENT
BETWEEN WEX BANK AND SOURCEWELL
CREDIT INFORMATION
Participating Entity has requested a credit account pursuant to the Contract #030625 (“Agreement”) entered into between Sourcewell (“Sourcewell”) and WEX Bank (“WEX”) and thereby creating the program (“Program”) by which to enroll participants (“Participating Entity”) . By enrolling in this Program, the Participating Entity named below agrees that in the event their account is not paid as agreed, WEX may report the undersigned’s liability for and the status of the account to credit bureaus and others who may lawfully receive such information.
Participating Entity
City of Alameda
Phone #
510-747-7900
Fax#
Physical Address (Do not include PO Box) 950 W Mall Sq, Suite 110, Alameda, CA 94501 Mailing Address (if different from physical address) 2040 Grand St, Alameda CA 94501 Sourcewell Member ID Number 926 Participating Entity’s Taxpayer ID # (TIN, FEIN or SSN) 94-6000288 Non-Profit Only: SIC/Industry Code ( e.g. 8399 Social Services; 6732 Education, Charitable Trusts; Other)
If Participating Entity is a Non-Profit Provide Gross Annual Revenue In Business Since (yyyy) Year of Incorporation (yyyy) Number of Vehicles Avg Monthly Fuel Expenditures Avg Monthly Service Expenditures 1854 $50,000322 $NA
ACCOUNT SETUP INFORMATION
Write Participating Entity name as you wish it to appear on cards. Limit of 20 characters & spaces. Unless specified, no Participating Entity name will appear on cards.
C i t y o f A l a m e d a
Billing Contact Name Noelle Robinson
Billing Address 950 W Mall Sq, Suite 110, Alameda, CA 94501 Designate the Participating Entity Fleet Contact authorized to receive all charge cards, reports, and other such information we provide from time to time and to take actions with respect to your account and account access. This is also the person designated by your company to provide all fleet vehi cles, driver and other information we may request.
Participating Entity Authorized Fleet Contact Name
Carlo Balboni
Title
Fleet Supervisor
Phone #
510-384-9021
Fax #
Email address (required to take advantage of product type card controls) [email protected] Check here if Participating Entity is exempt from motor fuels tax TERMS
DEFINITIONS:
“Agreement” means: the Contract #030625 effective August 13, 2025 (the “Agreement”) between the Sourcewell and WEX Bank. “Participating Entity” shall mean the Participating Entity as defined in the Agreement permitted to purchase services under the Agreement, as specified in the Credit Information above.
All other capitalized terms used in this Addendum without definition have the meanings set forth in the Agreement.
AGREEMENTS OF WEX BANK AND PARTICIPATING ENTITY:
1.This Addendum (“Addendum”) is to allow the Participating Entity to participate under the Agreement between WEX and Sourcewell . It does not modify, amend or change the Agreement in any way.
2. Participating Entity represents that it is authorized or allowed by the laws of its home state to enter into this Addendum and to participate under the Agreement.
3. Participating Entity hereby requests the services of WEX described in the Agreement and agrees to perform all duties required under the Agreement, including, without limitation, timely payment of all charges (including any additional fees) on its account(s). Participating Entity agrees to be bound by the terms and conditions of the Agreement, including, without limitation, rules for authorized and unauthorized use of cards, disputes of charges, reporting lost and stolen cards, and all other rules and provisions relating to use of Participating Entity’s account.
4. Participating Entity acknowledges that its failure to make timely payment in accordance with the terms of the Agreement , or for government entities subject to a Prompt Payment Act, may result in suspension or cancellation of the account(s).
5. WEX Bank shall pay financial incentives in accordance with the terms and conditions set forth in the Agreement.
6. Participating Entity agrees that it will be bound by any amendment to the Agreement, executed by the Sourcewell and WEX BANK, as long as Participating Entity has been provided a copy of the amendment. Participating Entity agrees that it will submit any additional information and/or complete any additional forms or documentation required by the Agreement or any amendment to the Agreement.
REBATE: You may be offered discounts and/or rebates by participating under this Agreement from time to time. Such discounts and/or rebates may be suspended, modified, or discontinued at any time without prior notice and may not be applicable to all fuel types. In addition, certain conditions in order to earn or receive the rebate or discount such as, but not limited to, maintaining your account in good standing will apply and be provided to you when such offers are made.
INFORMATION SHARING DISCLOSURE: Information regarding Participating Entity transactions may be provided to Sourcewell accepting merchants or their service providers.
COMPLIANCE WITH FEDERAL LAW: WEX Bank complies with federal law which requires all financial institutions to obtain, verify, and record information that Identifies each company or person who opens an account. What this means for Participating Entity: when you open an account, we will ask for your name, Address, date of birth, and other information that allow us to identify you. We may ask to see y our driver’s license or other identifying documents for your Business.
DISCLAIMER: THIS IS AN APPLICATION FOR SERVICES AND SHALL NOT BE BINDING UPON WEX UNTIL FINAL CREDIT APPROVAL HAS BEEN GRANTED BY WEX.
Any person signing on behalf of the Participating Entity has been duly authorized by all necessary action of Participating Entity’s governing body, and that the undersigned is authorized to make this application and accept the terms referenced herein on behalf of the Participating Entity.
Signature: Print Name: Jennifer Ott
Title: City Manager Date:
Complete and sign Addendum. Fax to 1-866-527-8873 OR Email to [email protected]
FOR OFFICE
USE ONLY
Oppty Number Sales Code Plastic Type
SOURCEWELL
Coupon Code Account Number
04 Docusign Envelope ID: 7F0BC712-2F71-4487-A0A8-3254F1327630 9/22/2025