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2091 RESOLUTION NO. a04t A RESOLUTION OF THE CITY OF WEST MEMPHIS AUTHORIZING THE ISSUANCE OF A VISA CORPORATE CREDIT CARD IN THE NAME OF THE CITY OF WEST MEMPHIS -POLICE DEPARTMENT, AND FOR OTHER PURPOSES. WHEREAS, the nature of the business of the City of West Memphis and the West Memphis Police Department from time to time requires travel and purchases by City officials and staff; and WHEREAS, most hotels require a credit card guarantee to hold room reservations; and WHEREAS, many purchases, including on-line purchases, of items necessary for the business of the City of West Memphis and the West Memphis Police Department require a credit card as a method of payment; and WHEREAS, the City of West Memphis Police Department desires to have a VISA corporate credit card issued through Fidelity National Bank in West Memphis, Arkansas, with specific spending limitations; NOW, THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF WEST MEMPHIS, ARKANSAS, THAT: Section 1. The City Council of the City of West Memphis, Arkansas, hereby authorizes the City of West Memphis to obtain a VISA corporate credit card issued through Fidelity National Bank in West Memphis, Arkansas, in the following names and with the following purchasing limitations: Name Purchasing limitation City of West Memphis - Police Department $5, 000.00 for the purpose of securing hotel reservations and making purchases consistent with the business purposes of the City of West Memphis Police Department, only. Section 2. The City of West Memphis, Arkansas, hereby approves the credit application attached hereto and authorizes the payment of the VISA corporate credit card issued through Fidelity national Bank in West Memphis, Arkansas, in accordance with the terms and conditions applicable to such accounts. Section 3. The Mayor and the City Clerk are hereby authorized and directed to take any and all further actions as may be necessary, appropriate or advisable to implement this resolution. PASSED AND APPROVED this 511-day of NOVPIA.;i5P-. , 2015. a- r+.-)WILLIAM H. JOHNSON, AYOR ATTEST: PHILLIP P• CITY CLERK SPONSORED BY: RECEIVED City Clerk's Office Date/i rne__L.Q -=IC CREDIT APPLICATION Check Account Choice: ❑Individual Account (Signature required for joint applicant) ❑Joint Account Credit Limit Requested$ S)O 06 .UO (see co-applicant and signatures section) ❑Credit Line Increase Check Card Choice ❑Visas ❑Visas Gold IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT:To help the government fight the funding of terrorism and money laundering activities,Federal laws require all financial institutions to obtain,verify and record information that identifies each person who opens an Account.What this means to you:When you open an Account,we will ask for your name,address,date of birth,and other information that will allow us to identify you.We may also ask1to see your driv`er's license or/other identifying documents. Last Name /. •1 \ 04 aeSA- 1��t VCR •NS First r o ti c& Q G Middle SO Secyrity� m`t us.t 1 Date of Birth l• HI No.of Dependents (ome)Phone Cell Phone Own Rent Other Monthly Payment$`� ❑ ❑ ❑ kg CurrentAddres Q City State Zip Code How Long(yrs) .I s ws, 0110Q�R41 e -1, Metophi s r 7230 i $ Q State �r Zip Code' How Long(yrs) �� M 'lin ddress(if ifferent from ova) City 7�3 0 I z� � L. rrn o Q,a m as s' Previous Address(if less than 2 years at present addr ) City \ State Zip Code How Long(yrs) r,§ J y Employer Self Employed Work Phone Date Employed p,. ❑Yes ❑No ( ) aAddress Position/Occupation Monthly Gross Income$ b Name and Address of Previous Employer(if less than 2 years at present employer) How Long(yrs) aQ Source of Additional Income:Income from alimony,child support or separate Amount per Month$ maintenance need not be revealed if it is not considered in determining creditworthiness Nearest Relative(Not Living With You) Home Phone Relationship ( ) First Middle Social Security Number LastName/t,1 OC cts. hZ `` t p e ce Oc(�Ce Z Date of Birth No.of Dependeflts Home Phone I Cell Phone Own Rent Other Monthly Payment$ QBE= ( ) ( ) JN- Current Address City State Zip Code How Long(yrs) cL▪A Previous Address(if less than 2 years at present address) City State Zip Code How Long(yrs) f1 89 O� — Employer Self Employed Work Phone Date Employed ✓ ❑Yes 0-No ( ) Address Position/Occupation Monthly Gross Income$ 0Name and Address of Creditor Name under Which Account is Carried Account Number Balance Monthly Payment i' "1 1.Home Mortgage/Rent � H 214 2.Bank Credit Card/Bank Name and Address 0 N CHARGEGARD INSURANCE PROTECTION REQUEST MD,PA,NY,AK&VA residents:Please contact this institution to obtain the insurance application applicable to your state. By electing optional Chargegard insurance,I acknowledge that Chargegard includes credit life,disability,involuntary unemployment,and leave of absence to the extent available in my state as described in the Summary of Insurance.I read and I meet the age eligibility requirements shown in the Summary of Insurance*.Monthly premium charges are based on the account balance and the rate W shown,I may cancel anytime.*Please see the Summary of Insurance on the back. aYes,please enroll me in Chargegard Credit Insurance Q� X U Signature Date of Birth Date N1991-0299 NonStd ID#19 PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING:This statement is submitted to obtain credit and I/we certify that all information herein is true and complete.I/We agree that inquiries may be made to verify information and that credit references or verification may be given based on inquiries from other parties.This offer is subject to the credit policies of this institution.I/We CO agree to be bound by the terms and conditions of the cardholder agreement,a copy of which will be mailed to the applicant if this application is granted,receipt of such agreement and acceptance of such terms to be conclusively pr= med by the applicant's use.If you intend to apply for joint credit,the undersigned shall be jointly and severally liable for any and all credit extended from time to time.W a informs �. yo account to the cit bureaus.Late payments,missed ments,,or 0th defaults on your account maymabe reflected in your credit report. 2 x ' -. /4'0 -I o 113115 X lr pr,�. `c�mh-�vs -_ — J ( /e-13-15. Applicant Signature Date Co-App icant Signature Date NUpon approval,I wish to transfer my present balance on the credit card account(s)listed below to my new credit card account. �wj a i ❑Credit Card Account Number Amount to be transferred$ mg Signature JVisa Account No. ▪ Date Approved Credit Line Approved By Fidelity National Bank,West Memphis,AR 72303 FOLD AND SECURE WITH TAPE FOR MAILING Application©2009 FIS®09112 All contents are accurate at the time of printing,for changes that may have been made after printing please call(870)735-8700.