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DEFINITIONS: <br />"Agreement" means: Contract No. XXXX effective for Fuel Cards and Fuel Management Services (the "Agreement") between <br />the (State of XXXX and NASPO Value Point and WEX Bank. <br />"Participating Entity" shall mean the Participating Entity as defined in the Agreement permitted to purchase services under the Agreement, <br />as specified in the Credit Information above. <br />All other capitalized terms used in this Addendum without definition have the meanings set forth in the Agreement. <br />AGREEMENTS OF WEX BANK AND PARTICIPATING ENTITY: <br />1. This Addendum is to allow the Participating Entity to participate under the Agreement between WEX BANK and the State. It does not <br />modify, amend or change the Agreement in any way. The parties agree to comply with the terms and conditions of <br />Contract No. XXXX, which is referenced and made a part of this transaction. <br />2. Participating Entity represents that it is authorized or allowed by the laws of its home state to enter into this Addendum and <br />to participate under the Agreement. <br />3. Participating Entity hereby requests the services of WEX BANK described in the Agreement and agrees to perform all duties of <br />a Participating Entity under the Agreement, including, without limitation, payment of all charges on its account(s) within the time <br />periods provided under the Agreement, payment of any fees provided in the Agreement, and cooperation with respect to providing <br />all necessary information for the administration of the Agreement. Participating Entity agrees to be bound by the terms and <br />conditions of the Agreement, including, without limitation, rules for authorized and unauthorized use of cards, disputes of charges, <br />reporting lost and stolen cards, and all other rules and provisions relating to use of Participating Entity's account. <br />4. Participating Entity acknowledges that its failure to make timely payment in accordance with the terms of the Agreement and/or <br />the Addendum may result in suspension or cancellation of the account(s). The undersigned represents and warrants that he/she <br />is duly authorized to execute this Addendum on behalf of the Participating Entity and this Addendum is the valid and binding <br />obligation of the Participating Entity, enforceable in accordance with its terms. <br />INFORMATION SHARING DISCLOSURE: Information regarding Purchasing Entity's transactions may be provided to accepting merchants or <br />their service providers to facilitate discounts or other promotional campaigns of interest to them. <br />COMPLIANCE WIATH FEDERAL LAW: WEX Bank complies with federal law which requires all financial institutions to obtain, verify, and record <br />information that identifies each company or person who opens an account. Issuer may ask for name, address, date of birth, and other <br />applicable information to identify the Company and/or Account Users. <br />DISCLAIMER: THIS IS AN APPLICATION FOR SERVICES AND SHALL NOT BE BINDING UPON WEX BANK UNTIL FINAL CREDIT APPROVAL HAS <br />BEEN GRANTED BY WEX BANK. <br />CONTRACTING• • SIGNATURE REQUIRED <br />Any person signing on behalf of the Participating Entity has been duly authorized by all necessary action of Applicant's governing body, and that the undersigned <br />is authorized to make this application on behalf of the Participating Entity. <br />Signature: Printed Nam <br />Title: Date: <br />Complete and sign addendum. Fax to 1-207-253-1328. <br />Oppty Number Sales Code Plastic Type Coupon Code Account Number <br />YBA 1 04 <br />MASTER AGREEMENT No. 00819 — FLEET CARD SERVICES PAGE 41 OF 138 <br />