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Service Solicited - 2023 - Caselle - Payroll Year End Services ACA Services * CASELLECormnifr to Cnay Payroll Year End Services Proposal for City of Eagle, Idaho 12/04/2023 Deliverables In the course of this contract, Caselle will deliver the following: ACA Services • Convert Employee information in Human Resources to create ACA ready data • Copies of all reports used to create ACA forms • Provide applicable ACA forms to customer to distribute to employees • Provide XML file to upload to IRS AIR system. • Return updated GrO database with all ACA related forms and information for download. Cost Requirements The proposed agreement with Eagle, ID includes services for ACA. ❑ Item 1: Verify all required information into Human Resources module to complete ACA filing requirements at$10 per employee for a maximum of$600. O Item 2: Prepare all ACA forms and electronic files at$1200 Total costs for payroll year end will not exceed $1,800. **Eagle, ID agrees to review transactions and reports at the end to verify that the terms and conditions of this service proposal are fulfilled. Following verification any changes, corrections, or updates that need to be made to data will be at an additional fee that is not included in the annual maximum reported on the prior page. www.caselle.com•Phone:800.228.9851•Fax:801.850.5001 •1656 S.East Bay Blvd a100 •Provo,UT•84606 Government Accounting Software •CASELLE m,tmettt to n comtty The signatures below indicate each party's acceptance of the terms and objectives stated in this proposal. This proposal is executed by its duly authorized representative. City of Eagle, ID Signature: C� Name: '-1' 501,D z1e`CCP/ Title: INA 0,..,1 0 f Date: 12.• is ,2-3 www.caselie.com•Phone.B00.228.9851•Fax:B01.050.5001 •1656 S.East Bay Blvd#100 •Provo,UT•04606 .> t_oVernnInent AccounkiI)g Software