Date ACH Vendor

ROOTS OF PROGRESS
West By
CSO Online
MAY 19,
2023
TRIO®
Introductory
Paragraph
But another question at this point can easily go begging in the rush
to advocate reflective practice in education, which is to do with
whether teachers and school leaders actually possess the necessary
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because he inscribes a version of them in many. But, what about
teachers and school leaders? The discourse analysis and
phenomenological enquiry. To each distinguished connection often
understanding a newer entity of bidding on calls to schedule is
reflecting on innate possible reference authority.
Life can be full of unexpected moments. Identify a time
when you experienced an unexpected moment. Write an
essay about a time when you experienced an unexpected
moment. Explain why the moment was unexpected and how
it affected your life. Be sure to explain your choice by using
details and examples.
Great-West Financial
Last updated June 5, 2013

PURPOSE AND COMPLIANCE
Purpose
This travel policy provides guidelines and established procedures
for Vendors/consultants incurring business travel and allowable
expenses on the company’s behalf. All Vendors are required to
follow this policy when allowed to bill Great-West for expenses
permitted by contractual terms.
Scope
The Vendor/Consultant Travel Policy applies to all Vendors of
Great-West Financial and its subsidiaries. Any reference to
“Vendor” applies to all vendors, consultants and .
Compliance
Vendors are responsible for complying with the Travel policy.
Approvers (Great-West Project Managers and Supervisors) are
responsible for authorizing travel and accurately reviewing expense
invoices for compliance. Great-West will reimburse Vendors for all
reasonable and necessary expenses allowed by contract while on
authorized company business. Great-West assumes no obligation to
reimburse Vendors for expenses that are not in compliance with the
Vendor Travel Policy. All travel expenditures will be subject to
audit.
Vendors who do not comply with this policy may be subject to:
2

Delay or withholding of reimbursement
termination of contracts due to breach
TRAVEL POLICY QUESTIONS/CONTACTS
Any questions, concerns or suggestions regarding the Vendor
Travel Policy may be directed to the Company Travel Manager in
the Travel Services Department:
Email: travel@greatwest.com
TRAVEL AUTHORIZATION
Travel authorization is given by the Supervisor or Project Manager
of the specific business unit for your contract. They will also
approve all of your expenditures by manual expense statement.
Great-West managers or authorizers do not have the authority to
override the Corporate Travel Policy.
Spouse/Companion Travel:
The companies will not reimburse travel expenses incurred by a
spouse or other individual accompanying Vendor on business.
All Vendor travel should be booked by the Vendor using the
Vendor’s credit card and shall not be direct billed to the company.
Great-West corporate rates/discount via Travel and Transport agents
should be used. Vendors may not use Cliqbook. Vendors may
submit all expenses that have been agreed to in the contract and preapproved
in writing by an appropriate level Great-West Manager,
back to the Company for proper reimbursement.
3

TRAVEL ARRANGEMENTS
Corporate travel must be booked through Travel and Transport
(T & T), the Corporate Travel agency Great-West has chosen.
Reservation Procedures:
Company suggests booking at least 14-21 days in advance
whenever possible. All air travel, lodging, car rental and rail travel
reservations including en route changes, must be booked through T
& T. Reservations can be made through a T & T Agent:
Broomfield, CO 80021
Phone: 866-822-1306 dial
prompt 2 then 1 for a domestic
agent Fax: 303-412-0690
Email: greatwest@tandt.com
Hours of operation:
Monday through Friday
7:00 AM to 5:30 PM (Mountain Standard Time)
DOMESTIC AIR TRAVEL
Making Air Travel Reservations:
Air travel reservations must be made through T & T. No exceptions
can be made to this rule. Air travel reservations can NOT be made
directly with the airlines.
Travel and Transport: Toll-free 1-866-822-1306.
Airline Class of Service:
All domestic air travel must be in Economy class of service.
Vendors are expected to use the lowest logical airfare available.
Vendors may use Business class only when Economy class is
completely sold out and no alternate flights are available – an
explanation must be provided on the expense invoice. All Vendors
are expected to use the lowest available non-stop airfares unless
4

directed differently by T&T. When it makes sense, connections
should be considered. When a Vendor does not book the lowest
available non-stop airfare, hotel or car rental rate offered (especially
from preferred vendors), the Travel & Transport travel counselor
(travel agent) notes the policy exception. This will be included in
reports that are reviewed by the Company Travel Administrator,
Accounting and appropriate management. It is never allowed to fly
on an airline with a higher fare in order to receive preferred frequent
flyer miles or in order to upgrade to first class. This will be
considered out of compliance.
Upgrades for International and Domestic Air Travel:
Upgrades at Great-West’s expense are NOT permitted. Upgrades are
allowed at the Vendor’s personal expense.
Lowest Logical Airfare Definition:
Vendors are expected to book the lowest logical airfare (domestic or
international) as determined by a T & T travel counselor based on
the following (to the extent possible):
-14 day advance purchase Flexibility in departure
and arrival times
Discount fares which are non-refundable or have cancellation/change penalties
Use of alternative airports where applicable (i.e. Midway versus O’Hare
in Chicago) Flights which are non-stop or connect en route
Vendors are not expected to book connections unless it is a significant
savings and time effective.
5

Preferred Airlines:
Great-West has negotiated special rates with specific airlines.
Current preferred airlines are United and Frontier. Vendors flying
on business must use these airlines whenever possible if these are
most cost effective.
Airline Frequent Flier Programs:
Vendors may retain frequent flier program benefits. However,
participation in these programs must not influence flight selection,
which would result in an increase of airfare beyond the lowest logical
airfare as defined in the Vendor Travel Policy.
Lost Baggage and Baggage charges:
The responsibility for retrieving and compensating travelers for
lost baggage lies with the airlines. Great- West will not reimburse
Vendors for personal items lost or stolen while traveling on
business. Be sure to report any claims to the airline as soon as
possible.
Vendors will only be reimbursed for baggage charges as follows:
Up to 4
nights
travel per
trip – 1
bag 5
nights or
more per
trip – 2
bags
The receipt for checked baggage costs must be attached to the expense
invoice.
Denied Boarding Compensation:
Airlines occasionally offer free tickets or cash allowances to
compensate travelers for delays and inconveniences due to
overbooking, flight cancellations, changes of equipment, etc.
6

Vendors traveling may volunteer for denied boarding
compensation only if: Flying outside normal working
hours
A delay will not result in an
interruption in, or loss of business Vendors
who are involuntarily denied boarding
should:
Get rebooked on another flight
Obtain a free voucher from the
airline Keep the free travel for
personal use
Overnight Delays:
Should an airline delay necessitate an overnight stay, Vendors must
first attempt to secure complimentary lodging accommodations from
the airline. If unsuccessful, Vendors should contact T & T to book
accommodations.
Changes and Cancellations:
The purchase of a non-refundable ticket provides substantial cost
savings, and is strongly encouraged. Unused, non-refundable tickets
may be exchanged for future airline travel. Rules vary by airline and
penalties apply. Vendors should make an effort to keep itinerary
changes to a minimum to reduce excessive penalty charges by the
airlines and additional transaction fees from T & T. When changes
are anticipated, the Vendor should wait until the last possible date to
issue/reissue the ticket. This will result in lower fees paid to the
airline and T & T. When a trip is cancelled after a ticket has been
issued, Vendors should immediately contact a travel counselor at T
& T. In most cases it is possible to retain most of the value of the
ticket to use it on a future trip. Be sure to contact a T & T travel
counselor prior to the originally scheduled departure date and time
otherwise the entire value of the ticket will be lost. Should you
decide to make changes to a ticket for personal reasons the change
fees and additional costs incurred will be at the personal expense of
the Vendor.
7

Properties where the company has negotiated rates. A list of preferred hotels can
be obtained by either the project manager or by sending an email to
travel@greatwest.com.
If a company negotiated hotel rate is not available, travelers must use the least
expensive accommodations in a similar hotel category within reasonable distance to
the actual meeting/event location.
Long-Term Hotel Stays:
Vendors should contact Travel & Transport regarding long-term
stay (over 30 days consecutively) discounts for hotel rooms and
apartment hotels.
Hotel Spending Guidelines:
Vendors are expected to use negotiated or preferred rates whenever
possible in applicable locations. Vendors will be reimbursed for
actual and reasonable hotel room costs. If the hotel rate includes
free breakfast, any other breakfast expense is disallowed. Tips for
hotel staff are reimbursable when confined to reasonable limits, as
determined by the services required and received.
Room Guarantee:
Unless otherwise instructed, T & T will guarantee all rooms for late
arrival with the Vendor’s credit card.
Hotel Cancellation Procedures:
Vendors are responsible for canceling hotel rooms and must contact
T & T or the hotel directly. Vendors should request and record the
cancellation number in case of billing disputes. Vendors will be
held responsible and will not be reimbursed for “no-show” charges
unless there is sufficient proof that the billing is in error. Vendors
should note that cancellation deadlines are based on the local time
at the hotel. Cancellations deadlines are indicated on the travel
itineraries you receive.
Hotel Payment Procedures:
Hotel costs must be paid using the Vendor’s credit card.
9

When creating expense invoices, hotel bills must be broken out by
category. Please separate charges such as, but not limited to meals,
internet, phone and parking.
Hotel Frequent Guest Programs:
Many hotels have frequent guest programs that reward travelers
with free accommodations in exchange for a given number of paid
room nights at the hotel. Awards (from these programs) are
retained by the Vendors for personal use. However, participation in
these programs must not influence hotel selection.
Any membership fees associated with joining these programs are not
reimbursable.
RENTAL CARS
Rental Car Guidelines:
Vendors should drive a car to their destination when driving is more
cost and time effective than airline travel. Vendors may rent a car
when:
It is less expensive than other transportation modes such as taxis, hotel shuttles,
airport shuttles or airport limousines.
Super Shuttle services is not available to hotel from airport
Making Rental Car Reservations:
Rental car reservations must be made through T & T.
GPS Navigational Systems:
Great-West will not reimburse Vendors for GPS navigational systems
in cars. Should Vendors choose that service as an option; it will be at
Vendor’s own personal expense.
Rental Car Categories:
Vendors should book the following rental car
categories: Compact
Midsize/Intermediate
10

When picking up a rental car, Vendors should:
Check with the rental car agent for any promotional rates, last minute specials or
free upgrades. Inspect the vehicle and report any damage found before the vehicle
is accepted.
Preferred Rental Car Suppliers:
The company has negotiated rates with Avis/Budget and Enterprise.
Rental Car Insurance – Domestic:
Vendors must have made provisions for insuring rental cars against
damage. Insurance coverage for rental cars is not reimbursable.
Rental Car Cancellation Procedures:
Vendors are responsible for canceling rental car reservations and
must contact T & T. Vendors should request and record the
cancellation number in case a billing dispute arises. Great-West will
not reimburse cancellation charges caused by the Vendor.
Returning Rental Cars:
Every reasonable effort must be made to return the rental car:
To the original rental location unless approved for a
one-way rental Intact (i.e. no bumps, scratches or
mechanical failures)
On time, to avoid additional hourly
charges With a full tank of gas
Under no circumstances should the fuel option be purchased. The
fuel option is the ability to return the car with an empty tank of gas
and have the rental car company refill the tank with gas. Please
decline this coverage and refill the tank before returning the rental
car. Make sure gas receipts are submitted with expense invoices.
Rental Car Payment Procedures:
Unless otherwise instructed, rental cars must be paid using the
Vendor’s credit card.
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Rental Car Accidents:
Should an accident occur, Vendors are responsible for all reports and
resolving any issues.
OTHER TRANSPORTATION
Car/Limousine Service:
Car/Limousine service is not available and non-reimbursable.
Personal Car Usage Guidelines:
Mileage for personal car usage by Vendors is not reimbursable.
Great-West will not be responsible for damage or loss personal
vehicles or passengers of Vendors.
TELEPHONE USAGE
Business Phone Calls:
Vendors will be reimbursed when using their personal telephone,
calling cards or home phone for business phone calls:
Which are reasonable and necessary for conducting
business When an original bill is attached to the
expense invoice
Personal Phone Calls While Traveling:
Vendors will not be reimbursed for personal telephone calls.
Use of Air Phone:
Vendors will not be reimbursed for any telephone calls made from air
phones.
12

Use of Hotel Telephones:
Vendors may be reimbursed reasonable charges related to Great-
West business telephone calls made at their hotel accommodations.
When staying at a hotel, Vendors should find out the local and long
distance rates. Avoid making phone calls that have an added
surcharge. Information on added surcharges to phone calls is
usually listed in the hotel information located in the room. It can be
acquired by calling the hotel front desk. To avoid substantial
charges added by hotels to telephone bills, Vendors should:
Use a cell phone, charge/credit card, calling card, public phone or call collect
whenever possible. Press the #key after each call and wait for the tone, then dial the
next phone number when making several long distance calls
Use 1-800 numbers for business calls whenever
possible Phone from local company offices
whenever possible
TRAVEL INSURANCE
Travel Insurance Coverage:
Vendors will not be reimbursed for travel insurance coverage.
MEALS AND ENTERTAINMENT
Personal Meal Expenses:
Personal meals (breakfast, lunch and dinner) are expenses incurred
by Vendors traveling when dining alone on out-of-town business
trips. Vendor will be reimbursed for personal meal expenses
according to actual cost. When utilizing Great-West preferred hotels
that include free breakfast, no other breakfast expenses will be
reimbursable. Lunches and dinner expensed should not be lavish or
excessive. Snacks and beverages outside of meals will not be
reimbursed. Gourmet dining will be considered excessive and not
13

eimbursable. When dining, alcohol is not reimbursable and is
considered a personal expense. When departing on a business trip
and traveling via air, breakfast in transit or at Vendor’s departing
airport is not reimbursable unless flight departure time occurs
between 6-9am local time. When returning home from business
travel by air, no meals will be reimbursed after the return flight
lands. Meal costs for social
OCCASIONS, SUCH AS BIRTHDAYS, SECRETARY’S DAY, ETC.
ARE NOT CLASSIFIED AS BUSINESS MEALS AND WILL NOT BE
REIMBURSED.
Tipping for Meals:
Tips should be no more than 20% of the bill. Any tips considered
excessive will not be reimbursed. As a general rule, Vendors should
not tip more than they would on a personal trip and tip only to the
level of service received. On big party checks most restaurants will
automatically charge an 18% gratuity. Also, be sure to check your
receipt prior to adding tip for this line item to avoid over-tipping.
Payment for Meals:
Expense invoices must include itemized business meal receipt as well
as total amount plus tip receipt.
EXPENSE REPORTING
Submitting an Expense Invoice:
All expenses should be submitted on a monthly basis to a Great-West. All expense
receipts should be attached to an invoice and send to Great-West Financial at P.O. Box
1700, Denver, CO 80201 or email accountspayable@gwl.com. Expense invoices should
be submitted in an orderly fashion. All expenses must be filed on the next monthly
invoice and in no event later than 90 days from the date of transaction. Expenses filed
after the 90 day period WILL NOT REIMBURSED. Great-West Project Manager will
approve all expenses in accordance with the Great-West policy.
14

Vendors will be notified of any expenses that are not allowed by Great-West Project Manager or Accounts Payable.
May result in a delay or non reimbursement of specific items
15

While some investors may, from time to time, request paper or electronic certificates, the
majority of investors accept or even prefer uncertificated shares. Accessibility to equity
management software like Carta has also made it easier than ever for corporations to issue and
administer uncertificated shares.
When a corporation issues uncertificated shares, it does not deliver any certificate to the
stockholder, whether in paper or electronic form. Instead, the corporation simply records
issuances and transfers of shares in an electronic stock register. Industry practices dictate,
however, that a corporation with uncertificated stock should provide investors with some access
to
www.dlapiperaccelerate.com
16

The process of scene analysis will be scaffolded. Students will begin by
analysing single frames, and progress to doing a full scene analysis. The teacher
will model each step of the process.
REFLECTION: considering the planning, process and impact
of the inquiry Prior to studying the unit
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(Company Name)
(Contact Name)
(Address: Street, Town, State, Zip)
Phone:
Email:
Fax:
Web Address:
Management:
CEO
VP Sales/Mktg.
VP Product Development
CTO
CFO
Etc…
Business Description: Briefly describe the general nature of
your company. From this section the investor must be
convinced of the uniqueness of the business and gain a clear
idea of the market in which the company will operate.
Company Background: Provide a short summary of your
company background.
Industry: i.e. software, biotech, etc.
Number of Employees: #
Management: List senior management and prior experience
Bank: i.e. Silicon Valley, Comerica
etc…
Auditor: i.e.PricewaterhouseCoopers,
Ernst & Young, KPMG, etc. . .
Law Firm: DLA Piper
Products/Services: Convey to the investor that the
company and product truly fill an unmet need in the
marketplace. The characteristics that set the product
and company apart from the competition need to be
identified (competitive advantage).
Amount of Financing Sought:
i.e. $2M equity
Current Investors:($Amt. Invested)
Any Venture Capitalists,
Private Investors, or Personal Funds
Use of Funds: i.e. Product
development, marketing/sales,
distribution, etc…
Technologies/Special Know-how: In this section,
highlight whatever aspects of your product that may be
18

protected by current IP or patent law. Provide evidence of
how your offerings are different and will be able to
develop a barrier to entry for potential competitors.
Markets: Provide a clear description of your target market,
and any market segments that may exist within that market.
Include potential market size and growth rate. Also,
mention your revenue model in this section.
Distribution Channels: Indicate which channels will be used to deliver your products/service
to your target markets (i.e. direct salesforce,VARs, channel partners, etc…).
Competition: List any current or potential direct and indirect competition. Briefly describe the
competitive outlook and dynamics of the relevant market in which you will operate.
Financial Projections (Unaudited):
Revenue:
EBIT:
(dollars in thousands)
Revenue+47.5
4,309,653 +22.1 Bottom
optimization
19

To determine the level of rehabilitation assistance remember to take the lower of Federal assistance per unit
OR. rehabilitation hard costs per unit
A. What is the total amount of federal assistance dollars contributed to the project?
B. What are the total rehabilitation hard costs to this project? (To calculate hard costs, see page 2 of
this worksheet)
Write the amount
that is lower of question A or B above
C. Check appropriate category.
< $5,000 (Less than or equal to $5,000)
Safe Work Practices and Work Site Clearance
>$5,000 - < $25,000 (Greater than $5,000 but less than or equal to $25,000)
Risk Assessment and Interim Controls
> $25,000 (Greater than $25,000)
Risk Assessment and Hazard Abatement
07 - Calculating Level of Rehabilitation Assistance Worksheets 20
1

Data Recession and Recovery : 2011-2023
2001 2002 2003 4 2006 2C.;: 2007 200B 2009 2010 201!
2012 2013 2014
16. Total Soft Costs (add lines 2 through 15)
17. Total Rehabilitation Hard Costs (Line 1 -
(minus) Line 16) (Enter this number as
"B" on Page 1)
22

S
Calculating Rehabilitation i Hard Costs
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A separate set of records for consolidation of the statement of affairs and income and expenditure of
the branches are maintained at the Head Office of the Bank based on which these financial statements
have been prepared.
23

To determine the level of rehabilitation assistance remember to take the lower of Rehabilitation hard costs
per unit OR Federal assistance per unit.
A. Are all units federally assisted? yes no
f no, go to Worksheet #3.
B. What is the total amount of federal assistance dollars per
unit?
(Use the amount from line 3 from the calculation on page 2 of this worksheet.)
C. What are the total rehabilitation hard costs per
unit?
(Use the amount from line 6 from the calculation on page 2 of this worksheet.)
D. Write the amount that is lower of question B or C.
E. Check appropriate category.
< $5,000 (Less than or equal to $5,000)
Safe Work Practices and Work Site Clearance
>$5,000 - < $25,000 (Greater than $5,000 but less than or equal to $25,000)
Risk Assessment and Interim Controls
> $25,000 (Greater than $25,000)
Risk Assessment and Hazard Abatement
24

1. Federal Dollars in the Project
2. Number of Dollars in Profession
3. Total Infringement Benefits
csoonline.com
Calculating Level of Rehabilitation
Assistance: Worksheet #2
Multi Family-All units Federally
$8,000 Assisted
$130,000
$137,000
2
3. Federal Assistance Per Unit (line 1 7 line
2)
Measured Data
$23,000
$90,000
Length of
Assets
$90,000
$12,450
Time
in
Asset
s
$9,564
$36,200
4. Rehab Hard Costs in the Project (line 23) 8,000
5. Number of Units in project 4
7. Total Job Cost $6,000
07 - Calculating Level of Rehabilitation Assistance Worksheets 25
4

Calculating Level of Rehabilitation
Assistance: Worksheet #2
Multi Family-All units Federally
Enter the costs in each corresponding box for lines 8 through 20.
Assisted
8. Financing Fees $5,000
9. Credit Reports 5,625,989
10. Title Binders & nsurance 744
11. Recordation Fees & transaction Taxes 55,169,000
12. Legal & Accounting Fees $20,000
14. Architectural & Engineering Fees $6,991
* Lead hazard evaluation and reduction costs include costs associated with site preparation,
occupant protection,
relocation, interim controls, abatement, clearance, and waste handling attributable to lead-based
paint hazard reduction.
26

A. Whenever the pronouns "I," "my," "we" are used in this agreement they shall mean
"we," "our," and "us" respectively, if more than one owner signs below.
Client #:
OUR PROGRAM
09 - Property Owner's Service Agreement - Sample Document 3
27

Attach to Contract Document
New York City Department of Transportation
Division of Capital Program Management and Land Use Review
REQUEST FOR PROPOSAL
ENGINEERING SERVICE AGREEMENT (ESA) for
ENGINEERING, DESIGN AND INSPECTION SERVICES CITYWIDE
PIN NOS: 84107MBRW216 and 84107MBRW217
CONTRACT NOS: HWCESA08A and HWCESA08B
ADDENDUM NO. 1
August 31, 2007
This Addendum Is Hereby Made Part Of The Contract Documents
28

NOTE:
Attached please find:
1. Addendum No.1
2. Revised Section I, Page 2.
3. The sign-in sheet for the 8/20/07 Pre-Proposal Conference (7 pages).
4. Acknowledgement Receipt.
New York City Department of Transportation o
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Division of Capital Program Management and Land Use Review
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REQUEST FOR PROPOSAL
ENGINEERING SERVICE AGREEMENT (ESA) for
ENGINEERING, DESIGN AND INSPECTION SERVICES CITYWIDE
P
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PIN NOS: 84107MBRW216 and 84107MBRW217
CONTRACT NOS: HWCESA08A and HWCESA08B
ADDENDUM NO. 1
August 31, 2007
REFER TO:
SECTION I - Timetable, Page 2, Item C: Proposal Due Date and Time and Location.
DELETE: Date: September 12, 2007
REPLACE WITH: Date: September 26, 2007 (see attached sheet)
ADDENDA
FORM 2P ACKNOWLEDGEMENT OF
Directions: Complete Part I or Part II, whichever is applicable, and sign your name in Part III.
Part I
Listed below are the dates of issue for each Addendum received in connection with this RFP:
30

Addendum #10
Part II Acknowledgement of No Receipt
No Addendum was received in connection with this RFP
Part III
Proposer's Name:
Proposer's Authorized Representative:
Name:
SEAN STENGLE
Title:
Signature: _______________________________
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AGENCY INFORMATION
PAYEE/COMPANY INFORMATION
NAME
ADDRESS
SSN NO. OR TAXPAYER ID
NO.
CONTACT PERSON NAME:
TELEPHONE NUMBER:
( )
NSN 7540-01-
274-9925
AGENCY
COPY SF
3881 (Rev
12/90)
Prescribed by
Department
of Treasu
Signature:
31 U S C 3322; 31 CFR 210

Payee/Company Information Section - Payee prints or types the name of the payee/company
and address that will receive ACH vendor/miscellaneous payments, social security or taxpayer
ID number, and contact person name and telephone number of the payee/company. Payee also
verifies depositor account number, account title, and type of account entered by your financial
institution in the Financial Institution Information Section.
2. Financial Institution Information Section - Financial institution prints or types the name
and address of the payee/company's financial institution who will receive the ACH
payment, ACH coordinator name and telephone number, nine-digit routing transit
number, depositor (payee/company) account title and account number. Also, the box
for type of account is checked, and the signature, title, and telephone number of the
appropriate financial institution official are included.
BURDEN ESTIMATE STATEMENT
The estimated average burden associated with this collection of information is 15 minutes per
respondent or recordkeeper, depending on individual circumstances. Comments concerning
the accuracy of this burden estimate and suggestions for reducing this burden should be
directed to the Financial Management Service, Facilities Management Division, Property and
Supply Branch, Room B-101, 3700 East West Highway, Hyattsville, MD 20782 and the
Office of Management and Budget, Paperwork Reduction Project (1510-0056),
Washington, DC 20503.
31 U S C 3322; 31 CFR 210

CSO Online
PAYEE/COMPANY INFORMATION
NAME
ADDRESS
CONTACT PERSON NAME:
Recipients of these
SSN NO. OR TAXPAYER ID
NO.
TELEPHONE NUMBER:
( )
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NAME:
FINANCIAL INSTITUTION INFORMATION
ADDRESS:
ACH COORDINATOR NAME:
NINE-DIGIT ROUTING TRANSIT NUMBER:
TELEPHONE NUMBER:
( )
DEPOSITOR ACCOUNT TITLE:
DEPOSITOR ACCOUNT NUMBER:
LOCKBOX NUMBER:
SIGNATURE AND TITLE OF AUTHORIZED
OFFICIAL:
(Could be the same as ACH Coordinator)
TELEPHONE NUMBER:
( )
PAYEE/COMPANY COPY
NSN 7540-01-
274-9925
31 U S C 3322; 31 CFR 210

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Recipients of these
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31 U S C 3322; 31 CFR 210

O
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B
Recipients of these
Payee/Company Information Section - Payee prints or types the name of the payee/company
and address that will receive ACH vendor/miscellaneous payments, social security or taxpayer
ID number, and contact person name and telephone number of the payee/company. Payee
also verifies depositor account number, account title, and type of account entered by your
financial institution in the Financial Institution Information Section.
2. Financial Institution Information Section - Financial institution prints or types the name
and address of the payee/company's financial institution who will receive the ACH
payment, ACH coordinator name and telephone number, nine-digit routing transit
number, depositor (payee/company) account title and account number. Also, the box
for type of account is checked, and the signature, title, and telephone number of the
appropriate financial institution official are included.
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BURDEN ESTIMATE STATEMENT
The estimated average burden associated with this collection of information is 15 minutes per
respondent or recordkeeper, depending on individual circumstances. Comments concerning
the accuracy of this burden estimate and suggestions for reducing this burden should be
directed to the Financial Management Service, Facilities Management Division, Property and
Supply Branch, Room B-101, 3700 East West Highway, Hyattsville, MD 20782 and the
Office of Management and Budget, Paperwork Reduction Project (1510-0056),
Washington, DC 20503.
FINANCIAL INSTITUTION
COPY
31 U S C 3322; 31 CFR 210

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Purpose
PURPOSE AND COMPLIANCE
Recipients of these
This travel policy provides guidelines and established procedures for Vendors/consultants
incurring business travel and allowable expenses on the company’s behalf. All Vendors are
required to follow this policy when allowed to bill Great-West for expenses permitted by
contractual terms.
Scope
The Vendor/Consultant Travel Policy applies to all Vendors of Great-West Financial and its
subsidiaries. Any reference to “Vendor” applies to all vendors, consultants and contractors.
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Compliance
Vendors are responsible for complying with the Travel policy. Approvers (Great-West Project
Managers and Supervisors) are responsible for authorizing travel and accurately reviewing
expense invoices for compliance. Great-West will reimburse Vendors for all reasonable and
necessary expenses allowed by contract while on authorized company business. Great-West
assumes no obligation to reimburse Vendors for expenses that are not in compliance with the
Vendor Travel Policy. All travel expenditures will be subject to audit.
Vendors who do not comply with this policy may be subject to:
Delay or withholding of reimbursement termination of contracts due to breach
31 U S C 3322; 31 CFR 210