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LEXISNEXIS RISK SOLUTIONS (3)
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LEXISNEXIS RISK SOLUTIONS (3)
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Last modified
8/18/2022 2:33:47 PM
Creation date
8/18/2022 2:32:48 PM
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Contracts
Company Name
LEXISNEXIS RISK SOLUTIONS
Contract #
N-2021-101-01
Agency
Police
Expiration Date
6/30/2027
Destruction Year
2032
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Exhibit A <br />LexisNexis Risk Solutions Government Application & Agreement <br />The information submitted on this Application will be used to determine the applicants eligibility for accessing the services and <br />products of LexisNexis Risk Solutions FL Inc. and its affiliates (hereinafter "LN"). To avoid delay, please provide all information <br />requested. By submitting this Application, the applicant hereby authorizes LN to independently verify the information submitted <br />and perform research about the individuals identified. Acceptance of this Application does not automatically create a business <br />relationship between LN and the applicant. LN reserves the right to reject this Application with or without cause and to request <br />additional information. Applicant acknowledges and understands that LN will only allow applicant access to the LN Services if <br />applicant's credentials can be verified in accordance with LN's internal credentialing procedures. <br />I — Agency Information — please do not <br />abbreviationsSection <br />use <br />Full legal name of agency: <br />Main phone number for address*: <br />Santa Ana Police Department <br />714-834-4211 <br />*If this is a cell, additional documents may be <br />required <br />If this application is for an additional account, Parent account number: <br />Fax number: <br />714-245-8606 <br />Physical Address where LN services will be accessed — <br />Previous address if at the current address less than 6 mos: <br />P.O. Box/Mail Drops cannot be accepted (street, city, state, zip): <br />60 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Website address: <br />External Agency IP Address (https://www.whatismylP.com): <br />www.santa-ana.org/pd <br />98.153.69.210 <br />External Agency IP Range — From: <br />External Agency IP Range —To: <br />Agency information: <br />❑ Federal Government ❑ Federal Law Enforcement I ❑ Local/Municipal Government <br />❑ State Government <br />I ❑ State Law Enforcement I ❑X Local/Municipal Law Enforcement <br />❑ Other (please explain): I <br />Section 11 — Administrator and Main Contact Infor mation <br />(for additional administrators, please provide additional sheets) <br />Product Administrator or Main Contact (first & last name): Title, <br />Boris Duran Police Systems Manager <br />E-Mail Address: Admin IP Address: <br />bduran@santa-ana.org <br />Required for local and municipal agencies: <br />Administrator Home Address (street, city, state, zip): <br />Administrator Date of Birth: <br />Please validate over telephone <br />Section III — Billing Information <br />Billing Contact (first & last name): check here if same as Administrator X❑ <br />Title: <br />Billing Address (street, city, state, zip): <br />Telephone: <br />PO Box 1981, Santa Ana CA 92701 <br />714-245-8236 <br />E-Mail Address: <br />Sales Tax Exempt: <br />❑X No ❑ Yes— please provide proof of exemption <br />Do you require a PO number on invoice: <br />❑X No ❑ Yes If Yes, provide PO Number: <br />Section IV — Business -to -Business Vendor Reference <br />Required for local and municipal agencies: <br />Company Name: <br />Contact: <br />Business Address (street, city, state, zip): <br />Contact Phone Number: <br />E-mail Address: <br />Account Number (if applicable): <br />LNRS Non -FORA Package-Govt (Q3.18.v1) Confidential Page 1 of 6 <br />
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