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AGREEMENT # ITARC-00930 <br />Exhibit C <br />MICROSOFT LSP PARTICIPATION FORM <br />J11YI SMITH <br />Chief Information Officer <br />MARTIN PEREZ, ACIO <br />Enterprise AppfRcations bureau <br />DARRYL POLK <br />Chief Technoogy OfficerIRCIT <br />GUSTAVO VAZQUEZ ACK? <br />TRACY TILLMAN <br />Converged Comm+un§caftris Bureau <br />Deputy Director Adm in - IT <br />ANTHONY CHOGYOJI <br />KARAN CHANDRAN, ACID <br />Chief Information Security Officer Technology Services t; ureBu <br />Microsoft LSP Participation Form <br />(RFQ # ITARC-00532 :attachment 1) <br />Complete this form and return to: Payment should be made to: <br />Riverside County Information Technology <br />Attention: Linda Fakhouri 3450 14th Street, Fourth Floor <br />E-mail: tfakhour!Arivco.ora Riverside, CA 92501 <br />County of Riverside TIN it: 95-0ODD930 <br />Company Name: Insight Public Sector. Inc <br />Name: Scott Friedlander Title: ._ VP Public Sector <br />Address: 2701 E. Insiaht Way <br />City: Chandler Zip Code:85286 Telephone#: 31)i-233-23J2' <br />Fax M Emal: ScolitFriedlanderAinsightcom <br />The County of Riverside is the host of the Microsoft Master Agreement No. 8084445. AR questions regarding <br />the products and fscensing should be directed to Microsoft. <br />By signing below, I am agreeing to pay the participation fees for each enrollment that is established by <br />leveraging the County of Riverside Master Agreement in accordance to the schedule referenced on RFQ # <br />ITARC-40532 and .any subsequent contracts and I or amendments. <br />By signing below, I also agree dial all enrollments will be submitted to Microsoft direct, to report enrollment <br />activity and comply to the payment schedule per RFO # ITARC-00532 to Riverside Count) Irnfcmiation <br />Technology. <br />Please reference the remittance information above for where to send the payment_ Falure to comply may <br />result in the award being rescinded. <br />SreEF 14vw�!�tt�tr <br />.r.r•:.., : uw u n air <br />SlanaiU(e ' <br />Scott Friedlander <br />Printer: flame <br />Signature: ScoFFFir�7f�or <br />Email: scottfriedlander@insightcom <br />5/2/2024 <br />Date <br />IPS SVP <br />Title <br />14 <br />Revision 1/06/2021 <br />City Council 18 — 44 <br />