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z <br />Aj <br />O <br />LL CO <br />Program Signature Form <br />MBA/MBSA number RIVCO-8084445-M- <br />AMD2 <br />Agreement number 8084445 <br />Notq: Enter the applicable active numbers associated with the documents below. Microsoft requires the <br />associated active number be indicated here, or listed below as new. <br />For the purposes of this form, "Customer" can mean the signing entity, Enrolled Affiliate, <br />Government Parinel, Institution, or other party entering Into a volume licensing program agreement. <br />This signature form and all contract documents Identified In the table below are entered into between <br />the Customer and the Microsoft Affiliate signing, as of the effective date Identified below. <br />Contract,Doddme4� <br /><Choose,A reemenl> <br /><Choose A reement> <br /><Choose A reement> <br /><Choose A reement> <br /><Choose A reement> <br /><Choose Enrollment/Re qlstratlon5 <br /><Choose Enrol Iment/Reg istratlon> <br /><Choose Enrol Ime nt/ReIsl ration> <br /><Choose Enrollment/Re istration> <br /><ChcoseEnrollment/Re istrallon> <br />Amendment to Contract Documents <br />CTM-FWK-CTC-AGR 8084445 <br />By signing below, Customer and the Microsoft Affiliate agree that both parties (1) have received, read <br />and understand the above contrac( documents, including any websltes or documents incorporated by <br />reference and any amendments and (2) agree to be bound by the terms of all such documents. <br />Name of Eritify st be le tentity name)* County of Riverside <br />Signature* <br />Printed First and Last Name* /� je ({/} (� , 1l �1 <br />Printed Title S R?.. '�RuC�( /�t�n/'r Corr rtv 4Gr 5eP6-0,V1S7 <br />Signature Date* p% 3z -zO-W <br />Tax ID <br />* Indicates required field <br />ProgramSignForm(MSSign)(NA,LatAm)ExBRA(FNG)(Ocl2010) Page 1 of 2 <br />Document X20.12845 <br />City Council 18 — 70 <br />