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AGREEMENT # ITARC-00930 <br />Exhibit C <br />MICROSOFT LSP PARTICIPATION FORM <br />JIM SMITH <br />Chief Infom:atL*n Officer <br />DARRYL POLK <br />Chief Technology Officer <br />TRACY TILLMAN <br />Deputy Director Admm - IT <br />ANTHONY CHOGYOJI <br />Chief Information Security Officer <br />MARTIN PEREZ, ACIO <br />Enterprise Applications Bureau <br />GUSTAVO VAZQUEZ, ACIO <br />Converged Communications Bureau <br />KARAN CHANORAN, ACID <br />Technology Serwaen Bureau <br />Microsoft LSP Participation Fonii <br />(RFQ # UARC-00532 Attachment 2) <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: Itak houn®nvice org Riverside, CA 92501 <br />County of Riverside TIN #' 95-6000930 <br />Company Name InSI ht Public Sector Inc. <br />Name. Scott Friedlander Title- SVP Public Sector <br />Address 2701 E. Insight Way <br />City: Chandler ZipCode:85286 Telephone#: 3D1-233-2392 <br />Fax #: Email $cott.Friedianderfo�rnsight cone <br />The County of Riverside is the host of the Microsoft Master Agreement No. 8084445_ All questions regarding <br />the products and licensing should be directed to Microsoft. <br />By signing below, I am agreeing to pay the paRtcipatior fees for each enrollment that is established by <br />leveraging the County of Riverside faster Agreement in accordance to the schedule referenced on RFO # <br />ITARC-00532 and any subsectuent contracts and f oramendments. <br />By signing below. I also agree that all enrollments will be submitted to Microsoft direct, to report enrollment <br />actrvity and comply to the payment schedule per RFO # ITARC-00532 to Riverside County Information <br />Technology. <br />Please reference the remittance information above for where to send the payment Failure to comply may <br />result in the award being rescinded <br />Sc'ait Fr���eL- - <br />Signature <br />Scott Friedlander <br />Pnnted Name <br />Signature: SG�f F/YIO�IAI[�I/ <br />s.w. r.wrrrw a.w i aat ri a� tun <br />Email: scott,f6edfand"insight.com <br />Revision 1/06/2021 <br />5/2/2024 <br />Date <br />IPS SVP <br />14 <br />City Council 18 - 88 1/20/2026 <br />