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o ' Mir-TOSOft VnIi 1_1c:t flsing <br />Supplemental Contact Information Forrn <br />This form can be used in combination with M135A, Agreement, and EnrollmentlRegistratlon <br />However, a separate form must be submitted for each enrollment/registration, when mare than one is <br />submitted on a signature form. For the purposes of this form, 'entity" can mean the signing entity, <br />Cuslomer, Enrolled Affiliate, Government Partner, institution, or olf,ef party entering into a volume <br />licensing program agreement, Primary and Notices contacts in this form will not apply to enrollments <br />or registrations. <br />This form applies to: ❑ Mi I <br />PA Agreement <br />ElEnroil,ment/Aff,iliate Registration Form <br />Insert primary entity name if more than one Enrollment/Registration <br />Form is submitted <br />Contact information. <br />Each party will notify the other in writing if any of the information in the following contact information <br />pages) changes. The asterisks (') indicate required fields: if the entity chooses to designate other <br />contact types, the sarTle required fields roust be cnihpleted for each section. By proviclincd contact <br />information, entity consents to its use for purposes of administering the Enrollment by Microsoft and other <br />par4ies that help Microsoft administer this Enrollment. The personal information provided in connection <br />with this agreement -,vill be used and protecled according to the privacy siatemeni available at <br />lit tnslilicensiN microsoft.com. <br />I. Additional notices contact. <br />Phis contact receives all notices that are sent from Microsoft, No online access is granted to -Ihis <br />individual. <br />Narnca of entity' Counly of riverside <br />Contact name': First Regina Last Funderburk <br />Contact entail address' RFunderburk@rivco.org <br />Street address' 3450 14th Street, 4111 Floor' <br />City' Riverside StatelProvii California Postal code` 92501-3861 <br />Country* USA <br />Phone' 951-955-2265 Fax I <br />❑ This contact is a third party (not [lie entity). Warning: This contact receives personally identifiable <br />information of the entity. <br />2. Software Assurance manager. <br />This contact will receive online permissions to manage the Software Assurance benefits under the <br />Enrollment or Registration. <br />Name of entity' County or Riverside <br />Contact name': First Regina Last 1=unfferburk <br />Contact email address` RFunderburk@rivco.org <br />Street address' 3450 14th Street, pith Floor. <br />City'Riverside StatelProvince' California 4Postal code' 92501-3861 <br />r <br />l <br />.x,pGa�uacir,,raFcrrn{r•�n.cdnl;rNt,}(c�rtau, 31 <br />I�s,ge 'I Of', <br />City Council 18 — 108 1/20/2026 <br />