Laserfiche WebLink
AGREEMENT # ITARC-00930 <br />Exhibit C <br />MICROSOFT LSP PARTICIPATION FORM <br />JIM $Milli <br />Chief Information Officer <br />MARTIN PEREZ, ACK, <br />Enterprise Applicafons Bureau <br />DARRYL POLK177) <br />Chief Tech notogy officer <br />CIT GU57AV0 VA2gUE2, ACID <br />TRACY TILLMAN <br />Converged Cornmunleafuns Bureau <br />Deputy Dlrecror Admin - IT <br />ANTHONY C14DGYOJI <br />KARAN CHAHDRAN, ACID <br />Chief Information Security Otlkcer <br />Technology Services E ureau <br />Microsoft LSP Participation Fonn <br />WQ # ITARC-00532 Attacbment 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: Ifakhou691tivco.ora Riverside, CA 92501 <br />County of Riverside TIN #L: 95-60DD93D <br />Company Name: Inai ht Public Sector. Inc. <br />Name: Scott Friedlander Title: SVP Public Sector <br />Address: 2701 E. rnsicifit Way <br />City: Chandler Zip Code:65286 Telephone #: 3D I-233-2392 <br />Fax #: Emae: Scoti-Friedlanderr&nsiaht-com <br />The County of Riverside is the host of the Microsoft Master Agreement No. SD04445. AP guestione regarding <br />the products and licensing should be directed to Microsoft. <br />By signing below, I am agreeing to pay the participation fees for each enrollment that is establ=gfied by <br />leveraging the County of Riverside Master Agreement in accordance to the schedule referenced on RFQ # <br />ITARC-00532 and any oubsecrient contract-- and If or amendmento. <br />By signing below, I also agree that all enrollments will be submitted to Microsoft direct; to report enrollment <br />activity and cbrnpiy to the payment schedule per RFC2 # ITARC-00532 to Riverside County Information <br />Technology_ <br />Please reference the remittance tnformation above for where to send the payment_ Failure to comply may <br />result in the award being rescinded. <br />Signature <br />Scott Friedlander <br />Printed Name <br />Signalure: 5tr?ff xsstdGt+u�ir <br />Email: scotl.friedland erLbinsightcom <br />5/2/2024 <br />Date <br />ItI&S"'1v19 <br />14 <br />Revision 1/0612021 <br />