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AGREEMENT # ITARC-00930 <br />Exhibit C <br />MICROSOFT LSP PARTICIPATION FORM <br />JIM SMITH <br />Chief Information Officer <br />DARRYL POLK <br />Chief Techndogy O}ricer <br />TRACY TILLMAN <br />Deputy Director Admin - FT <br />ANTHONY CHOGYOJI <br />Chief Infonnatlon Scurlty Officer <br />RCIT <br />MARTIN PEREZ, ACIO <br />Enterprise Appl,catEons Bureau <br />GUSTAVO VAZQUEZ, ACIO <br />Converged Communfeauons Bureau <br />KARAN CHANDRAN, ACIO <br />Technology Services Bureau <br />Microsoft LSP Participation Fonii <br />(RFQ # UARC-00532 Attachment 2) <br />Complete this form and retum to: Payment should be made to: <br />Riverside County Information Technology <br />Attention: Linda Fakhouri 3450 14th Street, Fourth Floor <br />E-mail: Ifakhoun®nvco.ora Riverside, CA 92501 <br />County of Riverside TIN #: 95-6000930 <br />Company Name Insight Public Sector, Inc. <br />Name: _Scott Friedlander Title: SVP Public Sector <br />Address: 2701 E. Insight Way <br />City: Chandler Zip Code:85286 Telephone #: 301-233-2392 <br />Fax 0: Email Scott.Friediander Minsight con) <br />The County of Riverside is the host of the Microsoft Master Agreement No. 8084445_ Ail questions 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 ft at is established by <br />leveraging the County of Riverside Master Agreement in accordance to the schedu!e referenced on RFO it <br />ITARC-00532 and any subsequent contracts and i or amendments. <br />By signing below. I also agree that all enrollments will be submitted to Microsoft direct to report enrollment <br />activity and comply to the payment schedule per RFQ 2 ITARC-00532 to Riverside County information <br />Technology. <br />Please reference the remittance Enformat+on 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result in the award being rescinded 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 />Signature: $4oi irr�dLl�td.r <br />Email: scott.friedlanderLWinstghtcom <br />5/2/2024 <br />Da to <br />iP5 SVP <br />Title <br />14 <br />Revision 1ID612021 <br />