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DocuSign Envelope ID: CD08DB69-E937-4C8A-BDFC•7C4F296028C4 <br />�SURANCE NOT ON FILE A-2015-252-01 <br />WC, �i ; MAY NOT PRCrEED <br />CLERK OF COUNCIL <br />DATE: ExnmiT E <br />Pd I 1 r n1y rAumn di Enrollment Form <br />t) ' Deposit Account Number: 32692 <br />Depositor, Beneficiary and Iron Mountain Intellectual Property Management, Inc. ("Iron Mountain"), hereby <br />o acknowledge that TriTech Software Systems is the N "Depositor" or ❑ `Beneficiary" referred to in the Escrow <br />o Agreement that supports Deposit Account Number: 32692 with Iron Mountain as the escrow agent and The City of <br />N Santa Ana, CA is the ❑ Depositor or N Beneficiary enrolling under this Agreement. ❑ "Depositor" or N `Beneficiary" <br />hereby agrees to be bound by all provisions of such Agreement. <br />BENEFICIARY COMPANY NAME: CITY OF SANTA ANA <br />;A <br />AUTHORIZED PERSON(S)/NOTICEs TABLE <br />Please provide the name(s) and contact information of the Authorized Person(s) under this Agreement. <br />All Notices will be sent electronically and/or through regular mail to the appropriate address set forth <br />below. Please complete all information as applicable. Incomplete information may result in a delay of <br />processing. <br />PRINT NAME: <br />Kristine Ridge <br />PRINT NAME: <br />David Valentin <br />TITLE: <br />City Manager <br />TITLE: <br />Chief of Police <br />EMAIL ADDRESS <br />EMAIL ADDRESS <br />STREET ADDRESS <br />20 Civic Center Plaza <br />STREET ADDRESS <br />60 Civic Center Plaza <br />PROVINCE/CITY/STATE <br />Santa Ana, CA <br />PROVINCE/CITY/STATE <br />Santa Ana, CA <br />POSTAUZIP CODE <br />92701 <br />POSTAL/ZIP CODE <br />92701 <br />PHONE NUMBER <br />714-647-5200 <br />PHONE NUMBER <br />714-245-8003 <br />FAX NUMBER <br />FAX NUMBER <br />PAYING PARTY COMPANY NAME: TRITECH SOFTWARE SYSTEMS <br />BILLING CONTACT INFORMATION TABLE <br />Please provide the name and contact information of the Billing Contact under this Agreement. All Invoices <br />will be sent to this individual at the address set forth below. <br />PRINT NAME: <br />CentralSquare Technologies, LLC <br />TITLE: <br />Accounting <br />EMAILADDRESS <br />Accounts.receivable@centralsquare.com <br />STREET ADDRESS 1 <br />1000 Business Center Drive <br />PROVINCE/CITY/STATE <br />Lake Mary, Florida <br />POSTAUZIP CODE <br />32746 <br />PHONE NUMBER <br />800-727-8088 <br />FAX NUMBER <br />(407) 304-3914 <br />IRON MOUNTAIN INTELLECTUAL PROPERTY MANAGEMENT, INC. <br />All notices should be sent to iomcontractsna ironmountain.com OR Iron Mountain-Attn: Contract <br />Administration, 2100 Norcross Parkway, Suite 150, Norcross, Georgia, 30071, USA. <br />NOTE: SIGNATURE BLOCKS FOLLOW ON THE NEXT PAGE <br />