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g Solution Provider Agreement Number PSA-0001530 <br />Exhibit <br />� w <br />RfOtS I ]o <br />A sistanr Chiel) xecutiye O 1=nlerpriseApphentionsBureau <br />Chier information Officer � R GUSTAVO VAZQUEZ. ACIO <br />' Converged Ct,nrtnuuications Bureau <br />A;, <br />,fl Ul SIYIITI PiiWic Safety Enterprise CO11r1rmtrieations <br />Chief' tech agcy O ez GIL r-IEII-k ACIO <br />• Technnlogy ServicesBureau <br />Microsoft LSP Participation Form T <br />RF # _ <br />( Q RNCO-2020-RFQ (}Qp()048 Attachment 3) <br />Cotriplete this form and return to: <br />• Attention: Rick Hai <br />E-mail: Rllairebrivco.txe <br />i <br />CornpanyName: Software One. fnc <br />Payment should be made to: <br />Riverside County Information Technyology <br />3450 14th Street, Fourth Flom <br />Riverside, CA 9250� <br />County of Riverside TIN #: 95-6000930 <br />Name, Shelly Bodine ANWitle: SL-ED General I4lanaeer <br />Address: 20975 C'rossro.tds Cir_ STE 1 <br />City: Waukesha- WI Zip Code: 531 <4C TeleBlrfrne #: 800-400-9852 <br />Fax #: -Snail: Shelly.l3udine(diSoftwarcONE.crS <br />Microsoft Master Agreement No. 8084445. All questions regarding <br />the products and licensing slymild be directed to Microsoft. _ <br />By signing below, I ant agreeing to pay the participation fees for each enrollment that is established by lever <br />the County of Riverside Master Agreement in accordance to the schedule referenced Uzi RF <br />#RIVCO-2020-RFQ-0000048 and any subsequent contracts and / or amendment <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 schy dule per RFQ #RIVC0-2020-RFQ-0000048 to Riverside County <br />Information Teclviology0 . � . . <br />Please reference the remitt�nrce information above for where to send the payment. Failure to comtnly may <br />result in the award lacing <br />Si ature <br />Shelly Budin <br />Printed Nat <br />9Y1612019 <br />SLED GetleralMatlager <br />Title 0 . <br />TPagef 11 <br />