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<br />a. Primary contact information: The Customer of this Enrollment must identify an <br />individual from inside its organization to serve as the primary contact. This contact is the <br />default administrator for this Enrollment and receives all notices unless Microsoft is <br />provided written notice of a change. The administrator may appoint other administrators <br />and grant others access to online information. <br /> <br />Name of entity (must be legal entity name)* City of Santa Ana <br />Contact name* First Tom Last Gergen <br />Contact email* tgergen@santa-ana.org <br />Street address* 20 Civic Center Plaza, Basement Room B22 <br />City* Santa Ana State/Province* CA Postal code* 92701 <br />Country* USA <br />Phone* 714-647-6958 Fax 714-647-5406 <br />Tax 10 (if applicable) <br /> <br />b. Notices and online access contact information: This will designate a notices and <br />online access contact different than the primary contact. This contact will replace the <br />default administrator (primary contact) for this Enrollment and receive all notices. This <br />contact may appoint other administrators and grant others access to online information. <br /> <br />~ Same as primary contact <br />Name of entity (must be legal entity name)* <br />Contact name* First Last <br />Contact email* <br />Street address* <br />City* State/Province* Postal code* <br />Country* <br />Phone* Fax: <br />D This c<;)nta~ti$'athird party (not the Customer). Warning: receives <br />personaUyj~el'ltifiable information of the Customer. <br /> <br />c. Language preference: Select the language for notices. Engljsh <br /> <br />d. Microsoft account manager: Provide the Microsoft aCcount manager contact for this <br />Customer. <br /> <br />Microsoft account manager name: Amanda Parsons <br />Microsoft account manager email address:amandap@microsoft.com <br /> <br />e. If Customer requires a separate contact for any of the following, attach the Supplemental <br />Contact Information form. Otherwise, the notices contact remains the default. <br /> <br />· Duplicate electronic contractual notices contact <br />. Software Assurance benefits contact <br />· MSDN contact <br />· Online Services administrator <br /> <br />f. This Enrollment is financed through MS financing D Yes, ~ No. <br /> <br />g. Reseller information <br />Reseller company name. CompuCom Systems, Inc. <br />Street address (PO boxes will not be accepted)* 7171 Forest Lane <br />City and State / Province and postal code. Dallas, TX 75230 <br />Country. USA <br />Contact name. Greg Landry <br />Phone. 972-856-5520 <br />Fax 972-856-1135 <br />Email address.glandry@compucom.com <br /> <br />Enterprise v6.6 Government Enrollment <br />(North America) State and Local(English) September 3, 2007 <br /> <br />Page 2 of 4 <br />Document X20-00091 <br />