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z <br />o <br />a- W <br />1/(sll.ln Ire I.ir;c-�I��,irlc� <br />Program Signature Form <br />MBAIMBSA number RIVCO-8084445-M <br />AMD2 <br />Agreement number 8084445 <br />Notq: Enter the applicable active numbers associated with the documents below. Microsoft requires the <br />associated active number be indicated here, or listed below as new. <br />For the purposes of this form, "Customer' can mean the signing entity, Enrolled Affiliate, <br />Government Partner, Institution, or other party entering Into a volume licensing program agreement. <br />This signature form and all contract documents Identified In the table below are e_nlered Into between <br />the Customer and the Microsoft Affiliate signing, as of the effective date Identified below. <br />By signing below, Customer and the Microsoft Affiliate agree that both parties (1) have received, read <br />and understand the above contract documents, Including any websites or documents Incorporated by <br />reference and any amendments and (2) agree to be bound by the terms of all such documents, <br />NameofEritity0a st be le (•entity name)". County of Riverside <br />Signature* <br />Printed First and Last Name* CR , "NI <br />Printed Title S Colvue 4CT 5IP&-0,441s r <br />Signature pate' 0��3� �Zo•zo <br />Tax ID <br />"Indicates required field <br />ProgremSignForm(MSSign)(NA,LatAm)ExBRA(I NG)(Oct2019) Page 1 of 2 <br />Document X20.1280 <br />I <br />