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Docview, LLC <br />Application and Setup Form <br />Agency Information <br />Name: Santa Ana Police Department <br />Agency ORI: CAO301900 <br />Address: 60 Civic Center Plaza <br />City, State, Zip: Santa Ana, CA 92701 <br />Records Supervisor: Ann Matulin—am.ora 1714-245-8620 <br />Records Debepartment 714_ 245-8616 <br />Phone Numr: <br />Agreements with Docview, LLC <br />Agency agrees that Docview can add an e-commerca convenience fee, which is paid to <br />Docview <br />ES / NO <br />by insurance companies/citizens who purchase a report online. <br />Agency/entity agrees to return any hardware provided by Docview if the project is <br />E / NO <br />cancelled by either the agency or Docview in under a two year period. <br />Agency/entity agrees to allow Docview to release VIN and other vehicle specific data to <br />Docview's business partners for traffic and consumer safety purposes. <br />YES / N <br />(Note: No personal or private information concerning drivers, passengers, owners, <br />witnesses or other Involved parties is shared with Docvlew's partners.) <br />Will attorneys have the right to obtain your agency's crash reports by searching with <br />YES / N <br />select injury codes? <br />Report Information <br />Approximate number of crash reports in 2010: 4013 <br />Price your agency currently charges for a crash report: $20.00 <br />Main contact for implementation: Mike Watson 714) 245-8042 <br />(Name, Phone, Email): mwatsonasanta-ana.org <br />Mike Watson 714) 245-8042 <br />IT Contact (Name, Phone, Email): mwafsonosanta-ana.org <br />Revenue check should be made out to: Santa Ana Police Department <br />Account Name: City of Santa Ana <br />Revenue check should be sent to Bank Account No: 1431681776 <br />(if different from above): Routing Number: 122000030 <br />Project Administrator. (Print AND Signature) t-� Dat <br />Please email an electronic copy of your agency patch/shield or star and fax or email <br />completed form to (517) 327-1988 or infoCoidocvlew_us_com <br />DOCVIEW, LLC Terri Greene: 360-871-4552 <br />5801 West Michigan Ave. Suite D Info@docview.us.com <br />