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x <br />Same as primary contact (default if no information is provided below, even if the box is not <br />checked). <br />Contact name* First Kevin Last Walser* <br />Contact email address* kwalser@everettwa.gov <br />Street address* 3200 Cedar St <br />City* Everett <br />State* Wa <br />P ostal code* 98201-4516- <br />(Please provide the zip + 4, e.g. xxxxx-xxxx) <br />Country* United States <br />P hone* 425-257-8905 <br />Language preference. Choose the language for notices English <br />❑ This contact is a third party (not the Enrolled Affiliate). Warning: This contact receives <br />personally identifiable information of the Customer and its Affiliates. <br />* indicates required fields <br />c. Online Services Manager. This contact is authorized to manage the Online Services ordered <br />under the Enrollment and (for applicable Online Services) to add or reassign Licenses and <br />step-up prior to a true -up order. <br />Same as notices contact and Online Administrator (default if no information is provided below, <br />even if box is not checked) <br />Contact name*. First Kevin Last Walser* <br />Contact email address* kwalser@everettwa.gov <br />P hone* 425-257-8905 <br />❑ This contact is from a third party organization (not the entity). Warning: This contact receives <br />personally identifiable information of the entity. <br />* indicates required fields <br />d. Reseller information. Reseller contact for this Enrollment is: <br />Reseller company name* SHI International Corp <br />Street address (PO boxes will not be accepted)* 290 Davidson Ave <br />City* Somerset <br />State* NJ <br />P ostal code* 08873-4145 <br />Country* United States <br />Contact name* Christopher Risafi <br />P hone* 888-764-8888 <br />Contact email address* msteam@shi.com <br />* indicates required fields <br />Bysigning below, the Reseller identified above confirms that all information provided in this <br />Enrollment is correct. <br />S ignature* <br />P rinted name* <br />P rinted title* <br />Date* <br />* indicates required fields <br />Changing a Reseller. If Microsoft or the Reseller chooses to discontinue doing business with <br />each other, Enrolled Affiliate must choose a replacement Reseller. If Enrolled Affiliate or the <br />Reseller intends to terminate their relationship, the initiating party must notify Microsoft and the <br />EA20201 EnrGov(US)SLG(ENG)(Oct2019) <br />Page 9 of 10 <br />Document X20-10635 <br />