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Microsoft Volume Licensinc <br /> Program Signature Form <br /> MBA/MBSA number 7-W2UTJCPAJ <br /> Agreement number 6564327 <br /> Note: 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 entered into between <br /> the Customer and the Microsoft Affiliate signing, as of the effective date identified below. <br /> Contract Document Number or Code j <br /> U <br /> Enter.rise Enrollment Indirect X20-10635 <br /> Enter.rise Amendment M97;M624;CTM-CTC-PUR NE ` U <br /> Product Selection Form 1028956.002_PSF (n <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 /> Customer <br /> Name of Entity( • . •e`t-. - - • T ame * Cit of Everett aa) 2 c <br /> E <br /> Signature* ''" 2, a <br /> Printed First and Last Name* C' v 1 <br /> Printed Title M l-Af(M__ w p <br /> mow = <br /> Signature Date* 1 _ o o cj <br /> Ucr <br /> C <br /> Tax ID 6< <br /> 0 <br /> *indicates required field <br /> Microsoft Affiliate <br /> Microsoft Corporation <br /> Signature <br /> Printed First and Last Name <br /> Printed Title <br /> Signature Date <br /> (date Microsoft Affiliate countersigns) <br /> Agreement Effective Date <br /> (may be different than Microsoft's signature date) <br /> ProgramSignForm(MSSign)(NA,LatAm)ExBRA,MLI(ENG)(May2020) Page 1 of 2 <br /> Document X20-12883 <br />