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Enrollment Details <br />1. Enrolled Affiliate's Enterprise. <br />a. Identify which Agency Affiliates are included in the Enterprise. (Required) Enrolled Affiliate's <br />Enterprise must consist of entire offices, bureaus, agencies, departments or other entities of <br />Enrolled Affiliate, not partial offices, bureaus, agencies, or departments, or other partial entities. <br />Check only one box in this section. if no boxes are checked, Microsoft will deem the Enterprise <br />to include the Enrolled Affiliate only. If more than one box is checked, Microsoft will deem the <br />Enterprise to include the largest number of Affiliates: <br />91 Enrolled Affiliate only <br />❑ Enrolled Affiliate and all Affiliates <br />❑ Enrolled Affiliate and the following Affiliate(s) (Only identify specific affiliates to be Included <br />if fewer than all Affiliates are to be included in the Enterprise): <br />❑ Enrolled Affiliate and all Affiliates, with following Atfliate(s) excluded:..., <br />b. Please indicate whether the Enrolled AffIIIiate's Enterprisewillllnclude..all; heW Af li iates acquired <br />after the start of this Enrollment: Exclude.future Affiliates <br />2.Contact information. <br />I. .t. <br />Each party will notify the other in writing if any of the information in the following contact information page(s) <br />changes. The asterisks (") indicate required fields.a.By providing Contact information, Enrolled Affiliate <br />consents to its use for purposes of administering this Enrollment by Microsoft, its Affiliates, and other parties <br />that help administer this Enrollment, The personal Information provided in connection with this Enrollment <br />will be used and protected ` in' accordance with . the privacy statement available at <br />httgs://www.microsoft.com/licensing/servicecentgr. <br />a. Primary contact. ; This contad•is thgrOrimary contact for the Enrollment from within Enrolled <br />"Affiliate's Enterprise.=,This contact"is also an Online Administrator for the Volume Licensing <br />Service Center and may grant online access to others. The primary contact will be the default <br />contact,for all purposes unfess,separate contacts are Identified for specific purposes <br />Name of entity (must be (egal ehttty name)* Indian fiver County 130CC <br />Contact name' First Basil ,Last Dancy <br />Contact email address" bdancy@ircgov.com <br />Street address' 1801 27th St. <br />City' Vero Beach• <br />State/Province• F1_ ` <br />Postal code* 32960 -3388 - <br />(For U.S. addresses, please provide the zip + 4, e.g. xxxxx-xxXx) <br />Country" United States <br />Phone` 772-226-1256 <br />Tax ID <br />indicates required fields <br />b. Notices contact and Online Administrator. This contact (1) receives the contractual notices, <br />(2) is the Online Administrator for the Volume Licensing Service Center and may grant online <br />access to others, and (3) Is authorized to order Reserved Licenses for eligible Online Servies, <br />including adding or reassigning Licenses and stepping -up prior to a true -up order. <br />EA2015EnrGov(US)SLG(ENG)(Nov2016) Page 8 of 10 <br />Document X20-10634 <br />