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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 />0 Enrolled Affiliate only <br />❑ Enrolled Affiliate and all Affiliates <br />❑ Enro)led 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 />4. <br />❑ Enrolled Affiliate and all Affiliates, with following Affiliafe(s) excluded:,, <br />b. Please indicate whether the Enrolled Affiliate's Ent&prlsip Will fno_1Udeall new Affiliates acquired <br />after the start of this Enrollment: Exclude future Affillates <br />2. Contact information. <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. 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 informationprovided in connection with this Enrollment <br />will be used and protected Jn .,accordance within. the -1 privacy statement available at <br />httvs m,Av.microsoft.comlli enSinalservicecentery .a. <br />Y: <br />a. Primary contact. iThls contact is.the,primary contact for the Enrollment from within Enrolled <br />Affiliate's Enterprise. ,This contact is aiso.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 unless separate contacts are identified for specific purposes <br />Name of entity (must be iegal entity name)` Indian River County IS <br />Contact name* First Basil Last Dancy <br />Contact email address' bdancyCircgov.com <br />Street address*A801,21th St. <br />City* Vero Beach" <br />State/Province' !=L <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 />EA2016EnrCov(US)SLG(ENG)(Nov2016) Psge 8 of 10 <br />Document x20-1 N,34 <br />