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PAPERS Application and Agreement / <br /> Paperless Document Management System ' <br /> (Complete both forms for each PAPERS User) <br /> Name of PAPERS User: <br /> Prefix: Mr -First: Robert Middle:M Last: Keating <br /> Title: Community Development Dir . <br /> Organization Name (if appropriate) Indian River County <br /> Address: <br /> 1840 25th Stree�"e City or County if local Gov) <br /> City: Vero Beach 32960 <br /> Phone: (772) 567-8000 xt . Zip' <br /> Fax: (772) 978-1806 <br /> Representing (local government): Indian River County <br /> Address Where PAPERS Computer is located: 1840 25th Street Vero Beach , FL 32960 <br /> Do you currently have access to the PAPERS program in conjunction with the Dept of <br /> Emergency Management? Yes _ XX No <br /> If yes, do you have Entrust electronic signature? N/A <br /> Will you (your position) need electronic signature for signing Request for Funds, <br /> Amendment Requests, etc? X Yes No Comments: <br /> Use Agreement: <br /> I agree that I will only use the PAPERS system to submit and exchange documents with the <br /> Department of Community Affairs for the local govemment identified above. I will not attempt <br /> to view or modify any other documents relating to other local governments in the system. I <br /> further agree not to install additional copies of the Adobe Acrobat software or Entrust software <br /> without the written permission and authorization of the Department of Community Affairs. I <br /> also agree to Abide by the Adobe Acrobat licensing agreement and the Entrust Licensing <br /> agreement. Failure to abide by the terms of this agreement will result in the termination of <br /> rights and abilities to use the PAPERS system. <br /> Local Government Statement: I hereby authorize Robert M . Keating <br /> to participate in PAPERS on our behalf for the purposes of the CDBG Program. (Name of <br /> individual or consultant) / <br /> Signature of PAPERS User: /. ATE: <br /> (Consultant or local government R RS Us ) <br /> 4 <br /> Signature of Local Government CEO DATE: 1/21/03 <br /> Ver: 12/13/02 nneth R. Macht, Chairm n <br /> DCA USE ONLY: I approve this individual for PAPERS and the Enterprise Information System: <br /> Colleen Matthews Date <br /> Libby Lane Date <br /> Comments: Steve Grantham/Terresa Grosvenor Date <br />