HomeMy WebLinkAbout5.727 Original Contract
5./~7
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.:=!!!!~ Washington Stote Department of
~iiP.lnformation Services
TO:
Microsoft Select Coordinator
FROM:
DIS Technology Brokering Services
DATE:
May 21,2008
RE:
DIS/MS PRODUCTS PURCHASE AGREEMENT
Enclosed you will find a signed copy of your Agency's Microsoft Product Purchase
Agreement. Please retain this copy for your files.
As the coordinator for the Select agreement you are responsible for the accurate
accounting of all MS products purchased from DIS. You may authorize other personnel
within your organization to purchase MS Products from DIS by means of a properly
executed Microsoft Products Authorized Purchaser form, available from your DIS
Consultant. To find your DIS Consultant please visit, http://techmal1.dis.wa.gov/.
Thank you.
.'
(C~\PY
~!!~ Washington State Department of
~ji~ Information Services
Please return to:
. .
. DIS TechnologyBrokering Services."
P.O. Box 42445,OlYll1Pia;WA98504-2445
PAX: (360)753.-1673
........ '" """'.'"" ,"' .." .-.- .-."....-:...
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MICROSOFT@ PRODUCTS PURCHASE AGREEMENT
This Agreement is entered into by and between the Department of Information Services ("DIS"), an agency
of Washington State, and C; t D Po,..-f 1=\Y'I e {e.s ("Customer"), a Washington State
agency or political subdivision or public benefit no rofit corporation. "Customer" includes all its members,
officers, agents, contractors, representatives or employees.
This Agreement is one of three agreements that set forth Customer's rights and obligations with respect to
purchasing Microsoft products. The other two agreements are the Microsoft Select agreement ("Select")
and the Enterprise agreement ("EA"), as amended, between the Microsoft Licensing, GP ("Microsoft" or
"MS") and DIS. In addition, Microsoft's Product Use Rights ("PUR") document provides general use
rights and restrictions for all MS products.
All Customers purchasing MS products will execute this Agreement, including the attached Agency
Coordinator (required) and Authorized Purchaser (optional) forms. Customers purchasing any MS
product under the Select agreement will also sign the Select Enrollment forms. Customers purchasing MS
products under the Enterprise agreement will also sign the Enterprise Enrollment forms.
In consideration for the right to purchase MS products at deeply discounted' prices negotiat~d by DIS,
Customer agrees as follows:
1. Customer will submit all Select and EA Enrollment forms and all purchase orders for MS products
directly to DIS.
2. Customer will comply with its obligations and the restrictions set forth in Customer's Enrollment
Form(s).
3. Customer understands and acknowledges that Select and EA are not for personaVconsulting services
or any MS products with less than Level D pricing.
4. Upon DIS' request, Customer shall promptly submit all purchase orders required and, if applicable,
EA True Up orders and Update Statements as required. Customer's failure to submit any such
documents shall be grounds, at the option ofDIS, for termination of this Agreement and/or Customer's
rights to purchase MS products through DIS.
5. The purchase price is nonrefundable. Under Select, Customer pays for the product in full at time of
purchase and has the option of paying for Software Assurance ("SA") in full at time of purchase or
in three (3) annual payments. Under EA, Customer pays for products and SA in three (3) annual
payments. DIS will invoice either the full payment or the first annual payment to Customer as of the'
Enrollment effective date or time of purchase. Second and third annual payments will be invoiced on
the anniversary date of the underlying Microsoft agreement, not on the anniversary date of purchase.
Customer is responsible for providing properly executed orders for annual payments when requested
by DIS. Under EA, the True-Up price listed per Qualified Desktop is a one-time-only payment.
6. Customer agrees to pay DIS in a timely fashion the agreed-upon price for all products and services
received by Customer. Customer's failure to pay any such amount promptly when due shall be
Microsoft Products Purchase Agreement - 1
.'
grounds, at the option of DIS, for termination of this Agreement and/or Customer's rights to purchase
MS products through DIS.
The undersigned certifies that s/he has read, understands and agrees to the provisions herein and has the
authority to bind Customer to a legal contract.
Approved
State of Washington
Department of Information Services
Approved
Customer
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Print or Type Name
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THIS DOCUMENT APPROVED AS TO FORM BY THE ATTORNEY GENERAL'S OFFICE-
SIGNATURE ON FILE 2/13/2008
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Microsoft Products Purchase Agreement - 2
AGENCY COORDINATOR (j-equirerll
The individual(s) listed below has read and understands the obligations set forth in the attached Microsoft
Products Purchase Agreement, and will be responsible for coordinating all activity for Microsoft
("MS") products between Customer and DIS. The MS Agency Coordinator(s) is responsible for the
accurate accounting of all of Customer's MS products purchased from DIS.
This form, once properly completed and returned to DIS, will enable the MS Agency Coordinator(s) to
purchase MS products by any means authorized by Customer. An MS Agency Coordinator may
authorize other personnel within Customer's organization to purchase MS products from DIS by means of
a properly executed Microsoft Products Authorized Purchaser form. However, the purchase ofMS
products by personnel other than an MS Agency Coordinator in no way relieves an MS Agency
Coordinator ofhislher responsibility to accurately account for all MS products purchased from DIS.
Customer is responsible for maintaining the accuracy of the MS Agency Coordinators' contact
information provided to DIS. Updated contact information can be emailed or faxed to DIS by the person
who has executed the Microsoft Products Purchase Agreement. .
CUSTOMER NAME: {' ,'+y D~ fDr f- AY1Je/e.s
DIS Customer Agency/ Sub-Agency Number: D 17 D -0 (required)
Signature of the person who executed the "Microsoft Products Purchase Agreement" on behalf of
Customer:
~/~~
( required)
Name: Ga. f' V L. /3l'ools
I
Telephone Number: 3bD-Y 17-l/ b.? I
Name: ~ / 1'7-4b(~ th 5'+("a; t
Telephone Number: 3 bo - 'f /7- 47J...2.
MailingAddress:.YD tOI< IIS-D
Street A ddress: 32./ E. \-r- +1.. S+.
Mailing Address: PD BDxllSD
Street Address: .gJ., It::. Sfh sf.
City/Zip:~+- /lye-Ie? w4 crg:?{;,.2-
City/Zip: Por+ AI1.y-/e.s, wI} 903b~
Mail Stop:
Mail Stop:
Fax Number: -:ShD- 4 (7 -l/ 60 9
Email JbrODks.@c-n/*1.4.uS
Signature: ~ (h.~
FaxNumber: gbo- 417- Lfbcq
Email: e...s+(.a.it~ c...f~+VD~~C\. 45
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C .
Signature: .~~ ~ :;,fu t1 {..t.-
Microsoft Products Purchase Agreement
Attachment 2 - Authorized Purchaser
AUTHORIZED PURCHASER (optional)
This form is optional and is to be completed only after Customer has appointed an Agency Coordinator
for purchasing Microsoft Products.
Having provided the signature of the MS Agency Coordinator in the space provided, the individual listed
below will be authorized to purchase MS software products from DIS by any means authorized by
Customer. As a MS Products Authorized Purchaser ("MS Authorized Purchaser"), it is the responsibility
of the individual identified below to report all new purchases of MS software products to the MS Agency
Coordinator to ensure that an accurate count of all products purchased can be maintained by Customer.
CUSTOMER NAME: (please print)
L;ty o~ Port- A11J'p-L!2-S
0-170-0
(required)
rooks;
DIS Customer Agency/ Sub-Agency Number:
Name of Microsoft Agency Coordinator: (please print)
( required)
Signature of Microsoft Agency Coordinator:
MICROSOFT
AUTHORIZED PURCHASER
Name: Sa.f\'Ie5 Dr ~,\^pe.r
Telephone Number: S hO-417- ~S73
MailingAddress: Po (So)': /fs-o
Street Address: 3.2. \ E, ~-t-t 5f-
city/zpdOo( t ,4 yel-e5;1 wI/- 9F:?bZ
Mail Stop:
Fax Number: 'Sbo-417- V bCfJ'
Microsoft Products Purchase Agreement
Attachment 2 - Authorized Purchaser
AUTHORIZED PURCHASER (optional)
This form is optional and is to be completed only after Customer has appointed an Agency Coordinator
for purchasing Microsoft Products.
Having provided the signature of the MS Agency Coordinator in the space provided, the individual listed
below will be authorized to purchase MS software products from DIS by any means authorized by
Customer. As a MS Products Authorized Purchaser ("MS Authorized Purchaser"), it is the responsibility
of the individual identified below to report all new purchases of MS software products to the MS Agency
Coordinator to ensure that an accurate count of all products purchased can be maintained by Customer.
CUSTOMER NAME: (please print) L. : + yo$;. f'c I^ + A?J e & 5
DIS Customer Agency/ Sub-Agency Number: D 170 - 0 (required)
Name of Microsoft Agency Coordinator: (please print)
~
Signature of Microsoft Agency Coordinator:
( required)
MICROSOFT
AUTHORIZED PURCHASER
Mail Stop:
Fax Number: 3bo ~417-l./ 609
Email: JMa.tt-t.e....vec..fl6)+-f.~..us .
Signature: ~,
Microsoft Products Purchase Agreement
Attachment 2 - Authorized Purchaser
Microsoft-I Volume Licensing
Select Signature Form
State and Local
Master Agreement number or
Enrollment number'
SGN-
Agreement Public Customer
Number'
Microsoft to complete if
applicable
"Note: Enter the applicable active numbers associated with the below documents. Microsoft requires the associated active number be
indicated here, or listed below as new.
This signature form sets out the documents entered into under this signature form and together along with
the terms and conditions contained therein are part of the contract(s) identified above. . This program
signature form and all attachments identified are entered into between the Customer and Microsoft
Affiliate signing, as of the effective date identified below.
Document I!)escription Document Number or Code
I
Select Enrollment
X020 - 6030 I
Representations and warranties. By signing below, Customer attests they have received copies of the
contract document(s) listed above, and the parties agree to be bound by the terms of the contract(s) and
document(s) identified above, and Customer represents and warrants that (1) Customer has read and
understands the terms therein, including all documents it incorporates by reference and any amendments
to those document(s) and (2) agrees to be bound by those terms.
Name of Entity' Li-ty ~~ rDr+~e e..s
S;gnature' ~~~ 7\ ~
Printed Name" ~I't L. t!.>,-ooks
Printed Title' 5y 5fe/'YIS CaDrc!fllerfo,-
Signature Date' V( JV lo~
Microsoft Licensing, GP
Signature
Printed Name
Printed Title
Signature Date
(date Microsoft Affiliate countersigns)
Volume Licensing Programs Signature Form
(North America)State and Local(English) September 3, 2007
Page 1 of 2
TaxIDN/A
Effective Date
(may be different than Microsoft's signature date)
* indicates required field
Optional 2nd Customer signature or Outsourcer Signature (if applicable)
Customer I Outsourcer
Name of Entity *
Name of Entity *
Signature *
Signature *
Printed Name *
Printed Title *
Signature Date *
Printed Name *
Printed Title *
Signature Date *
If Customer requires physical media, additional contacts, or is reporting multiple previous Enrollments,
include the appropriate form(s) with this signature form. If no media form is included, no physical media
will be sent.
After this signature form is signed by the Customer, send it, along with completed documents, to
Customer's channel partner or Microsoft account manager who must submit them to the following
address. When the signature form is fully executed by Microsoft, Customer will receive a confirmation
copy.
Microsoft Licensing, GP
Dept. 551, Volume Licensing
6100 Neil Road, Suite 210
Reno, Nevada USA 89511-1137
I Prepared By:
Volume Licensing Programs Signature Form
(North America)State and Local(English) September 3, 2007
Page 2 of 2
Microsoft'l Volume Licensing
Select Enrollment
State and Local
Enrollment number
(Microsoft Affiliate to complete)
Previous Enrollment, agreement
or auth number
(if renewing Software
Assurance)(Reseller to complete)
Proposal 10
(Reseller to complete)
Earliest expiring previous
Enrollment end date
(Reseller to complete)
'tt1i;;'~'~i91Irri:~hf:;.ri~~tb~,~ttaCl1eat9~'~ig~~i1J~r~~~..,ji.td:,b'~"~~lid.:
This Microsoft Select Enrollment is entered into between the entities, as of the effective date identified on
the signature form.
This Enrollment consists of (1) This Enrollment, (2) the terms of the Select Agreement identified on the
signature form and all attachments identified therein.
Enrolled Affiliate agrees to purchase Licenses equal to at least 750 points during the initial term 'of this
Enrollment.
All terms used but not defined are located at http://microsoft.com/licensina/contracts.
,.. . .
Effective date. If Enrolled Affi/ia,,~ is renewing Software Assurance covercigefrom. one. or more previous
Microsoft agreements, thenthe'e.ffective date of this Enrollment wilrbe the dayafterrhe earliest expiration
of such coverage. Other~isetheE!ffective date will be the date this Enrollm~nt is processed by'Microsoft.
Term. This Enrollmentwill expire on the date the Microsoft Select Agr~ement identifiedbn the signature
form expires. .. .
Qualifying systems Licenses. The operating system Licenses granted under this program are upgrade
Licenses only. Full operating system Licenses are not available under this program.
1. Contact information.
Each party will notify the other in writing if any of the information in the following contaCt information
page(s) changes. The asterisks (*) indicate required fields. By providing contact information, Enrolled
Affiliate consents to its use for purposes of administering this Enrollment by Microsoft, its Affiliates, and
other parties that help administer this Enrollment. The personal information provided in connection with
this Enrollment will be used and protected in accordance with the privacy statement available at
http://licensing.microsoft. com.
a. Primary contact information: The Enrolled Affiliate of this Enrollment must identify an
individual. from inside its organization to serve as the primary contact. This contact is the
default online administrator for this Enrollment and receives all notices unless Microsoft is
provided written notice of a change. The online administrator may appoint other
administrators and grant others access to online information.
c.; t t D ~ Port AIl5 e. (e.s
, Last: B r .:.>0 ~ 5>
Name of entity: (must be legal entity name)*:
Contact nam e * First: (;.C</" (,
Contact email *.jbf.....b~_c-lfy-o.t-po..us
Street address * ~1i E. 5' it-.. SI-.
City. fort A,,~ e/e{,.
Country. USA
Phone. 3'-0 -~17-~b3'
Tax ID N/A
, State/Province · W A Postal code · %' 3' :2-
Fax 'Sbo- VI7-%O<J
Select 6.6 Government Enrollment
(North America) State and Local(English) September 3, 2007
Page 1 of 3
Document X20-00331
b. Notices and online access contact information: This will designate a notices and online
access contact different than the primary contact. This contact will replace the default
administrator (primary contact) for this Enrollment and receive all notices. This contact may
appoint other administrator8 and grant others access to online information.
~ Same as primary contact
Name of entity (must be legal entity name): *
Contact name * First: , Last:
Contact email *
Street address *
City * , State/Province * WA Postal code *
Country * USA
Phone * Fax
c. Language preference: Select the language for notices. English
d. Microsoft account manager: Provide the Microsoft account manager contact for this
Enrolled Affiliate.
Microsoft account manager name:
Microsoft account manager email address:
e. If Enrolled Affiliate requires a separate contact for any of the following, attach the
Supplemental Contact Information form. Otherwise, the notices contact remains the default.
· Duplicate electronic contractual notices contact
· Software Assurahcebenefits contact
· MSDN contact
· Online Services administrator
f. This Enrollment is financed through MS financing 0 Yes, [8] No.
g. Reseller information
Reseller company name: *
Street address (PO boxes will not be accepted) *
City and State / Province and postal code *
Country *
Contact name *
Phone *
Fax
Email address *
The undersigned confirms that the information is correct.
Name of Reseller*
Signature *
Printed name *
Printed title *
Date *
Changing a Reseller. If Microsoft or the Reseller chooses to discontinue doing business
with one another, Enrolled Affiliate must choose a replacement. If Enrolled Affiliate intends to
change the Reseller, it must notify Microsoft and the former Reseller, in writing on a form
provided at least 30 days prior to the date on which the change is to take effect. The change
will take effect 30 days from the date of Enrolled Affiliate's signature.
Select 6.6 Government Enrollment
(North America) State and Local(English) September 3,2007
Page 2 of 3
Document X20-00331
2. Software Assurance Membership election.
To become a Software Assurance Member, Enrolled Affiliate must agree to purchase and maintain
Software Assurance for all copies of all Products licensed under this Enrollment from at least one Product
pool. For a description of benefits resulting from choosing one or more Product pools below and
additional details regarding the Software Assurance Membership program, please consult with the
Reseller or Microsoft account manager.
For each Product pool, mark "yes" or "no" to indicate whether Enrolled Affiliate is committing to purchase
and maintain Software Assurance for all copies of all Products licensed from that pool under this
Enrollment.
Product pools
Applications 0 ~
Systems 0 D(j
Servers 0 ~
Note: If "Yes" is
marked, all orders
for Licenses must
have Software
Assurance.
3. Renewing Software Assurance. . . .: ,
. .... "
If Enrolled Affiliate is renewing Software Assurance from multiple Select programsorc;onsolidating other
previous Enrollments or agreements (including Open authorizations) into this EnrollilH:mt please complete
the multiple previous Enrollment form andattac;h it to this Enrollm~nt. Th,e ear/iesfexpiring. previous
Enrollment/agreement which contains Software Assurance is to be insert~d on;the signature form; If only
one previous Enrollment/agreement is renewing, please insert that previous number on the signature
form. . .
Select 6.6 Government Enrollment
(North America) Stale and Local(English) September 3, 2007
Page 3 of 3
Document X20-00331
. ~
5,7~7
~!!~ Washington State Department of
~iiP-lnformation Services
TO:
Microsoft Select Coordinator
FROM:
DIS Technology Brokering Services
DATE:
May 13, 2005
RE:
MS PRODUCTS PURCHASE AGREEMENT
Enclosed you will find a signed copy of your Agency's Microsoft Product Purchase
Agreement. Please retain this copy for your files.
As the coordinator for the Select agreement you are responsible for the accurate
accounting of all MS products purchased from DIS. You may authorize other personnel
within your organization to purchase MS Products from DIS by means of a properly
executed Microsoft Products Authorized Purchaser form, available from your DIS
Consultant. To find your DIS Consultant please visit, http://techmall.dis.wa.gov/.
Thank you.
/
" "I
/
'.
/'
~!!l Washington State Department of
~ij~ Information Services
Please return to:
DIS Technology Brokering Services
P.O. Box 42445,Olympia, W A 98504-2445
FAX: (360) 753-1673
MICROSOFT~ PRODUCTS PURCHASE AGREEMENT
This Agreement is entered in.t~ by and between the Department of Information Services ("DIS"), an agency
of Washington State, and C \ {... \.- D ~ POl't A flle.1 ~ S ("Customer"), a Washington State
agency or political subdlvision of public benefit nonpro It corporation. "Customer" mcludes all ItS members,
officers, agents, contractors, representatives or employees.
This Agreement is one of three agreements that set forth Customer's nghts and obligatIOns with respect to
purchasing Microsoft products. The other two agreements are the Microsoft Select agreement ("Select")
and the Enterprise agreement ("EA"), as amended, between the Microsoft Llcensmg, GP ("Microsoft" or
"MS") and DIS. In addition, Microsoft's Product Use Rights ("PUR") document provides general use
nghts and restnctions for all MS products.
All Customers purchasmg MS products will execute this Agreement, including the attached Agency
Coordinator (required) and Authonzed Purchaser (optional) forms. Customers purchasmg any MS
product under the Select agreement Will also sign the Select Enrollment form. Customers purchasing MS
products under the Enterprise agreement will also sign the Enterprise Enrollment form.
In consideration for the right to purchase MS products at deeply discounted pnces negotiated by DIS,
Customer agrees as follows:
I. Customer will submit all Select and EA Enrollment forms and all purchase orders for MS products
directly to DIS.
2. Customer will comply with its obligations and the restrictions set forth in Customer's Enrollment
Form(s).
3. Customer understands and acknowledges that Select and EA are not for personal/consultmg services
or any MS products with less than Level D pricing.
4. Upon DIS' request, Customer shall promptly submit all purchase orders required and, if applicable,
EA True Up orders and Update Statements as required. Customer's failure to submit any such
documents shall be grounds, at the option ofDIS, for termination of this Agreement and/or Customer's
rights to purchase MS products through DIS.
5. The purchase price is nonrefundable. Under Select, Customer pays for the product in full at time of
purchase and has the option of paying for Software Assurance ("SA") in full at time of purchase or
in three (3) annual payments. Under EA, Customer pays for products and SA in three (3) annual
payments. DIS will invoice either the full payment or the first annual payment to Customer as of the
Enrollment effective date or time of purchase. Second and third annual payments will be invoiced on
the respective anniversaries. Under EA, the True-Up price listed per Qualified Desktop is a one-
time-only payment.
6. Customer agrees to pay DIS in a timely fashion the agreed-upon price for all products and services
received by Customer. Customer's failure to pay any such amount promptly when due shall be
Microsoft Products Purchase Agreement - 1
grounds, at the optIOn ofDIS, for termination of thIs Agreement and/or Customer's rights to purchase
MS products through DIS.
The undersigned certifies that s/he has read, understands and agrees to the provIsions herein and has the
authority to bind Customer to a legal contract.
Approved
State of Washington
Department of Information ServIces
Approved
Customer
(' )/"'I-~). (I
Slgn'at.,,,,--/ ""-
Scott Smith
/.~:;;{ ~i
Signa/we
G Ci ry L. f!>r()(:J k-5
p, tnl Of T) pe Name
p, /t11 or Type Name
Tille
Dale
5'y sie IV! S Coo.rJ,vlt::dlJ<
nlW Dak
res ffJA-ttJ A6/ErC.
THIS DOCUMENT APPROVED AS TO FORM BY THE ATTORNEY GENERAL'S OFFICE
Microsoft Products Purchase Agreement - 2
AGENCY COORDINATOR (required}
The individual(s) hsted below has read and understands the obligations set forth in the attached Microsoft
Products Purchase Agreement, and will be responsible for coordinating all activity for Microsoft
("MS") products between Customer and DIS. The MS Agency Coordinator(s) is responsIble for the
accurate accountIng of all of Customer's MS products purchased from DIS.
This form, once properly completed and returned to DIS, will enable the MS Agency CoordInator(s) to
purchase MS products by any means authOrIzed by Customer. An MS Agency Coordinator may
authorize other personnel within Customer's organization to purchase MS products from DIS by means of
a properly executed Microsoft Products Authorized Purchaser form. However, the purchase of MS
products by personnel other than an MS Agency CoordInator in no way relieves an MS Agency
CoordInator of his/her responsibility to accurately account for all MS products purchased from DIS.
Customer is responsible for maintainIng the accuracy of the MS Agency Coordinators' contact
Information provided to DIS. Updated contact informatIon can be emailed or faxed to DIS by the person
who has executed the Microsoft Products Purchase Agreement.
c( r~v of ~/"t H(letC~/~c;
J
DIS Customer Agency/ Sub-Agency Number: .D l 70- 0
CUSTOMER NAME:
(required)
Signature of the person who executed the "Microsoft Products Purchase Agreement" on behalf of
Customer:
o/~jh,r~
(Required) MICROSOFT
AGENCYCOORDmATOR
Name: Gc\PV I . &ruo L
(
Telephone Number: 3(,0 - '-II 7-1.( '" SI
Po g,,'!( //So
Mailing Address: ~s iLl f. 5i.~ SfrC'.-<.--{
Street Address: 3;2( E, s- .fir,. Slr.ee.+
City/Zip: ~,r- f A ~~/es I VI If 9831,2.
Mail Stop:
Fax Number: 3&0 -' 4 (7-l/bo9
Email J brooks if) elf y 0 t PQ . (..L5
/ v ~
SiglUlture: ~/~ ~pl
( required)
(Optional) BACKUP MICROSOFT
AGENCY COORDINATOR
Name: F/,~b~fh 5frt:<;f
Telephone Number: 3bO. ~/7- i.{7;:J...2.
Mailing Address: pO & y IISU
Street Address: 31.1 13. S-i-J... ~fr'i:?<' +-
City/Zip: r1)t'+ /)'1 e I eSt IV /J c; 63 t ?
Mail Stop:
FaxNumber:!j60- l.//7 -Yl,oCj
I 'f~' ~ ~
Email: eS/Ct.I;;JclvI)Pce.LU;
Signature:~\:L~~~O ,-.f-
Microsoft Products Purchase Agreement
Attachment 2 - Authorized Purchaser
AUTHORIZED PURCHASER (optional)
This form is optIOnal and IS to be completed only after Customer has appointed an Agency Coordinator
for purchasing Microsft Products.
Havmg provided the signature of the MS Agency Coordmator in the space provided, the mdlVldual lIsted
below will be authorized to purchase MS software products from DIS by any means authorized by
Customer. As a MS Products Authorized Purchaser ("MS Authorized Purchaser"), it is the responsibility
of the indl vidual Identified below to report all new purchases of MS software products to the MS Agency
Coordinator to ensure that an accurate count of all products purchased can be maintained by Customer.
(
CUSTOMER NAME: (please print) Llt-/v ~.f j?:,r+ H'?Jf'? I ec:..
DIS Customer Agency/ Sub-Agency Number: -.0 ( 70- 0 (required)
Name of l\Jicrosoft Agency Coordinator: (please print) &?i:.l'( L, /3/,J)ots;.
jJ{ /J:1
Signature of Microsoft Agency Coordinator: ./ ;/1_/# 7: /5A--t70,}J:z (required)
MICROSOFT
AUTHORIZED PURCHASER
..-.--
Name:~'?{fV1e5
D
(
Heel' r?t? /"
,
Telephone Number: 51;0 - V17- '15-/3
Mailing Address: ;IV t:>~ 1/-5-D
Street Address: 321 E. 5- t:-h, S~f
City/Zip: I~r'f 1i2P~sr uJA- C;8'3b-?
Mail Stop:
Fax Number: 360 ~ If (7- V bD9
-:r ~\-\:e..R.\><U<...&\-C{ ty&>J; {-'Q.. . US
\
Email:
Signature:
Microsoft Products Purchase Agreement
Attachment 2 - Authorized Purchaser