Orange County NC Website
<br />ProgramSignForm(MSSign)(NA,LatAm)ExBRA,MLI(ENG)(May2020) Page 1 of 2 <br />Document X20-12883 <br /> <br />Program Signature Form <br />MBA/MBSA number <br />Agreement number 7274047 <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 /> <br />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 <br />Enterprise Enrollment (Indirect) X20-10635 <br />Product Selection Form 1272748.003_PSF <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 (must be legal entity name)* Orange County North Carolina Government <br />Signature* {{SIGCU6signature_es_:signer1:signature}} <br />Printed First and Last Name* {{SIGCU3customerprintedfirstandlastname_es_:signer1:fullname}} <br />Printed Title {{SIGCU4printedtitle_es_:signer1:title}} <br />Signature Date* {{SIGCU5_es_:signer1:date}} <br />Tax ID <br />* indicates required field <br />Microsoft Affiliate <br />Microsoft Corporation <br />Signature {{SIGROC1signature_es_:signer5:signature}} <br />Printed First and Last Name {{SIGROC1Microsoftprintedfirstandlastname_es_:signer5:fullname}} <br />Printed Title {{SIGROC2printedtitle_es_:signer5:title}} <br />Signature Date {{SIGMAM3_es_:signer5:date}} <br />(date Microsoft Affiliate countersigns) <br />Agreement Effective Date <br />{{*SIGMAM4_es_:signer5:isdate(format="mmm-dd-yyyy")}} <br /> <br />DocuSign Envelope ID: B85A9193-88B0-4814-AC1E-22E81BC064B3 <br />Deputy County Manager <br />Travis Myren <br />1/19/2023