HomeMy WebLinkAboutIT11-360 - Original - WA St Dept of Information Services - Microsoft Products Purchase Agmt - 06/01/2011 Records Managements*
KENT
Document
WASHINGTON
CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission
to City Clerks Office. All portions are to be completed.
If you have questions, please contact City Clerk's Office.
l0A �tC� A CAE S;�.
Vendor Name: nc . cj scp-�
Vendor Number: 3So`7S
ID Edwards Number
Contract Number: J(too
This is assigned by City Clerk's Office 1 1
Project Name: rn eybwac�-4 PR,du�-4s QLLr�h�s� o rnpnT - �,�cT
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment Contract
Other:
Contract Effective Date: Co l l l l Termination Date:
Contract Renewal Notice (Days): n a,
Number of days required notice for termination or renewal or amendment
.0ye
Contract Manager: tA tj 61 Department:
Detail: (i.e. address, location, parcel number, tax id, etc.):
S•Public\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08
a �
MicrQsof# ( Volume Licensing
Program Signature Form
MBAIMBSA number SGN- Proposal ID ;
Agreement number ` C
Note Enter the applicable active numbers associated
with the documents below Microsoft requires the
associated active number be indicated here, or listed
below as new
i
For the purposes of this form, "Customer" can mean the signing entity, Enrolled Affiliate, Government
Partner, Institution, or other party entering Into a volume licensing program agreement
This signature form and all contract documents Identified in the table below are entered Into between the
Customer and the Microsoft Affiliate signing, as of the effective date Identified below
Contract 1
Document Number or Code
<Choose Agreement>
<Choose Agreement>
<Choose Agreement>
<Choose Agreement>
<Choose Agreement>
Select Enrollment X20-02347
<Choose Enrollment/Affiliate Registration Form>
<Choose Enroll ment/Affillate Registration Form>
<Choose Enroll ment/Afflliate Registration Form>
By signing below, Customer and the Microsoft Affiliate agree that both parties (1) have received, read and
understand the above contract documents, including any websltes or documents incorporated by
reference and any amendments and (2) agree to be bound by the terms of all such documents
Customer Microsoft
Name afu be le tity name) ` grGI?
Microso fSi LipSignature
gn
Printed Name' MitL C t Printed Name
Printed Title• -� p,rec�VIIR
- Mesfin F eke
Printed rare Manager, Compliance
Signature Date ,/ Signature Date
(date Microsoft Affiliate countersigns)
R
i
ProgramSignForm(MSSign)(NA)(ENG)(Oct2010) Page 1 of 2
Tax ID N/A
Effective Date XN 2 0 2011
(may be different than Microsoft's signature date)
indicates required field
t
Optional 2nd Customer signature or Outsourcer Signature(if applicable)
Customer Outsourcer
Name of Entity (must be legal entity name) * Name of Entity (must be legal entity name)
Signature * Signature*
Printed Name* Printed Name
Printed Title* Printed Title *
Signature Date* 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 and the Contract 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 89511-1137
USA
Prepared By. Name of Preparer
Email of Preparer
3
Program Sign Form(MSS ign)(NA)(ENG)(Oct2ol0) Page 2 of 2
Mkrosoft I Volume Licensing
Select Enrollment State and Local
Enrollment number Proposal ID
(Microsoft Affiliate to complete) 6A%% r66 (ReseUer to complete)
Previous Enrollment,agreement Earliest expiring previous
or auth number Enrollment end date '
(if renewing Software
Assurance)(Reseller to complete) (ReseUer to complete)
' If consolidating from multiple previous Enrollments with Software Assurance,complete the multiple previous Enrollment form and attach it to this
Enrollment
This Enrollment must be attached to a signature form to be valid.
This Microsoft Select Enrollment is entered into between the entitles, 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//www microsoft com/licensing/contracts
Effective date. If Enrolled Affiliate is renewing Software Assurance coverage from one or more previous
Microsoft agreements, then the effective date of this Enrollment will be the day after the earliest expiration
of such coverage Otherwise the effective date will be the date this Enrollment is processed by Microsoft
Term. This Enrollment will expire on the date the Microsoft Select Agreement identified on 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 If Customer selects
the Windows Desktop Operating System Upgrade, all Qualified Desktops on which the Customer runs the
Windows Desktop Operating System Upgrade must be licensed to run one of the qualifying operating
systems Identified in the Product List at http//www microsoft com/licensing/contracts Exclusions are
subject to change when new versions of Windows are released
In order to use a third party to reimage the Windows Operating System Upgrade, Enrolled Affiliate must
certify that it has acquired qualifying operating system licenses See the Product List for details
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
https//licensing microsoft com
a. Primary contact information. Enrolled Affiliate must identify an individual from inside its
organization to serve as the primary contact This contact is also an Online Administrator for
the Volume Licensing Service Center and may grant online access to others
Name of entity: (must be legal entity name)* City of Kent
Contact name*: First Joye Last Honeycutt
Select2010Enr(US)<SLG(ENG)(Oct2010) Page 1 of 3
Document X20-02347
Contact email address*Ihoneycutt@ci kent wa us
Street address*220 4`h Avenue South
City* Kent State*WA Postal code* 98032
Country* USA
Phone* 253-856-4602 Fax 253-856-4700
Tax ID N/A
b. Notices and online administrator. This Individual receives contractual notices They are
also the Online Administrator for the Volume Licensing Service Center and may grant online
access to others
® Same as primary contact
Name of entity(must be legal entity name)*
Contact name*: First Last
Contact email address*
Street address*
City* State* Postal code*
Country*
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
• Additional notices contact
• Software Assurance manager
• Subscription manager
• Online Services manager
• Customer Support Manager(CSM) contact
f. Is a purchase under this Enrollment being financed through MS Financing? ❑ Yes, ® No
g. Reseller information. _
Reseller company name* 1p �U �OlYt ��eyvs jv(e
Street address (PO boxes will not be accepted)* FOKii
City*,D)q uoq j State* Tx Postal Code* 75�3a
Country* am
Contactf�ame*,5]-RCd TF-ICf
Phone* X_s-&-5jlj> Fax
Con {email address* ,-j/rLf. 9r'CC 0 6e'YI()01ZC&-"U,
'r
Select2010Enr(US)SLG(ENG)(Oct2010) Page 2 of 3
Document X20-02347
The undersigned confirms that the Information is correct.
Name of Reseller* UY4PLZC0Vj4 C C�ht 5
Signature*Printed name* 5—nq� t0h C
Printed title* (14,5 "
Date* & - /V_/(
Changing a Reseller. If Microsoft or the Reseller chooses to discontinue doing business
with each other, Enrolled Affiliate must choose a replacement Reseller If Enrolled Affiliate or
the Reseller Intends to terminate their relationship the initiating party, it must notify Microsoft
and the former Reseller using a form provided by Microsoft at least 90 days prior to the date
on which the change is to take effect
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
Productpools
Note If
'Yes'is
Applications ❑ ® marked, all
orders for
Licenses
Systems ❑ ® must have
Software
Servers ❑ ® Assurance
3. Renewing Software Assurance.
If Enrolled Affiliate is renewing Software Assurance from multiple Select programs or consolidating other
previous Enrollments or agreements (Including Open authorizations) into this Enrollment please complete
the multiple previous Enrollment form and attach it to this Enrollment The earliest expiring previous
Enrollment/agreement which contains Software Assurance is to be inserted on the signature form If only
one previous Enrollment/agreement is renewing, please insert that previous number on the signature
form
i
Select20l OEnr(US)SLG(ENG)(Oct2010) Page 3 of 3
Document X20-02347