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Enrollment Details <br />1. Enrolled Affiliate's Enterprise. <br />m. Identify which Agency Affiliates are included in the Enterprise. (Required) Enrolled Affiliate's <br />Enterprise must consist of entire offices, buo*mms, o0enuieo, departments m/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 inoUmde the kargest number ofAffiliates: <br />E Enrolled Affiliate only <br />F] Enrolled Affiliate andaWAf |iahen <br />F1 Enrolled Affiliate and the following Affiliate(s) (Only identify specific affiliates tobeincluded <br />if fewer than all Affiliates are to be included! in the Enterprise): <br />El Enrolled Affiliate and all Affiliates, with following Affiliate(s) excluded: <br />b. Please indicate whether the Enrolled Affiliate's Enhaq»hseviUindude*d|newAffiUateeacqm|nad <br />after the start ofthis Enrollment: Exclude future Affiliates <br />2. Contact information. <br />Each party will notify the other inwriting if any of the information in the following contact information page(s) <br />changes, The asterisks (°) indicate required fields. Bvproviding 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 information provided in connection with this Enrollment <br />will be used and protected in accordance with the privacy statement available at <br />m. Primary contact. This contact is the primary contact for the Enrollment from within Enrolled <br />Affiliate's Enterprise. This contact is also on Online Administrator for the Volume UconoimQ <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 ofentity (must belegal entity narn«)* City ofSouth Bend <br />Contact name* First Shawn LastDe|ahanty <br />Cwntmctemnoi|addrmss*nde|ahom@snmthbendin.gov <br />Street address* 227VVJefferson, Floor 12 <br />City" South Band <br />Ea2010EnrGov(OS8LG0sNcV(Nuv2816) Page oof10 <br />