HomeMy WebLinkAboutContract 40851CI TY SECRETARY
CONTRACTNO. J..\o~\
Microsaft' I Volume Licensing
Academic Select Signature Form
Agreement number ,,__ __ o _1 S_6_1_4_7_8 __
Note: Enter the applica ble aciive numbers associated
with the documents below . Microsoft require s the
associated active number be indicated here . or listed
below as new.
SGN-Proposal ID
Microsoft to complete
This signature form and all contract documents id entified in the table below are entered into between the
Institution and the Microsoft Affiliate signing , as of the effective date identified below.
<Choose One>
<Choose One> Document Number or Code
<Choose One> Document Number o r Code
_D_o_c_um_e_n_t _D_e_sc_r~ip_t_io_n ______________ ~_o_c_u01ent Number or Code
Document Descrip tion i Document Number or Code
Document Description Document Number or Code
Document Description Document Number or Code I
Document Descript ion Document Number or Code I
By signing below, Insti tu tion and the Microsoft Affi liate agree that both parties (1) have re ceived , read and
understand the above contract documents, including any webs ite or documents incorporated by reference
and any amendments and (2) agree to be bound by the te r ms of all such documents .
Name of Entity * Ci ty of Fort Worth Publ ic
Library -~ ~
1
S ignature
Sign ature ·~ CvU.r) J
Printed Name * Karen L.~ :---1 -P-ri-n-te_d_N_a_m_,.e_-J--r-M~finr-F~~:.::------i
Printed Title * Ass istant City Manager I Printed Title
Sig nature Date * 9 /;;..I// /0 ,_I _S-ig_n_a-tu_r_e_D_a_t_e ____________ ---1
(date Microsoft affi liate counters igns ) P 2 0 2010
!
; Tax ID 75-60005 28 [ Effective Date
---------· (may b<! different than our signatu re date)
· indicates required field
~BM AND
AssistanCityAttorney
LEGALITY :
-I > 5 :33 1~1
Optional 2 na Institution signature (if applicable)
Institution
Name of Entity •
Signature * -----------------
Printed Name •
Printed Title •
Signature Date •
If Institutions requi re s ph ys ic a l media , add itional contacts , o r is reporting multip le previous Enrollmen ts ,
inclu de th e app ropriate form (s) w it h th is si g natu re form . If no m edia form is inc luded , no phy sical m edia
will be sent.
After this signa ture form is signed by the Institution , send it and the Cont ract Documen ts to Institut ion's
chan nel partne r o r Micro so ft accou nt ma nager , who m ust subm it th em to the follow i ng address . When
the signature for m is fully executed by Microsoft , Institution will rece ive a confirmatio n copy .
Microsoft Licensing, GP
Dept 551 , Volume L ic ensi ng
6100 Ne il Road , S uite 210
Reno , Nevada 89511 -1137
USA
Prepared By: N ame of Pre parer
Em ail of Pre pare r
ProgramSignForrn (Acadern1cJ(NA)(ENG)(Oct2009 )
t-C D
C1TY nECRE f ARY
U f V\/ORTH, TX
Page 2 of 2
Microsoft· I Volume Licensing
Academic Select Enrollment
Enroll ment number
Microsoft A/ftl1a te to complet e
Earli est exp iri ng pre vio us I
En rollme nt end date
Reseller to complete ________ __,
Prev ious E nrollment .
agre eme nt, or au th number
(if rene wing Software Assuranc e)
Reseller to complete ________ __,
Thi s Microsoft Academic Select Enrollment is entered into between the entities as of the effective date
identified on the signature form .
This Enrollment consists of ( 1) this Enrollmen t and (2) the term s of the Academ ic Se lect Ag ree m ent
identified on the signature form .
Enrolled Affil iate agrees to pu rchase Licenses equa l to at lea st 750 po ints du ri ng the initial te rm of th is
Enroll ment.
Effective date . If Enro ll ed A ffili ate is renewing Software As sura nc e coverage from one o r m ore previo us
Microsoft agreements , then the effe ctive date of this Enrollment wi ll be the day after the ear lie st expira tion
of such co verage . Otherwise . the effective date w i ll be the date thi s Enrollment is processed by Microsoft .
Term. This Enroll ment will exp ire on the da te the M icrosoft A cad em ic Select Agreement identi fi ed on the
signature form exp ires.
Qualifying systems Licenses. The operat ing system Licens es gr a nted under t his prog ram a re u pg rade
Licenses only. Full operating system Licenses are not ava ilable under this p rogram.
1. Contact information.
Eac h party w ill notify the othe r in wr iti ng if an y o f th e info rmat io n in the foll o wi ng cont ac t informa tion
page(s) ch a nge s. T he asterisk s (*) indicate req u ired fi e lds. By prov id ing con ta ct inform ation , Enro ll ed
A ffi liate consen ts to its use fo r purpo ses of adm inis teri ng this En rollme nt by Mic ros oft, its A ffili ates , and
oth er part ies that hel p admi n is te r th is Enrollm ent. Th e pers o nal in fo rmat ion p ro v ided in co n nectio n w ith
thi s En rollm e nt w ill be u sed and prote cted in acco rda nce w ith the priva cy s tate ment avai lab le at
h tt p ://1 ice nsin q . m icrosoft. co m .
a. Pr imary contact information: A n ind iv idua l fr om insid e th e org a nization mu st se rve as th e
p rimary con tact Th is con tact receives on li ne ad mi ni str ator permissions and may gra nt on li ne
access to oth ers Th is co ntact also rece ives a ll no tices unl ess M ic rosoft is p rovi ded writ ten
notice of a chan ge
Name of entity (must be l egal entity name)" C;ty of Fort Wort h Public Library
Contact name' First Bea trice , Last OeHoyos
Contact email address * Beat ric e.DeHo yo s @fort'wort hg o v org
Street address · 00 0 T hrockmorton St
Ci ty* Fort Wo rth State /Province • TX Posta l cocte · 7610 2
Country * US A
Phone • 817-392-664 0 Fax 8 17 -39 2-8654
b . Notices contact and on li ne adm in istrator : T hi s ind iv idua l rec e iv es on li ne ad mini stra tor
pe r miss ions an d may grant onli ne acce ss to othe rs Thi s co n tact also rece iv es a ll not ices
l\cademicSele ct2009E nr(NA )( ENG )(Oct2009l Page 1 of 3
Documen i X20-01 406
[g) Same as primary contact
Name of entity *
Contact name* First , Last
Contact email address•
Street address*
City • State/Province* Postal c ode*
Country*
Phone* Fax
D This contact is a th ird party (not the Enrolled Affil iate ). Warning : This contact rece ives
personally identifiable information of the Institution .
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: Michael Easley
Microsoft account manager email address : MEasley@microsoft.com
e. If the Enrolled Affiliate requires a separate contact fo r any of the follow ing , attach the
Supplemental Contact Information form . Otherwise , the notices contac t rema ins the default.
• Additional notic es contact
• Software Assurance manager
• Subscription manager
• Online services manager
• Customer Support Manager (CSM) contact
f . Is a purchase under this Enro llment be i ng fin anced through MS Financ ing?
D Yes, [ZJ No .
g. Ship to delivery address: If media election form is not completed . provide a ship
to/download to location for app lyin g sa les ta x .
[gJ Same as notices co ntact
Name of entity •
Contact name: First* Last*
Contact email address (requ ired for online access)*
Street address (n o PO boxes accepted )*
City• State/Province• Posta l code*
Fax
Cou ntry•
Phone•
County In City Limits ? D Estimated Tax Rate
h . Reseller information
Reseller company name* ASAP Softv,are
Street address (PO boxes will not be acceptedr 850 Asb ury Dr ive
City• Buff alo Grove State/Provinc e" IL Postal code* 60089
Country• us.,;
Contact name' Jt? "'"', . .D, 81 IA ,~.
Phone• ~ Fax./; -1 ·r. c11.,,,, J n,.
Contact emailacn:tf'ess*
':, "'--1. e · 0::. C\ <,ct f . ·-< --,
.A.cadern,cSelect2009E n r( NA) 1 ENG){ Oct20091 Page 2 of 3
Document X20-01406
The undersigned confirms that the informatio n is correct.
I Nam e of Reseller* ASAP Software
11 s· · · -~ _ _,,,;L--/ ?-I ,gnatu r e· __ r __ ~ ___ ___-<---____. ___ ~ _________________ _
1 Printed na me* ;\) +h c,...., ~ <..,,t,i "•-~ ,..._,,., 1
1 Pr i nted title * PIA "'"'-e"' €5""-7.:< h-.,,17 ,, /-
Date* 1 /vo / 2--c>t c
C h ang ing a Reseller. If Microsoft o r the Resell er chooses to discontinue doing business
w ith on e another, Institu tio n must choose a rep lacement. If Institution inte nds to change the
Reseller, it must notify Microsoft and the former Resel ler in writing on a fo rm prov ided at least
90 days prior to the date on which the ch ange is to take effect The change will take effect 90
days from the date of Ins titutio n's sig nat ure .
2. Software Assurance Membership election .
To becom e a Software Assurance Member, Enrolled Affiliate must agree to purchase and maintain
So ftware Assurance for all copies of all Products licensed under this Enrollment from at least one Prod uct
pool For a description of benefits re sult ing from choos ing one or more Product pools below and
additio nal details rega rding the Software Assura nce Membership progra m , please co nsult wi th Enrolled
Affiliate 's Reseller or M icrosoft account manager
For ea ch Produ c t pool , mark "ye s" or "no " to indica te whether Enrolled Affiliate is committing to purchase
and maintain Software Assurance for all copies of all Produ cts licensed from tha t pool under this
Enrollmen t.
Product pools Yes
Applications D
Systems D
Servers D
3. Renewin g So ftwa r e A ssuran c e .
No
0
f2J
[Z]
I
!
' l
:
Note : If "Yes "
is marked, all
orders for
Licenses must
have Software
A ssurance .
If Enrolled Affili at e is renewing Software Assuran ce fr om mu ltip le Academ;c Se lect programs o r
consolidating multi ple prev io us Enro ll ments or agree m ent s (i ncluding Open aut hori zatio ns ) in to th is
Enrollment. pleas e com plete the mu ltiple p rev ious Enr ollm en t fo rm and attach ii to thi s Enro llm en t The
earli es t exp irin g previ ous Enrollment/agreement w hi ch co ntai ns So ftw are A ss uran ce is to be in serted on
the Enro llm ent . If Enr o ll ed Affiliate is only renewing o ne pre vious Enro !lmenl/a greem en t. please insert
th at prev io us number on th e Enro l lme nt
Acad e,rn,cSelect2009Enr{NA i(ENG)(Oct2009 ) Pa ge 3 of 3
Document X20-01406
Microsoft· I Volume Licensing
Select
Media Election Form
Entity name" C ity o f Fo rt Wo rth Publ ic Libra ry (m ust be same as Enrollme nt pr i mary con tact )
l I For th~ purposes of th is form, ~entity'! can .mean the signj_ng .entity, Cus~omer, Enrolled Affiliate, I Integrator, Institution, or other party entering into a· volume licensing program agreement.
T hi s form identifi es entity 's software comprehensi v e and subscript io n kit preferences . Al l software for this
program is available fo r download at https ://licensin q .m icrosoft .com under fulfillment guide. Entity may
choose to receive physical media delivery in addition to this download facility , if required . Terms used but
no t defined in th is form have the meanings given to them in entity 's Enro llment.
Th e comprehensive kit de livery address i nformation iden ti fies the de livery loca ti on . A co mprehens ive k it
is no t shipped to renewing entities . Microsoft reserve s the r ight to d is co ntin ue media s hipments or charge
fo r them in the fu tu re .
All CD/DVD-ROM subscriptions and licenses that M icrosoft provides (if a ny ) und e r this election form wil l
be de livered on a DOU (INCOTERMS 2 000 ) port of entry in entity country basis . Entity is solely
respons ible for comp lia nce with all associated costs and procedures , including cus toms and import
requ irements , and for paying all customs duties , impo rt value added taxes , and other governmental fees
and ta xes , applicable to the im po rtation of ~II s uch CD /DVD -ROM subscriptions and li censes and a ll
accompanying documentation i nto entity 's co u ntry, as we ll as any and all load ing , downloading ,
tra nsportat ion and mob ili zat ion costs . Micros oft may, at its sole discre tion , act in entity 's name and
beha lf, in any given shipment, to carry out and bear the costs related to the customs fo rmal ities . In any
event , after any such CD/DVD-ROM subscription s and licenses reach the port of entry in entity 's country,
(1) Microsoft has completed its deli very obligations w ith respect to such merchandise , and (2) all risk of
delay, loss , apprehens ion or seizure of or damage to the CD/DVD-ROM subscripti ons and lic enses ,
including the carrier med ium and related do c umentation , will be transferred from Microsoft to enti ty.
MEDIA DELIVERY ADDRESS
~ Same as notices contact in the Enrollment
Name of entity •
Contact name : First* Las t*
Contact email address (required for online access)*
Street address (no PO boxes accepted)'
City • State/Province * Postal cod e*
County • Cou ntry *
Phone • Fax
In City Lim its O Estimated Tax Rate
If en tity choo se s be lo w to rece iv e me d ia in ad d ition to th e softw are dow nlo ad o pt io n avail ab le at
https .//11c ens in q .m icroso ft .co m , entity 's se le c te d me d ia pr efe re nc e will be not ed in Micro soft 's system s so
en tity m ay a ut o m atica lly rec eiv e that med ia preference Pl eas e not e th a t DVD k its will inclu de DV Ds if
a ·ailabie If med ia is not avai lab le on DV Ds , th e n CDs will be prov ided Li kew ise . CD kits will incl ude C Ds
1f ava ilable if CDs are not av ai la ble , DV Ds will be included
What is entity 's media preference? Down load Onl y
Does entity request a comprehensive kit? (This option does not app ly to renewing ent iii es ) No
Do es e ntity req uest subscription updates? No
SelectMed 1aF c rn,(NA)(ENG )(Oct2009i Page 1 of 2
-.
Med ia sh ipping information form -Comp rehensive k it (con tinue d) Entity m ay ch oose a max imum of 3
languages to rece ive phys ical media delivery free of charge
Lang uage
En lish
Eng li sh /
Multi-Lan ua e
Arabic
Brazi li an Portu uese
Bu arian
Chinese Simpl ified
Chi nese T rad itional
Ch inese Trad itiona l Hon Kong
Croatian
Czech
Da ni sh
Dutch
Eston ian
F innis h
Fre nch
German
Greek
Hebrew
Hun arian
l nd ic (I nd ian Lan ua es)
Italian
Jaoa nes e
Korea n
Lat vian
Lit huan ian
Norwegia n
Polis h
Portu . ues e
Roman ian
Russ ian
Se rb ian Lat in
Slovak
Slo venia n
Spanish
Swed is h
T nai
Turk is h
Ukra ini an
Offi ce Developer
Fam ily Too ls
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
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= Noi A vailab le
Se lectMed iaF o rmi N/\ HENG it 0ct2009 )
Windows
Clie nt:
Bus ine ss
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Se rver Pool
W ind ows
Server
Server
Appl icat ions
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