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Home My WebLink About095-24 - Thomson Reuters - ContractDocusign Envelope ID: CF798455-E8BA-4786-81C0-3D3AE1367789 Westlaw and CLEAR (Government) Thomson Reuters - Subscriber Information Account Number (if applicable) 1005920904 Full Legal Name/Entity PORT ORCHARD POLICE Business Unit/Dept/Agency The applicant's address below is (please check one): ® a Commercial Location ❑ a Residence (i.e. a home -based business) Street Address 546 Bay St City Port Orchard Country (if not US) US State WA Zip 98366-5339 Main Organization Telephone (360) 876-1700 Location/Contact/Ext Telephone Cell Phone (if no land line available) Email Address aiwashita9portorchardwa.gov Website https://portorchardwa.gov/departments/police-department/ ❑ Check here if no website available West products have implemented Multi -Factor Authentication and in order to access the public records products you must supply a valid External IP Address or IP Range belonging to your organization that meets the following requirements: • IP Addresses assigned to jurisdictions outside the United States or West -approved U.S. Territories are prohibited • IP Addresses will not be accepted from the following ranges which are reserved by the Internet Assigned Numbers Authority for special use or private networks: 10.0.0.0 - 10.255.255.255, 127.0.0.0- 127.255.255.255, 172.16.0.0 - 172.31.255.255, 192.168.0.0 - 192.168.255.255, 169.254.0.0 - 169.254.255.255. • All IP addresses must be IPv4 addresses. • If you do not know your External IP address(es), try the following: o Contact your network administration, firewall or security team o Contact your Internet Service Provider, ISP (i.e. Cable, DSL, Satellite, etc.) Go to the following URL in your browser: http://tools.whois.net/yourip/ or http://www.whatismyip.com to identify your external IP address (NOTE: If you have multiple IP addresses, this tool will only detect one IP address) I<Internet Service Provider Name: Astound, Kitsap County / ISP #2 Kitsap County X IP Address: 152.44.129.230 52.41nn23n / 146.218.135.193 IP Address Range: Beginning IP Address: Ending IP Address: Beginning IP Address: Ending IP Address: ALL REQUESTED INFORMATION MUST BE PROVIDED OR YOUR ORDER MAYBE DELAYED OR PRODUCT ACCESS LIMITED SUBSCRIBER INFORMATION IF Select Type of Government Select Type of Academic Institution ❑ US — Federal ❑ Privately Funded Academic Institution (non -government funded) ❑ US — State ❑ Government Funded Academic Institution Q US — Local ❑ Tribal Government (Please describe) ❑ Other Government: (Please describe) DATA USE INFORMATION E M Do your end users have arrestpowers? ❑ No ® Yes Will you be using the product in relation to the collection of consumer debt (i.e., financial obligations of a consumer relating to a ® No ❑ Yes transaction for personal, family, or household purpose)? Will you have end users at any location other than listed above? No El Yes — If yes, please attach a completed Addendum to Account Validation and Certification Form — Multiple Locations. Are you requesting "unmasked data" or full display of full Security Numbers, full Date of Birth and/or Driver's License information? ❑ No ® Yes — If yes, please attach a completed Addendum to Account Validation and Certification Form — Unmasked Data Request Will you be using the product, in whole or part, for any consumer -initiated application in order to determine and individual's ® No El Yes eligibility for employment, credit, housing, insurance for personal, family, household or government benefit -related purposes? If you are using World -Check data in order to screen an individual, either in their individual capacity or in relation to a business, to determine whether to enter into a business relationship, you understand and agree that you must direct your search subject to the World- ® Agreed ❑ No Check Privacy Statement located at, , https://www.refinitiv.com/epZproducts/world-check- q c-screening_/privacy-statement. Docusign Envelope ID: CF798455-E8BA-4786-81C0-3D3AE1367789 escribe in detail your purpose/use case for using this product: Using CLEAR for our police departments investigation team. PERMISSIBLE USE SELECTIONS Permissible Use under Gramm Leach Bliley Act Your use of certain consumer data within the product is limited by the U.S. Gramm -Leach -Bliley Act (15 U.S.C. 6801 et. seq.). In order to access this data, you must indicate your permissible use(s) below. If you do not have a permissible use, you must select the "no permissible use" option. ❑ You certify there is no permissible use. ❑ For use by a person holding a legal or beneficial interest relating to the consumer. ❑ For use in complying with federal, state, or local laws, rules, and other applicable legal requirements. ❑ For use as necessary to effect, administer, or enforce a transaction requested or authorized by the consumer. ❑ For use in complying with a properly authorized civil, criminal, or regulatory investigation, subpoena, or summons by federal, state, or local authorities. ❑ For use to protect against or prevent actual or potential fraud, unauthorized transactions, claims, or other liability. [R For use by any Law Enforcement Agency, self -regulatory organizations or for an investigation on a matter related to public safety. ❑ To persons acting in a fiduciary or representative capacity on behalf of the consumer. ❑ For required institutional risk control or for resolving consumer disputes or inquiries. ❑ With the consent or at the direction of the consumer. Permissible Use under Drivers Privacy Protection Act Your use of certain driver's record and vehicle data is limited by the U.S. Drivers Privacy Protection Act (18 U.S.C. §2721 et seq.). In order to access this data, you must indicate your permissible use(s) below. If you do not have a permissible use, you must select the "no permissible use" option. ❑ You certify there is no permissible use. ® For official use by a Court, Law Enforcement Agency or other Government agency. ❑ To verify or correct information provided to you by a person in order to prevent fraud, pursue legal remedies or recover a debt; skip tracing. ❑ For use in connection with a civil, criminal or arbitral legal proceeding or legal research. ❑ For use in connection with an insurance claims investigation or insurance antifraud activities. NEXT STEPS • The information provided on this AVC form will be reviewed by our internal credentialing team and, if required, an onsite inspection will be conducted by Thomson Reuters authorized third party. To coordinate the onsite inspection, the third party will contact you directly to arrange a convenient day and time for the visit. Law enforcement agencies and federal and state government agencies are not required to complete an onsite inspection. • The inspector will seek to verify, among other things, the physical, technical and/or administrative safeguards in place to keep Thomson Reuters data safe and confidential. • The onsite inspection will last approximately 30 minutes, during which time the inspector will ask certain questions and gather observations intended to validate the information provided on this AVC Form. In addition, as is customary in the industry, the inspector will take a few photos of the premises, internal and external, to document your physical location as well as security measures and safeguards. At the time of the inspection, it is important that you assign an individual(s) capable of answering pertinent questions to meet with the inspector. Please provide the name and phone number of the person you would like us to contact to schedule the required on -site inspection (s). Telephone Number: (360) 876.1700 Name Alan Washita, Deputy Chief Email: aiwashita@portorchardwa.gov Has Thomson Reuters onsite inspected any of your locations in the last 6 months? Q No Yes Account Name Account Number If yes, approximately when was the onsite performed CERTIFICATIONS By signing below, you certify that: • YOU UNDERSTAND THAT THOMSON REUTERS IS NOT A CONSUMER REPORTING AGENCY AND THIS SERVICE DOES NOT CONSTITUTE A "CONSUMER REPORT" AS SUCH TERM IS DEFINED IN THE FEDERAL FAIR CREDIT REPORTING ACT (FCRA), 15 U.S.C.A. §§ 1681 ET SEQ. YOU ARE STRICTLY PROHIBITED FROM USING ANY DATA, IN WHOLE OR IN PART, AS A FACTOR IN ESTABLISHING A CONSUMER'S ELIGIBILITY FOR CREDIT, INSURANCE, EMPLOYMENT, OR FOR ANY OTHER PURPOSE AUTHORIZED UNDER THE FCRA OR AS THE BASIS FOR TAKING ADVERSE ACTION REGARDING ANY CONSUMER APPLICATION. • End users will access and use the data, including personally identifiable information, in accordance with all applicable laws, rules, and regulations. No individual shall access records that require a permissible use unless such a permissible use exists. It is your responsibility to seek guidance and clarification in case of any questions about the proper use of a product. YOU ARE RESPONSIBLE FOR ANY UNAUTHORIZED COLLECTION, ACCESS, USE, AND DISCLOSURE OF ANY DATA ACCESSED THROUGH OUR PRODUCTS. • You will ensure that Thomson Reuters products are accessed and used in a manner that always preserves the strict confidentiality of all data. You agree to put processes in place to ensure that you and all authorized users comply with the following both when working from your authorized business location(s) and remotely: (1) products will only be accessed through password protected Wi-Fi networks, virtual private networks, and other secure applications and methods of communications, (2) all security measures on laptops and other devices will be activated before accessing our products, (3) authorized users will never extract or store data remotely on laptops or mobile devices, (4) authorized users will not write down or maintain any data in an unsecure fashion in any form, (5) laptops or device screens will not be visible through Docusign Envelope ID: CF798455-E8BA-4786-81C0-3D3AE1367789 exterior windows when accessing our products, (6) authorized users will not access products in a public areas or where conversations could be overheard, and (7) authorized users will not allow anyone to user their work laptop or other device for any reason. • You will maintain a comprehensive information security program, including systems, facilities, and procedures to safeguard the data and that you have experience in maintaining the confidentiality, security, and appropriate use of such information. • You agree to immediately notify Thomson Reuters of any actual or suspected breach or access to data that may result in the unauthorized collection, access, use or disclosure of any data. You agree to make all reasonable efforts to assist Thomson Reuters and our data providers in relation to any investigation, claim, litigation or other action related to your access, use or disclosure of data. • You and your end users are not and will not be involved in credit fraud, identification theft, stalking, harassment, any unethical business practices or illegal activity nor will you further such activities by your customers. • All information provided on this AVC Form and addendum(s) is true and correct and is applicable to all of your authorized users and locations. You will immediately notify Thomson Reuters of any changes to the information provided in this form or during the credentialing process, including location changes. You understand that Thomson Reuters may periodically require you to re -certify the information provided herein. • You are an authorized signatory for this account. AUTHORIZED REPRESENTATIVE: Rob Putaansuu XPrint Name: XMayor X 11/19/2024 Signed by: XL93Bg6492E3F5847D6b P4a&VIS l A, Signature:.. Once this document is completed and signed by an authorized representative, please provide it to your West Sales Consultant with a signed order or fax it to 866-294-1042 or email to west.avtcredentials@thomson.com. All information is subject to verification and approval by Thomson Reuters. Docusign Envelope ID: CF798455-E8BA-4786-81C0-3D3AE1367789 Thomson ReutersTM . Addendum to Account Validation and c;ertlticatlon Form — UnmasKed uata Kequest Subscriber Information Account Number (mandatory): 1005920904 Full Legal Name/Entity: PORT ORCHARD POLICE West/Thomson Reuters seeks to balance overall individual privacy needs and concerns with the legitimate business information needs of specific entities as allowed by U.S. Gramm Leach Bliley Act (15 U.S.C. § 6821 et seq.) (U.S. GLB), U.S. Drivers Privacy Protection Act (18 U.S.C. §2721 et seq.) (U.S. DPPA) U.S. Bipartisan Budget Act of 2013 (42 U.S.C. §1306 et seq.), and other applicable laws. As a general rule, sensitive data in our products is truncated. In order to help ensure that access to unmasked sensitive data is warranted, we limit access to qualified accounts only. By completing the information and signing below, you understand that you are requesting that unmasked or full display of Social Security Numbers, Date of Birth and/or Driver's License information be added or removed from the accounts indicated below. DATA USE INFORMATION X Describe your type of business: Port Orchard Police Department Describe why access to 5B data X is insufficient and why access to Need to confirm full DOB and SSN as part of our investigation procees to ensure we full DOB and SSN is required: have the correct data CLEAR Subscribers: All Users will be granted access to the same type of sensitive personal information: ❑X ADD to all CLEAR Users on the main account listed above (including all account locati, ❑ REMOVE from all Users on the account listed above WESTLAW SUBSCRIBERS: List the individual users whose access to sensitive personal information should be modified and indicate if the access is to be added or removed (use additional pages if necessary). Last Name First Name ADD REMOVE ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ I X Internet Service Provider Name: XIP Address: Beginning IP Address: Beginning IP Address: IP Address Range Ending IP Address: Ending IP Address: CERTIFICATIONS In relation to access requests, by signing below you certify that: (1) unmasked sensitive data is needed, (2) all users under your account will limit use of the data to legitimate business connected with the qualified account indicated above, (3) you will maintain a comprehensive information security program, including systems, facilities, and procedures in place to safeguard the unmasked sensitive data, (4) you have experience in maintaining the confidentiality, security, and appropriate use of such information, (5) all data use will be in strict accordance with your subscription agreement. West reserves the right to deny or discontinue access to unmasked personal information with or without notice and in its sole discretion. This Addendum is incorporated by reference into your AVC form. By signing below, you certify that you are the authorized to request the changes requested above and are an authorized signatory on this account. AUTHORIZED REPRESENTATIVE: XPrint Name: X Title: X Date: 047-17 Rob Putaansuu Mayor 11/19/2024 Signed by: X96b p IM aA AA.U. Signature: im Docusign Envelope ID: CF798455-E8BA-4786-81C0-3D3AE1367789 Thomson Reuters- Order Form Order ID: Q-08607465 Contact your representative christine.lab ounty(clthomsonreuters.com with any questions. Thank you. Sold To Account Address Account#: 1005920904 PORT ORCHARD POLICE Temp Access CLEAR 546 Bay St Port Orchard WA 98366-5339 US "Customer" Subscriber Information Shipping Address Account #: 1005920904 PORT ORCHARD POLICE Temp Access CLEAR 546 Bay St Port Orchard WA 98366-5339 US This Order Form is a legal document between Customer and Billing Address Account #: 1005920904 PORT ORCHARD POLICE Temp Access CLEAR 546 Bay St Port Orchard, WA 98366-5339 US A. West Publishing Corporation to the extent that products or services will be provided by West Publishing Corporation, and/or B. Thomson Reuters Enterprise Centre GmbH to the extent that products or services will be provided by Thomson Reuters Enterprise Centre GmbH. A detailed list of products and services that are provided by Thomson Reuters Enterprise Centre GmbH and current applicable IRS Certification forms are available at: httns://www.tr.com/trorderinginfo West Publishing Corporation may also act as an agent on behalf of Thomson Reuters Enterprise Centre GmbH solely with respect to billing and collecting payment from Customer. Thomson Reuters Enterprise Centre GmbH and West Publishing Corporation will be referred to as "Thomson Reuters", "we" or "our," in each case with respect to the products and services it is providing, and Customer will be referred to as "you", or "your" or "Client". For Federal Customers the following shall apply: Thomson Reuters General Terms and Conditions (available here: http://tr.com/federal-general-terms-and-conditions apply to the purchase and use of all products, except print, and together with any applicable Product Specific Terms (set forth below) are incorporated into this Order Form by this reference. In the event that there is a conflict of terms among the General Terms and Conditions, the Product Specific Terms and this Order Form, the order of precedence shall be Order Form, the Product Specific Terms, and last the General Terms and Conditions. For non-federal customers the following shall apply: Thomson Reuters General Terms and Conditions (http://tr.com/us- eg neral- terms-and-conditions) apply to the purchase and use of all products, except print, and together with any applicable Product Specific Terms (set forth below) are incorporated into this Order Form by this reference. In the event that there is a conflict of terms among the General Terms and Conditions, the Product Specific Terms and this Order Form, the order of precedence shall be Order Form, the Product Specific Terms, and last the General Terms and Conditions. - Clear Fixed Rate / Window/Fraud Waste & Abuse Products Short Service Product Quantity Unit Monthly Term Short Term Order Type Material Charges Monthly Trial Term Charges 42124048 ENCLR PRO Gov License Plate 20 Seats $0.00 $ 0.00 28 Days Short Term Trial Recognition State Add 42091861 CLEAR PRO Gov Law 20 Seats $0.00 $ 0.00 28 Days Short Term Trial Enforcement Investigator Plus 41913616 CLEAR Criminal Justice Arrest 20 Seats $0.00 $ 0.00 28 Days Short Term Trial Gateway PRO Add Seat _ Short Term Products Terms i A Monthly Charges begin on the date we process your order. If your order is for one (1) or more calendar months, Monthly Charges and will be prorated for the number of days remaining in a calendar month, if any and will continue for the complete calendar months indicated above (the "Term"). If the Term is for seven (7), 14 or 28 days, Monthly Charges will be prorated accordingly. The passwords will be inactivated at the end of the Term unless you currently subscribe to another CLEAR. In that case, your use of the products listed above will be billed as Excluded Charges. Miscellaneous The Federal Product Specific Terms can be found here: h!W://tr.com/federal-product-specific-terms Page 1 of 4 Docusign Envelope ID: CF798455-E8BA-4786-81C0-3D3AE1367789 Applicable Law. If you are a state or local governmental entity, your state's law will apply, and any claim may be brought in the state or federal courts located in your state. If you are a non -governmental entity, this Order Form shall be interpreted under Minnesota state law and any claim by one of us shall exclusively be brought in the state or federal courts in Minnesota. If you are a United States Federal Government subscriber, United States federal law will apply, and any claim may be brought in any federal court. Charges, Payments & Taxes. You agree to pay all charges in full within 30 days of the date of invoice. You are responsible for any applicable sales, use, value added tax (VAT), etc. unless you are tax exempt. If you are a non -government subscriber and fail to pay your invoiced charges, you are responsible for collection costs including attorneys' fees. eBilling Contact. All invoices for this account will be emailed to your e-Billing Contact(s) unless you have notified us that you would like to be exempt from e-Billing. Credit Verification. If you are applying for credit as an individual, we may request a consumer credit report to determine your creditworthiness. If we obtain a consumer credit report, you may request the name, address and telephone number of the agency that supplied the credit report. If you are applying for credit on behalf of a business, we may request a current business financial statement from you to consider your request. Cancellation Notification Address. Send your notice of cancellation to Customer Service, 610 Opperman Drive, P.O. Box 64833, Eagan MN 55123-1803 Regulated Data. Due to the regulated or private nature of some data in our information products such as credit header data, motor vehicle data, driver license data and voter registration data, you may need to complete a credentialing process which will include certifying what your legally permissible use of the data will be. You agree to immediately notify us if any of the information you provided in your ordering document or during the credentialing process changes. You agree to and warrant that you are the end user of this data and that you will only use it for your own internal business purposes. You also warrant that you will strictly limit the access, use and distribution of this data to user permitted under applicable laws, rules and regulations and as permitted by the third party additional terms. You will keep the data confidential. You will use industry standard administrative, physical and technical safeguards to protect the data. You will not disclose it to anyone except as necessary to carry out your permissible use. You will immediately report any misuse, abuse or compromise of the data. You agree to cooperate with any resulting inquiry. If we reasonably believe that the data has been misused, abused or compromised, we may block access without additional notice. You are responsible for all damages caused by misuse, abuse or compromise of the data by you, your employees and any person or entity with whom you shared the data. We will be responsible for damages cause by us. We are not a consumer reporting agency. You may use information product data to support your own processes and decisions but you may not deny any service or access to a service to a consumer based solely upon the information product data. Examples of types of service include eligibility for credit or insurance, employment decisions and any other purpose described in the Fair Credit Reporting Act (15 U.S.C.A. 1681b). If the Financial Industry Regulatory Authority regulations apply to you, you may use our information products to verify the accuracy and completeness of information submitted to you by each applicant for registration on Form U4 or Form U5 in compliance with the requirements of FINRA Rule 3110. You may use the information products in this manner only in furtherance of written policies and procedures that are designed to achieve your compliance with FINRA Rule 3110 or as otherwise allowed by the General Terms and Conditions. Excluded Charges And Schedule A Rates. If you access products or services that are not included in your subscription you will be charged our then -current rate ("Excluded Charges"). Excluded Charges will be invoiced and due with your next payment. For your reference, the current Excluded Charges schedules are located http:Hstatic.legalsolutions.thomsonreuters.com/static/agreement/schedule-a-clear.pdf and Excluded Charges change from time -to -time upon 30 days written or online notice. We may, at our option, make certain products and services Excluded Charges if we are contractually bound or otherwise required to do so by a third party provider or if products or services are enhanced or if new products or services are released after the effective date of this ordering document. Modification of Excluded Charges or Schedule A rates is not a basis for termination under paragraph 10 of the General Terms and Conditions. CLEAR Fixed Rate Usage :If the transactional value of your CLEAR fixed rate usage exceeds your then -current Monthly Charges by more than 10 times in any month (or by 20 times in any month for Enterprise Law Enforcement subscribers), we may limit access to live gateways and request that the parties enter into good faith renegotiation or terminate upon 10 days written notice. Transactional value of your CLEAR usage is calculated based upon our then -current Schedule A rate. Schedule A rates may change upon at least 30 days written or online notice. Batch Usage :If you have a fixed rate batch and/or batch alerts subscription and the total of your batch inputs or batch alerts exceeds your annual fixed rate batch or total batch alerts allotment, we may: 1) request the parties enter into good faith negotiations regarding a superseding agreement, 2) terminate your subscription upon 10 days written notice or 3) limit your access to your fixed rate batch subscription for the remainder of the then - current 12 month period, during which time you will continue to be billed your Monthly Charges. If your access to your fixed rate batch subscription has been limited, your access will be reinstated on the first day of the following 12 month period. If the trial includes Batch Services, you may submit up to 1,000 input lines at no cost. We reserve the right to invoice you for input lines in excess of 1,000. You will pay our then current Schedule A rate. Schedule A rates are located at hqp://legalsolutions.com/schedule-a-clear. Existing Vigilant Subscribers: We may terminate your License Plate Recognition (LPR) subscription if you are an existing Vigilant LEARN subscriber whose LPR pricing is based upon your existing Vigilant LEARN agreement, and you cancel your Vigilant LEARN agreement. Enterprise Law Enforcement Subscribers: You certify that you have up to the number of Sworn Officers in your employ at this location identified in the QTY Column above. Our pricing for banded products is made in reliance upon your certification. If we learn that the actual number is greater, we reserve the right to increase your charges as applicable. CLEAR Subscribers via an Alliance Partner. In limited circumstances we may allow you to access CLEAR through a third party's ("Service Provider") software or service (together with CLEAR, the "Integrated System"). In the event that you enter into a license agreement to access an Integrated System, you agree as follows: We have no obligation to Service Provider with regard to the functionality or non -functionality of CLEAR during or after the integration. Service Provider will have access to CLEAR on your behalf and you will ensure Service Provider's compliance with the terms and conditions of the Page 2 of 4 Docusign Envelope ID: CF798455-E8BA-4786-81C0-3D3AE1367789 Thomson Reuters General Terms and Conditions located in the General Terms and Conditions paragraph above. Except as otherwise provided in your agreement with us, Data may not (i) be distributed or transferred in whole or in part via the Integrated System or otherwise to any third party, (ii) be stored in bulk or in a searchable database, and (iii) not be used in any way to replace or to substitute for CLEAR or as a component of any material offered for sale, license or distribution to third parties. No party will use any means to discern the source code of our products and product data. You are responsible for Service Provider's access to CLEAR on your behalf. You are responsible for all damages caused by misuse, abuse or compromise of the data by Service Provider, you, your employees and any person or entity with which you shared the data. We will be responsible for damages caused by us. . For Law Enforcement Agencies and Correctional Facilities Only — No Inmate Westlaw or CLEAR Access (direct or indirect) I certify, on behalf of Subscriber, that I understand and accept the security limits of Westlaw or CLEAR ; Subscriber's responsibility for controlling Westlaw, CLEAR, internet and network access; and, how Subscriber will be using Westlaw or CLEAR. I acknowledge Subscriber's responsibility for providing West with prompt written notice if Subscriber's type of use changes. Only non-inmates/administrative staff will access Westlaw or CLEAR with no direct Westlaw research results provided to inmates (including work product created as part of inmates' legal representation). In no event shall anyone other than Subscriber's approved employees be provided access to or control of any terminal with access to Westlaw or Westlaw Data. Functionality of Westlaw or CLEAR cannot and does not limit access to non -West internet sites. It is Subscriber's responsibility to control access to the internet. Subscriber will provide its own firewall, proxy servers or other security technologies as well as desktop security to limit access to the Westlaw or CLEAR URL and West software (including CD-ROM orders). Subscriber will design, configure and implement its own security configuration. Subscriber will not use any data nor distribute any data to a third party for use, in a manner contrary to or in violation of any applicable federal, state, or local law, rule or regulation or in any manner inconsistent with the General Terms and Conditions. Subscriber will maintain the most current version of the West software to access CD-ROM Products for security purposes. Amended Terms and Conditions Signature for Order ID: Q-08607465 ACKNOWLEDGEMENT 0-08607465 I have read all pages and attachments to this Order Form and I accept the terms on behalf of Subscriber. I warrant that I am authorized to sign this Order Form on behalf of the Subscriber. XESigned by: 3R96492F3F5A47ne Naaun, w X .. Signature of Authorized Representative for order XRob Putaansuu X Printed Name This Order Form will expire and will not be accepted after 8/24/2024 CT. Mayor Title 11/19/2024 Date Page 3 of 4 Docusign Envelope ID: CF798455-E8BA-4786-81C0-3D3AE1367789 Thomson Reuters- Attachment Order ID:Q-08607465 Contact your representative christine.labounty(aLthomsonreuters.com with any questions. Thank you. Order ID: Q-08607465 Payment, Shipping and Contact Information Payment Method: Order Confirmation Contact (#28) Payment Method: Bill to Account Contact Name:Iwashita, Alan Account Number: 1005920904 Email: aiwashita@portorchardwa.gov This order is made pursuant to: Account Contacts Contact Name Email Address Customer Type Description Alan Iwashita aiwashita@portorchardwa.gov CLEAR PRIMARY CONT Alan Iwashita aiwashita@portorchardwa.gov EML PSWD CONTACT IP Address Information From IP Address To IP Address From IP Address To IP Address From IP Address To IP Address 0.0.0.0 Page 4 of 4