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R <br />inter civic <br />HART VOTING SYSTEM <br />WARRANTY, SUPPORT AND LICENSE AGREEMENT <br />(SIGNATURE PAGE) <br />This Hart Voting System (HVS) Warranty, Support, and License Agreement ( "Agreement ") is entered into <br />by and between Hart InterCivic, Inc., a Texas corporation ( "Hart "), and ( "Client "), a <br />governmental subdivision of the State of This Agreement is entered into in connection with a Hart <br />Voting System Master Agreement dated , 2011, between Hart and Client under which <br />Client has purchased HVS Hardware. This Agreement sets forth terms between Hart and Client applicable <br />to Client's ownership and use of the HVS Hardware and license from Hart of Hart Proprietaiv Software <br />(including Firmware), including warranty, support, license, and other terms. Defined terms used in this <br />Agreement will have the meanings specified in Section 13, Definitions or as otheiivise set forth herein. <br />The following Schedules are attached to this Agreement and made a part hereof: <br />Schedule A <br />Support Contact Information <br />Schedule B <br />Hart Proprietaiv Software <br />Schedule C <br />Non -Hart Software <br />Schedule D <br />Initial Annual Fee <br />Client acknowledges it has read and understands this Agreement (including all Schedules) and is entering <br />into this Agreement only on the basis of the terms expressly set forth in this Agreement. There are no <br />oral agreements, representations, or warranties. The Effective Date of this Agreement is 2011. <br />Agreed and Accepted: <br />Name: <br />Address: <br />Primaiv Phone: <br />Facsimile: <br />E -mail: <br />Executed BV: <br />Name: <br />Title: <br />Client Hart <br />Hart InterCivic, Inc. <br />15500 Wells Port Drive <br />Austin, Texas 78728 <br />Attn.: Phillip W. Braithwaite <br />CEO <br />800 -223 -4278 <br />800 - 831 -1485 <br />pbraithwaite:'crhartic. com <br />Phillip W. Braithwaite <br />CEO <br />This Agreement is not effective until executed by both parties. <br />Page 1 of 21 <br />HVS License Agreement — Rev. 09 -2011 <br />