All OMNIA Partners Participating Public Agencies must (i) affiliate with OMNIA Partners and (ii) complete this on-line Grainger Contract Participation Form ("Contract Participation Form").

This Contract Participation Form is required by Grainger to insure that Participating Public Agencies receive all of the benefits of Master Agreement # R24-08 by and between the Region 4 Education Services Center (ESC) and Grainger ("MRO Contract"). The process is easy and can be completed in a few minutes. Simply complete the requested information below and submit the request.

The OMNIA Partners Participating Public Agency acknowledges that it may elect to participate in only one (1) Grainger catalog-wide agreement at any given time, and hereby agrees to purchase MRO equipment and supplies in accordance with the MRO Contract. The Participating Public agency further understands that this Contract Participation Form and the above referenced MRO Contract supersedes all previous declarations for the purchase of product from Grainger.

The Participating Public Agency further understands that enrollment will remain in effect during the MRO Contract term, including any Contract extensions, unless earlier terminated pursuant to the MRO Contract.

By submitting this Contract Participation Form, the Participating Public Agency is requesting that all Participating Public Agency accounts be enrolled under the MRO Contract , and upon Grainger's receipt and processing of this Contract Participation Form, Grainger will enroll all Participating Public Agency accounts under the MRO Contract.

Processing this form may take up to 4 to 7 business days.

If you have any questions about this Contract Participation Form or the MRO Contract, please contact your local Grainger Account Manager.

• Asterisk (*) indicates required information.