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CALIFORNIA, STATE OF (2)
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CALIFORNIA, STATE OF (2)
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Last modified
10/29/2019 7:04:02 PM
Creation date
10/29/2019 7:02:19 PM
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Contracts
Company Name
CALIFORNIA, STATE OF
Contract #
N-2019-232
Agency
POLICE
Expiration Date
11/30/2022
Destruction Year
2027
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.A "` Fmµfuymenl CDb Cortl4'ICf NO. MO' 169 <br />Ucvtlop"ie°r EDD Customer CodeNo.Eoo63663 <br />� v r)epartra �.ai <br />EDD/SAPD <br />ATTACHMENT NO.03 <br />...... <br />1 of 1.. <br />EMPLOYMENT DEVELOPMENT DEPARTMENT <br />STATEMENT OF RESPONSIBILITY <br />INFORMATION SECURITY CERTIFICATION <br />We, the Police Systems Manager and the Commander hereby certify that Santa Ana Police Department has in <br />place the safeguards and security requirements stated in this Interagency Agreement. We therefore accept <br />responsibility for ensuring compliance with these requirements, as set forth in Exhibit V of the EDD Contract No, <br />MD113589. <br />POLICE$YS'iL--NUMACER SIQUATURE — C L4t.4iNnER 31 i--- <br />_ Boris Duran _ Matt Brown <br />PgUCF.5Y5TEh45 PAU,'AGLRGFKICFR '_--�— �—���� PRihl7 NA!,'� _� `- <br />Police Systems Manager Commander <br />PRINT TITLE��- PRINT TITLE_-----"�"_.�—_.,... <br />{�1a� 2a5-a23s _._ _—Las aoa1 <br />iEk_PH('i t" NUF.IeCa FELF.PFtpBE rlllRf'nER <br />hddranla>santa-ana.orq nd)rown(usanta-aria nrr <br />EVAIL ADDRESS E-MIL An S S$ <br />-- — -- ----_ DATE slcNEo c , re slcNEn <br />NOTE: Refuel this Information Security Certification tothe EDD Contract Manager with the signed <br />copies of the Contact. <br />1. Information Security Certification received by: <br />E eC CCRafL1CT kiTtlAGCR 7..L"",-". - CF(E RECEIVED <br />2. The EDD information asset access approved by: <br />COIIirLt�i F.I;.rJA Eii OR O15flO5URG COOR0RY5f4'R ndrF. AIPr(g _bi-FF.T ETn.) <br />NOTE: The EDD must have a signori '010rmation Security Certification- in its possossioe pJ'ioor to <br />rtiserosuro of any personaL conAdentiall. or sensitive inforrnatton ro the Santa Ana Poticc <br />Dopartnlant <br />Attachment D3 (Rev 0720171 <br />
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