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---71f`-~ Employment EDIT Contract No. M7104377 <br />EDDpeve,10 went EDD Customer Corte No.E00663 <br />L7epartmer,t E©CIISARD <br />State 0€ Cali€0rnia ATTACHMENT NO. D3 <br />Iia e 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 SAPID has in place the safeguards and <br />security requirements stated in this Interagency Agreement. We therefore accept responsibility for ensuring <br />compliance with these requirements, as set forth in Exhibit "Y' of the EDD Contract No, M7104377. <br />IINFORMA Rte!-9FWER SIGNATURE PROQGR—M1] OR OR CHIEF INFORMATION OFFICER SIGNATURE <br />Bor€s,� 0 E4 nA A/ W <br />PRINT NAME OF INFORMATION SECUIRTY OFFICER <br />Police Systems Mana er <br />PRINT TITLE <br />714-245-8236 <br />TELEPHONE NUMBER <br />Chris Revere <br />PRINT NAME <br />Commander <br />PRINT TITLE <br />714-245-8005 <br />TELEPHONE NUMBER <br />bduran santa-ana.org crevere a Santa-ana,org <br />EMAIL ADDRESS E-MAIL ADDRESS <br />I�1a..-z01 '% t% /7,0 1 :1 ................ <br />T"DATE SIGNED DATE SIGNED <br />NOTE: Return this information Security Certification to the EDD Contract Manager with the signed <br />copies of the Contract. <br />1, Information Security Certification received by. <br />EDD OONTRACT MANAGER NAME <br />2, The EDD information asset access approved by, <br />DATE RECEIVED <br />CONTRACT MANAGER OR DISCLOSURE COORDINATOR WE APPROVED (AFF, EMAIL, ETC,) ^^ <br />NOTE: The EDD must have a signed "Information Security Certification" in its possession prior to <br />disclosure of any personal, confidential, or sensitive information to the ISO. <br />Attachment D3 (Rev 06 1414) <br />