HomeMy WebLinkAboutEMPLOYMENT DEVELOPMENT DEPARTMENT (2)Return FULLLY EXECUTED
DEC i; 0 2022 ��t Copy to COTC, M-30
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STATE OF CALIFORNIA- DEPARTMENT OF GENERAL SERVICES
STANDARD AGREEMENT
STD 213 (Rev. 04/2020)
CONTRACTING AGENCY NAME
Employment Development Department
CONTRACTOR NAME
Santa Ana Police Department
2. The term of this Agreement Is:
START DATE
December 1, 2022 or upon final approval
THROUGH END DATE
N-2022-368
SCO ID:
AGREEMENTNUMBER
0000000399
INSURANCE NOT REQUIRED
WORK MAY PROCEED
CLERK OF COUNCIL
DATE2
September 30, 2025
3.The maximum amount of this Agreement is:
$3,308.00 Three Thousand Three Hundred Eight Dollars and Zero Cents
4. The parties agree to comply with the terms and conditions of the following exhibits, which are by this reference made apart of the Agreement.
Exhibits
Title
Pages
Exhibit A
Scope of Work
2
Attachment
Specifications
3
A-1
Attachment
SPOC Listing
1
A-2
'v<'Y
Exhibit B
Budget Detail and Payment Provisions
i
-T
Exhibit C •
General Terms and Conditions GTC 04/2017
4
Exhibit D
Special Terms and Conditions
1
0
Exhibit E
Protection of Confidentiality
3
Attachment
ConfidentialltyAgreement
1
E-1
Attachment
Indemnification and Responsibility Agreement
1
b-
E-2
Itemss ownwt anaste s ,
of thisagreementat ff attachedhereto.
IN WITNESS WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BYTHE PAR77ES HERETO.
CONTRACTOR
CONTRACTOR NAME (If otherthan an individual, state whether a corporation, partnership,etc.)
Santa Ana Police Department
20 Civic Center Plaza (M-31)
Santa Ana
ICA
192702
PRINTED NAME OF PERSON SIGNING
TITLE
Kristine Ridge
City Manager
CONTRACTOR AUTHORIZED SIGNATURE
DATE SIGNED
Page 1 of 2
SCQ ID:
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES
STANDARD AGREEMENT AGREEMENTNUMEER PURCNASINGAUTHORnYNUMU R
STD 213 (Rev.04/2A20) 0000000399
CONTRACTING AGENCY NAME
Employment Development Department
CONTRACTING AGENCY ADDRESS
CITY
STATE
ZIP
722 Capitol MalkMIC62-C
Sacramento
CA
95814
PRINTEONAMEOFPERSON SIGNING
TIRE
Ernesto McCorMe
Manager, Contract Services Group (m
CONTRACTING AGENCYAUIHORIZED SIGNATURE Ernesto
signed by
DATESIGNEo
McCorkle
Ernesto
'. Ernesto McCorkle
;% 080 302-0800'
CAUFOTNIADEPARTMENTOFGENERAL SERVICESAPPROVAL
EXEMPTION (if Applicable)
DGS Exemption Letter 54.6
Cleared
CSG
Dist. REIM 12/29/2022 KGH
Page 2 of 2
N-2022-368
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
` eClerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
TAMARA BOGOSIAN
Senior Assistant City Attorney
CITY OF SANTA ANA
J DGf
City Manager
RECOMMENDED FOR APPROVAL:
DAVID VALE
Chief of Police
EDD Agreement No. 0000000399
EDD/Santa Ana Police Department
EDD Customer Codes: E00642, E00663
Page 1 of 2
EXHIBIT A
(Standard Agreement)
This Agreement is entered into by and between the Employment Development Department, hereinafter
referred to as the EDD, and the Santa Ana Police Department, hereinafter referred to as the EDD Data
Recipient. It sets forth the terms and conditions for the release and use of the EDD's confidential
information.
SCOPE OF WORK
I. Purpose
The EDD agrees to provide confidential Employer Address and Client Address information to the EDD
Data Recipient when a request for this information is made by any investigator or peace officer as
defined by Sections 830.1 and 830.2 of the Penal Code, The EDD Data Recipient agrees to use the
EDD confidential information for locating victims, suspects, missing persons, potential witnesses, or
persons for whom a felony arrest warrant has been issued, when the information is requested in the
course of, and as a part of an investigation into the commission of a crime when there Is a reasonable
suspicion that the crime Is a felony and that the information would lead to relevant evidence.
II. Legal Authority
The EDD shall make this information available to the EDD Data Recipient pursuant to section 1095(1) of
the Unemployment Insurance Code (UIC).
The EDD Data Recipient shall request and use the specified information in accordance with section
1095(i) of the UIC and section 830.1 and 830.2 of the California Penal Code,
III. Agreement Representatives
1. The EDD's contact persons are:
AGREEMENT NEGOTIATIONS, CONFIDENTIALITY, AND TECHNICAL ASSISTANCE
Todd Cuevas or Designee
Employment Development Department
Information Security Office, MIC 33
P.O. Box 826880
Sacramento, CA 94280-0001
Phone: (916) 907-4557
E-mail: Todd. Cuevas(Medd, ca.gov
cc: ISOPrivacyDisclosureUnitf&edd.ca.gov
FISCAL
Employment Development Department
Accounts Receivable Unit, MIC 70
P.O. Box 826217
Sacramento, CA 94230-6217
Phone: (916) 654-9210
EDD Agreement No,0000000399
EDD/Santa Ana Police Department
EDD Customer Codes: E00642, E00663
Page 2 of 2
EXHIBIT A
(Standard Agreement)
2. The EDD Data Recipient contact persons are:
AGREEMENT NEGOTIATIONS AND ADMINISTRATION MATTERS
Sergio Enriquez
Santa Ana Police Department
60 Civic Center Plaza (M-18)
Santa Ana, CA 92702
Phone (714) 245-8014
E-mail: SEnriauezosanta-ana.ora
FISCAL Matters
Patricia Quezada
Santa Ana Police Department
60 Civic Center Plaza (M-18)
Santa Ana, CA 92702
Phone (714) 245-8048
E-mail: PQuezada(Msanta-ana.org
DATA SECURITY AND INTEGRITY
Boris Duran
Santa Ana Police Department
60 Civic Center Plaza (M-18)
Santa Ana, CA 92702
Phone (714) 246-8236
E-mail: BDuran Santa-ana.or9
3. Either party may make changes to the Agreement Representatives information above by giving
written notice to the other parry. Said changes shall not require an amendment to this Agreement.
ATTACHMENT A-1
(Standard Agreement)
SPECIFICATIONS
EDD Agreement No. 0000000399
EDD/Santa Ana Police Department
Customer Code: E00642, E00663
Page 1 of 3
I. METHODOLOGY: CALIFORNIA DEPARTMENT OF TECHNOLOGY SERVICES SECURE
ELECTRONIC TRANSMITTAL SERVICE
1. The EDD Data Recipient submits a request for LE 1095(i) Locator Reports under Customer Codes
E00642 and E00663 following the EDD specifications through the Secure Electronic Transmittal
service hosted by the California Department of Technology Services (CDT) for the purpose of
investigating felony victims, suspects, missing persons, potential witnesses, or persons for whom a
felony arrest warrant has been issued.
2. The EDD retrieves and processes the Social Security Numbers (SSNs) submitted by the EDD Data
Recipient.
3. On matching records the EDD produces the data files authorized under this Agreement under
Customer Codes E00642 and E00663 and submits the data files to the attention of the EDD Data
Recipient through the secure electronic transmittal system.
4. The EDD Data Recipient retrieves the output data files from the secure electronic transmittal system
within twenty (20) days of transfer.
5. On a quarterly basis the EDD invoices the EDD Data Recipient for all SSN transactions submitted
and the cost of the secure electronic transmittal account.
II. RESPONSIBILITIES
1. The EDD agrees to:
a. Set up a Basic User Account and password under Customer Codes E00642 and E00663 for
the EDD Data Recipient to access the CDT secure electronic transmittal system.
b. Assign copies of the CDT secure electronic transmittal Basic User Manual and the EDD
Abstract System Customer Instruction Packet to the EDD Data Recipient to assist the EDD
Data Recipient in the implementation of the secure electronic transmittal process.
c. Provide User Account administration to reset password, unlock user account, and/or modify user
account. To request User Account support submit an email message to:
Todd.Cuevas o0edd.camov
cc: ISOPrivacvDisclosureUnit(a)edd.ca.00v
d. Retrieve the EDD Data Recipient input file from the secure electronic transmittal temporary
file storage repository on a daily basis and run the Input file against the EDD databases.
e. Provide the EDD Data Recipient the following Abstract data files for those individuals whose
submitted social security numbers match the EDD records:
(1) LE 1095(1) Locator Report
f. Transfer the response data file to the EDD Data Recipient, through the secure electronic
transmittal system under the output Data Set Name (DSN):
LE 1096(i) Locator Report: em abs abs261 sftrptsabs00642
LE 1095(I) Locator Report: em abs_abs251_sftrpts abs00663
g. Retain the output data file for a period of twenty (20) calendar days in the secure electronic
transmittal temporary file repository. On the 21It day, the data file is automatically deleted.
10951 SFr Attachment A-1 LE Report/Rev 10.22)
EDD Agreement No. 0000000399
EDD/Santa Ana Police Department
Customer Code: E00642, E00663
Page 2 of 3
ATTACHMENT A-1
(Standard Agreement)
h. Invoice the EDD Data Recipient on a quarterly basis for all SSN transactions submitted and
secure electronic transmittal account cost.
I. Monitor and assess status of the data to ensure that the terms, conditions, and disclosure
constraints stipulated in this Agreement are followed. This compliance review is part of the EDD
contract monitoring process.
2. The EDD Data Recipient agrees to:
a. Establish anew password at first logon to the Basic User Account established under Customer
Codes E00642 and E00663 for the EDD Data Recipient to access the CDT secure electronic
transmittal system.
b. Follow the following secure electronic transmittal Password Policy syntactical requirements:
• The password must contain at least 15 characters.
• At least one of the characters must be a number.
• At least one of the characters must be a symbol (for example:
• At least one of the characters must be an uppercase alpha character.
c. Change the Basic User Account password on or before 90 days, after which the account will be
locked. A limit of five attempts to enter the password is allowed after which the account will be
locked. To request User Account support submit an email message to:
Todd. C uevas0.edd.ca.gov
cc: ISOPrivacvDisciosureUnit(&edd.ca.aov
d. Request the file(s) authorized in this Agreement on an as needed basis during the period
specified herein. The number of requests (SSNs) shall not exceed one million (1,000,000) SSNs
on any daily cycle. Requests exceeding one million (1,000,000) SSNs will process the first one
million (1,000,000) SSNs only. SSNs in excess of one million (1,000,000) will be discarded and
the EDD Data Recipient will need to resubmit in a future cycle.
e. Upload the request file into the secure electronic transmittal temporary Ole storage repository,
on an as needed basis, under the input DSN:
em abs_abs010 absreq abs642
em abs abs010 absreq_abs663
f. Retrieve the response data file from the secure electronic transmittal temporary Ole storage
repository within twenty (20) calendar days from submission. On the 21" day, the data file is
automatically deleted.
g. Delete the retrieved response data file from the secure electronic transmittal temporary file
storage repository before submitting a new request.
h. Comply with the UIC on any matters pertaining to the access, use, and/or release of data under
this Agreement, Failure to comply with this provision shall be deemed a breach of this
Agreement and shall be grounds for cancellation of this Agreement.
L Oversee the EDD Data Recipient staff in their use of confidential information received from
the EDD.
j. Instruct all the EDD Data Recipient staff with access to the information provided by the EDD
under this Agreement regarding the: (1) the confidential nature of the information; (2) the
requirements of this Agreement; (3) the need to adhere to the security and confidentiality
10951 SFT Anechment A•1_LE Repod (Rev 10.22)
EDD Agreement No. 0000000399
EDD/Santa Ana Police Department
Customer Code: E00642, E00663
Page 3 of 3
ATTACHMENT A-1
(Standard Agreement)
provisions outlined in Exhibit E — Protection of Confidentiality Provisions; and (4) the
sanctions and penalties against unauthorized use or disclosure found in sections 1094 and
2111 of the UIC, section 1798.55 of the California Civil Code, and section 502 of the
California Penal Code.
k. Ensure that all the EDD Data Recipient staff assigned to work with the information provided
by the EDD have signed the EDD Confidentiality Statement (Attachment E-1. Rev. 11-
2021).
I. Comply with section 603.9, Title 20 of the Code of Federal Regulations with respect to any
of the EDD confidential information.
m. Dispose of the EDD's confidential information using an approved method of confidential
destruction.
n. Not release the EDD's confidential information to any other public or private entity without
the EDD's prior written consent.
o. Cooperate with the EDD's authority to monitor this Agreement in accordance with Exhibit E,
Section ll, paragraphs (a) and (f).
p. Pursuant to 20 C.F.R., Part 603.10(c)(1), if the EDD Data Recipient fails to comply with
any provision of this Agreement, including timely payment of the EDD's costs under
this Agreement, this Agreement shall be suspended and no further disclosures will be
made until the EDD is satisfied that corrective action has been taken and there will be
no further breach. In the absence of prompt and satisfactory corrective action, this
Agreement will be cancelled, and the EDD Data Recipient shall surrender to the EDD
all confidential information obtained under this Agreement which has not been
previously returned to the EDD, and any other information relevant to the Agreement.
3. Joint Responsibilities. Both parties agree to:
a. Designate staff to have primary responsibility for program liaison, coordination of activities,
and to meet, when necessary, to further redefine specific program procedures.
b. Not disclose any of the EDD or the EDD Data Recipient information to any person or agency
other than those authorized specifically under this Agreement.
c. Cooperate fully and furnish such assistance as may be mutually agreed upon by the parties
hereto as being necessary and appropriate for proper performance of this Agreement.
III. ACCURACY ASSESSMENT
Individual employers and claimants report the information in the EDD's files. Since the EDD is not the
originator of the information disclosed, the EDD cannot guarantee the accuracy of the information.
U951SFT Attachment A-1 LE Report (Rev 10-22)
ATTACHMENT A•2
(Standard Agreement)
SPOC LISTING
SINGLE POINTIS) OF CONTACT
EDD Agreement Number: 0000000399
EDD/Santa Ana Police Department
EDD Customer Codes: E00642, E00663
Page 1 of 1
E Code
SPOG NAME _
ADDRESS
PHONE
E00642
Elizabeth Granados
60 Civic Center Plaza (M-18)
Santa Ana, CA 92702
(714) 245.8426
EGranadosCa).santa-ana,ora
E00663
Manuel Moreno
60 Civic Center Plaza (M-18)
Santa Ana, CA 92702
(714) 245-8271
MMoreno0santa-ana.org
EDD Agreement No. 0000000399
EDD/Santa Ana Police Department
EDD Customer Code: E00642, E00663
Page 1 of 1
EXHIBIT B
(Standard Agreement)
I. BUDGET DETAILS AND PAYMENT PROVISIONS
a. The maximum amount of this Agreement shall not exceed Three Thousand Three Hundred Eight
Dollars and Zero Cents ($3,308.00).
b. In consideration of the performance and completion of the foregoing in a satisfactory manner, and
upon receipt of a detailed invoice, in triplicate, quarterly in arrears, the EDD Data Recipient shall
reimburse the EDD the total amount due, based on the following product rate structure:
$16.00 per month SIFT Account Fee
• A $1,600.00 Administrative Fee. The administrative costs for contracting Include the costs for
development, processing, and maintenance of an Agreement. Your Agreement will be charged
the administrative cost divided by the number of quarters of the actual term of the contract to
total $1,500. These costs are computed in accordance with sections 8752 and 8752.1 of the
State Administrative Manual; and
• $2,00 per SSN for each LE 1095(i) Locator Report requested.
c. The EDD Data Recipient shall be charged for the total number of products requested, Each SSN
submitted will generate 1 LE 1095(i) Locator Report.
d. The maximum amount of this Agreement has been computed based on an estimated 30 SSNs
per quarter (billing will be at value based on actual volume), as follows:
30 x 2.00 x 12Q
LE 1095 i Locator report
$720.00
Administrative Fees
$1,500.00
SFT Account Fee
$32.00 x 34 Months
$1,088.00
Total for contract
$3,308.00
e. The EDD invoices will reference the EDD Agreement No. 0000000399 and the EDD Customer
Codes; E00642 and E00663; and shall be submitted for payment to:
Patricia Quezada
Police Fiscal Services Supervisor
Santa Ana Police Department
60 Civic Center Plaza (M-18)
Santa Ana, CA 92702
f. The EDD Data Recipient payment must reference the EDD Invoice Number, the EDD
Agreement No. 0000000399, and the EDD Customer Codes: E00642 and E00663; and be
submitted to:
Employment Development Department
Accounting Section, MIC 70
P.O. Box 826217
Sacramento, CA 94230-6217
Exhibit B (Rev 03-2022)
EDD Agreement No. 0000000390
EDD/Santa Ana Police Department
EDD Customer Codes: E00642, E00663
Page 1 of 1
EXHIBIT D
(Standard Agreement)
SPECIAL TERMS AND CONDITIONS
1. Force Maleure
Neither party shall be liable to the other for any delay in or failure of performance, nor shall
any such delay in or failure of performance constitute default, if such delay or failure is
caused by "Force Majeure." As used in this section, "Force Majeure" is defined as follows:
Acts of war and riots, and acts of god such as earthquakes, floods, pandemics and other
natural disasters, such that performance is impossible.
2. Workforce Innovation and Opportunity Act
The Contractor agrees to conform to nondiscrimination provisions of the Workforce
Innovation and Opportunity Act (WIOA) and other federal nondiscrimination requirements as
referenced In 29 CFR, parts 37 and 38.
3. Termination
This Agreement may be terminated by either party by giving written notice 30 days' prior to
the effective date of such termination.
4. Settlement of Disputes
Any dispute concerning a question of fact arising under the term of this Agreement which is
not disposed of within a reasonable period of time (ten days) by the Contractor and State
employees normally responsible for the administration of this contract shall be brought to the
attention of the Chief Executive Officer (or designated representative) of each organization for
joint resolution.
5. Executive Order N-6-22 — Russia Sanctions
On March 4, 2022, Governor Gavin Newsom Issued Executive Order N-6-22 (the EO)
regarding Economic Sanctions against Russia and Russian entities and individuals.
"Economic Sanctions" refers to sanctions imposed by the U.S. government in response to
Russia's actions in Ukraine, as well as any sanctions Imposed under state law. By submitting
a bid or proposal, Contractor represents that it is not a target of Economic Sanctions. Should
the State determine Contractor is a target of Economic Sanctions or is conducting prohibited
transactions with sanctioned individuals or entities that shall be grounds for rejection of the
Contractor's bid/proposal any time prior to contract execution, or, if determined after contract
execution, shall be grounds for termination by the State.
Speclal Terms and Conditions (Rev 07-2022)
EXHIBIT E
(Standard Agreement)
PROTECTION OF CONFIDENTIALITY
EDD Agreement No. 0000000399
EDD/Santa Ana Police Department
EDD Customer Codes: E00642, E00663
Page 1 of 3
Federal and state confidentiality laws, regulations, and administrative policies classify all the Employment
Development Department (EDD) information provided under this Agreement as confidential. The federal and
state laws prohibit disclosure of the EDD's confidential Information to the public and mandate its protection
against loss and against unauthorized access, use, disclosure, modification, or destruction.
The EDD Data Recipient must therefore, agree to the following security and confidentiality requirements:
I. ADMINISTRATIVE SAFEGUARDS
a. Adopt policies and procedures to ensure use of the EDD's confidential information solely for purposes
specifically authorized under this Agreement that meet the requirements of section §603.10, Title 20 of
the Code of Federal Regulations.
b. Warrant by execution of this Agreement, that no person or selling agency has been employed or
retained to solicit or secure this Agreement upon agreement or understanding for a commission,
percentage, brokerage, or contingent fee. In the event of a breach or violation of this warranty, the
EDD shall have the right to annul this Agreement without liability, in addition to other remedies provided
by law,
c. Warrant and certify that in the performance of this Agreement, the EDD Data Recipient will comply with
all applicable statutes, rules and/or regulations, and Agreement Information security requirements,
including but not limited to the following:
• California Unemployment Insurance Code §1094 (Disclosure Prohibitions)
• Title 20, Code of Federal Regulations §603.9 and §603.10 (Federal Unemployment
Compensation Safeguards and Security Requirements)
• California Civil Code §1798, at seq. (Information Practices Act)
• California Penal Code §602 (Computer Fraud Act)
• Title 5, U.S. Code §552a (Federal Privacy Act Disclosure Restrictions)
• Title 42, U.S. Code §603 (Social Security Act)
• Title 18, U.S. Code §1906 (Disclosure of Confidential Information)
d. Agree to indemnify the EDD against any loss, cost, damage or liability resulting from violations of these
applicable statutes, rules and/or regulations, and Agreement information security requirements that
meet section 5305.8 of the State Administrative Manual.
e. Protect the EDD's information against unauthorized access, at all times, in all forms of media. Access
and use the Information obtained under this Agreement only to the extent necessary to assist in the
valid administrative needs of the program receiving such Information, and only for the purposes defined
In this Agreement.
f. Keep all the EDD's confidential information completely confidential. Make this information available to
authorized personnel on a "need -to -know" basis, and only for the purposes authorized under this
Agreement. "Need -to -know" refers to those authorized personnel who need information to perform their
official duties in connection with the use of the information authorized by this Agreement.
g. Immediately upon discovery, notify the EDD Information Security Office (ISO) at
InformationSecuriNOftice(Medd.ca.cov, that there may have been a breach in security which has or
may have resulted in the disclosure of confidential information. For purposes of this section,
Immediately is defined within 24 hours of discovery of the breach.
Confidentiality Requirements (Rev 10-2022)
EDD Agreement No. 0000000399
EDD/Santa Ana Police Department
EDD Customer Codes: E00642, E00663
Page 2 of 3
EXHIBIT E
(Standard Agreement)
The notification must include a detailed description of the incident (such as time, date, location, and
circumstances) and identify the EDD Data Recipient personnel responsible (name, title and contact
Information) for handling breach disclosures. Please do not Include any confidential information in
the notification.
II. MANAGEMENT SAFEGUARDS
a. Acknowledge that the confidential information obtained by the EDD Data Recipient under this
Agreement remains the property of the EDD,
b. Instruct all personnel assigned to work with the information provided under this Agreement regarding
the following:
• Confidential nature of the EDD Information.
• Requirements of this Agreement,
• Sanctions specified in federal and state unemployment compensation laws and any other relevant
statutes against unauthorized disclosure of confidential Information provided by the EDD.
c. Require that all personnel assigned to work with the Information provided by the EDD complete the EDD
Confidentiality Agreement (Attachment E-1).
d. Return the following completed documents to the EDD Contract Services Group:
o The EDD Confidentiality Agreement (Attachment E-1): Require to be completed by the
Santa Ana Police Department information Security Officer or authorized Management
Representative.
e. Permit the EDD to make on -site inspections to ensure that the terms of this Agreement are being met.
Make available to the EDD staff, on request and during on -site reviews, copies of the EDD
Confidentiality Agreement (Attachment E-1) completed by personnel assigned to work with the EDD's
confidential information, and hereby made a part of this Agreement.
f. Maintain a system of records sufficient to allow an audit of compliance with the requirements under
subsection (a) of this part. Permit the EDD to make on -site inspections to ensure that the requirements
of federal and state privacy, confidentiality and unemployment compensation statutes and regulations
are being met including but not limited to 41137(a)(5)(B) of the Social Security Act.
III. USAGE, DUPLICATION, AND REDISCLOSURE SAFEGUARDS
a. Use the EDD's confidential information only for purposes specifically authorized under this Agreement.
The Information is not admissible as evidence in any action or special proceeding except as provided
under section 1094(b) of the UIC. Section §1095(u) of the UIC does not authorize the use of the EDD's
confidential information by any private collection agency.
b. Extraction or use of the EDD information for any purpose outside the purposes stated in this Agreement
Is strictly prohibited. The information obtained under this Agreement shall not be reproduced, published,
sold, or released in original or any other form not specifically authorized under this Agreement.
c, Disclosure of any of the EDD information to any person or entity not specifically authorized in this
Agreement is strictly prohibited, Personnel assigned to work with the EDD's confidential information
shall not reveal or divulge to any person or entity any of the confidential information provided under this
Agreement except as authorized or required by law.
IV. PHYSICAL SAFEGUARDS
a. Take precautions to ensure that only authorized personnel are given access to physical, electronic and
on-line files, Store electronic and hard copy information in a place physically secure from access by
confidentiality Requirements (Rev 10-2022)
EDD Agreement No. 0000000399
EDD/Santa Ana Police Department
EDD Customer Codes; E00642, E00663
Page 3 of 3
EXHIBIT E
(Standard Agreement)
unauthorized persons. Process and store information in electronic format, such as magnetic tapes or
discs, in such a way that unauthorized persons cannot retrieve the information by means of computer,
remote terminal, or other means.
b. Secure and maintain any computer systems (network, hardware, and software applications) that will be
used in the performance of this Agreement. This includes ensuring that all security patches, upgrades,
and anti -virus updates are applied as appropriate to secure data that may be used, transmitted, or
stored on such systems in the performance of this Agreement,
c. Store all the EDD's confidential documents in a physically secure manner at all times to prevent
unauthorized access,
d. Store the EDD's confidential electronic records in a secure central computer facility, Where in -use on a
shared computer system or any shared data storage system, ensure appropriate information security
protections are in place. The EDD Data Recipient shall ensure that appropriate security access
controls, storage protections and use restrictions are in place to keep the confidential Information in the
strictest confidence and shall make the information available to its own personnel on a "need -to -know"
basis only.
e. Store the EDD's confidential data In encrypted format when recorded on removable electronic storage
media, or on mobile computing devices such as a laptop computer.
f. Maintain an audit trail and record data access of authorized users and authorization level of access
granted to the EDD's data, based on Job function.
g. Direct all personnel permitted to use the EDD's data to avoid leaving the data displayed on their
computer screens where unauthorized users may view it, Personnel should retrieve computer printouts
as soon as they are generated so that the EDD's data is not left unattended in printers where
unauthorized personnel may access them.
h. Dispose of confidential information obtained from the EDD, and any copies thereof made by the EDD
Data Recipient, after the purpose for which the confidential information is disclosed is served. Disposal
means return of the confidential Information to the EDD or destruction of the Information utilizing an
approved method of confidential destruction, which Includes electronic deletion (following Department
of Defense specifications) shredding, burning, or certified or witnessed destruction.
Confidentlalily Requirements (Rev 10-2022)
® �. Employment EDD Agreement No.0000000399I
evelopmEDD/Santa Ana Police Department
_ DDepartmenentt EDD Customer Codes: E00642, E00663
stare of [aliforniR ATTACHMENT NO.E-1
Page 1 of 1
EMPLOYMENT DEVELOPMENT DEPARTMENT
CONFIDENTIALITY AGREEMENT
Information resources maintained by the State of California Employment Development Department (EDD) and provided to your agency may
be confidential or sensitive. Confidential and sensitive information are not open to the public and require special precautions to protect It from
wrongful access, use, disclosure, modification, and destruction. The EDD strictly enforces information security. If you violate these provisions,
you may be subject to administrative, civil, and/or criminal action.
(AAIl0an employee or Santa Ana Police Department
PRWTYWRINLE PARITYWROPLOYER'e11AAE
hereby acknowledge that the confidential and/or sensitive records of the Employment Development Department are subject to strict confidentiality
requirements imposed by slate and federal law include the Unemployment Insurance Code (UIC) §§1094 and 2111. the California Civil Cade (CC) §1798
et seq., the California Panel Code (PC) §502, Title 5, USC §552a, Code of Federal Regulations, Title 20 pan 603, and Tille 18 USC §1905.
M' M ' Acknowledge that my supervisor and/or the Contract's Confidentiality and Data Security Monitor reviewed with me the confidentiality and security
1MIX requirements, policies, and administrative processes of my organization and of the EDD.
nn
t• -0. Acknowledge responsibility for knowing the classification of the EDD information I work with and agree to refer questions about the classification
UnruL of the EDD information (public, sensitive, confidential) to the person the Contract assigns responsibility for the security and confidentiality of the
,M m EDD's data.
Acknowledge responsibility for knowing the privacy, confidentiality, and data security taws that apply to the EDD information I have been granted
iMruL access to by my employer, including UIC §§1094 and 2111, California Government Code § 15619, CC § 1798.53, and PC § 502.
m M- Acknowledge that wrongful access, use, modificagon, or disclosure of confidential information may be punishable as a crime and/or result in
disciplinary and/or civil action taken against me--4ncluding but not limited to: reprimand, suspension without pay, salary reduction, demotion, or
,v1 dismissal —and/or fines and pen allies resulting from criminal prosecution or civil lawsuits, and/or termination of contract.
Acknowledge that wrongful access, inspection, use, or disclosure of confidential information for personal gain, curiosity, or any non -business
imnnL related reason is a crime under stale and federal laws.
morn Acknowledge that wrongful access, use, modification, or disclosure of confidential information is grounds for immediate termination of my
�L organization's Contract with the EDD.
Agree to protect the folloving types of the EDD confidential and sensitive information:
I'Mul Wage Information Applicant Information
• Employer Information Proprietary Information
• Claimant Information Operational Information (manuals, guidelines, procedures).
Tax Payer Information
Hereby agree to protect the EDO's information on either paper or electronic form by.
wirut • Accessing or using the EDD supplied information only as specified in the Contract for the performance of the specific work I am assigned.
• Never accessing information for curiosity or personal reasons.
• Never showing or discussing sensitive or confidential Information to or with anyone who does not have the need to know.
• Placing sensitive or confidential information only in approved locations.
• Never removing sensitive or confidential information from the work site without authorization.
• Following encryption requirements for all personal, sensitive, or confidential information in any portable devi r media.
"I certify that I have read and initialed the confidentiality statements prin v ill abi a by them,"
(`�itR�r•„o ml�t���
Print Full Name (last, first, MI) Signature
Santa Ana Police Department I2�2YIZZ
Print Name of Requesting Agency _ Date Signed
Check the:appropriate box:
❑ Employee ❑ Student
❑ Subcontractor ❑ Volunteer
❑ Other
Attachment E-1 (Rev 11-21)
Employment EDD Agreement No.0000000399
E®Y oevelopmont EDD/Santa Ana Police Department
Department EDD Customer Code No. E00542, E00863
State of California ATTACHMENT NO.E-2
Page 1 of I
EMPLOYMENT DEVELOPMENT DEPARTMENT
INDEMNITY AGREEMENT
In consideration of access to the EDD information which is personal, sensitive, or confidential,
the EDD Data Recipient agrees to indemnify the EDD against any and all liability costs, damages,
attorney fees, and other expenses the EDD may incur by reason of or as a result of any unauthorized
use of the personal, sensitive, or confidential Information or any violation of the °Confidentiality
Agreement° by any and all employees of the EDD Data Recipient.
This obligation shag be continuous and may not be changed or modified unless agreed to In writing.
In addition, I understand that the following penalties may be incurred for any such misuse of the EDD
Information;
1. Any individual who has access to returns, reports, or documents maintained by the EDD who does
not maintain the confidentiality of the information or publishes or opens the information to public
inspection in any manner may be punished by Imprisonment in the county jail for up to one year or a
fine of $20,000.00 or both. (Unemployment Insurance Code §§ 2111 and 2122).
2. Any person who intentionally discloses information, not otherwise public, which they knew or should
have known was obtained from personal information maintained by a state agency, shall be subject
to civil action for invasion of privacy by the individual to whom the Information pertains.
(California Civil Code §1798.53).
3. Any unauthorized access to the EDD computer data, computer systems, or unauthorized use of the
EDD data is punishable by a fine or imprisonment in the county jail or both. (California Penal Code
§502).
INFORMATION SECURITY STATEMENT OF RESPONSIBILITY
By EDD Data Recipienrs signature on the STD 213, EDD Data Recipient attests that it has in place the
safeguards and security requirements stated in this Agreement that meet the requirements of sections
13400 -13407 of the California Government Code and sections 603.9 and 603.10 of Title 20 of the
Code of Federal Regulations. The EDD Data Recipient therefore accepts responsibility for ensuring
compliance with these requirements, as set forth in Exhibit °E" of the EDD Agreement No. 0000000399.
AOachment E-2 (Rev 10-2022)