HomeMy WebLinkAbout20260788 Resolution
Approve Intergovernmental Data Sharing and License Agreement, and Authorize
Chair to Sign
Whereas, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
Whereas, the Board has been presented with an Intergovernmental Data Sharing and
License Agreement between the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Department of Human
Services, and the Colorado Department of Labor and Employment, commencing upon
full execution of signatures, with further terms and conditions being as stated in said
agreement, and
Whereas, after review, the Board deems it advisable to approve said agreement, a copy
of which is attached hereto and incorporated herein by reference.
Now, therefore, be it resolved by the Board of County Commissioners of Weld County,
Colorado, that the Intergovernmental Data Sharing and License Agreement between the
County of Weld, State of Colorado, by and through the Board of County Commissioners
of Weld County, on behalf of the Department of Human Services, and the Colorado
Department of Labor and Employment, be, and hereby is, approved.
Be it further resolved by the Board that the Chair be, and hereby is, authorized to sign
said agreement.
The Board of County Commissioners of Weld County, Colorado, approved the above
and foregoing Resolution, on motion duly made and seconded, by the following vote on
the 8th day of April, A.D., 2026:
[Insert Resolution Attestation Block Post Meeting]
2026-0788
HR0098
COn+Vad-ID+I
BOARD OF COUNTY COMMISSIONERS
PASS-AROUND REVIEW
PASS-AROUND TITLE: Data Sharing and License Agreement with the Colorado Department of
Labor and Employment
DEPARTMENT: Human Services DATE: March 24, 2026
PERSON REQUESTING: Jamie Ulrich, Director, Human Services
Brief description of the problem/issue: The Department is requesting approval to enter into a Data
Sharing and License Agreement with the Colorado Department of Labor and Employment (CDLE).
This agreement will allow the State to provide Quarterly Census of Employment Wages (QCEW)
wage and employment data to the Workforce Center.
Term: One (1) year from the Effective Date, automatically renewing for additional one (1) year periods
for up to five (5) years from the Effective Date.
This agreement has been reviewed by Legal (B. Howell).
What options exist for the Board?
• Approval of the Data Sharing and License Agreement with CDLE.
• Deny approval of Data Sharing and License Agreement with CDLE.
Consequences: The Data Sharing and License Agreement will not be executed.
Impacts: QCEW and employment data will not be provided, limiting the Work Force Center's
ability to accurately verify client program eligibility and identify job matches for Weld County
clients.
Costs (Current Fiscal Year/ Ongoing or Subsequent Fiscal Years):
• Total cost: This is a non-financial agreement.
Pass-Around Memorandum; March 24, 2026— CMS ID 10509 2026-0788
Recommendation:
Approval of the Data Sharing and License Agreement and authorize the Chair to sign electronically.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck
Scott K. James
Jason S. Maxey _
Lynette Peppier
Kevin D. Ross old 6Y1r-L
Pass-Around Memorandum; March 24, 2026— CMS ID 10509
State of Colorado Data Sharing and License
Agreement
Cover Page
Transferring Agency Agreement Maximum Amount
Colorado Department of Labor and
Employment Non-Financial
Recipient Agreement Authority
Employment Services of Weld County C.R.S. § 8-1-107, C.R.S. § 8-1-112.
Agreement Number
CRN: 7781
Agreement Performance Beginning Date
The Effective Date
Initial Agreement Expiration Date
One (1) year from the Effective Date and shall
automatically renew for additional one (1)
year periods for up to five (5) years from the
Effective Date. Agreement costs will be
determined on annual renewal.
Agreement Purpose
The purpose of the Agreement is for the Transferring Agency to provide Quarterly Census of
Employment Wages "QCEW" wage and employment data from Colorado employers to the Recipient.
Exhibits and Order of Precedence
The following Exhibits and attachments are included with this Agreement:
1. Exhibit A - Data to be Shared
2. Exhibit B - PII Certification
3. Exhibit C - Third-Party Data Recipient Certification
4. Exhibit D - Sample Option Letter
In the event of a conflict or inconsistency between this Agreement and any Exhibit or attachment,
such conflict or inconsistency shall be resolved by reference to the documents in the following
order of priority:
1. The main body of this Agreement.
2. Exhibit B - PII Certification
3. Exhibit A - Data to be Shared
4. Exhibit C - Third-Party Data Recipient Certification
5. Exhibit D - Sample Option Letter
Principal Representatives
Transferring Agency:
For Recipient:
Tim Wonhof
Director, Office of Labor Market Karina Ragland
Information Weld County Workforce Center
Division of Labor Standards and Statistics 315 North 11th Avenue, Building B
Department of Labor and Employment Greeley, Colorado 80631
707 17th St., Suite 2500 kamaya@weld.Rov
Denver CO 80202
tim.wonhof@state.co.us
THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT
Each person signing this Agreement represents and warrants that he or she is duly authorized
to execute this Agreement and to bind the Party authorizing his or her signature.
Recipient
Employment Services of Weld County
State of Colorado
Jared S. Polis, Governor
Colorado Department of Labor and
Employment
Joe M. Barela, Executive Director
By: Scott K. James, Chair
Date:
By: Kristina Rosett, Director DLSS
Date:
State Controller
Robert Jaros, CPA, MBA, JD
By: Melissa Vorenberg, State Controller Delegate
Effective Date:
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20Z(o -01W
In accordance with §24-30-202, C.R.S., this Agreement is not valid until signed and dated
above by the State Controller or an authorized delegate.
This Data Sharing and License Agreement ("Agreement") is entered into by and between the State
of Colorado (the "State") acting by and through the Colorado Department of Labor and Employment
("Transferring Agency"), for the use and benefit of the Transferring Agency, having an address at
707 17th Street, Suite 150, Denver, CO 80202 and Employment Services of Weld County
("Recipient" or "Organization"), whose principal office is located at 315 N 11th Avenue, Building B
Greeley, CO 80631. Transferring Agency and Recipient are each individually a "Party" and together
the "Parties."
Whereas, Transferring Agency is an agent of the United States Bureau of Labor Statistics ("BLS") for
the purposes of collecting and securing Quarterly Census of Employment Wages ("QCEW") wage and
employment data from Colorado employers and is authorized to issue a non-exclusive license for
this information to governmental entities provided that the information is adequately secured from
non-authorized access or publication.
Whereas, Transferring Agency is charged with, among other duties, producing the QCEW report
mandated by BLS. The report summarizes employment, total wages, taxable wages, and
contributions information for approximately 205,000 employers subject to Colorado Unemployment
Insurance laws under the Colorado Employment Security Act, publishes a variety of reports about
the Colorado economy, and provides guidance and professional advice for other labor market
information program state operations and other data users. See C.R.S. § 8-1-107, C.R.S. § 8-1-112.
Whereas, Recipient is providing services, analysis and research related to the Workforce Innovation
and Opportunity Act ("WIOA") and workforce development, and wilt incorporate the Transferring
Agency's data into such work (the Purpose). See C.R.S. § 8-1-107, C.R.S. § 8-1-112.
Whereas, in exchange for the data Recipient requested, Transferring Agency shall receive
compensation detailed in Section 9.
Now, therefore, in consideration of the mutual promises contained herein, the sufficiency of
which each Party hereby acknowledges as adequate, the Parties agree as follows:
1. Defined Terms
A. "Anonymized Data" means Data that has been properly De-identified.
B. "CIPSEA" means the Confidential Information Protection and Statistical Efficiency Act, et
seq., 44 U.S.C.55 3501, 3563, 3572, et seq. which protects identifiable information
collected by federal agencies for exclusively statistical purposes under a pledge of
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confidentiality. CIPSEA requires informed consent to use or disclose protected
information for non-statistical purposes. Restricted non-statistical uses include
"administrative, regulatory, law enforcement, adjudicatory, or other purpose that
affects the rights, privileges, or benefits of a particular identifiable" person or
organization as well as disclosures under the Freedom of Information Act. CIPSEA also
authorizes data sharing between the Bureau of the Census, the Bureau of Economic
Analysis ("BEA"), and the BLS for statistical purposes.
C. "CORA" means the Colorado Open Records Act, S 24-72-200.1, et seq., C.R.S.
D. "Covered Entity" shall have the same meaning as the term "covered entity" at 45 C.F.R.
160.103.
E. "Data" means the information described in Appendix A.
F. "Data Breach" means an event resulting in an unauthorized access, use, exposure,
disclosure, exfiltration, or loss of Data.
G. "De-identified" means the removal of all PII from the Data so that the remaining
information does not identify an individual and there is no reasonable basis to believe
that the information can be used to identify an individual.
H. "Destroy" means to remove Data from Recipient's systems, paper files, records,
databases, and any other media regardless of format, in accordance with the standard
detailed in the OIT Security Policies.
I. "Incident" means an event that results in or constitutes an imminent threat of the
unauthorized access, use, loss, disclosure, modification, disruption, or destruction of
communication and information resources of the State.
J. "OIT" means the Governor's Office of Information Technology.
K. "OIT Security Policies" means the security policies established by OIT to secure
information held by State Agencies, which are available at:
https://oit.colorado.gov/standards-policies-guides/technical-standards-policies.
L. "PII" means personally identifiable information, including information that can
reasonably be used to identify, contact or locate an individual, either alone or in
combination with other information.
M. `Third-Party Data Recipient' means an organization that will access the Transferring
Agencies data on behalf of the Recipient, normally in the role of a Subcontractor of
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services as part of a Data Access Agreement. Third-Party Data Recipient is an example of
an Agent or Subcontractor as defined in 45 C.F.R. 160.103 or referred to in 20 CFR 603.
2. Data Sharing
Transferring Agency will share the Data with Recipient using a secure method agreed to
by the Parties and in accordance with the OIT Security Policies.
3. Data Use and Restrictions
Transferring Agency hereby grants Recipient a limited, revocable right to use the Data
solely for purposes defined in Section 6. below ("Purpose").
A. Disclosure to Third Parties
Recipient shall not sell, lease, rent, loan, transfer, distribute, alter, mine or disclose the
Data, including but not limited to, metadata and Anonymized Data, with any third party
without prior written consent from Transferring Agency, and must be listed in Exhibit C
(Third-Party Data Recipient Certification). If at any time the Recipient wishes to add or
terminate access for a Third-Party Data Recipient, the Transferring Agency must be
notified in writing in no less than 5 business days from the recipient's decision to
terminate or add. This Exhibit does not constitute any right of transfer to any other third
party or successor.
B. Contracting with Third Parties
The Recipient is responsible for ensuring all Third-Party Data Recipients, who have
access to the Transferring Agency's data, comply with the terms of this Agreement, as
outlined in Exhibit C. The Recipient shall provide Transferring Agency a copy of any
agreement between Recipient and any Third-Party Data Recipient where the Data are
being utilized. Said agreement(s) must be consistent with the terms of this Agreement,
including use restrictions, confidentiality requirements, security requirements, storage
and destruction of data. Any agreement with a Third-Party Data Recipient must stipulate
that Data use and protection terms survive the termination or expiration of the
agreement.
C. No data access shall be granted until the Exhibit is fully executed by all parties and the
Transferring Agency receives the agreement between Recipient and Third-Party Data
Recipient. The Recipient will notify the Transferring Agency via email within 5 days of
any termination of contract, so that sharing permissions can be updated. Each Third-
Party Data Recipient is required to sign the Third-Party Data Use Certification attached
to this Agreement as Exhibit C.
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D. Costs associated with Third-Party Data Recipients
The Recipient is responsible for all fees or charges associated with any Third-Party Data
Recipient accessing the Transferring Agency's data.
E. Restrictions on Access
Recipient shall not disclose the Data to anyone other than Recipient's personnel and
Third-Party Data Recipients who have a need to know or access the Data in order to
support the Purpose.
4. Data Security Requirements.
Recipient agrees to secure and protect the Data against any unauthorized use or access
in accordance with the most recent version of the OIT Security Policies
(https://oit.colorado.gov/standards-policies-guides/technical-standards-policies).
A. Storage of Data
Recipient agrees to:
i. use, hold, and maintain the Data in compliance with any and all applicable laws
and regulations
ii. store the Data only in facilities located within the United States
iii. maintain the Data in a secure environment in accordance with the OIT Security
Policies.
B. Destruction of Data
Upon Transferring Agency's request, Recipient or their Third-Party Data Recipients shall
Destroy or return any Data in its possession, pursuant to Transferring Agency's
instructions, in accordance with OIT Security Policies. Upon Transferring Agency's
request, Recipient shall certify in writing that it has Destroyed the Data within thirty
(30) days of Recipient's receipt of Transferring Agency's request.
5. Reservation of Rights
Except for the rights explicitly granted under this Agreement, Recipient is not granted
any rights in and to the Data, including, but not limited to any Anonymized Data.
6. Purpose - Research, Analytics and Published Materials
Recipient may use the Data to run internal analytics and investigational protocols, and
create reports for its internal use only, and only to the extent such activities align with the
Purpose. Prior to publishing, to the extent the Purpose includes the need to publish
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materials that are based on or include the Data, Recipient may publish and share the
results of such research or analytics, provided that such reports include only Anonymized
Data and are given prior written approval by the Transferring Agency in order to ensure
that such publication meets the threshold for its suppression and publication policies. The
Parties, including Third-Party Data Recipients, may also work together to publish joint
reports, as well as publish Anonymized Data on public dashboards.
A. Limitations on Uses of Data
i. Publications
Recipient or Third-Party Data Recipients shall not publish or disclose the data,
or any part thereof, to the extent that the information published of any area,
industry, Federal Department or Federal Agency level contains fewer than
three (3) reporting units (as defined in C.R.S. 8-70-103(9), 1987 Rep. Vol., as
amended), or eighty percent (80%) of the total employment of the applicable
reporting level is made up by a single reporting unit. Recipient shall not use the
Data to publicly distribute any type of ranking list, including but not limited to
"Top Ten Employers", etc. Data are to be used for statistical purposes only, and
not for any solicitation, advertising, enforcement, compliance by the Recipient
and/or Third-Party Data Recipients.
ii. Linking Data to other Datasets by Recipient
Transferring Agency agrees that Recipient may include the Data with data from
other sources in carrying out the Purpose. Once included, Transferring Agency
agrees that the Data will be integrated into Recipient's databases. Recipient agrees
that such combined datasets will utilize and safeguard the Data in accordance with
the terms of this Agreement and all applicable laws.
B. Use and Retention of Data by Third-Party Data Recipients
i. Third-Party Data Recipients shall only use and retain the Data for the Purpose and
duration of their contracted services with the Recipient. Use of the Data for any
other purpose is forbidden.
ii. Recipient is responsible for ensuring any Third-Party Data Recipient does not retain
Data past the duration of their contracted services nor disseminates such Data,
whether directly or indirectly.
7. Security Incident and Data Breach
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A. Incident Response.
If Recipient becomes aware of any Incident, Recipient shall notify the Transferring
Agency immediately and cooperate with the Transferring Agency regarding recovery,
remediation, and the necessity to involve law enforcement, as determined by the
Transferring Agency. Recipient shall obtain Transferring Agency's prior written approval
of the notifications prior to distributing such notifications. The Parties will work
together to remedy the Incident. After the Incident, the Parties will also work together
to build a remediation plan to take steps to reduce the risk of incurring a similar type of
Incident in the future.
B. Data Breach Response
Both parties will implement a Data Brach Response in accordance with C.R.S 6-1-716.
C. Data Breach Report
If Transferring Agency reasonably determines that a Data Breach has occurred, then
Transferring Agency may request that Recipient submit a written report, and any
supporting documentation, identifying (i) the nature of the Data Breach including the
dates of the Data Breach, when Recipient discovered the Data Breach, and number of
impacted individuals, (ii) the steps Recipient has executed to investigate the Data
Breach, (iii) what Data or PII was used or disclosed, (iv) who or what was the cause of
the Data Breach, (v) what Recipient has done or shall do to remediate any deleterious
effect of the Data Breach, and (vi) what corrective action Recipient has taken or shall
take to prevent a future Incident or Data Breach. Recipient shall deliver the report
within seven (7) days of Transferring Agency's request of the report. If the Recipient
learns of more information necessary for understanding the nature of the Data Breach,
risk to the Data, remediation efforts, or notification requirements after submitting the
report, Recipient shall update Transferring Agency without delay.
D. Effect of Data Breach
Transferring Agency may terminate this Agreement immediately, at its sole discretion,
upon the occurrence of a Data Breach. In addition, Transferring Agency may restrict
Recipient's access to the Data and require Recipient to suspend all work involving the
Data, pending the investigation and successful resolution of any Data Breach.
8. Term and Termination
A. Initial Term
The "Term" of this Agreement shall be one (1) year from the Effective Date set forth on
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the Signature Page unless terminated sooner pursuant to the terms herein. At the end of
the Term, this Agreement shall automatically renew for additional one (1) year periods
for up to five (5) years unless either Party provides the other Party with written notice
of its intent to terminate this Agreement sixty (60) days prior to the expiration of the
then-current Term. Yearly access fees will be determined when the agreement is
annually renewed.
B. Termination for Breach
Transferring Agency may suspend its performance or terminate this Agreement
immediately upon written notice to Recipient in the event of Recipient's breach of any
of its obligations under Sections 3 (Data Use and Restrictions) or 4 (Data Security
Requirements).
C. Termination on Notice
Transferring Agency may cancel this Agreement upon thirty (30) days' written notice to
the other Party for any reason or no reason. In the event that this Agreement is canceled
or terminated, any data in the possession of or accessible to Recipient, in whatever
format it may be stored, accessed or maintained, shall remain subject to the terms and
conditions of this Agreement.
D. Termination for Convenience
Either Party may terminate this Agreement for convenience by giving the other Party 30
days prior written notice setting forth the date of termination.
9. Financial Understanding
A. Recipient shall pay the total non-refundable payment due within thirty (30) days of
receipt of the invoice. If payment is not received by the Transferring Agency, Recipient
shall immediately pay the total amount specified in this Section 9 plus a billing fee
calculated at the greater of eighteen percent per annum of the total amount due or
twenty-five and no/100 dollars ($25.00). If the fee is not paid within the above specified
time, Recipient shall immediately return all data to the Transferring Agency and the
Transferring Agency reserves the right to prohibit the receipt of future data until the
balance is paid in full.
B. Costs for Data Provided:
i. Non-financial
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C. Data Requests and Invoicing
Recipient shall submit each Data Request by sending an email to
cdle_gcew_datarequests®state.co.us. Requests must be received at least 7 calendar
days before a QCEW Data Release Date and contain which quarter(s) of data are being
requested, which county(ies) are being requested, and at least two email addresses of
where the data are to be sent. QCEW Data Release Dates can be found on the LMI
Gateway website: https://cdle.colorado.gov/dlss/labor-market-information-
lmi/quarterly-census-of-employment-and-wages-qcew . Transferring Agency will send
Recipient a link to the Data via email. Recipient must promptly download and save Data.
Recipient may submit an unlimited number of Data Requests during the term of this
Agreement. Transferring Agency will invoice Recipient separately for each Data Request.
Transferring Agency will invoice Recipient for each Data Request after transmission of
the Data.
D. Payment
Recipient shall submit payment of each invoice within 30 days of invoice receipt in
accordance with the instructions provided on the invoice.
10. Dispute Resolution
In the event of a dispute related to this Agreement, the Parties' Executive Directors
shall have ten (10) business days to resolve the dispute. If this fails, both Parties shall submit
the matter in writing to the Executive Director of the Department of Personnel and
Administration, or their delegate for final resolution. The Parties agree to engage in this
process if either Party loses funding to transfer or process the Data in accordance with this
Agreement in order to determine how cost should be covered or if this Agreement should be
terminated prior to the expiration of the Term.
11. General Provisions
A. Amendment
The Parties may only amend this Agreement in a writing signed by both Parties.
B. Assignment
Recipient's rights and obligations under this Agreement are personal and may not be
transferred or assigned without the prior, written consent of the State. Any attempt at
assignment or transfer without such consent shall be void. Any assignment or transfer of
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Recipient's rights and obligations approved by the State shall be subject to the
provisions of this Agreement.
C. Subcontracts
Recipient shall not enter into any subcontract in connection with its obligations under
this Agreement without the prior, written approval of the Transferring Agency.
Recipient shall submit to the State a copy of each such subcontract upon request by the
State. All subcontracts entered into by Recipient in connection with this Agreement shall
comply with all applicable federal and state laws and regulations, shall provide that they
are governed by the laws of the State of Colorado, and shall be subject to all provisions
of this Agreement.
D. Counterparts
The Parties may execute this Agreement in multiple, identical, or original counterparts,
each of which shall be deemed to be an original, but all of which, taken together, shall
constitute one and the same agreement.
E. Entire Understanding
This Agreement, including, but not limited to, the recitals, which are incorporated into
this Agreement by reference, represents the complete integration of all understandings
between the Parties related to the data sharing. All prior representations and
understandings related to the data sharing, oral or written, are merged into this
Agreement. Prior or contemporaneous additions, deletions, or other changes to this
Agreement shall not have any force or effect whatsoever, unless embodied herein.
F. Digital Signatures
If any signatory signs this agreement using a digital signature in accordance with the
Colorado State Controller Agreement, Grant and Purchase Order Policies regarding the
use of digital signatures issued under the State Fiscal Rules, then any agreement or
consent to use digital signatures within the electronic system through which that
signatory signed shall be incorporated into this Agreement by reference.
G. Modification
Except as otherwise provided in this Agreement, any modification to this Agreement
shall only be effective if agreed to in a formal amendment to this Agreement, properly
executed and approved in accordance with applicable Colorado State law and State
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Fiscal Rules. Modifications permitted under this Agreement, other than Agreement
amendments, shall conform to the policies issued by the Colorado State Controller.
H. Statutes, Regulations, Fiscal Rules, and Other Authority
Any reference in this Agreement to a statute, regulation, State Fiscal Rule, fiscal policy
or other authority shall be interpreted to refer to such authority then current, as may
have been changed or amended since the Effective Date of this Agreement.
I. Severability
The invalidity or unenforceability of any provision of this Agreement shall not affect the
validity or enforceability of any other provision of this Agreement, which shall remain in
full force and effect, provided that the Parties can continue to perform their obligations
under this Agreement in accordance with the intent of this Agreement.
J. Survival of Certain Agreement Terms
Any provision of this Agreement that imposes an obligation on a Party after termination
or expiration of the Agreement shall survive the termination or expiration of this
Agreement and shall be enforceable by the other Party.
K. Third Party Beneficiaries
Except for the Parties' respective successors and assigns described in §12.A, this
Agreement does not and is not intended to confer any rights or remedies upon any
person or entity other than the Parties. Enforcement of this Agreement and all rights and
obligations hereunder are reserved solely to the Parties. Any services or benefits which
third parties receive as a result of this Agreement are incidental to this Agreement, and
do not create any rights for such third parties.
L. CORA Disclosure
To the extent not prohibited by applicable law, this Agreement and the performance
measures and standards required under §24-106-107, C.R.S., if any, are subject to public
release through the CORA. The Parties agree to coordinate if either agency receives a
CORA request for data that is subject to this Agreement. CORA requests are time
sensitive and must be referred to the Parties within one (1) business day to meet
statutory open records requirements. Any data requested through a CORA request that is
otherwise protected under CIPSEA shall be protected and not open to release.
M. Legal Requests
Transferring Agency acknowledges and agrees that Recipient, Third-Party Data
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Recipients, or its contractors, may be required to share the Data to respond to a
subpoena, court order, open records request or valid legal request (each a "Legal
Request"). To the extent permitted by law, Recipient will refer the Legal Request to
Transferring Agency of any disclosure of the Data so that Transferring Agency may seek a
protective order at its own cost.
N. Accessibility
i. Accessibility Standards
Recipient shall comply with the Accessibility Standards for Individuals with a
Disability, as adopted by the Office of Information Technology pursuant to §24-85-
103 C.R.S.
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Exhibit A, Data to be Shared
The normal data record provides all data elements available on the State's micro file for
the specified Unemployment Insurance (UI) Account Number/Reporting Unit Number (RUN) for
that year and quarter. A delete record is a special type of data record that removes all data
for the specified UI/RUN for all years and quarters. DATA ELEMENT DEFINITIONS define the
data elements. A complete Equi Database Dictionary will be provided to the Recipient upon
execution of this Agreement.
All Data must be used in compliance with Section 6 of this agreement (Purpose-
Research, Analytics and Published Materials).
Recipient and/or any Third-Party Data Recipient shall not publish, sell, or disclose the
data, or any part thereof, to the extent that the information published of any area, industry,
Federal Department or Federal Agency level contains fewer than three (3) reporting units (as
defined in C.R.S. 8-70-103(9), 1987 Rep. Vol., as amended), or eighty percent (80%) of the
total employment of the applicable reporting level is made up by a single reporting unit.
Recipient shall not use the Data to publicly distribute any type of ranking lists, including
but not limited to "Top Ten Employers", etc. Data are to be used for statistical purposes only,
and not for any solicitation, advertising, enforcement, compliance by the Recipient and/or
Third-Party Data Recipients. Recipient may publish and share the results of such research or
analytics, provided that such reports include only Anonymized Data and are given prior
written approval by the Transferring Agency in order to ensure that such publication meets
the threshold for its suppression and publication policies.
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Table 1: List of fields provided
S E Le Field Data Element
t n ngt Type
a d h
r
t
1 1 1 Adm Transaction Code
2 3 2 Adm State FIPS Numeric Code
4 7 4 Qtr Year
8 8 1 Qtr Quarter
9 1 10 Adm UI Account Number
8
1 2 5 Adm Reporting Unit Number
9 3
2 3 9 Adm EIN (Employer Identification Number)
4 2
3 4 10 — Filler 1 (Predecessor UI Account
3 2 Number)
4 4 5 — Filler 2 (Predecessor Reporting Unit
3 7 Number)
4 5 10 — Filler 3 (Successor UI Account
8 7 Number)
5 6 5 — Filler 4 (Successor Reporting Unit
8 2 Number)
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6 9 35 Adm Legal/Corporate Name
3 7
9 1 35 Adm Trade Name/DBA
8 3
2
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UI Address Block (133-243)
S E Le Field Data Element
t n ng Type
a d th
r
t
1 1 35 Adm UI Street Address--Line 1
3 6
3 7
1 2 35 Adm UI Street Address--Line 2
6 0
8 2
2 2 30 Adm UI Address—City
0 3
3 2
2 2 2 Adm UI Address—State
3 3
3 4
2 2 5 Adm UI Address--5-Digit ZIP Code
3 3
5 9
2 2 4 Adm UI Address--ZIP Code Extension
4 4
0 3
Physical Location Address Block (244-354)
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S E Le Field Data Element
t r ng Type
a c th
r
t
2 2 35 Adm Physical Location (PLA) Street
4 7 Address--Line 1
4 8
2 3 35 Adm Physical Location (PLA) Street
7 1 Address--Line 2
9 3
3 3 30 Adm Physical Location Address (PLA)--City
1 4
4 3
3 3 2 Adm Physical Location Address (PLA)--
4 4 State
4 5
3 3 5 Adm Physical Location Address (PLA)--5-
4 5 Digit ZIP Code
6 0
3 3 4 Adm Physical Location Address (PLA)--ZIP
5 5 Code Extension
1 4
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Mailing/Other Address Block (355-466)
S E Le Field Data Element
t n ngt Type
a d h
r
t
3 3 35 Adm Mailing/Other (MOA) Street Address--
5 8 Line 1
5 9
3 4 35 Adm Mailing/Other (MOA) Street Address--
9 2 Line 2
0 4
4 4 30 Adm Mailing/Other (MOA) Address--City
2 5
5 4
4 4 2 Adm Mailing/Other (MOA) Address--State
5 5
5 6
4 4 5 Adm Mailing/Other (MOA) Address--5-Digit
5 6 ZIP Code
7 1
4 4 4 Adm Mailing/Other (MOA) Address--ZIP
6 6 Code Extension
2 5
4 4 1 Adm Mailing/Other (MOA) Address Type
6 6
6 6
Page 19 of 55
4 5 35 Adm Reporting Unit Description
6 0
7 1
Telephone Number (502-511)
S E Le Field Data Element
t n ng Type
a d th
r
t
5 5 3 Adm Phone Area Code
0 0
2 4
5 5 3 Adm Phone Prefix
0 0
5 7
5 5 4 Adm Phone Suffix
0 1
8 1
Page 20 of 55
Setup Date (512-519)
S E Le Field Data Element
t n ngt Type
a d h
r
t
5 5 4 Adm Setup Date—Year
1 1
2 5
5 5 2 Adm Setup Date—Month
1 1
6 7
5 5 2 Adm Setup Date—Day
1 1
8 9
Initial Date of Liability (520-527)
S E Len Field Data Element
t n gth Type
a d
r
t
5 5 4 Adm Initial Date of Liability--Year
2 2
0 3
5 5 2 Adm Initial Date of Liability--Month
2 2
4 5
Page 21 of 55
5 5 2 Adm Initial Date of Liability--Day
2 2
6 7
End of Liability Date (528-535)
c E Le Field Data Element
t n ngt Type
a d h
r
t
_` 5 4 Adm End of Liability Date—Year
3
f 1
5 2 Adm End of Liability Date—Month
3
3
`. 5 2 Adm End of Liability Date—Day
_ 3
z 5
Page 22 of 55
Reactivation Date (536-543)
5. E Le Field Data Element
t n ngt Type
a d h
r
t
5 4 Adm Reactivation Date--Year
3
E 9
` 5 2 Adm Reactivation Date--Month
4 4
C 1
5 2 Adm Reactivation Date--Day
4 4
3
Fields 544 to 798
S E Le Field Data Element
t n ng Type
a d th
r
t
5 1 Qtr Status Code
4 4
4 4
E 5 1 Adm CES Indicator
4 4
S 5
Page 23 of 55
S E Le Field Data Element
t n ng Type
a d th
r
t
'� 5 2 Adm ARS Response Code
✓ 4
E 7
5 5 4 Adm ARS Refile Year
q 5
E 1
• 5 3 Adm Old County Code
5 5
2 4
5 5 1 Adm Old Ownership Code
5 5
5 5
5• 5 4 Adm ARS Verification Year
5 5
E 9
5 5 3 Adm Old Township Code
E 6
C 2
5• 5 5 Adm Maximum Reporting Unit Number
E 6
2 7
Page 24 of 55
S E Le Field Data Element
t n ng Type
z d th
r
t
5 5 1 Adm MWR Mail Indicator
E 6
E 8
5 5 6 Adm Old NAICS Code
E 7
5 4
5 5 1 Qtr Data Source
7 7
5 5
5 5 1 QAdm Special Indicator Code
7 7
E 6
5 5 4 Qtr Agent Code
7 8
7 0
5• 5 4 Qtr SIC
E 8
1 4
5 5 6 Qtr NAICS02 Code
E 9
5 0
Page 25 of 55
S E Le Field Data Element
t n ng Type
e d th
r
t
E• 5 6 Qtr NAICS Code
S 9
1 6
E• 5 1 Qtr Ownership Code
S 9
2 7
c 5 1 Adm Organization Type Code
S 9
E 8
• 6 3 Qtr County Code
S 0
S 1
E 6 3 Qtr Township Code
C 0
2 4
E 6 1 — Filler
C 0
F 5
E 6 6 Qtr First Month Employment
C 1
E 1
Page 26 of 55
5 E Le Field Data Element
t n ng Type
a d th
r
t
E 6 1 Qtr First Month Employment Indicator
1 1
2 2
E 6 6 Qtr Second Month Employment
1 1
3 8
E 6 1 Qtr Second Month Employment Indicator
1 1
S 9
E 6 6 Qtr Third Month Employment
2 2
C 5
E 6 1 Qtr Third Month Employment Indicator
2 2
E 6
E 6 11 Qtr Total Wages
2 3
2 7
E 6 1 Qtr Total Wages Indicator
3 3
E 8
Page 27 of 55
S E Le Field Data Element
t n ng Type
a d th
r
t
E 6 11 Qtr Taxable Wages
3 4
S 9
E 6 9 Qtr Contributions (Due)
5
C 8
E 6 1 Qtr Type of Coverage Code
S 5
S 9
E 6 1 Qtr MEEI Code
E 6
C 0
E 6 1 Adm PLA Type Code
E 6
1 1
E 6 2 Qtr First Comment Code
E 6
2 3
E 6 2 Qtr Second Comment Code
E 6
4 5
Page 28 of 55
S E Le Field Data Element
t n ng Type
a d th
r
t
E 6 2 Qtr Third Comment Code
E 6
E 7
E 7 57 Qtr Narrative Comment
E 2
E 4
7 7 2 Adm Collection Mode Indicator
2 2
6
7 7 2 Qtr ECCI
2 2
7 8
7 7 1 Adm UI Address Type Code
2 2
S 9
7 7 8 Adm Date PLA Changed
3 3
C 7
7 7 1 Adm Geocoding Software
2 3
E 8
Page 29 of 55
5 E Le Field Data Element
t n ng Type
a d th
r
t
7 7 1 Adm Geocoding Source
3 3
9
7 7 4 Adm Match Code
z 4
C 3
x 7 3 Twice Location Code
4
4 6
7 7 9 Twice Latitude
4 5
7 5
7 7 11 Twice Longitude
5 6
6 6
E Le Field Data Element
t n ngt Type
d h
t
Page 30 of 55
i 7 5 Twice Year and Quarter of New Latitude
E 7 and Longitude
i 1
i 7 5 Qtr Place Code
i 7
6
i 7 2 Qtr Class Code
i 7
i 8
7 15 Qtr Census ID:
' 9 2 digit State code
c 3
3 digit County code
6 digit Census Tract
1 digit Census Block Group
2 digit Census Block Code
1 digit optional Block Code
letter
i 7 4 — Filler
c 9
7
7 1 Adm Address Source Code
c 9
f 8
Page 31 of 55
Nondisclosure/Informed Consent (799-807)
E Len Field Data Element
t n gth Type
d
7 1 Adm Nondisclosure/Informed Consent
9 Code
9
8 4 Adm Nondisclosure/Informed Consent Year
( 0 Agreed
( 3
8 4 Adm Nondisclosure/Informed Consent Year
( 0 Ended
7
Future QCEW Contact Block (808-827)
S E Le Field Data Element
t n ngt Type
a d h
r
t
8 8 4 Adm Future ARS Refile Year
0 1
8 1
8 8 2 Adm Future ARS Response Code
1 1
2 3
Page 32 of 55
8 8 6 Adm Future NAICS Code
1 1
4 9
8 8 3 Adm Future County Code
2 2
0 2
8 8 3 Adm Future Town Code
2 2
3 5
8 8 2 Adm Future CM! Code
2 2
6 7
Wage Record Summary Information (828-844)
5 E Le Field Data Element
t n ngt Type
2 d h
r
t
E 8 6 Qtr Wage Record Count of Unique SSNs
2 3
E 3
E 8 11 Qtr Wage Record Wages
3 4
4 4
E 8 5 Adm Phone Extension
4 4
E' 9
Page 33 of 55
QCEW Contact Block (850-1049)
S E Le Field Data Element
t n ngt Type
a d h
r
t
8 8 35 Adm QCEW Contact (Attention Line)
5 8
0 4
8 9 35 Adm QCEW Contact Title
8 1
5 9
9 9 60 Adm QCEW Contact Email Address
2 7
0 9
9 9 10 Adm QCEW Contact Fax
8 8
0 9
9 1 60 Adm Website Address
9 0
0 4
9
1 1 1 — Future Use
0 0
5 5
0 0
Page 34 of 55
1 1 10 Qtr Largest Wage Record Recipient-
0 0 Possible or Actual Successor
5 6
1 0
1 1 6 Qtr Wage Record Count to Largest Wage
0 0 Record Recipient
6 6
1 6
1 1 10 Qtr Largest Wage Record Contributor-
0 0 Possible or Actual Predecessor
6 7
7 6
1 1 6 Qtr Wage Record Count from Largest
0 0 Wage Record Contributor
7 8
7 2
1 1 6 Qtr Hires
0 0
8 8
3 8
1 1 6 Qtr Separations
0 0
8 9
9 4
1 1 6 Qtr "New Entrants"
0 1
9 0
5 0
Page 35 of 55
1 1 6 Qtr "Exits"
1 1
0 0
1 6
S E Le Field Data Element
t n ngt Type
a d h
r
t
1 1 6 Qtr "Continuous Employees"
1 1
0 1
7 2
Discrepancy Information (1113-1190)
S E Le Field Data Element
t n ng Type
a d th
r
t
1 1 4 Adm Fact of Discrepancy Year
1 1
1 1
3 6
1 1 2 Adm Fact of Discrepancy Month
1 1
1 1
7 8
Page 36 of 55
1 1 2 Adm Fact of Discrepancy Control/Action
1 1 Code
1 2
9 0
1 1 6 Adm Fact of Discrepancy NAICS
1 1
2 2
1 6
1 1 3 Adm Fact of Discrepancy County
1 1
2 2
7 9
1 1 57 Adm Fact of Discrepancy Explanation
1 1
3 8
C 6
1 1 4 — Filler/Future Field
1 1
8 9
7 0
Page 37 of 55
TABLE FIELDS
Field Name Field Description
TRANSCODE Transaction Code
STATE FIPS State FIPS Numeric Code
YEAR Year
QUARTER Quarter
UI_ACCT_NUM UI Account Number
RUN Reporting Unit Number
EIN EIN (Employer Identification Number)
FILLER1 Filler (Pred UI Account Number)
FILLER2 Filler (Pred Reporting Unit Number)
FILLER3 Filler (Succ UI Account Number)
FILLER4 Filler (Succ Reporting Unit Number)
LGLNM Legal/Corporate Name
TRDNM Trade Name/DBA
Page 38 of 55
UI Address Block (133-243)
Field Name Field Description
UI ADD1 UI Street Address--Line 1
UI ADD2 UI Street Address--Line 2
UI_CITY UI Address—City
UI STATE UI Address—State
UI_ZIP UI Address--5-Digit ZIP Code
UI ZIP EXT UI Address--ZIP Code Extension
Physical Location Address Block (244-354)
Field Name Field Description
PL_ADD1 Physical Location (PLA) Street Address--Line 1
PL_ADD2 Physical Location (PLA) Street Address--Line 2
PL_CITY Physical Location Address (PLA)--City
PLA_STATE Physical Location Address (PLA)--State
PLA_ZIP Physical Location Address (PLA)--5-Digit ZIP Code
PLA_ZIP_EXT Physical Location Address (PLA)--ZIP Code
Extension
Page 39 of 55
Mailing/Other Address Block (355-466)
Field Name Field Description
MOA_ADD1 Mailing/Other (MOA) Street Address--Line 1
MOA_ADD2 Mailing/Other (MOA) Street Address--Line 2
MOA_CITY Mailing/Other (MOA) Address--City
MOA_STATE Mailing/Other (MOA) Address--State
MOA_ZIP Mailing/Other (MOA) Address--5-Digit ZIP Code
MOA_ZIP_EXT Mailing/Other (MOA) Address--ZIP Code Extension
MO_ADD_TYPE Mailing/Other (MOA) Address Type
RUD Reporting Unit Description
Telephone Number (502-511)
Field Name Field Description
PH_AREA_CODE Phone Area Code
PH PREFIX Phone Prefix
PH SUFFIX Phone Suffix
Page 40 of 55
Setup Date (512-519)
Field Name Field Description
SETUP_YEAR Setup Date—Year
SETUP_MONTH Setup Date—Month
SETUP_DAY Setup Date—Day
Initial Date of Liability (520-527)
Field Name Field Description
LIAB_YEAR Initial Date of Liability--Year
LIAB_MONTH Initial Date of Liability--Month
LIAB_DAY Initial Date of Liability--Day
End of Liability Date (528-535)
Field Name Field Description
EOL_YEAR End of Liability Date—Year
EOL_MONTH End of Liability Date—Month
EOL_DAY End of Liability Date—Day
Page 41 of 55
Reactivation Date (536-543)
Field Name Field Description
REACT YEAR Reactivation Date--Year
REACT MONTH Reactivation Date--Month
REACT_DAY Reactivation Date--Day
STATUS_CODE Status Code
CES_IND CES Indicator
ARS_CODE ARS Response Code
ARS_RYEAR ARS Refile Year
OCNTY Old County Code
GOWN Old Ownership Code
ARS_VYEAR ARS Verification Year
OTOWN Old Township Code
MAXRU Maximum Reporting Unit Number
MWR MAIL IND MWR Mail Indicator
ONAICS Old NAICS Code
DATASO Data Source
SPEC_IND Special Indicator Code
Page 42 of 55
Field Name Field Description
AGENT Agent Code
SIC SIC
NAICS02 NAICS02 Code
NAICS NAICS Code
OWN_CODE Ownership Code
ORG_TYPE Organization Type Code
CNTY County Code
TOWN_CODE Township Code
FILLER 5 Filler
M1 EMP First Month Employment
M1EMP_IND First Month Employment Indicator
M2EMP Second Month Employment
M2EMP_IND Second Month Employment Indicator
M3EMP Third Month Employment
M3EMP_IND Third Month Employment Indicator
TOTAL_WAGES Total Wages
TOTAL_WAGES_IND Total Wages Indicator
Page 43 of 55
Field Name Field Description
TAX_WAGES Taxable Wages
CNTRB Contributions (Due)
CVRG-CODE Type of Coverage Code
MEEI MEEI Code
PLA_TYPE_CODE PLA Type Code
CMNT1 First Comment Code
CMNT2 Second Comment Code
CMNT3 Third Comment Code
COM NARR Narrative Comment
CMI Collection Mode Indicator
ECCI ECCI
UI_ADDR_IND UI Address Type Code
PL-DATE_CHNG Date PLA Changed
GEOSOFT Geocoding Software
GEOSOURCE Geocoding Source
MATCH_CODE Match Code
Page 44 of 55
Field Name Field Description
MATCH_CODE Match Code
LOCCODE Location Code
LATITUDE Latitude
LONGITUDE Longitude
CNTRB Contributions (Due)
CVRG-CODE Type of Coverage Code
MEEI MEEI Code
PLA_TYPE_CODE PLA Type Code
CMNT1 First Comment Code
CMNT2 Second Comment Code
CMNT3 Third Comment Code
COM_NARR Narrative Comment
CMI Collection Mode Indicator
ECCI ECCI
UI_ADDR_IND UI Address Type Code
Page 45 of 55
Field Name Field Description
PL-DATE_CHNG Date PLA Changed
GEOSOFT Geocoding Software
GEOSOURCE Geocoding Source
MATCH_CODE Match Code
LOCCODE Location Code
LATITUDE Latitude
LONGITUDE Longitude
LTLNGYRQTR Year and Quarter of New Latitude and Longitude
PLACE_CODE Place Code
PLACE_CLASS_CODE Class Code
CENSUS_BLCK Census ID:
CENSUS_BLCK 2 digit State code
CENSUS_BLCK 3 digit County code
CENSUS_BLCK 6 digit Census Tract
CENSUS_BLCK 1 digit Census Block Group
CENSUS_BLCK 2 digit Census Block Code
Page 46 of 55
Field Name Field Description
CENSUS_BLCK 1 digit optional Block Code letter
FILLER6 Filler
ADD_SOURCE Address Source Code
Nondisclosure/Informed Consent (799-807)
Field Name Field Description
ICCD Nondisclosure/Informed Consent Code
ICST Nondisclosure/Informed Consent Year Agreed
ICEND Nondisclosure/Informed Consent Year Ended
Future QCEW Contact Block (808-827)
Field Name Field Description
F ARS REF YEAR Future ARS Refile Year
F_RES_CODE Future ARS Response Code
F_NAICS_CODE Future NAICS Code
F_CNTY_CODE Future County Code
F_TOWN_CODE Future Town Code
F_CMI_CODE Future CMI Code
Page 47 of 55
Wage Record Summary Information (828-844)
Field Name Field Description
WRC Wage Record Count of Unique SSNs
WRW Wage Record Wages
PHN_EXT Phone Extension
Page 48 of 55
QCEW Contact Block (850-1049)
Field Name Field Description
CONTACT_NAME QCEW Contact (Attention Line)
CONTACT_TITLE QCEW Contact Title
CONTACT_EMAIL QCEW Contact Email Address
CONTACT_FAX QCEW Contact Fax
CONTACT WEB Website Address
FILLER7 Future Use
LWRR_UI Largest Wage Record Recipient— Possible or
Actual Successor
LWRR Wage Record Count to Largest Wage Record
Recipient
LWRC_UI Largest Wage Record Contributor—Possible or
Actual Predecessor
LWRC Wage Record Count from Largest Wage Record
Contributor
HIRES Hires
SEPARATE Separations
ENTRANTS "New Entrants"
EXITS "Exits"
Page 49 of 55
CONT_EMPL "Continuous Employees"
Discrepancy Information (1113-1190)
Field Name Field Description
FOD_YEAR Fact of Discrepancy Year
FOD_MONTH Fact of Discrepancy Month
FOD_CAC Fact of Discrepancy Control/Action Code
FOD_NAICS Fact of Discrepancy NAICS
FOD_CNTY Fact of Discrepancy County
FOD_EXPLN Fact of Discrepancy Explanation
FILLERS Filler/Future Field
Authorized Personnel and Contractors
N/A
Page 50 of 55
Exhibit B, PII Certification
State of Colorado
Third Party Entity / Organization Certification for Access TO PII
through a Database or Automated Network
Pursuant to § 24-74-105, C.R.S., I, , on behalf
of (legal name of entity / organization) (the
"Organization"), hereby certify under the penalty of perjury that the Organization has
not and will not use or disclose any Personal Identifying Information, as defined by §
24-74-102(1), C.R.S., for the purpose of investigating for, participating in, cooperating
with, or assisting Federal Immigration Enforcement, including the enforcement of civil
immigration laws, and the Illegal Immigration and Immigrant Responsibility Act, which
is codified at 8 U.S.C. §§ 1325 and 1326, unless required to do so to comply with
Federal or State law, or to comply with a court-issued subpoena, warrant or order.
I hereby represent and certify that I have full legal authority to execute this
certification on behalf of the Organization.
Signature:
Printed Name: Scott K. James
Title: Weld County Board of County Commissioners, Chair
Date:
Page 51 of 55
Exhibit C, Third-Party Data Recipient Certification
This Third Party Data Recipient Certification ("Certification") documents that the Third
Party Data Recipient.
The term of this Certification shall commence on the Effective Date and shall terminate
One (1) year from the Effective Date unless sooner terminated in accordance with its terms
or when the agreement between the Recipient and the Third-Party Data Recipient
terminates. This Certification must be renewed every year if the Agreement is multiyear.
Purpose
The Recipient (Legal Entity Name) wishes to provide a Third Party Data Recipient (Legal
Entity Name) with access to the Transferring Agencies data (Colorado Department of Labor
and Employment) for the purpose of (Insert description of the use case of Third party).
Obligations
1. The Recipient acknowledges that as the Primary Recipient of the data they are
responsible for ensuring the Third Party Data Recipient meets all obligations outlined in this
Certification. The Recipient will be held responsible for any br aches/harm caused by the
Third-Party Data Recipient.
2. Third Party Data Recipients shall only utilize the Data to deliver services related to
the Purpose. No other use of the Data are permitted.
3. The Recipient will notify the Transferring Agency via email within 5 business days of
any termination of contract, so that sharing permission can be updated.
�I. This Certification is not transferable to any other party.
5. The Third-Party Data Recipient acknowledges that they are held to the same standards
and responsibilities as the Recipient as outlined in this Agreement, including but not limited
to compliance with all clauses outlined below:
Section 2 "Data Sharing"
Section 3 "Data Use and Restrictions"
Page 52 of 55
Section 1 "Data Security Requirements"
Section 6 "Purpose _ Research Analyticsd ub an Plished ri Mateals"
f
Section 7 -. "Security Incident and Data Breach"
All State and Federal Confidentiality requirements as described (if applicable):
Exhibit A - Data to be Shared and Attachments
Exhibit B PII Certification
b. The Third-Party Data Recipient is subject to compliance auditing by the Transferring
Agency, its representatives, the State of Colorado, and any Federal Agency. Any costs
associated with compliance auditing will be the responsibility of the Recipient.
7. The Recipient shall provide the Transferring Agency with a copy of the Agreement
between the Recipient and Third-Party Data Recipient that demonstrates all data privacy,
confidentiality, security and handling requirements as outlined in this Agreement. Third-
Party Data Recipient acknowledges they have assumed all obligations for data use and
security as described in this Agreement.
8. Nothing in this Third-Party Data Recipient Certification constitutes an Agreement
between the Transferring Agency and Third-Party Data Recipient.
Each person signing this Certification represents and certifies that they have full legal
authority to execute this certification on behalf of the Organization.
Third-Party Data Recipient
[INSERT: Legal Name of Third-Party Data Recipient
Recipient] [INSERT: Legal Name of Recipient]
By: By:
[Name a Title of Person Signing for Third- [Name &t Title of Person Signing for
Party Data Recipient] Recipient]
Date:
Date:
Page 53 of 55
Exhibit D, Sample Option Letter
State Agency Agreement Agreement Expiration
[Insert Department's or IHE's Full Legal Date
Name] [Month Day, Year]
Recipient Agreement Agreement Maximum
[Insert Recipient's Full Legal Name] Amount
Option Letter Number Initial Term
[Insert the Option Number (e.g. "1" for State Fiscal Year Initial Term [20xx]:
the first option)] [$0.00]
Original Agreement Number Extension Terms
[Insert CMS number or Other Agreement State Fiscal Year Extension Term 1
Number of the Original Agreement] [20xx]: [$0.00]
Option Agreement Number State Fiscal Year Extension Term 2
[Insert CMS number or Other Agreement [20xx]: [$0.00]
Number of this Option] State Fiscal Year Extension Term 3
Agreement Performance Beginning [20xx]: [$0.00]
Date State Fiscal Year Extension Term 4
[Month Day, Year] [20xx]: [$0.00]
Total for All State Fiscal Years: [$0.00]
1. Options:
A. Option to extend for an Extension Term
B. Option to change the quantity of Goods under the Agreement
C. Option to change the quantity of Services under the Agreement
D. Option to modify Agreement rates
E. Option to initiate next phase of the Agreement
2. Required Provisions:
A. For use with Option 1(A):
In accordance with Section(s) [Number]of the Original Agreement referenced
above, the State hereby exercises its option for an additional term, beginning
[Insert Start Date] and ending on the current Agreement expiration date shown
above, at the rates stated in the Original Agreement, as amended.
B. For use with Options 1(B and C):
In accordance with Section(s) [Number]of the Original Agreement referenced
above, the State hereby exercises its option to [Increase/Decrease] the quantity
of the [Goods/Services or Both] at the rates stated in the Original Agreement, as
amended.
C. For use with Option 1(D):
Page 54 of 55
In accordance with Section(s) [Number]of the Original Agreement referenced
above, the State hereby exercises its option to modify the Agreement rates
specified in [Exhibit/Section] [Number/Letter]. The Agreement rates attached to
this Option Letter replace the rates in the Original Agreement as of the Option
Effective Date of this Option Letter.
D. For use with Option 1(E):
In accordance with Section(s) [Number]of the Original Agreement referenced
above, the State hereby exercises its option to initiate Phase [Indicate which
phase, 2, 3, 4 etc.], which shall begin on [Insert Start Date for Phase] and end on
[Insert Ending Date for Phase] at the cost/price specified in Section [Number].
E. For use with all Options that modify the Agreement Maximum Amount:
The Agreement Maximum Amount table on the Agreement's Signature and Cover
Page is hereby deleted and replaced with the Current Agreement Maximum
Amount table shown above.
3. Option Effective Date:
The effective date of this Option Letter is upon approval of the State Controller or
[Month Day, Year], whichever is later.
State of Colorado State Controller
Jared S. Polls, Governor Robert Jaros, CPA, MBA, JD
[INSERT: Name of Agency or IHE]
By: [Name Et Title of Person Signing for
Agency or IHE] By: [Name of Agency or IHE Delegate-
Please delete if Agreement will be
Date: routed to OSC for approval]
Option Effective Date:
In accordance with 524-30-202, C.R.S., this
Option is not valid until signed and dated
above by the State Controller or an
authorized delegate.
Page 55 of 55
Contract Form
Entity Information
Entity Name* Entity ID* New Entity? Please use the job
COLORADO DEPARTMENT OF SUP-10497 aid linked here to add a
LABOR & EMPLOYMENT Q supplier in Workday.
Contract Name* Contract ID Parent Contract ID
STATE OF COLORADO DATA SHARING AND LICENSE 10509
AGREEMENT Requires Board Approval
Contract Lead* YES
Contract Status WLUNA
CTB REVIEW Department Project#
Contract Lead Email
wluna@weld.gov;cobbxxl
k@weld.gov
Contract Description*
STATE OF COLORADO DATA SHARING AND LICENSE AGREEMENT AKA (QUARTERLY CENSUS OF EMPLOYMENT
WAGES (QCEW) LICENSE AGREEMENT). TERM: ONE (1) YEAR FROM EFFECTIVE DATE ON SIGNATURE PAGE, AUTO
RENEW FOR UP TO FIVE (5) YEARS.
Contract Description 2
APPROVED PA WILL ROUTE WITH THIS ENTRY.
Contract Type* Department Requested BOCC Agenda Due Date
AGREEMENT HUMAN SERVICES Date* 03/28/2026
04/01 /2026
Amount* Department Email
$0.00 CM- Will a work session with BOCC be required?*
HumanServices@weld.gov NO
Renewable*
YES Department Head Email Does Contract require Purchasing Dept. to be
CM-HumanServices- included?*
Automatic Renewal DeptHead@weld.gov NO
Grant County Attorney
IGA GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
D.GOV
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts
are not in OnBase
Contract Dates
Effective Date Review Date* Renewal Date*
01 /29/2027 03/31 /2027
Termination Notice Period
Committed Delivery Date Expiration Date
Contact Information
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head Finance Approver Legal Counsel
JAMIE ULRICH CHRIS D'OVIDIO BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
03/31 /2026 04/01 /2026 04/01 /2026
Final Approval
BOCC Approved Doc ID#
AG 040826
BOCC Signed Date
Originator
BOCC Agenda Date WLUNA
04/08/2026
Hello