HomeMy WebLinkAbout20222748.tiffRESOLUTION
RE: APPROVE PERSONAL IDENTIFYING INFORMATION (PII) CERTIFICATION 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 a Personal Identifying Information (PII)
Certification for access to PII through a database or automated network 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 State of Colorado, with further terms and
conditions being as stated in said certification, and
WHEREAS, after review, the Board deems it advisable to approve said certification, 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 Personal Identifying Information (PII) Certification for access to
PII through a database or automated network 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 State of Colorado, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said certification.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 28th day of September, A.D., 2022.
BOARD OF COUNTY COMMISSIONERS
WELJI COUNTY, COLORADO
ATTEST: ..vo 4;(1
Weld County Clerk to the Board
BY:
Sett K. James, Chair
Mike,Feeman, Pro -Tern
Deputy Clerk to the Boar•ij� �++� J//
APP' • ED AS
County A orney
Date of signature: 10/6/22
Perry L. B
teve Moreno
LQri Saine
257,„„),A.
cc : HSD
I0/24 /22.
2022-2748
HR0094
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PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: September 20, 2022
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: State of Colorado Personal Identifying Information
Certification (PII) for the Weld County Area
Agency on Aging (AAA)
Please review and indicate if you would like a work session prior to placing this item on the
Board's agenda.
Request Board Approval of the State of Colorado Personal Identifying Information
Certification (PII) for the Weld County Area Agency on Aging (AAA). The Protection of
Personal Identifying Information Act (C.R.S. S 24-74-10 1 through 108), places certain obligations
and restrictions on state agencies from collecting and sharing personal identifying information
(PII). In order to ensure compliance with obligations under Colorado Revised Statute, the State is
requiring a signed PII Certification from Area Agency on Aging entities that must, on an annual
basis, certify that it will not use or disclose PII for purposes of investigating for, participating in,
cooperating with, or assisting in federal immigration enforcement, including enforcement of civil
laws. Upon Board approval, the Certification form will be signed and submitted to the State.
This Certification form has been reviewed and approved by Legal (C. Perry).
I do not recommend a Work Session. I recommend approval of this Certification form and authorize the
Chair to sign.
Approve Schedule
Recommendation Work Session Other/Comments:
Perry L. Buck
Mike Freeman, Pro-Tem
Scott K. James, Chair
Steve Moreno
Lori Saine
Pass -Around Memorandum; September 20,'2022 - CMS ID 6359
Page 1
2022-2748
oa/zg leu094
PII CERTIFICATION- ENTITY/ORGANIZATION
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., ',Scott K. James , on behalf of the Weld County
Board of Commissioners (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 beha)f of the Organization.
Signature:
Printed Name:
Title:
Date:
SEP 2 8aMd-22
Contract Form
New Contract Request
Entity Information
Entity Name'
STATE OF COLORADO
❑ New Entity?
Entity ID'
,0000346B
Contract Name'
STATE OF COLORADO (PERSONAL IDENTIFYING
INFORMATION (PII) CERTIFICATION)
Contract Status
CTB REVIEW
Contract ID
6359
Contract Lead'
WLUNA
Contract Lead Email
wlunaOweldgov.com;cobbx
xlkcsweldgov.com
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description .
PERSONAL IDENTIFYING INFORMATION (Pill CERTIFICATION FOR AAA DIVISION. ANNUAL CERTIFICATION. TERM DATE: UPON
EXECUTION AND ONE YEAR THEREAFTER.
Contract Description 2
PA ROUTING THROUGH NORMAL PROCESS. ETA TO CTB 09.;2212022.
Contract Type'
AGREEMENT
Amount'
$0.00
Renewable'
NO
Automatic Renewal
ICA
Department
HUMAN SERVICES
Department Email
CM-
HumanServices weldgov.co
Department Head Email
CM-HumanServices-
DeptHead0weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTr'ATTORNEY YWELDG
OV.COM
Requested BOCC Agenda
Date'
U9;28 2022
Due Date
09124=`2022
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
If this is a renewal enter previous Contract ID
If this is part of a NSA enter MSA Contract ID
Note the Previous Contract. Number and Master Services Agreement Number should be left blank if those contracts are not in
Ongase
Contract Dates
Effective Date
Review Date*
07 28'2023
Renewal Date
Termination Notice Period
Contact Information
Contact Info,
Contact Name Contact Type
Purchasing
Committed Delivery Date
Expiration Date*
09;`27!2023
Contact Phone 1 Contact Phone 2
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
JAMIE ULRICH
DH Approved Date
09,'20/2022
Final Approva
BOCC Approved
BO?CC Signed Date
BOCC Agenda Date
09/28,2022
Originator
WLUNA
Finance Approve
CHERYL PATTELLI
Legal Counsel
CAITLIN PERRY
Finance Approved Date Legal Counsel Approved Date
09120;'2022 09120,'2022
Tyler Ref it
AG092822
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