Exhibit F - PII Certification - Individual.pdf

PDF 52 KB Posted

Attached to
ACP Client Data Removal Services
Solicitation number
RFP AADA 2027000046 1
Issued by
Denver County, Denver City, Colorado

About this file

This is a PII Certification form for the State of Colorado related to the ACP Client Data Removal Services contract opportunity. The document is required pursuant to Colorado Revised Statute 24-74-105 and serves as a third-party individual certification for individuals who will access Personal Identifying Information through a database or automated network. The certification requires the signatory to attest under penalty of perjury that they have not and will not use or disclose any Personal Identifying Information, as defined by C.R.S. 24-74-102(1), for the purpose of investigating, participating in, cooperating with, or assisting Federal Immigration Enforcement, including the enforcement of civil immigration laws and provisions of the Illegal Immigration and Immigrant Responsibility Act codified at 8 U.S.C. sections 1325 and 1326, unless required to do so by Federal or State law or to comply with a court-issued subpoena, warrant, or order.

The form requires the individual to provide their signature, printed name, and date of certification. This certification is a mandatory compliance requirement for any individual contractor or employee who will have access to sensitive personal identifying information as part of the data removal services contract. No exemptions or alternative compliance methods are provided within this certification document.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Exhibit F 1

Exhibit F - PII Certification

State of Colorado

Third Party Individual Certification for Access to PII Through a Database or Automated Network

Pursuant to § 24-74-105, C.R.S., I hereby certify under the penalty of perjury that I have 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.

Signature:

Printed Name:

Date:

File details come from the government source that posted it. Updated .