Exhibit G - Personal Identifying Information (PII).docx
DOCX document 20 KB Posted
- Attached to
- Child Care Licensing Inspections
- Solicitation number
- RFP QAAA 2026000189 4
- Issued by
- Arapahoe County, Colorado
About this file
This is a certification document issued by the State of Colorado under C.R.S. 24-74-105 requiring third-party entities and organizations seeking access to Personal Identifying Information (PII) through a database or automated network to certify their compliance with state privacy laws. The certification binds the organization to refrain from using or disclosing PII for federal immigration enforcement purposes, including the investigation, participation in, or cooperation with enforcement of civil immigration laws and the Illegal Immigration and Immigrant Responsibility Act (8 U.S.C. 1325 and 1326), except when required by federal or state law or by court-issued subpoena, warrant, or order. The signatory must have full legal authority to execute the certification on behalf of the organization and must provide their signature, printed name, title, and the date of execution.
This document serves as a prerequisite requirement for contracts or agreements involving PII access in Colorado and reflects the state's commitment to protecting sensitive personal information from misuse in immigration enforcement contexts. Organizations must complete and submit this certification as part of the contracting process, with the signatory attesting under penalty of perjury to the organization's compliance with these restrictions. No pricing, funding sources, award dates, or contract terms are specified within this certification document, as it functions solely as a compliance and policy acknowledgment form.
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Text version
Exhibit G
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 _____________________________________________ (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: | __________________________ |
| Title: | __________________________ |
| Date: | ___________ |
| Page 1 of 2 | Version 12/24 |
| Ex_PII Certification (Organization)_12-24A |
File details come from the government source that posted it. Updated .