RFP_1100_LLM3009_ATT_11_v1.docx
DOCX document 27 KB Posted
- Solicitation number
- RFP 1100 MMH3047
- Issued by
- Texas
About this file
This is a FACTA Affidavit of Compliance form required by the City of Austin for the Large Industrial Motors Repairs contract involving Austin Energy and Austin Water. The affidavit mandates that authorized company representatives affirm under oath that their organization has implemented reasonable policies and procedures to detect, prevent, and mitigate identity theft risks in accordance with the Fair and Accurate Credit Transactions Act (FACTA). The document requires notarization and must be completed by a duly authorized representative of the contracting company who possesses the legal authority to execute the affidavit on behalf of the organization.
The affidavit references Exhibit A, which contains a comprehensive list of red flags that the City of Austin has identified as potential indicators of unauthorized access to consumer information and malicious account activity. These red flags include verification document irregularities, inconsistencies between customer identification and provided information, fraudulent payment patterns, account irregularities in previously stable accounts, and unauthorized account changes. The contracting company must acknowledge familiarity with these indicators and confirm that its internal controls and procedures align with the City's identity theft prevention standards as applicable to the services being provided under this contract.
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Text version
FACTA AFFIDAVIT OF COMPLIANCE
I HEREBY AFFIRM that I, [name] _______________, am the [title] _______________, and the duly authorized representative of __________________________ (“Company”). I am over 18 years of age, of sound mind, capable of making this affidavit, personally acquainted with the facts stated in it, and I possess the legal authority to make this affidavit on behalf of myself and the Company.
| I ACKNOWLEDGE that, in accordance with the Fair and Accurate Credit Transactions Act (FACTA), the City of Austin (“City”) is required to ensure that the activities of entities that contract with the City to provide the City services related to the billing accounts of the City’s utility customers, are conducted in accordance with reasonable policies and procedures designed to detect, prevent, and mitigate the risk of identity theft. | |
| I ACKNOWLEDGE that, the City has provided the Company with a list of red flags that the City has identified as potential indicators of unauthorized access to consumer information and malicious account activity. A list of the red flags is attached here as Exhibit A. | |
| I FURTHER AFFIRM that, to the extent applicable to the services provided to the City by the Company, the Company has in place reasonable policies and procedures designed to detect, prevent, and mitigate the risk of identity theft. | |
| Signed this the ___ day of ___________, 20__. | |
| _________________________________ | |
| Signature of Affiant |
BEFORE ME, the undersigned authority, personally appeared _________________, who being by me duly sworn, stated that the contents of this affidavit are true and correct.
SWORN TO AND SUBSCRIBED before me on the ___ day of _____________, 20__.
| ________________________________ |
| Notary Public in and for the State of Texas |
| My commission expires: ____________________ |
EXHIBIT A – LIST OF APPLICABLE RED FLAGS
· Documents provided by a customer or potential customer to verify identification appear altered or forged.
· The photo or physical description on an identification document (“ID”) is not consistent with the appearance of the customer.
· Other information given to open the account is not consistent with the ID of the customer
· An application or supporting document appears to have been forged or altered, or gives the appearance of having been destroyed and reassembled.
· The ID is inconsistent with external information sources; i.e., the address does not match a consumer report, or a social security (SS) number has not be issued or is listed on the SS Administration Death Master File.
· The ID provided is associated with an existing identity theft case on file.
· The SS number is the same as customers opening other accounts (or previously used to open an account when the customer states that they have not previously had an account.)
· The customer fails to provide all personal identification information upon request.
· The ID is inconsistent with existing records.
· Change of billing address is followed by multiple change requests to the account.
· Payments are made in a manner associated with fraud. For example, a deposit or initial payment is made and no payments are made thereafter.
· Existing account with a stable history shows irregularities.
· An account that has been inactive for a reasonable period of time is suddenly used.
· The utility is notified of unauthorized changes or transactions in connection with an account.
File details come from the government source that posted it. Updated .