Common use of Delegation of Data Administrator Clause in Contracts

Delegation of Data Administrator. The Administrator is the only person from whom DVS will accept changes. Administrator Responsibilities • Provide the new user with training on the proper use and dissemination of DVS data • Obtain a signed individual agreement • Provide the user with the means for access • Verify the identity of the user via a current state issued ID or driver license (DL) • Assign appropriate access to users • Remove access when a user no longer needs access due to an assignment change or is no longer employed Please attach a legible copy of your current state issued DL or ID card to verify your identity. Without a copy of your DL or ID card, DVS is unable to provide you with access to record information system. Administrator Legal Name (please print or type) User Specific Email Address Phone Number Administrator Attestation: I attest that I have read and understand my responsibilities as Administrator. Signature Date I, the undersigned, as an authorized representative of the DEALERSHIP, certify by signing this document that the information and statements provided on this document are true and correct, and I agree to the terms and conditions for the intended use of DVS data as defined in Exhibit B and Exhibit C, which are attached and incorporated into this agreement by reference. I understand that pursuant to Minn. Stat. § 171.12(1a)(b), the Commissioner will immediately and permanently revoke access of any staff who willfully enters, updates, accesses, shares, or disseminates data in violation of state or federal law. The Commissioner will forward any violation of state or federal law to the appropriate authority for prosecution. Dealership Owner/Officer State Signature: Signature: Printed Name: Printed Name: Title (no acronyms): Title (no acronyms): Date: Date: Email: Phone Number: Please email completed agreement to XXX.XxxxXxxxxxxx@xxxxx.xx.xx or fax to (000) 000-0000 Exhibit A SECURITY AND CONFIDENTIALITY OF DATA & RECORDS Driver and Vehicle Services Policy Number: 125-1000 POLICY: Access to Driver and Vehicle Services (DVS) data is granted and authorized only during work hours and for the purposes of carrying out assigned job duties. Effective October 1, 2018, the Commissioner will immediately and permanently revoke authorization of any individual who willfully enters, updates, accesses, shares, or disseminates data in violation of state law. Minn. Stat. § 171.12(1a)(b). The Commissioner will forward any violations of state or federal law to the appropriate authority for prosecution. Minn. Stat. § 171.12(1a)(b).

Delegation of Data Administrator. The Administrator is the only person from whom DVS will accept changes. Administrator Responsibilities • Provide the new user with training on the proper use and dissemination of DVS data • Obtain a signed individual agreement • Provide the user with the means for access • Verify the identity of the user via a current state issued ID or driver license (DL) • Assign appropriate access to users • Remove access when a user no longer needs access due to an assignment change or is no longer employed Please attach a legible copy of your current state issued DL or ID card to verify your identity. Without a copy of your DL or ID card, DVS is unable to provide you with access to record information system. Administrator Legal Name (please print or type) User Specific Email Address Phone Number Administrator Attestation: I attest that I have read and understand my responsibilities as Administrator. Signature Date I, the undersigned, as an authorized representative of the DEALERSHIPFLEET, certify by signing this document that the information and statements provided on this document are true and correct, and I agree to the terms and conditions for the intended use of DVS data as defined in Exhibit B and Exhibit C, which are attached and incorporated into this agreement by reference. I understand that pursuant to Minn. Stat. § 171.12(1a)(b), the Commissioner will immediately and permanently revoke access of any staff who willfully enters, updates, accesses, shares, or disseminates data in violation of state or federal law. The Commissioner will forward any violation of state or federal law to the appropriate authority for prosecution. Dealership Owner/Officer FLEET Authorized Representative State Signature: Signature: Printed Name: Printed Name: Title (no acronyms): Title (no acronyms): Date: Date: Email: Phone Number: Please email completed agreement to XXX.XxxxXxxxxxxx@xxxxx.xx.xx or fax to (000) 000-0000 Exhibit A SECURITY AND CONFIDENTIALITY OF DATA & RECORDS Driver and Vehicle Services Policy Number: 125-1000 POLICY: Access to Driver and Vehicle Services (DVS) data is granted and authorized only during work hours and for the purposes of carrying out assigned job duties. Effective October 1, 2018, the Commissioner will immediately and permanently revoke authorization of any individual who willfully enters, updates, accesses, shares, or disseminates data in violation of state law. Minn. Stat. § 171.12(1a)(b). The Commissioner will forward any violations of state or federal law to the appropriate authority for prosecution. Minn. Stat. § 171.12(1a)(b).

Delegation of Data Administrator. The Administrator is the only person from whom DVS will accept changes. Administrator Responsibilities • Provide the new user with training on the proper use and dissemination of DVS data • Obtain a signed individual agreement • Provide the user with the means for access • Verify the identity of the user via a current state issued ID or driver license (DL) • Assign appropriate access to users • Remove access when a user no longer needs access due to an assignment change or is no longer employed Please attach a legible copy of your current state issued DL or ID card to verify your identity. Without a copy of your DL or ID card, DVS is unable to provide you with access to record information system. Administrator Legal Name (please print or type) User Specific Email Address Phone Number Administrator Attestation: I attest that I have read and understand my responsibilities as Administrator. Signature Date I, the undersigned, as an authorized representative of the DEALERSHIP, certify by signing this document that the information and statements provided on this document are true and correct, and I agree to the terms and conditions for the intended use of DVS data as defined in Exhibit B and Exhibit C, which are attached and incorporated into this agreement by reference. I understand that pursuant to Minn. Stat. § 171.12(1a)(b), the Commissioner will immediately and permanently revoke access of any staff who willfully enters, updates, accesses, shares, or disseminates data in violation of state or federal law. The Commissioner will forward any violation of state or federal law to the appropriate authority for prosecution. Dealership Owner/Officer State Signature: Signature: Printed Name: Printed Name: Title (no acronyms): Title (no acronyms): Date: Date: Email: Phone Number: Please email completed agreement to XXX.XxxxXxxxxxxx@xxxxx.xx.xx or fax to (000) 000-0000 Exhibit A SECURITY AND CONFIDENTIALITY OF DATA & RECORDS Driver and Vehicle Services Policy Number: 125-1000 POLICY: Access to Driver and Vehicle Services (DVS) data is granted and authorized only during work hours and for the purposes of carrying out assigned job duties. Effective October 1, 2018, the Commissioner will immediately and permanently revoke authorization of any individual who willfully enters, updates, accesses, shares, or disseminates data in violation of state law. Minn. Stat. § 171.12(1a)(b). The Commissioner will forward any violations of state or federal law to the appropriate authority for prosecution. Minn. Stat. § 171.12(1a)(b).

Delegation of Data Administrator. The Administrator is the only person from whom DVS will accept changes. Administrator Responsibilities • Provide the new user with training on the proper use and dissemination of DVS data • Obtain a signed individual agreement • Provide the user with the means for access • Verify the identity of the user via a current state issued ID or driver license (DL) • Assign appropriate access to users • Remove access when a user no longer needs access due to an assignment change or is no longer employed Please attach a legible copy of your current state issued DL or ID card to verify your identity. Without a copy of your DL or ID card, DVS is unable to provide you with access to record information system. Xxxxx Xxxxxx Sample Administrator Legal Name (please print or type) User Specific xxxxx.xxxxxx@xxxxxxxxxxxxx.xxx (000) 000-0000 Email Address Phone Number SAMPLE Administrator Attestation: I attest that I have read and understand my responsibilities as Administrator. Xxxxx Xxxxxx Sample September 4, 2020 Signature Date I, the undersigned, as an authorized representative of the DEALERSHIP, certify by signing this document that the information and statements provided on this document are true and correct, and I agree to the terms and conditions for the intended use of DVS data as defined in Exhibit B and Exhibit C, which are attached and incorporated into this agreement by reference. I understand that pursuant to Minn. Stat. § 171.12(1a)(b), the Commissioner will immediately and permanently revoke access of any staff who willfully enters, updates, accesses, shares, or disseminates data in violation of state or federal law. The Commissioner will forward any violation of state or federal law to the appropriate authority for prosecution. Dealership Owner/Officer State Signature: Xxxxx Xxxxxx Sample Signature: Printed Name: Xxxxx Xxxxxx Sample Printed Name: Title (no acronyms): Owner Title (no acronyms): Date: September 4, 2020 Date: Email: xxxxx.xxxxxx@xxxxxxxxxxxxx.xxx Phone Number: (000) 000-0000 Please email completed agreement to XXX.XxxxXxxxxxxx@xxxxx.xx.xx or fax to (000) 000-0000 Exhibit A SECURITY AND CONFIDENTIALITY OF DATA & RECORDS Driver and Vehicle Services Policy Number: 125-1000 POLICY: Access to Driver and Vehicle Services (DVS) data is granted and authorized only during work hours and for the purposes of carrying out assigned job duties. Effective October 1, 2018, the Commissioner will immediately and permanently revoke authorization of any individual who willfully enters, updates, accesses, shares, or disseminates data in violation of state law. Minn. Stat. § 171.12(1a)(b). The Commissioner will forward any violations of state or federal law to the appropriate authority for prosecution. Minn. Stat. § 171.12(1a)(b).

Delegation of Data Administrator. The Administrator is the only person from whom DVS will accept changes. Administrator Responsibilities • Provide the new user with training on the proper use and dissemination of DVS data • Obtain a signed individual agreement • Provide the user with the means for access • Verify the identity of the user via a current state issued ID or driver license (DL) • Assign appropriate access to users • Remove access when a user no longer needs access due to an assignment change or is no longer employed Please attach a legible copy of your current state issued DL or ID card to verify your identity. Without a copy of your DL or ID card, DVS is unable to provide you with access to record information system. Administrator Legal Name (please print or type) User Specific Email Address Phone Number Administrator Attestation: I attest that I have read and understand my responsibilities as Administrator. Signature Date I, the undersigned, as an authorized representative of the DEALERSHIPFLEET, certify by signing this document that the information and statements provided on this document are true and correct, and I agree to the terms and conditions for the intended use of DVS data as defined in Exhibit B and Exhibit C, which are attached and incorporated into this agreement by reference. I understand that pursuant to Minn. Stat. § 171.12(1a)(b), the Commissioner will immediately and permanently revoke access of any staff who willfully enters, updates, accesses, shares, or disseminates data in violation of state or federal law. The Commissioner will forward any violation of state or federal law to the appropriate authority for prosecution. Dealership Owner/Officer FLEET Authorized Representative State Signature: Signature: Printed Name: Printed Name: Title (no acronyms): Title (no acronyms): Date: Date: Email: Phone Number: Please email completed agreement to XXX.XxxxXxxxxxxx@xxxxx.xx.xx or fax to (000) 000-0000 Exhibit A SECURITY AND CONFIDENTIALITY OF DATA & RECORDS Driver and Vehicle Services Policy Number: 125-1000 POLICY: Access to Driver and Vehicle Services (DVS) data is granted and authorized only during work hours and for the purposes of carrying out assigned job duties. Effective October 1, 2018, the Commissioner will immediately and permanently revoke authorization of any individual who willfully enters, updates, accesses, shares, or disseminates data in violation of state law. Minn. Stat. § 171.12(1a)(b). The Commissioner will forward any violations of state or federal law to the appropriate authority for prosecution. Minn. Stat. § 171.12(1a)(b).