Common use of SUBMISSION GUIDELINES Clause in Contracts

SUBMISSION GUIDELINES. Counties should follow the instructions below when returning signed PSAs to CDSS. The county department should not modify any of the PSA language, except as instructed below.  The county must complete the Preamble of the PSA by entering the name of the county and the county department.  The county must complete the Preamble of the PSA by designating the applicable programs.  The county must complete Section XX of the PSA by entering signatory information. The name and title of the signatory must be printed or typed. Within 90 days of this ACL, please send CDSS two copies of the completed and signed PSAs per county department using the data, both of which are to contain the original signature of the county department authorized official. Once obtained, the PSAs will be executed by CDSS and returned to each respective county department. When transmitting the PSAs to CDSS, counties must include a contact name, telephone number, email address and physical mailing address to be used when CDSS returns the signed PSAs, and as needed for other communication purposes. ACL NO. 16-100 Page Three Counties that are unable to return the signed PSAs within 90 days of the date of this ACL should respond to the email address below with the following information:  Date signed PSAs will be returned; and/or  If additional time will be needed to implement the compliance requirements of the PSA, the expected date of implementation; and/or  Reason(s) why the county department will be unable to implement the compliance requirements of the PSA Agreements must be returned to the following address: California Department of Social Services Information Security Office ▇▇▇ ▇ ▇▇▇▇▇▇, MS 9-9-70 Sacramento, CA 95814 In the event that there are any questions or concerns regarding any of the information in this letter or implementing the requirements of the PSA, please contact the Information Security Office PSA email box at ▇▇▇▇▇▇▇@▇▇▇.▇▇.▇▇▇. Sincerely,

SUBMISSION GUIDELINES. Counties should Each County Department/Agency must follow the instructions below when returning signed 2019 CDSS PSAs to CDSS. The county department County Department/Agency should not modify any of the 2019 CDSS PSA language, except as instructed below.  • The county County Department/Agency must complete the Header and Preamble of the 2019 CDSS PSA by entering the name of the county County and the county departmentCounty Department/Agency.  • The county must complete the Preamble of the PSA by designating the applicable programs.  The county County Department/Agency must complete Section XX of the 2019 CDSS PSA by entering signatory information. The name and title of the signatory must be printed or typed. Within 90 ninety (90) days of this ACL, please send CDSS at least two (2) copies of the completed and signed 2019 CDSS PSAs per county department the County Department/Agency using the data, both of which are to copies must contain the original signature of the county department authorized official. Note: copies of signatures or electronic signatures are NOT accepted. Once obtained, the 2019 CDSS PSAs will be executed by CDSS and returned to each respective county department. When transmitting the 2019 CDSS PSAs to CDSS, counties the County Department/Agency must include a contact name, telephone number, email address and physical mailing address to be used when CDSS returns the signed 2019 CDSS PSAs, and as needed for other communication purposes. ACL NO. 16-100 Page Three Counties Any County Department/Agency that are is unable to return the signed 2019 CDSS PSAs within 90 ninety (90) days of the date of this ACL should respond to the email address below with the following information:  • Date signed 2019 CDSS PSAs will be returned; and/or  • If additional time will be needed to implement the compliance requirements of the 2019 CDSS PSA, the expected date of implementation; and/or  • Reason(s) why the county department County Department/Agency will be unable to implement the compliance requirements of the PSA 2019 CDSS PSA. Agreements must be returned to the following address: California Department of Social Services Information Security Office & Privacy Bureau - PSA ▇▇▇ ▇ ▇▇▇▇▇▇, MS 9-9-70 Sacramento, CA 95814 ACL 19-56 Page Four In the event that there are any questions or concerns regarding any of the information in this letter or implementing the requirements of the 2019 CDSS PSA, please contact the Information Security Office & Privacy Bureau’s PSA email box at ▇▇▇▇▇▇▇@▇▇▇.▇▇.▇▇▇. Sincerely,.