HomeMy WebLinkAboutCAG2024-096 - Original - WA Dept of Revenue - Data Sharing Agreement - 11/15/2023 FOR CITY OF KENT OFFICIAL USE ONLY
Sup/Mgr:
Agreement Routing Form DirAsst:
• For Approvals,Signatures and Records Management Dir/Dep:
KENT This form combines&replaces the Request for Mayor's Signature and Contract Cover (Optional)
WASHINGTON Sheet forms. (Print on pink or cherry colored paper)
Originator: Department:
Andrea Madsen Finance
Date Sent: Date Required:
c 02/01/2024 02/15/2024
Q Mayor or Designee to Sign. Date of Council Approval:
Q Interlocal Agreement Uploaded to Website n/a
Budqet Account Number: Grant? Yes No[7
Budget?Eles WINo Type: N/A
Vendor Name: Category:
Washington Department of Revenue Contract
Vendor Number: Sub-Category:
104202 Original
0
W Project Name: Data Sharing Agreement K2259 0
CProject Details: Agreement to allow DOR to give gross receipts and income type data to the
C city of Kent. City personnel will keep the data confidential and destroy when
*, finished.
C
Agreement Amoun 0.00 Basis for Selection of Contractor: Other
E *Memo to Mayor must be attached
A— Start Date: 11/15/2023 Termination Date: Notice required - 11/15/2028
m
a Local Business? Yes F]No*If meets requirements per KCC 3.70.100,please complete"Vendor Purchase-Local Exceptions"form on Cityspace.
Business License Verification: ❑Yes In-ProcessF]Exempt(KCC 5.01.045) FlAuthorized Signer Verified
Notice required prior to disclosure? Contract Number:
F—]YesFv—(]No K2259- CAG2024-096
Comments:
aData sharing agreement is being routed for electronic signature.
0
0
3 0
N
.5
a
Date Received:City Attorn 2/6/24 Date Routed:Mayor's Office 2/6/24 City Clerk's Office 3/4/24
adccW22373_7_20 Visit Documents.KentWA.gov to obtain copies of all agreements
rev.20221201
DocuSign Envelope ID: D9F09CD4-D88E-4CDC-BF5F-CD13B01FBFD1
DOR Contract No. K2259
CITY OF KENT DATA SHARING AGREEMENT
FOR TAX INFORMATION
I. Parties and Contact Information
State of Washington City of Kent
Department of Revenue
Mailing PO Box 47456 220 Fourth Avenue South
Address Olympia, WA 98504-7456 Kent, WA 98032
Delivery 6400 Linderson Way SW 220 Fourth Avenue South
Address Tumwater, WA 98501-7456 Kent, WA 98032
Contract India McKoy Andrea Madsen
Manager: Phone:(360) 534-1624 Phone: (253) 856-5267
E-mail: dordatasharing@dor.wa.gov E-mail: amadsen@kentwa.gov
II. Purpose and Authority
The purpose of this Data Sharing Agreement ("Agreement") is to establish the terms under
which the Washington State Department of Revenue ("Department") and City of Kent ("City')
may voluntarily share information of the types identified below to determine gross income and
verify reporting status of businesses conducting business in the City of Kent for the purpose of
tax enforcement pursuant to Revised Code of Washington RCW 82.32.330(3)(h). Nothing in this
Agreement requires either party to share requested information of any kind or for any purpose.
For purposes of this Agreement, information is limited to taxpayers located within your
jurisdiction or those who conduct business within your jurisdiction. The Department will, to the
best of its ability, use the mailing address, physical location, or reported retail sales activity to
identify the taxpayers.
III. Attachments
This Agreement includes the following attachments, which are to be considered part of this
Agreement for all purposes:
Exhibit A Confidentiality and Non-Disclosure Agreement
Exhibit B Certification of Data Disposition
Exhibit C Data Elements
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IV. Definitions
A. "Agent" means a third-party authorized representative(s) of the City or the Department
that provides tax enforcement or tax regulation services to the City or the Department.
B. "Authorized User" means an individual or individuals with an authorized business need
to access Data under this Agreement.
C. "Cloud" refers to a non-partner data center(s) offering infrastructure, operating system
platform, or software services. A more complete definition of"cloud" can be found in
the National Institute of Standards (NIST) Special Publication 800-145.
D. "Complex Password" or"Complex Passphrase" refers to a secret phrase, string of
characters, numbers, or symbols used for authentication that is not easily guessable and
meets an established industry guideline for complexity and length, such as NIST Special
Publication 800-118.
E. "Confidential" refers to data classified as at least Category 3 Data under Washington
Technology Solutions' (WaTech's) Data Classification Standard.
F. "Confidential Tax Information" as the same meaning as "Return," "Tax Information,"
and "Taxpayer Identity" under RCW 82.32.330(1)(b),(c), & (e). Confidential Tax
Information is classified as at least Category 3 Data under WaTech's Data Classification
Standard.
G. "Contract Manager" means the individual identified on this Agreement who will provide
oversight of the activities conducted under this Agreement.
H. "Data" refers to individual pieces of information.
I. "Encryption" refers to enciphering data with a NIST-approved algorithm or
cryptographic module using a NIST-approved key length.
J. "Mobile Devices" refers to handheld devices such as tablets, e-readers, and smartphones
designed for portability and functionality that are powerful enough to complete the same
daily work tasks on a desktop or laptop.
K. "Portable Media" refers to removable storage media such as magnetic tapes, CDs or
DVDs, USB drives, and external hard drives that are designed to transfer stored electronic
data.
L. "Workstation" refers to a state-issued device such as a computer, or laptop connected to
the state network, which allows an individual to perform daily work tasks.
V. Data Classification,Authorized Use,Access and Disclosure
A. Data Classification: Data shared under this Agreement is considered confidential and
classified as at least Category 3 Data under WaTech's Data Classification Standard.
B. Permitted Uses: Confidential Tax Information and Confidential Information received
under this Agreement may be used for official purposes only.
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C. Permitted Access: Confidential Tax Information and Confidential Information may be
accessed only by each party's employees that have a bona fide need to access such
information in carrying out their official duties, and each party's agents that have a
bona fide need to access such information for tax enforcement and tax regulation
purposes.
D. Permitted Disclosure: Confidential Tax Information and Confidential Information
received under the Agreement must not be disclosed to non-parties unless the
disclosure is:
1) Ordered under any judicial or administrative proceeding;
2) Authorized by RCW 82.32.330; or
3) Otherwise expressly authorized by the Department in writing.
E. Public Records Requests: In the event that the City reasonably believes that it must
disclose confidential or confidential tax information received under this Agreement
pursuant to a Public Records Request, City must give notice to the Department of its
intention to disclose. City shall provide the notice at least fourteen (14) business days
in advance of disclosure.The notice shall contain a copy of the Public Records
Request, and the notice shall reasonably identify the Confidential Tax Information, or
Confidential Information received under this Agreement that City believes it must
disclose.
VI. Information Types
A. "Confidential Tax Information": Any information identifiable to a specific taxpayer
protected by RCW 82.32.330(1)(b), (c), & (e), including, but not limited to, a taxpayer's
identity, income, assets, liabilities, tax payments, or actual or possible tax liabilities.
Confidential Tax Information protected by RCW 82.32.330 is classified as, at least,
Category 3 Data under WaTech's Data Classification Standard.
B. "Confidential Information": Any information, except Confidential Tax Information, that
may legally be shared between the parties and is personal or proprietary in nature, or is
exempt from public disclosure under RCW 42.56, or other state or federal law.
"Confidential Information" includes, but is not limited to, Personal Information as
defined in RCW 42.56.230 and RCW 42.56.590(5). Confidential Information is classified
as, at least, Category 3 Data under WaTech's Data Classification Standard.
For purposes of this Agreement, Confidential Tax Information and Confidential Information is
limited to taxpayers located within your jurisdiction or those who conduct business within your
jurisdiction. The Department will, to the best of its ability, use the mailing address, physical
location, or reported retail sales activity to identify the taxpayers.
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VII. Requesting, Receiving, and Accessing Information
The requesting party is responsible for ensuring that only persons authorized under this section
are able to request, receive, or access each type of information from the other party.
A. Confidential Tax Information: Only employees who have been authorized by the City
may request, receive, or access Confidential Tax Information. Authorized agents of the
receiving party may receive or access Confidential Tax Information for tax enforcement
or tax regulation purposes only. The City shall ensure agents comply with RCW
82.32.330. Authorized City employees and agents must sign the Confidentiality and Non-
Disclosure Agreement, attached at Exhibit A.
B. Confidential Information: Any employee or agent authorized by the receiving party may
request, receive or access Confidential Information.
C. Confidentiality and Non-Disclosure Agreement: The Department requires City
employees and agents with access to Confidential Tax Information to sign a
Confidentiality and Non-Disclosure Agreement, with the original kept on file by the City
and a copy provided to the Department. The Confidentiality and Non-Disclosure
Agreement is attached to this Agreement at Exhibit A.
D. Authorization: The City will provide the Department with a regularly updated list of
persons authorized to request, receive, or access Confidential Tax Information. The list
shall be updated at least annually and within 30 days of when changes occur. The
Department will not disclose Confidential Tax Information to any person or party
without a signed Confidentiality and Non-Disclosure Agreement on file with the
Department.
Vill. Information Format
Each party will make a good faith effort to accommodate format preferences of the other party
(e.g., hard copy, electronic data, CD, secure file transfer, etc.), but nothing in this Agreement
requires either party to provide information in any particular format.
IX. Confidentiality and Security
A. Confidentiality: The City and Department each agree for its employees and agents to
keep confidential and secure from unauthorized use, access, or disclosure, all
Confidential Data received under the Agreement.
B. Ensuring Security: City and the Department shall each establish and implement physical,
electronic, and managerial policies, procedures, and safeguards to ensure that all
Confidential Data exchanged under this Agreement is secure from unauthorized use,
access, or disclosure.
C. Proof of Security: The Department reserves the right to monitor, audit, or investigate
the City's security policies, procedures, and safeguards for Confidential Data. The City
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agrees to provide information or proof of its security policies, procedures, and
safeguards as reasonably requested by the Department.
X. Statutory Prohibition Against Disclosure
A. Criminal Sanctions. RCW 82.32.330(2) prohibits the disclosure of Confidential Tax
Information except as expressly authorized under RCW 82.32.330(3). It is a
misdemeanor for any person acquiring Confidential Tax Information under this
Agreement to disclose such information in violation of RCW 82.32.330. Additionally, if
the person is a state officer or employee, the person must forfeit such office or
employment and is incapable of holding any public office or employment in Washington
for a period of two (2) years thereafter. RCW 82.32.330(6).
XI. Breach of Confidentiality
In the event of any use, access, or disclosure of Confidential Data by the City, its employees, or
its agents in material violation of the terms of this Agreement:
A. City shall notify the Department in writing as soon as practicable, but no later than
three (3) working days, after determining that a suspected violation has occurred.
B. City shall cooperate with and provide information requested by the Department
concerning the circumstances of the breach.
C. City is responsible and liable for costs of notification and any other associated costs
and liability arising out of any breach of confidentiality in violation of this Agreement.
D. The Department may immediately terminate this Agreement and require the certified
return or destruction of all records containing Confidential Data received under the
Agreement.
XII. Data Breach Notification
If City employees or its agents detect a compromise or potential compromise in the data
security for Department Data such that the data may have been accessed or disclosed without
proper authorization, City shall give notice to the Department within one (1) business day of
discovering the compromise or potential compromise. City or its agents shall take corrective
action as soon as practicable to eliminate the cause of and mitigate the effects of the breach
and shall be responsible for ensuring that appropriate notice is made to those individuals
whose personal information may have been improperly accessed or disclosed. At a minimum,
notification to the Department will include:
A. The date and time of the event;
B. A description of the Department Data involved in the event; and
C. Corrective actions the City is taking to prevent further compromise of data.
XIII. Data Security
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Confidential Data provided by the Department shall be stored in a secure physical location and
on devices that meet security requirements with access limited to the least number of staff
needed to complete the purpose of this Agreement.
A. City agrees to store Data only on one or more of the following media and protect the
Data as described:
1. Workstation hard disk drives
a. Access to the Data stored on workstation hard disks will be restricted to
authorized users by requiring logon to the local workstation using a unique user
ID and complex password, passphrase, or other authentication mechanism which
provide equal or greater security, such as biometrics or smart cards.
b. If the workstation is not located in a secure physical location, the hard drive
must be encrypted.
c. Workstations must be maintained with current anti-malware or anti-virus
software.
d. Software and operating system security patches on workstations must be kept
current.
e. Manually lock workstations when left unattended and set workstations to lock
automatically after a period of inactivity. Maximum period of inactivity is 20
minutes.
2. Network servers
a. Access to Data stored on hard disks mounted on network servers and made
available through shared folders will be restricted to authorized users through
the use of access control lists which will grant access only after the authorized
user has authenticated to the network using a unique user ID and complex
password, passphrase, or other authentication mechanism which provide equal
or greater security, such as biometrics or smart cards.
b. Data on disks mounted to such servers must be located in a secure physical
location.
c. Servers must be maintained with current anti-malware or anti-virus software.
d. Software and operating system security patches on servers must be kept current.
3. Backup tapes or backup media
a. City may archive Department Data for disaster recovery (DR) or Data recovery
purposes.
b. Backup devices, tapes, or media must be kept in a secure physical location.
c. Backup tapes and media must be encrypted if transported offsite.
d. When being transported outside of a secure physical location, tapes or media
must be under the physical control of staff with authorization to access the Data
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DOR Contract No. K2259
or transported by a secure courier contracted by the City for transportation
purposes.
4. Cloud Storage
a. City will meet Cloud and Data requirements in Washington's Standard for
Securing Information Technology Assets, Office of Chief Information Officer
(OCIO) Standard 141.10, WaTech's Information Security Risk Assessment
Standard, WaTech's Encryption Standard, WaTech's Firewall Standard, WaTech's
Asset Management Policy, WaTech's Media Sanitization and Disposal Standard,
WaTech's Data Backup and Recovery Standard
b. City will, at a minimum, meet the following requirements:
I. Encrypt the Data at rest and in transit.
II. Control access to the cloud environment with a unique user ID and
complex password, passphrase, or stronger authentication method such
as a physical token or biometrics.
III. Cloud provider Data center(s) and systems must be Service Organization
Control (SOC) 2 Type II certified, and/or a Federal Risk Management
Program (FedRAMP) certified solution.
5. All Data provided by the Department shall be stored on a secure environment by
City staff. City will implement these policies to ensure this security:
a. Staff will not store or place any Department material on any mobile devices or
portable media (USB devices, CD/DVD, etc.), unless there is written consent by
the Department.
b. Staff will not email information provided by the Department to anyone outside
of City staff.
c. Staff shall only access Department information on a City owned or leased
computer.
B. Data stored on mobile devices or portable media is only allowed with written consent
by the Department.
1. Department Data stored on mobile devices or portable media shall be given the
following protections:
a. Encrypt the Data.
b. Control access to mobile devices with a unique user ID and complex password,
passphrase, or stronger authentication method such as a physical token or
biometrics.
c. Control access to encrypted portable media with a unique complex password,
passphrase, or stronger authentication method such as a physical token or
biometrics.
d. Manually lock devices whenever they are left unattended or set devices to lock
automatically after a period of inactivity, if this feature is available. Maximum
period of inactivity is 20 minutes.
e. Physically protect the mobile device(s) and/or portable media by:
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i. Keeping them in locked storage when not in use;
ii. Using check-in/check-out procedures when they are shared; and
iii. Taking periodic inventories.
2. When being transported outside of a secure physical location, mobile devices and
portable media with Confidential Department Data must be under the physical
control of City staff with authorization to access the Data.
3. Optical disks kept in secure physical locations do not require encryption.
C. Protection of Data in Transit.
City agrees that any retransmission of Department Data over a network, other than
the City internal business network, will be encrypted.
XIV. Data Security Audits
City shall obtain audits covering Data security. Data security audits must demonstrate
compliance with Data security standards adopted by WaTech and OCIO, and as set forth in this
Agreement. At a minimum, audit(s) must determine whether Data security policies,
procedures, and controls are in place to ensure compliance with all Data security requirements
set forth herein, and as required by state and federal law.
City will also allow for the Department to conduct contract compliance audits, at the
Department's discretion,to verify that City is properly and fully complying with all other terms
and conditions of this Agreement.
XIV. Data Segregation
Department Data must be segregated or otherwise distinguishable from non-Department Data.
This is to ensure that if the Data is breached through unauthorized access, it can be reported to
the Department and when the Data is no longer needed by the City, all Department Data can be
identified for return or destruction.
XV. Ownership and Retention of Records
Records furnished to City in any medium remain the property of the Department. Except as
otherwise expressly provided in this Agreement, City may retain possession of all such records
in accordance with RCW 40.14, Preservation and Destruction of Public Records.
XVI. Return or Destruction of Confidential Tax Information and/or Confidential Information
A. Return or Destruction for Violation: The Department may, at any time, require the
return or destruction of all Confidential Tax Information and/or Confidential Information
provided to the City during the term of this Agreement if Confidential Tax Information
and/or Confidential Information in the possession of the City has been disclosed,
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accessed, or used, or is at substantial risk of disclosure, access, or use, in violation of the
terms of this Agreement.
B. Request for Return or Destruction. Any request for return or destruction of Confidential
Tax Information and Confidential Information must be in writing and provide a
reasonable time for compliance. The Department may request certification in writing
that all copies of Confidential Tax Information and Confidential Information have been
returned or destroyed.
C. Acceptable Destruction Methods. The destruction of any information under this
Agreement must follow the Agreement's Data destruction procedures.
XVII. Disposition of Data
A. Upon termination of the Agreement, the City shall dispose of the data received using
the data destruction procedures in this Agreement.
B. Upon the destruction of Department data, the City shall complete a Certification of Data
Disposition, attached to this Agreement as Exhibit B, and submit it to the Department
Contract Manager within fifteen (15) days of the date of disposal.
XVIII. Data Destruction Procedures
The following are acceptable destruction methods for various types of media. At least one
method defined under the various types of media must be used to destroy Department Data
for that media type.
A. Optical discs
1) Incinerate the disc(s); or
2) Shred the discs
B. Magnetic tape(s)
1) Degauss;
2) Incinerate; or
3) Crosscut shredding
C. Server, workstation, or laptop hard drives or similar media
1) For mechanical hard drives, use a "wipe" utility which will overwrite the data at least
three (3) times using either random or single character data;
2) For solid state hard drives, use a "secure erase" utility that resets all cells to zero;
3) Degauss sufficiently to ensure that the data cannot be reconstructed; or
4) Physically destroy disk(s)
D. Portable media
1) For mechanical hard drives, use a "wipe" utility which will overwrite the data at least
three (3) times using either random or single character data;
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2) For solid state hard drives and devices, use a "secure erase" utility that resets all
cells to zero;
3) Degauss sufficiently to ensure that the Data cannot be reconstructed;
4) Physically destroy disk(s) or devices; or
5) For SmartPhones and similar small portable devices use one of the following:
a. If the devices are encrypted and secured with a complex password, the data is
considered destroyed. Before disposal or reissue of the device, make sure the
data is encrypted and then reset the device to original or new condition; or
b. If a Mobile Device Management (MDM) solution for the device exists, enable the
remote wipe command to destroy the Data.
E. Cloud Storage
Use the cloud provider's procedures to permanently delete the files and folders.
XIX. Not a Service Agreement
Neither party is obligated to provide services or is entitled to compensation under this
Agreement.
XX. Term and Termination
This Agreement is effective on November 15, 2023, and will remain in effect for five (5) years.
The parties may enter into five (5) year extensions thereafter. Either party may terminate this
Agreement at any time for any reason on fifteen (15) days written notice to the other party.
XXI. Dispute Resolution
The parties may resolve any dispute according to the specific dispute resolution provisions of
this Agreement or by any other informal means. The parties agree to participate in good faith
mediation to resolve any disputes relating to this Agreement that are not otherwise resolved
prior to any action in court.
At any time, either party may initiate formal mediation by providing written request to the
other party setting forth a brief description of the dispute and a proposed mediator. If the
parties cannot agree upon a mediator within ten (10) working days after receipt of the written
request for mediation, the parties shall use a mediation service that selects the mediator for
the parties. Each party shall be responsible for one-half of the mediation fees, if any, and its
own costs and attorneys' fees. Nothing in this Agreement shall be construed to limit the parties'
choice of a mutually acceptable alternative resolution method, such as a dispute hearing or
dispute resolution board.
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XXII. Miscellaneous Terms
A. Governing Law and Venue. This Agreement shall be governed by the laws of the state of
Washington. Any action arising out of this Agreement must be commenced in Thurston
County, Washington.
B. Interpretation. This Agreement shall be interpreted to the extent possible in a manner
consistent with all applicable laws and not strictly for or against either party.
C. Severability. If any term of this Agreement shall be finally adjudicated by a court of
competent jurisdiction to be unenforceable, the remainder of this Agreement will
remain in full force and effect.
D. Survival. Terms of this Agreement, which by their nature would continue beyond
termination, will survive termination of this Agreement for any reason, including
without limitation, terms in Sections IX.A. and IX.B. (Confidentiality and Security).
E. No Waiver. The failure of either party to enforce any term in any one or more instance
will not be construed as a waiver of a future right to insist upon strict performance of
the term.
F. No Third-Party Beneficiaries. This Agreement is for the benefit of the parties and may
not be enforced by any non-party.
G. Amendments. No amendment to this Agreement is enforceable unless made in writing
signed by personnel authorized to bind the party against whom enforcement is sought.
H. Notice. Any notice required by this Agreement is effective only if provided in writing to
the Contract Manager designated in Section I. Notice by email is acceptable.
I. Merger and Integration. This Agreement contains all the terms and conditions agreed
upon by the parties. No other understandings, oral or otherwise, regarding the subject
matter of this Agreement shall be deemed to exist or to bind any of the parties.
J. Legislative Changes. The parties intend this Agreement to remain effective in the event
of legislative change to authority cited above. The provisions of this Agreement shall be
deemed to change in a manner that is consistent with any changes to cited authority,
provided that the change is consistent with the manifest intent of this Agreement and
does not conflict with any express provisions. Any such change to this Agreement shall
be effective on the effective date of the change in authority.
K. Agent Contract Terms and Conditions. The City is responsible for ensuring that all
terms, conditions, and certifications in this Agreement are included in any contract with
a third-party agent, in which the agent has a bona fide need to access Confidential Tax
Information, and/or Confidential Information for official tax enforcement or tax
regulation purposes. The City shall be responsible for the acts and omissions of any of
their agents.
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Signed in counterparts, effective as of the date of the final signature of the parties below:
State of Washington City of Kent
Department of Revenue
LDocuSigned by: DocuSigned by:
(�u1h �" 1/29/2024 1 2:58:30 Ply] '5T �� 2/21/2024 1 2:12:26 PM PST
016E644C77924B7..
(Signature) (Date) (Signature) (Date)
Heidi Geathers Mayor Dana Ralph
(Print Name) (Print Name)
Senior Assistant Director, Admin Services Mayor
(Title) (Title)
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Department of (CA
DOR Contract No. K2259
Revenue
Washington State
EXHIBIT A
Confidentiality and Non-Disclosure Agreement
Individuals with access to Washington State Department of Revenue's Confidential Information must complete and sign
this form.
Identification: Name: Title:
Employer: Phone:
Address: Email:
City, State,Zip:
Scope: Confidential Information under this Agreement includes:
• Licensing information (RCW 19.02.115)
• Personal information (RCW 42.56.590)
• Property tax information (RCW 84.08.210, RCW 84.40.020, RCW 84.40.340)
• Return and tax information (RCW 82.32.330)
• Federal tax information (26 USC§6103)
• Unclaimed Property(RCW 63.30.820)
• Other information exempt by law
Acknowledgement of Confidentiality: I have read and understand the following obligations and responsibilities:
I may use and access Confidential Information for official purposes only as needed to conduct business,
and if applicable, as authorized by the data sharing agreement with my employer.
I may not use, publish,transfer, sell or otherwise disclose any Confidential Information acquired for any
t,rrtuoi unauthorized purpose.
I must protect the Confidential Information and maintain required security safeguards.
S�•tl
I must maintain confidentiality after I no longer have access to the Confidential Information.
Irrw0
I understand an individual who discloses confidential tax or licensing information to an unauthorized person is
tnkml guilty of a misdemeanor.A state employee is subject to the loss of their position and the inability to hold public
employment in Washington state for two years(RCW 82.32.330(6)and 19.02.115(6)).An individual who
discloses property tax information in violation of RCW 84.08.210 is guilty of a gross misdemeanor(RCW
84.08.210(4)).Additional penalties may apply under state or federal laws.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.
Signature: Date Signed:
Authorization (to be completed by employer):
I authorize the individual above to have access to Confidential Information to meet the following business requirements:
Name: Title:
Signature: Date:
Authority:❑ Supervisor❑ Contract Manager❑ Agency Security Administrator❑Other:
This form is available in a fillable pdf online at https://insiderevenue.dor.wa.gov/system/files/2023-03/10%200032 new O.pdf.
CITY OF KENT DATA SHARING AGREEMENT
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What types of tax received from the Department are confidential?
This table provides examples of when information your jurisdiction receives from the Department may or
may not be shared with others.
Confidential Information
# Scenario Access
Yes or No?
1. The Mayor asks if Yes, detailed information If the Mayor has a business
ABC Painting is about a business's tax need and submitted a signed
reporting sales tax to reporting is confidential. Confidentiality Affidavit to
your city. Even though the mayor the Department,the
didn't ask for actual dollar information may be shared.
amounts, disclosing whether
the business has reported or
not is considered a
disclosure.
2. A councilmember asks Yes, detailed information If the councilmember has a
how much tax Jim's regarding a business's tax business need and submitted a
Plumbing has reported reporting is confidential. signed Confidentiality
to your jurisdiction. Affidavit to the Department,
the information may be
shared.
3. An employee of the Yes,the information If the employee of the fire
fire department wants contained on the business department has a business
to know if Joe's application, including the need and submitted a signed
Automotive indicated city addendum, is Confidentiality Affidavit to
on their business license confidential. the Department,the
that they would be information may be shared.
storing flammable
or toxic materials.
4. The county's monthly No,talking about the General public, City staff,
local tax distribution distribution amounts as a media
amount is higher than whole and even stating
normal due to reporting that it is due to one
of one taxpayer's reporting is
taxpayer. At a council allowed as long as the
meeting,the difference taxpayer's name and the
is discussed but no amount the taxpayer
taxpayer name is reported is not disclosed.
disclosed.
The taxpayer's business
activity(i.e.,hotel) cannot
be disclosed if there are
less than three businesses
with that activity in the
jurisdiction.
CITY OF KENT DATA SHARING AGREEMENT
DocuSign Envelope ID: D9F09CD4-D88E-4CDC-BF5F-CD131301 FBFD1
DOR Contract No. K2259
# Scenario Confidential Information Access
Yes or No?
5. The Treasurer asks No, any information General public, City staff,
whether a business is contained in the on-line media
registered and if so Business Registration
what is their address? Lookup is considered
public information.
(http://dor.wa.gov/content/
oingbusiness/re isg termybusi
ness/brd/)
Information contained in the
Department's on-line
Business License Lookup is
also considered public
information.
(http://bls.dor.wa.gov/Licen
seSearch)
6. Another jurisdiction Yes,the information we send The Department provides each
contacts you to see if one jurisdiction may not be jurisdiction the information they
ABC Painting has shared with another. are entitled to receive based on
reported sales tax to how the taxpayer has reported
your jurisdiction. on their Combined Excise Tax
Return.
The jurisdiction requesting
the information should
contact the Department to
investigate the taxpayer's
local tax coding.
7. A reporter contacts you Yes. Even though the reporter got the
to confirm the amount amount from the taxpayer,any
of tax reported by a confirmation by a local
taxpayer to your jurisdiction is considered a
jurisdiction. The release of confidential
reporter got the figure information.
from the business.
CITY OF KENT DATA SHARING AGREEMENT
DocuSign Envelope ID: D9F09CD4-D88E-4CDC-BF5F-CD131301 FBFD1
DOR Contract No. K22S9
# Scenario Confidential Information Access
Yes or No?
8. A Finance Director Depends on the number of If less than three-only the
prepares a report for a taxpayers: jurisdiction's employees or
council meeting authorized individuals(mayor,
showing the sales tax Yes. councilperson, etc.)with a
distributions by NAICS As a policy,DOR does not business need and a signed
code. disclose information when Confidentiality Affidavit on
there are less than three file may view the information.
taxpayers in a NAICS Three or more — general
code. If there are less than public, city/county staff,
three,the public or the media.
taxpayers involved may be
able to determine the income
reported by the taxpayers.
No.
If there are three or more
taxpayers,there is no risk of
disclosure.
NOTE: A local jurisdiction may release taxpayer information if you provide the Department a
Confidential Tax Information Authorization form
(https:Hinsiderevenue.dor.wa.gov/system/files/2023-03/10%200032 new_O.pdf) signed by the
taxpayer.
CITY OF KENT DATA SHARING AGREEMENT
DocuSign Envelope ID: D9F09CD4-D88E-4CDC-BF5F-CD131301 FBFD1
DOR Contract No. K2259
EXHIBIT B
Certification of Data Disposition
Date of Disposition
All copies of any data sets related to DSA No. K2259 have been wiped from data storage
systems.
All materials and non-wiped computer media containing any data sets related to DSA No.
K2259 have been destroyed.
All copies of any data sets related to DSA No. K2259 that have not been disposed of in a
manner described above, have been returned to the Department Contract Manager listed in this
Contract.
The data recipient hereby certifies,by signature below, that the data disposition requirements as
provided in DSA No. K2259 have been fulfilled as indicated above.
(City Contract Manager Printed Name) (City Contract Manager Signature)
(Date)
Return original to the Department Contract Manager indicated on page one of this contract.
Retain a copy for your records.
CITY OF KENT DATA SHARING AGREEMENT
DocuSign Envelope ID: D9F09CD4-D88E-4CDC-BF5F-CD13B01FBFD1
DOR Contract No. K2259
EXHIBIT C
Data Elements
Data elements requested:
1. Account name: Account and/or customer level name
2. Account status:Tax reporting account is either open or closed
3. Commence date:Tax reporting account open date
4. Cease date:Tax reporting account close date
5. NAICS Codes: Primary NAICS code associated with the account
6. Address information:formatted mailing and location addresses
7. Account contact information: Account level contact information which can include an email
address and phone number
8. Statewide gross income: All gross income reported by businesses either with the city limits of
Kent or reporting destination based sales to Kent. Statewide gross income includes B&O and
sales tax data.
9. Statewide deductions: Deduction data associated with statewide gross income reported by
businesses either within the city limits of Kent or reporting destination based sales to Kent.
10. Local sales tax for Kent: All local sales tax reported to Kent location codes.
Frequency of data:
Annually
Method of receiving data:
Managed File Transfer(MFT), data emailed through secure messaging.
DOR Business Contact:
Janet McCaffrey, Excise Tax Examiner 4
Taxpayer Account Administration
j anetmLdor.wa.gov
CITY OF KENT DATA SHARING AGREEMENT
DocuSign
Certificate Of Completion
Envelope Id:D9F09CD4D88E4CDCBF5FCD13B01FBFD1 Status:Completed
Subject:Complete with DocuSign: DOR-DSA-K2259-00-Kent-20281115.docx
Source Envelope:
Document Pages: 18 Signatures:2 Envelope Originator:
Certificate Pages:5 Initials:0 India McKoy
AutoNav: Enabled PO Box 47473
Envelopeld Stamping:Enabled Olympia,WA 98504-7473
Time Zone:(UTC-08:00)Pacific Time(US&Canada) indiam@dor.wa.gov
IP Address:24.17.234.193
Record Tracking
Status:Original Holder: India McKoy Location: DocuSign
1/29/2024 2:04:55 PM indiam@dor.wa.gov
Security Appliance Status:Connected Pool:StateLocal
Storage Appliance Status:Connected Pool:Washington State Department of Revenue Location:DocuSign
Signer Events Signature Timestamp
Heidi Leathers ED—SiI ...d by: Sent: 1/29/2024 2:52:33 PM
heidig@dor.wa.gov 6't &Atys Viewed: 1/29/2024 2:57:57 PM
Senior Assistant Director,Admin Services 016E644C77924B7 Signed: 1/29/2024 2:58:30 PM
Security Level: Email,Account Authentication
(None) Signature Adoption:Pre-selected Style
Using IP Address: 192.209.53.45
Electronic Record and Signature Disclosure:
Accepted: 1/29/2024 2:57:57 PM
I D:a3de61 be-389e-4e56-9cd9-7b2ac32c51 b6
Mayor Dana Ralph Ducusignedby: Sent: 1/29/2024 2:52:33 PM
DRalph@kentwa.gov )C__ Resent:2/20/2024 3:36:05 PM
Mayor E793E99D67ED24442 Viewed:2/21/2024 12:47:24 PM
Security Level: Email,Account Authentication Signed:2/21/2024 2:12:26 PM
(None) Signature Adoption:Drawn on Device
Using IP Address: 146.129.252.126
Electronic Record and Signature Disclosure:
Accepted:2/21/2024 12:47:24 PM
ID:fb5a2dOf-38c6-4589-828b-145eb2e65c95
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Data Sharing Inbox *E Sent: 1/29/2024 2:52:33 PM
dordatasharing@dor.wa.gov i
Security Level: Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Carbon Copy Events Status Timestamp
Janet McCaffrey COPIEDSent: 1/29/2024 2:52:33 PM
janetm@dor.wa.gov Viewed:2/21/2024 2:47:04 PM
Security Level: Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 1/29/2024 2:52:33 PM
Envelope Updated Security Checked 2/20/2024 3:36:05 PM
Envelope Updated Security Checked 2/20/2024 3:36:05 PM
Envelope Updated Security Checked 2/20/2024 3:36:05 PM
Certified Delivered Security Checked 2/21/2024 12:47:24 PM
Signing Complete Security Checked 2/21/2024 2:12:26 PM
Completed Security Checked 2/21/2024 2:12:26 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on:2/8/2022 1:15:57 PM
Parties agreed to:Heidi Geathers,Mayor Dana Ralph
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, Carahsoft OBO Washington State Department of Revenue (we, us or
Company) may be required by law to provide to you certain written notices or disclosures.
Described below are the terms and conditions for providing to you such notices and disclosures
electronically through the DocuSign system. Please read the information below carefully and
thoroughly, and if you can access this information electronically to your satisfaction and agree to
this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by
selecting the check-box next to `I agree to use electronic records and signatures' before clicking
`CONTINUE' within the DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. You will have the ability to download and print documents we send
to you through the DocuSign system during and immediately after the signing session and, if you
elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to
send you paper copies of any such documents from our office to you, you will be charged a
$0.00 per-page fee. You may request delivery of such paper copies from us by following the
procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to
receive required notices and consents electronically from us or to sign electronically documents
from us.
All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSign system all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process,please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
How to contact Carahsoft OBO Washington State Department of Revenue:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: brycec@dor.wa.gov
To advise Carahsoft OBO Washington State Department of Revenue of your new email
address
To let us know of a change in your email address where we should send notices and disclosures
electronically to you, you must send an email message to us at brycec@dor.wa.gov and in the
body of such request you must state: your previous email address, your new email address. We
do not require any other information from you to change your email address.
If you created a DocuSign account, you may update it with your new email address through your
account preferences.
To request paper copies from Carahsoft OBO Washington State Department of Revenue
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an email to brycec@dor.wa.gov and in the body of
such request you must state your email address, full name, mailing address, and telephone
number. We will bill you for any fees at that time, if any.
To withdraw your consent with Carahsoft OBO Washington State Department of Revenue
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to brycec@dor.wa.gov and in the body of such request you must state your
email, full name, mailing address, and telephone number. We do not need any other information
from you to withdraw consent.. The consequences of your withdrawing consent for online
documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The
current system requirements are found here: https://support.docusign com/ uig des/signer- ug ide-
signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please confirm that you have
read this ERSD, and (i)that you are able to print on paper or electronically save this ERSD for
your future reference and access; or(ii) that you are able to email this ERSD to an email address
where you will be able to print on paper or save it for your future reference and access. Further,
if you consent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check-box next to `I agree to use electronic records and signatures' before
clicking `CONTINUE' within the DocuSign system.
By selecting the check-box next to `I agree to use electronic records and signatures', you confirm
that:
• You can access and read this Electronic Record and Signature Disclosure; and
• You can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
• Until or unless you notify Carahsoft OBO Washington State Department of Revenue as
described above, you consent to receive exclusively through electronic means all notices,
disclosures, authorizations, acknowledgements, and other documents that are required to
be provided or made available to you by Carahsoft OBO Washington State Department
of Revenue during the course of your relationship with Carahsoft OBO Washington State
Department of Revenue.