Okaloosa County BOCC — September 16, 2014 — Designation of Signature Authority and County Attorney Access Request — reading text

Board of County Commissioners State of Florida September 16, 2014 DESIGNATION OF SIGNATURE AUTHORITY For The TRANSPORTATION ELECTRONIC AWARD AND MANAGEMENT PROCESS (TEAM) The Board of County Commissioners of Okaloosa County, Florida, hereby authorizes Charles K. Windes, Jr., Chairman of the Okaloosa County Board of County Commissioners; Ernie Padgett, County Administrator; Greg Stewart, County Attorney; Marcella Eubanks, Contracts and Grants Manager; Janet Willis, Transit Coordinator and Grants Manager; Abra McGill, Grants Specialist; and Elliot Kampert, Growth Management Director to be assigned and use Personal Identification Numbers (PIN) for the execution of annual Certifications and Assurances issued by the Federal Transit Administration (FTA), submission of all FTA grant applications, and the execution of all FTA grant awards as necessitated by recipient access type for the FTA’s Transportation Electronic Award and Management (TEAM) System. Charles K. Windes, Chairman Okaloosa County Board of County Commissioners Greg Stewart, Esq Okaloosa County Attorney @ BCC-North 302N. Wilson St., Suite 302 * Crestview, FL 32536 + (850) 689-5030 Fax (850) 689-5025 @ BCC-South 1804 Lewis Turner Blvd., Suite 100 * Fort Walton Beach, FL 32547 « (850) 651-7105 Fax (850) 651-7142 Transportation Electronic Award Management System (TEAM) Grantee / Recipient User Access Request Check Applicable Box: Y New User With Pin Modify User |Username New User Without Pin Delete User Name Change Request Warning: The information contained in this form is protected under Public Law 93-579, Privacy Act. USER INFORMATION Gender (Optional) M@FO Gregory T Stewart 850-651-7108 First Name* Mi Last Name* Office Phone* County Attorney Title FAX Number Okaloosa County Board of County Commissioners 5435 gstewart @co.okaloosa.fl.us Organization Name* Recipient ID Email Address* Mailing Address(Street Number, City, State and ZIP Code)* 1804 Lewis Turner Blvd User's Authorizing Signature (see instructions) Suite 100 Charles K. Windes, Jr. anerna Ft Walton Beach, FL 32547 Printed Name of above Date This is information Is required to establish or modiy your TEAM user account By completing this form, you expressly attest that information provided Is irue and coimplete to the best oF your knowledge. Invalid information will be grounds for refusal to establish a new user account or the basis for deletion of an existing TEAM account. APPLICATION ACCESS (Check ail that apply). Database Recipient PIN Functions Designated Recipient ID(s) (Indicate Below) Production Submit Application Quality Assurance Execute Awards 5435 Both Production and QA V Icertify as Lawyer Recipient Access Type Certify as Official Inquiry Only Certify as Both Lawyer and Official Modify/Update | _ [Provide Supplemental Agreement Civil Rights (No PIN Needed) DBE Reporting Metropolitan Planning Organization (MPO) ID N/A (PIN Functions require Designation of Signature Authority on Organization/Agency Letterhead. See instructions). ACKNOWLEDGMENT OF RULES OF CONDUCT FOR SYSTEM USE As a TEAM user, | understand that | am personally responsible for the use and misuse of my TEAM login ID and password. | understand that by requesting TEAM access and accepting/using such access that | must comply with the following: 1. When downloading sensitive information, | will ensure that the information has the same level of protection as FTA applications. 2. Iwill not permit anyone to use my TEAM access information (i.e. user ID, password or other authentication). My password (or other authentication) will be kept private, not stored in a place that is accessible by anyone other than the myself (i.e. family members, friends, etc.). If stored, the password will not be in text format. 3. | will follow standard password procedures and change my password every sixty (60) days. My passwords will be at least twelve (12) alphanumeric characters and contain at least three of the following: one (1) capital letter, one (1) lower case letter, one (1) number and one (1) special character. 4. I will report any security problems and anomalies in system performance to the appropriate FTA Office. 5. | will notify the appropriate FTA Office to eliminate my TEAM access in the event of job transfer, termination, or if TEAM access is no longer required. 6. | understand that if | am not using FTA-supplied equipment and FTA suffers a security breach or compromise that is my fault, | may be required to allow access to my equipment by authorized representatives of the Federal Government to determine the causes and to take corrective action(s). 7. | will lock my workstation when I leave the vicinity and not leave the application open and vulnerable to intrusion by a third party. | agree to and will comply with all of these conditions and understand that failure to do so will result in permanent removal of my TEAM access, and may result in other disciplinary or legal action. By signing my name in the space below, | hereby acknowledge this agreement, and certify that | understand the preceding terms and provisions and that | accept the responsibility of adhering to the same. o91614 Gregory T. Stewart signature Date Printed Name FTA AUTHORIZATION FTA Functional Approval FTA Operational Approval oe ee: Signature of Authorizing FTA Official Date Signature of Authorizing FTA Official Printed Name Printed Name Title / Office Title / Office a a Date Processed UserID TEAM RECIPIENT User Access Request Form Revised 6/6/2011