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Home My WebLink AboutAgreement_General_06/12/2008 (2)Communications Services Tax Agreement for Access to Confidential State Tax Information • between ~, LEA F o~ ~OwhS;R- and The Florida Department of Revenue (Local Govemment Name) 1. The Florida Department of Revenue, acting ~n~ is capacity as coordinator of the Communications Services Tax (CST) Information Sharing Website, and 1~ ~ LL At,~ m F ~1&QwS 517}(Local Govemment) enter into this Agreement for the sharing of certain information specified in s. 213.053(8)(v), Florida Statutes (F.S.). 2. According to s. 213.053(8), F.S., when in receipt of information shared~under this Agreement, the Local Government, its employees, its contractors, and any other person who may have access to confidential information obtained by the Local Government under this agreement shall be bound by all applicable laws imposing confidentiality requirements. These requirements include, but may not be limited to, those stated in s. 213.053, F.S., and Chapter 12-22, Florida Administrative Code. Violation of confidentiality requirements is a misdemeanor of the fast-degree, punishable as stated in ss. 775.082 and 775.083, F.S., by up to one year in prison and/or fines up to $1000. 3. As stated in s. 213.053(2), F.S., all information contained in returns, reports, accounts, or declarations related to or identifying specific taxpayers is confidential. The Local Government and the person(s) designated below agree to take appropriate steps to protect confidential information obtained from the Department of Revenue under this agreement from unauthorized use or disclosure. ' 4. The Local Government and the person(s) designated below agree that confidential state tax information will be kept in a secure environment, and will only be used for official tax adrninistration.purposes. When no longer needed, tax information obtained from the Department must be destroyed by shredding, incineration, pulping, or other appropriate means to make the information unreadable. Shredded paper should be 5/16 inch wide or smaller and, if not using across-cut shredder, paper should be fed into the shredder with lines of print perpendicular to the cutting blades of the shredder. If incinerating, the incinerator should produce enough heat to bum the entire bundle, or the bundle should be separated to ensure all pages are burned. If pulping, the process should reduce all material to particles one inch or smaller. 5. Only the eanployees of the Local Govemment with an official need and use will be allowed to request, receive, and review state tax information. The Local Government agrees that confidential state tax information obtained from the Department will be shared only with persons with direct responsibility for budget preparation, auditing, revenue or financial administration,. or legal counsel, and may only be used for purposes related to budget preparation, auditing, and revenue and financial administration. Confidential and exempt information may not be further disclosed by the recipient unless meeting these stated criteria. 6. Each authorized employee as stated in paragraph 5 above is required to execute the certification of familiarity with the confidentiality requirements of x.213.053, F.S., and Chapter 12-22, F.A.C., found in the Addendum to this agreement. Any person who becomes an authorizcd employee subsequent to the signing of this agreement must execute a separate certification of familiarity. In each insffince, certifications shall be forwarded to the Department of Revenue Security & Disclosure Officet . within I S business days of hire date or change of employment status, with a cover letter signed by the Local Govemment signatory to this agreement. 7. The Local Government shall notify the Department of Revenue Security & Disclosure Officer in writing within.l 5 business days when any signatory of this Agreement leaves employment or changes employment status such that he or she no longer has an official use for the information. 8. Effective Date This Agreement shall be effective on the date all parties have signed the Agreement. 9. Duration and Termination A. This Agreement shall terminate three (3) years from the effective date. Either party may terminate this Agreement upon no less than thirty {30) calendar days notice, without cause, unless the parties mutually agree upon a lesser time. Said notice shall be in writing, delivered by certified mail, return receipt requested, or in person with proof of delivery. 10. Le ag I Requirements A. With respect to its interpretation, construction, effect, performance, enforcement, and all other matters, this Agreement shall be governed by, and be consistent with, the whole law of the State of Florida, both procedural and substantive. Any and all litigation arising under this Agreement shall be brought in the appropriate State of Florida court in Leon County, Florida. B. Each party hereto agrees that it shall be solely responsible for the wrongful act of its employees, contractors, and agents. However, nothing contained herein shall constitute a waiver by either party of its sovereign immunity and the limitation set forth in section 768.28, Florida Statutes. C. The failure of either party to this Agreement to object to or to take affirmative action with respect to any conduct of the other which is in violation of the terms of this Agreement shall not be construed as a waiver of any existing violation, breach, wrongful conduct; or of any future violation, breach, or wrongful conduct. II. Modification Modification of this Agreement shall only be valid when reduced to writing and duly signed. The parties agree to renegotiate this Agreement if revisions of applicable Federal and/or State statutes and regulations make changes necessary; or when either party deems such action appropriate in the administration of the laws. 12. Severabiliri If any provision of this Agreement or the application of it is determined to be invalid for any reason, such determination shall not affect the validity of other provisions or applications of the Agreement which can be given effect without the invalid provision or application. To this end, the provisions of this Agreement are declared to be severable. 13. The Local Government designates the following person to receive password and user identification information for accessing the CST Information S~nng Website, and to control access to the CST Information Sharing Website: Name (print) _I D t ~t"E1L. yTHf Title ~i NRryU~/c ~r Q.I,'Cf~L Mailing Address 3y5 / fJw~S7-A QQtt/Fc Ctty/ZIP ~t Fi town 5 7'A~ 33`~Lg Phone Number_ri(el S9S-(oa'1D E-mail Address TFo2~/%!:l¢. °~~,lJu.~STA~ 02l0 14. This Agreement must be signed by the local government representative and the Florida Department of Revenue. Please sign and' date in the space below. A copy of the Agreement, signed by the Florida Department of Revenue, will be returned to you. Approved by Local Government: Approv~by Flortda Department of Revenue: Signature ~ Signature Title 6 Executive Director -"~~`~ Dateda ~psyr~rjgn~ ~}~venue Date ~~ ~~ (t~~ Please return your signed Agreement and Addendum to: Florida Department of Revenue Bill Harvey, Security and Disclosure Officer P.O. Box 37372 Tallahassee, FL 32315-7372 Fax Agreement to: 850-488-7825 E-mail Agreement to: harveyb(a3dor.state.fl.us ADDENDUM Communications Services Tax Agreement for Access to Confidential State Tax Information between ~~ _~>" ar-, R7G ~c;lwss n4 and The Florida Department of Revenue (Local Government Name) Designee's Certification As the person designated in paragraph 13 of this agreement to receive password and user identification information for accessing the CST Information Sharing Website, and to control access to the CST Information Sharing Website, I certify that I am familiar with the confidentiality requirements of s.213.053, F.S., and aware that the unauthorized use or disclosure of state tax information is a misdemeanor of the first degree punishable as stated in ss. 775.082 and 775.083, F.S., by up to one year in prison and/or fines up to $1000, I understand that confidential state tax information obtained from the Department of Revenue may be used only for official purposes related to budge repa tion, auditing, and revenue and financial administration Designee signature ia, '/t~Date ~~ e$ ~ Other Authorized Employees As an authorized employee or contractor of the local government, I certify that I am familiar with the confidentiality requirements of s. 2I3.053, F. S., and aware that the unauthorized use or disclosure of state tax information is a misdemeanor of the first degree punishable as stated in ss. 775.082 and 775.083, F.S., by up to one year in prison and/or fines up to $1000. I understand that state tax information received from the Department of Revenue maybe used only for official purposes related to budget preparation, auditing, and revenue and financial administration (~ Name (print) (~~ (~~o N (C ~ ~' f t'Y~ Title ~ tom' t'1 C-C-~~``~~ Signature t ~C~ I Cg. ~1 ~s~l Date ~ ~ '~ ~ °~ Q ~" ' Name (print) ~ Q.'~'F'I, Q ~l~ ~t~~.GQ..~ ~ Title ~~i/~~~n"~'b'v' Signature_a,/~L~fi!) ~A~\~~'~~ Date ~~ / > ~/ Name (print) Title Signature Date Name (print) Signature Date Name (print) Title Signature Date Name (print) Title Signature Date Title (Attach additional sheets, if needed)