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ATTACHMENT D <br /> REQUIREMENTS TO REPORT ACTUAL OR IMMINENT BREACH <br /> OF PERSONALLY IDENTIFIABLE INFORMATION (PII) <br /> Grant recipients, and subrecipients at any tier, must have written procedures in place to respond in the event of <br /> an actual or imminent breach (as defined in OMB M-17-12) if it (or a subrecipient)-- 1) creates, collects, uses, <br /> processes, stores, maintains, disseminates, discloses, or disposes of personally identifiable information (PII) (as <br /> defined in 2 C.F.R. 200.1) within the scope of an OVW grant-funded program or activity, or 2) uses or operates a <br /> Federal information system (as defined in OMB Circular A-130). <br /> Grant recipient's breach procedures must include a requirement to report actual or imminent breach of personally <br /> identifiable information to the Authorized Representative identified on the Face Sheet of the Grant no later than <br /> 24 hours after an occurrence of an actual breach, or the detection of an imminent breach. <br /> Subrecipient's breach procedures must include a requirement to report actual or imminent breach of personally <br /> identifiable information to the Grantee no later than 24 hours after an occurrence of an actual breach, or the <br /> detection of an imminent breach. <br /> As the duly authorized person to legally bind the applicant to a grant, I hereby certify that the applicant will comply <br /> with the above requirements, if awarded a grant. I also acknowledge, as part of grant monitoring,OCVA staff may <br /> request a copy of grantee's breach procedures. <br /> City of Everett- NA <br /> Applicant Agency Name <br /> Cassie Franklin Mayor <br /> Name of Authorize ' I Title of Authorized Official <br /> 15/a /Z, <br /> Sign Lire of Authorized Official Date <br /> FS APPROVED AS TO FORM <br /> OFFICE OF THE CITY ATTORNEY <br /> EVERETT <br /> ATT ST1 <br /> y Clerk <br />