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r ' <br /> Puget Sound Regional Council <br /> Agreement to Release Information <br /> 1)The undersigned Requesting Entity has requested information or records that are deemed private <br /> and confidential by the Washington State Employment Security Department(ESD). <br /> 2) In order to receive such information, Requesting Entity agrees that certain safeguards must be <br /> followed in order to maintain the confidentiality of the data. Access to the information must be <br /> restricted to only those authorized personnel or agents. By signing this document, you, the <br /> Requesting Entity, agree that you shall take precautions to ensure that only authorized personnel or <br /> agents are given access to the data set provided. The information must be stored in an area that is <br /> safe from access by unauthorized persons during duty hours as well as non-duty hours, or when not <br /> in use and has to be protected in a manner, which prevents unauthorized persons from retrieving the <br /> information by computer, remote terminal or other means. <br /> 3)The Requesting Entity agrees to only use the data for authorized purposes. These purposes <br /> include verification of the point level data and activities required under mandated growth <br /> management requirements, including economic impact analysis and transportation impacts on <br /> employment trends. <br /> 4)The information provided will remain the property of ESD and will not be duplicated or disclosed <br /> without the written authority of ESD. The Requesting Entity shall protect the confidentiality of the <br /> information. <br /> 5)The Requesting Entity agrees to and shall indemnify, hold harmless and defend PSRC, its <br /> members, officers, agents and employees from and against all claims, losses or liability of whatever <br /> nature related to any unauthorized disclosure or abuse of information by Requesting Entity under this <br /> agreement. <br /> 6)The Requesting Entity agrees to notify the PSRC in writing within five (5) working days of <br /> becoming aware of any unauthorized access, use, or disclosure of the information. <br /> I have read, understand, and agree to this Agreement to Release Information: <br /> -N r :f <br /> Requesting Entity <br /> Printed Name <br /> Authorized Signature Date <br /> 5 <br />