08-1114_HOMELAND SECURITY, DEPT OF / SSA_Memorandum of UnderstandingCla m p9 ny ID PV umbeie ]I t 645
MEMCIRANIILPVI Of UNTERS1ANING HETWEHN THE
DDHAIRTMETV I Of HOMELA-PID SHCIURITY, SOUL41I SEOUR W
ADMINISTRATION, AND DW IGN?J'IIHII AGW T REIGA.RDIPICI
E- VHR IFY
1. PIARTIES. T1 e partial la this Agneemenl are ti a Department of H ameland Securily,
U.S. Clitizenship and lmmigrailion Sendeei (DHS-USC1S), the Social 9leauni'ly
Administralion QSSA ), and City oil San Juan Capisil rano, (IDesignata(I Agent;.
2. AUTHORITY. This B. � erifSj Agreama nt is authorized under the provisions of'Aitle
1V, 91ublilie A, oil'Ihe Illegal lmmigiia'lion tae form and )Immigrant Responsibility Act oil
1996 (IIRIRA), Hub. L. 104-208, 110 Stal. 1009.
1. I URAOSH. Me purpose of this Agiieemeril is 'lo set farih'lerma b`l which SSA and
DHS will provide inibrmation to City of San Jluan CapiAmano dDesignaled Agenill on
beha til of theiji client in oxide r to confirm 'Ihe employment eligibility of all newly hired
amployees a Illheir olienl following cornpla lion of the Ernpla`lma nl Hligibility
\ arificalian Form IIFarm 1-9'.
4. REISF ON S] HILITIHS:
a. SSA
i. Upon aornpletion ali'Ihe Forra 1-9 by ilhe ernployea and the Employer, and
piiovided the Hmployeii compliei with the nequire rniants all 'This MOU, SSA agrees
to paiavide the Ilosigna:led AIgent on behalf of the Emiployer wilh available
inibrmalion d at will a law the I mployeii to confirm tha as tura ay all Social
9laourilly Numbeau piiovidad by all newly hired employees and ilhe emiploymenl
au l ho rizal ion of s a ma na vily hided emiploya a s .
ii. Me 9ISA agrees to provide to the Dasignaled Agent appropriate assistance
will operational problems ilhal may arise during the Hmiplayan's participation in > I-
Vanify. Thi SSA agrees la provida the Llasigna lad Agent wiilh namas, titles,
addiiessas, and telephone numbers of SSA iiepiiesemlatives 'lo be cornlacied dwiing
par is ipation in E -`I arify.
iii. The SSA agrees to safeguard tie information pravided by ilhe Hrniployer
thi oug h E -N erify procedures, arc to lirni'I access to such inbrma tion, t s i9
appropriata by law, 'lo individuals responsible fan 'Ihe confirma lion of Social
Sa a wii'I y t umbeiis and Jon a valuation of HA erify of such other persons or eni ities
who may ba aulhornizad by the SSRI as governed by Iha Er'vaay Act (I U.S.0 . I
5117a), tl'e 9loaia Secwiity Aet 1142 U.S.C. 1306(a`,;, and SSA negulalions (70 CIIId
AI art 4011,
Revised: July ,lel, 2007
Clan puny ID Number: '10413415
MEMORANDUM ON UNHERS11ANING HI+IT"IDHI\ THH
DHIRAF ITMEN7 OF HIOM EIIAND 5 ECURITY, SOCL4III 9 ECURIBY
AIDMINIS'ARAVO]`I , ANI HES]ICINA7EII AIGEP T RF GARI IING
H -VERIFY
iv, SSA agnees to eslablish a means of automatad confirmaidon 11a1 is
ale signed (Jin a onjunclion v+iith 'lhe E epartment of Homeland Secunily's auilomated
syst ern if nea a ssar-I; to pnovida a o nfirmation or 1 enl al ive nona onfrrrr a tion of
employees' employmieni eligibiliq wilhin 1 Federal Clovernmenll workdays of the
inilial inquiry.
V. SSA agneas 'lo establish a means of seaandary confirmallion (including
updating SSA seconds as may be necessar3l; fon employees who conlesl SSA
tentative nona onfirrr a tions h ail is designed to provide final confirrr a�don on
nonaanfirmation ai the employees' employmienl eligibilit;j wilhin 10 Federal
Chvernmew work days of the data of referral to SSA, unless it determines That
mime Than 10 days may be necessary. In suah cases, SSA will pnovida addi'lianal
aonfirmation instrma lions.
b. DHS-USCIS
L Upon comiplation of t1 Farm 1-9 by the employee and the Hmployen, and
aomplelion by the E esignaled Ageml of S9 A confrmu lion pnocedunes required
pnion to inilialion of Daparlmen'l of Homeland Security confrrrnialion praaadunes,
DE13-USCIIS agrees la pnavide'lhe Elasignaled Agent on behalf of the Hmployan
access 1a solaalad data from the DHS-USCIS' database la enable the Designated
Agent to conducl aulamaled confirmalion checks on newly hived Mien employees
b�I electronic means.
ii. DHS -L SCIIS agnees ilo pnovida -lo 1he I]asignaled Agenl appropniale
assistance vwitlr apanalional pnoblanus that mail arise during the Hrriiployen's
participalion in H -Versify. IIES-USCIIS agneas to pnovida the Designated Agant
naur as, lillas, addresses, and talaphano numbers of EIH S-USCIIS nepill senlalives to
be aantaatad duping participalion in E-Ve:iiiN, inaluding one ors mioro individuals
in eaah DHS -US CIIS dislnict office covering an wea in which 11 a Hmployen hives
employe a s covered by this N OU.
iii. DHS -U3 WS agnees 110 pnovida 110 the Hmplo]Iar, through 1he E asignaled
Agent, H•Veniiy and Deiignatecl Agent h -Verify Users Manual conlairiing
ins-Iruations on E -Verily policies, pnocedunes and nequinaniiants Ion both S SA and
DHS-USCIS, including restrictions on uia of H-Venifl prooadunes. DHS -U SCIS
agrie es 1 o pro vide Uai ping meal ei& is on E -Verily.
iv. DH S-USCII S agnees lo pnovida lo the Employer, I hr ough tl a Designated
Agenl, a notice, which indicalles tle emiployen's pariaipation in E-Varify. DHS-
USCIIS also agnees to provide to the Employer, through the Dasignaled Agent,
I
Revised: ,luly ,18, 2007
Clomps sial ID N ti mbeu: It 4345
MEMCIRANIIUM OR UNI] ERSIMANINIG HEMWEI N MAID
11DHAKIMENT OR HOMELAI, D SHCIURITY, SOCIIAD SEGURHY
ADMINISTRAITHIN, AND DR311GNA1THII AGA]\ T REGARDING
E-VERIIIY
anti-disarimination no'liaes issued by i1he Office of. Special Counsel Joni
In mig:ua lion-Relaled Unfair Employn ant Flrac'liaes ijOS CI), Civil Hightsi Division,
U.S. Department of Justice.
V. DHS-USCIS agiiees 'lo issue the Deiiignated Agent a user idenlifiaalion
nun. ber and password that will ba used a m lus hta ly a access the confirmation
siys'lerr ilori the Hrrployen. This usier idenlifiaation numbers and pasisword will
pear it the Deiiignaled A 1 ant, on behalf of the fImployen, to verify in1brmation
provida d by newly hired amployeesi. .
vi. DHS -USC: S agneeii to iiaileguand Iho inibrmation provided to DHS-USOIS
by the Hrr pla yen, and to limit access to such inform a'I ioii la individuals
nesponsibk ilor the confirmalion of alien employment eligibility and for
a`ialuation of ]7-V4nify, or to ival olher perssons or entities as may be aulhoaiizad by
applicable law. Information will be usio d only '1 o veriily the a acura cy of Social
Seaursily Numbfinii and enplaymeni eligibility, to enforce 'Ihe Immigaiation and
Nationality Act I1INA' and federal chininal laws, and to ensure accwiate wage
repor s -lo the SSA.
vii. DHS -L SCIS agneesi la aslablish a n sans of automated confirmalion that isi
designed in aanjunclion wi-1h SSA conflrrralian proaadmes to priovide
confirmalion ar tentative nonoonfirmalion of employees' employment eligibility
within 3 Federal Governmanl workdays oil-lhe initial inquirM.
viii. DHS -L SC11S agrees to establish a meansi of secondary confirmation,
inc luding upda l ing DHS -L SCI S nea a rsds as may be neca s sany, for em pla ya as who
conlesl i HS-USCIIS tentative nonconfirn ations that isi dfisugnod to provide final
confirn a l is n on nonconfirrr. at ion oil tl a employees' err pla ym en1 elig ibili ly wi'l11 in
10 Fadoml Government work clays of the dale of railerra to DHS-USCIS, unleiis it
delermines that more tlian 10 days may be necessary. In suah eases, DHS-USCIS
will prsovicla additional confirmation insitruclions.
c. EMPLOYER
i. Me Employer agiiees to obtain the notices, described in panagrsaph zl.b.iv.
above, from t1 a Designated Aga n I and display them in a paia minenl pla a e thal isi
a leanly visible 16 prospea live employees.
ii. The flnployer agrees to prsa`iide to the SSA and the DHS-USa1S 'Ihe
names, ti•Iles, addresises, and lalophona numbers of the Employer rseprosen'Ialivesi
to be conlacled regaitling 11 -Versify.
3
Fier ised: July 18, 2007
Company ID Numt or: lu-#345
MHMORANIIUM al+l UNDHIISTAIS IN(I EETW)EIEIN THE
IIEHARTMEI\ T OH HOMELAND SHOURITS , c UCIIAL SH(IURIT)
AIIMINISTRAITION, ANla DHSIGNAITHD AGHN7 REGARDING
H -VERIFY
iii. The Employer agnees to attain tle ENorify Manual liom the Designated
Agent and becorr a familiar v ith sue h manual.
iv. The Hn Illoyen agnees to aomply with ental lishe d Horrn 1-9 pnocedure ,
w 1h one excep1an: When an emplo}lee presents a "IJis1 B" idenlil)I doaumenil, the
Hmployer a g nets Il at it will only accept "Dial H" docun a n d < that coni ain a
pho log naph. IJist H docurr c n l s idenlified in 8 C.A.R. 12 VI a .] (jb; (l; jB); aan be
p:uesenled during the Horn 1-9 pnocess la as-lablish identity.
V. Me E rr pla yc n a g nen s to inil-i� le H-Ve nifi p:u(a edura s within 3 Hrr ploye:u
business da ys of It r ea(i h employee has been hire d, bull a ften bo I h se c Iia n9 1 and 2
of the 13orm 1-9 1 aiie been can 1114 it d, and to aomplele as n an)l steps of the H-
Vanify proaass a9 ane necessary acconcling -lo the E-Venify N anua1. 71 a Hn ployen
agnees not 'lo iniliale a onfirma tion pro a a dunes I a stone the a rr ployee has be an hive d
and tIe Forni'I-9 aampleled. 11-lhe autamated :iysItrr to be que:uiad is Iern poranily
unavailable, the I -day time 11ariod is extended until i1 is again operational in anden
to accomrr oda Ic the E mployen's attempting, in good failh, -lo make .inquirie!i
du:iing -Ihe Ilariod oil unavailability. In all cases, the Employer, Ihiough Ila
Designated Agent, v ill use 1 he SSA verificarl ion praacduru frust, and will use
DHS -U SCIS confirmalion pnocedurc : only as dinecled by the SSA a(infirmialion
nesponsa .
vi. Th e Employer agnees not to use H-Venify plr( c edura : ilor pne-err ployen en
soraaning of.'ob applicants, suppor ilon an 31 unlawfill en 11loymenl praatic a, a r an)l
oil hen use not authonized by 11 is MOU. The Hrr ployen will not veriily : a Itcli`ie ly; it
agnees 1 o use E. Veniily psocedui ie s ifon all new I ine:i as Ion g as thi: MOU is in
elle a I. !he Hrr 11 la yar agra a s not Io us e E-Veniily llrocc clunes for ria venifical ion, or
for em Fll( ya e � hired befa ne the data Ihi� MOU is in effe a I. Ila Employer
undensilands that should the Hnllloyen use H-Varif}1 praaedures for any purpose
otY en than as aulha rized by -Ihi, MOU and by law, the Hen Flla ye a m ay be subject to
ap pnopnial a le g � 1 ac tion ar d 1 he im m edial a to rminal ion of i-1 s access I a SSA and
DHSAJ SCIS informalion pursuar I to This MCM .
vii. Tlhe Employer agues no l lo l al a an y advense act ion a g a irnsl an empl la yea
based upon the employee', emiplo`lmienl eligibility status while SSA on DHS-
USCIS is con pleting the confrnmatioa pnocess se ilor l in panagnaphs 4.a.iv.,
4.a.v., 4.b.vii., and X1.1 .viii. above unless the Employen obtains knov ledge (las
defrnod in 8 a.H.A. § 274a.lill); thal the en ployee is not wonk authonized. 11ha
E n ployen undenslands that an inilial inability oil the 9SA on DHS -L SCl9
aut om a1 ed confirmation I o verify wort aul honizo is n, on a 1 enI a1 iva
4
Rlevisecl:.luly "10, 7007
C oml: ■y ID r umbeu: It 4345
MIIMORANIIUM OH UNIIERS'I ANIS G I D7 MIEHN THE
DHHARTMENT OH HOMHIJAND SEC URITY, SOC IAB SECURITY
ADN INIISTRAlTION, AND DHSIGNA-HELI AIGENT REGARICIINC
E-VERIHY
nonaonf-irmalion, does not mean and should not be intarpre'led a's an indicalion
'Iha l the employee is not worik authorized.
viii. 11he Imployeii ag:uaes to aamply wiilh section 27411 ail the INA by not
discniminaling unlawfully against any individual in hiring, fining, or :uecruilrriiant
praaliaes beaause of lis an her nalianal anigin an, in -Iha cae all a pnotaated
individual as defined in �eclion 27413ijaJ3: of the INA, because of his or her
ci'Iiaenship s Iglus. The Emiploye:u undensiands Thal such illegal pmatiaas can
include dischai€ ing on refilsing la hide eligible emiployees because of their fonei8 n
appearance or language, and da'I any violation of'Ihe unfair immigiialian-related
emiploymant pray lions provisions of 1he INA could iul,jaa l the Employer to civil
penahlies pun, uant 'lo sea lion 2148 of 1he INA and 1he tanmiinalion oil i1s
par iaipation in H-Vernify. III the F mrployer ha: any questions relating to '[he anli-
discrinuination provision, it should cowacl the Office of ite Special Counsel ilor
Immigra lion-Relaled 1J nilair Emiployn tint Pnaclices, Civil Rights Division, U.S.
Depar nue nt ail Justin a a l 1-800-215-768 8 a n 1-8 00-2=1-2515 1 I11DD; .
ix. 11he Employer agmes 'lo uiecojid the ca, a veriiflaation number an the
employee's Form 1-9 on la attach a priintoul of Iha sareen aanlaining ite came
vemification number lo -1he erruplayaa's Form l-9.
X. The Employed will refer individual; to SSA field offices only as directed
by I he a uta mal ed iys'I a m based a n a 1 enl al ive na no a nfirmation, and only alta r 'I I a
Hrnployer records the case ve:uificalion numiber, reviaw� 1he inpul lo detect any
tansaation ernors, and delermines that the emiplayae conlests 1Ihe tenlWiva
nonconf"irmaiion. 11he Errployeui will uiasubmit the Social I aaurit}I Number 1lo SSA
ilor aonfirmalion again iil tl is review indicalem a need to do so. The F miployer will
delermine whatl an 1he employee conlesis 1he lenlalive nonaonfirmation a! soon a,
possible after i1he Employer necaivas it.
xi. Iil the arnployee conlests an SSA tenialive nonaonfirrniation, Ihe Hmployen
will Ilnovide IN employee with a iiefernal latter and instrucl the employee -lo visit
an SSA office'lo resolva this discrepancy within 8 Faderal Governrr ant work days.
11he Ernplayar, Through the Designated Agent, will meal a a mecond inquiry la the
SSA database u: ing E-Vemify psoaeduras within 10 Fedanal GovernmenT
workdays after the da le of tic iiefarral in orders 'lo ob-lain confirmation, o:u final
nonconfirmalion.
)iii. 711a Hmployen agrees 1ha1 it will use tle information it raaeives fnorni the
31SA an DHS-USCIS i1hrough its Ilesignaied Ageni punuanl to E -Verify and this
MOU only -lo confirm -1he ernillloymiew aligibility of newly -hived ernplayaes afteii
Revised: July 18, 2007
Company ED N um be c: 164345
MHMORANDUNI CIF UNDHRST"1NCI HI TWHEN'DHE
BEHARIMI NT CIH HOMEHAND SF CURITM, SOCIAL SHCIURITN
AMIN ISIRA710N, AND DESIGN ATk D A I CIE N1 RECIA RDING
H -VERIFY
eamplelion a] 1he Form 1-9. The Employer agrees that it will safeguard this
informalion, and means oil access 'lo i1, such a! User ID and passwoiids, to en; uiie
that it is not used 11w any oth en purpose and as necd s sany lo pno'I ec'I i1s
o o nfldent iality, including ensur iing th al i I is no -1 di; seri ina 1 e d to any pa nsa n o I ha r
than employees of 1he Enllloyer who need it lo' peiforrr the Imploye:i's
respo nsibilil ies under th is MOU.
)iiii. Ire Imllloyen acknowledges that tie inforrrallion which it receives filom
SSA though ils Hi Signa lad Agen1 is governied by the Riivacy Act Q5 U.S.C. §
ItaQijl', and (13;) and the Social Saaurily Aci (142 U.S.C. 1306(a);, and 1ha'I any
person wha obtains this infarrration under false piie'lenses or uses it ibii any
purpose athen Than as piiovided for in this MOU may be subject llo civil or
criminal penal -des.
xiv. Me Employe: i s gried s no I to ask the d mployee lo obtain a prin t o ut from I he
Sacial Secwiity Nurrbdr dwabasd (he Numiden'I) or oilhe:i wiiitten veiiiflcalion of
the 9 oc ial Secuiity Number from -Ihe SSA other -Than the Social Sac urity Numbe:i
Card.
xv. The F mployei agrees la eefeii individuals to the DHS only when -Ihd
eesponse nec eivad filum the DHS automated confirmation piiocess indic atas a
Ienlall ive nonconfirrralian, and the employed conlesils the tentative
nonconfirrr.alion. The F mployei viill delern ina whether 11he emplailaa contuls 'Ihe
lentalive nonconfrrrr alion as soon as possible aften ilhe Employee receives il.
xvi. til 'Ihe Errpiglar eaceives a tenllalive non( onflrmation torr the DHS-
USC1S, iIhe Employee will eecoiid ilhe case vanifkalian number and dale on 1Ihe
Form 1-9 0:1 piiint the sciieen showing the case wrificalian nurrber and atlaah the
piiinlaut 10 iIhe Form 1-9, determine whethar the err ph joa conlests 1he tentative
nonconfirmalion, and instruct an enplayed who contaalls 10 coniacl 1he DHS-
USCIIS to iiesolve ilhe discrepancy within 8 Federal Government work days, u; ing
E• Veriily peoceduee s. Jlhe DHS-USCIIS will electronically transmit the ra sult a f
the reilerral to 1Ihe Employe:i wilhin 10 Federal Govemniant workdays of the
re lkrra 1.
xvii. 11he Employer agiiees to allow DHS and SSA, or lheh authorized agents or
designees, to make peiiiodic visits to the Err playas fon 1he purillose of reviewing H-
Veriily-ralate (I iiecords, i.e.. Farms 1-9, SSA and DHS confirmalkn 2iecords, which
weie crea led during the Employer's participation in E -Verify. In addi-lian, for the
puglose oil avaluating E•Veeify, the Hmployern agrees ilo allow DHS and SSRI or
1hei.i authorized agents oe desil noes, la inlerview tie Hmployer, employees
6
Reuiaed:. u111'18, :007
Company It Numl E r: 16434;
MEMORANDUM ON UNDERSIANING HETMIFIM THE
DHPAPITMENI OF HC MEI]AND SECURITYI, SOC IAII SECURITY
ADMETSTRATIC r , AND DHSIGNATEI AGENT REGARDING
&VERIFY
handling the progiam, and employees hiiied during parlicipailion in E-Verif}j
concaming their experience wish the pilo 1, and to make emploilment and H-Veriily
-ra la l a d ra e a i ds a va ila l la la DHS and the SSA, or their designated agents or
designees.
d. DHSIGNATHD AICIHNT
i. the Da signaled Algant agrees to provide A the SSA and the DHS -U SCISI
the names, Alles, addresses, and Telephone numbeis of the Designated Aganl
aprasenlalivas who will be aacessing information lhiough E -clarify,
ii. 11he Da signaled Agent agneas to be aortic fan iliar with and comply wi'Ih
the E-Veriily Manual and provide a eapy of tle manual to -Ihe EmpIoyai so Thal
the Bmployei can becoma familiam willh and comply wi'Ih E -Verify policy and
pi ocedui es.
iii. the Designated Ag aril agrees that all Designated A E ant Repnesenialiva s
parilorraing emplaymant verifiea lion queries will corriplata tha E-Veriily Web -
Basad Tlu'lorial.
iv. Ahe Designated Agenl agrees to ob-lain the necessary equipment 'lo uililize
E-Veiify.
V. The Llasigna-led Agent agrees ilo provide the Employer with tla notices
dascnibad in paragraph 4.b.iv. above.
rii. 1ha Designated Agent ag aes ilo iniiliale E -Verify pnocedures on t ehalil oil
the Hmployen in accoi dance with -Ihe B -v arify M anual and E-Veniily Web -Based
Tutorial. 11he Designated Agenl will queryl 11he automaled syslam using
it ilorrna lion pnovidad by the Employer and will immediately communicate the
response back to the Employee. If the aulomaled system to IQ queried is
llemporarily unavailable, 1l e '—day time period is ex-lended until it is again
opena-lianal in c rden to accommoda-le the Designated Agent's attempting, in good
ilai-1h, -lo rniat a inquiries on behalf of -Ihe Hmployeii du ing the period of
unavailability. In all eases, the Designated Ag ant will use the SSA confirmation
procedures first, and will use IIH3I-USO1S confrrrnalion praeadures only as
directed by the S SA conifirmail ion response.
vii. Tl e Df signated Ag( nt agrees -lo allow DHS and SSA, or their authorized
agezls or designees, to rnake peniodia visits la the Uasigna'led Agent ilor the
purpose of reviewing E-Veriily-re late (I records, i.e., Aorms I-9, and DHS
I
Reidai d: Juill 'le, 91147
Comps a31 ID Is r ni bf r: 164345
MHM ORANDUM (IF UNI IM STMNIINCI H1111WHEN THE
13EI A.R'MMHN T OP HOMFILA-ND SHOURITN , SOCIAL SHOURIT-i
Al MINISIRAIJON, AND DESIGN AITHD AOBN7 RMAIRDING
H -VERIFY
aonfirrniation nacords, whish wane aneated duing the Dasigr � led Agent's
parlicipalior in E-Veriliy. In addition, fan the purpose of evaluating E-Venif}j, the
Designaled Agent agnees to allow DHS and SSA on t.Ieir aulhanized agent9 or
designees, to interview the Designated Agan1 and employees Handling the
progiiam concerning thein experiiance with the pilot, and to rnake EA enify-iielal a d
records available to DHS and the 9 SA, or thein designated agenls a ri des igne o , .
5. AC IINT CIIF CONTACT:
N a u may call H- V enify loll hiee al 1-8 8 8 -464-42 18, or wrnit a to:
U.S. Citizenship and Inimigralian Senviaes
Verificail ion Divi; ion
474 WEinfant Alaza, SW
Was hinge on, DG 20 034
6. OTHE R PROVISIONS.
a. Nolhing in This agraemant shall be constrLed to supensade, conflict, or
mcdifyj 1Ihe emplallan's nesponsibililias under section 274A of the INA no -l. to
employ unau-lhonized aliens on to hire individuals wi-lhaut verifying idernlity and
employni a ni eligibility on Ila rrri I-9.
b. Nothing in This Agro a m a nt is intended to si onf lis l with currant law on
negulalian or the directive! of The DHS-USCIS of SSA. If a terror of this
agreement is ineonsis-lenl with such autloriily, then thall term shall t a invalid, bu-1
The remaining terms at(I condilions of This agreement shall i emain in filll foi ce
an d a lfecl .
C. Hach par y shell be s ole ly responsible for defending any a la im a r ac -lion
againsll i'I arising out ail of > ala lad A E-Veriily of -Ihis MOU, whether civil or
criminal, and for any liabiliily (here f am, including, but noel limiiled to, any dispute
be-lween IN Hmployei and any others persan or entit�j regarding 'Ihe applicability
of Section 01(ldl of IIRIRAI la any action taken an allegedly taken by the
limployel .
d. Each par y undars Ian ds Iha I some a r all SSA and DHS- U9 CIIS
ie, ponsibililias under this N OU may ba parformed by cowraclaills'.
e. Hach party underslands iiha•I Iha laat of its particiipation in H -Verify is rot
confidenilial information and may t a disclosed as autl arized of negluii ad by law
8
F evised: July 18, 2007
Company ID Numl i r: 104345
MI M ORANDUM OF UNDHRSTANINCI HD'DWHEN 'DHE
E EHAR IMHN7 CIH HOMHIIAND SDI0URIT-1, SOQLAIL SHOURIT-1
Al MEWS ARAMON, AND I >EISIGN ATHD AGHN7 REGARDING
H-VERI BI
and 11 SCIIS (.n SSA policy, including but not lirniled la, Clangnessional mlersighl,
H -N erify publicity and niiedia inquimies, and nasponses la inquiries under the
Rieedorn of Infarmalian Aat f111CIIA,.
7. HFHIEICTIVE DATH, The Terms of this a greament will become effeclive upon the
signature of all parlies, and shall conlinua in eftat fon as long a s the 91SA and the DHS-
USCl91 admiinislen E-Verifyj.
8. MOIIIFICATION. 11his agreement may be niiadified upon 1he rnulualwiiitten
aonsenl afall par iii.
9. TERMINATE ON. This agmenlenl, as modified with the consent of all paries, ni l
1 e lenniiinated by anal par upon 30 days prior wtsitlen nolice 'lo 1he others. '➢erminalion
b`l any par `l shall lermina la the N CIL as 'lo all par ias. The SSA os the Hb 91-USCIS niiay
Iarminala This MOU withoul prion noliae A deerned necessary because of -Iha
requinernianls of law or palicy, or upon a delerruinalion b,l SSA of the DHS-USCIS slhal
there has 1 aen a breach of system inlegnily or seaur-iry by your client, ori City of Slav
Juan [ apisilrane ilDesignasled Agent, on , failune on slhe pars oil youyi alienl or City of
flan ,Tuan Capisilrana (IDesignated Agent; ilo comply wish eslabli:ihed proaadunes on
legal requinemenls.
Reiiised:.lul)l 18, 2007
Cla m pang ID Numbed: It 4345
M EM URANI UM OH UNDI HSI ANING HEI WI HN I HE
I EAIARI M W T OH HOMELAND SI OURIT M, 9 ❑01A1 SHOURITY
Al M IN] STRA Tl ON, AND DI SIGNAITI D AGI NT REGARD ING
I -VERIFY
The individuz is whose 9ignatunea appear below vepresenil Ihal tha;l ane authorised la anteii
inla this N OU on behz lil of the Ilia signaled Agent aid the DP S-USCIIS respectively.
If ala u I ase any questia ni, conilact I -Verify ail 888-464.4218.
APPROVED HN:
Designa led Agent Cite e i Stan Juan (la pistlrano
Ka 11 Le en So ringer
Name i JPlease -lypa or paint; -
�itle
tllacilrai iaa, Iji . igneu
I:IIII�INi708
Signa lune Data
Haparilm4nil of Homela nd'l4amiq.. Varifiaalion Division
USCIS Nle ri5cailion Divisie i
Name (Pleama t1pa aii print; � 7litle
Eltia, Ironicall,11,! igner, 1 lMiI2008
Signatu�ie Date --
la
Revised: July '18, 2007
Company IH N un 14 I1: , u4345
MEMORANDUM OR UNDDRS7 ANITNG BHTWERN THH
DI NAP TMENT OF HI(IMHIAND SE(IURI1Y, SOUILAH SD(IURHY
AIDMINI ST RAIT: (N, ANII DHSIGNA'I ED AGHN T RI GARI O CI
E-VHRIFY
I NF ORMATI ON RHQUI RED
FOR THE E• VERH Y DESIGNATE D p. GI 141 PROGRAM
Int rmadi n ra latinl to ) our Cornpan) :
G ml am)INarna: City ofIsn JuanCapistnana
Cc ml any ]taailit) Address: 324101 Pssoo Ade is n
Sam Ji an Ca pistu no, CA 93619
Con pan)I Alternate Address:
( ( usty a r Pal ish: ORA NNE
Emp lo)ler Iclontifia atioa N unt or: 9561(+1(16!1
T,ortl EmeriaejInclustry 13.1
Classiiheation SN sterr s Code:
H aj a nt Cc rel any:
Numt er c Emplayaos: _ 1011 to L91 N urrl er of Sites Verified for: l
Are )lou varif;Iing R mora tl au I site? I11)les, please 1rovicle the ■umbar olsitcs licriihad for in aaal S tate,
CA LIFM IA
1 site(s)
Istrroatic n relating to the Jr( gran Aclrainistntor(s):bryaur Ci ml allyl ( n polio, questions t r operatic nal I rel Ices:
Tama: Litra Flandmix
Talapf c nu 1` un be r: (141) 4,13.- (1332 Fax r urr bar: (9, 9) X181 - 3871
H-rr ail ' ddress: It em duix@ss njuanca pistranomig
Mn e: Idattlaem N Sl hq,ir
TolcltoneNumter: (9,15),141-6321 Fa Numter: 041)418-3814
E-mail Address: kspnin jcm(&,sanjuanaat istnano.ca8
N
Revised: Jul) 'I 8, 2007
(lo m pany ID Number: 1 b=13 419
MBMORANII TIM OA UNDERS TANING EETWEEN TBIE
I DI AIRTMEr 11011 HOMELAND SECIURITY, S CKIIAL SECIURITY
ADM INISTRAITION, All D DESIGNATED AGENT REGARUING
H -VER] I Y
17
Revised: July 18, 2007