CM-08-02-026BLUE SHEET FORMAT
DATE: January 29, 2008
SUBJECT: City Manager - February 1, 2008
ITEM: Action authorizing the City Manager sign a request to
provide access for Transportation Electronic Award Management
System (TEAM) for Wendy O'Brien of Goodman Corporation
Department: Finance
Staff Person: Cindy Demers, Finance Director
Justification:
Goodman Corporation is the consulting firm hired to assist the City with
transportation planning. The City has is currently in the process of applying
for grants from the Federal Transit Authority (FTA). This authorization will
allow Wendy O'Brien access to TEAM system to assist with this process.
Funding:
Cost: N/A
Source of funds: N/A
Outside Resources: N/A
Background Information: N/A
Public Comment: N/A
Blue Sheet Format
Updated 01/20/04
Check Applicable Box:
Transportation Electronic Award Management System (TEAM)
Grantee / Recipient User Access Request
New User With Pin
New User W thout Pin
H
Modify User
Delete User
Warning: The information contained in this form is protected under Public Law 93-579, Privacy Act.
ltl»a
Username
Wendy
First Name* M/I
Contractor for the City of Round Rock
Title
City of Round Rock
Organization Name*
O'Brian
Last Name*
Mailing Address(Street Number, City, State and ZIP Code)*
The Goodman Corporation
1715 E. 6th Street, Ste 200
Austin, TX 78702
6631
Recipient ID
Gender M / F (Optional)
(512) 236-8002 2672
Office Phone*
(512) 236-8004
FAX Number
wobrian@thegoodmancorp.c .
Email Address*
SSN (Last 4 Digits)*
User's Authorizing Signature (see instructions)
James R. Nuse, P.E.
Printed Name of above
*l his is information is required to establish or modify your (LAM user account. By completing this form, you expressly attest that information provided is true and corn
knowledge. Invalid information will be grounds for refusal to establish a new user account or the basis for deletion of an existing TEAM account °fie to the best of your
APPLICATION ACCESS S (Check ail that a ,
Recipient Access Type
Inquiry Only
Modify/Update
Recipient PIN Functions Designated Recipient ID(s) (Indicate Below)
Submit Application 6631
Execute Awards
Certify as Lawyer
Certify as Official
Certify as Both Lawyer and Official Metropolitan Planning Organization (MPO) ID
Date
Provide Supplemental Agreement
(PIN Functions require Designation of Signature Authority on Organization/Agency Letterhead. See instructions).
ACKININNIEDOMIENT OF RULES OF CONDUCT SYSTEN U$E
As a TEAM user, I understand that I am personally responsible for the use and misuse of m TEAM I
access and accepting/using such access that I must comply with the following: y ogin ID and password. I understand that by requesting TEAM
1. When downloading sensitive information, 1 will ensure that the information has the same level of protection as FTA applications.
2. I will not permit anyone to use my TEAM access informationi.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. I will follow standard password procedures and change my password every ninety (90) days. My passwords will be at least eight (8) alphanumeric characters
and contain at least one (1) capital letter and one (1) number.
4. I will report any security problems and anomalies in system performance to the appropriate FTA Office.
5. I 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. I understand that if I am not using FTA -supplied equipment and FTA suffers a security breach or compromise that is my fault, I may be required to allow access
to my equipment by authorized representatives of the Federal Govemment to determine the causes and to take corrective action(s).
I 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, I hereby acknowledge this agreement, and certify that I understand the preceding terms
and provisions and that I accept the responsibility of adhering to the same.
Wald -9 d &'Ua ,
Signature
FTA AUTHORIZATION
L#25i o8 Wendy O'Brian
Date Printed Name
FTA cti l Approval
Sign.. , thoriz' g fTA Official
Print
Title / ce
TEAM User Access Request Form
Revised 03/15/2006
2/1/ M
Date
FTA Operational Approval
Signature of Authorizing FTA Official
Printed Name
Title / Office
Date Processed UserlD PIN