CM-08-04-075BLUE SHEET FORMAT
DATE: March 31, 2008
SUBJECT: City Manager - April 4, 2008
ITEM: Action authorizing the City Manager sign a request to
provide access for Transportation Electronic Award Management
System (TEAM) for Greg Goodman 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 Greg Goodman 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
Transportation Electronic Award Management System (TEAM)
Grantee / Recipient User Access Request
Check Applicable Box: New User With Pin
New User Without Pin
Modify User
Delete User
Username
N,
_
Warning: The information contained in this form is protected under Public Law 93-579, Privacy Act.
USER INFORMATION
Gender M / F (Optional)
Greg Goodma r 512- 23(0'8002
First Name* M/l Last Name*
C blirFr4efvY
Office Phone* SSN (Last 4 Digits)*
5i2- 234.' 6004
Titre
Ci -hi of Round ito ek
FAX Number
oodaihe9oocf nlanborp.Cow
Organization Name*
Mailing Address(Street Number, City, State and ZIP Code)*
'The Goodman 0Arpof a4 -ion
Recipient ID
nl�il
Address*
Us
is Authorizing Signature (see instructions)
fi4-11/l �S 12- 0/65 4.3. U8
1/►�15 r. lo- St-., Ste aoa
A AS -611 ; VX 18109-
Pnnted Name of above Date
I his is mformahon is required to establish or modify your 7tAM user account. By completing this form, you expressly attest that information provided is true and complete to the best of your
knowledge. Invalid information will be grounds for refusal to establish a new user account or the basis for deletion of an existing TEAM account
APPLICATION ACCESS (Check all that apply j.
Recipient
Access Type
Inquiry Only
Production
Quality Assurance
Both Production and QA
Recipient
PIN Functions
Submit Application
Execute Awards
Certify as Lawyer
Certify as Official
Certify as Both Lawyer and Official
Provide Supplemental Agreement
require Designation of Signature
Designated 1 ted Recipient ID(s) (Indicate Below)
(p4v3
Database
~
Metropolitan Planning Organization (MPO) ID
_
(PIN Functions
Authority on Organization/Agency Letterhead. See instructions).
ACKNOWLEDGMENT OF RULES OF CONDUCT FOR SYSTEM USE
As
access
1.
2. I
private,
3. I
and
4. I
5. I
6. I
to my
I agree
other
and
a TEAM user, I understand that I am personalty
and accepting/using such access that I must
When downloading sensitive information, I will
will not permit anyone to use my TEAM access
not stored in a place that is accessible by
will follow standard password procedures and
contain at least one (1) capital letter and one
will report any security problems and anomalies
will notify the appropriate FTA Office to eliminate
understand that if I am not using FTA -supplied
equipment by auth 'zed representatives of
t.r d will I all of these conditions
.' .linary gal , ction. By signing my
sions that accept the responsibility.pf
responsible for the
comply with the
ensure that the information
information (i.e.
anyone other than
change my password
(1) number.
in system performance
my TEAM access
equipment and FTA
the Federal Govemment
and understand
name in the space
adhering to the
use and misuse
following:
has the
user ID, password
the myself (i.e. family
every ninety
to the appropriate
in the event of
suffers a security
to determine
that failure to do
below, I hereby acknowledge
same.
3/17/oq•
DatePnntedame
of my TEAM login ID and password. I understand that by requesting TEAM
same level of protection as FTA applications.
or other authentication). My password (or other authentication) will be kept
members, friends, etc.). If stored, the password will not be in text format.
(90) days. My passwords will be at least eight (8) alphanumeric characters
FTA Office.
job transfer, termination, or if TEAM access is no longer required.
breach or compromise that is my fault, I may be required to allow access
the causes and to take corrective action(s).
so will result in permanent removal of my TEAM access, and may result in
this agreement, and certify that I understand the preceding terms
C(- G o. .A..\,::, ✓l
Si • at -
A AUTHOR r TION
FTA Functional Approval
/ /
Date
FTA Operational Approval
Signature of Authorizing FTA Official
Signature of Authorizing FTA Official
Printed Name
Printed Name
Title / Office
TFAM RFnIPIFI.IT 1 fan. P-....--• C..-..
Title / Office
!I_
Date Processed
UserlD PIN
Revised 09/25/2006
CM -0`6-0,4-b15