HomeMy WebLinkAboutWDFW Fish and Wildlife info JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of Commissioners
FROM: Kevin Hitchcock, GIS Coordinator/Administrator
DATE: September 9th,2024
RE: Sensitive Fish and Wildlife Information Release Agreement
Between State of Washington Department of Fish and Wildlife
and Jefferson County
STATEMENT OF ISSUE:
Informed land use decisions and scientific research often require information about the specific
locations of fish, wildlife, and habitats. In certain circumstances (e.g., species with a black-
market value), disclosing the precise locations of vulnerable species could put them at risk. To
preclude inadvertent harm to vulnerable species, Washington's Public Disclosure law(RCW
42.56.430(2)) allows WDFW to restrict access to Sensitive Data.
ANALYSIS:
The purpose of this Agreement is to serve as a confidentiality agreement and data sharing
agreement to enable WDFW to disseminate Sensitive Fish and Wildlife Information a
Qualified Entity for the purpose of improving outcomes for fish and wildlife from decisions
made related to land management, fish management, wildlife management, or scientific
research. This Agreement enables WDFW to disclose Sensitive Data to the Recipient while
still maintaining rights in and control over such data. This Agreement preserves confidentiality
of the Sensitive Data and prevents its unauthorized Disclosure
FISCAL IMPACT:_
No fiscal impact.
RECOMMENDATION:
Jefferson County Central Services GIS recommends BOCC electronic signature of this
agreement using DocuSign.
REVIEWED BY:
Mark McCauley h'oun Administrator Date ///2/1"4"
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Washington Department of Fish&Wildlife Contract No: CS-08262024
Contract For: Sensitive Fish&Wildlife Information Release Agreement Term: to 08/31/2027
COUNTY DEPARTMENT: Central Services
Contact Person: Kevin Hitchcock
Contact Phone: 360-385-9365
Contact email: kmhitchcock@co.jefferson.wa.us
AMOUNT: $o PROCESS:
I Exempt from Bid Process
Revenue: Cooperative Purchase
Expenditure: Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s) of Matching Funds Vendor List Bid
Fund# RFP or RFQ
Munis Org/Obj Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMPLIANCE WITH JCC 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: t N/A:I—J U4-/W. � ,,,_ 08/27/2024
Signature Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: ❑ N/A: rim I VAL \ � , 08/27/2024
Signature Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
Electronically approved by Risk Management on 8/28/2024.
State agreement. PAO signature block added to the signature page.
STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 8/29/2024.
State language -- cannot change.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
1
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41B9FAA57A8E
WDFW Questionnaire for Sensitive Fish and Wildlife Information
f Applicant's Applicant's
f WDFW contract WDFW agreement
, 3 signer manager
•Fills out the form •Reviews draft contract •Reviews&signs final •Signs the final •Downloads the
•Reviews the draft •Adds info to finalize contract contract sensitive data
contract contract •Uploads data to
box.com
To get"sensitive" (confidential) data follow these steps.
1. Answer the questions below.
• Your answers will be inserted into the PHS Release Agreement (contract) below.You can
revise the answers as needed in the contract. When the draft contract is acceptable to
you, click on "Finish"to forward it to WDFW.
2. If you meet the qualifications to receive sensitive data, we will fill in additional elements of
the contract and send the contract to the person who will sign on your behalf.
3. The person with authority for your organization signs the contract and clicks "Finish."
4. WDFW signs the contract, gathers and uploads the data to box.com,then forwards to your
agreement manager the final contract with a link to the data.
S. Your agreement manager downloads the sensitive data.
If you have any feedback regarding this form or our new process, please contact
PHSproducts@dfw.wa.gov.
For more info about who is qualified to receive sensitive data, see RCW 42.45.430(2) available here:
https://app.leg.wa.gov/RCW/default.aspx?cite=42.56.430.
WDFW Questionnaire for Sensitive Fish and Wildlife Information Page 1 of 4
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41B9FAA57A8E
PART 1: GENERAL INFORMATION
Question 1: Is your proposed use of sensitive data in support of land management, fish
management,wildlife management, or scientific research?
p Yes
0 No
Question 2: Select which type of entity is seeking sensitive PHS data:
Government agency
Question 3a: How are you affiliated with the entity? If you are an employee of the entity or are the
landowner or easement holder, select"Qualified Entity." If you are a consultant working on behalf of
a client, select"Agent for a Qualified Entity.": Qualified Entity
Question 3b: Who is your client?
Access to sensitive data is limited to agents who are working on behalf of a Qualified Entity.
If you are an agent, provide the name of the Qualified Entity on whose behalf you are working.
Also provide the contact information for someone at the Qualified Entity who can verify your
status as an agent.
Qualified Entity's Name:
Name of Person at Qualified Entity who can verify your status as an agent:
Email Address of Person at Qualified Entity who can verify your status:
PART 2: PHS RELEASE AGREEMENT INFORMATION
The PHS Release Agreement(aka Data Sharing Agreement, Confidentiality Agreement, or Non-
Disclosure Agreement) is a contract that ensures the confidential data is adequately protected and is
not disclosed.
Question 4: What type of project is this?
Other County planning department critical area review, land management
Question 5: What is the legal name of the entity with whom WDFW will enter into a PHS
Release Agreement contract?
Examples: "XYZ County", "Consulting Firm, Inc.", "Prof. T.R. Jones", "Mary Doe", "USFWS
Washington Fish &Wildlife Office".
Jefferson County
Question 6: What is the name of the project for which sensitive data is sought?
Examples: "2024 Q1 PHS data refresh for City of Olympia" or"Big Sunny Solar Project"or"Smith
house construction project"or"Sage Grouse Thesis—Sanchez".
2024 Jefferson County PHS Data Refresh
WDFW Questionnaire for Sensitive Fish and Wildlife Information Page 2 of 4
Docusign Envelope ID:A58D72B5-F05C-412148-8F10-41B9FAA57A8E
Question 7: For what geographic area are you requesting PHS spatial data?
Example answers: "City of ABC", "See zip file emailed 4/6/24", "Parcel XXX-XXX-XXXXX in Snohomish
County", "S20-T31-ON R6-OE". Notes:
• The geographic extent must be limited to the area for which you are qualified to receive
sensitive data (e.g., land you own or have an active lease for, the extent of your jurisdiction or
study area).
• To provide the geographic extent via a GIS file (preferred) or image, please attach it to an
email to i .b,. Please include the contract number (e.g., "PHS
2024XXXX-X").
Jefferson County,WA
Question 8: Who will manage this agreement for you?
The"agreement manager" is the contact person and the day-to-day manager of the agreement. This
person does NOT need to have the authority to sign a contract on behalf of your entity.
Agreement manager's full name: Kevin Hitchcock
Agreement manager's title:GIS Coordinator/Administrator
Agreement manager's phone number: (360)385-9365
Agreement manager's email address: kmhitchcock@co.jefferson.wa.us
Question 9: Who will sign the agreement for your entity?
The person who signs the contact must have the authority to legally bind your entity.
Contract signer's full name: Kate Dean
Contract signer's title: Chair, Board of County Commissioners
Contract signer's email address: kdean@co.jefferson.wa.us
Question 10: Who will be your "authorized users"?
Access to sensitive data is limited to employees and agents who require knowledge of the sensitive
data for the purposes of the agreement. Enter the name and/or title of each employee or agent that
is to be designated as an authorized user.
Community Development Director,Development Code Administrator,Planning Manager, Planning
Supervisor,Planners(Principal,Senior,Associate,Assistant),Permit Center Coordinator,Planning
Technician, Code Compliance Coordinator,Director Environmental Health&Water Quality,Environmental
Health Manager, Natural Resources Program Coordinator, Natural Resources Program Clerk Hire,Water
Quality Manager, Environmental Health Specialist,Environmental Health Technician,Code Compliance
Specialist,Central Services Director,GIS Coordinator/Administrator,GIS Analyst/Cartographer,Public
Works Director,Assistant Public Works Director,County Engineer, Engineering Services Manager
WDFW Questionnaire for Sensitive Fish and Wildlife Information Page 3 of 4
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41B9FAA57A8E
PART 3: FORMAT OF THE DATA TO BE PROVIDED
Question 11: In what format do you want the Sensitive PHS Data? (check all that apply)
Digital (includes all PHS data)
• Esri file geodatabase
O Shapefile
PDF of 9-section, 1:24,000 scale map (for printing on 11 x 17 paper)
O All PHS Data, except items below
O PHS Shrubsteppe and Eastside Steppe
O Marine Resources (set of three maps: forage fish, marine fish, shellfish areas)
WDFW Questionnaire for Sensitive Fish and Wildlife Information Page 4 of 4
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41B9FAA57A8E
WDFW No. PHS-20240730-1
SENSITIVE FISH AND WILDLIFE INFORMATION RELEASE AGREEMENT
BETWEEN
STATE OF WASHINGTON DEPARTMENT OF FISH AND WILDLIFE
AND
Jefferson County
This Sensitive Fish and Wildlife Information Release Agreement(Agreement)is made and entered into by and
between the WASHINGTON DEPARTMENT OF FISH AND WILDLIFE, hereinafter referred to as"WDFW," and
Jefferson County hereinafter referred to as"Recipient."
PURPOSE
The purpose of this Agreement is to serve as a confidentiality agreement and data sharing agreement to enable
WDFW to disseminate Sensitive Fish and Wildlife Information a Qualified Entity for the purpose of improving
outcomes for fish and wildlife from decisions made related to land management,fish management,wildlife
management,or scientific research.This Agreement enables WDFW to disclose Sensitive Data to the Recipient
while still maintaining rights in and control over such data.This Agreement preserves confidentiality of the
Sensitive Data and prevents its unauthorized Disclosure.
BACKGROUND
Informed land use decisions and scientific research often require information about the specific locations of
fish,wildlife,and habitats. In certain circumstances(e.g.,species with a black-market value), disclosing the
precise locations of vulnerable species could put them at risk.To preclude inadvertent harm to vulnerable
species,Washington's Public Disclosure law(RCW 42.56.430(2)) allows WDFW to restrict access to Sensitive
Data.WDFW's policy"Releasing Sensitive Fish and Wildlife Information" ("Policy 5210") specifies the
conditions under which agency staff may disclose Sensitive Data to people outside of the agency. Policy 5210's
Appendix A specifies which information WDFW considers"sensitive". WDFW must also conform to state data
security requirements. Policy 8650.02 "Data Security"specifies what measures must be taken to safeguard
confidential data.This Agreement specifies the terms and conditions under which WDFW may provide Sensitive
Data to a recipient.As specified below,to receive Sensitive Data,the recipient must agree to safeguard the
data consistent with data security requirements and not release it in a way that would violate Policy 5210.
DEFINITIONS
"Agreement" means this Data Sharing Agreement including all documents attached or incorporated by
reference.
"Data Backup" refers to the duplication or archiving of data for the purpose of being able to restore them in
case of data loss.
"Data Encryption" refers to ciphers, algorithms or other encoding mechanisms that will encode data to protect
its confidentiality.
"Data Storage" refers to the state data is in when at rest.
"Data Transmission" refers to the methods and technologies to be used to move a copy of WDFW Data
between systems, networks,and/or workstations.
WDFW Sensitive Fish and Wildlife Information Release Agreement
PHS.RA.4.25.2024 Page 1 of 6
Docusign Envelope ID:A58D72B5-F05C-4048-8F10-41B9FAA57A8E
"De-Sensitized Modeled Data" means formerly Sensitive Data that upon written determination by WDFW is no
longer considered Sensitive Data due to alteration.
"Disclosure"means to permit access to or release,transfer,or other communication of WDFW Data provided
under this Agreement by any means including oral,written,or electronic means,to any party except the
Recipient and its authorized users. However, informing a third party whether a specific property under a
Sensitive Data mask is or is not affected by the sensitive species or habitat is not considered a disclosure.
"Generalized Data" means a Sensitive Data point or polygon location that is generalized (i.e., masked)to the
resolution specified in Policy 5210 Appendix A.When generalized,the data is no longer Sensitive Data.
Generalized Data does not include Sensitive Data displayed on maps of any scale, including fine(1:100,000)
or very fine(1:250,000)scales—even at these scales,Sensitive Data must be masked without WDFW's prior
written permission.
"Non-Sensitive PHS Data" means information provided by WDFW that(1) meets the criteria established by the
Priority Habitats and Species program for Priority Habitats or Priority Species,and(2) is not considered
sensitive in WDFW Policy 5210 Appendix A.
"Qualified Entity" means the following entities: (1)Government agencies, (2)Tribes, (3)Accredited colleges and
universities, (4)Owner, lessee,or right-of-way or easement holder of private land to which the data pertain
or who initially provided the data,and(5) Public utilities.When a Qualified Entity authorizes an agent(e.g.,
consultant)to represent the Qualified Entity for a Project,the agent is a Qualified Entity for that Project;
when the agent ceases to represent a Qualified Entity for a Project,the agent is no longer a Qualified Entity
for that Project.
"Policy 5210" means WDFW's policy entitled,"Releasing Sensitive Fish and Wildlife Information."
"Project" means a discrete individual or collaborative effort related to land management, resource
management,or scientific research by a Qualified Entity within a defined Project Boundary for which
Sensitive Data is sought.
"Project Boundary" means the Recipient-defined area of interest for which the Recipient is entitled to receive
Sensitive Data together with a WDFW-determined buffer, if any.
"RCW" means the Revised Code of Washington.
"Sensitive Data"or"Sensitive Fish and Wildlife Information" means information owned and provided by WDFW
that is considered sensitive in WDFW Policy 5210 Appendix A.
PERIOD OF AGREEMENT
This Agreement shall begin on 08/29/2024 ,or the date of execution,whichever is later,and end on the date
specified in Appendix 1, unless terminated sooner as provided herein.
QUALIFIED ENTITY
The Recipient certifies that they are Qualified Entity
, because the Recipient is a government agency.
DATA TO BE SHARED
Sensitive information will remain the exclusive property of WDFW.WDFW will share with the Recipient the
Sensitive Data specified in Appendix 1 within the Project Boundary.WDFW will also provide all Non-Sensitive
PHS Data within and near the Project Boundary.The Project Boundary is described in Appendix 1 within
Washington State.
WDFW Sensitive Fish and Wildlife Information Release Agreement
PHS.RA.4.25.2024 Page 2 of 6
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41B9FAA57A8E
AGREEMENT MANAGEMENT
The agreement manager for each of the parties shall be responsible for and shall be the contact person for all
communications regarding the performance of this Agreement:
See Appendix 1 for the names and contact information of each party's agreement manager.
ACCESS BY AUTHORIZED USERS
The Recipient will provide access to Sensitive Data only to the Recipient's employees and agents who require
knowledge of the Sensitive Data for the purposes of this Agreement and are specified as authorized users in
Appendix 1.When a person ceases to be an employee or agent of the Recipient,the Recipient will terminate
that person's access to Sensitive Data and update Appendix 1.The Recipient will ensure that all authorized users
are familiar with,comply with,and are provided a copy of this Agreement.
Any internal display of Sensitive Data among authorized users shall include a notation warning that the display
contains confidential information.
The acts or omissions of a Recipient's Authorized Users with respect to the Sensitive Data shall be deemed to be
acts or omissions of the Recipient.
PAYMENT
WDFW will not charge Recipient a fee for production of this data.
DISCLOSURE OF SENSITIVE AND NON-SENSITIVE DATA
WDFW and the Recipient acknowledge that the protection of Sensitive Data is essential.The Recipient agrees
that the Recipient will not Disclose Sensitive Data.
Generalized Data—Recipient may divulge Generalized Data consistent with Policy 5210 Appendix A.
De-Sensitized Modeled Data—The Recipient will submit to WDFW any Sensitive Data and related metadata
that the Recipient proposes to qualify as De-Sensitized Modeled Data.WDFW may approve or reject the
proposal. If approved,the approval will take effect upon WDFW Amending Appendix 1 with the approval
statement.
Policy 5210 Appendix A Update—If Policy 5210 Appendix A is updated resulting in formerly non-Sensitive Data
held by Recipient becoming Sensitive Data,WDFW will provide Recipient with the updated appendix and
Recipient will treat that newly designated data as Sensitive Data. Upon delivery,the updated appendix shall be
incorporated by reference and shall replace the expired appendix.
Emergencies—If, because of an emergency or a critical resource protection need,WDFW's Director waives
restrictions on the release of Sensitive Data or adds a new species or habitat to Policy 5210 Appendix A,such
changes will be immediately incorporated by reference into the Agreement for the duration of the emergency
or critical resource protection need.
AUTHORITY
The signatories to this Agreement represent that they have the authority to enter into and bind their respective
organizations to this Agreement.
DATA CLASSIFICATION
WDFW Sensitive Data is classified as Category 3-Confidential Information:Confidential information is
information that is specifically protected from Disclosure by law,specifically RCW 42.56.430(2).
WDFW Sensitive Fish and Wildlife Information Release Agreement
PHS.RA.4.25.2024 Page 3 of 6
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41 B9FAA57A8E
ACCESS METHOD
Sensitive Data will be provided using box.com or Secure File Transfer assuring encryption in transit and at rest.
PERMITTED USE OF DATA
The Recipient will use and access Sensitive Data provided under this Agreement only for the limited purposes of
carrying out activities pursuant to this Agreement as described herein. It is understood that this Agreement does
not grant the Recipient an express or implied license or an option on a license,or any other rights to or interests
in WDFW's Sensitive Data. The Recipient will not duplicate or re-disclose WDFW Data to a third party without the
prior written permission of WDFW.
PROTECTION OF DATA
The Recipient will take due care to protect Sensitive Data from unauthorized physical and electronic access as
described in this Agreement.The Recipient will ensure the Recipient is in compliance with all appropriate federal
laws and applicable provisions of the State of Washington Office of the Chief Information Officer(OCIO)Policy
141,10 security standards, including those related to Data Storage and Data Transmission.The summary below
is provided for convenience; Recipient is required to comply with the OCIO policy.
Secure area-The Recipient will store WDFW Data in an area that is safe from access by unauthorized people.
Encryption at rest-The Recipient will ensure that the data is encrypted at rest(i.e., during Data Storage) using
an industry standard encryption method such as BitLocker or cloud server virtual machine encryption.
Secure password-The Recipient will protect electronic data with a secure password to prevent unintended or
inadvertent Disclosure.
Mobile computing: Recipient will only store Sensitive Data on a laptop or mobile phone that uses industry
standard encryption algorithms or cryptographic modules validated by the National Institute of Standards and
Technology(NIST).
Portable storage devices/media-The Recipient will not store any Sensitive Data on portable storage devices or
media such as tape drives,zip drives, removable hard drives,or USB Data Storage devices.
DISPOSITION OF DATA
Upon termination of this Agreement,the Recipient shall ensure that all Sensitive Data as described herein is
removed and destroyed in a secure manner.Sensitive Data received under this Agreement will be removed from
computer equipment after it has been used for its stated purposes by using a utility for securely overwriting the
data or physically destroying the media in such a way that data cannot be recovered.The Recipient shall certify
in writing within ten business days of termination of this Agreement that all copies of WDFW Data stored on
Recipient servers, backup servers, backup media, or other media including paper copies have been
permanently erased or destroyed.
DATA BACKUP REQUIREMENTS
Any Data Backup conducted by the Recipient of Sensitive Data are subject to the requirements to protect
Sensitive Data as detailed in the PROTECTION OF DATA section above.
SECURITY BREACHES
The Recipient agrees that in the event of any breach or compromise of the security,confidentiality,or integrity
of Sensitive Data,the Recipient shall notify WDFW of the breach of the security system containing such data
within 24 hours.
WDFW Sensitive Fish and Wildlife Information Release Agreement
PHS.RA.4.25.2024 Page 4 of 6
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41 B9FAA57A8E
FEDERAL AGENCIES
If the Recipient is a Federal Agency,the provisions of this section apply.
WDFW is the exclusive owner of the Sensitive Data subject to this agreement.The Recipient shall in all respects
treat it as the proprietary information of WDFW in accordance with all procedures reasonably necessary to
protect WDFW's proprietary rights therein. Disclosure of Sensitive Data is prohibited, unless otherwise required
to be released by the Freedom of Information Act(FOIA,5 U.S.C. §552).
If Sensitive Data released under this agreement is the subject of a FOIA request, and the information is deemed
an "agency record" under the Act,the Recipient shall use its best efforts to notify WDFW at least 10 working
days prior to providing this data to the requesting party. Notification shall include a copy of the FOIA request,
including the name and contact information for the requestor,via e-mail to WDFW's Public Disclosure Officer
(DFWPDR@dfw.wa.gov).The Recipient agrees not to Disclose Sensitive Data subject to a FOIA request until 10
working days have passed since notifying WDFW of the request unless the Recipient is required to do so under
the FOIA.
Each party shall be responsible for the acts,errors and omissions of itself and its own officers,employees and
agents acting within the scope of their authority and within the scope of the performance of this agreement.
GENERAL TERMS AND CONDITIONS
Amendments-This Agreement may be amended by mutual agreement of the parties. Such amendments shall
not be binding unless they are in writing and signed by personnel authorized to bind each of the parties. Items
specified in Appendix 1 may be amended by each party's agreement manager;such changes take effect upon
written notice to the other party's agreement manager.
Assignment-Neither this Agreement, nor any claim arising under this Agreement,shall be transferred or
assigned by the Recipient without prior written consent of WDFW.
Indemnification-The Recipient hereby agrees to defend, indemnify, and hold harmless WDFW, its employees,
and the State of Washington from all loss, risk of loss,and damages (including expenses,costs,and attorney
fees)sustained or incurred because of or by reason of any claims,demands,suits,actions,judgments, or
executions for damages of any and every kind and by whomever and whenever made or obtained,allegedly
caused by,arising out of,or relating in any manner to any use made of Sensitive Data obtained by the Recipient
under this Agreement.This Indemnification provision does not apply to federal agencies.
Termination-Either party may terminate this Agreement with 30 days'written notice to the other party's
agreement manager.When an agent ceases to be a representative of a Qualified Entity,the Agreement with the
former agent is immediately terminated. In case of termination, any and all Sensitive Data provided under this
Agreement shall either be immediately returned to WDFW or immediately destroyed by the Recipient as
described in the DISPOSITION OF DATA section.The Recipient accepts full responsibility and liability for any
violations of this Agreement by the Recipient or any officer,employee,or agent of the Recipient; and any such
violation shall result in immediate termination by WDFW of this Agreement and immediate forfeiture to WDFW
of Sensitive Data in any form held by the Recipient or any officer,employee,or agent of the Recipient. In such an
event,the Recipient shall be liable for damages as authorized by law. Notwithstanding such termination or the
expiration of this Agreement,the obligations of confidentiality shall continue for a period of two(2)years from
the date the Sensitive Fish and Wildlife Information was received.
Waiver-No term or condition of this Agreement shall be held to be waived, modified,or deleted, and no breach
excused,except by a written instrument signed by the parties hereto.Waiver of any breach of any term or
condition of this Agreement shall not be deemed a waiver of any prior or subsequent breach.
WDFW Sensitive Fish and Wildlife Information Release Agreement
PHS.RA.4.25.2024 Page 5 of 6
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41B9FAA57A8E
Warrantees-WDFW makes no warranties as to accuracy of Sensitive Data and is not responsible for any loss or
damage to Recipient resulting from receiving Sensitive Data under this Agreement. By entering into this
Agreement,the Recipient hereby waives any and all claims against WDFW for any losses or damages arising out
of this Agreement.Additionally,the Recipient acknowledges that WDFW is not providing Sensitive Data under
this Agreement as a response to a public record request by the Recipient under the Public Records Act.
ALL WRITINGS CONTAINED HEREIN
This Agreement contains all the terms and conditions agreed upon by the parties. No other understandings, oral or
otherwise, regarding the subject matter of this Agreement shall be deemed to exist or to bind any of the parties
hereto.
IN WITNESS WHEREOF,the parties have executed this Agreement.
STATE OF WASHINGTON Jefferson County
DEPARTMENT OF FISH AND WILDLIFE
Matthew Oram Kate Dean
Chief Information Officer Chair,Board of County Commissioners
Title Date Title Date
Approved as to for' only:
// ,1 f for 08/29/2024
Philip C.Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
APPROVED AS TO FORM BY THE OFFICE OF THE ATTORNEY GENERAL
Appendix 1:Sensitive Fish and Wildlife Information
Attachment 1: WDFW Policy 5210 Appendix A:Sensitive Fish and Wildlife Information
WDFW Sensitive Fish and Wildlife Information Release Agreement
PHS.RA.4.25.2024 Page 6 of 6
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41 B9FAA57A8E
WDFW No. PHS-20240730-1
SENSITIVE FISH AND WILDLIFE INFORMATION RELEASE AGREEMENT
APPENDIX 1
PERIOD OF AGREEMENT
Unless terminated sooner,this Agreement shall end on:08/31/2027
DATA TO BE SHARED
Sensitive Data which WDFW will share with the Recipient is as follows:
All Sensitive PHS Data within the project boundary.
The Project for which this data is shared is:
2024 Jefferson County PHS Data Refresh
The Project Boundary is:
Jefferson County plus a 1-mile buffer.
AGREEMENT MANAGEMENT
The agreement manager for WDFW is:
Name Title Phone Email
Keith Fol kerts PHS Supervisor 360-902-2390 PHSproducts@dfw.wa.gov.
The agreement manager for the Recipient is:
Name Title Phone Email
Kevin Hitchcock GIS Coordinator/Administrator (360)385-9365 kmhitchcock@co.jefferson.wa.us
ACCESS BY AUTHORIZED USERS
The following employees or agents of the Recipient are designated as authorized users of Sensitive Data (Name
and/or title of each employee or agent that is designated as an authorized user.):
Jefferson County staff with a need to know in the departments of Community Development, Environmental
Health &Water Quality, Central Services, and Public Works.
Link to Sensitive Data
Upon execution of this Agreement,the Recipient will be able to download the Sensitive Data for a limited time at
this address:
WDFW PHS Agreement Review Recommendation (x) Approve ( )Decline
WDFW Sensitive Fish and Wildlife Information Release Agreement—Appendix 1
PHS.RA.4.25.2024 Page 1 of 1
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41B9FAA57A8E
WA Dept. of Fish &Wildlife POL-5210 Appendix A Page 1 of 3
POL-5210 APPENDIX A: SENSITIVE FISH AND WILDLIFE INFORMATION
Information concerning the specific locations of the species and habitats listed below
has been determined to be sensitive by the Director. Locations are not regarded as
sensitive if they are generalized to the finest resolution allowable without a release
agreement (see table below).
Not all information related to a species or habitat may be considered sensitive. The
information that is considered sensitive is indicated in the column titled "Information
Considered Sensitive" in the table below. For example, only the lek sites of sharp-tailed
grouse information is considered sensitive, however, the release of lek site location
information will be restricted to that Township(s), but not the precise location of the lek
site.
36 square miles is roughly equivalent to a Township. 9 square miles is roughly
equivalent to a Quarter Township. One square mile is roughly equivalent to a Section
of land.
Updated: 11/1/2019
Species or Habitat for Which Information Finest Spatial
Information is Considered Sensitive Considered Accuracy Without
Sensitive Criteria* Sensitive Release Agreement
GENERAL
Radio frequencies used Not applicable—
All Wildlife Species 2 in, or locational data Requires release
generated by,telemetry
studies agreement
FISH/SHELLFISH
Northern abalone (E) 3A,3C All 36 Square Miles
AMPHIBIANS
Oviposition
Oregon spotted frog (E) 3D (breeding) 1 Square Mile
sites
Northern leopard frog (E) 3D Known Location 1 Square Mile
REPTILES
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41B9FAA57A8E
WDFW POL-5210 Appendix A Page 2 of 3
Species or Habitat for Which Information Finest Spatial
Information is Considered Sensitive Considered Accuracy Without
Sensitive Criteria* Sensitive Release Agreement
Western pond turtle (E) 3A,3D All 9 Square Miles
Painted turtle
California mountain kingsnake
Sharp-tailed snake 3A,3C,3D All 9 Square Miles
Ring-necked snake
Striped whipsnake
Western rattlesnake
Gopher snake
Rubber boa
Racer 3A,3B,3C Den sites and 9 Square Miles
Night snake hibernacula
Northwestern garter snake
Common garter snake
Western terrestrial garter snake
BIRDS
Greater sage grouse (T) 3C,3D Leks 36 Square Miles
Columbian sharp-tailed grouse (T)
Ferruginous hawk (T)
Golden eagle (C) 3B,3C Nest sites 36 Square Miles
Northern spotted owl (E) 3B,3C All 36 Square Miles
MAMMALS
Aggregations,
Big brown bat
Keen's myotis maternity colonies,
hibernacula; does not
Little brown bat 3B,3C,3D include sites in 36 Square Miles
Townsend's big- eared bat
Yuma myotis privately-owned
buildings
California myotis
Canyon bat 3B,3C,3D All occurrences in 36 Square Miles
Fringed myotis caves
Long-legged myotis
Townsend's ground squirrel (C)
(Urocitellus t. townsendi,) 3B,3C,3D All 9 Square Miles
Washington ground squirrel (C) 3B,3C,3D All 9 Square Miles
Gray wolf(E)
Grizzly bear (E) 3A,3B,3C,3D All 36 Square Miles
Docusign Envelope ID:A58D72B5-F05C-4D48-8F10-41B9FAA57A8E
WDFW POL-5210 Appendix A Page 3 of 3
Species or Habitat for Which Information Finest Spatial
Information is Considered Sensitive Considered Accuracy Without
Sensitive Criteria* Sensitive Release Agreement
Fisher (E) 3A,3B,3C Den sites 1 Square Mile
Wolverine 3A,3D All 36 Square Miles
Lynx(T) 3A,3B,3C Den sites 36 Square Miles
INVERTEBRATES
Oregon silverspot butterfly (E)
Taylor's checkerspot (E) 3A,3C,3D All 1 Square Mile
Mardon skipper butterfly(E)
Island marble butterfly (C)
HABITATS
Caves 3B,3C,3D All 36 Square Miles
(E)—Endangered species
(T)—Threatened species
(S)—Sensitive species
(C) -Candidate
*See Policy 5210 Definitions
DocuSign
Certificate Of Completion
Envelope Id:A58D72B5F05C4D488F1041B9FAA57A8E Status:Sent
Subject:DocuSign:PHS Release Agreement Kevin Hitchcock
Source Envelope:
Document Pages: 14 Signatures:0 Envelope Originator:
Certificate Pages:5 Initials:0 DFW DocuSign
AutoNav:Enabled 1111 Washington Street
Envelopeld Stamping:Enabled Olympia,WA 98501
Time Zone:(UTC-08:00)Pacific Time(US&Canada) svcDocuSignWF477@dfw.wa.gov
IP Address:67.183.203.3
Record Tracking
Status:Original Holder:DFW DocuSign Location:DocuSign
7/30/2024 2:28:32 PM svcDocuSignWF477@dfw.wa.gov
Security Appliance Status:Connected Pool:StateLocal
Storage Appliance Status:Connected Pool:Washington State Department of Fish& Location:DocuSign
Wildlife
Signer Events Signature Timestamp
PHS Sensitive Data Request Corn pleted Sent:7/30/2024 2:28:36 PM
phsproducts@dfw.wa.gov Viewed:7/30/2024 2:29:01 PM
Security Level: Signed:7/30/2024 2:29:57 PM
DocuSign.email Using IP Address:67.183.203.3
ID: 1
7/30/2024 2:28:37 PM
Electronic Record and Signature Disclosure:
Accepted:7/30/2024 2:29:01 PM
ID:dd548ebf-c7ba-4d2a-a8c2-ed307583fac9
Kevin Hitchcock Completed Sent:7/30/2024 2:30:01 PM
kmhitchcock@co.jefferson.wa.us Viewed:7/30/2024 2:32:25 PM
Security Level:Email,Account Authentication Signed:8/29/2024 11:58:19 AM
(None) Using IP Address:64.184.145.20
Electronic Record and Signature Disclosure:
Accepted:7/30/2024 2:32:25 PM
ID:b50941a4-cd04-46bc-9a16-dd4ca6240e95
PHS Products Completed Sent:8/29/2024 11:58:24 AM
phsproducts@dfw.wa.gov Viewed:8/29/2024 5:03:26 PM
PHS requests Signed:9/4/2024 7:08:41 AM
WDFW Using IP Address: 198.99.101.243
Signing Group:PHS RA Manager
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Keith Folkerts Corn pleted Sent:9/4/2024 7:08:45 AM
Keith.Folkerts@dfw.wa.gov Viewed:9/4/2024 7:09:14 AM
TITLE Signed:9/4/2024 7:09:20 AM
Signing Group:PHS RA Reviewer Using IP Address:198.99.101.243
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Signer Events Signature Timestamp
Kevin Hitchcock Sent:9/4/2024 7:09:23 AM
kmhitchcock@co.jefferson.wa.us Viewed:9/4/2024 7:57:21 AM
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted:9/4/2024 7:57:20 AM
ID:a92d0b40-7fd4-4df8-b6d7-146095b671bc
WDFW CIO
Signing Group:WDFW CIO
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
PHS RA Manager
Signing Group:PHS RA Manager
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 7/30/2024 2:28:36 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on:4/21/2020 2:25:20 PM
Parties agreed to:PHS Sensitive Data Request,Kevin Hitchcock,Kevin Hitchcock
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, Washington State Department of Fish& Wildlife (we, us or Company) may
be required by law to provide to you certain written notices or disclosures. Described below are
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Getting paper copies
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send you paper copies of any such documents from our office to you, you will be charged a
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procedure described below.
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If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
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electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
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All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSign system all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
How to contact Washington State Department of Fish & Wildlife:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: dfwservice@dfw.wa.gov
To advise Washington State Department of Fish & Wildlife of your new email address
To let us know of a change in your email address where we should send notices and disclosures
electronically to you, you must send an email message to us at dfwservice@dfw.wa.gov and in
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To request paper copies from Washington State Department of Fish & Wildlife
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an email to servicedesk@dfw.wa.gov and in the
body of such request you must state your email address, full name, mailing address, and
telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with Washington State Department of Fish & Wildlife
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check-box indicating you wish to withdraw your consent, or you may;
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your email, full name, mailing address, and telephone number. We do not need any other
information from you to withdraw consent.. The consequences of your withdrawing consent for
online documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The
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Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please confirm that you have
read this ERSD, and (i)that you are able to print on paper or electronically save this ERSD for
your future reference and access; or(ii)that you are able to email this ERSD to an email address
where you will be able to print on paper or save it for your future reference and access. Further,
if you consent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check-box next to `I agree to use electronic records and signatures' before
clicking `CONTINUE' within the DocuSign system.
By selecting the check-box next to `I agree to use electronic records and signatures', you confirm
that:
• You can access and read this Electronic Record and Signature Disclosure; and
• You can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
• Until or unless you notify Washington State Department of Fish & Wildlife as described
above, you consent to receive exclusively through electronic means all notices,
disclosures, authorizations, acknowledgements, and other documents that are required to
be provided or made available to you by Washington State Department of Fish &
Wildlife during the course of your relationship with Washington State Department of
Fish& Wildlife.