1. COMPLETE & SIGN TO RECEIVE NEW MEXICO DRIVER RECORD INFORMATION.
2. FAX COMPLETED FORM TO: IntelliCorp
216-450-5249 ATTN: MVR Compliance
Insurance Information Exchange, a unit of ISO Claims Services
Created 02/19/2014
Version NM2014.1
V.
Customer agrees to indemnify, hold harmless, and release Vendor and the State of New Mexico and their employees, agents,
and contractors from and against any and all loss, damages of any kind, injury, liability, court awards, suits and proceedings,
including costs, expenses and attorneys’ fees, arising from the performance of this Agreement or the
performance, disclosure, or use of any data contained in any records maintained by MVD by Customer, its officers, agents,
volunteers or employees, except insofar (with respect to indemnity, hold harmless and release of the State of New Mexico)
as they may result from the actions or inactions of the State of New Mexico, its agencies, employees, contractors or
subcontractors; and except insofar (with respect to indemnity, hold harmless and release of Vendor) as they may result from
the actions or inactions of Vendor, its parent corporation, its subsidiaries, officers, agents, contractors, subcontractors, or
employees.
VI.
Customer shall report to iiX, who shall then report to Vendor, the following occurrences within twenty-four (24) hours of
discovery:
A.
Any known misuse of and/or breach of security or confidentiality involving a Record furnished from iiX to Customer;
B.
Any litigation, or Notice of Claim, involving the content or handling of a Record furnished from iiX to Customer.
Such an occurrence shall be reported by Customer to iiX within three (3) business days of service of process;
C.
Any non-monetary breach of iiX’s written Agreement with the Customer. Such occurrence shall be reported by the
Customer to iiX within five (5) business days of discovering such breach.
VII.
Customer shall be capable of generating, within twenty four (24) hours of a request by Vendor or MVD, a history of its
Disclosures over time of any Records obtained under this Agreement.
VIII.
Customer shall not use any PI obtained under this agreement for direct mail or email solicitations, advertising, or surveys,
nor shall it compile or publish, or permit others to compile or publish, including on the Internet, any portions of the PI
furnished to it in a Record.
IX.
Customer agrees that it is subject to remedial action by Vendor or MVD or both, in the event of violation of this Agreement.
Such remedial action may range from suspension for a fixed period of time from receiving Records, to termination of the
privilege of receiving Records and may include liability to Vendor and/or the MVD.
X.
Customer agrees that no third-party rights are created or acquired by reason of this Agreement.
XI.
Customer acknowledges that the continuing ownership of the original record underlying each copy of a Record remains with
MVD.
XII.
Customer certifies that the information and statements on this request are true and correct, comply with the provisions of
the Federal Driver’s Privacy Protection Act, the amendment to the Driver’s Privacy Protection Act, and Section 66-2-7.1
NMSA 1978, and further understand that the willful, unauthorized disclosure of information obtained from these records for
a purpose other than stated on this request, or the sale or other distribution of the information to a person or organization
not disclosed in this request may result in penalties imposed under any of these statutes.
This Addendum does not modify, alter, expand or delete any other terms or conditions of the Subscription Agreement.
IN WITNESS WHEREOF, the customer certifies that it has read, understands, and agrees to the terms and conditions described
in this Addendum.
Company Name
Signature
Owner or Officer or Legally Authorized Representative
Name (Printed)
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