10-Attachment DD - IT Vendor Controls Cybersecurity Acknowledgment Form.pdf
PDF 899 KB Posted
- Solicitation number
- 25/0209
- Issued by
- Harris County, Texas
About this file
This document is an Information Technology (IT) Vendor Controls and Cybersecurity Acknowledgement form dated 12/15/23. The form is a standardized acknowledgment that requires signature by a corporate officer, partner, or proprietor, certifying understanding and compliance with IT vendor controls and cybersecurity requirements for a specific solicitation. The document requires the authorized representative to attest that they will provide all required artifacts and documents applicable to the goods and/or services being provided, and that all statements made are true, complete, and correct.
The form provides fields for key vendor information including Project Job Number, Project Description, Authorized Representative Name(s), Company Name and Address, DUNS Number, contact information (telephone, fax, email), and signature lines. While specific project details are not filled in on this template document, it serves as a critical compliance and acknowledgement form that vendors must complete when responding to an IT-related solicitation, ensuring they understand and will adhere to the cybersecurity and vendor control requirements of the procurement process.
View the file
Other files
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
12/15/23
INFORMATION TECHNOLOGY (IT) VENDOR CONTROLS AND CYBERSECURITY
ACKNOWLEGEMENT
This acknowledgment shall be signed, in ink, by a corporate officer, partner, or proprietor: I certify that I am authorized to sign this Acknowledgement and agree to abide by all conditions of this solicitation including but not limited to the IT Vendor Controls and Cybersecurity requirements and certify that I have read and understand the documents in their entirety. In signing this acknowledgement, I attest that under this solicitation I shall provide required artifacts/documents when applicable to the goods and/or services provided according to the published provisions of this solicitation. I certify that all statements made are true, complete and correct.
Project Job No.: ___________________________________________________
Project Description: ___________________________________________________
Authorized Representative Name (First & Last): _______________________________________________
Authorized Signature: _______________________________________________
Date: ____________________
Authorized Representative Name (First & Last): _______________________________________________
Company Name: Company Address: ___________________________________________________
Bidder DUNS Number: __________________
Telephone:________________________
Fax:____________________ e-mail:________________________
| Project Job No: |
| Project Description: |
| Authorized Representative Name First Last: |
| Authorized Representative Name First Last_2: |
| Company Name Company Address: |
| Bidder DUNS Number: |
| Telephone: |
| Fax: |
| email: |
| Date1_af_date: |
File details come from the government source that posted it. Updated .