11-Attachment BB - IT Vendor Controls Cybersecurity Acknowledgment Form.pdf

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Attached to
ITB - Radio Console System for Mobile Command Post for the Harris County Sheriff's Office (Federal Grant)
Solicitation number
25/0159
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, designed for potential vendors to sign and certify their understanding of cybersecurity requirements for a solicitation. The form requires an authorized representative (corporate officer, partner, or proprietor) to acknowledge that they have read and comprehend all solicitation documents, and agree to provide required artifacts and documents related to IT vendor controls and cybersecurity when applicable to the goods or services being provided.

The acknowledgement form includes fields for capturing critical vendor information, including Project Job Number, Project Description, Authorized Representative Name(s), Signature(s), Company Name and Address, DUNS Number, contact information (telephone, fax, email), and date of signing. By signing, the vendor attests to the truthfulness and completeness of all statements made, and commits to complying with all conditions specified in the solicitation, with a specific emphasis on IT vendor controls and cybersecurity requirements.

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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 .