11-Harris County Information Technology Vendor Controls Cybersecurity Acknowledgment Form.pdf
PDF 899 KB Posted
- Attached to
- RFP - Disparity Study, Enhanced Program Recommendations and Other Related Services for Harris County
- Solicitation number
- 25/0176
- Issued by
- Harris County, Texas
About this file
The document is an Information Technology (IT) Vendor Controls and Cybersecurity Acknowledgement form dated 12/15/23. This form is a standard certification document requiring authorized representatives from potential vendors to acknowledge and agree to specific IT vendor control and cybersecurity requirements for a solicitation. The form requires the signing party to certify they have read and understood all solicitation documents, will provide required artifacts and documents as applicable, and that all statements made are true and complete.
The form provides spaces for key vendor information including the project job number, project description, authorized representative names and signatures, company name and address, DUNS number, telephone, fax, and email contact details. While no specific project details are filled in on this template document, it appears to be a standard pre-qualification form designed to ensure potential IT vendors understand and will comply with cybersecurity and vendor control standards before being considered for a contract or solicitation.
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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 .