11-IT Vendor Controls Cybersecurity Acknowledgment Form.pdf

PDF 899 KB Posted

Attached to
RFSQ - Mobile X-ray, Electrocardiogram, and Ultrasound Services for the Harris County Juvenile Probation Department
Solicitation number
25/0236
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 requires an authorized representative of a company (such as a corporate officer, partner, or proprietor) to sign and certify their understanding and compliance with the solicitation's IT vendor controls and cybersecurity requirements. By signing, the representative attests that they will provide all required artifacts and documents related to the goods and/or services being proposed, and affirm that all statements made are true, complete, and correct.

The form provides spaces for key company and contact information, including Project Job Number, Project Description, Authorized Representative Name(s), Company Name and Address, DUNS Number, telephone, fax, and email. While the specific project details are not filled in, the document serves as a standardized acknowledgement form to ensure vendor commitment to cybersecurity protocols and information technology controls for a potential contract or solicitation.

View the file

Other files

Show all 15

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 .