7-IT Vendor Controls Cybersecurity Acknowledgment Form.pdf
PDF 909 KB Posted
- Solicitation number
- 25/0210
- 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, designed for potential vendors to complete and submit as part of a solicitation process. The form requires an authorized representative (corporate officer, partner, or proprietor) to certify their understanding and compliance with the solicitation's IT vendor controls and cybersecurity requirements. By signing, the representative attests to providing all required artifacts and documents related to the goods and/or services being proposed, and confirms the accuracy of all statements made.
The form provides fields for key company and project 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 the specific project details are not filled in, the document serves as a standard acknowledgement form ensuring vendor commitment to cybersecurity standards and solicitation conditions. The form appears to be a critical component of a formal procurement process, requiring official certification of a vendor's understanding and capability to meet the solicitation's technical and security 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 .