8-IT Vendor Controls Cybersecurity Acknowledgment Form.pdf
PDF 899 KB Posted
- Solicitation number
- 25/0135
- 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 corporate representative (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 applicable to the goods and/or services being offered, and confirms that all statements made are true, complete, and correct.
The acknowledgement form provides space 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. The document appears to be a standard pre-qualification or compliance form that vendors must complete as part of a larger procurement process, ensuring that potential IT vendors meet specific 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 .