9-IT Vendor Controls Cybersecurity Acknowledgment Form.pdf
PDF 899 KB Posted
- Solicitation number
- 25/0172
- 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 complete when responding to a solicitation. The form requires an authorized company representative (corporate officer, partner, or proprietor) to certify that they understand and will comply with all solicitation conditions, specifically related to IT vendor controls and cybersecurity requirements. By signing, the representative attests to providing required artifacts and documents as applicable to the goods and/or services being proposed, and confirms that all statements made are true, complete, and correct.
The acknowledgement form includes blank fields for critical vendor information, such as Project Job Number, Project Description, Authorized Representative Name(s), Company Name and Address, DUNS Number, contact information (telephone, fax, email), and signature and date lines. While the specific solicitation details are not provided in this document, the form itself is a standard compliance and certification document that vendors must complete to demonstrate their understanding of and commitment to the solicitation's IT and cybersecurity standards.
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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 .