Contractor Security Acknowledgement Form 2022 BIT Attachment 2 (002).pdf

PDF 175 KB Posted

Attached to
Acquisition of Information Technology (IT) Staff Augmentation Services
Solicitation number
25RFP12070
Issued by
Harding County, South Dakota

About this file

This is a BIT (Bureau of Information and Telecommunications) Information Technology Security Policy compliance agreement form for contractors working with the State of South Dakota. The document requires contractors and their employees to acknowledge and agree to protect non-public state technology infrastructure and information assets from unauthorized activities, follow state and federal data confidentiality regulations, and report any policy violations to the State Contact and BIT Help Desk (605-773-4357). Access privileges automatically terminate upon contract end unless otherwise agreed in writing.

The form requires a contractor signature from an authorized individual who can commit their entire company and all employees to the agreement terms. The document is designated as BIT Attachment 2 and was revised in 2022. The form instructs contractors to return the signed agreement to their designated BIT Contact, who must also sign and date the document along with the contractor. Any violations of the policy may result in privilege revocation and could be considered a breach of the primary agreement at the State's discretion.

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Text version

BIT Attachment 2

Contractor Agreement to Comply with BIT Information Technology

Security Policy

Please return agreement to your designated BIT Contact

Pursuant to the terms of the Agreement between the Contractor and the State, the Contractor is required to sign this Contractor Agreement to Comply with the BIT Information Technology Security Policy (the

“Policy”) on behalf of its current and future employees who will be responsible for fulfilling the requirements of the Agreement. The Contractor is responsible for ensuring that each Contractor employee complies with all information security policies and procedures found within the Policy. By signature below, the Contractor hereby acknowledges and agrees to the following:

1. In providing services under a contract, the Contractor will use non-public State of South

Dakota technology infrastructure or information;

2. The Contractor will protect technology and information assets of the State from unauthorized activities including but not limited to access, disclosure, modification, deletion, and usage;

3. The Contractor agrees to follow state and federal regulations in regard to confidentiality and handling of data;

4. The Contractor has read and agrees to abide by the Policy, which is attached to the

Agreement;

5. The Contractor will discuss with a state contact any violation of the Policy;

6. The Contractor understands that any individual found to have violated the Policy is subject to privilege revocation and, at the State’s discretion, may be considered a breach of the

Agreement with the State;

7. Access to the technology infrastructure of the State or the State’s information is a privilege which may be changed or revoked at the discretion of BIT management;

8. Access to the technology infrastructure of the State automatically terminates upon contract termination unless otherwise agreed upon in writing by the parties; and

9. The Contractor shall promptly report violations of the Policy to the State Contact and BIT

Help Desk (605-773-4357).

Acknowledgement: State of South Dakota Information Technology Security Policy

Contractor: The individual signing this form on behalf of their entire company affirms that he/she has the authority to commit the Contractor and all its employees to follow the terms of this agreement.

Contractor Signature Date BIT Contact Date

Printed Contractor name and Company name

Revised 2022

File details come from the government source that posted it. Updated .