Contractor Security Acknowledgement Form 2022 BIT Attachment 2.docx
DOCX document 70 KB Posted
- Attached to
- Host Organization for Rural Health Forward
- Solicitation number
- 26RFP-26-09RHT-007
- Issued by
- Harding County, South Dakota
About this file
Contractor Security Acknowledgement Form Summary
This is a Contractor Security Acknowledgement Form issued by the State of South Dakota Department of Health in conjunction with the Rural Health Forward Request for Proposal. The form requires contractors and their employees to acknowledge compliance with the State of South Dakota Information Technology Security Policy (ITSP) Contractor Version 6.0 prior to commencing work. By executing this agreement, contractors confirm they will use non-public State technology infrastructure and information; protect State technology and information assets from unauthorized access, disclosure, modification, deletion, and usage; comply with state and federal confidentiality and data handling regulations; abide by all provisions within the attached IT security policy; promptly report policy violations to the designated State contact and BIT Help Desk at 605-773-4357; and understand that access to State technology infrastructure is a privilege subject to revocation at the discretion of BIT management. The signatory affirms authority to commit the entire contracting organization and all its employees to these terms.
The agreement establishes that violations of the security policy may result in privilege revocation and potential breach of contract determination at the State's discretion, with access to State technology infrastructure automatically terminating upon contract termination unless otherwise agreed in writing. The form requires signature by an authorized representative of the contractor and the designated BIT Contact, with the contractor responsible for ensuring all employees comply with information security policies and procedures. This acknowledgement form is a mandatory deliverable for all contractors selected to work on the Rural Health Forward initiative and must be returned to the designated BIT Contact prior to contract execution.
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Other files
| File | Type | Posted |
|---|---|---|
| Updated Response to Offeror Questions.doc | DOC document | |
| Response to Offeror Questions.doc | DOC document | |
| 3rd Updated Response to Offeror Questions document.doc | DOC document | |
| BIT Attachment 1 ITSP.pdf | ||
| Contractor Security Acknowledgement Form 2022 BIT Attachment 2.docx | DOCX document | |
| RFP Document.docx | DOCX document | |
| BIT Attachment 1 ITSP.pdf | ||
| RFP Document.docx | DOCX document | |
| Updated Response to Offeror Questions.doc | DOC document | |
| Response to Offeror Questions.doc | DOC document | |
| BIT Attachment 1 ITSP.pdf | ||
| RFP Document.docx | DOCX document | |
| Contractor Security Acknowledgement Form 2022 BIT Attachment 2.docx | DOCX document |
Show all 13
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Text version
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
BIT Attachment 2
Revised 2022 image1.png image2.png image3.png image4.png image5.png
File details come from the government source that posted it. Updated .