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
This is a Contractor Security Acknowledgement Form issued by the State of South Dakota Department of Health for compliance with the state's Information Technology Security Policy. The form requires contractors and their employees working on state contracts to acknowledge and agree to protect non-public state technology infrastructure and information assets from unauthorized access, disclosure, modification, deletion, and usage. Contractors must commit to following state and federal regulations regarding data confidentiality and handling, comply with all provisions of the attached IT Security Policy, and promptly report any policy violations to the designated state contact and the BIT Help Desk at 605-773-4357. The acknowledgement establishes that access to state technology infrastructure is a privilege that may be modified or revoked at the discretion of BIT management, and that such access automatically terminates upon contract completion unless otherwise agreed in writing. The signatory certifies authority to commit the entire organization and all employees to the terms outlined in the agreement.
The second paragraph addresses enforcement and operational requirements, establishing that individuals found in violation of the security policy are subject to privilege revocation and potential breach of contract determinations at the state's discretion. The form serves as a binding agreement between the contractor and the State of South Dakota, requiring signature by an authorized representative with the authority to commit the entire company. This acknowledgement form is a standard requirement for the Rural Health Forward contract opportunity, which mandates compliance with the State of South Dakota Information Technology Security Policy Contractor Version 6.0, including federal fingerprint-based background checks, multi-factor authentication for remote access, and strict controls on data handling and production environment usage.
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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 | ||
| RFP Document.docx | DOCX document | |
| BIT Attachment 1 ITSP.pdf | ||
| RFP Document.docx | DOCX document | |
| Updated Response to Offeror Questions.doc | DOC document | |
| Contractor Security Acknowledgement Form 2022 BIT Attachment 2.docx | DOCX 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 |
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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 .