Contractor Security Acknowledgement Form 2022_.docx

DOCX document 69 KB Posted

Attached to
Statewide Trauma Registry
Solicitation number
24RFP25-0902006-003
Issued by
Brown County, South Dakota

About this file

This document is a Contractor Agreement to Comply with the BIT Information Technology Security Policy for the State of South Dakota. The agreement requires contractors who will be responsible for fulfilling the requirements of a contract with the State to protect the State's technology infrastructure and information assets from unauthorized activities. Contractors must agree to follow state and federal regulations regarding data confidentiality and handling, discuss any policy violations with a state contact, and promptly report violations to the State Contact and BIT Help Desk. Contractors understand that access to the State's technology infrastructure is a privilege that may be changed or revoked at the discretion of BIT management, and that access automatically terminates upon contract termination unless otherwise agreed in writing.

The agreement outlines the Contractor's responsibilities in providing services under a contract, including protecting the confidentiality and handling of the State's data and information. Violation of the policy may result in privilege revocation and could be considered a breach of the contract with the State.

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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 .