Contractor Security Acknowledgement Form 2026_ .docx
DOCX document 76 KB Posted
- Attached to
- Electronic Disease Surveillance System (EDSS)
- Solicitation number
- 26RFP-27-0908002-001
- Issued by
- Harding County, South Dakota
About this file
This is a Contractor Security Acknowledgement Form for the State of South Dakota, administered by the Bureau of Information Technology (BIT). The form requires contractors and their employees to acknowledge compliance with the State's Information Technology Security Policy as a condition of contract performance. Contractors must sign the agreement on behalf of all current and future employees involved in service delivery. The form serves as a binding acknowledgement that the contractor understands security obligations related to access to state technology infrastructure and non-public information.
The agreement establishes nine key compliance requirements, including contractor responsibility for protecting state technology and information assets from unauthorized access, disclosure, modification, deletion, and misuse; adherence to state and federal confidentiality and data handling regulations; and prompt reporting of policy violations to the designated state contact and BIT Help Desk (605-773-4357). The form specifies that access to state technology infrastructure is a privilege subject to revocation by BIT management at any time, automatically terminates upon contract termination unless otherwise agreed in writing, and that violations may result in privilege revocation and potential breach of contract determination. The individual signing the form must have authority to commit the entire company and all its employees to these terms. The document requires signatures from both the contractor representative and the designated BIT contact, along with printed names and the contract date.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Response to Offeror Questions document.docx | DOCX document | |
| SD_EDSS_RFP_v6.pdf | ||
| BIT Attachment 1 ITSP v6.0.pdf | ||
| RFP IT Exhibit DOH EDSS 07.22.26.docx | DOCX document | |
| Security and Vendor Questions v3.3 Production.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 2026 image1.png image2.png image3.png image4.png image5.png
File details come from the government source that posted it. Updated .