Contractor Security Acknowledgement Form 2026_.docx
DOCX document 75 KB Posted
- Solicitation number
- 26RFP-27-0904002-003
- Issued by
- South Dakota
About this file
This is a Contractor Security Acknowledgement Form for the State of South Dakota, specifically related to the South Dakota Immunization Information System (SDIIS) contract opportunity. The form requires contractors and their employees to acknowledge compliance with the State of South Dakota's Information Technology Security Policy prior to accessing non-public state technology infrastructure or information. Contractors must sign the agreement on behalf of all current and future employees involved in fulfilling contract requirements, confirming their understanding of security obligations, data protection standards, and confidentiality protocols consistent with state and federal regulations.
The form establishes that access to state technology infrastructure is a revocable privilege subject to change or termination at the discretion of Bureau of Information and Telecommunications (BIT) management, with automatic termination upon contract conclusion unless otherwise specified in writing. Contractors acknowledge responsibility for ensuring employee compliance with all information security policies, protecting state technology and information assets from unauthorized access, disclosure, modification, deletion, and usage. The agreement obligates contractors to promptly report any policy violations to their designated State Contact and the BIT Help Desk at 605-773-4357. Any individual found in violation of the policy is subject to privilege revocation and potential breach of contract determination, at the State's discretion. The individual signing the form must possess authority to commit the entire contractor organization and all its employees to the terms outlined in the agreement.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFP DOH SDIIS IT Exhibit 10.14.26.docx | DOCX document | |
| BIT Attachment 1 ITSP v6.0.pdf | ||
| Security and Vendor Questions v3.3 Production.docx | DOCX document | |
| DOH SDIIS RFP 2026_FINAL.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 .