Exhibit H Contractor Security Acknowledgement Form 2026.docx

DOCX document 76 KB Posted

Attached to
State of South Dakota Account Based Plans (HRA, HSA and FSA)
Solicitation number
26RFP19879
Issued by
Harding County, South Dakota

About this file

This is a Contractor Agreement to Comply with BIT Information Technology Security Policy issued by the State of South Dakota. The document establishes information technology security requirements that contractors and their employees must follow when providing services to the state. Contractors are required to sign the acknowledgement form, committing themselves and all current and future employees to comply with the State of South Dakota's Information Technology Security Policy. The agreement applies to any contractor who will access or utilize non-public state technology infrastructure or information in fulfilling contract obligations.

The contractor's primary obligations include protecting state technology and information assets from unauthorized activities such as access, disclosure, modification, deletion, and improper usage. Contractors must adhere to all applicable state and federal regulations regarding confidentiality and data handling procedures. The agreement specifies 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. Contractors must report any policy violations to the designated state contact and the BIT Help Desk at 605-773-4357. Violations of the policy may result in 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 these terms.

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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

Exhibit H 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 .