"Certification of Compliance With Policies" - California

Certification of Compliance With Policies is a legal document that was released by the California Department of Technology - a government authority operating within California.

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SAM – Information Technology
4832 Illustration 1
Certification Requirements
CERTIFICATION OF COMPLIANCE WITH POLICIES
PURSUANT TO SAM SECTIONS 4819.41 AND 4832
I hereby certify that I am the agency director or designee; that the matters described herein are in compliance with
the criteria and procedures for information technology prescribed in SAM; any acquisitions of new or enhanced
information technology capabilities are consistent with project justification approved by the California Technology
Agency, myself or my designee; and that the foregoing statements are true to the best of my knowledge and belief.
____________________
__________________________________________
(Date)
Signature and Title
(Indicate director or designee)
JUSTIFICATION AND APPROVAL REFERENCE INFORMATION
______
Technology Agency approved FSR
_________________________
______________
Technology Agency Project #
Approval Date
______
Agency approved FSR
_________________________
______________
Agency Project #
Approval Date
______
DMCP
_________________________
______________
DMCP #
Approval Date
________________________________________________
Project Title
______
Data Center IAA
This is an interagency agreement to procure services from a consolidated
data center it involves multiple projects, the funding level is appropriate,
and the nature and scope of services to be supplied by the data center are
consistent with the various approved FSRs and PIERs of this agency, and
the required project reporting associated with each active project is current.
SAM – Information Technology
4832 Illustration 1
Certification Requirements
CERTIFICATION OF COMPLIANCE WITH POLICIES
PURSUANT TO SAM SECTIONS 4819.41 AND 4832
I hereby certify that I am the agency director or designee; that the matters described herein are in compliance with
the criteria and procedures for information technology prescribed in SAM; any acquisitions of new or enhanced
information technology capabilities are consistent with project justification approved by the California Technology
Agency, myself or my designee; and that the foregoing statements are true to the best of my knowledge and belief.
____________________
__________________________________________
(Date)
Signature and Title
(Indicate director or designee)
JUSTIFICATION AND APPROVAL REFERENCE INFORMATION
______
Technology Agency approved FSR
_________________________
______________
Technology Agency Project #
Approval Date
______
Agency approved FSR
_________________________
______________
Agency Project #
Approval Date
______
DMCP
_________________________
______________
DMCP #
Approval Date
________________________________________________
Project Title
______
Data Center IAA
This is an interagency agreement to procure services from a consolidated
data center it involves multiple projects, the funding level is appropriate,
and the nature and scope of services to be supplied by the data center are
consistent with the various approved FSRs and PIERs of this agency, and
the required project reporting associated with each active project is current.