Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Verification of Employment and Income Services
- Solicitation number
- RFP GGS-25-0719
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This document is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department. The form is related to a broader contract opportunity for Verification of Employment and Income Services, which is a five-year contract anticipated to commence on or about June 1, 2026. The solicitation will be processed through the City's OpenGov e-Procurement Portal, with technical support available via email or an online support bubble. The contract will terminate upon reaching the end of its term or through other specified termination provisions.
The acknowledgement form specifically requires authorized representatives to recognize the sensitive nature of certain documents controlled under federal regulations (49 C.F.R. Parts 15 and 1520), with strict guidelines for handling and destroying documents. The contract opportunity is located in Arizona and is being managed by the City of Phoenix, with potential bidders required to complete this form acknowledging their understanding of sensitive information handling protocols. While specific pricing details are not included in this document, the form suggests a formal procurement process with specific compliance and security requirements for potential contractors.
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Text version
EXHIBIT __
City of Phoenix Aviation Department Sensitive Security Information Acknowledgement Form
The documents entitled [fill in document title(s)] (“Documents”) to be used as part of the [fill in project name] contain Sensitive Security Information that is controlled under 49 C.F.R. Parts 15 and 1520. These documents may only be disclosed to persons who have the requisite “need to know”, as defined in 49 C.F.R. Parts 15 and 1520. Unauthorized release of this information may result in civil penalty or other action. For U.S. government agencies, public disclosure is governed by 5 U.S.C. 552 and 49 C.F.R. Parts 15 and 1520.
I acknowledge, on my behalf and that of my company, the above statement and agree to destroy the [fill in document title(s)], in compliance with 49 C.F.R. Parts 15 and 1520, upon the earlier of our company’s completion of our need to review and/or use the Documents or no later than [fill in current contract end date].
NAME OF COMPANY
AUTHORIZED REPRESENTATIVE PRINTED NAME
AUTHORIZED REPRESENTATIVE’S SIGNATURE
| ______ | ||
| TITLE | PHONE NUMBER |
ADDRESS CITY, STATE AND ZIP CODE
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