Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Unemployment Cost Management Services
- Solicitation number
- RFP GGS-25-0720
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
The document is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department. The form is designed to protect sensitive information controlled under federal regulations 49 C.F.R. Parts 15 and 1520, with signatories required to acknowledge the confidential nature of certain documents related to an unspecified aviation project. The form mandates that authorized representatives of companies agree to carefully handle and ultimately destroy sensitive documents in compliance with federal guidelines.
The related state and local contract opportunity is for Unemployment Cost Management Services issued by the City of Phoenix, Arizona. The contract is structured for a five-year term beginning approximately June 1, 2026, with the potential start date contingent upon City Council award and City Clerk's department recording. 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 agreement includes provisions for termination, either upon reaching the end of the contract term or through specific contractual termination clauses.
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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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