Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Mountain Preserve Trail Maintenance Services
- Solicitation number
- PKS-RFP-25-0744
- 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, designed to protect confidential information under federal regulations. The form requires authorized representatives to acknowledge the sensitive nature of specific documents, agree to limit disclosure to persons with a "need to know," and commit to destroying the documents upon project completion or contract end date. Signatories must provide company details, including name, signature, title, contact information, and address.
The related contract opportunity involves Mountain Preserve Trail Maintenance Services for the City of Phoenix Parks and Recreation Department, covering maintenance of over 200 miles of mountain preserve and desert park trails in Maricopa County, Arizona. The five-year contract, anticipated to start December 1, 2025, requires maintaining approximately 3,168,000 square feet of trails, including repairing 542,200 linear feet of natural earth trails. Evaluation criteria will prioritize vendor qualifications (40%), approach (30%), key personnel (20%), and pricing (10%), with a non-mandatory pre-offer conference on August 22, 2025, and proposal responses due September 19, 2025. Contractors must provide detailed unit costs for maintenance tasks, comply with federal requirements, and adhere to disadvantaged business enterprise principles, civil rights standards, and workplace safety regulations.
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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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