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
The document is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department, designed to protect confidential documentation related to government contracts. This form requires authorized representatives to recognize the sensitive nature of certain documents controlled under 49 C.F.R. Parts 15 and 1520, with specific obligations to protect and ultimately destroy the materials upon completion of contract needs or by a specified contract end date. The form mandates signatories to understand that unauthorized release of the information may result in civil penalties or other actions.
The related contract opportunity involves a five-year Verification of Employment and Income Services solicitation (RFP GGS-25-0719) by the City of Phoenix Finance Central Procurement Department, scheduled to commence on or about June 1, 2026. The procurement will utilize a complex 750-point evaluation system, with 500 points allocated to technical capabilities and 250 points for pricing, and requires comprehensive employment and income verification services. Key dates include a non-mandatory pre-offer conference on May 6, 2025, written inquiries due by May 15, 2025, and proposal submissions due by May 29, 2025 at 2:00 pm local time. Proposers must demonstrate sophisticated technological capabilities, robust security measures, and compliance with federal guidelines, including Fair Credit Reporting Act provisions and Federal Transit Administration certifications.
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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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