Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Solicitation number
- RFP 27-SWDD-006
- 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 controlled under federal regulations (49 C.F.R. Parts 15 and 1520). The form requires authorized representatives to acknowledge the sensitive nature of the documents, commit to protecting them, and agree to destroy the materials upon completion of their review or by the contract end date. Signatories must provide company details, including name, authorized representative's signature, title, contact information, and address.
The related contract opportunity involves a comprehensive six-year procurement by the City of Phoenix Public Works Department for Operations, Maintenance, and Monitoring of the Landfill Gas Collection Control System across six landfill sites. The evaluation process will allocate 1,000 points across four criteria: Qualifications and Experience (400 points), Transition Start-Up and Close-Out Plans (300 points), Price (200 points), and Reporting (100 points). Key procurement dates include a release on September 17, 2025, questions deadline of October 22, 2025, and proposal response deadline of November 19, 2025. The contract includes Disadvantaged Business Enterprise (DBE) and Small Business participation requirements, mandatory site visits in October 2025, and comprehensive insurance coverage requirements. Pricing will be firm and fixed for the first three years, with potential annual inflation adjustments limited to 3% or the Consumer Price Index, whichever is less.
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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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