Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Solicitation number
- PTD25-004
- 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 documents related to aviation projects. The form requires authorized company representatives to acknowledge the sensitive nature of certain documents controlled under 49 C.F.R. Parts 15 and 1520, and commit to destroying these documents upon completion of their review or by the contract end date. Signatories must provide company details, including name, authorized representative, signature, title, contact information, and address.
The related contract opportunity is for the Phoenix Main Line Transit Oriented Development (TOD) services, a two-year project commencing around January 1, 2026. The City of Phoenix seeks urban design and planning firms to develop strategic updates to Transit Oriented Community (TOC) Plans along a 0.5-mile buffer of the Valley Metro Rail. The project emphasizes Disadvantaged Business Enterprise (DBE) and small business participation, requiring contractors to demonstrate good faith efforts in engaging certified firms. Funded through federal transit assistance, the project aims to address urban development challenges, including zoning, housing development, and mixed-use design scenarios, with extensive community engagement through design charrettes and public meetings. A pre-offer conference is scheduled for August 13, 2025, with proposals due by September 12, 2025.
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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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