Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- General Police Towing Services
- Solicitation number
- RFP GGS-25-0705
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This document is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department. The form is designed to ensure confidentiality and controlled disclosure of sensitive documents related to an unspecified project, with strict compliance requirements under 49 C.F.R. Parts 15 and 1520. Signatories must agree to protect and ultimately destroy the referenced documents upon completing their review or by the contract's end date.
The related state and local contract opportunity is for General Police Towing Services issued by the City of Phoenix, Arizona, seeking a comprehensive five-year contract with potential five-year renewal options. The solicitation will commence on or about January 1, 2027, and will be awarded through the City's OpenGov e-Procurement Portal. Interested parties can obtain technical support for the portal via email or an online support bubble, and should contact the listed procurement officer for specific solicitation inquiries. The contract will terminate upon reaching its maximum term or through specified termination provisions.
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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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