Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Armored Car Services
- Solicitation number
- RFP GGS-26-0105
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department for use in connection with an armored car services contract opportunity. The form requires authorized representatives of bidding companies to acknowledge receipt of documents containing Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520, and to certify that they understand the restricted distribution requirements and penalties for unauthorized disclosure. Signatories must agree to destroy the covered documents upon the earlier of the company's completion of its need to review and use the materials or by the contract end date specified. The related contract opportunity is for armored car services with the City of Phoenix, commencing on or about July 1, 2026, structured as a five-year base term with two one-year extension options, subject to City Council approval and compliance with Phoenix City Code procedures requiring signature and recording by the City Clerk's department.
The acknowledgement form does not establish pricing terms or funding amounts, as it serves solely as a compliance mechanism for protecting aviation-related security information. Bidders must execute this form as a condition of accessing sensitive contract documents through the City's Procurement Portal. The form includes blanks for insertion of specific document titles, project names, contract end dates, and company representative information including name, title, phone number, and address. No set-asides, incumbent information, or specific funding sources are referenced in this form; those details would be contained in the primary solicitation documents and specifications accessible through the procurement portal.
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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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