Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Mountain Preserve Trail Maintenance Services
- Solicitation number
- PKS-RFP-25-0744
- 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 protect confidential documents related to an unspecified project, with specific requirements for handling, disclosure, and destruction of sensitive materials in compliance with federal regulations under 49 C.F.R. Parts 15 and 1520. The form requires authorized company representatives to acknowledge the sensitive nature of the documents, agree to limit disclosure to persons with a necessary "need to know", and commit to destroying the documents upon project completion or contract end date.
The associated state and local contract opportunity involves Mountain Preserve Trail Maintenance Services for the City of Phoenix Parks and Recreation Department. The project encompasses maintenance and rehabilitation of over 200 miles of mountain preserve and desert park trails, addressing the unique challenges of wild desert areas and rocky terrain. The solicitation seeks qualified vendors to provide specialized ongoing trail maintenance services, with the goal of maintaining and restructuring trail systems within Phoenix's natural preserve areas. The contract opportunity is located in Arizona and focuses on preserving and managing complex trail networks in challenging desert environments.
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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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