Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Lease of High-Volume Digital Color Production Press
Solicitation number
RFP 26-0158
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department related to a lease of high-volume digital color production press contract. 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. The City of Phoenix seeks sealed offers to provide and set up one (1) leaded digital color production press with accessories for a five (5) year term commencing on or about June 15, 2026. The agreement will terminate upon reaching the end of the contract term, including any extensions exercised, or upon termination pursuant to the agreement provisions.

Signatories must acknowledge that the Sensitive Security Information documents may only be disclosed to persons with requisite "need to know" as defined in the cited federal regulations, and that unauthorized release may result in civil penalties or other legal action. The signatory on behalf of the company agrees to destroy the documents in compliance with applicable federal regulations upon the earlier of the company's completion of its need to review or use the documents or by the contract end date. The form requires completion of company name, authorized representative's printed name and signature, title, phone number, and full address. This acknowledgement is a mandatory requirement for all bidders participating in this City of Phoenix procurement.

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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

______
TITLEPHONE NUMBER

ADDRESS CITY, STATE AND ZIP CODE

File details come from the government source that posted it. Updated .