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
This document is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department. The form requires authorized representatives to acknowledge the confidential nature of certain documents related to an unspecified project, with strict handling requirements under 49 C.F.R. Parts 15 and 1520. Signatories must agree to destroy the specified documents upon completion of their review or by the contract end date, ensuring controlled access to sensitive information.
The related state and local contract opportunity is for Phoenix Main Line Transit-Oriented Development (TOD) services, with a proposed two-year contract term beginning on or about January 1, 2026. The solicitation will be available through the City's Procurement Portal, with technical support provided via OpenGov e-Procurement Portal. The contract is subject to City Council award and will be formally initiated upon signature and recording by the City Clerk's department. Potential offerors are directed to contact the procurement officer listed in the contact information for any additional inquiries about the solicitation.
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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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