Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Solicitation number
- RFP 27-SWDD-006
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This file is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department for use in aviation-related procurement activities. The form template requires bidders and contractors to acknowledge receipt of documents containing Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520, and to certify that such information will only be disclosed to persons with a demonstrated "need to know" as defined in federal regulations. Signatories agree to destroy designated documents upon the earlier of project completion or a specified contract end date, with unauthorized disclosure subject to civil penalties or other federal enforcement action.
However, there is a significant discrepancy between this file and the related state and local contract opportunity. The Sensitive Security Information Acknowledgement Form is templated for aviation-related projects and references the City of Phoenix Aviation Department, whereas the associated contract opportunity (RFP 27-SWDD-006) concerns Operations, Maintenance, and Monitoring of a Landfill Gas Collection Control System managed by the City of Phoenix Public Works Department. This form should not be used for the landfill gas procurement unless the City of Phoenix Aviation Department is directly involved in that project. If this form is intended as an exhibit for the landfill gas contract, it appears to be incorrectly labeled or associated with the wrong procurement, and clarification from the City of Phoenix would be necessary to determine its appropriate application to this non-aviation, environmental management contract.
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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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