Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Financial Reporting Software
- Solicitation number
- RFP 26-0035
- 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 required for the Financial Reporting Software contract opportunity. The form establishes that documents related to this procurement contain Sensitive Security Information governed under 49 C.F.R. Parts 15 and 1520, which restricts disclosure to individuals with a documented "need to know." The City of Phoenix is soliciting sealed offers for financial reporting software under a five-year contract commencing on or about January 1, 2027, or upon City Council award and execution by the City Clerk's department, whichever is later. The solicitation is administered through the City's OpenGov e-Procurement Portal, with technical support available through the portal or via procurement-support@opengov.com.
All individuals and organizations receiving the restricted documents must acknowledge their understanding of the handling requirements and agree to destroy the documents upon the earlier of either completion of their need to review and use the materials or the current contract end date. Signatories to the acknowledgement form must provide their company name, printed name, signature, title, phone number, and complete address. Unauthorized release of Sensitive Security Information may result in civil penalties or other legal action. For U.S. government agencies, public disclosure is governed by 5 U.S.C. 552 in addition to the referenced C.F.R. regulations. The contract will terminate upon the earliest occurrence of reaching the end of the term including any extensions exercised or upon termination pursuant to the agreement's provisions.
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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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