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 for the City of Phoenix Aviation Department related to a five-year lease of a high-volume digital color production press. The City of Phoenix is soliciting sealed offers for one leaded digital color production press with accessories, with an effective date on or about June 15, 2026. The procurement is available through the City's Procurement Portal, and interested vendors must submit sealed bids by the February 20, 2026 deadline. The lease term is five years commencing on or about June 15, 2026, with the agreement automatically terminating upon expiration of the five-year term, including any extensions exercised, or upon termination pursuant to the agreement's provisions, whichever occurs earliest. The effective date is contingent upon City Council award, signature, and recording by the City Clerk's department as required by Phoenix City Code.

The acknowledgement 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, which may only be disclosed to persons with requisite "need to know." Signatories agree to destroy the specified documents upon the earlier of their company's completion of the need to review and use the documents or no later than the current contract end date, in compliance with federal regulations. Unauthorized release of this information may result in civil penalties or other action. All offerors must complete and submit the acknowledgement form along with other required compliance and certification documents, including FTA Federal Certifications and SAP OCI documentation, as part of their sealed offer submission.

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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

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